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LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN JANUARI 2019

No. Reg No. Urut Hb


Tanggal Nama Usia Alamat HB
Lab (manual)

L P
2-Jan 1 1 Amaliyah 34 4/4 Cigugur 11.2
2-Jan 2 2 Nandang T 70 10/5 Utama
2-Jan 3 3 Ikin Sodiki 40 Kihapit Timur
2-Jan 4 4 Moch Kafe 0.7 2/11 LG
2-Jan 5 5 Nining Yun 34 5/5 CT
2-Jan 6 6 Sri Nurul 20 2/12 Utama
2-Jan 7 7 Sri Lestari 20 2/11 Utama
2-Jan 8 8 Sunarsih 61 6/10 Baros
2-Jan 9 9 Darel Tris 3.5 4/15 Pdsk 11.8
2-Jan 10 10 Yuyun 30 8/20 LG
2-Jan 11 11 Divia 3.6 4/4 Utama
2-Jan 12 12 Sri 30 2/3 LG
2-Jan 13 13 Mimin S Aminah 72 LeuwiGajah
2-Jan 14 14 Husna Solihatun H 7 3/6 Cibeber
2-Jan 15 15 Tiara 21 8/12 Utama
2-Jan 16 16 Wahidin 55 1/16 Utama
2-Jan 17 17 Bagus Mul 37 2/5 Utama 16.8
2-Jan 18 18 Nita Pursita 49 4/3 LG
2-Jan 19 19 Telyana 42 5/5 LG
2-Jan 20 20 Iklas Yessih 58 11/9 LG
2-Jan 21 21 Nartikah 45 2/15 Utama
3-Jan 22 22 Siva Fauziah 19 1/4 LG
3-Jan 23 23 Khoiriyah 45 1/7 Baros 12
3-Jan 24 24 Sukarmin 59 5/1 Cibeber
3-Jan 25 25 Amas Roha 68 3/7 Utama
3-Jan 26 26 Nonong Hasanah 43 5/12 Utama
3-Jan 27 27 Atikah 56 5/16 Utama
3-Jan 28 28 Azkia Zahra 9 4/11 Utama
3-Jan 29 29 Endang 42 2/2 Utama
3-Jan 30 30 Ratmini 61 LeuwiGajah
3-Jan 31 31 Nani Kusna 60 4/6 Utama
3-Jan 32 32 Elsa Dastia 56 1/5 Cibabat
3-Jan 33 33 Enok N 60 8/8 LG
3-Jan 34 34 Jojoh Juari 64 2/8 Utama
3-Jan 35 35 Uceh 71 5/11 Utama
3-Jan 36 36 Adang Pur 49 2/14 Cibeber
3-Jan 37 37 Bagus Mul 37 2/5 Utama 18.1
3-Jan 38 38 Aminudin 57 4/3 LG 16.1
3-Jan 39 39 Daryana 42 Cipageran 14.8
3-Jan 40 40 Maskinah 62 5/16 Utama
3-Jan 41 41 Kalip 4.3 1/6 Cibeber 13.1
3-Jan 42 42 Yanny Tjan 91 1/4 LG
3-Jan 43 43 M Nuh 0.7 Lagadar 3.4
3-Jan 44 44 Wiwi Widar 49 Cibodas
3-Jan 45 45 Frengky Tr 26 1/16 Utama 17.1
3-Jan 46 46 Sukardi 53 9/5 Utama
4-Jan 47 47 Iman Hilm 28 4/13 Utama
4-Jan 48 48 Wina 29 2/12 Utama 11.7
4-Jan 49 49 Sukmawati 44 2/1 Utama
4-Jan 50 50 Ilah 34 4/16 Utama 13
4-Jan 51 51 Rokhman Ef 60 5/12 LG
4-Jan 52 52 Achmad A. 58 LeuwiGajah
4-Jan 53 53 Dwi Perma 28 2/15 LG
4-Jan 54 54 Nur Mulya 31 2/2 LG
4-Jan 55 55 Citra 18 1/9 Baros 10.4
4-Jan 56 56 Winda Mar 21 4/9 Cibeber 10.6
4-Jan 57 57 Olive 5 PKM Cimsel
4-Jan 58 58 Theo 7 PKM Cimsel 13.7
4-Jan 59 59 Masitoh 60 2/5 LG
4-Jan 60 60 Isnen Fitri 26 1/10 Baros
5-Jan 61 61 Omon 59 2/10 Utama
5-Jan 62 62 Muhamad A 7 5/11 Utama 11.2
5-Jan 63 63 Nurmawan, 49 4/11 LG 12.2
7-Jan 64 64 M Arya 12 4/2 Utama 11.8
7-Jan 65 65 Mega Gusti 20 3/16 Lagadar
7-Jan 66 66 Siti Aisyah 52 Bzros Tempel
7-Jan 67 67 Linda Char 28 5/16 Utama
7-Jan 68 68 Upik Titin 42 5/16 Utama
7-Jan 69 69 Dewi Amba 16 4/14 Utama 11.9
7-Jan 70 70 Yusuf Supr 61 5/3 Utama
7-Jan 71 71 Fransisca 11 2/5 Utama
7-Jan 72 72 Mariam 46 5/9 LG
7-Jan 73 73 Nanik SP 41 Baros
7-Jan 74 74 Rusyati 59 1/4 Utama
7-Jan 75 75 Siti Nurhay 52 1/6 Cilember
7-Jan 76 76 Achmad A. 77 3/14 LG
7-Jan 77 77 Drs. Dudih 67 6/3 Pilar Mas
7-Jan 78 78 Satimin 62 7/6 LG
7-Jan 79 79 Sri Ratnani 58 4/2 LG
7-Jan 80 80 Halimah 63 3/13 Cibeber
7-Jan 81 81 Omah 67 H. Haris
7-Jan 82 82 Primawati 58 2/18 Lagadar
8-Jan 83 83 Siti Aura 13 3/2 Utama
8-Jan 84 84 Jaja Suharj 37 3/1 Utama 14.7
8-Jan 85 85 Halwa 9 3/2 Utama
8-Jan 86 86 Ahmad Jul 44 3/3 LG
8-Jan 87 87 Dede Rahm 27 1/7 Utama
8-Jan 88 88 Teti Siti Wa 59 3/10 Baros
8-Jan 89 89 Sri Maryan 48 3/3 Saradan
8-Jan 90 90 Iin Kartini 42 2/1 Utama
8-Jan 91 91 Cucu Sumi 49 Marga Asih
8-Jan 92 92 Yuyun 52 3/13 Utama
8-Jan 93 93 Keken Juh 63 2/12 Utama
8-Jan 94 94 Anisah 48 Cigugur
8-Jan 95 95 Effi Hastiat 54 Lagadar
9-Jan 96 96 Ipong S 62 Hujung
9-Jan 97 97 Devri Ande 21 5/16 Utama
9-Jan 98 98 Raisatya G 0.9 1/6 Utama
9-Jan 99 99 Rida F 13 1/3 Lagadar
9-Jan 100 100 Ajirian 16 1/3 Lagadar
9-Jan 101 101 Aulia Tulja 19 5/16 Utama
9-Jan 102 102 Siti Sri 35 5/14 Contong
9-Jan 103 103 Thoriq 15 5/16 Utama
9-Jan 104 104 Elis 35 5/14 Contong
9-Jan 105 105 Devany 24 2/2 Cibeber
9-Jan 106 106 Messyana 22 4/13 Cibeber
9-Jan 107 107 Muhammad 22 5/16 Utama
9-Jan 108 108 Febriansya 20 5/16 Utama
9-Jan 109 109 Rochiyah 56 5/12 LG
9-Jan 110 110 Ade Ramla 59 Cimuncang
9-Jan 111 111 Lutfi Rahm 11 H. Haris 13.3
9-Jan 112 112 Vanesa 5 Wr. Contong
9-Jan 113 113 Wiyati 65 5/7 Utama
9-Jan 114 114 Enung Sumi 52 5/10 Utama
9-Jan 115 115 Hasanah 66 4/12 Utama
9-Jan 116 116 Sopiah 70 4/2 Utama
10-Jan 117 117 Neng Yanti 24 3/12 Nanjung
10-Jan 118 118 Rita Rahma 41 1/2 Ktwrngin
10-Jan 119 119 Siti Hindun 52 5/12 Utama
10-Jan 120 120 Rohiyat 67 5/12 Utama
10-Jan 121 121 Siti Sobari 60 1/11 Utama
10-Jan 122 122 Anda Usen 72 4/11 Baros
10-Jan 123 123 Noviyanti 34 3/13 Utama
10-Jan 124 124 Endang Sya 64 10/8 Cibabat
10-Jan 125 125 Sudomo 74 6/14 Baros
10-Jan 126 126 Deni Wahyu 53 1/4 LG
10-Jan 127 127 Adang Suh 74 11/3 Nanjung
10-Jan 128 128 D. Cholida 53 4/9 Stmnh
10-Jan 129 129 Suhartini 54 2/15 Utama
10-Jan 130 130 Adinda 18 3/12 Utama
10-Jan 131 131 Sukmawati 44 2/1 Utama
10-Jan 132 132 Enok Risan 68 3/7 Baros
10-Jan 133 133 Siti 24 4/11 Utama
10-Jan 134 134 Mishell 0.7 PKM Cimsel
10-Jan 135 135 Epi 37 3/19 LG
10-Jan 136 136 Azmi Ladis 10 3/3 Sk Tnggl
11-Jan 137 137 Risna Mari 36 Leuwigajah
11-Jan 138 138 Eli N 23 2/2 Cbrem
11-Jan 139 139 Tita Pitria 41 3/12 Btjjr
11-Jan 140 140 Saritnem 45 4/6 LG
11-Jan 141 141 Dina 21 3/8 Baros
11-Jan 142 142 Risti 25 2/6 Utama
11-Jan 143 143 Sindi Desti 20 6/9 Utama
11-Jan 144 144 Warsih 35 4/21 Baros 13.3
11-Jan 145 145 Marsiyah 29 3/16 Utama 11.2
11-Jan 146 146 Waridah 28 4/16 Utama 10.3
11-Jan 147 147 Anisa Put 18 1/5 Utama 10.2
11-Jan 148 148 Alih Rosmia 53 8/12 Utama
11-Jan 149 149 Lita Purna 26 1/6 Cibeber 11.4
11-Jan 150 150 Iman Nurj 23 8/8 LG 16
11-Jan 151 151 Agus Sukm 23 8/8 LG 17.2
11-Jan 152 152 Muhammad 8 2/15 Btjjr 12.4
11-Jan 153 153 Nurhayati 26 3/3 Utama
12-Jan 154 154 Eneng Nur 33 7/2 Utama
12-Jan 155 155 Siti Fajar 29 2/3 Saradan 11.5
12-Jan 156 156 Gilang 19 2/12 Btjajar 17.3
12-Jan 157 157 Dendyka 8 4/10 Baros 14.6
12-Jan 158 158 Acep Rudy 46 Ciuyah
13-Jan 159 159 Afdol 25 PKM Cimsel
13-Jan 160 160 Ratna 35 Utama 11.6
13-Jan 161 161 Desi 17 3/4 Lagadar
13-Jan 162 162 Salwa 13 3/4 Lagadar
13-Jan 163 163 Dewi Astut 49 7/12 LG
13-Jan 164 164 Erna Aprili 25 Sriwijaya
13-Jan 165 165 Rita 42 1/2 Ktwrngin
13-Jan 166 166 Darliah 72 4/16 Utama
13-Jan 167 167 Leonard 14 Bp. Ampi 15.6
13-Jan 168 168 Siti Jubae 56 2/4 Utama
13-Jan 169 169 Adnan 2.3 2/8 Utama 13.6
13-Jan 170 170 Darmo War 69 Setiamanah
13-Jan 171 171 Lilis 55 3/15 Utama
13-Jan 172 172 Sudirman 49 1/3 Cibeber
13-Jan 173 173 Nanik SP 41 Baros
15-Jan 174 174 Wagini 54 2/3 Utama
15-Jan 175 175 Sujono 62 1/11 Utama
15-Jan 176 176 Rahayu 53 3/3 LG
15-Jan 177 177 Naura W 5 4/5 LG
15-Jan 178 178 Aas Nur Ai 58 Pilar Mas
15-Jan 179 179 Masda Nai 48 8/12 Utama
15-Jan 180 180 Nana Suba 61 3/12 Utama
15-Jan 181 181 Yuni Lidiaw 30 Asrm Armed
15-Jan 182 182 Juarsih 61 1/6 Utama
15-Jan 183 183 Rosidah 51 7/5 Utama
15-Jan 184 184 Ina Painah 68 1/16 Baros
15-Jan 185 185 Aah Rohati 51 1/5 Utama
15-Jan 186 186 Cunangsih 55 4/10 Utama
15-Jan 187 187 Sarmini 66 4/10 Utama
16-Jan 188 188 Fatiya 16 4/3 Lagadar
16-Jan 189 189 Bintang 15 1/7 Baros
16-Jan 190 190 Galib 17 5/12 Utama 16.7
16-Jan 191 191 Ninah Rum 68 Marga Asih 10.2
16-Jan 192 192 Nurfitri Se 9 3/8 Pada Ksh
16-Jan 193 193 D. Sutini 63 2/8 Utama
16-Jan 194 194 Dhiya Aufa 11 4/16 Utama
16-Jan 195 195 Djadja 74 1/1 Baros
16-Jan 196 196 Sudiah 66 1/1 Baros
16-Jan 197 197 Enok Juba 63 4/6 Utama
16-Jan 198 198 Moh Hasan 76 5/3 Utama
16-Jan 199 199 Anira Rah 8 1/30 Cbrm
17-Jan 200 200 Hidayat 68 Kihapit 15.7
17-Jan 201 201 Ramdanian 7 5/5 LG 14
17-Jan 202 202 Leonard 14 4/5 Baros 17.3
17-Jan 203 203 Cucu S 43 4/13 Baros
17-Jan 204 204 Enih 74 3/9 Utama
17-Jan 205 205 Juariah 73 3/14 Cibeber
17-Jan 206 206 Siti Juariah 53 Mekar Sari
17-Jan 207 207 Tati Rohati 65 5/12 Utama
17-Jan 208 208 Masitoh 60 2/5 LG
17-Jan 209 209 Rohaeti 40 5/1 Utama
17-Jan 210 210 Siti Nurha 21 4/3 Nanjung
17-Jan 211 211 Yadi Setia 35 6/10 Utama
18-Jan 212 212 Nada Nafis 18 Utama
18-Jan 213 213 RR. Isniati 71 5/12 LG
18-Jan 214 214 Marlina 25 6/5 Utama 14.3
18-Jan 215 215 Mamah 72 1/9 Utama
18-Jan 216 216 Lilih Yulian 44 1/6 Utama
18-Jan 217 217 Suhandi 50 1/16 Utama 16.2
18-Jan 218 218 Riska Dila 14 7/2 LG
18-Jan 219 219 Fikri 8 1/3 Lagadar 14.2
18-Jan 220 220 Al Hafiz Fa 6 1/2 Utama 12.9
18-Jan 221 221 Syifa Nur 6 Utama
18-Jan 222 222 Agis Indra 14 5/14 Utama 13.9
18-Jan 223 223 Dhiya Aufa 11 4/16 Utama
18-Jan 224 224 Momo 80 58/4 LG
18-Jan 225 225 Sri Lestari 61 6/10 Baros
19-Jan 226 226 Putri Nabil 15 5/4 LG
19-Jan 227 227 Ardiansyah 24 4/5 Utama 16
19-Jan 228 228 Sandi 14 4/2 Utama 13.9
19-Jan 229 229 Zikri Adity 3.8 2/14 Utama 12.2
19-Jan 230 230 Seni Hendr 2.8 3/6 Utama
19-Jan 231 231 Yusnimar 54 4/10 Baros
19-Jan 232 232 Debora Gr 4 3/6 Cibeber
21-Jan 233 233 Mila Karmi 36 3/2 Utama
21-Jan 234 234 Neni Nurha 31 6/5 Utama
21-Jan 235 235 Tugiman 41 1/6 Utama
21-Jan 236 236 Ayi Januar 13 3/12 LG 7.1
21-Jan 237 237 Ahmad Han 3.4 4/11 Utama 12.9
21-Jan 238 238 Nazwa Mau 10 Cibodas
21-Jan 239 239 Habibi 3.5 3/2 Baros 12.2
21-Jan 240 240 Afifah 13 3/4 Lagadar
21-Jan 241 241 Rifki 8 5/5 LG 13.5
21-Jan 242 242 Raisa Nah 13 8/2 LG
21-Jan 243 243 Graha Anu 8 Cibodas 10.7
21-Jan 244 244 Senny Agus 32 3/3 LG
21-Jan 245 245 Muhamad R 4.7 4/2 Utama 11.8
21-Jan 246 246 Fatiyyah Ra 4 Pondok Mas
21-Jan 247 247 Sepi Tuti Pr 7 2/14 Utama
21-Jan 248 248 Rochman 16 1/10 Utama
21-Jan 249 249 Emi Suhae 66 7/12 LG
21-Jan 250 250 Nanik SP 41 Baros
21-Jan 251 251 Abdul Aziz 34 3/3 Cibeber 17.8
21-Jan 252 252 T. Suryati 67 6/10 Cigugur
21-Jan 253 253 Andini Suc 16 4/11 Utama
21-Jan 254 254 Nani Aisah 52 1/2 LG
21-Jan 255 255 Gladys Sal 7 5/3 Utama
22-Jan 256 256 Rifki Wida 8 5/5 LG 12.9
22-Jan 257 257 Eneng Rosa 22 3/11 Utama
22-Jan 258 258 Krisnia Bay 53 4/16 LG
22-Jan 259 259 Maxie Palit 79 3/4 Utama
22-Jan 260 260 Maxi Mili 11 Nanjung 13.9
22-Jan 261 261 Nabila Zu 15 1/6 Cibeber
22-Jan 262 262 Andri S 21 1/6 Utama 13.5
22-Jan 263 263 Sururudin 39 2/6 Utama 16.5
22-Jan 264 264 Keysha N 9 Padasuka
22-Jan 265 265 Sari Sartik 24 3/2 Utama
22-Jan 266 266 Rohmat 57 5/7 Utama
22-Jan 267 267 Sylvia Meg 29 4/13 SndngSr
22-Jan 268 268 Eneng Nur 32 LemSa
22-Jan 269 269 Omah 67 2/11 Baros
22-Jan 270 270 M. Abit 9 Leuwigajah 14.8
22-Jan 271 271 Nurhalima 68 1/1 KrngMkr
23-Jan 272 272 Deswilita D 15 2/2 Cibeber
23-Jan 273 273 Nissa N 7 Sindang Sari
23-Jan 274 274 Naira Dzak 0.8 Leuwigajah
23-Jan 275 275 Ria 20 1/7 Utama 10.6
23-Jan 276 276 Adar Sudar 45 Pasteur
23-Jan 277 277 Al Fatih 7 5/2 Utama 12.7
23-Jan 278 278 Ersa Nurma 23 2/4 Btjjr 7.3
23-Jan 279 279 Aulia Maul 11 2/2 Utama
23-Jan 280 280 Renata Nat 3.3 Kihapit
23-Jan 281 281 Siti Rahma 20 2/3 Utama
23-Jan 282 282 Entin 49 4/5 Utama
23-Jan 283 283 Aisyah Sur 37 4/9 LG 10.9
23-Jan 284 284 Aisah Nur 23 4/10 Ctrp 11.8
23-Jan 285 285 Khadeeja 2.8 2/13 Utama
23-Jan 286 286 Yeni Sutian 26 4/1 LG 12.5
23-Jan 287 287 Eneng Rosa 22 3/11 Utama
23-Jan 288 288 Novianti In 41 1/2 Utama 12
23-Jan 289 289 Rosita 21 3/15 Utama 12.2
23-Jan 290 290 Raja Zaky 11 3/12 Utama 13.6
23-Jan 291 291 Dede Hamd 44 8/12 Utama 15.6
23-Jan 292 292 Anda Usen 72 4/11 Baros
23-Jan 293 293 Sumarni 55 3/11 Baros
23-Jan 294 294 M. Altaf 5 6/2 LG 12.1
23-Jan 295 295 Siti Sugiart 16 3/3 LG 13.3
23-Jan 296 296 Siti Rahma 26 2/4 LG 10.5
24-Jan 297 297 Nur Sa'ada 0.9 4/13 Utama
24-Jan 298 298 Siti Aisah 9 3/11 Utama
24-Jan 299 299 Eneng Rosa 22 3/11 Utama
24-Jan 300 300 Dian Fauzi 20 6/10 Utama
24-Jan 301 301 Ceny 46 Baros pasar
24-Jan 302 302 Fenti 69 Cilame
24-Jan 303 303 Afifah 13 3/4 Lagadar
24-Jan 304 304 Yohany R. 62 2/3 Utama
24-Jan 305 305 Wintarsih 77 2/12 Utama
24-Jan 306 306 Reni Marwa 41 7/12 LG
24-Jan 307 307 Risma Far 20 4/11 Utama
24-Jan 308 308 M. Yasin 12 3/11 Utama 13
24-Jan 309 309 Yuda Rizki 13 7/2 LG 13.8
24-Jan 310 310 Rohaeti 42 1/5 LG
24-Jan 311 311 Sidik 9 Baros 14.1
24-Jan 312 312 Sri Mulyan 3 1/4 LG
24-Jan 313 313 Asep S 52 1/13 Utama
24-Jan 314 314 Adit 30 2/8 Utama 16.5
24-Jan 315 315 Nining And 55 Marga Asih
24-Jan 316 316 Denny Supr 21 3/10 Baros 14.7
24-Jan 317 317 Ihat Soliha 56 4/16 Utama
24-Jan 318 318 Uka Sukaes 58 5/7 Cibeber
24-Jan 319 319 Krisnia Bay 53 4/16 LG
25-Jan 320 320 Euis Linlin 26 4/11 Utama
25-Jan 321 321 Dari 68 5/14 Mncng
25-Jan 322 322 Mimi Gusmi 54 2/7 Utama
25-Jan 323 323 Yayah 68 1/10 Utama
25-Jan 324 324 Troiady Ma 27 2/14 Utama 15.1
25-Jan 325 325 Irma Marli 38 2/10 Baros
25-Jan 326 326 Alvira 7 4/15 LG
25-Jan 327 327 Apok 63 3/12 Utama
25-Jan 328 328 Yulia Vitria 40 6/18 MA 13.5
25-Jan 329 329 Nani Suma 54 2/2 LG
25-Jan 330 330 Akhtar Kee 10 1/15 Utama 11.5
25-Jan 331 331 Ipan Sopia 14 5/11 Utama 18.4
25-Jan 332 332 Adelia Ria 5 2/4 Utama
25-Jan 333 333 Eneng Rosa 22 3/11 Utama
25-Jan 334 334 Rita 40 1/16 Utama
25-Jan 335 335 Ratna Dam 48 4/5 Mkr Bkti
25-Jan 336 336 Windi 22 5/12 Utama
26-Jan 337 337 Ghea Kiran 5 4/11 Utama
26-Jan 338 338 Zakki Alfari 1.9 Saradan 12
26-Jan 339 339 Ahmadullo 32 2/1 Cigugur
26-Jan 340 340 Surya Putr 12 3/14 Utama 15
26-Jan 341 341 Arlia 13 6/12 LG
26-Jan 342 342 Tika Widia 13 4/14 Utama
26-Jan 343 343 Moch Yasin 12 3/11 Utama 13
26-Jan 344 344 Djumarja 69 9/20 LG
28-Jan 345 345 Susilawati 66 1/12 LG
28-Jan 346 346 Marsela 10 7/5 Utama
28-Jan 347 347 Siti Amina 7 6/10 Utama
28-Jan 348 348 Kanaya 2 3/13 LG
28-Jan 349 349 M. Umar/by 0.2 4/2 LG 9.5
28-Jan 350 350 Dadang 33 5/16 Utama
28-Jan 351 351 Mugiyanto 60 1/10 Utama
28-Jan 352 352 Tita Puspit 23 5/12 Utama
28-Jan 353 353 Silvia Dew 22 2/15 Utama
28-Jan 354 354 Risti Sinti 5 3/2 Lagadar
28-Jan 355 355 Muhammad 2 2/3 Lagadar 12.5
28-Jan 356 356 Heri Yanto 54 5/9 Utama 15.6
28-Jan 357 357 Iqbal Amr 19 3/11 Baros 15.4
28-Jan 358 358 Hani Raisa 6 Leuwigajah
28-Jan 359 359 Tuti 51 1/2 Nanjung
28-Jan 360 360 Alfa 4 3/11 Utama 11.3
28-Jan 361 361 Dedi Rusm 60 2/6 Tgl Kwng
28-Jan 362 362 Dareni 61 Utama
29-Jan 363 363 Krisnia Bay 53 4/16 LG
29-Jan 364 364 Sefti Putri 15 3/2 Utama
29-Jan 365 365 Mohamad S 70 1/11 LG 15.2
29-Jan 366 366 Nining And 55 Marga Asih
29-Jan 367 367 Ade Batu S 48 7/12 LG
29-Jan 368 368 Setyo Mart 27 1/8 Baros 14.4
29-Jan 369 369 Rafandra 3 3/11 Utama 9.4
29-Jan 370 370 Ryu Satria 10 3/11 Utama 11.4
29-Jan 371 371 Cucu 39 4/9 Utama 13.3
29-Jan 372 372 Azka Nabil 4 5/7 Utama
29-Jan 373 373 Gusti Yunia 58 Baros
29-Jan 374 374 Eros Rosan 43 1/6 Cibeber
29-Jan 375 375 Azreniva If 2.5 9/5 Cimindi
29-Jan 376 376 Ahmad 3 6/10 Utama 12.2
29-Jan 377 377 Afika 3.5 1/6 Utama
29-Jan 378 378 Wawan Wid 69 7/11 LG
29-Jan 379 379 M. Theresi 74 4/16 Baros
29-Jan 380 380 Hasanudin 60 1/5 LG
30-Jan 381 381 Arinda 23 5/6 Utama
30-Jan 382 382 Heni 31 4/16 Utama 10.6
30-Jan 383 383 Jaenal Ma 26 2/18 MA 16.6
30-Jan 384 384 Adela Ama 19 7/1 LG
30-Jan 385 385 Feri Sugiart 25 5/10 Utama 11.1
30-Jan 386 386 Rifki Oktav 17 4/5 Utama 13.7
30-Jan 387 387 Dilla 2.3 6/7 Citrp
30-Jan 388 388 Azahra Put 6 3/2 Utama
30-Jan 389 389 Yuyun Ruhi 68 5/7 Utama
30-Jan 390 390 Sri Suharti 77 Marga Asih
30-Jan 391 391 Aqila/by Ne 0.5 2/10 Utama
30-Jan 392 392 Asih 45 Baros pasar
30-Jan 393 393 Budi Sukan 43 4/1Baros 13.8
30-Jan 394 394 Jaang 76 2/9 Utama
30-Jan 395 395 Ersa Nurma 23 2/4 Btjjr 7.9
30-Jan 396 396 Tuti Sulastr 70 3/11 LG
30-Jan 397 397 Mamah 73 4/6 Utama
30-Jan 398 398 Yayat Karya 63 4/8 Utama
30-Jan 399 399 Setiawan 58 4/11 LG
30-Jan 400 400 Maryam 69 5/16 Utama
30-Jan 401 401 Entin Suti 66 2/9 Stmnh
30-Jan 402 402 Novianti In 41 1/2 Utama
30-Jan 403 403 Devany 20 2/2 Cibeber
31-Jan 404 404 Titin Herya 63 2/8 Baros
31-Jan 405 405 Wiwi 57 6/12 Utama
31-Jan 406 406 Uceh 71 5/11 Utama
31-Jan 407 407 Rifki Oktav 17 4/5 Utama 14.4
31-Jan 408 408 Usep Supa 24 6/10 Utama 15.9
31-Jan 409 409 Tuti 42 6/7 Utama
31-Jan 410 410 Ningsih 53 2/4 Baros
31-Jan 411 411 Devany 20 2/2 Cibeber
31-Jan 412 412 Lina 44 4/7 Utama
31-Jan 413 413 Tiara Asyif 22 8/8 Kihapit
31-Jan 414 414 Al Reska 2 2/12 Utama 8.8
31-Jan 415 415 Cahyani 25 10/4 Cibeber
31-Jan 416 416 Atikah 53 5/12 Utama
31-Jan 417 417 Irma Marli 38 2/10 Baros
31-Jan 418 418 Syakila Ale 5 3/16 Baros
31-Jan 419 419 Daffa Lazua 2.7 3/16 Baros 11.7

Jumlah Tot 241 408


Jumlah Lak 132 2 75
Jumlah Perempuan 287 29
Laki2 Umu 58 2 39
Perempua 113 16
Laki2 PBI 72 36
Perempuan 162 13
Laki laki P 2
Perempuan Program 12
TB Diagnos 0 0
FU 0 0
Gex 109 133

241 420 2 29 75
Leuko HT Trombo Ery.. X1 Jt MCV

10.9 13,800 32 207,000


12.1 8,000 38 313,000
7,500 35 353,000
9.7 12,800 27 201,000
11.7 15,800 38 374,000
10.3 10,900 32 476,000

8,600 46 130,000

13.7 11,400 41 213,000

14.1 8,200 41 389,000

5,800 51 118,000
13,600 48 297,000
12,800 43 464,000
12,500 38 318,000

9,700 14 763,000
14.7 4,200 44 163,000
7,100 48 167,000

14.1 11,000 39 640,000


12,500 39 323,000

14,400 33 170,000
9,900 39 231,000
5,500 34 262,000

14.9 1,900 42 205,000

12.4 8,200 37 308,000

13.6 8,800 40 278,000


24,800 41 192,000
13.1 5,900 38 210,000
11.7 7,900 34 221,000
16.2 12,100 46 305,000
11.8 7,000 36 240,000

3,800 37 186,000
12.6 3,900 37 203,000
10.3 8,900 31 647,000

15.9 4,300 46 109,000


11.3 9,500 33 294,000

15.5 8,100 46 286,000

5,200 46 125,000
8,300 48 285,000
4,900 36 224,000

9 7,300 31 541,000

20,300 49 344,000
12,100 43 3,980,002

15.1 10,500 42 105,000


14 9,800 41 350,000

3,400 43 97,000

7,000 38 387,000

12.3 6,500 35 304,000


14.3 7,700 41 329,000

13.4 3,300 38 239,000


14.2 10,800 41 336,000

7,300 46 229,000

14.4 4,700 42 117,000

14.1 3,400 41 163,000

13.9 9,800 40 208,000

2,600 41 147,000
8,500 50 52,000

9,200 47 264,000
14.1 6,400 39 190,000
4,700 40 58,000
13,700 37 300,000
13.2 5,700 38 405,000
8,000 41 321,000
13.4 2,600 39 125,000

10.9 5,600 32 177,000


4,300 45 182,000
157,000 38 505,000
3,200 37 160,000
13.2 6,800 37 301,000

13.9 9,100 38 243,000

11,000 36 260,000
12.4 5,400 38 252,000
9,400 36 307,000
10.5 8,800 32 347,000
4,000 38 148,000
12.5 6,700 37 192,000
8,200 34 4,210,000

8,200 34 180,000
11.9 4,600 34 231,000
14.2 4,800 39 221,000

12.2 8,100 35 263,000


8,500 48 62,000

13.7 7,200 42 240,000

12.6 8,500 37 251,000


5,600 37 112,000
15.1 3,600 44 156,000
13.9 5,900 40 64,000

5,300 39 170,000
15.4 8,600 43 297,000
7,600 38 183,000
5,000 47 95,000
12.6 7,300 36 232,000
13.1 7,300 38 218,000

9.9 4,600 34 512,000

17,500 42 416,000

15.5 3,900 43 69,000


10.9 17,400 34 455,000
10.4 6,900 31 221,000
7.3 7,600 25 529,000
2,200 36 172,000

13.3 7,800 38 392,000


10.6 6,200 31 281,000

11.9 7,600 36 366,000

10.9 14,100 33 427,000

15.4 3,900 44 113,000

5,700 40 204,000
12,200 43 354,000

5,100 33 173,000

10.9 15,300 33 501,000


13.7 8,800 40 208,000
15 6,000 44 113,000
14.3 4,600 40 214,000

10.9 12,000 32 284,000

14.2 8,100 40 270,000


10,100 37 287,000
4,900 40 125,000
14.7 9,800 42 471,000
5,900 41 382,000
12.1 6,100 34 121,000

21,000 47 248,000

7,500 42 188,000

11.5 13,800 31 174,000


4,100 43 121,000

13.5 11,800 38 392,000

14,000 33 321,000
10,700 53 198,000
13.9 8,100 42 290,000
14.5 7,700 43 124,000

10.5 5,500 19 149,000


10,200 34 356,000

5,600 46 67,000
13.4 11,900 39 334,000
13.7 7,100 41 291,000
11,000 37 266,000

14 8,500 40 190,000
11.8 8,400 34 251,000
11 11,900 33 431,000
6,300 27 418,000

12 9,900 36 232,000
14.7 9,900 42 326,000
14.4 4,500 40 116,000
10,600 36 395,000
7,200 44 241,000
8,300 44 232,000
13.4 4,700 38 250,000

7,400 32 143,000

10 5,900 30 157,000
7,400 44 138,000

13,600 42 266,000
4,300 28 225,000
11,200 33 201,000
4,700 38 158,000
12 16,100 33 303,000

13.5 10,300 38 317,000


9,800 35 329,000
12.7 10,400 35 384,000

10 8,300 30 247,000

7,000 47 254,000
12.8 11,100 37 221,000

13,200 40 141,000
11.2 12,700 33 394,000
12.7 13,900 35 347,000

10.6 16,600 31 339,000

9,800 39 177,000

11.9 6,500 35 188,000

13,300 41 133,000
3,500 46 195,000

12.2 5,600 35 149,000

12.5 11,900 38 290,000


13,200 27 315,000
11.5 10,800 33 387,000
11,900 33 295,000

75 75 75
95 95 95 95
39 39 39 0 0
46 46 46 46 0
36 36 36 0 0
48 48 48 48 0

1 1 1 1

95 75 95 75 95 75 95 0 0 0
MCH MCHC Gol Dar LED Diff

O+
B+
A+
B+

A+
B+
O+

A+
O+

A+
A+

B+

O+
B+
A+
0
0
0 0 3 0 0
0 0 0 7 0
0 0 0 0 0
0 0 0 1 0

0 0 0 0 0 3 8 0 0 0
GDS GDN PP CHO HDL

111

118 198

308

281

326
96
168
96

135
125 238

115 186

95 205
260
168
144
112
104 167
147
102

331

139

135
263

334
111
97

103

99

92

86

143
193
176
75
215
139 177
94 237
165
113 155

687
111
119
97
87 173
172
113
95 183
253
87

97

215
283
103 232
174 153

125
104
115 146

83
146
183
141 145
279 155
258

391
96 143 210

157
360

107

110

67 214

186
80 204
110

110
340

104 174
210
139
228
190
208
147
184
111 142

103

467

111
137
167
125

183
258
81 232
107
254

191

128

107
270
92

280

99

112

170

263 268
116 109

90
94 158

131
126

119
138

109 153
205
184

363

461

128
162 189
246 314

130
178
151

135

97

418

95
125

124

115

102
236
136 199

196 127
107
267
205

162
14
223

112 260
114

190

132
119
251
98 188
98
227

106 174
449
112

171
117

11 21 2 10 0
37 57 4 45
3 2 0 1 0
0 12 10 1 5
8 19 1 9 0
0 25 47 3 40

0 11 37 21 57 1 4 10 45 0
LDL TG AU GPT GOT

124

6.1

6.2

3.9
5.4
4.5

6.1
7.2
12
24

6.9
5.8
7.4

6.6

5.2
8.1
4.2
6.5

5.6

6.8

7.2

7.6

7.7
4.8

10.7

5.8
5
5.8
5.2

7.2

6.6

8.2
7.1

129 7.8
202 5.9
82

4.2
5.9

7.5

97 4.4
3.4

8.4
4.9
6.6

4.2

3.7

4.9
6

8.8

5
0 0 13 0 0
0 0 5 34 2
0 0 1 0 0
0 0 0 6 2
0 0 12 0 0
0 0 5 28 0

0 0 0 0 5 13 34 0 2 0
Urin
Urea Krea Widal Prot
Rutin

KJ-/-/-/1015/6

KJ-/-/-/1010/7
KK2+/-/-/1

14
23
KaK-/-/-/1
KJ-/-/-/10
KK-/-/-/1015/5/L2E4

KK-/-/-/10

KJ-/-/-/1015/5
0 0
2 0 0
0 0 0 2 0
2 0 0 0 0
0 0 0 1 0
0 0 0 0 5

2 0 0 0 0 0 0 3 5 0
Sedimen PP test Fe ses Gram KOH

Negatif

Pos

Neg
Neg
DGNE/I +/-
DGNE?I +/
DGNE/I -/-

Neg

Neg
LBE3/6EpB

Neg
Pos

Neg
Neg

Neg
Neg

Neg

Neg
Neg
DGNE/I +/-

Neg
Neg
Dgne/I +/+

1+

DGNE/I +/+
Neg

Neg

Neg

Neg
0 0 0 3 0
1 0 13 0 3
0 0 0 0 0
1 1 5 0 0

1 1

2 0 1 0 19 0 0 3 4 0
Tricho HIV Sifilis HbsAg Mantoux

NR Negatif

NR Negatif

NR Negatif
NR Negatif

NR Negatif

NR Negatif

NR Negatif
NR Negatif

NR

Negatif
Positif
Negatif

Negatif
NR Negatif
Positif
NR Negatif
NR Negatif
NR Negatif
Positif
Positif

Pos Neg
Neg Neg
Neg Neg NR NR
NR Negatif
NR Negatif
NR Negatif
NR Negatif

NR Negatif

NR Negatif

NR NR
NR

NR NR Negatif
NR NR

NR Negatif
NR Negatif

NR Negatif

NR Negatif
NR Negatif

NR Negatif

NR Negatif
NR Negatif

NR Negatif
NR Negatif
Neg Neg

NR Negatif

NR Negatif
NR Negatif
NR Negatif

NR Negatif
NR NR

0 0 0 3 0
3 3 0 0 1
0 0 0 0 0
0 0 0 0 0
3 2
1 1 37 3 32

4 0 4 3 37 2 3 3 33 0
Ask/
Jamsoste Program
Umum Kontrol Hematologi Kontrol Kimia
k/KIS/BPJ
S
Hb Leuko Ht Trombo Cho HDL

9,000
52690105
30,000
13,500
13,500
15,000
5.13E+08
1.8E+09
1.9E+09
27,500
27,500
27,500
52847065
1.44E+09
Program
5.13E+08
1.61E+09
53989672
11,000
2.21E+09
5.14E+08
15,000
36,500
1.08E+09
1.67E+09
5.13E+08
2.09E+09
27,500
22,000
2E+08
33,000
2.18E+09
11,000
5.13E+08
1.67E+09
1.38E+09
1.61E+09
53989661
27,500
11,000
27,500
2.5E+09
27,500
5.12E+08
27,500
11,000
13,500
22,500
5.14E+08
9,000
52858787
55952559
Program
15,000
22,500
1.87E+09
Askes
Askes
52533281
1.62E+09
52534866
2.18E+09
52502927
5.13E+08
Program
2.28E+09
51,500
51,500
5.14E+08
52528037
1.61E+09
11,000
BPJS
33,000
52556264
55952559
52823349
1.97E+09
2.28E+09
57227411
52773085
56746394
5.14E+08
27,500
27,500
52602636
13,500
11,000
11,000
5.14E+08
52544698
1.67E+09
1.27E+09
22,000
52546555
11,000
27,500
27,500
27,500
27,500
27,500
Program
27,500
Program
Program
27,500
27,500
27,500
52877013
2.06E+09
27,500
27,500
11,000
1.01E+09
5.13E+08
52659437
33,500
33,500
Program
1.01E+09
5.13E+08
52625373
1.27E+09
52548502
52722775
2.28E+09
53754783
5.13E+08
5.13E+08
15,000
5.14E+08
52766561
5.13E+08
Askes
55,000
27,500
27,500
15,000
5.13E+08
11,000
15,000
5,500
5.12E+08
9,000
9,000
5.13E+08
2.62E+09
5.13E+08
9,000
2.08E+09
27,500
2.03E+08
Program
1.67E+09
2.18E+09
27,500
27,500
Program
Program
9,000
27,500
27,500
11,000
15,000
27,500
5.13E+08
27,500
2.48E+09
2.09E+09
30280959
5.12E+08
1.17E+09
BPJS
1.8E+09
9.77E+09
11,000
27,500
52586774
11,000
1.47E+09
15,000
1.32E+09
1.88E+08
11,000
1.01E+09
5.13E+08
5.12E+08
27,500
13,500
5.13E+08
53244279
5.12E+08
52616373
1.83E+09
1.84E+09
1.84E+09
52618612
57296867
27,500
9,000
27,500
27,500
15,000
1.28E+09
52676818
52482126
52630345
52533281
5.14E+08
2.49E+09
11,000
13,500
52637062
9,000
5.14E+08
15,000
27,500
27,500
27,500
1.45E+09
2.04E+09
5.14E+08
1.83E+09
52686055
1.81E+09
27,500
27,500
5.13E+08
27,500
2.47E+09
1.45E+09
27,500
11,000
22,000
19,000
9,000
27,500
27,500
27,500
27,500
27,500
27,500
27,500
2.31E+09
2.04E+09
1.88E+09
5.13E+08
5.14E+08
1.28E+09
BPJS
52601938
52734317
2.49E+09
1.67E+09
1.86E+09
27,500
5.12E+08
Askes
2.45E+09
27,500
9.78E+08
27,500
27,500
27,500
5.14E+08
1.01E+09
Askes
1.67E+09
52773085
1.65E+08
Askes
27,500
27,500
27,500
9,000
Askes
27,500
2.5E+09
5.13E+08
27,500
15,000
27,500
2.23E+09
9,000
27,500
22,500
5.12E+08
2.18E+09
9,000
2.44E+09
2.46E+09
52625373
52537702
27,500
5.14E+08
58455911
2.44E+09
5.13E+08
5.12E+08
5.12E+08
1.27E+09
11,000
27,500
1.08E+09
5.13E+08
1.96E+09
27,500
2.2E+09
27,500
5.14E+08
27,500
27,500
11,000
5.13E+08
1.43E+09
1.67E+09
1.96E+09
44,000
Askes
27,500
5.14E+08
11,000
52844556
27,500
33,500
27,500
5.12E+08
1.73E+09
2.26E+09
2.44E+09
5.12E+08
27,500
5.12E+08
Gratis
1.82E+09
Program
27,500
2.48E+09
11,000
27,500
Askes
5.14E+08
2.2E+09
52642473
52869137
27,500
27,500
27,500
2.5E+09
5.12E+08
11,000
27,500
2.08E+09
27,500
27,500
5.13E+08
27,500
27,500
11,000
27,500
11,000
1.67E+09
Askes
27,500
2.2E+09
1.43E+09
11,000
1.72E+09
27,500
27,500
4.24E+08
2.47E+09
1.44E+09
2.07E+09
2.03E+10
27,500
27,500
55382861
52757739
33,000
27,500
9,000
1.45E+09
1.27E+09
9,000
5.13E+08
27,500
Program
1.27E+09
56323675
2.48E+09
11,000
27,500
5.13E+08
2.5E+09
52739706
1.67E+09
5.13E+08
52575963
52682758
30280961
2.18E+09
1.17E+09
52510533
5.14E+08
1.67E+09
5.13E+08
27,500
15,000
1.01E+09
1.17E+09
15,000
1.31E+09
27,500
15,000
5.14E+08
Program
1.27E+09
2.21E+09

171

0
0 0
0
0 0

0
LDL TG AU GPT GOT Urea
N P N P N P N P
T3:304anggal
Creat
N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN FEBRUARI 2019

No. Usia
No.
Tanggal Reg Nama Alamat Hb (manual) HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
Urut
Lab L P
1-Feb 420 1 Elsa 18 3/6 Baros 10.3 5,200 32 274,000
1-Feb 421 2 Nenden 36 6/10 Baros 15.6 9,900 45 171,000
1-Feb 422 3 Alvon 3.4 2/4 LG 13.3 13,900 38 359,000
1-Feb 423 4 Muhammad Nawawi 7 1/13 Utama 12.6 3,900 36 244,000
1-Feb 424 5 Bian 4 5/4 Cigugur 11.3 10,400 32 286,000
1-Feb 425 6 Rita 39 1/16 Utama 10.4
1-Feb 426 7 Aprilia 21 1/16 Utama 11
1-Feb 427 8 Pipih Nurhasanah 23 7/5 Utama 11.7
1-Feb 428 9 Devany 20 2/2 Cibeber 13.5 5,200 39 150,000
1-Feb 429 10 Ganda Rahayu 63 4/6 Baros
1-Feb 430 11 Muhamad Idrus Roudoni 1.7 1/2 Utama 11.7 4,900 33 264,000
1-Feb 431 12 Rifki Oktaviana 17 4/5 Utama 13.1 14,500 37 116,000
1-Feb 432 13 Djika Aditia. P 12 1/14 Utama 13.8 13,100 40 272,000
1-Feb 433 14 Nandang Tarsopa 71 10/5 Utama
2-Feb 434 15 Kuraesin 54 3/5 Utama 13.3 10,000 40 314,000
2-Feb 435 16 Intan Nuraeni 11 Cibeber 11.6 14,400 35 335,000
2-Feb 436 17 Sri Suwarni 49 6/20 LG 13.1 6,100 39 304,000
2-Feb 437 18 Dede Novianti 41 1/16 Utama 15.3 2,300 44 104,000
2-Feb 438 19 Reza M Rizki 9 3/10 Utama 13.2 11,500 39 346,000
2-Feb 439 20 Rima 21 5/16 Cbrm 15.4 7,000 46 184,000
2-Feb 440 21 Nabila Rizkiani 7 5/12 Utama 14.6 5,200 40 282,000
2-Feb 441 22 Salma Nadya 21 Melong
2-Feb 442 23 Wahyu Rahmadanu 32 4/16 Utama
2-Feb 443 24 Mumun Saputra 66 5/11 Utama 15.8 8,100 47 298,000
2-Feb 444 25 Suharti 70 5/1 Utama
2-Feb 445 26 Dinda Aulia 13 6/12 LG 12.1 16,000 35 199,000
2-Feb 446 27 Koniyani 58 2/12 Utama
4-Feb 447 28 Teti Siti W 59 3/10 Baros
4-Feb 448 29 Annaya Putri 3 6/10 Utama 12.7 8,400 37 284,000
4-Feb 449 30 Alfira 1.7 2/21 Baros 10.9 11,700 33 300,000
4-Feb 450 31 Wiliyuanah 25 4/12 Utama 13.2 5,500 40 209,000
4-Feb 451 32 Aam H 51 3/5 Baros
4-Feb 452 33 Kaenand Arya 13 10/1 Baros 14.8 12,200 43 333,000
4-Feb 453 34 Hendri Heryana 55 4/14 LG 14.7 8,200 44 188,000
4-Feb 454 35 Arfa 4 4/2 LG 12.8 7,700 36 318,000
4-Feb 455 36 Afnan 1.4 Kalidam 10.9 13,200 34 456,000
4-Feb 456 37 Hilman Ahmad 11 5/5 LG 15.2 8,000 44 325,000
4-Feb 457 38 I Gusti Ketut Kali 72 LG Permai
4-Feb 458 39 Jojoh Juariah 64 2/8 Utama
4-Feb 459 40 Suhartini 59 2/15 Utama
4-Feb 460 41 Kasmidjan 76 3/12 Utama
4-Feb 461 42 Dedeh Jubaedah 59 2/9 Baros
4-Feb 462 43 Suci Dwi Aryani 31 2/16 Baros
4-Feb 463 44 Yoyoh Rosita 63 Suaka Indah
4-Feb 464 45 Mahmudin 62 2/13 Utama
4-Feb 465 46 T. Suryati 67 6/10 CT 14.6 10,100 41 334,000
4-Feb 466 47 Sopiah 69 Bbkn Utama
4-Feb 467 48 Yati Karyati 59 1/4 Baros
4-Feb 468 49 Nanik SP 41 Baros 11.8 9,800 35 360,000
6-Feb 469 50 Mochamad Utoyo 65 2/16 Utama
6-Feb 470 51 Rina Rochmiati, A.Ma.Pd 51 2/18 Lagadar
6-Feb 471 52 Restiti 74 Baros
6-Feb 472 53 Dinni Helmiyati Fajri 27 4/5 MA 11
6-Feb 473 54 Rifani 2.7 2/17 LG 12.3 6,400 36 209,000
6-Feb 474 55 Rizpan Alfalah 24 1/3 LG 14.3 9,800 44 201,000
6-Feb 475 56 Hani 44 2/14 Utama
6-Feb 476 57 Sari Sartikah 24 3/2 Utama
6-Feb 477 58 Reza Aditya 0.5 4/11 Utama 9.7 8,600 27 432,000
6-Feb 478 59 Ralin Sukarno 56 1/19 Lagadar
6-Feb 479 60 Davindra Athariz Putra I 1.3 5/3 LG 10.7 11,400 33 281,000
6-Feb 480 61 Fitri Robiatul 22 4/19 LG
6-Feb 481 62 Angeluna 4 2/9 baros 12.5 6,700 37 350,000
6-Feb 482 63 Khodijah Chaerani 28 1/1 Utama 9.6
6-Feb 483 64 Aina Zahran 5 Hujung Kaler 12.6 5,500 36 288,000
6-Feb 484 65 Iklin Yuliansih 23 1/13 Utama
6-Feb 485 66 Al Razki Nawal 5 1/1 MA 13.3 6,100 36 312,000
6-Feb 486 67 Raditya M 10 3/1 Baros 14.1 2,000 41 151,000
6-Feb 487 68 Ikhsan Nur Kalam 3 2/6 Utama 12.2 6,900 33 278,000
6-Feb 488 69 Novianti Indriani H 41 1/2 LG
6-Feb 489 70 Euis 62 6/12 Utama
6-Feb 490 71 Anisa Jeni Haryani 19 4/13 Utama 10.5
6-Feb 491 72 Lina Marlina 36 4/14 Utama 10.8
6-Feb 492 73 Candra Gumelar 12 1/20 Baros 14.4 16,200 42 324,000
6-Feb 493 74 Faiza Fahmida 7 2/16 Utama 13.4 2,200 39 172,000
6-Feb 494 75 Dedde 41 Utama
6-Feb 495 76 Shofa Khodijah 26 6/14 TnMlya 9.7
6-Feb 496 77 Wina 25 4/3 Utama 10.4
6-Feb 497 78 UU Jumarna 51 1/6 Cingcin
6-Feb 498 79 Uding 64 2/4 Baros
6-Feb 499 80 Enah Suhanah 70 5/3 Utama
6-Feb 500 81 Teja Mulyamah 62 3/2 Utama
6-Feb 501 82 Ade Ramlam 59 2/8 Utama
6-Feb 502 83 Mimi 63 2/9 Utama
7-Feb 503 84 Amas Rohana 68 3/7 Utama
7-Feb 504 85 Muhamad Irsyad 12 1/19 LG 14.5 5,100 41 292,000
7-Feb 505 86 Muhamad Z 12 1/19 LG 12.9 6,500 38 321,000
7-Feb 506 87 Raditya M.S 10 3/3 Baros 15.5 2,000 44 85,000
7-Feb 507 88 M. Jaelani 25 Sukamanah 14.7 5,700 41 157,000
7-Feb 508 89 Resa Revalina 6 2/2 LG 11.4 8,300 34 277,000
7-Feb 509 90 Dewi Komalasari 24 3/3 Baros
7-Feb 510 91 Yoyoh Sopiyah 50 3/3 Baros
7-Feb 511 92 Enok Nurhayati 61 8/8 LG
7-Feb 512 93 Seliani 19 3/6 Utama 12
7-Feb 513 94 Alfina Hasanatunnisa 7 2/12 Utama
7-Feb 514 95 Saesih 62 2/10 Baros
7-Feb 515 96 Suheryani 58 4/10 Baros
7-Feb 516 97 Adang Suherman 74 11/3 Nnjng
7-Feb 517 98 Omon 59 2/10 Utama
7-Feb 518 99 Walisah 76 LeuwiGajah
7-Feb 519 100 Juhanah 60 2/2 Utama
7-Feb 520 101 Hayati 25 3/12 Utama
7-Feb 521 102 Siti Rahmawati 21 Utama
7-Feb 522 103 Siti Sandra Desviana 16 2/2 Utama 11.4
8-Feb 523 104 Enung Sumirat 52 5/10 Utama
8-Feb 524 105 Yuni Yuniati 27 8/7 Utama 11.5
8-Feb 525 106 Nita Herdiana 30 3/10 Baros 10.4
8-Feb 526 107 Nabila Arha C 16 4/4 MA 12.7
8-Feb 527 108 Ningsih 53 2/4 Baros 14 7,100 40 223,000
8-Feb 528 109 Intan Fitria N 20 7/5 Utama 13.8 10,500 40 287,000
8-Feb 529 110 Neng Siti/Siti Rahmawati 21 5/3 LG 7.3 10,100 27 668,000
8-Feb 530 111 Chodim 53 1/4 LG
8-Feb 531 112 Sulaeman 75 4/5 Baros
8-Feb 532 113 Yayah 32 7/9 Stmnh 10
8-Feb 533 114 Hartini 36 1/12 Utama 11.4
8-Feb 534 115 Rina A 36 4/13 Utama 12.3
8-Feb 535 116 Syahran H.W 13 4/6 Utama 12.9 6,900 41 316,000
8-Feb 536 117 M. Zaki 8 4/6 Utama 10.9 6,400 34 272,000
8-Feb 537 118 M. Ibrahim 3.2 5/6 Utama 10 12,500 30 316,000
8-Feb 538 119 Mahesa 7 2/7 Lagadar 11.2 9,800 34 321,000
8-Feb 539 120 Nabila Anita 7 4/11 MA 13 3,100 40 159,000
8-Feb 540 121 Ameliga 17 2/6 Utama 14.1 4,100 40 221,000
8-Feb 541 122 Anita Aprilianti 16 5/5 LG 13.1 4,300 38 211,000
9-Feb 542 123 Rohiyat 67 5/12 Utama
9-Feb 543 124 Dadan Juanda 49 Sindang Sari
9-Feb 544 125 M/ Ilyas 1.8 3/7 Cibogo 10 13,800 32 344,000
9-Feb 545 126 Jajang Unara 44 5/11 Utama 13 8,700 39 316,000
9-Feb 546 127 Selli 0.9 2/12 Utama 12.1 9,300 34 201,000
9-Feb 547 128 Ayu Sifa 4 1/7 Utama 11.1 6,500 32 207,000
9-Feb 548 129 Nesya 4 Leuwigajah 10.9 7,300 31 265,000
9-Feb 549 130 Mikaila 16 9/7 Cibeber 11.8 8,300 34 251,000
9-Feb 550 131 Zennaira 0.8 2/19 Cibogo 8 7,400 26 565,000
9-Feb 551 132 Azhar 0.9 4/11 Utama 7.5 26,600 26 895,000
9-Feb 552 133 Refan 4 4/15 Utama 10.8 9,000 32 233,000
9-Feb 553 134 M Jaelani 25 Sukamanah 14.6 8,400 41 196,000
9-Feb 554 135 Zabir 4 6/2 LG 11.2 7,700 32 291,000
9-Feb 555 136 Putra 1 3/11 Baros 10.8 12,100 32 390,000
9-Feb 556 137 Safari 43 3/5 Lagadar 15.1 6,300 45 300,000
9-Feb 557 138 Akhbar Ramadhani 10 6/12 Utama 13.9 6,300 39 720,000
11-Feb 558 139 Silva Restiaji 15 1/3 Lagadar 14.6 8,500 41 333,000
11-Feb 559 140 Cindy Anastasya 7 5/5 LG 14.6 4,600 43 219,000
11-Feb 560 141 Viera Clara. S 12 5/10 Utama 14.5 3,800 43 268,000
11-Feb 561 142 Zhalucca 2.6 5/10 Utama 11.2 6,100 33 289,000
11-Feb 562 143 Euis Ratnawati 49 1/4 Baros 10.1 4,100 33 223,000
11-Feb 563 144 Andini Nur 3.1 3/5 Baros 11.4 9,200 33 242,000
11-Feb 564 145 Rafli Agustian 5 2/4 Utama 11.4 9,300 33 312,000
11-Feb 565 146 M. Bagir 1.1 MargaAsih 11.8 8,300 35 265,000
11-Feb 566 147 Ahmad Hidayat 40 4/16 Utama 16.4 11,000 45 417,000
11-Feb 567 148 Chandra 3.5 4/19 LG 12.6 6,900 35 297,000
11-Feb 568 149 Ahnaf Hanif 12 4/13 LG 13.3 5,800 39 257,000
11-Feb 569 150 Agus Hendana 47 8/6 Cibogo 14.4 9,900 39 104,000
11-Feb 570 151 Nanik SP 41 Baros 11.9 14,000 34 354,000
11-Feb 571 152 Rahayu Ningsih 68 1/9 MA
11-Feb 572 153 Carmilah 43 8/5 Utama
11-Feb 573 154 Heri Suprino 67 3/4 Cibeber
11-Feb 574 155 Desi Mulky Anisa 15 Leuwigajah 13 13,900 38 284,000
11-Feb 575 156 Fadli Muhammad Habibi 14 MargaAsih 16.2 3,600 47 179,000
11-Feb 576 157 Nani Djuhaeni 68 Cibogo 12.5 24,300 38 280,000
11-Feb 577 158 Resya Muhammad 7 5/11 Utama 12.8 3,600 36 96,000
11-Feb 578 159 Pujiati 59 3/9 LG
11-Feb 579 160 Edwin 51 3/5 Utama
11-Feb 580 161 Nabila Zulfa 15 1/6 Cibeber 14.3 9,200 40 278,000
11-Feb 581 162 M. Naufal Mahbubi 5 7/10 Lagadar 12.6 12,400 36 269,000
11-Feb 582 163 Ridwan Naufal 18 Utama 17.1 9,800 48 249,000
11-Feb 583 164 Heti 39 4/11 Utama
11-Feb 584 165 Satimin 62 Cibogo
11-Feb 585 166 Rachmat Junaedi Hamid 61 5/8 Melong
11-Feb 586 167 Dewi Komariah 51 3/6 Utama
11-Feb 587 168 Jonathan Meyer S 3.6 2/11 Utama 10.6 17,700 31 397,000
11-Feb 588 169 Hj. Habibah 75 2/4 LG
11-Feb 589 170 Berlin Sitorus 56 Leuwigajah
12-Feb 590 171 Ummaidah 31 Bobojong
12-Feb 591 172 Yoan Maisa 9 4/4 LG 15.5 6,800 44 70,000
12-Feb 592 173 dr. Dewi Irawati 42 PKM Cimsel 9.8 3,200 29 245,000
12-Feb 593 174 Nuraeni Nugrahawati 26 4/4 LG 12.3 5,000 37 185,000
12-Feb 594 175 Sandi 19 3/15 Utama
12-Feb 595 176 Siti Hindun 49 7/12 Utama
12-Feb 596 177 Agung 6 1/6 MA 12.5 14,000 36 370,000
12-Feb 597 178 Ramdan Nur 16 2/7 Utama 14.4 7,800 40 155,000
12-Feb 598 179 Muhammad Revan 5 3/11 Baros 12 12,900 36 309,000
12-Feb 599 180 Nawa Nadita 5 8/5 Utama 13.3 4,700 40 209,000
12-Feb 600 181 Juarsih 61 1/6 Utama
12-Feb 601 182 Maah 49 4/11 Utama
12-Feb 602 183 Kokom Komariah 54 5/2 Utama
13-Feb 603 184 Putri Rahmani 22 1/8 Utama 11.8
13-Feb 604 185 Ahmad S 50 3/2 Utama
13-Feb 605 186 Tugiwati 51 2/16 MA
13-Feb 606 187 Hamdan 9 5/14 Utama 12.5 7,300 35 227,000
13-Feb 607 188 Muhamad Rafadan 9 4/1 LG 11 16,800 32 350,000
13-Feb 608 189 Gabriele Akhirra 10 5/13 LG 10.6 15,800 30 294,000
13-Feb 609 190 Nofita Nurlaila 24 1/16 Utama 12.4 3,100 35 133,000
13-Feb 610 191 Rika 21 4/2 Utama 10.4
13-Feb 611 192 Intannia Rifani 27 4/7 Cibogo 10.9
13-Feb 612 193 Dara Amanda 21 5/2 Cibeber 11
13-Feb 613 194 Resti N 23 3/5 LG
13-Feb 614 195 Fatiyah 31 3/5 LG
13-Feb 615 196 Sinta Astuti 22 8/12 Utama 11.6
13-Feb 616 197 Siti Hodijah 22 2/15 Utama 9
13-Feb 617 198 Yuyun Yuningsih 19 4/1 Utama 11.2
13-Feb 618 199 MR Lumban Goal 72 5/3 LG
13-Feb 619 200 Aulia Fadilah 12 4/19 Cibogo 14.3 7,400 42 323,000
13-Feb 620 201 Siti Laila Q 12 2/5 LG 12.9 8,300 38 287,000
13-Feb 621 202 Titin Robiah 36 2/2 Utama
13-Feb 622 203 Darmawan R 47 6/1 LG 16 10,100 46 204,000
13-Feb 623 204 Muhammad Abdurrasyid R 18 4/3 LG 14.6 8,000 44 315,000
13-Feb 624 205 Darto Bin Sastrowidjojo 78 9/7 Utama
13-Feb 625 206 Fadli Muhammad Habibi 14 2/18 Lagadar 15.8 3,200 45 123,000
13-Feb 626 207 Rijal Sopian Hadi 34 2/13 Utama
13-Feb 627 208 Ida Rohaida 51 1/2 Utama
13-Feb 628 209 M. Tiara Putri Juliana 12 3/4 Utama 14.6 6,400 42 334,000
13-Feb 629 210 Rohaeni 42 2/2 Utama
14-Feb 630 211 Safa Nurfadila 4 10/15 Utama 12.2 5,200 35 211,000
14-Feb 631 212 Nofita Nurlaila 24 1/16 Utama 12.9 2,400 37 152,000
14-Feb 632 213 Nazmi Zulfa 13 4/16 Utama 13.8 3,400 39 234,000
14-Feb 633 214 Rahma 2 Cibogo 13.3 11,700 37 337,000
14-Feb 634 215 Wahyu Gumilar 39 4/2 Utama 14.6 7,200 43 262,000
14-Feb 635 216 M Rizkan 1 1/6 MA 11.1 9,600 32 422,000
14-Feb 636 217 Saritnem 49 4/8 LG
14-Feb 637 218 Sugi Pranoto 49 1/1 Nanjung
14-Feb 638 219 M Rohmah 65 10/16 LG
14-Feb 639 220 Latifassyawanah 8 4/2 Utama 14 2,900 40 110,000
14-Feb 640 221 Siti Romlah 74 Baros
14-Feb 641 222 Roni Yusran Permadi 4 2/12 Baros 12.12 18,300 35 424,000
14-Feb 642 223 Titin Heryani 63 2/5 Baros
14-Feb 643 224 Wiwi 57 6/12 Utama
14-Feb 644 225 Rochman Effendi 60 5/12 LG
14-Feb 645 226 Abdul Wahib 50 3/2 Utama
14-Feb 646 227 Darmawan R 47 6/1 LG 16.1 6,300 46 183,000
14-Feb 647 228 Nani Wartini 46 3/13 Utama
14-Feb 648 229 Nin Engkah 68 7/5 Utama
14-Feb 649 230 Uspandi 61 2/19 Baros
18-Feb 650 231 Dwi Andhikayaksa 12 3/10 Utama 13.7 5,400 39 268,000
18-Feb 651 232 M/ Rivaldi 12 5/11 Utama 12.7 2,900 37 233,000
18-Feb 652 233 Irfan Maulana 4.7 4/11 Utama 14.4 10,500 40 159,000
18-Feb 653 234 M. Wildan 12 5/11 Utama 13.3 10,600 39 258,000
18-Feb 654 235 Carolus Caldera 8 3/6 Baros 12.9 9,600 38 415,000
18-Feb 655 236 Fitri Andriani 0.3 3/12 Utama 10.4 9,400 30 598,000
18-Feb 656 237 Aulia Sekar 6 1/6 Utama 14.1 8,700 39 247,000
18-Feb 657 238 Grace Shinta Dewi 52 3/6 Baros
18-Feb 658 239 Tiara 20 1/12 Utama
18-Feb 659 240 Sri Mulyani 26 2/12 Baros
18-Feb 660 241 Ani Wartini 29 4/8 KrngMkr 14.1
18-Feb 661 242 Selly 37 3/4 Utama 12.4
18-Feb 662 243 Masna 60 7/5 Utama 13 6,400 39 402,000
18-Feb 663 244 Faris Dicky F 7 4/4 Utama 10.2 27,100 31 350,000
18-Feb 664 245 Muhamad Hanan M 16 8/7 Padask
18-Feb 665 246 Munadilush Shidqi 1.7 7/10 Lagadar 12.1 5,300 35 204,000
18-Feb 666 247 Herudin 45 3/16 Utama 14.2 4,500 41 172,000
18-Feb 667 248 Empoy 55 3/25 Cbrm
18-Feb 668 249 Imas Rochayati 44 2/12 Utama
18-Feb 669 250 Riska Rosdianti 17 3/12 Utama 13.8 9,200 39 330,000
18-Feb 670 251 Nana Subarna 61 Lemsa
18-Feb 671 252 Aas 42 Jl. Boeing 17 7,900 47 202,000
18-Feb 672 253 Rangga 3.1 5/2 Utama 9.8 4,900 30 213,000
18-Feb 673 254 Dini Mahardika Putri 2.6 7/12 Utama 12.2 7,500 33 341,000
18-Feb 674 255 Encep Dahlan 74 MargaAsih
18-Feb 675 256 Etjin 71 Saradan
18-Feb 676 257 Alif Nur Falah 4.1 2/7 Lagadar 11.1 7,300 31 241,000
18-Feb 677 258 Utimah 67 2/12 Utama
18-Feb 678 259 Elly Aryani 60 1/11 Salacau 12.2 4,400 38 174,000
18-Feb 679 260 Nita Purnama 25 6/12 Utama 16.1 5,900 47 258,000
18-Feb 680 261 Wafa Nur Aisyah 4.8 Melong 12.2 5,600 34 248,000
18-Feb 681 262 Nanik SP 41 Baros 11.5 6,700 33 351,000
19-Feb 682 263 Agus Kuswara 58 4/2 Lagadar 12 16,500 34 523,000
19-Feb 683 264 A. Murjono 67 3/4 Baros
19-Feb 684 265 Irfan Rohiman 31 4/4 LG
19-Feb 685 266 Firna Plantika 30 4/4 LG
19-Feb 686 267 M Hadid 8 3/3 Utama 12.4 9,500 35 302,000
19-Feb 687 268 Rafi Kautsar 12 7/6 Utama 14.5 1,800 42 170,000
19-Feb 688 269 Ega Rukmana 28 1/1 Cipedung
19-Feb 689 270 Yani 52 8/5 LG
19-Feb 690 271 Ratna Damilah 48 4/5 Lagadar
19-Feb 691 272 Nani Juanita 56 6/5 Utama
19-Feb 692 273 Dini Heryani 32 1/12 Baros
19-Feb 693 274 Fitria Zahra 7 2/4 Utama 11.6 5,800 33 306,000
19-Feb 694 275 Sutisna 66 4/13 Cibeber
19-Feb 695 276 Irfan Maulana 4.7 2/14 Utama 14 11,100 39 184,000
19-Feb 696 277 Herudin 45 3/16 Utama 16.2 5,100 47 114,000
19-Feb 697 278 Aqifa Nayla Rostani 4.1 2/8 Utama 11.7 7,800 33 223,000
19-Feb 698 279 Meysa 2.9 1/13 Utama 11.7 6,900 34 301,000
19-Feb 699 280 Azreniva Iftrizan Nelizen 2.7 9/5 Cigugur 12 7,900 33 213,000
19-Feb 700 281 Adang Purnama 49 3/14 Cibeber
20-Feb 701 282 Neneng Sumiarti 40 Utama 16
20-Feb 702 283 Intan Ratnagalih 39 Utama 2
20-Feb 703 284 Iyet Rahmawati 38 Utama 16
20-Feb 704 285 Nur Widiyati 44 Utama 7
20-Feb 705 286 Nanih R 49 4/7 LG
20-Feb 706 287 Tini 35 2/12 Utama 9.9
20-Feb 707 288 Aluyah 0.5 2/11 Utama 12.5 10,100 36 283,000
20-Feb 708 289 Sandi Eko 13 2/12 Utama 15.1 4,300 44 179,000
20-Feb 709 290 Aimar Radinka Irfan 3.5 3/14 Utama 13.2 4,400 37 111,000
20-Feb 710 291 Siti F 24 3/16 Utama 14.2
20-Feb 711 292 Siti Mahpurah 38 4/13 Utama 10.6
20-Feb 712 293 Dwi 26 8/3 LG
20-Feb 713 294 Muhamad Alif 20 3/17 Lagadar 17.1 3,300 49 101,000
20-Feb 714 295 Neng Fitri 22 10/11 Jati 13.2 3,700 40 290,000
20-Feb 715 296 Tiasa Manullang 76 1/15 LG
20-Feb 716 297 M. Akbar 3 5/12 Nnjng 13.8 5,300 39 273,000
20-Feb 717 298 Herudin 45 3/16 Utama 15.8 9,800 46 103,000
20-Feb 718 299 Ade Ramlam 59 Cimuncang
20-Feb 719 300 Daffa Muzhaffar 18 2/16 Baros 15.6 7,600 44 146,000
20-Feb 720 301 Siti Aisyah 64 3/9 Baros
21-Feb 721 302 Bahim Dedi Suyatna, BA 77 2/11 Nanjng
21-Feb 722 303 Zainul Arifin 42 9/9 Bbkn
21-Feb 723 304 Nurlatifah 29 4/1 Utama
21-Feb 724 305 Muhammad Abdurrasyid R 18 4/3 LG 14.7 4,400 44 262,000
21-Feb 725 306 Nazma 3.2 1/6 LG 12.7 11,300 36 505,000
21-Feb 726 307 Siti Aisah 0.9 9/4 Utama 11.2 16,800 35 405,000
21-Feb 727 308 Komala 52 6/17 Cbrm
21-Feb 728 309 Herudin 45 3/16 Utama 15.2 13,500 44 165,000
21-Feb 729 310 Daffa Muzhaffar 18 2/16 Baros 15.6 9,900 44 185,000
21-Feb 730 311 Yayah. R 74 5/18 Cbrm
21-Feb 731 312 Nuraliah 39 4/2 Utama
21-Feb 732 313 Riske Dwi Susilo 11 2/1 LG
21-Feb 733 314 Rizal 13 2/7 Utama
21-Feb 734 315 Maryam 45 2/5 Utama
21-Feb 735 316 EE Rohaeti 56 3/15 Utama
21-Feb 736 317 Silvi 0.9 3/4 Utama 9.9 15,100 31 286,000
21-Feb 737 318 Suci Fauziah 18 5/5 Utama 12.3 2,800 35 191,000
21-Feb 738 319 Ucah 68 5/11 Utama
21-Feb 739 320 Abdul Muthalib 46 Utama
22-Feb 740 321 Susilawati 28 5/4 Utama 12.8
22-Feb 741 322 M. Rizki 0.6 3/21 Lagadar 10.5 14,100 31 237,000
22-Feb 742 323 Yaser Abdul Ghani 11 3/17 Lagadar 14.8 2,700 43 227,000
22-Feb 743 324 Suci Fauziah 18 5/5 Utama 12.2 2,900 35 212,000
22-Feb 744 325 Yasmin 1.2 2/6 Utama 11 9,000 30 293,000
22-Feb 745 326 Siti Juariah 26 5/12 Utama 17 2,100 48 84,000
22-Feb 746 327 Mega Lestari 28 3/12 Utama 15.9 3,700 46 132,000
22-Feb 747 328 Undang 60 Melong 14.4 7,800 37 268,000
22-Feb 748 329 Rita Asmara 40 2/5 Utama
22-Feb 749 330 M. Mumin Mulyadin 20 5/2 Utama 15.5 9,600 44 328,000
22-Feb 750 331 Rayimas Bagus T,N 6 Cibeber 11.5 9,700 35 364,000
22-Feb 751 332 Adhiyana Suryaning P 46 Cibeber 14.1 4,500 43 141,000
22-Feb 752 333 Siti Nurhayati 52 1/6 Cigugur
22-Feb 753 334 Hani Purwanti 28 4/19 LG 12.7
22-Feb 754 335 Reni Komala 34 2/10 Utama
22-Feb 755 336 Nabila Azahra 5 1/18 LG 14.1 8,800 40 226,000
22-Feb 756 337 dr. Oky 26 PKM Cimsel 15.3 6,400 44 264,000
23-Feb 757 338 Laudi Safa Aulia 8 5/7 Utama 13.2 3,200 38 110,000
23-Feb 758 339 Bilqis 2 6/12 Utama 11.8 12,400 35 402,000
23-Feb 759 340 Muh Fauzan 9 4/11 Utama 13.1 11,800 38 251,000
23-Feb 760 341 Ade Tedi 36 5/2 LG 13.9 6,900 41 221,000
23-Feb 761 342 Holy 'Ainsinqaf Widasih 2.7 3/10 Baros 11.2 13,600 32 445,000
23-Feb 762 343 Witarsih 65 10/5 Utama 12 9,500 38 403,000
23-Feb 763 344 Nurjihan 10 Cigugur 14.4 6,900 43 283,000
23-Feb 764 345 Ahmad Hasan 18 Kihapit 15.5 7,800 45 259,000
26-Feb 765 346 Syaquila Zaina 1 5/12 Utama 10.5 10,400 35 370,000
26-Feb 766 347 Rahmat 46 1/5 LG
26-Feb 767 348 Dede. S 46 1/16 Utama
26-Feb 768 349 Lilis 44 7/12 Utama
26-Feb 769 350 Nurjihan 10 Cigugur 15.2 2,400 45 139,000
26-Feb 770 351 Nafla Sakira 2 5/7 Utama 11.1 8,400 32 104,000
26-Feb 771 352 Endin 48 1/14 Utama 15.9 5,300 44 183,000
26-Feb 772 353 Muhammad Bagja I 14 5/6 LG 15.7 3,700 46 208,000
26-Feb 773 354 R. Yati Mulyati 74 Komp. NP 9.6 32,000 29 700,000
26-Feb 774 355 Dodo Cadi 51 7/5 Utama
26-Feb 775 356 Rikrik Himawan S 39 1/1 Cibeber
26-Feb 776 357 Totok Subagio 53 5/8 MA
26-Feb 777 358 Oharatio Van Morris T 7 3/5 LG 13.2 3,800 41 240,000
26-Feb 778 359 Apok 63 3/12 Utama
26-Feb 779 360 Welly Gatsmir 56 1/13 LksnMk
26-Feb 780 361 Herdi Febiyana 22 9/7 Utama 17.2 14,100 48 240,000
26-Feb 781 362 Hana 3.7 4/1 Cibeber 9.3 21,000 26 594,000
27-Feb 782 363 Rulla Hasna F 17 Utama 12.2 9,600 34 305,000
27-Feb 783 364 Syfa Nuraini 9 Baros 16.5 4,300 48 72,000
27-Feb 784 365 Dede Ratnawati 26 3/3 Utama 10.5
27-Feb 785 366 E. Rohaeni 41 1/5 LG 11
27-Feb 786 367 Lenny Y 34 Cikuray 13.4
27-Feb 787 368 Sumiati 38 3/3 Lagadar
27-Feb 788 369 Herdi Febiyana 22 9/7 Utama 17.4 12,600 50 256,000
27-Feb 789 370 Wiwin Windarti 45 5/36 Melong
27-Feb 790 371 Tati Sumiati 61 Utama
27-Feb 791 372 A. Edisman 77 8/12 LG
27-Feb 792 373 Ihat Solihat 56 4/16 Utama
27-Feb 793 374 Mamah 73 4/6 Utama
27-Feb 794 375 Sumarni 55 3/11 Baros
27-Feb 795 376 M. Teresia Sarmini 75 4/16 Baros
27-Feb 796 377 R.R. Reti Sugiarti 55 Cibeber
27-Feb 797 378 Wiwin Anggriani 43 2/16 Pdsk
27-Feb 798 379 Edah 53 6/12 Utama
27-Feb 799 380 Eros Rosanah 43 1/6 Cibeber
27-Feb 800 381 Nana Suryana 66 4/12 Stmnah
28-Feb 801 382 E. Sukaenah 52 Baros
28-Feb 802 383 Disman 75 10/20 LG
28-Feb 803 384 Uka Sukaesih 58 5/7 Ciseupan
28-Feb 804 385 D. Cholidah 53 4/9 Stmnh
28-Feb 805 386 Imas Winarsih 62 3/5 Utama
28-Feb 806 387 Urip 81 1/2 Utama
28-Feb 807 388 Djenab 53 2/20 Baros
28-Feb 808 389 Een Hendarsih 58 8/5 Utama
28-Feb 809 390 Enok N 61 Cimindi
28-Feb 810 391 Nafla Sakira 2 5/7 Utama 11.1 5,700 33 191,000
28-Feb 811 392 Ade Misna 55 3/7 Lagadar
28-Feb 812 393 Hilzan 3.1 1/6 Cibogo 11.4 7,700 31 283,000
28-Feb 813 394 Itoh 66 5/11 Utama
28-Feb 814 395 Suliah 47 8/8 LG
28-Feb 815 396 Imas Mintarsih 60 LG
28-Feb 816 397 Yani Rohyani 64 5/10 MA
28-Feb 817 398 Lina Herlina 49 4/16 Utama
28-Feb 818 399 Reni Kusumiati 50 8/12 LG
28-Feb 819 400 Yuni 23 9/3 LG 11.2 4,400 33 208,000
28-Feb 820 401 Jihan 10 Cigugur 15.9 7,300 44 155,000

231 342
Jumlah Total Laki2 153 0 99 99 99 99
Jumlah Total Perempuan 248 34 96 96 96 96
Laki2 Umum 70 60 60 60 60 0 0 0
Perempuan Umum 118 18 62 62 62 62 0 0
Laki2 PBI 79 39 39 39 39 0 0 0
Perempuan PBI 122 16 34 34 34 34 0 0
Laki laki Program 4
Perempuan Program 8
TB Diagnosa 0 0
FU 0 0
Gex 78 102
MCH MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT GOT Urea

B+

337

119
112 135 188 5.6

102 134 95 5.6

122

102
153
110

141 12.9
120
152
124
234
97 94
93 251 45 4.3
162 5.3

185
102

149
208 5
227 5.2

119
103

O+
B+
11.6
187 5.6
152
230 3.8
110 154
136
238 359
105 142 6.9 21 21
94 186 3.6 14 28

102 218 176 5


97 260 100 4.5
142

3.8
127 220
130 144
104
5.4
204
204

574
92

129
110 315 9.5
110 159
116
153

192
146

145 209 8
149 5.3
96 222

110 197 12.5


109 146 8

24 15
246

364 239 6.1


202 4.8
96

108
96

O+
O+
O+

A+

137 176 9.6

138 106

98

9.1
207

94 142
177
97
124

103 138 45 5.2

6
109
125
7.7

71
4

102

13 14
95
328

154

6.8
8.4

171 5.4

10 15

88 137
366
113 8
99

586

120
91

101

117

201
130

109

113

B+

177 5.4
327 150 3.7
164 198
158
O+

96 154 253 7.4


89

145

91
110
265

195
186 212
94
123

105
233

90 141

114 4.1
160
11.7
140
168
134
113
227 220 6.4
113 205 91 4.7
3.6
210 199
106
166 199
6.5
197 176 5.1
201
226
5
199
183 5.3
142
89

125
99
218 100 5
101
113

0 14 19 2 15 0 0 2 16 4 4 0
0 30 45 2 32 0 0 11 30 1 1 0
0 0 0 0 5 3 0 4 0 0 0 2 2 2 0
0 0 1 0 0 13 14 2 6 0 0 2 6 0 0 0
0 0 0 0 9 16 2 11 0 0 2 14 2 2 0
0 0 0 0 0 17 31 0 26 0 0 9 24 1 1 0

8
Krea Widal Urin Rutin Prot Sedimen PP test Fe ses Gram
Neg
Neg

Neg
1+

Neg

KJ-/1+/-1020/5/Ubg1
KJ-/-/-/1005/6

KJ-/-/-/1005/7

KK-/-/-/1010/8L3E3
KJ-/-/-/1010/8/L1U1
Pos

Neg
KK-/-/-/1005/7
KJ-/-/-/1010/6,5
KJ-/-/-/1005/5 Neg

Pos
Neg
Neg
Neg
Neg

KK3+/-/-/1010/6,5 DGNE/I +/- PMN>5


Neg

Neg

KJ-/-/-/1010/6
KK3+/-/-/1015/6/L2E1

KK-/-/-/1010/6N1L3K
Neg

0
0
0 0 2 0 0 0 0 0
0 0 4 1 0 8 0 0
0 0 3 0 0 0 0 1
0 0 3 1 0 6 0 0
Ask/ Kontrol Hematologi
KOH Tricho HIV Sifilis HbsAg Mantoux Umum Jamsostek/KIS/ Program
BPJS Hb Leuko Ht Trombo Cho HDL
27,500
27,500
27,500
27,500
27,500
NR Negatif 9,000
NR Negatif 9,000
514380082
1168733441
1262465291
2239893898
512894665
1669970586
52690105
1824572496
727851554
56471376
27,500
27,500
27,500
27,500
NR Program
NR Negatif Program
1984496714
52724147
2492035097
513018933
11,000
27,500
27,500
27,500
11,000
27,500
27,500
27,500
27,500
27,500
52662824
513207988
512755119
52673613
1204102427
22,000
1802896648
513871817
52734317
52659437
206543665
Askes
1427725012
52555205
52775842
NR Negatif 2069119585
27,500
27,500
15,000
513719741
27,500
1523219376
2393294714
NR Negatif Program
27,500
NR Negatif 1177971298
27,500
513147227
27,500
27,500
1891570746
2177130273
1014565149
NR Negatif 512934772
Negatif 511642517
27,500
27,500
5,500
NR Negatif 497650871
NR Negatif 9,000
2287024942
Askes
52884281
1014565735
2062960839
412877575
1669953971
114,500
114,500
27,500
27,500
27,500
57,000
57,000
11,000
9,000
2494693192
22,000
1523251585
53754783
52534866
52745106
1014566488
513183622
19,000
2177128991
1014564363
NR Negatif 513338174
NR Negatif 513695902
NR Negatif 2241424451
1014594265
1520239836
52479584
11,000
11,000
NR Negatif 9,000
NR Negatif 9,000
NR Negatif 9,000
27,500
27,500
27,500
27,500
27,500
27,500
27,500
1014567412
Askes
BPJS
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
1320121809
1667796669
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
Askes
22,000
2420227214
52570271
727850169
52606866
52690173
2177129428
11,000
11,000
977612624
1436186812
Askes
15,000
1968795437
1730206078
2209244591
2089541856
52740663
1100501583
1519684582
27,500
Askes
1724161318
NR Program
11,000
27,500
27,500
27,500
27,500
1324544128
512211069
1669969888
NR Negatif 9,000
11,000
11,000
27,500
27,500
27,500
27,500
NR Negatif 9,000
NR Negatif 9,000
NR Negatif 9,000
NR Negatif Program
NR Negatif Program
NR Negatif 512969275
NR Negatif 513089662
NR Negatif 2615752326
44,000
46,500
46,500
1660340575
1480901411
53989683
52636961
52606866
2422817324
1014564519
1014567311
514051852
27,500
27,500
27,500
27,500
27,500
27,500
11,000
11,000
52844848
1014565037
52783277
1961428329
52510533
514330323
167405016
512077408
1480901411
1518173908
511627612
206846796
513315022
1669963847
27,500
27,500
27,500
27,500
27,500
11,000
15,000
NR Negatif Program
NR Negatif 2073301773
NR Negatif 9,000
513242425
2485019283
Negatif 2492580159
2263399806
512325832
11,000
11,000
27,500
1467666551
Askes
27,500
2426591485
53246316
52728928
27,500
513291238
204429317
513198494
1831860966
Askes
NR 513486189
NR Program
NR Program
NR Program
27,500
27,500
22,000
11,000
1815178948
1731459475
NR Negatif Program
27,500
52732271
27,500
512325832
1668030028
27,500
2068649032
1383953747
15,000
15,000
15,000
15,000
11,000
NR Negatif 9,000
27,500
27,500
27,500
NR Negatif 2376645017
NR Negatif 9,000
NR Negatif 27,500
27,500
27,500
52892357
27,500
512325832
2062960839
27,500
52761734
53755143
2055405565
514412379
53989683
27,500
27,500
11,000
512325832
27,500
11,000
15,000
13,500
513060726
1014565421
1803493034
27,500
27,500
514344824
11,000
NR Negatif 9,000
27,500
27,500
27,500
27,500
27,500
27,500
NR Negatif Askes
513889942
52552765
1086049269
56602754
52556264
NR Negatif 1269220882
NR Negatif Program
2465316753
Interinsip
27,500
27,500
27,500
27,500
2069199191
52690116
Askes
Askes
27,500
11,000
11,000
11,000
Askes
27,500
27,500
1883619729
52651945
513242796
52479854
54238184
1436133903
512413007
56700066
514073327
46,500
27,500
27,500
NR Negatif 9,000
9,000
9,000
22,000
514073327
33,000
11,000
72484738
1963130545
1669959358
52537702
52757739
55324146
1716813382
513567551
2070171944
2448657538
166924383
52639817
44,000
512962953
511684029
1873562545
11,000
512293083
11,000
27,500
2058106566
27,500
513099268
1797042611
52550098
56068468
1409373685
1448972921
27,500
Askes

188

0 0 0 0 0 0 0
0 0 0 0 1 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
6 4
36 33
Kontrol Kimia T3:304anggal
AU GPT GOT Urea Creat
LDL TG
N P N P N P N P N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN MARET 2019

No. Usia
No. Hb
Tanggal Reg Urut Nama Alamat HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
(manual)
Lab L P
1-Mar 821 1 R. Fandy 46 9/16 Utama
1-Mar 822 2 Deva Rahayu 16 3/3 Utama 12.4 4,200 37 194,000
1-Mar 823 3 Mintarsih 58 1/9 Utama
1-Mar 824 4 Shafira 21 1/19 MA 12.2
1-Mar 825 5 Apon 49 2/12 Utama 14.9 8,800 43 206,000
1-Mar 826 6 Tita Fitria Astuti 41 3/12 BtJjr 13.7 6,700 41 322,000
1-Mar 827 7 M. Rafli Firmansya 14 2/16 Utama 14.5 2,800 42 71,000
1-Mar 828 8 Tonang Rudyat 61 8/5 Utama 12.3 15,600 37 322,000
1-Mar 829 9 Ery Siswaningrum 44 7/7 Utama 13.8 9,100 41 345,000
1-Mar 830 10 Sri Sukarti 46 1/10 Utama
1-Mar 831 11 Rita 26 5/12 Utama 13.4
1-Mar 832 12 Rahmat 44 5/6 Utama
1-Mar 833 13 Heny Eka 32 9/9 Pdsuka
1-Mar 834 14 Imas Rodiah 31 3/1 Jelegong
1-Mar 835 15 Vitri 30 8/12 Utama 12.4
1-Mar 836 16 Rizki Febri 20 5/5 LG 14.2 6,600 40 419,000
1-Mar 837 17 Nurul Qisty Anggraeni 26 5/11 Stmnh
1-Mar 838 18 Hana Faiza 3 Cibeber 9.3 9,300 27 611,000
1-Mar 839 19 Ridwan N.F 19 3*9 Baros 16.4 6,200 46 271,000
1-Mar 840 20 Yeti Kusmiati 37 12/9 Kihapit
4-Mar 841 21 Koniyani 58 2/12 Utama
4-Mar 842 22 Repati Indah 49 7/12 Utama
4-Mar 843 23 Sopiah 69 4/2 Utama
4-Mar 844 24 Ai Aisyah 54 4/5 Utama
4-Mar 845 25 Yayat 43 1/5 Utama
4-Mar 846 26 Chodim 53 1/4 Utama
4-Mar 847 27 Omah 67 2/11 Baros
4-Mar 848 28 Najah 50 5/11 Utama
4-Mar 849 29 Asep Sudrajat 51 5/2 Utama
4-Mar 850 30 Sugiarto 61 2/2 Utama
4-Mar 851 31 Ganda Rahayu 63 4/8 Baros
4-Mar 852 32 Rahmat 39 3/3 LG
4-Mar 853 33 Mikail 0.8 3/6 Garuda 11.1 10,800 31 381,000
4-Mar 854 34 Aura 2.6 7/11 LG 12 5,200 33 252,000
4-Mar 855 35 Abi Putra 1.7 3/3 Utama 9.8 6,000 31 322,000
4-Mar 856 36 Arini 0.4 8/8 Cibeber 10.9 4,400 32 193,000
4-Mar 857 37 Nahwa Adiba 5 4/16 Utama 12.8 3,100 36 160,000
4-Mar 858 38 Rifan R 20 3/15 Utama 15.5 13,400 44 173,000
4-Mar 859 39 Suryana 55 3/12 Utama
4-Mar 860 40 Heri Rahmat 20 3/10 CT
4-Mar 861 41 Muhammad Hizrawan 6 3/4 Lagadar 12.2 8,500 35 222,000
4-Mar 862 42 Alif Ziyad Febrian 1.1 5/14 Utama 11.1 7,100 35 367,000
5-Mar 863 43 Dedeh Jubaedah 59 2/3 Baros
5-Mar 864 44 Sudiah 66 Paskum
5-Mar 865 45 Djadja 73 Paskum
5-Mar 866 46 Yuningsih 67 2/2 Utama
5-Mar 867 47 Muhamad Anwar Fauzan 11 3/12 Utama 13.9 3,100 41 214,000
5-Mar 868 48 Wiwin W 29 7/7 Utama
5-Mar 869 49 Tata Warsita 66 3/3 Utama
5-Mar 870 50 Suhartini 59 2/15 Utama
5-Mar 871 51 Mamah 72 1/9 Utama
5-Mar 872 52 Dari 69 5/14 Utama
5-Mar 873 53 Umi Laila 61 Lagadar
5-Mar 874 54 Esih 68 5/5 Cibeber
5-Mar 875 55 Fahrizky 0.8 1/6 Utama 10.1 9,400 31 372,000
5-Mar 876 56 Taufik Amin, SE 61 4/7 MA
5-Mar 877 57 Indiyani 35 3/2 Utama
5-Mar 878 58 Yuli 32 2/3 LG
5-Mar 879 59 Cucu Komariah 47 5/7 Utama
5-Mar 880 60 Apong 74 6/5 Utama
5-Mar 881 61 Suryana 81 5/12 LG
5-Mar 882 62 Yuli Rahayu 39 3/6 Pdsk 11.7
5-Mar 883 63 Qinanty Maulida Saputri 1.2 3/2 Utama 11.8 6,600 33 198,000
5-Mar 884 64 Asih Nurhayati 48 8/16 LG
5-Mar 885 65 Rahma Attaya Tamimah 13 2/12 Baros 6.4 6,300 26 538,000
5-Mar 886 66 Azmi Nur Azkia 6 4/11 Utama 12.7 9,300 36 265,000
5-Mar 887 67 Irina 41 7/7 Utama
5-Mar 888 68 Ranah 64 4/5 Utama
5-Mar 889 69 M. Alfi 14 1/9 Utama 11.2
5-Mar 890 70 dr. Neng 50 Pkm Cimsel
5-Mar 891 71 Petty 46 3/12 LG
5-Mar 892 72 Waridah 29 4/16 Utama 10.1 12,400 31 274,000
6-Mar 893 73 Martini 65 9/7 Utama
6-Mar 894 74 Pipin 29 6/5 Utama 12.8
6-Mar 895 75 Shana 24 4/5 Utama 12.3
6-Mar 896 76 Nita 33 3/15 Utama 10.7
6-Mar 897 77 Emay 21 6/10 LksnMkr 9.9
6-Mar 898 78 Nafingatus Ulum 16 6/7 Utama 9.7
6-Mar 899 79 Veri Mutiko 21 4/6 Utama 16.5 7,300 46 248,000
6-Mar 900 80 Ai Jubaedah 23 4/6 Utama 11.7 8,200 34 219,000
6-Mar 901 81 Sifa Oktaviani 6 5/1 Utama 13.6 4,600 40 200,000
6-Mar 902 82 Laudya K 5 4/16 Utama 11.7 6,700 35 227,000
6-Mar 903 83 Heni 38 5/5 Utama 15 5,000 44 222,000
6-Mar 904 84 Sahla 1.8 2/17 Cbrm 10.4 15,000 32 261,000
6-Mar 905 85 Al Maira 2.4 7/10 Baros 11.8 5,200 35 293,000
6-Mar 906 86 Fenti 24 8/12 LG 14.6 3,300 41 146,000
6-Mar 907 87 Ari Bawana 1.4 5/10 Baros 12.7
6-Mar 908 88 Bimandari 4 5/10 Baros 13.4
6-Mar 909 89 Nur Hamdah 31 3/11 LG
6-Mar 910 90 Rahmat. S.N 68 8/7 Utama
6-Mar 911 91 Tina 30 5/14 Utama 12
6-Mar 912 92 Nurveinis 73 8/12 LG
6-Mar 913 93 Titin Kartini 53 1/9 LG
6-Mar 914 94 Suheryani 58 4/10 Baros
6-Mar 915 95 Asep R 61 1/4 Baros
6-Mar 916 96 Sri Lestari 20 2/11 Utama 11.5
6-Mar 917 97 Iklin Yuliansih 23 1/13 Utama 11
6-Mar 918 98 Lilis Susilawati 38 7/5 Utama
6-Mar 919 99 Siti Jumariah 34 7/2 LG
6-Mar 920 100 Rahmi Destira 16 2/4 Baros
6-Mar 921 101 Tata Sutardjo 73 1/2 Utama
6-Mar 922 102 Zilpitri 26 1/7 Baros
8-Mar 923 103 Krisnia Bayu 53 Pkm Cimsel 12.4 2,700 36 66,000
8-Mar 924 104 Bagja 1 Mencut 14.2 12,400 39 330,000
8-Mar 925 105 Heni 29 3/13 Utama 13.3 8,000 41 296,000
8-Mar 926 106 Iis Komariah 39 4/13 Utama 11.5
8-Mar 927 107 Siti Masitoh 25 4/10 Utama 12.2
8-Mar 928 108 Ttin 37 2/1 Lagadar
8-Mar 929 109 Siti Rahmah 22 4/12 Utama
8-Mar 930 110 Imas Asih 25 2/12 Utama
8-Mar 931 111 Fenti 24 8/12 LG 13.8 5,100 39 147,000
8-Mar 932 112 Rita Asmara 40 2/5 Utama 12.2 7,300 36 489,000
8-Mar 933 113 Intan Nur Aini 11 3/14 Cibeber 12.9 15,100 39 364,000
8-Mar 934 114 Waridah 29 4/16 Utama
8-Mar 935 115 Nurdin 39 Cibeber
9-Mar 936 116 Nurdin 39 Cibeber
9-Mar 937 117 Fenti 24 8/12 LG 14.2 5,500 41 150,000
9-Mar 938 118 Ikbal Satrio 5 5/14 CT 10.7 6,000 34 462,000
9-Mar 939 119 Zahira 5.3 1/3 Lagadar 12.8 3,400 38 205,000
9-Mar 940 120 Nabila Lathifa Chairunnis 2.1 2/12 Baros 11.4 7,700 33 218,000
9-Mar 941 121 Holy 'Ainsinqaf Widasih 28 3/10 Baros 11.8 6,300 34 283,000
9-Mar 942 122 dr Dewi Irawati 42 Pkm Cimsel 13.1 3,800 38 304,000
9-Mar 943 123 M. Mochtar 32 3/7 Baros 13.7
11-Mar 944 124 Aliko Fitri 7 3/9 Baros 11.6 7,600 34 229,000
11-Mar 945 125 Dede 30 5/2 LG
11-Mar 946 126 Nenya Lestari 5 5/11 Utama 14.6 4,700 41 110,000
11-Mar 947 127 Mariam 1 5/6 LG 8 7,600 27 431,000
11-Mar 948 128 Hari Arsalam 16 4/2 Saradan 16.9 9,900 49 183,000
11-Mar 949 129 Arfan Kholid Putrta 1 1/11 CT 10.8 6,900 34 230,000
11-Mar 950 130 Ali Alfarizki 44 5/11 Utama 15.6 5,900 43 187,000
11-Mar 951 131 Ani Resiyani 67 1/5 Baros
11-Mar 952 132 Mimi Mulyati 56 2/11 Utama
11-Mar 953 133 Novianti Indriani Hidayat 41 1/2 LG
11-Mar 954 134 Suryani 39 2/8 Baros
11-Mar 955 135 Mimi Gusmiati 54 2/7 Utama
11-Mar 956 136 Nanik Sp 42 Baros 12.3 8,000 35 308,000
11-Mar 957 137 Ida Ratiamah 70 1/15 Btjjr
11-Mar 958 138 Atikah 62 2/5 Baros
11-Mar 959 139 Mimin Tarminah 59 Cibodas
11-Mar 960 140 Yuliandini 59 3/9 Baros
11-Mar 961 141 Satimin 62 7/6 LG
11-Mar 962 142 Nandang Tarsopa 71 10/5 Utama
11-Mar 963 143 Diana Wijayanti 22 Moch Yamin
11-Mar 964 144 Rohiyat 67 5/12 Utama
11-Mar 965 145 Rodiah 65 2/15 Utama
11-Mar 966 146 Anda Usen 72 4/11 Utama
11-Mar 967 147 Widi Ningsih 55 5/3 Utama
12-Mar 968 148 Ihat Solihat 46 8/5 Utama
12-Mar 969 149 Yuli Septiani 27 4/11 MA
12-Mar 970 150 Elita 39 Pkm Cimsel 7.8 4,600 29 400,000
12-Mar 971 151 Iin Winarti 15 3/19 LG
12-Mar 972 152 Nani Nuraeni 57 1/10 Cigugur
12-Mar 973 153 Muhammad Abdul Karim 20 5/16 Utama 14.7 4,700 47 236,000
12-Mar 974 154 Witarsah 65 4/5 Utama
12-Mar 975 155 Fitri Astuti 24 Pkm Cimsel 11.7 6,800 33 223,000
12-Mar 976 156 Neneng Warisah 63 4/7 LG
12-Mar 977 157 Adang Suherman 74 11/3 Nnjung
12-Mar 978 158 Moh. Hasan Harun 76 5/3 Utama
12-Mar 979 159 Irudin 21 Salacau
12-Mar 980 160 Ahmad Hudori 24 Salacau
12-Mar 981 161 Juhana 67 2/20 Dustira
13-Mar 982 162 Tri Utami 40 5/4 LG
13-Mar 983 163 Hildan Alfikri 3 Cibodas 11.6 5,200 34 162,000
13-Mar 984 164 Nazwa Nurulia 15 1/15 MkrSr 14.8 3,700 44 206,000
13-Mar 985 165 Asep Ali 53 Pkm Cimsel
13-Mar 986 166 Mariam 47 5/8 LG
13-Mar 987 167 Mimin 58 Gn. Leutik
13-Mar 988 168 Sobingatun 51 Baros
13-Mar 989 169 Durahman 78 Cibodas
13-Mar 990 170 Rostini 62 5/5 Utama
13-Mar 991 171 Ian Heryana 48 6/12 Utama
13-Mar 992 172 Kartini 59 Cibodas
13-Mar 993 173 Lilis Susilawati 79 2/2 LG
13-Mar 994 174 Elis Soppariah 17 2/15 Utama 10.3
13-Mar 995 175 Nunik 25 3/18 Baros 10.6
14-Mar 996 176 Jojoh Juariah 64 2/8 Utama
14-Mar 997 177 Uka S 58 5/7 Cibbr
14-Mar 998 178 N. Tati Sumiati 59 3/10 Cibeber
14-Mar 999 179 Asep Hermawan 56 5/4 Citaman
14-Mar 1000 180 Siti Pokayah 44 2/16 Lagadar
14-Mar 1001 181 Cicih S 60 Jl. Encep Kar
14-Mar 1002 182 Dede Herawati 37 3/7 LG
14-Mar 1003 183 Arya Yudistira 1 Cisalak 11.5 16,100 33 575,000
14-Mar 1004 184 Lagiyo Santoso 63 5/1 Baros
14-Mar 1005 185 Raga Putra Hadiansyah 3 8/12 Utama 11 4,400 32 217,000
14-Mar 1006 186 Sindi Aulia 1.5 Bojong 10.9 13,500 34 331,000
14-Mar 1007 187 Erom Romasih 23 3/8 Utama
15-Mar 1008 188 Stevano 24 5/13 LG 17.1 4,200 48 131,000
15-Mar 1009 189 Meri 26 3/16 Utama 10.1
15-Mar 1010 190 Krisnia Bayu 53 4/16 LG 12.8 3,400 37 78,000
15-Mar 1011 191 Muhamad Faisal 17 2/2 Utama 17.4 7,300 48 152,000
15-Mar 1012 192 Vini 24 2/5 LG
15-Mar 1013 193 Angga 29 4/5 Skwangi
15-Mar 1014 194 Anisya Wulandari 27 1/20 Baros 11.3
15-Mar 1015 195 Erika Eppy Widyowati 25 2/9 LG 12.6 8,900 37 323,000
15-Mar 1016 196 Muhammad Janwar S 6 2/5 Utama 12.1 3,900 34 351,000
15-Mar 1017 197 Lina 39 3/1 Utama
15-Mar 1018 198 Aldi Yansa M
16-Mar 1019 199 Dyah Permatasari 50 1/19 Baros
16-Mar 1020 200 Podia Sipani 15 1/16 Utama
16-Mar 1021 201 Saskia N 1 3/1 Utama 9.1 9,800 29 291,000
16-Mar 1022 202 Stevano 24 5/13 LG 17.3 3,300 49 113,000
16-Mar 1023 203 Rahma Kusuma Putri 8 2/7 Baros 12.7 3,300 37 149,000
16-Mar 1024 204 Muhamad Faisal 17 2/2 Utama 17.1 8,400 48 179,000
16-Mar 1025 205 Heti 35 4/5 Utama 11.9
18-Mar 1026 206 Dede Sudarsa 70 2/12 LG
18-Mar 1027 207 Enni Rochaeni 61 3/8 Utama
18-Mar 1028 208 Ateng Jaelani 35 3/17 LG
18-Mar 1029 209 Emi Rohati 58 6/5 LG
18-Mar 1030 210 Djuangsyah 40 8/7 Utama
18-Mar 1031 211 Nanik Sp 41 Baros 13.4 9,500 38 285,000
18-Mar 1032 212 Meysi 3.6 3/6 Utama 10.9 4,400 32 281,000
18-Mar 1033 213 Ramadahan 12 1/16 Utama 14.4 13,900 42 350,000
18-Mar 1034 214 P. Komariah Jd. Unang 65 Nanjung
18-Mar 1035 215 Zulfa 7 3/1 Utama 12.5 4,600 34 221,000
18-Mar 1036 216 Sartinem 45 Cibogo
18-Mar 1037 217 Eti 42 2/1 Baros
18-Mar 1038 218 Anjani 3.5 3/10 Utama 10.2 6,600 29 173,000
18-Mar 1039 219 Asep Sudrajat 57 5/5 Utama
18-Mar 1040 220 Rahma Kusuma Putri 8 2/7 Baros 13.5 7,500 38 227,000
18-Mar 1041 221 Tati Hamdah 51 1/1 Lagadar
18-Mar 1042 222 Andi Ruskandi 62 4/10 Cigugur
18-Mar 1043 223 Ani Sumarni 53 4/10 Cigugur
18-Mar 1044 224 Wiwin Winarti 64 9/20 LG
18-Mar 1045 225 Adang Purnama 49 3/14 Cibeber
19-Mar 1046 226 Rohaeti 40 5/1 Utama
19-Mar 1047 227 Hapsah 6 2/3 Utama 10.7 5,500 33 276,000
19-Mar 1048 228 Sayyidah Jihan Hanifah 9 6/18 MA 14.4 3,700 40 200,000
19-Mar 1049 229 Keyla Azkia Putri 2 5/11 Utama 10.2 16,100 28 519,000
19-Mar 1050 230 Sugiarti 61 3/6 LG
19-Mar 1051 231 Aji Suharna, S.Pd 72 1/15 LG
19-Mar 1052 232 Enung Siti Khuzaimah 63 1/15 LG
19-Mar 1053 233 Suhaenah JD. Kosasih 66 1/8 Cibeber
19-Mar 1054 234 E. Maryati 66 1/6 Utama
19-Mar 1055 235 Anjani 3.4 3/10 Utama 11 6,600 31 239,000
19-Mar 1056 236 Munawaroh 34 1/16 Utama
19-Mar 1057 237 Sriningsih 38 5/16 Utama
19-Mar 1058 238 Tachrir 78 4/9 Stmnh
19-Mar 1059 239 Empon 64 5/11 Utama
19-Mar 1060 240 Abrizam 1.2 3/18 LG 12.4 12,100 35 310,000
19-Mar 1061 241 Sutiah 53 1/6 Utama
19-Mar 1062 242 Sutawijaya 9 jl. Dustira 14.6 17,800 39 428,000
19-Mar 1063 243 Asthy 25 6/16 LG
19-Mar 1064 244 Yunani 24 2/5 Utama 13 13,100 37 359,000
19-Mar 1065 245 Darmin 60 9/5 Utama
19-Mar 1066 246 Roslinda 57 1/2 LG
19-Mar 1067 247 Althaf 4.8 3/5 Cibeber 10.5 9,300 31 293,000
19-Mar 1068 248 Siti Jubaedah 31 5/14 Utama 11.7 9,600 33 254,000
19-Mar 1069 249 Desi Simanjuntak 1.1 1/2 Lagadar 11.1 5,100 32 115,000
19-Mar 1070 250 Nihlah 20 Cibeber
20-Mar 1071 251 Lina 39 3/1 Utama
20-Mar 1072 252 Aldi Yansa M 23 2/19 Cibogo 16 2,300 44 91,000
20-Mar 1073 253 Citra 29 2/6 Utama 12.8
20-Mar 1074 254 Khansa Syarifa Putri N 5 3/3 Utama 15 4,700 43 208,000
20-Mar 1075 255 Marini 25 1/2 Utama 12.3
20-Mar 1076 256 Eti Rohaeti 58 2/12 Utama
20-Mar 1077 257 Rositi 34 Leuwigajah
20-Mar 1078 258 Rayhana 3.5 Nanjung 10.4 2,600 31 152,000
20-Mar 1079 259 Rike Nurani 33 1/8 Cibeber
20-Mar 1080 260 Neng Umu Hani Farihah 18 5/4 Nanjung
20-Mar 1081 261 Dewi Nur Ramadany 21 3/14 Baros 12
20-Mar 1082 262 Haykal Alfarizi 3 Leuwigajah 9.8 4,500 28 269,000
20-Mar 1083 263 Neng Endah 28 1/11 Cibeber
20-Mar 1084 264 Diva Putri K 18 3/18 Cibeber 10.2
20-Mar 1085 265 Annisa Fadhilah 6 1/10 Cibeber 14.8 6,100 42 221,000
20-Mar 1086 266 Akfa Fauzan 11 7/10 Baros 15.5 7,800 43 183,000
20-Mar 1087 267 Asep Supriyadi 54 5/5 Utama 16.2 11,600 47 261,000
20-Mar 1088 268 Pujiyati 62 3/9 LG
20-Mar 1089 269 Isti 26 7/8 Stmnh
21-Mar 1090 270 Husyaeni Latifah 23 Cililin 13 5,200 38 249,000
21-Mar 1091 271 Witarsa 67 5/2 Utama
21-Mar 1092 272 Neneng Cucu 53 2/5 Utama
21-Mar 1093 273 Siti Halimah 35 Cibeber 14.1 16,900 40 312,000
21-Mar 1094 274 Imas 46 3/7 Lagadar
21-Mar 1095 275 Rayhana 3 4/13 Utama 12.5 6,600 37 186,000
21-Mar 1096 276 Kamal Syabana 0.9 Leuwigajah 12.1 9,500 34 214,000
21-Mar 1097 277 Semi Parwati 50 2/1 LG
21-Mar 1098 278 Yayat Suhayat 60 7/14 Utama
21-Mar 1099 279 Sri Sunaryati 58 Kihapit
21-Mar 1100 280 Ade Setiawan 24 2/8 Cigugur
21-Mar 1101 281 Santi 50 2/5 Utama 13.4 11,000 37 144,000
21-Mar 1102 282 Ade Koswara 37 5/7 Cibogo 16.8 7,100 46 145,000
21-Mar 1103 283 Asep Supriyadi 54 Hujung 16.7 6,000 48 275,000
23-Mar 1104 284 Ade Koswara 37 5/7 Cibogo 15.4 7,200 42 157,000
23-Mar 1105 285 Rukmaya 66 3/16 Utama
23-Mar 1106 286 Meyzia Safa A 1.5 3/4 LG 10.2 24,400 31 434,000
23-Mar 1107 287 Nayla Mustika Jatnika 3.5 2/11 Baros 12.7 7,100 35 238,000
23-Mar 1108 288 Uceh 73 4/16 Utama
23-Mar 1109 289 Mochamad Rojak 44 7/7 Cibogo
23-Mar 1110 290 Iis Aisah 44 4/1 LG
25-Mar 1111 291 Fredi 44 4/14 Cibeber
25-Mar 1112 292 Riky Romansyah 24 4/3 LG 17 7,500 50 263,000
25-Mar 1113 293 Maryati 50 3/7 Utama 14.2 15,200 40 302,000
25-Mar 1114 294 Bunga Kanza 3 4/12 Utama 10.6 10,700 32 338,000
25-Mar 1115 295 Darmawan 66 4/11 Stmnh
25-Mar 1116 296 Aisyah 7 2/17 LG
25-Mar 1117 297 Desi Simanjuntak 28 4/11 LG 14.5 8,400 44 251,000
25-Mar 1118 298 Wariyah 70 1/15 Baros
25-Mar 1119 299 Asih 55 4/4 Utama 14.2 9,100 42 286,000
25-Mar 1120 300 Mega Cahaya Suara S 6 4/11 Utama 14.1 5,300 41 149,000
25-Mar 1121 301 Nana Juhana 43 6/7 Utama
25-Mar 1122 302 Lisdawati 28 3/6 Utama
25-Mar 1123 303 Supardi 64 2/16 Baros
25-Mar 1124 304 Cristianing 52 3/3 Utama
25-Mar 1125 305 Turi Puryani 53 Baros
25-Mar 1126 306 Muhammad Hatimun A 0.3 1/13 Utama 10.8 6,700 31 543,000
25-Mar 1127 307 Mariah 69 Cibodas
25-Mar 1128 308 M. Arfa Alghifari 9 Baros 14.7 10,300 43 306,000
25-Mar 1129 309 Wian Apriliani 22 3/16 Utama
25-Mar 1130 310 Ranika Putri N 6 7/5 Utama 12.5 8,700 37 264,000
25-Mar 1131 311 Euis Supriati 62 3/3 Baros 13.9 5,800 40 218,000
25-Mar 1132 312 Mintarsih 59 1/9 Utama
25-Mar 1133 313 Aisah Putri 9 Utama
25-Mar 1134 314 Emi Maryami 56 1/19 Lagadar
25-Mar 1135 315 Otih 45 7/12 Utama
25-Mar 1136 316 Rahmat Efendi 64 5/10 Utama
25-Mar 1137 317 Nayla Mustika Jatnika 3 2/11 Baros 13 7,000 35 164,000
25-Mar 1138 318 Sarni 69 Kihapit
25-Mar 1139 319 A. Suryawati, Dra 65 11/9 LG
26-Mar 1140 320 Imas Hodijah 56 3/4 LG
26-Mar 1141 321 Syakila 0.8 3/3 Baros 10.6 12,800 32 451,000
26-Mar 1142 322 Salsabila 0.8 4/12 Utama 11.9 8,000 37 212,000
26-Mar 1143 323 Nadhilah 0.5 2/3 Utama 11.8 9,700 35 628,000
26-Mar 1144 324 Gizka L 13 Utama 13 8,600 40 344,000
26-Mar 1145 325 Ani Dian 19 7/7 Utama 14.8 7,000 43 328,000
26-Mar 1146 326 Abizar 1 9/7 Utama 11.2 14,100 33 369,000
26-Mar 1147 327 Encah 49 Melong 12.6 7,300 38 188,000
26-Mar 1148 328 Wendi Herlian 23 2/1 Utama 17.7 14,300 51 262,000
26-Mar 1149 329 Yanti Damayanti 41 3/7 Utama
26-Mar 1150 330 Komariah 53 5/16 Utama
26-Mar 1151 331 Rina Mulyani 42 4/21 Pdsk
26-Mar 1152 332 Eka Rastuti 30 3/3 Utama
26-Mar 1153 333 Devi L/Gunadi 27 Cibeber
26-Mar 1154 334 Nayla Mustika Jatnika 3 2/11 Baros 11.9 5,700 33 174,000
26-Mar 1155 335 Agustina Sika K 64 1/4 Baros
26-Mar 1156 336 Hj. Imar Sumarni 74 2/11 Utama
26-Mar 1157 337 Titi Hartati 70 Baros
26-Mar 1158 338 Apok 63 3/12 Utama
26-Mar 1159 339 Rahmatiah 69 2/4 Baros
26-Mar 1160 340 Nining Andaningsih 55 2/9 MA
26-Mar 1161 341 Nur Romlah 66 Jl. Dustira
26-Mar 1162 342 E. Sutarsih 60 Utama
26-Mar 1163 343 Stefanus 24 4/14 Cibeber
26-Mar 1164 344 Ayu Puji A 19 6/10 CT 12.6
26-Mar 1165 345 Nia K 56 7/3 LG
26-Mar 1166 346 M. Budi 21 4/20 Baros
27-Mar 1167 347 Siti Maesaroh 53 4/5 Utama
27-Mar 1168 348 Jojoh Juariah 64 2/8 Utama
27-Mar 1169 349 Sumarni 55 3/11 Baros
27-Mar 1170 350 Juarsih 62 1/8 Utama
27-Mar 1171 351 Sugiasih 29 7/7 Utama 12
27-Mar 1172 352 Siti Anjarsari 25 2/12 Utama 9.5
27-Mar 1173 353 Siti Wahyuni 19 2/12 Utama 10.6
27-Mar 1174 354 Ika M 23 5/5 Utama 9.9
27-Mar 1175 355 Helma 27 2/14 LG 6.4
27-Mar 1176 356 Yuni Sri 36 3/4 Utama 10.7
27-Mar 1177 357 Heti 35 4/1 Utama
27-Mar 1178 358 Lita 21 3/4 Cibeber
27-Mar 1179 359 Idar 37 9/5 Utama 11.1
27-Mar 1180 360 Yati 66 1/9 Baros
27-Mar 1181 361 Lilis Rodiah 44 7/12 Utama
27-Mar 1182 362 Tati Rohati 65 5/12 Utama
27-Mar 1183 363 Neng Tuti 53 Cimindi 11.6 7,700 37 298,000
27-Mar 1184 364 Anisa 24 3/24 Baros 12.2 8,300 36 251,000
27-Mar 1185 365 Dewi 4.3 5/7 Utama 11.3 7,400 33 242,000
27-Mar 1186 366 Sahla 3 4/7 Cibeber 11.9 10,900 36 307,000
27-Mar 1187 367 Hafidzan 2 2/7 Baros 11 7,900 32 299,000
27-Mar 1188 368 Yayat 41 2/5 Utama 15.1 15,400 43 205,000
27-Mar 1189 369 Mahdi 46 2/5 Utama 16 10,600 45 215,000
27-Mar 1190 370 Ukir Nugraha 6 5/1 Utama 13.9 5,800 40 188,000
27-Mar 1191 371 Septi Wulandari 25 Lemsa 11.8 5,600 37 288,000
27-Mar 1192 372 Sri Rohanah 49 3/11 Utama
27-Mar 1193 373 Phoa Tjhoen Lijen Nio 57 Pilar Mas
27-Mar 1194 374 Siti Patimah 64 Utama
27-Mar 1195 375 Aas Nur Aisyah 58 Utama
27-Mar 1196 376 Ade Suryati 44 1/2 Utama 12.7 7,800 37 365,000
28-Mar 1197 377 Yudha Hermana P 35 2/16 Pdsk
28-Mar 1198 378 Rian Marhamah 35 2/16 Pdsk
28-Mar 1199 379 Siti Djumriah 37 Melong
28-Mar 1200 380 Sri Sundrtini 54 Paskal 12.2 8,300 36 251,000
28-Mar 1201 381 Ai Rukiyah 69 1/6 Utama
28-Mar 1202 382 Nayla Mustika Jatnika 3 2/11 Baros 12.7 7,000 36 177,000
28-Mar 1203 383 Yeni Sukmawati 30 Baros 14.2 9,700 41 212,000
28-Mar 1204 384 Desti 28 4/1 Utama
28-Mar 1205 385 Malaningsih 63 Leuwigajah
28-Mar 1206 386 Tri Wahyuni 22 Cihanjuang 11.7 5,100 38 303,000
28-Mar 1207 387 Moh Rizki F 19 Paskum 16 2,400 43 95,000
28-Mar 1208 388 M. Pandu 0.9 2/12 Utama 9.7 11,700 29 281,000
28-Mar 1209 389 Wiyati 65 5/7 Utama
28-Mar 1210 390 Rohaeti 42 5/1 Utama 13.2 9,800 38 418,000
28-Mar 1211 391 Asep Soptana 41 1/11 Baros 17.1 4,800 47 92,000
28-Mar 1212 392 Yeyen 45 4/4 Nanjung
28-Mar 1213 393 Enok Jubaedah 63 4/6 Utama
28-Mar 1214 394 Heri Suprino 67 3/4 Cibeber
28-Mar 1215 395 Yayah 89 1/10 Utama
28-Mar 1216 396 T. Suryati 67 6/10 Cigugur
29-Mar 1217 397 Gisela Nur Anjani 12 6/5 Utama 12.9 2,900 37 116,000
29-Mar 1218 398 Siti Fauziah 10 3/10 Utama 14.2 9,400 41 249,000
29-Mar 1219 399 Awang 68 Cibogo 14.9 18,000 43 247,000
29-Mar 1220 400 Anisa Toyibah 24 Utama 12.7 10,500 37 280,000
29-Mar 1221 401 Rani 50 1/9 Baros
29-Mar 1222 402 Sutiasih 44 6/5 Utama
29-Mar 1223 403 Anisah 31 2/11 Utama 12.4 8,900 38 334,000
29-Mar 1224 404 Euis 41 5/2 LG
29-Mar 1225 405 Dimas Tri Laksono I 23 9/9 Pdsk 15 8,800 43 192,000
29-Mar 1226 406 Rahmah 17 Utama
29-Mar 1227 407 Rosmiyati 33 4/10 Utama 12.6
29-Mar 1228 408 Nur Islamiyah 37 4/2 Utama
29-Mar 1229 409 Muhammad Reza S 9 10/5 Utama 13.8 6,900 39 273,000
29-Mar 1230 410 Khanza Azkadina M.P 1.7 3/3 Utama 12.7 9,100 36 198,000
29-Mar 1231 411 Nabila Nur F 21 2/4 Utama 13.6 5,900 40 240,000
29-Mar 1232 412 Fitri Astuti 26 1/7 Citeureup 10.2
30-Mar 1233 413 Wafa Nur Aisyah 4.9 4/29 Melong 11.8 19,400 33 469,000
30-Mar 1234 414 Yuniar Nur Cahyani 8 5/11 Utama 12.6 6,000 37 373,000
30-Mar 1235 415 Rafa 3.5 4/12 Utama 11 8,900 33 249,000
30-Mar 1236 416 Dewi 4 5/7 Utama 12 5,100 35 159,000
30-Mar 1237 417 Mariam 41 2/1 Utama

Jumlah Total Laki2 113 55 54


Jumlah Total Perempuan 303 97 97
Laki2 Umum 48 3 31 0 0 0 0
Perempuan Umum 140 24 52 0 0 0 0
Laki2 PBI 61 24 0 0 0 0
Perempuan PBI 150 45 0 0 0 0
Laki laki Program 4
Perempuan Program 13
TB Diagnosa 0 0
FU 0 0
Gex 118 164
MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT GOT

91

89

202

122

196

B+

275 208
5.1
166
118
175
315
114
95
196
144 4.8
113 4.9
145 200 6.2

B+

184
150
86
6.2

184
156
190
135 170 99 7.8
157
101
114 176 87 6.8

145 40
90 167 4.2
O+

119
106

109
139

108 203 60 6.7


214 143 217 4.7

103

B+

O+

B+
B+

6.5
B+
7.1
148
122
115

B+
O+
184 116

105

O+

110

214
225

113 204 85 6.5 23

248 77
227 79

4.2
111

5.8
188 230 3.9
113 280 6.5
108 166 7.7
152
121
92
139 147
7.8
155
148
147

102 155 84 5

154

95

183 7.7
98 152 9.2
143

115

175 42 28
91
121
190
7.6
209 4.4
99
167
137 171 10.2
O+

121
209
115 143 7.8
143
220
202 196

131

O+
107
273 157
263 609
481
3.9

277

158
96

226

154 4.4
7.3
107 184 4.5
184 6.9
115

162 81 6.2
203 92 8.6
300 87 4.7
270 186
4

175 5.1
139 3.8
6.7
4.2
271

91
92 169 5.8

408

94

100

187 256
306

4.4
197
108
4.3

99

111
380
96
115

99
A+

194 156

B+

161
170 5.2
151

130 169 7

142
107 228
B+
127
201
76

102 257 6.1


102 190
109

93
259 245 8.6
88 179 48 5

198 331

181 3.8
130 236
159 5.6
208
6.8
156
153 6.5
250
209

195 4.7
7.6
132 213
292 245 4.5

A+
B+
A+

A+
131
250
104

143
131 7.3
293
166

101 236 178 5.8


99 190 57 4.2
102 237 175 6.9
103 183 4.9
227

111

303

121
209
186
139 160
111

A+
106

0 12 22 0 10 0 0 7 10 1 1
0 30 56 1 60 0 0 19 49 1
0 4 0 0 5 6 0 2 0 0 1 2 0 0
0 5 0 0 15 10 0 14 0 0 1 11 0
0 0 0 0 7 16 0 8 0 0 6 8 1 1
0 5 0 0 15 46 1 46 0 0 18 38 1

7
GOT Urea Krea Widal Urin Rutin Prot Sedimen PP test Fe ses

KJ-/-/-/1010/7 L0/1E0/1Ep2/3

Neg
KaK-/-/-/1005/7/L3
KK2+/-/-/1010/6L3E4
KJ-/-/-/1010/6

Neg

Pos
Neg

23

2+
Pos

Pos

Pos
Neg

Neg

1+
KJ-/-/-/1010/8L2

1+

KaK-/-/-/1005/7/L3E4
KJ-/-/-/1020/5L1

KJ-/-/-/1005/7
Neg

Neg
Neg

Pos
Neg

Neg
Neg

Pos
Neg
Neg
Neg
Neg

Neg

KK-/-/-/1010/6.5L3E4 Neg
0 0
1 0 0
0 0 0 1 0 0 0 0
0 0 0 0 6 10 1 6 0
0 0 0 2 0 0 0 0
1 0 0 0 0 4 0 5 0
Ask/ Kontrol Hematologi Kontrol
Gram KOH Tricho HIV Sifilis HbsAg Mantoux Umum Jamsostek/KI Program
S/BPJS Hb Leuko Ht Trombo Cho HDL LDL
11,000
27,500
1821686422
NR Negatif 1437792759
27,500
513494471
995720073
1261887704
1263053349
11,000
NR Negatif 9,000
11,000
DGNE/I+/- Pos Neg 33,500
28,000
NR Negatif 9,000
27,500
1814769268
46,500
BPJS
Neg Neg Neg 1789632909
513018933
512587089
52659437
11,000
2177129845
11,000
52773085
1669963904
513118359
513535915
1262465291
46,000
27,500
27,500
27,500
15,000
27,500
513820214
513240096
13,500
27,500
2427538825
1204102427
1841498346
1841497874
52748594
514408094
11,000
1836686204
512755119
513860837
514337488
11,000
511948822
27,500
1318045151
44,000
NR NR Negatif 13,500
NR Program
11,000
21138107
NR NR Negatif 9,000
2323178346
11,000
2054759163
27,500
19,000
11,000
9,000
Askes
Askes
513082282
512348343
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
9,000
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
22,500
22,500
NR NR Negatif Program
1669968707
NR NR Negatif 512203105
72484749
1903791813
1523251585
1523912376
NR NR Negatif 513035021
NR NR Negatif 513147227
2177130857
NR NR Negatif Program
13,500
52735397
NR NR Negatif Program
Askes
27,500
27,500
NR NR Negatif 9,000
NR NR Negatif 512932623
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
52712651
513889942
727851554
513082282
11,000
11,000
52712651
27,500
27,500
2077505177
2069199191
Askes
9,000
27,500
NR NR Negatif 27,500
27,500
27,500
27,500
27,500
27,500
2306357065
513218856
2177130273
22,000
11,000
Askes
52651181
513356196
44,000
1425156096
1968795437
52690105
11,000
1014567412
513089111
52625373
11,000
11,000
15,000
Askes
NR NR 512648717
52544788
2177205401
1479559364
Askes
52712559
53574783
57296867
NR NR Program
NR NR Program
1311093156
15,000
27,500
27,500
Askes
11,000
52539647
1806637781
514009236
513211994
1515621317
513896049
44,000
NR NR Negatif 22,500
NR NR Negatif 9,000
513207988
11,000
976138143
11,000
2046822772
24,000
1518138909
27,500
52556365
1896107758
27,500
512569293
27,500
NR NR Negatif 9,000
52478739
513226225
5,500
19,000
NR NR Negatif 513666549
1108795217
2127240663
5,500

19,000
19,000
27,500
27,500
514544946
513226225
NR Negatif 14,500
52637624
1669971442
2289343983
1305103151
22,000
Askes
27,500
1830008261
159399674
27,500
11,000
11,000
27,500
513118359
514244946
53409284
513842861
513842938
2068051904
1383953747
514358278
27,500
1732673013
27,500
52723102
52810435
52500161
159795685
51717228
27,500
33,000
33,000
52787351
512415617
27,500
11,000
513704981
NR NR Negatif Program
2250418318
513916547
44,000
27,500
512620503
27,500
NR Program
5,500
27,500
Nr NR Negatif 9,000
1482508438
NR NR Negatif 9,000
1014565803
NR NR Negatif 27,500
27,500
15,000
514137284
NR NR Negatif 2046763438
27,500
5,500
NR NR Negatif 53,000
1301950089
27,500
53468583
11,000
15,000
Askes
2459077648
512053569
27,500
22,000
27,500
27,500
11,000
11,000
1875795434
R R Program
513035381
2131408361
53468583
2131408361
1422232007
27,500
1868782779
512930057
52847695
11,000
11,000
52582836
513117156
27,500
11,000
13,500
NR NR Negatif 55,000
52853679
27,500
1386236586
13,500
NR NR Negatif Program
201091814
1809963549
11,000
2622957928
1833005441
166027408
11,000
1841856941
52757853
1821686422
13,500
1437791837
513064269
512985429
1868782779
52621997
52578595
52526474
27,500
27,500
27,500
27,500
27,500
27,500
1884698133
513245687
2290556204
514363408
1425871271
NR Program
166212617
1868782779
Askes
53755154
52787676
512413007
52717318
1434586072
33,000
206964696
NR Program
9,000
11,000
DGNE/I+/+ NR NR 11,000
33,000
513207988
52537702
1324544128
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
5,500
5,500
NR NR Negatif 14,500
11,000
11,000
52630345
1817714125
27,500
27,500
27,500
27,500
27,500
27,500
27,500
2025337871
1669955117
1280208903
52856684
52586774
513084532
1125276096
1196295254
1258470876
71,500
512605708
1868782779
27,500
15,000
52815071
27,500
27,500
27,500
11,000
514358278
27,500
11,000
52618612
52570271
52844556
52734317
27,500
27,500
27,500
27,500
DGNE/I+/+ Neg Neg NR NR 33,500
DGNE/I+/- Neg Neg NR NR 33,500
513496697
55,000
2183903368
34,000
NR NR Negatif 1669980271
NR NR Negatif Program
555341668
2308007171
512400734
NR NR Negatif Program
1831860966
514342811
27,500
27,500
513121803

188

1 0 0 0 0 0 0 0
3 3 3 0 0 4 0 0
0 0 0 0 0 0 0 0
1 1 1 0 0 0 0 0
4 3
50 43 40
Kontrol Kimia T3:304anggal
AU GPT GOT Urea Creat
TG
N P N P N P N P N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN APRIL 2019

No. No. Usia


Tanggal Reg Urut Nama Alamat Hb (manual) HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
Lab L P
1-Apr 1238 1 Ahmad Komarudin 19 2/15 Utama 15.6 7,300 44 310,000
1-Apr 1239 2 Eka Yuniar 41 1/7 Utama 11.7 7,900 35 313,000
1-Apr 1240 3 Rudi Mulyadi 25 2/20 Baros 14.7 10,200 43 269,000
1-Apr 1241 4 Riana Puspita Sari 29 1/12 Utama 11.9 4,500 39 21,000
1-Apr 1242 5 Mikaila 0.3 2/16 Pdsk 9.7 15,100 30 473,000
1-Apr 1243 6 Candra Iksan 9 1/11 Utama 12.5 2,500 37 177,000
1-Apr 1244 7 Salsabila 1 4/17 Cibrm 11.4 12,200 32 221,000
1-Apr 1245 8 Adang Purnama 49 Cibeber
1-Apr 1246 9 Teja Mulyamah 65 3/2 Utama
1-Apr 1247 10 Ani Rohani Rolawati 63 4/20 LG
1-Apr 1248 11 Siti Hamidah 48 12/9 LG
1-Apr 1249 12 Rustinah 41 8/7 Utama
1-Apr 1250 13 Sopiah 59 6/12 Utama
1-Apr 1251 14 Nani Kartini 60 3/2 LG
1-Apr 1252 15 Karman 45 4/10 Utama 17.1 6,100 49 234,000
1-Apr 1253 16 Yurika Sari 22 2/21 Baros 15.5 4,100 45 177,000
1-Apr 1254 17 Rochman Efendi 60 5/12 LG
1-Apr 1255 18 Neneng Warisah 62 4/4 Utama
1-Apr 1256 19 Enok 63 4/5 Utama
1-Apr 1257 20 Anisah 42 5/12 Utama
1-Apr 1258 21 Subur 55 1/5 Baros 10.7 12,900 31 263,000
2-Apr 1259 22 Tati 44 Cirata 11 15,100 32 332,000
2-Apr 1260 23 Ananda Zahra 1 3/5 Bbkn 8.3 14,800 30 483,000
2-Apr 1261 24 Esti 28 4/2 Cwrg 12.6 2,900 37 149,000
2-Apr 1262 25 Yuliani 27 7/12 Utama 15.1 1,700 43 94,000
2-Apr 1263 26 Shaqira 4 4/2 Utama 11.4 26,000 33 399,000
2-Apr 1264 27 Anisah 13 4/16 Utama 12.6 8,900 36 311,000
2-Apr 1265 28 Bilqis Bin Juki 5 2/7 Utama 12 3,300 35 197,000
2-Apr 1266 29 M. Faisal 21 5/12 LG 16.8 10,100 47 166,000
2-Apr 1267 30 Abil Akmar 1 2/12 Utama 11.8 8,500 37 375,000
2-Apr 1268 31 Sandi Gustiar 0.7 Lemsa 12.2 24,500 37 314,000
2-Apr 1269 32 Abdillah 5 1/6 Utama 11.9 8,000 33 433,000
2-Apr 1270 33 Muzoki Romdoni 6 5/6 LG 14.1 2,700 41 230,000
2-Apr 1271 34 Adamsyah 19 3/10 Utama 15.3 2,500 42 173,000
2-Apr 1272 35 Nana Subarna 61 3/12 Utama
2-Apr 1273 36 Hj, Imi Suhaemi 82 2/13 Cibebr
2-Apr 1274 37 Nani Kartini 60 2/2 LG 14.1 6,200 40 266,000
2-Apr 1275 38 Elfis Hutabarat 51 PCM
2-Apr 1276 39 Teti 51 3/10 Baros
2-Apr 1277 40 Yurika Sari 22 2/21 Baros 15.4 3,200 43 103,000
2-Apr 1278 41 Warsiah 68 4/10 Utama
2-Apr 1279 42 Titi Suryati 65 7/10 Baros
2-Apr 1280 43 Cucu I 53 2/10 Utama
2-Apr 1281 44 Eti Rohaeti 58 2/12 Utama
2-Apr 1282 45 Mien Setiawati 66 LeuwiGajah
2-Apr 1283 46 Rusmiati 38 Utama
2-Apr 1284 47 Titi Suryati 65 Baros
2-Apr 1285 48 Ramdani 16 1/5 Cibeber 15.5 9,600 45 206,000
2-Apr 1286 49 Nenden 38 5/14 Cigugur
2-Apr 1287 50 Atikah 62 Baros
3-Apr 1288 51 Wawan Sulaeman 59 Pilarmas
3-Apr 1289 52 Otim 56 Utama
3-Apr 1290 53 Oom Komariah 66 4/6 Cibeber
3-Apr 1291 54 Neneng Djuanah 67 6/12 LG
3-Apr 1292 55 Sindi Aulia 1.6 1/5 Utama 11.3 9,100 35 257,000
4-Apr 1293 56 Yuyun Ruhiyati 68 5/7 Utama
4-Apr 1294 57 Badrut Tamam 17 Baros
4-Apr 1295 58 Marsya 11 4/16 Utama 13.2 5,200 39 173,000
4-Apr 1296 59 Tuti Karlipah 57 8/3 LG
4-Apr 1297 60 Ayi Herdiana 46 2/6 Utama
4-Apr 1298 61 M. Zidan 18 3/13 Utama 17.6 10,800 48 293,000
4-Apr 1299 62 Tita P 22 3/12 Utama 13.1 10,300 39 256,000
4-Apr 1300 63 Marini 24 2/13LG 11.5
4-Apr 1301 64 Siti Sabrina 2 2/12 Utama 11.2 11,100 33 540,000
4-Apr 1302 65 Yaya Jayadi 45 3/3 Utama
4-Apr 1303 66 Tiantri 5.5 8/7 Utama 12.4 3,600 37 140,000
4-Apr 1304 67 Suhartini 59 2/15 Utama
4-Apr 1305 68 Amas Rohana 68 3/7 Utama
4-Apr 1306 69 Siti Jubaedah 44 7/15 Utama
4-Apr 1307 70 Hj. Imar Sumarni 74 2/11 Utama
4-Apr 1308 71 Adi Putra 2.8 2/1 Utama 10.5 5,800 31 265,000
4-Apr 1309 72 Ihsan Nur Kalam 3 2/6 Utama 12.6 7,900 35 297,000
4-Apr 1310 73 Fahrul 19 2/19 LG 15.5 3,500 46 192,000
4-Apr 1311 74 Sumiati 66 6/4 Cigugur
4-Apr 1312 75 Satinem 60 Cibogo
4-Apr 1313 76 Elsa Dastia 56 1/5 Cibabat
4-Apr 1314 77 Dari 69 5/14 Utama
5-Apr 1315 78 Tusinah 37 2/5 Utama
5-Apr 1316 79 Ewi Maharani 37 4/5 Utama
5-Apr 1317 80 Hafsyah Nurfadila 18 1/6 PCM 11.7 4,100 37 252,000
5-Apr 1318 81 M. Yasin 52 4/11 Utama
5-Apr 1319 82 Afnara 4.2 2/1 Baros 11.8 5,600 36 382,000
5-Apr 1320 83 Angga Nugroho 5 2/5 Baros 11.1 3,500 33 198,000
5-Apr 1321 84 Iman 13 9/7 Utama 13.5 9,700 40 290,000
5-Apr 1322 85 Anisah 25 6/13 Baros
5-Apr 1323 86 dr. Afdol 26 Isip
5-Apr 1324 87 Iklin 23 1/13 Utama
5-Apr 1325 88 Alif 2.5 3/19 LG 10.8 12,900 32 531,000
5-Apr 1326 89 Syamsi 2.1 2/2 Utama 12.9 4,600 35 274,000
5-Apr 1327 90 Nunung 40 8/14 LG
5-Apr 1328 91 Ainun 5.9 7/5 LG 13.2 3,600 36 121,000
5-Apr 1329 92 Al Riza 4 4/7 Utama 13.1 5,000 37 159,000
6-Apr 1330 93 Tegar Raka S 12 6/5 Utama 13 6,100 37 275,000
6-Apr 1331 94 Syakila Alea 6 3/16 Baros 13.3 13,000 38 298,000
6-Apr 1332 95 Siti Nurdiah 28 4/10 Baros 14.5 13,400 42 384,000
6-Apr 1333 96 Yusuf Ardiansyah 6 2/5 Utama 10.9 6,900 32 342,000
6-Apr 1334 97 Wila Septiani Ningsih 31 7/7 Cibogo 13.3 5,600 38 286,000
6-Apr 1335 98 D. Supriatin 51 TBC 11.3 11,600 33 223,000
6-Apr 1336 99 Adzkia 4.4 3/10 Baros 12.8 5,400 37 237,000
6-Apr 1337 100 M. Sulaeman 0.9 6/12 Utama 10.7 8,400 31 286,000
6-Apr 1338 101 Azka Misdad 2.9 4/3 MA 11.9 19,600 34 259,000
8-Apr 1339 102 Putra 37 3/5 LG
8-Apr 1340 103 Nafeza 0.8 5/7 Utama 9.8 26,200 28 431,000
8-Apr 1341 104 Wiwi 47 2/7 LG
8-Apr 1342 105 Nadlan 8 3/9 Baros 12.6 6,700 36 286,000
8-Apr 1343 106 Ayi Januar 13 Suaka Indah 6.1
8-Apr 1344 107 Asyafa Putri 6 1/4 Baros 13.4 13,200 38 286,000
8-Apr 1345 108 Akbar Rahmat M 7 5/11 Utama 13 4,000 39 192,000
8-Apr 1346 109 Suyati 77 Marga Asih
8-Apr 1347 110 Ratmini 61 6/20 LG
8-Apr 1348 111 Wasitoh 52 5/16 Utama
8-Apr 1349 112 Riki Raki 18 3/3 Utama 17 6,500 50 124,000
8-Apr 1350 113 Marikem 45 8/7 Utama
8-Apr 1351 114 Ecin Kuraesin 30 1/5 Utama
8-Apr 1352 115 Sifa Sulistiawati 8 8/7 Utama 14 5,900 39 200,000
8-Apr 1353 116 D. Cholidah 53 4/9 Stmnh
8-Apr 1354 117 Tiantri 5 8/7 Utama 12.7 4,000 36 318,000
8-Apr 1355 118 Juasih 65 5/1 Utama
8-Apr 1356 119 Rodiah 65 2/15 Utama
8-Apr 1357 120 Ukar Sutaryat 65 Utama
8-Apr 1358 121 Sudiah 66 Paskum
8-Apr 1359 122 Murtijah 60 3/19 LG
8-Apr 1360 123 Yati Suryati 62 Baros
8-Apr 1361 124 Nurdin 39 4/13 Utama
8-Apr 1362 125 Atikah 56 5/16 Utama
8-Apr 1363 126 Djaenudin 48 4/12 Utama
8-Apr 1364 127 Tegar H 7 6/10 Utama 13.3 3,900 39 202,000
9-Apr 1365 128 Anda Usen 72 4/11 Utama
9-Apr 1366 129 Kartini 79 4/5 LG
9-Apr 1367 130 Mimi 55 2/7 Utama
9-Apr 1368 131 Mamah 73 1/9 Utama
9-Apr 1369 132 Aga Ghibran 2 7/12 Utama 12.6 6,000 37 216,000
9-Apr 1370 133 Tati 60 5/9 Utama
9-Apr 1371 134 M. Rufi 9 5/7 Utama 13.7 4,100 37 309,000
9-Apr 1372 135 Wiwi 59 4/16 Utama
9-Apr 1373 136 Salma Gania 16 1/7 LG 13.2 6,300 41 292,000
9-Apr 1374 137 Mien Setiawati 66 8/17 LG
9-Apr 1375 138 Setiawan 40 Utama
9-Apr 1376 139 Abdulah 58 5/6 Utama
9-Apr 1377 140 Reza M.R 10 2/10 Utama 13.4 38,000 40 245,000
9-Apr 1378 141 Nani Aisah 52 1/2 Utama
9-Apr 1379 142 Dikhi Ardiansya 13 LG Permai 16.1 4,300 46 259,000
9-Apr 1380 143 Herman Maulana 32 1/17 Lagadar
9-Apr 1381 144 Wulan Selvira 27 3/3 Baros 12.6 9,300 37 337,000
9-Apr 1382 145 Iyam Mariam 37 2/14 Utama 14.7 6,500 39 362,000
9-Apr 1383 146 Lusi Andriana 35 3/9 LG 13.5 7,200 38 275,000
10-Apr 1384 147 Asyifa Khoirunisa 9 7/7 Cibeber 13.5 4,900 40 202,000
10-Apr 1385 148 Asri 29 7/5 Utama 11.9
10-Apr 1386 149 Cindi Aulia 20 1/3 Holis 11.3 7,100 37 393,000
10-Apr 1387 150 Kelvin 14 2/6 Utama 16.1 4,100 45 237,000
10-Apr 1388 151 Lilis Susilawati 39 7/5 Utama 13.5
10-Apr 1389 152 Desi 25 6/12 Utama 12.8
10-Apr 1390 153 Sri Suhartini Hodijah 1.3 5/1 Utama 10.6 9,900 33 338,000
10-Apr 1391 154 Muklis 10 7/12 Utama 13.5 9,200 38 211,000
10-Apr 1392 155 Amri 42 5/6 LG
10-Apr 1393 156 Sri Julaeha 31 2/3 LG 8.3
10-Apr 1394 157 Dewi Sinta 33 5/4 LG
10-Apr 1395 158 Liseu Handayani 32 5/3 Utama
10-Apr 1396 159 Adam Al Farisi 20 Marga Asih 15.5 4,200 44 191,000
10-Apr 1397 160 Hafiz 0.7 4/5 Utama 8.9 29,400 28 461,000
10-Apr 1398 161 Siti Patimah 64 5/12 Utama
10-Apr 1399 162 Ade Ramlan 59 Cimuncang
10-Apr 1400 163 Sarimin 65 3/16 Utama
10-Apr 1401 164 Uceh 71 5/11 Utama
10-Apr 1402 165 Imas Minarsih 62 3/15 Utama
10-Apr 1403 166 Nadiroh 45 5/1 Utama
10-Apr 1404 167 Rijal 20 12/3 Bojong 15.3 6,200 44 201,000
10-Apr 1405 168 Jojoh Juariah 64 2/8 Utama
10-Apr 1406 169 Siti Aisah 50 4/16 Utama
10-Apr 1407 170 Rohaeti 64 2/2 Saradan
10-Apr 1408 171 Katmin 63 Nanjung
11-Apr 1409 172 Neny Darjani 63 Baros
11-Apr 1410 173 M Rafka 1.7 1/7 Baros 11.3 5,300 33 172,000
11-Apr 1411 174 Rohiyat 67 5/12 Utama
11-Apr 1412 175 Fakhrudin 66 3/8 Baros
11-Apr 1413 176 Ihat Solihat 56 4/16 Utama
11-Apr 1414 177 Suryadi 50 3/14 Baros
11-Apr 1415 178 Nani Djuhaeni 68 Cibogo
11-Apr 1416 179 Enok 61 Cibogo
11-Apr 1417 180 Nursalam 12 5/16 Utama 13.5 4,600 38 213,000
11-Apr 1418 181 M. Syihabuddin 1.5 4/6 LG 8.6 9,900 26 407,000
11-Apr 1419 182 Kamilah 31 3/5 Melong 11.9
11-Apr 1420 183 Dahlan Pahrudin 62 1/2 LG
11-Apr 1421 184 Didin 56 9/5 Cigugur
11-Apr 1422 185 Faris 3.7 1/7 Utama 13.2 4,200 38 212,000
11-Apr 1423 186 Giestrani Putri 13 3/15 Utama 14.2 9,100 42 245,000
11-Apr 1424 187 Gahara Supenti 53 3/2 Utama 12.4 10,900 38 385,000
11-Apr 1425 188 Djuhara Rachmat H 63 1/1 Prngpng
11-Apr 1426 189 Imas Suhaeti 49 9/5 Utama
11-Apr 1427 190 Ryan F 20 1/8 Unjani 15.9 3,600 46 140,000
11-Apr 1428 191 Tri Gianti 54 2/3 MA
11-Apr 1429 192 Saparinah 70 Cibogo
11-Apr 1430 193 Rusyati 60 LeuwiGajah
11-Apr 1431 194 Sri Dewi Yanti 60 Jl. Cijerah
11-Apr 1432 195 Kiran Sterani 8.7 4/1 LG 13 3,100 39 137,000
12-Apr 1433 196 Rahmat Dawani 23 Utama
12-Apr 1434 197 Arini Septiani 13 5/9 Utama 14.8 4,500 42 158,000
12-Apr 1435 198 Risang Bayu 35 3/4 Baros 16.5 13,100 48 176,000
12-Apr 1436 199 Marina 32 7/8 Stmnh
12-Apr 1437 200 Rizky P 8 2/2 LG 12.4 9,600 36 283,000
12-Apr 1438 201 Deni Mardani 7 2/2 LG 12.8 10,600 37 431,000
12-Apr 1439 202 Lindasari 17 2/14 Utama 8.3
12-Apr 1440 203 Ani Dini Asih 51 4/6 Baros
12-Apr 1441 204 Ula Nurfauzan 19 1/6 Bt Lyng
12-Apr 1442 205 Fenti Astuti H 21 7/2 LG 12.2
12-Apr 1443 206 Siti Patimah 24 3/16 Utama 13.3
12-Apr 1444 207 Yuyun Yuningsih 19 4/1 Utama
12-Apr 1445 208 Iklin 23 1/13 Utama
12-Apr 1446 209 Faisal 21 Batujajar
12-Apr 1447 210 Risma 25 Batujajar
12-Apr 1448 211 Rudi 17 Batujajar
13-Apr 1449 212 M. Gaisan 7 3/18 Pdsuka 14.6 8,000 41 214,000
13-Apr 1450 213 Asyifa 0.4 4/5 LG 10.3 9,500 30 379,000
13-Apr 1451 214 Neni Nurhayati 35 3/6 Baros 15.2 8,700 45 97,000
13-Apr 1452 215 M. Bagir 1.3 1/3 MA 11.4 14,300 34 384,000
13-Apr 1453 216 Mochamad Rojak 67 7/7 Cibogo
13-Apr 1454 217 Suharti 70 5/1 Utama
13-Apr 1455 218 M. Rafka 1.7 2/7 Baros 12.1 8,300 35 224,000
13-Apr 1456 219 Rizki Zaeni 6 3/6 Lagadar 14 5,900 40 103,000
13-Apr 1457 220 Asep Ali 53 PKM Cimsel
13-Apr 1458 221 Abd. Rahman 38 3/24 Cbrm
15-Apr 1459 222 Imas 54 jl. Mustang
15-Apr 1460 223 Fatimah 0.9 2/11 Utama 9.7 6,900 30 272,000
15-Apr 1461 224 Satiman 77 Suaka Indah
15-Apr 1462 225 Ayi Januar 15 2/12 Suaka 6.3
15-Apr 1463 226 Sabrina Zahra Evelyn 7 2/2 Utama 15.8 6,700 45 209,000
15-Apr 1464 227 Yulianti 28 3/15 Utama
15-Apr 1465 228 Muh Farel 16 5/13 Baros 17.7 2,700 50 238,000
15-Apr 1466 229 Satimin 62 7/6 Cibogo
15-Apr 1467 230 Lilis Susilawati 39 1/7 Utama
15-Apr 1468 231 Naura A 4 1/9 Lg 13.1 9,200 37 349,000
15-Apr 1469 232 Nuryani 52 2/2 MA
15-Apr 1470 233 Raditya Maheswara 9 LG Permai 13.5 12,700 38 317,000
15-Apr 1471 234 Neisya Mentari 1 1/4 Lagadar 12 9,600 35 242,000
15-Apr 1472 235 M. Nursalam 12 Lemsa 14.1 3,300 39 148,000
15-Apr 1473 236 Oom 43 2/13 Utama
15-Apr 1474 237 Rohaeti 47 1/10 Utama
15-Apr 1475 238 Yasmin Amalia 6 Cibogo 13.3 6,400 39 310,000
15-Apr 1476 239 Primawati. S 59 2/18 Lagadar
15-Apr 1477 240 Evan Banu R 16 3/29 Melong 15.6 5,900 43 203,000
15-Apr 1478 241 Embul 53 3/3 Utama
15-Apr 1479 242 Azka Maulidia 1.2 4/12 Utama 12.3 9,100 34 253,000
15-Apr 1480 243 Nani Sumarni 54 2/7 LG
15-Apr 1481 244 Fahira Sakhila 4 3/19 Cibogo 13.6 12,300 38 277,000
15-Apr 1482 245 Yuyun 53 3/12 Utama
15-Apr 1483 246 Juminah 50 6/12 LG
16-Apr 1484 247 hj. Siti Rohmah 65 2/7 LG
16-Apr 1485 248 Bambang Subijono 71 5/12 LG
16-Apr 1486 249 m. Alfatih 3.5 5/11 Utama 12.3 7,100 35 237,000
16-Apr 1487 250 Juariah 50 4/1 Nanjung
16-Apr 1488 251 Maya 19 6/12 Utama
16-Apr 1489 252 Uus 62 3/3 Utama
16-Apr 1490 253 Rukmaya 74 4/5 Utama
16-Apr 1491 254 Salwa Yadsa 8 2/10 Utama 13.9 11,600 40 297,000
16-Apr 1492 255 Agus Wahyudi 40 6/10 Utama 12.8 10,800 40 237,000
16-Apr 1493 256 Adang Purnama 49 2/14 Cibeber
16-Apr 1494 257 Nurveinis 73 8/12 LG
16-Apr 1495 258 Dini N 37 1/10 Cipatat
16-Apr 1496 259 Yasmin Azkia Putri 4 3/3 Lagadar 11.4 9,600 33 291,000
16-Apr 1497 260 Elis Neri 57 3/11 Baros 11.8 12,000 36 437,000
16-Apr 1498 261 P. Komariah 63 Utama
16-Apr 1499 262 Rizki Hermawati 27 6/13 Baros 14.4 3,700 42 209,000
16-Apr 1500 263 Aisyah 1 1/13 Utama 12.1 6,600 35 268,000
16-Apr 1501 264 Rio Firmansyah 16 7/5 Utama 15.6 6,100 44 213,000
16-Apr 1502 265 Ayu Sartika Asih 20 PKM Cimsel 14.5 7,000 41 82,000
16-Apr 1503 266 Lakeisha 2 8/8 LG 9.8 11,000 30 310,000
16-Apr 1504 267 Alika Fitri 7 3/9 Baros 11.9 10,800 35 257,000
16-Apr 1505 268 Rohaeni 53 4/13 Baros 10.8 7,900 33 87,000
18-Apr 1506 269 Wati Herawati 38 2/7 Utama 14.7 11,600 43 413,000
18-Apr 1507 270 Irsad 20 5/16 Utama
18-Apr 1508 271 Aep Syaefullah 32 3/10 Utama
18-Apr 1509 272 Siti Hanipah 28 4/1 Nanjung
18-Apr 1510 273 Reza Azizah 16 3/31 Melong 14.5 11,400 41 367,000
18-Apr 1511 274 Nunung 25 4/12 Utama
18-Apr 1512 275 Juhanah 57 4/2 Utama 14.4 4,400 42 182,000
18-Apr 1513 276 Ai Sumiati 40 4/2 LG 14.3 15,200 40 327,000
18-Apr 1514 277 Talha 5 3/16 Utama 10.8 15,600 32 263,000
18-Apr 1515 278 Rini 37 3/5 Utama 15.8 4,400 44 289,000
18-Apr 1516 279 Widaningsih 47 4/18 LG
18-Apr 1517 280 Titian Santa 5 2/7 Utama 13.1 17,200 36 704,000
18-Apr 1518 281 Rukmaya 66 3/16 Utama
18-Apr 1519 282 Paningun 77 3/12 LG
18-Apr 1520 283 Sartinem 50 4/6 LG
18-Apr 1521 284 Tarsidik 47 3/2 Utama
18-Apr 1522 285 Uka Sukaesih 58 5/7 Cibeber
18-Apr 1523 286 Suhartini 59 2/15 Utama
18-Apr 1524 287 Eka Agustian F 25 1/7 Citrp 15.6 3,900 44 190,000
20-Apr 1525 288 Aisyah N 22 3/9 Cigugur
20-Apr 1526 289 Ahmad Jaelani 29 3/11 Utama 16.8 4,200 49 159,000
20-Apr 1527 290 Entis Sutisna 51 1/4 Utama
20-Apr 1528 291 Muhammad N. Ridwan 8 3/15 Utama 13 4,200 36 221,000
20-Apr 1529 292 Melani Yuantika 25 1/1 Nnjng 13.7 8,300 99 288,000
20-Apr 1530 293 Aina Zahran 6 4/6 Utama 12.8 12,100 37 491,000
20-Apr 1531 294 Gani Reksa 18 2/3 Utama 15.1 8,500 43 175,000
20-Apr 1532 295 Anisa 5 4/2 Utama 12.9 9,900 37 263,000
20-Apr 1533 296 Ajeng Retno R 18 3/3 Utama 11.8 9,700 36 247,000
22-Apr 1534 297 Sunarsih 61 6/10 Baros
22-Apr 1535 298 Kania Asyila 6 4/4 Utama 11.9 6,900 35 233,000
22-Apr 1536 299 Zalucca 2 5/10 Utama 12.4 9,100 36 228,000
22-Apr 1537 300 Laudya Kariza 5 4/6 Utama 10.6 11,300 32 219,000
22-Apr 1538 301 Rifqi 3 3/8 Utama
22-Apr 1539 302 Surito 55 Lemsa
22-Apr 1540 303 Neneng A 51 2/12 Utama
22-Apr 1541 304 Nenden Rahmawati 38 5/14 Cigugur
22-Apr 1542 305 Nurhayati 44 2/6 Utama
22-Apr 1543 306 Ani Fua 53 2/3 Utama
22-Apr 1544 307 Imas Turkiah 49 8/8 LG
22-Apr 1545 308 Pujiyati 62 3/9 LG
22-Apr 1546 309 Nisa Ainun Zakariah 18 1/7 Cibeber 12.6 7,300 37 247,000
22-Apr 1547 310 Nur Saadah 1.1 4/13 Utama 11.5 17,000 34 370,000
22-Apr 1548 311 Raffa Zayidan 10 3/6 Kb. Sari 14.2 3,300 41 207,000
22-Apr 1549 312 Firdaus Labib AlHusain 0.6 1/21 Baros 11.8 3,800 34 243,000
22-Apr 1550 313 Ahmad Jaelani 29 3/11 Utama 17.5 4,000 51 135,000
22-Apr 1551 314 Ratna Damilah 48 Lagadar 13 9,900 40 278,000
22-Apr 1552 315 Yaya Jayadi 45 3/3 Utama 10.8 11,800 33 439,000
22-Apr 1553 316 Suhra Hidayat 62 2/18 Lagadar
22-Apr 1554 317 Rukmaya 66 3/18 Utama
22-Apr 1555 318 Adang Suherman 75 11/3 Nnjng
22-Apr 1556 319 Dewi 51 Baros Indah
22-Apr 1557 320 Ujang Ariana 45 4/15 Utama
22-Apr 1558 321 Djudju Djuariah 67 3/11 Baros
22-Apr 1559 322 Sumarni 55 3/11 Baros
22-Apr 1560 323 Etjin 71 Saradan
22-Apr 1561 324 Eneng Aam Pujiati 47 2/2 Sukasari
22-Apr 1562 325 Tuti Rohani 61 5/4 LG
22-Apr 1563 326 Siti Rokayah 45 2/16 Cikuya
22-Apr 1564 327 Sutinah 50 1/1 Nnjng
23-Apr 1565 328 Ahmad Hidayat 41 8/5 Srn Glih
23-Apr 1566 329 Siti Nur 31 Lemsa
23-Apr 1567 330 Neneng Siti 23 10/1 Utama
23-Apr 1568 331 Wati 38 Utama
23-Apr 1569 332 Ahmad Ramdan 6 3/1 Utama 12.6 18,200 36 329,000
23-Apr 1570 333 Gugun G 16 1/10 Baros 16.7 7,000 48 296,000
23-Apr 1571 334 Jojor Sagala 53 3/12 Utama 15.5 10,300 43 221,000
23-Apr 1572 335 Salsa 5 3/15 Utama 11.7 10,000 35 403,000
23-Apr 1573 336 Nining Andaningsih 56 3/9 MA
23-Apr 1574 337 Enni Rochaeni 61 3/8 Utama
23-Apr 1575 338 Berlin Sitorus 58 6/16 LG
23-Apr 1576 339 Raisa 5 5/1 Lagadar 11.6 8,500 33 205,000
23-Apr 1577 340 Mustika Fitriyani 48 8/5 Utama 6.7
23-Apr 1578 341 Agus 48 2/12 Utama
23-Apr 1579 342 Nyayu Rifa 25 Setiamanah 13.3 13,800 40 335,000
23-Apr 1580 343 Halimah 63 3/13 Cibeber
23-Apr 1581 344 Dasiti 63 1/8 Baros
23-Apr 1582 345 Rika Novayanti 38 4/2 LG
23-Apr 1583 346 Djadja 74 3/21 Baros
23-Apr 1584 347 Ahmad Jaelani 29 3/11 Utama 16.5 3,400 48 111,000
23-Apr 1585 348 Maxie Palit 80 3/4 Utama
23-Apr 1586 349 Mei Maharani Srikandi 23 5/8 Pondus
24-Apr 1587 350 Lutfiana Azzahra 9 3/10 Baros 11.8 10,700 33 280,000
24-Apr 1588 351 Mien Setiawati 65 LeuwiGajah
24-Apr 1589 352 dr. Dewi 40 PKM Cimsel 13.7 5,300 39 307,000
24-Apr 1590 353 Rosmini 73 5/7 LG
24-Apr 1591 354 Esih Sukaesih 73 8/12 Utama
24-Apr 1592 355 Endang Solihin 73 1/3 Utama
24-Apr 1593 356 Mamah 73 4/6 Utama
24-Apr 1594 357 Asih Ratnasih 65 2/8 Utama
24-Apr 1595 358 Iis Sukaesih 55 2/7 Utama
24-Apr 1596 359 Tamin Sihaloho 56 6/7 LG
24-Apr 1597 360 Tita Qurrotu Aini 19 3/13 Utama 12.8
24-Apr 1598 361 Kafina Legi Sri A 17 4/13 Utama 12 5,200 34 221,000
24-Apr 1599 362 Atang Sukarja 74 7/2 LG
24-Apr 1600 363 Hesti 21 4/7 LG
24-Apr 1601 364 Kuswati 46 7/5 Utama
24-Apr 1602 365 Isti 26 7/8 Stmnh 12.7
24-Apr 1603 366 Elis 33 4/11 Utama 10.7
24-Apr 1604 367 Fatimah 19 1/11 Utama 9.7
24-Apr 1605 368 Qurotul 26 5/3 LG 12.7
24-Apr 1606 369 Citra Rahmawati 25 1/1 Cibeber 9.7
24-Apr 1607 370 Eli Sukaesih 39 2/8 Utama 10.9
24-Apr 1608 371 De Fitri Amanda 15 4/16 Utama
24-Apr 1609 372 Sari 32 8/5 Srn Glih
25-Apr 1610 373 Titin Kartini 30 8/7 Utama 13.9 7,000 41 389,000
25-Apr 1611 374 Nur Maulidiani 6 1/8 Utama 12.7 5,600 37 251,000
25-Apr 1612 375 Aminah 46 3/7 Utama 13.4 11,000 41 613,000
25-Apr 1613 376 M. Elfahreza 2 Utama 10.1 8,500 30 286,000
25-Apr 1614 377 M. Salim H 27 1/5 Utama 16.8 5,400 48 157,000
25-Apr 1615 378 Rizki Ramadani 7 4/7 Utama 13.5 2,900 39 194,000
25-Apr 1616 379 Yuswanda 51 4/16 Utama
25-Apr 1617 380 Rosa 61 4/12 Cigugur
25-Apr 1618 381 Wintarsih 77 2/12 Utama
25-Apr 1619 382 Dareni 61 2/16 Utama
25-Apr 1620 383 Cacah Mintarsih 61 4/5 Baros
25-Apr 1621 384 Nanah 68 1/13 Utama
25-Apr 1622 385 Lilis Nur Suryadi 48 3/7 GAJ
25-Apr 1623 386 Aisyah 74 5/12 Utama
25-Apr 1624 387 Apok 63 3/12 Utama
26-Apr 1625 388 Meli 30 8/12 Utama 11.2
26-Apr 1626 389 Eneng Susilawati 24 3/16 Utama 12.5
26-Apr 1627 390 Nina Yulianti 30 2/12 Utama 11.3
26-Apr 1628 391 Nurhayati 18 3/12 Utama 10
26-Apr 1629 392 Nuryani 29 8/12 Utama 8.1
26-Apr 1630 393 Veti 27 8/12 Utama 11.5
26-Apr 1631 394 Siti Nuraisyah 22 2/12 Utama 11.4
26-Apr 1632 395 Wina 29 2/12 Utama 11.5
26-Apr 1633 396 Salman Ichlas 23 Cibodas
26-Apr 1634 397 Ilham 22 Padasuka
26-Apr 1635 398 Sahrul 19 Cibogo
26-Apr 1636 399 Alpandi 19 Cipatik
26-Apr 1637 400 Chairul 24 Caringin
26-Apr 1638 401 Robby R 42 Padasuka
26-Apr 1639 402 Luki Nugraha 45 Kalidam
26-Apr 1640 403 Japar 22 Cibogo
26-Apr 1641 404 Herdy y 31 1/7 LG
26-Apr 1642 405 Adi Wibawa Purnama 28 Sukimun
26-Apr 1643 406 Daniel Zakaria. S 30 Sukimun
26-Apr 1644 407 Cecep Rahman Dimyati 43 Sukimun
26-Apr 1645 408 Ragil 30 Citeureup
26-Apr 1646 409 Mardi 37 Batujajar
26-Apr 1647 410 Donny Harun 45 Cimahi
26-Apr 1648 411 Muhamad Saripudin 50 Utama
26-Apr 1649 412 Siti Zubaedah 56 2/4 Utama
26-Apr 1650 413 Yayu 31 9/7 Utama 9
26-Apr 1651 414 Omon 60 2/10 Utama
26-Apr 1652 415 Sopiah 63 4/2 Utama 11.3 20,300 33 326,000
26-Apr 1653 416 Nandang Tarsopa 71 10/5 Utama
26-Apr 1654 417 Imas 27 Kalidam 10.2
26-Apr 1655 418 Cep Rudi 34 12/9 LG 17.6 6,900 49 289,000
26-Apr 1656 419 Dayat 62 1/2 Cibeber 11.2 26,400 33 499,000
27-Apr 1657 420 Siti Nurmayanti 17 6/10 Utama 14.7 3,600 42 212,000
27-Apr 1658 421 Asep Ali 53 PKM Cimsel 16.9 7,100 46 299,000
27-Apr 1659 422 Dadan Juanda 49 4/143 CT
27-Apr 1660 423 Wahyu Chandra 21 9/7 Utama 16 7,600 44 202,000
29-Apr 1661 424 Shakila Azzahra 9 7/11 LG 10.7 9,700 30 467,000
29-Apr 1662 425 Moh. Zaki 3 6/12 Utama 12.4 18,300 34 447,000
29-Apr 1663 426 Jafar Sidiq 2 6/2 Cibeber 8.2 25,000 28 365,000
29-Apr 1664 427 Sunia 45 1/19 LG
29-Apr 1665 428 Lilis H 48 4/11 Nnjung
29-Apr 1666 429 M. Imam Nugraha 16 3/14 Cibeber
29-Apr 1667 430 Darmuji 54 1/7 Utama
29-Apr 1668 431 Imas Eli Nurlaeli 59 9/12 LG
29-Apr 1669 432 Djumarja 70 9/20 LG
29-Apr 1670 433 Ruhiat 54 4/8 CT
29-Apr 1671 434 Zaizidan Zanani 17 7/5 Utama 15 9,200 43 211,000
29-Apr 1672 435 Reni Purniati 50 7/5 Utama
29-Apr 1673 436 Ayi Sirojul Munir, SPD 44 2/18 LG 12.5 7,800 40 363,000
29-Apr 1674 437 Dedeh Jubaedah 59 2/9 Baros
29-Apr 1675 438 Susilawati 45 7/5 Utama
29-Apr 1676 439 m. Hamizan 1.5 3/6 LG 11.5 5,400 34 266,000
29-Apr 1677 440 Juangsih 49 2/12 Utama
29-Apr 1678 441 Supini 64 6/20 LG
29-Apr 1679 442 Enny Suhaeni 64 1/7 Baros
29-Apr 1680 443 Narni 60 5/13 Lagadar
29-Apr 1681 444 Djedje 72 2/5 Utama
29-Apr 1682 445 Dede Julianti 38 5/12 Utama
29-Apr 1683 446 Tia Setiawan, Drs 63 4/13 Baros
29-Apr 1684 447 Daryana 70 3/12 Utama
29-Apr 1685 448 Siti Aisyah 64 3/9 Baros
30-Apr 1686 449 Sopyan 41 3/3 Utama 15.7 17,600 46 356,000
30-Apr 1687 450 Doni 42 6/12 Lagadar 15.4 12,800 42 376,000
30-Apr 1688 451 Dede Rahman 16 1/23 Brigif 16.5 9,100 46 245,000
30-Apr 1689 452 Mustafa Almaragi 24 Baros 16.7 9,400 47 260,000
30-Apr 1690 453 Enokwati 49 Lagadar 11.5 12,300 34 418,000
30-Apr 1691 454 Theresia Calista 5 4/1 LG 11.4 8,600 29 277,000
30-Apr 1692 455 Alifa Putri Zahira 14 3/3 Utama 9.5 5,300 32 371,000
30-Apr 1693 456 Andini 4 3/9 Baros 11.7 8,000 34 284,000
30-Apr 1694 457 Ika Rikawati 39 8/14 Cigugur 11.8 4,200 36 349,000
30-Apr 1695 458 Desi Risdaya 36 7/5 Utama
30-Apr 1696 459 Acep 65 Kp. Cipatat
30-Apr 1697 460 Maman Saputra 37 5/12 Utama 15.9 7,600 45 190,000
30-Apr 1698 461 Fitria 26 6/14 LG
30-Apr 1699 462 Fitria Yuningsih 26 3/3 LG 12.1
30-Apr 1700 463 Drs. Suherman 71 Baros Indah 11.3 5,900 33 135,000
30-Apr 1701 464 Siti Pokayah 45 2/16 Cikuya
30-Apr 1702 465 Ibon 45 4/12 Utama
30-Apr 1703 466 Suheryani 58 4/10 Baros
30-Apr 1704 467 Adang Purnama 49 Cibeber
30-Apr 1705 468 Intan 19 12/9 LG
30-Apr 1706 469 Sukirman 75 PCM no 30
30-Apr 1707 470 Juariah 74 Cibeber
30-Apr 1708 471 Gantika Galih 42 2/9 Baros 13.7 17,100 38 134,000
30-Apr 1709 472 K. Hidayat 74 2/7 Utama
30-Apr 1710 473 Irfan J 25 4/9 LG
30-Apr 1711 474 Anisa Nur Farida 17 7/5 Utama 14 3,800 40 79,000
30-Apr 1712 475 Wiwin 54 12/9 LG
30-Apr 1713 476 Jenni Pangestuti 24 7/3 LG 13.6 10,000 38 243,000
30-Apr 1714 477 Nasihati 40 Baros
30-Apr 1715 478 Sutrisno 39 Cibeber

Jumlah 240 353


Jumlah Total Laki2 187 2 88 88 88 88 0 0 0
Jumlah Total Perempuan 291 28 96 96 96 96 0 0 0
Laki2 Umum 80 2 58 58 58 58 0 0 0
Perempuan Umum 131 13 64 64 64 64 0 0 0
Laki2 PBI 77 30 30 30 30 0 0 0
Perempuan PBI 142 6 31 31 31 31 0 0 0
Laki laki Program 30
Perempuan Program 18 9 1 1 1 1
TB Diagnosa 0 0
FU 5 10
Gex 48 52
MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT GOT Urea

174 6.7
144
4.7
121
121 129
5.5
186

125
7.2
122 147
125
134
95
175
303 4.9

165 5.8
345

107
254 4.2
107
219
370

447
159 174
236 193 4.8
110
96
180 5.8

277 114
5.4 24

125

256

215 191
248

96

217 5.2
160 6.5
222
128

117
266 134

235 177 5.7


165 4.2
5.1

99

320 193

93
5.7
220 152
149
144
138 170
205 148 4.4
115 243 6.1
6.1

157 6
144 166
136
124

108 187

209

106
6.8

126

163 7
103
162 5.1
121 2.7
3.1
192 5.2

114
6
219
127
351

166
172 6.4
199
109 139 8.1
259 4.7
115

5.4
130

93 105 7.6
109

225 247
183
115 8.1
272

A+
94

O+
205
130

295

91 193 249 4.1

97 153 5.8

143 218 5.5


195 6.8

211

279 157
171 4

120 178 8

156 5.5

120

105
191
213 6.7
190

201 106

128
130 163 9.9
4

276

96 186 5.7

100
101 172 7
176
123
172 197
155

O+

138 294 463 4.6

A+
A+
214 8.4
5.8
346
151 4.2
93 180 5.4
97 215 6.3
190 326

165
187
295
191 6.6
148 173
155 199
5.1
203
128 188 6.3
185 4.2
157 4.5
202 6.9
404
102 227 5.4

173 177 70 3.8


186 150 7.3
99 159 87 9.2

99 226
6.4
212 3.4
115

116 7.6
3.6

161
112 233 185 6.8 17 12
101 252 6.2
99
91 157 4.4
122 229 5.9
108 206 6.5
97 213 5
277 213 7.8

185 190

118
O+
A+

AB+

109 125 74 6.3


98 181 101 5.5
168 127 5.8
116 210 7.4
96
261 4
147 4.1
121 145 6.6
184 238 5.6
296
O+
97

99

270 47 23
90 186

93
87
B+
A+
155 200
94
105

89 158 4.2
97 158
156 171
89

278 170 2.7


96 275 5.2
100 162 5.7
90 139 3.5
138 6.8
5.4
193
152 4.8
222

95 156 5.2
102 207 5.2
204
143 4.3
129 201 5.8
90

99
251

7.2
AB+

102

0 0 0 0 12 34 1 25 0 0 2 27 2 1 0
0 0 0 0 25 69 1 76 0 0 13 66 1 1
0 4 0 0 4 4 0 6 0 0 0 7 1 0 0
0 3 0 0 10 19 1 18 0 0 5 12 0
0 0 0 0 8 30 1 19 0 0 2 20 1 1 0
0 2 0 0 15 50 0 58 0 0 8 54 1 1
Urea Krea Widal Urin Rutin Prot Sedimen PP test Fe ses Gram
KJ-/-/-/1020/5

KJ-/-/-/1015/6

KJ-/-/-/1020/5
KK-/-/-/1010/5L3E4
Neg

Neg

Pos

Neg

3+

DGNE/I +/+
Neg
KJ-/-/-/1015/5/K+
KaK-/-/-/1010/7L1E2 DGNE/I +/+

Pos

KJ-/-/-/1015/5E4

Neg
Neg
Pos
Neg
Pos
Neg
Neg
KaK-/-/-/1020/5/L2

KK2+/-/-/1015/8/U
KK+1/-/-/1010/5/L2E4
Neg

Pos

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 3 0 0 0 0 2
0 0 0 3 1 0 10 0
0 0 1 0 0 0 0 0
0 0 0 1 5 0 0 0
Ask/ Kontrol Hematologi Kontro
Gram KOH Tricho HIV Sifilis HbsAg Mantoux Umum Jamsostek/KI Program
S/BPJS Hb Leuko HtTromboCho HDL LDL TG
27,500
27,500
27,500
27,500
Askes
1774344587
27,500
1383953747
1014565735
52525855
11,000
22,000
512214715
52690206
513144505
55228487
167405016
52712559
22,000
512628052
1732109297
38,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
1467666551
52656851
52690206
2078718513
11,000
55228487
512590948
52768012
11,000
1014565803
11,000
NR NR Negatif 27,500
Askes
514862346
11,000
513356196
44,000
210085345
52637883
1258005071
27,500
1266621783
53,000
512575918
52539456
19,000
46,500
27,500
NR NR Negatif 36,500
27,500
512684267
27,500
512755119
1669953971
15,000
53755154
27,500
1891570746
27,500
513565738
1968796552
2181017081
514337488
NR NR Negatif Program
512974067
27,500
11,000
27,500
27,500
27,500
15,000
NR Program
513147227
27,500
2066914304
5,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
1261293669
1898746424
27,500
27,500
NR NR 11,000
2468839015
24,000
2200793073
9,000
1669973466
2177129621
53408687
200480624
22,000
2618430761
11,000
NR NR Negatif Program
27,500
512962953
27,500
512987771
513089111
52741776
1841498346
52713426
52675389
44,000
2091276731
1809425946
27,500
52625373
22,000
11,000
513860837
27,500
512953841
27,500
NR Program
27,500
1273670414
NR Program
11,000
27,500
1668839861
727850733
NR Program
27,500
513003429
27,500
27,500
NR NR Negatif 9,000
1471103469
27,500
NR Negatif 9,000
NR NR Negatif 9,000
27,500
513065338
11,000
NR NR Negatif 9,000
15,000
19,000
27,500
27,500
52856684
2062960839
1262390016
1669958537
511684029
33,000
433273634
513207988
1014567333
52689431
11,000
57468429
27,500
1014567412
52760158
1963130545
1317961438
52690173
11,000
27,500
27,500
NR NR Negatif 513246633
1873720956
11,000
27,500
27,500
27,500
58636732
57724209
27,500
53408935
52688259
33,000
1521978838
27,500
30,000
512320037
1295444632
15,000
27,500
27,500
NR NR Negatif 513790795
505383693
19,000
NR NR Negatif 480429549
NR NR Negatif 2376645017
2615752326
513147227
NR Program
NR Program
NR Program
27,500
27,500
27,500
BPJS
52847695
52724147
27,500
27,500
Askes
NR Program
1274834351
2454716147
52713955
9,000
1660340586
15,000
27,500
1968795437
512390013
27,500
11,000
27,500
27,500
27,500
24,000
513160176
27,500
56746394
2278709987
33,000
27,500
2255361917
27,500
1669971137
11,000
976231438
52631684
27,500
24,000
NR Program
NR Program
NR Program
27,500
27,500
1383953747
72484749
167436819
27,500
27,500
159399674
27,500
27,500
27,500
Gratis
2265350409
27,500
2428619253
27,500
NR Program
NR Program
NR NR Negatif Program
1523102861
15,000
513026583
2480574093
27,500
27,500
44,000
27,500
1422232007
52698824
11,000
11,000
22,000
512755119
27,500
NR NR Negatif Program
512330051
13,500
1669947985
Negatif 55,000
27,500
1409317964
27,500
1809965856
1803657407
27,500
27,500
41,000
13,500
33,000
22,000
11,000
33,000
44,000
44,000
22,000
1306872731
2437547365
1820133257
2625250781
512330051
1815178948
512684267
2046822243
1422232007
53754783
1409317942
512584997
52499272
52537702
52728928
52564781
1980147431
2046822772
513575717
NR Program
15,000
15,000
15,000
27,500
27,500
27,500
27,500
1434586072
1669971442
1100501583
27,500
9,000
NR Program
2284760777
57227411
203621073
513667056
1841497874
512330051
2461376766
2759211325
27,500
1273670414
Askes
2032336888
512973167
52827388
1669959358
1300406207
52570607
2308865804
NR NR Negatif 1518173921
512935029
52628883
19,000
513737212
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 2202152027
19,000
R Program
27,500
27,500
27,500
27,500
27,500
1310107285
2431417533
57,000
512876316
1669970428
1262101195
513053504
33,000
52738907
512413007
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR R Program
11,000
NR NR Negatif 22,500
52534866
2393294861
52690105
NR Negatif 9,000
27,500
2387800653
27,500
Askes
1152348175
27,500
27,500
27,500
27,500
11,000
11,000
13,500
13,500
24,000
52642473
52507269
1855039509
1855036708
52543945
1204102427
1422709841
2435807760
44,000
52732618
1793071642
2069235843
513096232
513037721
977064568
33,000
52761734
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
27,500
44,000
44,000
512734059
NR NR Negatif Program
NR NR Negatif Program
141715293
2046822772
512604854
1523251585
1383953747
BPJS
55959671
52676818
167404364
52670439
13,500
513554512
11,000
BPJS
15,000
NR NR Program

0 0 0 0 0 185
0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 3 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
30 18 0
37 31 31
Kontrol Kimia T3:304anggal
AU GPT GOT Urea Creat
N P N P N P N P N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN MEI 2019

No. Usia
No. Hb
Tanggal Reg Nama Alamat HB Leuko HT Trombo Ery.. X1 Jt MCV MCH MCHC
Lab Urut (manual)
L P
2-May 1716 1 Wahyu Nardi 55 4/15 Utama
2-May 1717 2 Tita Puspita Sari 23 3/12 Utama 12.1 8,300 37 237,000
2-May 1718 3 M. Rifki 6 2/5 Baros 13.5 8,900 38 323,000
2-May 1719 4 M. Rizki 6 2/5 Baros 13.3 6,000 39 241,000
2-May 1720 5 Djakaria 18 4/7 Cibeber
2-May 1721 6 Sutini 49 3/6 Baros
2-May 1722 7 Imas 32 2/1 Cigugur
2-May 1723 8 Sudayono 51 Baros 11.1 9,600 35 401,000
2-May 1724 9 Surya 50 2/6 Cigugur
2-May 1725 10 Adi 39 2/5 Utama
2-May 1726 11 Salim 56 1/16 Lagadar
2-May 1727 12 Novia 32 5/2 Utama
2-May 1728 13 Teti 59 3/10 Baros
2-May 1729 14 Darto 78 9/7 Utama
2-May 1730 15 Apok 63 3/12 Utama
2-May 1731 16 Satimi 62 5/14 Stmnh
2-May 1732 17 Sopiah 69 4/2 Utama
2-May 1733 18 Rohiyat 67 5/12 Utama
2-May 1734 19 A. Suryawati, Dra 65 4/9 LG
2-May 1735 20 Moh. Hasan Harun 76 5/3 LG
2-May 1736 21 Ade Ramlan 59 2/8 Utama
2-May 1737 22 Ian Heryana 48 6/12 Utama
2-May 1738 23 Iyom Romlah 66 8/8 LG
2-May 1739 24 Ani Rohani Rilawati 63 9/20 LG
2-May 1740 25 Sri Dewi Yanti 60 4/4 Cijerah
4-May 1741 26 Meilani 11 2/8 Utama
4-May 1742 27 Gilang 5 4/12 Utama 14.5 8,600 40 255,000
4-May 1743 28 Krisnia Bayu 53 4/16 LG 12.5 2,500 36 107,000
4-May 1744 29 Givarianti 18 3/3 Utama 12.8 8,300 39 394,000
4-May 1745 30 Ukhtia Nabilah 10 Utama 13 4,900 40 245,000
4-May 1746 31 Nazmi 2 3/19 LG 11.8 10,300 34 228,000
4-May 1747 32 Jihan 4 1/10 Cibeber 12.6 10,700 36 303,000
4-May 1748 33 Fauzan 0.8 3/20 Baros 10.8 10,200 32 129,000
4-May 1749 34 Rangga Sopian 4 5/2 Utama 10.4 19,700 31 239,000
4-May 1750 35 Rangga N. Fadilah 16 5/1 Utama 12.8 10,500 37 236,000
4-May 1751 36 Imas 47 3/12 Utama
4-May 1752 37 Dwi Fitri 6 3/6 Utama
4-May 1753 38 Jimmy 56 9/5 Utama
4-May 1754 39 Eni 55 Hj. Kulon
4-May 1755 40 Juju Juariah 53 Hj. Kulon
4-May 1756 41 Imas Masopah 50 Hj. Kulon
4-May 1757 42 Nani Juanita 56 Hj. Kulon
4-May 1758 43 Een Sumiati 44 Hj. Kulon
4-May 1759 44 Murtinngsih 51 Hj. Kulon
4-May 1760 45 Mimin Saadah 48 Hj. Kulon
4-May 1761 46 Eti Rohaeti 48 Hj. Kulon
4-May 1762 47 Yayuk 45 Hj. Kulon
4-May 1763 48 Nur Afiah 34 Hj. Kulon
6-May 1764 49 Emi Maryani 57 1/19 Lagadar
6-May 1765 50 Rizka Anna U 26 5/18 MA 14.1 6,300 42 355,000
6-May 1766 51 Nayla Afifah 5 2/7 Utama 12.8 10,100 36 368,000
6-May 1767 52 M. Dias 7 1/2 Nanjung 14.1 8,100 40 189,000
6-May 1768 53 Muhammad Sulaeman 11 3/9 Utama 17.2 3,600 49 59,000
6-May 1769 54 Revan Salman 14 4/11 Utama 13.3 6,200 37 209,000
6-May 1770 55 Ani Masdiah 53 4/4 Lagadar
6-May 1771 56 Sarni 69 2/3 Ciberm
6-May 1772 57 Janti Sitinjak 63 Padasuka 16.8 6,800 47 249,000
6-May 1773 58 Raditya 9 4/6 Pdsuka 14.3 3,800 42 304,000
6-May 1774 59 Suryadi 39 11/9 LG
6-May 1775 60 Suhendi 27 9/5 Utama
7-May 1776 61 Nurhayati 49 2/13 LG
7-May 1777 62 Dolvina Sye 50 9/9 Bbkn Sari
7-May 1778 63 Devi Maret Diani 21 5/7 Utama 14.3 33,000 41 153,000
7-May 1779 64 Anindya N.A 1 Utama 11.9 7,300 36 614,000
7-May 1780 65 Amanina 17 TBC LG
7-May 1781 66 Rikda Qeis 10 Pondok Mas 14.7 3,600 41 265,000
7-May 1782 67 Admini 51 7/12 Utama
7-May 1783 68 Dede Kartini 61 Gn. Batu
7-May 1784 69 Dedi Nandang Suratman 67 Nanjung
8-May 1785 70 Senny Agustina 32 3/3 LG
8-May 1786 71 Nafisa 4 5/20 Baros 12.9 8,400 37 196,000
8-May 1787 72 Siti Wiarsih 52 Baros
8-May 1788 73 Siti R 46 4/5 MA
8-May 1789 74 Umar 28 4/13 Lagadar 16.2 4,800 47 131,000
8-May 1790 75 Devi Maret Diani 21 5/7 Utama 13.9 3,200 40 164,000
8-May 1791 76 Carisa 0.7 5/2 LG 10.4 16,400 30 316,000
8-May 1792 77 Nafilah 14 Cibodas 14.9 4,000 43 192,000
8-May 1793 78 Ii Kurnia 56 2/20 LG
8-May 1794 79 Tina Nurhayati 38 4/11 Utama 11.5
8-May 1795 80 Tamin Sihaloho 56 6/7 LG
8-May 1796 81 Ai Kurniati 60 1/13 Baros
8-May 1797 82 Mamah 73 1/9 Utama
8-May 1798 83 Drs. Suherman 71 Utama 11.7 4,000 34 155,000
8-May 1799 84 Putri Asriani 21 5/1 Utama
8-May 1800 85 Lenni Hutabarat 37 4/13 Utama
8-May 1801 86 Mega Rosdiana 21 5/11 Utama 9.3
8-May 1802 87 Reni Komala 34 2/10 Utama 10.8
8-May 1803 88 Sindi Destiatin 20 Cibodas 14.3 9,600 42 354,000
8-May 1804 89 Erum Sar 48 Cimuncang
8-May 1805 90 Bunyamin 63 Cimuncang
8-May 1806 91 Neulis Narti 63 Cimuncang
8-May 1807 92 Komala 56 Cimuncang
8-May 1808 93 Ade Himawan 65 Cimuncang
8-May 1809 94 Imas Rustini 60 Cimuncang
8-May 1810 95 Entin Kartini 53 Cimuncang
8-May 1811 96 Jojoh Juariah 65 Cimuncang
8-May 1812 97 D. Sutini 64 Cimuncang
8-May 1813 98 Asih Ratnasih 64 Cimuncang
8-May 1814 99 Enni Rochaeni 61 Cimuncang
8-May 1815 100 Tati 58 Cimuncang
8-May 1816 101 Yati 67 Cimuncang
8-May 1817 102 Ratnasih 49 Cimuncang
8-May 1818 103 Ipah Ratipah 60 Cimuncang
8-May 1819 104 Tarwilah 54 Cimuncang
8-May 1820 105 Dede Winangsih 60 Cimuncang
8-May 1821 106 Rosidah 42 Cimuncang
8-May 1822 107 Nani Sumarni 47 Cimuncang
8-May 1823 108 Yanti Suryani 60 Cimuncang
8-May 1824 109 Eti Suryati 45 Cimuncang
8-May 1825 110 Watiah 74 Cimuncang
8-May 1826 111 Halimah 69 Cimuncang
8-May 1827 112 Sumarni 49 Cimuncang
8-May 1828 113 Iroh 49 Cimuncang
8-May 1829 114 Dede Rinah 57 Cimuncang
8-May 1830 115 Ilah 69 Cimuncang
8-May 1831 116 Eni Nuryamin 50 Cimuncang
8-May 1832 117 Erna 43 Cimuncang
8-May 1833 118 Regina Khoeriah 29 Cimuncang
8-May 1834 119 Een Nuraeni 44 Cimuncang
8-May 1835 120 Ai Rosmanah 52 Cimuncang
8-May 1836 121 Nika Yuliana 38 Cimuncang
8-May 1837 122 Masliayah 71 Cimuncang
8-May 1838 123 Lilis 50 Cimuncang
9-May 1839 124 Suniarsih 41 7/5 Utama 13.9 8,800 42 261,000
9-May 1840 125 Alishanayyara 6 Pondok Mas 12.1 11,600 34 282,000
9-May 1841 126 Rita Amelia 20 7/6 Utama 13.6 5,200 42 366,000
9-May 1842 127 Cicah 66 Leuwigajah
9-May 1843 128 Arya Revana Ramdani 8 TBC LG 14.5 7,900 42 186,000
9-May 1844 129 Edah 57 Hujung Kidul
9-May 1845 130 Fauziah 43 Hujung Kidul
9-May 1846 131 Imas Omasih 74 Hujung Kidul
9-May 1847 132 Neni Suharyati 55 Hujung Kidul
9-May 1848 133 Yuyun W 42 Hujung Kidul
9-May 1849 134 Enung Solihat 39 Hujung Kidul
9-May 1850 135 Cucu Suhendah 66 Hujung Kidul
9-May 1851 136 Ruswandi 74 Hujung Kidul
9-May 1852 137 Beni 43 Hujung Kidul
9-May 1853 138 Martini 62 Hujung Kidul
9-May 1854 139 Ara 75 Hujung Kidul
9-May 1855 140 Entin 53 Hujung Kidul
9-May 1856 141 Juariah 55 Hujung Kidul
9-May 1857 142 Wahyu 49 Hujung Kidul
9-May 1858 143 Julaeha 49 Hujung Kidul
9-May 1859 144 Firsa 41 Hujung Kidul
9-May 1860 145 Karmi 47 Hujung Kidul
9-May 1861 146 Neni Nuryani 59 Hujung Kidul
9-May 1862 147 Yuyun W 51 Hujung Kidul
9-May 1863 148 Riski 26 Hujung Kidul
9-May 1864 149 Eni Rohaeni 49 Hujung Kidul
10-May 1865 150 Ikah Atikah 73 3/5 LG
10-May 1866 151 Mega 22 2/3 Utama
10-May 1867 152 Ismiara 27 Suaka
10-May 1868 153 M. Attaya 4 Pataruman 11.7 5,700 33 344,000
10-May 1869 154 Akbar Zaelani 3 Saradan 11.3 16,700 32 270,000
10-May 1870 155 Husen Syah 65 7/3 Utama
11-May 1871 156 Titania 6 2/9 Baros 12 2,300 36 140,000
11-May 1872 157 M. Arfa Al-Ghifari 9 3/3 Baros 14.1 6,900 40 296,000
11-May 1873 158 Een 82 Mancong
11-May 1874 159 Esah 57 Mancong
11-May 1875 160 Tati 67 Mancong
11-May 1876 161 Onih 54 Mancong
11-May 1877 162 Warti 58 Mancong
11-May 1878 163 Eneh 49 Mancong
11-May 1879 164 Olih 61 Mancong
11-May 1880 165 Wiwi Halifah 24 Mancong
11-May 1881 166 Siti Maesaroh 22 Mancong
11-May 1882 167 Eem 64 Mancong
11-May 1883 168 Idah 54 Mancong
13-May 1884 169 Siti Jubaedah 53 PKM Cimsel
13-May 1885 170 Prahara Afriadi 31 1/13 Utama
13-May 1886 171 Exzha Artanabil W 0.7 1/2 Nanjung 11.4 13,900 33 251,000
13-May 1887 172 Iqbal Maulana. Y 12 5/2 LG 14.9 5,400 42 332,000
13-May 1888 173 Yaya Jayadi 45 3/3 Baros
13-May 1889 174 Rinawati 43 2/16 Cigugur
13-May 1890 175 Akila Kanza 0.8 6/5 Utama
13-May 1891 176 Ikah Atikah 64 4/12 Stmnh
13-May 1892 177 Cucu Sumiati 55 6/5 Utama
13-May 1893 178 Sofyan Joni 40 Baros
13-May 1894 179 Imas 48 1/9 Utama
13-May 1895 180 Eti Rohaeti 58 2/12 Utama
13-May 1896 181 Reihan Widi Pratama 7 4/4 Utama 13.9 4,700 39 183,000
13-May 1897 182 Aldila Umi N 23 5/3 Cipadung 12.4 8,300 38 218,000
14-May 1898 183 Alina Nainggolan 61 1/9 Baros
14-May 1899 184 Muhamad Fikri 6 1/9 Baros 13.6 4,100 39 225,000
14-May 1900 185 Syahdan Gema 7 Jl. Sukimun 13.3 1,800 38 144,000
14-May 1901 186 M. Robiul Hasan 16 1/2 LG 17 3,900 46 211,000
14-May 1902 187 Siti Rabani 1 Lagadar 12.9 20,100 38 368,000
14-May 1903 188 Alyasa 2 1/16 Utama 12.2 9,300 34 307,000
14-May 1904 189 Fauziah 1 2/3 Utama 10.1 9,600 31 301,000
14-May 1905 190 Rahma Hanifah 17 Utama 9.8 6,800 31 353,000
14-May 1906 191 Asep Ali Idrus 53 PKM Cimsel
14-May 1907 192 Elva Nuraeni 8 9/5 Utama 13.7 5,100 39 262,000
14-May 1908 193 Yoga. R 46 1/4 Sukimun
14-May 1909 194 M. Arfa Al-Ghifari 9 3/3 Baros 14.2 4,300 41 255,000
14-May 1910 195 Filipus Oey 11 5/12 Utama 14 9,400 39 295,000
14-May 1911 196 Sudiah 66 Paskum
15-May 1912 197 Bilqis 3 6/12 Utama 11.5 7,000 34 281,000
15-May 1913 198 Sarah Bintang 3 5/7 Utama 12 5,300 36 373,000
15-May 1914 199 Sri Mulyani 25 1/1 Utama 12
15-May 1915 200 Siti Rosidah 27 6/12 Utama 11.7
15-May 1916 201 Irmaya 26 1/7 Utama
15-May 1917 202 Katmin 63 4/7 Utama
15-May 1918 203 Nanan 38 1/1 LG
15-May 1919 204 Iwan K 46 6/5 Utama
15-May 1920 205 Lami 45 1/16 Utama
15-May 1921 206 Sofwan Kurniawan, SS 36 Melas
15-May 1922 207 Sugiono 64 Komp. Polri
15-May 1923 208 Filipus Oey 11 5/12 Utama 14.7 10,700 40 323,000
15-May 1924 209 M. Sultan 0.4 6/12 Utama 11.8 8,800 36 257,000
15-May 1925 210 Qinanty 1.4 3/2 Utama 11.9 12,600 33 305,000
17-May 1926 211 Nissa 7 Sindang Sari 11.2 4,200 35 227,000
17-May 1927 212 Kanaya 1 5/15 LG 11.2 6,500 33 358,000
17-May 1928 213 Tyas Ageswara 17 9/7 Utama 16.7 5,000 48 208,000
17-May 1929 214 Kusuma Wardani 25 8/9 Lagadar 10.5
17-May 1930 215 Muniati 42 2/5 Utama
17-May 1931 216 Citra 25 1/1 Sudirman 10.4
17-May 1932 217 Noneng Siti Aisah 47 5/12 Utama
17-May 1933 218 Ai Setiawati 28 Utama
17-May 1934 219 Bambang Subijono 71 Jl. Gajah 14 7,600 41 213,000
17-May 1935 220 Siti Nuraisyah 43 2/1 LG
17-May 1936 221 Nia K 57 3/3 Utama
17-May 1937 222 Junaedi 17 1/14 Utama 14.1 3,800 40 145,000
18-May 1938 223 Azam 5 utama 9.6 7,600 30 220,000
18-May 1939 224 Latasya 10 Utama 11.3 8,400 33 260,000
18-May 1940 225 Masitoh 50 Utama
20-May 1941 226 Muhibatul Walidah 23 2/6 Utama 13.2 5,400 37 244,000
20-May 1942 227 Pujiyati 63 3/9 LG
20-May 1943 228 Tatik 67 2/2 LG 13.2 11,300 38 293,000
20-May 1944 229 Dewi Isnawati 24 Hujung Kulon
20-May 1945 230 Tedy Junaedy 17 Gg. H. Arsyad
20-May 1946 231 Rangga 12 3/1 LG
20-May 1947 232 Qinanty 1.4 3/2 Utama 11.9 8,300 33 377,000
20-May 1948 233 Maman 75 3/18 LG
20-May 1949 234 Paidjem 76 2/3 Utama
20-May 1950 235 Siti Rahayu 22 1/11 Utama 15.1 9,500 43 267,000
20-May 1951 236 Yanuar Budihartono 50 Jl. Suaka 17.9 3,300 50 90,000
20-May 1952 237 Ahmad Nur Nu'man 37 3/2 Utama
21-May 1953 238 Ika Kartika 56 PCM 12.8 10,100 35 252,000
21-May 1954 239 Mochamad Rojak 66 Utama
21-May 1955 240 Parlaungan Sitohang 73 Jl. Kerkof
21-May 1956 241 Wahyu Permans 48 Utama 15.7 8,900 49 186,000
22-May 1957 242 Ahmad Mijamul 34 5/2 Sukasari
22-May 1958 243 Fitri Dwidasa 23 7/5 Utama 12.1 7,700 31 235,000
22-May 1959 244 Tajul Mubarok 19 1/2 Utama 16.7 8,200 47 200,000
22-May 1960 245 Abrizal Firdaus 2 2/3 Skwangi 12.7 5,500 36 176,000
22-May 1961 246 Winda Pratiwi 28 3/10 Baros
22-May 1962 247 Riana Puspita Sari 29 1/12 Utama
22-May 1963 248 Erry Wahyuti 64 Kebon Rmpt
22-May 1964 249 Vina Alfiani 21 4/11 Baros
22-May 1965 250 Sri Sundari 22 2/5 Utama 8.7
22-May 1966 251 Julianto 17 2/8 Utama 17.6 3,300 48 141,000
22-May 1967 252 Tarwiyah 73 4/5 LG
22-May 1968 253 Sutisna 67 4/13 Cbbr
22-May 1969 254 Ngadisih 52 1/12 Sukasari 14.5 1,900 41 99,000
22-May 1970 255 Susilaningsih 63 3/4 Baros
22-May 1971 256 Al Fathu Thariq Yaxsi 4 Samratulangi 12.7 20,300 37 504,000
23-May 1972 257 Daud 0.6 3/4 Utama 10.8 10,300 32 343,000
23-May 1973 258 Nanda Bisma 5 1/2 Skwangi 13 9,600 39 243,000
23-May 1974 259 Musata 1 7/12 Utama 13 6,100 37 236,000
23-May 1975 260 Alesha 2 7/12 Utama 11.4 13,900 33 295,000
23-May 1976 261 Enok Nurhayati 61 Cibeureum
23-May 1977 262 Desty Ismawaty 32 7/6 Citerep
23-May 1978 263 Evi Malasari 42 1/6 Utama
23-May 1979 264 Arif Muhamad S 6 3/8 Baros
23-May 1980 265 Kardi Setiadi 57 Kb. Rumput
23-May 1981 266 dr. Dewi 45 PKM Cimsel 13 4,100 37 264,000
24-May 1982 267 Dian Sutrisno 23 Cibogo 14.7 12,500 43 441,000
24-May 1983 268 Angga Setiana 23 Baros 15.9 8,000 46 284,000
24-May 1984 269 Nenden 12 Kr. Mekar 12.4 3,500 37 310,000
24-May 1985 270 Edeh 47 1/4 Baros
24-May 1986 271 Agung Tri Satriyo M 39 2/16 Btjjr 15.3 5,200 45 221,000
24-May 1987 272 Amelia 20 2/6 Utama 14.5 8,600 43 279,000
24-May 1988 273 Muhamad Fahri 6 1/16 Baros
24-May 1989 274 Ismiara 27 Leuwigajah 11.5
24-May 1990 275 Awat 63 5/3 Utama
24-May 1991 276 Kokom Komariah 40 3/12 Utama
25-May 1992 277 Sartinem 50 4/6 Cibogo
25-May 1993 278 Candra Anggidan 9 1/6 Utama 15.5 3,100 42 175,000
25-May 1994 279 Aulia Sahida 13 2/5 Utama 15.9 3,200 46 102,000
27-May 1995 280 Redi Atmadiar 13 3/5 Utama 14.5 13,600 41 382,000
27-May 1996 281 Rahma 4.5 2/14 Baros 10 9,500 30 351,000
27-May 1997 282 Rizky 17 3/1 Baros
27-May 1998 283 Fabio 2 9/20 LG
27-May 1999 284 Lisa Ariani 16 2/6 Utama
27-May 2000 285 Lilis Rodiah 44 7/12 Utama
27-May 2001 286 Ria Riski Septiani 23 2/1 Baros 10.2
27-May 2002 287 Siti Rokayah 45 2/16 Lagadar
27-May 2003 288 Neneng Cucu 53 5/2 Utama
27-May 2004 289 Siti Nurhayati 53 1/6 Cilember
27-May 2005 290 Rina Noviana 31 4/18 LG
28-May 2006 291 Neni Marliatin 35 8/12 Utama
28-May 2007 292 Nayla 5 2/2 Utama 14.4 3,500 41 128,000
28-May 2008 293 Dhafu Indhana 9 4/11 LG 11.5 8,100 34 296,000
28-May 2009 294 Syahla 9 4/18 LG 10.7 2,200 32 112,000
28-May 2010 295 Irkham 56 5/5 LG
28-May 2011 296 M. Zaky. R 19 jl. Mustang 16.3 7,800 48 215,000
28-May 2012 297 Reni Agustina L 16 2/4 Utama 14.8 4,200 43 219,000
28-May 2013 298 Ma. Sum 60 PKM Cimsel
28-May 2014 299 Zaenal Abidin 42 3/2 Utama 17 21,200 47 407,000
28-May 2015 300 RR. Sri Suprapti 69 4/5 LG
29-May 2016 301 Tita Puspitawati 23 Lemsa 12.2 8,200 36 263,000
29-May 2017 302 Siti 19 4/1 LG 11.3
29-May 2018 303 Mega Wahyuni 18 1/11 Utama 14.4 8,400 42 338,000
29-May 2019 304 Hasna Nur Fadhilah A. 14 3/3 LG 12.6 3,000 38 205,000
29-May 2020 305 Erni 21 2/2 Utama 9.8
31-May 2021 306 Anindya Putri M 1 2/8 Utama 10.1 7,500 31 403,000
31-May 2022 307 Ewi Maharani 37 4/5 Utama 12.1
31-May 2023 308 Fina 6 1/16 Utama 11.9 12,400 33 368,000
31-May 2024 309 Rina Marlina 36 3/2 LG
31-May 2025 310 Delis Khotimatun 22 6/5 Utama
31-May 2026 311 Zaenab 1.5 7/10 Utama 10.5 17,700 31 371,000
31-May 2027 312 Oktavia 13 2/8 Gn. Batu 12.2 5,500 37 262,000
31-May 2028 313 Sugiasih 39 7/7 Utama 12
31-May 2029 314 Sammaira Mikhayla 1 2/20 Baros 12 19,300 35 346,000

199 370
Jumlah Total Laki2 96 49 49
Jumlah Total Perempuan 218 56 56
Laki2 Umum 40 26 0 0 0 0 0
Perempuan Umum 97 8 35 0 0 0 0 0
Laki2 PBI 52 23 0 0 0 0 0
Perempuan PBI 117 20 0 0 0 0 0
Laki laki Program 4
Perempuan Program 4 1
TB Diagnosa 0 0
FU 7 3
Gex 96 149
Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT GOT Urea Krea Widal

149
195 74
182 71
331

91
155

130
158 231 6
127 174 7.1
220 5
195
114
5.7
123 157 6.1
106
102
142 6.6
179
112
A+

115 216
B+
330
86
138
92
129
112
87
109
262
347
131
104 221

100
109

126
100
162 4.5

B+

119 160 5.5


129
230

114
93

379

177 215 7.2


179 148 5.5
132

O+
A+

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

165

100
107
94
108
78
102
88
209
105
97
103
97
90
90
103
94
109
98
105
91
101
143

120

103
98
111
89
105
90
160
88
97
114
100
97 200 110 5.7

260
114
98
99 212 4.9
165 7.8
98
266

93 105 149 180 6.1

190

91

189

O+
O+

137
108
82
92
92
297
111

156
102
208

287

288
357

96
103

84 143

83
90 268 5.5
331

334

97 146 5.9

126

A+
265
105 161

141

B+

103

244

O+
O+
O+
311

306 161
185
155

103 150

103

103

97

A+

0 28 8 1 5 0 0 0 5 0 0 0 0
0 98 21 5 14 0 0 4 11 0 0 0 0
3 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 32 5 1 4 0 0 2 2 0 0 0 0
1 0 0 19 8 0 1 5 0 0 0 5 0 0 0 0 0
1 0 0 66 16 4 10 0 0 2 9 0 0 0 0

3
Widal Urin Rutin Prot Sedimen PP test Fe ses Gram KOH Tricho HIV Sifilis

NR

NR

NR
Neg
Neg

Neg
KJ-/-/-/1010/7/L2

NR
NR
NR
NR
NR
NR

DGNE/I +/+ NR NR
NR
NR
NR
NR
Neg

KJ-/-/-/1010/5L2
Pos

NR

KK2+/-/-/1015/6L
NR
NR

DGNE/I +/+ NR NR

Pos
Pos
KJ-/-/-/1005/7L3
NR

KaK1+/-/-/1020/5 LBEBEpBCaoX++

Neg
KK3+/-/-/1005/6

Neg
NR

1+

NR

NR

Neg NR

Neg
Pos
0 0 0 0 0 2 0 0 0 0
0 2 2 0 4 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 4 2 1 2 0 0 0 0 0
7 2
15
Ask/ Kontrol Hematologi Kontrol Kimia T3:304anggal
Sifilis HbsAg Mantoux Umum Jamsostek/KI Program AU GPT GOT Urea Creat
S/BPJS Hb Leuko HtTromboCho HDL LDL TG
N P N P N P N P N P
Program
27,500
2394155619
2394155621
52640324
24,000
24,000
38,500
Program
11,000
1798973965
15,000
11,000
52636961
512413007
1884469588
52659437
1014567412
52578595
57296867
2062960839
1515621317
33,000
52525855
1521978838
13,500
27,500
BPJS
513013961
Askes
27,500
1317980035
27,500
27,500
27,500
15,000
13,500
1284997220
BPJS
11,000
11,000
BPJS
BPJS
BPJS
11,000
11,000
11,000
11,000
1437791837
BPJS
27,500
27,500
512576673
27,500
2752983573
52621997
1484560337
BPJS
11,000
512622775
1261337051
58583553
27,500
BPJS
13,500
27,500
44,000
1875813658
55906874
2307104223
27,500
1849012896
11,000
27,500
27,500
27,500
27,500
162479182
9,000
2308865804
160268602
513860837
141715293
NR Negatif 513207459
NR Negatif 2056779145
NR Negatif 514070627
NR Negatif 9,000
512374116
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
BPJS
11,000
11,000
11,000
11,000
11,000
11,000
11,000
11,000
27,500
27,500
27,500
11,000
2289344872
11,000
11,000
BPJS
BPJS
11,000
11,000
BPJS
BPJS
11,000
BPJS
BPJS
BPJS
BPJS
11,000
BPJS
11,000
11,000
BPJS
BPJS
BPJS
BPJS
52648975
NR Negatif Program
NR Negatif Program
BPJS
27,500
52586763
27,500
166027408
513561339
513110935
11,000
513850588
512578373
11,000
513110654
513339726
513339838
512314953
512989626
BPJS
11,000
27,500
27,500
11,000
11,000
Negatif Program
2448657685
52634294
1467547964
513239444
1014565803
1322252087
Gratis
52491262
27,500
27,500
27,500
27,500
27,500
27,500
27,500
Askes
2744116211
11,000
166027408
513708489
1841498346
27,500
27,500
NR Negatif 9,000
NR Negatif 9,000
NR Negatif
11,000
11,000
11,000
11,000
199597948
52577853
513708489
2624509089
2323178346
27,500
27,500
27,500
NR Negatif 9,000
5,500
9,000
513113591
512581937
52631684
11,000
1284595435
512573534
Askes
27,500
Askes
27,500
11,000
38,500
19,000
Program
Program
2323178346
52680363
52698295
1669951067
1462439553
2054790764
52502376
52847695
1827598588
27,500
Negatif 38,500
27,500
27,500
27,500
15,000
15,000
1724122697
514291599
NR Negatif 9,000
5129344377
52813721
52732271
1291481381
1327077257
1388542882
27,500
27,500
27,500
27,500
11,000
5,500
19,000
13,500
1724122686
Askes
27,500
27,500
27,500
11,000
193608632
1014566038
Askes
2257873031
1014566185
512664423
11,000
27,500
27,500
27,500
27,500
13,500
13,500
13,500
11,000
NR Negatif 1335416916
2046822772
512053569
52556264
512915973
22,000
27,500
27,500
27,500
11,000
BPJS
513138374
BPJS
1669969135
52815587
27,500
NR Negatif
512309744
52602658
NR Negatif 9,000
2230840181
NR Negetif 512974067
27,500
15,000
15,000
27,500
27,500
9,000
2305798042

137
1 0 0
0 0 0 0
0 0 0
0 0 0 0

14 15
04anggal
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN JUNI 2019

No. No. Usia Hb


Tanggal Reg Urut Nama Alamat HB Leuko HT Trombo Ery.. X1 Jt MCV MCH MCHC
Lab (manual)
L P
3-Jun 2030 1 Fatimah 19 1/11 Utama 9.7
3-Jun 2031 2 Carisa 0.7 5/2 LG 10.9 19,900 30 314,000
3-Jun 2032 3 Entih 65 2/10 LG
4-Jun 2033 4 Kristyowati 36 7/12 Utama 15.8 5,400 43 235,000
7-Jun 2034 5 Pupu Marpuah 39 3/5 Ptruman
7-Jun 2035 6 Zafina 3 4/15 Utama 11.3 14,300 32 386,000
8-Jun 2036 7 Djadja 74 Paskum
8-Jun 2037 8 Yuda 30 4/7 Utama 15.9 9,300 45 243,000
8-Jun 2038 9 Hilda Amala 32 4/7 Cibrmn 13.3 7,200 38 226,000
10-Jun 2039 10 Suheryani 58 4/10 Baros
10-Jun 2040 11 Rohiyat 67 5/12 Utama
10-Jun 2041 12 Bambang Santoso 63 4/10 Cibeber
10-Jun 2042 13 Tuti Rohani 61 5/4 LG
10-Jun 2043 14 Jojoh Juariah 64 2/8 Utama
10-Jun 2044 15 Chintya 11 3/9 Utama 12.2 8,200 37 420,000
10-Jun 2045 16 M. Rival 3 3/14 LG 13.6 17,500 38 380,000
10-Jun 2046 17 Saripudin 60 2/12 Utama
10-Jun 2047 18 Dina Juliani 17 6/10 Utama 13.5 3,600 40 158,000
10-Jun 2048 19 Yani 52 8/5 Utama
10-Jun 2049 20 Qiyamu Nur Khalifa 5 6/5 Utama 13.2 6,600 37 243,000
10-Jun 2050 21 Udjang Rahman 74 2/15 Utama
10-Jun 2051 22 Edi Suryana 36 1/1 Lagadar 15.1 9,400 43 243,000
10-Jun 2052 23 Fauziah 1 2/11 Utama 11.4 11,200 35 451,000
10-Jun 2053 24 FX. Sugeng P 49 Darmabakti 15 18,200 43 306,000
10-Jun 2054 25 Alya 5 Sadarmanah 11 4,700 32 271,000
10-Jun 2055 26 Ainun Naim 0.7 5/3 Utama 9.4 8,200 28 293,000
10-Jun 2056 27 Pujiyati 62 3/9 LG
11-Jun 2057 28 Tetty Rusmiati 56 8/11 LG
11-Jun 2058 29 Siti Aisyah 64 3/9 Baros
11-Jun 2059 30 Enok Jubaedah 64 4/6 Utama
11-Jun 2060 31 Mamah 73 1/9 Utama
11-Jun 2061 32 Neny Darjani 63 H. Haris
11-Jun 2062 33 Sarni 69 2/3 Cbrmn
11-Jun 2063 34 Asep Sudrajat 57 5/5 Utama
11-Jun 2064 35 Matilda 76 1/10 Holis
11-Jun 2065 36 Maxie Palit 80 3/4 Utama
11-Jun 2066 37 M. Sutrisno 50 Hujung Kidul 15.1 14,800 41 307,000
11-Jun 2067 38 Maah 49 4/11 Utama 10 9,600 30 574,000
11-Jun 2068 39 Giri Marwanto 45 Pasir Kumeli 13.6 8,200 41 379,000
11-Jun 2069 40 Neneng Djuanah 67 6/12 LG
12-Jun 2070 41 Halimah 63 3/13 Cibeber
12-Jun 2071 42 Romlah 70 Perum STM 12.8 16,100 38 381,000
12-Jun 2072 43 Mimi 66 2/9 Utama
12-Jun 2073 44 Enah 52 1/10 Utama
12-Jun 2074 45 Ade Ramlan 60 2/8 Utama
12-Jun 2075 46 Jubaedah 70 5/7 Utama
12-Jun 2076 47 Rahmat N 6 4/5 Utama 11 8,400 31 333,000
12-Jun 2077 48 Linda 23 3/8 Utama 11
12-Jun 2078 49 Firman Taufik 51 Komp. Suaka
12-Jun 2079 50 Novia 24 3/9 Bbk Cpry 14
12-Jun 2080 51 Ria 26 7/12 Utama 12
12-Jun 2081 52 Sugiasih 39 7/7 Utama
12-Jun 2082 53 Mientje. E. Legi 71 Baros Indah
12-Jun 2083 54 Reni 39 2/5 LG
12-Jun 2084 55 Kokom 40 3/12 Utama
12-Jun 2085 56 Yuda Alfarizki 4 Cibodas
12-Jun 2086 57 Rianti 23 3/9 Utama
12-Jun 2087 58 Imas 40 5/2 LG 12.5
12-Jun 2088 59 Tusini 39 4/2 Utama
12-Jun 2089 60 Lenni H Hutabarat 37 4/13 Utama 12.9
12-Jun 2090 61 Apok 63 3/12 Utama
12-Jun 2091 62 Ricky Eko Subagio 24 5/8 MA 18.4 5,800 52 152,000
12-Jun 2092 63 Neni Haryasih 49 1/2 Lagadar
12-Jun 2093 64 Adang Suherman 75 11/3 Nanjung
12-Jun 2094 65 Titin Kartini 53 LG
12-Jun 2095 66 K. Hidayat 74 2/7 Utama 11.4 7,500 33 271,000
13-Jun 2096 67 Koniyani 58 2/12 Utama
13-Jun 2097 68 Uka Sukaesih 59 5/7 Cibeber
13-Jun 2098 69 Etjin 71 Sadarmanah
13-Jun 2099 70 Yayat Karyati 63 4/6 Utama
13-Jun 2100 71 Mamah 73 4/6 Utama
13-Jun 2101 72 Darinah 69 4/13 Utama
13-Jun 2102 73 Rifki Lukman 9 Utama 10.4 7,800 31 332,000
13-Jun 2103 74 Tanti 3 4/5 Utama 11.9 6,300 34 289,000
13-Jun 2104 75 Nani Rusnaningsih 60 4/6 Utama
13-Jun 2105 76 Dwi Endah 51 1/5 LG
13-Jun 2106 77 Novi O 23 5/7 Utama 11.7
13-Jun 2107 78 Endah 50 2/1 LG
13-Jun 2108 79 Sari Husein 30 1/10 Utama
13-Jun 2109 80 Nova Siti F 20 4/1 LG
13-Jun 2110 81 Juangsih 49 2/12 Utama
13-Jun 2111 82 Wiwi Witarsih 47 Jl. Cibogo
13-Jun 2112 83 Rohilah 56 2/13 Utama
13-Jun 2113 84 Isnen Fitria Nurhayati 27 H. Haris 16.4 12,900 47 401,000
13-Jun 2114 85 M. Sarih Nazmul 11 6/9 Utama 10.5 3,100 32 279,000
13-Jun 2115 86 Ratna 26 4/10 BAros
13-Jun 2116 87 Lusmanah 50 3/2 Utama 13.4 11,500 40 345,000
13-Jun 2117 88 Heri Musadad 44 1/1 LG
13-Jun 2118 89 Asih Ratnasih 65 2/5 Utama
13-Jun 2119 90 Nursalim Kusnoto 74 1/7 MA
13-Jun 2120 91 Sahanah 40 2/12 Utama
13-Jun 2121 92 Enih 74 2/9 Utama
13-Jun 2122 93 Mimin 52 9/5 Utama
13-Jun 2123 94 Satimi 63 5/14 Stmnh
13-Jun 2124 95 Sarmini 67 4/10 Utama
13-Jun 2125 96 Pupu Syaripudin 67 3/6 LG
13-Jun 2126 97 Ade Abdullah 43 1/8 Utama
14-Jun 2127 98 Imas Sukaesih 52 Baros 11.7 12,600 34 399,000
14-Jun 2128 99 Elis Juwita 35 Sciptamas 12.9 2,500 39 160,000
14-Jun 2129 100 Nabila 13 8/5 Utama 12 4,800 37 149,000
14-Jun 2130 101 Sri 27 3/15 Utama 9.3
14-Jun 2131 102 Iin Andriyani 32 2/9 Cibogo 11.7
14-Jun 2132 103 Aisyah 17 9/5 Utama
14-Jun 2133 104 Nia K 57 3/9 Utama
14-Jun 2134 105 Asep Supriatna 15 Lemsa 15.9 16,800 44 237,000
14-Jun 2135 106 Diani 28 1/2 Vibeber 12.6
14-Jun 2136 107 Wiwi Winangsih 36 3/8 Utama 11.8
14-Jun 2137 108 Kiman 56 1/14 Utama 11.7 12,600 34 399,000
14-Jun 2138 109 Emi Maryami 57 TB. Lagadar
14-Jun 2139 110 Imas Eni Nuraeni 56 3/11 Nanjung
14-Jun 2140 111 Fajar Rullyanjana 21 2/7 Utama 15.1 11,400 45 251,000
14-Jun 2141 112 Adelia Citra P 30 Pondok Mas
15-Jun 2142 113 Dadan Juanda 48 4/13 CT
15-Jun 2143 114 M. Dwi Saputra 5 2/5 Utama 11.2 3,500 33 105,000
15-Jun 2144 115 Fauzi 0.4 5/5 Cisalak 11.4 8,400 33 291,000
15-Jun 2145 116 Azzam 0.8 3/23 Melong 9.6 7,900 30 304,000
15-Jun 2146 117 Muhamamad Fathan 6 6/13 Baros
15-Jun 2147 118 Muhamamad Fathin 6 6/13 Baros
15-Jun 2148 119 Muhamamad Eka P 15 6/13 Baros
17-Jun 2149 120 Yati Karyati 55 Cibeber
17-Jun 2150 121 Elis Juwita 35 Ciptamas 13.4 3,200 40 128,000
17-Jun 2151 122 Zahra Fitri 7 3/18 LG 12.8 10,800 37 279,000
17-Jun 2152 123 M. Awal 22 5/8 Cibeber 15.3 5,900 43 82,000
17-Jun 2153 124 Agus Nurjaman 13 1/2 Utama 15.1 2,300 43 199,000
17-Jun 2154 125 Dedi S 55 Komp. Pemda
17-Jun 2155 126 Dede Hamdan 26 1/13 Utama 14.9 8,200 42 253,000
17-Jun 2156 127 Siti Hanafiyah 17 5/11 Nanjung 10.3 7,000 32 398,000
17-Jun 2157 128 Rofi Furqon 13 4/5 Utama 16.4 5,700 46 292,000
17-Jun 2158 129 Teti Suharyati 58 Komp. Pemda
17-Jun 2159 130 Supardi 65 1/16 Bars
17-Jun 2160 131 T. Mulyati 73 Sadarmanah
17-Jun 2161 132 Uding 64 2/4 Baros
17-Jun 2162 133 Cucu Nurhayati 50 2/12 Utama
17-Jun 2163 134 D, Cholidah 53 4/9 Stmnh
17-Jun 2164 135 Ija Sunarja 68 6/2 LG
17-Jun 2165 136 Emi Maryami 57 TB. Lagadar
18-Jun 2166 137 Ahsan 1 2/10 Utama 11.3 8,900 32 252,000
18-Jun 2167 138 Siti Nur Juariah 3 3/13 LG 11.3 4,500 32 255,000
18-Jun 2168 139 Elis Juwita 35 Ciptamas 12.2 4,100 37 140,000
18-Jun 2169 140 Halimah 62 1/1 Haji Ali
18-Jun 2170 141 Sumiati 63 4/2 Utama
18-Jun 2171 142 Ida Daniati 42 1/1 Baros
18-Jun 2172 143 Nadiroh 45 5/1 Utama
18-Jun 2173 144 Dareni 61 2/16 Utama
18-Jun 2174 145 Atikah 56 UTama
18-Jun 2175 146 Sumaerih 46 Hujung Kidul
18-Jun 2176 147 Fransisca Sritati J 64 5/13 LG
18-Jun 2177 148 Cecep Darmadi 65 Pondok Mas
18-Jun 2178 149 Soehadi Artono 84 3/4 Cigugur
18-Jun 2179 150 Muhamad Syahlan F 4 2/16 Utama 13.9 8,500 39 227,000
18-Jun 2180 151 Abdul Gani 0.9 2/11 Utama 11.5 8,900 34 311,000
18-Jun 2181 152 Elisabeth Fadirsair 55 3/14 Baros
18-Jun 2182 153 Rostini 62 5/5 Utama
18-Jun 2183 154 Wawan Gunawan 48 2/7 Utama
18-Jun 2184 155 D. Sutini 63 2/8 Utama
18-Jun 2185 156 Sardjinah 82 1/7 Baros
18-Jun 2186 157 Dede Sumiati 58 4/11 Baros
18-Jun 2187 158 Dedeh Jubaedah 59 H. Haris
18-Jun 2188 159 Woro Astuti Wahyu N 56 Ubug
18-Jun 2189 160 Asep Johan 40 4/16 Utama
19-Jun 2190 161 Rafasya 2 3/10 Utama 11.8 9,700 34 163,000
19-Jun 2191 162 Diansyah 24 2/12 Utama 16.1 10,000 44 270,000
19-Jun 2192 163 Sunarti 33 Utama 11.6
19-Jun 2193 164 Septiani 22 7/5 Utama 10.6
19-Jun 2194 165 Cucu Sutiah 45 MargaAsih
19-Jun 2195 166 Cici 28 4/12 Utama 13.2
19-Jun 2196 167 Amin Iskandar 67 2/2 LG
19-Jun 2197 168 Ai Karlinah 3 1/18 LG
19-Jun 2198 169 Emay Juangsih 53 4/18 Cigugur
19-Jun 2199 170 Elis Rahmawati 33 4/11 Utama 11.6
19-Jun 2200 171 Ahmad Jaenudin 11 4/5 Utama 10.9 5,700 34 211,000
19-Jun 2201 172 Muhamad Sadam Husein 19 6/12 Utama 16.9 3,200 48 101,000
19-Jun 2202 173 Tjutju Sadiah 72 3/16 Utama
19-Jun 2203 174 Djumarja 70 9/20 LG 6.8 4,600 21 130,000
19-Jun 2204 175 Elsa Restu Pamuji 18 2/4 Utama 13.1 5,900 40 267,000
19-Jun 2205 176 Raga Putra H 3 8/12 Utama 12.6 13,700 36 335,000
19-Jun 2206 177 Entin Suhartini 59 Utama
19-Jun 2207 178 Sugiarti 62 6/1 Cibogo
19-Jun 2208 179 Sopianti 35 8/12 LG 12.5 12,100 36 372,000
19-Jun 2209 180 Maryam 69 5/16 Utama
20-Jun 2210 181 Omah 68 H. Haris
20-Jun 2211 182 Parlaungan Sitohang 73 9/10 LG
20-Jun 2212 183 Sukmawati 67 2/3 Utama
20-Jun 2213 184 Yayah 69 1/10 Utama
20-Jun 2214 185 Desi Fitriani 26 2/11 Utama
20-Jun 2215 186 Imaroh 44 3/4 Utama
20-Jun 2216 187 Siti Ngaisah 51 2/6 Utama
20-Jun 2217 188 Tatang 54 3/2 Lagadar
20-Jun 2218 189 Sri Suciati 63 1/14 LG
20-Jun 2219 190 Munir 60 8/15 Utama
21-Jun 2220 191 Kokom 40 3/12 Utama
21-Jun 2221 192 Anisa 25 6/13 Baros
21-Jun 2222 193 Hoer Apandi 59 3/18 MA
21-Jun 2223 194 Siti Nurhabibah 21 4/3 Nanjung
22-Jun 2224 195 Aghnia Nurandini 18 1/10 Baros 16.3 4,900 47 165,000
22-Jun 2225 196 Leni Lestari 36 1/2 Utama 12.8 6,400 39 272,000
22-Jun 2226 197 Muh Syahjihan 5 Muh. Yamin 11.5 9,600 32 221,000
22-Jun 2227 198 Putra Adnyana Murthy 31 1/7 Cibeber 17 7,300 49 91,000
24-Jun 2228 199 Rodiah 65 2/15 Utama
24-Jun 2229 200 Ponidjo 62 Utama
24-Jun 2230 201 Sudiah 67 3/1 Baros
24-Jun 2231 202 Neneng Cucu S 53 5/2 Utama
24-Jun 2232 203 Murtijah 60 3/19 LG
24-Jun 2233 204 Uceh 72 5/11 Utama
24-Jun 2234 205 R. Fitrianah H 47 Utama
24-Jun 2235 206 Tarwilah 62 11/20 LG
24-Jun 2236 207 Ukar Sutaryat 65 1/3 Baros
24-Jun 2237 208 Rukmaya 66 Lemsa
24-Jun 2238 209 Enung Sumirat 52 5/10 Utama
24-Jun 2239 210 Hj. Mumun Maemunah 77 4/5 LG
24-Jun 2240 211 Lilis Sumyati 49 2/11 Utama
24-Jun 2241 212 Linda Lidiawati 20 5/16 Utama 13.6 3,100 39 172,000
24-Jun 2242 213 Nayla Afifah 5 2/7 Utama 12.2 12,800 35 209,000
24-Jun 2243 214 Sukardi 53 9/5 UTama
24-Jun 2244 215 Enok Rohanah 64 5/10 Baros
24-Jun 2245 216 Zuhra Nurwata 9 8/12 Utama
24-Jun 2246 217 Rendi Pratama 13 Baros
24-Jun 2247 218 Hodijah 9 2/11 Utama 14.2 2,300 41 95,000
24-Jun 2248 219 Desi Nurani 21 Cigugur 14.4 9,500 43 284,000
25-Jun 2249 220 Naina Mikaila 6 Cibogo 10.5 11,200 30 434,000
25-Jun 2250 221 M Hasbi 1 3/2 Utama 9.7 8,600 32 332,000
25-Jun 2251 222 Yuliana 24 Baros
25-Jun 2252 223 Edeh 47 1/4 LG
25-Jun 2253 224 Rohmah 30 2/14 Utama
25-Jun 2254 225 Djadja 74 3/1 Baros
25-Jun 2255 226 Nana Subarna 61 3/12 Utama
25-Jun 2256 227 Nandang Tarsopa 71 10/5 Utama
25-Jun 2257 228 Siti Patimah 64 5/12 Utama
25-Jun 2258 229 Atim Dana 71 9/20 LG
25-Jun 2259 230 Wiwin Wintarsih 43 4/2 Utama
25-Jun 2260 231 Darmin 60 7/5 Utama
25-Jun 2261 232 Salamun 80 1/15 Baros
25-Jun 2262 233 Entin Sutinah 67 2/9 Stmnh
25-Jun 2263 234 Tata Warsita 66 3/3 Utama
25-Jun 2264 235 Novianti Indriani H 41 1/2 Utama
26-Jun 2265 236 M. Zaki 3 4/5 Cigugur 11.5 8,600 34 415,000
26-Jun 2266 237 Lili 31 2/10 Utama 16 10,200 44 202,000
26-Jun 2267 238 M Altaf 6 6/2 LG 12.7 6,700 36 266,000
26-Jun 2268 239 Cucu 27 5/10 Utama
26-Jun 2269 240 Putri 22 1/8 Utama
26-Jun 2270 241 Elsa Dastia 56 3/6 Utama
26-Jun 2271 242 Heri Suripno 67 3/4 Cibeber
26-Jun 2272 243 Hafizh Davin Rajendra 7 1/16 Baros
26-Jun 2273 244 Siti Hardiana 24 4/6 LG 12
26-Jun 2274 245 Fatiyah Mardiah 31 1/11 Utama
26-Jun 2275 246 Een Nurhaeni 74 5/14 Utama 8.5 5,700 28 352,000
26-Jun 2276 247 Fianolly 22 4/11 Baros 13.8 9,000 40 232,000
26-Jun 2277 248 Siti Patimah 19 3/4 MA
27-Jun 2278 249 M. Sulaeman 0.7 Wr. Contong 10.9 17,100 32 437,000
27-Jun 2279 250 Hilmi Azam 16 Lagadar 14.8 18,700 43 293,000
27-Jun 2280 251 Andry 27 4/12 Utama 17.3 9,200 49 253,000
27-Jun 2281 252 Irawati 31 11/9 LG
27-Jun 2282 253 Panca Dwi Somantri 6.5 1/23 Baros
27-Jun 2283 254 Pania Alya 1.1 1/23 Baros
27-Jun 2284 255 Anda Usen 72 4/11 BAros
27-Jun 2285 256 Sutisna 67 Cibeber
27-Jun 2286 257 Asrini 59 8/3 Utama
27-Jun 2287 258 Sumarni 55 H. Haris
27-Jun 2288 259 Sri Sunarti 58 8/8 LG
27-Jun 2289 260 Mintarsih 59 1/9 Utama
27-Jun 2290 261 Rohani 68 1/5 Utama
27-Jun 2291 262 Nyi Yunaenah 59 Cigugur
27-Jun 2292 263 Cucun Suarsah 61 4/3 Utama
27-Jun 2293 264 Daniel Herlangga S 25 3/7 Utama 14.9 6,800 41 334,000
27-Jun 2294 265 Agni Nurani 27 6/7 LG 11.5 8,300 34 310,000
28-Jun 2295 266 Rani Rahmawati 22 1/3 LG 13 9,000 37 299,000
28-Jun 2296 267 Diki 30 2/19 Cibogo
28-Jun 2297 268 Sunengsih 43 3/2 LG
28-Jun 2298 269 Maria 18 4/12 UTama 10.1
28-Jun 2299 270 Fenne Anindya B 11 6/4 LG 12 17,500 36 338,000
28-Jun 2300 271 Siti Maesaroh 34 Melong Asih 10.7 8,200 32 223,000
28-Jun 2301 272 Hodijah 9 2/11 Utama 11.3 4,400 38 143,000
28-Jun 2302 273 Imas 35 2/13 Utama
28-Jun 2303 274 Mira Dwi Rantika 17 9/9 Padasuka 13.9 4,700 40 319,000
29-Jun 2304 275 M Altaf 6 6/2 LG 11.6 8,000 34 205,000
29-Jun 2305 276 M Attar 1 Padasuka 8.8 10,300 29 399,000
29-Jun 2306 277 M. Albiantara 4 Kerkof 9.9 13,900 29 415,000
29-Jun 2307 278 Cafaah Thursina Sari 38 9/5 CT
29-Jun 2308 279 Ginanjar Sephana 25 3/1 Jl. Karya
29-Jun 2309 280 Rochman Efendi 59 5/12 LG
29-Jun 2310 281 Hodijah 9 2/11 Utama 13.3 6,300 37 223,000
29-Jun 2311 282 Anisah R 28 3/3 LG
156 256
Jumlah Total Laki2 93 0 43 43
Jumlah Total Perempuan 189 17 41 41
Laki2 Umum 36 26 26 0 0 0 0
Perempuan Umum 69 11 19 19 0 0 0
Laki2 PBI 54 17 17 0 0 0 0
Perempuan PBI 114 6 22 22 0 0 0
Laki laki Program 3
Perempuan Program 6
TB Diagnosa 0 0
FU 5 6
Gex 58 61
MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT GOT Urea Krea

442

109
124 140
151 7.3
94
104 253 5.8

134

257 3.4

78

116 240
166
174 4.2
103 162 5.9
112 169 6.8
261 236
113 227 6.8
183
97 208 9.3
179 7.8

143 6.4
225 3.5

177
121 188
112 134
144 4.8

O+
88 152 162
A+
B+

254

O+
120 255

164 4.4
136 171
219
87
206 3.5
157 234 5.1
99 185 5.4
104 250
120 209 5.5
202 4.8

219 4.1
231 2.7

224 135 3.1


196 157 5.7
85 219 5.3

188 5
132 156 4.5
166 4.1
93 170
6.2
243 4.8
192 5.5
109

A+
A+
O+
220

A+

106
111

96 266

O+
O+
O+
96 191 4.7

135 4.2

213 4.4
144
86 281
134
188 6.4
288 165
91 236 6.9
160 4.7
9.5
127 244
130 288
197 4
93 225 6.6
90 236 4.8
162 5.4
160 180 4.9
235
85

89
197 3.5
313 182
261
91
176 221
143 227 3.1
395 541 218

110 179 3.1


O+
132

284 4.3

259 138
95 193
159 5.5

94
126 189 5.1
101 180 5.1
174 5.4
128 147

210 4.7
151
86
103

83

267 5.4
194
151
114
135 6.2
88 8
169
91
176
90
281
78
16 18
129
105

A+

199

133
204
87
157 191 4.3
154 8.2
82
93
76
251 81 4.8
137 89
146 146 90

173 7
221
O+
A+
A+
127 163
167 182 6.5
215 108 6.1
118 282 6.1
236 4.4
180 8.9
92 242 6.2
88
100 188 4.2

123
A+

A+

101
0 11 22 1 14 0 0 2 9 0 0 0 0
0 12 51 3 69 0 0 6 55 1 1 0
5 0 0 1 1 0 0 0 0 0 0 0 0 0 0
0 7 0 0 3 11 2 14 0 0 1 13 0 0 0
1 0 0 10 21 1 14 0 0 2 9 0 0 0 0
0 3 0 0 9 40 1 55 0 0 5 42 0 0 0

2
Krea Widal Urin Rutin Prot Sedimen PP test Fe ses Gram KOH

KJ-/-/-/1005/6

Pos
Neg

Pos
Neg
MK4+/-/-/1010/6,5/L2E4
Neg
Neg
KJ-/-/-/1010/8

Neg

KJ-/4+/-/1015/5 L3/6EBEp2/5
Neg

Neg
Neg

Neg
Neg

Neg
KK2+/-/-/1010/8 L2/4EBEp1/3ada Gump

KaK-/-/-/1010/5/L3E3

Pos
Neg

Neg
Neg

Neg

KJ-/-/-/1015/8/L2
MK2+/-/-/1015/7U1 LBEPCaOX+

Neg
0
0 2 0 1 0 0 0 0
0 0 4 7 1 6 0 0
0 1 0 1 0 0 0 0
0 0 1 3 0 3 0 0
Ask/ Kontrol Hematologi Kontrol Kimia
KOH Tricho HIV Sifilis HbsAg Mantoux Umum Jamsostek/KIS/ Program AU GPT GOT
BPJS Hb Leuko HtTromboCho HDL LDL TG
N P N P N P
512988041
27,500
169230352
27,500
15,000
27,500
1841497874
27,500
1665113231
1523251585
1014567412
55912386
1980147431
513207988
513289495
27,500
1290903243
514056576
33,000
1274620048
167940347
27,500
27,500
27,500
27,500
27,500
22,000
58063061
52761734
52618612
513860837
57468429
52021997
513118359
56400107
2461376766
27,500
512211069
1261916379
1285005071
57227411
55930566
412877575
22,000
2062960839
512956192
27,500
NR NR Negatif 512236877
1885763801
NR NR Positif 22,500
NR NR Negatif 22,500
5,500
52669495
15,000
512664423
19,000
NR NR Negatif Program
NR NR Negatif 9,000
NR NR Negatif Program
2056779145
512413007
27,500
33,000
53754783
1903791813
52670439
513018933
44,000
52728928
512690332
1669959358
6628671
27,500
27,500
33,000
33,000
NR NR Negatif 9,000
15,000
15,000
19,000
44,000
46,000
513872223
1622511988
512375218
1543943518
513213028
1474493613
1300406207
56254443
1267730548
1277290899
1669969326
1884469588
511624934
52967474
NR Program
27,500
27,500
27,500
NR NR Negatif 22,500
NR NR Negatif
13,500
11,000
512523595
NR NR Negatif 251716557
NR NR Negatif 1669969754
513311466
1437791837
53989446
BPJS
NR NR Negatif Program
1152348175
27,500
27,500
BPJS
13,500
13,500
13,500
44,000
27,500
27,500
27,500
27,500
1445772802
513748078
512382508
1320756535
52494838
201091814
52734238
BPJS
512674751
512962953
52549749
1437791837
27,500
27,500
27,500
22,000
22,000
22,000
33,000
1669970428
2091276731
52472542
1270642825
52505831
52780285
2431903364
2473538973
1823632648
513211994
1298596252
52616373
52712763
1089775934
1204102427
1426828241
NR Program
27,500
27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
44,000
NR NR Negatif 22,500
11,000
5,500
33,000
14,500
512586516
433847226
52737917
52642473
513224392
1896107758
512755119
52723102
52481046
52682758
52773085
1827598588
52783964
52844556
512580701
33,000
11,000
11,000
11,000
NR Program
512664423
5,500
1078601038
2493923578
27,500
1014565083
27,500
1272921873
513089111
85445638
1841498346
512053569
52713426
1669958537
2293507304
1080492524
52741776
1422232007
1014564363
52656704
1669963476
513322784
27,500
11,000
11,000
28,000
13,500
513151154
27,500
27,500
27,500
19,000
11,000
NR Program
1841497874
1467666551
52690105
52856684
52629535
2494828517
513916547
52777766
30280961
1836686204
2177130273
27,500
27,500
27,500
15,000
5,500
2181017081
52570271
1089760645
1820163723
1669972026
513561339
Askes
NR NR Positif Program
27,500
27,500
27,500
15,000
13,500
13,500
52625373
52732271
1839909159
52537702
1875795434
1821686422
512628017
1305089706
1902107801
513117404
514173947
27,500
5,500
1383430151
NR NR Negatif 9,000
1445083176
Askes
513151154
NR NR Negatif Program
51366807911
27,500
27,500
27,500
19,000
28,000
167405016
513151154
514060694
104

0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0 0
3
18 17 17
Kimia T3:304anggal
Urea Creat
N P N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN JULI 2019

No. No. Usia Hb


Tanggal Reg Urut Nama Alamat HB Leuko
(manual)
Lab L P
1-Jul 2312 1 Karmila 53 4/7 Utama 13.9
1-Jul 2313 2 Siti Khodijah 53 8/12 Utama
1-Jul 2314 3 Sofi Hermawati 66 Sari Jadi
1-Jul 2315 4 Hidayat 69 1/8 LG
1-Jul 2316 5 Imas Siti 71 Leuwigajah
1-Jul 2317 6 Tarbiyah 45 5/18 Utama
1-Jul 2318 7 Sultan Naufal 6 Brigif
1-Jul 2319 8 M. Alvin 4.9 5/14 Utama 11.9 9,500
1-Jul 2320 9 Rosidah 46 4/5 Utama
1-Jul 2321 10 N Tati Sumiati 59 3/10 Cibeber
1-Jul 2322 11 Hania Zahra Fauziah 4.8 6/12 MA 11.2
1-Jul 2323 12 Astuty 49 8/10 Baros
1-Jul 2324 13 Ihat 58 6/10 Cigugur
1-Jul 2325 14 Witarsah 65 4/5 Utama
1-Jul 2326 15 Tin Supriatin 58 4/16 LG
1-Jul 2327 16 Aep Pudin 34 1/10 Utama 16.3 4,100
1-Jul 2328 17 Satimin 62 7/6 LG
2-Jul 2329 18 Krisnia Bayu 53 4/16 LG 10.5
2-Jul 2330 19 Tita Nurwati 26 6/5 Utama 12.3
2-Jul 2331 20 Suharti 71 5/1 Nanjung
2-Jul 2332 21 Disman 75 Jl. Kerkof
2-Jul 2333 22 Phoa Tjhoen Lijen Nio 58 7/3 Utama
2-Jul 2334 23 Dede Sumiati 58 H. Haris
2-Jul 2335 24 Regina Suci Lestari 10 6/10 Utama 14.9
2-Jul 2336 25 Budi Hastuti Sariningsih 61 Baros
2-Jul 2337 26 Tia Amelia 18 4/11 Baros 10.8
2-Jul 2338 27 Isop Sopiah 52 4/10 Utama
2-Jul 2339 28 Teti Suharyati 58 1/10 Cibeber
2-Jul 2340 29 Ayi Januar 13 2/12 LG 6
2-Jul 2341 30 Sartoyo 37 2/8 Utama 13.1 4,100
3-Jul 2342 31 Yulinardini 59 3/9 Baros
3-Jul 2343 32 Yetti Sumiyati 81 1/7 Lagadar
3-Jul 2344 33 Eros Komalasari 44 4/12 Utama
3-Jul 2345 34 Entin Kartini 60 1/2 LG
3-Jul 2346 35 Dari 69 5/14 Utama
3-Jul 2347 36 Djaenudin 49 4/12 Utama
3-Jul 2348 37 Hadi 73 Cireundeu
3-Jul 2349 38 Tjandrawati 53 Lagadar
3-Jul 2350 39 Agus Syafrudin 47 3/1 Utama 13.1 28,400
3-Jul 2351 40 Masitoh 60 2/5 Utama
3-Jul 2352 41 Anita 36 5/3 Utama 12
3-Jul 2353 42 Ruhiat 60 4/11 Utama
3-Jul 2354 43 Rina Fandani 21 2/2 Baros 6.3
3-Jul 2355 44 Tarwilah 71 Utama
3-Jul 2356 45 T. Suryati 68 6/10 Cigugur
3-Jul 2357 46 Dadang Yusuf 56 Utama
3-Jul 2358 47 Yoyoh Rosita 64 Padalarang
3-Jul 2359 48 Ery Siswaningrum 45 7/7 Utama
3-Jul 2360 49 M. Ilham 21 5/10 Baros
3-Jul 2361 50 Atikah 63 2/34 Melong
3-Jul 2362 51 Sopiyah 59 6/11 LG
3-Jul 2363 52 Rizki Mutaqin 9 2/6 Utama 11 14,200
3-Jul 2364 53 Wulan Selvina 28 3/3 Utama 15.6
3-Jul 2365 54 Muhamad Ridwan 1 6/10 Utama 10.6 3,700
3-Jul 2366 55 Firas Dzulfikar 6 3/23 Baros
3-Jul 2367 56 Edwar 26 Lagadar 15.3 13,300
4-Jul 2368 57 Zee Valenxia 10 5/13 Baros 13.7
4-Jul 2369 58 Enok 62 Cibeureum
4-Jul 2370 59 Sofi Herawati 66 8/6 Sarijadi
4-Jul 2371 60 Neneng Kartika 48 5/11 Utama
4-Jul 2372 61 Tita P 24 Lemsa 13
4-Jul 2373 62 Abu Bakar Sidik 14 Sikamanah 16.4 16,500
4-Jul 2374 63 Ginanjar 25 Jl. Karya 3/1
4-Jul 2375 64 Puji Rahayu 47 2/3 Baros
4-Jul 2376 65 Adinda 18 3/12 Utama
5-Jul 2377 66 Raisa Arsyla 2.5 3/9 Baros 10.2
5-Jul 2378 67 Eni N 27 2/19 LG 11.9
5-Jul 2379 68 Imas Sukaesih 53 2/15 Baros
5-Jul 2380 69 Sopian Sauri 4 4/2 Utama 12.3 2,400
5-Jul 2381 70 Dedeh 35 2/7 LG 11.8
6-Jul 2382 71 Khaerul Nizam 0.5 5/7 LG 11.3 11,500
6-Jul 2383 72 Meliza 1.6 5/2 Utama 10
6-Jul 2384 73 Gery Febriansyah 12 3/14 Utama
6-Jul 2385 74 Atikah 68 Suaka 4/12 12.1
6-Jul 2386 75 Riska Nur Hayati 8 1/11 Baros 12.5 6,100
7-Jul 2387 76 Suci 22 5/12 Utama 13.3
7-Jul 2388 77 Asiva 24 3/20 LG 9.8
7-Jul 2389 78 Yuyun 29 Kihapit BArat 10.8
7-Jul 2390 79 Cucu 27 5/10 Utama 10
7-Jul 2391 80 Kelim Sudjadi 71 4/11 Utama
7-Jul 2392 81 Tri 41 5/4 LG 10.2
7-Jul 2393 82 Imas Eli Nurlaeli 60 6/12 LG
7-Jul 2394 83 Rukmiati 62 2/8 Baros
7-Jul 2395 84 Siti Purnamasari 26 3/17 Cibrm
7-Jul 2396 85 Ariani 34 5/12 Utama
7-Jul 2397 86 Firman Taufik 51 8/12 LG
7-Jul 2398 87 Titin Kartini 52 Kihapit
7-Jul 2399 88 Tuty Komariah 63 2/8 Baros
7-Jul 2400 89 Imas Rosyati 54 4/2 Chnjuang
7-Jul 2401 90 Raisaa Natasya 5 2/12 Nanjung 11.5
7-Jul 2402 91 Titi 70 1/10 Utama
8-Jul 2403 92 Deden Nasir 61 1/10 Cibeber
8-Jul 2404 93 Nanih Yuningsih 45 1/7 Utama
8-Jul 2405 94 Primawati S 59 2/18 Lagadar
8-Jul 2406 95 Eni 55 5/5 Utama 11.9
8-Jul 2407 96 Riska Nur 8 1/11 Utama 12
8-Jul 2408 97 Titi Suryati 66 7/11 Baros
8-Jul 2409 98 Syabil 2 2/8 Utama 11.7 5,000
8-Jul 2410 99 Lilis Sugiarsih 39 1/7 Utama
8-Jul 2411 100 Neneng Anisah 51 2/12 Utama
8-Jul 2412 101 Anisa 0.3 4/12 Utama 11.6
8-Jul 2413 102 M. Alkalifi 3 4/15 Utama 11.8 13,700
8-Jul 2414 103 Kartika 37 3/4 Pojok
8-Jul 2415 104 Mishbah 48 4/4 Pojok
8-Jul 2416 105 Dewi Kurniasih 53 2/2 Utama
9-Jul 2417 106 Rita Juwita 41 7/5 Utama
9-Jul 2418 107 Saiful Rahayu 33 2/6 Utama 16.1 10,900
9-Jul 2419 108 Lilis Rosmiati 40 1/6 Utama
9-Jul 2420 109 Ratna Damilah 48 4/5 Lagadar
9-Jul 2421 110 Teti Siti W 59 Baros
9-Jul 2422 111 Neneng Kartika 64 5/12 Utama
9-Jul 2423 112 Rohanah 52 4/2 LG
9-Jul 2424 113 Daryana 71 3/12 Utama
9-Jul 2425 114 Hj. Imi Suhaemi 82 Cibeber
9-Jul 2426 115 Umi Kulsum 54 6/14 LG
9-Jul 2427 116 Muhamad Danendra F 6 2/8 Baros
10-Jul 2428 117 Yunita 26 5/14 Baros 9.8
10-Jul 2429 118 Rosmini 74 5/7 Cibogo
10-Jul 2430 119 Rani Rahmawati 55 5/3 Utama
10-Jul 2431 120 Sulami Nasih 42 1/6 Utama
10-Jul 2432 121 Imas Minarsih 63 3/15 Utama
10-Jul 2433 122 Siti Aisah 54 4/16 Utama
10-Jul 2434 123 Ade Ramlan 60 2/8 Utama
10-Jul 2435 124 Rusmiyatun 52 3/21 MA
10-Jul 2436 125 Sri Devi Yanti 60 4/4 Cijerah
10-Jul 2437 126 Bambang Santosa 64 4/10 Cibeber
10-Jul 2438 127 Apok 63 3/12 Utama
10-Jul 2439 128 Siti Hamidah 6 2/10 Utama
10-Jul 2440 129 Shahnaz M 24 4/9 Cibeber 10
10-Jul 2441 130 Indah 29 7/17 LG 13.3
10-Jul 2442 131 Ariyanti 15 4/1 Babakan 14.3
10-Jul 2443 132 Kurnia D 41 Jl. Sukimun
10-Jul 2444 133 Sandra Riska 25 5/16 Utama 10.9
10-Jul 2445 134 Santy Fauziah 27 Pilar Mas
10-Jul 2446 135 Muhammad Ramjid 7 2/11 Utama
10-Jul 2447 136 Dadang Oktora 28 Hujung 17.7 16,900
10-Jul 2448 137 Sutiyati 54 4/5 LG
10-Jul 2449 138 Gilang Ramadhan 6 1/11 Utama
10-Jul 2450 139 Neng Reni 24 2/11 Utama 11.7
10-Jul 2451 140 Nunung Yuliarti 68 1/19 LG
10-Jul 2452 141 Mila Karmila 36 Utama 15.6 11,900
10-Jul 2453 142 Shinta H 19 4/11 Utama 11.9
10-Jul 2454 143 Yanto 58 Cibogo
10-Jul 2455 144 Kusmiati 30 6/8 LG 15.2
10-Jul 2456 145 Yati 56 2/5 Cibeber 11.8
11-Jul 2457 146 Aqila Zahra 6 4/11 Utama
11-Jul 2458 147 Ukaesih 56 5/9 Utama
11-Jul 2459 148 M. Rafiq Al Baihaqi 6 6/10 Utama
11-Jul 2460 149 M. Badrus Damam 28 Sukanegla
11-Jul 2461 150 Regita Julia 1 2/4 Baros 11.1
11-Jul 2462 151 Lies 54 Cimindi Timur
11-Jul 2463 152 Jojoh Djuariah 64 Cimuncang
11-Jul 2464 153 Nenden Ruby 7 3/15 Utama
11-Jul 2465 154 M. FebriArdiansyah 7 2/11 Utama
11-Jul 2466 155 Raisa Laila 6 4/11 Utama
11-Jul 2467 156 Moch Ikbal 6 5/11 Utama
11-Jul 2468 157 Moh. Rizki 6 3/11 Utama
11-Jul 2469 158 Reni. K 35 2/10 Utama
11-Jul 2470 159 Rifki Muhammad 7 5/10 Utama
11-Jul 2471 160 Yudi Supriadi 48 jl. Nanjung 15.1 10,300
11-Jul 2472 161 Abu Hamid 13 3/13 Utama
11-Jul 2473 162 Amalia Ayu 17 3/8 Baros
11-Jul 2474 163 Suhaya 56 7/14 LG
11-Jul 2475 164 Rohiyat 68 5/12 Utama
11-Jul 2476 165 Mochamad Rojak 66 7/7 LG
11-Jul 2477 166 Ismail Isnurdani 69 2/17 LG
11-Jul 2478 167 Woro Astuti Wahyu N 56 4/16 Baros
11-Jul 2479 168 Surjana 82 5/12 LG
11-Jul 2480 169 Koniyani 58 2/12 Utama 12.3
11-Jul 2481 170 Mutiah Ajeng 11 6/12 Utama 14.8
11-Jul 2482 171 Sofiati 61 5/12 LG
11-Jul 2483 172 Maria Theresia S 69 1/12 LG
12-Jul 2484 173 Ewi Maharani 28 4/5 Utama
12-Jul 2485 174 Jihan Aqila Rahman 5 1/10 Cibeber 13.8
12-Jul 2486 175 Neng Hanifah 28 Cipatik 12.4
12-Jul 2487 176 Nurhayati 46 5/8 MA
12-Jul 2488 177 Putri 22 Utama
12-Jul 2489 178 Adibah 6 3/10 Utama
12-Jul 2490 179 Zahdi Abdan 9 2/2 LG 14.7 2,600
12-Jul 2491 180 Idah 40 Lagadar
12-Jul 2492 181 Nenden Wulandari 23 8/14 LG 11.6
12-Jul 2493 182 Bilal Lutfi 8 Nanjung 6/12 11.5 6,700
13-Jul 2494 183 Tarmini 40 1/8 LG
13-Jul 2495 184 Djumarja 70 Leuwigajah 6.7 5,100
13-Jul 2496 185 Ayi Januar 13 3/12 Suaka 4.9
13-Jul 2497 186 Sabila Tania 13 2/12 Baros
15-Jul 2498 187 Sopidah 46 2/11 UTama
15-Jul 2499 188 Yayah Rodiyah 65 3/6 Baros
15-Jul 2500 189 Titin Heryani 63 2/8 Baros
15-Jul 2501 190 Enuy Hasanah 28 1/2 Utama 14.4
15-Jul 2502 191 Yusuf Amin 56 1/2 Cigugur
15-Jul 2503 192 Natasya K 16 2/3 LG 13.1
15-Jul 2504 193 Sumiati 35 8/12 Utama
15-Jul 2505 194 Hixmatul Shaliha 18 2/20 Baros
15-Jul 2506 195 Edi Gunawan 45 3/4 Utama
15-Jul 2507 196 Muhamad Raka 7 4/11 Utama
15-Jul 2508 197 Nining S 55 Bbkn Sari
15-Jul 2509 198 Cecep 41 9/8 LG
16-Jul 2510 199 Komala Sidik 68 7/5 Utama
16-Jul 2511 200 Nurul Siti Nur L 23 Cibogo 13.1
16-Jul 2512 201 Ade Imbang 58 7/5 Utama 13 8,500
16-Jul 2513 202 Anita 21 3/7 LG 11.6
16-Jul 2514 203 Nadhiyfah S 15 3/5 Lagadar 13.2
16-Jul 2515 204 Adang Purnama 50 2/14 Cibeber
16-Jul 2516 205 Otih 45 7/12 Utama
16-Jul 2517 206 Maharani 4 6/11 Nanjung 13.4
16-Jul 2518 207 Ayi Sumiati 50 5/10 Utama
16-Jul 2519 208 Sarni 70 Langen Sari
16-Jul 2520 209 Novianti Indrianti H 41 1/2 Utama
16-Jul 2521 210 Sobingatun 51 3/4 Baros
16-Jul 2522 211 Juariah 68 3/12 Utama
16-Jul 2523 212 Nani Sumarni 65 5/12 Utama
16-Jul 2524 213 Moh. Hasan Harun 76 5/3 LG
16-Jul 2525 214 Mimin 52 9/5 Utama
16-Jul 2526 215 Juangsih 49 2/12 Utama
16-Jul 2527 216 Deden Safaat 40 4/11 Utama
16-Jul 2528 217 Lili 63 5/10 Utama
16-Jul 2529 218 Asep Johan 30 4/16 Utama
17-Jul 2530 219 Ati Mujiati 54 Citeureup
17-Jul 2531 220 Nenden Kusmiati 53 2/5 Lagadar
17-Jul 2532 221 Asri Surgo 28 7/5 Utama 13.4
17-Jul 2533 222 Yuni 26 8/2 LG 9.6
17-Jul 2534 223 Kusnadi 70 Utama
17-Jul 2535 224 Misem 37 8/10 Utama 11.1
17-Jul 2536 225 Robi Sigit 20 1/1 LG
17-Jul 2537 226 Indra Hadiansyah 11 3/12 Utama 12.7 3,100
17-Jul 2538 227 Leni Lestari 29 4/14 Cibeber
17-Jul 2539 228 Rindi Afrianti 19 1/2 LG 13.9
17-Jul 2540 229 Rehan Septian 12 1/2 LG 13.6 10,600
17-Jul 2541 230 Citra Rahmawati 25 1/1 Baros 13
17-Jul 2542 231 Eti Rohaeti 58 2/12 Utama
17-Jul 2543 232 Wagini 54 2/3 Utama 14
17-Jul 2544 233 Adi S 58 3/9 LG
17-Jul 2545 234 Natasya 16 2/3 LG 12.7
17-Jul 2546 235 Tiska Fitri Yani 27 5/4 LG
17-Jul 2547 236 Eha Julaeha 74 4/6 Utama
17-Jul 2548 237 Davindra Athariz P 1.8 3/3 LG 11.3 16,700
17-Jul 2549 238 Karmini 72 3/10 LG
17-Jul 2550 239 Heni Adiningsih 55 4/6 Baros
17-Jul 2551 240 Mamah 73 1/9 Utama
17-Jul 2552 241 Murtini 63 1/2 Utama
17-Jul 2553 242 Ade Rochnanah 59 2/16 Utama
18-Jul 2554 243 Wahyu 41 Utama
18-Jul 2555 244 Fitria 30 Utama
18-Jul 2556 245 Rosvita 31 Utama
18-Jul 2557 246 Grace Novia 23 Utama
18-Jul 2558 247 Anindya Nurshahila A 3 3/6 Pataruman 10.9
18-Jul 2559 248 Erdiman 23 3/12 Utama 14.9 14,900
18-Jul 2560 249 Mulyati 46 5/12 Utama
18-Jul 2561 250 Woro Astuti Wahyu N 56 4/16 Baros
18-Jul 2562 251 Uceh 72 5/11 Utama
18-Jul 2563 252 Amas Rohana 68 3/7 Utama
18-Jul 2564 253 Suhartini 59 Utama
18-Jul 2565 254 Wiwi 57 6/12 Utama
18-Jul 2566 255 Satria Jaka 5 3/12 Utama 11.9 5,300
18-Jul 2567 256 Rohayati 59 3/3 LG
18-Jul 2568 257 Kartika 43 7/5 Utama
18-Jul 2569 258 Zainab Aprialiani 24 2/13 Nanjung
18-Jul 2570 259 Latasya 2 2/2 Mencut 11.3
18-Jul 2571 260 Azam 0.7 Jl/ Hercules 9.6 7,600
18-Jul 2572 261 Masitoh 60 2/5 LG
19-Jul 2573 262 Emiliawati 39 Leuwigajah
19-Jul 2574 263 Imas 25 1/5 Cibeber 13.2
19-Jul 2575 264 Abas 64 5/10 nanjung
19-Jul 2576 265 Ahim 61 4/6 Cibogo 14.9 13,300
19-Jul 2577 266 Juangsih 49 5/2 LG 14.5
19-Jul 2578 267 Karti 43 7/5 Utama
20-Jul 2579 268 Yahya Rodiansyah 16 5/11 Utama
20-Jul 2580 269 Junita. A 7 5/11 Utama
20-Jul 2581 270 Ismail 1.1 1/14 Cibeber 10.4 11,800
20-Jul 2582 271 Saepul Rizal 21 4/11 Pdsk 15.5 6,200
20-Jul 2583 272 Zerolin Dasilfa 7 1/2 Baros 11.5
20-Jul 2584 273 Nandita Winalda 16 7/12 Utama 14.2
20-Jul 2585 274 Regianti Lestari 6 5/11 Utama
20-Jul 2586 275 Wahyu 41 Hujung Kaler
20-Jul 2587 276 Nabila Azahra 6 1/18 LG 13.6
20-Jul 2588 277 Sobariah 47 5/12 Kp Jati 15.2
20-Jul 2589 278 Febi Rusmayadi 31 3/16 Utama 15 7,100
22-Jul 2590 279 Veni Nuraeni 23 1/2 Pdlarang
22-Jul 2591 280 Zerolin Dasilfa 7 1/2 Baros 11
22-Jul 2592 281 Uka S 59 Utama
22-Jul 2593 282 Siti Hindun 35 2/9 Utama
22-Jul 2594 283 Darman Rohimat 39 Sadarmanah 14.7 6,200
22-Jul 2595 284 Zahwa 9 8/12 Utama 13.1
22-Jul 2596 285 Sopidah 46 2/11 Utama
22-Jul 2597 286 Lili Sadeli 63 5/10 Utama
22-Jul 2598 287 Cristianing 53 Brs Seneng
22-Jul 2599 288 Meysha Merlina 10 5/16 Utama 12
22-Jul 2600 289 Kirana 0.8 2/15 LG 11.4
22-Jul 2601 290 Samsudin 61 4/13 Utama 15.1 9,100
22-Jul 2602 291 Oon Rohanah 58 4/4 LG
22-Jul 2603 292 Gani Rizki 26 8/7 Utama
23-Jul 2604 293 Yaya Jayadi 46 3/3 Utama
23-Jul 2605 294 Tati Rohati 66 5/12 Utama
23-Jul 2606 295 Nurlaela 43 5/5 Utama
23-Jul 2607 296 Rina Pardani 20 2/12 Baros 8.8
23-Jul 2608 297 Gina Anggini 17 4/15 Utama 12.9
23-Jul 2609 298 Atang Sukarja 74 7/2 Saradan
23-Jul 2610 299 Amelia 45 5/10 Baros
23-Jul 2611 300 Subur 55 1/5 Baros
23-Jul 2612 301 Neneng Komanah 55 Utama
23-Jul 2613 302 Liah Darliah 59 4/15 Utama
23-Jul 2614 303 Imas Nafkoriah 58 5/16 LG
23-Jul 2615 304 Sondang Helena 40 2/13 Baros
23-Jul 2616 305 Endang 84 4/13 Utama
23-Jul 2617 306 Almira Rahmawati 29 4/15 Utama
23-Jul 2618 307 M. Arifin 51 4/6 Utama
23-Jul 2619 308 Yuyun 53 3/13 Utama
23-Jul 2620 309 Warsinem 64 Baros
23-Jul 2621 310 Reni 49 8/5 LG
23-Jul 2622 311 Siti Romlah 54 3/1 LG
23-Jul 2623 312 Mutia Nur Azizah 4 Cikuya 11.4
23-Jul 2624 313 Asep Junaedi 39 Hujung Kidul 15.5 8,500
23-Jul 2625 314 Cucu Aena 62 5/15 LG
24-Jul 2626 315 Wiwi Witarsih 47 2/7 LG
24-Jul 2627 316 Nanie 18 1/16 Baros
24-Jul 2628 317 Tutik 43 3/9 Stmnh 15.2
24-Jul 2629 318 Oharatio Van Morris T 7 3/5 LG 13.8 7,300
24-Jul 2630 319 Eli Sukaesih 39 2/8 Utama
24-Jul 2631 320 Aceng Sapudin 31 2/22 Kertasari 15.7 13,300
24-Jul 2632 321 Siti Hardiana 24 4/6 LG 11.7
24-Jul 2633 322 Dhean Silvi Adetia 20 4/13 CT 10.5
24-Jul 2634 323 Kartini 59 8/10 Utama
24-Jul 2635 324 Ani Rohani R 64 4/20 LG
24-Jul 2636 325 Yulinardini 59 3/9 Baros
24-Jul 2637 326 Hasanah 54 2/23 Lagadar
24-Jul 2638 327 Yayat 44 1/3 Utama
24-Jul 2639 328 Mamah 73 4/6 Utama
24-Jul 2640 329 Anda Usen 73 H. Haris
24-Jul 2641 330 Sri Maeha 31 2/3 LG 7.9
24-Jul 2642 331 Dede Alfia 6 2/5 Utama 12.2
25-Jul 2643 332 Mimi Gusmiati 54 2/7 Utama
25-Jul 2644 333 Ai Yanwar 13 2/12 LG 6.4
25-Jul 2645 334 Kayla 9 10/5 Utama 11.9
25-Jul 2646 335 Neng Cucu 40 1/11 Utama
25-Jul 2647 336 Nurlaila 75 2/11 Baros
25-Jul 2648 337 Amas Rohana 68 3/7 Utama
25-Jul 2649 338 Nunung 47 5/16 M. Yamin
25-Jul 2650 339 Siti Maryani 47 3/12 Utama
25-Jul 2651 340 Diki Anjar 30 2/19 LG
25-Jul 2652 341 Eliza 18 Cigugur 3/10
25-Jul 2653 342 Imas Eli Nurlaeli 60 6/12 LG
25-Jul 2654 343 Rohmah 30 2/14 Utama
26-Jul 2655 344 Marjuni 40 3/9 Baros
26-Jul 2656 345 Yeti R 40 3/10 lagadar 10.2
26-Jul 2657 346 Julina 28 5/11 Utama 12.5
26-Jul 2658 347 Dede 59 6/18 Utama
26-Jul 2659 348 Alzio Rafael 3 3/5 utama 11 7,200
26-Jul 2660 349 Devi Setiasih 46 3/9 LG
26-Jul 2661 350 Ipah 26 2/3 utama 12
26-Jul 2662 351 Rianti 23 3/9 Utama
26-Jul 2663 352 Imas 35 2/13 Utama
26-Jul 2664 353 Siti Fatimah 19 3/4 MA
27-Jul 2665 354 Naura 0.9 3/3 Utama 12.9
27-Jul 2666 355 Faiz 2.4 2/6 Utama 8.3 17,900
27-Jul 2667 356 Wahyu Rafa A 9 3/20 Baros
27-Jul 2668 357 Winda 24 Caringin
29-Jul 2669 358 Yuswanda 51 4/16 Utama
29-Jul 2670 359 H. Sugian Noor 73 4/12 LG
29-Jul 2671 360 Tuti Rohani 61 5/4 LG
29-Jul 2672 361 Kasmirah Ruminah 89 Baros
29-Jul 2673 362 M. Nizam 2 4/4 LG 12.3 7,400
29-Jul 2674 363 Yohani R. Utoyo 63 2/3 Utama
29-Jul 2675 364 Djuminto 70 Baros 13.3 13,500
29-Jul 2676 365 Tulus 8 10/5 Utama 13.4 8,700
29-Jul 2677 366 Welhalminah 9 Cigugur
29-Jul 2678 367 Iis Aisyah 37 7/11 LG
29-Jul 2679 368 Dwi. M.S 14 Lemsa 13.2 5,000
29-Jul 2680 369 Juariah 64 Lemsa
29-Jul 2681 370 Djadja 74 Paskum
29-Jul 2682 371 Sudiah 67 Paskum
29-Jul 2683 372 Sopiah 69 4/2 Utama
29-Jul 2684 373 Admini 51 Lemsa
29-Jul 2685 374 Lilis 44 Lemsa
29-Jul 2686 375 Alvin 2 7/7 LG 11.8 13,800
29-Jul 2687 376 M. Ridwan 17 3/7 Baros 15.5 73
30-Jul 2688 377 Ati Mujiati 53 Citeureup 13.1
30-Jul 2689 378 Mimin Sadiah 72 Hujung Kaler
30-Jul 2690 379 Achmad Rosidi 42 1/8 Baros 17 12,400
30-Jul 2691 380 Marcelina Cindi 12 Cibeber 13.4
30-Jul 2692 381 Nurjanah 54 2/2 LG 14.4
30-Jul 2693 382 Risa Puji 8 Lemsa 10.9
30-Jul 2694 383 Abdul Nasir 31 3/3 Utama 14.6 8,200
30-Jul 2695 384 Nadia Nur 5 5/11 Utama 11.3
30-Jul 2696 385 Yudi 23 Lemsa 14.4 10,900
30-Jul 2697 386 Nikadek Ayu REgistha P 17 Komp. STM 15.6
30-Jul 2698 387 Suryati 44 4/10 Cibodas 14.4
30-Jul 2699 388 Dede Hamdan 26 1/11 Utama 14.9 10,100
30-Jul 2700 389 Muhamad Faiz S 7 3/10 Utama
31-Jul 2701 390 Siti Mulyani 35 5/16 Utama 11.5
31-Jul 2702 391 Abdul Nasir 31 3/3 Utama 14.2 8,500
31-Jul 2703 392 Idah Faridah 34 1/5 Utama 11.8
31-Jul 2704 393 Nidya 25 5/14 Stmnh 11.6
31-Jul 2705 394 Siti Hasanah 34 3/15 Utama 12.3
31-Jul 2706 395 Ririn 22 3/5 utama 11.7
31-Jul 2707 396 Yani 40 5/1 Utama 12.7
31-Jul 2708 397 Onah 71 1/5 Utama
31-Jul 2709 398 Sumarni 55 H. Haris
31-Jul 2710 399 Ukar Sutaryat 65 1/3 LG
31-Jul 2711 400 H. Agus Sutisna 83 2/11 Nanjung
31-Jul 2712 401 Juju 30 Hujung 9.9
31-Jul 2713 402 Sri Komalasari 39 7/12 Utama 9.6
31-Jul 2714 403 Santi Nursari 23 6/5 Utama 13.4
31-Jul 2715 404 Yanto 57 8/4 LG
31-Jul 2716 405 Ai 44 2/10 LG

216 417
Jumlah Total Laki2 117 3 49 49
Jumlah Total Perempuan 288 37 57
Laki2 Umum 60 3 28 28
Perempuan Umum 121 26 28
Laki2 PBI 52 20 20
Perempuan PBI 154 11 29
Laki laki Program 5 1 1
Perempuan Program 13
TB Diagnosa 0 0
FU 6 6
Gex 93 123

74
Leuko HT Trombo Ery.. X1 Jt MCV MCH MCHC Gol Dar LED Diff

5,500 40 235,000

O+
33 305,000

11,200 34 407,000

45 144,000

3,100 31 74,000

2,500 41 75,000

3,500 33 234,000

37 245,000

37 246,000
32 160,000
10,800 46 315,000
31 237,000
AB+
40 250,000
8,500 39 359,000

9,500 39 246,000
46 302,000

13,600 30 366,000

35 120,000
O+
32 436,000
4,800 31 281,000
A+
6,400 36 292,000
35 131,000
AB+

O+
O+

A+
5,200 32 215,000

6,500 35 301,000
5,700 33 150,000

33 168,000

12,100 33 403,000
33 317,000

45 311,000

B+

O+

7,600 42 395,000
O+
B+
47 246,000

A+

42 426,000
11,100 37 405,000

7,300 44 255,000
5,400 36 194,000
A+

B+

26,600 32 484,000

O+
B+
O+
AB+
B+

O+
43 279,000
O+
A+

7,500 37 428,000
4,200 43 206,000

5,900 39 212,000

O+
41 153,000
32 245,000

20 133,000

O+

6,800 39 113,000

7,000 37 212,000

A+

O+

7,400 37 331,000
39 423,000

6,800 39 370,000

17,800 36 406,000

37 233,000
7,600 39 341,000
39 402,000

9,500 40 239,000

7,400 37 227,000

33 327,000

7,000 32 322,000
43 275,000

35 265,000

8,400 33 260,000
30 220,000

42 256,000
12,000 41 319,000

O+
31 313,000
45 186,000
3,900 33 173,000
7,000 42 381,000
O+
9,900 38 374,000
16,000 42 417,000
43 286,000

5,800 32 143,000

43 275,000
11,000 38 156,000

7,100 36 253,000
16,000 33 464,000
43 253,000

4,500 37 223,000

27,300 33 483,000
46 257,000

AB+
13,000 44 399,000
40 259,000

45 236,000
9,500 34 261,000
2,900 37 252,000

20,200 34 400,000

B+

31 263,000

A+

6,900 35 238,000
28 607,000
AB+
A+

35 215,000

40 212,000
38 322,000 A+
O+

39 219,000
34 370,000
45 300,000
6,000 39 290,000

50 288,000
7,200 39 264,000
6,900 41 347,000
7,100 33 313,000
41 134,000
7,900 32 276,000
41 302,000
6,600 45 98,000
8,300 41 297,000
42 216,000
O+

40 135,000

O+
AB+

A+
A+
14,200 38 396,000

49 49 0 0 0 0 0 0 0
57 57 57 0 0 0 0 0 0
28 28 0 0 0 0 16 0 0
28 28 28 0 0 0 0 14 0
20 20 0 0 0 0 0 0 0
29 29 29 0 0 0 0 1 0
1 1
10
Diff GDS GDN PP CHO HDL LDL TG AU GPT

91 220 4
214 216 3.1
357
102
184
100

199 3.2
107 225 6.6

89 195 3.4
231
72
254 3.5

133 244 6.5


121 150

85 236
113 142 6.2
131 163 6.1
212 231

73

169 57

97 178 8.3
217 5.3
206 7.2
95
128 199 3.9
89 143 6.8
108
99

351
116

72
91
93
88 192 4.3
82 149 6.5

104
103

112
143

142

103

128 154 8.2

113

176 187 7.5


200
4.5
88 139 5.2

100
162 7.4
164 4.3
123 148 6.8

211 4.1

217 6.1
4

100 190 8.8


106 137 7.2
170 5.5

86 137 4.9
265 183 5.6
188 193
205 6
107
89
218 4
103

90 223 5.9
102 228 4.7
94 242 4.2
167 159 3.6
197 5.7
111 130
94 261 4.3
139
84 160 5.2
128 154 6

99
101

263 4

126

153 8.2

7.2

107 220 9.4


96

203 8.8
104 131 3.5
142
80 180 7.7
135 132
82 177 8.1

158 138 7.3


198 4.9

99

85
326 193 5.6
165 213 5.4
93 177 5.9

116 156 5.7

209 5

110

4.8
266

131
235

184 4.8
108
96
144
191 5.4
115 220 6.8
115
6.1
206

375

101
84
179 213 6.7

108

205 5.7

207 7.2
222 4
103 7.1
82 342
408 300 4.8

100

129 143
95 138 5.6
493
105
184

94

287

229

94
193 163
76

137
169
94 136 4.7

177 5.7

136 180 3.6


108

285
100
127 160
168 4
125 200
345
124
157
148
100
5.6
88 203 5.5
80 186 3.8
89 157 3.1

98 179 4.3
165 5.4
162 181 3.9
77
6.7
179 6.8
5.3
128
126

95 239 7

101
162
234 4.1

101

170 447 5.4

416
84

95 142 7.8
91 127 8.7
91 221 6.7
97 215 5

5.8
178

120
169
260 6.8
105 228
145 209 4.8
92 117
249

91 118 242 110 3.5 65


152 215

106 217 4.7


112
302
90

336
90

21 22 1 18 0 0 1 18 0
0 30 75 4 81 0 0 4 75 1
9 3 0 2 0 0 0 3 0
0 16 16 2 17 0 0 0 14 0
12 19 1 16 0 0 1 15 0
0 14 59 2 64 0 0 4 61 1
GOT Urea Krea Widal Urin Rutin Prot Sedimen

KJ-/-/-/10
10/5
KaK-/-/-/1 LBE6/8Ep
025/5 2/4SL+
Kj-/-/-/1020/5

KK1+/-/-/1010/8/U1
Neg

Neg

Neg
Neg

KK-/-/-/1020/5

KJ-/-/-/1015/6
Neg

Neg
KJ-/-/-/1000/6,5/E1

KJ-/-/-/1010/7L2
Neg

KK-/-/-/10

KK3+/-/-/

Neg
Neg

KaK2+/-/-/1010/5/
45

KJ-/-/-/10

0 0 0 0 0 0 0
1 0 0 0 0 0
0 0 0 0 2 0 1
0 0 0 0 5 4
0 0 0 0 0 0 0
1 0 0 0 5 4
Sedimen PP test Fe ses Gram KOH Tricho

LBE2/4Ep
2/6
Neg

Neg
L2/3E13/5Ep2/5

L5/10E>100Ep4/8
LbEBEp-

DGNE/I +/+
Neg

DGNE/I+/+ Neg

DGNE/I +/+
Neg

LBEBEpBb+

Pos
0 0 0 0 0
0 0 0 0 0
0 0 2 0 0
2 4 0 1 1
0 0 0 0 0
3 1 0 0 0
Tricho HIV Sifilis HbsAg Mantoux Umum

71,500
44,000
11,000
11,000
11,000
11,000
13,500
27,500
33,000

11,000

NR Negatif

9,000
27,500

NR NR Negatif
NR NR Negatif

NR

27,500
27,500
27,500
13,500
27,500
27,500
11,000
11,000
15,000
27,500
27,500
28,000
11,000
15,000
27,500
NR NR Negatif 9,000
11,000
27,500
NR NR Negatif 9,000
27,500
27,500
13,500

27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000

NR NR Negatif

13,500
NR NR Negatif
NR NR Negatif
27,500
11,000

33,000

27,500

27,500
27,500
44,000
44,000

28,000

22,000

13,500
NR NR Negatif 9,000

44,000
44,000

13,500
NR NR Negatif 9,000
NR NR Negatif 9,000
27,500
11,000
NR NR Negatif 9,000
13,500
13,500
27,500

13,500
NR NR Negatif

11,000

27,500
13,500
33,000
13,500
22,000
27,500
44,000

13,500
13,500
13,500
13,500
13,500

13,500

13,500
13,500

NR NR Negatif
11,000
5,500
13,500
27,500
11,000
NR NR Negatif 9,000
27,500

9,000
13,500

27,500
44,000
27,500
33,000
13,500
11,000
13,500
22,000
11,000

27,500
27,500
NR NR Negatif 9,000

NR

NR

NR NR Negatif 9,000
19,000
14,500
11,000
27,500
NR NR Negatif

NR NR Negatif
NR NR Negatif
NR NR Negatif
NR NR Negatif

38,500
15,000

Neg NR NR Negatif 33,500


27,500

19,000
NR NR Negatif 9,000
11,000
27,500
27,500

NR NR NR 11,000
13,500
27,500
27,500
27,500
27,500
13,500
5,500

19,000
27,500
22,000
11,000
27,500
27,500

NR NR

11,000

11,000
11,000
11,000
11,000
11,000

44,000

33,000
13,500
27,500
NR NR Negatif

14,500
27,500
44,000
9,000
27,500
15,000

11,000
28,000

NR

9,000
NR NR Negatif 9,000
11,000
27,500
11,500
NR NR Negatif 9,000
NR NR Negatif
NR NR Negatif
NR NR Positif

27,500
13,500
13,500

41,000
13,500
11,000
27,500
22,000
11,000
27,500
27,500

22,000
27,500
27,500
27,500
27,500
27,500

13,500
NR NR Negatif 9,000
27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000

NR NR Negatif 28,000
NR NR Negatif

11,000
11,000

0 0 0 0 143
0 0 0 0 0
0 0 0 0 0
1 0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 0
5 2 1
43 41 42
Ask/ Kontrol Hematologi
Jamsostek/K Program
IS/BPJS Hb Leuko Ht Trombo Cho HDL LDL TG

976138143
1872033412
1089736457

1479559364
57530485
512324414
1968795437
52478739
514380429
52724147
52639817
1280208903
1089775934
513035818
57924933
1014597522
418164366
52494838

1425156096
53758732
1809426969
203642166
514337488
1809425946
52658897
1523218915
1014565342
52533281
2089541463
1855320737
1961427576
52734936
52734317
513335237
1802896648
1263053349
Program
513356196
52766118

1800555737

53583478
BJPS
57502113

Program
Program
1885763801
1903791813
52892728
BJPS

57913299

56746394
513118427

52768012
2206854392
512390013
2520426172

513536196

1832690621
1520242582
1815178948

1431287842
205266159
2085797024
52656851
55705408

2032336888

511684029
1014567333
2062960839
56706568
1521978838
55912386
512413007
1014575837

513997661
1669429748
BJPS
BPJS

195895833

513207988

Poned

2398703567

52529826
1014567412
52847695
52667717
1426828241
21138107
513018933
513099099
171607173
52845669
512974067
1317980035
Program
512637401
52642473

1014563417
514146587
52510533

514080393

132012596
1383953747
513064269
1422316394
513046214
52621997
2177130273
1806637781
2085797125
52816825
57296867
1669969326
1965811781
Program
1669950595
Program
Askes
53962841
2398709395

51324071
2428506101
513245799
513246014
62180234
1014565803
1801451902
58629194

Program
52646409
2393294714
52658954
514512617
513860837
52735408
1384222803
Program
Program
Program
Program
2080858689

1426828241
1669958537
1669953971
512755119
514330323
2455793177
208679692
513552508

Gratis
52533281

51355208
2465316753
52626475
1840855127

1014563417
1669950595
1809963549
513231401
2495544658
206628333
52534989
Program
2393283429
52630345
1515158763
BPJS
512566727
52628883

1732109297
512696386
513902259

1669971137
52879847
2398711959

BPJS
2395577878
57806908

1436133903
2202152027
411752259
1820163723
1298503326
513896049
52525855
1425156096
1822586681
2177129845
1669959358
52625373

52624293
1669953971
1180077186
2443839592

57502113
Program
514260584

Program
Program
Program
BPJS

2431417533
52656884
1980147431
52673692
2230090986
1078310823
52756907
2085797125
1841497874
1841498346
52659437

BPJS

1.3172E+10
512958633
1261298777
612932274
513748078

512630673
BJPS
52741776
53817625

2398721073
514381127
Kontrol Kimia
AU GPT GOT Urea Creat
N P N P N P N P N P
T3:304anggal
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN AGUSTUS 2017

No. Usia
No. Hb
Tanggal Reg Nama Alamat HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
Urut (manual)
Lab L P
1-Aug 2717 1 Nur Suci 8 3/12 Utama 12.8 4,900 35 81,000
1-Aug 2718 2 Zaenab 24 2/13 Utama
1-Aug 2719 3 Rosita 32 3/4 MA
1-Aug 2720 4 Angga 24 2/16 Baros
1-Aug 2721 5 Dedi 49 Cibodas
1-Aug 2722 6 Fitri Aprilianti 7 5/16 Utama 10.6 4,400 31 260,000
1-Aug 2723 7 Sri Diana 22 4/14 Utama
1-Aug 2724 8 Atang Sukarja 74 7/2 Saradan
1-Aug 2725 9 Diah Widiawati 62 2/1 Utama
1-Aug 2726 10 Komara 67 H. Haris
1-Aug 2727 11 Fatimah 19 1/11 Utama
1-Aug 2728 12 Quinza Nurfitri 8 Kp Saapan 11.9 7,200 34 339,000
2-Aug 2729 13 Nailul Faizah 24 3/12 Paskal
2-Aug 2730 14 Aisyah 26 2/2 MA
2-Aug 2731 15 Sudarwati 62 2/16 Baros
2-Aug 2732 16 Endang 66 2/16 Baros
2-Aug 2733 17 Redi 15 Utama 14.9 4,000 42 48,000
2-Aug 2734 18 Maria Oktaviana 23 Jl. Baros 5.7 13,400 22 459,000
2-Aug 2735 19 Riko Mustika Bintang 1 4/20 Baros 11.1 11,800 32 326,000
2-Aug 2736 20 Eti 29 4/4 Utama
2-Aug 2737 21 Popon Jubaedah 58 Leuwigajah
2-Aug 2738 22 Wiwin 40 3/9 Cimahi 13.4 9,400 41 311,000
2-Aug 2739 23 Suheryani 58 4/10 Baros
2-Aug 2740 24 Dewi Angraeni 25 5/11 Utama 14.3
2-Aug 2741 25 Resya Octaviani 23 4/15 Pdlrng 14.2
2-Aug 2742 26 Elis Sriningsih 41 1/11 Utama 8.1 2,900 28 300,000
2-Aug 2743 27 Wijoyo Febri A 32 5/3 Utama 16.6 7,900 48 202,000
3-Aug 2744 28 Dadan Juanda 49 4/13 Cigugur
3-Aug 2745 29 Raisa 2.3 1/9 Baros 10 6,700 30 282,000
3-Aug 2746 30 Tita Puspitawati 24 3/12 Utama 12.5 10,400 38 296,000
5-Aug 2747 31 Hilman Ahmad 13 5/5 LG 12.6 15,600 36 488,000
5-Aug 2748 32 Iwan 4 5/4 Utama 11.5 7,700 33 536,000
5-Aug 2749 33 Tamia Nur Aliyah 13 Hujung 14.8 12,500 42 382,000
5-Aug 2750 34 Tania Putri 19 3/1 LG 12.9 12,200 37 312,000
5-Aug 2751 35 Jzisca Chaenesya 7 5/16 Utama 13.7 5,900 38 195,000
5-Aug 2752 36 Dewi Angraeni 43 7/10 Lagadar
5-Aug 2753 37 Ramlan 61 8/11 Utama
5-Aug 2754 38 Saryati 47 5/16 Utama
5-Aug 2755 39 Halimah 64 Cibeber
5-Aug 2756 40 Omah 68 2/11 Baros
5-Aug 2757 41 Emi Maryami 57 1/19 Lagadar
5-Aug 2758 42 D. Cholidah Ismawati 53 4/5 STMNH
5-Aug 2759 43 Ihsan Nur Kalam 3 2/6 Utama 13.9 20,100 38 441,000
5-Aug 2760 44 Tarsah 64 1/19 Baros
5-Aug 2761 45 Moch Rizky Hilmansyah 6 MargaAsih 13.1 10,400 35 256,000
5-Aug 2762 46 Sunarsih 62 6/10 Baros 12.6 6,600 39 340,000
5-Aug 2763 47 Desi R 24 Buah Batu 11 11,700 33 400,000
5-Aug 2764 48 Asep Ali 54 PKM Cimsel
6-Aug 2765 49 Kayfa Azfar 2 4/13 Baros 9.3 10,600 31 408,000
6-Aug 2766 50 Rara Chandra 14 3/4 Utama 12.9 8,700 39 349,000
6-Aug 2767 51 Dede Nuryati 59 Baros
6-Aug 2768 52 Sriwati 56 1/16 Utama
6-Aug 2769 53 Siti Sulasmi 57 1/1 LG
6-Aug 2770 54 Liha Arifa 19 3/7 Gn Batu 12.2 5,100 36 329,000
6-Aug 2771 55 Ujang Wahyudin 19 Darursurur 15.1 9,000 42 296,000
6-Aug 2772 56 Siti Rokayah 45 2/16 Cikuya
6-Aug 2773 57 Rizki Fatturahman 15 1/16 PCM 15.5 8,200 44 188,000
7-Aug 2774 58 Prahara Afriadi 31 Utama
7-Aug 2775 59 Yasmin 5 Utama 12.8 2,700 37 132,000
7-Aug 2776 60 Enok Jubaedah 64 4/6 Utama
7-Aug 2777 61 Oon Rohanah 58 4/4 LG
8-Aug 2778 62 Dyah Nurhayati 34 Apartement
8-Aug 2779 63 Ropi Lisnawati 31 5/1 Utama
8-Aug 2780 64 Gilang Irfansyah 24 1/9 LG
8-Aug 2781 65 Sendrafik 6 3/12 Baros 10.3 10,000 28 307,000
8-Aug 2782 66 Dede Kartini 61 8/1 Cimindi
8-Aug 2783 67 Rizki Raditya Pratama 4.1 4/5 Utama 11.2 4,300 31 156,000
8-Aug 2784 68 Maya Restuna Hestika 19 6/12 Utama
8-Aug 2785 69 dr. Dewi Irawati 42 PKM Cimsel 13 2,800 37 314,000
9-Aug 2786 70 Cecep Darmadi 65 2/6 H. Bakar
9-Aug 2787 71 Meysha Herlina 10 5/16 Utama 9.4 4,800 27 112,000
9-Aug 2788 72 Ati Supiati 59 4/12 Utama
9-Aug 2789 73 Kokom 52 2/11 Utama
9-Aug 2790 74 Ade Ramlan 60 2/8 Utama
9-Aug 2791 75 Sarni 70 Kihapit
9-Aug 2792 76 Entin 41 Utama
9-Aug 2793 77 Siti Kartika 24 1/13 Utama
9-Aug 2794 78 Marina 37 7/8 Stmnh 12
9-Aug 2795 79 Keysa 4.2 2/12 Utama 11.4 4,600 32 217,000
9-Aug 2796 80 Meli 24 2/11 Utama
9-Aug 2797 81 Fatmawati 26 8/10 Baros
9-Aug 2798 82 Lilis 26 3/12 Utama 11.5
9-Aug 2799 83 Edi Gunawan 45 3/4 Utama
9-Aug 2800 84 Radit Bima 12 3/4 Utama 15.1 8,600 42 292,000
9-Aug 2801 85 Adima Yusuf 9 1/15 Utama 13.7 10,500 39 472,000
9-Aug 2802 86 Alpia Sabila 9 4/12 Baros 11.1 6,500 33 310,000
9-Aug 2803 87 Lina 30 2/1 Utama 12
9-Aug 2804 88 Ratna Sari 27 2/11 Utama 11.3
9-Aug 2805 89 Iming Sugimin 69 5/16 Utama
9-Aug 2806 90 Sono Suprijono 72 5/16 Utama
9-Aug 2807 91 Jojoh Juariah 64 2/8 Utama
9-Aug 2808 92 Masiroh 41 3/13 Utama
10-Aug 2809 93 Yanto 58 Cibogo
10-Aug 2810 94 Yati 56 2/5 Cibeber 11.8 5,400 36 194,000
10-Aug 2811 95 Kusmiati 30 5/8 LG 15.2 7,300 44 255,000
10-Aug 2812 96 Sinta Heryanti 19 4/11 Utama 11.9 11,100 37 405,000
12-Aug 2813 97 Juariah 64 3/12 Utama
12-Aug 2814 98 Enni Rochaeni 61 3/8 Utama
12-Aug 2815 99 Rohiyat 68 5/12 Utama
12-Aug 2816 100 Stepen Oktori 19 10/20 LG
12-Aug 2817 101 Rosmayati 71 5/7 Utama
12-Aug 2818 102 Sumarti 69 1/21 Baros
12-Aug 2819 103 Dede Hermawati 58 4/9 Utama
12-Aug 2820 104 Edi Sopandi 56 4/9 Utama
12-Aug 2821 105 Atikah 75 Jl. Sukimun
12-Aug 2822 106 Neng Wida 41 4/12 Utama
12-Aug 2823 107 Euis R 48 MargaAsih
12-Aug 2824 108 Puji W 42 9/7 Utama
12-Aug 2825 109 Walid Nabil 20 9/5 Utama 14.5 13,000 45 393,000
12-Aug 2826 110 Raffa 10 3/6 Utama 14.7 7,500 41 395,000
12-Aug 2827 111 Imas Suryati 57 2/12 Utama 14.6 8,400 41 250,000
12-Aug 2828 112 Rukmaya 66 Lemsa
12-Aug 2829 113 Lintang Ambarita 66 MargaAsih
12-Aug 2830 114 Afika Naila 7 3/10 Utama 13.4 6,900 38 275,000
12-Aug 2831 115 Manisem 52 1/14 Utama
12-Aug 2832 116 Nunung S 47 5/18 Utama
13-Aug 2833 117 Nana Subarna 61 Lemsa
13-Aug 2834 118 Atikah 63 Melong
13-Aug 2835 119 Tini Hartini 57 Lemsa
13-Aug 2836 120 Muhamad Muhtar 32 3/7 Baros
13-Aug 2837 121 Davindra Athariz P.I 1.9 5/3 LG 12.5 16,400 36 273,000
13-Aug 2838 122 Muhammad Ali 66 10/5 Utama 12.7 10,200 38 295,000
13-Aug 2839 123 Siti Nur Yasmin 23 4/10 Utama
13-Aug 2840 124 Nuke Endang Broto joyo 68 6/8 Cibeber
13-Aug 2841 125 Dodo Sukando 70 4/12 Nnjung
13-Aug 2842 126 Noviani 14 2/7 Baros 14.4 8,800 40 352,000
13-Aug 2843 127 Bram Surya 15 1/2 Utama 16.8 8,800 48 321,000
13-Aug 2844 128 Eleftherios Matteo D.L 1.6 2/12 Cibeber 11.3 7,500 34 377,000
13-Aug 2845 129 Irah 65 2/14 Utama
14-Aug 2846 130 Pujiani 21 4/20 LG 13.9 8,500 41 254,000
14-Aug 2847 131 Moster S Simanjuntak 61 Cibogo
14-Aug 2848 132 Milyani Purmania 52 2/7 Baros
14-Aug 2849 133 Neneng R 43 1/11 Cibeber
14-Aug 2850 134 Ramses 42 Cilame
14-Aug 2851 135 Yayah 69 1/10 Utama
14-Aug 2852 136 Ridwan 9 5/2 Utama 13.4 7,000 36 195,000
14-Aug 2853 137 Amelia 26 2/1 Lagadar 11.1
14-Aug 2854 138 Sri Yuli Purnomowati 50 1/2 Utama
14-Aug 2855 139 Ukar Sutaryat 65 1/3 LG
14-Aug 2856 140 Juangsih 50 2/12 Utama
14-Aug 2857 141 Titi Istiani 48 2/20 Baros
14-Aug 2858 142 Yasmin 1.8 2/6 Utama 11.7 25,800 31 440,000
14-Aug 2859 143 Al Hasbi 0.6 5/12 Nnjung 11.7 14,900 33 416,000
14-Aug 2860 144 Wiyati 65 Hujung
14-Aug 2861 145 Muhammad A 38 Jl. Budhi
15-Aug 2862 146 Asep Sopiana 53 Cibeber 16.5 7,500 47 195,000
15-Aug 2863 147 Betty Malau 58 12/9 Kihapit
15-Aug 2864 148 Ani Rohani Rilawati 64 Kihapit
15-Aug 2865 149 I Gusti Ketut Kali 73 5/15 LG
15-Aug 2866 150 Titin Supriatin 42 5/4 Cigugur
15-Aug 2867 151 Sari Sartikah 26 3/2 Utama 13 7,500 37 203,000
15-Aug 2868 152 Satria Jaka 5 3/12 Utama 11.9 4,900 33 100,000
15-Aug 2869 153 Sakilah 51 2/20 Baros 11.7 9,500 35 432,000
15-Aug 2870 154 Dina Arista 25 Leuwigajah 13.8 6,600 40 328,000
15-Aug 2871 155 Rochman Efendi 61 5/12 LG
15-Aug 2872 156 Apok 63 3/12 Utama
15-Aug 2873 157 Novi N 29 Lemsa
15-Aug 2874 158 Reza Nurkamilah 23 Leuwigajah
16-Aug 2875 159 Sukarni 20 4/13x Utama
16-Aug 2876 160 Eti R 48 7/5 Utama
16-Aug 2877 161 Siti Zahra 33 3/7 Baros 9.4
16-Aug 2878 162 Dzakira Aftani 5 3/10 Lagadar 13.3 8,600 38 280,000
16-Aug 2879 163 Asyifa 0.9 4/5 LG 9.1 12,700 27 384,000
16-Aug 2880 164 Amelia 1.5 3/3 Baros 10.2 20,900 29 395,000
16-Aug 2881 165 Heni 60 Lemsa
16-Aug 2882 166 Randi Firmansyah 12 6/10 Utama 14.5 26,600 41 253,000
19-Aug 2883 167 Yanto Sudaryanto 58 Cibogo
19-Aug 2884 168 Lia Nurlela 38 2/15 Utama
19-Aug 2885 169 Henny Lesmawati 54 Leuwigajah
19-Aug 2886 170 Reza Jaelani 9 7/12 Utama 10.1 4,200 29 182,000
19-Aug 2887 171 Zahrah Putra 11 jl. Stasion 13.5 24,500 38 310,000
19-Aug 2888 172 Wulan Tri Andini 15 Utama 13.3 8,600 38 280,000
19-Aug 2889 173 Dewi Ismawati 24 Ujung Kulon 12.1 6,100 36 268,000
19-Aug 2890 174 Sumiati 62 4/2 Utama
19-Aug 2891 175 Nani 55 4/9 LG
19-Aug 2892 176 Ai Wilan 34 Cibeber
19-Aug 2893 177 Elmi Yuniyati 25 Cibabat
19-Aug 2894 178 Tuti 39 2/5 Baros 12.6 6,800 37 121,000
19-Aug 2895 179 Dan R 30 5/2 Utama 16.3 8,900 46 242,000
19-Aug 2896 180 Dina Sharah Hanifah 42 LG Permai 14.8 8,600 43 251,000
19-Aug 2897 181 Siti Rostini 24 4/2 Utama 12.9 7,100 38 282,000
19-Aug 2898 182 Al Qomah 43 3/3 Utama
19-Aug 2899 183 M Arya Sedemadda 13 1/9 Utama 13.4 4,500 43 356,000
19-Aug 2900 184 Heni 60 1/16 Utama
19-Aug 2901 185 Uceh 72 5/11 Utama
19-Aug 2902 186 Rochiyah 57 5/12 LG
19-Aug 2903 187 Adi Kurnia 36 2/7 LG 15.9 14,700 44 281,000
20-Aug 2904 188 Juariah 49 3/12 Utama
20-Aug 2905 189 Rimpi Hotimah 42 4/20 Baros
20-Aug 2906 190 Pipih Sopia Kulsum 32 Pilar Mas
20-Aug 2907 191 Kuswati 47 7/5 Utama
20-Aug 2908 192 Ian Heryana 49 6/12 Utama
20-Aug 2909 193 Mujiono 50 5/16 Utama
20-Aug 2910 194 Salsabila 0.9 1/15 Utama 10.2 19,000 30 380,000
20-Aug 2911 195 Enah 52 1/10 Utama
20-Aug 2912 196 Aqila Putri 0.9 4/10 Cigugur 9.1 19,700 29 463,000
20-Aug 2913 197 Wawan Winata 52 2/12 Utama 16.3 11,300 46 223,000
20-Aug 2914 198 Yasin 0.9 5/6 LG 12 7,500 35 286,000
20-Aug 2915 199 Komariah 53 5/16 Utama
20-Aug 2916 200 Ridwan 63 5/16 Baros
20-Aug 2917 201 Raja Zaky 11 3/12 Utama 12.9 7,300 37 335,000
20-Aug 2918 202 Nani Nuraeni 58 Cigugur 15.9 12,000 46 278,000
20-Aug 2919 203 Suhartini 59 2/15 Utama
21-Aug 2920 204 Enok Nurhayati 62 Kihapit
21-Aug 2921 205 Tati Sumiati 62 Cibodas
21-Aug 2922 206 Reni 26 3/9 Pdsuka
21-Aug 2923 207 Sugiman 62 9/7 LG
21-Aug 2924 208 Tami Nurhidayati 18 Kp Jati 6.4
21-Aug 2925 209 Neng Siti 28 2/12 Utama
21-Aug 2926 210 Rospita 31 2/6 Utama
21-Aug 2927 211 T. Suryati 68 6/10 Cigugur
21-Aug 2928 212 Ratna Wulan Sari 26 2/3 LG
21-Aug 2929 213 Salwa 0.5 3/16 Baros 9.5 7,600 30 465,000
21-Aug 2930 214 Mintarsih 49 Jl, Gajah 14.1 10,800 40 311,000
21-Aug 2931 215 Dede Safitri 39 2/9 Baros
21-Aug 2932 216 Dwi Tri 37 4/13 Utama
21-Aug 2933 217 Jihan Nur 17 5/16 Baros 16.5 3,700 47 82,000
21-Aug 2934 218 Megawati 23 1/2 Nanjung
21-Aug 2935 219 Rani R 28 PKM Cimsel 1 2 3 4
21-Aug 2936 220 Aliya Sri Mulyani 28 PKM Cimsel 1 2 3 4
21-Aug 2937 221 Jenni Pangestuti 25 PKM Cimsel 1 2 3 4
21-Aug 2938 222 Rossi Rahmawati 25 PKM Cimsel 1 2 3 4
21-Aug 2939 223 Adhena Yulianie F 25 PKM Cimsel 1 2 3 4
21-Aug 2940 224 Fitra yuningsih 27 PKM Cimsel 1 2 3 4
21-Aug 2941 225 Fianolly Putri R 22 PKM Cimsel 1 2 3 4
21-Aug 2942 226 Auliya Kamila 22 PKM Cimsel 1 2 3 4
21-Aug 2943 227 Agni Kania 31 PKM Cimsel 1 2 3 4
21-Aug 2944 228 Riko Aldi 24 1 2 3 4
21-Aug 2945 229 Agus Sidik Permana 25 1 2 3 4
21-Aug 2946 230 Abe (1) 30 Srikandi
21-Aug 2947 231 Ace 31 Srikandi
21-Aug 2948 232 Ade 32 Srikandi
21-Aug 2949 233 Afe 33 Srikandi
21-Aug 2950 234 Age 34 Srikandi
21-Aug 2951 235 Ahe 35 Srikandi
22-Aug 2952 236 Yayan 59 3/6 Baros
22-Aug 2953 237 Sri Widanengsih 47 3/6 Utama
22-Aug 2954 238 Sumarni 45 1/17 LwDlng
22-Aug 2955 239 Heni Wulan 16 2/13 Utama 11.6 5,700 35 325,000
22-Aug 2956 240 Dias 0.8 3/6 Utama 11.3 13,300 33 399,000
22-Aug 2957 241 Annisa 25 2/6 Pojok 13.3 7,800 39 309,000
22-Aug 2958 242 Nadila 19 Utama 12.2 5,300 35 262,000
22-Aug 2959 243 Mikaila 2.4 2/7 Baros 11.7 16,600 33 333,000
22-Aug 2960 244 Amelia 0.9 5/11 Utama 9.9 20,000 29 884,000
22-Aug 2961 245 Noval 36 H. Haris 16 4,900 45 189,000
22-Aug 2962 246 M Arya Sedemadda 13 1/9 Utama 11.7 5,200 37 252,000
22-Aug 2963 247 Maxie Palit 80 3/4 Utama
22-Aug 2964 248 Aan Sopandi 65 4/5 Utama
22-Aug 2965 249 Maria Sara Herawa 63 5/5 Utama
22-Aug 2966 250 Amas Rohana 69 3/7 Utama
22-Aug 2967 251 Mamah 73 4/6 Utama
22-Aug 2968 252 Winarsih 77 2/12 Utama
22-Aug 2969 253 Supriatna 62 Nanjung
22-Aug 2970 254 Lusyana 34 Padasuka
22-Aug 2971 255 Fransisca Sritati J 64 Utama
23-Aug 2972 256 Sudaryat 58 4/18 Citaman
23-Aug 2973 257 Azka 0.4 5/9 Utama 11 13,600 31 39,500
23-Aug 2974 258 Lia Yuliani 49 4/2 LG 13.5 6,100 38 164,000
23-Aug 2975 259 Audi Arta 14 4/7 Utama 13 5,700 36 326,000
23-Aug 2976 260 Nina Yulianti 30 2/12 Utama 10
23-Aug 2977 261 Suci Ayu 20 1/10 Cigugur 11.6
23-Aug 2978 262 Indah 26 4/2 Utama 13.2
23-Aug 2979 263 Rika Rahmawati 26 7/5 Utama 13.3
24-Aug 2980 264 Dadang 55 6/10 Utama 13.2 6,400 38 160,000
24-Aug 2981 265 Leri 4 3-Jun 13 7,000 37 340,000
24-Aug 2982 266 Tiurlan 53 PKM Cimsel 1 2 3 4
24-Aug 2983 267 Rahmawati 43 PKM Cimsel 1 2 3 4
24-Aug 2984 268 Azizah Widiarni Putri 28 PKM Cimsel 1 2 3 4
24-Aug 2985 269 Sri Yanti Agustini 40 PKM Cimsel 1 2 3 4
26-Aug 2986 270 Sono Suprijono 72 5/16 Utama
26-Aug 2987 271 Neneng Anisah 51 2/12 Utama
26-Aug 2988 272 Mirza 7 1/6 Utama 12.1 7,300 35 315,000
26-Aug 2989 273 Yaya Djayadi 46 3/3 Utama
26-Aug 2990 274 Herman Tanu 57 7/2 LG
26-Aug 2991 275 Dedeh Kurniasih 52 MargaAsih
26-Aug 2992 276 Euis Sumarni 64 4/18 LG
26-Aug 2993 277 Sri Haryanti S.Sos 62 Pilar Mas
26-Aug 2994 278 Asep Sudrajat 57 5/5 Utama
26-Aug 2995 279 Sayati 72 MargaAsih
26-Aug 2996 280 Siti 36 4/15 Utama 9.9 5,200 32 275,000
26-Aug 2997 281 Ijah 78 6/12 Utama
26-Aug 2998 282 Ayat Supriati 47 1/15 Cikupa
26-Aug 2999 283 Indah Haryati 58 7/5 Cibogo
26-Aug 3000 284 Darwanto 38 5/16 Utama
27-Aug 3001 285 Yunani 25 2/5 Utama 11.6 8,000 33 381,000
27-Aug 3002 286 Wildan Erawan 34 5/10 Baros
27-Aug 3003 287 Ahmad Isman 31 1/3 Utama
27-Aug 3004 288 Suparman 50 Dimensi 7.7 7,100 24 248,000
27-Aug 3005 289 Lugina Ayu P 22 2/9 Utama
27-Aug 3006 290 Resta 40 6/11 Nanjung
27-Aug 3007 291 Diyah Widyawati 25 3/16 Utama
28-Aug 3008 292 Cantika 1.2 1/7 LG 9.7 16,400 30 315,000
28-Aug 3009 293 Ida Saidah 31 2/2 Utama 10.4
28-Aug 3010 294 Dita Sri 31 4/7 Utama 11.5
28-Aug 3011 295 Siti A 35 3/6 LG 11.7
28-Aug 3012 296 Neneng R 38 5/1 Utama
28-Aug 3013 297 Ikah Sartikah 56 Baros
28-Aug 3014 298 Wati 67 2/10 Baros
28-Aug 3015 299 Ema Mulyani 32 3/6 Utama
28-Aug 3016 300 Suheryani 59 4/10 Baros
28-Aug 3017 301 Mamah 73 2/9 Utama
28-Aug 3018 302 Lusyana 34 Padasuka
29-Aug 3019 303 Endah 11 1/11 Utama 14.8 8,600 41 293,000
29-Aug 3020 304 Rahma Nur 5 4/16 Utama 11 18,700 31 209,000
29-Aug 3021 305 Siti Djumriah 57 Melong
29-Aug 3022 306 Amar Firmansyah 24 8/8 Cibeber 13.6 8,900 39 275,000
29-Aug 3023 307 Dwi Andhikyaksa 13 3/3 Utama 13 16,000 38 355,000
29-Aug 3024 308 Tati Setiati 63 1/16 Utama
29-Aug 3025 309 Heni 60 1/16 Utama
29-Aug 3026 310 Nathania 2.1 1/6 Utama 11.6 11,900 33 284,000
29-Aug 3027 311 Satiman 78 Suaka Indah
29-Aug 3028 312 Kris Subarkah 56 5/2 Jati
30-Aug 3029 313 Reza Putra Nugraha 5 4/2 Utama 10.8 19,800 31 488,000
30-Aug 3030 314 Siti Rodiah 38 6/12 Utama
30-Aug 3031 315 Siti Juariah 54 8/7 Padasuka 14.2 9,800 42 270,000
30-Aug 3032 316 Ucu Nengsih 39 10/5 Utama 14.4
31-Aug 3033 317 Sandi 16 3/12 Utama 16.1 12,100 46 268,000

Jumlah Total Laki2 101 0 46 46 46 46


Jumlah Total Perempuan 216 17 73 73 73 73
Laki2 Umum 44 25 25 25 25 0 0 0
Perempuan Umum 96 14 33 33 33 33 0 0 0
Laki2 PBI 46 19 19 19 19 0 0 0
Perempuan PBI 96 3 27 27 27 27 0 0 0
Laki laki Program 11 2 2 2 2
Perempuan Program 24 13 13 13 13
TB Diagnosa 0 0
FU 0 0
Gex 0 0
MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT GOT Urea Krea

89

102

95 240 5.7
181 7.1
317

O+
B+

91

112
O+
A+

88 184 5.5
130 355
88
5.8
166
171
133
121 4.7
329

192

100 159 143 4.4

272

224
283
283

100

92 234
177

129
85 3.9

95 213 66 5 16 12
100

156 8.4
132 135 6
111
124

O+

B+
137

115
95
108

126

134 128
211 273 4.1
155
105
108
90 162
98
5.9
86
100
85

308 264 58
96
151

90

181
129 236
177 36 4.3

6.7
83

166 60 4.7
94

87 115
147 174 6.1

B+
88
212
234
100

121 167 4.3


91 192 138

191 5.9
81 7.7
12.2
209 70 4.6

101
171

123
328

348

129 180

86
246 181
154 3.8
O+
347 124

94

250
86
6.7

79
96
94 181 5.5
172
118
310 139

133

208 7.6
99

355
126
145
85
166

A+
102

269

5 6 7 8
5 6 7 8
5 6 7 8
5 6 7 8
5 6 7 8
5 6 7 8
5 6 7 8
5 6 7 8
5 6 7 8
5 6 7 8
5 6 7 8

273
100
115
6.7
84
95
237
112
117 6.2
326
202 254

147 8.8

O+

113
O+

140 7.2
5.4

127
O+
197 3.3
307 230 4.7
90
282 153
123

101
177
98
486

85

O+
98 150 6.8
88 140 5.3

O+
A+

95 163
206

109 186 5.4


131 7.1
364 254

88 305 167 5

105 227 228 75 5.2


302
84 162 5.7
234 64 5.2

86

0 8 28 2 15 0 0 5 12 0 0 0 0
0 29 60 4 40 0 0 17 39 2 2 0
0 2 0 0 3 8 1 6 0 0 1 2 0 0 0 0
0 4 0 0 16 13 0 10 0 0 0 7 0 0 0
0 0 0 0 5 18 1 7 0 0 2 8 0 0 0 0
0 3 0 0 13 38 4 21 0 0 8 23 1 1 0
2 2 2 2
6 9 9 9 9 1 1
Krea Widal Urin Rutin Prot Sedimen PP test Fe ses Gram KOH

DGNE/I+/+ C

DGNE/I +/+

Neg

Neg

Neg

Neg
DGNE/I+/+

KK+/-/-/1015/5/L3
Neg
KJ-/-/-/1010/6,5 L1/2E0/1Ep4/6

Neg
Pos
KJ-/-/-/10105/8 L0/1E0/1Ep0/2

KJ-/-/-/1010/5 L2/5E2/3EpBb+

Neg
KJ-/-/-/1010/6,5 L2/4E2/5Ep10/1

KJ-/-/-/1005/7 L01/2E0/1Ep0/1
KK+/-/-/1015/5/N
Neg
KK2+/2+/-/1020/5 LBEBEpBGC+
Neg
Pos

0
0 0 0 0 0 0 2 0
0 0 5 1 4 7 0 1 0
0 0 0 0 0 0 0 0
0 0 3 0 2 3 0 0 0
Ask/ Kontrol Hematologi Kontrol Kimia
Tricho HIV Sifilis HbsAg Mantoux Umum Jamsostek/KIS/ Program AU GPT
BPJS Hb Leuko HtTromboCho HDL LDL TG
N P N P
27,500
11,000
11,000
NR NR 11,000
11,000
2398703512
514336239
52628883
52818704
52776134
51298041
BPJS
NR NR Negatif Program
15,000
13,500
13,500
27,500
27,500
248297962
512365825
167975829
1984224352
1523251585
NR NR Negatif 514342034
NR NR Negatif 1660091466
2197837405
NR NR Negatif BPJS
1152348175
27,500
27,500
27,500
27,500
27,500
27,500
27,500
11,000
22,000
11,000
57227411
52773085
1437791837
512962953
1891570746
1092974973
1437527654
BPJS
BPJS
BPJS
27,500
27,500
11,000
11,000
11,000
27,500
27,500
2046822772
2521404246
NR NR 11,000
27,500
52618612
52534989
19,000
15,000
11,000
27,500
1875813658
2177130813
NR Program
BPJS
52505831
513231401
2398694117
513221016
2062960839
52621997
28,000
NR NR Negatif Program
NR NR Negatif 9,000
27,500
15,000
15,000
NR NR Negatif 9,000
11,000
27,500
27,500
27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
2398703501
52864593
513207988
NR Program
11,000
27,500
195895833
BPJS
2085797125
1669971442
1014567412
NR NR Negatif Program
52706845
159387502
1316144621
1316143754
52753173
11,000
11,000
11,000
27,500
27,500
52531457
1322232007
53989828
1839153328
1404398812
512616429
1467666551
513356196
512595731
NR Program
2393294714
374861586
28,000
52922935
11,000
27,500
27,500
2309667805
NR Program
52628995
208491153
1849621882
15,000
22,000
52844556
1669970002
NR NR Negatif 9,000
1261025998
52741776
1965811781
11,000
27,500
27,500
35,000
35,000
27,500
24,000
52525855
52662824
2759879068
513719741
245579177
1897315086
1813845025
167405016
BPJS
NR Program
28,000
11,000
11,000
NR NR Negatif 9,000
27,500
27,500
27,500
BPJS
513246789
22,000
28,000
11,000
27,500
27,500
27,500
27,500
22,000
33,000
13,500
Negatif Program
1659139108
BPJS
727848753
1283908983
513012216
512374217
513052301
1669958537
52877013
27,500
513240219
513704485
211462659
513737212
1515621317
22,000
27,500
11,000
27,500
27,500
27,500
514363408
BPJS
2443839748
52544785
512755119
11,000
11,000
11,000
11,000
9,000
15,000
13,500
52734317
NR NR Negatif Program
2746224652
52684435
511155865
NR NR Negatif Program
1180077208
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR R Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
NR NR Program
11,000
11,000
11,000
27,500
27,500
27,500
27,500
27,500
27,500
27,500
512374217
2461376766
1785524591
KIS
1669953971
1669959358
512876316
BPJS
2884052856
1270642825
33,000
27,500
27,500
27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 20,000
NR NR Negatif 512570766
27,500
27,500
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
NR NR Negatif Program
52864593
2520426172
1324540596
2393283429
13,500
33,000
44,000
55184398
513118359
53408687
27,500
11,000
11,000
11,000
11,000
2250418318
NR Program
11,000
27,500
13,500
44,000
44,000
27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
5,500
22,000
511793763
NR NR Negatif Program
1523251585
513860837
2884052856
27,500
27,500
BPJS
1014589888
513315022
Negatif 1478473288
513052301
2219492755
BPJS
2455563205
27,500
11,000
52482126
NR NR Negatif 24,000
513185027

140

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
14 12 4
39 35 37
Kontrol Kimia T3:304anggal
GOT Urea Creat
N P N P N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN SEPTEMBER 2017

No. Usia
No.
Tanggal Reg Nama Alamat Hb (manual) HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
Urut
Lab L P
2-Sep 3034 1 Emay Juangsih 53 Cigugur
2-Sep 3035 2 Tiana Rahmawati 13 Lemsa 11.1 12,400 35 291,000
2-Sep 3036 3 Putri Sekar Wulan 26 4/14 LG 11.7 18,300 35 291,000
2-Sep 3037 4 Meysa Humaira 6 4/12 Utama 13 6,500 39 244,000
2-Sep 3038 5 M. Abdul Rahman 21 Hujung 13.9 7,600 41 208,000
2-Sep 3039 6 Wasitoh 61 2/15 Utama
2-Sep 3040 7 Maryati 49 1/15 Cikuya
2-Sep 3041 8 Yuyun Ruhiyati 69 5/7 Utama
2-Sep 3042 9 Enah Suhanah 70 2/3 Utama
2-Sep 3043 10 R. Leni Muliawati 58 7/14 LG
2-Sep 3044 11 Ade Juhria 52 2/13 Utama
2-Sep 3045 12 Yani Purwantini 27 5/1 Utama
2-Sep 3046 13 Koniyani 59 2/12 Utama
2-Sep 3047 14 Edi Sopandi 66 4/9 Utama
3-Sep 3048 15 Aulia 1 7/9 LG 10.8 8,200 33 389,000
3-Sep 3049 16 Muh Ramdan 13 6/7 LG 14 8,900 41 293,000
3-Sep 3050 17 Tita Puspitawati 24 3/12 Utama 13.7 28,600 42 291,000
3-Sep 3051 18 Muhammad Maulana 16 Cibodas 15 5,100 42 132,000
3-Sep 3052 19 Kimun Sukamto 59 3/13 Utama
3-Sep 3053 20 Nuryani 47 1/7 Nanjung
3-Sep 3054 21 Tina Agustina 41 9/17 LG
3-Sep 3055 22 Mursiti 43 1/6 Utama
3-Sep 3056 23 Neti 54 2/11 Baros
3-Sep 3057 24 Rahmatiah 69 2/4 Baros
3-Sep 3058 25 Sutisna 67 4/13 Cibeber
3-Sep 3059 26 Tarman 75 3/4 Cibeber
3-Sep 3060 27 Tia Setiawati 58 3/10 Baros
3-Sep 3061 28 Neneng 59 4/5 Lagadar
3-Sep 3062 29 Heni Rohaeni 50 2/12 Baros
3-Sep 3063 30 Rohaeti 64 2/2 LG
3-Sep 3064 31 Chudzaiva 58 4/7 Cibrm
3-Sep 3065 32 Qiara Aprilia Nur A 0.3 5/7 Utama 9 19,100 28 631,000
3-Sep 3066 33 Suherman 58 3/29 Melong
3-Sep 3067 34 Anah 64 4/10 Utama
3-Sep 3068 35 Eti Rohaeti 58 2/12 Utama
4-Sep 3069 36 Ati Mujiati 53 PKM Cimsel 13.9 4,700 43 220,000
4-Sep 3070 37 Enur 31 6/9 Utama
4-Sep 3071 38 Jojoh Juariah 65 2/8 Utama
4-Sep 3072 39 Anda Usen 73 4/11 Baros
4-Sep 3073 40 Sopiah 70 Bbkn Utama
4-Sep 3074 41 Sumarni 55 H. Haris
4-Sep 3075 42 Wariyah 71 1/15 Baros
4-Sep 3076 43 U. Deni Subarudin 43 Hujung
4-Sep 3077 44 Munayah 60 4/5 Utama
4-Sep 3078 45 Nani Aisah 53 1/2 Utama
4-Sep 3079 46 Adang Suherman 75 Kp. Jati
4-Sep 3080 47 Bambang Subijono, IR.MM 72 LG
4-Sep 3081 48 Nani Sumarni 47 3/8 Utama
4-Sep 3082 49 Yuniar Nur Cahyani 8 5/11 Utama 13.1 18,400 37 423,000
4-Sep 3083 50 Adang 60 4/10 Utama
4-Sep 3084 51 Cendra Dewi HN 43 3/3 Utama 13.3 7,100 38 287,000
4-Sep 3085 52 Winda Wati 23 7/12 Utama
4-Sep 3086 53 Ade 21 Sulumput
4-Sep 3087 54 Rifa Afriani 22 8/6 LG 10.7
4-Sep 3088 55 Imas 67 1/4 Baros
4-Sep 3089 56 Anira Rahma Kayla 8 1/30 Cibligo 12.2 13,000 36 373,000
4-Sep 3090 57 Toni Rahman 25 Jl. Karya 15 7,400 44 220,000
4-Sep 3091 58 Sumiati 35 Baros 12.4
4-Sep 3092 59 Ibnu 0.6 4/1 Utama 10.6 4,100 33 164,000
5-Sep 3093 60 Amin 75 5/1 Utama
5-Sep 3094 61 Eli Halimah 45 6/2 LG
5-Sep 3095 62 Sahwa 5 3/10 Utama 12 15,200 33 464,000
5-Sep 3096 63 M. Zain 0.9 3/1 Utama 10.5 13,500 32 417,000
5-Sep 3097 64 Sumarni 46 1/6 Utama
5-Sep 3098 65 Lilis Solihah 46 1/11 Lagadar
5-Sep 3099 66 Elis Rahmawati 33 4/11 Utama
5-Sep 3100 67 Suhartini 54 1/1 LG
5-Sep 3101 68 Sudiah 67 3/1 Baros
5-Sep 3102 69 Dari 69 5/14 Utama
5-Sep 3103 70 Entin Sutinah 67 2/9 Stmnh
5-Sep 3104 71 Ade Ramlan 60 2/8 Utama
5-Sep 3105 72 Nenden Heni Rosyani 51 1/15 LG 13.4 6,000 37 307,000
5-Sep 3106 73 Sylvia Megawati 30 4/13 Cigugur 13.8 5,000 39 302,000
5-Sep 3107 74 Cristianing 53 3/3 Utama
5-Sep 3108 75 Atikah 53 5/16 Utama
5-Sep 3109 76 Djadja 74 3/1 Baros
5-Sep 3110 77 Yanti Suryani 60 2/8 Utama
5-Sep 3111 78 Yayat Karyati 65 4/6 Utama
5-Sep 3112 79 Rimpi Hotimah 42 4/20 Baros
6-Sep 3113 80 M. Soleh 29 4/2 Utama 12.7 3,300 36 177,000
6-Sep 3114 81 Gina 29 2/20 Baros 13.2
6-Sep 3115 82 Ali Ripansyah 12 3/15 Utama 14.4 17,100 42 222,000
6-Sep 3116 83 St. Patimah 24 8/12 Utama
6-Sep 3117 84 Djuhanah 76 4/5 LG
7-Sep 3118 85 Dadan Juanda 49 4/13 Cigugur
7-Sep 3119 86 Solehah 45 2/5 Utama 15.5 6,300 45 339,000
7-Sep 3120 87 Rosyani 47 2/12 Utama 14.8 8,300 44 180,000
7-Sep 3121 88 Riski Maulana 18 Utama
9-Sep 3122 89 Vanesa 5 7/5 Utama 13 5,200 36 158,000
9-Sep 3123 90 Aisyah Nurul 5 3/12 Utama 11.7 12,400 33 370,000
9-Sep 3124 91 Qori Firdaus 8 3/1 LG 12.1 11,600 35 515,000
9-Sep 3125 92 Novi Nur Fauziah 19 3/18 LG 16.7 8,100 45 276,000
9-Sep 3126 93 Nia 47 1/1 Lagadar
9-Sep 3127 94 Teti Siti Maryati 59 3/10 Baros
9-Sep 3128 95 Edeh 47 Baros
9-Sep 3129 96 Asep Hermawan 53 3/5 Utama
9-Sep 3130 97 Rahmi 17 2/4 Baros
9-Sep 3131 98 Pujiati 62 Kerkop
9-Sep 3132 99 Juanda Ondra B 54 4/6 LG
9-Sep 3133 100 Apun Nani 51 1/14 LG
9-Sep 3134 101 Omah 68 H. Haris
9-Sep 3135 102 Dessy Wulani 45 Pilar Mas
9-Sep 3136 103 Yati Jumiati 48 4/10 Utama
9-Sep 3137 104 Cendra Dewi HN 43 3/3 Utama
9-Sep 3138 105 Rohanah 50 7/2 LG 12.5 9,400 36 266,000
9-Sep 3139 106 Saodah 71 6/10 Cibeber
9-Sep 3140 107 Kelim Sudjadi 72 Cibodas
9-Sep 3141 108 Vivi Afia Alfmy 49 1/17 Baros
9-Sep 3142 109 Acep Mahmudin 34 Utama
10-Sep 3143 110 Ahmad Jaelani 28 6/6 LG 16 8,500 44 301,000
10-Sep 3144 111 M Rifki 27 8/7 Utama 11.2 5,100 33 320,000
10-Sep 3145 112 Arshad Halif 2.7 1/13 Cikuya 11.8 9,600 33 368,000
10-Sep 3146 113 Siti Chodijah 53 8/12 Utama
10-Sep 3147 114 Surati 47 1/6 Utama
10-Sep 3148 115 Yati 57 2/5 Cibeber
10-Sep 3149 116 Yeni 43 3/12 Utama
10-Sep 3150 117 Muhamad Basir 59 Pemda I
10-Sep 3151 118 Mari Veronica 54 Kb. Rumput
10-Sep 3152 119 Suryani 52 MA
10-Sep 3153 120 Julaeni 57 2/12 LG
10-Sep 3154 121 Sarni 70 Kihapit
10-Sep 3155 122 Bunga Hanun Hanania 3.9 4/14 Cibeber 12.1 3,500 34 205,000
10-Sep 3156 123 Rizal Subarkah 18 4/10 Utama
10-Sep 3157 124 Hj. Sopiah 70 3/12 LG
10-Sep 3158 125 Dewi Pratiwi 20 1/1 Jelegong
10-Sep 3159 126 Sunan Sangara 0.8 7/6 LG 11.3 13,700 33 243,000
10-Sep 3160 127 Nia 27 PKM Cimsel 12 8,700 37 419,000
11-Sep 3161 128 M. Rapki 3.7 MA 10.3 9,600 31 288,000
11-Sep 3162 129 Neni 36 3/6 Baros 14.9 12,700 45 40,000
11-Sep 3163 130 Lina Yulianti 36 2/9 Nanjung 12
11-Sep 3164 131 Nurul Wahiddatul 24 1/3 Cibeber 12.6
11-Sep 3165 132 Robiatul 17 6/5 Utama 15.2
11-Sep 3166 133 Siti Huamiso 17 2/4 BnSari 12.6
11-Sep 3167 134 Ganda Rahayu 63 6/4 Baros
11-Sep 3168 135 Siska Meirita Syam 38 3/13 Utama
11-Sep 3169 136 Sri Yanti A 40 Margaluyu 9.5 10,700 30 458,000
12-Sep 3170 137 Vanesa 5 5/7 Utama 11.7 5,900 33 127,000
12-Sep 3171 138 Cantika Maza 6 4/2 Cibeber 14.4 20,700 42 371,000
12-Sep 3172 139 Adinda 16 1/5 Cibeber 14.3 8,200 40 222,000
12-Sep 3173 140 Fitri 25 8/16 LG 8.5 6,100 26 372,000
12-Sep 3174 141 Oom 38 4/4 Utama 14.5 7,300 42 208,000
12-Sep 3175 142 Vanesa Elfaradisa 5 1/13 Cikuya 12.3 10,600 34 283,000
12-Sep 3176 143 Ayi Januar 13 2/12 LG 7.3
12-Sep 3177 144 D. Setiawan 54 1/19 Baros
12-Sep 3178 145 Rika Iriani 22 4/2 Utama
12-Sep 3179 146 Dareni 61 2/16 Utama
12-Sep 3180 147 Heni 60 1/16 Utama
12-Sep 3181 148 Moch Hasan Harun 77 5/3 LG
12-Sep 3182 149 Rohiyat 68 5/12 Utama
12-Sep 3183 150 Tyas Ngesti Rahayu 68 10/8 LG
12-Sep 3184 151 Romlah 74 1/2 Lagadar
12-Sep 3185 152 Vicky Cahyagi 35 6/3 Utama
12-Sep 3186 153 Suminah 60 4/20 Baros
12-Sep 3187 154 Ukar Sutaryat 65 1/17 LG
12-Sep 3188 155 Tati Rohati 66 5/12 Utama
12-Sep 3189 156 Fitria Yuningsih 27 3/3 LG
13-Sep 3190 157 Waway 41 4/4 Lagadar
13-Sep 3191 158 Neni N 31 6/5 Utama
13-Sep 3192 159 Nurisna 26 Baros 13 5,800 38 338,000
13-Sep 3193 160 Noneng Hasanah 32 1/10 Baros 13.4 6,400 38 295,000
13-Sep 3194 161 Ghavin Dzikra 10 3/9 Utama 12.8 7,900 37 228,000
13-Sep 3195 162 Venny 19 2/12 Utama 14.2
13-Sep 3196 163 Yuli 24 2/6 Utama 12.2
13-Sep 3197 164 Siti Nur Yasmin 23 4/10 Utama 10.9
13-Sep 3198 165 St. Patimah 24 8/12 Utama
13-Sep 3199 166 Yayah 44 4/10 Baros
13-Sep 3200 167 Aulia Maulida 12 Nanjung 13.2 7,000 38 409,000
13-Sep 3201 168 Iskawati 23 4/5 Pojok
13-Sep 3202 169 Muh. Faizal 18 2/2 Nnjung 17.7 8,000 49 312,000
14-Sep 3203 170 Ati Supiati 65 4/12 Utama 14.3 13,400 42 325,000
14-Sep 3204 171 Calief Atharva R 2.3 5/1 Baros 11.1 8,000 32 203,000
14-Sep 3205 172 Aprilianata 12 8/5 Utama 14.2 28,200 40 290,000
14-Sep 3206 173 Brilianto Najmi 10 2/1 LG 13.6 10,300 41 212,000
16-Sep 3207 174 Edisman 78 8/12 LG
16-Sep 3208 175 Uceh 72 5/11 Utama
16-Sep 3209 176 Sentina H 60 Pondok Mas
16-Sep 3210 177 Juangsih 50 2/12 Utama
16-Sep 3211 178 Siti Nuryamah 54 LeuwiGajah
16-Sep 3212 179 Enni R 59
16-Sep 3213 180 Siti Jubaedah 56 2/4 Utama
16-Sep 3214 181 Nurveinis 74 8/12 LG
16-Sep 3215 182 Edah 55 3/1 Patrman
16-Sep 3216 183 Dinda 14 1/4 Baros 12.9 2,900 37 159,000
16-Sep 3217 184 Otim 56 3/12 Utama
16-Sep 3218 185 Ijah 75 Cibogo
16-Sep 3219 186 Dodoh 64 Jl. Cagak
16-Sep 3220 187 M. Fadil 3.7 3/13 Utama 10.4 18,500 29 747,000
16-Sep 3221 188 Siti Aura 14 2/3 Utama 12.3 8,700 38 328,000
17-Sep 3222 189 Mimin 58 Gn. Leutik
17-Sep 3223 190 Riska 10 8/12 Utama 10.4 23,500 33 307,000
17-Sep 3224 191 Juju Juariah 53 6/10 Utama
18-Sep 3225 192 Dadang 46 4/15 Utama
18-Sep 3226 193 Ris Ris Efendi 45 3/13 Utama 15 13,600 43 227,000
18-Sep 3227 194 M Abdul 7 4/12 Baros 13.7 17,800 39 358,000
18-Sep 3228 195 Annisa Fitriani 31 3/2 Utama 10.9
18-Sep 3229 196 Sri Yuli 24 1/10 Utama 11.5
18-Sep 3230 197 Rodiah 75 Baros
18-Sep 3231 198 Revania 12 2/3 Utama 11.9 7,700 35 326,000
18-Sep 3232 199 Suhendra 48 7/12 Utama
18-Sep 3233 200 Juariah 53 6/10 Utama
18-Sep 3234 201 Sugiarti 62 3/6 Cibogo
18-Sep 3235 202 Bahim Dedi S 78 2/11 Nanjng
18-Sep 3236 203 Asih Ratnasih 65 2/8 Utama
18-Sep 3237 204 Suhartini 59 2/15 Utama
18-Sep 3238 205 Hasanudin 57 1/5 LG
18-Sep 3239 206 Juhanah 60 2/2 Utama
19-Sep 3240 207 M Ramadhan 3.1 6/10 Utama 11.5 27,700 32 331,000
19-Sep 3241 208 Maria 23 4/1 Baros 5.7 12,600 22 454,000 3.6 62
19-Sep 3242 209 Neng Kamaya 0.1 4/5 Utama 11.4 9,000 33 236,000
19-Sep 3243 210 Gina Nur F 9 1/1 Soreang 12.6 88,000 36 353,000
19-Sep 3244 211 Dinda 14 1/4 Baros 12.4 2,400 35 174,000
19-Sep 3245 212 Yeni Suryani 27 8/7 Utama
19-Sep 3246 213 Yani S 57 4/6 Utama
19-Sep 3247 214 Uceh 72 5/11 Utama
19-Sep 3248 215 P. Komariah 65 2/3 Utama
19-Sep 3249 216 Amas Rohana 68 3/7 Utama
19-Sep 3250 217 Neny Darjani 64 H. Haris
19-Sep 3251 218 Ainun Hasanah 25 Jl. Sadarmnh 15.9 11,900 45 305,000
19-Sep 3252 219 Sri Devi Yanti 61 Pksarakan
19-Sep 3253 220 Idar Daryati 61 3/2 Utama
19-Sep 3254 221 Sri Sumiati 72 1/2 Utama
19-Sep 3255 222 Sri Ratnaningsih 59 4/2 LG
19-Sep 3256 223 Novi Indriani 37 7/12 Utama
20-Sep 3257 224 Anne Rosalina 28 1/4 Utama 10.8
20-Sep 3258 225 Juariah 34 5/3 LG
20-Sep 3259 226 Bobby Cahya 19 Paskum 15 13,000 42 229,000
20-Sep 3260 227 Sains B 5 4/11 Utama 13.4 5,900 39 286,000
21-Sep 3261 228 Hamizan 0.9 5/4 MA 10.2 12,700 29 434,000
23-Sep 3262 229 Gladys Salma 8 Utama 13.1 19,800 38 238,000
23-Sep 3263 230 Fabrizio 2 6/14 Baros 10.8 13,400 31 306,000
23-Sep 3264 231 Syahid 1.1 5/16 Utama 12.6 10,900 38 327,000
23-Sep 3265 232 Ade 47 5/12 Utama
23-Sep 3266 233 Mujiono 50 5/16 Utama
23-Sep 3267 234 Marni Maswati 59 5/4 LG
23-Sep 3268 235 Ani Arniati 43 Baros
23-Sep 3269 236 Mariah 69 Cibodas
23-Sep 3270 237 Yulinardini 59 3/9 Baros
23-Sep 3271 238 Rukmaya 66 Lemsa
23-Sep 3272 239 Nunuk Suprapti 63 1/4 Utama
23-Sep 3273 240 Sinta Mulyani 24 3/3 Utama 12.5 5,400 37 229,000
23-Sep 3274 241 Keni Sukaeni 60 3/3 Baros
23-Sep 3275 242 Sutardiyono 45 2/16 Utama
23-Sep 3276 243 Cucu 47 8/3 LG
24-Sep 3277 244 Ngasrini 64 3/4 Utama
24-Sep 3278 245 Edi Sopandi 66 4/9 Utama
24-Sep 3279 246 Imas Suryati 57 2/12 Utama
24-Sep 3280 247 Tety 52 LeuwiGajah
24-Sep 3281 248 Rusmiati 40 5/10 Utama
24-Sep 3282 249 Atim Dana 71 9/20 LG
24-Sep 3283 250 Slamet Subarkah 50 5/10 Utama
24-Sep 3284 251 SitiAisyah 65 3/9 Baros
24-Sep 3285 252 Witarsah 65 4/5 Utama
24-Sep 3286 253 Neneng Djuanah 67 6/12 LG
24-Sep 3287 254 Muhammad Umar N 1.3 4/2 LG 11.4 7,600 32 149,000
24-Sep 3288 255 Mien Setiwati 65 LeuwiGajah
24-Sep 3289 256 Juwita Nurhaeni 12 6/10 Utama 13.7 10,600 40 395,000
24-Sep 3290 257 Ida Widayah 49 4/6 LG
24-Sep 3291 258 Tita Rosita 54 Jl. Pasundan
24-Sep 3292 259 Yayan 59 3/6 Baros
24-Sep 3293 260 M Rafka 2 5/16 Utama 11.1 4,800 34 201,000
24-Sep 3294 261 Rika 27 6/10 Baros 12.3
24-Jan 3295 262 Elita 40 PKM Cimsel 8.8
24-Jan 3296 263 Ardiansyah 13 2/1 Utama 12.5 28,600 34 294,000
24-Jan 3297 264 Masani 26 7/8 Stmnh 13.6
24-Jan 3298 265 Fatmawati Nasution 64 2/3 Baros
24-Jan 3299 266 Ini 56 9/7 Utama
24-Jan 3300 267 Iwan 53 4/2 Utama
24-Jan 3301 268 M. Agung 23 1/23 Baros
24-Jan 3302 269 Oom R 52 2/13 Cibeber
24-Jan 3303 270 Lela Laelasari 35 2/15 Utama
24-Jan 3304 271 Dadi Rahadiat 64 Komp. Pemd
24-Jan 3305 272 Emi Maryami 57 1/19 Lagadar
24-Jan 3306 273 Suheryani 58 Baros
24-Jan 3307 274 Kelim Sudjadi 72 4/11 Utama
26-Sep 3308 275 Nursehan 71 3/1 LG
26-Sep 3309 276 Mamah 73 1/9 Utama
26-Sep 3310 277 Murjiati 56 8/16 LG
26-Sep 3311 278 Iyep Ismail 35 6/1 Ciputri
26-Sep 3312 279 Ayuni Meicita 30 6/1 Ciputri
26-Sep 3313 280 Rostini 62 5/5 Utama
26-Sep 3314 281 Junaedi 42 3/5 Utama
26-Sep 3315 282 Diah Widiawati 62 2/1 Utama
26-Sep 3316 283 Bannayu Avirtha 66 2/17 Baros
26-Sep 3317 284 Lies 29 2/7 Baros
26-Sep 3318 285 Annie 67 5/13 LG
26-Sep 3319 286 Elxa May Nanda 18 12/9 LG
26-Sep 3320 287 Dina Sharah Hanifah 43 12/9 LG
26-Sep 3321 288 Asep Nuryadin 30 5/7 LG
26-Sep 3322 289 Fahrel Raka 7 1/12 Utama 12 20,200 35 484,000
27-Sep 3323 290 Parhan 46 7/5 Utama
27-Sep 3324 291 Diani Miptahudin 29 1/2 MkrWngi
27-Sep 3325 292 Rina Rochmiati 52 2/18 Lagadar 13.1 6,200 39 241,000
27-Sep 3326 293 Marjuni 40 3/9 Baros 11.9
27-Sep 3327 294 Fitria 25 4/4 LG 12.7
27-Sep 3328 295 Iis Yuliatni 31 2/1 Utama 11.9
28-Sep 3329 296 Muhamad Yahya 9 1/9 LG 13.6 10,700 40 241,000
28-Sep 3330 297 M. Yusuf 7 7/5 Utama
28-Sep 3331 298 Tachriri 79 4/9 Stmnh 10.7 10,800 33 364,000
30-Sep 3332 299 Zikrul 20 4/4 Utama 14.5 10,300 41 181,000
30-Sep 3333 300 Asep Kosim 35 2/16 Baros 12.8 8,300 37 132,000
30-Sep 3334 301 Aqila 0.6 5/11 Utama 10.4 14,000 29 495,000
30-Sep 3335 302 Mutiara Raisa 6 3/3 Utama 10.5 7,900 31 396,000
30-Sep 3336 303 Rosi Fitri 24 Nanjung 13.9 9,200 40 318,000
30-Sep 3337 304 Wiyati 65 5/7 Utama
30-Sep 3338 305 Juju Juariah 55 9/7 Utama
30-Sep 3339 306 Ani Puji 53 2/3 LG
30-Sep 3340 307 Iceu Idiawati 44 3/8 Utama
30-Sep 3341 308 Elis Rohaeti 45 Sadarmanah
30-Sep 3342 309 Lepot Mulyadi 66 7/10 Baros
30-Sep 3343 310 Tjetjeh 70 5/5 Cisalak
30-Sep 3344 311 Eprilin 11 4/12 Utama 14.4 5,000 42 149,000
30-Sep 3345 312 Olih 61 5/14 Ytama
30-Sep 3346 313 Darmiyati 60 Kb. Rumput
30-Sep 3347 314 Komariah 63 4/12 Utama
30-Sep 3348 315 Suprin Pingass, Drs 56 Lagadar
30-Sep 3349 316 Siti Mariyam 34 5/12 Utama
30-Sep 3350 317 Mimin 52 9/5 Utama
30-Sep 3351 318 Eni Rohaeni 59 5/14 Ytama
30-Sep 3352 319 Tiasa Manulang 77 LeuwiGajah
30-Sep 3353 320 Adang Sugijono 75 2/4 Utama
30-Sep 3354 321 Darmilah 73 Cimerang

Jumlah Total Laki2 89 1 34 34


Jumlah Total Perempuan 232 19 52 52
Laki2 Umum 52 1 27 27 0 0 0
Perempuan Umum 100 16 31 31 0 0
Laki2 PBI 45 7 7 0 0 0
Perempuan PBI 127 3 21 21 0 0
Laki laki Program 2
Perempuan Program 5
TB Diagnosa 0 0
FU 0 0
Gex 0 0
MCH MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT

85 227 4.3

108
181
262
119 163
216 4
278 144
4.1
243 4.1
136

81
101
84
145 3.9
98 209 4.1
6.8
241
112 8.7
4.3
186
200
217
4.4

108 187 109 3.9


104
269
96 121 213 68 4.8 33

104
126 7.4
171
118 244
89 233 5.1
129 5.6
87 140 4.7
213 8.4
144
161
197 4.7

149

A+

260
230

87 201 4.4
99

197
171
122
196 4.5
101 217 145 6.4

146
250 5.4
89
245
198
98 196 5.9

77

100
97 273

88
150
134 151 5.9
312 180 4.7
O+
131 301
116
230 3.2
115
90 186
85 174 4.4
3.8

91
6.1
81

66
234
92 5.2
138 3.6

88 196
174
92 5.1
102 261 5.1

90

129 135 4.2


250

81

104 250 6.1


131
111
123
255
114 162 6
148 8.5
107
312
98

82

B
142

85 277 10.2
98
254
197
199 4.8
104
255
142 7.5
225 3.7

168
87 165 5.5
91

119 180 6.8

273
187 5.5

A+
193

147
149 6.7
79 268 9.1
108 202 5.3
95
205 8.3
268 5.8

15 26

126
229 3
84
268 217
142
182 134

165
86 260 4.3
108 252 218 5
431

O+

5.5
153
107 180
143
129 129 5.1
112 181 7.6
106
104
100 157 4
127 137 4.7
143
210
114
306 205 3.6
176 5
224 4.8
90
91 137 4.7
89
84
99 5.5

180

82 259 3.4
104 203 4.8
203

97 240 4.7

A+
82 211 4.3
237
192 142 9.2
B+
118

135
98
108
122
122 166 5.3
116
79 218 3.9
93 122 6.5
82 172 5.2
86 252
146
96
196 6.4

A+
A+
B+

173

A+
A+
AB+

A+
395

248 225
91 184 4.8
228 5.8
86

187
89

463
91 146
184 5
87 187 5.7
195 5
150 6
110
79
7.1
130 162 217 146 6

0 12 27 1 17 0 0 3 20 0
0 30 69 3 77 0 0 3 60 1
0 3 0 0 4 4 0 3 0 0 1 3 0
0 0 4 0 0 12 21 1 19 0 0 0 15 0
0 0 0 0 8 23 1 14 0 0 2 17 0
0 0 1 0 0 18 48 2 58 0 0 3 45 1

6
GOT Urea Krea Widal Urin Rutin Prot Sedimen
24

KK-/-/-/1015/8/U2L3E4

KK-/-/-/1010/7
Neg

Neg

KK3+/-/-/1015/6L3E4

KJ-/-/-/1010/5
KK-/-/-/1005/7 L5/10EBEp3/7

KJ+/-/-/1025/5 L10/18E8/15Ep3/6Co+SG+
KJ-/-/-/1015/6,5

Neg
KJ-/-/-/1015/8
KJ-/-/-/1020/6

KJ-/-/-/1015/5 L2/3E2/3Ep2/4
KJ-/-/-/1015/5 L1/2E0/3Ep2/4
KJ-/-/-/1010/5

Neg

KJ-/-/-/1020/5

KaK-/-/-/1010/7
KJ-/-/-/1020/5

0 0 0
1 0 0
0 0 0 0 2 0 1
0 0 0 0 5 3
0 0 0 0 3 0 3
1 0 0 0 5 1
Sedimen PP test Fe ses Gram KOH Tricho HIV Sifilis HbsAg Mantoux Umum

44,000
27,500
27,500
27,500
27,500
11,000
11,000

27,500
27,500
27,500
27,500
11,000
11,000
11,000
33,000
44,000
NR NR Negatif
Neg

NR

Pos 15,000
LBE5/8EpB 28,000
NR NR Negatif 9,000
11,000
27,500
27,500
NR NR Negatif 22,500
27,500
11,000
11,000
27,500
27,500
44,000
Neg 26,000
Neg 15,000

27,500
NR NR Negatif 25,500

5,500

27,500
27,500
19,000
27,500
27,500
27,500
46,500
11,000
11,000
44,000
44,000
13,500
22,000
27,500
27,500
27,500
11,000
11,000
33,000
33,000
8E8/15Ep3/6Co+SG+ 28,000
22,000

NR

NR
27,500

27,500
27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
9,000
9,000
27,500
27,500
27,500
27,500
27,500
27,500
9,000
11,000
Neg 15,000

11,000
Neg 15,000
27,500
27,500
27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
NR NR Negatif 9,000
5,500
L2/5E3/7EpBCaO+ 28,000

NR NR Negatif
11,000

33,000
27,500

44,000
11,000
27,500
L2/5E1/2EpBb+

27,500

33,000
27,500
27,500
NR NR Negatif 9,000
NR NR Negatif 9,000
27,500
27,500
27,500
27,500
27,500
11,000
33,000

NR
NR NR Negatif
NR NR Negatif
27,500
27,500
27,500

27,500

11,000
22,000
11,000
11,000

44,000
44,000
11,000
27,500
9,000

27,500
NR NR Negatif 9,000
44,000
11,000
46,000
13,500
11,000
NR NR Negatif
11,000

Neg 15,000
L2/4E2/3Ep3/6
13,500
13,500
13,500
27,500
11,000

NR NR Negatif
NR NR Negatif 9,000
NR NR Negatif 9,000
27,500
13,500

27,500
27,500
27,500
27,500
27,500
22,000
44,000
L10/18E2/4Ep8/1 61,000
11,000
LBE2/5EpB 28,000
142

0 0 0 0 0 0 0 0 0 0
4 6 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 1 0 0 0 0 0 0 0 0 0
2
21 19 19
Ask/ Kontrol Hematologi Kontrol Kimia T3:304anggal
Jamsostek/KI Program AU GPT GOT Urea Creat
S/BPJS Hb Leuko HtTromboCho HDL LDL TG
N P N P N P N P N P

1266621783
52884281
56690177
1669971306
1421922497
513018933
1316143754

52717318
52732271
52734802
52510318
534072629
58490019
52689431
52566153
2888131083
1258559166
512704315
1014565803
Askes
421119314
513207988
52625373
52659437
52537702
52853679
513821193
1785525614
1668839861
53754783
52631684
BPJS
514342811
Program
512993147
2612279496
1841498346
514337488
30280961
2062960839
c52568526
1199231188
1809963549
2091276731
1841497874
513030172
512690332
513704485

513187841

2398708811
1152348175

52589463
1964797986
52773085
1480808665
513015603
512993147
202274987
69575365
53583478
2250254496
Askes

1379824457
514125764
52621997
1898764356
Program
57201153
Program

BPJS

126246529
1136746359
Askes

1669970428
513052301
57296867
1014567412
1523287462
53223794
2232721488
1669980194
BPJS
53630345
BPJS

513128171
Program
513226225
2398694117
2254174874
512210261
1448981763
72484738
1669958537
1285315749
1965811781
52503142
1669971442

72484749

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52539647

5140585272

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1014563496
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514055272
52723102
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BPJS
1014566488

1669958537
159399674
1669953971
57468429
1316672818
1521978838
513249849
52655927
2283670945
Program
1669955095
Program

1859468062
2221940441

2438031003

1833005441
1425156096
1422232007
512406459
2398723514
2466543126
2431903094

1801563579
1316143754
52531457
52579293
513079986
52629535
513079841
52761734
1479559364
1285005071
2498227503
1273670414
BPJS

BPJS

Program
57825404
1437791837
1523251585
53583478
52698688
513860837
1263281703
1321552225
1321553834
513211994

52818704
52788925

52661237

2517165257
52555206
514260584

52787351

1833334716
52743109
2177130194
513110654
201851403
1808990482
134068364
512976442
1669969326
513490173
52892357
52619455
44719288
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN OKTOOBER 2017

No. Usia
No. Hb
Tanggal Reg Nama Alamat HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
Urut (manual)
Lab L P
Jumlah Total Laki2 0 0 0
Jumlah Total Perempuan 0 0 0
Laki2 Umum 0 0 0 0 0 0
Perempuan Umum 0 0 0 0 0
Laki2 PBI 0 0 0 0 0 0
Perempuan PBI 0 0 0 0 0
Laki laki Program
Perempuan Program
TB Diagnosa 0 0
FU 0 0
Gex 0 0
MCH MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
GPT GOT Urea Krea Widal Urin Rutin Prot Sedimen
0 0 0
0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Ask/
Jams Kontrol Hematologi
oste Program
PP test Fe ses Gram KOH Tricho HIV Sifilis HbsAg Mantoux Umum k/KI Hb Leuko Ht
S/BP
JS
0

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
ol Hematologi Kontrol Kimia T3:304anggal
AU GPT GOT Urea Creat
TromboCho HDL LDL TG
N P N P N P N P N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN OKTOOBER 2017

No. Usia
No. Hb
Tanggal Reg Nama Alamat HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
Urut (manual)
Lab L P
Jumlah Total Laki2 0 0 0
Jumlah Total Perempuan 0 0 0
Laki2 Umum 0 0 0 0 0 0
Perempuan Umum 0 0 0 0 0 0
Laki2 PBI 0 0 0 0 0 0
Perempuan PBI 0 0 0 0 0 0
Laki laki Program
Perempuan Program
TB Diagnosa 0 0
FU 0 0
Gex 0 0
MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
GOT Urea Krea Widal Urin Rutin Prot Sedimen PP test
0 0 0
0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Ask/
Jams Kontrol Hematologi
oste Program
Fe ses Gram KOH Tricho HIV Sifilis HbsAg Mantoux Umum k/KI Hb Leuko HtTromboCho
S/BP
JS
0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Kontrol Kimia T3:304anggal
AU GPT GOT Urea Creat
HDL LDL TG
N P N P N P N P N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN OKTOOBER 2017

No. Usia
No. Hb
Tanggal Reg Nama Alamat HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
Urut (manual)
Lab L P
Jumlah Total Laki2 0 0 0
Jumlah Total Perempuan 0 0 0
Laki2 Umum 0 0 0 0 0 0
Perempuan Umum 0 0 0 0 0 0
Laki2 PBI 0 0 0 0 0 0
Perempuan PBI 0 0 0 0 0 0
Laki laki Program
Perempuan Program
TB Diagnosa 0 0
FU 0 0
Gex 0 0
MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
GOT Urea Krea Widal Urin Rutin Prot Sedimen PP test
0 0 0
0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Ask/
Jams Kontrol Hematologi
oste Program
Fe ses Gram KOH Tricho HIV Sifilis HbsAg Mantoux Umum k/KI Hb Leuko HtTromboCho
S/BP
JS
0

0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
Kontrol Kimia T3:304anggal
AU GPT GOT Urea Creat
HDL LDL TG
N P N P N P N P N P
LEMBAR KERJA HARIAN LABORATORIUM PUSKESMAS CIMAHI SELATAN BULAN OKTOOBER 2017

No. Usia
No.
Tanggal Reg Nama Alamat Hb (Manual) HB Leuko HT Trombo Ery.. X1 Jt MCV MCH
Urut
Lab L P

Jumlah Total Laki2 1081 ### 81 538 357 357 462 0 0


Jumlah Total Perempuan 2272 29 247 663 417 417 568 0
Laki2 Umum 488 2 48 320 210 210 224 0 0
Perempuan Umum 985 16 176 370 233 233 237 0
Laki2 PBI 538 0 36 215 144 144 132 0 0
Perempuan PBI 1184 13 93 277 169 169 164 0
Laki laki Program 65 0 0 3 3 3 3 0 0
Perempuan Program 103 0 10 16 15 15 14 0
TB Diagnosa 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
FU 23 25 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Gex 600 784 651 0 0 0 0 0 0 0 0 0 0 0 0 0 0

1714 3081 #VALUE! 678 29 84 279


MCH MCHC Gol Dar LED Diff GDS GDN PP CHO HDL LDL TG AU GPT GOT Urea Krea

0 0 0 0 11 139 184 19 119 0 0 35 117 7 6 0


0 0 0 0 0 37 341 450 68 449 0 5 111 387 10 8
0 3 37 0 3 42 29 2 23 0 0 4 19 3 2 0
0 0 7 42 0 12 127 110 14 102 0 0 17 82 2 0
0 0 2 0 8 97 152 17 94 0 0 29 96 4 4 0
0 0 1 16 0 25 214 331 54 338 0 5 85 296 6 6
0 0 0 0 0 0 2 0 2 0 0 2 2 0 0 0
0 0 0 42 0 0 0 9 0 9 0 0 9 9 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

3 8 39 100 0 0 11 37 139 341 183 450 19 68 119 449 0 0 0 5 35 111 117 387 7 9 6 7 0
Krea Widal Urin Rutin Prot Sedimen PP test Fe ses Gram KOH

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 2 12 0 3 0 3 9
0 0 0 35 29 25 51 3
0 1 10 0 4 0 0 1
0 0 5 23 21 13 21 0
0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 3 5 22 58 0 50 7 39 0 72 3 4 10
Ask/ Kontrol
KOH Tricho HIV Sifilis HbsAg Mantoux Umum Jamsostek/B Program AU GPT GOT Urea
PJS/KIS Cho HDL LDL TG
N P N P N P N

0 0 0 0 0
0 0 0 0 0 0
0 0 0 3 1
8 7 4 0 1 8
0 0 0 0 0
1 1 1 0 0 0
0 3 73 37 9
1 1 37 262 232 234
0 0 0 0 0 0 0 #VALUE! 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

10 0 9 3 42 73 262 #VALUE! 233 10 242


Urea Creat
P N P
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : JANUARI TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah 3 7 - 1 - - 3 8

6 Hemoglobin 2 16 - 13 - - 2 29

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 39 46 36 48 - 1 75 95


- -
B Spesimen Urine: - -

1 Urine Rutin 2 - 1 5 - - 3 5

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen - - - 1 - - - 1

6 Protein - - - - - - - -

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 13 - 5 - 1 - 19
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

5 T. Cacing Gelang - -

6 T. Cacing Cambuk - -
- -

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - - - - -

2 IMS : - - - - - - - -

KOH - 3 - - - 1 - 4

NaCl - 3 - - - 1 - 4

Methylen Blue/ Gram/ Gonorrhoe 3 3 - - - 1 3 4

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - 109 133 109 133

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa 2 10 19 47 - - 21 57

2 Glukosa Sewaktu 3 12 8 25 - - 11 37

3 Glukosa 2 Jam PP - 1 1 3 - - 1 4

4 Cholesterol 1 5 9 40 - - 10 45

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - - - 5 - - - 5

8 Asam Urat 1 6 12 28 - - 13 34

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - 2 - - - - - 2

12 SGPT - 2 - - - - - 2

13 Bilirubin - - - - - - - -
- -
F Serologi - -

1 Widal - - - - - - - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

2 HIV - - - - 3 37 3 37

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - 2 3 2 3

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg 3 1 - - - 32 3 33

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 58 113 72 162 111 145 241 420

CATATAN :

Cimahi, 19 Februari 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : FEBRUARI TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah - 1 - - - 8 - 9

6 Hemoglobin - 18 - 16 - - - 34

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 60 62 39 34 - - 99 96


- -
B Spesimen Urine: - -

1 Urine Rutin - 4 3 3 - - 3 7

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen - - - - - - - -

6 Protein - - - - - - - -

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 8 - - - - - 8
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

5 T. Cacing Gelang - -

6 T. Cacing Cambuk - -
- -

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - - - - -

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe - - 1 - - - 1 -

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - 78 102 78 102

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa 3 14 16 31 - - 19 45

2 Glukosa Sewaktu 5 13 9 17 - - 14 30

3 Glukosa 2 Jam PP - 2 2 - - - 2 2

4 Cholesterol 4 6 11 26 - - 15 32

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - 2 2 9 - - 2 11

8 Asam Urat 2 6 14 24 - - 16 30

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT 2 - 2 1 - - 4 1

12 SGPT 2 - 2 1 - - 4 1

13 Bilirubin - - - - - - - -
- -
F Serologi - -

1 Widal - - - - - - - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

2 HIV - - - - 6 36 6 36

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - - - - -

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg - 1 - - 4 33 4 34

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 70 118 79 122 82 110 231 350

CATATAN :

Cimahi, 13 Maret 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : MARET TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - -

2 Hitung Leukosit - - - - - - -

3 Hitung Jenis Leukosit - - - - - - -

4 Laju Endap Darah - - - - - - -

5 Golongan Darah 4 5 - 5 - 7 4

6 Hemoglobin 3 24 - - - - 3

7 Malaria - - - - - - -

8 Filaria - - - - - - -

9 Trombosit - - - - - - -

10 Hematokrit - - - - - - -

11 Sysmex (Hematologi otomatis) 31 52 24 45 - - 55


-
B Spesimen Urine: -

1 Urine Rutin - 6 2 - - - 2

2 Volume, warna, kejernihan - - - - - - -

3 Berat Jenis - - - - - - -

4 PH - - - - - - -

5 Sedimen - 1 - - - - -

6 Protein - 1 - - - - -

7 Bilirubin - - - - - - -

8 Glukosa - - - - - - -

9 Tes kehamilan - 6 - - - - -
-
C Spesimen Faeces ( tinja ) -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L

Volume, warna, konsistensi, lendir,


1 -
darah

Eri, leko, epitel, lemak, sisa


2 -
makanan

3 Amuba -

4 T. Cacing Tambang -

5 T. Cacing Gelang -

6 T. Cacing Cambuk -
-

D Spesimen Lain: -

1 M. Tuberculosis ( BTA ) -

Suspect/Diagnosa - - - - - - -

Follow Up - - - - - - -

2 IMS : - - - - - - -

KOH - - - 1 - - -

NaCl - 3 - 1 - - -

Methylen Blue/ Gram/ Gonorrhoe 1 3 - 1 - - 1

4 Kusta ( BTA ) - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - -

6 TCM Gene Expert - - - - 118 164 118

E Kimia Klinik -

1 Glukosa Puasa 6 10 16 46 - - 22

2 Glukosa Sewaktu 5 15 7 15 - - 12

3 Glukosa 2 Jam PP - - - 1 - - -

4 Cholesterol 2 14 8 46 - - 10

5 HDL Cholesterol - - - - - - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L

6 LDL Cholesterol - - - - - - -

7 Trigliserida 1 1 6 18 - - 7

8 Asam Urat 2 11 8 38 - - 10

9 Ureum - - - - - - -

10 Creatinin - - - - - - -

11 SGOT - - 1 1 - - 1

12 SGPT - - 1 1 - - 1

13 Bilirubin - - - - - - -
-
F Serologi -

1 Widal - - - - - - -

2 HIV - - - - 4 50 4

3 Mantoux Test - - - - - - -

4 Syphilis Rapid / TPHA - - - - 3 43 3

5 Syphilis RPR - - - - - - -

6 NS-1 - - - - - - -

7 IgG igM Dengue - - - - - - -

8 HbsAg - 4 - - - 40 -

9 Suspeck Campak - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN
L P L P L P L
JUMLAH KUNJUNGAN 48 140 61 150 122 177 231
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L

CATATAN :

Mengetahui Cimahi, 6 A
Kepala Puskesmas Cimahi Selatan Pembuat Lap

Dewi Irawati, dr Sopyan Hidaya


NIP. 19770805 200501 2 015 NIP. 19810629
N LABORATORIUM KESEHATAN
MAHI SELATAN
TAHUN 2019

JUMLAH
KETERANGAN
P

17

24

97
-
-

6
-
-
JUMLAH
KETERANGAN
P

-
-

164

56

30

60

-
JUMLAH
KETERANGAN
P

19

49

-
-
-

50

43

44

JUMLAH
Keterangan
P
467
JUMLAH
KETERANGAN
P

Cimahi, 6 April 2019


Pembuat Laporan

Sopyan Hidayat, S.S.T


NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : APRIL TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah 4 3 - 2 - - 4 5

6 Hemoglobin 2 13 - 6 - 9 2 28

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 58 64 30 31 - 1 88 96


- -
B Spesimen Urine: - -

1 Urine Rutin - 3 1 1 - - 1 4

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen - - - - - - - -

6 Protein - 1 - 5 - - - 6

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 10 - - - - - 10
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

5 T. Cacing Gelang - -

6 T. Cacing Cambuk - -
- -

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - 10 20 10 20

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe 2 - - - - - 2 -

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - 48 52 48 52

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa 4 19 30 50 - - 34 69

2 Glukosa Sewaktu 4 10 8 15 - - 12 25

3 Glukosa 2 Jam PP - 1 1 - - - 1 1

4 Cholesterol 6 18 19 58 - - 25 76

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - 5 2 8 - - 2 13

8 Asam Urat 7 12 20 54 - - 27 66

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - 1 1 - - 1 1

12 SGPT 1 - 1 1 - - 2 1

13 Bilirubin - - - - - - - -
- -
F Serologi - -

1 Widal - - - - - - - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

2 HIV - - - - 30 37 30 37

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - 18 31 18 31

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg - 3 - - - 31 - 34

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 80 131 77 142 83 80 240 353

CATATAN :

Cimahi, 8 Mei 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : MEI TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah 3 4 1 1 - 3 4 8

6 Hemoglobin - 8 - - - - - 8

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 26 35 23 20 - 1 49 56


- -
B Spesimen Urine: - -

1 Urine Rutin - 2 - 4 - - - 6

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen - - - 1 - - - 1

6 Protein - 2 - 2 - - - 4

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 4 - 2 - - - 6
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -

5 T. Cacing Gelang

6 T. Cacing Cambuk - -
- -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - 14 6 14 6

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe 2 - - - - - 2 -

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - 96 149 96 149

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa - 5 8 16 - - 8 21

2 Glukosa Sewaktu 9 32 19 66 - - 28 98

3 Glukosa 2 Jam PP - 1 1 4 - - 1 5

4 Cholesterol - 4 5 10 - - 5 14

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - 2 - 2 - - - 4

8 Asam Urat - 2 5 9 - - 5 11

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - - - - - - -

12 SGPT - - - - - - - -

13 Bilirubin - - - - - - - -
- -
F Serologi - -

1 Widal - - - - - - - -

2 HIV - - - - 7 15 7 15

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - 2 14 2 14

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

7 IgG igM Dengue - - - - - - - -

8 HbsAg 1 - - - - 15 1 15

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 40 97 52 117 107 156 199 370

CATATAN :

Cimahi, 14 Juni 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : JUNI TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah 5 7 1 3 - 2 6 12

6 Hemoglobin - 11 - 6 - - - 17

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 26 19 17 22 - - 43 41


- -
B Spesimen Urine: - -

1 Urine Rutin - 4 1 1 - - 1 5

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen 1 1 1 - - - 2 1

6 Protein 1 7 1 3 - - 2 10

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 6 - 3 - - - 9
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -

5 T. Cacing Gelang

6 T. Cacing Cambuk - -
- -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - 10 12 10 12

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe - - - - - - - -

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - 58 61 58 61

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa 1 11 21 40 - - 22 51

2 Glukosa Sewaktu 1 3 10 9 - - 11 12

3 Glukosa 2 Jam PP - 2 1 1 - - 1 3

4 Cholesterol - 14 14 55 - - 14 69

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - 1 2 5 - - 2 6

8 Asam Urat - 13 9 42 - - 9 55

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - - - - - - -

12 SGPT - - - - - - - -

13 Bilirubin - - - - - - - -
- -
F Serologi - -

1 Widal - - - - - - - -

2 HIV - - - - 3 18 3 18

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - - 17 - 17

5 Syphilis RPR - - - - - - - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg - - - - - 17 - 17

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 36 69 54 114 66 73 156 256

Cimahi, 2 Juli 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : JULI TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah 16 14 - 1 - 10 16 25

6 Hemoglobin 3 26 - 11 - - 3 37

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 28 28 20 29 1 - 49 57


- -
B Spesimen Urine: - -

1 Urine Rutin - 5 - 5 - - - 10

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen 1 2 - 3 - - 1 5

6 Protein 1 4 - 4 - - 1 8

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 4 - 1 - - - 5
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

5 T. Cacing Gelang

6 T. Cacing Cambuk - -
- -

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - 12 12 12 12

2 IMS : - - - - - - - -

KOH - 1 - - - - - 1

NaCl - 1 - - - - - 1

Methylen Blue/ Gram/ Gonorrhoe 2 1 - - - - 2 1

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - 93 123 93 123

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa 3 16 19 59 - - 22 75

2 Glukosa Sewaktu 9 16 12 14 - - 21 30

3 Glukosa 2 Jam PP - 2 1 2 - - 1 4

4 Cholesterol 2 17 16 64 - - 18 81

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - - 1 4 - - 1 4

8 Asam Urat 3 14 15 61 - - 18 75

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - - 1 - - - 1

12 SGPT - - - 1 - - - 1

13 Bilirubin - - - - - - - -
- -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

F Serologi - -

1 Widal - - - - - - - -

2 HIV - - - - 5 43 5 43

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - 2 41 2 41

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg - - - - 1 42 1 42

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 60 121 52 154 104 142 216 417

Cimahi, 3 Agustus 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : AGUSTUS TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah 2 4 - 3 - 6 2 13

6 Hemoglobin - 14 - 3 - - - 17

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 25 33 19 27 2 13 46 73


- -
B Spesimen Urine: - -

1 Urine Rutin - 5 - 3 - - - 8

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen - 4 - 2 - - - 6

6 Protein - 1 - - - - - 1

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 7 - 3 - - - 10
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

5 T. Cacing Gelang

6 T. Cacing Cambuk - -
- -

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - - - - -

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe 2 1 - - - - 2 1

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - - - - -

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa 8 13 18 38 2 9 28 60

2 Glukosa Sewaktu 3 16 5 13 - - 8 29

3 Glukosa 2 Jam PP 1 - 1 4 - - 2 4

4 Cholesterol 6 10 7 21 2 9 15 40

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida 1 - 2 8 2 9 5 17

8 Asam Urat 2 7 8 23 2 9 12 39

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - - 1 - 1 - 2

12 SGPT - - - 1 - 1 - 2

13 Bilirubin - - - - - - - -
- -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

F Serologi - -

1 Widal - - - - - - - -

2 HIV - - - - 14 39 14 39

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - 12 35 12 35

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg - - - - 4 37 4 37

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 44 96 46 96 11 24 101 216

Cimahi, 3 September 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : SEPTEMBER TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah 3 4 - 1 - 6 3 11

6 Hemoglobin 1 16 - 3 - - 1 19

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 27 31 7 21 - - 34 52


- -
B Spesimen Urine: - -

1 Urine Rutin - 5 3 5 - - 3 10

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen 1 4 3 2 - - 4 6

6 Protein 1 3 3 1 - - 4 4

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 6 - 1 - - - 7
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

5 T. Cacing Gelang

6 T. Cacing Cambuk - -
- -

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - - - - -

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe - - - - - - - -

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - - - - -

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa 4 21 23 48 - - 27 69

2 Glukosa Sewaktu 4 12 8 18 - - 12 30

3 Glukosa 2 Jam PP - 1 1 2 - - 1 3

4 Cholesterol 3 19 14 58 - - 17 77

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida 1 - 2 3 - - 3 3

8 Asam Urat 3 15 17 45 - - 20 60

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - - 1 - - - 1

12 SGPT - - - 1 - - - 1

13 Bilirubin - - - - - - - -
- -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

F Serologi - -

1 Widal - - - - - - - -

2 HIV - - - - 2 21 2 21

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - - 19 - 19

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg - - - - - 19 - 19

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 52 100 45 127 2 5 99 232

Cimahi, 08 Oktober 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : OKTOBER TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah - - - - - - - -

6 Hemoglobin - - - - - - - -

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) - - - - - - - -


- -
B Spesimen Urine: - -

1 Urine Rutin - - - - - - - -

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen - - - - - - - -

6 Protein - - - - - - - -

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - - - - - - - -
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

5 T. Cacing Gelang

6 T. Cacing Cambuk - -
- -

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - - - - -

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe - - - - - - - -

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - - - - -

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa - - - - - - - -

2 Glukosa Sewaktu - - - - - - - -

3 Glukosa 2 Jam PP - - - - - - - -

4 Cholesterol - - - - - - - -

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - - - - - - - -

8 Asam Urat - - - - - - - -

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - - - - - - -

12 SGPT - - - - - - - -

13 Bilirubin - - - - - - - -
- -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

F Serologi - -

1 Widal - - - - - - - -

2 HIV - - - - - - - -

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - - - - -

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg - - - - - - - -

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 0 0 0 0 0 0 0 0

Cimahi, 23 November 2019


Mengetahui
An. Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Irma Gilang Windya, SKM Sopyan Hidayat, S.S.T


NIP: 197008071993032008 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : NOPEMBER TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah - - - - - - - -

6 Hemoglobin - - - - - - - -

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) - - - - - - - -


- -
B Spesimen Urine: - -

1 Urine Rutin - - - - - - - -

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen - - - - - - - -

6 Protein - - - - - - - -

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - - - - - - - -
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -

5 T. Cacing Gelang

6 T. Cacing Cambuk - -
- -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - - - - -

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe - - - - - - - -

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - - - - -

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa - - - - - - - -

2 Glukosa Sewaktu - - - - - - - -

3 Glukosa 2 Jam PP - - - - - - - -

4 Cholesterol - - - - - - - -

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - - - - - - - -

8 Asam Urat - - - - - - - -

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - - - - - - -

12 SGPT - - - - - - - -

13 Bilirubin - - - - - - - -
- -
F Serologi - -

1 Widal - - - - - - - -

2 HIV - - - - - - - -

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - - - - -

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

7 IgG igM Dengue - - - - - - - -

8 HbsAg - - - - - - - -

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 0 0 0 0 0 0 0 0

Cimahi, 14 Desember 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
LAPORAN BULANAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
BULAN : DESEMBER TAHUN 2019

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P
KETERANGAN

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah - - - - - - - -

6 Hemoglobin - - - - - - - -

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) - - - - - - - -


- -
B Spesimen Urine: - -

1 Urine Rutin - - - - - - - -

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen - - - - - - - -

6 Protein - - - - - - - -

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - - - - - - - -
- -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - -
makanan

3 Amuba - -

4 T. Cacing Tambang - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

5 T. Cacing Gelang

6 T. Cacing Cambuk - -
- -

D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - - - - -

2 IMS : - - - - - - - -

KOH - - - - - - - -

NaCl - - - - - - - -

Methylen Blue/ Gram/ Gonorrhoe - - - - - - - -

4 Kusta ( BTA ) - - - - - - - -

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - - - - - - - -

- -

- -

E Kimia Klinik - -

1 Glukosa Puasa - - - - - - - -

2 Glukosa Sewaktu - - - - - - - -

3 Glukosa 2 Jam PP - - - - - - - -

4 Cholesterol - - - - - - - -

5 HDL Cholesterol - - - - - - - -

6 LDL Cholesterol - - - - - - - -

7 Trigliserida - - - - - - - -

8 Asam Urat - - - - - - - -

9 Ureum - - - - - - - -

10 Creatinin - - - - - - - -

11 SGOT - - - - - - - -

12 SGPT - - - - - - - -

13 Bilirubin - - - - - - - -
- -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
KETERANGAN

F Serologi - -

1 Widal - - - - - - - -

2 HIV - - - - - - - -

3 Mantoux Test - - - - - - - -

4 Syphilis Rapid / TPHA - - - - - - - -

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - - - - -

7 IgG igM Dengue - - - - - - - -

8 HbsAg - - - - - - - -

9 Suspeck Campak - - - - - - - -

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN Keterangan
L P L P L P L P
JUMLAH KUNJUNGAN 0 0 0 0 0 0 0 0

Cimahi, Januari 2020


Mengetahui
An. Kepala Puskesmas Cimahi Selatan Pembuat Laporan
Kasubag Tata Usaha

Irma Gilang Windya, SKM Sopyan Hidayat, S.S.T


NIP. 197008071993032008 NIP. 19810629 2006 04 1 011
LAPORAN PEMERIKSAAN LABORATORIUM KESEHATAN
PUSKESMAS CIMAHI SELATAN
TAHUN 2018

UMUM JKN PROGRAM JUMLAH


NO KEGIATAN L P L P L P L P

I JENIS PEMERIKSAAN

A Spesimen darah:

1 Hitung eritrosit - - - - - - - -

2 Hitung Leukosit - - - - - - - -

3 Hitung Jenis Leukosit - - - - - - - -

4 Laju Endap Darah - - - - - - - -

5 Golongan Darah 40 49 2 17 - 42 42 108

6 Hemoglobin 11 146 - 58 - 9 11 213

7 Malaria - - - - - - - -

8 Filaria - - - - - - - -

9 Trombosit - - - - - - - -

10 Hematokrit - - - - - - - -

11 Sysmex (Hematologi otomatis) 320 370 215 277 3 16 538 663


- - - - - - - -
B Spesimen Urine: - -

1 Urine Rutin 2 34 11 27 - - 13 61

2 Volume, warna, kejernihan - - - - - - - -

3 Berat Jenis - - - - - - - -

4 PH - - - - - - - -

5 Sedimen 3 12 4 9 - - 7 21

6 Protein 3 19 4 15 - - 7 34

7 Bilirubin - - - - - - - -

8 Glukosa - - - - - - - -

9 Tes kehamilan - 64 - 15 - 1 - 80
- - - - - - - -
C Spesimen Faeces ( tinja ) - -

Volume, warna, konsistensi,


1 - - - - - - - -
lendir, darah

Eri, leko, epitel, lemak, sisa


2 - - - - - - - -
makanan

3 Amuba - - - - - - - -

4 T. Cacing Tambang - - - - - - - -
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P

5 T. Cacing Gelang - - - - - - - -

6 T. Cacing Cambuk - - - - - - - -
- - - - - - - -
D Spesimen Lain: - -

1 M. Tuberculosis ( BTA ) - - - - - - - -

Suspect/Diagnosa - - - - - - - -

Follow Up - - - - - - - -

2 IMS : - - - - 24 26 24 26

KOH - 3 - - - 1 - 4

NaCl - 3 - 1 - 1 - 5

Methylen Blue/ Gram/ Gonorrhoe 3 6 - 1 - 1 3 8

4 Kusta ( BTA ) 5 3 1 1 22 24 28 28

5 Jamur ( vaginal, permukaan ) - - - - - - - -

6 TCM Gene Expert - 1 - - 109 133 109 134

- 1 - - 340 467 340 468

4 2 - - - - 4 2

E Kimia Klinik - -

1 Glukosa Puasa 12 44 73 159 93 123 178 326

2 Glukosa Sewaktu 24 83 58 152 - - 82 235

3 Glukosa 2 Jam PP 6 27 33 65 - - 39 92

4 Cholesterol 10 46 53 163 - - 63 209

5 HDL Cholesterol 16 42 53 113 2 9 71 164

6 LDL Cholesterol 7 42 27 86 - - 34 128

7 Trigliserida 5 25 29 98 - - 34 123

8 Asam Urat 28 78 80 231 2 9 110 318

9 Ureum 2 9 17 31 - - 19 40

10 Creatinin 2 30 25 106 - - 27 136

11 SGOT 2 2 6 13 2 9 10 24

12 SGPT 8 24 29 71 2 9 39 104

13 Bilirubin 2 - 3 5 - - 5 5
3 14 15 61 - - 18 75
F Serologi - -

1 Widal - - - 2 - 1 - 3
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P

2 HIV - - - 1 44 139 44 140

3 Mantoux Test - - - 1 6 36 6 37

4 Syphilis Rapid / TPHA - - - - 28 109 28 109

5 Syphilis RPR - - - - - - - -

6 NS-1 - - - - 16 77 16 77

7 IgG igM Dengue - - - - - - - -

8 HbsAg 4 8 - - 17 215 21 223

9 Suspeck Campak - 1 - - 4 33 4 34

II RUJUKAN

……………………………

…………………………….

……………………………

…………………………..

UMUM JKN PROGRAM JUMLAH


KEPESERTAAN
L P L P L P L P
JUMLAH KUNJUNGAN 488 985 538 1,184 688 912 1,714 3,081

CATATAN :

Cimahi, 31 Desember 2019


Mengetahui
Kepala Puskesmas Cimahi Selatan Pembuat Laporan

Dewi Irawati, dr Sopyan Hidayat, S.S.T


NIP. 19770805 200501 2 015 NIP. 19810629 2006 04 1 011
UMUM JKN PROGRAM JUMLAH
NO KEGIATAN L P L P L P L P
Jumlah Seluruh Pemeriksaan Lab 2018
KETERANGAN

150

224

1,201
-
-

74

28

41

80
-
-

-
KETERANGAN

11

56

243

808

504

317

131

272

235

162

157

428

59

163

34

143

10

3
KETERANGAN

184

43

137

93

244

38

Keterangan

4,795

6,288
KETERANGAN

6,288

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