PENANGGULANGAN TB NASIONAL

Nama Faskes : ______________________________

Nama Kab/ Kota : ______________________________
Nama Provinsi : ______________________________

Nomor
No.
Tanggal registrasi/ Identitas
Registrasi Nama Pasien
tanggal masuk Kependudu
Faskes
kan (NIK)

1 2 3 4

1 00346924 181024 ABAS BIN SAIRI

2 00009508 181108 ABDUL AZIZ
3 00357320 180226 ABDUL GAOS
4 00372274 180528 ABDUL MUKRI
5 00366095 181031 ABDUL ROJAK
6 00373181 180405 ABDULLAH
7 00363883 181004 ABDULLOH
8 00379884 180718 ACHMAD ABI NUBIARY
9 00386975 181207 ACHMAD SOBARY
10 00351252 180126 ADE KURNIA
11 00380456 181101 ADEK TUSMAWATI, SE
12 00347079 180424 ADELYA WAHYUNI
13 00374711 180324 ADHI SANJAYA
14 00381502 180821 ADI SUTRISNO
15 00385879 181122 ADIMAS SUKARNO HATTA
16 00214474 180219 ADINDA MUTMAINAH A.
17 00357819 180109 ADINDA ZAHRANI
18 00370918 180112 ADITYA MAULANA
19 00284656 181011 AGUNG NUGROHO
20 00329640 181004 AGUNG PRIHATMOKO
21 00373117 180219 AGUS
22 00371974 180227 AGUS
23 00377673 180521 AGUS EFENDI
24 00366562 180917 AGUS MULYADI
25 00366914 180403 AGUS SALIM
26 00381471 181030 AGUSTINI GANDARESMI
27 00375594 180726 AHMAD FAISAL
28 00307884 180312 AHMAD MAULANA
29 00378619 180605 AHMAD YANI
30 00380158 180829 AHMAD ZAID
31 00361509 180123 AI ROHIMAH
32 00376570 180525 AIRA TALITA ZAHRA
33 00362942 181003 AISYAH BINTI NAWAWI
34 00372219 180519 ALDO KURNIAWAN
35 00601210 180820 ALFI SYAHRIN
36 00365914 180503 ALFIANSYAH RAMADHAN
37 00385624 181122 ALI MUNIR
38 00369767 180126 ALIF RAMADHAN SUSANTO
39 00376646 180525 ALTHAFUNNISA AZMI .N
40 00073835 180409 AMAN.B.SALAM
41 00360156 180327 AMELIA LESIELA
42 00345618 180524 AMENAH
43 00342341 181231 AMEROH
44 00378776 180606 AMINAH
45 00380029 180730 AMIRULLOH
46 00378713 180621 ANAFA RUNISA
47 00385797 181122 ANDRE BUDI ASTAMAN
48 00064463 180611 ANDRE RODIN HERIANTO P
49 00379280 180623 ANDRI IRAWAN
50 00371869 181119 ANDRIAN MAULANA
51 00326516 180320 ANGGIA MURTI ADAM
52 00291447 180302 ANI SUGIARTI
53 00349113 180628 ANNISA PUTRI
54 00609071 180119 ANOM ADJI INDRAJID
55 00382675 180910 ARDILAH ISMA ARDINI
56 00994732 180120 ARI RANA JAYA
57 00189577 180201 ARI WAHYUDI
58 00210425 180314 ARI WISNU WARDANA
59 00384413 181011 ARIADI BIN SAMIN
60 00372276 180416 ARIEF RACHMAN ABAS
61 00343305 180412 ARIF JUNISMAN MENDROFA
62 00345919 180806 ARIYANTO SIHOTANG
63 00358328 180123 ARJA GUSTIAWAN
64 00352683 181115 ASDAH HARAHAP
65 00379428 180719 ASEP ASHARI
66 00366657 180106 ASEP KAMALUDIN
67 00385603 181105 ASEP MUHAMAD
68 00070116 180726 ASTARIYAH
69 00365188 180129 ASTRI YANI SARI
70 00281562 180609 ASUROH
71 00371309 180924 ATI HAYATI
72 00255836 181017 ATI MULYATI
73 00368474 180402 BAMBANG SUGENG W
74 00227194 180503 BANIARA
75 00381562 180810 BANU ISMAIL
76 00369383 180116 BARA RIVALDI
77 00386610 181214 BAYU NUR AZIS
78 00380601 180720 BENNY AKHMAD
79 00377447 180504 BIRRU ELBARI
80 00360222 180814 BUDJANG
81 00298804 180227 CECEP WAHYUDIN
82 00080241 180103 CHOLID
83 00005123 180110 CHRISANTI DEWI ASMIATI
 84 00385382 181030 CITRA ANGGRAINI
85 00264041 180626 CUCU ROSTINI
86 00375261 180519 DAFFA AYURA MUTIRI
87 00377151 180525 DAHLIA
88 00381474 180810 DANDI
89 00372636 180221 DARMA KUSUMAH
90 00387338 181217 DAVID SANJAYA
91 00324311 180115 DEDI SUTRISNA
92 00376306 180411 DELLI FEBRIYENI S
93 00297093 181112 DENNY NUGRAHA
94 00365063 180115 DESSY HANA CLAUDIA
95 00366522 180505 DESTIANA RAHMAN
96 00371734 180109 DEVI INGGRIYANI
97 00386644 181128 DEZAN SYASEVIK
98 00383647 181001 DHIKA GUSTAMA
99 00364199 180416 DHINA MAYANTI
100 00378839 180612 DIAN DEWI LESTARI
101 00382020 180903 DIANY S
102 00374966 180409 DICKY CAHYA ZULKITRI
103 00076534 180421 DIDIEN RACHMAT
104 00376420 180413 DINA MARYANA
105 00300910 180420 DJAMALUDIN
106 00286314 180327 DJAPAR HADIWITONO
107 00274064 181018 DJUMEIRIAH
108 00003253 180208 DONNY SADONO
109 00374723 180312 DWI WIRIYANI
110 00385510 181119 EDO SETIAWAN
111 00325854 180621 EKA AMIYATI, S.PD
112 00365140 180110 EKA RIDWAN MAULANA
113 00373854 180223 ELIS ZUARIAH
114 00140960 181029 ELSA ISMI SEPRIANZ
115 00371955 180113 ELVIA
116 00235773 180123 ELY YULIANAWATI
117 00610386 181110 ENDAH WULANDARI
118 00259103 180202 ENDANG KADARYATI
119 00009562 180125 ENI SUHAENI
120 00331824 180602 EPIH
121 00382139 180907 ERMA WATI
122 00025186 180221 ERNAWATI
123 00387614 181220 ERNAWATI
124 00376436 180426 ERNI NURAINI
125 00378272 180523 ESA RISWANDANI
126 00335463 180730 ESIH KASIH
127 00230273 180301 ETI SUHARYATI.HJ
128 00365362 180109 ETIN SUPRIYATIN
129 00270899 180119 EVRILYA RASMI PUTRI
130 00155174 180604 EZRA SIANIPAR
131 00137492 180619 FADIYAH MARLIZA
132 00381725 180813 FAHMI EFFENDI
133 00377267 180813 FAJAR NAULI RITONGA
134 00362767 180125 FAJAR SURYO PUTRO
135 00304363 181108 FARHATUN NISA
136 00062647 180126 FARIDA NADYA
137 00365416 180528 FATIYA RAHMA
138 00376393 180525 FATTHAN ZAFAR AL NURHIDAY
139 00365878 180108 FAYOZA RAHARDIAN PUTRA
140 00373124 180213 FIDA MALUFAH
141 00376755 180525 FIKRI WIRANTO
142 00367104 180108 FINA LESTARI H
143 00387262 181212 FIRDAUS FIRMANSYAH
144 00368278 180313 FITRANDY
145 00333886 180525 GATHAN IBRAHIM PRATAMA
146 00370193 180213 GITA FITRI SAQILA
147 00363516 180105 GLEN YUNIAR
148 00382921 180914 GUNAWAN
149 00362622 180110 GUSMAWATI
150 00385344 181107 HABIBAH
151 00342897 180503 HAFIY FALAH AHMAD
152 00299734 180104 HAIRUDIN
153 00313234 180207 HALIMATUS SADIAH
154 00386504 181129 HAMAMI WIJAYA
155 00203519 181220 HAMZAH
156 00380902 180830 HANIF RAMADHAN
157 00331568 180227 HARLISA SYAM
158 00382800 180907 HARTUTI
159 00326644 180523 HARYADI
160 00313870 181113 HASAN BASRI, H
161 00276539 181213 HASANUDIN
162 00338470 180112 HASBULLOH
163 00382789 180906 HELMI DWI LUTHFI
164 00335398 180302 HENI KARTIKA
165 00372283 180125 HERMAN
166 00364966 180410 HERU DARMAWAN
167 00355676 180418 HILDA AMALIA
168 00195447 181113 HUSAINI NARA WIGANDA
169 00378575 180626 HUSIN
170 00368652 180112 HUSNUL KHOTIMAH
171 00373722 180226 IBNU MASUD
172 00304497 180816 IHSAN DANESWARA
173 00383191 181015 IKA MUFLIKHAH
174 00364461 180105 ILHAM MUFLIH
175 00383636 180927 INDAH LESTARI
176 00370865 180205 INDAH ROSANTI
177 00081479 180720 INTAN MAULIDINA .H
178 00368143 180411 IRZAN KASMA
179 00225177 180824 ISMAIL SABI
180 00372757 180131 ISWAHYUDI
181 00380048 180815 IWAN BASUNI
182 00607514 180226 JASMINE YUTRIA. I.G.A
183 00316922 180413 JIIN
184 00376399 180412 JONI YOSMAR
185 00318661 180924 JULIANI SUKMA DEWI
186 00382951 181018 JURIAH
187 00900912 180516 KADIRUN SANTOSA
188 00284068 180205 KARSINAH
189 00254449 181212 KARTIONO
190 00249471 180727 KELIK PRABOWO
191 00356301 180714 KEN ZURAIDA
192 00346632 180903 KENDI MORO NITISASMITA
193 00374233 180303 KEVIN RACHMAT ALVARO
194 00364472 181123 KIRMAN
195 00385764 181119 KISMANTO
196 00365809 180207 KOMARUDIN
197 00367354 180511 KRISTINA
198 00336219 180320 KURNIASIH
199 00373796 180523 KUSWATI
200 00367791 180531 LABIB MUTAWALLI ASSAKHAWI
201 00387632 181227 LARASATI OKTAPIA
202 00365476 180219 LAVITA WAHYUNI.M
203 00387586 181219 LENY ANDRIANI
204 00372003 180209 LIA ALISIA
205 00385662 181105 LILIS
206 00327769 181214 LILIS SURYANI
207 00385609 181204 LINA NUR AFIFAH
208 00377559 180514 LINAWATI BR BANGUN
209 00354441 180129 LINDA SUKMANINGSIH
210 00374220 180302 LISA FAZRIAH
211 00381038 180808 LUANA ERVIANA
212 00033057 180626 MAEMUNAH
213 00070571 180404 MAGHFIRA AZAHRA
214 00378389 180628 MAIZU AHMAD
215 00368823 180111 MALA NURMALA
216 00370633 180110 MAMAN
217 00369422 180306 MANIH
218 00367832 180214 MANSUR
219 00377750 180516 MARGANI
220 00376385 180611 MARIA ULFAH
221 00306640 180324 MARIAM. HJ
222 00375416 180329 MARIO TIMOTIUS M
223 00293136 180605 MARIYAM
224 00363280 180102 MARIYANI
225 00386021 181128 MARJUKI ASMAWI
226 00377098 180426 MARLIAN
227 00386430 181124 MARYAMAH
228 00370281 180425 MARYANAH
229 00369160 180208 MARYATIN DEWI
230 00366402 180129 MARYONO
231 00369565 180711 MARYUNI
232 00371293 180416 MAS MURNI
233 00382955 181017 MASAGUS HERI MULYANA
234 00363309 180117 MASITOH
235 00385933 181112 MASITOH
236 00376128 180723 MASLAINI NASUTION
237 00379159 180619 MASTURI
238 00030262 180125 MASUD SADAT
239 00384829 181018 MAT ZENI
240 00926715 180910 MATSANI,H
241 00241267 180430 MAYA FERVIANA
242 00354232 180103 MAYA INDRIANI
243 00376259 181013 MAYASARI
244 00360086 180130 MEIKA CITRA RESMI
245 00382477 181030 MEYNA NABILLA PUTRI
246 00377091 180611 MININ GOFARE
247 00338015 180727 MITI SUSANTI
248 00385944 181112 MOHAMAD AMIN
249 00377445 180504 MOKHAMAD ABROR
250 00371685 180508 MUANIH
251 00350647 180629 MUCHMAWARDI
252 00383525 181019 MUDDRIKAH ADDAROINY
253 00973656 180228 MUDJI
254 00385784 181108 MUHAMAAD QOIS ARQONI
255 00345023 180612 MUHAMAD ALGIFFARY A.E
256 00226749 180207 MUHAMAD CHANDRA PUTRA
257 00387520 181219 MUHAMAD ILHAM
258 00609997 180813 MUHAMAD IQBAL
259 00233376 180213 MUHAMAD NURDIN
260 00384689 181103 MUHAMAD REZA JULIAN
261 00151310 180123 MUHAMAD RIZKI RAMADHAN
262 00379426 180730 MUHAMAD TOLIPI
263 00295449 181019 MUHAMMAD AULIA AKBAR F
264 00323673 180726 MUHAMMAD BAHRUM SAHURI
265 00274940 181102 MUHAMMAD FATIH ZAHRAN
266 00370326 180517 MUHAMMAD FIRZA
267 00050629 180405 MUHAMMAD RIZKI AZIMA
268 00371229 181116 MUHAMMAD RIZKYANSYAH
269 00334991 180721 MUHAMMAD WISNU
270 00373809 180223 MUIDAH
271 00366690 180105 MUJENAH
272 00385111 181024 MULYADI
273 00368478 180531 MULYANI
274 00385503 181212 MURTOPO PUJIANTO
275 00203637 180716 MUSA
276 00371770 180517 NABILA FEBRIANI
277 00107511 180202 NADIA MAWADAH UTAMI
278 00279310 180518 NAFEEZA HASNA FAUZIA
279 00370125 180504 NAILAH MUMTAZ
280 00377448 180504 NAJMA NAJJAH
281 00367013 180621 NAMAH
282 00376441 180604 NANI HARYANI
283 00376919 180423 NANI YUNINGSIH
284 00214123 180312 NAZARUDDIN
285 00374722 180517 NEFADIO ABIZAR MALIQ
286 00377466 180609 NGADIMAN
287 00368687 180105 NGASAROH
288 00375121 181009 NGATINAH
289 00105025 180111 NIKEN NURAALIYAH.M
290 00379703 180704 NIMAH
291 00376616 180417 NINA TRESNAWATI
292 00380033 180824 NINING SUDIAN
293 00324706 180109 NONANG MOEDJI R
294 00382142 180901 NUNUNG NURDIANI
295 00213698 181126 NUR AFIFAH R
296 00159670 180417 NUR AISYAH
297 00156199 180207 NUR INDRIANA
298 00355753 180205 NURBAITI NINGRUM
299 00949719 180308 NURHASANAH
300 00370283 180306 NURHAYATI
301 00384203 181008 NURHAYATI
302 00373995 180321 NURJANAH SAPITRI
303 00354237 180215 NURUL C TORINA
304 00130107 180918 NURZAMAN
305 00326070 180530 OKTAVIA RUSADY
306 00076362 181114 PANCA NURVIANTO
307 00377715 180612 PANJI JULIAN
308 00361397 181228 PARIDA
309 00368214 180122 PARSAORAN KRISTIYANTO S,T
310 00305162 180103 PARSINO
311 00370869 180823 PETER T MOCODOMPIS
312 00360945 180206 PETROLIN TOLOSANG
313 00353446 180205 PIBI ANUAR
314 00322183 180925 PRABOWO NUGROHO .B
315 00374153 180927 PRISKILA
316 00371893 180910 PURWANTO
317 00227791 180806 PURWOSO
318 00336618 180813 PUTRI MAULANI
319 00142264 181029 PUTRI MUNINGGAR
320 00378537 180711 PUTRI UTARI
321 00356649 180917 RACHMAN SHOLIHUN
322 00378012 180518 RACHMAT
323 00361669 180628 RADEN RORO PUTRI E.D
324 00323579 180619 RAHADIAN WAHYU SUTAPRADAN
325 00369975 180521 RAHMAWATY
326 00335073 180416 RAMLAH KASUMA
327 00185539 181207 REINALDI
328 00373614 180219 RENDI YANTO
329 00622649 180525 RENDY AVRIYANDO AR
330 00334279 180119 RESTI
331 00366018 180116 RESTI FAUZIYAH
332 00383182 180929 REYNALD MARTIANO SOEDIRA
333 00381366 180806 REZZA WAHYUDIANSYAH
334 00363534 180109 RHEKA DWI ANJANI
335 00384797 181123 RIA ROSALIA
336 00368914 180309 RIAN RISZKIANTO
337 00380103 180731 RINA AGUSTIN DWI ASTUTI
338 00378070 180814 RINI HARTATI
339 00363130 180314 RISNAWATI
340 00364759 180103 RISQI PUTRI W
341 00367897 180319 RITA ASTUTI
342 00376754 180419 RIYANTI
343 00339888 180118 RIZKI YANDA BAHRI
344 00386887 181205 RODIAH
345 00374481 180307 ROHIPIN
346 00376870 181031 ROHMAT DANU ATMOKO
347 00354264 180815 ROKAYAH
348 00381920 180818 ROSILAWATI
349 00125198 181013 ROSMALI
350 00385290 181030 ROSMINA
351 00350646 180821 ROTUA SINAGA
352 00356007 180219 ROWIYAH
353 00380042 181101 RUDIYANSYAH
354 00376992 180504 RUKMANA
355 00188509 180105 RULLY NURYANTO
356 00367651 180105 RULLY RATMANA
357 00268256 180419 RUNI MELDAHARSTI
358 00366500 180219 RUSLI
359 00235917 181206 RUSLINAWATI
360 00171042 180219 RUSTA ATMAJA
361 00376045 180406 RUSTIONO
362 00325502 180219 RUTH SLINA SIAHAAN
363 00361460 180119 RUYANI
364 00376612 180809 SA ADARUNISA
365 00350065 180424 SAADIH
366 00326562 180223 SAARI
367 00383920 181031 SADIAH
368 00382056 180903 SADIMAN
369 00358178 180725 SAFARINAH
370 00365695 180103 SAINO BIN SANJAHRI
371 00332203 180227 SALAMAH
372 00356160 180102 SALSABILA
373 00300991 180105 SALWA SABILA
374 00051907 180219 SAMSI ANUGRA
375 00373769 180227 SAMSURI
376 00368343 180226 SANGGAM U.M.N
377 00385757 181107 SANTI
378 00018923 180104 SANTI
379 00363767 180206 SARAH DEYA ULHAQ
380 00358362 180108 SARI HIDAYAT
381 00215160 181217 SARI PARMAWATI
382 00366489 181123 SARIFUDDIN
383 00321909 180720 SATRIO WICAKSONO
384 00377998 180531 SAYANIH
385 00382774 181215 SIHMIATUN
386 00376063 180407 SILVIA ISTIQOMAH
387 00319832 180716 SITI AYUNI
388 00290646 180516 SITI IMAHAMIDAH
389 00377006 180424 SITI MARYAM
390 00340496 180116 SRI DAMAYANTI
391 00364102 180924 SRI LESTARI
392 00373304 180324 SRI LESTARI
393 00235810 180227 SRI MARYANTI
394 00302722 180803 SRI MULYANI
395 00371092 180129 SRI WAHYUNI
396 00370051 180528 SUARDI SARDI
397 00374553 180308 SUBANA
398 00370938 180419 SUDARMILAWATI
399 00355445 180129 SUDERI
400 00372981 180206 SUGENG DWI PRIANGGONO
401 00320099 180731 SUHINDI
402 00381548 181017 SUI SUAN
403 00386535 181127 SUKIMAN
404 00371865 180123 SUKMAKARYA
405 00365453 180518 SUMARDI
406 00123016 180417 SUMARNI
407 00374401 180305 SUMARYATI .HJ
408 00375226 180323 SUMIYATI
409 00373814 180227 SUPARDI
410 00373153 180208 SUPARMI
411 00370248 180122 SUPARNO
412 00320724 180207 SUPARTY SOEHARNO
413 00385000 181108 SURAHKMAT
414 00386765 181218 SURIYAH
415 00383073 180912 SURYANI
416 00257115 180403 SUSAN FEBIANTI
417 00368692 180309 SUSI YUNITA
418 00376935 180602 SUTILAH
419 00386875 181206 SUYAMTO
420 00371789 180222 SUYARNI BASUKI
421 00333095 180306 SUYATMI
422 00361031 180312 SYAIFUL ANWAR
423 00383486 180928 TARIYAH
424 00243872 180623 TATI SUNARTI.HJ
425 00365426 180119 TATSBITA ANDARI PUTRI
426 00375322 180410 TAUFIK ARFIATA
427 00378436 180611 TEGUH MARTONO WAHYUDI
428 00382057 180904 TIKA KARTINI NASUTION
429 00383280 181204 TIRAH PERMANINGSIH
430 00202582 180109 TITIN SUTINI
431 00378785 180731 TJIA LANG
432 00923567 180410 TOEROES SB SOEMOWIRJO
433 00356140 180303 TRI UTARI
434 00387396 181217 TRI WAHYUNINGSIH
435 00387463 181224 TRIADI
436 00353333 180427 TRIHANDINI SETIAWATI
437 00370355 180221 TUTI ALAWIYAH
438 00323486 181222 UET FITRIATI
439 00005415 180905 ULEH RYANTO PERMANA
440 00304510 180625 UMMI KALSUM
441 00175592 180830 UNTUNG BUDIONO
442 00386083 181215 VALENTI JAYANI
443 00373961 181018 VIDYA LARASSATI
444 00375202 180525 WAHYUDIN
445 00386681 181226 WANDA MAIN
446 00323188 180201 WARTO SUPANDI
447 00380063 180710 WAWAH ULFAH SYARIFAH
448 00370213 181124 WAYAN PIPIT
449 00367764 180106 WIASIH
450 00372221 180611 WIDIA NINGRUM
451 00326511 180713 WIDIYANINGSIH
452 00356952 180108 WIJAYA KUSUMA
453 00384976 181029 WIJI NUR ROCHIM
454 00193348 180412 WINDA OKTARIANA
455 00372124 180117 WISNU WARDANA
456 00375129 180321 WOLTERS MARTINO E
457 00363989 180220 YAPIES MILIANTI
458 00386585 181128 YATI
459 00299314 180105 YATI NURHAYATI
460 00362940 180104 YAYAT HADIATUN
461 00357531 180503 YENNI WIJAYA
462 00382397 181017 YOGI
463 00217096 180125 YOGI ASHARI
464 00376520 180827 YOLAN PAJRIANI
465 00266274 180109 YOSINA APONNO
466 00361653 180301 YOYOK
467 00363604 180215 YUHANI BT MUHARI
468 00366260 181102 YULIATI
469 00374431 180514 YULIN ROSILAWATY
470 00376814 180518 YUNIAR ARIPIN
471 00360093 180222 YURI HANDAYANI
472 00336106 180420 YUS REZHA ANDRIATNA
473 00371422 181108 YUSLIN
474 00248200 180405 YUSNANI YUHANI
475 00365702 180508 ZAHRO TUN NABILLAH
476 00375161 180524 ZAHSY AZMI AL-VIDA
477 00369793 180324 ZAINAL ARIFIN
478 00318044 180716 ZECHA ARYA DWINANTO.SH
479 00357460 180323 ZUFRIAL
480 00365058 180105 ZULHELMI
481 00369436 181112 ZURAIDA MAHDONA
 Alamat
Jenis Umur
Kelamin (Tahun)
Kabupaten/
Provinsi Kecamatan Kelurahan
kota
5 6 7 8 9 10
L 68
L 51
L 50
L 71
L 53
L 69
L 61
L 18
L 27
L 33
P 39
P 24
L 43
L 65
L 33
P 16
P 17
L 20
L 35
L 42
L 35
L 55
L 44
L 53
L 54
P 42
L 17
L 44
P 32
L 17
P 48
P 0
P 54
L 10
L 25
L 6
L 43
L 21
P 1
L 60
P 50
P 60
P 68
P 61
L 46
P 25
L 41
L 20
L 19
L 18
P 16
P 52
P 19
L 17
P 36
L 53
L 58
L 56
L 59
L 47
L 21
L 43
L 29
L 58
L 32
L 47
L 25
P 53
P 24
P 49
P 64
P 35
L 57
P 69
L 20
L 17
L 19
L 22
L 8
L 73
L 41
L 49
P 29
P 22
P 44
P 2
P 54
L 19
L 21
L 25
L 20
P 34
L 38
P 19
P 6
P 21
L 19
L 23
P 41
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 Alamat
Nama fasyankes

Alamat Lengkap

11 12

JL KAMPUNG BARU RT 01/04KEC PAN MAS DEPOK RS Bhakti Yudha

GG.PANJANG RT6/4.CIGANJUR. RS Bhakti Yudha
JL. REMBULAN RT.06/07NO 77 DEPOK RS Bhakti Yudha
JL PINANG MENIER RT003/009RATU JAYA CIPAYUNG RS Bhakti Yudha
RAWAGENI PONCOL 06/02DEPOK RS Bhakti Yudha
KP PANMAS NO 26 RT001/003PANMAS RS Bhakti Yudha
KP. PITARA NO 42 08/13PANMAS DEPOK RS Bhakti Yudha
JL.DIPO BARU RT.07/04 NO.57CIPAYUNG DEPOK RS Bhakti Yudha
JL PELITA RT 002/003LIMO RS Bhakti Yudha
JL. KH. RIDI RT1/2 NO.44CIPAYUNG DEPOK RS Bhakti Yudha
JL SWADAYA SD RT8/1JAGAKARSA RS Bhakti Yudha
DEPOK JAYA AGUNG BLOKC6.22RT01/10 PANCORAN MAS RS Bhakti Yudha
JL REMAJA NO 11 RT 004/006NO 11 PANMAS DEPOK RS Bhakti Yudha
RATU JAYA RT 007/005 NO 34CIPAYUNG RS Bhakti Yudha
JL.PITARA NO.35 RT.01/6PANCORAN MAS DEPOK RS Bhakti Yudha
KP.KEKUPU RT.3/3-12APANMAS RS Bhakti Yudha
JL KP SENGON RT8/10 NO 1PANMAS DEPOK RS Bhakti Yudha
GG. ALMUTAQIN NO. 6 RT 01/12JL. KEADILAN RS Bhakti Yudha
JL.PITARA RT.1/16 NO.5GG.MASJID PANMAS RS Bhakti Yudha
KP.KEKUPU RT.1/6 PASIR PUTIHSAWANGAN RS Bhakti Yudha
RATUJAYA RT 01/06CIPAYUNG , DEPOK RS Bhakti Yudha
JL CAGARALAM PANCORAN MASRT 004/006 39A RS Bhakti Yudha
KP GROGOL LIMO DEPOKRT 4/1 DEPOK RS Bhakti Yudha
PENDOWO RAYA RT5/4 NO 73LIMO DEPOK RS Bhakti Yudha
KP. PARUNG SERAB NO. 10RT 03/02 TIRTAJAYA RS Bhakti Yudha
JL. PULO JAYA NO. 76 RS Bhakti Yudha
KP POS CITAYAM RT 003/011PABUARAN BOJONG RS Bhakti Yudha
PITARA RAYA RT.3/9 NO.1KP. SENGON PANCORAN MAS RS Bhakti Yudha
JL TALAS RT06/12 NO 7BEJI RS Bhakti Yudha
KEMIRIJAYA RT.02/01BEJI DEPOK RS Bhakti Yudha
KOMP DEPAG BLOK E NO 64PABUARAN BOJONG GEDE RS Bhakti Yudha
KARANG TENGAH RT6/3CILANDAK JAKSEL RS Bhakti Yudha
RAWA GENI RT.1/9 CIPAYUNG RS Bhakti Yudha
RATU JAYA RT06/04 NO24RATU JAYA CIPAYUNG DEPOK RS Bhakti Yudha
DEPOK JAYA AGUNG BLK.C3 NO.3JL.APEL VIII RS Bhakti Yudha
JL KETAPANG NO 36PONDOK CINA RS Bhakti Yudha
KP. JEMBLONGAN RT 03/11 DEPOK RS Bhakti Yudha
JL PITARA RAYA GG HJ GANENGRT1/19 NO 17 DEPOK RS Bhakti Yudha
JL. MASJID AL HIDAYAH RT 06/03 RS Bhakti Yudha
JL. PRAMUKA 1 RT.05/06MAMPANG PANCORAN MAS DEPOK RS Bhakti Yudha
PURI BOJONG LESTARI RT02/14BOJONG GEDE RS Bhakti Yudha
JL. REMAJA RT07/01MAMPANG PANMAS DEPOK RS Bhakti Yudha
KP. PABUARAN RT.5/5BOJONG GEDE RS Bhakti Yudha
KP GROGOL RT 01/01RANGKAPAN JAYA , PANMAS RS Bhakti Yudha
KP.BLIMBING SAWAH RT04/03NO.25 PANMAS RS Bhakti Yudha
PARUNG BELIMBING RT5/17 RS Bhakti Yudha
JL. ALI ANDOR 2/8 RS Bhakti Yudha
JL.CARINGIN RT.02/04 -118 RS Bhakti Yudha
KP PILOMANGGART 003/003 RS Bhakti Yudha
KP.JEMBLONGAN RT.3/11PANCORAN MAS RS Bhakti Yudha
JL KEMIRI JYA RT02/01NO.37 DEPOK BEJI RS Bhakti Yudha
KP.TAJUR RT.06/04 PAMEGARSARIPARUNG RS Bhakti Yudha
DEPOK MULYA II BLOK AF NO.19 RS Bhakti Yudha
KP.PULO RT.03/09-21 PANMAS RS Bhakti Yudha
BIOLA 5 NO 140 RT3/7SUKMAJAYA RS Bhakti Yudha
JL.PITARA RAYA RT.06/18 NO 16PANCORAN MAS RS Bhakti Yudha
KP.PARUNG BINGUNG RT.01/03RKP JAYA BARU PAN MAS DEPOK RS Bhakti Yudha
JL.PEPAYA I NO.85PANCORAN MAS RS Bhakti Yudha
KP PANCORAN MAS RT5/8PANCORAN MAS RS Bhakti Yudha
RATU JAYA RT 03/05 NO 140RATU JAYA CIPAYUNG RS Bhakti Yudha
JLN.PASIR GUNUNG SELATANRT01/07 CIMANGGIS DEPOK RS Bhakti Yudha
JL. RAYA SAWANGAN NO.20RT.2/9 RS Bhakti Yudha
KP GROGOL RT4/2 NO 62 GROGOLLIMO DEPOK RS Bhakti Yudha
JEMBATAN SERONG RT01/07DEPOK CIPAYUNG RS Bhakti Yudha
KP. GROGOL RT.5/1 RS Bhakti Yudha
RAWAGENI RT 06/08RATUJAYA CIPAYUNG RS Bhakti Yudha
KP BEDAHAN RT004/010CIRANJANG RS Bhakti Yudha
KP.MAMPANG RT.03/02PANMAS RS Bhakti Yudha
KP.KEKUPU RT.04/04 RKP.JAYAPANCORAN MAS DEPOK RS Bhakti Yudha
KP. KEKUPU RT. 03/04 NO.3RANGK. JAYA PANMAS RS Bhakti Yudha
JL.GURAME I NO.296 RS Bhakti Yudha
SAWANGAN BARU RT. 01/02NO. 38 SAWANGAN RS Bhakti Yudha
KP. PULOMANGGA RT 05/05GROGOL LIMO RS Bhakti Yudha
PURI BOJONG LESTARI TAHAP IIBLOK.CC NO.7 RS Bhakti Yudha
JL. H DUL RW 005/001 RS Bhakti Yudha
MAMPANG RT.03/04 NO.55PANCORAN MAS DEPOK RS Bhakti Yudha
LIO NO. 37 RT 03/07 CIPAYUNGBOJONG PONDOK TERONG RS Bhakti Yudha
KP.GEDONG RT.02/19 NO.18KEMIRI MUKA BEJI DEPOK RS Bhakti Yudha
KP BELIMBING SENTRAL RT.9/3PANCORAN MAS DEPOK RS Bhakti Yudha
JLN.PRAMUKA RT 04/04 NO.99GG.MASJID PANMAS RS Bhakti Yudha
LEMBAH GRIYA INDAH BLOK D2/6RAGAJAYA BOJONG GEDE RS Bhakti Yudha
KP.MAMPANG RT.3/9 PANMAS RS Bhakti Yudha
JL.JOHAR RAYA/88 DPK 2 TG RS Bhakti Yudha
JL.DAMAI NO.19 RT.2/19PANCORAN MAS DEPOK RS Bhakti Yudha
JL.PIPIT RAYA NO.141 RT.8/10DEPOK JAYA PANMAS RS Bhakti Yudha
JL H GG Y NO 26 RT 07/09TEBET RS Bhakti Yudha
KP.LIO RT02/13 PANMAS RS Bhakti Yudha
KP.PANCORAN MAS RT 06/08 NO.92 RS Bhakti Yudha
KP LIO RT6/RW19KEC PANCORANMAS RS Bhakti Yudha
JL UTAN JAYA RT008/004CIPAYUNG RS Bhakti Yudha
JL SEMANGKA 9 NO.275DEPOK I RT02/02 RS Bhakti Yudha
PRUM PURI DEPOK MAS BLOK Q1/20RT008/020 PANMAS RS Bhakti Yudha
GG. PORTI RT.09/01 NO 17RAJAWALI PANMAS RS Bhakti Yudha
JL. CENDRAWASIH VIII NO. 179DEPOK JAYA PANMAS RS Bhakti Yudha
JL MASJID ASSALAFIYAH 001/003CIPAYUNG JAYA CIAPYUNG DEPOK RS Bhakti Yudha
KP DUKU RT 03/05KEBAYORAN LAMA UTARA RS Bhakti Yudha
KP MANGGAH RT2/12DEPOK PANMAS DEPOK RS Bhakti Yudha
PARUNG BINGUNG RT4/13RANGKAPAN JAYA BARU RS Bhakti Yudha
RAWA GENI RT.6/8 RATU JAYAPANMAS RS Bhakti Yudha
KP SENGON RT3/9PANCORAN MAS RS Bhakti Yudha
KP STANGKLE NO 48 RT2/6KEMIRI MUKA RS Bhakti Yudha
JL DUKUH II NO 175 002/014DEPOK JAYA PANMAS RS Bhakti Yudha
JL.PITARA RT.3/7-41 PANMAS RS Bhakti Yudha
RAWAGENI NO 28 RT 3/2DEPOK RS Bhakti Yudha
RAWAGENI RT 05/02CIPAYUNG DEPOK RS Bhakti Yudha
KP.BELIMBING SAWAH RT.02/03-30PANMAS DEPOK RS Bhakti Yudha
JLYELIR VIII NO.15 RT.4/6PANMAS RS Bhakti Yudha
PESONA ALAM RESIDANCE BLK.B/5PANCORAN MAS DEPOK RS Bhakti Yudha
JL. KH.AHMAD DAHLAN II NO.8RT 01/06 KUKUSAN BEJI RS Bhakti Yudha
RAWA INDAH RT004/002BOJONG PONDOK TERONG CIPAYUNG RS Bhakti Yudha
KP.PITARA RT.008/013PANCORAN MAS DEPOK RS Bhakti Yudha
KP UTAN JAYA RT 04/08NO 64 GROGOL RS Bhakti Yudha
JL MASJID AL ITTIHAD RT4/4PONDOK TERONG BOJONG RS Bhakti Yudha
KP.PABUARAN RT.2/1 NO.14 BJGD RS Bhakti Yudha
JL H SYUAIR RT001/002MAMPANG, PANMAS RS Bhakti Yudha
JL.CARINGIN KP.KEKUPU RT.1/5-4PANMAS DEPOK RS Bhakti Yudha
JL. ABDUL RAHMAN RT. 7/1 NO.68PODOK JAYA, CIPAYUNG, DEPOK RS Bhakti Yudha
JL. AGUNG RAYA II NO. 26RT.4/7 LT AGUNG JAKSEL RS Bhakti Yudha
JL.KH.A.DAHLAN RT.5/8-5 RKPJYPANCORAN MAS RS Bhakti Yudha
KP. SENGON RT.05/10 NO. 30PANCORAN MAS RS Bhakti Yudha
KP PANJANG RT3/7RAWAPANJANG BOJONG GEDE RS Bhakti Yudha
KP.SENGON RT.05/10-18 PANMAS RS Bhakti Yudha
POIN MAS BLOK F4/15RT003/011 PANCORAN MAS RS Bhakti Yudha
GG. SWADAYA V NO.28 RT 01/12 RS Bhakti Yudha
JL PINANG MENIRRT 003/009 RS Bhakti Yudha
JL.MASJID LIO RT.4/20PANCORAN MAS DEPOK RS Bhakti Yudha
JL.RIDWAN RAIS NO.107 BEJI RS Bhakti Yudha
JL RAYA CIPAYUNG RT02/10 NO.57 RS Bhakti Yudha
JL. KEMANG RAYA NO. 44STUDIO ALAM RT. 6/9 CIKUMPA RS Bhakti Yudha
JL.CAMAR VI NO.23 DEPOK.JAYAPANCORAN MAS RS Bhakti Yudha
RATU JAYA RT.1/3-37 CITAYAMPANCORAN MAS RS Bhakti Yudha
KOMP DEPAG BLOK I/58 RT13/15PABUARAN BOJONG GEDE RS Bhakti Yudha
JL KERAMAT JAYA 1 NO 15CRT 001/012 BEJI RS Bhakti Yudha
JLN KUSUMA RAYA NO 5DEPOK JAYA PANMAS RS Bhakti Yudha
KP.PITARA RT.5/13PANCORAN MAS RS Bhakti Yudha
JL.CAKALELE V NO.61 SUKMA JAYA RS Bhakti Yudha
BOJONG SARI RT02/10 NO.36DEPOK RS Bhakti Yudha
JL. SWADAYA I JEMBLONGANRT. 01/12 PANCORAN MAS RS Bhakti Yudha
JL MANGGIS II NO64RT11/02 PANAMS DEPOK RS Bhakti Yudha
KP. BELIMBING SENTRALRT. 09/03 PANMAS RS Bhakti Yudha
GG.CEPLIKRT.001/005 RS Bhakti Yudha
KAMPUNG LIO RT3/19 DEPOKPANCORAN MAS RS Bhakti Yudha
JL LOBILOBI RT 12/10 NO 33PASAR MINGGU RS Bhakti Yudha
KP.PONDOK RANGGON NO.20RT.04/05 JATIMURNI PDK.MELATI RS Bhakti Yudha
KP LIO RT07/013 NO 54BEJI RS Bhakti Yudha
JL HARAPAN GG MARDANI NO 504/05 SAWANGAN DEPOK RS Bhakti Yudha
RAWA GENI RT.7/8CIPAYUNG RS Bhakti Yudha
PALASIGUNUNG RT4/2 RS Bhakti Yudha
KP.SENGON RT.11/10 NO.53PANCORAN MAS DEPOK RS Bhakti Yudha
RAWAGENI RT002/007RATU JAYA CIPAYUNG RS Bhakti Yudha
JL.MANGGA RT.7/5 NO.34BEJI DEPOK RS Bhakti Yudha
JL.H.ALWI RT.4/1 TJNG BARAT RS Bhakti Yudha
JL.RAWASARI NO.34 RT.3/5CIPAYUNG RS Bhakti Yudha
RANGKAPAN JAYA BARU RT 02/08 RS Bhakti Yudha
KP.PITARA RT.5/13 NO.34 RKPJYPANCORAN MAS RS Bhakti Yudha
PURI CITAYAM PERMAI BLK B3/12BOJONG GEDE RS Bhakti Yudha
KOMP JL.KASTURI II NO.16CITAYAM BOJONG GEDE RS Bhakti Yudha
KP.UTAN JAYA RT.05/3 NO.118CIPAUNG DEPOK RS Bhakti Yudha
RATU JAYA RT.08/05RATU JAYA CIPAYUNG RS Bhakti Yudha
KP.LIO HEK NO.31 RT.06/09BJ.PONDOK TERONG CIPAYUNG RS Bhakti Yudha
JL.H. SULAEMAN NO.4 RT03/02BEDAHAN SAWANGAN RS Bhakti Yudha
JL. REMAJA RT.2/1 NO. 83MAMPANG RS Bhakti Yudha
JLN.PROGRAM VI NO.19 RT04/04PANMAS RS Bhakti Yudha
JLN,CAGAR ALAM RT05/04 NO.38PANCORAN MAS RS Bhakti Yudha
KP.PANCORAN MAS RT02/18NO.17 PANCORAN MAS RS Bhakti Yudha
JL MASJID LIO NO 20PANMAS DEPOK RS Bhakti Yudha
KP.CITAYAM RT.02/05 NO.57BOJONG GEDE RS Bhakti Yudha
JL.NANAS VIII NO.102 DEPOK IDEPOK JAYA PANMAS RS Bhakti Yudha
JL. ASEM RT 01/13 NO 6KP. KEKUPU RS Bhakti Yudha
KP PITARA RT2/13 PANCORAN MASDEPOK RS Bhakti Yudha
PURA BOJONGGEDE BLOK B6/02RT002/022 TAJURHALANG RS Bhakti Yudha
JL.KACA PIRING II NO.7 BJ.GEDE RS Bhakti Yudha
BUKIT RIVARIA BLOK N5 NO 8BEDAHAN SAWANGAN RS Bhakti Yudha
JLN.CAGAR ALAM RT06/08 NO.51GG.SWADAYA VII PANMAS RS Bhakti Yudha
KP KEKUPU RT007/005RANGKAPAN JAYA PANMAS RS Bhakti Yudha
JL.ALI ANDONG RT.2/6-64BJ.SARI SAWANGAN RS Bhakti Yudha
KP.PULO RT.3/9-21 PAN MAS RS Bhakti Yudha
JL ABDUL WAHAB NO 18SAWANGAN RS Bhakti Yudha
JL.BEDAHAN NO.11SAWANGAN-DEPOK RS Bhakti Yudha
JL.SAMINTEN 6 NO.79 RT.5/16BAKTI JAYA SUKMAJAYA RS Bhakti Yudha
JL KHA DAHLAN IV NO 8RT3/6 KUKUSAN BEJI RS Bhakti Yudha
DPK.MULYA II BLK.AJ/1 RS Bhakti Yudha
PASIR PUTIH RT02/04 NO.12SAWANGAN RS Bhakti Yudha
JL. CITAYAM III GG. TEXASRT.03/02 NO. 26 PANCORAN MAS RS Bhakti Yudha
JL. MUHASAN 2 - 37 RT.1/2LIMO RS Bhakti Yudha
JL RAWA SARI I RT1/5CIPAYUNG JAYA RS Bhakti Yudha
KP. GROGOL RT.3/2 RKP.JAYAPANMAS RS Bhakti Yudha
RAWA DENOK RT.1/12PANCORAN MAS RS Bhakti Yudha
RAWA INDAH/24 BJ PDK TERONGPANCORAN MAS RS Bhakti Yudha
JLJASMARA RAYA RT.07/10-136MEKARJAYA RS Bhakti Yudha
JL. RAYA CIPAYUNG JAYART.2/5 CIPAYUNG DEPOK RS Bhakti Yudha
KP. PANCORAN MAS 40 ART.19 PANCORAN MAS RS Bhakti Yudha
JL HJ AMIN 1 RT13/2KEC PANCORANMAS RS Bhakti Yudha
JL.PINDAHAN RT.02/10 SENGONPANCORAN MAS DEPOK RS Bhakti Yudha
KP.BARU RT.02/06 NO.33PANCORAN MAS DEPOK RS Bhakti Yudha
JL.RAWA SARI NO.100 RT2/6CIPAYUNG JAYA RS Bhakti Yudha
KP.BELIMBING SAWAH RT.06/03DEPOK PANCORAN MAS RS Bhakti Yudha
VILLA SANTIKA GG KARUN NO 79RT03/04 PANCORAN MAS RS Bhakti Yudha
JL BANGAU III NO 19003/08 DEPOK JAYA PANCORAN MAS RS Bhakti Yudha
JL.RATU JAYA RT.3/3 NO.18CIPAYUNG DEPOK RS Bhakti Yudha
KP PULOMANGGA RT3/4 NO 16DEPOK RS Bhakti Yudha
KP BOJONG NO 12 001/020SUKMAJAYA RS Bhakti Yudha
JLN.SALAK III RT06/01 NO.75MAMPANG PANCORAN MAS RS Bhakti Yudha
JL KERAMAT BURUNG RT008/RW005KEC PANCORANMAS RS Bhakti Yudha
PERUM KOLAM RENANG CERIA BLOKDEPOK RS Bhakti Yudha
GG. H MARWAH RT.6/1 NO.38APONDOK TERONG RS Bhakti Yudha
KOMPLEK BSI D3 NO 55RT12/10 RS Bhakti Yudha
JL MESJID LIO NO 75 RT 03/20PANCORAN MAS RS Bhakti Yudha
KP.PANCORAN MAS RT.6/18-14 RS Bhakti Yudha
JL MANDOR ETY RT3/2KEC BEJI RS Bhakti Yudha
GG ATAS RT 01/09 NO 40 RS Bhakti Yudha
JL.GAMBANG III/348 DPK.IIRT007/009 SUKMAJAYA RS Bhakti Yudha
BUMI SAWANGAN INDAH BL.D2/21JL. MADINAH SAWANGAN RS Bhakti Yudha
JL RAYA PITARA RT 001/009 NO43PAN MAS DEPOK RS Bhakti Yudha
JL MASJID LIO RT1/20DEPOK PANCORAN MAS RS Bhakti Yudha
KP. CIKACIP RT 03/01MEKARJAYA CAMPAKA RS Bhakti Yudha
KP JEMBLONGAN NO 15 RT 01/011 RS Bhakti Yudha
JL RAYA MUCHTAR NO 7004/002 SAWANGAN DEPOK RS Bhakti Yudha
JL LIMO RAYA KP PONCOLRT003/002 LIMO RS Bhakti Yudha
JL KEBON NANAS RT 4/4 NO 9JATINEGARA RS Bhakti Yudha
MAMPANG RT.01/10 NO.5PANCORAN MAS RS Bhakti Yudha
PURI DEPOK MAS QA/22PANCORAN MAS RS Bhakti Yudha
JL H M ALIF I NO 15 BBEJI RS Bhakti Yudha
PERUM RIVARIA NO.802/01 DEPOK RS Bhakti Yudha
SAWANGAN JATI RT 06/06 RS Bhakti Yudha
JL RAJAWALI II BLOK DH 8/3VILLA PAMULANG RS Bhakti Yudha
PARUNG KULON RT 03/04DUREN MEKAR , BOJONGSARI RS Bhakti Yudha
JL PRAMUKA II NO 21 RT 04/002MAMPANG , PANMAS RS Bhakti Yudha
JL KRESNA V RT3/14 NO 119SUKMAJAYA RS Bhakti Yudha
KP KEKUPU RT3/4RANGKAPAN JAYA DEPOK RS Bhakti Yudha
KP PITARA RT7/7PANCORAN MAS DEPOK RS Bhakti Yudha
JLN.GELATIK 12 RT05/01 PANMAS RS Bhakti Yudha
JL ARIEF RAHMAN HAKIMRT4/12 RS Bhakti Yudha
JL. M. SAUN RT 03/01TN. BARU BEJI DEPOK RS Bhakti Yudha
JL.BULAK BARAT RT.03/07CIPAYUNG DEPOK RS Bhakti Yudha
JL CAGAR ALAM GG SWADAYA 5008/008 PANCORAN MAS DEPOK RS Bhakti Yudha
JL. MELATI TIRTA I FB 9RT 02/08 TAMAN MELATI RS Bhakti Yudha
JL.SAMIAJI III/25 DPK.TGHRT06/19 SUKMAJAYA RS Bhakti Yudha
JL PEPAYA RT 01/03 RS Bhakti Yudha
KP.BOJONG NO. 8 CIPAYUNGRT.05/04 BOJONG PONDOK TERONG RS Bhakti Yudha
JL. ASRI VI B NO. 12PERUM DEPHAN CIBINONG BOGOR RS Bhakti Yudha
JL. MESJID LIO RT01/20PANMAS DEPOK RS Bhakti Yudha
KP GROGOL RT06/01RANGKAPAN JAYA RS Bhakti Yudha
PESONA KHAYANGAN JUANDABLOKG5 MARGONDA DEPOK RS Bhakti Yudha
KP KELAPA RT005/003RAWAPANJANG BOJONGGEDE RS Bhakti Yudha
JL MANDOR BASIR I NO 28ART3/8 KUKUSAN DEPOK RS Bhakti Yudha
PONDOK JAYA RT6/2JL PADAT KARYA CIPAYUNG DEPOK RS Bhakti Yudha
PONDOK TERONG RT.3/5 NO.40CIPAYUNG DEPOK RS Bhakti Yudha
KP.BELIMBING SENTRALRT.09/03PANCORAN MAS DEPOK RS Bhakti Yudha
KP PITARA RT003/RW007KEC PANCORANMAS RS Bhakti Yudha
GG MEKAR 3 NO 8 RS Bhakti Yudha
JL.MARGONDA RAYA NO.6 RT 03/06BEJI PONDOK CINA RS Bhakti Yudha
KOMP.SAMUDRA IND BLK.B6/3 RS Bhakti Yudha
JL RADEN SANIM GG REMBUNRT6/1 RS Bhakti Yudha
KP.PITARA RT.1/13 PANMAS RS Bhakti Yudha
PITARA I RT. 02/07 RS Bhakti Yudha
KP KEKUPU RT007/004RANGKAPAN JAYA RS Bhakti Yudha
GRIYA PANCORAN MAS INDAH BLK CNO.8 RT.5/14 RANGKAPAN JAYA RS Bhakti Yudha
KP.LIO RT.3/8-3 BJ PDK TERONGPANMAS RS Bhakti Yudha
KP PANCORAN MAS RT005/005PANCORAN MAS RS Bhakti Yudha
KP.MANGGA RT.06/12-20 depokPANCORAN MAS RS Bhakti Yudha
KP. PITARA 004/015 RS Bhakti Yudha
JL HARAPAN TAMAN VASCO NO. B3RT, 05/03 RANGKP JAYA PANMAS RS Bhakti Yudha
KP. BARU RT. 6/7 NO. 34PANCORAN MAS RS Bhakti Yudha
JL.JATI V NO.220 RT.6/5BAKTIJAYA SUKMAJAYA RS Bhakti Yudha
VILA MUTIARA CINERE BLK C2/19GROGOL LIMO RS Bhakti Yudha
TELAGA GOLF(NUANSA BALI) A1/38SAWANGAN RS Bhakti Yudha
KP PANCORANMAS NO 14 BRT 04/07DEPOK RS Bhakti Yudha
JL. BENDA BARAT BLOK. RAMBUTANRT.6/4 NO. 38 CIPAYUNG DEPOK RS Bhakti Yudha
RATU JAYA NO 73RT 07/04 GG DIPO RS Bhakti Yudha
KP. PARUNG SERAB RT 02/02TIRTAJAYA SUKMAJAYA RS Bhakti Yudha
RAWAGENI RT.02/08RATUJAYA CIPAYUNG RS Bhakti Yudha
KP MAMPANG NO 63PANCORAN MAS RS Bhakti Yudha
JL.SWADAYA 5 RT.04/12 NO.23PANCORAN MAS RS Bhakti Yudha
KP.PENGASINAN RT.2/3SAWANGAN RS Bhakti Yudha
KP JEMBLONGAN NO03 RT005/RW012KEC PANCORANMAS RS Bhakti Yudha
KP.RAWA GENI RT.02/07-10 DEPOK RS Bhakti Yudha
POIN MAS F2/8 RT.3/11PANCORAN MAS RS Bhakti Yudha
JL BUMI PANCORAN RT3/12 NO 16PANMAS DEPOK RS Bhakti Yudha
KP.BELIMBING SENTRAL RT.9/3PANCORAN MAS RS Bhakti Yudha
KP MAMPANG RT02/14 NO78MAMPANG PANMAS DEPOK RS Bhakti Yudha
JL. RAYA KEADILAN RT 04/08KP. RAWADENOK RS Bhakti Yudha
PURI DEPOK MAS BLOK DD/30PANCORAN MAS RT5/20 RS Bhakti Yudha
JL.GG.MASJID RT.3/1-27 PAN MAS RS Bhakti Yudha
JL. KEMBANG LIO RT 06/13PANCORAN MAS RS Bhakti Yudha
MAMPANG RT3/4MAMPANG PANCOREAN MAS RS Bhakti Yudha
JL.KEMBANG LIO RT.2/13-72PANMAS RS Bhakti Yudha
RATU JAYA 004/003RATU JAYA CIPAYUNG DEPOK RS Bhakti Yudha
KOMP.BDN BLOK.D2 NO.3 RANK.JYPANCORAN MAS RS Bhakti Yudha
JL DUKU RAYA NO 16 RT4/10PARUG PANJANG RS Bhakti Yudha
JL.CAGAR ALAM SELATAN NO. 29RT.1/3 RS Bhakti Yudha
KP MAMPANGAN RT 01 RW 17 RS Bhakti Yudha
JL.SAMUDRA JAYA NO.87 RT.2/2KP.GROGOL RANGKAP JAYA RS Bhakti Yudha
JL M ZAKARIA GG KOPO NO 16RT003/012 TANAH BARU BEJI RS Bhakti Yudha
JL.SAWAH INDAH RT.01/10 NO.25CIPAYUNG DEPOK RS Bhakti Yudha
JL.KARYA BHAKTI RT.3/6-24TANAH BARU RS Bhakti Yudha
KP.UTAN JAYA RT/04/08-26GROGOL LIMO RS Bhakti Yudha
KP.JEMBLONGAN GG.SWADAYAIII NO.6A RT.2/12 PANMAS RS Bhakti Yudha
KP PERIGI NO 12 RT 04/05BEDAHAN SAWANGAN RS Bhakti Yudha
KP PANCORAN MAS RT 01/06 NO 15PANCORAN MAS DEPOK RS Bhakti Yudha
JL. PANCORAN BARATVII D007/006 RS Bhakti Yudha
RATU JAYA RT 004/007 NO 9CIPAYUNG RS Bhakti Yudha
JL.KARYA BAKTI RT.02/04NO.15 TANAH BARU BEJI DEPOK RS Bhakti Yudha
LEMBAH GRIYA CITAYAM G.5/16 RS Bhakti Yudha
RAWA KALONG RT.4/10GROGOL RS Bhakti Yudha
JL.RAWA INDAH RT.3/2 BJG RS Bhakti Yudha
JL HM ALIF III RT06\05NO 9D KUKUSAN BEJI RS Bhakti Yudha
BUKIT PESANGGARAHAN INDAHBLOK.C4-4 CITAYAM RS Bhakti Yudha
PURI CITAYAM PERMAI C12/3RT.3/10 RAWAPANJANG BJ.GEDE RS Bhakti Yudha
JL.SUKARMA RT.03/03 NO.84PARUNG BINGUNG PANMAS DEPOK RS Bhakti Yudha
KP.SENGON RT.8/10 PANMAS RS Bhakti Yudha
JL.BAMBON RAYA RT.01/01 NO.24BEJI DEPOK RS Bhakti Yudha
JL.ARIF RAHMAN HAKIM RT.004/01DEPOK PANMAS DEPOK RS Bhakti Yudha
JL. REMAJA RT. 04/01 NO. 39PANCORAN MAS RS Bhakti Yudha
JL REFORMASI NO 19 RT 001/011MERUYUNG LIMO RS Bhakti Yudha
BLOK SAWO RT.01/03 CIPAYUNGDEPOK RS Bhakti Yudha
DEPOK MAHARAJA BLOK D8 NO.10DEPOK RS Bhakti Yudha
JL. MESJID ASSALAFIYAHRT.02/04 CIPAYUNG JAYA DEPOK RS Bhakti Yudha
JL.TANAH BARU RT.2/12-18DEPOK RS Bhakti Yudha
JL PINDAHAN RT 11 RW 10 RS Bhakti Yudha
KOMP SURYA PRATAMA INDAHKP BARU RT05/05 BOJONG RS Bhakti Yudha
JL H KONIM KP GROGOL RT 05/01GROGOL , LIMO , DEPOK RS Bhakti Yudha
VILA MUTIARA CINERE BLK. D12NO.61 RT.03/11 GROGOL LIMO RS Bhakti Yudha
JL. GUNTUR ATAS 39 RT.4/5LIMO RS Bhakti Yudha
LING CIKUMPA RT06/02 NO.23SUKMAJAYA RS Bhakti Yudha
JL DANAU TONDANO I N0. 32RT05/03 SUKMAJAYA RS Bhakti Yudha
JL.PROGRAM IV RT.5/4-3A PANMAS RS Bhakti Yudha
RATUJAYA RT 03/03CIPAYUNG RS Bhakti Yudha
JL R SANIM GG MASJID NURULIMAN RT07/02 TANAH BARU BEJI RS Bhakti Yudha
JL DEWI SARTIKA NO 54 RT 2/14PANCORAN MAS RS Bhakti Yudha
JL H AMIN RT. 002/004MERUYUNG LIMO RS Bhakti Yudha
UTAN JAYA RT01/04 NO.32CIPAYUNG DEPOK RS Bhakti Yudha
KP.PANCORAN MAS RT.07/03 NO.8DEPOK RS Bhakti Yudha
JL KH ABDUL RAHMAN RT07/01NO29 PANMAS DEPOK RS Bhakti Yudha
KP PITARA 05/014 RS Bhakti Yudha
JL.RADEN SUNGGING NO.61RT.4/1 PDK.JAYA CIPAYUNG RS Bhakti Yudha
KP PITARA RT1/6RANGKAPAN JAYA RS Bhakti Yudha
JL RAWA SARI RT 2/6CIPAYUNG JAYA RS Bhakti Yudha
JL.PENDOWO PERUM LAZUARDIRT.7/9 A7 LIMO RS Bhakti Yudha
RAWA GENI RT2/8 NO 49RATUJAYA CIPAYUNG RS Bhakti Yudha
JL. KRAMAT BATAS KP BULAKKEMIRIMUKA RS Bhakti Yudha
KAPLING LAPANGAN PENGGORENGANRT 02/17, PANMAS RS Bhakti Yudha
JL.PRAMUKA RAYART01/04 PANMAS RS Bhakti Yudha
JL.KP.MALELA RT.3/18PANCORAN MAS DEPOK RS Bhakti Yudha
KP. LIO RT 03/19PANCORAN MAS RS Bhakti Yudha
KP.PITARA RT0319 PANMAS RS Bhakti Yudha
JL.SUSUKAN RT.05/02 NO.51BOJONG GEDE RS Bhakti Yudha
JL MANDOR RT3/5CIPAYUNG RS Bhakti Yudha
JL.SWADAYA VIII/43 PANCORANMAS RS Bhakti Yudha
DEPOK MULYA III BLOK AD/7BEJI RS Bhakti Yudha
KP.PITARART001/03 PANMAS RS Bhakti Yudha
LIO SAWA INDAH RT4/8CIPAYUNG RS Bhakti Yudha
MAMPANG RT04/02 NO.8PANCORAN MAS RS Bhakti Yudha
KP.PANCORAN MAS NO.87 RT.4/6PANCORAN MAS RS Bhakti Yudha
GRIYA PANCORAN MAS INDAHBLK.A7/6 RS Bhakti Yudha
JLWIJAYA KUSUMA RAYA NO 266DEPOK JAYA PANMAS DEPOK RS Bhakti Yudha
JL.DELIMA V NO.21 DEPOK I RS Bhakti Yudha
JL. KEMBANG 5 KP.LIORT.1/13 RS Bhakti Yudha
JL.KEMBANG LIORT.01/03 RS Bhakti Yudha
KP.PULO RT.3/8 RKP.JAYAPANMAS DEPOK RS Bhakti Yudha
PARUNG BINGUNGRET 003/003PAN MAS DEPOK RS Bhakti Yudha
PERMATA DEPOK MIRAH 4L3/31 RT.11/07 PONDOK JAYA RS Bhakti Yudha
KP GEDONG 1/4 KEMIRI MUKABEJI DEPOK RS Bhakti Yudha
JL. DAMAI NO. 68RT.1/6 RS Bhakti Yudha
BENDA BARAT RT .4/6CIPAYUNG RS Bhakti Yudha
KP.SENGON RT01/10 PANCORAN MAS RS Bhakti Yudha
PITARA RT01/14 NO.15PANCORAN MAS RS Bhakti Yudha
JL. CAGAR ALAM SELATAN RS Bhakti Yudha
JLN.MASJID AL MUJAHIDIN RT2/6MERUYUNG LIMO RS Bhakti Yudha
JATIJAJAR RT1/9 TAPOSDEPOK RS Bhakti Yudha
JL. AR HAKIM GG H KANI 24RT.5/13 BEJI RS Bhakti Yudha
KP.KEKUPU RT.4/5 PANCORAN MASRANGKAPAN JAYA LAMA DEPOK RS Bhakti Yudha
PERUM SASAK PANJANG PERMAIBLK.G/2C RT.5/12 BOGOR RS Bhakti Yudha
JL.DAHLIA III/16 BEJI TIMURBEJI RS Bhakti Yudha
KP PITARA NO 37DEPOK RS Bhakti Yudha
JL KEDONGDONG III NO 146009/002 DEPOK JAYA PANMAS RS Bhakti Yudha
KP LIO RT 001/013 NO 5PANCORAN MAS RS Bhakti Yudha
JLN.JEMBATAN SERONG RT02/04BLOK RAMBUTAN NO.21 CIPAYUNG RS Bhakti Yudha
VILA PABURAN INDAH JLN.BATASPRADANA II NO.7 BOJONG GEDE RS Bhakti Yudha
GG.JERAH TANAH BARURT001/006 NO.30 BEJI RS Bhakti Yudha
JL.CENDRAWASIH 6/323 DPK I RS Bhakti Yudha
JL KP PARUNG SERABTIRTAJAYA RS Bhakti Yudha
BSI BLOK. B.3B NO. 109SAWANGAN RS Bhakti Yudha
JL REMAJA , MAMPANG RT 04 RW06 RS Bhakti Yudha
KP. KEKUPU001/005 RS Bhakti Yudha
BSI BLOK A/793PENGASINAN SAWANGAN RS Bhakti Yudha
GRIYA SUMAJAYA BLOK A/1SUKMAJAYA RS Bhakti Yudha
GRIYA CITAYAM II BF 28RT.1/24 BOJNG GEDE RS Bhakti Yudha
JL GANDARIA 2 NO50RT8/6 RS Bhakti Yudha
PERUM MAMPANG INDAH IBLOK H4 PANMAS DEPOK RS Bhakti Yudha
JL. TIGA PUTRA RT.4/11KP. BLOK SINGKUK RS Bhakti Yudha
RATU JAYA RT4/6KEC CIPAYUNG RS Bhakti Yudha
LEMBAH GRIYA INDAH NO.22 RT.06RW.13 BOJONG GEDE RS Bhakti Yudha
JL.PITARA RAYA RT.4/9-5 PANMAS RS Bhakti Yudha
MAMPANG RT4/9PANMAS DEPOK
JL SAIRIN RT1/11 NO 43TANAH BARU DEPOK
JL. KH.ABD RAHMAN RT 01/01NO.35 PONDOK JAYA CIPAYUNG
KP KELAPA DESA RAWA PANJANGRT03/05 NO37 BOJONG GEDE
MAMPANG RT1/10MAMPANG PANMAS DEPOK
KP, GROGOL RT. 04/02RANGKAPAN JAYA PANMAS
JL.PDK TERONG RT.5/2-11 PANMAS
KP. KELAPA003/015
JL BERSAMA II RT1/5MERUYUNG LIMO DEPOK
JLN.ABDUL WAHAB RT07/04 NO.D3.SAWANGAN
KP UTAN JAYA RT07/03 NO.41CIPAYUNG DEPOK
KP.BOJONG PDK TERONGRT. 02/3 NO. 59 CIPAYUNG
KP. CILANGKAP RT 01/14 NO.5
JLN. REMAJA RT.04 RW.01MAMPANG DEPOK PAN MAS
JL CITAYAM RT1/5 KECCIPAYUNG
KP PANMAS NO 39RT004/005 PANMAS
JL CAGAR ALAM NO 20003/005 PANCORAN MAS EPOK
GG. PRISMA 004/009 MAMPANGPANMAS DEPOK
JL DEWI SARTIKA I RT3/14PANMAS DEPOK
BULAK TIMUR 4/10
KP SENGON RT1/10
BOJONG PONDOK TERONG RT.6/6CIPAYUNG
PABUARAN 05/05 BOJONG GEDE
JL.MASJID AL MUJAHIDIN RT.02/5NO.96 LIMO DEPOK
GG H ABENG RT 02/13
JL MASJID ASSALAFIYAH RT01/04NO12 CIPAYUNG DEPOK
JL. KEMBANG BEJI NO.25RT02/03 BEJI DEPOK
JL KARET PS BARU RT3/7TANAH ABANG
KP. UTAN JAYA RT 05/08 GROGOLLIMO DEPOK
JL.AR.HAKIM RT.3/3-51B BEJI
PASIR PUTIH RESIDENCE RT1/5BLOK B/5 SAWANGAN DEPOK
JL.H.RIDI RT.05/01 NO.73PONDOK JAYA CIPAYUNG DEPOK
KP. POONDOK CURUG RT 02/02CURUG BOJONGSARI
KP PANJANG RT5/6RAWAPANJANG BOJONG GEDE
KEBON DUREN RT001/004KALIMULYA CILODONG
KP.PITARA RT.02/07 DEPOKPANCORAN MAS
JL CAGAR ALAM RT 04 RW 01 NO 6
JLN.NURI II/146 RT.4/8DEPOK I PANMAS
JL CAGAR ALAM RT5/2PANCORAN MAS DEPOK
KEMANG UTARA RT 12/04 BANGKAMAMPANG PRAPATAN JAKSEL
KEMUNING TUA RT2/1KEMUNING RIAU
DUREN SERIBU RT02/01BOJONG SARI DEPOK
JL. MAMPANG PRAPATAN XVIINO. 10 RT 06/05 PANMAS DEPOK
KP. PRIGI RT. 5/5 NO. 85BEDAHAN SAWANGAN
JL ANGGREK 4/162 DPK I
KP. JEMBLONGAN RT.5/11PANCORAN MAS
BOJONG SARI BARU RT.01/01 SWNG02199774224
perumgading depok
JL H DUL NO62RT2/6 KEC CIPAYUNG
KP SENGON NO 21 08/10PANCORAN MAS DEPOK
JL. H SAUT 5/2 BEDAHAN
RAWA DENOK RT.04/02RANGKAPAN JAYA BARU PANMAS
KOMP PERUMHA NO 39BRT2/10 BEJI
PERUM DEPOK MAS BLOK DM NO 30003/001 CIPAYUNG
KOMP BDN BLK D 6 RT.04/07RANGKAPANJAYA PANMAS
KP.LIO RT.03/19 NO.33PANCORAN MAS DEPOK
JL.VILLA SANTIKA RT03/04 NO.14MAMPANG PANMAS
JLN.PEMUDA RT04/06 NO.75SAWANGAN
SETU MUNCUL TANGEL RT 01/03BANJARSARI JAWA TENGAH
MAMPANG RT.06/06-38 PAN MASDEPOK
JL RAWA INDAH GG BATAS NO58RT 009/RW001 KEC CIPAYUNG
DEPOK MAHARAJA BLOK L2 NO 5PANCORAN MAS
MAMPANG JL. SALAKNO.32 PANMAS DEPOK
PARUNG TENGAH RT001/003DUREN MEKAR
JL. GIRING GIRING 4 -434RT.11/10 SUKMAJAYA
JL KALIMANTAN NO 137 RT 3/6DEPOK UTARA
KP JEMBLONGAN RT5/12 NO 3PANMAS DEPOK
KP PINTU AIR RT4/9DEPOK
KAVLING UI SEKTOR BARAT D1/1
JL CAGAR ALAM GG DAMAI IIRT 3/5 PANCORAN MAS
JL.NUSANTARA RAYA NO.8 RT.1/2KUKUSAN BEJI
JL MARGONDA RAYA KP STANGKLE005/016 KEMIRI MUKA BEJI DEPOK
KP. KEKUPU RT 02/08PASIR PUTIH SAWANGAN
PERUM DEPOK MAHARAJA BLOK T5NO 16 DEPOK
JL. GELATIK I NO.31 RT 04/12PANCORAN MAS
KP.PITARA RT.2/19 PANCORAN MASDEPOK
BLOK SAWO 002/003 NO 58CIPAYUNG
PURI ANEKA JAYA BLOK CNO.9 RT.002/017 RKP JAYA
JL BAKUNG I NO 79RT003/004 PANCORAN MAS
JLN.BELIMBING 7.150 RT07/03PANCORAN MAS
KP GROGOL RT4/1 RKP JAYADEPOK
KP PITARA 008/013PANCORAN MAS DEPOK
JL NUSANTARA RAYA NO 09RT 02/14 DEPOK JAYA , PANMAS
VILA SANTIKA II BLOK I.5PANCORAN MAS
CITAYAM GRANDE ASRI I BLOK BNO.1 DEPOK
JL LELI I NO 134 002/007PANCORAN MAS DEPOK
GRIYA CITAYAM TAHAP I RT.1/14NO.192 BOJONG GEDE
 REGISTER TB.03 PENYISIRAN KASUS

Klasifikasi Klasifikasi
Berdasarka Berdasarka
Hasil
n Riwayat n Status Skoring TB
Dirujuk Klasifikasi Berdasarkan Lokasi pemeriksaa
Tipe Diagnosis TB Pengobata HIV pada Anak
Oleh Anatomi n foto
n Saat (0-13)
toraks
Sebelumny Didiagnosi
a s
13 14 15 16 17 18 19

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Terdiagnosis Klinis Paru
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Terdiagnosis Klinis Paru
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Terdiagnosis Klinis Paru
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Terdiagnosis Klinis Ekstraparu
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Terdiagnosis Klinis Paru
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Terdiagnosis Klinis Ekstraparu
Terdiagnosis Klinis Paru
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Terdiagnosis Klinis Paru
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Terdiagnosis Klinis Paru
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 Pemeriksaan Contoh Uji
Tanggal
Mulai Sebelum Pengobatan Akhir Bulan ke 2 Akhir Bulan ke 3
Pengobata Paduan Sumber
n OAT Obat Hasil Hasil Hasil
(HH/BB/TTT No No
Mikroskopi Mikroskopi Mikroskopi
T) Tes Cepat Biakan Reg Lab Reg Lab
s s s

20 21 22 23 24 25 26 27 28 29
181024
181108
180226
180528
181031
180405
181004
180718
181207
180126
181101
180424
180324
180821
181122
180219
180109
180112
181011
181004
180219
180227
180521
180917
180403
181030
180726
180312
180605
180829
180123
180525
181003
180519
180820
180503
181122
180126
180525
180409
180327
180524
181231
180606
180730
180621
181122
180611
180623
181119
180320
180302
180628
180119
180910
180120
180201
180314
181011
180416
180412
180806
180123
181115
180719
180106
181105
180726
180129
180609
180924
181017
180402
180503
180810
180116
181214
180720
180504
180814
180227
180103
180110
181030
180626
180519
180525
180810
180221
181217
180115
180411
181112
180115
180505
180109
181128
181001
180416
180612
180903
180409
180421
180413
180420
180327
181018
180208
180312
181119
180621
180110
180223
181029
180113
180123
181110
180202
180125
180602
180907
180221
181220
180426
180523
180730
180301
180109
180119
180604
180619
180813
180813
180125
181108
180126
180528
180525
180108
180213
180525
180108
181212
180313
180525
180213
180105
180914
180110
181107
180503
180104
180207
181129
181220
180830
180227
180907
180523
181113
181213
180112
180906
180302
180125
180410
180418
181113
180626
180112
180226
180816
181015
180105
180927
180205
180720
180411
180824
180131
180815
180226
180413
180412
180924
181018
180516
180205
181212
180727
180714
180903
180303
181123
181119
180207
180511
180320
180523
180531
181227
180219
181219
180209
181105
181214
181204
180514
180129
180302
180808
180626
180404
180628
180111
180110
180306
180214
180516
180611
180324
180329
180605
180102
181128
180426
181124
180425
180208
180129
180711
180416
181017
180117
181112
180723
180619
180125
181018
180910
180430
180103
181013
180130
181030
180611
180727
181112
180504
180508
180629
181019
180228
181108
180612
180207
181219
180813
180213
181103
180123
180730
181019
180726
181102
180517
180405
181116
180721
180223
180105
181024
180531
181212
180716
180517
180202
180518
180504
180504
180621
180604
180423
180312
180517
180609
180105
181009
180111
180704
180417
180824
180109
180901
181126
180417
180207
180205
180308
180306
181008
180321
180215
180918
180530
181114
180612
181228
180122
180103
180823
180206
180205
180925
180927
180910
180806
180813
181029
180711
180917
180518
180628
180619
180521
180416
181207
180219
180525
180119
180116
180929
180806
180109
181123
180309
180731
180814
180314
180103
180319
180419
180118
181205
180307
181031
180815
180818
181013
181030
180821
180219
181101
180504
180105
180105
180419
180219
181206
180219
180406
180219
180119
180809
180424
180223
181031
180903
180725
180103
180227
180102
180105
180219
180227
180226
181107
180104
180206
180108
181217
181123
180720
180531
181215
180407
180716
180516
180424
180116
180924
180324
180227
180803
180129
180528
180308
180419
180129
180206
180731
181017
181127
180123
180518
180417
180305
180323
180227
180208
180122
180207
181108
181218
180912
180403
180309
180602
181206
180222
180306
180312
180928
180623
180119
180410
180611
180904
181204
180109
180731
180410
180303
181217
181224
180427
180221
181222
180905
180625
180830
181215
181018
180525
181226
180201
180710
181124
180106
180611
180713
180108
181029
180412
180117
180321
180220
181128
180105
180104
180503
181017
180125
180827
180109
180301
180215
181102
180514
180518
180222
180420
181108
180405
180508
180524
180324
180716
180323
180105
181112
ntoh Uji Hasil Akhir Pengobatan Kolaborasi Kegiatan TB-HIV
Bulan ke 5 Akhir Pengobatan Layanan Tes dan Konseling HIV Layanan PDP
Tanggal
Hasil Hasil (HH/BB/TTT Hasil
No No Tanggal Tanggal tes
Mikroskopi Mikroskopi T) Hasil Tes PPK
Reg Lab Reg Lab dianjurkan HIV
s s

30 31 32 33 34 35 36 37 38 39
 TB.03 PENYISIRAN KASUS

TRIWULAN :___________________
TAHUN :___________________

n TB-HIV Kegiatan TB-DM

Layanan PDP Dipindah Kode ICD
ke TB.03 Keterangan X/ Sebab Asal Poli/Unit Pelayanan
DM Terapi DM RO Sakit
ART

40 41 42 43 44 45 46

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a16.2 PARU
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a16.2 INTERNIS
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a16.2 ANAK
a16.2 ANAK
a16.2 PARU
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a16.2 INTERNIS
a17.8+ ANAK
A16.2 PARU
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a18.2 ANAK
a16.2 PARU
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a16.2 PARU
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a16.5 PARU
a16.2 INTERNIS
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a18.4 PARU
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a16.5 PARU
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Kode Fasyankes

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