PASIEN BPJS POLI GIGI PKM MUARA RAPAK

JENIS KODE PX
NO NAMA PASIEN ALAMAT USIA DIAGNOSA TENSI TB/BB HR/RR TINDAKAN
LELAMIN PENYAKIT BARU/LAMA

1 Siti Aisyah 45/026 33 P 28 gp k04 100/70 153/50 20/80 Exo Baru

2 Nadine Alexa 12/005 6 P 52+62 pst koo 100/70 98/25 20/60 exo Lama

3 Budi setiawan 56/072 37 L 37 Pi K04 110/70 165/60 20/80 PSA ( A ) Baru

4 Calista Putri 25/027 14 P 47 GP K04 90/70 158/45 20/80 PSA ( B ) Lama

5 Kurniatih 98b/004 41 P 25 GP k04 100/80 154/58 20/80 PSA ( C ) Lama

6 Aqila Maharani 33/029 4 P 64 Pr Ko2 100/70 80/20 30/60 Pulp caping Baru

7 Della Fadiah 18/071 6 P 74 Pr K04 100/70 100/28 20/60 GIC Lama

8 Iqbal L 11/072 21 L 16 abses K05 100/70 160/60 20/80 Premedikasi Baru

9 Siti Hajar 29 10 P 27 Erupsi K00 100/70 140/30 20/80 Konsultasi Baru

10 Putri Nurlaila 7/027 18 P Calculus K03 90/80 155/50 20/80 Scaling Baru
 PASIEN UMUM POLI GIGI PKM MUARA RAPAK

JENIS KODE PX
NO NAMA PASIEN ALAMAT USIA DIAGNOSA TENSI TB/BB HR/RR TINDAKAN
LELAMIN PENYAKIT BARU/LAMA

1 Alansyah Shahira 57/021 7 P 53 pst k00 100/70 120/30 20/80 Exo Baru

2 Michel 41/055 21 L Stomatitis K12 100/70 98/25 20/60 Premedikasi Baru

3 Robby S 32/014 37 L 46 gp K04 110/70 165/60 20/80 PSA ( C ) Baru

4 Arwan 19/065 33 L 46 Gr abses K05 90/70 158/45 20/80 Premedikasi Baru

Konsultasi/bu
5 Marlina 22/061 38 p 46/26 gr k04 100/80 154/58 20/80 Lama
mil
6 Della Dewi L 3/022 19 p 36 gr k04 100/70 80/20 30/60 Exo Baru

7 Damayanti 15/020 38 p 21 pi k04 100/70 100/28 20/60 GIC Lama

8 Della P.w 32/0072 17 P 37/gp k04 100/70 160/60 20/80 PSA (b) Lama

9 Adella 19/044 15 p 37 GP k04 100/70 155/50 20/80 PSA (A ) Baru

10 Hari Prajito 95/04 60 L Calculus K03 90/80 155/50 20/80 Scaling Baru