LAPORAN KUNJUNGAN PASIEN RAW

UPT PUSKESMAS ASTANAAN

BULAN JANUARI 2019

Status Jenis
Tanggal No Nama Alamat Medrek Kepesertaan Kelamin

2-Jan-19 1 Ibu Siti Marhamah Astar 6/6 06/179/01 KIS P

2 Bp Kokon Lw Panjang 3/4 08/688/01 Umum L
3 Ibu Riska PH 3/6 08/211/02 Umum P
4 Ibu Ade Lilis Bbk Irigasi 5/3 08/332/02 Umum P
5 Vini Nyengseret Utara 08/937/03 Umum P
6 Ibu Pujiati Rasdan 06/172/02 Umum P
7 Ibu Yuli Bj Surupan 08/554/02 Umum P
8 Putri Dinda Batagor 5/5 08/946/03 Umum P
9 Ibu Efi Yuliawan Pajagalan 3/3 03/109/02 PBI P
10 Ibu Yani Astar 5/7 07/72/03 Umum P
11 Tn lIe Dedi Cibadak 08/73/01 BPJS L

3-Jan-19 12 Kurnia Situ Saeur 08/304/01 Umum P

13 Bila LG 5/5 05/57/02 Umum P
14 Ibu Juariah Jamika 08/733/02 HI P
15 Ibu Imas Ny.Utara 08/364/02 BPJS P
16 Tesa Bbk Tarogong 08/954/03 Umum P
17 Tn Ade Karim Gg Hasan 6/1 01/50/01 Umum L
18 M.Yudi STM 5/2 02/107/03 Umum L
19 Tn Jaelani Rasdan 1/6 06/184/01 Umum L
20 Nita Aprianti Kurdi 10/1 08/956/03 HI P
21 Azkalia Pabaki 08/226/03.1 BPJS P
22 Ny Woeh Sovie Dj Jl Alam 08/109/02 BPJS P

4-Jan-19 23 Ibu Rika LG 1/15 05/178/02 BPJS P

24 Ibu Rostiana Gg Maskardi 08/961/02 BPJS P
25 Ibu Elis Yuningsih Bbk Irigasi 7/3 08/917/02 HI P
26 Muhamad Reza Nyengseret 2/6 06/90/03 PBI L
27 Ashila Astar 5/7 07/48/03 BPJS P
28 Tn Ibnu Syaputra Astar 5/3 03/26/03 PBI L
29 Tn Ateng Ruchiat Gg Lebe 4/9 08/342/01 HI L
30 Tn Wahyu Nyengseret Utara 08/968/01 Hi L
31 Ibu Yustin Ciatel 2/7 07/04/02 BPJS P
32 Ibu Eneng Siti Gg Sukarma 08/964/02 Umum P
33 Ibu Sri Supatmi Batagor 08/961/02 Umum P
 5-Jan-19 34 Devira Bp Suhaya 05/125/03 Umum P
35 Tn Wahyu Ny Utara 08/968/01 HI L
36 Ibu tuti Bj Loa Kidul 08/908/02 BPJS P
37 Fajar Sidik Bbk Asih 08/823/03 Umum L
38 Rezvan Bbk Asih 08/978/03 Umum L
39 Dimas Pajagalan 03/35/03 Umum L
40 Ibu Reni M Situ Saeur 08/664/02 Umum P
41 Ibu Pujiati Rasdan 06/172/02 Umum P
42 Ibu Bertua Citarip 08/ HI P
43 Ibu Elis 08/ HI P

7-Jan-19 44 Tesa Batagor 08/954/03 Umum P

45 Nurohmah Batagor 08/575/03 HI P
46 Bp Trisna Bbk Irigasi 08/262/01 Umum L
47 Ibu Eplien Bj Asih 08/476/02 BPJS P
48 Ibu Ida Fitri Kr Anyar 08/734/02 BPJS P
49 Ibu Pujiati Rasdan 06/172/02 Umum P
50 Ibu Riska PH 3/6 08/211/02 Umum P
51 Bp Budi Kopo 5/6 08/366/01 Umum L
52 Putri Dinda Batagor 08/248/03 Umum P

8-Jan-19 53 Ibu Riska PH 3/6 08/211/02 Umum P

54 Chang WenSong Muara PH 8/30/2001 BPJS L
55 Ibu Imas Ny.Utara 08/364/02 BPJS P
56 Syifa Nyengseret 9/2 08/791/03 Umum P
57 Neni Leni Lio Genteng 5/5 05/205/02 Umum P
58 Yati Lio Genteng 05/160/02 Umum P
59 Wang S Nyengseret 5/3 08/881/01 Umum L
60 Putri Dila M Kopo Umum P
61 Ida Ramidah Nyengseret 03/47/02 Umum P
67 Apriandi Nyengseret 08//580/01 Umum L

9-Jan-19 68 Abian Pagarsih 08/1014/03 Umum L

69 Kokon Lw.pjg 08/688/01 Umum L
70 Aning Astar 03/34/02 Umum P
71 Ibu Eplien Bj Asih 08/476/02 BPJS P
72 Sutris Kamtini Pagarsih 08/1017/02 Umum P
73 Juju Jubaedah Lg 5/5 08/208/02 BPJS P
74 Isum Sumiati Gg Sukaleur 08/932/02 Umum P
75 Tn Ateng Ruchiat Gg Lebe 4/9 08/342/01 HI L
76 Tn Agus Suhud Stm 4/1 01/55/01 Umum L

10-Jan-19 77 Shelli Karasak Utara 08/265/03 BPJS P

78 Tn Asep Ny 5/6 06/58/01 PBI L
79 Ibu Imas Batagor 08/1027/02 Umum P
 80 Ibu Trisna Bbk Irigasi 08/762/01 Umum P
81 Tn Dede Situsaeur 08/629/01 Umum L
82 Fadya Lg 5/5 05/205/03 Umum P
83 Tn Munardi Lg 5/5 05/205/01 Umum L
84 Tjan Kie Fa Kalipah Apo 08/400/02 BPJS L
85 Tabita Kiat Bdg 08/1028/03 Umum P
86 Siti Atikah Bp Suhaya 4/5 05/209/02 Umum P
87 Ibu Yustin Ciatel 2/7 4/7/2002 BPJS P

11-Jan-19 88 Ibu Bertua Citarip HI P

89 Tn Dedy Kusnadi Jl Kopo 4/1 08/1035/01 L
90 Ibu Ratna PH 4/3 08/298/02 HI P
91 Galih Astar 2/4 04/42/03 L
92 Tn Rizal Ardi Rasdan 06/193/01 BPJS L
93 Tn Dudi Rosadi Lg 1/5 05/51/01 KIS L
94 Ibu Sri Supatmi Bbk Tarogong 08/961/02 P

12-Jan-19 97 Kurnia Situ Saeur 08/304/01 Umum P

98 Najwa Cibadak 08/260/03.1 Umum P
99 Aqila Cibadak 08/260/03.2 Umum P
100 Ibu Ina Cibadak 08/260/02 Umum P
101 Devira Bp Suhaya 05/125/03.1 Umum P
102 M.Zaki Bp Suhaya III 05/125/03.2 Umum L
103 Ibu Reni M Situ Saeur 08/664/02 Umum P
104 Ibu tuti Bj Loa Kidul 08/908/02 BPJS P
105 Sefrina Bbk Tarogong 08/1040/03 Umum P

14-Jan-19 106 Tn Rudi Jamika 8/8 08/869/01 Umum L

107 Tn Dida Danaswara Adi Kacih 4/1 01/58/01 Umum L
108 Dimas Pajagalan 3/3 03/35/03 Umum L
109 Faris Ny 2/3 08/1047/03 Umum L
110 Tn Deddy Kusnadi Jl Kopo 4/1 08/1033/01 Umum L
111 M Raihan Sitimunigar 3/3 02/53/01 PBI L
112 Nur Aisyah Jamhari 2/1 08/1048/01 BPJS P
113 Yanti Pungkur 5/1 08/546/02 Umum P
114 Ibu Dedeh Rasdan 3/5 05/213/02 BPJS P
115 Bp Trisna Bbk Irigasi /7 08/262/01 PBI L
116 Bp Dede SituSaeur 08/629/01 Umum L
117 Aisah STM 3/2 02/31/02 PBI P

15-Jan-19 118 Ibu Neni Suryati Pajagalan 2/3 03/117/02 Umum P

119 Ibu Wawa Sukaleuer 2/1 08/1065/02 Umum P
120 Mei Nyengseret 4/4 04/119/03 KIS P
121 Ibu Imas Bbk Tarogong 08/1027/02 Umum P
122 Ibu Sugiati Rasdan 4/7 06/135/02 HI P
 123 Ibu Nurohmah Batagor 08/575/03 HI P
124 Windi Wijaya Kopo 10/7 Umum P
125 Ilyas Firdaus Bbk Irigasi 7/3 08/917/03 Umum L
126 Bunga Diandra Perikanan 4/5 08/196/03 BPJS P
127 Nafisah Adikacih 6/2 16/02/03 Umum P
128 Muhammad Hamza Adikacih 6/2 16/02/03 Umum L
129 Zahwa Jumanatul H.Idrus 11/1 08/1068/3 BPJS P
130 Haura Tuhfah H.Idrus 11/1 08/1068/3 BPJS P

16-Jan-19 131 Ibu Isum Sumiati Gg Sukaleur 08/932/02 Umum P

132 Indri Rasdan 4/6 06/198/03 Umum P
133 Resa Kopo 5/6 08/1080/03 Umum L
134 Sri Astuti Kopo 5/6 08/1080/02 Umum P

17-Jan-19 135 Ibu Sri Supatmi Batagor 08/961/02 Umum P

136 Imas Panjunan 11159 Umum P
137 Ibu Reni M Situ Saeur 08/664/02 Umum P
138 Aning Astar 03/34/02 Umum P
139 Yanto Siti Munigar 02/90/01 PBI L
140 Ibu Budiningsih Ny 5/6 06/201/02 BPJS P
141 Tn Ateng Gg Lebe 08/342/01 HI L

18-Jan-19 142 Monica She Karasak Utara III 08/265/02 BPJS P

143 Tn Drs Yana Rasdan 1/5 08/202/01 BPJS L
144 Tn Komar Komarudin Astar 6/7 07/06/01 Umum L
145 Kirana Dwi Gg Lebur 08/837/03 Umum P
146 Ibu Nida LG 5/5 05/218/02 Umum P
147 Ibu Irma S GG Sahidin 08/987/02 Umum
148 Tn Ateng Gg Lebe 08/342/01 HI L
UNJUNGAN PASIEN RAWAT JALAN GIGI
PUSKESMAS ASTANAANYAR
BULAN JANUARI 2019

Kunjungan Lokasi
Usia Kasus Diagnosa
Baru Lama Dw Lw Baru Lama
1 1 53 1 46 GP
1 1 60 1 36 GP
1 1 46 1 16 GP
1 1 48 1 34 GR
1 1 29 1 21 Pulp Rev
1 1 47 1 Peridontitis
1 1 28 1 37 PIR
1 1 18 1 45 Abses GP
1 1 51 1 26 GR
1 1 23 1 28 Pulp Akut
1 1 53 1 33 Mobilitis

1 1 25 1 27 GR
1 1 26 1 22 P.Rev
1 1 76 1 24 Abses
1 1 48 1 14,15 HP
1 1 23 1 46 GR
1 1 57 1 38 Period
1 1 6 1 52 Persistensi
1 1 48 1 37,38 Abses
1 1 23 1 16 HP/55 Persist
1 1 7 1 55,54 PIR
1 1 71 1 34 P.Rev

1 1 42 1 45 GR
1 1 25 1 12 P.Rev
1 1 52 1 35 GP
1 1 22 1 GMKG RB
1 1 7 1 65 Pulpitis
1 1 4 1 74/75 Abses ec GR
1 1 75 1 kontrol Gigi
1 1 56 1 23 Abses ec GR
1 1 47 1 46 Fraktur
1 1 37 1 GMKG
1 1 44 1 11 P.Rev
1 1 17 1 16 PIR
1 1 56 1 23 Abses
1 1 55 1 46 GP
1 1 14 1 53 Persist
1 1 6 1 74 Persist
1 1 9 1 65 GP Abses
1 1 43 1 15 GP
1 1 47 1 12 GR
1 1 44 1 35 GP
1 1 57 1 26 Period

1 1 46 GR
1 1 45
1 1 11 GP Abses Ec
1 1 14 GP
1 1 16 GP
1 1 47 1 22 Period
1 1 46 1 16 GP/38 Abses ec GR
1 1 15 Pulp Rev
1 1 45 Abses

1 1 46 1 16 GP/38 Abses ec
1 1 69 1 34 Pulp
1 1 48 1 11,21 p.Rev
1 1 19 1 GMKG RB
1 1 41 1 GMKG RB
1 1 27 1 47 PIR
1 1 75 1 34 GR
1 1 14 1 21 Pulp Rev
1 1 59 1 36 Period
1 1 39 1 27 PIR

1 1 10 1 36 Abses
1 1 59 1 36 GP
1 1 38 1 47 PIR
1 58 1 14 GP
1 1 47 1 43 Pulp Rev
1 1 51 1 36 GP Abses
1 1 56 1 16 GP
1 1 75 1 26 Period
1 1 53 1 12 Period

1 1 16 1 Impaksi
1 1 42 1 26 GP+Fistol
1 1 59 1 45 GR
 1 1 61 1 11 GP
1 1 52 1 GMK
1 1 12 1 55 Persist
1 1 38 1 46 GR
1 1 75 1 21,22 K Sukender
1 1 8 1 83 GR
1 1 47 1 GR
1 1 47 1 45 GR

1 1 46 1 35 GP
1 1 70 1 21,22 GR
1 1 67 1 45 Period
1 1 9 1 75 Persist
1 1 46 1 RB GMK
1 1 51 1 28 PIR
1 1 44 1 22 P.Rev

1 1 25 1 27 GP
1 1 11 1 85 Persistensi
1 1 6 1 Ulcus Decub 61
1 1 32 1 11 GP+Fistol
1 1 17 1 16 GP
1 1 11 1 46 GP
1 1 43 1 15 GP
1 1 55 1 46 GP
1 1 9 1 83/84 Persist

1 1 64 1 42 Pulp Rev
1 1 55 1 13 GR Abses
1 1 9 1 85 GP
1 1 7 1 64 Persistensi
1 1 70 1 21 GR
1 1 9 1 55,54 Abses
1 1 27 1 48 Abses
1 1 44 1 25 GP
1 1 52 1 17 Period
1 1 64 1 11 GP
1 1 52 1 12,13,14 kls V
1 1 47 1 16 GR

1 1 49 1 45 GR
1 1 41 1 27 Period ec Gmk
1 1 10 1 72 Persistensi
1 1 59 1 45 GR
1 1 53 1 46 Abses Mobilit
 1 1 45
1 1 23 1 36 GP
1 1 23 1 34,36 GR Period
1 1 11 1 55 GR
1 1 5 1 75 GP
1 1 12 1 Kontrol
1 1 4 1 Ulcus
1 1 5 1 74 Pulp Rev

1 1 56 1 16 GP
1 1 24 1 46 PIR
1 1 5 1 44,75 G.Polip
1 1 41 1 35 P.Rev

1 1 44 1 11 P.Rev
1 1 42 1 46 Karies Sekunder
1 1 43 1 15 GP
1 1 38 1 47 PIR
1 1 59 1 43 GP
1 1 63 1 24 Period
1 1 75 1 15 GR

1 1 20 1 Impaksi RB
1 1 62 1 12,13 taa
1 1 54 1 16 GP
1 1 4 1 75 GP
1 1 37 1 36 P.Rev
1 PP P 46 PIR
1 1 75 1 15 GR
 Terapi

Amox,Pct
Chkm,Ts
Chkm,Ts
Kontrol
GI
Konsul BP
Devit,Ts
Amox,Pct,Dexa
Amox,Pct,Dexa
Amox,Pct,Dexa
Amox,Pct

Chkm,Ts
GI
Ref RS Sartika Asih
GI
Amox,Pct
Konsul BP
Ektraksi
Amox,Metro,Pct
Eug,Ts
Devit,Ts,PCT
GI

Rockle,Ts
GI
GI
Scalling RB
Eug,Ts
Amox,Pct
Konsultasi
Amox,Metro,Dexa
Reff RSKGM
Scalling
GI
 Devit,Ts
Reff RSKGM
Rockle,Ts
Ektraksi
Ektraksi
Amox,Pct
Chkm,Ts
Ektraksi
Cresso,Ts
Ektraksi

Ekstraksi,Amox,Pct
Amox,Pct
Amox,Pct,Dexa
Rockle,Ts
Rockle,Ts
Ekstraksi,Amox,Pct
38 Abses ec GR
Calxyl,Ts
Amox,Pct,Dexa

GI/Amox,Pct
Amox,Dexa
GI
Scalling
Scalling
Devit,Ts/Pct
Ekstraksi,Amox,Pct
GI
Ekstraksi,Amox,Pct
Cresso Ts

Amox,Pct
GI
Devit,Ts
Klinda,Ts
GI
Amox,Pct,Dexa
Cresso,Ts
Ektraksi
Ekstraksi,Amox,Pct

Reff RSKGM
Amox,Pct,Dexa
Amox,Dexa
Kontrol
Pasta gigi
Ekstraksi
Ekstraksi,Amox,Pct
GI
Ekstraksi
Amox,Pct,Dexa
Chkm,Ts

Chkm,Ts
Amox,Pct
Amox,Pct
Ekstraksi
Scaling
Devit,Ts
GI

GI
Ektraksi
Konsultasi
Drainase,Amox,Pct
Rockle,Ts
Chkm,Ts
Chkm,Ts
Chkm,Ts
Ekstraksi

GI
Amox,Pct
Chkm,Ts
Ekstraksi
Ekstraksi
Amox,Pct
Reff RSKGM
Rockle,Ts
Amox,Pct,Dexa
Ekstraksi
GI
Amox,Pct,Dexa

Amox,Pct
Amox,Pct,Dexa
Ekstraksi
Ekstraksi
Amox
Amox,Pct,Dexa
Amox,Pct
Ekstraksi
Cresso,Ts
Kontrol
Reff RSKGM
Eug,Ts

Chkm,Ts
Devit,Rs
Amox,Pct
Calxyl,Ts

Exo Tunda
Devit,Ts
GI
Cresso,Ts
Chkm,Ts
Amox,Pct
Exo Tunda

Reff RSKGM
Kontrol
Cresso,Ts
Roklle,Ts
GI
Devit,Ts
Kontrol