Register Poli Bulan Januari 2019

REGISTER POLI UMUM BULAN JANUARI 2019
1/3/2019
JK
SUKU
NO NO. INDEX NAMA KK NAMA PASIEN NIK TEMPAT LAHIR TANGGAL LAHIR UMUR PEKERJAAN ALAMAT RT/RW
L/P BANGSA
1 990,512 STEFANUS EMA MARGARETHA MOOY 5304 1259 0964 0002 ENDE 9/19/1964 54 P ENDE SWASTA M. MUTIN 004/001
2 990,443 ANSELMUS BELE ANSELMUS BELE JOITOI 3/30/1973 44 L TETUN SWASTA KABUNA 001/001
3 02-0680 MARSELINUS HATI ANTONIUS ALDO 5304 1203 0603 0003 ATAMBUA 7/5/2002 15 L DAWAN PELAJAR TENUKIIK 001/002
4 99-1311 JON DAKI WILFRIDA BUI TAE 5304 0364 0787 0001 SIKUTREN 7/24/1987 31 P TETUN PELAJAR MANUMUTIN 005/002
5 02-0421 SITI RAHMA SITI RAHMA 12/12/1944 74 P JAWA IRT TENUKIIK 001/001
6 99-0787 KRISTIANUS KRISTOFORUS MARIA H. B. SIRI ATAPUPU 3/26/1996 22 P TETUN PELAJAR MANUMUTIN 003/001
7 99-0241 DOMINIKUS BANA DOMINIKUS BANA 5304 2118 1059 0001 TUAMESE 10/18/1959 60 L DAWAN SWASTA TLM 012/004
8 99-0241 DOMINIKUS BANA THERESIA Y. TANII 5304 2141 0764 0007 HAULASI 7/1/1964 54 P DAWAN IRT TLM 012/004
9 99-0114 MUHAMAD K.R. LUDJI PAU KHAIRUL PAU 5371 0406 1216 0001 KUPANG 12/6/2016 2 L NTB UMANEN
10 02-0107 AGUS SARWO EDY BENS GRENDEN ATAMBUA 3/12/2018 9 BLN L AMBN TENUKIIK 005/001
11 02- 0587 NUR MUHAMAD IBRAHIM S. BALICH ATAMBUA 9/3/2011 7 L ALOR TENUKIIK 018/006
12 99 - 0199 TOMAS MAIA SEPTIA M. MARTINS ATAMBUA 9/19/2004 14 P TETUN MANUMUTIN 021/003
13 99-0270 ARIF MANEK BARI A. MANEK ATAMBUA 10/1/2018 3 BLN L TETUN MANUAMAN 005/002
KASUS HASIL PEMERIKSAAN LAB KONSELING BB TB SUHU
ASAL PEMBERI
DIAGNOSA KODE NAMA OBAT TINDAKAN KLINIK KLINIK RUJUK
B/L DDR GD AU KOL HB PASIEN LAYANAN ( kg ) ( Cm ) ( ◦C)
SANITASI GIZI
H T DM I10/ B AMLODIPIN, METFORMIN, NATRIUM DIKLOFENAK NEG 121 5.9 153 1 3 60.6 148 36
DISLIPID B SIMVASTATIN, ANTASID, IBUPROFEN, B COM NEG 118 6.5 262 1 3 60 162.5 36
CEFALGIA R42 B IBUPROFEN, B COM , ANTASID 1 3 38.1 155 36.4
ABSES L029 B CEFADROXIL, IBUPROFEN, DEXA 1 3 55.4 152 36
GINGGIVITIS B CLINDAMICIN, IBUPROFEN 1 3 50.4 148 36
KULIT ALERGI L239 B LORATADIN, SK BETAMETASON 1 3 50.5 149.9 36
MYALGIA M791 B IBUPROFEN, AMBROXOL, B1 97 6.2 174 1 3 52.8 156 36
DM, GOUT B ALOPURINOL, METFORMIN, GLIBENKLAMID 161 6.3 188 1 3 49 150.5 36
ISPA JO69 B AMBROXOL, CTM, DEXA, VIT C 1 3 12 36
KULIT ALERGI L239 B CTM, DEXA 1 3 8.3 36
FARINGITIS J02 B AMOX, PCT, CTM, VIT C 1 3 16 117.5 36.1
POST VULNUS Z043 B CEFADROXIL, ASMEF, VIT C V 1 3 42 158 36
ISPA, DIARE J069/A09 B PCT, AMBROXOL, CTM, VIT C, ORALIT 1 3 6.2 64.5 38
TD RR NADI
PETUGAS
( mmHg) ( x/mnt) ( x/mnt)
140/88 73 ZELIA
142/89 61
116/88 89
106/67 98
143/61 70
98/61 77
125/77 64
114/68 78
38 100
41 105
98
42 118
REGISTER POLI UMUM UPTD PUSKESMAS KOTA ATAMBUA
04 JANUARI 2019
JK
SUKU
NO NO. INDEX NAMA KK NAMA PASIEN NIK TEMPAT LAHIR TANGGAL LAHIR UMUR PEKERJAAN ALAMAT RT/RW
L/P BANGSA
1 99-0864 GABRIEL ATI GABRIEL ATI 5304 2204 0667 0001 6/4/1967 51 L MARAE SWASTA M.AMAN 016/003
2 99-0864 GABRIEL ATI REGELINDA OLO 5304 2260 0170 0003 1/20/1970 49 P MARAE PNS M.AMAN 016/003
3 99-0661 FRIDUS NINO ARIYAN FAOT KEFA 1/1/2011 9 L DAWAN M.MUTIN 010/003
4 99-0661.20 FRIDUS NINO YOLANDA AMOL KEFA 7/2/1994 25 P DAWAN IRT M.MUTIN 010/003
5 99-0225.60 MIKHAEL KOA PAULA V. TIOKNEON KAUBELE 8/16/2010 8 P DAWAN M.MUTIN 002/006
6 99-1405-30 YOHANES PEREIRA MARIA FRANSISKA ALOR 4/29/1993 26 P FLORES SWASTA M.MUTIN
7 99-0225-33 RAFAEL ALVES YOHANES M. ALVES ATAMBUA 10/5/2016 2 L TETUN M.MUTIN 021/002
8 99-1091.30 WILIBRODUS UKAT ANTONIUS M. UKAT ATB 8/15/2016 2 L MARAE M.MUTIN 024/007
9 02-1034-20 SUKARDI NURMAWAN SUMBAWA 9/9/1970 49 P SUMBAWA T.KIIK 005/002
10 03-1939-20 ENGKO Y. HALE VIKTORIA J. LOE ATAMBUA 01/016/1996 26 P MARAE IRT F.NAO 011/002
11 99-0295-10 PHILIPUS KAHA PHILIPUS KAHA 5304 0206 1270 0001 FLORES 12/6/1970 48 L FLORES SWASTA SADI 003/001
12 99-0787-20 KRISTIANUS KRISTOFORUS RENILDIS SIRI SILAWAN 1/11/1963 55 P TETUN PNS M.MUTIN 003/001
13 99-0271-30 TRENI TERIK YASTON A. PAH 5304 2219 0896 0001 ROTE 8/19/1996 26 L ROTE MAHASISWA M.AMAN 005/001
14 02-0792-20 DOMINGGUS SOARES LUSIANA SOARES 46 P TETUN IRT T.KIIK 010/006
15 02-0187-20 CLOTILDE PARASI CLOTILDE PARASI 5304 1255 0761 0001 ATB 7/15/1961 57 P KEMAK IRT T.KIIK 006/002
16 99-0102-10 SUKIAMAN TANDANG SUKIAMAN TANDANG SULAWESI 4/21/1970 48 L BUGIS SWASTA BEIRAFU 015/005
17 03-1301-31 YAKOBUS NDOLU MIKAILA L. AURELIA NDOLU ATAMBUA 8/25/2017 1 P TETUN F.NAO 006/003
18 02-0085-30 JONI RIBERU JELITA NAI RIBERU KALIMANTAN 9/3/2014 4 P TETUN T.KIIK 010/004
19 99-0117.31 PASKAL MAU ANTONIA DOS SANTOS MANATUTU 3/8/1994 24 P TETUN MAHASISWA RINBESI 012/006
20 99-0716-10 MIGUEL MARTINS MIGUEL MARTINS 5304 1250 1702 0001 ATABAE 12/29/1959 59 L KEMAK P.PNS M.MUTIN 015/005
21 99-0213-20 TELEFRO SOARES VIKTORIA ALVES 5304 1246 0782 0004 DILI 7/6/1982 36 P TETUN M.MUTIN 022/007
22 99-0396-32 BASILIUS SERAN APRILIANI J. K. SOARES 5304 1262 0410 0003 ATAMBUA 4/22/2010 8 P DAWAN M.MUTIN 015/005
23 99-0396-30 BASILIUS SERAN ANSGARIUS S. SERAN 5304 1202 0898 0001 ATAMBUA 8/2/1998 20 L DAWAN M.MUTIN 015/005
24 99-0396-31 BASILIUS SERAN MARIA S. SERAN SOE 3/26/2001 17 P DAWAN M.MUTIN 015/005
25 03-0699-20 GABRIEL K. BAU ROSALINDA B. ROMAN BOAS 4/8/1982 35 P TETUN IRT F.NAO 004/002
26 03-0892-10 FRANSISKUS SIRI FRANSISKUS SIRI 49 L MARAE GURU F.NAO 008/003
KASUS HASIL PEMERIKSAAN LAB KONSELING
PEMBERI
DIAGNOSA KODE NAMA OBAT TINDAKAN KLINIK ASAL PASIEN RUJUK
B/L DDR GD AU KOL HB KLINIK GIZI LAYANAN
SANITASI
KULIT INFEKSI, MYALGIA L303, M791 B AMOX, PCT, CTM, B1 1 3
FARINGITIS J02 B AMOX, PCT, AMBROXOL, CTM, B1 1 3
OBS. FEBRIS R501 B PCT, BCOM 1 3
DYSPEPSIA B OMEPRAZOLE, B. COM, VIT C 1 3
KULIT ALERGI L239 B SM CHLORAM 1 3
MYALGIA M791 B PCT, B COM 12 GR/DL 1 3
BATUK R05 B PCT, GG, CTM 1 3
ISPA J069 B PCT, GG, CTM, BCOM, AMOX 1 3
MYALGIA M791 B IBUPROFEN, B COM 107 5.8 186 1 3

SUSP. TB A150 B AMBROXOL, VIT K, B COM 1 3
TONSILITIS J039 B AMOX, PCT, DEXA, VIT C, AMBROXOL 1 3
HIPERTENSI, DERMATITIS I10, B CAPTOPRIL, VIT C, DEXA, CTM 1 3
TINITUS B PCT 1 3
BATUK R05 B AMBROXOL, B COM 1 3
MYALGIA M791 B NADIK, B1, KALK 4.4 1 3
PEMERIKSAAN KESEHATAN UMUM B KIE 128 5.9 144 1 3
KULIT INFEKSI L303 B SK BETA, PCT 1 3
BATUK, KULIT INFEKSI R05, L303 B PCT, SK BETA, GG, CTM 1 3
SUSP TBC A150 B AMBROXOL, VIT C 1 3
MYALGIA M791 B IBUPROFEN, CIMETIDINE, B COM 1 3
SUSP. APP B AMOX, IBUPROFEN, VITC 1 3
OBS. FEBRIS R501 B PCT, B COM NEG 1 3
OBS. FEBRIS R501 B PCT, B COM NEG 1 3
ISPA J069 B PCT, GG, VIT C, SF, CTM 12 1 3
BATUK, ASMA R05, J459 B AMBROXOL, GG, PCT, PREDNISON 1 3
BATUK R05 B PCT, GG, B COM NEG 1 3
BB TB SUHU TD RR NADI
PETUGAS
( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
65 165 36 120/86 65 ZELIA

46.4 144 37 129/82 60
21 119 36
34 143.1 36 111/70 86
28.1 125 36 90
53.1 154 124/82 92
10 82 36.3 102
10.6 88 36.3
60 155 36 100/63 69
45.5 148 36 121/93 88
47.8 162 97/65 71
64 150 149/105 74
60.8 170 36 137/78 102
32.7 143.5 36 84/61 100
52.1 161 36 118/66 68
76.7 168 125/74 62
9.1 76 36 102
12.8 98.8 36.3 98
32 145 114/69 128
71.5 160 36 116/89 85
44.5 154.2 108/67 81
17.3 119 36
49 162 37.3 108/59 98
36 154 36 85/53 125
65.3 163 36 124/84 22 88
60.3 162 36 127/87 87
NO NO. INDEX NAMA KK NAMA PASIEN NIK
1 99015720 LAMBERTUS Y. KLAU HILARIA HOAR

2 99163410 MANEK THIMOTHEUS MANEK TIMOTHEUS 530404004380001
3 2103531 YULIUS S. KEFI ANIS KEFI
4 99019420 MARIANUS MALI BRIGITA MALI
5 99098531 LIVIO PINTO AULIA DE ALSINA P
6 3187930 YULIANUS LETO FEBRIANTO S LETTO
7 99011732 YOHANES NOE KRIS JANIUS
8 99068532 PIUS KLAU TESA KLAU
9 99074430 HENDRIKUS ASA B IGNATIUS O ASA
10 3094320 MARIANUS MALI MARIA B FATIN 5304125705770000
11 2091431 JEFRI PAH ANDREAS PALI
12 99156130 PETRUA T ANA SAFIRA T
13 1045836 YOSEP HUDA DOROTEA A BRIA
14 99199720 LUSIANO DA SILVA MARTINA NI KETUT U ADELINO 5304120210010000
15 99019931 THOMAS MAIA SEPTIA
16 99076320 SUBAIDAH SUBAIDAH 5304215111500000

JK
SUKU
TEMPAT LAHIR TANGGAL LAHIR UMUR PEKERJAAN ALAMAT RT/RW
L/P BANGSA
BESIKAMA 10/6/1968 50 P TETUN IRT NENUK 001/001

BELU 4/4/1958 60 L TETUN P.PNS NENUK 001/001
ATAMBUA 12/14/1997 21 L DAWAN SWASTA TENUKIIK 006/002
TAHON 5/4/1991 27 P MARAE IRT LIDAK 024/004
ATAMBUA 12/22/2006 12 P KEMAK PELAJAR M.MUTIN 005/002
KALIMANTAN 2/18/2018 10 L MARAE FATUBENAO 032/002
ATAMBUA 1/3/2018 1 THN L BUNAK FATUKBOT 005/002
ATAMBUA 7/18/2016 2 THN P TETUN MANUAMAN 012/002
ATAMBUA 10/17/2014 4 L MARAE MANUMUTIN 012/004

MANLEA 5/17/1977 41 P DAWAN IRT F.BENAO 033/001
ATAMBUA 1/19/2014 4 L MARAE TENUKIIK 010/004
ATAMBUA 8/18/2012 6 P MARAE RAIBASIN 003/002
AINIBA 12/20/2010 8 P TETUN PELAJAR ATAMBUA 006/002
BALI 8/2/1960 58 P KEMAK IRT M.MUTIN 019/006
ATB 9/19/2004 14 P TETUN PELAJAR M.MUTIN 021/003
MADURA 11/11/1950 68 P JAWA IRT UMANEN 006/002

KASUS
DIAGNOSA KODE NAMA OBAT
B/L
MYALGIA B IBUPROFEN,B1,PCT
ATRALGIA B AMBROXOL,VIT C,, NADIC
INFEKSI KULIT B SALAP KULIT BETAMETASON
OBS FEBRIS B PCT,BCOM
TONSILITIS B AMOX, B6, PCT, VIT C
DIARE B ORALIT, ZINC
ISPA B GENTION VIOLET,CTM,VI C, PCT,GG, AMOX
OBS FEBRIS, VOMIT B PCT, ANTASIDA, B6
GE, ISPA B ZINC,CTM,VIT C, PCT, AMOX

GASTRITIS B ANTASIDA, B. COM
OBS FEBRIS,BATUK B PCT,GG,CTM, B COM
ISPA B AMOX,VIT C, CTM,PCT
OBS FEBRIS B PCT, BCOM
VULNUS B CEFADROXIL,ASMEF, VIT C
VULNUS L LANJUT OBAT
BATUK B AMBROXOL,VIT C,PCT

HASIL PEMERIKSAAN LAB KONSELING
ASAL PEMBERI
TINDAKAN KLINIK RUJUK
DDR GD AU KOL HB KLINIK GIZI PASIEN LAYANAN
SANITASI
104 4.1 143 1 1
124 7.6 102 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
136 1 1
RAWAT LUKA 1 1
1 1
PETUGAS
53 160 137/70 58 WIE

61.6 158 134/91 81
89 173 126/80 89
53.7 155 115/75 131
21.5 149 38 100
7.5 36.2 110
8.2 38.3 110
10.2 87.5 36 102
12.8 84 38.5 102

60.5 153 118/73 83
15.7 105 37.6 112
15.4 101 32 110
16.9 119 37.8
56.4 165 120/71 84
42 158
71 149 133/77 98
1 02.1007.70 KAROLINA A LUK KAROLINA A LUK 5304 127112420002

2 02.020934 LAURENSIUS ATI YUNI SEUK
3 99.0816.33 MARSELINUS KETA KESYA KETA
4 03.1911.20 PEDRO ORLANS VIRGINIA DA COSTA 5304 4125105710001
5 02.0429.20 MODESTA MORUK MODESTA MORUK 5304 124107450025
6 99.0469.31 BENEDICTUS MBOY CALVARISTO R LAY MBOY 5304 21260310001
7 03.1572. YULIUS LOE MONITA Y LOE
8 990,535 JOAO DE ANDRADE PAULINA XIMENES 5304 124112660001
9 99.0735.30 YOHANES BERMANS MARSHA
10 99.0973.31 AGUSTINUS LAKU LETO STEFANIA LIAN SABERU
11 99.1360. YOSEP ATOK SOFI AMALO
12 02.0238 ANDREAS SOARES ANDREAS SOARES 5304 120109570003
13 99.0298. MAXIMUS SANTOS ELFIANA ASTEN 5304 0471122830004
14 99.0249.30 JEFRI FAOT MARSELINUS FAOT
15 99.0102.20 YOHANES ABA ERFIANA UKAT LAU
16 99.0692. BENEDIKYUS B NINO SAMUEL GIAN
17 99.0039.30 IKBAL ISE KRISTIAN A ISE
18 99.0007. HERMAN MANEK ARNOLDINA ANASTASIA 5304 216203650003
19 99.0480. PAULUS NGONGO LEDE LIDIA L NGONGO 5304 12660210001
20 99.0136.20 WIHELMUS SERAN ROSALINDA DAHU NAHAK
21 99.0612.10 MUHAIMIN MUHAIMIN
22 99.1982. PETRUS BUNGSU PETRUS BUNGSU 5304 120108630001
23 99.0867. FRANSISKUS MOENSAKU CRISTIANI MOENSAKU
24 99.1366.34 BERNADUS MAU GODELFRIDUS MAU 5304 03208010002
25 01.0274.10 FELIPE DE ARAUJO FELIPE DE ARAUJO 5304 021203950002
26 02.0144.20 AGUSTINS HALE THERESIA MADE 5304 125510550001
27 99.0108.32 NIKOLAS NAHAK GEVARIL B B NAHAK
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
JK
SUKU
TEMPAT LAHIR TANGGAL LAHIR UMUR PEKERJAAN ALAMAT RT/RW
L/P BANGSA
DAFALA 12/31/1942 76 P TETUN IRT TENUKIIK 014/003

MENA 6/24/1999 21 P TETUN SWASTA TENUKIIK 009/003
ATB 9/29/2013 5 P SABU BEIRAFU 003/001
BOBONARO 5/11/1971 47 P MARAE IRT FATUBENAO 027/005
KORBAU 7/1/1945 73 P TETUN IRT TENUKIIK 002/001
ATB 3/26/2010 8 P TETUN PELAJAR MANUMUTIN 010/003
ATB 2/13/2018 10 BULAN P MARAE FATUBENAO 015/005
AINARO 12/1/1966 52 P TETUN PNS MANUMUTIN 001/001
ATB 9/6/2014 4P DAWAN PELAJAR LIDAK 019/003

ATB 9/27/2015 3 P KEMAK MANUMUTIN 028/008
KUPANG 9/6/1972 46 P ROTE IRT MANUMUTIN 011/004
BOBONARO 9/10/1957 57 L MARAE P.PNS TENUKIIK 011/004
OENARI 12/31/1983 37 P TETUN IRT TUKUNENO 001/007
NIKI-NIKI 3/9/2018 9 BLN L DAWAN BEIRAFU
KUPANG 10/8/1976 42 P DAWAN IRT FATUKBOT 003/003
ATB 11/23/2013 5 L DAWAN TULAMALAE 002/001
ATB 4/11/2018 8 BLN L TETUN TULAMALAE 010/004
ATB 3/22/1965 51 P TETUN PNS BARDAO 009/003
ATB 2/26/2010 8 P SUMBA PELAJAR MANUMUTIN 028/008
BHALIBOT 3/8/1974 44 P TETUN PNS NENUK 002/001
JAWA 3/9/1961 57 L JAWA SWASTA MANUAMAN 004/001
LAHURUS 8/1/1969 48 L TETUN SWASTA MANUMUTIN 001/001
ATB 1/1/2001 19 P DAWAN PELAJAR BEIRAFU 002/001
NAKALOLO 8/23/2001 19 L MARAE PELAJAR MANUMUTIN 001/001
KOTELAU 3/12/1995 23 L TETUN SWASTA ATB 018/006
WEHOR 10/15/1965 51 P KEMAK IRT TENUKIIK 017/006
ATB 8/8/2018 4 BLN L MARAE MANUAMAN 013/003
STATUS HASIL PEMERIKSAAN LAB
B/L DDR GD
SUSP TB PARU L OAT,PCT, VIT B6

OBS FEBRIS + DIARE B PCT,ANTASIDA,OMEPRAZOLE,LOPERAMIT,ZINC NEG
VALICELLA L PCT,ARCIKLOVIR,BEDAK SALISILAT
MYALGIA + BATUK B PCT,LORATADIN
DISPEPSIA L ANTASIDA,OMEPRAZOLE,NADIC 127
HORDEOLUM L PCT,AMOX
ISPA + OBS VOMITING L PCT,AMBROX,CETRIZIN,METOKLOPERAMIDE
BATUK, HT L AMBROXOL,AMLODIPIN,VIT BCOM,SALBUTAMOL
OBS FEBRIS L PCT NEG

ISPA L PCT,AMBROX,CETRIZIN
OBS FEBRIS + DISPEPSIA B PCT,AMBROX,ANTASIDA,OMEPRAZOLE NEG
HT + BATUK B AMLODIPIN,AMBROXOL,CETRIZIN
BPH L IBU,B1
LUKA BAKAR B PCT
DISPEPSIA B ANTASIDA,PCT,OMEPRAZOLE
COMON COLD L PCT,AMBROX,CITRIZIN
OBS FEBRIS + BATUK L PCT,AMBROX,CETIRIZINE
OBS FEBRIS,HT L PCT,AMLODIPIN,VIT B COM
ISPA L PCT,GG,CTM NEG
MYOPI L
HIPERKOLES,LEROLEMIA L SIMVASTATIN,VIT B COM 124
OBS FEBRIS + DIARE L PCT,LOPERAMID,ZINC,ORALIT NEG
BAKTERIAL VAJINOSIS B METROMODAZOLE,VIT B COM
OBS FEBRIS B PCT NEG
HEMATURIA E-C-SUSP ISK B SIPROLOXACIN,CIMETIDIN
BATUK + DERMATITIS AROPIK L AMROXOL,CETIZINE
FARINGITIS B AMOXILIN,CETIRIZZINE
RIKSAAN LAB KONSELING BB
PEMBERI
TINDAKAN KLINIK ASAL PASIEN RUJUK
AU KOL HB KLINIK GIZI LAYANAN ( kg )
SANITASI
1 √ 1 69
1 1 47
1 1 14.8
1 1 72.9
5.4 184 1 1 46
1 1 24
1 1 7
1 1 36.4
1 1 13.9
1 1 11.7
1 1 52
1 1 59
1 √ 1 51.4
1 1 9.5
1 1 53.9
1 1 12.5
1 1 9.2
1 1 76.7
1 1 21.7
1 √ 1 74.4
6.2 259 11,09 MG/DL 1 1 55.8
1 1 61.3
1 1 23.7
1 1 42.6
1 1 52.3
1 1 58
1 1 6.2
TB SUHU TD RR NADI
PETUGAS
( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
154 36 118/61 27 88
156 36 128/82 18 148
94 35.6 18 100
155 36 188/95 20 80
36 125/84 20 85
127 35.8 20 80
70.6 36.8 32 90
141 36 162/104 20 64
97 38 23 80
98.2 36 26 90
153 36 109/74 18 72
161 36 171/68 20 74
157 36 113/74 20 102
36 30 90
155 36.5 98/71 20 67
97 36.5 80 90
72.5 37 34 90
160 36 144/87 20 78
119 37 32 90
157 36 125/72 20 80
152 36 126/72 20 50
157 37 124/91 20 84
141 36 105/68 20 74
164 37 127/71 20 74
168 36 123/78 20 62
147 36 162/107 20 100
36.4 80 120
N0 NO INDEX NAMA KK NAMA PASIEN N I K TEMPAT LAHIR
1 99065120 MARKUS ASUK FIFI F. BAHA DILI

2 2024410 ACACIO DE CARVALHO ACACIO DE CARVALHO
3 99024310 ABIA KOANAK ABIA KOANAK
4 2069810 LAMBERTUS GATTO LAMBERTUS GATTO ENDE
5 99025710 PAULUS SERAN PAULS SERAN
6 3038310 LAMBERTO P. MAIA LAMBERTO P. MAIA
7 99012920 BLANDINA HOAR BLANDIAN HAR
8 99048720 ROBERT MARTINUS MELIANA MARTINUS ROTE
9 99134710 FELICIANO G. LEITE FELICIANO G. LEITE KAILAKO
10 99021120 NELCI FANGIDAE NELCI FANGIDAE ROTE
11 3101810 YACOBUS M. LUAN YACOBUS M. LUAN LEOGOLO
12 99071610 MIGUEL MARTINS MIGUEL MARTINS
13 3063210 FELICIANO TAEK FELICIANO TAEK
14 99029032 YOHANES NEON BASU GERALDINO NENOBASU ATAMBUA
15 99023020 YUSTINUS ASA BERE YULIANA BAN FATIN ATAMBUA
16 3152320 BONIFASIUS TALLO HELENA HOAR
17 2047820 MARIA BAU HEUK MARIA BAU HEUK
18 99033910 AGUST F. NAHAK AGUST F. NAHAK KOTAFOUN
19 99079820 NOCH TEPLOPO MARIA P. BETE ASUMANU
20 99,053,610 PANCE SEO ELISABETH SIKI KEFA
21 99081210 YAKOBUS KOLO YKOBUS KOLO
22 99023232 FRANSISCO BARRETO EDUARDO C. BARRETO ATAMBUA
23 1028220 HASNA HASNA BUGIS
24 99008735 FRANSISCO NAGA DASILVA ARMANDA DASILVA DILI
25 3037630 ANTONIUS FABIANUS ATAMBUA
26 99033730 ELVIS XIMENES BONIFCIO XIMENS ATAMBUA
27 99006430 EMANUEL B. BAU ADELAIDE MAU ATAMBUA
28 99015831 LUSIANUS Y. KOY YOHANES Y. KEFI ATAMBUA
29 99039220 SELMIGAM PARINEM SUHARJO
30 99017630 OKTOVIANUS MARTINS KIANDRA M. MARTINS ATAMBUA
31 2045134 LIDWINA L. YUSLINTON NDUN ATAMBUA
32 99051635 ANTONIUS C,R. MARIA J. MAU LUAN RINBESI
33 2067330 WILFRIDUS Y KOY ARNOLDA YM,YHOKOY MAU ATAMBUA
34 3126330 ANTONIO DE FATIMA IGNASIUS K.M. KOLO ATAMBUA
35 20205 IBRAHIM P. ZASKIA RAMARENI KPG
36 99003520 ALOYSIUS DASI MARIA KOE SISI
37 99059610 DAVID GONSALVES DAVID GONSALVES LIQUISA
38 99003430 MARTINOPEREIRA YOHANES GABRIEL ATAMBUA
39 113830 NIKODEMUS TANEAK ARKADIUS TANEAK ATAMBUA
40 99018532 SOTER BESIN LUSIANO ATAMBUA
41 99014030 KORNELIS NAHAK GEORGE NAHAK ATAMBUA
42 2066110 HERMAN YOSEP MAUK HERMAN YOSEP MAUK SILAWAN
43 3008210 ABRAHAM SOARES ABRAHAM SOARES
44 99065231 ROSALINO BORGES AUSELIA A. BORGES KEFA
45 99136710 DOMINIKUS MAU PURA DOMINIKUS MAU PURA BESIKAMA
46 1028720 HENGKY PITU RUBI ATAMBUA
47 1027620 NIKODEMUS SAEFATU WENDELINA BERE ATAMBUA
48 3068133 MAXIMELIANUS SKOLASTIKA N. USNAAT ATAMBUA
49 99136830 DAVID FRANSISKO VARELLA ATAMBUA
50 99012010 JIBRAEL DEU KALE JIBRAEL DEU KAE SABU
51 99065320 FRIDUS NURAK MARIA R.E.BRIA ATAMBUA
52 99074233 NITANEL BENU EXEL ATAMBUA
53 99029820 YOLENTA N. LOOK YOLENTA LOOK ATAMBUA
54 2094110 AQUILIS EXPOSTO AQUILIS EXPOSTO TIMOR
55 3180630 ARNOLDUS ASA YOSEP R. ASA ATAMBUA
56 3006620 ROSINA OLIVEIRA ROSINA OLIVEIRA BOBONARO
57 99053820 JONI SADIPUN MEY LIANCE ATAMBUA
58 99029220 LAURENSIUS KOFI JASINTA F. LOE MAU ATAMBUA
59 99128420 HENDRIKUS NENO MARTINA KAI UTU ATAMBUA
60 2010731 AGUS F. EDI BENEGRINDEN ATAMBUA
JK STATUS
SUKU
TGL LAHIR UMUR PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE
L/P BANGSA B/L
2/26/1998 20 P TETUN SWASTA MAN LETEN LIMFADENTIS B

6/12/1946 72 L TETUN PEN PNS TENUKIIK 010/004 H T DISLIPIDEMIA L
64 L ROTE PENP PNS LIDAK HT ASAM URAT L
10/5/1955 63 L FLORES PEN TNI TENUKIIK 011/004 HIPERTENSI L
2/25/1966 52 L TETUN PEN PNS M. MUTIN 006/002 H T L
7/2/1962 56 L MARAE FATUBENAO 016/002 H T L
9/22/1961 57 P TETUN IRT NAEKASA H T L
5/7/1957 61 P ROTE PENDETA MANUAMAN H T L
8/15/1953 65 L TETUN PEN TNI M. MUTIN 005/002 VULNUS L

2/10/1963 55 P ROTE IRT TULAMALAE H T DISLIPID L
4/9/1952 66 L MARAE PEN PNS FATUBENAO 033/004 MYALGIA B
62 L TETUN PEN TNI M. MUTIN H T TB PARU L
7/10/1954 64 L MARAE PEN TNI FATUBENAO H T L
6/2/2008 10 L DAWAN PELAJAR M. MUTIN OBS FEBRIS B
7/16/1963 55 P MARAE IRT BERDAO 016/006 H T GOUT ARTHRITIS L
12/31/1942 78 P MARAE IRT FATUBENAO H T L
12/12/1950 68 P TETUN IRT TENUKIIK HT FHARINGITIS L
8/8/1958 60 L TETUN PEN PNS LIDAK H T DYSPEPSSIA L
7/5/1955 63 P TETUN IRT BEIRAFU H T L
9/18/1994 24 P DAWAN IRT M. MUTIN 022/007 BATUK B
7/1/1958 60 L DAWAN SWASTA TULAMALAE H T L
10/13/2007 11 L BUNAK PELAJAR M. MUTIN 019/005 FHARINGITIS B
12/31/1953 65 P BUGIS IRT ATAMBUA DM TYPE II L
4/15/1993 25 P TETUN SWASTA MANLETEN CEPHALGIA B
7/26/2018 5 BLN L MARAE FATUBENAO 015/005 BATUK B
1/11/2004 14 L TETUN PELAJAR M. MUTIN 009/003 TONSILITIS B
8/29/2017 1 P TETUN BEIRAFU DICENTRI B
7.3 L TETUN PELAJAR BEIRAFU ISPA DYSPEPSIA L
3/8/1974 44 P JAWA IRT MANUAMAN EDEMA TUNGKAI B
12/1/2014 4 P ROTE M. MUTIN OBS FEBRIS B
28,11,2003 15 L ROTE PELAJAR TENUKIIK 005/002 OBS FEBRIS B
3/9/1989 29 P MARAE SWASTA RINBESI 001/001 BENJOLAN B
6/2/2010 8 P MARAE PELAJAR TENUKIIK OBS FEBRIS B
5/20/2016 2 L MARAE FATUBENAO 031/001 OSMK B
6/6/2015 3 P FLORES TENUKIIK 006/002 ALERGI L
7/12/1973 45 P MARAE IRT LIDAK SUSP TUMOR L
6/1/1993 25 L TETUN SWASTA NAEKASA DYSPEPSIA L
10/23/2014 4 L TETUN HAIKRIT DEMAM BATUK B
4/16/2014 4 L DAWAN M. MUTIN 024/003 OBS FEBRIS B
6/12/2016 2 L TETUN TULAMALAE ISPA B
9/15/2015 3 L TETUN LIDAK OBS FEBRIS B
6/7/1947 71 L TETUN SWASTA TENUKIIK 006/002 DYSPEPSIA ISPA L
2/13/1949 69 L MARAE PEN TNI FATUBENAO 017/06 DKA L
7/3/2018 5.BLN P TETUN HAIKRIT ISPA B
12/10/1972 46 L TETUN SWASTA M. MUTIN 014/004 CEPHALGIA B
3/4/2017 1 L SABU ATAMBUA 005/002 OBS FEBRIS B
1/15/1986 32 P DAWAN IRT ATAMBUA 012/004 DYSPEPSIA L
2/25/2006 12 P TETUN PELAJAR FATUBENAO 038/004 VARICELLA B
8/3/2018 4.BLN L DAWAN M. MUTIN OBS FEBRIS B
5/1/1986 32 L SABU SWASTA RINBESI ISPA OBS FEBRIS B
9/22/1973 45 P TETUN PNS NAEKASA DIARE DISLIPIDEMIA L
7/27/2015 3 L DAWAN M. MUTIN DERMATITIS ALERGI B
4/5/1953 65 P MARAE GURU TULAMALAE 011/014 OBS FEBRIS B
9/18/1990 28 L TETUN SWASTA TENUKIIK 005/002 ISPA B
1/26/2014 4 L DAWAN FATUBENAO OBS FEBRIS B
8/12/1974 44 P BUNAK IRT FATUBENAO 030/03 GOUT ARTHRITIS L
5/16/1984 34 P BELU IRT MANUAMAN 005/004 RA B
7/29/1970 48 P MARAE PNS TULAMALAE MYALGIA B
3/12/1974 44 P KEMAK IRT M. MUTIN DERMATITIS ALERGI L
3/12/2018 9. BLN L AMBON TENUKIIK ALERGI B
HASIL PEMERIKSAAN LAB
NAMA OBAT TINDAKAN
DDR GD AU CHOL HB
CIPRO PCT DEXA

CAPTO SIMVASTATIN ALUPURINOL PIROXICAM
ALUPURINOL LORATADIN
HCT BC
LANJUT OBAT PCT BC
LANJUT OBAT
LANJUT OBAT
LANJUT OBAT
LANJUT OBAT V
AMLO SIMVASTATIJN 117 4.2 237
PCT
BC AMLO
BC NADICK
PCT SYRUP
PIROXICAM ALUPURINO 110 6.2 160
AMLODIPIN NADICK
AMOX PCT AMBROX LORATADIN
OMEPRASOL PAPAVERIN B1
OMEPRASOL IBUPROFEN
AMBROX DEXA PCT
AMLODIPIN B1
AMOX PCT CTM
GLIBEN HCT ALUPURINOL 7.6 126
IBUPROFEN B1
GG
AMOX PCT AMBROX LORATADIN NEG
ZINC COTRIM ORALIT
OMEPRASOL AMBROX CTM NEG
HCT BC
PCT
PCT CIMETIDIN NEG
KIE
PCT NEG
PCT CIPRO NEG
DEXA
KIE
OMEPRASOL
PCT SYRP NEG
PCT SYRP
AMBROX DEXA
PCT
OMEPRASOL AMBROX CTM
NADICK LORATADIN 86 5.2 175
AMBROX DEXA
IBUPROFEN LORATADIN
PCT SYRP NEG
OMEPRASOL PCT NEG
ACYCLOVIR
PCT NEG
PCT AMBROX CIMETIDIN CETRIM NEG
SF ATAPULGIT SIMVASTATIN ALU OMEPRASOL NEG 95 6.4 255 9
DEXA CETITIZIN
PCT NEG
LORATADIN GG
PCT NEG
ALUPURINOL NADIC 112 8.6 200
PIROXICAM B1 5.8
IBUPROFEN
LOATADIN DEXA
CTITIZIN
KONSELING BB TB SUHU TD RR
PEMBERI
ASAL PASIEN RUJUKAN
KLINIK SANIT KLINIK GIZI LAYANAN
1 1 51.1 156.2 36 111/62

1 1 50 157 36 108/60
1 1 62 162 36 135/74
1 1 60 158 36 140/78
1 1 61 170 36 131/80
1 1 54 155 36 137/85
1 1 58 149 36 102/72 18
1 1 57.5 146 36 137/57
1 1 65 160 36 113/79
1 1 59.4 152 36 135/105
1 1 68.5 160 36 128/73
1 1 69 160 36 112/77
1 1 46 144 36 133/66
1 1 8.8 37.3 40
1 1 42.3 131 36 152/81
1 1 48 153 36 151/69
1 1 49 158 36 125/70
1 1 60 161 36 130/68
1 1 54 149 36 135/77
1 1 63.4 150 36 106/65
1 1 52 155 36 146/69
1 1 24.5 131 36.8
1 1 53.6 149 36 148/77
1 1 46.9 159 36 109/75 16
1 1 6.5 65 36.2 40
1 1 31.5 154 39
1 1 7.2 72.6 37 35
1 1 30 126 36
1 1 45.1 150.3 36.6 118/69
1 1 12.4 36.4 42
1 1 30.4 141 37.5 107/64 22
1 1 62.4 146 36 112/73
1 1 17.8 119 35.8
1 1 8.8 82.8 39 48
1 1 13.5 36 40
1 V 1 52.3 152 36 122/85
1 1 52.1 159.5 36 110/81
1 1 11.1 95 35
1 1 13.8 36.7 45
1 1 12.5 91.7 35.3 40
1 1 9.6 37.3 46
1 1 50.4 152 36 134/85
1 1 162 35.5 117/83
1 1 7 62.2 37.5 40
1 1 66.6 169 35 109/75
1 1 9.7 80.8 38.4 45
1 1 40.6 150 37.6 98/65
1 1 33.1 147 36.5 101/89
1 1 4.3 54.6 39 36
1 1 52.1 158.5 38 127/70
1 1 61.5 150 35 110/61
1 1 10.5 91.6 36.8 45
1 1 50.3 149.9 37.8 118/74 18
1 1 43.5 156 36 107/70 24
1 1 14.1 36.4
1 1 61 153 36 105/72
1 1 69.5 153 36 118/75
1 1 62.7 147 36.7 121/72
1 1 41.6 152 36 119/75
1 1 8.3 73 36.1 46
NADI
NAMA
PETUGAS
89 MIGUEL
58
72
60
68
77
87
80
83
75
65
69
69
93
74
65
62
85
93
98
72
93
120
110
111
107
90
98
90
80
99
124
124
90
120
78
114
92
112
84
118
78
90
72
78
75
79
NO NO. INDEX NAMA KK NAMA PASIEN NIK TEMPAT LAHIR
1 03.1326. BALTAZAR BINSASI BALTAZAR BINSASI 5304 120208480001 BIONI

02.1633. MOSES G BOBO NOVARA BOBO ATB
02.0774. CRISTIN I MOOY CRISTIN I MOOY 5371 045603910002 KUPANG
990,569 MARCELUS LOY MALY MARCELUS LOY MALY 5304 22260080004 ATB
99.1369. FRUMENSIUS TALI META JJUNIOR D TALI META 5304 122006160001 ATB
01.0222 FREDS EDDY HEKERIKE YASINTA MELDA MELIN 5304 126103730001 ATB
991,370 HENDRIKUS DA COSTA GRACE ATB
02.0664 ALEXANDER DIAZ SISILIA Y ODJAN 5304 126509730001 LARANTUKA
99.0128. YULIUS BLEGUR RENER BLEGUR ATB

990,250 LUDOVIKUS UN VIKTOR IMANUEL N MALAKA
99.0736. DWI YULIANTI KURNIAWATI DWI YULIANTI KURNIAWATI 5371 046507910001 KUPANG
99.1032. KORNELIS WENI KORNELIS WENI 5304 020707620001 ALOR
99.0342. GABRIEL YASINTUS ALEXANDRA MARIA M 5304 126504070001 ATB
03.0213 ROFIANUS TAI MAU JUNITA F MAU ATB
99.0546. MAKSIMUS PELO YOSEFINA TO ATB
99.0049. TAMARIN ASBAN RAFA ATB
01.0290. YOSEP PEREIRA VERONIKA FUNAN 5304 126102680002 KEFA
99.0014. AGUSTINUS TNESI FERMINA ULUK ATB
03.0567. FREDILINUS FAHIK MARIA M BRIA
99.0590. CORNELIS BINSASI KRISPIANUS Y BINSASI 5304 1205115800001 ATB
990,791 YOSEP NAHAK YOSEP NAHAK WEBRIAMATA
99.0020. EMERENSIANA B LOE EMERENSIANA B LOE ATB
99.0650. EMANUEL MAU OVI M.L. NOKES ATB
99.0132. ISTIYONO GUNAWAN SITI FATIMAH WINI
99.1372. ROFINUS MANEK VINSENSIUS F MANEK ATB
99.0045. JOAO DACOSTA ELEN 5304 24520720002 TARUS
JK
TANGGAL LAHIR UMUR SUKU BANGSA PEKERJAAN ALAMAT RT/RW DIAGNOSA
L/P
8/2/1948 70 L DAWAN SWASTA FATUBENAO 013/004 HT

11/25/2018 1 BLN P TENUKIIK 011/004 OBS FEBRIS
3/16/1991 27 P FLORES PEG.BUMN TENUKIIK MYALGIA
5/26/1980 38 L MARAE PNS MANUMUTIN 008/009 TONSILITIS +OBS FEBRIS
6/20/2016 2 L DAWAN MANUMUTIN 028/009 ISPA
3/21/1973 45 P TETUN IRT ATAMBUA 004/002 DISLEPEDEMIA, HT, ISPA
10/17/2013 5 P KEMAK PELAJAR MANUMUTIN 001/001 ISPA
9/25/1973 45 P FLORES IRT TENUKIIK 006/002 SAKIT GIGI
10/23/2016 2 L ALOR MANUMUTIN 027/001 COMMON COLD

10/12/2018 2 BLN L TETUN BEIRAFU ISPA
7/25/1991 27 P KUPANG CPNS LIDAK DISPEPSIA + TONSILITIS
7/7/1962 56 L ALOR PNS MANUMUTIN 011/004 CEPHALGIA
4/25/2007 11 P TETUN PELAJAR MANUMUTIN 008/003 DIARE
6/5/2017 1 P MARAE FATUBENAO 011/002 DIARE
5/5/2016 2 P DAWAN MANUAMAN 005/005 ISPA
5/9/2018 7 BLN L DAWAN UMANEN 025/008 COMMON COLD
2/21/1968 50 P DAWAN IRT ATAMBUA 010/004 HT GRADE,DESLIPIDEMIA,DISPEPSIA
7/1/1958 60 P MARAE IRT BEIRAFU SUSP TB,HT.DISPEPSIA
38 P TETUN IRT FATUBENAO 007/003 ISK,DISPEPSIA
11/5/1998 20 L DAWAN SWASTA MANUMUTIN 023/007 BATUK,DISPEPSIA
3/26/1982 36 L TETUN SWASTA TULAMALAE 014/005 TONSILITIS +OBS FEBRIS
5/17/1969 49 P MARAE SWASTA RINBESI 015/002 DISPEPSIA
22 P DAWAN IRT NENUK DISPEPSIA
6/4/1982 36 P DAWAN IRT LIDAK 035/005 ISPA
4/5/2013 5 L DAWAN MANUMUTIN 008/007 DISPEPSIA
2/12/1972 46 P TETUN IRT FATUKBOT 017/006 HT,DISPEPSIA
KODE NAMA OBAT TINDAKAN KLINIK
B/L DDR GD AU KOL HB SANITASI
L AMLODIPIN
B PCT
B NADIC
L PCT,DEXA
L PCT,AMBOX
L AMBOXOL,PCT,SIMVASTATIN NEG 126 3.6 242
B PCT,AMBOX
L NADIC
L PCT
B PCT, AMBROX NEG
B PCT,DEXA,OMEPRAZOLE NEG
L IBU,B1
B PCT,ATALPUGIL
B ZINC,ORALIT
L CTM,AMBROX,B COM,PCT
B PCT NEG
B AMLODIPIN,OMEPRAZOLE,SIMVASTATIN 95 5.3 254
L PCT,AMBROX,OMEPRAZOLE,AMLODIPIN
L CIPRO,PCT,OMEPRAZOLE NEG
B AMBROX,CIMETIDINE
B PCT,DEXA,B1
L OMEPRAZOLE,VIT B COM
B ANTASIDA,CIMETIDINE
B PCT
B ANTASIDA,CIMETIDINE
L AMLODIPIN,CIMETIDINE
KONSELING BB TB SUHU TD RR NADI
ASAL PEMBERI
RUJUK PETUGAS
KLINIK GIZI PASIEN LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
1 1 54 159 36 134/73 78 NANDA

1 1 3.3 28 36.5 20 120
1 1 57 155 36 126/65 89
1 1 56 161 36 128/78 91
1 1 11.1 81 36 88
1 1 85.9 158 36 166/105 104
1 1 16.2 108 36.7 88
1 1 67 157 36 158/94 74
1 1 9 79 36 100
1 1 5.5 36.9 120
1 1 48 159 36 127/87 76
1 1 59.2 164 36 141/93 68
1 1 24.2 133 26.8 88
1 1 8.6 36 100
1 1 9 78 36.7 88
1 1 10 79 36 120
1 1 71.7 151 36 184/92 71
1 1 39 147 36 186/76 20 84
1 1 55.5 147 36 120/88 92
1 1 53.1 163 36 113/67 75
1 1 49.9 156 36 102/72 66
1 1 44.6 159 36 112/69 76
1 1 37.6 151 36 122/77 106
1 1 55.7 159 36 136/90 115
1 1 15.6 104 36.8 88
1 1 64.9 156 36 156/104 105
1 99109510 ANUS DONI OKTAVIANUS DONI 5304 1207 0668 0002

2 99012230 ADI BETI MARIA M. BRIA
3 99110920 GAUDENSIUS KLAU FRIDA NAHAK
4 99126210 AMANDIO BORGES AMANDIO BORGES
5 03.0374. FIDELIS LESU MARIA SOI ASA 5304 126703830002
6 99.0490. EGIDIUS BERE MAU YASINTA M BUI 5304 224307880001
7 99.0478. YANUARIUS MANEK GRACIO A MANEK 5304 120505150002
8 99.0141. STEFEN SERAN BASTIAN H SERAN
9 03.0418. DANIEL SAFFRA JEANNE C BITIN B 5304 225004110004
10 99.1011. JOAO SOARES SESILIA SOARES
11 99.1366. BERNADUS MAU GODELFRIDUS MAU 5304 032308010002
12 99.0874. BERNADUS MAU META SERAFIAN THANEO 5304 2147076620003
13 99.0736. DWI YULIANTI KURNIAWATI DWI YULIANTI KURNIAWATI 5371 046507910001
14 99.0017. PRIMENTUS SERAN PRIMENTUS SERAN 5304 220007770002
15 99.0394. MAXIMUS BERE MARIA DE ARAUJO 5304 025605680001
16 99.0524. MUHAMMAD ALI MILA
17 99.0187. ZAKARIAS SERAN KRISTI F SERAN
18 99.0655. EMANUEL F KIIK EMANUEL F KIIK 5304 042312860004
19 99.0545. PAULUS BRIA SERAN DESRI
20 99.0140. GANTOT CAHYONO VENTURINUS WIBOWO
21 02.0091 INNOCENCIO GONCALVES DEOLINDA AFONSO
22 99.0279. RIKY MANEK MARVELLOUS A MANEK
23 02.1012 MARIA S .A FEBRIAN K PASARAI
24 03.0136. VINSENSIUS LOE FRANSISKUS JONATAN LOE
25 99.0657. VINSENSIUS TAEK OLIVIA TAUS
JK
TEMPAT SUKU
TANGGAL LAHIR UMUR PEKERJAAN ALAMAT RT/RW
LAHIR L/P BANGSA
BALIBO 6/7/1968 49 L TETUN PNS M.MUTIN 007/003

ATAMBUA 6/14/1995 23 P TETUN PELAJAR NAEKASA 003/002
BESIKAMA 10/12/1974 44 P TETUN IRT M.MUTIN 022/007
ATABAE 8/8/1982 36 L DAWAN SWASTA M.MUTIN
KEWAR 3/27/1983 37 P MARAE IRT F.BENAO 017/006
ATB 7/3/1988 30 P MARAE IRT M.AMAN 014/023
ATB 2/20/2018 10 BLN L DAWAN M.MUTIN 006/01
ATB 1/31/2014 4 L TETUN TLM 003/001
ATB 4/10/2011 7 P DAWAN PELAJAR F.BENAO 024/004
DILI 5/27/1996 22 P TETUN SWASTA M.MUTIN 006/002
NAKALOLO 8/23/2001 17 L MARAE PELAJAR M.MUTIN 001/001
SOE 7/7/1962 56 P DAWAN IRT TLM 005/002
KUPANG 7/25/1991 27 P KUPANG CPNS LIDAK
WEKMIDAR 7/20/1977 41 L TETUN SWASTA BEIRAFU 004/003
DILI 5/16/1969 49 P KEMAK IRT UMAKLARAN 001/001
ATB 5/12/2001 17 P MAKASAR SWASTA M.AMAN 021-001
ATB 2/13/2015 3 P TETUN M.MUTIN 006/002
BETUN 12/23/1985 33 L TETUN GURU NAEKASA 001/001
NAIBONAT 12/11/1997 21 P DAWAN SWASTA M.AMAN
ATB 3/28/2018 9 BLN L JAWA BARDAO 002/014
LIQUISA 12/25/1965 53 P TETUN IRT T.KIIK 009/003
ATB 4/9/2018 8 BLN L TETUN TLM 002/001
ATB 2/18/2007 11 L TETUN PELAJAR T.KIIK 007-003
ATB 11/11/2017 1 L TETUN F.BENAO 006/003
ATB 6 P DAWAN PELAJAR M.MUTIN 007/003
KASUS HASIL PE
B/L DDR
VULNUS L AMOX VIT C

DISMINHOROE B IBUPROFEN
DYSPEPSIA LIMFADENTIS L ANTILPROG ANTASIDA
HT TERKONTROL L AMLODIPIN
GOUT ARTRITIS,MYALGIA B ALOPURINOL,IBUPROFEN
TONSILITIS,HT B METIL,IBU
ISPA,DIARE B PCT,ZINC,ORALIT
ISPA B AMBROX
DISPEPSIA B OMEPRAZOLE,ANTASIDA
DKL B CETRIZINE,METIL,BETAMETASON SALAP
BATUK L AMBOX
VULNUS,HT GRADE I B IBUPROFEN,AMLODIPIN
B
HT L AMLODIPIN
STRUMEN,MYALGIA L PPTU,PCT
SUSP FAM L OMEPRAZOLE
FURUNKEL B AMOX,PTT BCOM
B
DISPEPSIA B OMEPRAZOLE
DIARE L PCT,ZINC,ORALIT NEG
DISPEPSIA,HT L ANTASIDA,CAPTOPRIL NEG
INPERTIGO B BASITRACIN SALAP
OBS FEBRIS B PCT NEG
ISPA,DIARE L PCT,ZINC,ORALIT NEG
OBS FEBRIS L PCT NEG
PEMBERI
GD AU KOL HB KLINIK GIZI LAYANAN
SANITASI
1 3
1 1
1 1
162 1 1
86 6.1 184 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
4.5 1 1
1 1
1 1
1 1
1 1
PETUGAS
51 159 36 119/82 93 MIGUEL

54 148 35.6 80/66 89
72.8 152 36 103/59 70
89 169 36 117/76 89
58.9 147 35 110/70 85
55.1 160 36 122/80 86
6.6 68.2 36 120
14 103.5 35 90
21.1 116 35.1 90
41.1 156 36 120/67 67
42.9 164 36 120/78 109
34 152 36 144/79 91
48 159 36 102/78 74
72.2 174 36 141.85 67
51.9 150 36 126/77 69
40.2 152 36 111/65 99
12.5 91 36.5 98
57.4 170 36 105/75 89
45.6 152 36 120/75 83
7.6 38 90
59.2 154 34.8 128/81 16 83
7.1 65.5 36 20 120
65 153 35.6 90
8.2 74 36 120
18.6 114 37 136
1 990,035 ADRIANUS SAFE SERGIO SAFE KEFA

2 03.0742 JANUARIUS NAHAK JONALDO NAHAK ATAMBUA
3 99.0301. ROMI MANDALA VANTRIK MANDALA ATAMBUA
4 021014. MIGUEL BARETO KIMORA BARETO ATAMBUA
5 03-0567 FREDELINUS FAHIK MARIA FATIMA BRIA
6 03-1874 PIUS KOLY MONIKA TAE 530,401,551,070,003 LAHURUS
7 99-0229 YULIANUS TAUS MARIA M KOFI KEFA
8 99-0229 YULIANUS TAUS MISEL TAUS ATAMBUA
9 03-1429 MARSELUS ULUK ALDEGONDA SOI 530.412.560.866.000.1 UMAKLARAN
10 99-0446 DEDI AISAH NUR AULIE ATAMBUA
11 99-1374 JOAKIM MAIA MADEIRA BEATRIX ALVIS ATAMBUA
12 99-0090 BUCE MARTINUS REVAN MARTINUS ATAMBUA
13 01-0028 MATEUS MONIS JULIANA BARROS 530.402.500.897.000.3 AILEU
14 99-0657 VINSENSIUS TAEK MARIA H TAUS ATB
99-0054 YANDRI YANTO T LOGO YULIANA S KOLI ATAMBUA
03-1509 SIMON LIU JEMI R SELAN ATAMBUA
99-1373 FACHARY A ASRSYA FACHARY A ASRSYA 5308 1007061980001 MAGELANG
02.0845 DAVID US SANAK DAVID NOBE US SANAK 5304 121911570001 KULUAN
99-0535 JOAO DE ANDRADE PAULINA XIMENES 5304 124112660001 AINARO
99.0591. AGUSTINUS MANES YOHANES MANES ATAMBUA
99.0722. YANCE LIN LINCE TAE ATAMBUA
99.0319. MARSELINUS BANO MODESTA ARAKAT MANULEA
03-1433 MARIA HAWA MARIA HAWA 5304 126712550001 ENDE
01.0033. MELKI SEDEK NATUNOME TIARA NABUNONE ATAMBUA
02.0375 MARKUS SOARES AUSILIA DWIMOLOSOARES ATAMBUA
01.0291 ABDULAH SALMA BIMA
99.0652. SIMON SERAN ALFARIO SERAN ATAMBUA
99.1132. LEONARDUS PALA EMI S SINE TAKARI
99.0701. THOMAS JOSE MENDONSA RAINHA ATAMBUA
02.0297 PETRUS SANDU PETRUS S BETANG 5304 12180170001 MAUBARA
03.1837. ANGGELINUS M LAKU FREDERIKUS LAKU ATAMBUA
99.0656. HENDRIKUS HALE MARIA A SOI LOOKUN
02.0163 INOSES G BOBO ARGIO BOBO ATAMBUA
03.1460. FRANS BATU LEKI PONIJEM YOGYAKARTA
03.1432. SIPRIANUS TEFA MARIA J NAITES ATAMBUA
99.0108. HILARIUS Y MOLO ADRIANA ROSWITA SOI 5304 215409920002 WEBAHA
99.0069. MARINO MAU EMANUEL E MEAK ATAMBUA
99.0103. INDY DARUSMAN INDY DARUSMAN JAKARTA
99.0888. JASMAN SEO HAVIZA SEO ALOR
99.0802. FRANSISKO PAREIRA ANASTASIA SUTAL KEFA
02.0399 ALEXANDER MASAN DOMINIKA BRIA ATAMBUA
99023020 YOHANES J. HATI LUSIA LOTU MANLEA
3067020 YOHANES NOKAS MARIA SANCHES MALAKA
99000510 FERNANDO BERE FERNANDO BERE MALIANA
99130330 LEONARDUS ALIANDRO ATAMBUA
99008530 MATERNUS Y. LEO RIFAAALDO A. LEO ATAMBUA
99009020 MATEUS KEFI MARIA ANOK ATAMBUA
3164830 ARMINDO PARESA EFANDRES
JK
SUKU
TANGGAL LAHIR UMUR PEKERJAAN ALAMAT RT/RW DIAGNOSA
L/P BANGSA
8/9/2014 4 THN L DAWAN M.MUTIN 008/003 FURUNKULOSIS,ISPA

6/7/2018 6 BLN L TETUN F.BENAO 027/005 DIARE
3/3/2011 7 THN L ROTE PELAJAR TLM 013/004 ISPA,DISPEPSIA
2/9/2017 1,10 BLN P MARAE TENUKIIK 011/006 ISPA
38THN P TETUN IRT FATUBENAO 007/003 SISTITIS
10/15/1970 48THN P TETUN IRT FATUBENAO 017/006 HT
12/26/1978 40THN P DAWAN IRT M.MUTIN 008/003 ALLERGI
5/20/2016 2,6THN L DAWAN M.MUTIN 008/003 ISPA
8/16/1966 52THN P TETUN FATUBENAO 008/003 HT,DISPEPSIA

6/21/2017 1,8 THN P PADANG RINBESI 010/005 DIARE
4/29/2017 1,8 THN P TETUN M.MUTIN 019/005 ISPA,DIARE
1/27/2009 9 L TETUN PELAJAR BERDAO 005/002 BATUK
8/10/1997 21THN P TETUN IRT ATB 016/008 TB PARU
5/3/2017 1.5 P DAWAN MANUMUTIN 007/003 STOMATITIS
7/27/1986 32 P MARAE PNS RINBESI 010/005
1/25/2009 9 L DAWAN PELAJAR F.BENAO 014/005 VULNUS LACERAFUN
5/7/1998 20 L JAWA PNS M.MUTIN 015/008 FRAKTUR TERTUTUP
11/19/1957 61 L DAWAN SWASTA T.KIIK 001/001 HT,MYALGIA,BATUK
12/2/1966 52 P TETUN PNS M.MUTIN 001/001
1/17/2017 2 THN L DAWAN BEIRAFU 002/001 KONSTIPASI,ISPA
5/28/1958 60 P TETUN IRT F.BOT 003/001 DISLIPID
9/15/1972 56 P DAWAN IRT M.MUTIN 030/004 HT,MYALGIA,LIMFADENTIS,DISPEPSIA
12/27/1954 62 P ENDE IRT F.BENAO 037/003 HT,LISPEDEMIA,GOUT ARTRITIS
10/21/2017 1.2 P DAWAN ATB 008/003 ISPA
10/12/2013 5 P DAWAN PELAJAR T.KIIK 011/004 LIMPHADEMITIS
7/17/1967 51 P BIMA IRT ATB 012/002 MYALGIA
12/21/2017 1 THN L TETUN M.MUTIN 028/008 ISPA
5/22/1992 26 P DAWAN IRT M.MUTIN 014/014 FLUORALBUS
7/6/2017 1.5 P TETUN F.BOT 013/005 ISPA,DIARE
1/18/1970 48 L TETUN SWASTA T.KIIK 007/003
1/28/2012 6 L MARAE PELAJAR F.BENAO 032/002 DERMATITIS
4/13/1971 39 P MARAE IRT WELULI GASTRITIS
8/3/2017 1.4 L TETUN T.KIIK ISPA
4/17/1952 66 P JAWA IRT F.BENAO 007/003 HT
1/27/2012 6 P F.BENAO PELAJAR F.BENAO 005/002 BATUK BUKAN PNEUMONIA
5/14/1992 26 P TETUN IRT TLM 001/001 OMSK
12/16/2014 4 L TETUN F.BOT TONSILITIS
4/27/1998 20 L JAKARTA CPNS F.BOT GOUT ARTRITIS,DISPEPSIA,DIARE
12/2/2013 5 P DAWAN BEIRAFU 001/001 DIARE
5/15/1974 66 P TETUN IRT TLM 011/004 HT + OA
8/8/2018 4 BLN P TETUN T.KIIK 018/007 MILIARIA
2/1/1992 26 P DAWAN IRT M.MUTIN 014/004 ISPA DIARE
6/4/1956 62 P TETUN IRT FATUBENAO DISLIPIDEMIA
12/20/1969 49 P TETUN SWASTA NAEKASA 001/001 ISPA DISPEPSIA
6/20/2006 12 L DAWAN PELAJAR M.MUTIN 007/003 COMMON COLD
10/15/2016 2 L TETUN FATUK BOT ISPA DIARE
45 P TETUN IRT FATUK BOT ISPA MYALGIA
12/22/2015 3 L MARAE FATUBENAO ISPA
KASUS HASIL PEMERIKSAAN LAB
KODE NAMA OBAT
B/L DDR GD AU KOL HB
L AMOX,GENTA,PCT
B PCT,ZINC,ORALIT
B PCT,CETRIZINE,DEXA,CIMETIDINE NEG
B AMBROXOL,CTM,DEXA NEG
B RUJUK RSUD ATB
L AMLODIPIN,FUROSEMID
B LORATADIN
B PARASET SYRUP,AMBROXOL,CTM
B HCT,IBUPROFEN,OMEPRAXOL 4.6 170

L ZINC,ORALIT
B PCT,CETRIZINE,ZINC,ORALIT
L AMBROXOL,LORATADIN,METILPREDNISON
L OAT B6
L AMOX,GENTA,PCT SYRUP
B
B LANJUT OBAT
B NADIC
L AMLODIPIN,NADIC,VIT B, AMBROX 5.3
L 99 LO 163
L PCT,AMOX,CETRIZINE
L SIMVASTATIN,NADIC,B COM 101 5.8 221
L AMLO,NADIC,DEXA,OME,VIT B 156
L AMLO,SIMVASTATIN,NADIC,ALO 84 7 240
B PCT,AMBROX
L PCT,DEXA,AMOX
B NADIC,B1 4.2
L AMBROX,CTM,DEXA,BCOM
B METRO,NISTATIB SUP
B PCT,ZINC,ORALIT,CETRIZINE
L
B AMOX,CTM
B OME,ANTASID,PAPAVERIN
L AMOX,CTM,VIT C, PCT
L ANTASID,AMLO 100 4.7 201
L MADU + JERUK NIPIS
L AMOX,KLORAMFENIKOL,NADIC
B PCT,METIL,AMBROX NEG
B ALOPURINOL,OMPRAZOLE,ANTALPIGIT,PCT NEG 105 6.7 171
L ZINC,ORALIT
L NADIC,VIT B1 4.3
B BEDAK SALISIL
B ANTALPUGIT AMBROX COTRIZINE
L SIMVASTATIN NADICK BC
L CIMETIDIN NADICK COTRIZINE BC
B PCT
B AMBROX COTRIZINE ZINC ORALIT
B AMBROX NADIC B1
B PCT CETRIZINE NEG
ASAL PEMBERI
KLINIK GIZI PASIEN LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt)
SANITASI
1 1 14.8 98 37.6
1 1 36 36
1 1 16.8 119 38
1 1 8.2 75 36 30
1 1 1 55.5 147 36 138/96 18
1 1 1 55.4 140 35 154/103 20
1 1 50 142.5 36 120/86 20
1 1 10.3 82 36.5 20
1 1 53 144 36 152/103
1 1 8.8 36 30
1 1 8.5 36 20
1 1 25.1 138 36 20
1 1 40.6 148 35 98/56 20
1 1 8.6 75 37 20
1 1 1 76.8 148 36 148/101 30
1 1 25 124 36
1 1 93 183 36.5 121/71
1 1 72.1 167 36 141/95
1 1 33.6 141 36 150/100
1 1 10.5 82 36.5 30
1 1 70 155 36 135/90
1 1 56.2 150 36 145/92
1 1 46 152 36 149/69
1 1 8 36.1 20
1 1 15.7 106 35.6 20
1 1 58.6 150 36 99/74
1 1 8 73 36 30
1 1 58.1 166 36 130/85
1 1 9 73.5 37 34
1 1 1 73.3 164 36 114/98
1 1 15.2 106 36 20
1 1 61.3 170 36 130/80
1 1 9.2 36 20
1 1 45 149 36 144/64 14
1 1 6 61 36 20
1 1 44.3 144 36 116/77
1 1 14.8 101 36 20
1 1 86.4 172 36 120/78
1 1 20.4 105.7 36 20
1 1 76.8 157 36 142/79
1 1 6 66 36 40
1 1 49.7 156 36 115/66
1 1 42.3 151 36 118/78
1 1 54 152 36 110/72
1 1 27.4 136.5 35.3
1 1 10.5 36
1 1 56 147 36 136/73
1 1 11.8 36
NADI
PETUGAS
( x/mnt)
110 NANDA
36
120
90
87
82
72
90
94
82
110
80
18
110
85
88
84
73
64
110
86
76
86
90
90
69
110
80
90
59
90
72
90
76
90
94
90
88
110
73
110
64
70
85
88
60
120
1 99-0838 YUSTINA FUNAN YUSTINA FUNAN 530.412.680.970.000.1

2 99-0116 NYONGKI B LOUK AQUINTA
3 03-1391 MATEUS AMARAL MARIA E BUI 530,412,481,170,001
4 99-0231 HANS NEDA WALA PATRISIUS NEDA WALA
5 99-023132 HANS NEDA WALA REHAN NEDA WALA
6 99-0267 FELISIDADE GONSALVES ANABELA D ALMEIDA
7 01-0192 THEODORUS Y BISIK KANANTA V BISIK
8 02-0182 SABIDIN BALICCK FADLIL A BALICK
9 02-0469 ALEX KAREL LAPIA WIHAELMINA NAHAK
10 02-0469 ALEX KAREL LAPIA LUSENSIA
11 01-0142 ELISAMA A KALAKIK MARSYA A KALAKIK
12 03-0619 LEONORA BIA LEONORA BIA
13 99-0140 KORNELIS NAHAK GEORGE NAHAK
14 99-0538 ALFONSO HALE ALFONSO HALE 530.402.050450.000.1
15 99-0047 LEONARDUS BERE KATARINA S NORA MAU 530.412.630.315.000.1
16 99-0392 SELMIGAM PARINEM 530,422,480,374,002
17 99-0775 ROY SITOMORANG MARIA MARSELINA 530.421.510.718.000.1
18 99-0205 YULIUS LETO YULIUS LETO 530.422.130.764.000.2
19 99-1373 FACHRY A ARSYA FACHRY ARSYA 530.810.070.698.000.1
20 99-1127 LASARUS L PULING ADINDA S M PULING 530.410.700.300.000.1
21 99-0407 CASMIRO GOMES BALTASAR J SOARES
22 99-0407 CASMIRO GOMES DAVID GOMES
23 99-0840 SABDI NAHAK ROSINA SEUK
24 99-0465 EFRAIN MANAFE RISKI R MANO
25 99-0882 STEFANUS TONDA NOBERTUS TONDA
26 99-0351 FELIX MARTINS X BAKITA LUSIA DASILVA
27 03-0669 BENEDIKTUS USFINIT SILVERIUS K USFINIT
28 99-0396 BASILIUS SERAN TENI S D SESFAOT 530.412.540.975.000.1
29 99-0120 THEODORUS WEKE BERNADETHA K ATI
30 99-039632 BASILIUS SERAN APRIYANI J K SERAN 530.412.620.410.000.3
31 02-0734 MANUEL LEITE AMELIA D AROUJO 530.405.470.300.01
32 01-0289 AIKING CANDRA B ALKING CANDRA B 530.118.040.989.000.2
33 99-0874 BERNADUS MAU META SERAFINA THANEO
34 99-0115 LUCKY CHRISTANTO ORIRE D SAKTI
35 99-0115 LUCKY CHRISTANTO KYUNANI F NINGSIH
36 03-1600 DOLFIANUS BERE GIAN A BERE
37 99-0621 SIMON P BOY NADIN A BOY MAU
38 99-0292 AGUSTINUS J BAS CASPAS C B BAS
39 03-1503 MARIA TRIWIDAYANI ATI MARIA T ATTI
40 99-0584 MARIA BANO BEREK MARIA BANO BEREK 530.422.630.365.000.2
41 99-0050 YOSEP BAU ROSALINDA K BRIA
42 99-0050 YOSEP BAU MARIA FATIMA OLO BAU
43 99-0061 HERMAN MONE ALISIA MONE
JK
TEMPAT LAHIR TANGGAL LAHIR UMUR SUKU BANGSA PEKERJAAN ALAMAT RT/RW
L/P
ABAT BOT 9/28/1970 48THN P DAWAN IRT BEIRAFU 010/003

ATB 9/25/2012 5THN P TETUN MANUMUTIN 015/002
ATB 11/8/1979 38THN P MARAE IRT FATUBENAO 016/003
HALILULIK 11/18/2014 4THN L TETUN NENUK 001/001
ATB 12/11/2017 1THN L TETUN NENUK 001/001
ATB 6/26/2009 10THN L KEMAK MANUMUTIN 006/002
ATB 7/13/2018 5BLN P TETUN ATB 002/001
ATB 3/26/2016 2THN P JAWA TENUKIIK 008/001
ATB 1,6THN P AMBON TENUKIIK 008/003

BANGUWANGI 6/30/1964 54THN P JAWA IRT TENUKIIK 008/003
ATB 4/14/2013 5THN P ALOR ATB
TAHON 2/28/1960 57THN P MARAE IRT FATUBENAO 004/002
ATB 9/15/2015 3,3THN P TETUN LIDAK 023/003
BOBONARO 75THN L MARAE P,TNI MANLETEN
ATB 23/03//2015 3THN P MARAE MANUMUTIN 015/005
JAWA 3/8/1974 43THN L JAWA IRT MANUAMAN 014/003
ATB 7/11/2018 5BLN P TETUN TLM 012/006
FULUR 7/13/1954 64THN L MARAE SWASTA MANUAMAN 015/005
MAGELANG 5/7/1998 20THN L JAWA PNS MANUMUTIN 015/008
BESIKAMA 3/30/2000 18THN P ALOR MANUMUTIN 001/001
HANOE 12/28/1960 58THN P TETUN MANUAMAN 001/001
ATB 1/10/2017 1,11THN L TETUN MANUAMAN 030/002
ATB 11/13/1990 28THN L TETUN SWASTA TLM 003/001
DILI 8/1/1976 42THN P TETUN IRT MANUMUTIN 020/006
ATB 7/28/2017 1,5THN L MARAE FATUBENAO 018/006
TTU 9/14/1975 42THN P DAWAN GURU MANUMUTIN 015/005
ATAPUPU 11/30/1945 73THN P TETUN IRT BEIRAFU 003/002
ATB 4/22/2010 8THN P DAWAN MANUAMAN 015/005
MALIANA 6/7/1975 42THN P KEMAK IRT TENUKIIK 007/003
ATB 9/4/1989 29THN L KUPANG SWASTA ATB
SOE 7/7/1962 56THN P DAWAN IRT TLM 005/002
ATB 12/21/2014 4THN P JAWA TLM 009/003
BLITAR 3/13/1980 38THN P JAWA IRT TLM 009/003
ATB 1/1/2016 2THN L MARAE FATUBENAO 004/002
ATB 1/16/2016 2THN P DAWAN MANUAMAN 020/004
ATB 12/24/2012 6THN L TETUN LIDAK 014/003
WAIGAPU 5/27/1969 49THN P MARAE FATUBENAO
BESIKAMA 3/23/1965 53THN P TETUN MANUAMAN 018/004
BETUN 6/27/1969 49THN P TETUN IRT LIDAK 006/001
ATB 6/30/2013 5THN P TETUN LIDAK 006/006
ATB 9/22/2016 2THN P DAWAN LIDAK 019/003
KASUS HASIL PEMERIKSAAN LA
B/L DDR GD
DISPEPSIA B ANTASIDA,OMEPRAXOL,SIMVASTATINBC
TONSILITIS AKUT B PCT,AMOX,
ISPA B CTM,PCT
DERMATITIS B CEFA,CTM,PREDNISON,
DERMATITIS B CEFA,ERITOMISIN,CTM,PREDNISON,PCT
GASTRITIS B ANTASIDA,PCT,GG,CTM NEG
FEBRIS B PCT,COTRIM NEG
DIARE TAMPA DEHIDRASI B ORALIT,ZINC

DISPEPSIA B ANTASIDA,OMEPRAXOL,IBUPROFEN
OBS FEBRIS B PCT,ANTASIDA NEG
HT,MIALGIA L AMLODIPIN,NADIC,PCT,SIMVASTATIN 96
OBS FEBRIS B PCT,CEFA,CTM NEG
DERMATITIS B CTM,BETAMETASON
OBS FEBRIS B PCT
ODEM TUNKAI KANAN B HCT,BC
BENJOLAN B CEFA,ERITROMISIN,CTM,PREDNISON
CEPHALGIA,HT,GASTRITIS B CEFA,GG,PCT,CTM,ANTASIDA 99
FRAKTUR TERTUTUP B RUJUK RSUD ATB
TONSILITIS AKUT B GINAMISIN,PCT,CTM, NEG
INFLUENSA B CEFA,PCT,CTM
ISPA B CEFA,ERITOMISIN,CTM,PREDNISON,PCT
CEPHALGIA,HT,GASTRITIS B ANTASIDA,PCT,CEFA,OMEPRAXOL
DIARE TAMPA DEHIDRASI B PCT,ORALIT,ZINC
ISPA B AMBROXOL,CTM,PCT
ISPA,DISPEPSIA B AMBROXOL,PCT,ANTASIDA,CTM
MILIRIA B CTM,BEDAK SALISIL
MIALGIA B ASMET
HT,DM,ISPA L AMLODIPIN,METFORMIN,CTM
DERMATITIS B CTM,PCT,BC SALAF ANTIBIOTIKA
HT L CAPTOPRIL,PIROXICAM,BC
GIGI B
VULNUS L AMOX
DISLI L SIMVASTATIN,BC 75
OBS FEBRIS B PCT,
ISPA B PCT,CTM
ISPA,DIARE TAMPA DEHIDRASI B PCT,ORALIT,ZINC
OBS FEBRIS B PCT,ORALIT,ZINC
ISPA,MIALGIA,DISPEPSIA B AMBROXOL,CTM,PCT,AMLODIPIN,ANTASIDA
ISPA B AMBROXOL,CTM
ISPA B AMBROXOL,CTM
OBS FEBRIS B PCT
HASIL PEMERIKSAAN LAB KONSELING BB
PEMBERI
SANITASI
223 1 1 42.7
1 1 14.1
1 1 52
1 1 13.9
1 1 8.2
1 1 20.9
1 1 6.4
1 1 11.9
1 1 9.1
1 1 75.4
1 1 14.7
5.1 274 1 1 45
1 1 9.8
1 1 48
1 1 13.2
1 1 43
1 1 5.7
6.4 171 1 1 71.5
1 1 93
1 1 36.3
1 1 11.4
1 1 43.6
1 1 59
1 1 9.3
S 1 1 73
1 1 43.3
1 1 9
1 1 47
1 1 41.5
1 1 18.1
1 1 57
1 1 63
1 1 34
1 1 13.5
5.3 242 1 1 80
1 1 10.3
1 1 10.3
1 1 17.4
1 1 47.5
1 1 73
1 1 78
1 1 20.7
1 1 11
TB SUHU TD RR NADI
PETUGAS
145 35 102/74 32 104 BASTI H

100 37 20 120
156 33.5 107/77 16 62
96 36 45 30
71.5 36.6 30 90
124.5 36 24 20
64 37.5 40 120
92 36.4 40 93
77 36.5 45 80
154 35 145/95 20 72
105 35.9 26 98
148 36 152/91 18 93
88 37 50 78
158 36 129/69 14 82
97 36 36 90
149 35 109/58 30 101
61 37 30 130
160 36 179/97 16 69
185 36 129/71 20 75
149 36 106/69 18 114
84 36 45 90
140 35.5 20 88
151 36 119/81 18 75
78 36 40 90
165 35 118/77 20 72
156 34 144/82 18 102
77 36 35 102
145 36 104/69 18 80
150 36 136/72 14 88
119 36 20 78
149 36 115/77 16 65
165 36 106/71 18 67
152 36 137/77 18 86
99 35 20 89
162 36 102/62 16 49
88 37 40 101
95 36 40 80
114 35 20 90
149 36 114/80 18 98
155 36 190/98 20 90
157 36 122/62 16 63
111 34 20 80
86 36 30 90
1 03-0270 EDUARDO A DE ARAUJO ERMELINDA RIBERU 530.412.670.867.000.1

2 02-0750 BAU MAU ANTONIUS EMEMIANUS BAU MAU
3 99-0192 FANCE HENUK MIASIA MAYATI 530,412,609,600,001
4 99-0501 JOAO DOS SANTOS DEMETRIANA UNAD
5 03-0060 DELVIANA SOI DELVIANA SOI 530.403.410.751.000.1
6 99-0035 FRANSISKUS NENAT EMI KABOSU 530.422.711.273.000.1
7 02-0328 SILVERINJO DJOBO VALENTINA V DJOBO
8 02-0989 LUIS SIMOES LUIS SIMEOS 530.412.010.157.000.22
9 99-137632 ANTONIUS LETO DASI MARIA M MOTU 530.412.690.302.000.1
10 99-137620 ANTONIUS LETO DASI EMELIANA SUN
11 03-1712 YULIANA BUI FRANSISKA S BAU 530.412.580.297.000.2
12 99.0184. FRENDEI PEREIRA DEOLINDA S PEREIRA
13 02.0851. SAMUEL DOS REIS PATRISIA R LOPES
14 99-0031 DILTON ANDREAN DILTON ANDREAN
15 99-0480 HIRONIMUS ASUK TITA HIRONIMUS ASUK TITA 530.402.280.000.1
16 99-1370 HENDRIKUS DACOSTA GRES
17 03-0779 MARIANUS F LOE MARIANUS F LOE
18 03-1801 DEOGRACIAS R SEANHAD FRIDOLIN F HUGO
19 99-1377 DIONISIUS MEAK MIKAEL MEAK
20 03-1438 PASKALIS SERAN STEFANUS R SERAN
21 99-0210 ABDUL RASID HJ KASMI YATI
22 99-0057 SARLIN ANIKA SARLIN ANIKA 530.422.500.870.000.2
23 99-0110 KRISTOFORUS LOKO YAKOBUS TOLEU 5,303,061,212,650,000
24 99-0768 YOHANES PAULUS MAU MAGDALENA ERNA LETO 530.421.431.083.000.2
25 99-1134 JOAO PAREIRA RICO GONSALVES NHAK
26 99-0192 DANIEL TEFA MARIA MAGDALENA
27 02-0930 CH MIA CRISTINA MIA
28 99-0259 VASCO DOS SANTOS C VASCO DOS SANTOS C 530,412,204,650,001
JK
TEMPAT LAHIR TANGGAL LAHIR UMUR SUKU BANGSA PEKERJAAN ALAMAT
L/P
BAZARTETE 8/27/1967 51THN P TETUN FATUBENAO

DILI 2/8/1995 23THN L TETUN PELAJAR TENUKIIK
BENGKULU 9/20/1960 59THN P TETUN MANUMUTIN
TUAMESE 12/29/1971 47THN P KEMAK IRT MANUMUTIN
DEPOK 7/1/1951 67THN P TETUN IRT FATUBENAO
AUBALAK 10/31/1972 46THN P TETUN IRT RINBESI
PALU 2/14/2005 13THN P ALOR TENUKIIK
TURISKAIN 1/1/1957 61THN L TETUN P.TNI TENUKIIK
ATB 12/29/2003 15THN P TETUN MANUMUTIN

HALIKELEN 10/1/1983 35THN P TETUN IRT MANUMUTIN
ATB 2/18/1997 21THN P MARAE SWASTA FATUBENAO
ATB 7/18/2018 5 BULAN P TETUN MANUMUTIN
ATB 4/3/2009 9 TAHUN P TETUN PELAJAR TENUKIIK
ROTE 12/18/1996 23THN L DAWAN SWASTA RINBESI
DEBUBOT 2/28/1958 60THN L TETUN SWASTA FATUBA,A
ATB 10/17/2013 5THN P KEMAK MANUMUTIN
ATB 2/2/1965 53THN L MARAE PNS FATUBENAO
SALORE 2/16/1992 26THN P TETUN IRT FATUBENAO
ATB 10/29/2013 5THN L DAWAN MANUMUTIN
ATB 3/11/2011 7THN L MARAE FATUBENAO
JAWA 37THN P JAWA IRT BERDAO
KUPANG 8/10/1970 47THN P KUPANG IRT LIDAK
OEUMU 12/12/1965 53THN L DAWAN PETANI RINBESI
ATB 10/3/1983 35THN P MARAE PNS TULAMALAE
ATB 8/20/2013 5THN L TETUN MANUMUTIN
ATB 2/18/2018 11 BLN P TETUN LIDAK
ENDE 11/18/1958 60THN P FLORES P,PNS TENUKIIK
GILDAPIL 4/22/1965 53THN L MARAE PNS MANUAMAN
KASUS
RT/RW DIAGNOSA KODE
B/L
012/004 DISPEPSIA,DISLI L
016/006 RUJUK RSUD ATB B
002/001 MIALGIA B
008/003 DIARE AKUT,DISPEPSIA B
034/003 CEFALGIA B
014/001 DISPEPSIA B
007/003 DKA B
011/004 SUSPEC TB KALENJAR B
017/005 CEFALGIA,DISPEPSIA B
017/005 ISPA B
022/002 ARTRITIS B
012/004 DIARE AKUT,AMOBIAS L
001/001 GASTRITIS B
011/006 MIGREIN,DISPEPSIA B
004/004 ISPA B
001/001 ISPA B
023/001 BATUK,GOUT L
014/005 ALLERGI B
010/003 ISPA B
022/001 ISPA B
004/002 DISMENOHOE B
016/004 HT,DISPEPSIA L
012/012 HT L
015/005 OBS FEBRIS B
002/001 OBS FEBRIS,DIARE TAMPA DEHIDRASI B
016/002 DIARE AKUT B
008/002 HT,GOUT,DISLI L
018/004 HT L
NAMA OBAT TINDAKAN
DDR GD AU KOL HB
SIMVASTAIN,OMEPRAXOL 87 5.8 224

RUJUK RSUD ATB
IBUPROFEN 3.9 160
LOPERAMID,CTM,CAPTOPRIL
IBUPROFEN,LORATADIN
OMEPRAXOL
SALAF BETAMETASON
RUJUK RSUD ATB NEG
IBUPRFEN,OMEPRAXOL NEG
AMBROXOL,LORATADIN
DEXA,PIROXICAM,CTM
ZINC,ORALIT,METRO
CLINDAMYCIN,PCT
IBUPROFEN,CIMITIDIN NEG
AMBROXOL,LORATADIN
PCT NEG
AMLODIPIN,ALLOPURINOL
CETIRICIN
PCT,AMBROXOL NEG
PCT,AMBROXOL,CETIRISIN NEG
RUJUK RSUD ATB
AMLODIPIN,CIMITIDIN,
RUJUK RSUD ATB
PCT,BC 112 5.3 154
PCT,ORALIT,ZINC NEG
ZINCORALIT,PCT
AMLODIPIN,SIMVASTATIN,ALLOPURINOL 89 6.2 204
OMEPRAXOL,AMLODIPIN 125 8.2 170
PEMBERI
KLINIK ASAL PASIEN RUJUK
KLINIK GIZI LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt)
SANITASI
1 1 58 154 36 183/106 20
1 1 48 165 35 115/60 18
1 1 72 162 36 129/64 16
1 1 45.5 157 35 138/75 20
1 1 49 149 36 123/69 18
1 1 53 155 36 142/78 16
1 1 52 151 34.4 20
1 1 43 35 16
1 1 30.7 134 35 16
1 1 42.2 148 36 120/77 18
1 1 59 155 36 132/82 18
1 1 5.2 62 37 20
1 1 20.2 125 37 20
1 1 36.8 152 36 122/75 18
1 1 67 175 35 106/77 16
1 1 15.9 108 36.4 30
1 1 90 165 36 123/76 18
1 1 50 156 35 142/85 20
1 1 12 90
1 1 18.9 116 37 30
1 1 1 49.7 160 36 126/71 18
1 1 62 155 36 192/100 18
1 1 1 62 165 36 163/84 18
1 1 56 156 35 119/80 16
1 1 14.6 36 20
1 1 7.3 68 36 30
1 1 72 143 35 152/83 15
1 1 53 146 36 142/105 18
NADI
PETUGAS
( x/mnt)
91 BASTI H
75
64
95
73
86
88
75
100
83
100
120
90
91
87
90
68
66
145
80
84
72
59
109
110
100
69
80
1 99,084,231 JOKO PRIHATIN JIBRAEL D. PRIHATIN 5304 2163 0850 0001

2 3097120 DOMINIKUS MALI ELVIANA SOI MALI
3 99047310 THOMAS KASSA THOMAS KASSA
4 2037320 BENDITA BARRETO BENDITA BARRETO
5 999081210 YAKOBBUS KOLO YAKOBBUS KOLO 5304 2101 0758 00035
6 99047720 NAOMI F. FEOH NAOMI F. FOH
7 99029710 ROBERT SETTO ROBERT SETTO
8 3159920 THOMAS NAHAK MARIA Y.MALI
9 99003110 AGUSTINUS SERN MARSELINUS MALIK
10 99003112 AGUSTINUS SERN AGUSTINUS SERAN
11 2101820 YULIANA GAMBE YULIANA GAMBE
12 99000530 LUSIANUS A. NAHAK MARCO NAHAK
13 99085020 YULIANA HOAR YULIANA HOAR
14 99012920 BLANDINA HOAR BLANDINA HOAR
15 2010020 FRANSISKUS BENI ELISABETH U. P.
16 2047820 MARIA BAU HEUK MARIA BAU HEUK
17 99,013,330 ARNOLDUSASA PAULUS D. ASA
18 99011310 ARNOLDUS ASA ARNOLDUS ASA
19 2074410 ANTONIUS DIAZ ANTONIUS DIAZ
20 99,138,120 YOHANES MAU BUTI MARTA MAU
21 99071710 MIGUEL MARTINIS MIGUEL MARTINS
22 2002860 MAMERTADUS MITANG NOVALIA TALO
23 99133531 FREDERIKUS BAU ATALIA R. BAU
24 99013810 KAMILIUS YOSEP FAHIL KAMILIUS YOSEP FAHIK
25 99048420 THERESIANA DCOSTA THERESINA DACOSTA
26 99069532 CHARLES JEFRI
27 2,037,530 MATEUS SOARES AURELIA D. SOARES
28 99127730 EGIDIO YUVENIUS
29 99010930 HIRONIMUS E. BRIA MEYDI
30 99009530 EBRIO MENDONCA ADRIANO MENDONCA
31 99009530 EBRIO MENDONCA MIKAELA
32 2050230 INANKUSUMA PUTRI KUSUMA
33 99017431 DIDIK PURNOMO ALFANDITA
34 99045633 ASRI KOROH RIANA KOROH
35 99045632 ASRI KOROH BUSKI KOROH
36 2039610 DOMINGGUS DOS SANTOS DOMINGGUS DOS SANTOS
37 99058030 ALOYSIUS FINA BENEDIK
38 99096930 DAVID P. BEREK JOANESTA
39 990444831 FERDY YANTO AKA NATALIA
40 99034210 LAURENSIUS DARE LAURENSIUS DARE
41 2066920 ROSALIA SOARES ROSALIA SOARES
42 99138220 BERTUS LETO MARIA RIKA LULU
43 99086430 GABRIEL ATI GISELA LOPES ATI
44 99025231 HERIBERTUS HIPOLITUS K. FAHIK
45 3192020 YOHANES B. SERAN MARIA G. BUIK
46 3106020 THERESIA ASI THERESIA ASI
47 99079820 NOH TEPLOPO MARIA P. BETE
48 99013430 MARIANUS MAU CRISTIAN W. LEONEL
49 99059230 EDY NATUN MUSTIKA PINASTI
50 99026020 MARSELINUS TES SUSANA
51 99082710 CONSTANTINUS J/ LAU CONSTANTINUS J. LAU
52 1047510 SIMON SUBAN SIMON SBAN
53 99063220 LEONARDUS BERE VALENTINA BOE
54 99001130 GASPAR GUSMAO YOHANES A. GUSMAO
55 99046933 DOMINIKUS HATIPUS MATEUS TIPAS
56 99014932 ROMANUS B. MAU VALENTINUS F. BERE MAU
57 3058232 GABRIEL BERE JESIKA BERE
58 99065831 MARTINUS M. FLORENSIA
59 99137920 JOSHE DAUH S. ADOE
60 99010510 KONSTANTNIUS BEREBEIN KONSTANTINUS BEREBEIN
61 99010410 VINSENSIUS NAHAK VINSENSIUS NAHAK
62 99039510 ALBERTO DOS SANTOS ALBERTO DOS SANTOS
63 99030210 KANISIUS ATITUS KANISIUS ATITUS
64 99136710 DOMINIKUS MAU KURA DOMINIKUS MAU KURA
55
56
57
58
59
60
61
62
63
64
JK
TEMPAT LAHIR TANGGAL LAHIR UMUR SUKU BANGSA PEKERJAAN ALAMAT
L/P
ATAMBUA 8/3/2015 3 L JAWA BEIRAFU

33 P MARAE IRT FATUBENAO
ATAMBUA 4/21/1963 55 L TETUN PNS M.MUTIN
BOBONARO 5/2/1965 53 P BUNAK IRT TENUKIIK
7/1/1958 58 L DAWAN SWASTA TULAMALE
ROTE 16/06/1046 69 P ROTE IRT BERDAO
ATAMBUA 4/1/1959 59 L TETUN SOPIR TULAMALE
FATUBENAO 6/28/1991 27 P SABU IRT FATUBENAO
ATAMBUA 1/1/1972 46 L TETUN SWASTA LIDAK

BAILARAN 9/16/1962 56 L TETUN PNS LIDAK
KPG 6/28/1950 68 P ROTE PEN PNS TENUKIIK
ATAMBUA 3/2/2017 1 L DAWAN M.MUTIN
7/21/1966 52 P TETUN IRT TULAMALE
9/22/1961 57 P TETUN IRT NAEKASA
NTB 11/2/1947 71 P JAWA IRT TENUKIIK
12/12/1950 68 P TETUN IRT TENUKIIK
ATAMBUA 4/2/2017 1 L TETUN M.MUTIN
7/10/1947 71 L DAWAN PEN PNS M.MUTIN
KPG 2/22/1962 56 L FLORES PEN PNS TENUKIIK
SADI 8/2/1963 55 P KEMAK IRT M.MUTIN
ATABAE 12/27/1959 59 L TETUN PEN TNI M.MUTIN
12/28/2004 14 P KEMAK PELAJAR TENUKIIK
ATAMBUA 3/30/2018 8.BLN P TETUN M.MUTIN
3/3/1969 49 L TETUN SWASTA TULAMALE
11/27/1954 64 P TETUN IRT M.MUTIN
SOE 1/25/2009 9 L DAWAN PELAJAR M.MUTIN
ATAMBUA 10/12/2013 5 P DAWAN TENUKIIK
ATAMBUA 7/2/2008 10 L KEMAK PELAJAR M.MUTIN
5/22/2015 3 P TETUN M.MUTIN
6/9/2015 3 L TETUN MANLETEN
ATAMBUA 5/25/2015 3 P TETUN MANLETEN
ATAMBUA 5/25/2008 10 P DAWAN PELAJAR TENUKIIK
JAWA 10/26/2013 5 P JAWA TULAMALE
ATAMBUA 2/14/2017 1 P TETUN LIDAK
ATAMBUA 11/12/2012 6 L TETUN LIDAK
ERMERA 4/2/1992 26 L TETUN SWASTA TENUKIIK
ATAMBUA 2/6/2018 10 BLN L DAWAN M.MUTIN
ATAMBUA 5/13/2010 8 L TETUN PELAJAR M.MUTIN
12/6/2016 2 P TETUN M.MUTIN
01/02/19966 52 L MAUMERE SWASTA TULAMALE
BASARTETE 3/25/1972 46 L TETUN IRT TENUKIIK
SADI 11/25/1970 48 P KEMAK IRT M.MUTIN
ATAMBUA 2/22/2017 1 P MARAE MANUAMAN
ATAMBUA 8/13/2006 12 L TETUN PELAJAR BEIRAFU
FULUR 4/25/1979 39 P MARAE IRT FATUBENAO
FULUR 12/11/1962 56 P MARAE GURU FATUBENAO
ASUMANU 63 P MARAE IRT FATUBENAO
ATAMBUA 6/9/2009 9 L BUNAK PELAJAR BEIRAFU
ATAMBUA 11/11/2009 9 P JAWA PELAJAR M.MUTIN
LAHURUS 2/12/1968 50 P MARAE IRT MANUAMAN
11/28/1944 74 L TETUN PEN PNS FATUK BOT
10/28/1955 63 L FLORES PEN PNS ATAMBUA
10/25/1954 64 P MARAE PEN PNS M.MUTIN
ATAMBUA 9/14/2016 2 L TETUN RINBESI
ATAMBUA 5/11/2010 8 L TETUN PELAJAR TULAMALE
ATAMBUA 2/14/2007 11 L MARAE PELAJAR MANUAMAN
ATAMBUA 7/10/2010 8 P MARAE PELAJAR FATUBENAO
ATAMBUA 2/20/1998 20 P MARAE SWASTA TIALAI
ATAMBUA 6/11/2012 6 L KPG PELAJAR M.MUTIN
ATAMBUA 8/20/1993 25 L TETUN SWASTA F.BOT
ATAMBUA 1/1/1971 47 L TETUN SWASTA F.BOT
BASARTETE 4/14/1948 80 L TETUN PNS M.MUTIN
11/28/1973 45 L DAWAN PNS TULAMALE
12/10/1972 46 L TETUN SWASTA M.MUTIN
KASUS
RT/RW DIAGNOSA KODE NAMA OBAT
B/L
002/001 BATUK B AMBROX PCT

004/002 CEPHALGIA DYSPEPSIA L CIMETDIN NADIC
004/001 H T GR I DYSPEPSIA L AMLODIPIN OMEPRASOL
001/001 H T MYALGIA L CAPTO IBU PROFEN BC
012/004 H T L LANJUT OBAT
017/006 H T L LANJUT OBAT
015/005 PRESBIOPI L KIE
023/002 B. 20 L KIE
SUSP TUMOR L NADIC AMOX

013/004 BATUK MYALGIA B AMBROX NADIC
002/001 HT DYSPEPSIA L METFORMIN CAPTO OMEPRASOL PCT
INFLUENZA B EFED CTM PRED GG
006/005 H T COMMON COLD L HCT PCT BC
002/001 CEPHALGIA DYSPEPSIA L NADIC CIMETIDIN
H T DYSPEPSIA L AMLODIPIN OMEPRASOL
008/002 H T CEPHALGIA L AMLODIPIN NADIC
006/003 PAROTITIS B CEFA CTM PCT DEXA
006/002 CONJUNCTIVITIS B B6 OXYT SALF MATA
ISPA B CTM AMBROX GG CEFA
DERMATITIS L CTM PRED ANTALAMOX
015/005 MYALGIA GASTRITIS L CIMETIDIN ANTAL DOKSIKLIN
001/001 OBS FEBRIS B PCT CTM ANTASIDA
DIARE AKUT B ZINC ORALIT
004/002 TINEA CRUNIS B MIKONAZOL KRIM
CEPHALGIA GASTRITIS L PCT CTM ANTASIDA
FURUNCEL B PRED CTM PCT
OBS FEBRIS B CTM LORATDIN PRED
001/001 OMSK B PCT AMBROX VIT C
ISPA B PARACETAMOL
COMMON COLD B PCT VIT C
KULIT ALERGI B CETRINZIN
ISPA B PCT CETRIZIN VIT C
DYSPEPSIA OBS FEBRIS L PCT CIMETIDIN
ISPA B AMBROX CIMETIDIN
ISPA B AMBROX CCIMETIDIN
001/001 OBS FEBRIS CEPHALGIA B PCT CTM ANTASIDA
INFLUENZA B CEFA CTM PCT GG
KULIT ALERGI L BVIT C
DIARE MILIARIA B ZINC ORALIT BEDAK SALYCIL
NEPROLITIASIS L NEPHROLIT NSDIC
HT GR I DM DYSPEPSIA GOUT L OMEPRASOL AMLO SIMVASTATIN
ISPSA H T GR II L AMLO AMBROX CIMETIDIN PCT
016/005 ISPA B PCT CIMETIDIN AMBROX
VULNUS TONSILITIS L PCT METYL CETIRZINE
011/002 BATUK B AMBROZ PCT LORATADIN
DIARE MYALGIA DYSPEPSIA GOUT L ANTALPUGIT NADIC OMEPRASOL ALUPURINOL
HT DYSPEPSIA L AMLO OMEPRASOL IBUPROFEN
OMA L CEFA ASAM MEFENAMAT
DYSPEPSIA CEPHALGIA L CIMETIDIN PCT
019/004 DISLIPIDEMIA MYALGIA L SIMVASTATIN NADIC
POST OP BPH L KIE
DM HT GR II L METFORMIN AMLODIPIN
HT GOUT DM L AMLO NADIC ALUPURINOL METFORMIN
003/002 DEMAM B PCT
OBS FEBRIS B PCT ANTASIDA CLORAM
OMSK B CLINDAMYCIN
VULNUS L AMOX PCT VIT C
OBS FEBRIS B CLINDAMYCIN PCT CTM
OBS FEBRIS B KINA CTM PCT
VULNUS L DEXA SALF OXYT
HERNIA INGUNALIS B NADIC
ISPA B CLHORAMP CTM PRED
URTIKARIA H T L CIPRO NADIC
OMSK B CLINDA PRED ANTAL
DDR GD AU KOL HB KLINIK GIZI
SANITASI
1
1
1
1
1
1
1
1 V
1
91 4.5 162 1
206 3.6 160 1
1
1
1
1
1
1
1
1
1
1
NEG 1
1
1
1
1
1
NEG 1
NEG 1
NEG 1
1
1
1
1
1
1
1
1
1
1
163 7.1 202 1
1
1
1
1
1
1
1
1
89 5.7 200 1
1
226 4.4 128 1
120 6.3 197 1
1
1
1
1
1
1
1
1
1
1
1
PEMBERI PETUGAS
LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
1 13.4 101 36 30 CELES

1 40.2 148 36 128/87 68
1 82.1 170 36 140/87 63
1 52 148 36 132/79 80
1 53 154 36 133/63 77
1 57 147 36
1 57.8 163 36 146/88 75
1 39.7 141 36 109/64 78
1 60.8 160 36 138/83 74

1 63.3 160 36 109/62 70
1 54.8 147 36 155/86 85
1 9.7 36 35
1 47 150 36 120/79 66
1 59 145 36 105/58 85
1 49 148 36 137/89 84
1 50 158 36 113/66 66
1 10.8 36 30
1 74 153 36 129/90 71
1 47 36 141/87 67
1 45.8 145 36 116/69 71
1 70.5 160 36 119/75 76
1 36.7 150 36 105/68 104
1 8.2 70.5 36.7 32
1 38 159 36 115/80 91
1 46.8 158 36 132/81 66
1 37.6 130 36 102
1 14.3 97 36 32
1 30.5 141 80
1 10.8 37.4 32
1 11.6 92.9 37 32
1 7.4 72.1 36
1 26.5 135 36 98
1 14.8 108 37.2 88
1 10.6 84.9
1 16.3 105 36.4 24
1 55 151 36 121/83 81
1 8 36 40
1 35 114 35
1 8.3 81 36
1 68 157 36 125/78 81
1 60.2 146 36 127/76 86
1 49.9 147 36 159/103 86
1 8.8 74 37 28 110
1 26.5 134 36 88
1 90.5 154 36 126/89 95
1 66.7 148 36 137/65 66
1 53 149 36 140/82 81
1 25 136 36 86
1 23.5 123 36
1 63.6 154 36 136/86 73
1 52 161 36 146/76 82
1 65.8 170 36 170/85 77
1 53.8 156 36 141/85 77
1 10.5 78 36 92
1 22.5 128 36 98
1 23.9 135 36 80
1 20.2 112 36 87
1 42.3 145 36 116/78 120
1 19.3 118 36
1 60.6 154 36 132/89 91
1 56.2 154 36 63
1 45 158 36 115/111 85
1 72.2 168 36 193/121 83
1 66.6 169 36 119/82 83
1 03.0446. HUMBERTO DOS SANTOS FLORINDA VIEGAS ALVES 5304 124802620001 TAPO
2 02,0982. NIVRONNY SUNE S NIVRONNY SUNE S 3771 042011870006 ENDE
3 99.0017. BENYAMIN DASI CONSALATA A DASI ATAMBUA
4 02.1021. PARIYEM PARIYEM 5304 127112650006 SOLO
5 99.0205. YULIUS LETO YULIUS LETO 5304 221307640002 FULUR
6 02.1022. AGUNG PURWANTI ATAMBUA
7 03.0784. SEBASTIANUS DASI BILI SEBASTIANUS DASI BILI 5304 122502800001 ATAMBUA
8 99.1383. DANDUK SUJADI DANDUK SUJADI 3578 022409660000 JOMBANG
9 03.0669. BENEDIKTUS USFINIT FELISARDA S USFINIT ATAMBUA
9 03.1675. DOMINUKUS MALI PRISILA A MALI FATUBENAO
03.1899. JULIANUS KOLI MALI FRANSISKUS KOLI MALI 5304 122702960001 DILI
99.0874. BERNADUS MAU META SERAFINA THANEO 5304 214707620003 SOE
01.0056. DOMINKUS MAU MARIA IMELDA SERAN ATB
99.1342. MARIA FATIMA DE ARAUJO MARIA FATIMA DE ARAUJO AINARO
99.1691. DOMINGGUS G DOS SANTOS LEONARDO G DOS SANTOS ATAMBUA
99.0756. MARIANO XABIER MARIANO XABIER TIMOR
99.0522. BLASIUS BESI META GUSMEN BESI META ATAMBUA
99.0113. AGUSTINUS KIIK MALI AGUSTINUS KIIK MALI 5304 131848790001 SEON
02.0248. ANTONIO DASILVA AGUSTINUS DOS SANTOS ATAMBUA
99.0446. DEDY RAHMA DANI ATAMBUA
99.0149. ZAKEOS LENAMA MARIA MAGDALENA B 5304 2152005660003 BOAS
99.0808. ALBERTUS SERAN RIAN BESIKAMA
99.0147. MARSIANUS LOE MAU YULIANA LOE MAU ATAMBUA
02.0734. MANUEL LEITE MANUEL LEITE 5304 122006570002 AIDABALETEN
03.1921. DOMINGGUS LOKO DOMINGGUS LOKO 5304 122909880002 WEDOMU
99.0038. STEFANUS S BESIN RISTA SAKA ATAMBUA
02.0958. BINTURA XAVIER JONETA NEVER XAVIER ATAMBUA
99.1727. PROFASIUS FATIN REIN HANE ATAMBUA
JK
TANGGAL SUKU
UMUR PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE
LAHIR L/P BANGSA
2/8/1962 62 P MARAE IRT FATUBENAO 027/005 HT GRADE,DM TIPE 2

11/20/1987 29 L FLORES P.BUMN TENUKIIK ISPA
4/30/2008 10 P MARAE PELAJAR UMANEN 039/012 ALERGI
12/31/1965 53 P JAWA IRT TENUKIIK 009/003 DIPEPSIA
7/13/1954 64 L MARAE SWASTA M.AMAN 015/005 HT TERKONTROL
6/22/1985 33 P JAWA IRT TENUKIIK 009/003 MYALGIA
2/25/1980 38 L KEMAK PETANI FATUBENAO 020/003 ALERGI MAKANAN
9/24/1966 52 L JAWA SWASTA M.MUTIN 001/001 GERD,ISPA
3/6/2010 8 P TETUN PELAJAR FATUBENAO 018/006 VULNUS APERTUN

7/13/2015 3 P MARAE FATUBENAO 015/005 DIARE TANPA DEHIDRASI
2/27/1996 22 L DAWAN MAHASISWA FATUBENAO 022/002 TB PARU
7/7/1962 56 P DAWAN IRT TLM 005/002 VULNUS MORSUM,HT GRADE
5/1/2010 8 P DAWAN PELAJAR ATAMBUA 012/004 ISPA
5/11/1962 56 P TETUN PNS M.MUTIN 005/002 DISPEPSIA
2/2/2012 6 L TETUN PELAJAR M.MUTIN 006/001 DIARE
5/4/1977 41 L TETUN SWASTA LIDAK 003/002 DIARE
6/6/2016 2 L KEMAK TLM 016/003 OBS FEBRIS
8/18/1979 38 L TETUN SWASTA UMANEN 001/001 DISPEPSIA
8/25/2014 4 L TETUN TENUKIIK 001/001 OBS FEBRIS
7/25/2011 7 P PADANG PELAJAR RINBESI 010/005 DISPEPSIA + DIARE
5/12/1966 52 P TETUN IRT UMANEN 016/006 OA,HT,DISPEPSIA
3/7/1999 19 L TETUN SWASTA TLM 008/008 TONSILITIS
7/15/1969 49 P TORAJA IRT LIDAK 015/002 HT
6/20/1957 61 L KEMAK P.TNI TENUKIIK 001/002 DIARE,SUSP VIRUS,MYALGIA,SUSP TB
9/29/1988 30 L MARAE SWASTA FATUBENAO 030/003 HORDEOLUM
12/7/2015 3 P AMBON TUKUNENO 001/002 MULTIPLE FURUNKULOSIS
3/29/2017 1 P TETUN TENUKIIK 011/004 OBS VONUTING
12/6/2013 5 L TETUN M.MUTIN 006/002 FURUNKEL,HORDEOLUM
NAMA OBAT TINDAKAN KLINIK
B/L DDR GD AU KOL HB KLINIK GIZI
SANITASI
L CETIRININE,AMLODIPIN,ALOPURINOL,SIMVASTATIN 124 7.2 227
L AMBROX,CETIRIZINE,VIT C
L CETIRIZINE,BEDAK SALISIL
B ANTASIDA,OMEPRAZOLE,VIT B 6 96 5.8 208
L AMLODIPINE,PCT,ANTASIDA
B IBUPROFEN,VIT B COM 85 3.3 150
B CETRIZINE
B ANTASIDA,OMEPRAZOLE,PCT
B PCT
B PCT,ORALIT,ZINC NEG
L
L IBUPROFEN,AMLODIPINE
L PCT,AMBROXOL,CETRICIN
L ANTASIDA,ALOPURINOL,SIMVASTATIN
L ORALIT ZNC NEG
B LOPERAMIDE,METRONIDAZOL
B PCT NEG
B OMEPRAZOLE,VIT B NEG
L PCT NEG
B ANTASIDA,OMEPRAZOLE,ORALIT,ZINC,B6
L PIROXICAM,ANTASIDA,AMLODIPIN 101 4.9 148
B PCT,AMOXILIN, NEG
B AMLODIPINE 84 5.8 178
L LOPERAMID,ORALIT,ZINC,PCT,AMBROX
B OXYTETRACYLIN
B AMOX,CETRIZINE
L PCT,METOKLOPERAMID NEG
L OKSITETRASILIN SALEP,CETRIZINE
ASAL PEMBERI
PASIEN RUJUK PETUGAS
LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
1 1 47.7 143 36 157/93 14 107

1 1 73.4 168 36 116/72 84
1 1 24.2 127 36 20 89
1 1 40.5 151 36 117/69 88
1 1 70 160 36 135/89 77
1 1 57.5 157 36 120/77 75
1 1 56.3 160 36 107/50 63
1 1 69 161 36 122/68 87
1 1 20 120 36 20 90
1 1 12.5 95.5 36 24 90
1 1 46.6 164 36 116/70 126
1 1 35 152 36 143/79 87
1 1 22 127 36.9 89
1 1 52.3 152 36 118/70 91
1 1 19 114 36 92
1 1 76.4 150 36 111/73 68
1 1 9.5 86.5 36 30 90
1 1 56.9 81 35.8 128/88 81
1 1 14.2 96.5 37 24 70
1 1 19.6 118 36 14 88
1 1 54.5 149 36 133/83 75
1 1 48.3 167 38 111/62 85
1 1 52.5 154 36 141/75 99
1 1 50.1 164 36 107/79 87
1 1 53.1 170 36 106/65 66
1 1 11.8 93.5 36 24 90
1 1 11.6 83.5 36 28 90
1 1 11.4 96.5 36 24 90
NO NO. INDEX NAMA KK NAMA PASIEN
1 99087432 SERAN JEREMIAS MANUEL LIUS G

2 99016131 MARKUS TALAN KEZIA TALAN
3 3001710 YOSEP E. P. YOSEP E. P.
4 3140320 YOSEP L/ LOE MARIA OLO
5 1054231 MARIANO F. BRIA DAVIPI GABRIAN
6 99050432 GERVASIUS ALEXANDRA A. PLEUWAN
7 99128731 RICARDUS R. BAU HENDRIK NAIKOFI
8 99138430 NELSON DACRUZ KRIS DURLAN
9 99012130 SEPTIANUS L.T.HALE ADRIANA L.T. HALE
10 3058232 GABRIEL BERE JESIKA BERE
11 99052410 MUHAMAD ALI MUHAMAD ALI
12 99015520 ZAKARIAS ADELINA PILI
13 88072320 CARLOS C. DIAZ LUSIA TRINDADE
14 2032220 PETRUS A. VERONIK OSANAK
15 99086420 GABRIEL ATI REGELINDA OLO
16 3165910 ORALNDO PEREIRA ORLANDO PEREIRA
17 99087120 ARMINDO ELISA
18 99001120 ELISABETH S. YASINTA PILI
19 3108632 SERVASIUS ASA DENAYA ASA
20 99138720 BENEDIKTS LELO WIHELMINAKOLO
21 99138810 FRELIANUS PETRUS M. FRELIANUS PETRUS M
22 99138520 GREGORIUS UKAT MARSELINA KOLO
23 99138910 YARIFLEM ORIAS YARIFLEM ORIAS
24
25
26
27
28
29
30
1 99-0838 YUSTINA FUNAN YUSTINA FUNAN
2 99-0116 NYONGKI B LOUK AQUINTA
3 03-1391 MATEUS AMARAL MARIA E BUI
4 99-0231 HANS NEDA WALA PATRISIUS NEDA WALA
5 99-023132 HANS NEDA WALA REHAN NEDA WALA
6 99-0267 FELISIDADE GONSALVES ANABELA D ALMEIDA
7 01-0192 THEODORUS Y BISIK KANANTA V BISIK
8 02-0182 SABIDIN BALICCK FADLIL A BALICK
9 02-0469 ALEX KAREL LAPIA WIHAELMINA NAHAK
10 02-0469 ALEX KAREL LAPIA LUSENSIA
11 01-0142 ELISAMA A KALAKIK MARSYA A KALAKIK

12 03-0619 LEONORA BIA LEONORA BIA
13 99-0140 KORNELIS NAHAK GEORGE NAHAK
14 99-0538 ALFONSO HALE ALFONSO HALE
15 99-0047 LEONARDUS BERE KATARINA S NORA MAU
16 99-0392 SELMIGAM PARINEM
17 99-0775 ROY SITOMORANG MARIA MARSELINA
18 99-0205 YULIUS LETO YULIUS LETO
19 99-1373 FACHRY A ARSYA FACHRY ARSYA
20 99-1127 LASARUS L PULING ADINDA S M PULING
21 99-0407 CASMIRO GOMES BALTASAR J SOARES
22 99-0407 CASMIRO GOMES DAVID GOMES
23 99-0840 SABDI NAHAK ROSINA SEUK
24 99-0465 EFRAIN MANAFE RISKI R MANO
25 99-0882 STEFANUS TONDA NOBERTUS TONDA
26 99-0351 FELIX MARTINS X BAKITA LUSIA DASILVA
27 03-0669 BENEDIKTUS USFINIT SILVERIUS K USFINIT
28 99-0396 BASILIUS SERAN TENI S D SESFAOT
29 99-0120 THEODORUS WEKE BERNADETHA K ATI
30 99-039632 BASILIUS SERAN APRIYANI J K SERAN
JK
SUKU
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR PEKERJAAN
L/P BANGSA
5304 2208 0687 0001 MALIANA 5/8/1987 31 L TETUN SWASTA

ATAMBUA 8/3/2010 8 P DAWAN PELAJAR
ATAMBUA 10/14/1969 49 L KEMAK PNS
1/10/1958 60 P MARAE IRT
ATAMBUA 5/6/2018 7, BLN L ENDE
ATAMBUA 12/5/2015 3 P TETUN
ATAMBUA 6/7/2017 1 L TETUN
ATAMBUA 12/22/2017 1 L DAWAN
SOE 4/27/2018 8 BLN P DAWAN
ATAMBUA 7/20/2010 8 P MARAE
2103/1981 37 L MAKASR
KPG 4/30/1986 32 P DAWAN IRT
DILI 7/27/1963 55 P TETUN
LURASIK 11/1/1950 68 P DAWAN
1/20/1970 48 P MARAE PNS
BOBONARO 3/14/1957 61 L BUNAK
51 P TETUN IRT
KPG 6/25/1948 70 P TETUN GURU
ATAMBUA 5/20/2018 7 BLN P TETUN
6/25/1986 32 P TETUN IRT
ERMERA 2/22/1991 27 L TETUN SWASTA
JAKARTA 8/26/1990 28 P DAWAN IRT
KPG 6/26/1981 37 L TETUN PNS
530.412.680.970.000.1 ABAT BOT 9/28/1970 48THN P DAWAN IRT
ATB 9/25/2012 5THN P TETUN
530,412,481,170,001 ATB 11/8/1979 38THN P MARAE IRT
HALILULIK 11/18/2014 4THN L TETUN
ATB 12/11/2017 1THN L TETUN
ATB 6/26/2009 10THN L KEMAK
ATB 7/13/2018 5BLN P TETUN
ATB 3/26/2016 2THN P JAWA
ATB 1,6THN P AMBON
BANGUWANGI 6/30/1964 54THN P JAWA IRT
ATB 4/14/2013 5THN P ALOR

TAHON 2/28/1960 57THN P MARAE IRT
ATB 9/15/2015 3,3THN P TETUN
530.402.050450.000.1 BOBONARO 75THN L MARAE P,TNI
530.412.630.315.000.1 ATB 23/03//2015 3THN P MARAE
530,422,480,374,002 JAWA 3/8/1974 43THN L JAWA IRT
530.421.510.718.000.1 ATB 7/11/2018 5BLN P TETUN
530.422.130.764.000.2 FULUR 7/13/1954 64THN L MARAE SWASTA
530.810.070.698.000.1 MAGELANG 5/7/1998 20THN L JAWA PNS
530.410.700.300.000.1 BESIKAMA 3/30/2000 18THN P ALOR
HANOE 12/28/1960 58THN P TETUN
ATB 1/10/2017 1,11THN L TETUN
ATB 11/13/1990 28THN L TETUN SWASTA
DILI 8/1/1976 42THN P TETUN IRT
ATB 7/28/2017 1,5THN L MARAE
530.412.540.975.000.1 TTU 9/14/1975 42THN P DAWAN GURU
ATAPUPU 11/30/1945 73THN P TETUN IRT
530.412.620.410.000.3 ATB 4/22/2010 8THN P DAWAN
KASUS
ALAMAT RT/RW DIAGNOSA KODE
B/L
MANUAMAN 009/002 SUSP TB L

M. MUTIN 022/007 VULNUS LACERATUM L
FATUBENAO DM TYPE II DISLIPIDEMIA L
FATUBENAO 016/005 H T ARTRITIS L
ATAMBUA OBS FEBRIS B
M. MUTIN ABSES L
M. MUTIN DIARE B
M. MUTIN DIARE AKUT B
RINBESI DIARE AKUT B
FATUBENAO 028/005 VULNUS LACERATUM L
MANUAMAN CEPHALGIA BATUK B
UMANEN SUSP TB L
M. MUTIN CTS L
TENUKIIK H T GR II GASTRITIS L
MANUAMAN PRESBOP L
FATUBENAO TINEA PEDIS L
FATUBENAO DERMATITIS AKUT L
BEIRAFU RHEUMATIK DISLIPIDEMIA L
FATUBENAO ISPA B
M. MUTIN ULKUS PEPTTI L
M. MUTIN VULNUS LACERATUM L
M. MUTIN ISK B
M. MUTIN ANEMIA L
BEIRAFU 010/003 DISPEPSIA B
MANUMUTIN 015/002 TONSILITIS AKUT B
FATUBENAO 016/003 ISPA B
NENUK 001/001 DERMATITIS B
NENUK 001/001 DERMATITIS B
MANUMUTIN 006/002 GASTRITIS B
ATB 002/001 FEBRIS B
TENUKIIK 008/001 DIARE TAMPA DEHIDRASI B
TENUKIIK 008/003 DIARE TAMPA DEHIDRASI B
TENUKIIK 008/003 DISPEPSIA B
ATB OBS FEBRIS B

FATUBENAO 004/002 HT,MIALGIA L
LIDAK 023/003 OBS FEBRIS B
MANLETEN DERMATITIS B
MANUMUTIN 015/005 OBS FEBRIS B
MANUAMAN 014/003 ODEM TUNKAI KANAN B
TLM 012/006 BENJOLAN B
MANUAMAN 015/005 CEPHALGIA,HT,GASTRITIS B
MANUMUTIN 015/008 FRAKTUR TERTUTUP B
MANUMUTIN 001/001 TONSILITIS AKUT B
MANUMUTIN 027/008 INFLUENSA B
MANUMUTIN 027/008 ISPA B
MANUAMAN 001/001 CEPHALGIA,HT,GASTRITIS B
MANUAMAN 030/002 DIARE TAMPA DEHIDRASI B
TLM 003/001 ISPA B
MANUMUTIN 020/006 ISPA,DISPEPSIA B
FATUBENAO 018/006 MILIRIA B
MANUMUTIN 015/005 MIALGIA B
BEIRAFU 003/002 HT,DM,ISPA L
MANUAMAN 015/005 DERMATITIS B
NAMA OBAT TINDAKAN
DDR GD AU KOL HB
AMBROX VIT C
LANJUT OBAT
METFORMIN SIMVASTATIN 133 7.1 207
AMBROX HCT PIROXIXCAM
PCT SYRP
KIE
ZINC ORALIT METRO
ZINC ORALIT METRO
MTRO ZINC ORALIT
LANJUT OBAT
AMBROX PCT
AMBROX VIT C
PIROXICAM ALUPURINOL B1
AMLODIPIN IBUPROFEN OMEPRASOL
KIE
TRIKONAZOLE
PRED CTM ANTAL 78 7.3 152
PRED PIROXICAM CIMETIDIN
CEFA CTM PRED
AMOX OMEPRASOL
NADIC
CIPRO PCT NEG
SF
ANTASIDA,OMEPRAXOL,SIMVASTATINBC 223
PCT,AMOX,
CTM,PCT
CEFA,CTM,PREDNISON,
CEFA,ERITOMISIN,CTM,PREDNISON,PCT
ANTASIDA,PCT,GG,CTM NEG
PCT,COTRIM NEG
ORALIT,ZINC
ORALIT,ZINC
ANTASIDA,OMEPRAXOL,IBUPROFEN
PCT,ANTASIDA NEG
AMLODIPIN,NADIC,PCT,SIMVASTATIN 96 5.1 274
PCT,CEFA,CTM NEG
CTM,BETAMETASON
PCT
HCT,BC
CEFA,ERITROMISIN,CTM,PREDNISON
CEFA,GG,PCT,CTM,ANTASIDA 99 6.4 171
RUJUK RSUD ATB
GINAMISIN,PCT,CTM, NEG
CEFA,PCT,CTM
CEFA,ERITOMISIN,CTM,PREDNISON,PCT
ANTASIDA,PCT,CEFA,OMEPRAXOL
PCT,ORALIT,ZINC
AMBROXOL,CTM,PCT S
AMBROXOL,PCT,ANTASIDA,CTM
CTM,BEDAK SALISIL
ASMET
AMLODIPIN,METFORMIN,CTM
CTM,PCT,BC SALAF ANTIBIOTIKA
PEMBERI
KLINIK ASAL PASIEN RUJUK
KLINIK GIZI LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt)
SANITASI
1 1 45.2 161 36 115/68
1 1 17 117 36
1 1 58 160 36 108/67
1 1 50 150 36 161/94
1 1 6.9 72.8 37 38
1 V 1 56 158 36 111/87
1 1 7 36.7
1 1 8.9 76.3
1 1 6.9 71 36 45
1 1 20 132 36
1 1 45 161 36 120/82
1 1 46.9 149 36 132/88
1 1 57.1 147 36 112/76
1 1 38 151 36 199/107
1 V 1 46.4 144 36 129/82
1 1 60 169 36 137/83
1 1 52.8 150 36 108/65
1 1 51.6 142 36 107/63
1 1 5.9 63.8 36 34
1 1 44.7 156 36 114 88
1 1 51 155 36 124/79
1 1 47 145 36 107/71
1 1 70.7 164 36 130/80
1 1 42.7 145 35 102/74 32
1 1 14.1 100 37 20
1 1 52 156 33.5 107/77 16
1 1 13.9 96 36 45
1 1 8.2 71.5 36.6 30
1 1 20.9 124.5 36 24
1 1 6.4 64 37.5 40
1 1 11.9 92 36.4 40
1 1 9.1 77 36.5 45
1 1 75.4 154 35 145/95 20
1 1 14.7 105 35.9 26

1 1 45 148 36 152/91 18
1 1 9.8 88 37 50
1 1 48 158 36 129/69 14
1 1 13.2 97 36 36
1 1 43 149 35 109/58 30
1 1 5.7 61 37 30
1 1 71.5 160 36 179/97 16
1 1 93 185 36 129/71 20
1 1 36.3 149 36 106/69 18
1 1 11.4 84 36 45
1 1 43.6 140 35.5 20
1 1 59 151 36 119/81 18
1 1 9.3 78 36 40
1 1 73 165 35 118/77 20
1 1 43.3 156 34 144/82 18
1 1 9 77 36 35
1 1 47 145 36 104/69 18
1 1 41.5 150 36 136/72 14
1 1 18.1 119 36 20
NADI
PETUGAS
( x/mnt)
105 MIGUEL
64
83
81
100
74
106
84
76
60
63
67
99
93
87
77
104 BASTI H
120
62
30
90
20
120
93
80
72
98
93
78
82
90
101
130
69
75
114
90
88
75
90
72
102
102
80
88
78
1 03.1922 PASKALIS KOY MARIA K ROI

2 99.0630. YUSTUS NAHAK ANASTASIA NESI
3 99.0705. RAFAEL XIMENES RAFAEL XIMENES
4 03.0808. ALUNG MANLAPI BRAYEN MANGLAPI
5 99.0813. HILARIO MARQUES CARMINDA DASILVA
6 99.0289. HUBERTUS P BERE ESENSIA M.N BERE
7 03.1010 KAMILUS MAU KAMILUS MAU
8 03.0669. BENEDIKTUS US FINIT FELISARDA S US FINIT
9 02.0680. MARSELINUS HATI EFRAIN JUNIARTO
10 02.0186. KANISIUS ABATAN KRISTIAN N USABATAN
11 99.0222. JOSE DOS SANTOS NEVES BENDELINA D NEVES
12 99.1115. VINSEN TANEO AMELIA MANU
13 99.0392. LAIRINDO RAMOS BENDITA N DOREGO
14 02.0845. DAVIT US SANAK LUKAS BEREK
15 99.0531. YOHANES DAHLAN MAGDALENA E MOTU
16 99.0106. ABDURROCHIMAN HALOMOAN ABDURROCHIMAN HALOMOAN
17 03.1678. ALOYSIUS MAU AGUSTINA SOSE
18 99.0031. ANIS SUBANI AMFOTIS DAMIAN AMFOTIS
19 03.1909. MANUEL DASI MARIA R BITA
20 03.0026. ADRIANUS MAU ADRIANA A MAU
21 J NIKODEMUS BERE STEFANIA PATRISIA
22 99139031 THOMAS FOUK GRESIMO R. BAU
23 2000620 FELICIANO VALENTE MARIA F. DE JESUS
24 99063131 RENDI CRU BRI
25 99020120 MARTA BETE MARTA BETE
26 99003470 SUTIKNO SUYANI
27 99.0741. IRENIUS SIKI MAXIMUS SIKI
28 99.1900. DOMINGGUS M LOPES EMILITA DE OLIVEIRA
29 99.0107. FILOMENA DA SILVA FILOMENA DA SILVA
30 99118910 YOHANES E. KALLI YOHANES E. KALLI
31 3182730 ANDRE AMAAAAARAL MEKRIS
32 99076320 SUBAIDA SUBAIDAH
33 2058731 NUR MUHAMAD NINIA A.A.
34 99010120 JOKIM SERAN APLONIA LURUK
35 99058435 YOSEP KEFI KLAUDIA KEFI
36 99086460 GABRIEL ATI GISELA LOPES ATI
37 2074433 ANTONIS DIAZ FRANSISKUS DIAZ
38 99.0361. TITUS FALO NURYANTI
39 02.0270. KRIS SIKU ANGKY
40 99.1391. BENYAMIN ATAUPAH HELENA M ATAUPAH
41 FRANSISKUS Y LALO FRANSISKUS Y LALO
42 99.0254. ABDUL RASYID B ABDUL RASYID B
43 99.0139. JOSE DA SILVA JOSE DA SILVA
44 03.1158. JULITO ARAUJO BERE KRISTIANI AREL BERE
45 03.1923 JOAO MONIS JOAO MONIS
46 03.1924. YOHANES TES LOE YOHANES TES LOE
47 99.1975. YOHANES M NAHAK YOHANES M NAHAK
48 99.0795. VITALIS NONG NAEN VITALIS NONG NAEN
49 3157230 YULIUS LOE GETRIDA R. LOE
50 99025320 DEMETRIA OLO DEMETRIA OLO
51 2058333 THERESIA DENI MARIO
52 1047120 MARTINA ANI MARTINA ANI
52 99066030 JAIME MADEIRA JAIME MADEIRA
JK
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR SUKU BANGSA
L/P
5304 125306050001 ATAMBUA 6/13/2005 13 P MARAE

BIUDUKFOHO 8/27/1982 36 P TETUN
60 L TETUN
ATAMBUA 8/8/2012 6 L MARAE
DILI 5/25/1965 53 P KEMAK
5304 121208760003 HENES 8/12/1976 42 L MARAE
ATAMBUA 6/13/2012 6L DAWAN

5382 294510010001 SOE 10/5/2001 17 P DAWAN
AILEU 3/14/1957 71 P KEMAK
MANUMEAN 5/24/1942 76 L DAWAN
15 P JAWA
ATAMBUA 3/11/1999 19 L BANDUNG
5304 124608720001 LO'O NUNA 8/6/1972 46 P MARAE
ATAMBUA 1/1/2014 4 P MARAE
LAKUS 2/8/1966 52 L MARAE
ERMERA 5/20/1963 55 P KEMAK
ATAMBUA 2/12/2012 6 L TETUN
JAWA 5/1/1935 83 P JAWA
DILI 1/15/1990 28 P TETUN
5304 22440610001 HATULIA 1/4/1959 59 P TETUN
12/22/1990 28 L MARAE
ATAMBUA 5/23/2016 2L TETUN

68 P JAWA
ATAMBUA 1/4/2016 2P JAWA
9/5/1955 63 P TETUN
ATAMBUA 9/25/2017 1P DAWAN
ATAMBUA 3/22/2017 1P MARAE
ATAMBUA 3/16/1994 24 L FLORES
JATIM 4/26/1970 48 P JAWA
ATAMBUA 43 L TETUN
KUPANG 12/25/1953 65 P ROTE
ATAMBUA 7/3/1985 33 L ENDE
5304 211203420001 PANGKOP 3/12/1942 76 L BUGIS
TIMOR 4/23/1957 61 L TETUN
ATAMBUA 10/14/2017 1P MARAE
BALIBO 7/22/1958 60 L TETUN
5304 122512650001 WELULI 12/25/1965 53 L MARAE
MALAKA 11/5/1965 53 L TETUN
5304 21000050001 DILI 9/9/1982 36 L TETUN
8/6/2017 1P MARAE
NUALAIN 10/20/1955 63 P MARAE
ATAMBUA 9/16/2018 3 BLN L DAWAN
JAKARTA 10/28/1960 5P TETUN
ATAMBUA 5/29/2011 7P TETUN
KASUS
PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE
B/L
PELAJAR F.BOT 023/002 SUSP APP B

IRT UMANEN 029/003 DISPEPSIA L
P.PNS M.MUTIN 006/005 CETALGIA B
F.BENAO 023/002 TONSILITIS L
IRT M.MUTIN 018/005 HT,CETALGIA L
PELAJAR M.MUTIN 019/005 BATUK B
SWASTA F.BENAO 012/004 DISPEPSIA L
PELAJAR F.BENAO 018/006 VULNUS L
TENUKIIK 001/001 TONSILITIS B

TENUKIIK 001/001 FOLIKULITIS L
PELAJAR M.MUTIN 001/001 FERTIGO,INFLUENSA L
IRT M.MUTIN 022/003 GASTRITIS B
IRT M.MUTIN 001/002 CEPALGIA,GASTRITIS REUMATIK L
SWASTA TENUKIIK 001/001 VERTIGO,REUMATIK L
LIDAK 022/004 L
PNS F.BOT HEMOTIROID L
IRT F.BENAO 004/001 NEFROLIFIASIS B
M.MUTIN 006/002 OBS FEBRIS L
IRT F.BENAO 008/003 TB KELENJAR L
PELAJAR F.BENAO 012/004 INFERTIGO L
SWASTA MANLETEN FHARINGITIS
M.MUTIN 014/002 DICENTRI B
PNS TENUKIIK 008/003 DIARE AKUT L
M.MUTIN 006/005 FHARINGITIS B
IRT KABUNA H T GR I L
IRT BERDAO DISLIPIDEMIA L
PELAJAR M.MUTIN 016/005 LUKA INFEKSI L
SWASTA M.MUTIN MASLITIS B
IRT F.BOT 019/004 DISLIPIDEMIA B
TEKO M.MUTIN DREY EYE B
FATUBENAO 016/005 DIARE AKUT B

IRT UMANEN GOUT L
TENUKIIK DIARE AKUT B
PEN PNS M.MUTIN ISPA B
M.MUTIN 010/004 POLIKALITIS B
MANUAMAN GIGI B
SWASTA TENUKIIK 006/002 POST OPERASI B
IRT BEIRAFU 003/001 TONSILITIS L
SWASTA TENUKIIK 015/005 TONSILITIS B
IRT M.MUTIN 001/001 DIARE AKUT,DISPEPSIA B
PNS BEIRAFU 009/003 ARTRITIS B
SWASTA BEIRAFU PPOK B
P PNS M.MUTIN 001/001 INFEKSI LUKA,VULNUS PULTUM B
F.BENAO 037/007 DIARE AKUT L
P. TNI F.BENAO 034/003 HT GRADE II B
PNS F.BENAO 004/002 HT GRADE II B
GURU M.MUTIN 004/ VERTIGO,DISPEPSIA B
TNI TLM 024/004 OTITIS EKSTERNAL B
FATUBENAO 015/005 LUKA INFEKSI L
IRT BEIRAFU GASTRITIS L
TENUKIIK ISPA B
IRT ATAMBUA 003/001 GIGI L
PELAJAR NAEKASA GAASTRITIS INFLUENZA L
DDR GD AU KOL HB SANITASI
OMEPRAZOL
PCT
AMOXILIN,PCT
AMOXILIN,IBUPROFEN
AMBROXOL,CETRIZINE
CIMETIDIN
AMOXILIN
AMOXILIN,AMBROXOL
AMOXILIN,DEXA
PCT,CTM,CEFA,VIT C
ANTALGIN,CIMETIDIN,
PCT,PIROXICAM,CIMETIDIN,CTM
PIROXICAM,CIMETIDIN ANTALGIN 91 5.8 217
PCT,COTRIM, NEG
OAT,VIT B6
OXYTETRA,AMOXILIN NEG
CEFA ANTAK PRED
MTRO ZINC ORALIT
LEPERAMID CIMETIDIN PIROXICAM
AMOX AMBROX COTRIZINE
AMLO NADIC OMEPRASOL
SIMVASTATIN ALUPURINOL 83 10.7 221
PCT,AMOXILIN
CIPROFLOXACIN
HCT,SIMVASTATIN,ANTASIDA 88 4.8 212
ARTIFICIAN HEARS
ZINC ORALIT
ALUPURINOL PIROXICAM 116 8.9 169
PCT ORALIT
CEFA PRED GG 86 6.9 209
AMOX PCT
VIT C
CTM,CIMETIDIN,CEFA 4.7
PCT,CEFA,CTM NEG
LOPERAMID,OMEPRAZOLE
PIROXICAM,CIMETIDIN 75 6.6 170
AMOXILIN 110
ORALIT,ZINC,VIT B1
CAPTOPRIL
AMLO,IBUPROFEN
PCT,CTM,CIMETIDIN
CIPROFLOXACIN
ANTAL PCT NEG
ANTASIDA PIROXICAM CIMETIDIN
EFEDRIN PCT VIT C
CLINDA IBUPROFEN CAPTO
CEFA CTM ANTASIDA PCT NEG
ASAL PEMBERI
RUJUK PETUGAS
KLINIK GIZI PASIEN LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
1 √ 1 25.4 138 33.8 150

1 1 49.1 148 36 112/74 74
1 1 49 163 35 169/101 76
1 1 15.9 110 36 20 90
1 1 54.3 145 36 209/117 105
1 1 37.6 146 36 100/51 66
1 1 56.2 163 35 112/72 71
1 1 20 126 36 102
1 1 14.8 109 35.5 90

1 1 10.9 78 36 30 90
1 1 32.7 150 35.4 90
1 1 40.5 151 34.9 110/75 109
1 1 55 155 36 106/61 86
1 1 64 165 36 155/106 67
1 √ 1 51 156 36 87/51 20 72
1 √ 1 70.2 170 36 138/65 18 92
1 √ 1 43.2 147 36 105/64 18 79
1 1 14.3 103.5 37 24 90
1 1 33.9 145 36 121/79 104
1 1 14.4 87 36 24 90
1 1 56.8 163 36 175/114 63
1 1 12.2 94 36.8 24
1 1 50.6 145 36 100/60 60
1 1 11.3 88 36 30
1 1 57 154 36 134/74 73
1 1 38 128 36 134/63 70
1 1 26.3 132 37 30 90
1 1 44.6 159 36 123/93 83
1 1 77.6 156 36 133/73 62
1 1 51.8 160 36 119/89 74
1 1 9.6 78 36 25
1 1 70 149 146/90 88
1 1 12.4 90 36 28
1 1 55 148 36 149/76 109
1 1 7.2 71.5 36.6 30
1 1 8.1 81 36.5 30
1√ 1 64.9 172 36 135/97 97
1 1 50 142 36 118/80 65
1 1 50.8 153 34.9 102/59 77
1 1 35 151 36 130/75 125
1 1 67.8 168 35.5 138/95 94
1√ 1 80 180 37 140/90 88
1 1 78 158 36 134/72 87
1 1 7.7 73.5 36 30 90
1 1 73.5 170 36 188/72 108
1 1 54.6 154 36 140/101 87
1 1 56 153 36 133/89 66
1 1 86.7 170 36 130/92 68
1 1 13.3 109 36.9 110
1 1 60.9 154 36 140/90 16 87
1 1 6.5 67 37 34
1 1 71 150 36 136/78 67
1 1 19.5 123 36
1 99-0662 ELO COREIRA ALVES REVANDI C ALVES

2 99-0047 JOSEP BERE RUDJI BA JOSEP BERE RUDJI BA
3 99-1394 KORNELIS BERE KORNELIS BERE
4 99-0022 YAKOBUS MESAK ASA KALISTA Q ASA
5 99-0661 ABILIO SOARES ATALO SOARES
6 99-0661 ABILIO SOARES ABILIO SOARES
7 .03-1925 STEFANUS M BERE KLARISTA MALI BERE
8 03-1542 GREGORIUS DASILVA RIONALDO DASILVA
9 02-1025 DOMINGGOS DOS SANTOS KATARINA EVA
10 99-0499 DOMINIKUS NAHAK SERAN BLANDINA R NAHAK
11 99-0499 DOMINIKUS NAHAK SERAN MARTINA BAU
12 02-0914 JEFRI PAH ANDREAS PAH
13 02-0914 JEFRI PAH KIRSTIANO SANTOS
14 99-0755 MIRANDA DOSANTOS MIRANDA DOSANTOS
15 02-0645 FILOMENA FATIMA FILOMENA FATIMA
16 99-0480 PAULUS NGONGO LENDE JUNIOR Y NGONGO
17 03-0847 SIPRIANUS LELAN LUSIA MALI
18 02-0251 YOHANES TAHU CLAUDIA
19 99-0296 HIRONIMUS BAU HIRONIMUS BAU
20 99-0545 YOHANES LONGA AZGA
21 02-0350 DONATUS DARI MARIA J STEFI D
22 02-0350 DONATUS DARI IRENIUS ARIEL D
23 99-1397 ARNOLDUS MALI DAO IMELDA LOU BERE
24 99-1397 ARNOLDUS MALI DAO DORATHEA SOY LELO
25 03-1602 GABRIEL M BESIN MARIA YASINTA S BAU
26 03-1602 GABRIEL M BESIN HENDRIKUS SMANEK
27 01-0509 YAKOBUS SONO MORGAN I SONO
28 02-0342 ADRIANUS SADI SALE MARSELINUS WAYAN SALEM
29 99-1396 DOMINGGUS SOARES DOMINGGUS SOARES
30 99-0139 JOSE DASILVA MARIA J GOMES
31 99-0133 ARNOLDUS ASA PAULINA HOAR
32 03-1633 LAMBERTUS BERE SERAN LAMBERTUS BERE SERAN
33 99-0735 FINSENSIUS AKOIT SINTIA A AKOIT
34 99-0735 FINSENSIUS AKOIT EDELTRUDIS N AKOIT
35 01-0361 MAHATHIN MUHAMAD FAUZI MUTABIR M FAUZI
36 99-0513 FRANS BEDA MARIA N L
37 02-0204 PETRUS KEDATI JOSEFINA ARAUJO
38 02-0204 PETRUS KEDATI BENEDIKTO MARIO RESIK
39 99-0874 SERAN JEREMIAS MANUEL LUIS G
40 99-0283 HUSEIN SEWEDI HUSEIN SEWEDI
41 99-1393 ERSET RAFAEL RIA RAFAEL
42 01-0296 IRWANTO ARIFIN GENTAR ALAM
43 03-0074 YAKOBUS BINSASI YAKOBUS BINSASI
44 99-0242 SELL WINATA NIAS F NAS
45 99-0663 TARSISIUS ULU AGUSTINUS ULU
46 99-0155 ZAKARIAS ADELINA PILI
47 99-0487 ROBERT MARTINS MELIANA MARTINS
48 02-0234 MARSELINUS US ABATAN MARSELINUS US ABATAN
49 99-0776 EVAJULIA RUNI EVAJULIA RUNI
50 99-0699 SUARDI FADLI
51 99-0501 FLORINDO SOARES EVALDI SOARES
52 99-0407 CASMIRO GOMES SISILIA J ALISIA
53 02-0845 DAVIT US SANAK ALBERTUS ALFIAN
54 99-1872 ROSALIA MADE ROSALIA MADE
JK
SUKU
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR PEKERJAAN ALAMAT
L/P BANGSA
ATB 5/7/2018 7BLN L MARAE M.LETEN

530.422.0101.5000.1 ABIS 1/1/1950 68THN L MARAE P,PNS RINBESI
ATB 12/31/1942 76THN L TETUN P,PNS MANUMUTIN
.530.403.471.018.000.1 ATB 10/7/2018 2BLN P MARAE UMANEN
ATB 6/30/2018 6BLN L TETUN M.LETEN
DILI 4/20/1985 33THN L TETUN SWASTA M.LETEN
ATB 12/6/2017 1THN P MARAE F,BENAO
ATB 2/24/2007 11THN L MARAE F,BENAO
ATB 10/6/1964 54THN P TETUN IRT TENUKIIK

530.422.580.995.000.1 ATB 9/18/1995 23THN P TETUN RINBESI
530.1422441268000.1 ATB 12/4/1969 47THN P TETUN IRT RINBESI
ATB 1/19/2014 4THN L MARAE TENUKIIK
ATB 4/26/2017 1,5THN L MARAE TENUKIIK
HATUBILRO 4/3/1967 48THN P TETUN IRT TLM
DILI 2/2/1965 53THN P TETUN IRT TENUKIIK
ATB 2THN L SUMBA MANUMUTIN
ATB 6/24/2018 6BLN P KEMAK F,BENAO
ATB 8/15/2003 15THN P TETUN SWASTA TENUKIIK
ATB 9/4/1978 40THN L TETUN SWASTA MANUMUTIN
ATB 4/4/2018 8BLN L ALOR MANUMUTIN
ATB 7/29/2011 7THN P SABU TENUKIIK
ATB 6/28/2018 6BLN L SABU TENUKIIK
530,412,691,090,001 ATB 10/29/1990 28THN P KEMAK SWASTA MANUMUTIN
530.412.711.268.000.2 ATB 12/31/1968 50THN P KEMAK IRT MANUMUTIN
247,000,100,003,943 ABIS 9/21/1972 46THN P MARAE F,BENAO
ATB 3/16/2017 1,9THN L MARAE F,BENAO
3THN L ATB
ATB 11/2/2016 2THN L BALI TENUKIIK
DILI 5/15/1974 44THN L TETUN PNS MANUMUTIN
DILI 6/27/1957 62THN P TETUN IRT MANUMUTIN
MANLEA 4/2/1949 69THN P DAWAN P,PNS MANUMUTIN
KLETEK 12/31/1956 62THN L TETUN PNS F,BENAO
ATB 1/26/2010 8THN P DAWAN MANUMUTIN
ATB 1/31/2007 11THN P DAWAN MANUMUTIN
BOGOR 1/1/1996 22THN L JAWA CPNS ATB
LARANTUKA 6/16/1945 73THN P FLORES IRT TLM
ATB 4/28/1987 31THN P TETUN PNS ATB
ATB 4/13/2018 8BLN L TETUN TENUKIIK
MALIANA 5/8/1987 31THN L TETUN SWASTA MANUAMAN
SULAWESI 5/15/1952 64THN L JAWA SWASTA MANUAMAN
530.106.410.200.000.6PUKDALE 2/1/2000 18THN P ROTE SWASTA MANUMUTIN

PALEMBANG 4/30/1998 20THN L PADANG ATB
KEFA 12/24/1961 57THN L DAWAN FATUBENAO
JAKARTA 6/3/1970 44THN L JAWA IRT BEIRAFU
530.406.280.508.000.2ATB 5/28/2008 10THN L TETUN NAEKASA
530.308.700.488.000.1KUPANG 4/30/1986 32THN P DAWAN IRT UMANEN
530.427.530.557.000.1JAKARTA 5/17/1957 61THN P ROTE IRT MANUAMAN

OETFO 4/24/1937 78THN L DAWAN P.TNI TENUKIIK
KEDIRI 2/11/1954 64THN P JAWA IRT TLM
JAWA 8/24/2013 5THN L JAWA MANUMUTIN
DILI 9/1/1994 24THN L TETUN SWASTA BERDAO
ATB 1/11/2009 11THN P KEMAK MANUMUTIN
ATB 3THN L DAWAN TENUKIIK
530,404,691,550,001 WEKABU 12/22/1955 62THN P TETUN P,PNS NAEKASA

KASUS
RT/RW DIAGNOSA KODE
B/L
004/001 IMPETIGOK B
001/001 ISPA B
012/001 DISPEPSIA B
039/012 TONSILITIS B
004/002 ISPA B
004/002 ISPA B
003/001 ISPA B
007/003 GIGI B
011/002 MIAL GIA B

011/004 ISPA B
011/05 GOUT B
010/002 A.IMPETIGO B
010/002 A.IMPETIGO B
017/002 RA,DISPEPSIA B
001/001 DM,DISPEPSIA L
ISPA B
027/008 ISPA B
002/001 MASTITIS B
001/001 POST STROK L
008/003 INFLUENSA B
008/003 INFLUENSA B
012/004 ISPA,ASMA B
012/004 DERMATITIS,MIALGIA B
028/003 DERMATITIS,MIALGIA L
028/003 DERMATITIS B
003/001 DIARE B
018/006 DERMATITIS B
012/005 HT L
021/001 VULNUS L
006/002 RA L
005/002 MIALGIA,DISPEPSIA B
022/002 KARIES GIGI B
022/007 KARIES GIGI B
001/001 HT L
016/005 HT,GOUT,MIALGIA L
002/001 A,MIOPI B
009/002 TB PARU ,BTA POSITIF B
008/002 DM, B
BAKTERIAL B
ASMABRHONCIALE B
013/004 ISPA B
DISLI B
001/002 ISPA B
029/006 SUSPEC LIMFA DENITIS B
002/002 HT,GOUT,DISLI L
001/001 DISLI L
010/005 ANOREKSIO B
001/001 PAROTITIS B
004/001 ISPA B
027/008 OBS FEBRIS,ISPA B
001/001 ISPA B
001/002 DM L
NAMA OBAT
DDR GD AU KOL HB
AMOX SYRUP,PCT
AMBROXOL
ANTASIDA,OMEPRAXOL,B6 125 4.2 126
AMOX SYRUP,BEDAK SALICIL
PCT
PCT,AMBROXOL
PCT,CETIRIZINE NEG
GINDASON,ANTALGIN,PREDNISON
ANTALGIN,BCCTM 179
AMBROXOL,CETIRIZINE,SALBUTAMOL,IBUPROFEN
ALOPURINOL,NADIC 88 7.1 201
SALEP ANTIBIOTIKA ,CETIRIZINE
SALEP ANTIBIOTIKA ,CETIRIZINE
PIROXICAM,ANTASIDA 3.2
METFORMIN,ANTASIDA 143 5.1 151
PCT,CETIRIZINE
PCT,CETIRIZINE
CETIRIZINE,IBUPROFEN
BC,AMLODIPIN 93 5.6 136
BC,CTM NEG
CEFA,CTM,PREDNISON,VITC
CEFA,CTM,PREDNISON,VITC
CEFA,CTM,GG,
CTM,CEFA,PREDNISON
CTM,PREDNISON,CEFA
CEFA,CTM,PREDNISON,PCT
PCT,PCT,ORALIT,ZINC
CETIRIZINHIDROKORTISON
AMLODIPIN
KLINDAMSI,GENTAMISIN,PCT,CETIRIZINE,ALLOPURINOL 112 7.3 206
NADIC 95 6.1 180
IBUPROFEN,BC,ANTASIDA 162 7.4 219
ASMET
ASMET
GENTAMICIN,CAPTOPRIL
HCT,AMBROXOL,ALLOPURINOL,IBUPROFEN,ANTASIDA,OMEPRAXOL
RUJUK RSUD ATB
PCT
OAT KAT1,BC
METFORMIN,BC
METRONIDAZOL
GG,PREDNISON,PCT,CTM NEG
CEFA,CTM,GG,
SIMVASTATIN, 96 4.4 206
PCT,CTEIRIZINE NEG
AMBROXOL,
AMLODIPIN,SIMVASTATIN,ALLOPURINOL 136 8.1 228
ALLOPURINOL,SIMVASTATIN,BC 109 7.5 214
BC,VITC
VITC,PCT
CEFA,CTMPREDNISON
COTRIM,CTM,GG,PCT
PCT,CETIRIZINE
METFORMIN,BEDAK SALICIL 101 4.2 192
KONSELING BB TB SUHU TD
PEMBERI
KLINIK GIZI LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg)
SANITASI
1 1 5.9 67 36
1 1 53 160 36 113/82
1 1 57 158 36 142/55
1 1 3.4 57 36
1 1 6 35.5
1 1 70.9 166 36 133/65
1 1 7.7 76 36
1 1 29.8 140 36
1 1 65.6 142 36 136/93

1 1 44 151 36 105/65
1 1 78 153 36 140/100
1 1 15.7 36
1 1 10.9 79 36
1 1 44 148 35 107/66
1 1 52 151 36 122/79
1 1 11.5 36
1 1 6.7 64 36
1 1 54 152 36 113/55
1 1 68 167 36 127/82
1 1 7.5 73 38
1 1 21.8 123 36
1 1 8.1 69 36
1 1 58.7 157 36 106/70
1 1 62.4 150 35 124/76
1 1 60.9 157 36 138/69
1 1 9.9 79 37
1 1 15 36
1 1 12.8 36
1 1 61 163 35 142/85
1 1 65 145 36 128/70
1 1 50 153 36 121/62
1 1 66 167 36 140/79
1 1 17.5 119 35
1 1 25.8 139 36
1 1 63 166 35 144/75
1 1 41 149 36 159/78
1 1 63 158 35 103/68
1 1 6.6 70 36
1 1 45.5 161 36 126/61
1 1 70 165 36 138/78
1 1 44.6 159 36 122/70
1 1 56 170 36 129/79
1 1 62 158 36 139/75
1 1 71.9 160 37 117/78
1 1 23.7 128 35
1 1 46 149 36 131/86
1 1 85 167 36 144/84
1 1 53 152 35 150/76
1 1 51.5 146 36 109/72
1 1 15 109 35
1 1 40.6 147 36 108/62
1 1 22 129 37
1 1 38
1 1 53 153 36 114/71
RR NADI
PETUGAS
( x/mnt) ( x/mnt)
30 120 BASTI HOAR

22 96
14 56
40 120
30 130
20 82
20 90
20 89
18 77
36 70
18 78
20 90
30 80
20 77
20 84
30 78
30 120
18 64
18 61
42 130
20 68
40 120
18 105
16 72
18 64
20 76
30 80
20 76
18 71
16 91
14 61
16 85
30 100
20 88
30 81
14 100
20 84
30 130
20 125
16 99
16 97
16 108
16 75
18 67
30 90
18 109
16 80
14 63
16 91
20 89
18 91
20 98
16 74
1 99,139,820 FRANSISKUS BOY THERESIA TIMO

2 2102620 FRIDBERT YASINTHA H. MAU 5304 1242 06800001
3 2040910 THOBIAS M. DE ARAUJO THOBIAS M. DE ARAUJO
4 99004832 NORBERTUS INDAH
5 99004833 NORBERTUS YULIANUS
6 99139960 ELIBETH NONI EMELIA Y. MUTI
7 03.05 13 31 BONA F. MAU KRISTIN MAU
8 99024120 DOMINIKUS BAU THERESIA Y. TANII
9 99046733 FEBRONIUS MANEK ARIEL YOSEP MANEK
10 99012520 ORIAS LAWA HENDRIKA AMTAHAN
11 99016131 MARKUS TALAN KEZIA TALAN
12 99108320 MIRANDA SOARES MIRANDA SOARES
13 3020820 ANDRAEAS A. NAHAK EVA B. ALANG
14 99023810 LUKAS DASILVA LUKAS DASILVA
15 99076631 CRIS BRIA GERALDO
16 3192860 KARLUS BERE SANTOS
17 99,088,730 YOHANES M. MAU YORDANIUS S. MAU
18 999111830 JEMRIS TANESIB JAUL
19 2086810 ONSILITIS NATALIS SUN
20 2,087,031 SUPRIANUS SUSANA P. DELIMA
21 3016520 MARIO LEMOS MARYANCE P. LUAN
22 99033332 YAKOBUS KLAU ALFRIDO KLAU
23 99038210 ANTONIO MARTINS ANTONIO MARTINS
24 99056510 SERVASIUS SUSU SERVASIUS SUSU
25 99009910 YANUARIUS BERE YANUARIUS BERE
26 99104920 GABRIEL ALIBI KATARINA NAILAKE
27 3,055,420 JOAO CASTRO EMAKULATA D. SENA
28 99001320 DOLFIANUS MALI DELFIANA NANA
29 3190920 MANUEL DASI MARIA R. BITA
30 99140033 YOVITA NABBU RUDI YANTO KOLO
31 3193030 FRENGKY PELOKILLA RATAN
32 3161120 LUSIANUS LOI IGNASIA BOE
33 99066410 LAMBERTUS MALI LAMBERTUS MALI
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
JK
L/P
KEFA 7/15/1956 62 P DAWAN IRT M.MUTIN

ATAMBUA 4/2/1968 50 P TETUN PNS TENUKIIK 006/002
DILI 1/16/1962 56 L TETUN PNS TENUKIIK 001/001
ATAMBUA 8/13/2015 3 P TETUN DEROK
ATAMBUA 7/1/2011 7 L TETUN PELAJAR DEROK
MALAKA 6/3/2004 14 P DAWAN PELAJAR M.MUTIN 006/002
ATAMBUA 8/4/2011 7 P MARAE PELAJAR FATUBENAO
7/5/1964 54 P DAWAN IRT TULAMALAE
ATAMBUA 5/24/2003 15 L TETUN PELAJAR BERDAO

34 P DAWAN IRT MANUAMAN
ATAMBUA 8/3/2010 8 P DAWAN PELAJAR M.MUTIN
ERMRA 3/10/1963 55 P TETUN IRT M.MUTIN
ATAMBUA 3/23/1998 20 P TETUN IRT FATUBENAO 014/004
RAILAKO 3/24/1963 55 L TETUN PEN GURU M.MUTIN
ATAMBUA 7/15/2015 3 L TETUN F.BOT
ATAMBUA 2/25/2016 2 L TKEMAK FATUBENAO 009/003
ATAMBUA 9/14/2009 9 L KEMAK PELAJAR M.MUTIN
3/5/2018 9 BLN L DAWAN M.MUTIN
MAUMERE 29/02/1985 33 L FLORES POLRI TENUKIIK
ATAMBUA 5/1/2002 16 P TETUN PELAJAR TENUKIIK
5/11/1985 33 P MARAE IRT FATUBENAO
ATAMBUA 3/17/2013 5 L TETUN BERDAO
MALIANA 10/2/1960 58 L KEMAK SWASTA M.MUTIN
KEFA 2/15/1986 32 L DAWAN SWASTA LAHURUS
LAMAKEN 6/6/1992 26 L MARAE SWASTA TULAMALAE 015/005
9/26/1976 42 P DAWAN IRT M.MUTIN 011/004
ATSABE 9/6/1996 22 P KEMAK IRT FATUBENAO
NENUK 4/16/1991 27 P TETUN IRT FATUBENAO 007/003
ATAMBUA 7/1/1970 48 P TETUN IRT FATUBENAO
ATAMBUA 6/4/2000 18 L DAWAN PELAJAR M.MUTIN
ATAMBUA 10/2/2017 1 P TETUN FATUBENAO
50 P MARAE IRT FATUBENAO
7/1/1973 45 L MARAE SWASTA LALOSUK

KASUS HASIL PEMERIKSA
B/L DDR
DIARE B ANTALPUGIT ORALIT

SUSP FRAKTUR B NADIC
GOUT INFLUENZA L ALUPURINOL PIROXICAM CIMETIDIN
FHARINGITIS L CEFA CTM PCT
ISPA B CEFA CTM PCT NEG
GASTRITIS L ANTASIAD PCT CIMETIDIN NEG
KATARAK L KIE
GOUT DM L ALUPURINOL NADIC METFORMIN GLIBEN
DYSPEPSIA DEMAM L PCT ANTASIDA NEG

CEPHALGIA L ALBENDAZOLE BC
VULNUS LACERATUM B RAWAT LUKA
SUSP KUSTA HT L AMLO BC
THINEA CORPORIS L KIE
H T GR II L AMLODIPIN
ISPA B PCT AMBROX
ISPA B PCT AMBROX CETRIMIZIN NEG
DYSPEPSIA DEMAM L AMNTASIDA PCT NEG
DEMAM B PCT NEG
TONSILITIS B AMOX PCT AMBROX NEG
GASTRITIS L ANTASIDA PCT CLINDA NEG
LIPOMA L KIE
DICENTRY B METRO PAPAVERIN ANTASIDA
ISPA B CTM GG CEFA ANTASIDA
KULIT INFEKSI L CTM CEFA
TONSILITIS L DEXA VIT C ANTASIDA
H T GR II DM TYPE II L GLIBEN AMLODIPIN B6
FHARINGITIS B ANTAL CLINDA CTM
BRONCHITIS B CTM CEFA PCT
POST VULNUS L CEFA ANTAL
FHARINGITIS B PCT AMBROX AMOX
ABSES B CEFA CLINDA CTM ANTASIDA PCT
DYSPEPSIA BATUK L CIMETIDIN NADIC AMBROX B6 AMLO
DIARE MYALGIA B ATALPUGIT NADIC
PEMBERI
SANITASI
1 1
1 V 1
98 9.6 147 1 1
1 1
1 1
1 1
1 V 1
1 1
1 1
1 1
1 1
1 V 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
75 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
PETUGAS
35 140 36 130/71 20 105 MIGUEL

63.5 156 36 129/86 95
81.3 162 36 120/70
9.8 36
18.3 115 36
41 153 36
20.3 118 36
49.5 150.5 36 13/78 84
28.3 139 36 86
43 146 36 110/80
17.5 117 36
67 152 36 160/97 103
51.3 36 120/68
58.1 162 36 145/105 82
10.2 89 36 90 90
11.8 89 38.5
22.7 127 36 92
9 73.6 36.9 40
30 166 133/83 97
49 153 36 107/60 91
50.8 145 36 107/65 112
17 109 36.2 89
40.2 156 36 121/87 88
44 155 36 117/69 80
48.9 135 36 100/55 69
65.3 151 36 169/103 81
61.6 146 36 110/57 64
46.9 156 36 112/80 108
32 145 36 93/60 87
41.2 162 36.6 108/69 103
8.5 72.5 36 36 96
53.1 150 36 152/82 18
71.9 169 36 113/78 14 69
1 02.0244. ACASIO DE CARVALHO ACASIO DE CARVALHO BALIBO

2 99.0426. YOSEPH FANU YOSEPH FANU 5304 220504510001 MATABESI
3 99.0223. AGUSTINUS TANI'I EMELIA TONBESI 5304 125703790001 KEFA
4 02.0979. SLAMET DJATMIKO ILA A FATMAWATI ATAMBUA
5 99.0139. JOSE DA SILVA JOSE DA SILVA DILI
6 99.0352. EDMUNDUS SERAN YASINTA LIKA WEKMUTIS
7 99.0244. OKTOVIANUS TANI'I ANTONIO R TANI'I ATAMBUA
8 99.0521. SILVESTER SIKONE YESLIN SIKONE ATAMBUA
9 03.1626. HENDRIKUS TEFA HENDRIKUS TEFA LOBUS
10 03.0632. FELICIANO TAEK FELICIANO TAEK MALIANA
11 03.1018. YAKOBUS MAU LUAN YAKOBUS MAU LUAN LEOGOL
12 02.0785. MIKHAEL MINGGU MARIA FERNANDES ATAMBUA
13 02.0785. MIKHAEL MINGGU MIKHAEL MINGGU ENDE
14 02.1028. ARNOLDUS NIRON LUSIA KAMSIA 5304 124107450006 JAWA
15 02.1018. YULIANA GAMBE MUSKANAN YULIANA GAMBE MUSKANAN 5304 12680650001 KUPANG
16 99.0243. ABIA KOANAK ABIA KOANAK 5304 220504540001 ROTE
17 99.0861. RUPERTUS DHAKI RUPERTUS DHAKI NGADA
18 02.1029. HENDRI H PUTRA HENDRI H PUTRA KUPANG
19 99.0016. BENEDIKTUS BERE BENEDIKTUS BERE UARAU
20 02.01.00. FRANSISKUS FINA FRANSISKUS FINA 5304 122906450001 JAKARTA
21 01.0475. SIMON SUBA KERTA SIMON SUBA KERTA 5304 122810550002 FLOTIM
22 99.0339. AGUST F NAHAK AGUST F NAHAK 5304 222808560002 KOTAFOUN
23 03.0954. WAHYU UCI
24 99.0133. ARNOLDUS ASA ARNOLDUS ASA 5304 121017420001 LO'O NEKE
25 03.0383. LAMBERTO P MAIA LAMBERTO P MAIA BOBONARO
26 99.0487. ROBERT MARTINUS MELIANA MARTINUS 5304 275305570001 JAKARTA
27 99.0477. NAOMI F FEOH NAOMI F FEOH 5304 214605480001 ROTE
28 03.0255. YONAS SAEFATU REGELINDA BILAK 5304 124304560001 ATAMBUA
29 99.0862. ABDUL GUFER MUHAMMAD S YUSUF ATAMBUA
30 99.0850. YULIANA HOAR YULIANA HOAR
31 99.0129. BLANDINA A HOAR BLANDINA A HOAR
32 02.1027. LEKSI GAMBE KORNELIA FIFI SURABAYA
33 99.0131. SOLEH ENI SULASTRI BANTEN
34 03.1697. PETRUS LETO KALI PETRUS LETO KALI ATAMBUA
35 02.0478. MARIA BAU HENUK MARIA BAU HENUK 5304 125212500002
36 02.0373. BENDITA BARETO DE JESUS BENDITA BARETO DE JESUS 5304 124205650002 BOBONARO
37 03.1523. HELENA HOAR HELENA HOAR LO'ONUNA
38 01.0113. ALBERTO SOARES FILOMENA DA COSTA TIMOR
39 99.0798. NOCH TEFLOPO MARIA P BETE 5304 214507550001 ASUMANU
40 03.1931. YASINTUS SERAN RICARDO BAU ATAMBUA
41 99.0983. NIKOLAUS KOLO NIKOLIA SIKI KEFA
42 99.0157. EMANUEL KOA ANGGELINA ABUK TEUN
43 99.1401. JHON MEAK FIRLI MEAK ATAMBUA
44 99.0211. WILHELMINA BANAFATIN WILHELMINA BANAFATIN 5304 1121641270001 ATAMBUA
45 03.0082. ABRAO SOARES ABRAO SOARES TIMOR
46 99.0213. LOENARDO PILIPE LOENARDO PILIPE MAUBARA
47 01.0042. SALE IBRAHIM AYUNI SANTIKA
48 99.0669. LEONARDUS ATOK MARIANA ANASTASIA DAFALA
49 99.0072. KORNELIO MOTA DOS SANTOS KORNELIO MOTA DOS SANTOS 5304 221010530003 BALIBO
02.0079. ABDUL HAMID NUR AINI BURA 5304 2254908760001 ALOR
02.0700. ALOYSIUS SENOPATI MINGGU KELVIN ATAMBUA
01.0243. MARSELINUS MAU MELANI MELA MAU ATAMBUA
99.0268. STAFANUS LUAN ANASTASIA BETE MALAKA
02.0940. PAULUS SONY BETAN DANIEL B BETANG 5304 1202120080001 ATAMBUA
99.1222. KLAU YOSEP MEI LINLIN SUMBA
49
JK
SUKU
TANGGAL LAHIR UMUR PEKERJAAN ALAMAT RT/RW DIAGNOSA
L/P BANGSA
6/12/1946 72 L TETUN P.PNS TENUKIIK 010/004 ISPA,MIGRAN

4/25/1954 67 L DAWAN P.GURU M.AMAN 008/002 INFEKSI POST LUKA
3/17/1979 38 P DAWAN IRT M.MUTIN 014/004 HT GRADE,GERD,MYALGIA
1/10/2017 1.11 P JAWA TENUKIIK 010/004 STOMATITIS
4/23/1957 61 L TETUN P.PNS M.MUTIN 001/001 INFEKSI POST VULNUS
6/18/1983 35 P TETUN GURU M.MUTIN 004/002 OA
6/13/2016 2.6 L DAWAN M.MUTIN 018/003 ISPA
9/30/2018 3 BLN P DAWAN M.MUTIN 011/004 OBS FEBRIS POST IMUNISASI
12/12/1988 30 L DAWAN SWASTA F.BENAO 003/001 ISPA

7/10/1954 67 L MARAE P.TNI F.BENAO 016/005 HT,MYALGIA
5/9/1952 66 L MARAE P.PNS F.BENAO 033/004 HT,MYALGIA
9/3/1957 61 P FLORES IRT TENUKIIK 004/002 DILSI,MYALGIA
6/15/1942 75 L FLORES P.POLRI TENUKIIK 008/003 HT,GOUT
7/1/1945 73 P JAWA IRT TENUKIIK 003/001 DM TIPE 2,GOUT,DISLIPIDEMIA,HT,HERDEOLUM
6/28/1950 58 P ROTE P.PNS TENUKIIK 002/001 DM TIPE 2,HT GRADE II,ISPA
4/5/1954 67 L ROTE P.PNS LIDAK 012/004 GOUT ARTRITIS
8/21/1956 65 L FLORES P.PNS M.MUTIN 005/002 HT,DISPEPSIA
9/20/1982 36 L JAWA SWASTA TENUKIIK 016/004 ISPA
9/1/1952 66 L TETUN P.PNS M.AMAN 004/001 HT TERKONTROL
6/29/1945 73 L FLORES SWASTA TENUKIIK 001/001 MYALGIA
10/28/1955 68 L FLORES P.PNS ATAMBUA 014/004 DM TIPE 2
8/8/1958 60 L TETUN P.PNS LIDAK 001/001 HT TERKONTROL,DISPEPSIA,MYALGIA
1 L VE
7/10/1947 69 L DAWAN P.PNS M.MUTIN 006/002 DM TIPE 2 HT TERKONTROL
7/2/1962 56 L MARAE P.TNI F.BENAO 016/002 TINEA TORPORIS
5/17/1957 59 P ROTE PENDETA M.AMAN 002/002 HT TERKONTROL,GOUT
6/16/1948 70 P ROTE IRT BARDAO 017/006 GOUT,DM TIPE 2
4/3/1956 62 P ATB IRT F.BENAO 014/004 MYALGIA,GOUT
4/3/2011 7 L BUGIS PELAJAR M.MUTIN 001/002 COTITIS MEDIA
7/21/1966 52 P TETUN IRT TLM 006/005 HT TERKONTROL,DISPEPSIA,MYALGIA
9/22/1961 57 P TETUN IRT NAEKASA 002/001 DISPEPSIA,GOUT,MYALGIA
9/16/1979 39 P JAWA IRT TENUKIIK 002/001 HT,GOUT
9/10/1963 54 P JAWA IRT M.MUTIN 0001/001 HT TERKONTROL,GE
3/23/1961 57 L KEMAK SWASTA F.BENAO 009/007 HT,DM,TINEA
12/12/1950 68 P TETUN IRT TENUKIIK 008/002 HT TERKONTROL
5/2/1965 53 P MARAE IRT TENUKIIK 011/004 HT TERKONTROL GOUT
31/02/1972 76 P MARAE IRT F.BENAO 001/001 HT TERKONTROL,MYALGIA,ISPA
11/7/1963 52 P TETUN IRT TENUKIIK 016/006 GOUT,ARTIKUM
7/5/1955 63 P TETUN IRT BEIRAFU 009/003 GOUT,DISLIPIDEMIA
1/24/2014 4 L TETUN F.BENAO 010/004 ISPA
12/2/1964 64 P DAWAN IRT M.MUTIN 011/004 GERD
5/26/1982 36 P DAWAN IRT UMANEN 037/012 ECZEMA

12/4/2014 4 P TETUN M.MUTIN 024/007 VERTIGO,KNESTOSA
12/24/1970 50 P MARAE IRT BARDAO 016/006 DM TIPE 2,HT TERKONTROL,BATUK
2/13/1949 69 L MARAE P.TNI F.BENAO 017/006 GOUT
10/14/1977 37 L TETUN SWASTA M.MUTIN 001/002 DIARE,INFEKSI LUKA,GOUT

8 P FLORES PELAJAR TENUKIIK 008/003 IMPERIGO
7/7/2002 16 P TETUN PELAJAR DAFALA 001/001 SUSP TB
10/10/1953 65 L TETUN P.PNS LIDAK 014/003 HT GRADE II
8/14/1976 36 P ALOR GURU TENUKIIK 012/004 MYALGIA
8/10/2010 8 L TETUN PELAJAR TENUKIIK 003/001 ISPA
9/1/2005 13 P MARAE PELAJAR ATAMBUA 012/004 DERMATITIS
4/25/1985 33 P TETUN IRT M.AMAN 016/003 MIGRAIN,ISK
12/2/2008 10 L FLORES PELAJAR TENUKIIK 007/003 POLIP
5/22/2009 9 B SUMBA PELAJAR RINBESI 013/006 ISPA

KODE NAMA OBAT
B/L DDR GD AU
L AMBROX,CTM 88 6.3
B IBUPROFEN 84
L AMLODIPIN,ANTASIDA,VIT B 6,IBUPROFEN,
B DEXAMETASON
L AMLODIPIN,ANTASIDA,GENTAMICYN SALEP 99 6.9
L NADIC 5.2
L PCT NEG
L PCT
B PCT,AMBROXOL,CIMETIDIN NEG
L AMLODIPIN,NADIC 105 7.1
L AMLODIPIN,NADIC 92 6.1
B SIMVASTATIN,NADIC,B 1 179 9.9
L PCT,PIROXICAM 179 4.9
B METFORMIN,ALOPURINOL,SIMVASTATIN,CAPTOPRIL VIT B COM 442 8.7
L METFORMIN,CETIRIZINE,VIT B COM 123
L OMEPRAZOLE,PIROXICAM
L ANTASIDA,HCT,SIMVASTATIN 97 6.2
B AMBROX,CTM
L AMLODIPIN,VIT B COM 97 5.1
L IBUPROFEN,VIT B COM 98 6.4
L METFORMIN,AMLODIPINE,VIT B COM 126
L AMLODIPINE,ANTASIDA,OMEPRAZOLE,IBUPROFEN 87 5.7
L AMOXILIN,PCT SYRUP
L GLIMEPIRID,AMLODIPIN,VIT B 1 ARTIFICIAL TEAR 108 4.6
L KEROKONAZOLE,CETIRIZINE, 90 4.9
L AMLODIPINE,ALOPURINOL 99 8.2
L GOUT,DM TIPE 2 HT TERKONTROL 144 8.6
L IBUPROFEN,ALOPURINOL,VIT C
L CEFA,PCT,KLORAM TETES TELINGA
L HCT,IBUPROFEN,ANTASIDA,VIT B COM,ALOPURINOL NEG 97 6.4
L SIMVASTATIN,ANTASIDA,PIROXICAM 83 7.8
B AMLODIPIN,OMEPRAZOLE,ANTASIDA 84 7
L HCT,B COM,PpVERIN 102 7.3
L AMLODIPIN,METFORMIN,PIROXICAM 135 8.9
L AMBLODIPIN 100 5.1
L CAPTOPRIL,ALOPURINOL,NADIC 104 7.3
L AMLODIPIN,PIROXICAM 106 6.5
L ANTASIDA,OMEPRAZOLE,SIMVASTATIN
L ALOPURINOL,SIMVASTATIN,AMLODIPIN,ANTASIDA,OMEPRAZOLE 127 6.7
L PCT,AMBROXOL,CIMETIDIN,VIT C
L ANTASIDA,OMEPRAZOLE,VIT B 6
B CETRIZINE,BETAMETAZONE SALEP
B PCT,CETRIZINE,GENTAMYCIN SALEP NEG
L GLIMPIRID,AMLODIPIN,LORATADIN 89 5
L ALOPURINOL,CETRIZINE,AMROXOL,VIT B COM 92 8.4
L ATAPULGIT,ORALIT,ZINC,CETRIZINE,PCT,AMOX,ALOPURINOL 128 8.8
L CETRIZINE,GENTAMYCIN,AMOX
B AMBROXOL
L CAPTOPRIL,IBUPROFEN,GENTAMYCIN 167 6.4
L IBUPROFEN,VIT B COM
L PCT,CETRIZINE NEG
L CETRIZINE
B IBUPROFEN,AMOKSILIN
B CTM,DEXA,
B PCT,CETRIZINE NEG
IL PEMERIKSAAN LAB KONSELING BB TB SUHU
ASAL PEMBERI
KOL HB KLINIK GIZI PASIEN LAYANAN ( kg ) ( Cm ) ( ◦C)
SANITASI
236 1 1 49 157 36
1 1 70 164 36
1 1 69 157 36
1 1 7.9 36
238 1 1 78 158 36
1 1 49 150 36
1 1 11.1 85 37.9
1 1 5.4 36
1 1 42.5 153 36
223 1 1 46 144 36
176 1 1 68 160 36
251 1 1 68 157 36
251 1 1 82 167 36
231 1 1 59.6 146 36
1 1 54.2 147 36
1 1 61 162 36
390 1 1 58 153 36
1 1 90.8 172 36
162 1 1 54 162 36
191 1 1 53 152 36
1 1 65.8 170 36
188 1 1 59.5 161 36
1 1 9 36
142 1 1 74 153 36
147 1 1 53.5 155 36
184 1 1 56 167 36
176 1 1 58.5 147 36
1 1 43.8 148 36
1 1 21.9 121 36.7
182 1 1 48 147 36
235 1 1 59 145 36
156 1 1 116.6 155 36
172 1 1 60 146 36
197 1 1 69 162 36
203 1 1 50 158 36
231 1 1 52 148 36
208 1 1 49 149 36
1 1 41.7 142 36
218 1 1 54 149 36
1 1 15.4 105 36
1 1 43.5 158 36
1 1 45.9 148 36
1 1 12.5 85 36
134 1 1 43 142 36
158 1 1 46.8 162 36
162 1 1 53.7 163 36

1 1 22.5 119.5 37
1 1 39.7 145 36
153 1 1 52 155 36
1 1 64.2 168 36
1 1 17.2 115 36
1 1 45 146 36
1 1 51.7 153 36
1 1 27 143 36
1 1 33.1 130.5 36.6
TD RR NADI
PETUGAS
( mmHg) ( x/mnt) ( x/mnt)
117/70 72
163/81 83
139/83 84
32 90
136/83 77
118/63 73
32 90
42 90
134/82 103
145/55 64
130/78 56
102/60 78
140/85 86
190/83 86
156/86 89
123/56 74
146/82 84
109/80 104
148/84 69
147/87 67
145/81 85
127/68 57
110
138/89 70
128/84 75
138.63 71
130/56 69
111/76 83
90
127/73 76
117/67 85
142/101 84
103/69 84
149/86 73
131/71 65
114/81 72
125/64 73
108/72 81
128/93 79
30 90
130/74 76
104/72 73
34 90
100/60 70
118/79 62
150/99 84
90
116/76 82
162/91 100
120/90 73
90
90
106/73 78
90
90
1 99.1403. SADOK AKLILI SADOK AKLILI

2 99.0291. HENDRIKUS TASI ANTONIUS TASI
3 03.0958. LAURENSIUS A TAEK APRIYANTO
4 99-0346 GUDINO ALVES NEDA ALVES
5 02.0845. DAVIT US SANAK ALBERTUS ALFFIANO
6 99.1404. MARTINUS BERE KORNELIA AMUNA
7 99.0115. NYONGKI MENDES REVANIA MENDES
8 99.0277. CELESTINO DOS REIS TOMAJA E TILMAN 5304 125001830005
9 99.0006. TRI WAHYUNINGSI TRI WAHYUNINGSI 3571 3034210550001
10 03.1933. MARSEL MAU TALO MARSEL MAU TALO 5304 12150660001
11 99.0017. PRIMENTUS SERAN ANDREAS SERAN
12 03.1326. BALTAZAR BINSASI BALTAZAR BINSASI
13 99.0114. HERMAN MORUK ANDRI KLAU
14 99.0304. ARNOLDUS ASA ANGGELIUS ASA
15 99.1234. MAKSIMUS HALE YOVITA I MALI
16 99.1342. MARIA FATIMA DE ARAUJO MARIA FATIMA DE ARAUJO
17 99.0257. PAULUS SERAN MARIA R HOAR W 5304 124212620003
18 01.0117. ADRIANUS FANGGIDAE SANTA FANGGIDAE
19 99.0728. ALBERTUS JON NAHAK FRANSISKUS NAHAK
20 02.0869. KAREL M ULLY SRI REJEKI
21 99.0666. THEORUS MANEK TIO MANEK
22 03.1909. MANUEL DASI MARIA R BITA
23 03.0058. AGUSTINUS NEKE YULIANA A NAHAK
24 03.1047. FEDELIS MAU KLARISA MAU
25 99.0091. DOMINGGUS A JULIANA D
26 2066920 ROSALIA SOARES ROSALIA SOARES
27 99.0006. VINSENSIUS KIIK MAU YOSEFINA LIN
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
JK
L/P
KUPANG 9/10/1987 29 L DAWAN SWASTA M.MUTIN 024/

ATAMBUA 1/17/2011 7 L TETUN PELAJAR TUKUNENO 001/001
ATAMBUA 4/12/2010 8 L MARAE PELAJAR F.BENAO 009/001
ATB 5/18/2011 7 P TETUN HAIKRIK 006/001
ATAMBUA 3 L DAWAN TENUKIIK 001/01
KEFA 7/3/1974 44 P DAWAN IRT M.MUTIN 014/004
ATAMBUA 8/24/2017 1 P MARAE M.AMAN 012/002
1/10/1983 35 P KEMAK IRT KABUNA 018/005
JAWA 10/2/1955 63 P JAWA IRT RINBESI 011/006

MALIANA 1/1/1956 62 L MARAE P.TNI F.BENAO 019/001
ATAMBUA 4/13/2010 8 L TETUN PELAJAR BEIRAFU 001/003
BIONI 8/2/1948 70 L DAWAN SWASTA F.BENAO 013/004
BETUN 4/14/2015 3 L TETUN M.AMAN 003/001
ATAMBUA 6/13/2012 6 L DAWAN TLM 012/004
ATAMBUA 8/8/1982 36 P KEMAK IRT M.MUTIN 001/001
AINARO 5/11/1962 56 P TETUN PNS M.MUTIN 005/002
MALAKA 12/2/1962 56 P TETUN IRT M.MUTIN 006/001
KUPANG 2/21/2012 6 P ROTE ATAMBUA 006/006
ATAMBUA 11/15/2018 1 BLN L KEMAK M.MUTIN 015/005
SURAKARTA 8/1/1975 43 P JAWA IRT TENUKIIK 003/001
HALILULIK 2 THN L MARAE NENUK 002/001
ATAMBUA 7/1/1970 48 P TETUN IRT F.BENAO 008/003
ATAMBUA 15 P TETUN PELAJAR F.BENAO 014/005
ATAMBUA 11 P KEMAK F.BENAO 007/003
DILI 7/17/1995 23 P TETUN IRT F.BOT 020/011
BASARTETE 3/25/1972 46 L TETUN IRT TENUKIIK
MANLEA 10/13/1973 45 P DAWAN BIDAN M.AMAN 019/003
KASUS
DIAGNOSA KODE
B/L
KORPUS ALIENUM B
GASTRITIS B
FEBRIS, B
GASTRITIS B
ISPA L
MYALGIA B
VARICELA L
DISPEPSIA L
HT GRADE II B
DISLIPEDEMIA,MYALGIA B
VERSIIKOLOR L
HT ,MYALGIA L
ISPA L
AMOEBIASIS B
ISPA L
DISPEPSIA,DM TIPE II L
DISPEPSIA,DISLIPEDEMIA,HT GRADE II B
OBS FEBRIS B
FOLIKULITIS B
FURUNKEL,SUSP BELLS RANSY PERIFER B
ISPA B
TB KELENJAR L
CISTITIS L
ISPA B
ISPA B
DM TIPE 2,HT TERKONTROL,DISPEPSIA,BAUTERIA VAGINOSIS L
MYALGIA L
NAMA OBAT
DDR GD AU KOL
ARTIFICIAL TEARS
ANTASIDA,CETRIZINE,CLINDAMICIN NEG
CTM,ANTALGIN,CTM,VITC
PCT,CTM,BC
IBUPROFEN,VIT B COM
ARCYCLOVIR,PCT
CIMETIDIN
CAPTORPIL
SIMVASTATIN,PIROXICAM 114 6.8 204
MIKONAZO
AMLODIPIN,NADIC
PCT,AMBROXOL,CETRIZIN
METRONIDAZOL,ORALIT,ZINC
AMBROXOL,LORATADIN.DEXA
GLIBENKLAMID,OMEPRAZOLE 164 4.9 143
CIETIDIN,SIMVASTATIN,AMLODIPIN 239
PCT,CLORAN,CTM NEG
OXYTETRA,PCT
OXYTETRA,DEXA
ORALIT,PCT SIRUP,CETRIZIN NEG
LANJUT OBAT
CTM,CIPRO,ANTALGIN
PCT,AMBROXOL,CETRIZIN
AMBROXOL,CTM
METFORMIN,AMLODIPIN,ANTASIDA,OMEPRAZOLE,NETROMIDAZOLE,VIT B COM
DIAZEPAM,CIMETIDIN,PIROXICAM
AN LAB KONSELING BB TB SUHU TD
ASAL PEMBERI
HB KLINIK GIZI PASIEN LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg)
SANITASI
1 1 40.5 152 36 14/82
1 1 11.5 119 38.1
1 1 20.3 120 36
1 1 18 120 36
1 √ 1 11.9 36
1 1 51.2 154 36 122/74
1 1 9.4 37
1 1 43 155 36 113/88
1 1 63.5 158 36 164/103

1 1 67 160 36 126/96
1 1 22.2 36
1 1 54.5 159 36 141/77
1 1 12.9 36
1 1 15.4 108.5 36
1 1 44.4 149 36 118/79
1 1 50.8 152 36 126/80
1 1 63.4 150 36 147/94
1 1 18.2 115 36.5
1 1 4.8 53 37
1 1 65.5 150 36 147/94
1 1 9.6 37
1 1 32 145 36 92/58
1 1 36.9 154 36.9 109/70
1 1 6.3 65 37
1 1 45.2 151 36 111/74
1 1 60.2 146 36 135/73
1 1 71.8 158 36 121/74
RR NADI
PETUGAS
( x/mnt) ( x/mnt)
67
30 90
20 80
20 88
30 90
56
20 90
86
77
75
30 90
76
20 90
30 90
87
96
88
30 90
20 90
89
20 90
89
120
20 90
72
86
74
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
JK
NIK TEMPAT LAHIR TANGGAL LAHIR UMUR SUKU BANGSA
L/P
KASUS
PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE
B/L
DDR GD AU KOL HB SANITASI
PEMBERI
ASAL PASIEN RUJUK
KLINIK GIZI LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
PETUGAS
CELES M
1 02-042920 MODESTA MORUK MODESTA MORUK 530.412.410.245.002.5

2 99-0007 NGATMIN ALLA
3 99-0580 ALOYSIUS FINA BENEDIK WILLIAM
4 99-0117 PASKUAL MAU ANTONIA DOS SANTOS
5 99-053832 JONI SADIPUN CHIRO C SADIPUN
6 99-0054 FAROUQ SALIM FAROUQ SALIM
7 .031936 VIRGINIO MONIZ MARKUS DEYESUS
8 02-0291 YOSEP BANI YOSEP BANI
9 99-0167 HILARIUS LAU MARIA DE JESUS
10 03-0892 FRANSISKUS SIRI FRANSISKUS SIRI
11 99-0037 ELVIS XIMENES DANIEL XIMENES
12 99-0032 ELVIS XIMENES DOMINGGAS O SOARES 530.412.600.282000.1
13 02-0471 YOHANES BABA STEFANUS ASA
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
JK
L/P
KORBAU 7/1/1945 73THN P TETUN IRT TENUKIIK 002/001

JAWA 1/14/2013 5THN L JAWA BEIRAFU
ATB 2/6/2018 10BLN L DAWAN MANUMUTIN 007/002
MANATUTU 3/8/1994 24THN P TETUN RINBESI 012/006
ATB 1/19/2013 5THN L FLORES MANUAMAN 005/004
ATB 40THN L ATB SWASTA MANUAMAN 005/001
ATB 7/1/2011 7THN L TETUN PELAJAR FATUBENAO 029/003
KUPANG 9/5/1952 65THN L KEMAK P.PNS TENUKIIK 005/002
LAKTUTUS 12/29/2015 3THN P TETUN TLM

ATB 6/1/1969 49THN L MARAE GURU FATUBENAO 008/003
MAUBESI 2/20/1982 36THN P KEMAK IRT MANUMUTIN 009/003
ATB 9/28/2018 3BLN L TETUN TENUKIIK 014/005
KASUS HASIL PEMERIKSAAN
B/L DDR
DREMATITIS INFEKSI B AMOX,VITC,DEXA,CTM

GASTRITIS B ANTASIDA,B6,BC
ISPA,DERMATITIS INFEKSI B AMOX,CTM,VITC,PCT,B6
SUSPEC TB PARU B AMBROXOL,CEFA,PCT,BC
PAROTITIS B AMOX,PCT,VITC
EPILEPSI L FENITOIN
OMA B CLORAM TETES,AMOX,VITC
ISPA B GG,PCT,VITC
DEMATITIS INFEKSI B AMOX,DEXA,VITC,SALAF KULIT

ISPA B PCT,GG,VITC,BC
OBS FEBRIS B PCT,BC NEG
GINGGIVITIS,GASTRITIS B PCT,DEXA,ANTASIDA,BC
ISPA B PCT,VITC NEG
PEMBERI
SANITASI
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
PETUGAS
44 148 36 120/75 14 65 BASTI H

18.2 110.5 35 30 90
8.4 71 38 40 120
32 145 36 111/76 18 130
26.1 115 36 20 80
25.2 36 30 88
55.4 159 36 142/80 16 82
11.5 89 36 20 88
80.3 162 36 142/90 20 74
8.4 35.7 30 80
64 151 36 107/69 18 81
6.5 37 30 120
1 03-1713 MANUEL PAREIRA JONITA BORGANSA DILI

2 03-1713 MANUEL PAREIRA SARAH PAREIRA DILI
3 99-0215 EGIDIUS TES RIZAL I TES ATB
4 99-0501 JOAO DOS SANTOS DEMETRIANA UNAB TUAMESE
5 03-0058 AGUSTINUS NEKE ARIFIN A NAHAK ATB
6 99-0194 FERDINANDUS KANIBERE MIKAEL JULIO K BERE ATB
7 99-0984 DOMINGGUS SALU ALEXANDRO SALU ATB
8 99-0620 YOHANES MANANEL YULITA MAU WEKMURAK
9 99-0620 YOHANES MANANEL YOHANES MANANEL 530.412.240.882.000.1 BINILAKA
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
JK
TANGGAL SUKU
UMUR PEKERJAAN ALAMAT RT/RW
LAHIR L/P BANGSA
12/10/1985 33THN P TETUN IRT FATUBENAO 031/001

18THN P TETUN IRT FATUBENAO 031/001
7/31/2018 5BLN L MARAE MANUAMAN 029/005
12/29/1971 47THN P DAWAN IRT MANUMUTIN 018/003
12THN L TETUN FATUBENAO 014/005
2/26/2015 3THN L FLORES UMANEN
7/16/2014 4THN L DAWAN MANUMUTIN 009/002
7/25/1985 33THN P TETUN PNS MANUMUTIN 008/003
8/24/1982 36THN L DAWAN PNS MANUMUTIN 008/003

KASUS HASIL PEMERIKSAA
B/L DDR
OMA B AMOX,CLORAM TETES,VITC,DEXA

POST PAKET TB,ANOREKSIA B BC
KONJUNGTIVITIS B CLORAM TETES MATA
HT B CAPTOPRIL,PCT,BC
GASTRITIS B ANTASIDA,B6
DIARE B ZINC,PCT,BC, NEG
ISPA,FURUNKEL B CTM,VITC,PCT,AMOX,DEXA
DIARE B COTRIM,ANTASIDA,PCT
BATUK,ISPA B CEFA,ANTASIDA,PCT
PEMBERI
SANITASI
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
PETUGAS
54.6 146 36 113/71 20 68 BASTI H

31.5 150 36 99/69 18 101
6.7 35.9 30 120
46.1 157 36 156/85 18 93
44.3 155 36 117/67 18 94
11.1 99 36 20 90
12.5 99 38 28 80
50 158 36 110/80 20 88
68 161 36 110/86 28 87
1 99.0874. BERNADUS AMU META SERAFINA THANEO 5304 214707620003 SOE

2 990,327 ELIAS OKI ROFINA EKO 5304 125209720003 HAUMENI
3 03.1909. MANUEL DASI MARIA R BITA ATAMBUA
4 99.0701. ISAK PEREIRA DE JESUS FATIMA D SOARES 5304 125205680001 DILI
5 01.0381. MELIANUS BIRE JUWITA BIRE ATAMBUA
6 02.0792. DOMINGGUS SOARES LUCIANA SOARES
7 99.0342. LAURENSIUS DARE LAURENSIUS DARE 5304 210102660001 MAUMERE
8 99.0868. ANDREAS UMBU K DARA ANDREAS UMBU K DARA
9 99.0510. PETRUS LUAN WILIAN LUAN ATAMBUA
10 99.0510. PETRUS LUAN YULIANA KEFI 5304 126407830001 KEFA
11 03.1623. FLORENTINUS LALIAN STEFANIA LALIAN ATAMBUA
12 99.0838. YUSTINA FUNAN YUSTINA FUNAN 5304 126809700001 ABAT BOT
13 03.0294. AGUSTINUS MBAU FELICIA MBAU ATAMBUA
14 990,184 MAKARIUS BAU BESIN NOVAN BESIN ATAMBUA
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
JK
SUKU
TANGGAL LAHIR UMUR PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE
L/P BANGSA
7/7/1962 56 P DAWAN IRT TLM 005/002 VULNUS

9/12/1972 46 P DAWAN IRT M.MUTIN 013/004 HT,GASTRITIS AKUT
7/1/1970 48 P TETUN IRT F.BENAO 008/003 TB KELENJAR
5/12/1968 54 P TETUN IRT M.MUTIN 013/004 GOUT,DISLIPIDEMIA
7/27/2018 5 BLN P DAWAN ATAMBUA 004/002 ISPA J069
46 P TETUN IRT TENUKIIK 010/006 BATUK K291
2/1/1966 56 L MAUEMRE SWASTA TLM 015/005 TONSILITIS
32 L TETUN SWASTA M.MUTIN 006/002 GINGSIVITIG
4/20/2016 2 L TETUN M.MUTIN 028/009 FEBRIS

7/24/1983 36 P TETUN IRT M.MUTIN 028/009 FA
9/5/2016 2 P MARAE F.BENAO 017/006 SUSPC FEBRIS
9/28/1970 48 P DAWAN IRT BEIRAFU 010/003 BATUK,GASTRITIS K291
9/10/2015 3 P TETUN F.BENAO 004/002 ISPA
11/25/2017 1 L MARAE LIDAK 022/007 DIARE
NAMA OBAT
B/L DDR GD AU KOL HB
L AMOX,VIT C,DEXA,PCT
L CAPTOPRIL,CTM,VIT C,ANTASIDA
L CEFA,VIT C,
L ALLOPURINOL,SIMVASTATIN,METFORMIN, VIT B COM 130 8.2 212
B PCT,GG,VIT C.CTM
L OMEPRAZOLE,AMBROXOL,B COM
B CEFA,VIT C,PCT
L AMOX,PCT, VIT C 98 6.9 188
L PCT SYRUP B COM NEG

L KETOKONAZOL,MICONAZOL,PC
L PCT,B 6 NEG
L ANTASIDA,CIMETIDINE,PCT,AMBROXOL 183
L CTM,VIT C,AMOX, PCT NEG
L ZINC,ORALIT,B6,PCT NEG
KONSELING BB TB SUHU TD
PEMBERI
KLINIK GIZI LAYANAN ( kg ) ( Cm ) ( ◦C) ( mmHg)
SANITASI
1 1 1 35 154 36 125/62
1 1 42.4 153 36 141/86
1 1 35 145 36 127/76
1 1 44.1 154 36 138/87
1 1 7.1 64.5 36
1 1 32.9 143.5 35.5 91/63
1 1 67.8 157 35.6 129/89
1 1 77.1 170 36 128/88
1 1 10.3 34.5
1 1 65.3 157 36 115/74
1 1 8.6 79 36
1 1 44.8 145 36 109/76
1 1 11 38
1 1 8 85 35.1
RR NADI
PETUGAS
( x/mnt) ( x/mnt)
106
65
98
95
30 90
32 98
73
77
30 90
66
20 96
99
100
100
JK
TEMPAT TANGGAL
NO NO. INDEX NAMA KK NAMA PASIEN NIK UMUR
LAHIR LAHIR L/P
1 03-1713 MANUEL PAREIRA JONITA BORGANSA DILI 12/10/1985 33THN P

2 03-1713 MANUEL PAREIRA SARAH PAREIRA DILI 18THN P
3 99-0215 EGIDIUS TES RIZAL I TES ATB 7/31/2018 5BLN L
4 99-0501 JOAO DOS SANTOS DEMETRIANA UNAB TUAMESE 12/29/1971 47THN P
5 03-0058 AGUSTINUS NEKE ARIFIN A NAHAK ATB 12THN L
6 99-0194 FERDINANDUS KANIBE MIKAEL JULIO K BERE ATB 2/26/2015 3THN L
7 99-0984 DOMINGGUS SALU ALEXANDRO SALU ATB 7/16/2014 4THN L
8 99-0620 YOHANES MANANEL YULITA MAU WEKMURAK 7/25/1985 33THN P
9 99-0620 YOHANES MANANEL YOHANES MANANEL 530.412.240.8BINILAKA 8/24/1982 36THN L
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
SUKU PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE NAMA OBAT
BANGSA B/L DDR GD
TETUN IRT FATUBENAO 031/001 OMA B AMOX,CLORAM TETES,VITC,DEXA

TETUN IRT FATUBENAO 031/001 POST PAKET TB,ANOREKSIA B BC
MARAE MANUAMAN 029/005 KONJUNGTIVITIS B CLORAM TETES MATA
DAWAN IRT MANUMUTIN 018/003 HT B CAPTOPRIL,PCT,BC
TETUN FATUBENAO 014/005 GASTRITIS B ANTASIDA,B6
FLORES UMANEN DIARE B ZINC,PCT,BC,NEG
DAWAN MANUMUTIN 009/002 ISPA,FURUNKEL B CTM,VITC,PCT,AMOX,DEXA
TETUN PNS MANUMUTIN 008/003 DIARE B COTRIM,ANTASIDA,PCT
DAWAN PNS MANUMUTIN 008/003 BATUK,ISPA B CEFA,ANTASIDA,PCT

HASIL PEMERIKSAAN LAB KONSELING BB
PEMBERI
SANITASI
1 1 54.6
1 1 31.5
1 1 6.7
1 1 46.1
1 1 44.3
1 1 11.1
1 1 12.5
1 1 50
1 1 68
TB SUHU TD RR NADI
PETUGAS
146 36 113/71 20 68 BASTI H

150 36 99/69 18 101
35.9 30 120
157 36 156/85 18 93
155 36 117/67 18 94
99 36 20 90
99 38 28 80
158 36 110/80 20 88
161 36 110/86 28 87
JK
TEMPAT TANGGAL SUKU
LAHIR LAHIR L/P BANGSA
1 03-1713 MANUEL PAREJONITA BORGANSA DILI 12/10/1985 33THN P TETUN

2 03-1713 MANUEL PARESARAH PAREIRA DILI 18THN P TETUN
3 99-0215 EGIDIUS TES RIZAL I TES ATB 7/31/2018 5BLN L MARAE
4 99-0501 JOAO DOS SA DEMETRIANA UNAB TUAMESE 12/29/1971 47THN P DAWAN
5 03-0058 AGUSTINUS N ARIFIN A NAHAK ATB 12THN L TETUN
6 99-0194 FERDINANDUSMIKAEL JULIO K BERE ATB 2/26/2015 3THN L FLORES
7 99-0984 DOMINGGUS SALEXANDRO SALU ATB 7/16/2014 4THN L DAWAN
8 99-0620 YOHANES MA YULITA MAU WEKMURAK 7/25/1985 33THN P TETUN
9 99-0620 YOHANES MA YOHANES MA 530.412.240.8BINILAKA 8/24/1982 36THN L DAWAN
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE NAMA OBAT
B/L DDR GD AU
IRT FATUBENAO 031/001 OMA B AMOX,CLORAM TETES,VITC,DEXA

IRT FATUBENAO 031/001 POST PAKET TB,ANOREKSIA B BC
MANUAMAN 029/005 KONJUNGTIVITIS B CLORAM TETES MATA
IRT MANUMUTIN 018/003 HT B CAPTOPRIL,PCT,BC
FATUBENAO 014/005 GASTRITIS B ANTASIDA,B6
UMANEN DIARE B ZINC,PCT,BC,NEG
MANUMUTIN 009/002 ISPA,FURUNKEL B CTM,VITC,PCT,AMOX,DEXA
PNS MANUMUTIN 008/003 DIARE B COTRIM,ANTASIDA,PCT
PNS MANUMUTIN 008/003 BATUK,ISPA B CEFA,ANTASIDA,PCT

IL PEMERIKSAAN LAB KONSELING BB TB
PEMBERI
KOL HB KLINIK GIZI LAYANAN ( kg ) ( Cm )
SANITASI
1 1 54.6 146
1 1 31.5 150
1 1 6.7
1 1 46.1 157
1 1 44.3 155
1 1 11.1 99
1 1 12.5 99
1 1 50 158
1 1 68 161
SUHU TD RR NADI
PETUGAS
( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
36 113/71 20 68 BASTI H
36 99/69 18 101
35.9 30 120
36 156/85 18 93
36 117/67 18 94
36 20 90
38 28 80
36 110/80 20 88
36 110/86 28 87
JK
TEMPAT TANGGAL SUKU
LAHIR LAHIR L/P BANGSA
1 03-1713 MANUEL PAREJONITA BORGANSA DILI 12/10/1985 33THN P TETUN

2 03-1713 MANUEL PARESARAH PAREIRA DILI 18THN P TETUN
3 99-0215 EGIDIUS TES RIZAL I TES ATB 7/31/2018 5BLN L MARAE
4 99-0501 JOAO DOS SA DEMETRIANA UNAB TUAMESE 12/29/1971 47THN P DAWAN
5 03-0058 AGUSTINUS N ARIFIN A NAHAK ATB 12THN L TETUN
6 99-0194 FERDINANDUSMIKAEL JULIO K BERE ATB 2/26/2015 3THN L FLORES
7 99-0984 DOMINGGUS SALEXANDRO SALU ATB 7/16/2014 4THN L DAWAN
8 99-0620 YOHANES MA YULITA MAU WEKMURAK 7/25/1985 33THN P TETUN
9 99-0620 YOHANES MA YOHANES MA 530.412.240.8BINILAKA 8/24/1982 36THN L DAWAN
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
PEKERJAAN ALAMAT RT/RW DIAGNOSA KODE NAMA OBAT
B/L DDR GD AU
IRT FATUBENAO 031/001 OMA B AMOX,CLORAM TETES,VITC,DEXA

IRT FATUBENAO 031/001 POST PAKET TB,ANOREKSIA B BC
MANUAMAN 029/005 KONJUNGTIVITIS B CLORAM TETES MATA
IRT MANUMUTIN 018/003 HT B CAPTOPRIL,PCT,BC
FATUBENAO 014/005 GASTRITIS B ANTASIDA,B6
UMANEN DIARE B ZINC,PCT,BC,NEG
MANUMUTIN 009/002 ISPA,FURUNKEL B CTM,VITC,PCT,AMOX,DEXA
PNS MANUMUTIN 008/003 DIARE B COTRIM,ANTASIDA,PCT
PNS MANUMUTIN 008/003 BATUK,ISPA B CEFA,ANTASIDA,PCT

IL PEMERIKSAAN LAB KONSELING BB TB
PEMBERI
KOL HB KLINIK GIZI LAYANAN ( kg ) ( Cm )
SANITASI
1 1 54.6 146
1 1 31.5 150
1 1 6.7
1 1 46.1 157
1 1 44.3 155
1 1 11.1 99
1 1 12.5 99
1 1 50 158
1 1 68 161
SUHU TD RR NADI
PETUGAS
( ◦C) ( mmHg) ( x/mnt) ( x/mnt)
36 113/71 20 68 BASTI H
36 99/69 18 101
35.9 30 120
36 156/85 18 93
36 117/67 18 94
36 20 90
38 28 80
36 110/80 20 88
36 110/86 28 87

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MYALGIA M791 B IBUPROFEN, B COM 107 5.8 186 1 3

65 165 36 120/86 65 ZELIA

1 99015720 LAMBERTUS Y. KLAU HILARIA HOAR

15 99019931 THOMAS MAIA SEPTIA

16 99076320 SUBAIDAH SUBAIDAH 5304215111500000

BESIKAMA 10/6/1968 50 P TETUN IRT NENUK 001/001

ATAMBUA 10/17/2014 4 L MARAE MANUMUTIN 012/004

ATB 9/19/2004 14 P TETUN PELAJAR M.MUTIN 021/003

MADURA 11/11/1950 68 P JAWA IRT UMANEN 006/002

GE, ISPA B ZINC,CTM,VIT C, PCT, AMOX

VULNUS L LANJUT OBAT

BATUK B AMBROXOL,VIT C,PCT

53 160 137/70 58 WIE

12.8 84 38.5 102

1 02.1007.70 KAROLINA A LUK KAROLINA A LUK 5304 127112420002

DAFALA 12/31/1942 76 P TETUN IRT TENUKIIK 014/003

ATB 9/6/2014 4P DAWAN PELAJAR LIDAK 019/003

SUSP TB PARU L OAT,PCT, VIT B6

OBS FEBRIS L PCT NEG

1 99065120 MARKUS ASUK FIFI F. BAHA DILI

2/26/1998 20 P TETUN SWASTA MAN LETEN LIMFADENTIS B

8/15/1953 65 L TETUN PEN TNI M. MUTIN 005/002 VULNUS L

CIPRO PCT DEXA

1 1 51.1 156.2 36 111/62

1 03.1326. BALTAZAR BINSASI BALTAZAR BINSASI 5304 120208480001 BIONI

99.0128. YULIUS BLEGUR RENER BLEGUR ATB

8/2/1948 70 L DAWAN SWASTA FATUBENAO 013/004 HT

10/23/2016 2 L ALOR MANUMUTIN 027/001 COMMON COLD

1 1 54 159 36 134/73 78 NANDA

1 99109510 ANUS DONI OKTAVIANUS DONI 5304 1207 0668 0002

BALIBO 6/7/1968 49 L TETUN PNS M.MUTIN 007/003

VULNUS L AMOX VIT C

51 159 36 119/82 93 MIGUEL

1 990,035 ADRIANUS SAFE SERGIO SAFE KEFA

8/9/2014 4 THN L DAWAN M.MUTIN 008/003 FURUNKULOSIS,ISPA

8/16/1966 52THN P TETUN FATUBENAO 008/003 HT,DISPEPSIA

B HCT,IBUPROFEN,OMEPRAXOL 4.6 170

1 99-0838 YUSTINA FUNAN YUSTINA FUNAN 530.412.680.970.000.1

ABAT BOT 9/28/1970 48THN P DAWAN IRT BEIRAFU 010/003

ATB 1,6THN P AMBON TENUKIIK 008/003

DIARE TAMPA DEHIDRASI B ORALIT,ZINC

145 35 102/74 32 104 BASTI H

1 03-0270 EDUARDO A DE ARAUJO ERMELINDA RIBERU 530.412.670.867.000.1

BAZARTETE 8/27/1967 51THN P TETUN FATUBENAO

ATB 12/29/2003 15THN P TETUN MANUMUTIN

SIMVASTAIN,OMEPRAXOL 87 5.8 224

1 99,084,231 JOKO PRIHATIN JIBRAEL D. PRIHATIN 5304 2163 0850 0001

ATAMBUA 8/3/2015 3 L JAWA BEIRAFU

ATAMBUA 1/1/1972 46 L TETUN SWASTA LIDAK

002/001 BATUK B AMBROX PCT

SUSP TUMOR L NADIC AMOX

1 13.4 101 36 30 CELES

1 60.8 160 36 138/83 74

2/8/1962 62 P MARAE IRT FATUBENAO 027/005 HT GRADE,DM TIPE 2

3/6/2010 8 P TETUN PELAJAR FATUBENAO 018/006 VULNUS APERTUN

1 1 47.7 143 36 157/93 14 107

1 99087432 SERAN JEREMIAS MANUEL LIUS G

10 02-0469 ALEX KAREL LAPIA LUSENSIA

11 01-0142 ELISAMA A KALAKIK MARSYA A KALAKIK

5304 2208 0687 0001 MALIANA 5/8/1987 31 L TETUN SWASTA

ATB 1,6THN P AMBON

BANGUWANGI 6/30/1964 54THN P JAWA IRT