TANGGAL ALAMAT & NOMOR JENIS

NO NAMA PASIEN NOMOR RM

LAHIR TELEPON IMPLANT/NOMOR
1. Ny.Tresnawati Wirawan 16-07-1947 38-96-13 Jl.Salemba Tegalan IX/4 Alcon :SOF IQ IOL
RT.008/005 Kel.Palmerian Power:16.5.D
Jakarta Timur No. SN :
08151476788 12655941.085
2. Ny.Wasipah 12-05-1962 37-68-27 Jl.Budi Mulia RT.015/011 Power :+18.5
Pademangan Barat, Ref : FH560 SQ
Pademangan Jakarta Utara SN : CA7967-158
087884701900
3. Ny.Liu Tjui Moi 15-07-1945 31-38-26 Sunter Hijau Raya F4/11 Power :+17.0
RT.008/010 Sunter Ref : FH5600 SQ
Jaya,Jakarta Utara SN-CA9496-119
081806992730
4. M.Taufik 27-09-1972 26-14-74 Perum Ciumpen Asri A-IV AT LARA829MP
No.34 RT.002/006 Bogor Power : +17.0
0819412463 Carl Zeiss Meditec
5 Ny. Sanem 29-10-1957 41-58-99 Budi Mulya.RT 003/010, Power : +17.0
Pademangan Barat, Jakarta Ref : FH566 SQ
Utara SN – CA9496-120
0895330058088
6. Nn. Salwa 1-1-2001 41-83-24 Komp.Dep.Agama, RT Endobutton CL Ultra
001/RW.004,Kel.Waringin fixation Button,
Jaya, Kec.Bojong Gede, Kab. 15mm (72200146)
Bogor Biosure HA Screw
0895414802681 8mm x 30mm
(72201772)
7. Tn Enggun Galuh 19-9-1999 41-83-24 Kp.Onday , Desa Mulangsari Endobutton CL Utra
RT.007/005, Kec. Pangkal, Fixation Button
Kab.Kerawang 15mm (72200146)
085888090983 Biosure HA Screw
10mm x30mm
(72201786)
8. Ny.Tjen Kim Ni 04-02-1946 35-91-64 Jl.Budi Muya Gang 1 no.4 JNJ Fision
RT11 RW 6 D : =16.0 D
081319078995 SN4008631806
9. Tn. Muh. Amin 25-10-1955 34-28-71 Jl.Lodan Raya Kampung Auroflex
Bandan RT 7 RW2 Ancol Power : +20.5
Pademangan Jakut FH 5600 SQ
08128836648 SN-DA0034-213

10. Ny. Suminah 30-04-1954 32-66-54 Jalan Salak 10 Blok RU no.23 Auroflex
08159999095 Power :+19.0
FH 5600SQ
SN-CA 7278-146