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Puskesmas : PUSKESMAS CIPADUNG

Tanggal : 01 Jan 2021 s.d 13 Jan 2021

No Tanggal NAMA PASIEN

1 2021-01-02 AYI SUPRIATNA


2 2021-01-02 ASEP HERDIS
3 2021-01-02 CECEP SURYADI
4 2021-01-02 RONAL TRI RINALDI
5 2021-01-02 YENI SURYANI
6 2021-01-02 PIPIH WIDIAWATI
7 2021-01-02 ELAH
8 2021-01-02 DADAN ABDURACHMAN
9 2021-01-02 WIWI
10 2021-01-02 ADE TITI
11 2021-01-02 SOPIYANTI
12 2021-01-02 YANI SUHARYANI
13 2021-01-02 LILI
14 2021-01-02 NUR HIDAYAH
15 2021-01-02 DEDI
16 2021-01-02 ATIKAH
17 2021-01-02 TETEh SITI HODIJAH
18 2021-01-02 ANNISA NURUL ROHMAH
19 2021-01-02 SHAZFA ARSYILA NUGRAHA
20 2021-01-02 DANI RAMDANI
21 2021-01-02 SUBARKAH
22 2021-01-02 ALYA ANGGASARI
23 2021-01-02 NURSODIK
24 2021-01-02 IRNAWATI AGUSTINA
25 2021-01-02 HASBY SEPTYA DAROJAT
26 2021-01-02 ATI KUSMIATI
27 2021-01-04 RIZA ESA MAULANA
28 2021-01-04 MUHAMMAD AKBAR WIJAYA
29 2021-01-04 NURBAENI
30 2021-01-04 ERNAWATI
31 2021-01-04 NAZWA ADILLAH RAFANDA
32 2021-01-04 KEINARA SHAQEENA ZAARA
33 2021-01-04 HARI SUSANTO
34 2021-01-04 AHMAD NUR FUADI SAPUTRA
35 2021-01-04 RISKI NURSIDIK
36 2021-01-04 RANIA AGUSTIN
37 2021-01-04 ANNISA SEPTIANI
38 2021-01-04 FARID RIZKY OKTAVIAN
39 2021-01-04 INDAH LISTIANI SUCI
40 2021-01-04 DEWI RAHMI
41 2021-01-04 HELMI SAEPUDIN
42 2021-01-04 TIKA KARTIKA
43 2021-01-04 ASLAMA TAZKIA BAHARI
44 2021-01-05 IDA DARWASIH
45 2021-01-05 RANTI NURAENI
46 2021-01-05 NANDANG HIDAYAT
47 2021-01-05 DANIEL HARINDAR
48 2021-01-05 SITI NURHALIMAH
49 2021-01-05 DENDI RIPALDI
50 2021-01-05 AI SARI NINGSIH
51 2021-01-05 MIMIN
52 2021-01-05 ELSA CHIANTIKA RAHAYU
53 2021-01-05 WIDIA ASTUTI
54 2021-01-05 IKHSANUL FAUZI
55 2021-01-05 YANTO HERMAWAN
56 2021-01-05 WATI KATRIANI
57 2021-01-05 OKTALIA RESTI BDIYANTI
58 2021-01-05 ULFAH NURUL ANNISA
59 2021-01-05 INEU SETIANI
60 2021-01-05 SITI ALFIYYAH SYIFAA FAUZYAH
61 2021-01-05 DENADA
62 2021-01-05 AI KANAH
63 2021-01-05 RENI ROHMAWATI
64 2021-01-05 NOVIA SRI DEWI
65 2021-01-05 NINA KARLINA
66 2021-01-05 MUHAMAD ZAFAR SIDIK
67 2021-01-06 ZIDNI ILMA NAFI'A
68 2021-01-06 IIS RAHMAWATI
69 2021-01-06 ABUNG GUNAWAN
70 2021-01-06 SITI AMINAH
71 2021-01-06 ALIA MEILANTI
72 2021-01-06 SABANAH
73 2021-01-06 Rositawati
74 2021-01-06 SABAR HASIBUAN
75 2021-01-06 AANG KUSNADI
76 2021-01-06 AULIA HUSNA MADANI
77 2021-01-06 CHOLIJAH
78 2021-01-06 FAUZAH
79 2021-01-06 MIMIN MINTARSIH
80 2021-01-06 GRAHA SABILLAH TANTRA
81 2021-01-06 RAINA ARBANIA
82 2021-01-06 NANI
83 2021-01-06 IRMA SUBHIANTI
84 2021-01-06 cecep taryana
85 2021-01-06 CECE CAHYANA
86 2021-01-06 NURUL KHOTIMAH
87 2021-01-06 ANA RUBIANA
88 2021-01-06 SALOMINA HINDOM
89 2021-01-06 GISEL VIORA CAHYA MUBINA
90 2021-01-06 ROHAENI
91 2021-01-06 ENCENG SETIAWAN
92 2021-01-06 KOMALA MUKRI.M
93 2021-01-06 DADANG SUARSA
94 2021-01-06 CACIH
95 2021-01-06 YUNITA AGUSTIANA
96 2021-01-06 DENY AGUNG GUNAWAN
97 2021-01-06 FAVIO FAHREZA PAUSTA
98 2021-01-06 MINAH
99 2021-01-06 NOPIANTI LESTARI
100 2021-01-06 ANGLIA OKTAVIANI
101 2021-01-06 CECEP OKID
102 2021-01-06 EVA ELIZA
103 2021-01-06 MASLIHAT
104 2021-01-06 RINA RIESMAYA
105 2021-01-06 H.E.RUSNANDI SUPARMAN,DRS
106 2021-01-06 PIPI ALFIATI P
107 2021-01-06 YULI HARLINA HARUN
108 2021-01-06 VICIALI NITYA LARISSA
109 2021-01-06 QEIS MUHAMMAD
110 2021-01-06 DEVI ANNISA PRATIWI
111 2021-01-06 NURLELA
112 2021-01-06 SAEPUL RAHMAN
113 2021-01-06 TITIN SURYATIN
114 2021-01-06 RAMDAN ROSADI
115 2021-01-06 RINDU NUR'AIDA
116 2021-01-07 DEWI SRI SUHAETI
117 2021-01-07 SITI AISYAH
118 2021-01-07 CHOLIJAH
119 2021-01-07 R BUDIMAN
120 2021-01-07 AAM RUSMAN
121 2021-01-07 UPAR SUPARDIN
122 2021-01-07 KARISHA APRILIA
123 2021-01-07 HESTI
124 2021-01-07 LUCKY WIBOWO
125 2021-01-07 ALMEERA AZZAHRA PERMANA
126 2021-01-07 NADHIRA AULIA ZAHRA
127 2021-01-07 HANI WAHYUNI
128 2021-01-07 FITRI RAHMAWATI
129 2021-01-07 AYU NOVIKASARI
130 2021-01-07 ARI SEPTIAN NUGRAHA
131 2021-01-07 WAININGSIH HALIMAH
132 2021-01-07 SUNARCIH
133 2021-01-07 ZAMZAM NURZAMAN
134 2021-01-07 AAN KARWATI
135 2021-01-07 TUTI SRI YANTI
136 2021-01-07 DODI PADILAH
137 2021-01-07 DADAN WARDANI
138 2021-01-07 DEDI SUPRIADI
139 2021-01-07 DEVI OKTAVIANTI
140 2021-01-07 FARIDA DIAN KOMALASARI
141 2021-01-07 NUNUNG SULASTRI
142 2021-01-07 FANI AYU TYAS PRAWESTHI
143 2021-01-07 ELLEN CAMELIA
144 2021-01-07 RANTI KARTIKA
145 2021-01-07 SALLY SITI HUZAIMA
146 2021-01-07 SINDY AYU SHAFITRI
147 2021-01-07 RIZKY PURNAMA AJI
148 2021-01-07 AR RAYYAN SAFWANALFARIZQI
149 2021-01-07 IRMA FITRIA YULISTINA
150 2021-01-07 CICA S PUTRI
151 2021-01-07 RYANTI GUTIAN
152 2021-01-07 ALINA HUMAIRA
153 2021-01-07 INEU SETIANI
154 2021-01-07 AMI RIZKI
155 2021-01-07 NUR ARIPIN
156 2021-01-07 RINDA SANIAH
157 2021-01-07 RAMDAN ROSADI
158 2021-01-07 MAWARNI SILABAN
159 2021-01-07 RISKI NURSIDIK
160 2021-01-07 HJ KOMANAH
161 2021-01-07 SUSANTI
162 2021-01-07 ENANG MULYADI
163 2021-01-07 EDI
164 2021-01-07 KAWULAN MARUFAH
165 2021-01-07 EUIS SITI HASANAH
166 2021-01-07 NANI
167 2021-01-08 ANGGA MUHAMMMAD RIZKI
168 2021-01-08 ALEX ROESMEDY
169 2021-01-08 TRIYANI
170 2021-01-08 JOSA OKTAFIANI
171 2021-01-08 NUR ALAMSYAH
172 2021-01-08 KHAYLA ALMIRA MARITZA
173 2021-01-08 WIWIN WIDANENGSIH
174 2021-01-08 ANDRI WIKANTO
175 2021-01-08 KEANDRA AIDA ZAIDA
176 2021-01-08 AHMAD FAUZAN
177 2021-01-08 MUHAMMAD WAFA ZAYN ARZETHA
178 2021-01-08 Halimah
179 2021-01-08 ANGGI ANGGRAENI
180 2021-01-08 RAFLI AFRIZAL
181 2021-01-08 HISYAM PRAYATA ANNAFI
182 2021-01-08 FATHIMAH AQILAH ALMUBAROKAH
183 2021-01-08 DIANA ASSYIPA
184 2021-01-08 ASEP SUHAYA PERMANA
185 2021-01-08 ENDANG
186 2021-01-08 ADIVA AZZAHRA
187 2021-01-08 YAYA SUNARYA
188 2021-01-08 PIPIH KOMALASARI
189 2021-01-08 IR.SUPRIJANTO
190 2021-01-08 JASKI KURNIA
191 2021-01-08 MUHAMAD REFI PRATAMA
192 2021-01-08 DADANG PRIATNA
193 2021-01-08 NANDANG FIRMANSYAH
194 2021-01-08 TANIA NURIZKI SALSABILA
195 2021-01-09 HASWOKO S
196 2021-01-09 ADI WAHYUDIN
197 2021-01-09 MAMAN SUHERMAN
198 2021-01-09 KOKOM KOMALASARI
199 2021-01-09 RANI MAHAFITRIANI
200 2021-01-09 YUSMINA
201 2021-01-09 DHEA ERNA KHOERUNNISA
202 2021-01-09 SANTI ROHIMATUL BAKARIYAH
203 2021-01-09 EUIS HADIJAH
204 2021-01-09 ANNISA NUR ZAMILA
205 2021-01-09 NENG RISMAWATI
206 2021-01-09 FITRIYA YULIANTI
207 2021-01-09 NANI SUMARNI
208 2021-01-09 DINI WIDYA LESTARI
209 2021-01-09 MITSLI MAULIDI
210 2021-01-09 IIS SUMARNI
211 2021-01-09 RILLA AMELIA
212 2021-01-09 ELI MULYANI
213 2021-01-09 TITIN SURYATIN
214 2021-01-09 RIZKI MUHAMMAD HAFIS
215 2021-01-09 DANI RAMDANI
216 2021-01-09 DEA NURAMIRA
217 2021-01-09 E NURHASAN
218 2021-01-09 ISMAHANI
219 2021-01-09 ROHDIAN HISTIYADI s.p.d
220 2021-01-09 HOPSAH
221 2021-01-09 RESTI NURHASANAH
222 2021-01-09 TSANIA NURFADILAH
223 2021-01-09 USI USIANA
224 2021-01-11 sabrina INKA PUTRI
225 2021-01-11 ENI ROHAYATI
226 2021-01-11 OOH
227 2021-01-11 GRAHA SABILLAH TANTRA
228 2021-01-11 ANASTASIA SUMARTINI
229 2021-01-11 ELLEN CAMELIA
230 2021-01-11 NANDA DWI SEPTIANI
231 2021-01-11 NUR FAHIRA NAZIHA
232 2021-01-11 ZENAL
233 2021-01-11 ADITYA NURAENI
234 2021-01-11 ADITYA NURAENI
235 2021-01-11 MAHARDIKHA APRILIAN FEGA
236 2021-01-11 ASEP SUHAYA PERMANA
237 2021-01-11 NURUDIN
238 2021-01-11 MUHAMMAD ALAFASY N
239 2021-01-11 ALI RABHANI
240 2021-01-11 TINI SARTINI
241 2021-01-11 DIMAS RIYANTO
242 2021-01-11 M DAHLAN
243 2021-01-11 OCA
244 2021-01-11 ARKAN DANIS
245 2021-01-11 HAFFY SANDI RAHAYU
246 2021-01-11 ALISA HAFIZA AZZAHRA
247 2021-01-11 HOTIMAH
248 2021-01-11 CECE CAHYANA
249 2021-01-11 KINANTI ATTAYA KHALFANI
250 2021-01-11 GENTA RIZQI ALAMSYAH
251 2021-01-11 ELI YULIAWATI
252 2021-01-11 IKBAL HAIKAL
253 2021-01-11 YAYAT PRIYATNA SETIAWAN
254 2021-01-11 YUDIKA ARITONANG
255 2021-01-11 RIZ KELANA
256 2021-01-11 INE ROHAENI
257 2021-01-11 SAFITRI
258 2021-01-11 NANA SUMARNA
259 2021-01-11 DIDING KURNIA
260 2021-01-11 TARWIYAH
261 2021-01-11 TETI SUHAETI
262 2021-01-11 YULI YULIANI
263 2021-01-11 RIZKI SAPUTRA
264 2021-01-12 JONIS SIAGIAN
265 2021-01-12 ICE SARIYATI
266 2021-01-12 ENDANG SUPARMAN
267 2021-01-12 SITI ROHATI
268 2021-01-12 KIPTIYAH
269 2021-01-12 USEP TRISNA
270 2021-01-12 RISKA
271 2021-01-12 UMI KULSUM
272 2021-01-12 DWITIA SEPTIANI
273 2021-01-12 ANDRIE HANDRIAN
274 2021-01-12 RATWINTAN
275 2021-01-12 ANI MARYANI
276 2021-01-12 RITA ASMARA
277 2021-01-12 LATIFAH NURHADI RAFI
278 2021-01-12 KAUTSAR HASBY ARRASYID
279 2021-01-12 SITI AISYAH
280 2021-01-12 IBAR RAHIM
281 2021-01-12 NENENG KURNIA
282 2021-01-12 SHINTA RAHMANDA DILLA
283 2021-01-12 AISYAH
284 2021-01-12 IRWAN UMBARWAN
285 2021-01-12 SITI RAMELAH
286 2021-01-12 NENENG ROHANAH
287 2021-01-12 SHINTA PRAWITASARI
288 2021-01-12 ATI KUSMIATI
289 2021-01-12 AI ROHAETI
290 2021-01-12 NILA KARMILA
291 2021-01-12 DEDI SUPRIADI
292 2021-01-12 ATIKAH
293 2021-01-12 EKA FAN FAN SEPTIADI
294 2021-01-12 AGUS ROCHMAN
295 2021-01-13 SOEKIRNO
296 2021-01-13 ZAINAL MUTTAQIEN
297 2021-01-13 UPAR SUPARDIN
298 2021-01-13 NOLA ERICKA
299 2021-01-13 IKA MERDEKAWATI
300 2021-01-13 ETI SURYATI
301 2021-01-13 CICIN
302 2021-01-13 MUHAMAD SHIDIQ
303 2021-01-13 NURLENI
304 2021-01-13 SHERLY NURTASYARANI RAHMA
305 2021-01-13 MA SUM
306 2021-01-13 ASEP MAMAN SUPRIADI
307 2021-01-13 NISA KHOIRRUNNISSA
308 2021-01-13 SRI WIDIYANTI YEKTI UTAMI
309 2021-01-13 GIFARI
310 2021-01-13 GHEFIRA NAJILA NURHAIFA
311 2021-01-13 AUNG
312 2021-01-13 NAURA PUTRI RAMADHANI
313 2021-01-13 SARI SUNDARI
314 2021-01-13 EUIS
315 2021-01-13 IIM TARMILAH
316 2021-01-13 ABDILLAH SYUKUR
317 2021-01-13 ALI RABHANI
318 2021-01-13 AAM ABDILLAH
319 2021-01-13 RINAWATI
320 2021-01-13 ANNISA YULIANTI
321 2021-01-13 ELY YULIAWATI
322 2021-01-13 FIRMAN HERYANTO
323 2021-01-13 ADE SUDRAJAT
324 2021-01-13 ARDIANSYAH
325 2021-01-13 RIZAL GUNAWAN
326 2021-01-13 MISSBAHUL SOLIHIN
327 2021-01-13 N ST MUNAWARAH
328 2021-01-13 APID SURYANA
329 2021-01-13 KOMALA
330 2021-01-13 RATNA SUCIYANTI
331 2021-01-13 NELLI ANITA WATI
332 2021-01-13 MECCA AYATUL HUSNA
333 2021-01-13 ELAH
LAPORAN KEGIATAN PUSKESM

ALAMAT USIA USIA SISTOLE DIASTOLE


(Tahun) (Bulan)
CILENGKRANG 04/14 57 7 120 80
CIGAGAK 05/13 57 5 120 70
CIGAGAK RT 06 RW 13 29 3 120 80
PALASARI RAYA RT 02 RW 14 30 10 100 70
CIONYAM 07/03 49 4 120 80
CIGAGAK RT4 RW14 37 5 100 60
BBKN BIRU RT04 RW08 CIBIRU WETAN 35 1 140 90
CIJAMBE 06/06 48 4
CIKONENG BABAKAN 06/01 27 2 100 70
CIGAGAK RT 02 RW 07 33 3 120 80
CIGAGAK 02/07 22 3 110 70
CIPADUNG 01/11 37 7 120 80
CIGAGAK RT 05 RW 14 47 7 110 70
VIJAYAKUSUMA 02/10 21 7
CIGAGAK RT4 RW15 50 9 1 1
GANDOL 05/05 73 1 110 70
CIPADUNG 03/04 26 5 110 70
CILENGKRANG II 05/05 14 10 100 70
CILENGKRANG 2 RT05 RW06 3 1
CIPADUNG 02/05 5 8 100 70
CIBACANG RT 04 RW 12 26 4
CIPADUNG PERMAI IV 02/07 24 1 90 60
CIBANGKONOL 02/06 62 0 130 80
CIPADUNG 01/08 26 1 110 70
MANGLAYANG IV 07/12 22 3 120 80
MANGLAYANGSARI 03/13 50 1
CILENGKRANG 2 RT 03 RW 02 16 0 110 70
JADARIA RT 01 RW 05 0 3
KP GALUMPIT RT 02 RW 11 62 8 240 100
GARUNG RT01 RW09 31 6 110 70
CIPADUNG RT 01 RW 14 0 2
CILENGKRANG 2 RT06 RW02 0 10
CIPADUNG RT 05 RW 02 50 1 100 70
CIPADUNG RT 5 RW 13 15 10 1 1
CIPADUNG 03/11 0 6 1 1
CILENGKRANG 2 RT 01 RW 12 6 4 1 1
CILENGKRANG 2 RT 01 RW 12 3 4 1 1
CILENGKRANG 2 RT 01 RW 12 2 3 1 1
GARUNG RT 1 RW1 12 3
GALUMPIT RT1RW11 51 11 120 80
CIPADUNG RT 02 RW 03 20 9 100 70
VIJAYAKUSUMA RT 02 RW 10 46 5 120 80
CPD ASRI RT07 RW15 18 1 120 80
CLK 2 RT05 RW03 45 5 130 80
CILENGKRANG II 03/01 21 6 110 70
CILENGKRANG RT5 RW3 45 11 130 80
KOPEDI RT 04 RW 04 21 9 100 70
KP CIGAGAK RT02 RW15 24 2 100 80
CIPADUNG RT 06 RW 15 22 2 100 70
CPD RT03 RW04 32 9 120 80
CIPADUNG RT 3 RW 5 62 4 140 90
JLN EMBAH JAKSA RT01 RW01 21 8
CIPADUNG RT 3 RW 1 26 0
CIPADUNG 01/09 24 0 120 80
CIGAGAK 06/15 34 0 100 70
LIO UTARA RT03 RW09 23 10 110 70
CILENGKRANG II 05/06 31 3 110 60
VIJAYAKUSUMA 04/17 24 7 100 70
CIPADUNG RT05 RW13 39 0 100 70
VIJAYA KUSUMA RT 4 RW 10 23 9
GALUMPIT RT2 RW11 26 4 120 80
CIBANGKONOL 01/06 43 1 160 90
GALUMPIT 02/11 35 10 90 70
CIGAGAK WETAN RT2 RW4 24 2 110 70
CILENGKRANG II 02/03 21 4 110 70
CIKUDA RT 4 RW 11 3 4 110 70
JL MARS SELATAN 44 05/09 25 11 120 70
VIJAYAKUSUMA 01/16 31 2
Vijayakusuma 03/17 68 6 100 60
JL EMBAH JAKSA RT04 RW11 46 4
CIGAGAK 05/07 14 8 100 70
Cisalatri rt3 rw5 51 10 120 70
Cipadung 03/14 38 1 100 70
CILENGKRANG 2 07/03 51 8 120 70
Palasari 07/03 71 6 110 70
GALUMPIT 01/11 15 1 100 70
CIPADUNG RT 06 RW 14 63 6 120 80
Gandol rt1 rw5 62 2 110 70
CILENGKRANG RT02 RW08 64 7 110 70
CILENGKRANG II 04/12 19 10 100 70
CILENGKRANG 2 RT 05 RW 03 4 10
GANDOL RT3 RW5 46 9 100 70
CIPADUNG 03/01 42 2 110 70
CISALATRI 03/06 65 7 110 70
CIGAGAK RT 02 RW 07 38 3 110 70
GALUMPIT RT1 RW5 13 8 100 70
CIKUDA 01/04 39 3 110 70
CILENGKRANG 2 07/02 55 1 110 70
CIGAGAK RT 2 RW 7 7 9 110 70
MEKARSARI 07/01 59 6 130 90
MEKAR SARI RT07 RW01 62 12 120 70
CILENGKRANG II 01/05 70 2 140 90
CIGAGAK 04/13 66 4 120 70
CIPADUNG RT2 RW11 59 7 140 90
KOPEDI RT 4 RW 4 22 5 110 70
CIGAGAK 04/11 46 5 120 70
CIPADUNG RT 02 RW 11 6 11 120 70
CIGAGAK RT 6 RW 14 75 3 140 90
CIGAGAK RT 05 RW 13 33 2 100 80
KP GANDOL RT 04 RW 05 16 3 80 70
Cipadung 03/01 68 7 160 100
CILENGKRANG 2 RT 07 RW 01 38 6 110 70
KP CIPADATI RT 05 RW 01 55 11 120 70
CIJAMBE RT3 RW 8 54 11 160 100
PALASARI rt 6 rw 8 78 8 120 70
PALASARI 05/14 27 8 100 70
CIPADUNG 03/.07 46 6 80 60
JLN PERMAI 3 RT03 RW07 16 4
MANGLAYANG IV RT 2 RW 12 16 11 120 70
VIJAYAKUSUMA 01/10 33 2 110 70
CIPADUNG 06/12 59 2 130 80
Cipadung 01/04 14 4 120 70
CILENGKRANG 3/2 63 11 150 90
MANGLAYANG 1 RT4 RW6 22 0 100 70
GALUMPIT RT 1 RW 5 32 3 110 70
Palasari rt4 rw7 71 4 130 80
CIGAGAK RT6 RW14 42 1 110 70
CIPADUNG RT 06 RW 14 63 6 130 80
RANCAEKEK 3/10 52 8
GANDOL RT3 RW5 44 5
VIJAYAKUSUMA 01/17 61 8 160 100
MEKAR SARI RT7 RW1 12 9 120 70
KOPEDI RT 3 RW4 27 5 110 70
CIGAGAK RT 04 RW 15 36 4 110 70
CIGAGAK 02/14 2 6 120 70
MEKAR JATI 03/05 19 2 110 70
LIO UTARA 02/09 29 2
CIGAGAK 05/14 42 4 110 70
CIPADUNG RT 4 RW 9 21 1 100 70
VIJAYA KUSUMA RT 1 RW16 29 4 110 70
VIJAYAKUSUMA RT 08 RW 10 31 6 110 70
CILEUNYI 05/21 37 7 110 70
CIPADUNG 05/01 28 3 110 70
CIGAGAK RT3 RW4 rt3 rw4 46 9 140 90
CIGAGAK WETAN 03/04 54 9 140 90
CIPADUNG 06/02 31 4 120 80
CILENGKRANG II 07/03 35 8
CIONYAM RT 01 RW 03 30 0
JADARIA 03/05 27 6 110 70
CLKNG 2 RT05 RW03 47 4 110 70
KP JADARIA RT03 RW05 28 3 120 70
CIPADUNG RT 04 RW 02 26 8 110 70
CISALATRI 01/08 22 8 100 70
JADARIA 03/05 18 8 110 70
JL EMBAH JAKSA RT 01 RW 12 22 6 110 70
GALUMPIT RT 1 RW 11 18 0 100 70
GANDOL 03/05 27 0 120 80
PANDAI RT1 RW12 1 5 1 1
CIPADUNG RT 02 RW 02 33 4 100 60
MANGLAYANG SARI RT03 RW13 31 0 120 70
CIPULUS RT 02 RW 10 25 9 110 70
CIPULUS RT2 RW10 1 10 1 1
CIPADUNG RT05 RW13 39 0 100 70
CIPADUNG RT 02 RW 02 23 1 120 80
CIGAGAK 05/13 47 9 120 70
CIPADUNG 04/04 21 1 110 70
MANGLAYANG 1 RT4 RW6 22 0 110 70
CIPADUNG RT4 RW12 42 3
CIPADUNG 03/11 0 6 1 1
KOMP EASTERN HILLS RT 07 RW 13 71 9 120 70
CIPADUNG rt1 rw11 23 3 120 70
CILENGKRANG II 04/08 42 10
LIO UTARA 02/10 50 1 120 70
CIGAGAK RT 04 RW 15 22 2 110 70
LIO SELATAN RT 01 RW 01 48 3 120 80
GALUMPIT rt1 rw11 88 5 170 100
PAMUBUSAN 03/04 0 5
GALUMPIT RT01 RW05 57 12 100 70
CIBANGKOL RT3RW6 40 4 100 70
CIPADUNG RT01 RW15 24 2 110 70
VIJAYAKUSUMA RT 04 RW 17 45 8 120 70
CIKONENG RT 03 RW 03 0 5
CIGAGAK RT2 RW4 37 8 120 90
VIJAYAKUSUMA RT 01 RW 17 56 12 130 90
MANGLAYANG SA R RT 03 RW 13 1 8
CILENGKRANG 2 RT 3 RW 9 14 1 110 70
CIGAGAK RT 03 RW 14 0 2 1 1
Galumpit rt1 rw11 40 0 120 80
MEKAR SARI RT 7 RW 1 20 5 110 70
PAMUBUSAN 0 6
ESTERN HILL RT 07/13 6 5 1 1
CIPADUNG 02/11 5 8 1 1
CIPADUNG RT 2 RW 14 0 10
GANDOL RT 05 RW 05 51 2 120 80
CIGAGAK RT 3 RW 13 62 8 1 1
CIGAGAK RT 03 RW 15 8 8 1 1
CILENGKRANGRT6 RW6 56 1 1 1
CIPADUNG RT1 RW3 36 2 120 80
MANGLAYANG RT 6 RW 8 64 10 120 80
GALUMPIT RT 06 RW 11 7 4 1 1
BBK BIRU RT 02 RW 08 0 4
Cigagak 03/14 39 11 100 60
CIPADUNG RT 5 RW 15 23 8 120 70
CIONYAM RT 02 RW 03 7 9 1 1
MANGLAYANG SARI 04/13 17 2 110 70
MANGLAYANG RT 04 RW 06 41 1 170 100
CILENGKRANG II 02/01 62 1 120 70
CIPADUNG 03/11 19 3 120 80
LIO UTARA 3RT 3 RW 9 19 0
CILENGKRANG 2 RT2 RW3 24 11 110 70
CILENGKRANG 2 RT05 RW02 24 5 110 80
CIPADUNG RT 04 RW 04 31 9 110 70
CILENGKRANG 2 RT 1 RW 3 72 7 140 70
CILENGKRANG 2 RT 01 RW 03 26 9 120 80
CIOYAM rt1 rw3 48 0 120 70
CIPADUNG 02/11 33 7 110 70
GALUMPIT 01/05 53 0
CIPADUNG RT4 RW14 19 3 90 60
JLN SUKALUYU RT 01 RW 12 12 10 100 70
CILENGKRANG RT06 RW06 40 8 120 80
CIGAGAK RT 4 RW 15 15 4 90 70
MEKAR SARI 04/01 49 9 100 80
CILENGKRANG 3/2 63 11 130 70
VI KU RT02RW10 3 5
CILENGKRANG 2 05/03 29 10 120 80
KOMP VI KU C 6 RT02 RW10 1 6
CIGAGAK RT 07 RW 14 65 3 110 70
VIJAYA KUSUMA RT 2 RW 16 62 4 110 70
CIPADUNG rt 3 rw 2 30 7 130 90
CIBANGKONOL RT3 RW6 58 3 80 70
GANDOL 05/05 23 6 100 70
CIONYAM 01/03 15 11 100 70
CIONYAM RT 03 RW 03 30 0
CIPADUNG RT6 RW3 3 6 1 1
CIPADUNG RT06 RW02 54 0 100 60
CIPADUNG RT3 RW4 55 11 110 80
CILENGKRANG II 04/12 19 10 120 80
Viku rt7 rw17 66 10 120 80
CISALATRI 01/08 22 8 100 60
CILENGKRANG 2 RT4 RW8 24 4 120 80
CILENGKRANG II 03/08 0 2
CIGAGAK 02/13 22 6 100 70
CIPADUNG RT 02 RW 05 24 4
CIPADUNG RT 02 RW 05 24 4 110 70
CIPADUNG 02/14 0 9
GANDOL RT 05 RW 05 51 2 130 80
CIPADUNG 04/12 60 4 120 70
KP CISALATRI RT03RW05 0 9
GALUMPIT RT1 RW11 4 10 1 1
CILENGKRANG 2 rt3 rw1 41 9 110 70
CILENGKRANG 2 RT 2 RW 2 20 3 120 70
CIPADUNG 3/3 70 7 140 80
PASIR ANGIN RT2 RW7 51 5
CIPADUNG RT 3 RW 5 0 1
CIPADUNG RT2 RW4 31 0 130 70
CIONYAM RT01 RW03 0 6
CIKONENG RT 1 RW 1 56 0 120 80
CIGAGAK RT 02 RW 07 38 3 120 80
LIO UTARA 03/09 0 9
CILENGKRANG 2 RT 06 RW 02 20 2
CILENGKRANG 2 RT 2 RW 8 42 6 110 70
CIPADUNG RT 4 RW 2 22 7 110 70
CILENGKRANG 2 RT2 RW1 68 4
VIJAYAKUSUMA 03/10 8 3 120 70
CIPADUNG RT1 RW13 34 11
KP CIGAGAK WETAN RT 02 RW 04 22 11 130 80
CILENGKRANG 2 RT 01 RW 03 42 5 120 80
CIPADUNG RT01 RW04 51 4
MANGLAYANG BARU III 06/03 48 1 140 80
Cilengkrang 2 rt7 rw1 56 0 120 70
Cipadung 02/16 72 7 110 70
MANGLAYANG SARI RT1 RW13 26 6
CIGAGAK 03/14 0 10
CILENGKRANG 2 RT7 RW3 50 6 120 70
CIPADUNG RT4 RW4 45 6 110 80
GANDOL 01/13 60 11 1 1
CIPADUNG RT 05 RW 02 36 1 120 80
CIGAGAK RT 3 RW 15 36 1 110 70
CIPADUNG 04/15 51 8 110 70
CPD RT03 RW05 29 9 120 70
CIPADUNG 04/13 66 5 150 90
CILENGKRANG 2 RT04 RW3 24 3 1 1
CILENGKRANG 2 RT 04 RW 02 25 6 110 70
CIGAGAK RT3 RW4 49 4 110 70
CILENGKRANG 2 RT 1 RW 11 41 11 140 90
CIGAGAK 02/14 33 2 1 1
VIJAYAKUSUMA 03/17 24 10
MANGLAYANG SARI RT 03 RW 13 2 9 1 1
CIGAGAK RT6 RW14 42 1 1 1
CIGAGAK RT 05 RW 13 33 4 110 70
CIBACANG RT06 RW12 45 5 150 90
CIPADUNG RT 1RW 3 32 11 110 70
CILENGKRANG 2 RT3 RW2 57 4 160 100
CIGAGAK RT02 RW08 40 9 110 70
CIPADUNG RT 05 RW 01 42 5 110 70
VIJAYA KUSUMA RT 2 RW 16 60 8 120 80
GANDOL RT4 RW5 28 5 110 70
MANGLAYANGSARI 03/13 50 1 1 1
Cipadung 03/01 58 10 110 70
GALUMPIT RT1 RW 11 27 4 110 70
GALUMPIT RT 01 RW 11 49 0 170 90
GANDOL 05/05 73 1 120 80
CIGAGAK WETAN RT 3 RW 4 28 4 100 60
GANDOL 03/05 61 8 140 90
CISURUPAN RT5 RW7 77 11 210 100
CIPADUNG PERMAI 04/07 71 11 120 80
VIJAYAKUSUMA 01/17 61 8 190 90
SINDANG RERET 19 3 90 70
MANGLAYANG RT06 RW03 49 2 130 90
galumpit rt01 rw11 58 8 160 90
CILENGKRANG 2 RT2 RW3 55 7 120 70
CILENGKRANG II 02/03 27 3 120 70
CILENGKRANG 2 RT02 RW09 40 3 110 80
CILENGKRANG II 02/.09 19 1 110 80
CILENGKRANG 2 RT 02 RW 03 58 3 120 80
PALASARI RT04 RW01 31 4 110 70
CPD RT07 RW15 21 5 120 70
CIGAGAK RT03 RW5 53 10 120 70
VIJAYAKUSUMA 01/17 9 2 110 70
VIKU RT02 RW17 15 5 120 70
LIO UTARA 03/09 51 4 130 80
CISALATRI 01/08 5 6 110 70
CISALATRI RT 01 RW8 27 11 120 80
CIGAGAK 04/04 55 8 170 180
CIPADUNG 02/05 52 9 120 80
EMBAH JAKSA 02/12 8 1 110 70
GALUMPIT RT1 RW11 4 10
CIGAGAK 04/13 61 7 120 80
CIGAGAK 05/15 38 6 110 70
CIGAGAK 03/15 23 6 110 70
MEKARSARI 03/01 41 3 110 70
SUKALUYU 05/12 PASIR BIRU 33 6 110 70
CIPADUNG 04/02 55 3 110 70
CISALATRI RT 01 RW 08 18 10 120 70
CIGAGAK RT04 RW15 22 2 110 70
CILENGKRANG 2 RT3 RW9 1 6
PALASARI 5/3 66 6 130 90
KP PAMULIHAN RT 03 RW 02 60 11
CIPADUNG 01/06 60 1 120 80
CIPADUNG RT 03 RW 13 35 10 160 70
CIPADUNG 03/03 48 10 140 90
CIPULUS RT 03 RW 10 3 6
BBKN BIRU RT04 RW08 CIBIRU WETAN 35 1 120 80
N KEGIATAN PUSKESMAS

ICDX
BERAT BADAN TINGGI BADAN ICDX DIAGNOSA DIAGNOSA
SEKUNDE
PRIMER GeneralPRIMER SEKUNDER
R
51 158 K25 examination
Tukak Lambung and ---
Diabetes melitus,
investigation of
69 160 E14 tidak
personsspesifik
without J00 Nasofaringitis akut
58 170 Z00 com ---
89 175 J00 Nasofaringitis akut ---
Pengelolaan
57 149 H40 Glaucoma
kontrasepsi, tidak ---
56 155 Z30.9 spesifik ---
65 156 R51 Sakit kepala ---
Pengelolaan
0 0 K04.0 Pulpitis
kontrasepsi, tidak ---
Irritant
Other contact
disorders of
40 155 Z30.9 spesifik
dermatitis, ---
breast and
49 141 L24.9 unspecified
General
lactation cause ---
Pengelolaan
examination andchil
41 152 O92 associated
kontrasepsi, with ---
investigationtidak
of
68 160 Z30.9 spesifik
persons without ---
54 172 Z00 com ---
Malignant
---
neoplasm of anus ---
1 1 C21 and anal
General
Stomatitis canal
and ---
Pengelolaan
examination and
37 150 K12 related lesions
kontrasepsi, ---
investigationtidak
of
53 155 Z30.9 spesifik
persons without ---
38 148 Z00 com ---
Burn and corrosion,
---
General
body region ---
0 0 T30 examination
unspecified and ---
investigation of
---
persons without ---
Contusion of other
48 164 Z00 com
General
and unspecified ---
56 158 S90.3 examination
parts of foot and ---
Irritant contact
investigation of
60 158 L24 dermatitis
persons without ---
68 167 Z00 Diarrhoea
com and ---
gastroenteritis of
---
presumed ---
52 167 A09 infectious origin ---
---
Hipertensi ---
89 148 I10 primer/essensial ---
55 158 R51 Sakit kepala ---
--- ---
--- ---
58 172 K30 Dispepsia
Pemeriksaan Medis ---
1 1 Z00.0 Umum ---
1 1 L30 Other dermatitis ---
1 1 L30 Other dermatitis ---
1 1 L30 Other dermatitis ---
1 1 L30 Other dermatitis ---
K04.0 Pulpitis ---
55 158 J00 Nasofaringitis akut ---
55 155 M79.1 Myalgia ---
58 158 N30 Cystitis
Stomatitis and ---
Pengawasan Pure
55 155 K12 related
General
Diabetes lesions
melitus, ---
hypercholesterolaem
terhadap
examination and
61 157 E14 tidak spesifik
General
kehamilan normal, E78.0 ia
investigation
examination of
and
61 157 Z34.9 tidak spesifik
persons without ---
investigation
Pengawasan of
70 167 Z00 com
persons without ---
terhadap
61 179 Z00 com
kehamilan normal, ---
43 150 Z34.9 Pengawasan
tidak spesifik ---
Hypotension,
terhadap
56 161 I95.9 unspecified
kehamilan normal, ---
55 149 Z34.9 tidak spesifik ---
57 157 J00 Nasofaringitis akut K30
General Dispepsia
examination
---
General and ---
investigation
examination of
and
---
persons without ---
investigation of
83 165 Z00 com
persons without ---
47 165 Z00 Pengawasan
com
General ---
terhadap
examination and
57 149 ---
kehamilan normal, ---
investigation of
0 158 Z34.9 tidak spesifik
persons without ---
46 155 Z00 com
General ---
62 144 R05 examination
Batuk and ---
investigation of
---
persons without ---
56 142 Z00 com
General
Hipertensi ---
54 159 I10 examination and
primer/essensial
General ---
investigation
examination of
and
94 160 ---
persons without ---
investigation of
59 159 Z00 com
persons ---
Injury of without
58 155 Z00 com
unspecified body ---
16 116 T14 region
Anomalies of tooth ---
45 157 K07.3 position ---
Chronic ischaemic
---
heart disease, ---
67 160 I25.9 unspecified ---
Diabetes
---
General melitus, ---
Gastritis
tidak and with
spesifik
57 150 K29 examination
duodenitis and ---
unspecified
investigation of
58 159 E14.8 complications
persons without ---
Malignant
Lumbar and other
71 152 Z00 com
neoplasm of disc ---
intervertebral
54 156 C73 thyroid gland
disorders with ---
73 169 M51.1 radiculo
General ---
44 155 L30 examination and
Other dermatitis ---
investigation of
54 162 M79.1 Myalgia
persons without ---
65 157 Z00 com ---
41 145 H25.9 Katarak senilis
General ---
55 170 K61.0 examination
Anal abscess and ---
investigation of
---
persons without ---
59 146 Z00 com ---
Paroxysmal
Pengelolaan
nocturnal
kontrasepsi,
haemoglobinuria tidak
58 158 Z30.9 spesifik
[Marchiafava- ---
47 160 D59.5 Micheli] ---
68 159 L30 Other dermatitis ---
37 146 L91.0 Keloid scar tidak
Skizofrenia, ---
64 152 F20.9 spesifik
Tumor ganas pada ---
70 155 C50 payudara ---
21 128 B86 Skabies ---
Hipertensi
76 143 R51 Diabetes
Sakit kepalamelitus, I10 primer/essensial
Chronic ischaemic
tidak spesifik with
59 155 I25 heart disease
unspecified ---
61 156 E14.8 complications
Chronic ischaemic ---
54 154 I25 heart disease
Hipertensi ---
Contusion
Respiratory of
68 155 I10 primer/essensial
external genital J02 Acute pharyngitis
tuberculosis,
48 168 S30.2 organs
bacteriologically ---
48 155 A15 Lumbar
and and other
histological ---
Corns and
intervertebral disc
58 159 L84 callosities
disorders with ---
Pengelolaan
42 141 M51.1 radiculo
kontrasepsi, tidak ---
47 157 Z30.9 spesifik ---
36 147 J00 Nasofaringitis
Hipertensi akut ---
Pengelolaan
54 159 I10 primer/essensial
kontrasepsi, tidak ---
Connective and
73 155 Z30.9 spesifik
other soft tissue, ---
Chronic ischaemic
61 143 D21.9 unspecified
heart disease, ---
65 155 I25.9 unspecified
Diabetes melitus, ---
Pengelolaan
77 162 E14 tidak spesifik
kontrasepsi, ---
Recurrent tidak
58 155 Z30.9 spesifik
dislocation and ---
60 159 M24.4 Respiratory
subluxation of joint ---
tuberculosis,
---
bacteriologically ---
Konseling umum
56 160 A15 and histological
mengenain ---
70 156 Z30.0 Kontrasepsi ---
52 145 H10 Conjunctivitis
General ---
55 150 G40 examination
Epilepsi and ---
Hipertensi
investigation of
57 157 I10 primer/essensial
persons without R05 Batuk
46 163 Z00 com
Anemia, tidak ---
58 155 D64.9 spesifik I84 Haemorrhoids
59 153 H40 Glaucoma
Heart disease, ---
Pure
64 155 I51.9 unspecified
Diabetes melitus, ---
hypercholesterolaem
54 162 E14 tidak spesifik E78.0 ia
--- ---
---
Hipertensi ---
56 164 I10 primer/essensial
General ---
Pengawasan
examination and
58 152 D56 Thalassaemia
terhadap ---
investigation of
70 158 Z34 kehamilan normal
persons without ---
64 168 Z00 Tuberculosis
com of ---
intrathoracic lymph
13 87 A16.0 TBC Klinis
nodes, without ---
57 150 A16.3 mention o ---
--- ---
Respiratory
tuberculosis,
bacteriologically and
56 147 R05 Tuberculosis
Batuk of A15 histological
lung, confirmed by
36 155 A16.0 TBC Klinis
sputum microscopy ---
Pengawasan
Maternal care due
61 168 A15.0 with or
terhadap ---
to uterine scar
50 155 Z34 kehamilan
from previousnormal ---
70 155 O34.2 surgery
Demam yang tidak ---
81 173 R50 diketahui
General
Hypertensivesebabnya
heart R05 Batuk
84 144 I11 examination
disease and J45 Asma
Hipertensi
investigation of
52 150 I10 primer/essensial
persons without ---
65 161 Z00 com ---
--- ---
---
General ---
62 158 K30 examination
Dispepsia and ---
Menstrual
investigation of
53 155 Z30.3 extraction
persons without ---
Pengawasan
Tuberculosis of
48 154 Z00 com
General
terhadap ---
lung, confirmed
examination andby
73 155 Z34 kehamilan
General
sputum normal
microscopy ---
investigation
examination of
and
46 158 A15.0 with or without
persons ---
investigation
Tuberculosis of
of
45 147 Z00 com
persons withoutby ---
lung, confirmed
59 161 Z00 com
sputum microscopy ---
37 150 A15.0 with or yang tidak
General
Demam ---
76 172 R50 examination and
diketahui sebabnya ---
investigation of
9 15 J00 Nasofaringitis
persons withoutakut ---
58 146 Z00 com ---
Pengelolaan
Infeksi saluran
53 150 H61.2 Impacted
General
kontrasepsi,cerumen
tidak ---
pernapasan
examination akut
and
61 155 Z30.9 spesifik
General
atas (ISPA), tidak ---
investigation
examination of
and
10 99 J06.9 spesifik
General
persons without ---
investigation
examination of
and
62 144 Z00 com
General
persons without ---
investigation
examination of
and
57 167 Z00 com
General
persons without ---
investigation
examination of
and
50 163 Z00 com
persons without ---
investigation of
49 154 Z00 com
persons without ---
46 153 Z00 com ---
--- ---
7 89 J00 Other specifiedakut
Nasofaringitis ---
Foreign
disordersbody on
of teeth
50 158 T15 external
and eye
supporting ---
41 150 K08.8 structures
General ---
Coronavirus
examination and
---
infection, ---
investigation
Tuberculous of
50 159 B34.2 unspecified
persons without ---
pleurisy, without
54 147 Z00 com
mention of ---
59 153 A16.5 bacteriological
Hipertensi ---
35 140 I10 primer/essensial ---
Excessive
--- and ---
Chronic
frequentischaemic
82 160 I25 heart disease
menstruation ---
Tuberculosis ofwith
74 156 N92.1 irregular cycle by
lung, confirmed ---
80 168 A15.3 unspecified
PemeriksaanmeansMedis ---
76 163 Z00.0 Umum ---
--- ---
62 140 M79.1 Myalgia
Hipertensi ---
77 165 I10 primer/essensial ---
---
Pemeriksaan Medis ---
40 152 Z00.0 Umum ---
3 1 R50.9 Fever, unspecified
Pemeriksaan Medis ---
56 147 Z00.0 Umum
Hordeolum and ---
44 160 H00 chalazion ---
--- ---
18 1 H10 Conjunctivitis
Oedema, ---
1 1 R60.9 unspecified ---
--- ---
72 158 K30 Dispepsia ---
1 1 R05 Batuk
Hordeolum and ---
29 1 H00 chalazion ---
Diabetes melitus,
1 1 R05 Batuk
Other E14 tidak spesifik
70 155 H44.1 endophthalmitis
Chest pain, ---
71 160 R07.4 unspecified ---
18 112 B36.0 Pityriasis versicolor ---
---
Bipolar affective ---
60 160 F31 disorder
Pemeriksaan Medis ---
60 158 Z00.0 Umum
General ---
16 115 K30 examination
Dispepsia and ---
Hebephrenic
investigation of
57 164 F20.1 schizophrenia
General
persons without ---
91 165 Z00 examination
com and ---
Functional
investigation of
55 156 K59.1 diarrhoea
persons without ---
45 150 Z00 com
General ---
Pengawasan
examination and
---
General
penggunaan obat ---
investigation
examination of
and
46 164 Z30.4 kontrasepsi
persons without ---
investigation of
48 158 Z00 com
persons without ---
78 155 Z00 com ---
Demam yang tidak
Pengawasan Respiratory
41 139 R05 Batuk
penggunaan obat R50 diketahui sebabnya
tuberculosis,
54 155 Z30.4 kontrasepsi ---
bacteriologically and
Pengawasan
54 156 R05 Batuk
penggunaan obat A15 histological
67 155 Z30.4 kontrasepsi
General ---
Pengawasan
examination and
---
penggunaan ---
investigation obat
of
57 163 Z30.4 kontrasepsi
General
persons without ---
Pengawasan
examination and
45 145 Z00 com
penggunaan obat ---
investigation
Stroke, not of
48 155 Z30.4 kontrasepsi
persons without ---
specified as
43 152 Z00 com
haemorrhage or ---
74 158 I64 infarction ---
Diabetes melitus,
57 157 R05 Batuk E14 tidak spesifik
---
General ---
74 171 K30 examination
Dispepsia and ---
investigation of
---
persons without ---
61 155 Z00 com ---
General
examination and
investigation of Observation for
persons without other suspected
53 155 Z00 com
Demam yang tidak ---
diseases and
76 170 R50 diketahui
Hypotension,sebabnya Z03.8 conditions
45 149 I95.9 unspecified
Enlarged lymph ---
Demam yang tidak
50 151 R59.9 nodes, unspecified R50 diketahui sebabnya
44 150 R05 Batuk ---
--- ---
14 114 J00 Nasofaringitis akut ---
Injury
Human of
61 152 F32 Depressive
unspecified episode
body ---
immunodeficiency
50 143 T14 region
virus [HIV] disease ---
57 170 B20 resulting
General in infe
Myeloid leukaemia, ---
66 160 C92.9 examination
unspecified and ---
investigation of
46 158 K30 Dispepsia
General
persons without ---
69 163 Z00 examination
com and ---
investigation of
---
persons without ---
59 186 Z00 com
Chronic ---
0 0 K05.3 periodontitis
Unspecified ---
59 155 L25 contact dermatitis ---
---
Vertigo of central ---
66 158 H81.4 origin
Chronic ischaemic ---
57 163 I25 heart disease
General ---
examination
---
General and ---
investigation
examination of
and
10 110 J00 Nasofaringitis
persons without akut ---
investigation of
69 153 Z00 com
persons without ---
56 179 Z00 com ---
57 170 M54.5 Low back pain ---
0 0 K04.1 Necrosis of pulp ---
--- ---
77 170 K30 Dispepsia ---
--- ---
59 146 K30 Dispepsia ---
68 159 B86 Skabies ---
--- ---
---
Otitis media, tidak ---
67 157 H66.9 spesifik ---
59 166 R05 Batuk ---
---
Acute ---
28 126 L04 lymphadenitis
General ---
examination
--- and ---
Demam yang of
investigation tidak
59 148 R50 diketahui
General sebabnya
persons without ---
66 143 Z00 examination
com and ---
investigation of
---
persons without ---
63 165 Z00 com
Vertigo of central ---
51 148 H81.4 origin ---
56 157 L29 Pruritus ---
--- ---
---
Hypertensive heart ---
70 161 I11 disease ---
55 150 K04.0 Pengawasan
Pulpitis ---
terhadap
Pengawasan
1 1 R05 Batuk
kehamilan ---
terhadap normal,
70 160 Z34.9 tidak spesifik
kehamilan normal, ---
50 150 Z34.9 tidak spesifik
Tuberkulosis ---
45 156 A19 miliaris ---
72 168 K30 Dispepsia
General
Retinal ---
76 155 H35.6 examination
haemorrhage and ---
Benign neoplasm
investigation of
1 1 D24 of breastwithout
persons ---
Connective and
82 175 Z00 com
other soft tissue, ---
61 150 D21.9 unspecified
Pemeriksaan Medis ---
78 155 Z00.0 Umum ---
1 1 K30 Developmental
Dispepsia ---
disorder of speech
---
and language, ---
14 114 F80.9 unspecified ---
Injury of
1 1 H10 Conjunctivitis
unspecified body ---
70 110 T14 Pengawasan
region ---
Hipertensi
terhadap
59 159 I10 Stroke, not
primer/essensial ---
kehamilan
specified asresiko
72 163 Z35.9 tinggi, tidak spesifik
haemorrhage or ---
62 157 I64 infarction ---
83 178 I84 Haemorrhoids ---
55 156 K04.0 Pulpitis
Arthrosis, ---
63 158 M19.9 unspecified ---
43 160 R51 Sakit kepala ---
1 1 M79.1 Pengawasan
Myalgia ---
Bipolar
terhadap affective
49 150 F31 disorder
kehamilan normal, ---
60 156 Z34.9 tidak
General
Chronicspesifik
renal ---
55 160 N18 examination
failure and ---
Stomatitis andof
investigation
50 155 K12 related
personslesions
without ---
59 160 Z00 com
Hipertensi ---
68 163 I10 primer/essensial
Hipertensi ---
57 155 I10 primer/essensial
Acute
Foreign upper
body in ---
59 165 T15.0 respiratory
cornea ---
Hipertensi
infections of
50 164 I10 primer/essensial
multiple and ---
Pengawasan
53 147 J06 unspecifi
penggunaan obat ---
69 157 Z30.4 kontrasepsi
Demam yang tidak ---
50 152 R50 diketahui sebabnya R05 Batuk
52 145 M19 Other
Bipolararthrosis
affective ---
58 158 F31 disorder
Chronic ---
50 156 K05.3 periodontitis
General
Periapical abscess ---
55 150 K04.7 examination
without sinusand ---
investigation of
59 175 J00 Nasofaringitis
persons withoutakut ---
Noninfective
76 178 Z00 com
gastroenteritis and ---
81 155 K52.9 colitis, unspecified ---
Lumbar and other
intervertebral
Respiratory disc
disorders with
tuberculosis,
56 153 M51.1 radiculo
bacteriologically ---
Abnormalities of
19 105 A15 and histological
Thalassaemia, R06 breathing
56 154 D56.9 unspecified ---
81 163 M79.1 Myalgia ---
16 107 H61.2 Impacted cerumen ---
85 158 J00 Nasofaringitis
Hypertensive akut
heart ---
Chronic ischaemic
64 158 I11 disease
heart disease, ---
63 156 I25.9 unspecified ---
24 125 K30 Dispepsia ---
---
Stomatitis and ---
Pengawasan
58 165 K12 related lesions
penggunaan ---
Pengawasan obat
0 155 Z30.4 kontrasepsi
penggunaan ---
Pengawasan obat
50 156 Z30.4 kontrasepsi
penggunaan obat ---
64 152 Z30.4 kontrasepsi
General
Demam yang tidak ---
70 169 R50 examination
diketahui and
sebabnya ---
Benign paroxysmal
investigation of
54 159 H81.1 vertigo
persons without ---
Injury of
43 170 Z00 com
unspecified body ---
65 179 T14 region ---
--- ---
64 150 H52.0 Hypermetropia
Periapical abscess ---
0 0 K04.7 without sinus ---
48 150 I51.7 Cardiomegaly
Hipertensi ---
80 155 I10 primer/essensial
Other disorders of ---
Hipertensi
40 156 N39 urinary system I10 primer/essensial
Pengawasan
0 0 K04.2 Pulp degeneration
penggunaan obat ---
65 160 Z30.4 kontrasepsi ---
ANAMNESA RUJUKAN

TENGGOROKAN PANAS 3-Penyakit Dalam


BATUK, BADAN PEGAL

PILEK SAKIT KEPALA


RUJUKAN POLI MATA 65-Mata
tak
NYERI KEPALA 1 HARI
gigi sakit
tak
KAKI BENGKAK
NYERI PADA AEROLA MAMAE 3 BULAN 19-obgyn
tak
SKS

KONTROL STROKE 16-Bedah


SARIAWAN
tak
SKS

LUKA DI LENGAN

KAKI KANAN BENGKAK 93-Orthopedi


PUSING MUAL

DEMAM, MUAL, BATUK

PUSING, RIWAYAT HT
DEMAM, PUSING, PEGAL

PUSING, MUAL, MUNTAH


SKS
pusing
TAK
Membuat surat keteranagn sehat untuk melamar
pekerjaan

TAK

TAK
Batuk, sariawan

CATIN
mata merah sudah 5 hari
TAK

batuk kering 1 minggu, pegel badan


Membuat surat keterangan sehat untuk melamar
pekerjaan

TAK

membuat surat keterangan sehat


Luka di telapak kaki, post KLL 113-GIGI BEDAH
MULUT
89-JANTUNG
DAN PEMBULUH
DARAH

membuat surat keteangan sehat untuk melamar 3-Penyakit Dalam


pekerjaan
membuat rujukan ke poli bedah onkologi, RS. Hermina 16-Bedah
76-Saraf

pegal-pegal kaki, kesemutan di tangan kanan dan kiri

65-Mata
membuat surat rujukan ke poli bedah, RS. Hermina 16-Bedah
tak
Lemas kurang lebih 1 bulan 3-Penyakit Dalam

keloid di bahu kanan


membuat rujukan ke poli jiwa, Klinik Jiwa Nur Ilahi 111-JIWA
16-Bedah
gatal-gatal di tangan, dan sela-sela jari
89-JANTUNG
sakit kaki, rujukan
membuat pusing, gatal-gatal
ke poli jantung, RSUD atau RS. DAN PEMBULUH
Hermina DARAH
89-JANTUNG
rujukan ke poli penyakit dalam, RS. Hermina 3-Penyakit Dalam
DAN PEMBULUH
DARAH

76-Saraf
tak

pusing
tak

Rujuka ke poli penyakit dalam, RS. Hermina 3-Penyakit Dalam


RPS sehat
93-Orthopedi

post SC 14 bulan, tidak haid

26-Anak

89-JANTUNG
65-Mata
DAN PEMBULUH
DARAH
cek lab. lengkap --> jari tangan kesemutan

membuat rujukan ke poli anak, RS. Hermina 26-Anak


tak

Membuat rujukan ke poli paru, BBKPM 94-PARU


Membuat rujukan ke poli penyakit dalam, RS. Hermina 3-Penyakit Dalam
perih ulu hati, mual, pusing, batuk

tak
MULES null

3-Penyakit Dalam
sakit lutut kurang lebih sudah 2 bulan

perdarahan
Membuat surta keterangan sehat
tak
mual

Nyeri sendi 2 hari, demam

perdarahan

muat kesemutan

89-JANTUNG
DAN PEMBULUH
RUJUKAN POLI JANTUNG RS HERMINA DARAH
MENSTRUASI
KONTROL TB KELENJAR
CALON JEMAAH HAJI
KESEMUTAN, NYERI SENDI
KONTROL HIPERTENSI

SKS
demam 2 hr
SKS
BENJOLAN DALAM KELOPAK MATA BAWAH MATA
KANAN

MATA MERAH, GATAL, BERAIR


MATA BENGKAK, BERPINDAH

PUSING
BATUK, RENCANA CEK DAHAK
KELOPAK MATA KIRI BENGKAK
RUJUKAN POLI PENYAKIT DALAM RS HERMINA 3-Penyakit Dalam
89-JANTUNG
MATA PERIH 65-Mata
DAN PEMBULUH
KONTROL POLI JANTUNG DARAH
GATAL PADA LEHER BELAKANG

BADAN LEMAS
SKS
NYERI PERUT MELILIT
111-JIWA
membuat surat keterangan sehat

T.A.K

Pusing berputar, muntah (+), batuk kurang lebih 1 bulan


T.A.K
94-PARU
T.A.K

T.A.K

Batuk 5 hari, nyeri ulu hati, nyeri sendi


Demam 1 hari, batuk (+)
lemas,
bengkakpunggung panas
di leher kiri atas kurang lebih 2 hari, demam 1
hari

Membuat rujukan ke poli jiwa, klinik jiwa nur ilahi 111-JIWA


ibu jari kaki luka
3-Penyakit Dalam
membuat rujukan ke polipenyakit dalam, RS. Hermina
mual 1 hari

gigi sakit

89-JANTUNG
DAN PEMBULUH
DARAH

membuat surat keterangan sehat untuk melamar


pekerjaan
nyeri pinggang
gigi sakit

mual 1 hari, muntah kadang-kadang


Gatal-gatal saat dingin di seluruh tubuh

telinga kanan terasa penuh sudah 2 minggu


KONTROL PPOK 3-Penyakit Dalam
gigi lubang sakit
DEMAM, BATUK
tak
tak
BATUK BERDAHAK 2 MINGGU, SESAK 94-PARU
NYERI PERUT
RUJUKAN POLI MATA 65-Mata
POST OP MAMAE

BENJOLAN DI HIDUNG 2 BULAN 66-THT-KL


SKS
PERUT SAKIT

26-Anak
MATA MERAH
POST DRAINASE EFFUSI PLEURA
NYERI KEPALA
anak pertama SC
RUJUKAN KE POLI SYARAF 76-Saraf
SUSAH BAB
gigi sakit
SAKIT KEDUA LUTUT
DEMAM, PUSING
PEGAL
RUJUKAN POLI JIWA 111-JIWA
tak
RUJUKAN POLI DALAM
GUSI BENGKAK

PUSING BERPUTAR

membuat rujukan ke poli mata, RS. Hermina 65-Mata


pusing sudah 10 hari

t.a.k
demam dan batuk 1 hari
Membuat rujukan ke poli saraf, RS. Hermina 76-Saraf
111-JIWA
GIGI SAKIT
GUSI BENGKAK
batuk berdahak 2 hari, bsering haus dan bak malam hari
76-Saraf
membuat rujukan ke poli hematologi onkologi, RS. 8-Hematologi -
Santosa Central Onkologi Medik
nyeri dada sampai pundak kurang lebih 1 bulan
batuk kurang lebih 4 hari, berdahak (+), demam kurang
lebih 4 hari, pilek kurang lebih 4 hari
89-JANTUNG
3-Penyakit Dalam
DAN PEMBULUH
membuat rujukan ke poli jantung, RSUD/ RS. Hermina DARAH
muntah kurang lebih 5 kali

sariawan
t.a.k
t.a.k
Ada flek >2mgg

89-JANTUNG
GIGI SAKIT DAN PEMBULUH
perdarahan kurang lebih sudah 13 hari, riwayat op kista
Membuat rujukandikuret
ovarium, riwayat ke polidengan
jantung,penebalan
RS. Hermina
dinding DARAH
rahim, MOW +

GUSI BENGKAK
t.a.k