14 Lap Prolanis Ke BPJS Februari 2020

PEMANTAUAN KESEHATAN PESERTA PROLANIS KLINIK RAGA SEHAT
Nama FKTP : KLINIK RAGA SEHAT

Duta Prolanis :
Alamat : JL.RAYA PANGALENGAN KP GARDUH RT 02 RW 01 DS JAGABAYA KEC CIMAUNG KAB BANDUNG
No Tlp./HP : 022 - 85934752 / 0812 2044 7533
dr./FKTP Pembina : DR YANTI INDRAYANTI
NO MEDREK / BULAN MULAI

NO NAMA BUKU NO KARTU L/P USIA ALAMAT TANGGAL LAHIR NO TLP TERDAFTAR DIAGNOSA IMT
( kg/m2 )
1 ASEP NURDIN A422 0001813309705 L 47 KOMP MARGAHURIP INDAH 21 DAHLIA 02/10 5/7/1969 NON AKTIF 11/22/2016 DM #DIV/0!
2 ATIH SUMIATI A896 0001960634158 P 61 KP SIDAMUKTI RT 02/04 8/15/1955 085251550137 11/22/2016 HT 0.29
3 NENI ROHAYATI R51 0000079800603 P 56 KOMP MARGAHURIP INDAH 3/4/1960 082318693407 11/22/2016 DM #DIV/0!
4 SUPISARI SRI MULYANI S12 0000054056259 P 55 KP PANYINDANGAN RT 06/05 2/7/1961 085316703408 11/22/2016 DM 0.30
5 ENTIT SETIASIH E292 0001457307865 P 53 KP SUKASARI RT 02/03 11/29/1963 11/22/2016 DM #DIV/0!
6 ALIT SALAMAH A284 0000054209013 P 54 KP PASIRBIRU RT 02/05 7/3/1962 11/22/2016 DM + HT #DIV/0!
7 NANI SUHAENI N488 0001721034044 P 57 KP KEBON KALAPA RT 04/08 8/16/1959 081223719714 11/22/2016 DM 0.37
8 ENI E268 0001468568474 P 58 KP KEBON KALAPA RT 04/08 9/16/1958 081321350997 11/22/2016 DM 0.34
9 SURYATI S256 0001789624192 P 44 KP PASIRLANJUNG RT 02/02 11/10/1972 087722073404 11/22/2016 DM 0.46
10 RATNASIH R644 0000053600793 P 70 KP CIKAJANG RT 04/16 11/15/1946 PINDAH FASKES 11/22/2016 DM #DIV/0!
11 AENG SETIAWAN A996 0002053911317 L 55 KOMP GRIYA JAGABAYA 3/18/1961 MENINGGAL DUNIA 11/22/2016 DM
12 AI SUMIATI A633 0001796367879 P 46 KP TARIGU RT 01 / 01 8/10/1970 PINDAH FASKES 11/22/2016 DM + HT #DIV/0!
13 AHMAD A1088 0000054205233 L 55 KP ASTARAJA RT 01/03 3/4/1961 082318171869 11/22/2016 DM + HT 0.36
14 DADANG KARYANA D562 0001516709889 L 46 KP AWINGOMBONG RT 04/07 10/18/1970 PINDAH FASKES 11/22/2016 HT #DIV/0!
15 IKAH I330 0000053376344 P 80 KP CIMAUNG RT 02/02 2/2/1936 11/22/2016 HT 0.33
16 SARI ROSMAWATI 0001722531284 P 44 KP TARIGU RT 02/02 3/16/1972 11/22/2016 HT #DIV/0!
17 WAWAN BIN ACE 0001515014763 L 51 KP PASIRKALIKI PINDAH FASKES PINDAH FASKES 11/22/2016 HT
18 K EFFENDI 0001108190204 L 59 KOMP MARGAHURIP INDAH 8/17/1957 11/22/2016 HT #DIV/0!
19 TUTIH SUTINAH T238 0001661417032 P 58 KP LEMBANG RT 02/16 12/26/1958 082118301824 11/22/2016 HT 0.38
20 TINI SUTINI T225 0001963036225 P 42 KP CIKALONG RT 02/01 1/11/1974 081321041913 11/22/2016 HT 0.34
21 KAKAN K169 0001204007589 P 58 KP JAGABAYA 10/5/1958 02285934740 11/22/2016 HT #DIV/0!
22 IPIT SUBAEDAH I198 0001429229777 P 62 KP GAMBLOK 7/27/1954 MENINGGAL DUNIA 11/22/2016 HT
23 IMAS HARYATI I83 0000069261636 P 69 KP JAGABAYA 1/10/1947 085351372269 11/22/2016 HT 0.34
24 NUNUNG NURJANAH N14 0000054085735 P 61 KP GARDUH RT 03/01 3/13/1955 11/22/2016 HT 0.30
25 AI ROHANAH A512 0001460149749 P 63 KP PANGKALAN RT 02/08 1/1/1953 081310197080 11/22/2016 DM + HT #DIV/0!
26 OOM SUPARTI O125 0000207188289 P 64 KP PASIRHUNI 5/18/1952 11/22/2016 HT #DIV/0!
27 JUJU SUTIANA 0000053661036 P 77 KP MARUYUNG 1/5/1939 11/22/2016 HT #DIV/0!
28 CUCUN CINTARSIH 0001515016945 P 51 KP TARIGU PINDAH FASKES PINDAH FASKES 11/22/2016 HT
29 AI PUPU PUTONAH A90 0000052982335 P 47 KP CIKALONG 10/10/1969 085723789473 11/22/2016 HT 0.37
30 RUKMIN 0001457483354 P 56 KP CIKALONG HILIR 10/4/1960 11/22/2016 HT #DIV/0!
31 SUSI SUSILAWATI S186 0001271129657 P 32 KP GAMBLOK 10/6/1984 082126361547 11/22/2016 HT 0.34
32 TJUTJU SUHAJANAH T06 0000053932601 P 66 KP CIMENTENG RT 01/16 3/4/1950 081931398823 11/22/2016 HT 0.27
33 EMIN AMINAH E355 0001341135336 P 54 KP GAMBLOK RT 03/02 7/1/1962 085314758812 11/22/2016 HT 0.47
34 HERMAN H183 0001146214181 L 57 KP REUNGAS RT 02/14 7/1/1959 087821535459 11/22/2016 HT 0.39
35 AAM KOMALA A1056 0002075579324 P 45 KP BATUREOK RT 03/08 10/30/1971 085220867899 11/22/2016 HT 0.38
36 NANA 0001340341378 L 42 KP CITEUREUP 9/9/1974 11/22/2016 HT #DIV/0!
37 ADE NESMI A28 0000053854863 L 54 KOMP MARGAHURIP INDAH 1/1/1962 11/22/2016 HT 0.30
38 ATI GUMBIRRYATI A1221 0001288624983 P 50 KP CITEUREUP 5/3/1966 085294745748 11/22/2016 HT 0.35
39 MIMI SUMIARSAH M449 0000053355633 P 71 KP CITEUREUP RT 02/01 8/20/1945 085220279402 11/22/2016 HT 0.32
40 TITI SUHARNI T114 0001379650656 P 51 KP PASIRLANJUNG RT 01/02 PINDAH FASKES PINDAH FASKES 11/22/2016 DM #DIV/0!
41 SARININGSIH S440 0001663074764 P 42 KP KADU NENGGANG RT 02/01 12/7/1974 NON AKTIF 11/22/2016 HT #DIV/0!
42 ELIS DAHLIANINGSIH E152 0000053998762 P 55 KOMP PUTRAKO RT 01/13 7/17/1961 081320063717 11/22/2016 HT 0.32
43 TITI HARTINI 000203732515 P 72 KP KIANGROKE RT 04/04 7/16/1944 11/22/2016 HT #DIV/0!
44 DADANG SUMPENA D436 0001664749247 L 44 KP CITEUREUP RT 03/02 5/26/1972 11/22/2016 HT 0.41
45 TJAHRA SUMPENA T21 0000054171202 L 65 KP GARDUH RT 01/01 9/10/1951 081321971080 11/22/2016 HT 0.42
46 YANTI SUSANTI Y206 0001245637067 P 25 KP MANDE RT 01/04 NON AKTIF PINDAH FASKES HT #DIV/0!
47 SUMARSIH S543 0001667829993 P 49 KP LEMBANG RT 01 RW 05 NON AKTIF NON AKTIF 2/14/2017 HT #DIV/0!
48 ENDANG CACA E462 0001667829982 L 56 KP LEMBANG RT 01 RW 05 NON AKTIF NON AKTIF 2/14/2017 HT #DIV/0!
49 SITI KOMARIAH K26 0000056398241 P 67 KMP MARGAHURIP INDAH 6/7/1950 0225944314 2/28/2017 HT 0.36
50 TIN KARTINI T218 0001716591521 P 75 KMP MARGAHURIP INDAH 9/19/1942 082316705465 2/28/2017 DM + HT #DIV/0!
51 DESMAN SILALAHI D185 0001260486628 L 46 KMP MARGAHURIP INDAH 12/23/1971 082117850406 3/7/2017 DM 0.33
52 IDAS DASITA I110 0000053681624 P 67 KP TARIGU RT 04 RW 01 12/13/1950 082127750120 3/9/2017 HT 0.30
53 IDA INDRIANA I104 0000054119158 P 55 KP SUKARAME RT 05 RW 02 8/20/1962 PINDAH FASKES 4/11/2017 HT #DIV/0!
54 TAUFIK T72 0000054258704 L 57 KP SUKARAME RT 05 RW 02 11/10/1960 PINDAH FASKES 4/11/2017 HT #DIV/0!
55 ROHANAH R151 0001257367702 P 59 KP TARIGU 5/26/1958 083822471405 2/13/2017 HT 0.37
56 EUIS SURTINI E241 0001790056539 P 49 KP CITEUREUP 5/5/1968 089513993074 2/12/2017 HT 0.41
57 RUKMANA MANTA R260 0001462221775 L 64 KP BUGEL RT 04 RW 16 4/27/1953 085624756824 4/19/2017 HT 0.39
58 NANA SUKANA N612 0001522288607 L 50 KP SELAJAMI 8/12/1967 083829640001 4/19/2017 DM 0.31
59 ANI WARNIATI A499 0001271914648 P 56 JAGABAYA 3/5/1961 083822473201 3/11/2017 HT 0.41
60 SUKARNO S264 0001459818505 L 75 KAMASAN 4/2/1942 089677141955 4/11/2017 DM + HT 0.29
61 ENUNG NURLAELA FARIDA E124 0000054014005 P 56 KP PASIRHUNI RT 03 RW 06 6/20/1961 082129104488 4/11/2017 DM + HT 0.41
62 ABU SUPRIATNA A642 0001832240812 L 71 KP SUKASARI RT 03 RW 13 1/2/1946 4/11/2017 HT 0.35
63 IDA KURNIA I98 0000047408613 P 49 KMP MARGAHURIP ASIH 4/7/1968 082216877860 4/11/2017 HT 0.44
64 MAMAH M217 0001469354229 P 57 GAMBLOK RT 03 RW 03 1/3/1960 085320252701 4/11/2017 DM 0.46
65 HJ SULIAH DARMASYETI DRA S164 0000052950047 P 65 JAGABAYA 23/112/1952 081321971080 2/12/2017 HT 0.43
66 ATI SURYATI A621 0001425690922 P 61 JAGABAYA 7/5/1956 085759044399 3/11/2017 HT 0.38
67 EUIS RUKAESIN E115 000005270321 P 63 KMP PUTRACO 2/15/1954 082240590659 4/11/2017 HT #DIV/0!
68 DEDE IIM SOLIHIN D440 0001893862258 L 34 LAMPING 9/7/1983 085320006131 5/5/2017 HT 0.51
69 WAWAT 0001157619835 P 50 CITEUREUP NON AKTIF 5/5/2017 #DIV/0!
70 YUYU WAHYUDIN, S.PD Y14 0000053681613 L 70 TARIGU 12/13/1947 082127750120 05/05/207 HT 0.37
71 ENTIN KARTINI E463 0002047034709 P 65 CIGEUREUH 6/7/1951 085295194819 04/07/2017 DM + HT 0.35
72 ANDI A1209 0000410297556 L 64 PASIRSEREH 1/1/1953 08122139893 04/07/2017 DM 0.32
73 ILAH TARKILAH I9 0000148516986 P 55 CIHIDEUNG 9/14/1962 082130132007 11/07/2017 HT 0.43
74 MASRIPAH M69 0000053712797 P 74 CADAS NGAMPAR 23/02/1942 085324174530 11/07/2017 HT 0.45
75 WIWI WISAROH W169 0001462001049 P 55 CITEUREUP 3/7/1962 082317876104 11/07/2017 HT 0.37
76 DIDIK SURATMIN D787 0002207203413 L 61 CITEUREUP 4/2/1956 PINDAH FASKES 11/07/2017 HT #DIV/0!
77 ATI ATIKAH A1125 0002245623118 P 56 CITEUREUP 1/6/1959 082225987447 11/07/2017 HT 0.34
78 DEDE ROSITA D539 0001522297361 P 51 PASIRLANJUNG 13/10/1966 081224560411 11/07/2017 HT 0.33
79 SRI DARYANI S112 0002207203424 P 60 CITEUREUP 2/2/1957 PINDAH FASKES 11/07/2017 HT 0.30
80 HENI TARLIANI H678 0002262809957 P 59 CITEUREUP KIDUL 10/7/1958 089678691399 11/07/2017 HT 0.35
81 E ROLIAH E608 0002262809867 P 63 CITEUREUP KIDUL 23/03/1954 11/07/2017 HT 0.37
82 DEDI SUTIADI D279 0001271914176 L 68 GARDUH 21/02/1949 083822473201 11/07/2017 HT 0.34
83 UNDANG U58 0001850063286 L 67 PASIRHUNI 8/8/1950 PINDAH FASKES 11/07/2017 HT #DIV/0!
84 IJUS RUSLI I71 0000056935664 L 69 MARGAHURIP INDAH 20/12/1948 18/07/2017 DM #DIV/0!
85 BETTY NURBAITI B25 0001813802589 P 45 LEMBANG 1/2/1972 PINDAH FASKES 19/07/2017 HT #DIV/0!
86 ADANG SYACHRIO A692 0001813801724 L 49 LEMBANG 13/06/1968 081313555421 19/07/2017 HT 0.41
87 DADANG SYARIFUL MALIK D54 0000047408602 L 63 MARGAHURIP ASIH 25/03/1954 089627456923 19/07/2017 HT 0.39
88 TITIN ROHAENI T128 0001459339018 P 56 CIPINANG 6/1/1961 082319070965 19/07/2017 HT 0.37
89 WASILAH W9 0000054148509 P 51 CIGEUREUH 14/04/1966 19/07/2017 HT 0.43
90 RANI R37 0000053957428 P 54 CIKAJANG 25/11/1963 081394931039 19/07/2017 HT 0.40
91 SITI JULAHA S221 0001437341861 P 59 KOLELEGA 25/05/1958 085221739984 19/07/2017 HT 0.33
92 MAKHMUD M169 0001335815032 L 44 CIMAUNG 13/05/1972 081320714239 19/07/2017 DM #DIV/0!
93 EEM SUHAEMI E600 0002236754362 P 62 SINDANG SARI 4/5/1955 081221858657 19/07/2017 HT #DIV/0!
94 WIWI W38 0000064389352 P 74 MARGAHURIP 1/1/1942 082318391819 19/07/2017 HT 0.34
95 AI TARMINI A112 0000053910167 P 56 PASIRKALIKI 29/05/1957 082217784116 19/07/2017 DM 0.39
96 ROSWATI R408 0001851633314 P 52 PASIRLANJUNG KALER 1/7/1964 085220288243 19/07/2017 DM + HT 0.48
97 ADAM A1215 0002257986183 L 47 CITEUREUP 13/11/1970 085220925470 19/07/2017 HT 0.32
98 ENUNG ROHAENI E604 0002257986273 P 43 CITEUREUP 12/5/1974 085220925470 19/07/2017 HT 0.39
99 E MULYATI E66 0000053569146 P 69 CIMAUNG SABEULAH 28/11/1948 085320153797 19/07/2017 HT 0.39
100 TITIN NURYATIN 0001905979206 P 38 MARGAHURIP INDAH 2/3/1979 081312010875 19/07/2017 HT #DIV/0!
101 RITA NURHASANAH 0001398653291 P 33 GAMBLOK 28/3/1984 082121512484 19/07/2017 HT #DIV/0!
102 DEDEH RUHYATIN 0000054199135 P 58 GRIYA JAGABAYA PUTRACO 15/4/1959 087824465561 19/07/2017 HT #DIV/0!
103 TINI SUGIANTINI T349 0001456824453 P 58 ASTARAJA 31/7/1959 081321041913 19/07/2017 DM + HT 0.46
104 IMING I196 0001842766525 P 74 CIBIANA 6/1/1943 085224186133 19/07/2017 HT 0.29
105 MALEM ATE SEMBIRING M439 0001962266679 P 59 KIANGROKE 25/12/1958 081214195106 19/07/2017 HT #DIV/0!
106 UAN U61 0001522289327 L 43 LEMBANG 19/06/1973 085320201789 19/07/2017 HT 0.45
107 DEWI SUGIARTATI D11 0000054025547 P 53 PANGKALAN CIMAUNG 4/9/1963 081394194464 19/07/2017 DM 0.41
108 AAM SUGIHARTI A1261 0000055377382 P 57 CITEUREUP 9/19/1961 08987240005 19/07/2017 HT 0.34
109 YUYUN Y269 0001722490626 P 62 CITEUREUP 7/12/1955 085294344379 19/07/2017 DM + HT 0.46
110 ENCIH SURYANAH E142 0000054302995 P 53 PANENJOAN 1/20/1965 081304253125 19/07/2017 HT 0.37
111 N LILIS KODARIAH N45 0000054296583 P 51 PASAREAN 2/5/1967 085220918415 19/07/2017 HT 0.41
112 TATANG SUMPENA T340 0000054103634 L 65 LEMBANG 17/05/1952 085860154100 19/07/2017 HT 0.36
113 MUMU SURYANA M82 0000053054054 L 55 MARGAHURIP ASIH 9/18/1963 085220989349 19/07/2017 DM + HT 0.49
114 SUHARDI S592 0001660223204 L 55 LEMBANG KIANGROKE 8/12/1963 082218263905 19/07/2017 DM + HT 0.42
115 IMAS ANI HARYANI I553 0001670220584 P 57 CIKALONG HILIR 6/6/1961 081322087380 19/07/2017 HT 0.34
116 AYI ROHANA A898 0001660436267 L 52 PASIRKALIKI '082116582839 8/15/1966 082218200176 19/07/2017 DM + HT 0.41
117 AI YUHANA A337 0001439323852 P 59 BATUREOK '085295217432 4/1/1959 082319321869 19/07/2017 HT 0.41
118 ITOK I548 0002254975402 P 67 CIKONDANG 7/1/1950 082240087544 19/07/2017 HT 0.36
119 IMAS TJARTIKA I60 0000053920811 P 65 PUTRACO 7/28/1953 082128496232 19/07/2017 HT 0.36
120 MOCH ARMAN SAPUTRA 0001520930485 L 52 MEKARSARI CIMAUNG 6/8/1966 085220524184 19/07/2017 #DIV/0!
121 IDA FARIDA I14 0000053998536 P 57 PUTRACO 10/14/1961 082316050567 19/07/2017 DM + HT 0.45
122 AGUS SURYANA 0000054074351 L 59 PUNTANG 3/31/1959 081394729868 19/07/2017 #DIV/0!
123 ACHMAD HIDAYAT BME A1227 0000043082109 L 74 ASTARAJA 7/24/1944 081316433971 22/07/2017 DM + HT 0.35
124 OON O59 0001273832919 P 58 CIGEUREUH 1/2/1960 082216932093 25/07/2017 DM + HT 0.38
125 WATI W226 0002209887731 P 37 JAGABAYA KALER 5/10/1981 089656141879 25/07/2017 HT 0.30
126 R HENDI BUNYAMIN 0000053920822 L 62 PUTRACO 10/24/1956 0895366560824 25/07/2017 #DIV/0!
127 YUYU YULIANINGSIH Y66 0000055253136 P 53 PASIRLANJUNG 6/10/1955 085793344262 25/07/2017 HT 0.39
128 NURHAYATI N17 0000053900122 P 52 PUTRACO 3/13/1966 082218824246 25/07/2017 HT 0.34
129 ENDANG PURWANTI E547 0001880617509 P 53 PUTRACO 11/6/1965 0895332839467 25/07/2017 HT 0.39
130 DEDE KURNIATI D262 0001522289204 P 45 CITEUREUP 11/15/1972 089656226493 12-Oct-17 HT 0.44
131 DIAN DARMAYANSARI 0001519703493 P 34 BUGEL 4/14/1984 089656226493 12-Oct-17 HT #DIV/0!
132 IIM ROHIMAH I332 0000053054065 P 47 MARGAHURIP ASIH 5/13/1970 085220989349 12-Oct-17 DM 0.41
133 IIS RUKAENDAH I169 0001463124374 P 58 CIHIDEUNG 6/9/1959 081321445697 12-Oct-17 HT 0.49
134 KANA ADANG CECE K207 0001851632763 L 59 PASIRLANJUNG 11/20/1958 085220288243 12-Oct-17 HT 0.36
135 MUHAMMAD SUTEDI M5 0000054310724 L 59 PUTRACO 5/29/1958 081804344601 12-Oct-17 HT 0.51
136 YUYUN TRESNAWATI Y51 0000054303254 P 51 SINDANG PANON 11/2/1966 085294344379 12-Oct-17 HT 0.32
137 CUCU CURAWATI C70 0001514852357 P 36 CIMENTENG 5/22/1981 085222821358 12-Oct-17 HT 0.40
138 DEDE SARI D196 0001820298284 L 63 MARGAHURIP INDAH 16/07/1954 082240976761 8-Dec-17 DM 0.32
139 ABDUL JALAL A137 0000056531169 L 70 MARGAHURIP INDAH 4/11/1947 081214045804 08-Dec-17 c 0.39
140 NINING HADININGSIH N44 0000053710953 P 61 CIKALONG 4/17/1956 081321158193 12/12/2017 HT #DIV/0!
141 HJ AMAS A796 0001716483857 P 60 KEBON TUNGGUL 4/1/1957 085220857534 14/12/2017 HT 0.40
142 OOM SULAEMI O61 0001270734884 P 63 CIKALONG 7/7/1954 081313152820 19/12/2017 HT #DIV/0!
143 TINI PRIHATININGSIH T69 0000011335882 P 51 ASTARAJA WETAN 6/6/1966 082116350568 12/19/2017 DM + HT 0.32
144 NURHAENI N356 0001665735298 P 39 CIPINANG 5/15/1979 081320071944 12/28/2017 DM + HT 0.33
145 NONOH N589 0002215123233 P 58 SUKAJAYA 12/7/1958 PIDAH FASKES 12/28/2017 HT #DIV/0!
146 TANTI HERLINA T383 0001106792111 P 37 TIWULANDU 12/4/1980 085294118300 12/27/2017 HT 0.48
147 SITI KHATIJAH S719 0001779003538 P 50 LEMBANG KIANGROKE 3/24/1968 NON AKTIF 1/1/2018 DM #DIV/0!
148 JUJU KURNIASIH J3 0000053712505 P 63 PASIRLANJUNG 10/20/1955 1/1/2018 HT 0.41
149 SITI SARIFAH 0000053965877 P 57 SIRNA GALIH 9/22/1960 1/1/2018 HT #DIV/0!
150 CACA KURNIA C01 0000054057262 L 58 cimaung 7/1/1960 0895345216342 1/1/2018 DM + HT 0.37
151 RUKMINI R72 0000052993618 P 55 CIKONDANG 9/22/1960 083838941863 1/1/2018 HT 0.33
152 IIS MIMI SURYANI I96 0000053713247 P 54 CIKALONG 6/24/1964 082126613505 1/1/2018 HT 0.29
153 NANI MULYANI N103 0000054296616 P 52 BABAKAN 1/10/1965 085322851633 2/2/2018 HT 0.39
154 HODIJAH H252 0002069727467 P 68 PUTRACO 8/17/1950 3/18/2018 HT #DIV/0!
155 TATI KUSMAYATI T260 0002055252633 P 63 BABAKAN SAPUTRA 1/14/1954 085285579996 3/5/2018 HT 0.52
156 HANI SAPARINA H66 0001430264643 P 42 PASIRLANJUNG 2/18/1975 085703019365 5/10/2018 HT 0.34
157 LILIS LISE L39 0001290958413 P 42 LIO 1/2/1973 081214320507 HT 0.48
158 AEP AHMAD A200 0000054010203 L 58 PERUM BUMI SINDANG PANON 1/4/1960 082257646144 6/18/2018 HT 0.42
159 MAMAT M21 0000053712764 L 78 CIMENTENG 1/3/1940 085352908424 6/5/2018 HT #DIV/0!
160 AMAR A1216 0001777716257 L 60 PASIRHUNI 5/11/1958 6/18/2018 HT 0.44
161 A SUPRIATNA A193 0000209204526 L 63 MARGAHURIP INDAH 12/22/1955 6/18/2018 HT 0.36
162 AAN HASANAH A1210 0001483253144 P 44 BUGEL 2/28/1974 NON AKTIF HT #DIV/0!
163 E SAMSUL BAHRI E107 0000053711728 L 69 PASIRHUNI 2/3/1949 7/6/2018 HT #DIV/0!
164 ENENG NURHAYATI E360 0001516503352 P 40 CIMAUNG 9/5/1978 PINDAH FASKES 7/10/2018 HT #DIV/0!
165 KOMARIAH K268 0001779982211 P 63 SINDANG PANON 6/4/1955 081241218594 HT 0.35
166 NANI SUMARNI N704 0002434692249 P 63 PASIRLANJUNG 7/1/1955 6/5/2018 HT 0.39
167 ROSMANAH R32 0000053787385 P 72 PANENJOAN 4/7/1945 4/22/2018 HT #DIV/0!
168 ROKAYAH R276 0001820223281 P 51 PASIRLANJUNG 6/6/1964 6/15/2018 HT #DIV/0!
169 DEDE RASMITA D825 0001340584334 L 55 CIMAUNG 7/31/1962 082116363955 7/11/2018 HT 0.39
170 ATIN HAYATIN A988 0000196430927 P 58 MUARA 8/16/1959 081804344601 8/13/2018 HT 0.44
171 MASRIATIN M11 0000052931812 P 60 CIKAJANG 14/04/1957 PINDAH FASKES 8/10/2018 HT #DIV/0!
172 E SUDARSA E40 0000052931801 L 62 CIKAJANG 19/05/1955 PINDAH FASKES 8/11/2018 HT #DIV/0!
173 YENI ASTUTI Y278 0001187975733 P 64 GRIYA JAGABAYA PUTRACO 1/1/1976 089665056903 8/12/2018 DM 0.37
174 KOKOM KOMARIAH K70 0001292782882 P 56 PUTRACO 4/15/1959 087821884972 9/13/2018 DM 0.42
175 HENI ROHAENI H55 0001315497137 P 38 CITEUREP 10/16/1980 089697287447 9/12/2018 HT 0.39
176 ENAN TARYA E660 0001465383341 L 67 KAMASAN 2/2/1950 081804344601 8/12/2018 HT 0.45
177 N KURNIATI N733 0002491290538 P 58 ASTARAJA 7/1/1961 082321751965 10/15/2018 DM 0.39
178 SANUDIN S145 0000053921856 L 55 LAMPING 3/2/1960 081320225994 10/1/2018 DM 0.38
179 ERI YULIANDI E458 0001523266975 L 39 CIKALONG 9/14/1977 082117090063 9/12/2018 HT #DIV/0!
180 JENNI DAWATI J117 0001662220225 P 46 PUTRACO 6/4/1972 081214353154 3/25/2018 DM 0.41
181 MASRIYATIN M11 0000052931812 P 60 CIKAJANG 4/14/1957 9/18/2018 ASTMA #DIV/0!
182 RASMINI R267 0001515141483 P 46 LAMPING 2/1/1972 9/21/2018 DM + HT #DIV/0!
183 WARDJA W27 0000057810047 L 59 CITEUREUP 10/12/1953 9/5/2018 DM + HT #DIV/0!
184 EUIS KARSIDAH E-299 0001844101989 P 64 KAMASAN 7/27/1953 1/1/2019 HT 0.36
185 ILAH I-334 0001899899324 P 56 PONDOK ROSA 1/1/1961 082130132007 12/10/2018 HT 0.35
186 MUH DUDUH 0001716483846 L 71 KEBON TUNGGUL 6/2/1946 10/11/2018 HT #DIV/0!
187 ILYAS IBRAHIM I-632 0001102580008 L 59 PASIRLANJUNG 12/31/1959 081281175666 11/8/2018 HT #DIV/0!
188 YAYA SUNARYA Y-319 0000054118563 L 56 PASIRLANJUNG 12/3/1963 1/5/2019 HT 0.43
189 IMI TUTI I-617 0001319722648 P 48 KAMASAN 3/25/1970 12/15/2018 HT 0.37
190 YULIANA Y-205 0001524253746 P 33 CIKALONG 7/25/1986 2/14/2019 HT 0.34
191 NINING WIDIANINGSIH W-748 0001516518011 P 48 LAMPING 3/27/1971 1/16/2019 HT 0.43
192 ELI YULIANTI E-553 0001776011128 P 48 JAGABAYA KALER 7/23/1971 081395293557 1/6/2019 HT 0.41
193 ANING A-362 0001432278876 P 48 BUGEL 3/12/1971 1/12/2019 HT 0.38
194 MUMU SUMARNA M-732 0001319722391 L 63 KAMASAN 2/8/1956 12/18/2018 HT 0.38
195 ITENG MULAYANA I-466 0001776011117 L 54 JAGABAYA KALER 9/30/1965 081395293557 1/6/2019 HT 0.42
196 WARYA SURYANA W-223 0000053713618 L 78 PASIRLANJUNG 9/1/1941 12/8/2018 HT 0.35
197 ENUNG KOMARIAH E-622 0002292356788 P 56 MARGAHURIP INDAH 4/6/1962 1/18/2019 HT #DIV/0!
JUMLAH PESERTA TERDAFTAR 197

JUMLAH PESERTA AKTIF 171
JUMLAH PESERTA PINDAH FASKES 17
JUMLAH PESERTA NON AKTIF 7
JUMLAH PESERTA MENINGGAL 2
Apr-19 TKN DARAH May-19
IMT
TB BB GDP GDPP GDS HBA1C CHOL TOTAL CHOL LDL CHOL HDL TRIGLISERIDA SISTOLE DIASTOLE TB BB GDP GDPP GDS HBA1C
( kg/m2 )
153 44 100 162 74 140 90 0.29 153 44

#DIV/0!
151 46 11,9 / 107 140 80 0.30 151 46
#DIV/0!
#DIV/0!
150 56 241 7,9 / 63 120 80 #DIV/0!
150 51 140 80 0.35 150 53
170 78 86 6,9 / 52 130 80 0.46 170 78
167 60 5,3 / 34 130 80 0.36 167 60
153 51 140 90 #DIV/0!

#DIV/0!
#DIV/0!
160 60 140 90 #DIV/0!
150 51 140 80 0.34 150 51
#DIV/0!
159 54 140 80 #DIV/0!

157 47 140 90 #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
151 56 140 80 0.37 151 56

#DIV/0!
160 55 130 80 #DIV/0!
150 41 140 80 0.28 150 42
148 69 140 80 0.46 148 68
168 65 140 80 #DIV/0!
160 60 92 102 130 80 0.38 160 60
#DIV/0!
153 46 140 90 0.30 153 46
148 52 124 173 140 90 0.35 148 52
148 47 140 90 #DIV/0!
152 49 130 80 0.32 152 49

#DIV/0!
165 68 140 80 0.41 165 68
171 72 90 102 135 118 130 80 0.42 171 72
152 55 140 90 0.34 155 52

0.35 153 53
160 53 120 80 #DIV/0!
148 45 140 90 0.30 148 45
0.43
150 55 130 80 #DIV/0!
145 60 140 80 0.41 145 60
171 66 140 90 0.39 171 66
170 52 120 80 #DIV/0!
153 63 140 80 0.41 153 63
165 48 130 80 0.29 165 48
165 68 109 6,6 / 49 140 90 #DIV/0!
161 57 140 90 0.35 161 57
156 69 140 80 0.33 170 56
146 67 140 90 0.46 146 67
145 63 100 138 200 195 130 80 145 63
149 56 140 80 0.38 149 56
#DIV/0!
172 87 180 100 0.51 172 87
172 63 140 90 0.37 172 64

147 51 140 90 0.35 147 51
148 48 130 80 0.32 148 48
146 63 140 80 0.44 146 64
143 64 140 80 #DIV/0!
147 55 98 130 80 147 58
149 50 123 140 80 0.34 149 50

149 49 140 80 0.33 149 49
152 46 130 80
153 54 96 140 80 0.35 153 54
158 58 100 130 80 0.37 158 58
167 57 140 80 0.34 167 57
#DIV/0!
167 68 130 90 #DIV/0!

168 66 130 80 0.39 168 66
157 58 140 90 #DIV/0!
153 66 140 80 #DIV/0!
148 59 140 80 0.40 148 59
152 50 113 140 80 0.33 152 50
0.39 158 62
#DIV/0!
164 55 140 80 0.34 164 55
149 58 120 80 0.39 149 58
149 71 5,4 / 36 140 90 0.48 149 71
160 51 140 80 #DIV/0!
141 55 140 80 #DIV/0!
158 61 140 80 0.39 158 61
#DIV/0!
#DIV/0!
#DIV/0!
158 73 140 90 #DIV/0!
164 48 140 90 #DIV/0!
#DIV/0!
152 69 140 90 0.45 152 69
154 63 5,7 / 39 140 90 0.41 154 63
154 52 140 80 0.34 154 52
145 67 140 80 0.46 145 67
155 57 140 80 0.37 155 57
147 61 85 115 127 130 80 0.41 147 61
172 62 97 140 80 0.36 172 62
165 81 140 90 #DIV/0!
166 69 6,6 / 49 140 90 0.41 168 69
154 52 123 120 140 80 0.36 152 54
170 69 140 90 0.41 170 69
143 58 117 140 90 0.41 143 58
148 53 140 90 0.36 148 53
155 56 140 80 0.36 155 56
#DIV/0!
152 68 6,8 / 51 140 80 #DIV/0!
#DIV/0!
172 61 6,2 / 44 140 90 0.35 172 61
152 58 140 90 #DIV/0!
148 44 140 80 0.33 144 48
#DIV/0!
158 62 140 80 0.39 158 62
158 54 140 90 #DIV/0!
150 58 130 80 #DIV/0!
149 65 140 80 0.44 149 65
#DIV/0!
158 64 140 90 #DIV/0!
154 75 140 90 0.40 152 61
157 57 140 90 0.36 157 57
160 82 140 90 #DIV/0!
140 45 140 80 #DIV/0!
152 61 130 80 0.40 152 61
145 47 191 196 120 80 0.32 145 47
162 63 140 90 0.39 162 63
#DIV/0!
146 58 140 80 #DIV/0!
#DIV/0!
143 46 8,8 / 73 130 90 #DIV/0!
148 49 130 80 #DIV/0!
151 72 77 83 140 90 0.34 151 52
160 65 140 90 #DIV/0!

#DIV/0!
161 59 140 90 #DIV/0!
155 51 140 90 #DIV/0!
153 44 140 80 0.29 153 44
155 60 140 90 #DIV/0!
#DIV/0!
149 77 189 140 90 0.52 149 77
146 49 140 90 0.34 146 49
152 73 140 140 80 0.48 152 73
168 70 140 90 #DIV/0!
#DIV/0!
155 68 140 90 #DIV/0!
160 58 140 80 0.36 160 58
0.31 160 50
151 53 140 80 0.35 151 53

150 59 140 90 #DIV/0!
#DIV/0!
#DIV/0!
170 66 187 140 80 0.39 170 66
140 62 140 80 #DIV/0!
150 55 532 / 33 130 80 0.37 150 55

153 65 6,1 / 43 140 90 0.42 153 65
158 61 140 80 0.39 158 61
158 71 121 142 140 90 #DIV/0!
150 59 7,1 / 54 140 80 0.39 150 59
167 63 120 80 0.38 167 63
#DIV/0!
160 66 140 90 0.38 158 60
#DIV/0!
#DIV/0!
#DIV/0!
149 53 140 90 #DIV/0!
158 55 140 80 0.35 158 55
#DIV/0!
#DIV/0!
155 67 150 80 0.43 155 67
155 57 140 90 0.37 155 57
150 51 130 80 0.34 150 51
157 68 140 90 #DIV/0!
160 66 143 150 100 0.41 160 66
158 60 130 80 0.38 158 60
164 62 140 90 0.38 164 62
175 73 140 90 0.42 175 73
170 59 89 108 160 90 0.35 170 59
#DIV/0!
TKN DARAH Jun-19 TKN DARAH
IMT
CHOL TOTAL CHOL LDL CHOL HDL TRIGLISERIDA SISTOLE DIASTOLE TB BB GDP GDPP GDS HBA1C CHOL TOTAL CHOL LDL CHOL HDL TRIGLISERIDA SISTOLE DIASTOLE
( kg/m2 )
130 80 0.28 153 43 150 80

#DIV/0!
140 90 0.36 157 56 130 80
#DIV/0!
#DIV/0!
0.33 150 50 140 80
130 80 #DIV/0!
130 90 0.46 170 78 130 90
130 80 0.36 163 58 175* 236* 140 70
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
130 80 0.34 150 51 130 90
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
140 80 0.37 151 56 140 100

#DIV/0!
#DIV/0!
140 90 0.30 150 45 140 90
140 90 0.37 148 55 130 80
#DIV/0!
140 90 0.38 160 60 105* 170 100
#DIV/0!
140 90 0.41 165 68 130 90
140 90 0.37 148 55 143* 165* 150 80
#DIV/0!
130 80 0.37 152 56 83 94 150 90

#DIV/0!
140 80 #DIV/0!
130 80 0.42 172 72 108* 114 130 70
140 90 #DIV/0!
140 90 #DIV/0!
#DIV/0!
140 80 0.30 148 45 140 80
0.42 163 69 130 80

140 80 0.41 145 60 140 80
140 90 0.34 158 54 97 140 90
#DIV/0!
140 80 0.42 153 64 130 80
130 80 0.29 165 48 92 104 140 90
0.41 165 68 130 90
140 90 0.35 161 57 140 90
140 80 0.42 156 66 130 80
140 90 0.41 146 60 130 80
140 80 0.40 145 58 131* 185* 120 70
140 80 0.38 149 56 140 80
#DIV/0!
150 100 0.51 172 87 130 80
140 80 0.37 172 64 140 90

140 90 0.37 151 56 217* 264* 130 80
130 90 0.32 148 48 130 100
140 80 0.44 146 64 140 90
#DIV/0!
140 90 147.00 58 140 90
140 80 #DIV/0!
140 80 #DIV/0!
140 80 0.41 133 55 140 80

130 80 #DIV/0!
140 80 0.34 150 51 140 100
#DIV/0!
#DIV/0!
140 80 0.42 168 70 150 80
#DIV/0!
#DIV/0!
140 80 0.40 148 59 140 80
140 80 0.29 152 44 130 80
130 80 0.39 158 62 130 80
#DIV/0!
140 80 #DIV/0!
120 80 0.39 149 58 130 80
140 90 0.48 149 71 140 80
#DIV/0!
#DIV/0!
140 80 #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
140 90 0.45 152 69 170 110
140 90 0.39 154 60 130 80
140 80 0.31 154 48 120 80
140 80 #DIV/0!
0.37 155 57 130 80
130 80 0.41 147 61 130 80
140 80 0.40 172 68 140 80
#DIV/0!
140 80 #DIV/0!
140 80 0.36 152 55 88 140 80
140 90 0.41 170 69 140 90
140 90 0.41 143 59 106* 140 80
140 90 0.34 158 53 140 80
140 80 0.33 156 52 150 90
#DIV/0!
0.34 158 54 108* 189* 140 90
#DIV/0!
140 90 0.43 172 74 147* 198* 170 70
0.39 152 59 120* 140 80
140 80 0.34 148 50 140 90
#DIV/0!
140 80 0.39 158 62 130 80
0.39 158 62 89 106 150 90
#DIV/0!
140 80 0.43 149 64 140 80
#DIV/0!
#DIV/0!
130 80 0.52 152 79 140 90
140 80 0.36 157 57 140 90
#DIV/0!
0.42 152 64 140 80
130 80 #DIV/0!
120 80 0.32 145 47 169* 185* 120 80
140 80 0.33 162 53 107* 123 140 70
#DIV/0!
#DIV/0!
#DIV/0!
0.33 143 47 167* 178* 140 80
#DIV/0!
140 90 0.47 151 71 150 100
0.41 160 65 140 70

#DIV/0!
#DIV/0!
#DIV/0!
140 80 0.29 153 44 140 80
#DIV/0!
#DIV/0!
140 90 0.39 149 58 254* 260* 160 90
140 90 0.34 146 49 140 90
140 80 0.48 153 74 102* 108 130 70
#DIV/0!
#DIV/0!
#DIV/0!
140 80 0.36 160 58 140 80
140 80 #DIV/0!
140 80 #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
140 80 0.39 170 66 82 140 80
#DIV/0!
130 80 0.37 150 55 130 90

140 80 0.46 153 70 140 80
140 80 0.38 158 60 140 80
0.42 158 67 140 70
140 80 0.39 150 59 140 100
120 80 0.37 167 62 150* 130 80
#DIV/0!
130 80 0.38 158 60 130 80
#DIV/0!
#DIV/0!
#DIV/0!
0.36 149 53 140 90
140 80 0.34 158 54 140 80
#DIV/0!
#DIV/0!
150 80 #DIV/0!
140 80 0.35 155 55 110 60
130 80 0.34 150 51 130 80
#DIV/0!
150 100 0.41 160 66 160 90
130 80 0.37 158 58 130 70
140 90 0.38 164 62 130 80
140 90 0.42 175 73 140 90
160 90 0.35 170 59 150 100
0.40 159 63 140 90
Jul-19 TKN DARAH Oct-19
IMT IMT
TB BB GDP GDPP GDS HBA1C CHOL TOTAL CHOL LDL CHOL HDL TRIGLISERIDA SISTOLE DIASTOLE TB BB GDP GDPP GDS
( kg/m2 ) ( kg/m2 )
0.29 153 44 97 160 90 0.29 153 44

0.34 155 53 120 80 0.34 155 53
0.36 151 55 191* 247* 130 90 0.30 151 45 178* 192*
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.33 150 49 132* 202* 130 80 0.34 144 49
#DIV/0! 0.33 155 51
0.44 170 75 84 124 120 80 #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0! #DIV/0!
#DIV/0!
#DIV/0! 0.96 53 51
#DIV/0! #DIV/0!
#DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.37 150 55 140 80 #DIV/0!
#DIV/0! #DIV/0!
#DIV/0!
#DIV/0! 0.34 159 54
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 0.35 159 55
#DIV/0!
0.38 151 57 130 90 0.38 151 57
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.30 150 45 170 80 0.31 150 46
0.37 148 55 93 160 80 0.46 148 68 108*
#DIV/0! 0.39 168 65
0.38 160 60 130 100 0.42 143 60
#DIV/0! #DIV/0!
0.31 153 47 150 100 #DIV/0!
0.36 148 54 140* 174* 130 80 0.34 155 52 102*
#DIV/0! #DIV/0!
#DIV/0!
#DIV/0!
0.38 152 57 140 90 0.44 152 67
#DIV/0! #DIV/0!
#DIV/0! 0.41 165 68
0.42 171 72 130 80 #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0.33 150 50 160 80 0.37 150 55
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.31 148 46 130 80 #DIV/0!
#DIV/0!
#DIV/0!
#DIV/0! 0.42 163 69
0.37 145 54 140 90 0.37 145 54
0.38 171 65 190 80 0.38 171 65
#DIV/0! #DIV/0!
0.42 153 64 140 80 0.42 153 64
#DIV/0! #DIV/0!
0.42 165 70 162* 249* 160 90 0.44 160 70
#DIV/0! #DIV/0!
0.42 156 66 140 90 0.41 158 65
0.42 146 61 130 90 0.35 146 51
0.41 145 60 111* 175* 130 70 0.41 146 60
#DIV/0! 0.37 149 55
#DIV/0! #DIV/0!
0.52 172 89 140 80 0.52 172 89
#DIV/0!
0.38 170 65 140 100 #DIV/0!
#DIV/0! 0.44 147 64
#DIV/0! #DIV/0!
0.44 146 64 130 80 0.44 146 64
#DIV/0! #DIV/0!
147.00 147 58 150 90 0.39 147 58 85 106
#DIV/0!
0.36 140 50 99 140 80 0.44 153 67 85
#DIV/0! #DIV/0!
#DIV/0!
0.44 153 67 108* 120 80 0.43 150 65 64
0.35 158 55 92 130 80 0.35 158 55 66
0.34 150 51 140 70 0.34 150 51
#DIV/0!
#DIV/0! #DIV/0!
#DIV/0!
#DIV/0! #DIV/0!
0.42 168 71 142* 125* 140 80 0.42 168 71
#DIV/0! #DIV/0!
#DIV/0! 0.43 148 63
0.40 148 59 140 90 0.33 148 49
0.30 152 45 137 140 80 0.28 148 42 119
0.39 158 62 120 80 0.39 158 62
#DIV/0! #DIV/0!
0.37 164 60 100* 160 80 #DIV/0!
0.39 149 58 130 70 #DIV/0!
0.48 149 71 108* 115 150 90 0.48 149 71
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.37 158 59 140 80 #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.44 163 72 190 90 #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.46 152 70 160 110 #DIV/0!
0.40 154 62 140 80 0.38 164 62
0.36 154 55 81 140 80 0.31 156 49
#DIV/0! #DIV/0!
0.39 155 60 130 80 #DIV/0!
0.41 147 60 110 120 70 0.41 147 60 76
0.37 172 63 106* 119 150 80 0.37 172 63
#DIV/0! #DIV/0!
0.41 168 69 140 90 #DIV/0!
0.34 152 52 96 130 90 #DIV/0!
#DIV/0! 0.45 160 72
0.42 142 60 86 130 80 0.42 143 60
0.36 148 53 150 90 0.36 150 54 177
0.34 155 52 140 80 0.34 155 52
#DIV/0! #DIV/0!
0.33 158 52 89 109 140 80 #DIV/0!
#DIV/0! #DIV/0!
0.42 170 71 160 100 #DIV/0!
#DIV/0! 0.39 152 59 91
0.39 148 58 140 100 0.28 148 42 70
#DIV/0! #DIV/0!
0.38 158 60 140 80 0.38 158 60
#DIV/0! 0.39 158 62
#DIV/0! #DIV/0!
0.43 150 64 140 90 0.43 150 65 78
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.50 152 76 140 90 #DIV/0!
0.38 157 60 150 100 #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.43 152 65 140 80 0.43 152 65
0.34 145 49 195* 140 80 0.33 145 48 113* 151*
#DIV/0! 0.33 162 53
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 0.44 149 65 122* 151*
#DIV/0! 0.32 158 50
#DIV/0!
0.46 151 70 140 100 #DIV/0!
#DIV/0!
0.43 160 69 140 70 0.42 160 67
#DIV/0! #DIV/0!
#DIV/0! 0.37 161 59
0.35 155 54 130 100 0.38 155 59
0.29 153 45 140 80 0.29 153 45
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.41 149 61 186* 150 80 0.40 149 60 143* 185*
#DIV/0! #DIV/0!
0.48 157 75 130 70 0.49 153 75
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.44 146 64 130 80 #DIV/0!
#DIV/0!
#DIV/0! #DIV/0!
#DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.42 162 68 144 120 70 0.40 162 65 82
#DIV/0! 0.44 140 62
#DIV/0!
#DIV/0!
0.38 150 57 130 80 0.45 150 67 87
0.46 153 70 100 140 80 0.45 155 70 68
0.38 158 60 140 80 0.38 158 60
#DIV/0! #DIV/0!
0.45 150 68 248* 337* 130 80 0.47 150 70
0.37 167 62 163* 170* 120 80 0.37 167 62 80
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.40 149 59 130 70 0.44 149 65
0.35 158 55 140 80 0.37 150 55
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.42 155 65 160 90 0.42 155 65
#DIV/0! 1.00 155 155
0.34 150 51 140 90 #DIV/0!
#DIV/0! #DIV/0!
0.42 165 69 120 80 0.38 160 60
0.37 158 58 120 80 0.37 158 58
#DIV/0! 0.37 164 60
0.41 175 71 130 80 0.41 175 71
0.35 170 60 150 90 0.34 170 58
0.40 159 64 101* 140 90 #DIV/0!
TKN DARAH Nov-19 TKN DARAH
IMT
HBA1C CHOL TOTAL CHOL LDL CHOL HDL TRIGLISERIDA SISTOLE DIASTOLE TB BB GDP GDPP GDS HBA1C CHOL TOTAL CHOL LDL CHOL HDL TRIGLISERIDA SISTOLE
( kg/m2 )
179 89 81 55 150 80 0.30 153 46 150

89* 216* 118* 35* 411* 120 80 0.34 155 53 110
130 90 0.30 151 45 359* 362* 130
#DIV/0!
#DIV/0!
55* 252* 162* 70 116 120 80 0.33 155 51 206* 203* 130
120 90 #DIV/0!
56* 128 63 58 58 0.45 152 68 130
#DIV/0!
#DIV/0!
130 80 0.33 153 51 130
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
140 80 0.34 159 54 130

#DIV/0!
#DIV/0!
#DIV/0!
150 100 0.35 159 55 150
140 90 0.37 156 57 130

#DIV/0!
161 106* 42 87 #DIV/0!
170 80 0.31 150 46 140
214* 134* 45 226* 130 90 0.39 148 57 110* 130
130 100 0.39 168 65 140
135 61 60 80 130 90 0.38 143 55 150
#DIV/0!
#DIV/0!
187 135* 41 66 150 100 0.35 155 55 141* 150* 120
#DIV/0!
174 124* 38* 87 130 80 0.44 152 67 150

#DIV/0!
150 100 0.41 165 68 140
201* 123* 55 137 #DIV/0!
215* 144* 57 89 140 80 0.37 150 55 130

#DIV/0!
#DIV/0!
#DIV/0!
140 100 #DIV/0!

267* 189* 56 126 120 90 0.37 145 53 130
200 138* 54 86 170 90 0.38 171 65 160
#DIV/0!
222* 142* 44 273* 140 100 #DIV/0!
43* 191 131* 53 80 #DIV/0!
120 90 #DIV/0!
#DIV/0!
140 90 0.41 158 65 140
83* 180 113* 42 178* 120 90 0.45 146 65 130
230*/ 166* 50 126 130 80 #DIV/0!
140 80 0.36 150 54 160
#DIV/0!
183 119* 35* 240* 130 80 0.50 172 86 140
#DIV/0!
122* 251* 175* 57 154* 180 80 0.41 147 61 170
#DIV/0!
130 90 #DIV/0!
#DIV/0!
130 80 #DIV/0!
172 117* 42 81 110 80 0.33 150 50 130

182 98 59 161* 0.35 150 53 140
217* 140* 59 152* 170 90 0.39 165 64 110

123 56 50 83 130 90 0.35 158 55 110
154 82 58 111 130 80 0.34 150 51 130
#DIV/0!
0.41 167 68 130

130 80 0.42 168 71 182* 190* 130
#DIV/0!
140 80 0.42 153 65 130
237* 149* 55 193* 130 80 0.52 155 80 140
130 90 #DIV/0!
43* 181 124* 36* 119 120 80 #DIV/0!
#DIV/0!
0.36 165 60 130
0.39 149 58 120
130 90 0.48 149 71 130
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0.47 150 70 130
130 90 0.38 164 62 140
200 126* 46 210* 140 80 0.33 156 51 130
#DIV/0!
#DIV/0!
171 109* 50 115 130 90 0.41 147 60 130
140 80 0.37 172 63 130
0.37 164 61 82 140
#DIV/0!
0.34 152 52 184* 186* 160
140 80 #DIV/0!
195 129* 48 118 140 90 0.42 143 60 107* 130
221* 135* 61 176* 140 80 0.35 155 55 130
233* 157* 64 86 150 100 0.34 155 52 140
#DIV/0!
43* 222* 156* 43 #DIV/0!
#DIV/0!
45* 201* 132* 45 153* #DIV/0!
140 90 0.39 152 59 150
174 92 53 212* 140 80 #DIV/0!
#DIV/0!
140 100 0.38 158 60 140
212* 142* 50 141 150 90 0.40 158 63 160
#DIV/0!
181 96 36* 289* 170 90 0.53 150 80 160
#DIV/0!
0.41 158 65 130
194 137* 42 104 0.49 152 75 109* 140
0.32 157 50 130
#DIV/0!
#DIV/0!
225* 153* 38* 212* 130 100 0.39 152 60 140
96* 200 110* 61 314* 120 80 0.32 145 46 282* 296* 140
42* 210* 140* 49 114 130 80 0.37 162 60 120
#DIV/0!
0.31 150 46 130
#DIV/0!
65* 183 127* 35* 164* 130 90 0.40 159 64 213* 253* 130
130 80 0.33 150 50 130
0.46 151 70 130
156 86 57 79 160 80 0.41 160 65 140

#DIV/0!
140 80 0.37 161 59 130
184 129* 52 93 140 100 0.38 155 59 120
191 124* 54 104 130 90 0.29 153 45 125* 140
#DIV/0!
0.33 150 50 140
242* 147* 47 326* 160 90 0.40 149 59 160
#DIV/0!
140 90 0.51 153 78 140
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
136 83 39* 122 0.30 155 47 150
#DIV/0!
#DIV/0!
202* 144* 37* 161* 130 80 #DIV/0!
150 90 #DIV/0!
34 169 108* 34* 192* 120 80 0.47 150 70 98 140

45* 239* 147* 49 249* 130 90 0.46 153 70 83 140
170 122* 35* 115 120 90 0.35 158 56 180
#DIV/0!
85* 242* 83 30* 775* 160 90 0.47 150 70 150
52* 271* 198* 43 191* 130 80 0.41 167 69 176* 120
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
217* 153* 47 140 120 80 0.44 149 65 130
153 82 59 62 120 80 0.37 150 55 130
#DIV/0!
#DIV/0!
140 90 0.42 155 65 150
130 80 0.33 150 50 130
#DIV/0!
#DIV/0!
234* 154* 59 162* 160 90 0.38 160 60 150
157 91 50 85 160 80 0.37 158 58 130
130 80 #DIV/0!
150 90 0.41 175 71 150
130 70 0.34 170 58 130
0.40 159 64
N DARAH Dec-19 TKN DARAH Jan-2
IMT IMT
DIASTOLE TB BB GDP GDPP GDS HBA1C CHOL TOTAL CHOL LDL CHOL HDL TRIGLISERIDA SISTOLE DIASTOLE TB BB GDP GDPP
( kg/m2 ) ( kg/m2 )
90 #DIV/0! 0.30 153 46 107*

80 0.44 149 65 130 80 0.34 155 53
80 0.30 151 45 130 80 0.30 151 45
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
80 0.32 155 49 140 90 0.32 155 49
#DIV/0! #DIV/0!
80 0.45 152 68 109* 140 80 0.45 152 68 86
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
90 #DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
80 0.34 159 54 140 90 #DIV/0!

#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
90 0.35 159 55 140 90 #DIV/0!
80 0.42 156 65 86 150 90 0.42 156 65 103*

#DIV/0! #DIV/0!
#DIV/0! 0.40 155 62
70 #DIV/0! 0.28 150 42
80 0.38 148 56 76 140 90 0.38 148 56
90 0.39 168 65 130 80 0.39 168 65
100 0.38 143 55 170 90 0.38 160 60 89
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
80 0.35 155 55 120 70 0.35 155 55 160*
#DIV/0! #DIV/0!
100 0.45 160 72 140 90 #DIV/0!

#DIV/0! #DIV/0!
80 0.41 165 68 130 80 #DIV/0!
#DIV/0! #DIV/0!
90 0.32 150 48 140 80 0.37 150 55

#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
90 0.37 145 53 90 180 90 0.34 155 52 83
80 0.38 171 65 170 100 0.38 171 65
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 0.33 150 50
#DIV/0! #DIV/0!
80 0.41 158 65 130 80 #DIV/0!
80 0.44 149 65 130 80 0.45 146 65
0.39 145 56 120 80 0.37 145 54 117* 194*
80 #DIV/0! 0.36 150 54
#DIV/0! #DIV/0!
90 0.50 172 86 150 90 0.51 172 87
#DIV/0! #DIV/0!
90 #DIV/0! 0.41 147 60 172* 221*
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 0.39 147 58
90 0.40 150 60 133* 182* 130 80 0.33 150 50

90 0.36 150 54 80 140 90 #DIV/0!
80 0.35 158 56 86 140 100 0.44 153 67

80 0.35 158 55 93 110 80 0.36 151 55
90 0.34 150 51 140 80 #DIV/0!
#DIV/0! #DIV/0!
80 #DIV/0! 0.41 167 68

90 0.42 168 71 130 80 #DIV/0!
#DIV/0! 0.37 157 58
90 0.42 153 65 140 80 0.42 153 65
90 0.52 155 80 130 80 0.52 155 80
0.27 148 40 120 80 0.27 150 40
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
80 0.36 165 60 120 90 #DIV/0!
80 #DIV/0! 0.39 149 58
90 0.47 149 70 130 80 0.43 149 64 118* 129
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 0.44 160 70
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
0.40 163 65 160 90 0.41 160 65
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
80 0.41 158 65 140 90 0.41 158 65
100 0.40 154 62 140 90 0.37 158 59
80 0.32 156 50 89 120 90 0.33 156 51 109*
#DIV/0! #DIV/0!
0.38 156 59 130 90 0.38 156 59
90 0.40 147 59 130 90 0.40 147 59 135
80 0.37 172 63 130 80 0.37 172 63
80 0.49 165 81 130 80 0.49 165 81
#DIV/0! #DIV/0!
90 0.34 155 53 175* 179* 140 100 #DIV/0!
#DIV/0! #DIV/0!
80 0.44 170 75 108* 113 150 80 0.46 170 78 105*
90 0.35 155 55 120 90 0.35 155 55
100 0.33 156 52 108* 149 140 90 0.32 155 50 109*
#DIV/0! #DIV/0!
0.32 158 51 120* 120 90 0.32 158 51 105*
#DIV/0! #DIV/0!
0.42 172 72 128* 140 70 0.42 172 72 113*
90 0.38 156 59 107* 150 90 0.38 160 60 204*
0.41 147 60 130 90 0.39 148 58
#DIV/0! #DIV/0!
90 0.38 158 60 140 90 0.37 158 59
90 0.40 158 63 89 120 90 0.38 160 61 87
#DIV/0! #DIV/0!
100 0.53 150 80 150 100 0.43 150 65
#DIV/0! #DIV/0!
80 0.41 158 65 150 90 #DIV/0!
100 0.49 152 75 115* 140 80 0.49 152 75 106*
90 0.32 157 50 140 80 0.36 157 57
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
90 0.38 152 58 120 90 0.39 153 59
80 0.32 145 46 237* 252* 150 80 0.31 145 45 182* 164*
80 0.37 162 60 130 80 0.38 160 60 165*
#DIV/0! #DIV/0!
80 0.31 150 46 150 80 #DIV/0!
#DIV/0! #DIV/0!
90 0.40 159 64 140 90 0.40 159 64 167* 172*
80 0.33 150 50 130 90 0.33 150 50
100 0.48 151 72 130 100 0.48 151 72
90 0.41 160 65 140 90 0.41 160 65

#DIV/0! #DIV/0!
80 0.34 155 53 130 80 #DIV/0!
80 0.39 155 60 130 80 0.38 155 59
80 0.29 153 45 102* 148 130 80 0.29 153 45 90
0.36 166 59 130 90 0.36 166 59
80 0.33 150 50 14 90 0.33 150 50
90 0.40 149 60 212* 236* 140 90 0.40 149 60 192* 215*
#DIV/0! 0.34 146 49
100 0.51 153 78 140 100 0.51 153 78
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 0.36 160 58
#DIV/0! #DIV/0!
#DIV/0! 0.38 151 57

90 #DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! 0.42 155 65 128
#DIV/0! #DIV/0!
80 0.47 150 70 140 90 0.47 150 70

80 0.46 153 70 82 150 80 0.54 153 83
90 0.35 158 56 160 80 0.35 158 56
#DIV/0! #DIV/0!
90 0.47 150 70 160 80 0.47 150 70 221*
80 0.35 167 59 120 80 0.41 167 69 130*
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
80 0.45 146 65 130 80 #DIV/0!
80 0.37 150 55 120 90 0.32 155 50 90
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
80 0.42 155 65 140 90 0.42 155 65
80 0.33 150 50 140 90 0.33 150 50
#DIV/0! #DIV/0!
#DIV/0! #DIV/0!
90 #DIV/0! #DIV/0!
90 0.37 158 58 120 80 0.37 158 58
#DIV/0! #DIV/0!
100 #DIV/0! #DIV/0!
70 0.33 170 56 120 80 0.33 170 56
#DIV/0! #DIV/0!
Jan-20 TKN DARAH
GDS HBA1C CHOL TOTAL CHOL LDL CHOL HDL TRIGLISERIDA SISTOLE DIASTOLE
160 80
130 90
130 80
140 100
130 80
140 80
150 80
150 80
130 80
130 90
160 100
140 80
130 90
130 80
180 90
130 100
130 90
120 80
170 100
140 80
180 90
130 100
130 90
130 80
120 80
140 90
140 100
140 90
130 90
130 80
120 80
140 80
120 90
170 90
130 80
140 100
130 100
130 80
140 90
140 90
130 90
130 80
130 90
110 80
130 100
190 90
150 90
160 100
140 100
140 90
170 90
140 90
130 100
130 90
140 80
130 90
140 90
140 80
140 80
140 80
120 80
130 80
130 100
130 100
140 100
140 80
140 90
110 80
130 100
140 80
150 80
120 80
150 100
140 100
120 80
140 90
130 80
140 100
130 80
140 80
0
5
10
15
20
25
30
G GD DSH2PBPaP1 c 35
2 E2 R6 O21 8L IA 0 9HPC86IT657PEH1U4TR0E/U591P505 1A 9M0 L O D 1IPX IN1
T IN I P R IH1 A1 32TA IN 3S 5TINA8P8RG5 2A3S CDIH
J1AM1 W 0 /6E81T405AM9N E T F O R1MX IN 1
H E2N2I 6T 2A3 8R 0L 9IAPC96NIT51I7EIH1U3TR0E/U6817P06 3A 9M7 L O D 1IPX IN1
N2 4K 9U14R2N9IA0 P5TA5I3S98PTD1AM5R0A/7J91A005 M 10 2E0T*F O R1MX 1IN
E N I5R3O85 H6 A7 5EPJN45A2I5GIH1A 3TB0A/Y681A305 6A M L O D 1IPX IN1
E U1 IS7 9S06U0R5T6INPC55ITI.3191EIHU3 T0R /E1U510P240 5A M L O D 1IPX IN1
1 4 A3 2N7 2IN7 G8 P84786BIH1U3TG0 E/5L81805 8A M L O D 1IPX IN1
M U M1 U3 1S 9U8 7M2 A2 R3LK6N9A31APMH1 4TA 0S /A691N006 4A 8M7 L O D 1IPX IN1
1 3IM1 9I9 7T U2 2T PI6K44A98MIH1 3AT 0S /A581N705 5A 7M8 L O D 1IPX IN1
A2 T2 I4A15 0T6IK2 A3 CL1H6IT108PEH1U4TR0E/U581P005 0A M L O D 1IPX IN1
K O K O 1M2 9K12O17M8 A2 P8R6P8IA0U2DITH1 M R5 A0 C/78O1106 M 10 1E9T*F O R1MX IN 1
A T I G1U2 M818B26IR2 A4 PYC95AIT83T3EDI1IUM4R0E/U5915P05 M 10 0E13T1*F6O R1MX IN 1
1 7S U819R36Y P2A A4T P1IS4IR 972DLI1AM3N0 JU /691N805GM2 9E 0T F O R1MX IN 1
Y1E 1N8I17A49S 7T 5UP7T4P3I3U3DIT1 MR4 A0 C/78O1005 M0 9E 1T F O R1MX 1IN
1 8 9 1IL958A 9PH9OP35N28D4IHO1 3TK 0R /O5910S05A5A M L O D 1IPX IN1
1a4i 3y19u63h 2a n3 PBa86A502T1PDU5MR0 E/ 1O710K870 M01 E0 T0 F O R1MX IN 1
1 8r5o11s76wP3aA3tiP3S5IR 154DLI1AM6N0 J/U681N404GM 19 2E11T4*F4O R1MX IN 1
JU JU 5K 3U17R81NP2IAA5PS06IR IH 54 PLH1A3TN0 J/U691N306G0A M L O D 1IPX IN1
A A2M0 7K15O95 M7 9APB34LA2A84TPH1U5TR0E /O691K305 9A 7M9 L O D 1IPX IN1
0 R0 IN0 2I 2M280A7 R2 T4 PIN J85A52IG12IHA4 TB0 A/ 1Y610A360 0A 9M2 L O D 1IPX IN1
A . S2U0MP92 RA21 IA0R 4GT 5NAL62AH46PUH1R3TIP0 /IN 58180D6 0A HM L O D 1IPX IN1
T J U T JU 5S U329H23A 2JA6CP0N6IM19APEH1N3T T0E/N4816G05 0A 9M121L 1O D 1IPX IN1
1D 8E 2MD20EA32SR9AG8RPA26I 8H54UPD1RM4IP0 /IN 48150D4 M
15A32HE90T *7F O* R1MX IN
1
2 0M92TA24ITR0 IG4 A6P57H03U1IHR8 TIP 0 / 1IN6105D60 A0A HM L O D 1IPX IN1
IIS R1 U4 K6 2A3 51E N2 4DPC3A6IH 70H4ID IH1 4TE 0U /N681G505 2A1 M 0 9L O D 1IPX IN1
N A1N7I 2S21U60HK3AE4BEP06ON40IN4PD1 M K4 A0 L/5A811P04AM14 2E60T*5F O* R1MX IN 1
H E 1N3I 1R25O74H9A7 EPC13NIT39I7EIH1U4TR0E/U581P505 8A M L O D 1IPX IN1
a1ti9h6 2s0u86m3P 4iaOP1ti6N54DK81TOH8 TK0 R/ 1O4106S50A3A 8M19 L0O D 1IPX IN1
2 2 52IT499O 7K5CP4IK609O2IH1N2TD0A/5N9150G5 5A M L O D 1IPX IN1
S IT I K O5 M6M33A0A9RR8GIY 2PA46AH19HUPH1R4TIP0 /IN 49170D5 7A HM L O D 1IPX IN1
R U K M1 A4 N6 32A12M2 1A 7LN676T5BPAH1U6TG0 E/6L81507 1A M L O D 1IPX IN1
A1T4I 2S35U26R 9Y 0AP9T6G2I32A1PH7RT0D /U15H10550 0A M L O D 1IPX IN1
1 2 7 3O3 38O 3N2CP95IG199EDI1UM4R0E/U6910H05 M2 E T F O R1MX IN 1
C U C U1 5C1U34 4R8 A5 W2CP33IM A58T7EIH1N3T T0E/N5819G05 2A M L O D 1IPX IN1
S5A33N95U2 D1 IN 8 L5L 6A9 PDM1 M3P0IN/58G1906 M 17 1E8T*F O R1MX IN 1
H J .S U L IA H 5D23A96R5M0 0AP46SG7YAPEH1TR2TI,D0U/59H1704 15A1M15 4*L 9O D 1IPX IN1
W A R Y 5A 33S77U1RP3YA6ALS17NIR8 APLH1A4TN0 JU /581N607G0A M L O D 1IPX IN1
e2n 0ti 4n378k0a3r 4tiCP7n6IG0i891PDE 4UM0R /E1U6101H40 M 27 2E3T*F O R1MX IN 1
1 2L IL9 3IS099L5IS8EP44163IH1 L3TIO0 /781005 3A M L O D 1IPX IN1
R5U24K90M9 3INC6PIIK 15 86OPH1N4TD0A/5N9190G5 5A M L O D 1IPX IN1
A1 I6R6O401H4 A3 6NP2A5G647APH1R4TD0U/79H1206 0A M L O D 1IPX IN1
1N 6U6R45H27A3E5NP24CI90IP8PH1IN4TA0 N/59G1005 0A M L O D 1IPX IN1
N 0EKN0O0I MR0 O0P47C3M9H8A0YRP05AG66TA0DI1H3M3U0R/5IP81305INM5 DE AT FHO R1MX IN 1
5 34R94A5 N7 I4P25C 86IKPH1A 4TJA0 N/891G005 5A M L O D 1IPX IN1
1 5 24U2 52A 8N9 L34L 2E6M 7PH1 B5T A0 N/681G505 8A M L O D 1IPX IN1
Y U Y U Y U5 L54IA265NP3INA1PSG35IR6S4 1IHLIH4A T0N /JU1510N950G8A M L O D 1IPX IN1
T IT1IN4 5R49O73H3 A9 PE05CN18IPI8IH1IN3TA0 N/59G1805 7A M L O D 1IPX IN1
S U S I1S2U7 4S1IL81A2 W9 P63AG55TA7IH1M5T L0 O/69K1205 5A M L O D 1IPX IN1
W5 4A41S94IL8A 5HCP05IG93 PEH1U4TR0E/U6815H05 3A M L O D 1IPX IN1
A I 5T3A590R1M0 1IN PP6AI 72S PDIR1 M2K 0A /L59IK 1804I M9 E T F O R1MX IN 1
D E W I PS5 UA45G0N12IA G 5KR5APT45LA75ATPDN1I M3C0IM/691A205UM4NEGT F O R1MX IN 1
JUMLAH
2 H0 O65M9D27IJA A2R7HGP46A69PH7 H1U3TR0IP/591A005S0AIHM L O D 1IPX IN1

K A N A 1 A8 D551A36NP3GA2 C7LS6EIR 61C3PLH1EA4TN0 JU /591N005G7A M L O D 1IPX IN1
1 H1 E45R64M2 1A4N1L6R80E1PUH1 N3T G0 /A681S506 8A M L O D 1IPX IN1
1M 4 6A595M3 5A4HP25G29A91DI 3MM0L/O16K10540 M6 E T F O R1MX IN 1
T A 1N 1T 0I 5H6 67E R9 L2TIN P1IW31A91UIH4LTA0 /N17D102U50 1A M L O D 1IPX IN1
IIS M IM I S U5 R35Y77A1 N3 2I,PC45SIK 75.PIAH1D3LT.IO0 /N491G505 3A M L O D 1IPX IN1
D E D E1 8IIM 9 53 88S O6 2L IH 2L3L5A6IN8PMH1 4TP0IN/88G1707 2A M L O D 1IPX IN1
D E1 D5 E2 52R92OP9SA7ITP3S5AIR 631PLH1A5TN0 J/U591N405G0A 8M4 L O D 1IPX IN1
W IW1 4I 6W62 0IS0 0A 1RPC0O5IT47H9EIH1U3TR0E/U581P804 7A M L O D 1IPX IN1
S IT1 4I 3JU671L3A4E1HP8K6A6O11ILH1E0TL0E G/471A205 10A0M3 *L O D 1IPX IN1
2 2 A5 67D29A 8M6 C1L4IT893PEH1U4TR0E/U591P106 0A M L O D 1IPX IN1
E N U 2N2G5 6R73O9 8H 6APC24EIT7N53EIH1U6TR0E/U591P504 1A M L O D 1IPX IN1
6 4W634IW 8 9M3I PA57 R26 GPH1A3TH0 U/68R100IP 6 5A M L O D 1IPX IN1
0 0M0 1A 3K63H55M8 U1 L5D4C 07IM3PD12AM2 U0 N/681G205 M8 E T F O R1MX IN 1
R IT A N1 U3 R9 6H8 66A 5S 3AP2N3C9A5IM1HIH1A3T U0 N/681G006 0A M L O D 1IPX IN1
D E0DG0 ER0HIY
0 0RA65U7JA4H1YG9AAP95TB18INA3IH1Y58TA0 P/68U150T6 R0AAMC LOO D 1IPX IN1
T IN 1I S4 U56G6 88IA2N4 TP4A6IN5S031ITDI A8M0R /A17JA12250 M8 E T F O R1MX IN 1
M A L E MK O1A M 9T 6EP62S9M 2E 6MA6 RBP66GIRK71AL9INH1GHG7TU0R/6IP91204IN9A DMA LHO D 1IPX IN1
N . L IL IS K O5D47A20R9 IA 6 5HP85A3S1 S.P PH1AD4TR0E /A581N904 7A M L O D 1IPX IN1
A G U S S U5 R47Y01A7 N4 3ALJ56AS10PGPH1DA 3TB0A/Y681A506 0A M L O D 1IPX IN1
IT E N1G7 7M76U20 L1Y1A1LJ5NA14AG7PH1A 5TB0A/Y791A107 5A M L O D 1IPX IN1
1 Y5 U2 7L43IA2 5N3AP7C34IK36IAH1 3LT O0 /N591G506 0A M L O D 1IPX IN1
E1L I7 Y7U76 4L0IA1 1NP1JT4A2I8G8IH1A 3TB 0A/Y691A006 0A M L O D 1IPX IN1
D E D1 3E 4R70A55S8M4 IT3L5C3A7IM4SH1A4T U0 N/681G506 0A M L O D 1IPX IN1
C A C5A47K06U5 7R 2NL65CIA29IM1PD 5AM0U/ N1510G960 M1 E T F O R1MX IN 1
D IA N D1A5 M179A77Y0A3NPJ43AS95AG31IRHA6ITB0 A/ 1Y610A560 0A M L O D 1IPX IN1
E M1IN3 4A718M1 3IN5 PA35G3H7A6IH1M4T L0 O/59K1704 8A M L O D 1IPX IN1
E N C IH S U R5 4Y7A39N0 2A P9HPA95 S54N.PPEH1ND3TJ0O/5A9190N5 6A M L O D 1IPX IN1
T A T A N G5 48S1U00M3 6PL3E6L EN47MSAH1 B4T A0 N/681G307 2A M L O D 1IPX IN1
H J.E5.M C38IM51U6LA9YU1AP47NT 61IG1PHS4 TA0 /B 1E510U950L 8A HM L O D 1IPX IN1
A B U1 S8 U3 82P2R2 IA 4 0T8L7SN1U3A2PKH1A5T S0 A/59R100I6 0A M L O D 1IPX IN1
ID A4 7K8M4U30AR8RN6GPIA15A31HIH1U3TR0IP/691A505S8AIHM L O D 1IPX IN1
ID A5S38D64A8 1S IT 6P26A49T AIH1 R3T IG 0 /U481604 8A M L O D 1IPX IN1
D A D A N G S Y4A78RM45IP0A 8UR6LGL06MA25H1APHU7LTIK 0R /IP1610A960S8AIHM L O D 1IPX IN1
4 1 08A 26N9D7IP5L6A5 6S6PDIR1 M3S E0 R/48E18H04 M8 E T F O R1MX IN 1
E N U R L A5 E48L0A71 F4 A0PR05AID 58 SPDA1IRM2H0 U/78N1906I M0 E T F O R1MX 1IN
N A 1N5A2 8S28U2 K8 A8 6LN5S0A2E7SDL1AM2JA0 /M5812I07 M0 E T F O R1MX 1IN
Y U Y U W A 5H3Y86U98D1IN6 L1,7 S32T.PPAH1 DR3T IG 0 /U691507 0A M L O D 1IPX IN1
JUMLAH
REKAP KEGIATAN PESERTA DM DAN HT FKTP KLINIK RAGA SEHAT
NAMA FKTP : KLINIK RAGA SEHAT PELATIH SENAM : SRI DARYANI
DUTA PROLANIS : PEMBICARA : dr. YEDI HENDRAWIANA DAN DR EVA
ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 21 APRIL 2019
NO TLP / HP : 022 - 85934752
dr./FKTP PEMBINA : DR YANTI INDRAYANTI
NAMA KEGIATAN : PENYULUHAN DAN SENAM
LAB
NO NAMA NO KARTU PESERTA JK USIA P/I/S/A DIAGNOSA ALAMAT TENSI BB TB NAMA OBAT SIGNA JUMLAH
GDS GDP GD2PP HBa1c
1 TINI PRIHATININGSIH 0000011335882 P 53 C DM ASTARAJA WETAN 130/90 46 143 8,8 / 73 METFORMIN 1X1 30
2 ACHMAD HIDAYAT BME 0000043082109 L 75 P DM ASTARAJA 140/90 61 172 6,2 / 44 METFORMIN 1X1 30
3 DADANG SYARIPUL MALIK 0000047408602 L 65 P HT MARGAHURIP ASIH 130/80 66 168 AMLODIPIN 1X1 30
4 IDA KURNIA 0000047408613 P 51 I HT MARGAHURIP ASIH 140/80 69 156 AMLODIPIN 1X1 30
5 HJ.SULIAH DARMASYETI, 0000052950047 P 67 P HT GARDUH 130/80 63 145 100 138 AMLODIPIN 1X1 30
6 AI PUPU PUTONAH 0000052982335 P 50 P HT CIKALONG 140/80 56 151 AMLODIPIN 1X1 30
7 RUKMINI 0000052993618 P 56 P HT CIKONDANG 140/80 51 155 AMLODIPIN 1X1 30
8 MUMU SURYANA 0000053054054 L 56 P DM MARGAHURIP ASIH 140/90 81 165 METFORMIN 1X1 30
9 IIM ROHIMAH 0000053054065 P 49 I HT MARGAHURIP ASIH 140/90 64 158 AMLODIPIN 1X1 30
10 MIMI SUMIARSAH 0000053355633 P 74 I HT CITEUREUP 140/90 47 148 AMLODIPIN 1X1 30
11 IKAH 0000053376344 P 83 P HT CIMAUNG 140/90 51 153 AMLODIPIN 1X1 30
12 HJ.E.MULYATI 0000053569146 P 71 P HT CIMAUNG SABEULAH 140/80 61 158 AMLODIPIN 1X1 30
13 YUYU WAHYUDIN, S.PD 0000053681613 L 72 P HT TARIGU 140/90 63 172 AMLODIPIN 1X1 30
14 IDAS DASITA 0000053681624 P 69 I HT TARIGU 140/90 45 148 AMLODIPIN 1X1 30
15 JUJU KURNIASIH 0000053712505 P 64 P HT PASIRLANJUNG 140/90 65 160 AMLODIPIN 1X1 30
16 MASRIPAH 0000053712797 P 77 P HT CADAS NGAMPAR 140/80 64 143 AMLODIPIN 1X1 30
17 IIS MIMI SURYANI, S.PD.I 0000053713247 P 55 I HT CIKALONG 140/80 44 153 AMLODIPIN 1X1 30
18 WARYA SURYANA 0000053713618 L 78 P HT PASIRLANJUNG 160/90 59 170 89 108 AMLODIPIN 1X1 30
19 ADE NESMI 0000053854863 P 57 P HT MARGAHURIP INDAH 140/90 46 153 AMLODIPIN 1X1 30
20 NURHAYATI. 0000053900122 P 53 P HT PUTRACO 140/90 54 158 AMLODIPIN 1X1 30
21 AI TARMINI 0000053910167 P 62 P DM PASIRKALIKI 120/80 58 149 METFORMIN 1X1 30
22 IMAS TJARTIKA 0000053920811 P 66 P HT PUTRACO 140/80 56 155 AMLODIPIN 1X1 30
23 SANUDIN 0000053921856 L 59 P DM LAMPING 120/80 63 167 METFORMIN 1X1 30
24 TJUTJU SUHAJANAH 0000053932601 P 69 P HT CIMENTENG 140/80 41 150 AMLODIPIN 1X1 30
25 RANI 0000053957428 P 56 P HT CIKAJANG 140/80 59 148 AMLODIPIN 1X1 30
26 IDA FARIDA 0000053998536 P 58 P DM PUTRACO 140/80 68 152 6,8 / 51 METFORMIN 1X1 30
27 ELIS DAHLIANINGSIH 0000053998762 P 58 P HT PUTRACO 130/80 49 152 AMLODIPIN 1X1 30
28 DRS. AEP AHMAD 0000054010203 L 59 P HT SINDANG PANON 140/90 70 168 AMLODIPIN 1X1 30
29 E NURLAELA FARIDA 0000054014005 P 58 P DM PASIRHUNI 140/90 68 165 109 6,6 / 49 METFORMIN 1X1 30
30 DEWI SUGIARTATI 0000054025547 P 55 P DM PANGKALAN CIMAUNG 140/90 63 154 5,7 / 39 METFORMIN 1X1 30
31 SUPISARI SRI MULYANI 0000054056259 P 58 P DM PANYINDANGAN 140/80 46 151 11,9 / 107 METFORMIN 1X1 30
32 CACA KURNIA 0000054057262 L 59 P DM CIMAUNG 140/90 59 161 METFORMIN 1X1 30
33 NUNUNG NURJANAH 0000054085735 P 64 P HT GARDUH 140/90 47 157 AMLODIPIN 1X1 30
34 TATANG SUMPENA 0000054103634 L 67 S HT LEMBANG 140/80 62 172 97 AMLODIPIN 1X1 30
35 YAYA SUNARYA 0000054118563 L 56 P HT PASIRLANJUNG 150/80 67 155 AMLODIPIN 1X1 30
36 WASILAH 0000054148509 P 53 P HT CIGEUREUH 140/80 66 153 AMLODIPIN 1X1 30
37 TJAHRA SUMPENA 0000054171202 L 68 P HT GARDUH 130/80 72 171 90 102 AMLODIPIN 1X1 30
38 AHMAD 0000054205233 L 58 P DM ASTARAJA 130/80 60 167 5,3 / 34 METFORMIN 1X1 30
39 N. LILIS KODARIAH S.PD 0000054296583 P 51 P HT PASAREAN 130/80 61 147 85 115 AMLODIPIN 1X1 30
40 NANI MULYANI 0000054296616 P 54 P HT BABAKAN 140/90 60 155 AMLODIPIN 1X1 30
41 ENCIH SURYANAH S.PD 0000054302995 P 54 P HT PANENJOAN 140/80 57 155 AMLODIPIN 1X1 30
42 YUYUN TRESNAWATI 0000054303254 P 53 P HT SINDANG PANON 140/80 45 140 AMLODIPIN 1X1 30
43 MUHAMAD SUTEDI 0000054310724 L 61 P HT PUTRACO 140/90 82 160 AMLODIPIN 1X1 30
44 YUYU YULIANINGSIH 0000055253136 P 54 I HT PASIRLANJUNG 140/80 62 158 AMLODIPIN 1X1 30
45 AAM SUGIHARTI 0000055377382 P 58 I HT CITEUREUP 140/80 52 154 AMLODIPIN 1X1 30
46 SITI KOMARIYAH 0000056398241 P 69 P HT MARGAHURIP INDAH 140/90 55 152 AMLODIPIN 1X1 30
47 ABDUL JALAL 0000056531169 L 72 P DM MARGAHURIP INDAH 140/90 63 162 METFORMIN 1X1 30
48 WIWI 0000064389352 P 76 P HT MARGAHURIP 140/80 55 164 AMLODIPIN 1X1 30
49 IMAS HARYATI 0000069261636 P 72 I HT JAGABAYA 140/80 54 159 AMLODIPIN 1X1 30
50 ILAH TARKILAH 0000148516986 P 57 I HT CIHIDEUNG 140/80 63 146 AMLODIPIN 1X1 30
51 ATIN HAYATIN 0000196430927 P 60 I HT MUARA 140/80 62 140 AMLODIPIN 1X1 30
52 A. SUPRIATNA 0000209204526 L 64 P HT MARGAHURIP INDAH 140/80 58 160 AMLODIPIN 1X1 30
53 ANDI 0000410297556 L 66 P DM PASIRSEREH 130/80 48 148 METFORMIN 1X1 30
54 TANTI HERLINA 0001106792111 P 39 I HT TIWULANDU 140/90 72 151 77 83 AMLODIPIN 1X1 30
55 HERMAN 0001146214181 L 60 P HT REUNGAS 140/80 65 168 AMLODIPIN 1X1 30
56 YENI ASTUTI 0001187975733 P 43 I DM PUTRACO 130/80 55 150 5,2 / 33 METFORMIN 1X1 30
57 ROHANAH 0001257367702 P 61 P HT TARIGU 130/80 55 150 AMLODIPIN 1X1 30
58 DESMAN SILALAHI 0001260486628 L 48 P DM MARGAHURIP INDAH 120/80 53 160 METFORMIN 1X1 30
59 SUSI SUSILAWATI 0001271129657 P 35 I HT GAMLOK 130/80 55 160 AMLODIPIN 1X1 30
60 DEDI SUTIADI 0001271914176 L 70 P HT GARDUH 140/80 57 167 AMLODIPIN 1X1 30
61 ANI WARNIATI 0001271914648 P 58 I HT GARDUH 140/80 63 153 AMLODIPIN 1X1 30
62 OON 0001273832919 P 59 I DM CIGEUREUH 140/90 58 152 METFORMIN 1X1 30
63 ATI GUMBIRAYATI 0001288624983 P 53 I DM CITEUREUP 140/90 52 148 124 173 METFORMIN 1X1 30
64 LILIS LISE 0001290958413 P 46 I HT LIO 140/80 73 152 AMLODIPIN 1X1 30
65 KOKOM KOMARIAH 0001292782882 P 60 I DM PUTRACO 140/90 65 153 6,1 / 43 METFORMIN 1X1 30
66 HENI ROHAENI 0001315497137 P 39 I HT CITEUREUP 140/80 61 158 AMLODIPIN 1X1 30
67 MUMU SUMARNA 0001319722391 L 63 P HT KAMASAN 140/90 62 164 AMLODIPIN 1X1 30
68 IMI TUTI 0001319722648 P 49 I HT KAMASAN 140/90 57 155 AMLODIPIN 1X1 30
69 DEDE RASMITA 0001340584334 L 57 S HT CIMAUNG 140/80 66 170 187 AMLODIPIN 1X1 30
70 EMIN AMINAH 0001341135336 P 57 I HT GAMLOK 140/80 69 148 AMLODIPIN 1X1 30
71 ATI SURYATI 0001425690922 P 63 P HT GARDUH 140/80 56 149 AMLODIPIN 1X1 30
72 HANI SAPARINA 0001430264643 P 44 P HT PASIRLANJUNG 140/90 49 146 AMLODIPIN 1X1 30
73 ANING 0001432278876 P 48 I HT BUGEL 130/80 60 158 AMLODIPIN 1X1 30
74 SITI JULAEHA 0001437341861 P 61 I HT KOLELEGA 140/80 50 152 113 AMLODIPIN 1X1 30
75 ai yuhana 0001439323852 P 60 P DM BATUREOK 140/90 58 143 117 METFORMIN 1X1 30
76 TINI SUGIANTINI 0001456824453 P 60 I DM ASTARAJA 140/90 73 158 METFORMIN 1X1 30
77 TITIN ROHAENI 0001459339018 P 58 I HT CIPINANG 140/90 58 157 AMLODIPIN 1X1 30
78 SUKARNO 0001459818505 L 77 P DM KAMASAN 130/80 48 165 METFORMIN 1X1 30
79 WIWI WISAROH 0001462001049 P 57 I HT CITEUREUP 130/80 55 147 98 AMLODIPIN 1X1 30
80 RUKMANA MANTA 0001462221775 L 66 P HT BUGEL 140/90 66 171 AMLODIPIN 1X1 30
81 IIS RUKAENDAH 0001463124374 P 60 I HT CIHIDEUNG 140/90 75 154 AMLODIPIN 1X1 30
82 ENAN TARYA 0001465383341 L 69 P HT KAMASAN 140/90 71 158 121 142 AMLODIPIN 1X1 30
83 ENI 0001468568474 P 61 I DM SIRNAGALIH 140/80 51 150 METFORMIN 1X1 30
84 MAMAH 0001469354229 P 59 I DM GAMLOK 140/90 67 146 METFORMIN 1X1 30
85 CUCU CURAWATI 0001514852357 P 38 I HT CIMENTENG 130/80 61 152 AMLODIPIN 1X1 30
86 Nining Widianingsih 0001516518011 P 48 I HT LAMPING 140/90 68 157 AMLODIPIN 1X1 30
87 NANA SUKANA 0001522288607 L 52 S DM SELAJAMI 120/80 52 170 METFORMIN 1X1 30
88 DEDE KURNIATI 0001522289204 P 47 I HT CITEUREUP 140/80 65 149 AMLODIPIN 1X1 30
89 UAN 0001522289327 L 46 P HT LEMBANG 140/90 69 152 AMLODIPIN 1X1 30
90 DEDE ROSITA 0001522297361 P 53 P HT PASIRLANJUNG 140/80 49 149 AMLODIPIN 1X1 30
91 YULIANA 0001524253746 P 33 I HT CIKALONG 130/80 51 150 AMLODIPIN 1X1 30
92 SUHARDI 0001660223204 L 56 P DM LEMBANG 140/90 69 166 6,6 / 49 METFORMIN 1X1 30
93 AYI ROHANA 0001660436267 L 53 P DM PASIRKALIKI 140/90 69 170 METFORMIN 1X1 30
94 TUTIH SUTINAH 0001661417032 P 61 I HT LEMBANG 140/90 60 160 AMLODIPIN 1X1 30
95 JENNI DAWATI ,S.SOS 0001662220225 P 47 I HT PUTRACO 140/90 66 160 AMLODIPIN 1X1 30
96 DADANG SUMPENA 0001664749247 L 47 P HT CITEUREUP 140/80 68 165 AMLODIPIN 1X1 30
97 NURHAENI 0001665735298 P 40 P HT CIPINANG 130/80 49 148 AMLODIPIN 1X1 30
98 IMAS ANI HARYANI 0001670220584 P 58 I HT CIKALONG HILIR 140/80 52 154 123 120 AMLODIPIN 1X1 30
99 HJ. AMAS 0001716483857 P 62 I HT KEBON TUNGGUL 140/80 58 146 AMLODIPIN 1X1 30
100 NANI SUHAENI 0001721034044 P 60 P DM KEBON KALAPA 120/80 56 150 241 7,9 / 63 METFORMIN 1X1 30
101 YUYUN 0001722490626 P 64 I HT CITEUREUP 140/80 67 145 AMLODIPIN 1X1 30
102 ITENG MULYANA 0001776011117 L 54 P HT JAGABAYA 140/90 73 175 AMLODIPIN 1X1 30
103 ELI YULIANTI 0001776011128 P 48 I HT JAGABAYA 150/100 66 160 AMLODIPIN 1X1 30
104 AMAR 0001777716257 L 61 S HT PASIRHUNI 140/90 68 155 AMLODIPIN 1X1 30
105 KOMARIAH 0001779982211 P 64 P HT SINDANG PANON 140/80 53 151 AMLODIPIN 1X1 30
106 SURYATI 0001789624192 P 47 I DM PASIRLANJUNG 130/80 78 170 86 6,9 / 52 METFORMIN 1X1 30
107 EUIS SURTINI. 0001790056539 P 51 I HT CITEUREUP 140/80 60 145 AMLODIPIN 1X1 30
108 ADANG SYACHRIO 0001813801724 L 51 P HT LEMBANG 130/90 68 167 AMLODIPIN 1X1 30
109 DEDE SARI 0001820298284 P 65 P DM MARGAHURIP INDAH 120/80 47 145 191 196 METFORMIN 1X1 30
110 ABU SUPRIATNA 0001832240812 L 73 P HT SUKASARI 140/90 57 161 AMLODIPIN 1X1 30
111 HJ. IMING 0001842766525 P 76 I HT CIBIANA 140/90 48 164 AMLODIPIN 1X1 30
112 EUIS KARSIDAH 0001844101989 P 66 I HT KAMASAN 140/90 53 149 AMLODIPIN 1X1 30
113 KANA ADANG CECE 0001851632763 L 61 P HT PASIRLANJUNG 140/90 57 157 AMLODIPIN 1X1 30
114 roswati 0001851633314 P 55 I DM PASIRLANJUNG 140/90 71 149 5,4 / 36 METFORMIN 1X1 30
115 endang purwanti 0001880617509 P 53 I HT PUTRACO 130/80 58 150 AMLODIPIN 1X1 30
116 DEDE IIM SOLIHIN 0001893862258 L 36 P HT LAMPING 180/100 87 172 AMLODIPIN 1X1 30
117 ILAH 0001899899324 P 58 I HT PONDOKROSA 140/80 55 158 AMLODIPIN 1X1 30
118 atih sumiati 0001960634158 P 64 KT HT PONDOKROSA 140/90 44 153 100 AMLODIPIN 1X1 30
119 tini sutini 0001963036225 P 45 P HT CIKALONG 140/80 51 150 AMLODIPIN 1X1 30
120 entin kartini 0002047034709 P 68 P DM CIGEUREUH 140/90 51 147 METFORMIN 1X1 30
121 TATI KUSMAYATI 0002055252633 P 65 P DM BABAKAN SAPUTRA 140/90 77 149 189 METFORMIN 1X1 30
122 AAM KOMALA 0002075579324 P 48 P HT BATUREOK 130/80 60 160 92 102 AMLODIPIN 1X1 30
123 SRI DARYANI 0002207203424 P 62 I HT CITEUREUP 130/80 46 152 AMLODIPIN 1X1 30
124 wati 0002209887731 P 38 I HT JAGABAYA KALER 140/80 44 148 AMLODIPIN 1X1 30
125 CUCU CURAWATI 0002245623118 L 60 P HT CITEUREUP 140/80 50 149 123 AMLODIPIN 1X1 30
126 ITOK 0002254975402 P 69 I HT CIKONDANG 140/90 53 148 AMLODIPIN 1X1 30
127 ADAM 0002257986183 L 49 P HT CITEUREUP 140/80 51 160 AMLODIPIN 1X1 30
128 ENUNG ROHAENI 0002257986273 P 45 I HT CITEUREUP 140/80 55 141 AMLODIPIN 1X1 30
129 E ROLIAH 0002262809867 P 65 P HT CITEUREUP 130/80 58 158 100 AMLODIPIN 1X1 30
130 HENI TARLIANI 0002262809957 P 61 I HT CITEUREUP 140/80 54 153 96 AMLODIPIN 1X1 30
131 nani sumarni 0002434692249 P 64 I HT PASIRLANJUNG 140/90 59 150 AMLODIPIN 1X1 30
132 N.KURNIATI 0002491290538 P 59 P DM ASTARAJA 140/80 59 150 7,1 / 54 METFORMIN 1X1 30
133
134
135
NAMA FKTP : KLINIK RAGA SEHAT TAUSYIAH : UST. KANA ADANG CECE
DUTA PROLANIS : PEMBICARA : dr. RUKO , ADMIN BIDE
ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 26 MEI 2019
NO TLP / HP : 022 - 85934752
NAMA KEGIATAN : PENYULUHAN DAN SIRAMAN ROHANI
LAB
GDS GDP GD2PP HBa1c
1 ACHMAD HIDAYAT BME 0000043082109 L 75 P DM ASTARAJA 140/90 61 172 METFORMIN 1X1 30
4 HJ.SULIAH DARMASYETI, 0000052950047 P 67 P HT GARDUH 140/80 63 143 AMLODIPIN 1X1 30
10 WARYA SURYANA 0000053713618 L 78 P HT PASIRLANJUNG 160/90 59 170 AMLODIPIN 1X1 30
11 ADE NESMI 0000053854863 P 57 P HT MARGAHURIP INDAH 140/90 46 153 AMLODIPIN 1X1 30
18 E NURLAELA FARIDA 0000054014005 P 58 P DM PASIRHUNI 140/90 68 165 METFORMIN 1X1 30
19 DEWI SUGIARTATI 0000054025547 P 55 P DM PANGKALAN CIMAUNG 140/90 63 154 METFORMIN 1X1 30
20 SUPISARI SRI MULYANI 0000054056259 P 58 P DM PANYINDANGAN 140/90 46 151 METFORMIN 1X1 30
21 TATANG SUMPENA 0000054103634 L 67 S HT LEMBANG 140/80 62 172 AMLODIPIN 1X1 30
23 TJAHRA SUMPENA 0000054171202 L 68 P HT GARDUH 130/80 72 171 AMLODIPIN 1X1 30
24 AHMAD 0000054205233 L 58 P DM ASTARAJA 130/80 60 167 METFORMIN 1X1 30
25 N. LILIS KODARIAH S.PD 0000054296583 P 51 P HT PASAREAN 130/80 61 147 AMLODIPIN 1X1 30
29 SITI KOMARIAH 0000056398241 P 69 P HT MARGAHURIP INDAH 140/90 52 155 AMLODIPIN 1X1 30
33 A SUPRIATNA 0000209204526 L 64 P HT MARGAHURIP INDAH 140/80 58 160 AMLODIPIN 1X1 30
35 TANTI HERLINA 0001106792111 P 39 I HT TIWULANDU 140/90 72 151 AMLODIPIN 1X1 30
36 YENI ASTUTI 0001187975733 P 43 I DM PUTRACO 130/80 55 150 METFORMIN 1X1 30
40 ATI GUMBIRAYATI 0001288624983 P 53 I DM CITEUREUP 140/90 52 148 METFORMIN 1X1 30
42 KOKOM KOMARIAH 0001292782882 P 60 I DM PUTRACO 140/80 65 153 96 METFORMIN 1X1 30
46 DEDE RASMITA 0001340584334 L 57 S HT CIMAUNG 140/80 66 170 AMLODIPIN 1X1 30
51 SITI JULAHA 0001437341861 P 61 I HT KOLELEGA 140/80 50 152 AMLODIPIN 1X1 30
52 ai yuhana 0001439323852 P 60 P DM BATUREOK 140/90 58 143 METFORMIN 1X1 30
53 SUKARNO 0001459818505 L 77 P DM KAMASAN 130/80 48 165 METFORMIN 1X1 30
54 WIWI WISAROH 0001462001049 P 57 I HT CITEUREUP 140/90 58 147 AMLODIPIN 1X1 30
57 ENI 0001468568474 P 61 I DM SIRNAGALIH 130/80 53 150 METFORMIN 1X1 30
64 SUHARDI 0001660223204 L 56 P DM LEMBANG 140/80 69 168 METFORMIN 1X1 30
65 AYI ROHANA 0001660436267 L 53 P DM PASIRKALIKI 140/90 69 170 METFORMIN 1X1 30
66 JENNI DAWATI ,S.SOS 0001662220225 P 47 I HT PUTRACO 130/80 60 159 AMLODIPIN 1X1 30
68 IMAS ANI HARYANI 0001670220584 P 58 I HT CIKALONG HILIR 140/80 54 152 AMLODIPIN 1X1 30
69 NANI SUHAENI 0001721034044 P 60 P DM KEBON KALAPA 130/90 56 150 METFORMIN 1X1 30
70 YUYUN 0001722490626 P 64 I HT CITEUREUP 140/80 67 145 AMLODIPIN 1X1 30
74 SURYATI 0001789624192 P 47 I DM PASIRLANJUNG 130/90 78 170 METFORMIN 1X1 30
76 DEDE SARI 0001820298284 P 65 P DM MARGAHURIP INDAH 120/80 47 145 METFORMIN 1X1 30
79 roswati 0001851633314 P 55 I DM PASIRLANJUNG 140/90 71 149 METFORMIN 1X1 30
82 atih sumiati 0001960634158 P 64 KT HT PONDOKROSA 130/80 44 153 AMLODIPIN 1X1 30
85 TATI KUSMAYATI 0002055252633 P 65 P DM BABAKAN SAPUTRA 140/90 77 149 METFORMIN 1X1 30
86 AAM KOMALA 0002075579324 P 48 P HT BATUREOK 140/90 60 160 AMLODIPIN 1X1 30
87 SRI DARYANI 0002207203424 P 62 I HT CITEUREUP 130/80 46 152 AMLODIPIN 1X1 30
89 ATI ATIKAH 0002245623118 L 60 P HT CITEUREUP 140/80 50 149 AMLODIPIN 1X1 30
90 E ROLIAH 0002262809867 P 65 P HT CITEUREUP 130/80 58 158 AMLODIPIN 1X1 30
91 HENI TARLIANI 0002262809957 P 61 I HT CITEUREUP 140/80 54 153 AMLODIPIN 1X1 30
92 N KURNIATI 0002491290538 P 59 P DM ASTARAJA 140/80 59 150 METFORMIN 1X1 30
93 TIN KARTINI 0001716591521 P 76 P DM + HT MARHAHURIP INDAH 140/90 53 153 METFORMIN 1X2 30
94 MAKHMUD 0001335815032 L 47 P DM CIMAUNG 130/80 62 158 METFORMIN 1X3 30
95 E SAMSUL B 0000053711728 L 70 P HT PASIRHUNI 140/80 50 160 AMLODIPIN 1X4 30
96 BETTY N 0001813802589 P 47 P HT LEMBANG 140/80 70 160 AMLODIPIN 1X5 30
97 DIDIK SURATMIN 0002207203413 L 63 P HT CITEUREUP 130/80 55 150 AMLODIPIN 1X6 30
DUTA PROLANIS : PEMBICARA : Dr.YEDI HENDRAWIYANA
ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 23 JUNI 2019
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
1 ABDUL JALAL 0000056531169 L 72 P DM MARGAHURIP INDAH 140/70 53 162 107* 123 METFORMIN 1X1 30
2 N.LILIS KODARIAH 0000054296583 P 51 P HT PASAREAN 130/80 61 147 AMLODIPIN 1X1 30
4 EUIS SURTINI 0001790056539 P 51 I HT CITEUREUP 140/80 60 145 AMLODIPIN 1X1 30
5 DEDE SARI 0001820298284 P 65 P HT MARGAHURIP INDAH 120/80 47 145 169* 185* AMLODIPIN 1X1 30
6 KOKOM KOMARIAH 0001292782882 P 60 I HT PUTRACO 140/80 70 153 AMLODIPIN 1X1 30
8 LILIS NURLIANA 0001898814464 P 51 P HT GARDUH 150/80 51 159 AMLODIPIN 1X1 30
9 TATANG SUMPENA 0000054103634 L 67 S HT KIANGROKE 140/80 68 172 88 AMLODIPIN 1X1 30
10 IDA FARIDA 0000053998536 P 57 P HT+DM PUTRACO 140/90 54 158 108* 189* METFORMIN 1X1 30
11 RUKMANA MANTA 0001462221775 L 66 P HT BUGEL 140/90 54 158 97 AMLODIPIN 1X1 30
12 ELIS DARLIANINGSIH 0000053998762 P 58 P HT PUTRACO 150/90 56 152 83 94 AMLODIPIN 1X1 30
13 NURHAYATI 0000053900122 P 52 P HT PUTRACO 150/90 62 158 89 106 AMLODIPIN 1X1 30
15 ATIH SUMIATI 0001960634158 P 64 KT HT PONDOK ROSA 150/80 43 153 AMLODIPIN 1X1 30
16 TINI PRIHATININGSIH 0000011335882 P 51 I DM+HT ASTRAJA WETAN 140/80 47 143 167* 178* METFORMIN 1X1 30
17 AAM KOMALA 0002075579324 P 48 P HT BATU REOK 170/100 60 160 105* AMLODIPIN 1X1 30
18 ENAN TARYA 0001465383341 L 67 P HT KAMASAN 140/70 67 158 AMLODIPIN 1X1 30
19 ATI GUMBIRAYATI 0001288624983 P 53 I DM+HT CITEUREUP 150/80 55 148 143* 165* METFORMIN 1X1 30
20 IMAS ANI HARYANI 0001670220584 P 58 I HT CIKALONG HILIR 140/80 55 152 88 AMLODIPIN 1X1 30
21 LILIS LISE 0001290958413 P 46 I HT LIO 130/70 74 153 102* 108 AMLODIPIN 1X1 30
22 OON 0001273832919 P 58 I HT CIGEUREUH 140/80 59 152 120* AMLODIPIN 1X1 30
24 AHMAD HIDAYAT BME 0000043082109 L 75 P DM+HT ASTARAJA 170/70 74 172 147* 198* METFORMIN 1X1 30
25 JUJU KURNIASIH 0000053712505 P 63 P HT PASIR LANJUNG 140/70 65 160 AMLODIPIN 1X1 30
28 SANUDIN 0000053921856 L 55 P DM LAMPING 130/80 62 167 150* METFORMIN 1X1 30
29 TATI KUSMAYATI 0002055252633 P 63 P DM+HT BABAKAN SAPUTRA 160/90 58 149 254* 260* METFORMIN 1X1 30
32 ENUNG KOMARIAH 0002292356788 P 56 I HT MARGAHURIP INDAH 130/70 63 159 AMLODIPIN 1X1 30
33 SITI KOMARIAH 0000056398241 P 67 P HT MARGAHURIP INDAH 140/90 50 155 AMLODIPIN 1X1 30
34 SITI JULAEHA 0001437341861 P 59 I HT KOLELEGA 130/80 44 152 AMLODIPIN 1X1 30
35 SUPISARI SRI MULYANI 0000054056059 P 58 P DM+HT PANYINDANGAN 130/80 56 157 240* 260* METFORMIN 1X1 30
36 ENTIN KARTINI 0002047034709 P 68 P DM+HT CIGEUREUH 130/80 56 151 217* 264* METFORMIN 1X1 30
41 AHMAD 0000054205233 L 58 P HT+DM ASTARAJA 140/70 58 163 175* 236* METFORMIN 1X1 30
42 UAN 0001522289327 L 46 P HT KIANGROKE 170/110 69 152 AMLODIPIN 1X1 30
43 WATI 0002209887731 P 38 I HT JAGABAYA KALER 140/90 50 148 AMLODIPIN 1X1 30
44 ILAH 0001899899324 P 58 I HT PONDOK ROSA 140/80 54 158 AMLODIPIN 1X1 30
46 SUKARNO 0001459818505 L 77 P DM+HT KAMASAN 140/90 48 165 92 104 METFORMIN 1X1 30
47 ANDI 0000410297556 L 66 P DM PASIR SEREH 130/100 48 148 METFORMIN 1X1 30
49 TJAHRA SUMPENA 0000054171202 L 68 P HT GARDUH 130/70 72 171 108* 114 AMLODIPIN 1X1 30
50 HJ.SULIAH DARMASYETI 0000052950047 P 67 P HT GARDUH 120/70 58 145 131* 185* AMLODIPIN 1X1 30
52 YUYU YULIANINGSIH 0000055253136 P 53 I HT PASIR LANJUNG 130/80 62 158 AMLODIPIN 1X1 30
53 KANA ADANG CECE 0001851632763 L 59 P HT PASIR LANJUNG 140/90 57 157 AMLODIPIN 1X1 30
55 N.KURNIATI 0002491290538 P 58 P HT ASTARAJA 140/100 59 150 AMLODIPIN 1X1 30
57 A.SUPRIATNA 0000209204526 L 64 P HT MARGAHURIP INDAH 140/80 58 160 AMLODIPIN 1X1 30
58 SURYATI 0001789624192 P 47 I DM PASIR LANJUNG 130/90 78 170 METFORMIN 1X1 30
59 MAMAH 0001469354229 P 59 I DM GAMBLOK 130/80 60 146 METFORMIN 1X1 30
60 E.NURLAELA FARIDA 0000054014005 P 58 P DM PASIR HUNI 130/90 68 165 METFORMIN 1X1 30
61 ADE NESMI 0000053854863 P 57 P DM MARGAHURIP INDAH 130/90 68 165 METFORMIN 1X1 30
62 DEWI SUGIARTATI 0000054025547 P 55 P DM+HT CIMAUNG 130/80 60 154 METFORMIN 1X1 30
63 IIS MIMI SURYANI 0000053713247 P 55 I HT CIKALONG 140/80 44 153 AMLODIPIN 1X1 30
64 ENCIH SURYANAH 0000054302995 P 54 P HT PANENJOAN 130/80 57 155 AMLODIPIN 1X1 30
65 AI YUHANA 0001439323852 P 60 P DM+HT BATU REOK 140/80 59 143 106* METFORMIN 1X1 30
67 WARYA SURYANA 0000053713618 L 78 P HT PASIR LANJUNG 150/100 59 170 AMLODIPIN 1X1 30
69 YENI ASTUTI 0001187975733 P 43 I HT PUTRACO 130/90 55 150 AMLODIPIN 1X1 30
70 ELI YULIANTI 0001776011128 P 48 I HT JAGABAYA KALER 160/90 66 160 AMLODIPIN 1X1 30
71 EMIN AMINAH 0001341135336 P 54 I HT GAMBLOK 130/80 55 148 AMLODIPIN 1X1 30
72 YUYU WAHYUDIN 0000053681613 L 72 P HT TARIGU 140/90 64 172 AMLODIPIN 1X1 30
76 JENNI DAWATI 0001662220225 P 47 I HT PUTRACO 130/80 60 158 AMLODIPIN 1X1 30
77 TINI SUTINI 0001963036225 P 45 P HT CIKALONG 130/90 51 150 AMLODIPIN 1X1 30
78 ANI WARNIATI 0001271914648 P 56 I HT JAGABAYA 130/80 64 153 AMLODIPIN 1X1 30
80 HANI SAPARINA 0001430264643 P 44 P HT PASIR LANJUNG 140/90 49 146 AMLODIPIN 1X1 30
85 ATI SURYATI 0001425690922 P 63 I HT GARDUH 140/80 56 149 AMLODIPIN 1X1 30
88 AI TARMINI 0000053910167 P 62 P DM PASIR KALIKI 130/80 58 149 METFORMIN 1X1 30
89 ROSWATI 0001851633314 P 52 I DM+HT PASIR LANJUNG 140/80 71 149 METFORMIN 1X1 30
90 AYI ROHANA 0001660436267 L 53 P DM+HT PASIR KALIKI 140/90 69 170 METFORMIN 1X1 30
DUTA PROLANIS : PEMBICARA : Dr.YEDI HENDRAWIYANA
ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 21 JULI 2019
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
1 E. ROLIAH. 0002262809867 P 63 P HT CITEUREUP KIDUL 130/80 55 158 92 AMLODIPIN 1X1 30
2 ACHMAD HIDAYAT BME 0000043082109 L 74 P DM+HT ASTARAJA 160/100 74 170 AMLODIPIN 1X1 30
3 DADANG SYARIPUL MALIK 0000047408602 L 63 P HT MARGAHURIP ASIH 140/80 71 168 142* 225* AMLODIPIN 1X1 30
5 HENI TARLIANI 0002262809957 P 59 I HT CITEUREUP KIDUL 120/80 67 153 108* AMLODIPIN 1X1 30
6 HENI ROHAENI 0001315497137 P 38 I HT CITEUREP 140/80 60 158 AMLODIPIN 1X1 30
7 HJ.SULIAH 0000052950047 P 65 P HT JAGABAYA 130/70 60 145 111* 175* AMLODIPIN 1X1 30
8 ENUNG KOMARIAH 0002292356788 P 56 I HT MARGAHURIP INDAH 140/90 64 159 101* AMLODIPIN 1X1 30
9 AI PUPU PUTONAH 0000052982335 P 47 P HT KP CIKALONG 130/90 57 151 AMLODIPIN 1X1 30
10 EUIS SURTINI 0001790056539 P 49 I HT KP CITEUREUP 140/90 54 145 AMLODIPIN 1X1 30
13 TATANG SUMPENA 0000054103634 L 65 S HT LEMBANG 150/80 63 172 106* 119 AMLODIPIN 1X1 30
14 IDAS DASITA 0000053681624 P 67 I HT KP TARIGU RT 04 RW 01 130/80 46 148 AMLODIPIN 1X1 30
19 SANUDIN 0000053921856 L 55 P DM LAMPING 120/80 62 167 163* 170* METFORMIN 1X1 30
20 RINI MARTINI 0002287248524 P 52 I HT JAGABAYA 160/90 60 160 AMLODIPIN 1X1 30
21 TJUTJU SUHAJANAH 0000053932601 P 66 P HT KP CIMENTENG RT 01/16 170/80 45 150 AMLODIPIN 1X1 30
23 ELIS DAHLIANINGSIH 0000053998762 P 55 P HT KOMP PUTRAKO RT 01/13 140/90 57 152 AMLODIPIN 1X1 30
24 DEDEH RUHYATIN 0000054199135 P 58 I HT GRIYA JAGABAYA PUTRACO 190/90 72 163 AMLODIPIN 1X1 30
25 DEDE SARI 0001820298284 L 63 P HT MARGAHURIP INDAH 140/80 49 145 195* AMLODIPIN 1X1 30
26 NANI SUHAENI 0001721034044 P 57 P DM KP KEBON KALAPA RT 04/08 130/80 49 150 132* 202* METFORMIN 1X1 30
27 E NURLAELA FARIDA 0000054014005 P 56 P DM+HT KP PASIRHUNI RT 03 RW 06 160/90 70 165 162* 249* METFORMIN 1X1 30
28 atih sumiati 0001960634158 P 61 KT HT KP SIDAMUKTI RT 02/04 160/90 44 153 97 AMLODIPIN 1X1 30
29 DEWI SUGIARTATI 0000054025547 P 53 P DM+HT PANGKALAN CIMAUNG 140/80 62 154 METFORMIN 1X1 30
30 SUPISARI SRI MULYANI 0000054056259 P 55 P DM+HT KP PANYINDANGAN RT 06/05 130/90 55 151 191* 247* METFORMIN 1X1 30
33 TJAHRA SUMPENA 0000054171202 L 65 P HT KP GARDUH RT 01/01 130/80 72 171 AMLODIPIN 1X1 30
34 N. LILIS KODARIAH S.PD 0000054296583 P 51 P HT PASAREAN 120/70 60 147 110 AMLODIPIN 1X1 30
36 AAM SUGIHARTI 0000055377382 P 57 I HT CITEUREUP 140/80 55 154 81 AMLODIPIN 1X1 30
SITI KOMARIYAH 0000056398241 P 67 P HT KMP MARGAHURIP INDAH 160/80 50 150 AMLODIPIN 1X1 30
38 TATI KUSMAYATI 0002055252633 P 63 P DM+HT BABAKAN SAPUTRA 150/80 61 149 186* METFORMIN 1X1 30
39 AI SOPIAH 0001456352965 P 51 P HT JAGABAYA 150/90 68 160 AMLODIPIN 1X1 30
40 WIWI 0000064389352 P 74 P HT MARGAHURIP 160/80 60 164 100* AMLODIPIN 1X1 30
42 N.KURNIATI 0002491290538 P 58 P DM+HT ASTARAJA 130/80 68 150 248* 337* METFORMIN 1X1 30
44 ANI WARNIATI 0001271914648 P 56 I HT JAGABAYA 140/80 64 153 AMLODIPIN 1X1 30
47 EMIN AMINAH 0001341135336 P 54 I HT KP GAMBLOK RT 03/02 160/80 55 148 93 AMLODIPIN 1X1 30
49 IMAS ANI HARYANI 0001670220584 P 57 I HT CIKALONG HILIR 130/90 52 152 96 AMLODIPIN 1X1 30
52 RUKMANA MANTA 0001462221775 L 64 P HT KP BUGEL RT 04 RW 16 190/80 65 171 AMLODIPIN 1X1 30
53 IDA FARIDA 0000053998536 P 57 P HT PUTRACO 140/80 52 158 89 109 AMLODIPIN 1X1 30
54 ai yuhana 0001439323852 P 59 P DM+HT BATUREOK 130/80 60 143 86 METFORMIN 1X1 30
55 ATI ATIKAH 0002245623118 P 56 P HT CITEUREUP 140/80 50 140 99 AMLODIPIN 1X1 30
56 NENI ROCHAYATI 0000079800603 P 56 I DM KOMP MARGAHURIP INDAH 120/80 53 155 METFORMIN 1X1 30
57 KOKOM KOMARIAH 0001292782882 P 56 I HT PUTRACO 140/80 70 153 100 AMLODIPIN 1X1 30
58 AAM KOMALA 0002075579324 P 45 P HT KP BATUREOK RT 03/08 130/100 60 160 AMLODIPIN 1X1 30
59 SURYATI 0001789624192 P 44 I DM KP PASIRLANJUNG RT 02/02 120/80 75 170 84 124 METFORMIN 1X1 30
60 ELI YULIANTI 0001776011128 P 48 I DM JAGABAYA KALER 120/80 69 165 METFORMIN 1X1 30
61 DADANG SULAEMAN, SP 0001263478285 L 50 P DM+HT BATU REOK 130/80 54 148 METFORMIN 1X1 30
62 ATI GUMBIRAYATI 0001288624983 P 50 I DM+HT KP CITEUREUP 130/80 54 148 140* 174* METFORMIN 1X1 30
63 ITENG MULYANA 0001776011117 L 54 P HT JAGABAYA KALER 130/80 71 175 AMLODIPIN 1X1 30
65 ILAH 0001899899324 P 56 I HT PONDOK ROSA 140/80 55 158 AMLODIPIN 1X1 30
66 ENAN TARYA 0001465383341 L 67 P HT KAMASAN 140/70 67 158 AMLODIPIN 1X1 30
67 lilis nurliana 0001898814464 P 51 P HT PUTRACO 140/80 50 159 AMLODIPIN 1X1 30
68 MAMAH 0001469354229 P 57 I DM GAMBLOK RT 03 RW 03 130/90 61 146 METFORMIN 1X1 30
70 SUHARDI 0001660223204 L 55 P DM+HT LEMBANG KIANGROKE 140/90 69 168 METFORMIN 1X1 30
71 roswati 0001851633314 P 52 I DM+HT PASIRLANJUNG KALER 150/90 71 149 108* 115 METFORMIN 1X1 30
74 SRI DARYANI 0002207203424 P 62 I HT JAGABAYA 150/90 47 152 AMLODIPIN 1X1 30
78 tini sutini 0001963036225 P 42 P HT KP CIKALONG RT 02/01 140/80 55 150 AMLODIPIN 1X1 30
82 YENI ASTUTI 0001187975733 P 64 I HT GRIYA JAGABAYA PUTRACO 130/80 57 150 AMLODIPIN 1X1 30
86 YUYUN 0001722490626 P 62 I DM+HT CITEUREUP 140/80 65 145 METFORMIN 1X1 30
88 ADE NESMI 0000053854863 L 54 P HT KOMP MARGAHURIP INDAH 150/100 47 153 AMLODIPIN 1X1 30
Pimpinan
Klinik Raga Sehat
dr. Yanti Indrayanti

SIP. 445-93/96.IV.06-DU(1) Dinkes
DUTA PROLANIS : PEMBICARA : dr. Yanti Indrayanti dan dr. Leolita
ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 18 Agustus 2019
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
1 ANI WARNIATI 0001271914648 L 58 I HT JAGABAYA 130/80 64 153 AMLODIPIN 1X1 30
2 DEDI SUTIADI 0001271914176 L 70 P HT GARDUH 130/80 51 150 92 148 AMLODIPIN 1X1 30
3 ILAH 0001899899324 P 58 I HT CIHIDEUNG 140/80 55 158 AMLODIPIN 1X1 30
5 SITI KOMARIYAH 0000056398241 P 69 P HT KMP MARGAHURIP INDAH 150/100 50 150 AMLODIPIN 1X1 30
6 ENUNG KOMARIAH 0002292356788 P 57 I HT MARGAHURIP INDAH 140/80 64 159 72 AMLODIPIN 1X1 30
9 E. ROLIAH. 0002262809867 P 65 P HT CITEUREUP KIDUL 130/90 55 158 AMLODIPIN 1X1 30
10 EUIS SURTINI. 0001790056539 P 51 I HT KP CITEUREUP 130/80 54 145 98 AMLODIPIN 1X1 30
11 HENI TARLIANI 0002262809957 P 61 I HT CITEUREUP KIDUL 130/80 67 153 AMLODIPIN 1X1 30
15 EMIN AMINAH 0001341135336 P 57 I HT KP GAMBLOK RT 03/02 160/100 55 148 131 AMLODIPIN 1X1 30
17 DEDE SARI 0001820298284 P 65 P DM MARGAHURIP INDAH 140/90 49 145 214* 167* METFORMIN 1X1 30
18 AAM KOMALA 0002075579324 P 47 P HT KP BATUREOK RT 03/08 130/90 60 160 AMLODIPIN 1X1 30
19 ai yuhana 0001439323852 P 60 P HT KP BATUREOK RT 03/08 130/90 60 143 AMLODIPIN 1X1 30
20 YENI ASTUTI 0001187975733 P 43 I DM GRIYA JAGABAYA PUTRACO 130/80 57 150 METFORMIN 1X1 30
21 NURHAYATI. 0000053900122 P 53 P HT PUTRACO 160/100 62 158 84 130 AMLODIPIN 1X1 30
22 ENDANG PURWANTI 0001880617509 P 53 P HT PUTRACO 130/90 58 150 87 94 AMLODIPIN 1X1 30
23 IMAS ANI HARYANI 0001670220584 P 58 I HT CIKALONG HILIR 130/80 52 152 AMLODIPIN 1X1 30
24 atih sumiati 0001960634158 P 64 KT HT KP SIDAMUKTI RT 02/04 150/90 44 153 84 AMLODIPIN 1X1 30
25 TINI PRIHATININGSIH 0000011335882 P 53 I DM+HT ASTARAJA WETAN 130/90 47 143 167* 193* METFORMIN 1X1 30
26 SURYATI 0001789624192 P 46 I DM KP PASIRLANJUNG RT 02/02 120/80 75 170 124 185* METFORMIN 1X1 30
28 RUKMANA MANTA 0001462221775 L 66 P HT KP BUGEL RT 04 RW 16 230/120 65 171 AMLODIPIN 1X1 30
29 RINI MARTINI 0002287248524 P 52 I HT JAGABAYA 150/100 60 160 AMLODIPIN 1X1 30
31 E NURLAELA FARIDA 0000054014005 P 58 P DM+HT KP PASIRHUNI RT 03 RW 06 120/90 60 170 150* 192* METFORMIN 1X1 30
32 DIDIK SURATMIN 0002207203413 L 63 P HT CITEUREUP 130/90 55 150 AMLODIPIN 1X1 30
33 WIWI 0000064389352 P 77 P HT MARGAHURIP 160/90 60 164 88 103 AMLODIPIN 1X1 30
35 IIS RUKAENDAH 0001463124374 P 60 I HT CIHIDEUNG 140/80 76 152 112* 163* AMLODIPIN 1X1 30
36 TATI KUSMAYATI 0002055252633 P 65 P HT BABAKAN SAPUTRA 150/90 60 149 148 182 AMLODIPIN 1X1 30
37 ELI YULIANTI 0001776011128 P 48 I HT JAGABAYA KALER 160/100 66 160 AMLODIPIN 1X1 30
39 SUHARDI 0001660223204 L 56 P DM+HT LEMBANG KIANGROKE 130/90 69 168 METFORMIN 1X1 30
41 NANI SUHAENI 0001721034044 P 60 P DM KP KEBON KALAPA RT 04/08 120/80 49 150 127* 147 METFORMIN 1X1 30
44 SRI DARYANI 0002207203424 P 62 I HT PASIRLANJUNG 150/100 47 152 AMLODIPIN 1X1 30
45 entin kartini 0002047034709 P 68 P DM+HT CIGEUREUH 160/100 64 150 231* 240* METFORMIN 1X1 30
47 roswati 0001851633314 P 55 I DM+HT PASIRLANJUNG KALER 150/100 71 49 METFORMIN 1X1 30
49 tini sutini 0001963036225 P 45 P HT KP CIKALONG RT 02/01 140/90 55 150 AMLODIPIN 1X1 30
50 N.KURNIATI 0002491290538 P 58 P DM ASTARAJA 130/80 68 150 METFORMIN 1X1 30
53 HJ.SULIAH DARMASYETI, DRA 0000052950047 P 66 P HT JAGABAYA 130/90 60 145 107* 185* AMLODIPIN 1X1 30
54 AI PUPU PUTONAH 0000052982335 P 49 P HT KP CIKALONG 130/90 57 151 AMLODIPIN 1X1 30
56 IIM ROHIMAH 0000053054065 P 49 I DM MARGAHURIP ASIH 140/80 64 158 METFORMIN 1X1 30
57 MIMI SUMIARSAH 0000053355633 P 74 I HT KP CITEUREUP RT 02/01 130/90 47 48 AMLODIPIN 1X1 30
58 IKAH 0000053376344 P 83 P HT KP CIMAUNG RT 02/02 150/90 51 153 AMLODIPIN 1X1 30
61 IDAS DASITA 0000053681624 P 68 I HT KP TARIGU RT 04 RW 01 130/100 46 48 AMLODIPIN 1X1 30
63 ATI GUMBIRAYATI 0001288624983 P 53 I HT KP CITEUREUP 130/90 54 148 AMLODIPIN 1X1 30
65 Nining Widianingsih 0001516518011 P 48 I HT LAMPING 140/90 68 157 AMLODIPIN 1X1 30
69 IDA FARIDA 0000053998536 P 57 P DM+HT PUTRACO 130/90 52 158 101* METFORMIN 1X1 30
75 NURHAENI 0001665735298 P 40 P DM+HT CIPINANG 130/80 50 158 METFORMIN 1X1 30
76 ABDUL JALAL 0000056531169 L 72 P DM+HT MARGAHURIP INDAH 140/90 53 152 METFORMIN 1X1 30
77 TJAHRA SUMPENA 0000054171202 L 67 P HT KP GARDUH RT 01/01 130/90 73 171 93 121 AMLODIPIN 1X1 30
78 TJUTJU SUHAJANAH 0000053932601 P 69 P HT KP GARDUH RT 01/01 160/100 45 150 AMLODIPIN 1X1 30
79 MAMAH 0001469354229 P 59 I DM GAMBLOK RT 03 RW 03 130/90 51 146 METFORMIN 1X1 30
81 ATI SURYATI 0001425690922 P 63 P HT JAGABAYA 130/90 56 149 AMLODIPIN 1X1 30
83 IDA KURNIA 0000047408613 P 51 I HT KMP MARGAHURIP ASIH 140/80 65 156 AMLODIPIN 1X1 30
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes

DUTA PROLANIS : PEMBICARA : dr. Yedi Hendrawiana
ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 22 September 2019
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
2 ABDUL JALAL 0000056531169 L 72 P DM + HT MARGAHURIP INDAH 130/90 53 162 METFORMIN 1X1 30
5 KOKOM KOMARIAH 0001292782882 P 60 I DM PUTRACO 150/100 70 153 114* METFORMIN 1X1 30
8 EUIS SURTINI. 0001790056539 P 51 I HT KP CITEUREUP 130/80 54 145 AMLODIPIN 1X1 30
10 lilis nurliana 0001898814464 P 51 P HT PUTRACO 130/90 50 159 AMLODIPIN 1X1 30
14 NANI SUHAENI 0001721034044 P 60 P DM KEBON KALAPA 120/80 48 150 118* 210* METFORMIN 1X1 30
15 TATANG SUMPENA 0000054103634 L 67 S HT LEMBANG 130/80 63 172 101* AMLODIPIN 1X1 30
16 EMIN AMINAH 0001341135336 P 57 I HT GAMLOK 160/100 55 168 120* AMLODIPIN 1X1 30
17 TINI PRIHATININGSIH 0000011335882 P 53 I DM ASTARAJA WETAN 140/80 47 143 METFORMIN 1X1 30
19 AI ROHAYATI 0002880974518 P 60 I HT PUTRACO JAGABAYA 130/90 50 150 75 AMLODIPIN 1X1 30
22 IDA FARIDA 0000053998536 P 58 P DM PUTRACO 130/80 52 158 110* METFORMIN 1X1 30
27 ILAH 0001899899324 P 58 I HT PONDOKROSA 130/80 55 158 80 AMLODIPIN 1X1 30
29 E. ROLIAH. 0002262809867 P 65 P HT CITEUREUP 140/90 55 158 AMLODIPIN 1X1 30
32 IMAS ANI HARYANI 0001670220584 P 58 I HT CIKALONG HILIR 130/90 52 152 86 113 AMLODIPIN 1X1 30
33 RINI MARTINI 0002287248524 P 52 I HT JAGABAYA 140/90 60 160 77 AMLODIPIN 1X1 30
36 IIS RUKAENDAH 0001463124374 P 60 I HT CIHIDEUNG 130/80 89 172 109* 140* AMLODIPIN 1X1 30
38 CUCU CURAWATI 0001514852357 P 38 I HT CIMENTENG 140/90 64 153 83 AMLODIPIN 1X1 30
39 ANI WARNIATI 0001271914648 P 58 I HT GARDUH 140/90 64 153 83 AMLODIPIN 1X1 30
46 HJ.SULIAH DARMASYETI 0000052950047 P 67 P HT GARDUH 130/80 60 145 92 AMLODIPIN 1X1 30
48 TATI KUSMAYATI 0002055252633 P 65 P DM BABAKAN SAPUTRA 150/100 60 155 150* 162* METFORMIN 1X1 30
50 ATI GUMBIRAYATI 0001288624983 P 53 I DM CITEUREUP 130/80 52 155 127* METFORMIN 1X1 30
51 TJAHRA SUMPENA 0000054171202 L 68 P HT GARDUH 130/100 73 171 82 AMLODIPIN 1X1 30
52 AI PUPU PUTONAH 0000052982335 P 50 P HT CIKALONG 140/100 57 151 78 AMLODIPIN 1X1 30
60 ENDANG PURWANTI 0001880617509 P 53 I HT PUTRACO 130/80 58 150 AMLODIPIN 1X1 30
63 entin kartini 0002047034709 P 68 P DM+HT CIGEUREUH 160/90 68 150 METFORMIN 1X1 30
79 MIMI SUMIARSAH 0000053355633 P 74 I HT CITEUREUP 130/80 47 148 AMLODIPIN 1X1 30
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes

ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 20 Oktober 2019
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
1 E. ROLIAH. 2262809867 P 65 P HT CITEUREUP 130/90 55 158 66 AMLODIPIN 1X1 30
2 DEDE KURNIATI 1522289204 P 46 I HT CITEUREUP 170/.90 65 150 78 AMLODIPIN 1X1 30
4 ATI ATIKAH 2245623118 L 60 P HT CITEUREUP 110/80 67 153 85 AMLODIPIN 1X1 30
5 EUIS SURTINI. 1790056539 P 51 I HT KP CITEUREUP 120/90 54 145 AMLODIPIN 1X1 30
17 ITOK 2254975402 P 69 I HT CIKONDANG 140/80 54 150 177 AMLODIPIN 1X1 30
18 DEDE SARI 1820298284 P 65 P DM MARGAHURIP INDAH 120/80 48 145 113* 129 METFORMIN 1X1 30
20 TINI PRIHATININGSIH 11335882 P 53 I DM ASTARAJA WETAN 130/90 65 149 122* 151* METFORMIN 1X1 30
23 SANUDIN 53921856 L 59 P DM LAMPING 130/80 62 167 80 METFORMIN 1X1 30
24 OON 1273832919 P 59 I DM CIGEUREUH 140/90 59 152 91 METFORMIN 1X1 30
36 AYI ROHANA 1660436267 L 53 P DM+HT PASIRKALIKI 140/80 72 160 METFORMIN 1X1 30
38 SUPISARI SRI MULYANI 54056259 P 58 P DM PANYINDANGAN 130/90 45 151 178* 192* METFORMIN 1X1 30
39 YENI ASTUTI 1187975733 P 43 I DM PUTRACO 120/80 67 150 87 METFORMIN 1X1 30
43 wati 2209887731 P 38 I HT JAGABAYA KALER 140/80 42 148 70 AMLODIPIN 1X1 30
46 ABDUL JALAL 56531169 L 72 P DM + HT MARGAHURIP INDAH 130/80 53 162 METFORMIN 1X1 30
49 ENI 1468568474 P 61 I DM GAMLOK 120/90 51 155 METFORMIN 1X1 30
55 HJ.SULIAH DARMASYETI, DRA 52950047 P 66 P HT GARDUH 130/80 60 146 AMLODIPIN 1X1 30
59 JUJU SUTIANA 53661036 L 80 P HT KP MARUYUNG 150/100 55 159 AMLODIPIN 1X1 30
64 ATIN HAYATIN 196430927 P 60 I HT MUARA 150/90 62 140 AMLODIPIN 1X1 30
70 ATI GUMBIRAYATI 1288624983 P 53 I DM CITEUREUP 150/100 52 155 102* METFORMIN 1X1 30
74 WIWI WISAROH 1462001049 P 57 I HT CITEUREUP 130/80 58 147 85 106 AMLODIPIN 1X1 30
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes

ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 24 November 2019
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
10 TINI PRIHATININGSIH 0000011335882 P 53 C DM+HT ASTARAJA WETAN 130/90 64 159 213* 253* METFORMIN 1X1 30
20 YENI ASTUTI 0001187975733 P 43 I HT PUTRACO 140/80 70 150 98 AMLODIPIN 1X1 30
21 ATI GUMBIRAYATI 0001288624983 P 53 I DM CITEUREUP 120/80 55 155 141* 150* METFORMIN 1X1 30
22 N KURNIATI 0002491290538 P 59 P DM+HT ASTARAJA 150/90 70 50 METFORMIN 1X1 30
25 IIS RUKAENDAH 0001463124374 P 60 I DM+HT CIHIDEUNG 140/100 75 152 109* METFORMIN 1X1 30
26 IMAS ANI HARYANI 0001670220584 P 58 I DM+HT CIKALONG HILIR 160/90 52 152 184* 186* METFORMIN 1X1 30
31 entin kartini 0002047034709 P 68 P DM+HT CIGEUREUH 170/90 61 147 METFORMIN 1X1 30
33 OON 0001273832919 P 59 I DM+HT CIGEUREUH 150/90 59 52 METFORMIN 1X1 30
36 TATI KUSMAYATI 0002055252633 P 65 P DM+HT BABAKAN SAPUTRA 160/90 59 149 METFORMIN 1X1 30
42 IIS MIMI SURYANI, S.PD.I 0000053713247 P 55 I HT CIKALONG 140/80 45 153 125* AMLODIPIN 1X1 30
45 DADANG SYARIPUL MALIK 0000047408602 L 65 P HT MARGAHURIP ASIH 130/90 71 168 182* 190* AMLODIPIN 1X1 30
56 ai yuhana 0001439323852 P 60 P HT BATUREOK 130/80 60 143 107* METFORMIN 1X1 30
57 DADANG SUMPENA 0001664749247 L 47 P HT CITEUREUP 140/80 68 165 METFORMIN 1X1 30
58 SUPISARI SRI MULYANI 0000054056259 P 58 P HT PANYINDANGAN 130/80 45 151 359* 362* AMLODIPIN 1X1 30
60 CACA KURNIA 0000054057262 L 59 P HT CIMAUNG 130/80 59 161 METFORMIN 1X1 30
65 MAMAH 0001469354229 P 59 I DM+HT GAMLOK 130/80 65 146 METFORMIN 1X1 30
67 IDA KURNIA 0000047408613 P 51 I HT JAGABAYA 140/80 65 158 AMLODIPIN 1X1 30
75 HODIJAH 0002069727467 P 69 P HT MARGAHURIP ASIH 140/80 50 150 AMLODIPIN 1X1 30
77 nani sumarni 0002434692249 P 64 I HT PASIRLANJUNG 150/90 47 155 AMLODIPIN 1X1 30
81 roswati 0001851633314 P 55 I HT PASIRLANJUNG 130/90 71 149 AMLODIPIN 1X1 30
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes

DUTA PROLANIS : PEMBICARA : dr. Firman
ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 08 Desember 2019
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
1 E ROLIAH 0002262809867 P 65 P HT CITEUREUP 110/80 55 158 93 METFORMIN 1X1 30
3 EUIS SURTINI. 0001790056539 P 51 I HT CITEUREUP 180/90 53 145 90 AMLODIPIN 1X1 30
4 TINI PRIHATININGSIH 0000011335882 P 53 C DM ASTARAJA WETAN 140/90 64 159 METFORMIN 1X1 30
8 IMAS ANI HARYANI 0001670220584 P 58 I DM+HT CIKALONG HILIR 140/100 53 155 175* 179* METFORMIN 1X1 30
9 DEDE SARI 0001820298284 P 65 P DM+HT MARGAHURIP INDAH 150/80 46 145 237* 252* METFORMIN 1X1 30
11 ai yuhana 0001439323852 P 59 P DM+HT BATUREOK 150/80 75 170 108* 113 METFORMIN 1X1 30
14 NURHAYATI 0000053900122 P 53 P HT PUTRACO 120/90 63 158 89 AMLODIPIN 1X1 30
16 IIS RUKAENDAH 0001463124374 P 60 I HT CIHIDEUNG 140/80 75 152 115* AMLODIPIN 1X1 30
20 AHMAD HIDAYAT BME 0000043082109 L 75 P DM+HT ASTARAJA 140/70 72 172 128* METFORMIN 1X1 30
23 SURYATI 0001789624192 P 47 I DM PASIRLANJUNG 140/80 68 152 109* METFORMIN 1X1 30
24 N KURNIATI 0002491290538 P 59 P DM ASTARAJA 160/80 70 150 METFORMIN 1X1 30
25 AI PUPU PUTONAH 0000052982335 P 50 P HT CIKALONG 150/90 65 156 86 AMLODIPIN 1X1 30
26 HJ.SULIAH DARMASYETI, 0000052950047 P 67 P DM GARDUH 120/80 56 145 METFORMIN 1X1 30
29 EMIN AMINAH 0001341135336 P 57 I DM GAMLOK 140/90 56 148 76 METFORMIN 1X1 30
32 OON 0001273832919 P 59 I DM+HT CIGEUREUH 150/90 59 156 107* METFORMIN 1X1 30
35 DEDE ROSITA 0001522297361 P 53 P HT PASIRLANJUNG 140/90 54 150 80 AMLODIPIN 1X1 30
37 IMAS TJARTIKA 0000053920811 P 66 P HT PUTRACO 140/90 52 156 108* 149 AMLODIPIN 1X1 30
44 NANI SUHAENI 0001721034044 P 60 P DM+HT KEBON KALAPA 140/90 49 155 METFORMIN 1X1 30
48 ATI ATIKAH 0002245623118 L 60 P HT CITEUREUP 130/80 60 150 133* 182* AMLODIPIN 1X1 30
49 ABDUL JALAL 0000056531169 L 72 P DM+HT MARGAHURIP INDAH 130/80 60 162 METFORMIN 1X1 30
51 ATI GUMBIRAYATI 0001288624983 P 53 I DM CITEUREUP 120/70 55 155 METFORMIN 1X1 30
55 IIS MIMI SURYANI, S.PD.I 0000053713247 P 55 I HT CIKALONG 130/80 45 153 102* 148 AMLODIPIN 1X1 30
67 SUPISARI SRI MULYANI 0000054056259 P 58 P DM+HT PANYINDANGAN 130/90 45 151 METFORMIN 1X1 30
74 UAN 0001522289327 L 46 P HT KIANGROKE 140/90 65 158 AMLODIPIN 1X1 30
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes

ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 19 Januari 2020
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
4 A.SUPRIATNA 0000209204526 L 64 P HT MARGAHURIP INDAH 110/80 58 160 AMLODIPIN 1X1 30
5 TITI 0000209204673 P 50 I HT MARGAHURIP INDAH 150/90 65 154 AMLODIPIN 1X1 30
6 N KURNIATI 0002491290538 P 59 P DM ASTARAJA 140/100 70 150 221* METFORMIN 1X1 30
8 EUIS SURTINI. 0001790056539 P 51 I HT CITEUREUP 130/80 52 155 83 AMLODIPIN 1X1 30
9 ENI ROHAENI 0000053867542 P 49 I HT CITEUREUP 110/80 63 156 102* AMLODIPIN 1X1 30
10 ABDUL JALAL 0000056531169 L 72 P DM MARGAHURIP INDAH 130/90 60 160 165* METFORMIN 1X1 30
11 ATI GUMBIRAYATI 0001288624983 P 53 I DM CITEUREUP 140/80 55 155 160*- METFORMIN 1X1 30
13 AAM KOMALA 0002075579324 P 48 P HT BATUREOK 160/100 60 160 89 AMLODIPIN 1X1 30
14 TINI PRIHATININGSIH 0000011335882 P 53 C DM ASTARAJA WETAN 140/90 64 159 167* 172* METFORMIN 1X1 30
19 AAM SUGIHARTI 0000055377382 P 58 I HT CITEUREUP 120/90 51 156 109* AMLODIPIN 1X1 30
20 RINI MARTINI 0002287248524 P 52 I HT JAGABAYA 130/90 63 160 104* AMLODIPIN 1X1 30
21 AI YUHANA 0001439323852 P 60 P DM BATUREOK 130/80 78 170 105* METFORMIN 1X1 30
23 IIS RUKAENDAH 0001463124374 P 60 I HT CIHIDEUNG 140/90 75 152 106* AMLODIPIN 1X1 30
26 ATIH SUMIATI 0001960634158 P 64 KT HT PONDOKROSA 160/80 46 153 107* AMLODIPIN 1X1 30
27 NURHAYATI. 0000053900122 P 53 P HT PUTRACO 140/90 61 160 87 AMLODIPIN 1X1 30
29 AHMAD HIDAYAT BME 0000043082109 L 75 P DM+HT ASTARAJA 190/90 72 172 113* METFORMIN 1X1 30
30 ILAH 0001899899324 P 58 I HT PONDOKROSA 140/90 50 155 90 AMLODIPIN 1X1 30
32 ROSWATI 0001851633314 P 55 I DM PASIRLANJUNG 140/80 64 149 118* 129 METFORMIN 1X1 30
36 SURYATI 0001789624192 P 47 I DM PASIRLANJUNG 130/80 68 152 86 METFORMIN 1X1 30
37 TATI KUSMAYATI 0002055252633 P 65 P DM BABAKAN SAPUTRA 140/100 60 149 192* 215* METFORMIN 1X1 30
38 HJ.SULIAH DARMASYETI, 0000052950047 P 67 P HT GARDUH 120/80 54 145 117* 194* AMLODIPIN 1X1 30
40 AI ROHAYATI 0002880974518 P 60 I HT PUTRACO JAGABAYA 160/100 69 160 93 AMLODIPIN 1X1 30
41 JOJOH 0001157636711 P 46 I DM GARDUH 120/80 60 160 AMLODIPIN 1X1 30
42 OON 0001273832919 P 59 I DM CIGEUREUH 150/90 60 160 204* METFORMIN 1X1 30
44 ENTIN KARTINI 0002047034709 P 68 P DM CIGEUREUH 180/90 60 147 172* 221* METFORMIN 1X1 30
47 IMAS TJARTIKA 0000053920811 P 66 P HT PUTRACO 110/80 50 155 109* AMLODIPIN 1X1 30
49 AI PUPU PUTONAH 0000052982335 P 50 P HT CIKALONG 140/80 65 156 103* AMLODIPIN 1X1 30
53 WATI 0002209887731 P 38 I HT JAGABAYA KALER 160/100 58 148 AMLODIPIN 1X1 30
58 IIS MIMI SURYANI, S.PD.I 0000053713247 P 55 I HT CIKALONG 130/80 45 153 90 AMLODIPIN 1X1 30
77 NENI ROCHAYATI 0000079800603 P 56 I DM MARGAHURIP INDAH 130/90 53 155 METFORMIN 1X1 30
80 SUPISARI SRI MULYANI 0000054056259 P 58 P DM PANYINDANGAN 130/80 45 151 METFORMIN 1X1 30
86 H. ENDANG EPENDI 0000057942753 L 55 P HT ASTARAJA 160/80 68 165 AMLODIPIN 1X1 30

ALAMAT : JL. RAYA PANGALENGAN KP GARDUH BULAN KEGIATAN : MINGGU , 16 Februari 2020
NO TLP / HP : 022 - 85934752
LAB
GDS GDP GD2PP HBa1c
1 E ROLIAH 0002262809867 P 65 P HT CITEUREUP 140/90 55 151 90 AMLODIPIN 1X1 30
2 TINI PRIHATININGSIH 0000011335882 P 53 C DM ASTARAJA WETAN 110/80 64 159 METFORMIN 1X1 30
4 N KURNIATI 0002491290538 P 59 P DM ASTARAJA 150/90 70 150 120* METFORMIN 1X1 30
5 ENI ROHAENI 0000053867542 P 55 I HT JAGABAYA 130/80 63 156 AMLODIPIN 1X1 30
8 MUMU SUMARNA 0001319722391 L 63 P HT KAMASAN 140/90 60 164 87 AMLODIPIN 1X1 30
9 IMI TUTI 0001319722648 P 49 I HT KAMASAN 130/80 57 155 78 AMLODIPIN 1X1 30
12 ATI GUMBIRAYATI 0001288624983 P 53 I DM CITEUREUP 140/90 55 150 103* 116 METFORMIN 1X1 30
13 SURYATI 0001789624192 P 47 I DM PASIRLANJUNG 130/90 68 152 90 METFORMIN 1X1 30
14 YENI ASTUTI 0001187975733 P 43 I DM PUTRACO 140/80 70 150 91 METFORMIN 1X1 30
17 roswati 0001851633314 P 55 I DM PASIRLANJUNG 160/80 64 149 121* 144 METFORMIN 1X1 30
19 AAM KOMALA 0002075579324 P 48 P HT BATUREOK 150/90 63 159 79 AMLODIPIN 1X1 30
20 RINI MARTINI 0002287248524 P 52 I HT JAGABAYA 140/100 63 160 92 AMLODIPIN 1X1 30
22 TJUTJU SUHAJANAH 0000053932601 P 69 P HT CIMENTENG 130/80 46 150 92 111 AMLODIPIN 1X1 30
24 TITI 0000209204673 P 50 I HT MARGAHURIP INDAH 180/100 65 160 AMLODIPIN 1X1 30
25 IIS RUKAENDAH 0001463124374 P 60 I HT CIHIDEUNG 140/80 65 152 109 AMLODIPIN 1X1 30
28 atih sumiati 0001960634158 P 64 KT HT PONDOKROSA 180/100 46 153 81 90 AMLODIPIN 1X1 30
36 HJ.SULIAH DARMASYETI, 0000052950047 P 67 P HT GARDUH 120/90 57 145 115* 149 AMLODIPIN 1X1 30
38 entin kartini 0002047034709 P 68 P DM CIGEUREUH 140/100 61 147 223* METFORMIN 1X1 30
41 AI ROHANA 0001660436267 P 54 P HT GARDUH 140/90 72 160 AMLODIPIN 1X1 30
59 DEDE ROSITA 0001522297361 P 53 P HT PASIRLANJUNG 150/90 54 150 84 AMLODIPIN 1X1 30
61 SITI JULAEHA 0001437341861 P 61 I HT KOLELEGA 100/70 42 150 103* AMLODIPIN 1X1 30
62 ADAM 0002257986183 L 49 P HT CITEUREUP 140/90 51 160 AMLODIPIN 1X1 30
66 RITA NURHASANAH 0001398653291 P 35 I HT CIMAUNG 130/80 60 160 AMLODIPIN 1X1 30
68 TINI SUGIANTINI 0001456824453 P 60 I DM ASTARAJA 180/120 72 158 METFORMIN 1X1 30
69 MALEM ATE SEMBIRING 0001962266679 P 61 KLG HT KOMP MARGAHURIP INDAH 170/90 62 149 AMLODIPIN 1X1 30
71 AGUS SURYANA SPD 0000054074351 L 60 P HT JAGABAYA 130/80 65 160 AMLODIPIN 1X1 30
77 DIAN DAMAYANSARI 0001519703493 P 35 I HT JAGABAYA 160/100 65 160 AMLODIPIN 1X1 30
88 NANA SUKANA 0001522288607 L 52 S DM SELAJAMI 120/80 52 170 METFORMIN 1X1 30
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes
Daftar Peserta Prolanis Keseluruhan
Klinik Raga Sehat
( Setelah Rekonsiliasi )
NO MEDREK /
NO NAMA
BUKU
NO KARTU L/P USIA ALAMAT TANGGAL LAHIR NO TLP BULAN MULAI TERDAFTAR DIAGNOSA REKONSILIASI DATA PESERTS KET
1 ATIH SUMIATI A896 0001960634158 P 61 KP SIDAMUKTI RT 02/04 8/15/1955 085251550137 11/22/2016 HT Aktif
2 NENI ROHAYATI R51 0000079800603 P 56 KOMP MARGAHURIP INDAH 3/4/1960 082318693407 11/22/2016 DM Aktif
3 SUPISARI SRI MULYANI S12 0000054056259 P 55 KP PANYINDANGAN RT 06/05 2/7/1961 085316703408 11/22/2016 DM Aktif
4 ALIT SALAMAH A284 0000054209013 P 54 KP PASIRBIRU RT 02/05 7/3/1962 11/22/2016 DM + HT Aktif
5 NANI SUHAENI N488 0001721034044 P 57 KP KEBON KALAPA RT 04/08 8/16/1959 081223719714 11/22/2016 DM Aktif
6 ENI E268 0001468568474 P 58 KP SIRNAGALIH RT 01/06 9/16/1958 081321350997 11/22/2016 DM Aktif
7 SURYATI S256 0001789624192 P 44 KP PASIRLANJUNG RT 02/02 11/10/1972 087722073404 11/22/2016 DM Aktif
8 AHMAD A1088 0000054205233 L 55 KP ASTARAJA RT 01/03 3/4/1961 082318171869 11/22/2016 DM + HT Aktif
9 IKAH I330 0000053376344 P 80 KP CIMAUNG RT 02/02 2/2/1936 11/22/2016 HT Aktif
10 TUTIH SUTINAH T238 0001661417032 P 58 KP LEMBANG RT 02/16 12/26/1958 082118301824 11/22/2016 HT Aktif
11 TINI SUTINI T225 0001963036225 P 42 KP CIKALONG RT 02/01 1/11/1974 081321041913 11/22/2016 HT Aktif
12 IMAS HARYATI I83 0000069261636 P 69 KP JAGABAYA 1/10/1947 085351372269 11/22/2016 HT Aktif
13 NUNUNG NURJANAH N14 0000054085735 P 61 KP GARDUH RT 03/01 3/13/1955 11/22/2016 HT Aktif
14 AI ROHANAH A512 0001460149749 P 63 KP PANGKALAN RT 02/08 1/1/1953 081310197080 11/22/2016 DM + HT Aktif
15 OOM SUPARTI O125 0000207188289 P 64 KP PASIRHUNI 5/18/1952 11/22/2016 HT Aktif
16 JUJU SUTIANA 0000053661036 P 77 KP MARUYUNG 1/5/1939 11/22/2016 HT Aktif
17 AI PUPU PUTONAH A90 0000052982335 P 47 KP CIKALONG 10/10/1969 085723789473 11/22/2016 HT Aktif
18 RUKMIN 0001457483354 P 56 KP CIKALONG HILIR 10/4/1960 11/22/2016 HT Aktif
19 SUSI SUSILAWATI S186 0001271129657 P 32 KP GAMBLOK 10/6/1984 082126361547 11/22/2016 HT Aktif
20 TJUTJU SUHAJANAH T06 0000053932601 P 66 KP CIMENTENG RT 01/16 3/4/1950 081931398823 11/22/2016 HT Aktif
21 EMIN AMINAH E355 0001341135336 P 54 KP GAMBLOK RT 03/02 7/1/1962 085314758812 11/22/2016 HT Aktif
22 HERMAN H183 0001146214181 L 57 KP REUNGAS RT 02/14 7/1/1959 087821535459 11/22/2016 HT Aktif
23 AAM KOMALA A1056 0002075579324 P 45 KP BATUREOK RT 03/08 10/30/1971 085220867899 11/22/2016 HT Aktif
24 NANA 0001340341378 L 42 KP CITEUREUP 9/9/1974 11/22/2016 HT Aktif
25 ADE NESMI A28 0000053854863 L 54 KOMP MARGAHURIP INDAH 1/1/1962 11/22/2016 HT Aktif
26 ATI GUMBIRRYATI A1221 0001288624983 P 50 KP CITEUREUP 5/3/1966 085294745748 11/22/2016 HT Aktif
27 MIMI SUMIARSAH M449 0000053355633 P 71 KP CITEUREUP RT 02/01 8/20/1945 085220279402 11/22/2016 HT Aktif
28 ELIS DAHLIANINGSIH E152 0000053998762 P 55 KOMP PUTRAKO RT 01/13 7/17/1961 081320063717 11/22/2016 HT Aktif
29 TITI HARTINI 000203732515 P 72 KP KIANGROKE RT 04/04 7/16/1944 11/22/2016 HT Aktif
30 DADANG SUMPENA D436 0001664749247 L 44 KP CITEUREUP RT 03/02 5/26/1972 11/22/2016 HT Aktif
31 TJAHRA SUMPENA T21 0000054171202 L 65 KP GARDUH RT 01/01 9/10/1951 081321971080 11/22/2016 HT Aktif
32 SITI KOMARIAH K26 0000056398241 P 67 KMP MARGAHURIP INDAH 6/7/1950 0225944314 2/28/2017 HT Aktif
33 TIN KARTINI T218 0001716591521 P 75 KMP MARGAHURIP INDAH 9/19/1942 082316705465 2/28/2017 DM + HT Aktif
34 IDAS DASITA I110 0000053681624 P 67 KP TARIGU RT 04 RW 01 12/13/1950 082127750120 3/9/2017 HT Aktif
35 ROHANAH R151 0001257367702 P 59 KP TARIGU 5/26/1958 083822471405 2/13/2017 HT Aktif
36 EUIS SURTINI E241 0001790056539 P 49 KP CITEUREUP 5/5/1968 089513993074 2/12/2017 HT Aktif
37 RUKMANA MANTA R260 0001462221775 L 64 KP BUGEL RT 04 RW 16 4/27/1953 085624756824 4/19/2017 HT Aktif
38 NANA SUKANA N612 0001522288607 L 50 KP SELAJAMI 8/12/1967 083829640001 4/19/2017 DM Aktif
39 ANI WARNIATI A499 0001271914648 P 56 JAGABAYA 3/5/1961 083822473201 3/11/2017 HT Aktif
40 SUKARNO S264 0001459818505 L 75 KAMASAN 4/2/1942 089677141955 4/11/2017 DM + HT Aktif
41 ENUNG NURLAELA FARIDA E124 0000054014005 P 56 KP PASIRHUNI RT 03 RW 06 6/20/1961 082129104488 4/11/2017 DM + HT Aktif
42 ABU SUPRIATNA A642 0001832240812 L 71 KP SUKASARI RT 03 RW 13 1/2/1946 4/11/2017 HT Aktif
43 IDA KURNIA I98 0000047408613 P 49 KMP MARGAHURIP ASIH 4/7/1968 082216877860 4/11/2017 HT Aktif
44 MAMAH M217 0001469354229 P 57 GAMBLOK RT 03 RW 03 1/3/1960 085320252701 4/11/2017 DM Aktif
45 HJ SULIAH DARMASYETI DRA S164 0000052950047 P 65 JAGABAYA 23/112/1952 081321971080 2/12/2017 HT Aktif
46 ATI SURYATI A621 0001425690922 P 61 JAGABAYA 7/5/1956 085759044399 3/11/2017 HT Aktif
47 EUIS RUKAESIN E115 000005270321 P 63 KMP PUTRACO 2/15/1954 082240590659 4/11/2017 HT Aktif
48 DEDE IIM SOLIHIN D440 0001893862258 L 34 LAMPING 9/7/1983 085320006131 5/5/2017 HT Aktif
49 YUYU WAHYUDIN, S.PD Y14 0000053681613 L 70 TARIGU 12/13/1947 082127750120 05/05/207 HT Aktif
50 ENTIN KARTINI E463 0002047034709 P 65 CIGEUREUH 6/7/1951 085295194819 04/07/2017 DM + HT Aktif
51 ANDI A1209 0000410297556 L 64 PASIRSEREH 1/1/1953 08122139893 04/07/2017 DM Aktif
52 ILAH TARKILAH I9 0000148516986 P 55 CIHIDEUNG 9/14/1962 082130132007 11/07/2017 HT Aktif
53 WIWI WISAROH W169 0001462001049 P 55 CITEUREUP 3/7/1962 082317876104 11/07/2017 HT Aktif
54 ATI ATIKAH A1125 0002245623118 P 56 CITEUREUP 1/6/1959 082225987447 11/07/2017 HT Aktif
55 DEDE ROSITA D539 0001522297361 P 51 PASIRLANJUNG 13/10/1966 081224560411 11/07/2017 HT Aktif
56 HENI TARLIANI H678 0002262809957 P 59 CITEUREUP KIDUL 10/7/1958 089678691399 11/07/2017 HT Aktif
57 E ROLIAH E608 0002262809867 P 63 CITEUREUP KIDUL 23/03/1954 11/07/2017 HT Aktif
58 DEDI SUTIADI D279 0001271914176 L 68 GARDUH 21/02/1949 083822473201 11/07/2017 HT Aktif
59 IJUS RUSLI I71 0000056935664 L 69 MARGAHURIP INDAH 20/12/1948 18/07/2017 DM Aktif
60 ADANG SYACHRIO A692 0001813801724 L 49 LEMBANG 13/06/1968 081313555421 19/07/2017 HT Aktif
61 DADANG SYARIFUL MALIK D54 0000047408602 L 63 MARGAHURIP ASIH 25/03/1954 089627456923 19/07/2017 HT Aktif
62 TITIN ROHAENI T128 0001459339018 P 56 CIPINANG 6/1/1961 082319070965 19/07/2017 HT Aktif
63 WASILAH W9 0000054148509 P 51 CIGEUREUH 14/04/1966 19/07/2017 HT Aktif
64 RANI R37 0000053957428 P 54 CIKAJANG 25/11/1963 081394931039 19/07/2017 HT Aktif
65 SITI JULAHA S221 0001437341861 P 59 KOLELEGA 25/05/1958 085221739984 19/07/2017 HT Aktif
66 MAKHMUD M169 0001335815032 L 44 CIMAUNG 13/05/1972 081320714239 19/07/2017 DM Aktif
67 WIWI W38 0000064389352 P 74 MARGAHURIP 1/1/1942 082318391819 19/07/2017 HT Aktif
68 AI TARMINI A112 0000053910167 P 56 PASIRKALIKI 29/05/1957 082217784116 19/07/2017 DM Aktif
69 ROSWATI R408 0001851633314 P 52 PASIRLANJUNG KALER 1/7/1964 085220288243 19/07/2017 DM + HT Aktif
70 ADAM A1215 0002257986183 L 47 CITEUREUP 13/11/1970 085220925470 19/07/2017 HT Aktif
71 ENUNG ROHAENI E604 0002257986273 P 43 CITEUREUP 12/5/1974 085220925470 19/07/2017 HT Aktif
72 E MULYATI E66 0000053569146 P 69 CIMAUNG SABEULAH 28/11/1948 085320153797 19/07/2017 HT Aktif
73 RITA NURHASANAH 0001398653291 P 33 GAMBLOK 28/3/1984 082121512484 19/07/2017 HT Aktif
74 DEDEH RUHYATIN 0000054199135 P 58 GRIYA JAGABAYA PUTRACO 15/4/1959 087824465561 19/07/2017 HT Aktif
75 TINI SUGIANTINI T349 0001456824453 P 58 ASTARAJA 31/7/1959 081321041913 19/07/2017 DM + HT Aktif
76 IMING I196 0001842766525 P 74 CIBIANA 6/1/1943 085224186133 19/07/2017 HT Aktif
77 MALEM ATE SEMBIRING M439 0001962266679 P 59 KIANGROKE 25/12/1958 081214195106 19/07/2017 HT Aktif
78 UAN U61 0001522289327 L 43 LEMBANG 19/06/1973 085320201789 19/07/2017 HT Aktif
79 DEWI SUGIARTATI D11 0000054025547 P 53 PANGKALAN CIMAUNG 4/9/1963 081394194464 19/07/2017 DM Aktif
80 AAM SUGIHARTI A1261 0000055377382 P 57 CITEUREUP 9/19/1961 08987240005 19/07/2017 HT Aktif
81 YUYUN Y269 0001722490626 P 62 CITEUREUP 7/12/1955 085294344379 19/07/2017 DM + HT Aktif
82 ENCIH SURYANAH E142 0000054302995 P 53 PANENJOAN 1/20/1965 081304253125 19/07/2017 HT Aktif
83 N LILIS KODARIAH N45 0000054296583 P 51 PASAREAN 2/5/1967 085220918415 19/07/2017 HT Aktif
84 TATANG SUMPENA T340 0000054103634 L 65 LEMBANG 17/05/1952 085860154100 19/07/2017 HT Aktif
85 MUMU SURYANA M82 0000053054054 L 55 MARGAHURIP ASIH 9/18/1963 085220989349 19/07/2017 DM + HT Aktif
86 SUHARDI S592 0001660223204 L 55 LEMBANG KIANGROKE 8/12/1963 082218263905 19/07/2017 DM + HT Aktif
87 IMAS ANI HARYANI I553 0001670220584 P 57 CIKALONG HILIR 6/6/1961 081322087380 19/07/2017 HT Aktif
88 AYI ROHANA A898 0001660436267 L 52 PASIRKALIKI '082116582839 8/15/1966 082218200176 19/07/2017 DM + HT Aktif
89 AI YUHANA A337 0001439323852 P 59 KP BATUREOK RT 03/08 4/1/1959 082319321869 19/07/2017 HT Aktif
90 ITOK I548 0002254975402 P 67 CIKONDANG 7/1/1950 082240087544 19/07/2017 HT Aktif
91 IMAS TJARTIKA I60 0000053920811 P 65 PUTRACO 7/28/1953 082128496232 19/07/2017 HT Aktif
92 IDA FARIDA I14 0000053998536 P 57 PUTRACO 10/14/1961 082316050567 19/07/2017 DM + HT Aktif
93 AGUS SURYANA 0000054074351 L 59 PUNTANG 3/31/1959 081394729868 19/07/2017 Aktif
94 ACHMAD HIDAYAT BME A1227 0000043082109 L 74 ASTARAJA 7/24/1944 081316433971 22/07/2017 DM + HT Aktif
95 OON O59 0001273832919 P 58 CIGEUREUH 1/2/1960 082216932093 25/07/2017 DM + HT Aktif
96 WATI W226 0002209887731 P 37 JAGABAYA KALER 5/10/1981 089656141879 25/07/2017 HT Aktif
97 YUYU YULIANINGSIH Y66 0000055253136 P 53 PASIRLANJUNG 6/10/1955 085793344262 25/07/2017 HT Aktif
98 NURHAYATI N17 0000053900122 P 52 PUTRACO 3/13/1966 082218824246 25/07/2017 HT Aktif
99 DEDE KURNIATI D262 0001522289204 P 45 CITEUREUP 11/15/1972 089656226493 12-Oct-17 HT Aktif
100 DIAN DARMAYANSARI 0001519703493 P 34 BUGEL 4/14/1984 089656226493 12-Oct-17 HT Aktif
101 IIM ROHIMAH I332 0000053054065 P 47 MARGAHURIP ASIH 5/13/1970 085220989349 12-Oct-17 DM Aktif
102 IIS RUKAENDAH I169 0001463124374 P 58 CIHIDEUNG 6/9/1959 081321445697 12-Oct-17 HT Aktif
103 KANA ADANG CECE K207 0001851632763 L 59 PASIRLANJUNG 11/20/1958 085220288243 12-Oct-17 HT Aktif
104 MUHAMMAD SUTEDI M5 0000054310724 L 59 PUTRACO 5/29/1958 081804344601 12-Oct-17 HT Aktif
105 CUCU CURAWATI C70 0001514852357 P 36 LEMBANG KIANGROKE 5/22/1981 085222821358 12-Oct-17 HT Aktif
106 DEDE SARI D196 0001820298284 L 63 MARGAHURIP INDAH 16/07/1954 082240976761 8-Dec-17 DM Aktif
107 ABDUL JALAL A137 0000056531169 L 70 MARGAHURIP INDAH 4/11/1947 081214045804 08-Dec-17 DM + HT Aktif
108 HJ AMAS A796 0001716483857 P 60 KEBON TUNGGUL 4/1/1957 085220857534 14/12/2017 HT Aktif
109 OOM SULAEMI O61 0001270734884 P 63 CIKALONG 7/7/1954 081313152820 19/12/2017 HT Aktif
110 TINI PRIHATININGSIH T69 0000011335882 P 51 ASTARAJA WETAN 6/6/1966 082116350568 12/19/2017 DM + HT Aktif
111 NURHAENI N356 0001665735298 P 39 CIPINANG 5/15/1979 081320071944 12/28/2017 DM + HT Aktif
112 TANTI HERLINA T383 0001106792111 P 37 TIWULANDU 12/4/1980 085294118300 12/27/2017 HT Aktif
113 JUJU KURNIASIH J3 0000053712505 P 63 PASIRLANJUNG 10/20/1955 1/1/2018 HT Aktif
114 SITI SARIFAH 0000053965877 P 57 SIRNA GALIH 9/22/1960 1/1/2018 HT Aktif
115 CACA KURNIA C01 0000054057262 L 58 cimaung 7/1/1960 0895345216342 1/1/2018 DM + HT Aktif
116 RUKMINI R72 0000052993618 P 55 CIKONDANG 9/22/1960 083838941863 1/1/2018 HT Aktif
117 IIS MIMI SURYANI I96 0000053713247 P 54 CIKALONG 6/24/1964 082126613505 1/1/2018 HT Aktif
118 NANI MULYANI N103 0000054296616 P 52 BABAKAN 1/10/1965 085322851633 2/2/2018 HT Aktif
119 HODIJAH H252 0002069727467 P 68 PUTRACO 8/17/1950 3/18/2018 HT Aktif
120 TATI KUSMAYATI T260 0002055252633 P 63 BABAKAN SAPUTRA 1/14/1954 085285579996 3/5/2018 HT Aktif
121 HANI SAPARINA H66 0001430264643 P 42 PASIRLANJUNG 2/18/1975 085703019365 5/10/2018 HT Aktif
122 LILIS LISE L39 0001290958413 P 42 LIO 1/2/1973 081214320507 HT Aktif
123 AEP AHMAD A200 0000054010203 L 58 PERUM BUMI SINDANG PANON 1/4/1960 082257646144 6/18/2018 HT Aktif
124 MAMAT M21 0000053712764 L 78 CIMENTENG 1/3/1940 085352908424 6/5/2018 HT Aktif
125 AMAR A1216 0001777716257 L 60 PASIRHUNI 5/11/1958 6/18/2018 HT Aktif
126 A SUPRIATNA A193 0000209204526 L 63 MARGAHURIP INDAH 12/22/1955 6/18/2018 HT Aktif
127 KOMARIAH K268 0001779982211 P 63 SINDANG PANON 6/4/1955 081241218594 HT Aktif
128 NANI SUMARNI N704 0002434692249 P 63 PASIRLANJUNG 7/1/1955 6/5/2018 HT Aktif
129 DEDE RASMITA D825 0001340584334 L 55 CIMAUNG 7/31/1962 082116363955 7/11/2018 HT Aktif
130 ATIN HAYATIN A988 0000196430927 P 58 MUARA 8/16/1959 081804344601 8/13/2018 HT Aktif
131 YENI ASTUTI Y278 0001187975733 P 64 GRIYA JAGABAYA PUTRACO 1/1/1976 089665056903 8/12/2018 DM Aktif
132 KOKOM KOMARIAH K70 0001292782882 P 56 PUTRACO 4/15/1959 087821884972 9/13/2018 DM Aktif
133 HENI ROHAENI H55 0001315497137 P 38 CITEUREP 10/16/1980 089697287447 9/12/2018 HT Aktif
134 N KURNIATI N733 0002491290538 P 58 ASTARAJA 7/1/1961 082321751965 10/15/2018 DM Aktif
135 SANUDIN S145 0000053921856 L 55 LAMPING 3/2/1960 081320225994 10/1/2018 DM Aktif
136 ERI YULIANDI E458 0001523266975 L 39 CIKALONG 9/14/1977 082117090063 9/12/2018 HT Aktif
137 RASMINI R267 0001515141483 P 46 LAMPING 2/1/1972 9/21/2018 DM + HT Aktif
138 WARDJA W27 0000057810047 L 59 CITEUREUP 10/12/1953 9/5/2018 DM + HT Aktif
139 EUIS KARSIDAH E-299 0001844101989 P 64 KAMASAN 7/27/1953 1/1/2019 HT Aktif
140 ILAH I-334 0001899899324 P 56 PONDOK ROSA 1/1/1961 082130132007 12/10/2018 HT Aktif
141 MUH DUDUH 0001716483846 L 71 KEBON TUNGGUL 6/2/1946 10/11/2018 HT Aktif
142 YAYA SUNARYA Y-319 0000054118563 L 56 PASIRLANJUNG 12/3/1963 1/5/2019 HT Aktif
143 IMI TUTI I-617 0001319722648 P 48 KAMASAN 3/25/1970 12/15/2018 HT Aktif
144 YULIANA Y-205 0001524253746 P 33 CIKALONG 7/25/1986 2/14/2019 HT Aktif
145 NINING WIDIANINGSIH W-748 0001516518011 P 48 LAMPING 3/27/1971 1/16/2019 HT Aktif
146 ELI YULIANTI E-553 0001776011128 P 48 JAGABAYA KALER 7/23/1971 081395293557 1/6/2019 HT Aktif
147 ANING A-362 0001432278876 P 48 BUGEL 3/12/1971 1/12/2019 HT Aktif
148 MUMU SUMARNA M-732 0001319722391 L 63 KAMASAN 2/8/1956 12/18/2018 HT Aktif
149 ITENG MULAYANA I-466 0001776011117 L 54 JAGABAYA KALER 9/30/1965 081395293557 1/6/2019 HT Aktif
150 WARYA SURYANA W-223 0000053713618 L 78 PASIRLANJUNG 9/1/1941 12/8/2018 HT Aktif
151 ENUNG KOMARIAH E-622 0002292356788 P 56 MARGAHURIP INDAH 4/6/1962 1/18/2019 HT Aktif
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes
Daftar Peserta Prolanis Non Aktif ( Setela
Klinik Raga Sehat 2019
1. Peserta Meninggal
NO MEDREK /
NO NAMA BUKU NO KARTU L/P USIA
1 AENG SETIAWAN A996 0002053911317 L 55

2 SARI ROSMAWATI 0001722531284 P 44
3 K EFFENDI 0001108190204 L 59
4 IPIT SUBAEDAH I198 0001429229777 P 62
5 DESMAN SILALAHI D185 0001260486628 L 46
6 MASRIPAH M69 0000053712797 P 74
7 E SAMSUL BAHRI E107 0000053711728 L 69
2 Peserta Pindah Faskes

NO MEDREK /
1 RATNASIH R644 0000053600793 P 70

2 AI SUMIATI A633 0001796367879 P 46
3 DADANG KARYANA D562 0001516709889 L 46
4 WAWAN BIN ACE 0001515014763 L 51
5 CUCUN CINTARSIH 0001515016945 P 51
6 TITI SUHARNI T114 0001379650656 P 51
7 YANTI SUSANTI Y206 0001245637067 P 25
8 IDA INDRIANA I104 0000054119158 P 55
9 TAUFIK T72 0000054258704 L 57
10 WAWAY 0001157619835 P 50
11 DIDIK SURATMIN D787 0002207203413 L 61
12 SRI DARYANI S112 0002207203424 P 60
13 UNDANG U58 0001850063286 L 67
14 BETTY NURBAITI B25 0001813802589 P 45
15 YUYUN TRESNAWATI Y51 0000054303254 P 51
16 NINING HADININGSIH N44 0000053710953 P 61
17 NONOH N589 0002215123233 P 58
18 ENENG NURHAYATI E360 0001516503352 P 40
19 ROSMANAH R32 0000053787385 P 72
20 MASRIATIN M11 0000052931812 P 60
21 E SUDARSA E40 0000052931801 L 62
22 ENAN TARYA E660 0001465383341 L 67
23 JENNI DAWATI J117 0001662220225 P 46
24 ILYAS IBRAHIM I-632 0001102580008 L 59
3 Non Aktif Karena Premi

NO MEDREK /
NO MEDREK /
1 ASEP NURDIN A422 0001813309705 L 47

2 ENTIT SETIASIH E292 0001457307865 P 53
4 Non Aktif di Akhir Bulan

NO MEDREK /
1 KAKAN K169 0001204007589 P 58
2 SARININGSIH S440 0001663074764 P 42
3 S543 0001667829993 P 49
SUMARSIH
4 E462 0001667829982 L 56
ENDANG CACA
5 EEM SUHAEMI E600 0002236754362 P 62
6 TITIN NURYATIN 0001905979206 P 38
7 SITI KHATIJAH S719 0001779003538 P 50
5 Penangguhan Pembayaran
NO MEDREK /
1 ENDANG PURWANTI E547 0001880617509 P 53
6 Bukan Peserta Prolanis Lagi

NO MEDREK /
NO NAMA
BUKU
NO KARTU L/P USIA
1 MOCH ARMAN SAPUTRA 0001520930485 L 52
2 R HENDI BUNYAMIN 0000053920822 L 62
7 Data Ganda
NO MEDREK /
1 ROKAYAH R276 0001820223281 P 51

ftar Peserta Prolanis Non Aktif ( Setelah di Rekonsiliasi )
Klinik Raga Sehat 2019
ALAMAT TANGGAL LAHIR NO TLP BULAN MULAI TERDAFTAR DIAGNOSA
KOMP GRIYA JAGABAYA 3/18/1961 11/22/2016 DM

KP TARIGU RT 02/02 3/16/1972 11/22/2016 HT
KOMP MARGAHURIP INDAH 8/17/1957 11/22/2016 HT
KP GAMBLOK 7/27/1954 11/22/2016 HT
KMP MARGAHURIP INDAH 12/23/1971 082117850406 3/7/2017 DM
CADAS NGAMPAR 23/02/1942 085324174530 11/07/2017 HT
PASIRHUNI 2/3/1949 7/6/2018 HT
KP CIKAJANG RT 04/16 11/15/1946 11/22/2016 DM

KP TARIGU RT 01 / 01 8/10/1970 11/22/2016 DM + HT
KP AWINGOMBONG RT 04/07 10/18/1970 11/22/2016 HT
KP PASIRKALIKI PINDAH FASKES 11/22/2016 HT
KP TARIGU PINDAH FASKES 11/22/2016 HT
KP PASIRLANJUNG RT 01/02 PINDAH FASKES 11/22/2016 DM
KP MANDE RT 01/04 NON AKTIF HT
KP SUKARAME RT 05 RW 02 8/20/1962 4/11/2017 HT
KP SUKARAME RT 05 RW 02 11/10/1960 4/11/2017 HT
CITEUREUP 5/5/2017
CITEUREUP 4/2/1956 11/07/2017 HT
CITEUREUP 2/2/1957 11/07/2017 HT
PASIRHUNI 8/8/1950 11/07/2017 HT
LEMBANG 1/2/1972 19/07/2017 HT
SINDANG PANON 11/2/1966 085294344379 12-Oct-17 HT
CIKALONG 4/17/1956 081321158193 12/12/2017 HT
SUKAJAYA 12/7/1958 12/28/2017 HT
CIMAUNG 9/5/1978 7/10/2018 HT
PANENJOAN 4/7/1945 4/22/2018 HT
CIKAJANG 14/04/1957 8/10/2018 HT
CIKAJANG 19/05/1955 8/11/2018 HT
KAMASAN 2/2/1950 081804344601 8/12/2018 HT
PUTRACO 6/4/1972 081214353154 3/25/2018 DM
PASIRLANJUNG 12/31/1959 081281175666 11/8/2018 HT

KOMP MARGAHURIP INDAH 21 DAHLIA 02/10 5/7/1969 NON AKTIF 11/22/2016 DM

KP SUKASARI RT 02/03 11/29/1963 11/22/2016 DM
KP JAGABAYA 10/5/1958 02285934740 11/22/2016 HT
KP KADU NENGGANG RT 02/01 12/7/1974 11/22/2016 HT
NON AKTIF 2/14/2017 HT

KP LEMBANG RT 01 RW 05
NON AKTIF 2/14/2017 HT
KP LEMBANG RT 01 RW 05
SINDANG SARI 4/5/1955 081221858657 19/07/2017 HT
MARGAHURIP INDAH 2/3/1979 081312010875 19/07/2017 HT
LEMBANG KIANGROKE 3/24/1968 1/1/2018 DM
PUTRACO 11/6/1965 0895332839467 25/07/2017 HT
MEKARSARI CIMAUNG 6/8/1966 085220524184 19/07/2017
PUTRACO 10/24/1956 0895366560824 25/07/2017
PASIRLANJUNG 6/6/1964 6/15/2018 HT
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes
REKONSILIASI
DATA Keterangan
PESERTS
Non Aktif Meninggal
Non Aktif Meninggal
Non Aktif Meninggal
Non Aktif Meninggal
Non Aktif Meninggal
Non Aktif Meninggal
Non Aktif Meninggal
REKONSILIASI
DATA Keterangan
PESERTS
Non Aktif Pindah Faskes
REKONSILIASI
DATA Keterangan
PESERTS
REKONSILIASI
DATA Keterangan
PESERTS
Non Aktif Karena Premi
Non Aktif Karena Premi
REKONSILIASI
DATA Keterangan
PESERTS
Non Aktif Non Aktif di akhir

bulan
Non Aktif di akhir
Non Aktif
bulan

bulan
bulan
bulan
bulan
bulan
REKONSILIASI
DATA Keterangan
PESERTS
Non Aktif Penangguhan

pembayaran
REKONSILIASI
DATA Keterangan
PESERTS
Bukan peserta
Non Aktif prolanis
Bukan peserta
Non Aktif
prolanis
REKONSILIASI
DATA Keterangan
PESERTS
Non Aktif Data ganda
REKONSILIASI DATA PESERTA PROLANIS
KLINIK RAGA SEHAT
BPJS KESEHATAN CABANG SOREANG
REKONSILIASI DATA PESERTA PROLANIS Jumlah Peserta

Data sebelum di Rekonsiliasi 196
Data sesudah di Rekonsiliasi 151 Orang
Keterangan :
1 Meninggal 7 Orang
2 Pindah Faskes 25 Orang
3 Karna Premi 2 Orang
4 Non aktif di akhir bulan 7 Orang
5 Penangguhan Pembayaran 1 Orang
6 Bukan Peserta lagi 2 Orang
7 Data Ganda 1 Orang
Total yang tidak Aktif 45 Orang
Pimpinan
Klinik Raga Sehat

SIP. 445-93/96.IV.06-DU(1) Dinkes
NB * Julmah peserta sebelumya ada 197 (setelah dicek ternyata ada nama ganda 1 orang)
sehingga data peserta yang terdaftar sebelum rekonsiliasi ada 196 Orang.
* Untuk peserta non aktif data terlampir.

14 Lap Prolanis Ke BPJS Februari 2020

Diunggah oleh

Informasi Dokumen

Deskripsi Asli:

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

14 Lap Prolanis Ke BPJS Februari 2020

Diunggah oleh

Hak Cipta:

Format Tersedia

PEMANTAUAN KESEHATAN PESERTA PROLANIS KLINIK RAGA SEHAT

Nama FKTP : KLINIK RAGA SEHAT

NO MEDREK / BULAN MULAI

JUMLAH PESERTA TERDAFTAR 197

153 44 100 162 74 140 90 0.29 153 44

167 60 5,3 / 34 130 80 0.36 167 60

153 51 140 90 #DIV/0!

159 54 140 80 #DIV/0!

151 56 140 80 0.37 151 56

152 49 130 80 0.32 152 49

152 55 140 90 0.34 155 52

172 63 140 90 0.37 172 64

149 50 123 140 80 0.34 149 50

167 68 130 90 #DIV/0!

151 72 77 83 140 90 0.34 151 52

160 65 140 90 #DIV/0!

151 53 140 80 0.35 151 53

150 55 532 / 33 130 80 0.37 150 55

130 80 0.28 153 43 150 80

130 80 0.36 163 58 175* 236* 140 70

140 80 0.37 151 56 140 100

130 80 0.37 152 56 83 94 150 90

0.42 163 69 130 80

140 80 0.37 172 64 140 90

140 80 0.41 133 55 140 80

140 90 0.47 151 71 150 100

0.41 160 65 140 70

130 80 0.37 150 55 130 90

0.29 153 44 97 160 90 0.29 153 44

179 89 81 55 150 80 0.30 153 46 150

140 80 0.34 159 54 130

140 90 0.37 156 57 130

174 124* 38* 87 130 80 0.44 152 67 150

215* 144* 57 89 140 80 0.37 150 55 130

140 100 #DIV/0!

172 117* 42 81 110 80 0.33 150 50 130

217* 140* 59 152* 170 90 0.39 165 64 110

0.41 167 68 130

0.46 151 70 130

156 86 57 79 160 80 0.41 160 65 140

34 169 108* 34* 192* 120 80 0.47 150 70 98 140

90 #DIV/0! 0.30 153 46 107*

80 0.34 159 54 140 90 #DIV/0!

80 0.42 156 65 86 150 90 0.42 156 65 103*

100 0.45 160 72 140 90 #DIV/0!

90 0.32 150 48 140 80 0.37 150 55

90 0.40 150 60 133* 182* 130 80 0.33 150 50

80 0.35 158 56 86 140 100 0.44 153 67

80 #DIV/0! 0.41 167 68

100 0.48 151 72 130 100 0.48 151 72

90 0.41 160 65 140 90 0.41 160 65

#DIV/0! 0.38 151 57

80 0.47 150 70 140 90 0.47 150 70

2 H0 O65M9D27IJA A2R7HGP46A69PH7 H1U3TR0IP/591A005S0AIHM L O D 1IPX IN1

dr. Yanti Indrayanti

dr. Yanti Indrayanti

REKAP KEGIATAN PESERTA DM DAN HT FKTP KLINIK RAGA SEHAT

dr. Yanti Indrayanti

REKAP KEGIATAN PESERTA DM DAN HT FKTP KLINIK RAGA SEHAT

dr. Yanti Indrayanti

REKAP KEGIATAN PESERTA DM DAN HT FKTP KLINIK RAGA SEHAT

dr. Yanti Indrayanti