Variabel Pilihan

Format tanggal
Rekam Medis
Register Nasional
Sex Laki-laki
Perempuan
Hamil/Tidak Tidak Hamil
Hamil
Status Perkawinan Menikah
Belum Menikah
Janda/Duda
Entry Point KIA
Rawat Jalan (TB, Anak, Penyakit Dalam, IMS,
lainnya….)
Rawat Inap
Praktek Swasta
Jangkauan (IDU, PSK, LSL, ……………….)
LSM
Datang Sendiri
Lainnya, Uraikan…..
Pendidikan Tidak sekolah
SD
SMP
SMU
Perguruan Tinggi
Status Pekerjaan Tidak Bekerja
Bekerja
Faktor Risiko Heteroseksual
Homoseksual
Biseksual
Perinatal
Transfusi Darah
NAPZA suntik
Lain2, uraikan ……..

Infeksi Opportunistik (IO) Kandidiasis

Diare cryptosporidia
Meningitis cryptocococal
Pneumonia Pneumocystis
Cytomegalovirus
Penicilliosis
 Herpes zoster
Herpes simpleks
Toxoplasmosis
Hepatitis
Menerima ART sebelumnya Ya
Tidak
Status Fungsional Kerja
Ambulatori
Baring
TB selama ART TB Paru
TB Ekstra Paru
Rejimen ART

Alasan Substitusi/Switch Toksisitas/efek samping

Hamil
Risiko hamil
TB baru
Ada obat baru
Stok obat habis
Alasan lain (uraikan)
Alasan hanya untuk SWITCH Gagal pengobatan secara klinis
Gagal imunologis
Gagal virologis
Alasan STOP Toksisitas/efek samping
 Hamil
Gagal pengobatan
Adherens buruk
Sakit/MRS
Stok obat habis
Kekurangan biaya
Keputusan pasien lainnya
Lain-lain
Adherence ART >95%) = < 3 dosis lupa diminum dlm 30 hari
(80-95%) = 3 - 12 dosis lupa diminum dlm 30 hari
< 80%) = >12 dosis lupa diminum dlm 30 hari
Keterangan Pasien Terapi/restart
Stop
Tidak Berkunjung /Alpa
Rujuk Keluar
Rujuk Masuk
Meninggal Dunia
 Kode Keterangan
Bulan/Hari/Tahun
sesuai masing-masing RS WAJIB DIISI
11 digit WAJIB DIISI
L
P
0
1
1
2
3
1

2
3
4
5
6
7
8
0
1
2
3
4
0
1
1
2
3
4
5
6
7

Jika IO lebih dari satu dipisahan

K dengan tanda koma (,) dan spasi
D Contoh:
Cr K, D, Cr
PCP
CMV
P
 Z
S
T
H
1
2
1
2
3
1
2
ZDV(300)+3TC(150)+NVP(200) Rejimen Lini 1
ZDV(300)+3TC(150)+EFV(600) Rejimen Lini 1
d4T(30)+3TC(150)+NVP(200) Rejimen Lini 1
d4T(30)+3TC(150)+EFV(600) Rejimen Lini 1
TDF(300)+3TC(150)+NVP(200) Rejimen Lini 1
TDF(300)+3TC(150)+EFV(600) Rejimen Lini 1
TDF(300)+3TC(300)+EFV(600) Rejimen Lini 1
TDF(300)+FTC(200)+NVP(200) Rejimen Lini 1
TDF(300)+FTC(200)+EFV(600) Rejimen Lini 1
ZDV(100)+3TC(150)+NVP(200) Pediatrik
ZDV(100)+3TC(150)+EFV(200) Pediatrik
d4T(30)+3TC(150)+EFV(200) Pediatrik
d4T(12)+3TC(60)+NVP(100) Pediatrik (triple FDC Junior)
d4T(12)+3TC(60) Pediatrik (dual FDC+EFV(200)
ZDV+3TC+NVP(60/30/50) Pediatrik (FDC Pediatric)
ABC(300)+3TC(150)+NVP(200) Rejimen Alternatif/Lini 2
ABC(300)+3TC(150)+EFV(600) Rejimen Alternatif/Lini 2
TDF(300)+3TC(150)+LPV/r(200/50) Rejimen Alternatif/Lini 2
TDF(300)+FTC(200)+LPV/r(200/50) Rejimen Alternatif/Lini 2
d4T(30)+3TC(150)+LPV/r(200/50) Rejimen Alternatif/Lini 2
ZDV(300)+3TC(150)+LPV/r(200/50) Rejimen Alternatif/Lini 2
1
2
3
4
5
6
7
8
9
10
1
 2
3
4
5
6
7
8
9
1
2
3
T
S
A
RK
RM
M
 Dokumen Bantu REGISTER PRA ART

Tgl kunjungan
No. Tahun BLN LAPORAN pertama No. Rekam Medik No.Reg.Nas

1 2013 1 25 Jan 2013 30708 32730152114

2 2013 2 22 Feb 2013 31854 32050210001

3 2013 2 19 Feb 2013 31737 32050210029

4 2013 3 19 Mar 2013 32886 32050210002

5 2013 5 10 May 2013 34924 32050210003

6 2013 6 10 Jun 2013 36182 32050210004

7 2013 6 25 Jun 2013 36804 32050210005

8 2013 7 28 Jun 2013 36917 32730153798

9 2013 7 04 Jul 2013 37070 32050210006

10 2013 7 04 Jul 2013 37688 32050210007

11 2013 7 12 Jul 2013 32192 32730153715

12 2013 7 16 Jul 2013 37278 32050210008

13 2013 8 22 Aug 2013 38888 32050210009

14 2013 9 10 Sep 2013 39632 32050210010

15 2013 9 10 Sep 2013 39633 32050210011

16 2013 9 23 Sep 2013 40074 32050210012

17 2013 10 17 Oct 2013 40894 32050210030

18 2013 10 21 Oct 2013 40997 3471015065

19 2013 10 23 Oct 2013 41071 32050210025

20 2013 11 21 Nov 2013 42029 32050210013

21 2013 12 17 Dec 2013 42918 32050210014

22 2013 12 19 Dec 2013 42984 32731100885

23 2013 12 24 Dec 2013 42095 32050210015

24 2014 2 06 Feb 2014 44729 32050210016

25 2014 2 18 Feb 2014 45179 32050210017

26 2014 2 19 Feb 2014 45207 32730154948

27 2014 3 26 Feb 2014 45451 32050210018

28 2014 3 04 Mar 2014 45639 32050210019

29 2014 3 04 Mar 2014 45827 32050210020

30 2014 4 28 Mar 2014 45516 32050210021

31 2014 5 30 Apr 2014 36805 32730159026

32 2014 5 12 May 2014 48199 32050210022

33 2014 5 02 May 2014 47849 32050210023

34 2014 5 05 May 2014 47918 32050210043

35 2014 6 16 Jun 2014 49603 32050210024

36 2014 6 16 Jun 2014 28663 33020260048

37 2014 7 07 Jul 2014 50450 34661150315

38 2014 7 08 Jul 2014 50478 32050210026

39 2014 7 08 Jul 2014 50162 32050210027

40 2014 7 08 Jul 2014 50486 32050210028

41 2014 7 08 Jul 2014 50485 32050210034

42 2014 7 19 Jul 2014 50835 32050210033

43 2014 8 04 Aug 2014 51460 32730153655

44 2014 8 12 Aug 2014 50832 32050210031

45 2014 8 18 Aug 2014 52106 32050210032

46 2014 8 21 Aug 2014 51562 32050210036

47 2014 8 25 Aug 2014 52404 32050210035

48 2014 9 29 Aug 2014 52596 32730153564

49 2014 9 01 Sep 2014 52689 32050210037

50 2014 9 11 Sep 2014 53102 32050210038

51 2014 9 19 Sep 2014 44850 32730153716

52 2014 9 24 Sep 2014 53584 32050210039

53 2014 9 24 Sep 2014 52797 32050210040

54 2014 10 09 Oct 2014 42330 32050210041

55 2014 10 02 Oct 2014 53883 32050210042

56 2014 10 21 Oct 2014 54634 32050210047

57 2014 11 04 Nov 2014 55225 32730151101

58 2014 11 11 Nov 2014 55519 32050210044

59 2014 11 13 Nov 2014 54915 32050210045

60 2014 11 14 Nov 2014 55644 32050210046

61 2014 11 24 Nov 2014 56013 32730151754

62 2014 12 01 Dec 2014 56287 32050210048

63 2014 12 04 Dec 2014 56442 32050210049

64 2014 12 17 Dec 2014 57500 32050210050

65 2014 12 05 Dec 2014 54751 32060110093

66 2015 1 05 Jan 2015 57682 32730150118

67 2015 1 07 Jan 2015 48542 32730150536

68 2015 1 16 Jan 2015 58221 32050210051

69 2015 2 03 Feb 2015 59052 32050210052

70 2015 2 20 Feb 2015 60443 32050210053

71 2015 2 23 Feb 2015 59988 32050210054

72 2015 3 09 Mar 2015 60646 32050210055

73 2015 3 10 Mar 2015 60717 32050210056

74 2015 3 10 Mar 2015 60730 32050210057

75 2015 3 23 Mar 2015 61267 32050210058

76 2015 3 23 Mar 2015 61266 32050210059

77 2015 4 06 Apr 2015 61873 32730151620

78 2015 4 10 Apr 2015 61498 32050210060

79 2015 4 16 Apr 2015 39787 32050210061

80 2015 4 24 Apr 2015 62760 32050210062

81 2015 5 13 May 2015 63545 32050210063

82 2015 5 15 May 2015 63623 32731100494

83 2015 5 18 May 2015 63729 32050210064

84 2015 5 21 May 2015 63903 32050210065

85 2015 6 28 May 2015 12152 32050210066

86 2015 6 12 Jun 2015 64641 31730251040

87 2015 6 25 Jun 2015 27015 32050210067

88 2015 6 25 Jun 2015 65211 32730150569

89 2015 8 27 Jul 2015 66364 32050210068

90 2015 8 27 Jul 2015 66096 32050210107

91 2015 8 14 Aug 2015 66292 32050210069

92 2015 9 04 Sep 2015 68009 64720151072

93 2015 9 07 Sep 2015 39639 32731100719

94 2015 9 17 Sep 2015 20161 32050210070

95 2015 10 02 Oct 2015 40381 32050210071

96 2015 11 03 Nov 2015 70500 32050210072

97 2015 11 03 Nov 2015 68551 32120411218

98 2015 11 13 Nov 2015 70298 32050210073

99 2015 11 06 Nov 2015 70680 32050210074

100 2015 11 20 Nov 2015 71300 32050210075

101 2015 12 12 Dec 2015 71955 32050210076

102 2016 2 01 Feb 2016 76378 32050210080

103 2016 2 22 Feb 2016 73981 32050210077

104 2016 2 23 Feb 2016 75858 32050210078

105 2016 3 03 Mar 2016 76338 32050210079

106 2016 3 04 Mar 2016 76219 32050210081

107 2016 3 04 Mar 2016 77986 32050210082

108 2016 3 17 Mar 2016 77051 32730154910

109 2016 3 18 Mar 2016 77199 32050210083

110 2016 3 24 Mar 2016 77949 32050210084

111 2016 3 24 Mar 2016 77951 32050210085

112 2016 3 10 Mar 2016 76001 32050210086

113 2016 4 31 Mar 2016 77669 32050210087

114 2016 4 04 Apr 2016 77818 32050210088

115 2016 4 26 Apr 2016 78874 32050210089

116 2016 5 28 Apr 2016 78762 32050210090

117 2016 5 02 May 2016 79669 32050210091

118 2016 5 04 May 2016 78503 32050210092

119 2016 5 09 May 2016 78350 32050210093

120 2016 5 11 May 2016 79597 32050210094

121 2016 5 19 May 2016 26998 32050210095

122 2016 5 24 May 2016 82002 32050210096

123 2016 6 26 May 2016 50530 32050210097

124 2016 6 30 May 2016 80105 32050210098

125 2016 6 01 Jun 2016 80487 32050210099

126 2016 6 01 Jun 2016 82679 32050210100

127 2016 6 08 Jun 2016 81547 317504010139

128 2016 6 09 Jun 2016 80828 32050210101

129 2016 6 29 Jun 2016 81369 32050210102

130 2016 6 29 Jun 2016 81540 32050210103

131 2016 6 30 Jun 2016 81597 32050210104

132 2016 7 13 Jul 2016 82083 32730155790

133 2016 7 25 Jul 2016 84389 32730155472

134 2016 7 25 Jul 2016 84388 33740100547

135 2016 8 01 Aug 2016 82296 32050210105

136 2016 8 25 Aug 2016 83974 32050210106

137 2016 9 06 Sep 2016 84071 32050210108

138 2016 9 01 Sep 2016 84295 3172013

139 2016 9 07 Sep 2016 84508 32730153113

140 2016 9 20 Sep 2016 85042 32050210109

141 2016 9 22 Sep 2016 141536 32730153638

142 2016 9 22 Sep 2016 140944 32730151884

143 2016 9 26 Sep 2016 84067 32050210110

144 2016 10 26 Sep 2016 85539 32050210111

145 2016 10 27 Sep 2016 85671 32050210112

146 2016 10 27 Sep 2016 83239 32050210113

147 2016 10 04 Oct 2016 86042 32730151954

148 2016 10 17 Oct 2016 86613 32050210114

149 2016 10 20 Oct 2016 86823 32050210115

150 2016 10 20 Oct 2016 86068 32050210116

151 2016 11 03 Nov 2016 87453 32050210118

152 2016 11 03 Nov 2016 87454 32050210117

153 2016 11 04 Nov 2016 87503 32050210119

154 2016 11 09 Nov 2016 48037 32730520142

155 2016 11 21 Nov 2016 89379 32050210120

156 2016 11 23 Nov 2016 89510 32731100963

157 2016 11 23 Nov 2016 89511 3273153965

158 2016 12 13 Dec 2016 90993 32050210121

159 2016 12 23 Dec 2016 90470 32050210122

160 2017 1 11 Jan 2017 91629 32050210123

161 2017 1 17 Jan 2017 91845 32050210124

162 2017 1 23 Jan 2017 92113 32050210125

163 2017 1 23 Jan 2017 92166 32050210126

164 2017 2 06 Feb 2017 92612 32050210127

165 2017 2 06 Feb 2017 92656 32050210128

166 2017 2 20 Feb 2017 92965 32050210129

167 2017 3 28 Feb 2017 93568 32050210130

168 2017 3 09 Mar 2017 94007 32050210132

169 2017 3 13 Mar 2017 94123 32050210157

170 2017 3 14 Mar 2017 93701 32050210131

171 2017 3 17 Mar 2017 94343 32050210133

172 2017 3 17 Mar 2017 94335 32050210134

173 2017 3 22 Mar 2017 94070 32050210136

174 2017 4 03 Apr 2017 93178 32050210137

175 2017 4 07 Apr 2017 95145 32050210140

176 2017 4 12 Apr 2017 95027 32050210138

177 2017 4 17 Apr 2017 97171 32050210139

178 2017 5 15 May 2017 59681 32050210141

179 2017 5 16 May 2017 96639 32050210151

180 2017 5 22 May 2017 96855 32732200827

181 2017 5 22 May 2017 96837 32050210142

182 2017 6 31 May 2017 96681 32050210143

183 2017 6 31 May 2017 97176 32050210144

184 2017 6 05 Jun 2017 97318 32050210145

185 2017 6 05 Jun 2017 97183 32050210146

186 2017 6 05 Jun 2017 97320 32050210147

187 2017 6 07 Jun 2017 98334 32050210154

188 2017 6 08 Jun 2017 97449 32050210148

189 2017 6 08 Jun 2017 97496 32050210149

190 2017 6 09 Jun 2017 97506 32050210150

191 2017 7 05 Jul 2017 98333 32050210152

192 2017 7 06 Jul 2017 98404 32050210153

193 2017 7 10 Jul 2017 97625 32730150589

194 2017 7 12 Jul 2017 98696 32730153162

195 2017 7 17 Jul 2017 98896 32050210155

196 2017 7 18 Jul 2017 98967 32050210156

197 2017 7 24 Jul 2017 99149 32050210158

198 2017 8 26 Jul 2017 99249 32050210159

199 2017 8 27 Jul 2017 99324 32731101001

200 2017 8 31 Jul 2017 99106 32050210160

201 2017 8 03 Aug 2017 99585 32050210161

202 2017 8 21 Aug 2017 100221 32050210162

203 2017 8 08 Aug 2017 99746 32162520407

204 2017 9 31 Aug 2017 100663 32050210163

205 2017 9 11 Sep 2017 101087 32730156113

206 2017 9 12 Sep 2017 101156 32110150091

207 2017 9 22 Sep 2017 101524 32050210164

208 2017 10 04 Oct 2017 102007 32050210165

209 2017 10 16 Oct 2017 102426 32050210166

210 2017 10 20 Oct 2017 102666 32050210167

211 2017 10 09 Oct 2017 101210 32050210168

212 2017 11 30 Oct 2017 103014 32050210169

213 2017 11 03 Nov 2017 103208 32050210170

214 2017 11 09 Nov 2017 103440 32050210171

215 2017 11 13 Nov 2017 103581 32050210172

216 2017 11 16 Nov 2017 103727 32050210173

217 2017 11 16 Nov 2017 103728 32050210174

218 2017 11 16 Nov 2017 103729 32050210175

219 2017 11 20 Nov 2017 103834 32050210176

220 2017 11 20 Nov 2017 103841

221 2017 12 04 Dec 2017 104303 32050210177

222 2017 12 04 Dec 2017 104324 32050210178

223 2017 12 07 Dec 2017 104475 32050210179

224 2017 12 07 Dec 2017 104495 32050210180

225 2017 12 13 Dec 2017 104274 32050210181

226 2017 4 03 Apr 2017 94461 32050210135

227 2018 1 28 Dec 2017 105200 32050210182

228 2018 1 18 Jan 2018 106674

229 2018 1 18 Jan 2018 106073 32050100003

230 2018 1 18 Jan 2018 102337 32040310064

231 2018 1 18 Jan 2018 106091 32040310065

232 2018 1 22 Jan 2018 106197 32050210183

233 2018 1 24 Jan 2018 106327 36030230605

234 2018 1 24 Jan 2018 109289 32050210185

235 2018 2 21 Feb 2018 107414 32734050397

236 2018 2 23 Feb 2018 107511 32050210184

237 2018 3 01 Mar 2018 107773 32050210186

238 2018 3 05 Mar 2018 107880 32050210187

239 2018 3 12 Mar 2018 108180 32050210188

240 2018 3 14 Mar 2018 108306 32050210189

241 2018 4 29 Mar 2018 108897 32050210190

242 2018 4 04 Apr 2018 109092 32050210192

243 2018 4 05 Apr 2018 109135 32050210193

244 2018 4 11 Apr 2018 108538 32050210194

245 2018 4 01 Apr 2018 108011 32050210195

246 2018 4 18 Apr 2018 109677 32050210196

247 2018 4 23 Apr 2018 109849 32050210197

248 2018 5 07 May 2018 110330 32050210198

249 2018 5 11 May 2018 110482 32050210199

250 2018 5 18 May 2018 110742 32050210200

251 2018 6 28 May 2018 111007 32050210201

252 2018 6 20 Jun 2018 111264 32050210202

253 2018 6 22 Jun 2018 111656 32050210203

254 2018 7 26 Jun 2018 111899 32050210204

255 2018 7 02 Jul 2018 111963 32050210205

256 2018 7 05 Jul 2018 112126 32050210206

257 2018 7 05 Jul 2018 112138 33010840025

258 2018 7 09 Jul 2018 111663 32050210207

259 2018 7 09 Jul 2018 112244 32050210208

260 2018 7 11 Jul 2018 112367 32050210209

A ART 260

Umur
NAMA ALAMAT No Telp (TAHUN) TGL Lahir Sex (L/P)

Mia Yumiati Kp Nangkasumi 1/4 ds si 85223805501 28 14 Apr 1981 P

Omang Komara Kp Jayawaras 2/2 jayawaras tarogong kidul 52 08 Aug 1961 L

Ika Kartika Kp Jayawaras 2/2 jayawaras tarogong kidul 30 22 Mar 1983 P

Risma Apriliani Jl Cimanuk maktal 2/14 paminggir Garut kota 25 14 Apr 1988 P

Uut Kurtubi Kp Sindanglaya 1/3 karangpawitan 25 17 May 1988 L

Obur Kp dayeuhmanggung 2/7 cilawu 43 01 Sep 1970 L

Asep tantan Kp Cihalimun 2/10 ds sukatani cilawu 43 13 Dec 1970 L

An. Alpine Kp Sindanglaya 1/3 karangpawitan 6 08 Feb 2007 L

Ari Fuadudin Jl tanjung kemuning 2/3 tarogong kaler 30 14 Feb 1983 L

Lia Jl tanjung kemuning 2/3 tarogong kaler 29 15 Aug 1986 P

Nuraeni Kp Sindanglaya 1/3 karangpawitan 25 31 May 1988 P

Sri Ratnawati Jl Adung Gg Bakti No 8 3/3 tarogong kaler 37 08 Dec 1976 P

Entin Jl Guntur 4/5 kota wetan garut kota 36 26 Oct 1977 P

Willy Firdaus Jl Ranggalawe 2/5 Regol Garut kota 33 20 May 1980 L

Sonson Mulyono Jl Merdeka No 151 1/13 jayaraga tarogong kidul 31 12 Oct 1982 L

Dendi Kritiyadi Kp sanding 5/5 muarasanding garut kota 33 17 May 1980 L

Ira Nova Resta Jl Galumpit wetan margawati garut kota 35 22 Nov 1978 P

Asep Ahmad Kp Pasanggrahan 5/5 kersamanah Malangbong 28 11 Sep 1985 L

Cepi Erawan Jl sukaregang candramerta 34 27 Nov 1979 L

Dela Kp Cangkuang 2/7 ds muarasanding garut kota 23 08 Dec 1990 P

Anggita andini Jl Maktal 2/14 paminggir garut kota 23 10 Jan 1991 P

Moch Dicky Perum Paseban Blok C No 7 tarogong kidul 34 24 Jan 1979 L

Yayan Nuryanti Kp wedasari 2/10 sindanggalih karangpawitan 39 01 Mar 1974 P

Degus Seedharta perum jaya asri E29A jayawaras 35 24 Sep 1979 L

Titin Suwarni Kp Cileungsing 3/10 pasawahan tarogong kaler 24 20 Mar 1990 P

Rifqi Sultoni Kp ciherang 3/1 lebakjaya karangpawitan 32 24 Apr 1982 L

Yunarti Kp Cikancung 1/1 margalaksana cilawu 27 05 May 1985 P

Iman Hidayat Kp Lewidaun 1/1 Haurpanggung 36 10 Aug 1978 L

Mira Maryani Kp Lewidaun 1/1 Haurpanggung 36 18 Aug 1978 P

Irwan Hidayat Kp Bbk Abid 3/2 sucikaler 35 31 Jan 1979 L

Yudi Saeful Maarif Taman bukit lagadar margaasih kab bandung 37 10 May 1977 L

Aning Kp Cimalaka 2/6 wanaraja 37 01 Jan 1977 P

Dede Junaedi Kp Rancasalak 2/5 kadungora 26 28 May 1988 L

Kevin Sardi Kp pasir domas 4/6 langensari 27 09 Dec 1987 L

Gunari Kp ganasari Blok A No 12 Cilawu 34 26 Jan 1980 L

Seli Setiawati perum taman cempaka Blok C-18 4/6 sucikaler k 31 24 Sep 1983 P

Andhy Ariesta Kp Panday 1/3 ds cimanganten tarogong 37 10 Apr 1977 L

Anton Arifin Margawati ds sukanegla garut kota 35 30 Dec 1979 L

Tintin darajatin Jl kemuning 3/7 pakuwon garut kota 30 07 Jul 1984 P

Sandra Tisna Jl kemuning 3/7 pakuwon garut kota 32 08 Feb 1982 L

Reza putri Jl kemuning 3/7 pakuwon garut kota 3 19 Dec 2011 P

Desiska Kp yayasan 3/4 ds sagara cibalong pameungpeu 2 01 Jan 2012 P

Jana Sujana Andriyana Kp Patrol No 337 2/6 sukakarya 30 13 Feb 1984 L

Nina Herlina Cipanas 1/8 ds sukahaji sukawening 29 18 Jul 1985 P

Kiki Kurnia Jl Cimanuk 73 3/14 paminggir garut kota 34 05 Jun 1980 L

Nendah perum batu lawang 2/9 talagasari 28 03 Mar 1986 P

Dendi Juandi Kp Dumuscili cipicung banyuresmi 22 08 May 1992 L

Gunturyana perum bumi tarogong 1/11 ds rancabango tarog 31 08 Aug 1975 L

Mila Yuliana Kp Samanggen 1/1 ds wanaraja 26 26 Jul 1988 P

Riksa M Gumilar Jl Ranggalawe No 15 3/1 Regol Garut kota 34 02 May 1980 L

M Bobby Achsan Jl Cimanuk maktal 2/14 paminggir Garut kota 32 12 Apr 1982 L

imanudin ds kostim 2/3 sukatani cilamaya Karawang 43 07 Nov 1971 L

Sugeng Purnama Kp sayuran 4/7 paminggir garut kota 24 27 Sep 1990 L

Novanda prairy Jl Cimanuk Gg Alikhlas No 39 1/2 paminggir garu 35 01 Apr 1980 L

Maraden sirait perum surya regency Blok 1 No 9 rancabango ta 39 05 Mar 1976 L

Yuyun Kp Lewipari 2/14 ds sagara cibalong 31 05 May 1983 P

Asep Irfan Jl Ciledug Gg Kampung sisir 1/9 Regol Garut kota 40 04 Sep 1974 L

Dian Kusdian Kp Warung peteuy 4/4 majasari cibiuk limbangan 28 05 Jun 1986 L

Joel Zikri Jl Subyadinata No 87 2/10 pataruman tarogong k 29 26 Nov 1985 L

Diki Hedriawan Lapas Garut 31 16 Dec 1983 L

Suminar Jl Sanding atas 2/15 muara sanding garut kota 33 17 Jul 1975 P

Hanhan Kp Babakan loa 3/10 pangatikan 26 27 Dec 1988 L

Iman soemantri Kp rancakuya 1/3 sukamentri ciawi tasikmalaya 26 17 Jan 1988 L

Yadi Ssupriadi Kp tarogong tengah 1/4 tarogong kidul 40 05 Jul 1974 L

Anita Aziza komp mutiara jaya kp umbul tengah 4/10 ds jay 36 20 May 1978 P

Yudi Prihadi Jl Otista N0 195 Tarogong 31 12 Apr 1976 L

Ana Rahmawati Komp Bumi asri tarogong kaler 29 18 Jan 1980 P

Ida Sugianti Kp babakan sari 3/8 leles 33 20 Sep 1982 P

Sona Kp Cibitung 3/12 sukamukti cilawu 22 03 Aug 1993 L

Dede Kp tanjung sari 4/5/ mekarsari cilawu 33 05 Jun 1982 L

Adim Hidayat Kp pabrik 1/5 wanakerta cibatu 25 27 May 1990 L

Maslahat Perum pesona intan Blok E5 1/11 34 08 Feb 1981 P

Nina Herawati KP sukadana 3/2 cikajang 25 09 May 1990 P

Deni Ahmad Kp Al ikhlas 3/2 kota wetan garut 38 25 Dec 1976 L

Dudi Safari perum oma indah blok A3 1/9 godog karangpawi 44 09 Apr 1971 L

Eva Handayani perum oma indah blok A3 1/9 godog karangpawi 33 09 Sep 1982 P

Oce sofyan Jl Bratayudha No 125 Kota kulon Garut 31 20 Oct 1979 L

Aceng Kp ancul 1/1 ds simpen kaler limbangan 27 23 Apr 1988 L

Mu Ali Kp citeureup 7/12 neglasari kadungora 55 12 Feb 1960 L

Dhanny Ramdani Jl proklamasi No 149 5/2 tarogong kidul 39 03 Sep 1976 L

Ali Hasan Kp kaum lebak No 103 garut kota 34 16 Jun 1981 L

Hanhan H Jl Guntur kp al ikhlas 4/2 kota wetan 36 15 Sep 1979 L

Judin Kp buluear tonggoh sindangsari 3/8 cigedug cika 22 23 Sep 1993 L

Yani Suryani Kp parakan salak 3/8 sukamerang kersamanah 30 04 May 1985 P

Rizal perum cempaka blok 7 No 125 sucikaler karangp 38 03 Nov 1977 L

Indra Budiman Asrama Nyantong permai blok C 18 32 04 Dec 1980 L

Mustakim Kp. Cigadog 2/2 padamukti, pasir wangi samaran 44 17 Apr 1971 L
Deni Gerdiana Jl Asrama polisi No 362 3/5 Bayongbong 28 31 Jul 1980 L

Ineu Juniarti Kp Cidatar 1/7 Cisurupan 32 07 Jun 1983 P

Sintawati Kp. Cipangligaran 1/4 ds. Mulyasari bayongbong 22 04 Nov 1993 P

Enjang Suhada Kp pasir ds giri karya samarang 39 30 Aug 1979 L

Iki subagja Kp. Bebedahan 3/3 Sukawening Wanaraja 21 08 May 1996 L

Irvan Dahlan Jl Raya Cipanas No 389 2/10 Tarogong 38 29 May 1973 L

Iwan Rusmawan Kp Salaawi rancabango Tarogong 45 27 Jul 1970 L

M Dafit Lampung 31 10 Oct 1984 L

Ana Juhana Kp Jati 3/10 dangdeur banyuresmi 22 15 Oct 1993 L

Encep Sudrajat Ds Anjatan 23/9 Kec. Anjatan Indramayu 45 02 Aug 1970 L

Aceng Ahmad Kp. Mester 2/6 ds sukaresmi 22 27 Jul 1993 L

Sopar Nugeraha Jl Candramerta 1/4 kota kulon 28 23 Oct 1987 L

Imas susilawati Kp. Kiera Kohok 6/1 ds pamalayan 38 12 Dec 1977 P

Yandi Sopiandy Kp Padasuka 5/3 Cikajang 39 18 Jul 1977 L

Yanti Yulianti Kp Munjul kaler 3/5 Cilawu 35 05 Oct 1981 P

Agung Aliyudin Kp Lamping 2/5 Cimuncang Garut 27 21 May 1989 L

Edita Rita Risma Maktal 2/13 paminggir Garut Kota 7 20 Aug 2009 P

Dede Suryaman Kp Kubang 3/4 ds. Nanjungjaya 31 08 Oct 1985 L

Teja Kp Cikole 2/2 Wanraja 46 28 Feb 1970 P

Hani Apriliani kp mekar jaya 2/16 haurpanggung 33 11 Apr 1983 P

Zulpanama Intan Regency 214/80 Garut 31 18 Apr 1985 L

Firman Sumpena Lapas Garut 37 28 Apr 1979 L

Iyan Sopyan Rutan Garut 28 04 May 1988 L

Pardi Supardi Rutan Garut 30 07 May 1986 L

Deni Surya Kp Baru 1/1 Simpen Kidul 29 23 Nov 1987 L

Tuti Hindasah Jl Guntur No 111/125 4/8 ds Sukamentri 49 04 May 1967 P

Tatan Sutansyah Kp Ciloa 1/8 ds banjarsari Bayongbong 32 12 Nov 1984 L

Afendi Kp Bojongsalam 2/2 ds sukasenang banyuresmi 40 05 Jun 1976 L

Isam Rostiana Kp cihaur kulon 4/2 ds sukaratu banyuresmi 44 17 Apr 1972 P

Keysa Kp Samangen 1/1 ds wanaraja 6 28 Feb 2010 P

Ira Siti N Jl Nusa Indah Gg Bungur 2/16 Jayaraga 34 14 Sep 1982 P

Ara Suhara Kp Nangewer 1/7 Sukasenang Banyuresmi 61 18 Jun 1955 L

Dedeh Kurniasih Kp Nangewer 1/7 Sukasenang Banyuresmi 58 15 Aug 1958 P

Ridwan Arifin Jl Bentar Girang 1/3 ds kota wetan Garut Kota 35 01 Nov 1981 L

Hen Hen/Meti Kp Jalak paozan 2/8 Sukaratu Banyuresmi 44 12 Mar 1972 L

Elvin jl. Candramerta II no 769 kota wetan 28 16 Aug 1988 L

Bagja Putri cilawu 7 01 Jan 2009 P

Dedi Maulana kp. Babakan kelapa 1/4 mekargalih tarkid 24 05 Jun 1992 L

Rana Kp. Sukadana 3/5 cikajang 23 20 Jul 1993 L

Irman Kp. Cileungsing 2/7 ds. Kolot cilawu 26 01 Jul 1990 L

Dave Sammy Kp. Pasar kaler 2/2 cisurupan 37 26 Jan 1979 L

Faiz Kp. Cigasong 3/5 ds. Cilawu 5 29 Jun 2011 L

Kagi Pasalama Kp. Cigasong 3/5 ds. Cilawu 28 02 Jan 1988 P

Dika M Kp. Bojongloa pasir 1/3 sukamaju cilawu 28 13 Feb 1988 L

Marsya kp bentar girang 4/3 kota wetan 3 03 Mar 2013 P

Nandara kp bentar girang 4/3 kota wetan 20 25 Sep 1995 P

Diana Kp. Ciajeng 2/4 toblong peundeuy 40 10 May 1976 L

Tia Rahmat Kp. Geduk 1/7 ds. Palasari 37 17 Oct 1979 L

Neng ega Kp. Pangkalan 2/5 Cipancar 19 14 Sep 1997 P

Agum Gumilar Kp. Cinunuk tengah 02/08 ds. Wanaraja 21 30 Oct 1995 L

Ahmad S Kp. Babakan Picung 03/10 Ds. Keresek Cibatu 48 11 Oct 1968 L

Epa Puspita Kp Lunjuk hilir 01/13 Talagasari Kadungora 32 09 Jun 1984 P

Mesa ilhan Waskita perum puri cimanganten asri blok B 16 2/6 Taro 23 11 May 1993 L

Rizal Pajagaalan Garut 25 01 Nov 1986 L

Novi Pajagaalan Garut 29 01 Jan 1980 P

Firman Nugraha Garut 33 29 Mar 1983 L

Sandi Kp Babakan Tipar 02/07 ds Wanajaya wanaraja 24 21 Jan 1992 L

Imas Kp lembang nampel 06/04 ds. Lembang Leles 39 06 Nov 1977 P

Aneu Susanti Kp Sindang wargi 03/07 Karangpawitan 31 28 Feb 1985 P

Yanyan Husein Garut 38 01 Jan 1979 L

Hendra Aldi Kp Kudang 03/06 Sukaresmi Garut 25 09 Sep 1991 L

Uten Kp Cilengkrang 03/01 ds Cibiuk kaler Cibiuk 30 03 Nov 1986 L

Ende uus Kp Ciloke 01/01 giriawas Cikajang 27 25 Jul 1989 L

Iman S Jl Bima No 48 11/45 arjuna cicendo bandung 30 04 Feb 1986 L

Endangsari Jl Bima No 48 11/45 arjuna cicendo bandung 26 04 Jun 1990 P

Repi Kp Wado 04/07 ds mekar raya kersamanah 18 10 Mar 1998 L

Susilawati Kp Tabrik 01/11 ds Jatisari Karangpawitan 34 12 Aug 1982 P

yana cahyana Kp Cisandaan 02/01 ds pananjung pamulihan 22 10 Dec 1994 L

Deden Rahmat Jl Terusan pembangunan 01/04 Jayaraga 38 24 Jan 1978 L

Dito Kp Babakan Wetan 03/03 sukakarya Banyuresmi 39 05 May 1977 L

Renaldi Kp Sukaregang pasantren 03/20 kota wetan Garu 19 04 Sep 1997 L

Cecep Permadi Kp Kaum 02/01 Bayongbong 23 01 Sep 1993 L

Yudi Wachyudi Kp kiara goong 2/11 mandalasari kadungora 37 30 Apr 1980 L

Gugun Gunawan Kp Lawang Biru 02/08 ds Situjaya Karangpawitan 22 09 Jun 1995 L

Jajang Kp sereuh Jawa 3/1 ds Linggamanik Cikelet Garut 33 12 Nov 1984 L

Nail Noviana Kp Tegal jambu 05 pameungpeuk Garut 22 27 Nov 1995 L

Dian Septian Kp Kudang 02/03 ds Limbangan Timur Limbanga 26 23 Nov 1991 L

Lili Sumarli Kp Gandasari 03/03 ds sukamerang Kersamanah 48 26 Mar 1969 L

Dindin Wiguna Kp Cikelepuh 01/07 ds sukaluyu Sukawening Gar 25 28 Feb 1992 L

Hadi Kp lewi Apu 03/06 ds mandalakasih Pameungpeu 26 26 Mar 1991 L

Karnawan Kp Cibengang 01/02 mekarsewu Cisewu Garut 25 22 Aug 1992 L

Wiwin Kp Sanding 03/06 ds Muara sanding Garut kota 29 26 Feb 1988 P

Teti H Kp pasir domas 4/6 langensari 45 22 Sep 1972 P

Riki Setiawan Kp kayu jati 02/08 ds sirnasari Samarang 31 06 Mar 1986 L

Ade Ahadiat Kp Cangkuang 05/07 ds Muarasanding Garut Kot 35 26 Sep 1982 L

Yana juliana Kp Sanding 03/06 ds Muara sanding Garut kota 39 26 Jul 1978 L

D Herdiana Perum putri dinar lestari blok F 12 Tarogong kale 35 05 May 1982 L

Maurer Ahmad Kp Cibadak 01/05 ds andir Samarang 25 18 Dec 1992 L

Tantan Kp Cikole Girang 02/03 Wanasari wanaraja 35 21 Aug 1982 L

Runi Sagita Kp Cikole Girang 02/03 Wanasari wanaraja 30 08 Mar 1987 P

M Zafran Perum putri dinar lestari blok F 12 Tarogong kale 3 21 Jul 2014 L

Sukma R Kp Muncanglega 01/07 ds tegal panjang sucinara 22 15 Feb 1995 L

A azis Jl Pembangunan Trogong kidul Garut 39 02 Dec 1978 L

Ai Karyati kp Babakan 01/02 ds jatimulya pameungpeuk 35 20 Jun 1982 P

M Abdul Rozak kp Cibolang 02/09 mulyasari Bayongbong 23 15 Jan 1994 L

M Abduh Kp Koromoy 02/03 ds sukaratu Banyuresmi Garu 49 12 Aug 1968 L

Dicky Zafran Perum BPI Blok C No 59 Cilawu Garut 35 01 Jun 1982 L

Andri Kp Pamoyanan 01/05 pancasuro singajaya 26 10 Oct 1991 L

Trisna Kp Lame 03/10 ds haurpanggung Tarogong kidul 21 18 Apr 1996 L

Hadi bin san tung Lapas Garut 36 15 May 1981 L

Asep Rizky Jl Sudirman 02/06 ds kota kulon garut kota Garu 28 19 Feb 1989 L

Acep Herdiawan Kp Bungur 02/01 ds leuwigoong Garut 26 20 Aug 1991 L

Essa Mubarok Jl H Umar kp Tajug 02/11 ds haurpanggung tarki 27 22 Dec 1989 L

Ardiansyah Lapas Garut 25 10 Oct 1992 L

Azis Muslim Kp Kanduruan 18/07 lembang leles 24 05 Nov 1993 L

Dea H Kp Lembang No 499 02/08 ds sukagalih tarkid Ga 38 03 Jul 1979 L

Wilmi I Perum griya bumi praja 04/12 Rancabango garut 35 30 May 1982 L

Yadi Surya Jl Guntur 03/01 pakuwon garut kota 44 08 Jun 1973 L

Dadi Darmawan Kp Rancasalak 03/04 ds rancasalak kadungora 26 20 Jun 1991 L

Rizki Gumilar Kp Rancasalak 03/04 ds rancasalak kadungora 22 10 May 1995 L

Wahyudin kp Pasantren 01/05 ds Sirnabakti pameungpeuk 34 01 Nov 1983 L

Deden Hasmudianto Jl Ciledug Blk 224 2/16 ds kota kulon Garut Kota 31 18 Jan 1986 L

Rina Nurliani Kp Cigodeg 01/03 ds paas Pameungpeuk 39 28 Jun 1978 P

Reza Muhamad Perum Intan Regency Blok A No 16 Tarogong 22 14 Jan 1995 L

Farly Sanfauji Kp Pataruman 01/01 ds sukaratu sucinaraja 22 10 Jul 1995 L

M Sidik Wahyudin Jl Bungur Nusa Indah 03ds Jayaraga tarogong kid 24 17 Apr 1993 L

Elis Rosita Kp Nusa Indah 01/16 ds jayaraga tarogong kidul 47 22 Apr 1970 P

Odik Sodikin Kp Cangkudu RT 02 RW 01 ds Galih Pakuwon Li 31 27 Sep 1986 L

Dadi dsn nagrak 03/02 ds cikreo utara cibugel sumed 23 13 Jul 1994 L

Holidin Kp Rancabatu 2/6 ds mekarluyu sukawening 40 01 Nov 1970 L

Deni Raharja Kp Galumpit RT 04 RW 25 Ds Kota kulon Garut K 22 05 Oct 1995 L

Anton H Lingk Cipadung 07/03 ds purwaharja banjar 23 11 Oct 1994 L

Sri Mulyati kp naga jolok 02/08 ds mandalakasih pameungp 21 27 Sep 1996 P

Santi Ai Novianti Kp Pedes 01/05 ds sukamukti sukawening 32 01 May 1985 P

Ismayasari Kp Sindangsari 01/09 Margalaksana Cilawu 31 31 Jan 1987 P

Ajang Arifin Kp hegar manah 04/11 ds talagasari kadungora 28 07 Jul 1989 L

Riyani Kp pojok 05/06 ds cikembulan Kadungora 41 05 Jan 1977 P

Lala Suganda Perum Sukasenang 02/06 ds pamekarsari Banyu 34 09 Apr 1984 L

Rudiansyah Kp Ciawi 03/01 ds mekarsari cibalong 39 12 Dec 1978 L

Nurainun Kp Ciawi 03/01 ds mekarsari cibalong 39 15 May 1979 P

Rivaldo Kp Ciawi 03/01 ds mekarsari cibalong 7 07 May 2010 L

yana Kp pojok 05/06 ds cikembulan Kadungora 40 08 Oct 1977 L

Ugun Kp Pasirguling 02/04 ds tambaksari Leuwigoong 28 17 May 1989 L

Dadang Kp cihaur kulon 4/2 ds sukaratu banyuresmi 57 09 Nov 1960 L

Surahman Kp Rancabalong 02/07 ds karangwangi mekarmu 26 06 Jan 1992 L

Ivan Kp Kaum Lebak 02/08 ds paminggir Garut kota 35 15 Jan 1983 L

Megasari Kp Kaum Lebak 02/08 ds paminggir Garut kota 31 28 Dec 1986 P

Ridwan Kp Sukaregang 01/14 Kota wetan Garut Kota 33 19 Nov 1984 L

Nuri Silvianty Perum putri dinar lestari blok F 12 Tarogong kale 29 13 Jun 1988 P

Andi Usman Perum Abdi Negara 1 RT 01 RW 13 ds sindanggal 31 31 Mar 1987 L

Aji Ismail Kp Cigagak 02/15 Cipadung Cibiru 32 24 Jul 1986 L

Nia Kurniati Kp Rancakalong 03/07 Ds Karangmulya Karangp 35 16 Apr 1983 P

Firmansyah Kp Andir ds Ciaro Nagreg kabupaten Bandung 40 13 Dec 1978 L

Nenden Titin Kp Andir ds Ciaro Nagreg kabupaten Bandung 26 30 Sep 1992 P

Aep rudi KP Karang anyar 02/01 ds ciburial Leles 36 01 Jul 1982 L

Ibnu Mutakin Kp Cikelepu 02/03 ds neglasari Kadungora 23 14 Apr 1995 L

Dea Rafi T Dsn cicelot 2/7 Mandalaherang Cimalaka sumed 24 31 May 1994 L

Novianus Sumirat Jl Bratayudha Garut 56 03 Dec 1962 L

Arman Hermansyah Kp Sumbersari Timur 03/18 ds Regol Garut kota 36 24 Jul 1982 L

Taufik padilah Perum bumi malayu asri Blok 1 No 47 Ds sirnaja 38 25 Sep 1980 L

Silvia Kp Rancabogo RT 02 RW 04 ds. Pataruman Tarog 23 05 Mar 1995 P

Ugi KP Cihampelas RT 05 RW 02 Ds Kersamaju Cigalo 25 06 Apr 1993 L

Mia Resmiani KP Bandrek RT 01 RW 01 Ds Sukamerang Kersam 46 07 Nov 1972 P

Mumad Sudirman (Anggi) Kp Pamalayanan 4/1 Bayongbong Garut 24 15 Dec 1994 L

Riki Hermawan Kp Ciucing 2/3 Ds mekarmukti Cibalong 25 10 Jul 1995 L

Asep Luqman Kp BBk Loa 5/4 Cibatu Garut 29 10 Aug 1989 L

Ade Mulyati Kp Cipicung 1/1 Ds Cipicung Banyuresmi Garut 32 15 May 1986 P

Abdul Gani 31 01 Jan 1987 L

Jajat Jamiat Jl Merdeka Gg Kiara 200 3/3 Tarogong Kidul Gar 36 02 May 1982 L

Ikrami Rahmawati Kp Batu Karut 2/10 ds limbangan timur Limbang 28 07 Aug 1990 P

Dede Diani Kp Cikebo 2/10 ds cirapuhan selaawi Garut 23 19 Dec 1995 P

Yusep Kp ds kolot 1/6 ds pasanggrahan Sukawening Ga 41 21 Jun 1977 L

Iin Fitria Kp Suci 5/2 ds suci Karangpawitan Garut 35 14 Apr 1983 P

Jajang Kp Sikluk 1/8 ds karyasari Banyuresmi garut 29 21 Aug 1989 L

Alfian Kristi Kp Kira lawang 4/3 Suka 83815386902 31 03 Dec 1987 L

Ujang Ari Kp Ranca Gede 5/3 ds ja 81266332587 31 20 Feb 1987 L

Edih Maryana Perum Bumi Malayu asri Tarogong kaler 36 03 Aug 1982 L

Romansyah Kp Randu Kurung Limbangan Tengah 2/5 Limban 34 05 Aug 1984 L

Iyan Kp Hampor 3/15 ds Sukagalih Tarogong kidul 30 08 Dec 1988 L

Nani Sumarni Kp Sindangheula 21/3 Ds Sukamentri Garut Kota 29 06 Feb 1989 P

Janudin Kp Sukagalih 2/2 Ds mekarsari Mekarmukti Garu 39 01 Jan 1979 L

Jana Kp Sindangheula 21/3 Ds Sukamentri Garut Kota 32 01 Jul 1986 L

Neti Nurhaeti Kp Pabuaran 2/1 Ds Mancagahar Pameungpeuk 36 30 Jun 1981 P

0 4 3 29 142 5 0 6 1 7 62 1

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<1 1-14 15-19 20-24 25-49 ≥ 50 <1 1-14 15-19 20-24 25-49 ≥ 50

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Keterangan tambahan
saat masuk Konfirmasi tes HIV+

Faktor Risiko
Pendidikan
Entry

Bekerja
STATUS point
PERKAWINA (No.
N kode)
BB TB Tgl Tempat

48 3 06 Oct 2009 RSHS 2 3 1 1

Bandung

58 1 22 Feb 2013 RS Guntur 2 3 1 1

49 1 11 Jan 2013 KF Garut 2 3 0 1

53 1 15 Mar 2013 BKPM 2 3 0 1

Garut
BKPM
58 1 07 May 2013 Garut 2 2 1 1

53 3 30 May 2013 BKPM

Garut 2 1 1 1

48 1 06 May 2013 Suci Farma 4 3 1 1

Garut
RSHS
17 3 2 18 Feb 2013 Bandung 2 1 0 4

3 1 03 Jul 2013 RS Guntur 3 4 1 6

75 1 03 Jul 2013 RS Guntur 2 3 0 1

RSHS
34 3 1 16 Jan 2013 Bandung 2 2 0 1

35 3 08 Jul 2013 RS Guntur 3 4 1 1

42 3 1 20 Aug 2013 Suci Farma 2 4 1 1

Garut
Yakin
50 2 01 Jan 2007 Tasikmalay 2 4 0 6
a
Suci Farma
65 1 02 Sep 2013 Garut 4 3 1 6

43 3 1 23 Sep 2013 RS Guntur 3 3 1 6

56 3 16 Feb 2012 STI Malcon 2 2 0 1

papua
Lapas
40 3 2 22 Jul 2013 wiragiman 3 2 0 2
yogya
50 2 01 Jan 2011 RSUD 2 4 1 6
Cengkareng
Suci Farma
53 1 12 Nov 2013 Garut 2 3 1 1

49 3 27 Aug 2013 Labkesda 2 3 0 1

garut

52 1 27 Aug 2012 Prodia 2 4 1 6

garut

36 3 3 24 Oct 2013 RS Guntur 3 3 0 1

51 1 01 Jan 2010 RS Bungsu 2 3 0 6

Bandung
RSHS
27 3 3 10 Feb 2014 2 3 0 1
Bandung

2 22 Nov 2010 Labkesda 2 3 0 6

garut
PKM
55 3 01 Jul 2013 Siliwangi 2 3 1 1

55 1 04 Mar 2014 RS Guntur 2 1 1 1

53 1 04 Mar 2014 RS Guntur 2 2 0 1

43 3 1 28 Mar 2014 RS Guntur 3 3 0 6

RS
37 3 01 Jan 2005 Dharmais 2 4 1 6

42 3 3 01 Jan 2014 Suci Farma 2 3 1 1

Garut

55 3 2 28 Apr 2014 PKM Cibatu 2 3 1 2

49 1 06 Feb 2014 RSCM 2 4 1 6

Jakarta
Suci Farma
54 3 1 20 May 2014 4 4 1 6
Garut

52 1 22 May 2009 RSMS

Purwekerto 2 4 1 1

70 1 01 Jan 2004 Prodia 2 3 1 6

garut
RSHS
50 2 01 Jan 2012 Bandung 2 4 1 6

30 3 1 30 Jun 2014 RS Guntur 3 3 0 1

52 1 01 Jul 2014 RS Guntur 2 2 1 1

8 3 2 03 Jul 2014 RS Guntur 2 0 0 4

 PKM
4 2 19 Jul 2014 Pameungpe 3 0 0 4
uk
RSUD dr
2 07 Nov 2012 slamet 2 3 0 1

26 3 12 Aug 2014 RS Guntur 3 3 0 1

68 1 01 Jan 2008 Bahtera 2 3 1 6

Bandung

48 3 3 05 Aug 2014 RS Guntur 3 3 1 1

43 2 25 Aug 2014 RS Guntur 2 3 1 2

Yakin
54 1 01 Jul 2007 Tasikmalay 2 4 1 6
a
44 1 01 Dec 2013 RSHS 2 3 0 1
Bandung
Yakin
59 3 01 Jan 2005 Tasikmalay 2 3 1 6
a

49 3 09 Jan 2013 KF Garut 2 3 1 1

54 3 26 Aug 2013 Lapas Garut 2 3 0 1

54 2 05 Sep 2014 RS Guntur 3 4 1 2

Yakin
48 3 3 01 Jan 2008 Tasikmalay 2 3 0 6
a
49 3 1 01 Jul 2014 BKPM 2 3 1 1
Garut
PKM
55 1 01 Sep 2014 Pameungpe 3 1 0 1
uk
2 01 Sep 2006 Tasik 2 3 0 6

PKM
47 3 2 27 Oct 2014 2 3 0 2
Limbangan

38 2 27 Oct 2014 Klinik 2 4 1 2

Yassifa

59 2 14 Nov 2014 Lapas Garut 2 3 0 6

RSHS
3 01 Aug 2008 Bandung 2 3 0 6

51 2 21 Nov 2014 RSUD dr 2 3 1 2

slamet

61 2 23 Jul 2014 PKM Ciawi 2 3 1 2

Tasik

60 2 17 Dec 2014 RS Guntur 2 3 1 2

37 1 19 Nov 2010 Prodia 2 4 0 1
garut
Yakin
46 1 01 Jul 2007 Tasikmalay 2 3 1 6
a
Yakin
55 1 01 Jul 2007 Tasikmalay 2 3 1 6
a
35 3 07 Jan 2015 RSUD dr 2 3 0 1
slamet

55 2 02 Feb 2015 RS Guntur 2 2 1 2

45 2 06 Feb 2015 PKM Cilawu 2 3 0 2

43 2 23 Feb 2015 RS Guntur 2 3 1 2

40 3 01 Feb 2015 PKM 2 4 1 1

Sukasenang
PKM moch
68 3 24 Feb 2015 ramdan 2 3 1 1
bandung

38 2 2 3 0 6

52 3 1 18 Mar 2015 RS Guntur 3 3 1 1

52 3 1 18 Mar 2015 RS Guntur 2 3 0 1

RSHS
44 1 26 Oct 2010 Bandung 2 4 1 6

38 2 03 Apr 2015 RS Guntur 3 1 1 1

52 3 14 Apr 2015 RS Guntur 3 3 0 1

49 2 31 Mar 2015 Klinik PKBI 2 3 1 6

Suci Farma
49 2 12 May 2015 2 4 1 6
Garut

45 3 01 Jan 2009 PKM 2 3 1 6

Siliwangi

42 2 06 May 2015 RSUD dr 2 2 0 2

slamet
PKM
60 1 21 May 2015 Sukameran 2 3 1 1
g

50 1 21 May 2015 RS Guntur 3 4 1 6

56 2 04 Sep 2012 Labkesda 2 3 1 1

Tasik

62 1 25 Jun 2015 RS Guntur 2 3 1 1

 3 2 01 Jan 2008 RS Bungsu 3 4 0 6
Bandung
Suci Farma
30 3 03 Jul 2015 Garut 2 4 0 1

29 3 1 27 Jul 2015 RS Guntur 3 3 0 1

45 1 14 Aug 2015 RS Guntur 3 3 1 1

RSUD A
64 2 24 Aug 2015 Wahab 2 3 1 2
Samarinda
1 04 Jan 2011 RS Bungsu 3 4 1 6
Bandung

58 1 15 Sep 2015 RS Guntur 2 3 1 1

58 2 01 Oct 2015 PKM 2 4 1 2

Siliwangi

62 2 03 Nov 2015 RS Guntur 2 3 1 2

RSBI
66 1 27 Jul 2015 Indramayu 3 3 1 1
RS St
45 2 05 Oct 2015 Carolus 3 3 1 2
Jakarta

45 2 2 3 1 2
PKM
1 19 Nov 2015 Pameungpe 2 3 0 1
uk
45 3 2 05 Dec 2015 RS Guntur 3 4 1 6

RSUD
30 1 Sanglah 2 3 0 1
bali
45 3 1 22 Feb 2016 RS Guntur 2 1 1 1

BKPM
18 2 2 1 0 4
Garut

49 3 2 RS Guntur 2 3 1 2

48 1 03 Mar 2016 RS Guntur 2 3 0 1

PKM
35 1 04 Mar 2016 Haurpangg 2 3 1 1
ung

52 3 RSHS 2 4 0 6
Bandung

52 1 02 Nov 2015 Lapas Garut 2 3 0 6

PKM
57 1 22 Mar 2016 Siliwangi 2 3 0 1
47 2 18 Nov 2015 PKM 2 1 0 2
Siliwangi

45 3 2 07 Mar 2016 RS Guntur 3 3 1 1

42 3 1 31 Mar 2016 RS Guntur 2 3 0 1

40 3 2 04 Apr 2016 RS Guntur 2 1 1 2

33 3 2 26 Apr 2016 RS Guntur 2 3 1 2

46 1 21 Apr 2016 RS Guntur 3 2 1 1

9 3 2 07 Jul 2014 RS Guntur 2 0 0 4

38 3 1 04 May 2016 RS Guntur 2 4 1 1

44 1 04 May 2016 RS Guntur 2 4 1 1

42 1 11 May 2016 RS Guntur 2 1 0 1

46 1 19 May 2016 RS Guntur 2 3 1 1

45 2 11 May 2016 PKBI Garut 2 3 0 2

51 2 26 May 2016 RS Guntur 2 4 1 6

11 3 2 30 May 2016 RS Guntur 3 1 0 4

49 2 01 Jun 2016 RS Guntur 2 3 1 2

2 01 Jun 2016 RS Guntur 2 3 1 2

PKM Koja
60 2 13 Apr 2015 2 3 1 2
JKT

51 3 2 09 Jun 2016 RS Guntur 2 4 1 2

3 2 RS Guntur 3 1 0 4

52 1 24 Jun 2016 RS Guntur 2 3 1 1

2 30 Jun 2016 RS Guntur 2 3 1 2

2 08 Jun 2015 RSHS 3 0 0 4

Bandung
RSHS
3 19 May 2015 Bandung 2 3 0 1
 RSUP
50 2 10 Apr 2007 Kariadi 2 3 1 2
semarang

2 18 Jul 2016 RS Guntur 2 4 1 2

RSAD
3 25 Aug 2016 Guntur 2 3 0 1
garut
RSAD
53 2 06 Sep 2016 Guntur 2 3 1 2
garut
PKC
56 2 27 Feb 2014 Jatinegara 2 3 0 1

41 3 23 Mar 2011 RSHS 2 3 1 1

Bandung
PKM
2 08 Sep 2016 Siliwangi 2 3 1 2
Garut
16 Apr 2009 RSHS 3 3 1 6
Bandung
RSHS
15 Apr 2009 Bandung 2 3 1 1
RSAD
1 Guntur 3 4 1 1
garut
RSAD
52 2 26 Sep 2016 Guntur 2 3 1 2
garut
RSAD
1 27 Sep 2016 Guntur 2 3 1 1
garut
RSAD
30 3 3 27 Sep 2016 Guntur 2 1 0 1
garut
09 Jun 2009 BBKPM 2 3 1 6
Garut
RSAD
53 2 14 Oct 2016 Guntur 2 3 1 2
Garut
RSAD
33 3 2 20 Oct 2016 Guntur 2 3 1 2
Garut
RSAD
55 1 20 Oct 2016 Guntur 3 3 1 3
Garut
RSAD
03 Nov 2016 Guntur 2 2 1 1
garut
RSAD
3 03 Nov 2016 Guntur 3 3 1 1
garut
PKM
47 3 2 02 Nov 2016 Sukameran 2 1 0 2
g Garut
RS
1 03 Feb 2014 Immanuel 3 3 1 1
Bandung
RSAD
52 2 17 Oct 2016 Guntur 2 3 1 2
Garut
RSU Bungsu
3 07 Jan 2013 Bandung 3 3 1 6
 Seremban
2 26 Apr 2013 Hospital 2 3 1 2
Kualalumpu
rRSAD
50 2 13 Dec 2016 Guntur 2 3 1 2
Garut
RSAD
40 2 23 Dec 2016 Guntur 2 3 1 2
Garut
RSAD
48 3 3 11 Jan 2017 Guntur 2 3 1 1
garut
RSAD
40 3 2 17 Jan 2017 Guntur 2 3 0 2
garut
RS
41 1 13 Jan 2017 Borromeus 2 2 1 3
Bandung
Klinik dr
45 2 08 Dec 2016 Kang 2 3 1 2
Malaysia
RSAD
67 2 03 Feb 2017 Guntur 2 3 1 2
garut
PKM
48 2 03 Feb 2017 Limbangan 2 2 1 2
RSAD
44 2 20 Feb 2017 Guntur 2 3 1 1
garut
RSAD
48 3 2 27 Feb 2017 Guntur 2 3 1 1
Garut
PKM
47 2 04 Mar 2017 Rancabuay 2 3 1 2
a
RSHS
50 1 07 Mar 2017 Bandung 2 3 1 1
RSAD
1 02 Mar 2017 Guntur 2 3 0 1
Garut
RSAD
71 2 22 Dec 2016 Guntur 2 3 1 2
Garut
RSAD
79 2 16 Mar 2017 Guntur 2 3 1 2
Garut
RSAD
3 1 07 Mar 2017 Guntur 3 3 1 1
garut
RSAD
50 1 03 Apr 2017 Guntur 3 3 1 6
garut
RSAD
44 3 2 07 Apr 2017 Guntur 2 3 1 2
garut
RSAD
39 3 3 12 Apr 2017 Guntur 2 3 1 1
garut
RSAD
40 3 3 17 Apr 2017 Guntur 2 3 1 1
garut
RSAD
11 2 15 May 2017 Guntur 2 0 0 4
garut
BIMC
68 2 22 Apr 2017 Hospital 2 3 1 2
Bali
 3 01 Jan 2008 tasik 2 3 1 6

RSAD
1 22 May 2017 Guntur 2 3 0 1
garut
RSAD
43 3 2 31 May 2017 Guntur 3 2 1 1
garut
RSAD
1 31 May 2017 Guntur 2 3 1 3
garut
RSAD
63 2 19 Apr 2017 Guntur 2 3 1 2
garut
RSAD
38 3 2 31 May 2017 Guntur 2 3 1 2
garut
RSAD
2 05 Jun 2017 Guntur 2 4 1 2
garut
3 09 Nov 2008 Rutan kelas 2 3 0 1
I cipinang
RSAD
75 2 22 Dec 2016 Guntur 2 3 1 2
garut
RSAD
2 06 Jun 2017 Guntur 2 3 1 2
garut
RSAD
2 09 Jun 2017 Guntur 2 3 1 2
garut
PKM
2 05 Jul 2017 Sukasenang 2 3 0 1
RSAD
55 2 05 Jul 2017 Guntur 2 4 0 2
garut
52 2 01 Jan 2005 RSHS 2 3 1 6
Bandung
RSHS
57 1 28 Jun 2011 Bandung 3 3 1 6
RSAD
73 2 17 Jul 2017 Guntur 2 3 1 2
garut
Prodia
52 3 08 Jul 2017 2 3 1 2
Bandung
Lab Klinik
66 2 18 Jul 2017 UNYAI kota 2 3 1 2
metro
RSUD
49 3 2 25 Jul 2017 Pameunpe 2 3 1 1
uk
RSU Bungsu
54 2 15 Nov 2013 Bandung 2 3 1 2
RSAD
41 3 31 Jul 2017 Guntur 3 3 1 1
garut
PKM
56 2 26 Jul 2017 Bojong 2 2 1 2
Rawalumbu
RSAD
64 2 12 Aug 2017 Guntur 2 3 1 2
garut
 2 21 Sep 2015 PKM 2 3 1 2
Tambun
RSAD
3 31 Aug 2017 Guntur 3 2 1 1
garut
41 2 09 Aug 2017 RSHS 2 3 0 2
Bandung

60 2 09 Jun 2015 PKM Wado 2 3 1 2

Sumedang
RS Dr
Sobirin
39 1 01 Apr 2017 Lubuk 2 2 1 3
Linggau
RSAD
2 04 Sep 2017 Guntur 2 3 1 2
Garut
RSAD
41 2 16 Oct 2017 Guntur 2 3 1 2
Garut
RSAD
1 20 Oct 2017 Guntur 2 3 1 1
Garut
RSAD
49 1 09 Oct 2017 Guntur 3 3 0 1
Garut
RSAD
41 3 30 Oct 2017 Guntur 3 3 0 1
garut
RSAD
50 3 1 03 Nov 2017 Guntur 2 3 1 1
Garut
RSAD
35 3 1 09 Nov 2017 Guntur 2 3 1 1
garut
RSAD
45 3 1 13 Nov 2017 Guntur 2 4 1 3
garut
PKM
53 3 1 11 Nov 2017 Pameungpe 2 3 1 1
uk
PKM
60 1 11 Nov 2017 Pameungpe 2 3 1 1
uk
PKM
20 3 2 11 Nov 2017 Pameungpe 2 0 0 4
uk
RSAD
40 3 1 20 Nov 2017 Guntur 2 3 1 1
Garut
48 2 3 1 2

1 21 Apr 2016 RS Guntur 2 2 1 1

RSAD
70 2 04 Dec 2017 Guntur 2 1 1 3
garut
RSAD
59 1 07 Dec 2017 Guntur 2 3 1 1
garut
RSAD
40 3 1 07 Dec 2017 Guntur 2 3 1 1
garut
RSAD
53 3 1 13 Dec 2017 Guntur 3 3 1 6
garut
 RSAD
50 1 21 Mar 2017 Guntur 2 4 1 1
Garut
RSAD
58 2 28 Dec 2017 Guntur 2 3 1 2
Garut
1 1

61 1 02 Sep 2015 RSUD dr 2 3 0 1

slamet
RS TK II
52 1 01 Dec 2017 DUSTIRA 3 3 1 1

38 1 11 Dec 2017 RS TK II 3 3 1 1
DUSTIRA

50 3 2 1 0 1

50 2 08 Nov 2017 PKM Curug 7 2 1 2

RSAD
70 2 04 Jan 2018 Guntur 2 4 1 3
garut
PKM
1 01 Dec 2016 Ibrahim 7 4 1 2
Ajie Bdg
RSAD
39 3 2 23 Feb 2018 Guntur 2 3 1 2
garut
RSAD
49 3 01 Mar 2018 Guntur 2 3 1 6
garut
RSAD
1 05 Mar 2018 Guntur 2 3 1 1
garut
Lab Kimia
45 3 2 05 Mar 2018 Farma 3 2 1 2
Garut
PKM
3 3 13 Mar 2018 Sukameran 3 1 0 1
g Garut
PKM
2 28 Mar 2018 Haurpangg 2 3 1 2
ung
RSAD
42 2 04 Apr 2018 Guntur 2 3 1 2
garut
RSAD
61 2 05 Apr 2018 Guntur 2 4 1 2
garut
RSAD
45 3 27 Mar 2018 Guntur 3 3 0 1
garut
RSAD
2 01 Apr 2018 Guntur 1 3 1 2
garut
RSAD
38 2 01 Apr 2018 Guntur 3 3 1 6
Garut
RSAD
40 3 3 23 Apr 2018 Guntur 2 3 1 1
garut
RSAD
1 07 May 2018 Guntur 2 3 0 1
garut
 RSAD
3 1 11 May 2018 Guntur 2 2 1 1
garut
RSAD
53 1 18 May 2018 Guntur 1 3 0 1
Garut
RSAD
55 3 3 25 May 2018 Guntur 2 2 1 1
Garut
RSAD
30 3 2 20 Jun 2018 Guntur 3 4 0 3
garut

40 3 2 22 Jun 2018 BKPM 2 1 1 3

RSAD
80 1 26 Jun 2018 Guntur 2 3 1 1
Garut
RSAD
47 2 02 Jul 2018 Guntur 2 3 1 2
Garut
RSAD
57 3 2 05 Jul 2018 Guntur 2 3 1 2
Garut
RSUD
54 1 08 Feb 2017 Majenang 2 2 0 1
RSAD
44 3 1 09 Jul 2018 Guntur 3 1 1 1
Garut
RSAD
45 1 09 Jul 2018 Guntur 2 1 1 1
Garut
klinik
40 1 13 Oct 2015 teratai 2 2 0 1
RSHS
 IO yg terjadi Skrining TB

Tgl pemberian
Terapi IO Cotrimoksazol
Kode Tgl. Tanggal +/-

08 Oct 2009 25 Jan 2013

K, D 22 Feb 2013 cotrimoksazole, fl 22 Feb 2013 22 Feb 2013

K, PCP 11 Jan 2013 cotrimoksazole, fl 15 Mar 2015 19 Feb 2013

19 Mar 2013 19 Mar 2013

cotrimoksazole 10 May 2013 10 May 2013

K 24 May 2013 cotrimoksazole, fl 10 Jun 2013 10 Jun 2013

D, K, PCP 16 May 2013 cotrimoksazole 25 Jun 2013 25 Jun 2013

cotrimoksazole 18 Feb 2013 28 Jun 2013

K, T 01 Jul 2013 cotrimoksazole, pi 03 Jul 2013 04 Jul 2013

cotrimoksazole 03 Jul 2013 04 Jul 2013

K, Wasting syndrome 04 Jan 2013 cotrimoksazole 16 Jan 2013 12 Jul 2013

D, wasting syndrome 08 Jul 2013 cotrimoksazole 08 Jul 2013 16 Jul 2013

K, Wasting syndrome 15 Aug 2013 cotrimoksazole, fl 22 Aug 2013 22 Aug 2013

K, D 10 Sep 2013 cotrimoksazole 10 Sep 2013 10 Sep 2013

K, T 10 Sep 2013 cotrimoksazole 10 Sep 2013 10 Sep 2013

K 23 Sep 2013 cotrimoksazole 23 Sep 2013 23 Sep 2013

IMS 16 Feb 2012 17 Oct 2013

H, Wasting syndrome 05 Jul 2013 21 Oct 2013

 23 Oct 2013

K, IMS 21 Nov 2013 cotrimoksazole 21 Nov 2013 21 Nov 2013

17 Dec 2013

T, K, wasting syndrome 01 Aug 2012 cotrimoksazole, pi 01 Aug 2012 19 Dec 2013

K, Wasting syndrome 06 Dec 2013 cotrimoksazole 06 Dec 2013 24 Dec 2013

06 Feb 2014

K, Wasting syndrome 18 Feb 2014 cotrimoksazole 18 Feb 2014 18 Feb 2014

K, Wasting syndrome 23 Nov 2010 cotrimoksazole 23 Nov 2010 19 Feb 2014

26 Feb 2014

D, K 04 Mar 2014 cotrimoksazole 04 Mar 2014 04 Mar 2014

cotrimoksazole 04 Mar 2014 04 Mar 2014

K 28 Mar 2014 cotrimoksazole 28 Mar 2014 28 Mar 2014

K, CMV, wasting syndrome 01 Apr 2008 cotrimoksazole 01 Apr 2008 30 Apr 2014

K, Wasting syndrome 02 May 2014 cotrimoksazole, fl 02 May 2014 12 May 2014

K, D 02 May 2014 cotrimoksazole 02 May 2014 02 May 2014

T, K, D 05 May 2014 cotrimoksazole 05 May 2014 05 May 2014

K 13 Jun 2014 cotrimoksazole 13 Jun 2014 16 Jun 2014

cotrimoksazole 05 Jun 2009 16 Jun 2014

07 Jul 2014

cotrimoksazole 08 Jul 2014 08 Jul 2014

K, Wasting syndrome 03 Jul 2014 cotrimoksazole 03 Jul 2014 08 Jul 2014

cotrimoksazole 08 Jul 2014 08 Jul 2014

K 08 Jul 2014 cotrimoksazole 08 Jul 2014 08 Jul 2014

Wasting syndrome, D, K, PCP 19 Jul 2014 cotrimoksazole 19 Jul 2014 19 Jul 2014

cotrimoksazole 22 Nov 2012 04 Aug 2014

Wasting syndrome, K, D 12 Aug 2014 cotrimoksazole, fl 12 Aug 2014 12 Aug 2014

18 Aug 2014

PCP, K 05 Aug 2014 cotrimoksazole, fl 05 Aug 2014 21 Aug 2014

K 25 Aug 2014 cotrimoksazole 25 Aug 2014 25 Aug 2014

29 Aug 2014

cotrimoksazole 01 Sep 2014 01 Sep 2014

11 Sep 2014

K 15 Jan 2013 cotrimoksazole, fl 30 Jan 2013 19 Sep 2014

24 Sep 2014

T, K 24 Sep 2014 cotrimoksazole, pi 24 Sep 2014 24 Sep 2014

Cr, wasting syndrome 09 Oct 2014 cotrimoksazole 09 Oct 2014 09 Oct 2014

K, H, wasting syndrome 01 Sep 2014 cotrimoksazole 02 Oct 2014 02 Oct 2014

PCP, K 21 Oct 2014 cotrimoksazole 21 Oct 2014 21 Oct 2014

04 Nov 2014

D, K 27 Oct 2014 cotrimoksazole 11 Nov 2014 11 Nov 2014

K, PPE 27 Oct 2014 cotrimoksazole 13 Nov 2014 13 Nov 2014

cotrimoksazole 14 Nov 2014 14 Nov 2014

24 Nov 2014

K, D, Hemmoroid 01 Nov 2014 cotrimoksazole 01 Dec 2014 01 Dec 2014

dermatitis,K 23 Jul 2014 cotrimoksazole 23 Jul 2014 04 Dec 2014

K 17 Dec 2014
 05 Dec 2014

05 Jan 2015

07 Jan 2015

D, K, wasting syndrome 01 Nov 2014 cotrimoksazole 07 Jan 2015 16 Jan 2015

03 Feb 2015

K, PPE, anemia 06 Feb 2015 cotrimoksazole 06 Feb 2015 20 Feb 2015

K, neuropati 23 Feb 2015 cotrimoksazole 23 Feb 2015 23 Feb 2015

K 01 Nov 2013 cotrimoksazole 09 Mar 2015 09 Mar 2015

10 Mar 2015

K, D, wasting syndrome 10 Mar 2015 10 Mar 2015

K, PCP 18 Mar 2015 cotrimoksazole 18 Mar 2015 23 Mar 2015

cotrimoksazole 18 Mar 2015 23 Mar 2015

K 27 Oct 2010 27 Oct 2010 06 Apr 2015

K, D 03 Apr 2015 cotrimoksazole 03 Apr 2015 10 Apr 2015

K, D, PPE 14 Apr 2015 cotrimoksazole 14 Apr 2015 16 Apr 2015

PPE 24 Apr 2015 24 Apr 2015 24 Apr 2015

T, K 12 May 2015 cotrimoksazole 12 May 2013 13 May 2015

15 May 2015

K, IMS 03 May 2015 cotrimoksazole 03 May 2015 18 May 2015

IMS 20 May 2015 21 May 2015

PCP, K, D 21 May 2015 cotrimoksazole 21 May 2014 28 May 2015

12 Jun 2015

cotrimoksazole 25 Jun 2015 25 Jun 2015

 25 Jun 2015

K, PPE cotrimoksazole 27 Jul 2015

K, D 27 Jul 2015 cotrimoksazole 27 Jul 2015 27 Jul 2015

K, D 14 Aug 2015 cotrimoksazole, Fl 14 Aug 2015 14 Aug 2015

04 Sep 2015

07 Sep 2015

K, PPE 15 Sep 2015 cotrimoksazole 15 Sep 2015 17 Sep 2015

02 Oct 2015

03 Nov 2015

K, D, Cr 27 Jul 2015 cotrimoksazole, fl 27 Jul 2015 03 Nov 2015

K, D 13 Nov 2015 cotrimoksazole, fl 13 Nov 2015 13 Nov 2015

K, D 06 Nov 2015 cotrimoksazole 06 Nov 2015 06 Nov 2015

K, D, T 20 Nov 2015 cotrimoksazole 19 Nov 2015 20 Nov 2015

K, D 12 Dec 2015 cotrimoksazole, fl 12 Dec 2015 12 Dec 2015

Cr, wasting syndrome 01 Feb 2016 01 Feb 2016

K 22 Feb 2016 cotrimoksazole, fl 22 Feb 2016 22 Feb 2015

cotrimoksaole 23 Feb 2016 23 Feb 2015

K, PPE 03 Mar 2016 cotrimoksazole, fl 03 Mar 2016 03 Mar 2016

04 Mar 2016

K, Anemia 04 Mar 2016 cotrimoksazole 04 Mar 2016 04 Mar 2016

PCP, K 17 Mar 2016

18 Mar 2016

24 Mar 2016
D 24 Mar 2016 cotrimoksazole 24 Mar 2016 24 Mar 2016

K 10 Mar 2016 cotrimoksazole, fl 10 Mar 2016 10 Mar 2016

K 31 Mar 2016 cotrimoksazole, fl 31 Mar 2016 31 Mar 2016

K 04 Apr 2016 cotrimoksazole, fl 04 Apr 2016 04 Apr 2016

D 26 Apr 2016 cotrimoksazole, fl 26 Apr 2016 26 Apr 2016

K 21 Apr 2016 cotrimoksazole, fl 28 Apr 2016 28 Apr 2016

Wasting syndrome 02 May 2016 cotrimoksazole syr 02 May 2016 02 May 2016

K 04 May 2016 cotrimoksazole, fl 04 May 2016 04 May 2016

PCP, D 04 May 2016 cotrimoksazole 09 May 2016 09 May 2016

11 May 2016

K 19 May 2016 cotrimoksazole, fl 19 May 2016 19 May 2016

D 24 May 2016 cotrimoksazole 24 May 2016 24 May 2016

D 26 May 2016 cotrimoksazole 26 May 2016 26 May 2016

K, D 30 May 2016 cotrimoksazole, fl 30 May 2016 30 May 2016

01 Jun 2016

Z 01 Jun 2016 01 Jun 2016

08 Jun 2016

K 09 Jun 2016 cotrimoksazole 09 Jun 2016 09 Jun 2016

K, D 29 Jun 2016 cotrimoksazole, fl 29 Jun 2016 29 Jun 2016

Condiloma Acuminta 29 Jun 2016 29 Jun 2016

30 Jun 2016

13 Jul 2016

25 Jul 2016
 25 Jul 2016

K, D, PCP 01 Aug 2016 cotrimoksazole, fluconazole 01 Aug 2016

D, Condiloma Acuminata 25 Aug 2016 Cotrimoksazole 25 Aug 2016 25 Aug 2016

D 06 Sep 2016 06 Sep 2016

01 Sep 2016

23 Mar 2011 07 Sep 2016

20 Sep 2016

T 22 Sep 2016

22 Sep 2016

Cr Cotrimoksazole 26 Sep 2016

26 Sep 2016

27 Sep 2016

K, D 27 Sep 2016 Cotrimoksazole, fluconazole 27 Sep 2016

04 Oct 2016

17 Oct 2016 17 Oct 2016

K, D 20 Oct 2016 cotrimoksazole 20 Oct 2016 20 Oct 2016

D 10 Oct 2016 cotrimoksazole 10 Oct 2016 20 Oct 2016

03 Nov 2016

K, D 03 Nov 2016 cotrimoksazole, fl 03 Nov 2016 03 Nov 2016

K, D 02 Nov 2016 cotrimoksazole, fl 04 Nov 2016 04 Nov 2016

K, D 01 Apr 2014 cotrimoksazole, fl 01 Apr 2014 09 Nov 2016

21 Nov 2016

23 Nov 2016
K 01 Jul 2013 Fluconazole 01 Jul 2013 23 Nov 2016

D 13 Dec 2016 cotrimoksazole 13 Dec 2016 13 Dec 2016

D 23 Dec 2016 cotrimoksazole 23 Dec 2016 23 Dec 2016

K 11 Jan 2017 Cotrimoksazole, fl 11 Jan 2017 11 Jan 2017

K, D 17 Jan 2017 Cotrimoksazole, fl 17 Jan 2017 17 Jan 2017

K 23 Jan 2017 cotrimoksazole 23 Jan 2017 23 Jan 2017

K, D 23 Jan 2017 cotrimoksazole 23 Jan 2017 23 Jan 2017

06 Feb 2017

K 03 Feb 2017 Cotrimoksazole, fl 06 Feb 2017 06 Feb 2017

K, D 20 Feb 2017 Cotrimoksazole, fluconazole 20 Feb 2017

K 28 Dec 2017 fluconazole 28 Feb 2017

cotrimoksazole 09 Mar 2017 09 Mar 2017

cotrimoksazole 13 Mar 2017 13 Mar 2017

14 Mar 2017

17 Mar 2017

17 Mar 2017

K, D 22 Mar 2017 Cotrimoksazole, fl 22 Mar 2017 22 Mar 2017

T 03 Apr 2017 pyrimetamin, clynd 03 Apr 2017 03 Apr 2017

K, D 07 Apr 2017 Cotrimoksazole, fluconazole 07 Apr 2017

K 12 Apr 2017 Cotrimoksazole, fluconazole 12 Apr 2017

K 17 Apr 2017 cotrimoksazole 17 Apr 2017 17 Apr 2017

K, D 15 May 2017 cotrimoksazole syr 15 May 2017 15 May 2017

16 May 2017
 22 May 2017

22 May 2017

K 31 May 2017 Cotrimoksazole, fl 31 May 2017 31 May 2017

D, K 31 May 2017 Cotrimoksazole, fluconazole 31 May 2017

05 Jun 2017

K 05 Jun 2017 Cotrimoksazole, fl 05 Jun 2017 05 Jun 2017

05 Jun 2017

07 Jun 2017

08 Jun 2017

08 Jun 2017

09 Jun 2017

05 Jul 2017

06 Jul 2017

10 Jul 2017

T, K 12 Jul 2011 cotrimoksazole, fluconazole, pyrim 12 Jul 2017

17 Jul 2017

18 Jul 2017

24 Jul 2017

cotrimoksazole 26 Jul 2017 26 Jul 2017

27 Jul 2017

D, K cotrimoksazole 31 Jul 2017 31 Jul 2017

03 Aug 2017

21 Aug 2017
 08 Aug 2017

K, D 31 Aug 2017 cotrimoksazole, fl 31 Aug 2017 31 Aug 2017

T, K 11 Sep 2017 11 Sep 2017

12 Sep 2017

K 22 Sep 2017 Cotrimoksazole 22 Sep 2017 22 Sep 2017

04 Oct 2017

D 13 Oct 2017 Cotrimoksazole 16 Oct 2017 16 Oct 2017

K 20 Oct 2017 20 Oct 2017

K, D 10 Sep 2017 Cotrimoksazole 09 Oct 2017 09 Oct 2017

K, D 18 Oct 2017 cotrimoksazole, fl 30 Oct 2017 30 Oct 2017

cotrimoksazole 03 Nov 2017 03 Nov 2017

K, D 09 Nov 2017 cotrimoksazole, fl 09 Nov 2017 09 Nov 2017

D 13 Nov 2017 cotrimoksazole 13 Nov 2017 13 Nov 2017

K 11 Nov 2017 cotrimoksazole, fl 16 Nov 2017 16 Nov 2017

Z 16 Nov 2017

cotrimoksazole 16 Nov 2017 16 Nov 2017

K 20 Nov 2017 Cotrimoksazole 20 Nov 2017 20 Nov 2017

Z 28 Nov 2017 cotrimoksazole, acy 04 Dec 2017 04 Dec 2017

04 Dec 2017

07 Dec 2017

K, D 07 Dec 2017 cotrimoksazole, fl 07 Dec 2017 07 Dec 2017

T, K 13 Dec 2017 cotrimoksazole, fl 13 Dec 2017 13 Dec 2017

T 03 Apr 2017 cotrimoksazole, p 03 Apr 2017 03 Apr 2017

28 Dec 2017

K 03 Dec 2017 fluconazole 18 Jan 2018

K, D 13 Dec 2017 cotrimoksazole, flukonazole 18 Jan 2018

K, D 22 Jan 2018 cotrimoksazole, fl 22 Jan 2018 22 Jan 2018

24 Jan 2018

21 Feb 2018

K, D 23 Feb 2018 cotrimoksazole, fl 23 Feb 2018 23 Feb 2018

01 Mar 2018

05 Mar 2018

PCP 12 Mar 2018 cotrimoksazole 12 Mar 2018 12 Mar 2018

D, K 14 Mar 2018 cotrimoksazole 14 Mar 2018 14 Mar 2018

29 Mar 2018

D 04 Apr 2018 cotrimoksazole 04 Apr 2018 04 Apr 2018

05 Apr 2018 05 Apr 2018

D, K 27 Mar 2018 cotrimoksazole, fl 27 Mar 2018 11 Apr 2018

K, D 18 Apr 2018

K 23 Apr 2018 cotrimoksazole, fl 23 Apr 2018 23 Apr 2018

07 May 2018
 11 May 2018 11 May 2018

18 May 2018

K, D 25 May 2018 cotrimoksazole, fl 28 May 2018 28 May 2018

cotrimoksazole 20 Jun 2018 20 Jun 2018

cotrimoksazole 22 Jun 2018 22 Jun 2018

26 Jun 2018

D 02 Jul 2018 cotrimoksazole 02 Jul 2018 02 Jul 2018

D 05 Jul 2018 cotrimoksazole 05 Jul 2018 05 Jul 2018

05 Jul 2018

cotrimoksazole 09 Jul 2018 09 Jul 2018

09 Jul 2018

K, D 11 Jul 2018 cotrimoksazole, fl 11 Jul 2018 11 Jul 2018

 Alasan memenuhi syarat Akhir follow-up sebelum mulai ART
Tgl memenuhi
syarat medis utk Tgl mulai ART
ART Tgl. kunjungan
Penyebab
Stad. WHO CD4: TLC/VL: Tgl. meninggal Kematian terakhir gagal
follow-up

08 Oct 2009 1 08 Oct 2009

22 Feb 2013 3 74 25 Feb 2013

19 Feb 2013 4 12 08 Apr 2013

19 Mar 2013 1 84 25 Mar 2013

10 May 2013 1 164 10 May 2013

10 Jun 2013 3 160 10 Jun 2013

25 Jun 2013 4 19 25 Jun 2013

18 Feb 2013 3 0.06 18 Feb 2013

04 Jul 2013 4 50 18 Jul 2013

04 Jul 2013 1 207 18 Jul 2013

04 Jan 2013 4 2 04 Feb 2013

16 Jul 2013 4 50 16 Jul 2013

22 Aug 2013 4 42 22 Aug 2013

10 Sep 2013 3 90 10 Sep 2013

10 Sep 2013 4 50 10 Sep 2013

23 Sep 2013 4 47 23 Sep 2013

23 Oct 2012 3 349 08 Nov 2012

22 Jul 2013 3 17 22 Jul 2013

23 Oct 2013 1 23 Oct 2013

21 Nov 2013 2 63 21 Nov 2013

17 Dec 2013 1 469 17 Dec 2013

27 Aug 2012 4 38 06 Sep 2012

24 Dec 2013 4 61 24 Dec 2013

06 Feb 2014 3 239 06 Feb 2014

18 Feb 2014 4 18 Feb 2014

23 Dec 2010 4 49 23 Dec 2010

26 Feb 2014 1 376 26 Feb 2014

04 Mar 2014 3 50 10 Mar 2014

04 Mar 2014 1 81 10 Mar 2014

28 Mar 2014 4 28 Mar 2014

02 Apr 2008 4 252 02 Apr 2008

12 May 2014 3 76 12 May 2014

02 May 2014 3 25 16 May 2014

06 Feb 2014 4 50 06 Feb 2014

16 Jun 2014 3 35 16 Jun 2014

05 Jun 2009 3 228 05 Jun 2009

03 Apr 2004 3 7 03 Apr 2004

08 Jul 2014 3 36 08 Jul 2014

08 Jul 2014 4 50 08 Jul 2014

08 Jul 2014 1 335 08 Jul 2014

08 Jul 2014 3 22 Aug 2014

12 Aug 2014 4 0.19 13 Aug 2014

22 Nov 2012 4 50 04 Dec 2012

12 Aug 2014 4 50 12 Aug 2014

18 Aug 2014 1 18 Aug 2014

21 Aug 2014 4 50 21 Aug 2014

25 Aug 2014 3 81 25 Aug 2014

29 Apr 2008 3 37 09 Jan 2009

01 Sep 2014 2 50 01 Sep 2014

11 Sep 2014 4 11 Sep 2014

30 Jan 2013 4 18 14 Feb 2013

24 Sep 2014 1 24 Sep 2014

24 Sep 2014 4 50 24 Sep 2014

09 Oct 2014 4 50 09 Oct 2014

02 Oct 2014 4 50 02 Oct 2014

21 Oct 2014 4 38 21 Oct 2014

01 Sep 2006 4 01 Sep 2006

11 Nov 2014 3 11 Nov 2014

13 Nov 2014 3 50 13 Nov 2014

14 Nov 2014 4 58 14 Nov 2014

01 Aug 2008 1 01 Aug 2008

01 Dec 2014 3 199 12 Dec 2014

04 Dec 2014 2 147 04 Dec 2014

17 Dec 2014 1 17 Dec 2014

26 Nov 2010 3 26 Nov 2010

09 Sep 2007 1 09 Sep 2007

10 Jul 2009 1 101 10 Jul 2009

16 Jan 2015 3 16 Jan 2015

03 Feb 2015 1 03 Feb 2015

20 Feb 2015 3 20 Feb 2015

23 Feb 2015 3 23 Feb 2015

09 Mar 2015 4 6 09 Mar 2015

10 Mar 2015 1 365 10 Mar 2015

10 Mar 2015 4 11 16 Mar 2015

23 Mar 2015 4 4 23 Mar 2015

23 Mar 2015 3 34 23 Mar 2015

27 Oct 2010 4 45 18 Nov 2010

10 Apr 2015 3 8 10 Apr 2015

16 Apr 2015 3 17 16 Apr 2015

24 Apr 2015 3 24 Apr 2015

13 May 2015 4 12 13 May 2015

03 Mar 2009 1 03 Mar 2009

18 May 2015 3 18 May 2015

21 May 2015 1 21 May 2015

28 May 2015 3 34 28 May 2015

17 Sep 2012 3 5 08 Oct 2012

25 Jun 2015 1 184 25 Jun 2015

01 Jan 2008 4 01 Jan 2008

27 Jul 2015 2 27 Jul 2015

27 Jul 2015 4 27 Jul 2015

14 Aug 2015 3 14 Aug 2015

26 Aug 2015 3 298 26 Aug 2015

07 Jan 2011 2 07 Jan 2011

17 Sep 2015 3 35 01 Oct 2015

02 Oct 2015 1 02 Oct 2015

03 Nov 2015 1 03 Nov 2015

03 Nov 2015 4 107 03 Nov 2015

13 Nov 2015 3 43 13 Nov 2015

06 Nov 2015 3 175 13 Nov 2015

20 Nov 2015 4 20 Nov 2015 AIDS

12 Dec 2015 4 66 12 Dec 2015

01 Feb 2016 4 01 Feb 2016

22 Feb 2016 4 15 22 Feb 2016

23 Feb 2016 23 Feb 2016

03 Mar 2016 3 31 Mar 2016

04 Mar 2016 2 87 04 Mar 2016

04 Mar 2016 3 12 Apr 2016

23 Dec 2013 4 23 Dec 2013

18 Mar 2016 1 160 18 Mar 2016

24 Mar 2016 1 24 Mar 2016

24 Mar 2016 2 24 Mar 2016

10 Mar 2016 4 11 10 Mar 2016

31 Mar 2016 2 69 04 Apr 2016

04 Apr 2016 3 18 Apr 2016

26 Apr 2016 3 22 Jun 2016

28 Apr 2016 3 13 May 2016

02 May 2016 3 20 Jun 2016

04 May 2016 3 24 May 2016

09 May 2016 3 23 May 2016

11 May 2016 1 11 May 2016

19 May 2016 3 24 May 2016

24 May 2016 2 24 May 2016

26 May 2016 3 206 08 Jun 2016

30 May 2016 3 29 Jun 2016

01 Jun 2016 2 09 Jun 2016

01 Jun 2016 3 23 Sep 2016

30 Apr 2015 1 30 Apr 2015

09 Jun 2016 3 09 Jun 2016

29 Jun 2016 3 29 Jun 2016

29 Jun 2016 1 29 Jun 2016

30 Jun 2016 1 01 Dec 2016

30 Jun 2015 3 30 Jun 2015

30 Jun 2015 3 87 30 Jun 2015

02 May 2007 2 318 02 May 2007

01 Aug 2016 3 57 01 Aug 2016

25 Aug 2016 3 25 Aug 2016

06 Sep 2016 1 06 Sep 2016

17 Apr 2014 3 17 Apr 2014

23 Mar 2011 4 07 Apr 2011

20 Sep 2016 1 20 Sep 2016

16 Apr 2009 4 16 Apr 2009

15 Apr 2009 1 15 Apr 2009

26 Sep 2016 4 28 26 Sep 2016

26 Sep 2016 1 26 Sep 2016

27 Sep 2016 1 27 Sep 2016

27 Sep 2016 3 10 Oct 2016

09 Jun 2009 4 09 Jun 2009

17 Oct 2016 2 17 Oct 2016

20 Oct 2016 3 20 Oct 2016

20 Oct 2016 3 20 Oct 2016

03 Nov 2016 1 03 Nov 2016

03 Nov 2016 3 03 Nov 2016

04 Nov 2016 3 04 Nov 2016

03 Feb 2014 3 26 02 Apr 2014

21 Nov 2016 1 21 Nov 2016

07 Jan 2013 4 07 Jan 2013

01 Jul 2013 3 01 Jul 2013

13 Dec 2016 3 13 Dec 2016

23 Dec 2016 3 23 Dec 2016

11 Jan 2017 3 24 Jan 2017

17 Jan 2017 3 10 Feb 2017

23 Jan 2017 3 23 Jan 2017

23 Jan 2017 2 23 Jan 2017

06 Feb 2017 2 06 Feb 2017

06 Feb 2017 3 06 Feb 2017

20 Feb 2017 3 20 Feb 2017

28 Feb 2017 3 28 Feb 2017

09 Mar 2017 2 10 Mar 2017

13 Mar 2017 1 13 Mar 2017

14 Mar 2017 1 14 Mar 2017

17 Mar 2017 1 17 Mar 2017

17 Mar 2017 1 17 Mar 2017

22 Mar 2017 4 22 Mar 2017

03 Apr 2017 4 67 26 Apr 2017

07 Apr 2017 3 21 Apr 2017

12 Apr 2017 3 39 17 Apr 2017

17 Apr 2017 3 40 17 Apr 2017

15 May 2017 3 15 May 2017

16 May 2017 1 16 May 2017

05 Jan 2012 1 05 Jan 2012

22 May 2017 1 22 May 2017

31 May 2017 3 13 Jun 2017

31 May 2017 3 31 May 2017

05 Jun 2017 1 05 Jun 2017

05 Jun 2017 3 19 Jun 2017

05 Jun 2017 1 05 Jun 2017

10 Jan 2017 3 10 Jan 2017

08 Jun 2017 1 08 Jun 2017

08 Jun 2017 1 08 Jun 2017

09 Jun 2017 1 09 Jun 2017

05 Jul 2017 1 05 Jul 2017

06 Jul 2017 2 06 Jul 2017

01 Jan 2006 3 01 Jan 2006

12 Jul 2011 4 12 Jul 2011

17 Jul 2017 1 17 Jul 2017

18 Jul 2017 1 18 Jul 2017

24 Jul 2017 2 24 Jul 2017

26 Jul 2017 3 26 Jul 2017

15 Nov 2013 4 15 Nov 2013

31 Jul 2017 3 26 Sep 2017 AIDS

03 Aug 2017 2 03 Aug 2017

21 Aug 2017 1 21 Aug 2017

21 Dec 2015 1 21 Dec 2015

31 Aug 2017 3 04 Oct 2017

11 Sep 2017 4 11 Sep 2017

09 Jun 2015 1 09 Jun 2015

22 Sep 2017 3 22 Sep 2017

04 Oct 2017 1 360 04 Oct 2017

16 Oct 2017 3 16 Oct 2017

20 Oct 2017 1 20 Oct 2017

09 Oct 2017 3 09 Oct 2017

30 Oct 2017 3 30 Oct 2017

03 Nov 2017 3 03 Nov 2017

09 Nov 2017 3 09 Nov 2017

13 Nov 2017 2 13 Nov 2017

16 Nov 2017 3 16 Nov 2017

16 Nov 2017 1 16 Nov 2017

16 Nov 2017 3 16 Nov 2017

20 Nov 2017 3 23 Jan 2018 AIDS

04 Dec 2017 2 04 Dec 2017

04 Dec 2017 2 04 Dec 2017

07 Dec 2017 1 07 Dec 2017

07 Dec 2017 3 07 Dec 2017

13 Dec 2017 4 20 Dec 2017

03 Apr 2017 4 03 Apr 2017

28 Dec 2017 1 09 Jan 2018

02 Sep 2015 2 02 Sep 2015

03 Dec 2017 3 03 Dec 2017

13 Dec 2017 3 22 Dec 2017

22 Jan 2018 3 29 Jan 2018

13 Nov 2017 13 Nov 2017

24 Jan 2018 1 09 Apr 2018

09 Dec 2016 09 Dec 2016

23 Feb 2018 3 14 Mar 2018

01 Mar 2018 1 01 Mar 2018

05 Mar 2018 1 05 Mar 2018

12 Mar 2018 3 12 Mar 2018

14 Mar 2018 3 01 Mar 2018

29 Mar 2018 1 29 Mar 2018

04 Apr 2018 3 05 Apr 2018

05 Apr 2018 1 05 Apr 2018

11 Apr 2018 3 11 Apr 2018

01 Apr 2018 3 01 Apr 2018

18 Apr 2018 4 18 Apr 2018

23 Apr 2018 3 07 May 2018

07 May 2018 1 07 May 2018

11 May 2018 3 23 May 2018

18 May 2018 1 18 May 2018

28 May 2018 3 08 Jun 2018

20 Jun 2018 3 20 Jun 2018

22 Jun 2018 3 22 Jun 2018

26 Jun 2018 2 29 Jun 2018

02 Jul 2018 3 06 Jul 2018

05 Jul 2018 3 05 Jul 2018

08 Feb 2017 1 08 Feb 2017

09 Jul 2018 3 09 Jul 2018

09 Jul 2018 1 09 Jul 2018

22 Oct 2015 3 22 Oct 2015

elum mulai ART

Tgl. Rujuk KELOMPOK

Masuk POPULASI
Kembali KHUSUS
Tgl. Rujuk Keluar

ODHA dgn pasangan negatif

ODHA dgn pasangan negatif

Pasien TB

PENASUN

Pasien TB

Pasien TB

PENASUN

PENASUN

PENASUN

LSL
PENASUN

ODHA dgn pasangan negatif

PENASUN

Pasien TB

PENASUN

Pasien TB

PENASUN

ODHA dgn pasangan negatif

PENASUN

PENASUN

Pasien TB

LSL

PENASUN

PENASUN

ODHA dgn pasangan negatif

PENASUN

PENASUN

Pasien TB

Pasien TB
PENASUN

Pasien TB

LSL

PENASUN

PENASUN

ODHA dgn pasangan negatif

LSL

PENASUN

WPS

LSL

LSL

PENASUN

PENASUN

LSL

LSL

LSL
PENASUN

PENASUN

LSL

LSL

LSL

ODHA dgn pasangan negatif

PENASUN

Pasien TB

Pasien TB

PENASUN

PENASUN

PENASUN

PENASUN

LSL

PENASUN
PENASUN

Pasien TB

LSL

PENASUN

LSL

LSL

LSL

LSL

PENASUN

Pasien TB

LSL

PENASUN

PENASUN
WARIA

Pasien TB

Pasien TB

LSL

WARIA

Pasien TB

Pasien TB

WARIA

PENASUN

Pasien TB

LSL

LSL

LSL

LSL

Pasien TB

ODHA dgn pasangan negatif

LSL
WARIA

LSL

LSL

LSL

PENASUN

ODHA dgn pasangan negatif

LSL

Pasien TB

PENASUN

LSL

LSL

Pasien TB

Pasien TB

LSL

LSL

PENASUN
LSL

LSL

LSL

Pasien TB

LSL

Pasien TB

LSL

LSL

LSL

Pasien TB

LSL

LSL

LSL

Pasien TB

PENASUN

LSL

Pasien TB

Pasien TB

LSL
PENASUN

Pasien TB

Pasien TB

LSL

LSL

LSL

LSL

LSL

LSL

LSL

PENASUN

PENASUN

LSL

LSL

LSL

Pasien TB

LSL

LSL

LSL
LSL

LSL

LSL

Pasien TB

LSL

LSL

Pasien TB

Pasien TB

LSL

Pasien TB

LSL

LSL

Pasien TB

PENASUN
LSL

LSL

LSL

LSL

LSL

PENASUN

ODHA dgn pasangan negatif

LSL

Pasien TB

WARIA

LSL

LSL

LSL

PENASUN

Pasien TB

ODHA dgn pasangan negatif

Pasien TB

ODHA dgn pasangan negatif

Pasien TB

LSL

LSL

LSL

LSL

Pasien TB
Dokumen Bantu REGISTER ART Referensi warna: Rujuk Keluar Stop Gagal follow up
Mati Rujuk Masuk

Laki-laki Perempuan
Remarks

Bulan Nomor

Umur
BLN No Rekam Hamil/
No. Th Rujuk TGL mulai ART Register Nama TGL Lahir Sex (L/P) Alamat pasien
LAPORAN Medik / KODE <1 1-14 15-19 20-24 25-49 ≥ 50 <1 1-14 15-19 20-24 25-49 ≥ 50 Tidak
Masuk Nasional

1 2009 1 1 08 Oct 2009 30708 32730152114 Mia Yumiati 28 14 Apr 1981 P 1 0 Kp Nangkasumi 1/4 ds sirnajaya tarogon

2 2013 2 25 Feb 2013 31854 32050210001 Omang Komara 52 08 Aug 1961 L 1 0 Kp Jayawaras 2/2 jayawaras tarogong ki

3 2013 2 08 Apr 2013 31737 32050210029 Ika Kartika 30 22 Mar 1983 P 1 1 Kp Jayawaras 2/2 jayawaras tarogong ki

4 2013 3 25 Mar 2013 32886 32050210002 Risma Apriliani 25 14 Apr 1988 P 1 0 Jl Cimanuk maktal 2/14 paminggir Garut

5 2013 5 10 May 2013 34924 32050210003 Uut Kurtubi 25 17 May 1988 L 1 0 Kp Sindanglaya 1/3 karangpawitan

6 2013 6 10 Jun 2013 36182 32050210004 Obur 43 01 Sep 1970 L 1 0 Kp dayeuhmanggung 2/7 cilawu

7 2013 6 25 Jun 2013 36804 32050210005 Asep tantan 43 13 Dec 1970 L 1 0 Kp Cihalimun 2/10 ds sukatani cilawu

8 2013 6 6 18 Feb 2013 36917 32730153798 An. Alpine 6 08 Feb 2007 L 1 0 Kp Sindanglaya 1/3 karangpawitan

9 2013 7 18 Jul 2013 37070 32050210006 Ari Fuadudin 30 14 Feb 1983 L 1 0 Jl tanjung kemuning 2/3 tarogong kaler

10 2013 7 18 Jul 2013 37688 32050210007 Lia 29 15 Aug 1986 P 1 0 Jl tanjung kemuning 2/3 tarogong kaler

11 2013 7 7 04 Feb 2013 32192 32730153715 Nuraeni 25 31 May 1988 P 1 0 Kp Sindanglaya 1/3 karangpawitan

12 2013 7 16 Jul 2013 37278 32050210008 Sri Ratnawati 37 08 Dec 1976 P 1 0 Jl Adung Gg Bakti No 8 3/3 tarogong kal

13 2013 8 22 Aug 2013 38888 32050210009 Entin 36 26 Oct 1977 P 1 0 Jl Guntur 4/5 kota wetan garut kota

14 2013 9 10 Sep 2013 39632 32050210010 Willy Firdaus 33 20 May 1980 L 1 0 Jl Ranggalawe 2/5 Regol Garut kota

15 2013 9 10 Sep 2013 39633 32050210011 Sonson Mulyono 31 12 Oct 1982 L 1 0 Jl Merdeka No 151 1/13 jayaraga tarogo

16 2013 9 23 Sep 2013 40074 32050210012 Dendi Kritiyadi 33 17 May 1980 L 1 0 Kp sanding 5/5 muarasanding garut kota

17 2012 10 10 08 Nov 2012 40894 32050210030 Ira Nova Resta 35 22 Nov 1978 P 1 0 Jl Galumpit wetan margawati garut kota

18 2013 10 7 22 Jul 2013 40997 3471015065 Asep Ahmad 28 11 Sep 1985 L 1 0 Kp Pasanggrahan 5/5 kersamanah Mala
19 2013 10 10 23 Oct 2013 41071 32050210025 Cepi Erawan 34 27 Nov 1979 L 1 0 Jl sukaregang candramerta

20 2013 11 21 Nov 2013 42029 32050210013 Dela 23 08 Dec 1990 P 1 0 Kp Cangkuang 2/7 ds muarasanding gar

21 2013 12 17 Dec 2013 42918 32050210014 Anggita andini 23 10 Jan 1991 P 1 0 Jl Maktal 2/14 paminggir garut kota

22 2012 12 12 06 Sep 2012 42984 32731100885 Moch Dicky 34 24 Jan 1979 L 1 0 Perum Paseban Blok C No 7 tarogong ki

23 2013 12 24 Dec 2013 42095 32050210015 Yayan Nuryanti 39 01 Mar 1974 P 1 0 Kp wedasari 2/10 sindanggalih karangpa

24 2014 2 06 Feb 2014 44729 32050210016 Degus Seedharta 35 24 Sep 1979 L 1 0 perum jaya asri E29A jayawaras

25 2014 2 18 Feb 2014 45179 32050210017 Titin Suwarni 24 20 Mar 1990 P 1 0 Kp Cileungsing 3/10 pasawahan tarogon

26 2010 2 2 23 Dec 2010 45207 32730154948 Rifqi Sultoni 32 24 Apr 1982 L 1 0 Kp ciherang 3/1 lebakjaya karangpawita

27 2014 2 26 Feb 2014 45451 32050210018 Yunarti 27 05 May 1985 P 1 0 Kp Cikancung 1/1 margalaksana cilawu

28 2014 3 10 Mar 2014 45639 32050210019 Iman Hidayat 36 10 Aug 1978 L 1 0 Kp Lewidaun 1/1 Haurpanggung

29 2014 3 10 Mar 2014 45827 32050210020 Mira Maryani 36 18 Aug 1978 P 1 0 Kp Lewidaun 1/1 Haurpanggung

30 2014 3 28 Mar 2014 45516 32050210021 Irwan Hidayat 35 31 Jan 1979 L 1 0 Kp Bbk Abid 3/2 sucikaler

31 2008 4 4 02 Apr 2008 36805 32730159026 Yudi Saeful Maarif 37 10 May 1977 L 1 0 Taman bukit lagadar margaasih kab ban

32 2014 5 12 May 2014 48199 32050210022 Aning 37 01 Jan 1977 P 1 0 Kp Cimalaka 2/6 wanaraja

33 2014 5 16 May 2014 47849 32050210023 Dede Junaedi 26 28 May 1988 L 1 0 Kp Rancasalak 2/5 kadungora

34 2014 5 5 06 Feb 2014 47918 32050210043 Kevin Sardi 27 09 Dec 1987 L 1 0 Kp pasir domas 4/6 langensari

35 2014 6 16 Jun 2014 49603 32050210024 Gunari 34 26 Jan 1980 L 1 0 Kp ganasari Blok A No 12 Cilawu

36 2009 6 6 05 Jun 2009 28663 33020260048 Seli Setiawati 31 24 Sep 1983 P 1 0 perum taman cempaka Blok C-18 4/6 su

37 2004 7 7 03 Apr 2004 50450 34661150315 Andhy Ariesta 37 10 Apr 1977 L 1 0 Kp Panday 1/3 ds cimanganten tarogong

38 2014 7 08 Jul 2014 50478 32050210026 Anton Arifin 35 30 Dec 1979 L 1 0 Margawati ds sukanegla garut kota

39 2014 7 08 Jul 2014 50162 32050210027 Tintin darajatin 30 07 Jul 1984 P 1 0 Jl kemuning 3/7 pakuwon garut kota

40 2014 7 08 Jul 2014 50486 32050210028 Sandra Tisna 32 08 Feb 1982 L 1 0 Jl kemuning 3/7 pakuwon garut kota

41 2014 7 22 Aug 2014 50485 32050210034 Reza putri 3 19 Dec 2011 P 1 0 Jl kemuning 3/7 pakuwon garut kota
42 2014 7 13 Aug 2014 50835 32050210033 Desiska 2 01 Jan 2012 P 1 0 Kp yayasan 3/4 ds sagara cibalong pame

43 2012 8 8 04 Dec 2012 51460 32730153655 Jana Sujana Andriya 30 13 Feb 1984 L 1 0 Kp Patrol No 337 2/6 sukakarya

44 2014 8 12 Aug 2014 50832 32050210031 Nina Herlina 29 18 Jul 1985 P 1 0 Cipanas 1/8 ds sukahaji sukawening

45 2014 8 18 Aug 2014 52106 32050210032 Kiki Kurnia 34 05 Jun 1980 L 1 0 Jl Cimanuk 73 3/14 paminggir garut kota

46 2014 8 21 Aug 2014 51562 32050210036 Nendah 28 03 Mar 1986 P 1 0 perum batu lawang 2/9 talagasari

47 2014 8 25 Aug 2014 52404 32050210035 Dendi Juandi 22 08 May 1992 L 1 0 Kp Dumuscili cipicung banyuresmi

48 2009 8 8 09 Jan 2009 52596 32730153564 Gunturyana 31 08 Aug 1975 L 1 0 perum bumi tarogong 1/11 ds rancaban

49 2014 9 01 Sep 2014 52689 32050210037 Mila Yuliana 26 26 Jul 1988 P 1 0 Kp Samanggen 1/1 ds wanaraja

50 2014 9 9 11 Sep 2014 53102 32050210038 Riksa M Gumilar 34 02 May 1980 L 1 0 Jl Ranggalawe No 15 3/1 Regol Garut ko

51 2013 9 9 14 Feb 2013 44850 32730153716 M Bobby Achsan 32 12 Apr 1982 L 1 0 Jl Cimanuk maktal 2/14 paminggir Garut

52 2014 9 24 Sep 2014 53584 32050210039 imanudin 43 07 Nov 1971 L 1 0 ds kostim 2/3 sukatani cilamaya Karawa

53 2014 9 24 Sep 2014 52797 32050210040 Sugeng Purnama 24 27 Sep 1990 L 1 0 Kp sayuran 4/7 paminggir garut kota

54 2014 10 09 Oct 2014 42330 32050210041 Novanda prairy 35 01 Apr 1980 L 1 0 Jl Cimanuk Gg Alikhlas No 39 1/2 pamin

55 2014 10 02 Oct 2014 53883 32050210042 Maraden sirait 39 05 Mar 1976 L 1 0 perum surya regency Blok 1 No 9 rancab

56 2014 10 21 Oct 2014 54634 32050210047 Yuyun 31 05 May 1983 P 1 0 Kp Lewipari 2/14 ds sagara cibalong

57 2006 11 11 01 Sep 2006 55225 32730151101 Asep Irfan 40 04 Sep 1974 L 1 0 Jl Ciledug Gg Kampung sisir 1/9 Regol G

58 2014 11 11 Nov 2014 55519 32050210044 Dian Kusdian 28 05 Jun 1986 L 1 0 Kp Warung peteuy 4/4 majasari cibiuk li

59 2014 11 13 Nov 2014 54915 32050210045 Joel Zikri 29 26 Nov 1985 L 1 0 Jl Subyadinata No 87 2/10 pataruman ta

60 2014 11 14 Nov 2014 55644 32050210046 Diki Hedriawan 31 16 Dec 1983 L 1 0 Lapas Garut

61 2008 11 11 01 Aug 2008 56013 32730151754 Suminar 33 17 Jul 1975 P 1 0 Jl Sanding atas 2/15 muara sanding garu

62 2014 12 12 Dec 2014 56287 32050210048 Hanhan 26 27 Dec 1988 L 1 0 Kp Babakan loa 3/10 pangatikan

63 2014 12 04 Dec 2014 56442 32050210049 Iman soemantri 26 17 Jan 1988 L 1 0 Kp rancakuya 1/3 sukamentri ciawi tasik

64 2014 12 17 Dec 2014 57500 32050210050 Yadi Ssupriadi 40 05 Jul 1974 L 1 0 Kp tarogong tengah 1/4 tarogong kidul
65 2010 12 12 26 Nov 2010 54751 32060110093 Anita Aziza 36 20 May 1978 P 1 0 komp mutiara jaya kp umbul tengah 4/1

66 2007 1 1 09 Sep 2007 57682 32730150118 Yudi Prihadi 31 12 Apr 1976 L 1 0 Jl Otista N0 195 Tarogong

67 2009 1 1 10 Jul 2009 48542 32730150536 Ana Rahmawati 29 18 Jan 1980 P 1 0 Komp Bumi asri tarogong kaler

68 2015 1 16 Jan 2015 58221 32050210051 Ida Sugianti 33 20 Sep 1982 P 1 0 Kp babakan sari 3/8 leles

69 2015 2 03 Feb 2015 59052 32050210052 Sona 22 03 Aug 1993 L 1 0 Kp Cibitung 3/12 sukamukti cilawu

70 2015 2 20 Feb 2015 60443 32050210053 Dede 33 05 Jun 1982 L 1 0 Kp tanjung sari 4/5/ mekarsari cilawu

71 2015 2 23 Feb 2015 59988 32050210054 Adim Hidayat 25 27 May 1990 L 1 0 Kp pabrik 1/5 wanakerta cibatu

72 2015 3 09 Mar 2015 60646 32050210055 Maslahat 34 08 Feb 1981 P 1 0 Perum pesona intan Blok E5 1/11

73 2015 3 10 Mar 2015 60717 32050210056 Nina Herawati 25 09 May 1990 P 1 1 KP sukadana 3/2 cikajang

74 2015 3 16 Mar 2015 60730 32050210057 Deni Ahmad 38 25 Dec 1976 L 1 0 Kp Al ikhlas 3/2 kota wetan garut

75 2015 3 23 Mar 2015 61267 32050210058 Dudi Safari 44 09 Apr 1971 L 1 0 perum oma indah blok A3 1/9 godog ka

76 2015 3 23 Mar 2015 61266 32050210059 Eva Handayani 33 09 Sep 1982 P 1 0 perum oma indah blok A3 1/9 godog ka

77 2010 4 4 18 Nov 2010 61873 32730151620 Oce sofyan 31 20 Oct 1979 L 1 0 Jl Bratayudha No 125 Kota kulon Garut

78 2015 4 10 Apr 2015 61498 32050210060 Aceng 27 23 Apr 1988 L 1 0 Kp ancul 1/1 ds simpen kaler limbangan

79 2015 4 16 Apr 2015 39787 32050210061 Mu Ali 55 12 Feb 1960 L 1 0 Kp citeureup 7/12 neglasari kadungora

80 2015 4 24 Apr 2015 62760 32050210062 Dhanny Ramdani 39 03 Sep 1976 L 1 0 Jl proklamasi No 149 5/2 tarogong kidul

81 2015 5 13 May 2015 63545 32050210063 Ali Hasan 34 16 Jun 1981 L 1 0 Kp kaum lebak No 103 garut kota

82 2009 5 5 03 Mar 2009 63623 32731100494 Hanhan H 36 15 Sep 1979 L 1 0 Jl Guntur kp al ikhlas 4/2 kota wetan

83 2015 5 18 May 2015 63729 32050210064 Judin 22 23 Sep 1993 L 1 0 Kp buluear tonggoh sindangsari 3/8 cige

84 2015 5 21 May 2015 63903 32050210065 Yani Suryani 30 04 May 1985 P 1 1 Kp parakan salak 3/8 sukamerang kersa

85 2015 5 28 May 2015 12152 32050210066 Rizal 38 03 Nov 1977 L 1 0 perum cempaka blok 7 No 125 sucikaler

86 2012 6 6 08 Oct 2012 64641 31730251040 Indra Budiman 32 04 Dec 1980 L 1 0 Asrama Nyantong permai blok C 18

87 2015 6 25 Jun 2015 27015 32050210067 Mustakim 44 17 Apr 1971 L 1 0 Kp. Cigadog 2/2 padamukti, pasir wangi
88 2008 6 6 01 Jan 2008 65211 32730150569 Deni Gerdiana 28 31 Jul 1980 L 1 0 Jl Asrama polisi No 362 3/5 Bayongbong

89 2015 7 27 Jul 2015 66364 32050210068 Ineu Juniarti 32 07 Jun 1983 P 1 0 Kp Cidatar 1/7 Cisurupan

90 2015 7 27 Jul 2015 66096 32050210107 Sintawati 22 04 Nov 1993 P 1 0 Kp. Cipangligaran 1/4 ds. Mulyasari bayo

91 2015 8 14 Aug 2015 66292 32050210069 Enjang Suhada 39 30 Aug 1979 L 1 0 Kp pasir ds giri karya samarang

92 2015 9 9 26 Aug 2015 68009 64720151072 Iki subagja 21 08 May 1996 L 1 0 Kp. Bebedahan 3/3 Sukawening Wanara

93 2011 9 9 07 Jan 2011 39639 32731100719 Irvan Dahlan 38 29 May 1973 L 1 0 Jl Raya Cipanas No 389 2/10 Tarogong

94 2015 9 01 Oct 2015 20161 32050210070 Iwan Rusmawan 45 27 Jul 1970 L 1 0 Kp Salaawi rancabango Tarogong

95 2015 10 02 Oct 2015 40381 32050210071 M Dafit 31 10 Oct 1984 L 1 0 Lampung

96 2015 11 03 Nov 2015 70500 32050210072 Ana Juhana 22 15 Oct 1993 L 1 0 Kp Jati 3/10 dangdeur banyuresmi

97 2015 11 03 Nov 2015 68551 32120411218 Encep Sudrajat 45 02 Aug 1970 L 1 0 Ds Anjatan 23/9 Kec. Anjatan Indramayu

98 2015 11 13 Nov 2015 70298 32050210073 Aceng Ahmad 22 27 Jul 1993 L 1 0 Kp. Mester 2/6 ds sukaresmi

99 2015 11 13 Nov 2015 70680 32050210074 Sopar Nugeraha 28 23 Oct 1987 L 1 0 Jl Candramerta 1/4 kota kulon

100 2015 12 12 Dec 2015 71955 32050210076 Yandi Sopiandy 39 18 Jul 1977 L 1 0 Kp Padasuka 5/3 Cikajang

101 2016 2 01 Feb 2016 76378 32050210080 Yanti Yulianti 35 05 Oct 1981 P 1 0 Kp Munjul kaler 3/5 Cilawu

102 2016 2 22 Feb 2016 73981 32050210077 Agung Aliyudin 27 21 May 1989 L 1 0 Kp Lamping 2/5 Cimuncang Garut

103 2016 2 23 Feb 2016 75858 32050210078 Edita Rita Risma 7 20 Aug 2009 P 1 0 Maktal 2/13 paminggir Garut Kota

104 2016 3 31 Mar 2016 76338 32050210079 Dede Suryaman 31 08 Oct 1985 L 1 0 Kp Kubang 3/4 ds. Nanjungjaya

105 2016 3 04 Mar 2016 76219 32050210081 Teja 46 28 Feb 1970 P 1 0 Kp Cikole 2/2 Wanraja

106 2016 3 12 Apr 2016 77986 32050210082 Hani Apriliani 33 11 Apr 1983 P 1 0 kp mekar jaya 2/16 haurpanggung

107 2013 3 3 23 Dec 2013 77051 32730154910 Zulpanama 31 18 Apr 1985 L 1 0 Intan Regency 214/80 Garut

108 2016 3 18 Mar 2016 77199 32050210083 Firman Sumpena 37 28 Apr 1979 L 1 0 Lapas Garut

109 2016 3 24 Mar 2016 77949 32050210084 Iyan Sopyan 28 04 May 1988 L 1 0 Rutan Garut

110 2016 3 24 Mar 2016 77951 32050210085 Pardi Supardi 30 07 May 1986 L 1 0 Rutan Garut
111 2016 3 10 Mar 2016 76001 32050210086 Deni Surya 29 23 Nov 1987 L 1 0 Kp Baru 1/1 Simpen Kidul

112 2016 3 04 Apr 2016 77669 32050210087 Tuti Hindasah 49 04 May 1967 P 1 0 Jl Guntur No 111/125 4/8 ds Sukamentr

113 2016 4 18 Apr 2016 77818 32050210088 Tatan Sutansyah 32 12 Nov 1984 L 1 0 Kp Ciloa 1/8 ds banjarsari Bayongbong

114 2016 4 22 Jun 2016 78874 32050210089 Afendi 40 05 Jun 1976 L 1 0 Kp Bojongsalam 2/2 ds sukasenang bany

115 2016 4 13 May 2016 78762 32050210090 Isam Rostiana 44 17 Apr 1972 P 1 0 Kp cihaur kulon 4/2 ds sukaratu banyure

116 2016 5 20 Jun 2016 79669 32050210091 Keysa 6 28 Feb 2010 P 1 0 Kp Samangen 1/1 ds wanaraja

117 2016 5 24 May 2016 78503 32050210092 Ira Siti N 34 14 Sep 1982 P 1 0 Jl Nusa Indah Gg Bungur 2/16 Jayaraga

118 2016 5 23 May 2016 78350 32050210093 Ara Suhara 61 18 Jun 1955 L 1 0 Kp Nangewer 1/7 Sukasenang Banyures

119 2016 5 11 May 2016 79597 32050210094 Dedeh Kurniasih 58 15 Aug 1958 P 1 0 Kp Nangewer 1/7 Sukasenang Banyures

120 2016 5 24 May 2016 26998 32050210095 Ridwan Arifin 35 01 Nov 1981 L 1 0 Jl Bentar Girang 1/3 ds kota wetan Garu

121 2016 5 24 May 2016 82002 32050210096 Hen Hen/Meti 44 12 Mar 1972 L 1 0 Kp Jalak paozan 2/8 Sukaratu Banyuresm

122 2016 5 08 Jun 2016 50530 32050210097 Elvin 28 16 Aug 1988 L 1 0 jl. Candramerta II no 769 kota wetan

123 2016 5 29 Jun 2016 80105 32050210098 Bagja Putri 7 01 Jan 2009 P 1 0 cilawu

124 2016 6 09 Jun 2016 80487 32050210099 Dedi Maulana 24 05 Jun 1992 L 1 0 kp. Babakan kelapa 1/4 mekargalih tark

125 2016 6 6 23 Sep 2016 82679 32050210100 Rana 23 20 Jul 1993 L 1 0 Kp. Sukadana 3/5 cikajang

126 2015 6 30 Apr 2015 81547 317504010139 Irman 26 01 Jul 1990 L 1 0 Kp. Cileungsing 2/7 ds. Kolot cilawu

127 2016 6 09 Jun 2016 80828 32050210101 Dave Sammy 37 26 Jan 1979 L 1 0 Kp. Pasar kaler 2/2 cisurupan

128 2016 6 29 Jun 2016 81369 32050210102 Faiz 5 29 Jun 2011 L 1 0 Kp. Cigasong 3/5 ds. Cilawu

129 2016 6 7 29 Jun 2016 81540 32050210103 Kagi Pasalama 28 02 Jan 1988 P 1 0 Kp. Cigasong 3/5 ds. Cilawu

130 2015 7 7 30 Jun 2015 82083 32730155790 Marsya 3 03 Mar 2013 P 1 0 kp bentar girang 4/3 kota wetan

131 2015 7 7 30 Jun 2015 84389 32730155472 Nandara 20 25 Sep 1995 P 1 0 kp bentar girang 4/3 kota wetan

132 2007 7 7 02 May 2007 84388 33740100547 Diana 40 10 May 1976 L 1 0 Kp. Ciajeng 2/4 toblong peundeuy

133 2016 8 01 Aug 2016 82296 32050210105 Tia Rahmat 37 17 Oct 1979 L 1 0 Kp. Geduk 1/7 ds. Palasari
134 2016 8 25 Aug 2016 83974 32050210106 Neng ega 19 14 Sep 1997 P 1 0 Kp. Pangkalan 2/5 Cipancar

135 2016 9 06 Sep 2016 84071 32050210108 Agum Gumilar 21 30 Oct 1995 L 1 0 Kp. Cinunuk tengah 02/08 ds. Wanaraja

136 2014 9 9 17 Apr 2014 84295 3172013 Ahmad S 48 11 Oct 1968 L 1 0 Kp. Babakan Picung 03/10 Ds. Keresek C

137 2011 9 9 07 Apr 2011 84508 32730153113 Epa Puspita 32 09 Jun 1984 P 1 0 Kp Lunjuk hilir 01/13 Talagasari Kadungo

138 2016 9 20 Sep 2016 85042 32050210109 Mesa ilhan Waskita 23 11 May 1993 L 1 0 perum puri cimanganten asri blok B 16 2

139 2009 9 9 16 Apr 2009 141536 32730153638 Rizal 25 01 Nov 1986 L 1 0 pajagalan garut

140 2009 9 9 15 Apr 2009 140944 32730151884 Novi 29 01 Jan 1980 P 1 0 pajagalan garut

141 2016 9 26 Sep 2016 84067 32050210110 Firman Nugraha 33 29 Mar 1983 L 1 0 Garut

142 2016 9 26 Sep 2016 85539 32050210111 Sandi 24 21 Jan 1992 L 1 0 Kp Babakan Tipar 02/07 ds Wanajaya w

143 2016 9 27 Sep 2016 85671 32050210112 Imas 39 06 Nov 1977 P 1 1 Kp lembang nampel 06/04 ds. Lembang

144 2016 9 10 Oct 2016 83239 32050210113 Aneu Susanti 31 28 Feb 1985 P 1 0 Kp Sindang wargi 03/07 Karangpawitan

145 2009 10 10 09 Jun 2009 86042 32730151954 Yanyan Husein 38 01 Jan 1979 L 1 0 Garut

146 2016 10 17 Oct 2016 86613 32050210114 Hendra Aldi 25 09 Sep 1991 L 1 0 Kp Kudang 03/06 Sukaresmi Garut

147 2016 10 20 Oct 2016 86823 32050210115 Uten 30 03 Nov 1986 L 1 0 Kp Cilengkrang 03/01 ds Cibiuk kaler Cib

148 2016 10 20 Oct 2016 86068 32050210116 Ende uus 27 25 Jul 1989 L 1 0 Kp Ciloke 01/01 giriawas Cikajang

149 2016 11 03 Nov 2016 87453 32050210118 Iman S 30 04 Feb 1986 L 1 0 Jl Bima No 48 11/45 arjuna cicendo ban

150 2016 11 03 Nov 2016 87454 32050210117 Endangsari 26 04 Jun 1990 P 1 0 Jl Bima No 48 11/45 arjuna cicendo ban

151 2016 11 04 Nov 2016 87503 32050210119 Repi 18 10 Mar 1998 L 1 0 Kp Wado 04/07 ds mekar raya kersaman

152 2014 11 11 02 Apr 2014 48037 32730520142 Susilawati 34 12 Aug 1982 P 1 1 Kp Tabrik 01/11 ds Jatisari Karangpawita

153 2016 11 21 Nov 2016 89379 32050210120 yana cahyana 22 10 Dec 1994 L 1 0 Kp Cisandaan 02/01 ds pananjung pamu

154 2013 11 11 07 Jan 2013 89510 32731100963 Deden Rahmat 38 24 Jan 1978 L 1 0 Jl Terusan pembangunan 01/04 Jayarag

155 2013 11 11 01 Jul 2013 89511 3273153965 Dito 39 05 May 1977 L 1 0 Kp Babakan Wetan 03/03 sukakarya Ban

156 2016 12 13 Dec 2016 90993 32050210121 Renaldi 19 04 Sep 1997 L 1 0 Kp Sukaregang pasantren 03/20 kota we
157 2016 12 23 Dec 2016 90470 32050210122 Cecep Permadi 23 01 Sep 1993 L 1 0 Kp Kaum 02/01 Bayongbong

158 2017 1 24 Jan 2017 91629 32050210123 Yudi Wachyudi 37 30 Apr 1980 L 1 0 Kp kiara goong 2/11 mandalasari kadun

159 2017 1 10 Feb 2017 91845 32050210124 Gugun Gunawan 22 09 Jun 1995 L 1 0 Kp Lawang Biru 02/08 ds Situjaya Karan

160 2017 1 23 Jan 2017 92113 32050210125 Jajang 33 12 Nov 1984 L 1 0 Kp sereuh Jawa 3/1 ds Linggamanik Cike

161 2017 1 23 Jan 2017 92166 32050210126 Nail Noviana 22 27 Nov 1995 L 1 0 Kp Tegal jambu 05 pameungpeuk Garut

162 2017 2 06 Feb 2017 92612 32050210127 Dian Septian 26 23 Nov 1991 L 1 0 Kp Kudang 02/03 ds Limbangan Timur L

163 2017 2 06 Feb 2017 92656 32050210128 Lili Sumarli 48 26 Mar 1969 L 1 0 Kp Gandasari 03/03 ds sukamerang Kers

164 2017 2 20 Feb 2017 92965 32050210129 Dindin Wiguna 25 28 Feb 1992 L 1 0 Kp Cikelepuh 01/07 ds sukaluyu Sukawe

165 2017 2 28 Feb 2017 93568 32050210130 Hadi 26 26 Mar 1991 L 1 0 Kp lewi Apu 03/06 ds mandalakasih Pam

166 2017 3 10 Mar 2017 94007 32050210132 Karnawan 25 22 Aug 1992 L 1 0 Kp Cibengang 01/02 mekarsewu Cisewu

167 2017 3 13 Mar 2017 94123 32050210157 Wiwin 29 26 Feb 1988 P 1 0 Kp Sanding 03/06 ds Muara sanding Gar

168 2017 3 14 Mar 2017 93701 32050210131 Teti H 45 22 Sep 1972 P 1 0 Kp pasir domas 4/6 langensari

169 2017 3 17 Mar 2017 94343 32050210133 Riki Setiawan 31 06 Mar 1986 L 1 0 Kp kayu jati 02/08 ds sirnasari Samarang

170 2017 3 17 Mar 2017 94335 32050210134 Ade Ahadiat 35 26 Sep 1982 L 1 0 Kp Cangkuang 05/07 ds Muarasanding G

171 2017 3 22 Mar 2017 94070 32050210136 Yana juliana 39 26 Jul 1978 L 1 0 Kp Sanding 03/06 ds Muara sanding Gar

172 2017 4 26 Apr 2017 93178 32050210137 D Herdiana 35 05 May 1982 L 1 0 Perum putri dinar lestari blok F 12 Tarog

173 2017 4 21 Apr 2017 95145 32050210140 Maurer Ahmad 25 18 Dec 1992 L 1 0 Kp Cibadak 01/05 ds andir Samarang

174 2017 4 17 Apr 2017 95027 32050210138 Tantan 35 21 Aug 1982 L 1 0 Kp Cikole Girang 02/03 Wanasari wanar

175 2017 4 17 Apr 2017 97171 32050210139 Runi Sagita 30 08 Mar 1987 P 1 0 Kp Cikole Girang 02/03 Wanasari wanar

176 2017 5 15 May 2017 59681 32050210141 M Zafran 3 21 Jul 2014 L 1 0 Perum putri dinar lestari blok F 12 Tarog

177 2017 5 5 16 May 2017 96639 32050210151 Sukma R 22 15 Feb 1995 L 1 0 Kp Muncanglega 01/07 ds tegal panjang

178 2012 5 5 05 Jan 2012 96855 32732200827 A azis 39 02 Dec 1978 L 1 0 Jl Pembangunan Trogong kidul Garut

179 2017 5 22 May 2017 96837 32050210142 Ai Karyati 35 20 Jun 1982 P 1 1 kp Babakan 01/02 ds jatimulya pameun
180 2017 5 13 Jun 2017 96681 32050210143 M Abdul Rozak 23 15 Jan 1994 L 1 0 kp Cibolang 02/09 mulyasari Bayongbon

181 2017 5 31 May 2017 97176 32050210144 M Abduh 49 12 Aug 1968 L 1 0 Kp Koromoy 02/03 ds sukaratu Banyure

182 2017 6 05 Jun 2017 97318 32050210145 Dicky Zafran 35 01 Jun 1982 L 1 0 Perum BPI Blok C No 59 Cilawu Garut

183 2017 6 19 Jun 2017 97183 32050210146 Andri 26 10 Oct 1991 L 1 0 Kp Pamoyanan 01/05 pancasuro singaja

184 2017 6 05 Jun 2017 97320 32050210147 Trisna 21 18 Apr 1996 L 1 0 Kp Lame 03/10 ds haurpanggung Tarogo

185 2008 6 6 10 Jan 2017 98334 32050210154 Hadi bin san tung 36 15 May 1981 L 1 0 Lapas Garut

186 2017 6 08 Jun 2017 97449 32050210148 Asep Rizky 28 19 Feb 1989 L 1 0 Jl Sudirman 02/06 ds kota kulon garut k

187 2017 6 08 Jun 2017 97496 32050210149 Acep Herdiawan 26 20 Aug 1991 L 1 0 Kp Bungur 02/01 ds leuwigoong Garut

188 2017 6 09 Jun 2017 97506 32050210150 Essa Mubarok 27 22 Dec 1989 L 1 0 Jl H Umar kp Tajug 02/11 ds haurpanggu

189 2017 7 05 Jul 2017 98333 32050210152 Ardiansyah 25 10 Oct 1992 L 1 0 Lapas Garut

190 2017 7 06 Jul 2017 98404 32050210153 Azis Muslim 24 05 Nov 1993 L 1 0 Kp Kanduruan 18/07 lembang leles

191 2006 7 7 01 Jan 2006 97625 32730150589 Dea H 38 03 Jul 1979 L 1 0 Kp Lembang No 499 02/08 ds sukagalih

192 2011 7 7 12 Jul 2011 98696 32730153162 Wilmi I 35 30 May 1982 L 1 0 Perum griya bumi praja 04/12 Rancaban

193 2017 7 17 Jul 2017 98896 32050210155 Yadi Surya 44 08 Jun 1973 L 1 0 Jl Guntur 03/01 pakuwon garut kota

194 2017 7 18 Jul 2017 98967 32050210156 Dadi Darmawan 26 20 Jun 1991 L 1 0 Kp Rancasalak 03/04 ds rancasalak kadu

195 2017 7 24 Jul 2017 99149 32050210158 Rizki Gumilar 22 10 May 1995 L 1 0 Kp Rancasalak 03/04 ds rancasalak kadu

196 2017 7 26 Jul 2017 99249 32050210159 Wahyudin 34 01 Nov 1983 L 1 0 kp Pasantren 01/05 ds Sirnabakti pameu

197 2013 8 8 15 Nov 2013 99324 32731101001 Deden Hasmudianto 31 18 Jan 1986 L 1 0 Jl Ciledug Blk 224 2/16 ds kota kulon Ga

198 2017 8 03 Aug 2017 99585 32050210161 Reza Muhamad 22 14 Jan 1995 L 1 0 Perum Intan Regency Blok A No 16 Taro

199 2017 8 21 Aug 2017 100221 32050210162 Farly Sanfauji 22 10 Jul 1995 L 1 0 Kp Pataruman 01/01 ds sukaratu sucina

200 2015 8 8 21 Dec 2015 99746 32162520407 M Sidik Wahyudin 24 17 Apr 1993 L 1 0 Jl Bungur Nusa Indah 03/16

201 2017 10 04 Oct 2017 100663 32050210163 Elis Rosita 47 22 Apr 1970 P 1 0 Kp Nusa Indah 01/16 ds jayaraga tarogo

202 2017 9 11 Sep 2017 101087 32730156113 Odik Sodikin 31 27 Sep 1986 L 1 0 Kp Cangkudu RT 02 RW 01 ds Galih Paku
203 2015 9 9 09 Jun 2015 101156 32110150091 Dadi 23 13 Jul 1994 L 1 0 dsn nagrak 03/02 ds cikreo utara cibuge

204 2017 9 22 Sep 2017 101524 32050210164 Holidin 40 01 Nov 1970 L 1 0 Kp Rancabatu 2/6 ds mekarluyu sukawe

205 2017 10 04 Oct 2017 102007 32050210165 Deni Raharja 22 05 Oct 1995 L 1 0 Kp Galumpit RT 04 RW 25 Ds Kota kulon

206 2017 10 16 Oct 2017 102426 32050210166 Anton H 23 11 Oct 1994 L 1 0 Lingk Cipadung 07/03 ds purwaharja ba

207 2017 10 20 Oct 2017 102666 32050210167 Sri Mulyati 21 27 Sep 1996 P 1 0 kp naga jolok 02/08 ds mandalakasih pa

208 2017 10 09 Oct 2017 101210 32050210168 Santi Ai Novianti 32 01 May 1985 P 1 0 Kp Pedes 01/05 ds sukamukti sukawenin

209 2017 10 30 Oct 2017 103014 32050210169 Ismayasari 31 31 Jan 1987 P 1 0 Kp Sindangsari 01/09 Margalaksana Cila

210 2017 11 03 Nov 2017 103208 32050210170 Ajang Arifin 28 07 Jul 1989 L 1 0 Kp hegar manah 04/11 ds talagasari kad

211 2017 11 09 Nov 2017 103440 32050210171 Riyani 41 05 Jan 1977 P 1 0 Kp pojok 05/06 ds cikembulan Kadungo

212 2017 11 13 Nov 2017 103581 32050210172 Lala Suganda 34 09 Apr 1984 L 1 0 Perum Sukasenang 02/06 ds pamekarsa

213 2017 11 16 Nov 2017 103727 32050210173 Rudiansyah 39 12 Dec 1978 L 1 0 Kp Ciawi 03/01 ds mekarsari cibalong

214 2017 11 16 Nov 2017 103728 32050210174 Nurainun 39 15 May 1979 P 1 0 Kp Ciawi 03/01 ds mekarsari cibalong

215 2017 11 16 Nov 2017 103729 32050210175 Rivaldo 7 07 May 2010 L 1 0 Kp Ciawi 03/01 ds mekarsari cibalong

216 2017 11 103841 Ugun 28 17 May 1989 L 1 0 Kp Pasirguling 02/04 ds tambaksari Leuw

217 2017 12 04 Dec 2017 104303 32050210177 Dadang 57 09 Nov 1960 L 1 0 Kp cihaur kulon 4/2 ds sukaratu banyure

218 2017 12 04 Dec 2017 104324 32050210178 Surahman 26 06 Jan 1992 L 1 0 Kp Rancabalong 02/07 ds karangwangi m

219 2017 12 07 Dec 2017 104475 32050210179 Ivan 35 15 Jan 1983 L 1 0 Kp Kaum Lebak 02/08 ds paminggir Garu

220 2017 12 07 Dec 2017 104495 32050210180 Megasari 31 28 Dec 1986 P 1 0 Kp Kaum Lebak 02/08 ds paminggir Garu

221 2017 12 20 Dec 2017 104274 32050210181 Ridwan 33 19 Nov 1984 L 1 0 Kp Sukaregang 01/14 Kota wetan Garut

222 2017 4 03 Apr 2017 94461 32050210135 Nuri Silvianty 29 13 Jun 1988 P 1 0 Perum putri dinar lestari blok F 12 Tarog

223 2018 1 09 Jan 2018 105200 32050210182 Andi Usman 31 31 Mar 1987 L 1 0 Perum Abdi Negara 1 RT 01 RW 13 ds si

224 2018 1 1 18 Jan 2018 Aji Ismail 32 24 Jul 1986 L 1 0 Kp Cigagak 02/15 Cipadung Cibiru

225 2015 1 1 02 Sep 2015 106073 32050100003 Nia Kurniati 35 16 Apr 1983 P 1 1 Kp Rancakalong 03/07 Ds Karangmulya
226 2018 1 1 03 Dec 2017 102337 32040310064 Firmansyah 40 13 Dec 1978 L 1 0 Kp Andir ds Ciaro Nagreg kabupaten Ban

227 2018 1 1 22 Dec 2017 106091 32040310065 Nenden Titin 26 30 Sep 1992 P 1 0 Kp Andir ds Ciaro Nagreg kabupaten Ban

228 2018 1 29 Jan 2018 106197 32050210183 Aep rudi 36 01 Jul 1982 L 1 0 KP Karang anyar 02/01 ds ciburial Leles

229 2018 1 1 13 Nov 2017 106327 36030230605 Ibnu Mutakin 23 14 Apr 1995 L 1 0 Kp Cikelepu 02/03 ds neglasari Kadungo

230 2018 2 2 09 Dec 2016 107414 32734050397 Novianus Sumirat 56 03 Dec 1962 L 1 0 Jl Bratayudha Garut

231 2018 2 14 Mar 2018 107511 32050210184 Arman Hermansyah 36 24 Jul 1982 L 1 0 Kp Sumbersari Timur 03/18 ds Regol Ga

232 2018 3 01 Mar 2018 107773 32050210186 Taufik padilah 38 25 Sep 1980 L 1 0 Perum bumi malayu asri Blok 1 No 47 D

233 2018 3 05 Mar 2018 107880 32050210187 Silvia 23 05 Mar 1995 P 1 1 Kp Rancabogo RT 02 RW 04 ds. Patarum

234 2018 3 29 Mar 2018 108897 32050210190 Mumad Sudirman (A 24 15 Dec 1994 L 1 0 Kp Batu Karut 2/10 ds limbangan timur

235 2018 4 05 Apr 2018 109092 32050210192 Riki Hermawan 25 10 Jul 1995 L 1 0 Kp Cikebo 2/10 ds cirapuhan selaawi Ga

236 2018 4 05 Apr 2018 109135 32050210193 Asep Luqman 29 10 Aug 1989 L 1 0 Kp ds kolot 1/6 ds pasanggrahan Sukaw

237 2018 4 11 Apr 2018 108538 32050210194 Ade Mulyati 32 15 May 1986 P 1 0 Kp Suci 5/2 ds suci Karangpawitan Garu

238 2018 4 01 Apr 2018 108011 32050210195 Abdul Gani 31 01 Jan 1987 L 1 0 Kp Sikluk 1/8 ds karyasari Banyuresmi g

239 2018 4 18 Apr 2018 109677 32050210196 Jajat Jamiat 36 02 May 1982 L 1 0 Kp Kira lawang 4/3 Sukamukti banyures

240 2018 4 09 Apr 2018 109289 32050210185 Dea Rafi T 24 31 May 1994 L 1 0 Dsn cicelot 2/7 Mandalaherang Cimalak

241 2018 5 07 May 2018 109849 32050210197 Ikrami Rahmawati 28 07 Aug 1990 P 1 0 Kp Batu Karut 2/10 ds limbangan timur

242 2018 5 07 May 2018 110330 32050210198 Dede Diani 23 19 Dec 1995 P 1 0 Kp Cikebo 2/10 ds cirapuhan selaawi Ga

243 2018 5 23 May 2018 110482 32050210199 Yusep 41 21 Jun 1977 L 1 0 Kp ds kolot 1/6 ds pasanggrahan Sukaw

244 2018 5 18 May 2018 110742 32050210200 Iin Fitria 35 14 Apr 1983 P 1 1 Kp Suci 5/2 ds suci Karangpawitan Garu

245 2018 6 08 Jun 2018 111007 32050210201 Jajang 29 21 Aug 1989 L 1 0 Kp Sikluk 1/8 ds karyasari Banyuresmi g

246 2018 6 20 Jun 2018 111264 32050210202 Alfian Kristi 31 03 Dec 1987 L 1 0 Kp Kira lawang 4/3 Sukamukti banyures

247 2018 7 22 Jun 2018 111656 32050210203 Ujang Ari 31 20 Feb 1987 L 1 0 Kp Ranca Gede 5/3 ds jaya bakti banjarw

248 2018 6 29 Jun 2018 111899 32050210204 Edih Maryana 36 03 Aug 1982 L 1 0 Perum Bumi Malayu asri Tarogong kaler
249 2018 7 06 Jul 2018 111963 32050210205 Romansyah 34 05 Aug 1984 L 1 0 Kp Randu Kurung Limbangan Tengah 2/

250 2018 7 05 Jul 2018 112126 32050210206 Iyan 30 08 Dec 1988 L 1 0 Kp Hampor 3/15 ds Sukagalih Tarogong

251 2017 7 7 08 Feb 2017 112138 33010840025 Nani Sumarni 29 06 Feb 1989 P 1 0 Kp Sindangheula 21/3 Ds Sukamentri Ga

252 2018 7 09 Jul 2018 111663 32050210207 Janudin 39 01 Jan 1979 L 1 0 Kp Sukagalih 2/2 Ds mekarsari Mekarmu

253 2018 7 09 Jul 2018 112244 32050210208 Jana 32 01 Jul 1986 L 1 0 Kp Sindangheula 21/3 Ds Sukamentri Ga

254 2018 7 7 22 Oct 2015 112367 32050210209 Neti Nurhaeti 36 30 Jun 1981 P 1 0 Kp Pabuaran 2/1 Ds Mancagahar Pameu
 CATATAN:
perhatikan konsistensi pengisian antara adherence dan keterangan pasien
dengan status fungsional, BB, dan CD4

Menerima ARV Status fungsional 1 (Kerja), 2 (Ambulatori), 3 (Baring) Berat badan (kg) Nilai CD4 (% utk anak dan ibu hamil)
sebelumnya Stad klinis
Nama PMO (1/2) WHO pd
no Telp Pd saat Pd 12 Pd 24 Pd 36 Pd 48 Pd 60 Pd 72 Pd 84 Pd 96 Pd saat Pd 12 Pd 24 Pd 36 Pd 48 Pd 60 Pd 72 Pd 84 Pd 96 Pd saat Pd 12 Pd 24 Pd 36 Pd 48 Pd 60 Pd 72 Pd 84 Pd 96 tgl Screening / Tapis TB
& No. Telp saat mulai mulai Rx
Pd 6 bulan
bulan bulan bulan bulan bulan bulan bulan bulan mulai Rx
Pd 6 bulan
bulan bulan bulan bulan bulan bulan bulan bulan mulai Rx
Pd 6 bulan
bulan bulan bulan bulan bulan bulan bulan bulan
ART

irnajaya tarogong kaler 1 1 1 1 1 1 1 1 1 1 1 1 48 37 35 48 50 52 51 49 50 48 606 382 325 435 293 566 699 25 Jan 2013

aras tarogong kidul 2 3 1 1 1 1 1 1 1 58 60 60 62 58 60 56 74 229 22 Feb 2013

aras tarogong kidul 2 4 1 1 1 1 1 1 1 49 50 64 71 72 70 69 12 40 241 510 19 Feb 2013

paminggir Garut kota 2 1 1 1 1 1 53 50 53 63 84 108 101 157 19 Mar 2013

ngpawitan 2 1 1 1 1 1 1 1 1 58 59 59 58 55 164 310 10 May 2013

7 cilawu 1 3 1 1 1 1 53 63 55 55 160 366 525 10 Jun 2013

ukatani cilawu 2 4 1 48 19 25 Jun 2013

ngpawitan 1 3 1 1 1 1 1 1 1 17 16 19 18 19 100 200 300 28 Jun 2013

tarogong kaler 2 4 3 2 1 1 1 1 1 74 72 72 50 117 119 132 04 Jul 2013

tarogong kaler 2 1 1 1 1 1 1 1 1 75 79 74 78 75 207 429 809 721 04 Jul 2013

ngpawitan 1 4 1 1 1 1 1 1 1 34 35 44 36 35 2 108 368 12 Jul 2013

3/3 tarogong kaler 2 4 2 1 1 1 1 1 1 35 55 51 52 52 50 72 133 214 156 16 Jul 2013

n garut kota 2 4 1 42 50 22 Aug 2013

Garut kota 2 3 1 50 90 10 Sep 2013

jayaraga tarogong kidul 2 4 1 65 50 10 Sep 2013

nding garut kota 2 4 1 43 47 23 Sep 2013

awati garut kota 1 3 1 1 1 56 59 54 349 17 Oct 2013

rsamanah Malangbong 1 3 1 40 17 21 Oct 2013

 1 1 1 1 1 1 1 1 50 51 53 51 23 Oct 2013

uarasanding garut kota 2 2 1 1 1 1 1 1 53 55 63 500 21 Nov 2013

r garut kota 1 1 1 1 49 469 63 17 Dec 2013

No 7 tarogong kidul 1 4 3 1 1 1 52 51 50 38 197 30 19 Dec 2013

nggalih karangpawitan 2 4 3 36 61 24 Dec 2013

yawaras 1 3 1 1 1 1 1 1 51 51 50 50 239 347 400 06 Feb 2014

awahan tarogong kaler 2 4 2 1 1 1 1 1 27 30 33 50 311 194 18 Feb 2014

ya karangpawitan 1 4 1 1 1 1 1 1 1 1 57 57 53 54 53 52 49 239 341 356 645 19 Feb 2014

alaksana cilawu 2 1 1 1 1 1 1 1 55 48 49 376 415 485 361 26 Feb 2014

anggung 2 3 1 1 1 1 1 1 55 58 60 61 50 04 Mar 2014

anggung 2 1 1 1 1 1 1 1 53 51 50 52 81 450 04 Mar 2014

2 4 2 43 50 28 Mar 2014

argaasih kab bandung 1 4 1 1 1 1 1 1 1 1 1 1 37 40 45 48 49 49 52 51 52 252 164 399 412 573 506 454 87 587 30 Apr 2014

2 3 1 1 1 1 1 1 42 54 60 57 76 216 239 12 May 2014

ngora 2 3 1 1 1 1 1 1 55 54 55 56 25 107 02 May 2014

ensari 1 4 1 1 1 1 1 1 49 85 90 92 50 05 May 2014

2 Cilawu 2 3 1 1 1 1 1 1 54 53 56 58 35 16 Jun 2014

Blok C-18 4/6 sucikaler karangpawi 1 3 1 1 1 1 1 1 1 1 1 1 52 52 55 58 55 55 53 52 50 228 423 284 16 Jun 2014

ganten tarogong 1 3 1 1 1 1 1 1 1 1 1 1 70 71 77 74 75 77 76 76 75 75 7 167 58 155 229 348 362 300 310 383 07 Jul 2014

a garut kota 1 3 1 1 1 1 50 36 08 Jul 2014

on garut kota 2 4 2 30 50 08 Jul 2014

on garut kota 2 1 1 52 335 08 Jul 2014

on garut kota 2 3 2 1 1 1 1 1 8 9 10 11 66 08 Jul 2014

 a cibalong pameungpeuk 2 4 2 4 6 19 Jul 2014

kakarya 1 4 3 1 1 1 1 1 1 45 50 59 58 50 04 Aug 2014

sukawening 2 4 2 26 12 Aug 2014

inggir garut kota 2 1 1 1 1 1 1 1 68 70 70 67 522 637 18 Aug 2014

talagasari 2 4 2 1 48 48 50 21 Aug 2014

anyuresmi 2 3 1 1 1 1 1 1 43 54 60 67 81 25 Aug 2014

/11 ds rancabango tarogong 1 3 1 1 1 1 1 1 1 1 1 1 54 56 54 53 55 55 54 53 37 75 124 129 239 29 Aug 2014

anaraja 2 2 1 1 44 52 50 01 Sep 2014

1 Regol Garut kota 1 4 1 1 1 1 59 55 74 677 11 Sep 2014

paminggir Garut kota 1 4 1 1 1 1 1 1 49 56 60 62 60 18 71 134 166 157 130 19 Sep 2014

cilamaya Karawang 2 1 1 1 1 54 54 54 480 842 24 Sep 2014

gir garut kota 2 4 1 1 1 1 1 1 54 55 58 60 50 320 24 Sep 2014

No 39 1/2 paminggir garut kota 1 4 1 48 50 09 Oct 2014

ok 1 No 9 rancabango tarogong 2 4 1 49 50 02 Oct 2014

ara cibalong 2 4 1 55 38 21 Oct 2014

sisir 1/9 Regol Garut kota 1 4 2 1 1 1 1 1 1 1 1 1 49 50 04 Nov 2014

majasari cibiuk limbangan garut 2 3 1 1 1 47 48 50 11 Nov 2014

10 pataruman tarogong kidul 2 3 1 1 1 1 1 38 45 48 50 154 99 13 Nov 2014

2 4 1 1 1 1 1 59 60 57 58 203 166 205 14 Nov 2014

ara sanding garut kota 1 1 1 1 1 1 1 1 1 1 1 1 24 Nov 2014

ngatikan 2 3 1 51 199 01 Dec 2014

mentri ciawi tasikmalaya 2 2 1 61 147 04 Dec 2014

tarogong kidul 2 1 1 60 17 Dec 2014

mbul tengah 4/10 ds jayaraga 1 3 1 1 1 1 1 1 1 1 1 38 37 39 492 308 05 Dec 2014

1 1 1 1 1 1 1 1 1 1 1 1 46 05 Jan 2015

ng kaler 1 1 1 1 1 1 1 1 1 1 1 1 55 101 07 Jan 2015

2 3 1 1 1 1 1 35 42 40 138 16 Jan 2015

ukti cilawu 2 1 1 1 1 1 55 50 49 457 436 03 Feb 2015

karsari cilawu 2 3 1 45 20 Feb 2015

a cibatu 2 3 1 43 23 Feb 2015

k E5 1/11 2 4 1 1 1 1 1 40 49 50 6 132 402 09 Mar 2015

2 1 1 1 1 68 65 55 365 10 Mar 2015

tan garut 1 4 1 38 11 10 Mar 2015

A3 1/9 godog karangpawitan 2 4 1 1 1 1 1 52 55 56 4 193 175 23 Mar 2015

A3 1/9 godog karangpawitan 2 3 1 52 34 23 Mar 2015

ota kulon Garut 1 4 1 1 1 1 1 1 1 1 1 1 44 54 49 46 48 49 47 46 45 158 355 442 06 Apr 2015

kaler limbangan 2 3 1 38 8 10 Apr 2015

sari kadungora 2 3 1 1 1 1 1 52 70 68 17 206 16 Apr 2015

2 tarogong kidul 2 3 1 1 1 49 50 50 428 24 Apr 2015

garut kota 2 4 2 1 1 1 1 49 52 52 12 147 13 May 2015

2 kota wetan 1 1 1 1 1 1 1 1 1 1 1 1 45 42 42 43 43 42 41 41 40 308 438 401 15 May 2015

dangsari 3/8 cigedug cikajang 2 3 1 1 1 1 1 42 50 43 130 186 18 May 2015

kamerang kersamanah 2 1 1 1 1 1 1 60 63 58 770 21 May 2015

No 125 sucikaler karangpawitan 2 3 1 50 34 28 May 2015

ai blok C 18 1 3 1 1 1 1 1 1 1 56 58 61 65 70 70 5 125 288 356 899 12 Jun 2015

ukti, pasir wangi samarang 2 1 1 1 1 1 1 62 69 69 184 25 Jun 2015

3/5 Bayongbong 1 4 1 1 1 1 1 1 1 1 1 1 3 536 696 25 Jun 2015

2 2 1 1 1 1 1 30 34 36 50 442 27 Jul 2015

s. Mulyasari bayongbong 2 4 1 29 27 Jul 2015

marang 2 3 1 45 150 14 Aug 2015

awening Wanaraja 1 3 1 1 1 1 64 62 62 298 364 04 Sep 2015

2/10 Tarogong 1 2 1 1 1 1 1 1 1 1 1 57 56 54 54 55 253 296 169 07 Sep 2015

Tarogong 2 3 1 1 1 58 61 60 35 17 Sep 2015

2 1 1 1 1 58 58 754 02 Oct 2015

anyuresmi 2 1 1 1 1 62 60 287 03 Nov 2015

njatan Indramayu 2 4 3 66 107 03 Nov 2015

esmi 2 3 1 1 1 45 55 43 13 Nov 2015

kulon 2 3 1 1 1 45 48 175 309 326 06 Nov 2015

2 4 1 1 1 45 66 186 12 Dec 2015

2 4 3 2 1 30 35 50 180 260 01 Feb 2016

ang Garut 2 4 1 45 22 Feb 2015

Garut Kota 2 1 18 180 23 Feb 2015

ungjaya 2 3 1 1 1 49 50 03 Mar 2016

2 2 1 48 87 04 Mar 2016

rpanggung 2 3 1 35 04 Mar 2016

arut 1 4 1 1 1 52 51 17 Mar 2016

2 1 1 1 1 52 54 160 125 18 Mar 2016

2 1 1 1 1 1 57 57 58 260 232 24 Mar 2016

2 2 1 1 47 49 24 Mar 2016
 2 4 1 45 11 10 Mar 2016

/8 ds Sukamentri 2 2 1 1 1 1 42 247 69 31 Mar 2016

ri Bayongbong 2 3 1 40 36 04 Apr 2016

sukasenang banyuresmi 2 3 1 33 26 Apr 2016

ukaratu banyuresmi 2 3 1 1 1 1 46 28 Apr 2016

naraja 2 3 1 1 1 1 9 02 May 2016

r 2/16 Jayaraga 2 3 1 1 1 38 10 04 May 2016

enang Banyuresmi 2 3 1 44 09 May 2016

enang Banyuresmi 2 1 1 42 11 May 2016

kota wetan Garut Kota 2 3 1 46 19 May 2016

aratu Banyuresmi 2 2 1 1 1 1 45 438 24 May 2016

9 kota wetan 2 3 1 51 206 26 May 2016

2 3 1 1 1 11 30 May 2016

mekargalih tarkid 2 2 1 1 1 49 01 Jun 2016

2 3 1 1 1 1 60 59 60 59 299 354 01 Jun 2016

Kolot cilawu 2 1 1 1 1 1 51 527 382 08 Jun 2016

upan 2 3 1 1 1 1 09 Jun 2016

2 3 1 1 1 1 52 29 Jun 2016

2 1 1 1 1 1 29 Jun 2016

ta wetan 1 3 1 1 1 87 13 Jul 2016

ta wetan 1 3 1 1 1 1 1 318 25 Jul 2016

peundeuy 1 2 1 1 1 1 1 1 1 1 1 1 57 25 Jul 2016

2 3 1 1 1 1 46 172 01 Aug 2016

 2 3 1 1 1 172 25 Aug 2016

08 ds. Wanaraja 2 1 1 1 1 06 Sep 2016

10 Ds. Keresek Cibatu 1 3 3 2 1 1 1 01 Sep 2016

lagasari Kadungora 1 4 1 1 1 1 1 1 1 1 1 07 Sep 2016

n asri blok B 16 2/6 Tarogong 2 1 1 20 Sep 2016

1 4 3 2 1 1 1 1 1 1 1 22 Sep 2016

1 1 1 1 1 1 1 1 1 1 1 22 Sep 2016

2 4 1 1 1 51 69 26 Sep 2016

ds Wanajaya wanaraja 2 1 1 1 1 184 26 Sep 2016

04 ds. Lembang Leles 2 1 1 27 Sep 2016

Karangpawitan 2 3 1 27 Sep 2016

1 4 3 2 1 1 1 1 1 1 1 1 406 04 Oct 2016

esmi Garut 2 2 1 1 1 17 Oct 2016

s Cibiuk kaler Cibiuk 2 3 1 1 1 20 Oct 2016

s Cikajang 2 3 1 1 1 20 Oct 2016

una cicendo bandung 2 2 1 03 Nov 2016

una cicendo bandung 2 3 1 03 Nov 2016

ar raya kersamanah 2 3 1 1 1 285 04 Nov 2016

ari Karangpawitan 1 3 2 1 1 1 1 1 465 09 Nov 2016

pananjung pamulihan 2 1 1 1 1 21 Nov 2016

n 01/04 Jayaraga 1 4 3 2 1 1 1 1 1 23 Nov 2016

03 sukakarya Banyuresmi 1 3 1 1 1 1 1 1 1 23 Nov 2016

n 03/20 kota wetan Garut kota 2 3 1 1 1 13 Dec 2016

bong 2 3 1 1 1 111 23 Dec 2016

ndalasari kadungora 2 3 1 1 1 207 11 Jan 2017

s Situjaya Karangpawitan 2 3 1 110 17 Jan 2017

inggamanik Cikelet Garut Selatan 2 3 1 1 1 23 Jan 2017

eungpeuk Garut 2 2 1 1 23 Jan 2017

mbangan Timur Limbangan 2 2 1 1 1 424 06 Feb 2017

sukamerang Kersamanah Garut 2 3 2 06 Feb 2017

ukaluyu Sukawening Garut 1 3 1 20 Feb 2017

andalakasih Pameungpeuk 2 3 1 1 1 28 Feb 2017

karsewu Cisewu Garut 2 2 1 09 Mar 2017

uara sanding Garut kota 2 1 1 423 13 Mar 2017

ensari 2 1 1 1 1 14 Mar 2017

nasari Samarang 2 1 1 1 1 340 17 Mar 2017

Muarasanding Garut Kota 2 1 1 1 1 17 Mar 2017

uara sanding Garut kota 2 4 1 22 Mar 2017

i blok F 12 Tarogong kaler 2 4 3 1 1 03 Apr 2017

dir Samarang 2 3 2 07 Apr 2017

Wanasari wanaraja 2 3 1 12 Apr 2017

Wanasari wanaraja 2 3 1 1 1 50 17 Apr 2017

i blok F 12 Tarogong kaler 2 3 2 1 1 15 May 2017

ds tegal panjang sucinaraja 2 1 1 253 16 May 2017

g kidul Garut 1 1 1 1 1 1 1 1 1 1 22 May 2017

timulya pameungpeuk 2 1 1 22 May 2017

asari Bayongbong 2 3 1 1 1 11 31 May 2017

ukaratu Banyuresmi Garut 2 3 2 31 May 2017

Cilawu Garut 2 1 1 1 1 05 Jun 2017

ancasuro singajaya 2 3 1 40 05 Jun 2017

panggung Tarogong kidul 2 1 1 1 1 05 Jun 2017

1 3 1 1 50 52 940 792 07 Jun 2017

ta kulon garut kota Garut 2 1 1 197 08 Jun 2017

wigoong Garut 2 1 1 1 1 08 Jun 2017

1 ds haurpanggung tarkid Garut 2 1 1 1 1 09 Jun 2017

2 1 1 05 Jul 2017

mbang leles 2 2 1 1 1 06 Jul 2017

08 ds sukagalih tarkid Garut 1 3 1 1 1 1 1 1 1 1 1 1 10 Jul 2017

04/12 Rancabango garut 1 4 2 1 1 1 1 1 1 1 1 12 Jul 2017

n garut kota 2 1 1 1 1 374 17 Jul 2017

rancasalak kadungora 2 1 1 1 1 270 18 Jul 2017

rancasalak kadungora 2 2 1 1 1 24 Jul 2017

Sirnabakti pameungpeuk 2 3 1 1 1 26 Jul 2017

ds kota kulon Garut Kota 1 4 3 2 1 1 1 1 1 27 Jul 2017

ok A No 16 Tarogong 2 2 1 1 1 312 03 Aug 2017

sukaratu sucinaraja 2 1 1 21 Aug 2017

1 1 1 1 1 1 54 58 60 62 553 724 344 08 Aug 2017

jayaraga tarogong kidul 2 3 1 1 41 53 04 Oct 2017

01 ds Galih Pakuwon Limbangan 2 4 2 11 Sep 2017

reo utara cibugel sumedang 1 1 1 1 1 1 1 60 58 58 58 133 206 136 298 12 Sep 2017

ekarluyu sukawening 2 3 1 22 Sep 2017

25 Ds Kota kulon Garut Kota 2 1 1 360 04 Oct 2017

s purwaharja banjar 2 3 1 41 16 Oct 2017

mandalakasih pameungpeuk 2 1 1 44 20 Oct 2017

mukti sukawening 2 3 1 49 60 09 Oct 2017

argalaksana Cilawu 2 3 2 30 Oct 2017

ds talagasari kadungora 2 3 1 50 03 Nov 2017

mbulan Kadungora 2 3 1 35 09 Nov 2017

06 ds pamekarsari Banyuresmi 2 2 1 45 48 13 Nov 2017

rsari cibalong 2 3 1 16 Nov 2017

rsari cibalong 2 1 1 16 Nov 2017

rsari cibalong 2 3 1 16 Nov 2017

tambaksari Leuwigoong 1 3 20 Nov 2017

ukaratu banyuresmi 2 2 1 1 04 Dec 2017

ds karangwangi mekarmukti 2 2 1 1 70 04 Dec 2017

s paminggir Garut kota 2 1 1 1 59 07 Dec 2017

s paminggir Garut kota 2 3 1 1 42 07 Dec 2017

ota wetan Garut Kota 2 4 1 53 20 Dec 2017

i blok F 12 Tarogong kaler 2 4 1 1 1 09 Jan 2018

T 01 RW 13 ds sindanggalih Karang 2 1 1 1 58 09 Jan 2018

ung Cibiru 1 18 Jan 2018

Ds Karangmulya Karangpawitan 1 2 1 56 18 Jan 2018

 g kabupaten Bandung 1 3 1 1 60 18 Jan 2018

g kabupaten Bandung 1 3 2 1 48 18 Jan 2018

ds ciburial Leles 2 3 1 1 50 22 Jan 2018

eglasari Kadungora 1 2 1 1 50 50 411 24 Jan 2018

1 1 1 1 1 1 65 65 64 21 Feb 2018

/18 ds Regol Garut kota 2 3 2 23 Feb 2018

i Blok 1 No 47 Ds sirnajaya tarogon 2 1 1 49 01 Mar 2018

W 04 ds. Pataruman Tarogong Kidul 2 1 1 05 Mar 2018

mbangan timur Limbangan Garut 2 1 1 29 Mar 2018

uhan selaawi Garut 2 3 1 42 04 Apr 2018

nggrahan Sukawening Garut 2 1 1 61 05 Apr 2018

ngpawitan Garut 2 3 3 11 Apr 2018

ri Banyuresmi garut 2 3 1

mukti banyuresmi Garut 2 4 3 18 Apr 2018

aherang Cimalaka sumedang 2 1 1 70 501 09 Apr 2018

mbangan timur Limbangan Garut 2 3 1 40 23 Apr 2018

uhan selaawi Garut 2 1 1 43 07 May 2018

nggrahan Sukawening Garut 2 3 1 50 11 May 2018

ngpawitan Garut 2 1 1 53 18 May 2018

ri Banyuresmi garut 2 3 1 55 28 May 2018

mukti banyuresmi Garut 2 3 1 30 20 Jun 2018

aya bakti banjarwangi Garut 2 3 1 40 22 Jun 2018

i Tarogong kaler 2 2 1 80 29 Jun 2018

ngan Tengah 2/5 Limbangan Garut 2 3 2 49 06 Jul 2018

agalih Tarogong kidul 2 3 1 57 96 05 Jul 2018

s Sukamentri Garut Kota 1 1 1 1 52 52 405 08 Feb 2017

karsari Mekarmukti Garut 2 3 1 44 09 Jul 2018

s Sukamentri Garut Kota 2 1 1 45 09 Jul 2018

ncagahar Pameungpeuk 1 3 1 11 Jul 2018

 TB selama ART IO yang terjadi IMS Substitusi dgn ARV lini ke-1 VL Switch dengan ARV lini ke-2
Tgl mulai
pemberian
Terapi Nama rejimen ART orisinal
P/EP tgl mulai terapi Kode IO Tgl IO Terapi IO profilaksis Tgl. subst. Alasan Rejimen baru Tanggal VL Tgl switch Alasan Rejimen baru
Kotrimoksazol IMS

08 Oct 2009 ZDV(300)+3TC(150)+NVP(200) 02 Jun 2017 1

K, D 22 Feb 2013 cotrimoksaz 22 Feb 2013 TDF(300)+3TC(300)+EFV(600) 02 Jun 2017 1

K, PCP 11 Jan 2013 cotrimoksaz 15 Mar 2015 TDF(300)+3TC(300)+EFV(600) 26 Apr 2013 2 TDF(300)+3TC(150)+NVP(200) 02 Jun 2017 1

19 Mar 2013 ZDV(100)+3TC(150)+NVP(200) 10 Feb 2014 1 ZDV(100)+3TC(150)+EFV(200)

cotrimoksaz 10 May 2013 TDF(300)+3TC(300)+EFV(600) 02 Jun 2017 1

K 24 May 2013 cotrimoksaz 10 Jun 2013 ZDV(300)+3TC(150)+NVP(200) 24 Jun 2013 1 TDF(300)+3TC(150)+NVP(200)

D, K, PCP 16 May 2013 cotrimoksaz 25 Jun 2013 ZDV(300)+3TC(150)+NVP(200) 27 Jul 2013 1 TDF(300)+3TC(150)+NVP(200)

1 01 Mar 2013 cotrimoksaz 18 Feb 2013 ZDV(150)+3TC(75)+EFV(200) 02 Jun 2017 0

1 01 Mar 2013 K, T 01 Jul 2013 cotrimoksaz 03 Jul 2013 ZDV(300)+3TC(150)+EFV(600) 10 Aug 2017 0

cotrimoksaz 03 Jul 2013 ZDV(300)+3TC(150)+NVP(200) 10 Aug 2017 0

1 01 Dec 2012 K, Wasting s 04 Jan 2013 cotrimoksaz 16 Jan 2013 d4T(30)+3TC(150)+NVP(200) 10 Sep 2013 1 ZDV(300)+3TC(150)+EFV(600) 02 Jun 2017 1 01 Nov 2013 8 TDF(300)+3TC(150)+LPV/R(2

D, wasting s 08 Jul 2013 cotrimoksaz 08 Jul 2013 TDF(300)+3TC(300)+EFV(600)

1 15 Aug 2013 K, Wasting s 15 Aug 2013 cotrimoksaz 22 Aug 2013 TDF(300)+3TC(300)+EFV(600)

K, D 10 Sep 2013 cotrimoksaz 10 Sep 2013 ZDV(300)+3TC(150)+NVP(200)

K, T 10 Sep 2013 cotrimoksaz 10 Sep 2013 ZDV(300)+3TC(150)+NVP(200) 28 Oct 2013 1 ZDV(300)+3TC(150)+EFV(600)

1 11 Sep 2013 K 23 Sep 2013 cotrimoksaz 23 Sep 2013 TDF(300)+3TC(300)+EFV(600)

IMS 16 Feb 2012 ZDV(300)+3TC(150)+NVP(200)

1 05 Jul 2013 H, Wasting s 05 Jul 2013 TDF(300)+3TC(300)+EFV(600)

 ZDV(300)+3TC(150)+EFV(600) 26 May 2017 0

K, IMS 21 Nov 2013 cotrimoksaz 21 Nov 2013 ZDV(300)+3TC(150)+NVP(200)

ZDV(300)+3TC(150)+NVP(200) 16 Feb 2016 7 TDF(300)+3TC(150)+EFV(600)

T, K, wasting 01 Aug 2012 cotrimoksaz 01 Aug 2012 d4T(30)+3TC(150)+EFV(600) 15 Sep 2012 1 TDF(300)+3TC(150)+EFV(600) 10 Aug 2017 0

1 06 Dec 2013 K, Wasting s 06 Dec 2013 cotrimoksaz 06 Dec 2013 TDF(300)+3TC(300)+EFV(600)

ZDV(100)+3TC(150)+EFV(200) 06 Feb 2014 7 TDF(300)+3TC(150)+EFV(600) 26 May 2017 0

1 01 Jan 2014 K, Wasting s 18 Feb 2014 cotrimoksaz 18 Feb 2014 TDF(300)+3TC(300)+EFV(600) 26 May 2017 0

1 K, Wasting s 23 Nov 2010 cotrimoksaz 23 Nov 2010 d4T(30)+3TC(150)+EFV(600) 20 May 2015 1 TDF(300)+FTC(200)+EFV(600) 15 Jun 2017 1

2 15 Apr 2015 ZDV(100)+3TC(150)+NVP(200) 01 Apr 2014 1 ZDV(300)+3TC(150)+EFV(600) 06 Jul 2017 1

D, K 04 Mar 2014 cotrimoksaz 04 Mar 2014 ZDV(300)+3TC(150)+NVP(200)

cotrimoksaz 04 Mar 2014 ZDV(300)+3TC(150)+NVP(200) 15 Jun 2017 1

1 27 Feb 2014 K 28 Mar 2014 cotrimoksaz 28 Mar 2014 TDF(300)+3TC(300)+EFV(600)

01 Apr 2008 K, CMV, wast 01 Apr 2008 cotrimoksaz 01 Apr 2008 d4T(30)+3TC(150)+EFV(600) 30 Apr 2014 1 TDF(300)+3TC(150)+EFV(600) 08 Jun 2017 0

1 01 Jan 2014 K, Wasting s 02 May 2014 cotrimoksaz 02 May 2014 ZDV(300)+3TC(150)+EFV(600)

1 10 Jun 2014 K, D 02 May 2014 cotrimoksaz 02 May 2014 TDF(300)+3TC(300)+EFV(600)

T, K, D 05 May 2014 cotrimoksaz 05 May 2014 TDF(300)+3TC(300)+EFV(600) 09 Jul 2018 1 TDF(300)+3TC(300)+RVP(25)

1 13 Jun 2014 K 13 Jun 2014 cotrimoksaz 13 Jun 2014 TDF(300)+3TC(300)+EFV(600) 26 May 2017 1

2 05 Jun 2009 cotrimoksaz 05 Jun 2009 ZDV(300)+3TC(150)+NVP(200) 25 Nov 2015 4 TDF(300)+3TC(150)+EFV(600) 02 Jun 2017 1

ZDV(300)+3TC(150)+NVP(200) 08 Jun 2017 1 18 Sep 2009 8 TDF(300)+3TC(150)+L

cotrimoksaz 08 Jul 2014 d4T(30)+3TC(150)+EFV(200) 08 Jul 2014 1 TDF(300)+3TC(150)+EFV(600)

1 03 Jul 2014 K, Wasting s 03 Jul 2014 cotrimoksaz 03 Jul 2014 TDF(300)+3TC(300)+EFV(600)

cotrimoksaz 08 Jul 2014 ZDV(300)+3TC(150)+NVP(200)

1 28 Oct 2012 K 08 Jul 2014 cotrimoksaz 08 Jul 2014 d4T(10)+3TC(40)+NVP(40) 27 Jan 2016 1 ZDV(75)+3TC(40)+NVP(40) 02 Jun 2017 0 11 Jul 2017 10 TDF(300)+3TC(150)+LPV/r(20
 Wasting synd 19 Jul 2014 cotrimoksaz 19 Jul 2014 TDF(300)+3TC(300)+EFV(600)

cotrimoksaz 22 Nov 2012 TDF(300)+3TC(300)+EFV(600) 26 May 2017 1

Wasting synd 12 Aug 2014 cotrimoksaz 12 Aug 2014 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 20 Apr 2017 1

1 05 Aug 2014 PCP, K 05 Aug 2014 cotrimoksaz 05 Aug 2014 TDF(300)+3TC(300)+EFV(600)

K 25 Aug 2014 cotrimoksaz 25 Aug 2014 ZDV(300)+3TC(150)+EFV(600) 10 Jul 2018 1 TDF(300)+3TC(300)+RVP(25) 26 May 2017 1

ZDV(300)+3TC(150)+NVP(200) 05 Jun 2015 5 TDF(300)+3TC(150)+EFV(600)

cotrimoksaz 01 Sep 2014 TDF(300)+3TC(300)+EFV(600)

d4T(30)+3TC(150)+EFV(600) 11 Sep 2014 1 TDF(300)+3TC(150)+EFV(600) 26 May 2017 1

1 15 Jan 2013 K 15 Jan 2013 cotrimoksaz 30 Jan 2013 d4T(30)+3TC(150)+EFV(600) 19 Sep 2014 1 TDF(300)+3TC(150)+EFV(600) 20 Apr 2017 1

TDF(300)+3TC(300)+EFV(600)

T, K 24 Sep 2014 cotrimoksaz 24 Sep 2014 TDF(300)+3TC(300)+EFV(600)

1 01 Jun 2014 Cr, wasting 09 Oct 2014 cotrimoksaz 09 Oct 2014 TDF(300)+3TC(300)+EFV(600)

1 01 Sep 2014 K, H, wastin 01 Sep 2014 cotrimoksaz 02 Oct 2014 TDF(300)+3TC(300)+EFV(600)

PCP, K 21 Oct 2014 cotrimoksaz 21 Oct 2014 TDF(300)+3TC(300)+EFV(600)

ZDV(300)+3TC(150)+EFV(600) 26 May 2017 1

1 27 Oct 2014 D, K 27 Oct 2014 cotrimoksaz 11 Nov 2014 TDF(300)+3TC(300)+EFV(600)

K, PPE 27 Oct 2014 cotrimoksaz 13 Nov 2014 TDF(300)+3TC(300)+EFV(600) 06 Jul 2017 0

2 01 Apr 2015 cotrimoksaz 14 Nov 2014 TDF(300)+3TC(300)+EFV(600)

ZDV(300)+3TC(150)+NVP(200) 02 Jun 2017 0

K, D, Hemmor 01 Nov 2014 cotrimoksaz 01 Dec 2014 TDF(300)+3TC(300)+EFV(600)

dermatitis,K 23 Jul 2014 cotrimoksaz 23 Jul 2014 TDF(300)+3TC(300)+EFV(600)

K TDF(300)+3TC(300)+EFV(600)
 d4T(30)+3TC(150)+EFV(200) 19 Dec 2012 1 TDF(300)+3TC(150)+EFV(600) 26 May 2017 1

ZDV(300)+3TC(150)+EFV(600) 07 Jun 2012 1 TDF(300)+3TC(150)+EFV(600)

ZDV(300)+3TC(150)+NVP(200) 02 Jun 2017 1

D, K, wastin 01 Nov 2014 cotrimoksaz 07 Jan 2015 TDF(300)+3TC(300)+EFV(600) 22 Jun 2017 1

TDF(300)+3TC(300)+EFV(600)

K, PPE, anem 06 Feb 2015 cotrimoksaz 06 Feb 2015 TDF(300)+3TC(300)+EFV(600)

K, neuropati 23 Feb 2015 cotrimoksaz 23 Feb 2015 TDF(300)+3TC(300)+EFV(600)

K 01 Nov 2013 cotrimoksaz 09 Mar 2015 TDF(300)+3TC(300)+EFV(600) 15 Jun 2017 1

TDF(300)+3TC(300)+EFV(600)

K, D, wastin 10 Mar 2015 d4T(30)+3TC(150)+EFV(200) 16 Mar 2015 8 TDF(300)+3TC(150)+L

2 01 May 2015 K, PCP 18 Mar 2015 cotrimoksaz 18 Mar 2015 ZDV(300)+3TC(150)+EFV(600)

1 23 Mar 2015 cotrimoksaz 18 Mar 2015 ZDV(300)+3TC(150)+EFV(600)

27 Oct 2010 K 27 Oct 2010 27 Oct 2010 ZDV(300)+3TC(150)+EFV(600) 09 Jan 2012 1 TDF(300)+3TC(150)+EFV(600) 26 May 2017 1

K, D 03 Apr 2015 cotrimoksaz 03 Apr 2015 TDF(300)+3TC(300)+EFV(600)

K, D, PPE 14 Apr 2015 cotrimoksaz 14 Apr 2015 ZDV(300)+3TC(150)+NVP(200) 22 Jun 2017 0

PPE 24 Apr 2015 24 Apr 2015 TDF(300)+3TC(300)+EFV(600) 03 Sep 2015 1 TDF(300)+3TC(150)+EFV(600)

T, K 12 May 2015 cotrimoksaz 12 May 2013 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 15 May 2015 1 TDF(300)+3TC(150)+EFV(600) 15 Jun 2017 1

K, IMS 03 May 2015 cotrimoksaz 03 May 2015 TDF(300)+3TC(300)+EFV(600) 22 Jun 2017 1

IMS 20 May 2015 TDF(300)+3TC(300)+EFV(600) 10 Aug 2017 1

PCP, K, D 21 May 2015 cotrimoksaz 21 May 2014 TDF(300)+3TC(300)+EFV(600)

d4T(30)+3TC(150)+NVP(200) 09 May 2014 1 TDF(300)+3TC(150)+NVP(200)

cotrimoksaz 25 Jun 2015 TDF(300)+3TC(300)+EFV(600)

 d4T(30)+3TC(150)+NVP(200) 01 Dec 2010 1 ZDV(100)+3TC(150)+EFV(200)

K, PPE cotrimoksazole TDF(300)+3TC(300)+EFV(600) 02 Jun 2017 0

1 27 Jul 2015 K, D 27 Jul 2015 cotrimoksaz 27 Jul 2015 TDF(300)+3TC(300)+EFV(600)

K, D 14 Aug 2015 cotrimoksaz 14 Aug 2015 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 15 Jun 2017 1

d4T(30)+3TC(150)+EFV(600) 06 Dec 2012 1 TDF(300)+3TC(150)+EFV(600) 08 Jun 2017 0

K, PPE 15 Sep 2015 cotrimoksaz 15 Sep 2015 TDF(300)+3TC(300)+EFV(600) 30 Oct 2017 1TDF(300)+3TC(150)+LPV/r(200/50) 26 May 2017 0

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 13 Jul 2017 0

K, D, Cr 27 Jul 2015 cotrimoksaz 27 Jul 2015 TDF(300)+3TC(300)+EFV(600)

K, D 13 Nov 2015 cotrimoksaz 13 Nov 2015 TDF(300)+3TC(300)+EFV(600)

K, D 06 Nov 2015 cotrimoksaz 06 Nov 2015 TDF(300)+3TC(300)+EFV(600) 02 Jun 2017 1

2 01 Nov 2015 K, D 12 Dec 2015 cotrimoksaz 12 Dec 2015 TDF(300)+3TC(300)+EFV(600) 15 Jun 2017 0

Cr, wasting 01 Feb 2016 TDF(300)+3TC(300)+EFV(600) 15 Jun 2017 1

1 01 Feb 2016 K 22 Feb 2016 cotrimoksaz 22 Feb 2016 TDF(300)+3TC(300)+EFV(600)

cotrimoksao 23 Feb 2016 ZDV(150)+3TC(75)+EFV(200)

1 03 Mar 2016 K, PPE 03 Mar 2016 cotrimoksaz 03 Mar 2016 TDF(300)+3TC(300)+EFV(600) 26 May 2017 1

TDF(300)+3TC(300)+EFV(600)

1 01 Apr 2016 K, Anemia 04 Mar 2016 cotrimoksaz 04 Mar 2016 TDF(300)+3TC(300)+EFV(600)

PCP, K TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 15 Jun 2017 1

TDF(300)+3TC(300)+EFV(600) 15 Jun 2017 1

D 24 Mar 2016 cotrimoksaz 24 Mar 2016 TDF(300)+3TC(300)+EFV(600)

2 01 Feb 2016 K 10 Mar 2016 cotrimoksaz 10 Mar 2016 TDF(300)+3TC(300)+EFV(600)

1 01 May 2016 K 31 Mar 2016 cotrimoksaz 31 Mar 2016 TDF(300)+3TC(300)+EFV(600) 13 Jul 2017 0

1 01 Mar 2016 K 04 Apr 2016 cotrimoksaz 04 Apr 2016 TDF(300)+3TC(300)+EFV(600)

1 24 May 2016 D 26 Apr 2016 cotrimoksaz 26 Apr 2016 TDF(300)+3TC(300)+EFV(600)

K 21 Apr 2016 cotrimoksaz 28 Apr 2016 TDF(300)+3TC(300)+EFV(600) 02 Jun 2017 0

1 05 Jul 2016 Wasting syn 02 May 2016 cotrimoksaz 02 May 2016 TDF(300)+3TC(300)+EFV(600) 20 Jul 2017 0

1 04 May 2016 K 04 May 2016 cotrimoksaz 04 May 2016 TDF(300)+3TC(300)+EFV(600) 20 Jul 2017 0

PCP, D 04 May 2016 cotrimoksaz 09 May 2016 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

K 19 May 2016 cotrimoksaz 19 May 2016 TDF(300)+3TC(300)+EFV(600)

D 24 May 2016 cotrimoksaz 24 May 2016 TDF(300)+3TC(300)+EFV(600) 27 Jul 2017 1

D 26 May 2016 cotrimoksaz 26 May 2016 TDF(300)+3TC(300)+EFV(600)

1 30 May 2016 K, D 30 May 2016 cotrimoksaz 30 May 2016 ZDV(150)+3TC(75)+EFV(200) 02 Jun 2017 0

TDF(300)+3TC(300)+EFV(600)

Z 01 Jun 2016 TDF(300)+3TC(300)+EFV(600) 26 May 2017 0

01 Apr 2016 TDF(300)+3TC(300)+EFV(600) 08 Jun 2017 1

1 01 May 2016 K 09 Jun 2016 cotrimoksaz 09 Jun 2016 TDF(300)+3TC(300)+EFV(600)

1 K, D 29 Jun 2016 cotrimoksaz 29 Jun 2016 ZDV(300)+3TC(150)+EFV(600) 15 Jun 2017 0

Condiloma A 29 Jun 2016 ZDV(300)+3TC(150)+EFV(600) 15 Jun 2017 1

ZDV+3TC+NVP(60/30/50) 02 Jun 2017 0

1 TDF(300)+3TC(300)+EFV(600) 02 Jun 2017 0

TDF(300)+3TC(300)+EFV(600) 16 Nov 2015 1 TDF(300)+3TC(150)+NVP(200)

K, D, PCP 01 Aug 2016 cotrimoksazole, fluconazole TDF(300)+3TC(300)+EFV(600) 03 Aug 2017 0

 D, Condiloma 25 Aug 2016 Cotrimoksaz 25 Aug 2016 TDF(300)+3TC(300)+EFV(600) 13 Jul 2017 1

D 06 Sep 2016 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 01 Mar 2017 1

23 Mar 2011 ZDV(100)+3TC(150)+NVP(200) 02 Apr 2012 1 TDF(300)+3TC(150)+NVP(200)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

ZDV(300)+3TC(150)+EFV(600)

Cr Cotrimoksazole TDF(300)+3TC(300)+EFV(600) 22 Jun 2017 1

1 TDF(300)+3TC(300)+EFV(600) 20 Jul 2018 1 TDF(300)+3TC(300)+RVP(25) 08 Jun 2017 1

TDF(300)+3TC(300)+EFV(600)

K, D 27 Sep 2016 Cotrimoksazole, fluconazole TDF(300)+3TC(300)+EFV(600)

ZDV(300)+3TC(150)+NVP(200) 03 Aug 2017 1

17 Oct 2016 TDF(300)+3TC(300)+EFV(600)

K, D 20 Oct 2016 cotrimoksaz 20 Oct 2016 TDF(300)+3TC(300)+EFV(600)

D 10 Oct 2016 cotrimoksaz 10 Oct 2016 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 K, D 02 Nov 2016 cotrimoksaz 04 Nov 2016 TDF(300)+3TC(300)+EFV(600) 03 Aug 2017 1

K, D 01 Apr 2014 cotrimoksaz 01 Apr 2014 TDF(300)+3TC(300)+EFV(600) 15 Jun 2017 1

TDF(300)+3TC(300)+EFV(600) 13 Jul 2017 1

TDF(300)+3TC(300)+EFV(600) 01 Nov 2016 1

K 01 Jul 2013 Fluconazole 01 Jul 2013 TDF(300)+3TC(150)+NVP(200)

D 13 Dec 2016 cotrimoksaz 13 Dec 2016 TDF(300)+3TC(300)+EFV(600)

 D 23 Dec 2016 cotrimoksaz 23 Dec 2016 TDF(300)+3TC(300)+EFV(600) 06 Jul 2017 0

1 K 11 Jan 2017 Cotrimoksaz 11 Jan 2017 TDF(300)+3TC(300)+EFV(600) 06 Jul 2017 0

1 K, D 17 Jan 2017 Cotrimoksaz 17 Jan 2017 TDF(300)+3TC(300)+EFV(600) 22 Jun 2017 0

K 23 Jan 2017 cotrimoksaz 23 Jan 2017 TDF(300)+3TC(300)+EFV(600)

K, D 23 Jan 2017 cotrimoksaz 23 Jan 2017 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 20 Jul 2017 1

K 03 Feb 2017 Cotrimoksaz 06 Feb 2017 TDF(300)+3TC(300)+EFV(600)

K, D 20 Feb 2017 Cotrimoksazole, fluconazole TDF(300)+3TC(300)+EFV(600)

1 K 28 Dec 2017 fluconazole TDF(300)+3TC(300)+EFV(600)

cotrimoksaz 09 Mar 2017 TDF(300)+3TC(300)+EFV(600)

cotrimoksaz 13 Mar 2017 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 06 Jul 2017 1

TDF(300)+3TC(300)+EFV(600)

K, D 22 Mar 2017 Cotrimoksaz 22 Mar 2017 TDF(300)+3TC(300)+EFV(600)

T 03 Apr 2017 pyrimetamin 03 Apr 2017 TDF(300)+3TC(300)+EFV(600)

K, D 07 Apr 2017 Cotrimoksazole, fluconazole TDF(300)+3TC(300)+EFV(600)

1 K 12 Apr 2017 Cotrimoksazole, fluconazole TDF(300)+3TC(300)+EFV(600)

1 K 17 Apr 2017 cotrimoksaz 17 Apr 2017 TDF(300)+3TC(300)+EFV(600) 06 Jul 2017 1

K, D 15 May 2017 cotrimoksaz 15 May 2017 ZDV+3TC+NVP(60/30/50) 22 Jun 2017 0

TDF(300)+3TC(300)+EFV(600)

ZDV(300)+3TC(150)+EFV(600) 14 Jun 2018 7 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)
1 K 31 May 2017 Cotrimoksaz 31 May 2017 TDF(300)+3TC(300)+EFV(600)

D, K 31 May 2017 Cotrimoksazole, fluconazole TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 K 05 Jun 2017 Cotrimoksaz 05 Jun 2017 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

d4T(30)+3TC(150)+NVP(200) 1 TDF(300)+3TC(150)+EFV(600) 08 Jun 2017 0

T, K 12 Jul 2011 cotrimoksazole, fluconazole, pyrimeta TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600) 10 Aug 2017 0

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(150)+NVP(200) 10 Aug 2017 1

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)
 ZDV(300)+3TC(150)+NVP(200)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

D 16 Oct 2017 cotrimoksaz 16 Oct 2017 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 D 03 Nov 2017 cotrimoksaz 03 Nov 2017 TDF(300)+3TC(300)+EFV(600)

1 D, K 09 Nov 2017 flukonazole 09 Nov 2017 TDF(300)+3TC(300)+EFV(600)

1 TDF(300)+3TC(300)+EFV(600)

1 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 07 Dec 2017 K 07 Dec 2017 Flukonazole 07 Dec 2017 TDF(300)+3TC(300)+EFV(600)

1 13 Dec 2017 K 13 Dec 2017 Cotrimoksaz 13 Dec 2017 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)
1 14 Feb 2018 K 03 Dec 2017 Flukonazole 03 Dec 2017 TDF(300)+3TC(300)+EFV(600)

D, K 11 Dec 2017 cotrimoksaz 11 Dec 2017 TDF(300)+3TC(300)+EFV(600)

K, D 29 Jan 2018 Flukonazole 29 Jan 2018 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 23 Feb 2018 K 23 Feb 2018 flukonazole 23 Feb 2018 TDF(300)+3TC(300)+EFV(600)

1 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

D 04 Apr 2018 cotrimoksaz 04 Apr 2018 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

ZDV(300)+3TC(150)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 23 Apr 2018 cotrimoksaz 23 Apr 2018 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

1 11 May 2018 cotrimoksaz 11 May 2018 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

cotrimoksaz 28 May 2018 TDF(300)+3TC(300)+EFV(600)

1 20 Jun 2018 D, K 20 Jun 2018 cotrimoksaz 20 Jun 2018 TDF(300)+3TC(300)+EFV(600)

1 22 Jun 2018 22 Jun 2018 cotrimoksaz 22 Jun 2018 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)
K, D 02 Jul 2018 Flukonazole 02 Jul 2018 TDF(300)+3TC(300)+EFV(600)

D cotrimoksaz 05 Jul 2018 TDF(300)+3TC(300)+EFV(600)

ZDV(100)+3TC(150)+NVP(200)

cotrimoksaz 09 Jul 2018 TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)

TDF(300)+3TC(300)+EFV(600)
 Akhir follow-up dengan ART

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1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

23 Dec 2015 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1 RK 1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

02 Mar 2016 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

22 Aug 2013 1T M

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

50)+LPV/R(200/50) 1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 Dec 2013 1T 2T M

11 Nov 2013 1T 1T M

12 Dec 2013 1T 1T 2T M

29 Nov 2013 1T M

26 Feb 2014 1 RM 1T 2T 2T 2T A A A

23 Oct 2013 1T A A A
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1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

06 Feb 2017 1T 1T 2T A A A

1 RM 1T 1T 1T 1T 1T A 1T 1T 1

16 Feb 2014 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

12 May 2014 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 Sep 2017

1T A A A 1T 1T 1T 1T 2T 2T

01 Nov 2014 1T A A T M

25 Jan 2018 1T A A A

50)+LPV/r(200/50) 1T 2T 2T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 1T 1T 1T 1T 2T 1T 2
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1 RM 1T 1T 1T 1T 1

19 Aug 2014 T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 Apr 2015 1T 1T 1T 1T 1T 2T 2T 2T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T A 2T 1T 2T 2T 1T 1T 1

01 Dec 2016 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 2T 2T A A A

T 1T 1T 2T 2T 2T 2T 2T 2T 1T 1T 1 RK 1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1

1 RM 1T 1T 1T 1T 1

14 Sep 2015 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1 RK

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 Dec 2014 1T 2T M

18 Oct 2014 1T M

01 Mar 2016 1T 1T 2T 2T 2T A A A M

01 Apr 2017 1T 3T A A A T 1T 1T A A T 1T 1T 1T 1T 1T 1T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

20 Apr 2015 1T 1T A T 2T A A A

01 Oct 2015 1T 1T 1T 1T A T 1T A A A RK

09 Jun 2015 1T A T 1T 1T 1T A A A
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1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

11 Nov 2016 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T 2T A A

03 Jun 2015 1T 1T A M

09 Mar 2015 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

23 Mar 2016 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T A A A

01 Oct 2015 1T 1T 1T 1T 1T 1T 2T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

12 May 2015 1T M

28 May 2015 1T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 Nov 2017 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T 2T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2

13 Jun 2017

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 Jul 2015 T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1
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01 Nov 2015 1T A A M

01 May 2017 1T A A A M

11 Jul 2017 1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 Nov 2017 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 1T 2T 1T A

21 Nov 2016 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 1T 1T 2T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T A A 1T 1T 1T 1T 1T 1T 1

01 Dec 2015 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 2T A A A 1T 1T 1T 1T 2T 2T 2T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 Apr 2016 1T M

23 Feb 2016 1T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

04 Mar 2016 1T A A A

05 May 2016 1T M

01 May 2016 1T 2T M

12 Jun 2017 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1 RK

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

01 May 2017 1T 1T 1T 2T 2T 2T A A A M
01 Jun 2016 1T 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

24 Jun 2017 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T M

01 May 2017 1T 1T 1T 2T 2T A A A M

1T 2T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 2T 1T 1T 1T 1

1T 2T 1T 1T 2T 1T 1T 1T 2T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

30 May 2018 1T 1T 1T 1T 1T 2T A A A 1T A A A M

10 Sep 2016 1T A A A M

29 Oct 2016 1T A A A

21 Nov 2016 1T 1T 1T 1T 1T 2T 2T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

19 Dec 2016 1T 1T 2T 1T A A 2T 2T A A A

1T 1T 1T 2T 2T 2T 1T 1T 1T 1T 2T 2T 1T 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 2T 3

07 Jun 2017 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T A A

22 Nov 2017 1T 2T A A 2T 1T 1T 1T 1T 1T 1T 2T 1T 2T A A A

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

01 Jun 2018 1 RM 1T 1T 1T 1T 1T 1T 2T 2T 2T 1T 1T 1

1 RM 1T 1T 2T 2T 1T 1T 1T 1T 2T 1T 1T 1

01 May 2018

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
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01 Jul 2018

24 Jan 2017 1T 1T 2T 2T 2T A A A

01 Oct 2016

01 Oct 2016

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1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

21 Oct 2016 1T A A A

25 Apr 2017 1T 1T 1T 1T 1T 1T 2T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

01 Dec 2016 1T RK

01 Dec 2016 1T RK

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

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1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 1T 1T A A A T

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01 Aug 2017 1T 1T 1T 1T 1T 1T 1T 1T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

01 Jun 2017 1T T A A M

02 Mar 2017 1T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

10 Mar 2017 1T A A A

04 Jan 2018 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

01 Apr 2017 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

16 Oct 2017 1T 1T 1T 1T 1T 1T 1T 1T 1T 1 RK

17 Apr 2017 1T A A A

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22 May 2017 1T 1T A A A
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01 Jun 2017 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

01 Jan 2018 1T 1T A A A M

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

02 Jan 2018 1 RM 1T 1T 1T 1T 1T 1T 1 RK

21 Aug 2017 1T 1T 1T A A A

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 2T 2T 2T 1T A 1T 1T 1T

01 Dec 2017 1T 1 RK

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

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20 Oct 2017 1T 1T 1T A A A

30 Apr 2018 1 RM 1T 1T 1T 1T 1

1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

11 Jan 2018 1T 1T 1T 1T 1 RK
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1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

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01 Dec 2017 1T M

1T 1T 1T 1T 1T 1T 1T 1T 1T

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07 Jan 2018 1T 1T M

11 Jan 2018 1T 1T 2T A A A

11 Jan 2018 1T 1T 2T A A A

26 Jun 2018

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01 Jan 2018 1T M

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T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

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T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
 1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1 RM 1T 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 2T A A A

T 2T 1T 2T 1T 1T 1T 1T 1T 2T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T A A A

1 RM 1T 1

T 1T 1T 2T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 2T 2T 1T

T 1T 1T 1T 1T

T 1T 1T 1T

1 RM 1T M

T 1T 1T 1T
T 1T 1T

T 1T

T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T M

T 1T 1T 1T 1T 1T 1T 2T 1T 2T 1T 1T 1T
1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T A A A M

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1
 1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1 RK
1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 2T 2T
T
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T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1
T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1
T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

1 RM 1T 1T 1T 1

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

T 1T 1T 1T 1T 2T 2T A A A T 2T 1T 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
 1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T 2T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
 1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1T 1 RK

1T 1 RK

1 RM 1T 1T 1T 1

T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T
1 RM 1T 1T 1T 1T 2T 2T 1T 1T 1T 1T
2 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
T
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T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

2 RM
T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
T 1T

T 1T 1T 1T 1T 1T 2T 1T 1T 1T 1T 2T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T

T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T

T 1T

T 1T 1T 1T 1T 1T 2T 2T 2T A A A
T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
1 RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
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1T 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 2T 2T 1T 1T 1T 1T 1T 1T 2T 1
1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
1T 1T 2T 2T A A A A
1T 1T 1T
1T 1T 1T 1T 1T 1T 1T 1A A A A
RM 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T 1T
 bln 156
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T 1T 1T 1T 1T M
ADHERENC
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bulan
Pd 108
bulan
Pd 120
bulan
Pd 132
bulan
Pd 144
bulan
Pd 156
bulan
Pd 168
bulan
Pd 180
bulan
Pd 192
bulan
Pd 204
bulan
Pd 216
Status fungsional 1 (Kerja), 2 (Ambulatori), 3 (Baring)

bulan
Pd 228
bulan
Pd 240
bulan
Pd 108
bulan
Pd 120
bulan
Pd 132
bulan
Pd 144
bulan
Pd 156
bulan
Pd 168
bulan
Pd 180
Nilai CD4 (% utk anak dan ibu
ak dan ibu hamil)

Pd 192 Pd 204 Pd 216 Pd 228 Pd 240

bulan bulan bulan bulan bulan