LAPORAN PELAYANAN

RAWAT JALAN TINGKAT PERTAMA (RJTP)

BULAN ……………………TAHUN 2018
KELURAHAN/DESA : USO

KUNJUNGAN SEHAT
NO TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KET
KONSEL HOME
BCG DPT POLIO CAMPAK HEP B
ING VISIT
1 12/2/2018 0000916480499 HABUBA 96 160 48 110/70 √
2 0000911481467 YAMINA 78 155 48 100/70 √
3 0000913675926 UMIDA.S 51 140 59 110/70 √
4 0000911404371 JASTIN 56 150 60 110/60 √
5 0000142739865 DIRWAN 33 179 56 90/60 √
6 13/2/2018 0000913678334 NURHAYATI B LUBIAN 30 101 60 110/70 √
7 0000165636437 SERLIH ISHAK 50 168 82 110/70 √
8 0001565561441 HAERANI 22 160 50 110/70 √
9 0001566042129 FITRIANI A.HASAN 26 155 58 110/70 √
10 0001565541584 RINI LUBIAN 39 148 48 110/70 √
11 14/02/2018 0000913682902 WILDA AGAMA 22 151 48 110/70 √
12 0000913722669 NIKMAWATI ADJAB 26 150 51 90/60 √
13 0001565561452 BALQIS APRILIA 02 78 19 √
14 0000913724010 INDRAWATI 17 150 45 90/60 √
15 0001996570348 YULIANTI 19 142 37 90/60 √
16 15/02/2018 0000913666588 MANIKAM 19 142 37 90/70 √
17 0000913676591 NISNAWATI 36 150 58 110/70 √
18 0000913824112 LISMAWATI MANGULELE 27 150 49 110/70 √
19 0000913731467 ARIANTI 32 148 48 90/70 √
20 0000913807991 ARNI BALANJA 39 140 48 110/70 √
21 17/02/2018 0000913714975 NUR FADLUN 35 150 49 100/60 √
22 0000913675678 SITI 30 150 50 110/70 √
23 0000911482705 AINUN 36 141 50 90/60 √
24 0000913678402 ALDA TAPUTRI 24 160 58 100/70 √
25 0000913738882 LILIS 24 150 55 100/70 √
26 19/02/2018 0000913738318 ALBAR 29 155 60 100/60 √
27 000091367684 SUMIATI 43 150 58 100/60 √
28 0000913698055 HARPIN M SALAMA 28 150 60 110/70 √
29 0000913698382 IRMA 23 152 58 90/60 √
30 0000913698358 IRFAN 25 160 55 90/60 √
31 2034q/02/2018 0001975250351 AMINAH 36 160 50 90/70 √
32 0001996528689 ISRAWATI 36 145 48 110/70 √
33 0001996524775 ALMAWATI 31 158 60 90/60 √
34 0001855055518 MAULIAN HI MAHDIN 31 165 50 90/60 √
35 0001567070372 KRISTINA LARE 28 149 38 90/70 √
36 5/12/2017 0000913676591 RUSDIN KAAPI 36 150 52 100/70 √
37 0000913729836 4 29 150 48 110/70 √
38 0002205376563 SALEWA M 74 145 48 120/70 √
39 0001565254449 JUFRI LADODE 29 160 65 60/60 √
40 0001565254451 MERY LAGULET 25 158 55 110/70 √
41
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 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2019
KELURAHAN/DESA :

KUNJUNGAN SEHAT
NO TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSEL HOME KET
BCG DPT POLIO CAMPAK HEP B
ING VISIT
0001571865186 Majid balanja 68 165 58 100/80 √
0001571865197 umi yusuf 60 160 70 110/70 √
0001571865232 Bakir T lubian 62 163 57 110/70 √
0001571865242 sartin adam lalu 59 165 59 120/80 √
0001571865254 nusi patahe 58 160 60 120/80 √
0001571865265 djamrut latode 46 157 60 120/70 √
0001571865276 Hola 78 150 57 110/80 √
0001571865287 Budianto Lubian 38 158 55 120/80 √
0001571865322 markijang 58 158 60 110/80 √
0001571865333 arif susilo 32 156 58 100/80 √
0001571865344 Radis laslanut 48 157 57 120/70 √
0001571865423 Barak batambo 48 160 60 120/80 √
0001571865434 sarina suklaiman 45 150 57 100/70 √
0001571865478 boy batambo 21 160 60 120/60 √
0001571865502 rezki agus 19 157 57 110/70 √
0001571865513 moh.sofyan L 46 155 58 120/70 √
0001571865524 alif fajar L 30 160 61 100/70 √
0001571865535 Moh.rezki L 18 157 58 120/70 √
0001571865557 Hasria pakaya 47 155 55 110/70 √
0001571865568 umida kubonta 53 157 60 120/70 √
0001571865576 Ilwan M hasan 43 155 57 110/70 √
0001571865581 erik andrisa 18 148 58 120/70 √
0001571865592 syakir B 38 157 61 100/70 √
0001571865603 Tira kaapi 41 155 58 120/70 √
0001571865614 Harsab m.n 20 157 55 110/70 √
0001571865658 Nuraida dermis 55 155 60 120/70 √
0000916480499 HABUBA 96 160 48 110/70 √
0000911481467 YAMINA 78 155 48 100/70 √
0000913675926 UMIDA.S 51 140 59 110/70 √
0000911404371 JASTIN 56 150 60 110/60 √
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2018
KELURAHAN/DESA :

KUNJUNGAN SEHAT
NO TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSELIN HOME KET
BCG DPT POLIO CAMPAK HEP B
G VISIT
0001571865671 Yosep kauning 40 165 58 100/80 √
0001571865682 Nuri Batambo 58 160 70 110/70 √
0001571865693 nilce Kauning 21 163 57 110/70 √
0001571865704 mahmud tabali 72 165 59 120/80 √
0001571865748 ahmat talindong 47 160 60 120/80 √
0001571865759 amsal talindong 19 155 60 120/70 √
0001571865761 adrian santaru 41 150 57 110/80 √
0001571865772 Chatrin spear 31 158 55 120/80 √
0001571865804 Ratna patambo 34 158 60 110/80 √
0001571865849 Alexander 49 156 58 100/80 √
0001571865851 Yul delvin 37 157 57 120/70 √
0001571865862 liknal 18 160 60 120/80 √
0001571865895 kahmudin 53 150 57 100/70 √
0001571865928 suwarno sio 42 160 60 120/60 √
0001571865928 muh faisal 31 157 57 110/70 √
0001571865985 wulan dari S 28 155 58 120/70 √
0001571865985 eduwar mandapar 42 160 61 100/70 √
0001571865996 rian hidayat 20 157 58 120/70 √
0001571866007 suhandi datu adam 36 155 55 110/70 √
0001571866031 hasrun lasewa 38 157 60 120/70 √
0001571866031 hadija sarabi 45 155 57 110/70 √
0001571866064 alpinus hamatia 40 148 58 120/70 √
0001571866097 ramli muan 25 157 61 100/70 √
0001571866097 andri bausen 29 155 58 120/70 √
0001571866119 indra wati MS 18 157 55 110/70 √
0001571866154 fatia makarau 36 155 60 120/70 √
0000142739865 DIRWAN 33 179 56 90/60 √
0000913678334 NURHAYATI B LUBIAN 30 101 60 110/70 √
0000165636437 SERLIH ISHAK 50 168 82 110/70 √
0001565561441 HAERANI 22 160 50 110/70 √
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2019
KELURAHAN/DESA :

KUNJUNGAN SEHAT
NO TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSELIN HOME KET
BCG DPT POLIO CAMPAK HEP B
G VISIT
0001571866165 nur fadlia kasman 4 117 25 √
0001571866176 Reki tiak 31 160 70 110/70 √
0001571866187 mayasari narai 30 163 57 110/70 √
0001571866209 darlin ladjawa 38 165 59 120/80 √
0001571866211 andiyanto 43 160 60 120/80 √
0001571866222 malyam majid 35 155 60 120/70 √
0001571866233 yarsen posuka 59 150 57 110/80 √
0001571866244 supri sigar 32 158 55 120/80 √
0001571866255 rahmayanti M 28 158 60 110/80 √
0001571866266 putri sigar 10 156 58 100/80 √
0001571866277 guntur indraj 34 157 57 120/70 √
0001571864591 Haen nansiang 31 160 60 120/80 √
0001571864602 iko pakaya 43 150 57 100/70 √
0001571864613 Toni L 53 160 60 120/60 √
0001571613265 kamarudin KP 18 157 57 110/70 √
0001571864697 sivora 41 155 58 120/70 √
0001571864692 gunawan.L 27 160 61 100/70 √
0001571864714 Hawaty.PAU 41 157 58 120/70 √
0001571613401 ritna lintungan 34 155 55 110/70 √
0001571613434 vera wati P 31 157 60 120/70 √
0001571613445 fajarudin L.P 23 155 57 110/70 √
0001571614725 bobi wardana 18 148 58 120/70 √
0001571613557 markley bayu narai 27 157 61 100/70 √
0001571613568 merlina ahajab 33 155 58 120/70 √
0001571613581 moh hadar 28 157 55 110/70 √
0001571613592 kiki komatui 22 155 60 120/70 √
0000913722669 NIKMAWATI ADJAB 26 150 51 90/60 √
0001565561452 BALQIS APRILIA 02 78 19 √
0000913724010 INDRAWATI 17 150 45 90/60 √
0001996570348 YULIANTI 19 142 37 90/60 √
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2018
KELURAHAN/DESA :

KUNJUNGAN SEHAT
NO TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSE HOME
BCG DPT POLIO CAMPAK HEP B
LING VISIT
0001571864736 Novi salastri 20 155 58 100/80 √
0001571864769 Herip tinda bola 42 160 70 110/70 √
0001571864815 Rahmat 31 163 57 110/70 √
0001571864826 Hamila Luntab 31 165 59 120/80 √
0001571864635 Rugaiya P. 44 160 60 120/80 √
0001571866288 Titik mariati 44 155 60 120/70 √
0001571866301 Usmani 39 150 57 110/80 √
0001571866312 Agus winarno 25 158 55 120/80 √
0001571866323 Arsita 21 158 60 110/80 √
0001571864534 Asna A.Pattaule 47 156 58 100/80 √
0001571864512 Henok sholtan 54 157 57 120/70 √
0001571612804 Sulistyo P.P 24 160 60 120/80 √
0001571612815 Burhan usu 43 150 57 100/70 √
0001571864567 Nur m.sulaiman 35 160 60 120/60 √
0001571864578 Syamsudin patta pute 49 157 57 110/70 √
0001571612894 farina anggita 24 155 58 120/70 √
0001571612905 nur kumala 47 160 61 100/70 √
0001571612916 Irvan aprilia 22 157 58 120/70 √
0001571864589 Nurfadilah k 29 155 55 110/70 √
0001571613107 Rahmawati L 31 157 60 120/70 √
0001571613085 Yuanita 23 155 57 110/70 √
0001571613096 Anindia fauzia 3 114 14 √
0001571613142 Bahraeni A.H 55 157 61 100/70 √
0001571613175 rosmiati 22 155 58 120/70 √
0001571613197 reni apriyanti 21 157 55 110/70 √
0001571864523 Arbayah 46 155 60 120/70 √
0000913666588 MANIKAM 19 142 37 90/70 √
0000913676591 NISNAWATI 36 150 58 110/70 √
0000913824112 LISMAWATI MANGULELE 27 150 49 110/70 √
0000913731467 ARIANTI 32 148 48 90/70 √
KET
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2019
KELURAHAN/DESA : KELURAHAN/DESA :

KUNJUNGAN SEHAT
NO TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSELI KET NO
HOME VISIT BCG DPT POLIO CAMPAK HEP B
NG
0001571450589 Dorus solitan 42 165 58 100/80 √
0001571450591 Emi sausabung 46 160 55 110/70 √
0001571450602 Erlin marlinda solutan 21 155 57 110/70 √
0001571450613 Derlan malkiani solitan 17 154 45 110/80 √
0001571450624 Depredin Yosua solitan 13 160 60 120/80 √
0001571450635 LASARUS TIBINGE 71 157 60 120/70 √
0001571450646 YULIANA LALIO 73 150 57 110/80 √
0001571450657 SIMSON KAUING 63 158 55 120/80 √
0001571450668 DINA TUIMAN 58 158 60 110/80 √
0001571450679 SERPIN KAUNING 43 156 58 100/80 √
0001571450681 EFLON KEDENG 30 157 57 120/70 √
0001571450692 RESNIATI 22 160 60 120/80 √
0001571450703 DERSON MASIGINO 48 150 57 100/70 √
0001571450714 ASMAN TETE'EL 40 160 60 120/60 √
0001571450736 YOSEP KAUNING 55 157 57 110/70 √
0001571450747 NURI BATAMBO 58 155 58 120/70 √
0001571450758 MARLIN SAMPE 38 160 61 100/70 √
0001571450771 CRISTOPEL BATAMBO 5 120 30 √
0001571450782 YONES KAUNING 32 155 55 110/70 √
0001571450793 NONCE TALINDONG 32 157 60 120/70 √
0001571450826 LEPRATMAN LITUNGAN 46 155 57 110/70 √
0001571450837 EVA LAWESANG 46 148 58 120/70 √
0001571450848 DEBORA ICA ANGGARAINI 18 157 61 100/70 √
0001571450859 SAMUEL JUANLI 16 155 58 120/70 √
0001571450861 VERYSON L BONEAN 36 157 55 110/70 √
0001571450872 RUSTIN SITOKI 43 155 60 120/70 √
0000913807991 ARNI BALANJA 39 140 48 110/70 √
0000913714975 NUR FADLUN 35 150 49 100/60 √
0000913675678 SITI 30 150 50 110/70 √
0000911482705 AINUN 36 141 50 90/60 √
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2019
KELURAHAN/DESA : KELURAHAN/DESA :

KUNJUNGAN SEHAT
NO TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSELI KET NO
HOME VISIT BCG DPT POLIO CAMPAK HEP B
NG
0001571450949 MELNI 21 165 58 100/80 √
0001571450951 DELIS 19 160 55 110/70 √
0001571450973 DEMUS TUIMAN 58 155 57 110/70 √
0001571450984 LINCE BATANBO 55 154 45 110/80 √
0001571450995 DANI JULIANTO T 13 160 60 120/80 √
0001571451006 NURBIA NUSI 48 157 60 120/70 √
0001571451017 MUH.FAHRI 19 150 57 110/80 √
0001571451039 RAHMAT B MARIDA 37 158 55 120/80 √
0001571451041 HAMJA 54 158 60 110/80 √
0001571451052 MUDRA 53 156 58 100/80 √
0001571451063 MUHAMMAD GENTA 18 157 57 120/70 √
0001571451074 IHWAN N HAYA 43 160 60 120/80 √
0001571451107 JAMAL 44 150 57 100/70 √
0001571451118 HASLAN DJ SUKE 39 160 60 120/60 √
0001571451129 KALSUM K LUBIAN 41 157 57 110/70 √
0001571451153 ALONG PATTA SULLE 63 155 58 120/70 √
0001571451164 ASNA PATTA SULLE 47 160 61 100/70 √
0001571451175 SYAIFUDIN HUSEN 36 120 30 √
0001571451186 YUSNI YUSUF 36 155 55 110/70 √
0001571451197 SULIS EKA PRATIWI 12 140 40 100/70 √
0001571451208 NAURA SELVY ZEVANYA 7 119 35 √
0001571451219 USMAN LAMAJIDO 43 148 58 120/70 √
0001571451221 SITTI RUGAIYA PATTA PUTE 42 157 61 100/70 √
0001571451232 RAHMA SARI WINDRI YANI 15 155 58 120/70 √
0001571451254 MUSRIN 46 157 55 110/70 √
0001571451265 RUSMAWATI MUSRIN 42 155 60 120/70 √
0001571451276 RISWAN M LATODE 21 157 58 120/70 √
0001571451287 MUSPIRA M LATODE 15 155 61 100/70 √
0001571451309 WAYAN DINATA 46 158 58 120/70 √
0001571451311 ROBIN DINATA 21 154 50 100/70 √
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2019
KELURAHAN/DESA :

KUNJUNGAN SEHAT
TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSELI HOME KET
BCG DPT POLIO CAMPAK HEP B
NG VISIT
0001571451322 RAHIM BATAMBO 29 165 58 100/80 √
0001571451333 ELVINA BANAWA 29 160 55 110/70 √
0001571451355 AMIR TALINDONG 36 155 57 110/70 √
0001571451366 NURPIN 34 154 45 110/80 √
0001571451377 ANDICHA 13 140 45 100/80 √
0001571451388 MURNIA LAOSA 43 157 60 120/70 √
0001571451399 MUSTAR MADJID 45 150 57 110/80 √
0001571451401 NANDI 52 158 55 120/80 √
0001571451412 ISRAWATI D 53 158 60 110/80 √
0001571451434 NOLDI A HAPARI 32 156 58 100/80 √
0001571451445 SOFYAN LADJIHAM 37 157 57 120/70 √
0001571451456 AUDINA LADJIHAM 6 125 35 120/80 √
0001571451467 ARDIN N HASAN 56 170 67 100/70 √
0001571451478 JUHAENA YAHYA 45 160 60 120/60 √
0001571451489 FITRAWATI A HASAN 21 157 57 110/70 √
0001571451491 FAJRIL 10 130 37 100/70 √
0001571451513 RIDWAN P 48 160 61 100/70 √
0001571451524 BALDIYA 50 120 30 110/70 √
0001571451535 PURNOTO 37 155 55 110/70 √
0001571451546 MASRUROH 32 157 60 120/70 √
0001571451557 LAILA RISKA AYU SAPUTRI 16 155 57 110/70 √
0001571451568 FAJAR YUSUF ARIFIN 14 143 43 120/70 √
0001571451592 NASRULLAH UKA 33 157 61 100/70 √
0001571451603 OKTA NURBAYATI 29 155 58 120/70 √
0001571451625 SUDIRMAN HAMASIA 57 157 55 110/70 √
0001571451636 MISNI T PAKAYA 53 155 60 120/70 √
0001571451647 ZUL FIKRAM 19 157 60 120/80 √
0001571451658 SRI ANDINI 17 155 57 100/70 √
0001571451669 ILMA 32 158 60 120/60 √
0001571451682 ARIF 28 154 57 110/70 √
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2019
KELURAHAN/DESA :

KUNJUNGAN SEHAT
TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSELI HOME KET
BCG DPT POLIO CAMPAK HEP B
NG VISIT
0001571451704 KURDI 46 165 58 100/80 √
0001571451715 MARIJIA 43 160 55 110/70 √
0001571451726 NURMANINGSIH 19 155 57 110/70 √
0001571451737 ANDI MISBAHUDIN 36 154 45 110/80 √
000157145748 RAHMAYANI 26 140 45 100/80 √
0001571451761 MISNI KUNUT 53 157 60 120/70 √
0001571451772 ARSAD HI DG MASALEH 38 150 57 110/80 √
0001571451794 PANJI EKA PUTRA 18 158 55 120/80 √
0001571451805 MEGAWATI DEWI PUTRI 17 158 60 110/80 √
0001571451816 RUSTAM R.S 40 156 58 100/80 √
0001571451827 SELVIANI 35 157 57 120/70 √
0001571451838 SILVANI R.S 18 125 35 120/80 √
0001571451845 M AFGAN MAULANA 16 170 67 100/70 √
0001571451862 MAKMUR BATAMBO 50 160 60 120/60 √
0001571451873 ARAWIYA MALOLOBI 54 157 57 110/70 √
0001571451884 MASDAR BATAMBO 25 130 37 100/70 √
0001571451895 IRMAWATI BATAMBO 18 160 61 100/70 √
0001571451906 BURHAN 43 120 30 100/80 √
0001571451917 HUSNI 42 155 55 110/70 √
0001571451928 RISAL 20 157 60 120/70 √
0001571451939 FERDI 18 155 57 110/70 √
0001571451941 ASHAR 45 143 43 120/70 √
0001571451952 LOVY 23 157 61 100/70 √
0001571451963 IRFAN DALILA 42 155 58 120/70 √
0001571451974 HAENI LAUBEKA 36 157 55 110/70 √
0001571451985 WINDA DALILA 18 155 48 120/70 √
0001571451996 WINDI DALILA 18 157 47 120/80 √
0001571452018 ABDI A HAPARI 36 155 57 100/70 √
0001571452029 WISRA R PAULANGGENE 28 158 60 120/60 √
0001571452031 AFRIAN A HAPARI 8 120 30 √
 LAPORAN PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP)
BULAN ……………………TAHUN 2019
KELURAHAN/DESA :

KUNJUNGAN SEHAT
NO TANGGAL NO KARTU NAMA PESERTA KELUHAN UMUR TB BB TD KONSELIN HOME KET
BCG DPT POLIO CAMPAK HEP B
G VISIT
0001571452041 SURAIT M SALIM 52 165 58 100/80 √
0001571452053 SAMSUDIN LASIWA 58 160 55 110/70 √
0001571599091 SRI WAHYUNI 28 155 57 110/70 √
0001571599091 RAMLIN ISHAK 60 154 45 110/80 √
0001571600204 IRKAWATI LITUNGAN 27 160 60 120/80 √
0001571600215 RITNA LITUNGAN 34 157 60 120/70 √
0001571600248 RINA LASIA 50 155 60 110/80 √
0001571600294 RINA N .HAKIM 32 158 55 120/80 √
0001571600305 JASRA 46 158 60 110/80 √
0001571600395 DJAMILA 40 156 58 100/80 √