Rekap Edukasi

Rekap Pemeriksaan MIS Juni 2018
no Nama Pasien Tanggal Pemeriksaan Skor

1 Nani Karwati 6/5/2018 11
2 Tanti S 6/6/2018 6
3 E. Ferawati 6/8/2018 4
4 Albert Gustaf 6/8/2018 5
5 Astuti Dyah 6/13/2018 4
6 Henny Hendrayani 6/13/2018 7
7 Endang Sambas 6/13/2018 4
8 Jaja 6/14/2018 3
9 Nia Kurniati 6/20/2018 4
10 Saleh 6/22/2018 6
11 Jinawati 6/26/2018 11
12 Elly Kurniawati 6/18/2018 8
Rekap Pemeriksaan MIS Agustus 2018
no Nama Pasien Tanggal Pemeriksaan Skor

1 Nandi 8/2/2018 4
2 Nia Kurniawan 4/3/2018 2
3 Deden Ahmad 4/3/2018 5
4 Dede Eni Rohaeni 4/3/2018 3
5 Euis Yetti 4/3/2018 10
6 Saripin 4/3/2018 4
7 Eem Suhaemi 4/3/2018 4
8 Irwan S 8/6/2018 6
9 Dedeh [A] 8/8/2018 8
10 Yayah Samsudin 8/9/2018 4
11 Pendi Sugandi 8/9/2018 7
12 Andri Herdadi 8/9/2018 6
13 Dewi Hidayati 8/10/2018 6
14 Indri Andiyani 8/10/2018 4
15 Gunawan 8/10/2018 5
16 Tjokielie 8/10/2018 11
17 Ana Surya Bakar 8/11/2018 9
18 Mugi Waluyo 8/11/2018 7
19 Harun Nugraha 8/11/2018 5
20 Sayoto 8/11/2018 5
21 Kholidin 8/13/2018 4
22 Wiyono 8/13/2018 6
23 Ineu Isnaeni 8/13/2018 4
24 Sudiasih 8/13/2018 6
25 Iyum 8/13/2018 4
26 Ai Rahdiani 8/14/2018 10
27 Ahmad Aneng 8/14/2018 5
28 Oman Sutarman 8/14/2018 7
29 Puput 8/13/2018 8
30 Mulyono 8/15/2018 7
31 Mahsudi 8/15/2018 6
32 Agus Muhammad 8/15/2018 3
33 Deddy Djukardi 8/16/2018 9
34 Bob Sugeng 8/16/2018 7
35 Rosifah 8/16/2018 3
36 Tien Nova 8/17/2018 9
37 Adang Kusmana 8/17/2018 8
38 Lala Atmala 8/17/2018 3
39 Aan Supriatna 8/17/2018 3
40 Tri Aji 8/18/2018 6
41 Endang Amung 8/20/2018 10
42 Nengsih 8/20/2018 7
43 Lilis 8/20/2018 4
44 Andri Budiman 8/20/2018 6
45 O Liana 8/21/2018 10
46 Lia Susilowati 8/21/2018 2
47 Sanuki 8/21/2018 7
48 Dede Suryana 8/21/2018 3
49 Rosid 8/23/2018 9
50 Tatang S 8/23/2018 8
51 Encih 8/23/2018 12
52 Euis K 8/24/2018 9
53 Teti Supriyati 8/24/2018 5
54 Elah Herlina 8/24/2018 4
55 Edy Sucipto 8/24/2018 2
56 Siti Romlah 8/24/2018 6
57 Mita Yustari 8/25/2018 8
58 Ely Yulia 8/25/2018 3
59 Tiara Gita 8/25/2018 6
60 Encum 8/25/2018 12
61 Endo 8/27/2018 7
62 Hotimah 8/27/2018 2
63 Kalidin 8/27/2018 5
Jumlah
Edukasi HD Pemeriksaan MIS 62
Konseling/SGA 25
Total 87
Rekap Pemeriksaan MIS September 2018
No Nama Pasien Tanggal Pemeriksaan Skor

1 Harman 9/3/2018 3
2 Nuresa 9/4/2018 11
3 Agus Prijanto 9/4/2018 12
4 Susi Lestari 9/6/2018 2
5 Ian Rochayah 9/10/2018 6
6 Cucun Sunaryo 9/10/2018 4
7 Sadiah 9/11/2018 9
8 Herry Setiawan 9/12/2018 8
9 Tris Triasih 9/12/2018 12
10 Aida Elmala 9/15/2018 8
11 Tjoe Kie Lie 9/13/2018 11
12 Yono Sugiono 9/17/2018 7
13 P Sianturi 9/17/2018 4
14 Nurlaeli 9/17/2018 7
15 Lilis Mulyati 9/17/2018 4
16 Siti Maryam 9/17/2018 5
17 Yayah 9/17/2018 4
18 Ahmad Junaedi 9/17/2018 15
19 Rani Amalia 9/18/2018 3
20 Purnomo 9/18/2018 4
21 Rusmana 9/18/2018 1
22 Ade 9/18/2018 7
23 Devi Septiani 9/18/2018 8
24 M. Rizal 9/19/2018 6
25 Yuliana 9/19/2018 2
26 Isah 9/19/2018 7
27 Yeyeh 9/19/2018 7
28 E Sumiasih 9/19/2018 4
29 Apan Sofandi 9/20/2018 10
30 Yadi Rochman 9/20/2018 6
31 Asep Kamaludin 9/20/2018 10
32 Atdy Ardian 9/20/2018 3
33 Jubaedah 9/20/2018 10
34 Dina Dayana 9/24/2018 4
35 Eem 9/24/2018 9
36 Tusmawati 9/24/2018 7
37 Amin 9/24/2018 2
38 Mariyam 9/24/2018 15
39 Esron 8/25/2018 8
40 Agus Riil 12
41 Uci Mulyadi 9/28/2018 6
42 Rudi Yuliono 9/29/2018 6
Jenis Pemeriksaan Jumlah

Edukasi HD
Pemeriksaan MIS 42
Edukasi HD
SGA 25
Konseling 16
Total 83
Rekap Pemeriksaan MIS Oktober 2018 Rekap Pemeriksaa
No Nama Pasien Tanggal Pemeriksaan Skor No

1 Sudirman Martadisastra 10/4/2018 9 1
2 Dian Nurdianty 10/5/2018 4 2
3 Siti Aminah 10/6/2018 2 3
4 Jajang Rohimat 10/8/2018 9 4
5 Supartini 10/8/2018 6 5
6 Yani 10/8/2018 7 6
7 Doni Sarifudin 10/8/2018 3 7
8 Doni Septianto 10/8/2018 0
9 Nani Rukmini 10/9/2018 8
10 Oom Rochmah 10/9/2018 2
11 Dewi Maryati 10/9/2018 4
12 Sati 10/9/2018 9
13 Yayah Sopiah 10/10/2018 4
14 Suyadi 10/10/2018 13
15 Ulung Atar 10/12/2018 5
16 Herry Supianto 10/12/2018 2
17 Nurman Zaelani 10/12/2018 2
18 Uu Kamaludin 10/12/2018 8
19 Nandang Samsudin 10/13/2018 9
20 Susiladiharti 10/13/2018 4
21 Henny Farida 10/13/2018 1
22 Haeroni 10/16/2018 6
23 Ajan Sujana 10/23/2018 5
24 Amirah 10/23/2018 3
25 Dedeh Suanda 10/25/2018 9
26 Emis Nuryati 10/26/2018 8
27 Titik Lestari 10/26/2018 5
28 Ilva Verra 10/26/2018 5
30 Asep Hermawan 10/27/2018 7
31 Aneukeu 10/30/2018 9
Rekap Pemeriksaan SGA Oktober 2018 Rekap Konsultasi Oktober 201
Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Djaelani 10/3/2018 A 1 Ade Djunaesih
Atik 10/3/2018 A 2 Ani
Sudirman Martadisastra 10/4/2018 B 3 Akhmad Junaidi
Siti Aminah 10/6/2018 A 4 Mariani Rahayuningsih
Dindin Binaman 10/13/2018 B 5 Herry Setiawan
Wiwi 10/15/2018 B 6 Noor Ainah
Noor Ainah 10/16/2018 B 7 Heri K
8 Sri
9 Dodi Saripudin

Pemeriksaan MIS 31
Edukasi HD
SGA dan MIS 7
Konseling 9
Total 47
ekap Konsultasi Oktober 2018
Tanggal Pemeriksaan
10/2/2018
10/4/2018
10/4/2018
10/9/2018
10/10/2018
10/16/2018
10/17/2018
10/20/2018
10/22/2018
Rekap Pemeriksaan MIS November 2018 Rekap Pemeriksaan SGA Nov
No Nama Pasien Tanggal Pemeriksaan Skor No Nama Pasien

1 zaenal Mutaqin 11/20/2018 3 1 Kaswin
2 Icah Sekarwati 11/20/2018 6 2 Tjhin Hong Ngian
3 Euis Rostika 11/20/2018 6 3 Rafiando
4 Enung Nurjannah 11/17/2018 7 4 Engkar Kartini
5 Andhy Haryadi 11/24/2018 6 5 Sukmidi
6 Ade Djumarsih 11/9/2018 6 6 Eden
7 Agus Rohyadi 11/9/2018 3 7 Hendrawati
8 Slamet Riyadi 11/3/2018 6 8 Dikdik Rohendi
9 Patman 11/17/2018 4 9 Rustaman
10 Ikhsan Wibawa 11/17/2018 7 10 Elly Kurniawati
11 Diah Sinta 11/17/2018 5 11 Ading Sutisna
12 Dadan Taopik 11/17/2018 2 12 Toni Rohendi
13 Abdullah Supriatna 11/19/2018 6 13 Ermina Rasyid
14 Sri Wahyuningsih 11/12/2018 8 14 Wawan Gunawan
15 Lilis Komalawati 11/20/2018 5 15 Een
16 Euis Rostika 11/20/2018 6 16 Diding Komarudin
17 M Fitra Gautama 11/21/2018 12 17 Ronny Muharam
18 Lilis maemunah 11/28/2018 8 18 Teddy Kusnandar
19 Agus Supriatno 11/28/2018 6 19 Achmad Beki
20 Hendrawati 11/28/2018 8 20 Suhendrik
21 Didin Saepudin 11/7/2018 5 21 Sari Tirta Wangi
22 Nina Marlina 11/1/2018 8 22 Jajang Nurjaman
23 Jajat Sudrajat 11/21/2018 6 23 Cardi
24 Agustinus Sajil 11/22/2018 8 24 Ratna Ratnasih
25 Tumarno 11/22/2018 2
26 Deden Wahyu 11/23/2018 3
Edukasi HD
Total
ap Pemeriksaan SGA November 2018 Rekap Konsultasi Oktober 2018
Tanggal Pemeriksaan Hasil No Nama Pasien Tanggal Pemeriksaan

11/15/2018 A 1 Purnomo 11/17/2018
11/19/2018 A 2 Engkar Kartini 11/20/2018
11/19/2018 A 3 Ai Cucum 11/27/2018
11/20/2018 B 4 Eden 11/28/2018
11/23/2018 A 5 Engkar Suwarsih 11/13/2018
11/28/2018 A 6 Sopandi 11/13/2018
11/28/2018 A 7 Dikdik Rohendi 11/14/2018
11/14/2018 A
11/8/2018 A
11/12/2018 A
11/8/2018 A
11/16/2018 A
11/13/2018 A
11/16/2018 A
11/2/2018 B
11/13/2018 B
11/7/2018 A
11/27/2018 B
11/8/2018 A
11/6/2018 B
11/3/2018 A
11/7/2018 A
11/22/2018 A
11/28/2018 A
g

Pemeriksaan MIS 26
SGA 24
Konseling 7
Total 57
Rekap Pemeriksaan MIS Desember 2018 Rekap Pemeriksaan SGA De

1 Ika Rostika 12/1/2018 4 1
2 Titi Maryati 12/1/2018 8 2
3 Mujiman 12/4/2018 7 3
4 Iis Suryati 12/5/2018 6 4
5 Ase Darmatin 12/6/2018 7 5
6 Lilis Yulianti 12/10/2018 7 6
7 Ading Sutisna 12/10/2018 4 7
8 M Sudjana 12/11/2018 10 8
9 Gugun Abdul Latief 12/12/2018 4 9
10 Entin Hartini 12/14/2018 9 10
11 Tumpal Pintu Batu 12/14/2018 6 11
12 R Teti Setiawati 12/18/2018 9 12
13 Maskana 12/18/2018 8 13
14 Ari Sudarsono 12/18/2018 5 14
15 Yayu Dianti 12/19/2018 7 15
16 Asep Mulyadi 12/19/2018 6 16
17 Heri 12/19/2018 8 17
18 Senmin 12/19/2018 4 18
19 Enang Sumanda 12/19/2018 5 19
20 Wiwi Wiarsih 12/20/2018 6 20
21 Mahrus 12/21/2018 3 21
22 Onengsih 12/21/2018 10 22
23 Dindin Bin Aman 12/21/2018 6 23
24 Endang Suhendar 12/5/2018 8 24
25 Nia Kurnia 12/24/2018 3 25
26 Eli Indrawati 12/24/2018 7 26
27 Susi Supartini 12/31/2018 9 27
28 Cardi 12/31/2018 1 28
29 Kaswin 12/31/2018 5 29
30 Sukmidi 12/31/2018 11 30
31
32
33
34
35
36
Rekap Pemeriksaan SGA Desember 2018 Rekap Konsultasi Desember 2018

Tisna 12/1/2018 A 1 Ani Yuhamah
Ai Bida 12/1/2018 A 2 Susiladiharti
Mujiman 12/4/2018 A 3 Teddy Kusnandar
R Adri Sumardi 12/5/2018 B 4 Wayan Soediana
Mien Mintarsih 12/5/2018 B 5 Adrian Biandiko
Rohayati 12/5/2018 B 6 Ase Darmatin
Sonny Andriana 12/5/2018 A
Murdi 12/6/2018 B
Titi Supartini 12/6/2018 B
Soegianto 12/8/2018 B
Hotmaria Pintauli 12/8/2018 A
Aan Iskandar 12/10/2018 B
Ida Nengsih 12/12/2018 A
Entin Hartini 12/14/2018 B
Richardus Purwanto 12/14/2018 A
Bayu Aprianto 12/18/2018 A
Elin Karlina 12/18/2018 B
Cecep Mulyana 12/18/2018 B
Talam 12/18/2018 B
Iki 12/19/2018 A
Suyatno 12/20/2018 A
Stanny Angga 12/20/2018 A
Buche Budiyanto 12/20/2018 A
Ujang Sair 12/21/2018 A
Dayat Hidayat 12/22/2018 B
Benny Arifin 12/24/2018 A
Endang (L) 12/24/2018 B
Mulyanto 12/25/2018 A
Wayan Soediana 12/26/2018 B
Tuti 12/26/2018 B
Taryati 12/26/2018 B
Kasman Manulang 12/27/2018 B
I Sumiyati 12/28/2018 B
Titin Srinuryati
Popon 12/31/2018 B
Herliani Soendjaya 12/31/2018 B

Pemeriksaan MIS 30
Edukasi HD
SGA 36
Edukasi HD
Konseling 6
Total 72
ekap Konsultasi Desember 2018
Tanggal Pemeriksaan
12/6/2018
12/6/2018
12/21/2018
12/26/2018
12/26/2018
12/31/2018
Rekap Pemeriksaan MIS Januari 2019 Rekap Pemeriksaan SG

1 Sunaidi 1/1/2019 8 1
2 Ngatno 1/2/2019 5 2
3 Imas Sartika 1/4/2019 7 3
4 Ujang Asmarandana 1/4/2019 3 4
5 Jajang Nurjaman 1/12/2019 7 5
6 Yahya Samsudin 1/14/2019 3 6
7 Ade Isnaeni 1/14/2019 3 7
8 Andi Sardi S 1/14/2019 2 8
9 Cecep Roni 1/15/2019 4 9
10 Rohannah 1/15/2019 4 10
11 Ida Nengsih 1/16/2019 5 11
12 Odin Mahpudin 1/19/2019 5 12
13 Dedi Rohendi 1/19/2019 5 13
14 Sumartini 1/20/2019 8 14
15 Atih Nuryati 1/21/2019 8 15
16 Ermina 1/22/2019 2 16
17 Asep Kusnandar 1/22/2019 7 17
18 R Adri Sumadi 1/23/2019 8 18
19 Ayi Cahya 1/23/2019 2 19
20 Herliana Soendjaya 1/24/2019 8 20
21 Suhendrik 1/25/2019 4 21
22 Mien Mintarsih 1/25/2019 9
23 Etty Setiyaningsih 1/26/2019 5
24 Asep Yaya 1/26/2019 3
25 Aah 1/26/2019 5
26 Een 1/26/2019 8
27 Lili Somantri 1/26/2019 3
28 Yusi Santika 1/29/2019 7
29 Elah Nurhayati 1/29/2019 6
30 Engkar Kartini 1/29/2019 14
31 Iki 1/29/2019 0
32 Buche Budyanto 1/30/2019 1
33 Tisna 1/30/2019 7
34 Djadjang 1/31/2019 8
35 Tuti Rohaeti 1/31/2019 3
Rekap Pemeriksaan SGA Januari 2019 Rekap Konsultasi Januari 2019

Ngatno 1/2/2019 A 1 Heru Priyanto
Endang, Ny 1/2/2019 A 2 Heru Priyanto
Soni Sahroni 1/2/2019 B 3 Idan Wildan
Rustam Tisnaningsih 1/3/2019 A 4 Etty Setyaningsih
Atih Nuryati 1/3/2019 A 5 P Sianturi
Hasan Udin 1/4/2019 B 6 Tuti Rohaeti
Fika Dwi Minati 1/4/2019 A 7 Andri Budiman
Endo Herno 1/7/2019 B
Edi Setiyono 1/7/2019 A
Yusi Santika 1/8/2019 A
Tati Sri Hartati 1/10/2019 A
Euis Cucu 1/14/2019 B
Osten Daud 1/14/2019 B
Dede Koswara 1/17/2019 B
Nana Sumpena 1/21/2019 A
Sudirman 1/21/2019 B
Lilis Suryani 1/28/2019 A
R Etty Kurniati 1/29/2019 B
Masyamsir 1/30/2019 A
Karlan 1/31/2019 B
Entang Setiawan 1/17/2019 A
a
b
c

Pemeriksaan MIS 35
Edukasi HD
SGA 21
Konseling 7
Total 63
Total Pasien Ranap 228

Edukasi Ranap Pasien Teredukasi 172
Edukasi Ranap
Persentase 75.4%
TOTAL 234
Rekap Konsultasi Januari 2019
Tanggal Pemeriksaan
1/7/2019
1/14/2019
1/5/2019
1/8/2019
1/10/2019
1/10/2019
1/14/2019
12
9
0
Rekap Pemeriksaan MIS Februari 2019 Rekap Pemeriksaan SGA Feb

1 Ai Bida 2/1/2019 6 1 Erna Siti
2 Abi 2/5/2019 10 2 Maya S
3 Mariani Rahayuningsih 2/5/2019 4 3 Wati Embuh
4 Ade Isnaeni 2/7/2019 3 4 Sunarsih
5 Sonny Andriana 2/9/2019 3 5 Heni Rohaeni
6 Hasan Udin 2/11/2019 9 6 Ade Suryati
7 Tjin Liong Ngian 2/11/2019 10 7 Sudiro
8 Suyatno 2/11/2019 5 8 Ujang Peri K
9 Jonson Sanbasa 2/12/2019 6 9 Agus
10 Siti Maryam 2/17/2019 9 10 Heni Rohaeni
11 Imas Komariah 2/17/2019 8 11 Cahya Nugraha
12 Liliana Rinawati 2/19/2019 3 12 Dodi Koswara
13 Tati Srihartati 2/20/2019 3 13 Ai Tati
14 Noor Ainah 2/21/2019 10 14 Ade Wahyu
15 Hendrik Nurdiansyah 2/22/2019 6 15 Syarifah
16 Cecep Roni 2/22/2019 6
17 Dede Koswara 2/23/2019 7
18 Popon 2/25/2019 11
19 Toni Rohendi 2/25/2019 6
20 Wildan Syafiq 2/26/2019 2
21 Soegianto 2/27/2019 7
22 Nana Sumpena 2/28/2019 8
Edukasi HD
Total
Edukasi Ranap
TOTAL
ap Pemeriksaan SGA Februari 2019 Rekap Konsultasi Februari 2019

2/6/2019 A 1 Toni 2/2/2019
2/12/2019 B 2 Ronny Muharam 2/2/2019
2/12/2019 B 3 Masyamsir 2/2/2019
2/8/2019 B 4 M Rifki Ariffin 2/2/2019
2/7/2019 5 Usep Hidayat 2/7/2019
2/7/2019 B 6 Irah 2/13/2019
2/7/2019 B 7 Agus 2/13/2019
2/5/2019 8 Noor Ainah 2/14/2019
2/13/2019 A 9 Nia Kurnia [B] 2/13/2019
2/15/2019 B 10 Irah 2/20/2019
2/18/2019 A 11 Idan Wildan 2/20/2019
2/22/2019 B 12 Nia Kurnia [B] 2/23/2019
2/26/2019 A 13 Rohanah 2/26/2019
2/27/2019 B 14 Oman Sutarman 2/26/2019
2/27/2019 B
Jenis Pemeriksaan Jumlah a 4

Pemeriksaan MIS 22 b 9
SGA 14 c 0
Konseling 14
Total 50

Pasien Teredukasi 181
Persentase 80%
TOTAL 231
i 2019
Rekap Pemeriksaan MIS Maret 2019 Rekap Pemeriksaan SGA M

1 Endang,Ny 3/6/2019 8 1
2 Euis Cucu 3/7/2019 12 2
3 Noor Ainah 3/7/2019 9 3
4 R.Etty Kurniati 3/12/2019 11 4
5 Erah 3/12/2019 8 5
6 Masyamsir 3/13/2019 4 6
7 Deden Wahyu 3/15/2019 3 7
8 Amid 3/15/2019 2 8
9 Faris Ahmad 3/16/2019 6 9
10 Atik Istiantini 3/16/2019 9 10
11 Taryati 3/16/2019 10 11
12 Oyok Karyo 3/21/2019 7 12
13 Wati Embuh 3/22/2019 5 13
14 Tati 3/22/2019 7 14
15 Dewi Maryati 3/25/2019 3 15
16 Nasikin 3/25/2019 2 16
17 Sarah Afifah A 3/26/2019 7 17
18 Maya Maryati 3/28/2019 8 18
19 Romlan 3/29/2019 4 19
20
21
22
23
24
25
26
26
27
28
29
Rekap Pemeriksaan SGA Maret 2019 Rekap Konsultasi Maret 2019

Tan Li Jien 3/1/2019 B 1 Cucu Suryani
Adeng Sulaeman 3/1/2019 A 2 Siti Aminah
Yanny 3/2/2019 B 3 Engkar Kartini
Nunu 3/2/2019 A 4 Amah
Priatna 3/4/2019 A 5 Osten Daud
Ade Rusman 3/5/2019 A 6 Hendrawati
Neneng 3/9/2019 B 7 Eni
Subakti 3/12/2019 A 8 Oman Sutarman
Erah 3/12/2019 A 9 Agus Sutiawan
Faris Ahmad 3/16/2019 A 10 Yaya
Dodi Koswara 3/16/2019 A 11 Nasikin
Amah 3/16/2019 B 12 Ayi Cahya
Oyok Karyo 3/18/2019 A
Enung Juariah 3/19/2019 B
Armi 3/19/2019 B
Neneng 3/19/2019 B
Agus Sutiawan 3/20/2019 A
Yaya 3/20/2019 B
Efrizal 3/21/2019 B
Sudrajat 3/21/2019 A
Eti Rohaeti 3/23/2019 B
Sarah Afifah A 3/26/2019 B
Atin Supriatin 3/26/2019 B
Ami Isyami 3/26/2019 B
Deni Soleh 3/27/2019 A
Wahyu 3/27/2019 B
Dodo Fachrurodji 3/27/2019 B
Epi Apiyati 3/28/2019 B
Karmini 3/28/2019 B
Romlan 3/29/2019 A
Joni Taryoni 3/30/2019 B
Jenis Pemeriksaan Jumlah a

Pemeriksaan MIS 19 b
Edukasi HD
SGA 29 c
Konseling 12
Total 60

Persentase 72.5%
TOTAL 229
p Konsultasi Maret 2019
Tanggal Pemeriksaan
3/8/2019
3/8/2019
3/13/2019
3/16/2019
3/18/2019
3/19/2019
3/19/2019
3/19/2019
3/20/2019
3/20/2019
3/25/2019
3/27/2019
13
18
0
Rekap Pemeriksaan MIS April 2019 Rekap Pemeriksaan S

1 Osten Daud 4/1/2019 10 1
2 Elah Herlina 4/2/2019 4 2
3 Sadimin 4/3/2019 5 3
4 Eem 4/4/2019 5 4
5 Sudiro 4/4/2019 8 5
6 Teti Supriyati 4/5/2019 6 6
7 Agus Prijanto 4/5/2019 5 7
8 Sri Setiawati 4/6/2019 8 8
9 Rustaman 4/8/2019 5 9
10 Josep Lisapaly 4/8/2019 8 10
11 Ade Suryati 4/9/2019 11 11
12 Frans Weiben 4/10/2019 5 12
13 Karlan 4/11/2019 6 13
14 Erna Siti 4/12/2019 5 14
15 M Nahrum 4/12/2019 9 15
16 Rum Rohaeti 4/15/2019 9 16
17 Taryati 4/16/2019 10 17
18 Euis Yetty Rohaeti 4/16/2019 5 18
19 Kokom Komalasari 4/17/2019 10 19
20 Hasan Fauzi 4/18/2019 2 20
21 Gugun Abdul Latief 4/20/2019 5 21
22 Agus Sutiawan 4/20/2019 6 22
23 Ijang Suparto 4/22/2019 5 23
24 Supriatni 4/22/2019 9 24
25 Enung Nurjanah 4/23/2019 6 25
26 Siti Djubaedah 4/25/2019 12 26
27 Ujang sair 4/25/2019 7 27
28 Ijang Junaedi 4/26/2019 7 28
29 Subakti 4/26/2019 7 29
30 Ida Rindayani 4/27/2019 7 30
31 Arif Iskandar 4/27/2019 8 31
32 Teddy Kusnandar 4/27/2019 10 32
33 Achmad Beki 4/29/2019 3 33
34 Adang Kusnara 4/30/2019 6 34
35 Aah 4/13/2019 5 35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
Rekap Pemeriksaan SGA April 2019 Rekap Konsultasi April 2019

Pendi Sugandi 4/1/2019 A 1 Syaripudin
Andi Herdadi 4/1/2019 A 2 Luky Lukman
Yani 4/1/2019 A 3 Eli Kurniawati
Donni Septianto 4/1/2019 A 4 Bayu Aprianto
Osten Daud 4/1/2019 B 5 Mulhimah
Syaripudin 4/1/2019 A 6 Ida Saidah
Rena Nur Octafiandi 4/1/2019 A 7 Ai Haryati
Luky Lukman 4/1/2019 A 8 Ani Yuhamah
E. Rodiah 4/1/2019 B 9 Yohanes Sugianto
Thomas Gunawan 4/2/2019 B 10 Euis Yetty Rohaeti
Agus Purnomo 4/2/2019 B 11 Nia Kurniawan
Nani 4/2/2019 A 12 Tjoe Kie Lie
Elah Herlina 4/2/2019 A 13 Dede Koswara
Sarah Afifah 4/2/2019 B 14 Yani Andriani
Liliana Rinawati 4/2/2019 A 15 Uu Kamaludin
Abi 4/3/2019 16 Siti Djubaedah
Mulhimah 4/4/2019 B 17 Tan Lie Tjien
Dedeng Efendi 4/4/2019 A 18 Endi Rusyana
Yani Indrayani 4/5/2019 B 19 Asep Yaya
Teti Supriyati 4/5/2019 A
Agus Prijanto 4/5/2019 A
Frans Weiben 4/6/2019 A
Ida Saidah 4/6/2019 B
Rustaman 4/8/2019 A
Ardi Sardi 4/8/2019 A
Onengsih 4/8/2019 A
Panji Fauzia 4/9/2019 A
Ai Haryati 4/10/2019 B
Yohanes Sugianto 4/10/2019 A
Nuryatin 4/10/2019 B
Tuti Rohaeti 4/11/2019 A
Imas Komariah 4/11/2019 A
Djadjang 4/11/2019 A
Moch Tahyan 4/11/2019 A
Endang Amung 4/11/2019 A
Karlan 4/11/2019 A
Erna Siti 4/12/2019 A
M Nahrum 4/12/2019 B
Wardi Suwardi 4/12/2019 C
Heri Kemaludin 4/11/2019 B
Slamet Riyadi 4/11/2019 A
Romlan 4/13/2019 A
Buche Budyanto 4/13/2019 A
Etty Liswaliyah 4/13/2029 B
Nurlaeli 4/15/2019 A
Irwan Suherwan 4/15/2019 A
Imas Komariah 4/15/2019 A
Kholidin 4/15/2019 A
U Tahrudin 4/15/2019 A
Lilis Yulianti 4/15/2019 B
Abdullah supriatna 4/15/2019 A
Rum Rohaeti 4/15/2019 A
Suhendrik 4/15/2019 A
Yuyun Yuningsih 4/15/2019 A
Supriatni 4/15/2019 B
Nani Rukmini 4/16/2019 A
Ermina 4/16/2019 A
Wawan Gunawan 4/16/2019 A
Yusi Santika 4/16/2019 A
Euis Kurniawati 4/16/2019 A
Amirah Sukmani 4/16/2019 A
Euis Yetty Rohaeti 4/16/2019 A
Nia Kurniawan 4/16/2019 A
Tjoe Kie Lie 4/16/2019 B
Deni Soleh 4/17/2019 A
Ratna Ratnasih 4/17/2019 A
Dedeh 4/17/2019 A
Kokom Komalasari 4/17/2019 A
Maskana Sumitra 4/17/2019 A
Asep Mulyadi 4/17/2019 A
Noor Ainah 4/17/2019 A
Sri Setiawati 4/17/2019 B
Adrian Biandiko S 4/17/2019 A
Hasan Fauzi 4/18/2019 A
Yayu Dianti 4/18/2019 A
Asep Yaya 4/18/2019 B
Asep Hermawan 4/18/2019 A
Idan Wildan 4/18/2019 A
Enung Juariah 4/18/2019 B
Enung Nurjanah 4/18/2019 B
Nunung Supartini 4/19/2019 B
Rusdi Al-Kadri 4/19/2019 A
Ida Suryanti 4/19/2020 B
Dede Koswara 4/20/2019 A
Gugun Abdul Latief 4/20/2019 A
Nana Juhana 4/20/2019 B
Ijang Suparto 4/22/2019 A
Popon 4/22/2019 A
Yuhan Bsc 4/22/2019 A
Enung Nurjanah 4/23/2019 A
Yudi Irawan 4/23/2019 A
Tien Nova Triana 4/23/2019 A
Uci Mulyawan 4/23/2019 A
Lala Atmala 4/23/2019 A
Uu Kamaludin 4/23/2019 A
Dede Suryana 4/23/2019 A
Dewi Hidayati 4/23/2019 A
Ade Suryati 4/23/2019
Moch Sudjana 4/23/2019 B
Rusmana 4/23/2019 A
Gunawan Wibisana 4/24/2019 A
Heri 4/24/2019 A
Iis Suryati 4/24/2019 A
Lina Setiawati 4/24/2019 B
Enang Sumanda 4/25/2019 A
Deden Ahmad 4/25/2019 A
Dewi Maryati 4/25/2019 A
Elly Kurniawati 4/25/2019 A
Usep Hidayat 4/25/2019 A
Eden 4/25/2019 A
Supartini 4/25/2019 A
Jajang Rohimat 4/25/2019 A
Lili Samsu Ramli 4/25/2019 A
Yahya Samsudin 4/25/2019 A
Siti Djubaedah 4/25/2019 B
Ujang sair 4/25/2019 A
Nasikin 4/25/2019 A
Ari Sudarsono 4/26/2019 A
Ijang Junaedi 4/26/2019 A
Ida Rindayani 4/27/2019 A
Arif Iskandar 4/27/2019 A
Achmad Beki 4/29/2019 A
Ahmad Sulaeman 4/29/2019 B
Wiyono Rahardjo 4/29/2019 A
Arief Surachman 4/29/2019 A
Endi Rusyana 4/30/2019 B
Nana Rahmana 4/4/2019 A
Jenis Pemeriksaan Jumlah a

Pemeriksaan MIS 34 b
Edukasi HD
SGA 125 c
Konseling 19
Total 178

Persentase 66.4%
TOTAL 336
TOTAL PASIEN HD 451

SGA 2 BULAN TERAKHIR (%) 33.4811529933481
168
Konsultasi April 2019
Tanggal Pemeriksaan
4/1/2019
4/1/2019
3/4/2019
3/4/2019
3/4/2019
3/6/2019
4/10/2019
4/10/2019
4/10/2019
4/16/2019
4/16/2019
4/16/2019
4/20/2019
4/22/2019
4/23/2019
4/25/2019
4/25/2019
4/30/2019
4/30/2019
96
29
1
Rekap Pemeriksaan MIS Mei 2019 Rekap Pemer

1 Iyun Saumi Yuningsih 5/1/2019 3 1
2 K Beni Mulyana 5/2/2019 2 2
3 Yudi Irawan 5/3/2019 8 3
4 H.D Inanoe Muhidin 5/4/2019 8 4
5 Irah Sutirah 5/4/2019 11 5
6 Supartini 5/6/2019 5 6
7 Enang Sumanda 5/6/2019 2 7
8 Heru Priyantoro 5/6/2019 13 8
9 Epi Apiyanti 5/8/2019 7 9
10 Jumaeli Jamaludin 5/10/2019 7 10
11 Nunung 5/10/2019 10 11
12 Harun Nugraha 5/11/2019 5 12
13 Edeng 5/11/2019 9 13
14 Atin Supriatin 5/13/2019 5 14
15 Uu Kamaludin 5/14/2019 4 15
16 Aan Supriatna 5/14/2019 4 16
17 Sudrajat 5/14/2019 6 17
18 Entang Setiawan 5/15/2019 8 18
19 Asis 5/15/2019 5 19
20 Agus Purnomo 5/15/2019 8 20
21 Bob Sugeng 5/16/2019 8 21
22 Arief Surachman 5/16/2019 4 22
23 Neneng S 5/16/2019 11 23
24 Aah 5/17/2019 7 24
25 Ai Haryati 5/18/2019 7 25
26 Asep Kamaludin 5/20/2019 10 26
27 Ami Isyami 5/20/2019 10 27
28 Ari Sudarsono 5/21/2019 8 28
29 Dede Warsa 5/22/2019 6 29
30 Mulyono 5/22/2019 4 30
31 Kasman Manulang 5/23/2019 5 31
32 Nurlaeli 5/25/2019 6 32
33 Jajat Sudrajat 5/25/2019 8 33
34 Tatang Sutisna 5/27/2019 5 34
35 Rusmana 5/28/2019 2 35
36 Parmuhunan Siregar 5/29/2019 6 36
37 Djons Sugiono 5/29/2019 8 37
38 Dalis Lisnawati 5/30/2019 8 38
39 Lina Setiawati 5/30/2019 7 39
40 Rani Amalia 5/31/2019 2 40
41 Ujang Asmaranudin 5/31/2019 6 41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
Rekap Pemeriksaan SGA Mei 2019 Rekap Konsultasi Mei 2019

Iyun Saumi Yuningsih 5/1/2019 A 1 Ana Asurya Bakar
Yohanes Sugianto 5/1/2019 A 2 Yadi Suryadi
Sanuki 5/1/2019 B 3 Yani Andriani
Pajar Sapta 5/1/2019 B 4 Ade Suryati
Drs. Zainal Mustofa 5/2/2019 A
K Beni Mulyana 5/2/2019 A
Patman 5/2/2019 A
Endjang Sobari 5/2/2019 A
Ujang Asmaranudin 5/3/2019 A
Arnida 5/3/2019 B
Empon 5/3/2019 B
A Suryana 5/3/2019 A
Kaswin 5/3/2019 B
H.D Inanoe Muhidin 5/4/2019 A
Irah Sutirah 5/4/2019 B
Susi Lestari 5/4/2019 B
Isah Djuniasih 5/6/2019 A
Nia Kurnia 5/6/2019 A
Heru Priyantoro 5/6/2019 B
Susiladiharti 5/8/2019 A
Tati Srihartati 5/8/2019 A
Andhy Haryadi N 5/8/2019 A a
Euis Rukmini 5/8/2019 A b
Dian Nurdianty 5/8/2019 B c
Turyani 5/8/2019 B
Titi Supartini 5/8/2019 A
Yadi Rochman 5/9/2019 A
Puput Siti Fatimah 5/9/2019 B
Ade Isnaeni 5/9/2019 A
Mujiman 5/10/2019 A
Jumaeli Jamaludin 5/10/2019 A
Ida 5/10/2019 A
Didih Sadeli 5/10/2019 B
Purnomo Hadi 5/11/2019 B
Suwarno 5/11/2019 A Belum di tempel
Harun Nugraha 5/11/2019 A
Atin Supriatin 5/13/2019 A
Dina Dayana 5/13/2019 A
Maryani 5/13/2019 A
Ian Rochayah 5/13/2019 A
I Wayan 5/13/2019 A
Bayu Aprianto 5/13/2019 A
Anih Rohanih 5/14/2019 A
Aan Supriatna 5/14/2019 A
Agus Rohyadi Dindin 5/14/2019 A
Adang Kusnara 5/14/2019 A
Wati Embuh 5/14/2019 A
Cucu Rudiwan 5/14/2019 A
Dindin bin Aman 5/14/2019 A
Tumpal Pintu Batu 5/14/2019 A
Mellyana Lie 5/15/2019 B
Asis 5/15/2019 A
Agus Purnomo 5/15/2019 A
Bob Sugeng 5/16/2019 A
Harman 5/16/2019 A
Siti Maryam 5/16/2019 A
Aah 5/17/2019 B
Dian Radian 5/17/2019 A
Jajang Nurjaman 5/18/2019 A
Ai Haryati 5/18/2019 A
Yayah 5/18/2019 B
T Nurhayati 5/18/2019 B
Siti Aminah (B) 5/18/2019 A
Ratih Nur Dewi 5/18/2019 B
Didin Bachrudin 5/19/2019 A
Asep Kamaludin 5/20/2019 B
Lilis Mulyati 5/20/2019 B
Ida Suryanti 5/21/2019 B 19-Apr
Yani Suryani 5/21/2019 A
Nurman Zaelani 5/21/2019 A
Rani Amalia 5/21/2019 A
Herry Supriyanto 5/21/2019 A
Ulung Atar 5/21/2019 A
Albert Gustaf T 5/21/2019 A
Devi Septiani 5/21/2019 A
Yani Suryani 5/21/2020 A
Dede Warsa 5/22/2019 A
Mulyono 5/22/2019 A
Jajang 5/22/2019 A
Djaelani Tarabubun 5/22/2019 A
Diah Sinta Setiawati 5/22/2019 A
Yadi Suryadi 5/22/2019 A
Iyan Sofian 5/22/2019 A
Kasman Manulang 5/23/2019 A
Asep Irawan 5/23/2019 A
Toni 5/23/2019 B
A. Hartono 5/23/2019 A
Nandi Koswara 5/24/2019 A
Deden Wahyu 5/24/2019 A
Baharadja Manurung 5/24/2019 A
Asmanila Dharmawan 5/24/2019 A
Didi Supriadi 5/24/2019 B
Ani Yuhamah 5/24/2019 A
Sukriyah 5/25/2019 A
Mariani Rahayuningsih 5/25/2019 A
Sarmiati 5/25/2019 B
Jajat Sudrajat 5/25/2019 A
Mugi Waluyo 5/25/2019 A
Ugun Hergunawan 5/27/2019 A
Tatang Sutisna 5/27/2019 A
Rosifah 5/27/2019 B
Ikah Saikah 5/27/2019 A
Asep Dedeng 5/28/2019 B
Didin Saefudin 5/28/2019 A
Titin Sri Nurhayati 5/28/2019 B
Titi Maryati 5/29/2019 A
Parmuhunan Siregar 5/29/2019 A
Salman Wibisana 5/29/2019 A Belum di tempel
Tarmad Marto 5/29/2019 A Belum di tempel
Uju Senjaya 5/29/2019 B
Djons Sugiono 5/29/2019 A Belum di tempel
Dalis Lisnawati 5/30/2019 A
Tisna 5/30/2019 A
Ade Djumarsih 5/31/2019 A
Ade Suryati 5/31/2019 B

Pemeriksaan MIS 41
Edukasi HD
SGA 113
Konseling 4
Total 158

Persentase 73.3%
TOTAL 306
p Konsultasi Mei 2019
Tanggal Pemeriksaan
5/18/2019
5/22/2019
5/27/2019
5/31/2019
Rekap Pemeriksaan MIS Juni 2019 Rekap Pemeriksaan SG

1 Wahyu 6/1/2019 6 1
2 Rosid Hamdani 6/2/2019 4 2
3 Endi Rusyana 6/3/2019 8 3
4 Eti Rohaeti 6/3/2019 8 4
5 Maskana Sumitra 6/4/2019 5 5
6 Drs Zainal Mustafa 6/4/2019 4 6
7 Suradi 6/7/2019 7 7
8 Emis Nuryati 6/7/2019 9 8
9 Titik Lestari 6/7/2019 4 9
10 Kuswati 6/8/2019 7 10
11 Agustinus Sajil 6/10/2019 7 11
12 M. Uus Samsudin 6/12/2019 8 12
13 Aida Elmala 6/12/2019 9 13
14 Joni Taryoni 6/13/2019 10 14
15 Siti Romlah 6/14/2019 3 15
16 Agus Purnomo 6/15/2019 8 16
17 Arnida 6/17/2019 5 17
18 Mellyana 6/18/2019 6 18
19 Zaenal Mutaqin 6/18/2019 4 19
20 Cucu Suryani 6/19/2019 4 20
21 Ida 6/19/2019 8 21
22 Iwan Sudrajat 6/21/2019 8 22
23 Nuryatin 6/21/2019 12 23
24 Lilis Mulyati 6/24/2019 7 24
25 Ida Suryanti 6/25/2019 6 25
26 Lala Atmala 6/28/2019 4 26
27 Henny Hendrayani 6/28/2019 10 27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
Rekap Pemeriksaan SGA Juni 2019 Rekap Konsultasi Juni 2019

Syarifah 6/1/2019 B 1 Didi Supriadi
Supriatni 6/1/2019 A 2 Enung Juariah
Rosid Hamdani 6/2/2019 A 3 Slamet Riyadi
M Alief Khariezki 6/2/2019 A 4 Sadimin
Danita 6/2/2019 B 5 Purnomo Hadi
Nana Rahmana 6/4/2019 A 6 Titin Srinuryati
Suradi 6/7/2019 A 7 Suyatni
Atih Nuryati 6/7/2019 B 8 Lili Samsu Ramli
Deddy Djukardi 6/7/2019 A
Emis Nuryati 6/7/2019 B
Titik Lestari 6/7/2019 A
Kuswati 6/8/2019 B
David Sitio 6/8/2019 A
Agustinus Sajil 6/10/2019 A
Ayumah 6/10/2019 B
Ae Badriah 6/10/2019 B
Ani Kustinah 6/10/2019 A
Neng Amrina 6/10/2019 A
Arnida 6/10/2019 A
Ade Rustandi 6/10/2019 A
Asep Furqon N 6/11/2019 A
Sopandi 6/11/2019 B
Aida Elmala 6/12/2019 B a
Jonson Sanbasa 6/12/2019 A b
Ai Bida 6/13/2019 A c
Toni Rohendi 6/13/2019 A
Surya Kencana 6/13/2019 A
Sri wahyuningsih 6/13/2019 A
Rusdi 6/13/2019 B
Cardi 6/13/2019 A
Onengsing 6/13/2019 A
Siti Romlah 6/14/2019 A
Jonson Sanbasa 6/14/2019 A
Ai Bida 6/14/2019 A
Enung Juariah 6/14/2019 A
Agus Purnomo 6/15/2019 A
Iki 6/18/2019 A
Saripin Hidayat 6/18/2019 A
Aneukeu Rennyanty 6/18/2019 A
Cecep Roni 6/18/2019 A
Amid 6/18/2019 A
Zaenal Mutaqin 6/18/2019 A
Lia Susliawati 6/18/2019 A
Cucu Suryani 6/19/2019 A
Sadimin 6/19/2019 A
Taryati 6/19/2019 B
Deni Lesmawan 6/20/2019 B
Iwan Sudrajat 6/21/2019 A
Devi Puspita 6/22/2019 B
Erni Yuniarsih 6/24/2019 A
Nurhawati 6/25/2019 B
Atih 6/27/2019 A
Nanang Tardi 6/28/2019 B
Nana Rahmana 6/4/2019 B

Pemeriksaan MIS 27
Edukasi HD
SGA 51
Konseling 8
Total 86

Persentase 83.8%
TOTAL 219
kap Konsultasi Juni 2019
Tanggal Pemeriksaan
07/0/2019
6/14/2019
6/15/2019
6/22/2019
6/25/2019
6/26/2019
6/26/2019
6/27/2019
39
16
0
Rekap Pemeriksaan MIS Juli 2019 Rekap Pemeriksaan SGA

1 Uju Senjaya 7/1/2019 9 1
2 Turyani 7/1/2019 11 2
3 Iyan Sofian 7/2/2019 8 3
4 Tuti Rohaeti 7/4/2019 7 4
5 A. Hartono 7/5/2019 4 5
6 Purnomo Hadi 7/5/2019 8 6
7 Surya Kencana 7/11/2019 7 7
8 Purnama Mulia 7/12/2019 4 8
9 Ulung Atar 7/16/2019 4 9
10 H Dodo Fachrurodji 7/16/2019 14 10
11 Tarmad Marto 7/17/2019 2 11
12 A Suryana 7/19/2019 3 12
13 Lia Susliawati 7/19/2019 5 13
14 Uloh Saepuloh 7/20/2019 9 14
15 Priatna 7/20/2019 3 15
16 Asmanila Darmawan 7/22/2019 5 16
17 Asep Dedeng 7/22/2019 5 17
18 Rohannah (A) 7/23/2019 6 18
19 Amad Aneng 7/23/2019 6 19
20 Agus Muhamad 7/24/2019 6 20
21 Kuswandana 7/24/2019 11 21
22 Yadi Rochman 7/25/2019 4 22
23 Nani Rukmini 7/26/2019 4 23
24 Enung Juariah 7/26/2019 11 24
25 Albert Gustaf Tawaang 7/30/2019 6 25
26 Enur Saepudin 7/30/2019 6 26
27 Rani Amalia 7/31/2019 2 27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Rekap Pemeriksaan SGA Juli 2019 Rekap Konsultasi Juli 2019

Sudiasih 7/1/2019 A 1 Udin
Ading Sutisna 7/1/2019 A 2 Salman Wibisana
Tumarno 7/1/2019 A 3 Jajang
Erni Yuniarsih 7/1/2019 A 4 Ami Isyani
Samsiah 7/2/2019 5 Udin
Udin 7/2/2019 B 6 Tjin Liong Ngian
Dedeh Suanda 7/3/2019 B 7 Euis Rasmini
Atih 7/4/2019 A 8 Dedeng Effendi
Jajang Jahidin 7/5/2019 B 9 Fitri Nurul
Aldy Ardian Army 7/5/2019 B 10 Kuswandana
Etty Setiyaningsih 7/5/2019 A 11 Asep
Rukmana 7/6/2019 A 12 Lili Samsu Ramli
Sutisno 7/6/2019 B
Andriana 7/9/2019 B
Teddy Kuswandana 7/10/2019 B
Ronny Muharam 7/10/2019 B
Andria 7/10/2019 B
Taskem 7/10/2019 B
Ikhsan Wibawa 7/11/2019 A
Farid Darmawan 7/11/2019 B
Asep Turgani 7/11/2019 B
Purnama Mulia 7/12/2019 A
Rohannah (B) 7/12/2019 A
Tjoe Kie Lie 7/12/2019 B
Popong Ronasih 7/15/2019 B *
Endi Sutarman 7/16/2019 B
Yono Riyanto 7/16/2019 A *
Moch Darsin 7/16/2019 B
Wiwi Wiarsih 7/16/2019 B
Onih Suryati 7/17/2019 B
Nelda Sura 7/17/2019 A
Fitri Nurul 7/17/2019 B
Suyatno 7/18/2019 A
Jaja 7/18/2019 A
Andri Budiman 7/18/2019 A
Siti Nurhani 7/19/2019 A
Mien Mintarsih 7/19/2019 A
Uloh Saepuloh 7/20/2019 B
Amad Aneng 7/23/2019 A
Nenden Safitri 7/23/2019 B
Agus Muhamad 7/24/2019 B
Kuswandana 7/24/2019 B
Yuliana 7/24/2019 A
Rina Haryati 7/24/2019 B
M Abdul Mugni 7/25/2019 B
Oom Rochmah 7/26/2019 A
Lestari Widiastuti 7/26/2019 B
Handian Ilham 7/27/2019 A
Asep Deni Gunawan 7/27/2019 A
Asep 7/27/2019 B
Mimin Maryati 7/29/2019 B
Asep Komarudin 7/29/2019 B
Enur Saepudin 7/30/2019 B
Heri Kemaludin 7/31/2019 A
Yeyeh 7/31/2019 A
Taufik Nugraha 7/31/2019 B
Rubi 7/31/2019 A
Lilis Sumarni 7/31/2019 A

Pemeriksaan MIS 27
Edukasi HD
SGA 57
Konseling 12
Total 96

Persentase 77.4%
TOTAL 259
ap Konsultasi Juli 2019
Tanggal Pemeriksaan
7/2/2019
7/3/2019
7/3/2019
7/4/2019
7/9/2019
7/8/2019
7/10/2019
7/10/2019
7/17/2019
7/27/2019
7/27/2019
6/27/2019
a 26
b 31
c 0
Rekap Pemeriksaan MIS Agustus 2019 Rekap Pemeriksaan SGA Agustus 20

1 Nurman Zaelani 8/2/2019 3 1 Enok Marlia
2 Siti Nurhani 8/2/2019 5 2 Lilis
3 Cucu 8/3/2019 2 3 Alwin Kumasi
4 Eysen Situmorang 8/6/2019 6 4 Cucu Nuryati
5 Wawan Gunawan 8/9/2019 3 5 Ahmad Suhendar
6 Devi Puspita 8/10/2019 4 6 Heriyanto
7 Sri Setiawati 8/10/2019 8 7 Yati Maryati
8 Jajang jahidin 8/15/2019 6 8 Dudi
9 Didi supriadi 8/15/2019 7 9 Eysen Situmorang
11 Wiwi Wiarsih 8/22/2019 6 10 Iwan Rudianto
12 Nani 8/23/2019 8 11 Yodi Nugraha H
13 Onih Suryati 8/23/2019 10 12 Tamim
14 Yayah 8/30/2019 6 13 Andi Rachmat
14 Danu
15 U Saih
16 Dadan Juli Ramadani
17 Dewi Maryati
18 Shauman
19 Hermawan
20 Setiawan Yupi
21 Faizah Hamdani
22 Nurhayati
23 Diah Rodiah
24 Ading Sofiyan
25 Sukandar Dinata
26 Tonny Oesman
27 Enyang
28 Muhamad Ali
29 Sutinah
30 Rohayati
31 Mimin
32 Deri
Edukasi HD
Total
Edukasi Ranap
TOTAL
ap Pemeriksaan SGA Agustus 2019 Rekap Konsultasi Agustus 2019

8/1/2019 B 1 Nenden Safitri 8/23/2019
8/1/2019 A 2 Kasman Manulang 8/26/2019
8/2/2019 B 3 A. Suryana 8/27/2019
8/2/2019 B 4 Kasman Manulang 8/29/2019
8/2/2019 B
8/3/2019 A
8/3/2019 B
8/6/2019 A
8/6/2019 A
8/7/2019 B
6/8/2019 A
6/8/2019 A
8/13/2019 B
8/13/2019 B
8/13/2019 A
8/15/2019 A
8/16/2019 A
8/17/2019 A
8/17/2019 B *
8/22/2019 B a 12
8/23/2019 B b 19
8/24/2019 B c 0
8/24/2019 B
8/27/2019 B
8/28/2019 B
8/28/2019 B
8/28/2019 A
8/29/2019 B Dimasukkan ke bln Sept
8/29/2019 A
8/29/2019 B
8/30/2019
8/31/2019 B

Pemeriksaan MIS 14
SGA 32
Konseling 4
Total 50

Persentase 76.8%
TOTAL 212
Rekap Pemeriksaan MIS September 2019 Rekap Pemeriksaan SGA September 20
No Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

1 Handian Ilham 9/2/2019 8 1 Muhamad Ali
2 Lestari Widiastuti 9/3/2019 6 2 Sutinah
3 Fitri Nurul Paton 9/4/2019 7 3 Rohayati
4 Syarifah 9/5/2019 9 4 Mimin
5 Sutrisno 9/6/2019 5 5 Deri
6 Yani Indrayani 9/9/2019 8 6 Wasro
7 Ecin Kuraesin 9/9/2019 9 7 Yuni Ratnasari
8 Asep Yaya 9/10/2019 5 8 Nurhayati Farida
9 Farid Darmawan 9/11/2019 8 9 Opa Mustofa
10 Asep Turgani 9/11/2019 10 10 Asim
11 Turyani 9/12/2019 5 11 Dalimo
12 Asep Komarudin 9/14/2019 6 12 Ecin Kuraesin
13 M Darsin 9/16/2019 6 13 IR Taufik Setiawan
14 Dewi Hidayati 9/17/2019 5 14 Yani Indrayani
15 Endi Sutarman 9/21/2019 5 15 Hery M Taufik
16 Alwin Kumasi 23/09/20-19 6 16 Asep Turgani
17 Heriyanto 9/24/2019 4 17 Endang Suhendar
18 Nenden Safitri 9/24/2019 6 Turyani
19 Ading Sofyan 9/27/2019 10 18 Ade Supriadi
19 Sugiarti Tardan,
20 Sonta Sidauruk
21 Rudi Setiawan
22 Aspan Kasmijan
23 Achyar Sutachyar
24 Erma Nurwinceu
25 Icah
26 Suci Aji Pribadi
Ket: 27 Deli Juliana
Ada catatan pengkajiannya 28 Supardi
Pengkajian Bln Ags yg terlewat tdk dimasukkan 29 Karyati
B Tulisan biru : Ada 2 pengkajian
^ Pengkajian di ranap
* Tgl tertulis di lembar SGAnya
Edukasi HD
Total
Edukasi Ranap
TOTAL
p Pemeriksaan SGA September 2019 Rekap Konsultasi September 2019
Tanggal Pemeriksaan Hasil No Nama Pasien

8/29/2019 B ^ 1 M Alief Kharizki
8/29/2019 A ^ 2 Nurhayati Farida
8/29/2019 B ^ 3 Yani Indrayani
8/30/2019 ^ 4 Aspan Kasmijan
8/31/2019 B ^ 5 Ugun Hergunawan
9/3/2019 B ^ 6 Tamim
9/4/2019 A *19/06 7 Devi Puspita
9/4/2019 C
9/4/2019 B ^ Blm ada lembarnya
9/5/2019 B ^
9/7/2019 B ^ Blm ada lembarnya
9/9/2019 B *22/07
9/9/2019 B ^
9/9/2019 B
9/10/2019 A ^
9/11/2019 B
9/11/2019 A
9/12/2019 A
9/13/2019 B *24/07
9/13/2019 B
9/14/2019 B ^
9/18/2019 A ^
9/21/2019 B Tdk terhitung di laporan a
9/24/2019 A ^ b
9/24/2019 B ^ c
9/24/2019 B ^
9/24/2019 B ^
9/25/2019 A ^
9/25/2019 B ^
9/28/2019 B ^

Pemeriksaan MIS 19
SGA 28
Konseling 7
Total 54

Persentase 81.6%
TOTAL 222
Konsultasi September 2019
Tanggal Pemeriksaan
9/2/2019
9/4/2019
9/9/2019
9/21/2019
9/23/2019
9/23/2019
9/25/2019
8
20
1
Rekap Pemeriksaan MIS Oktober 2019 Rekap Pemeriksaan S
No Nama Pasien Tanggal Pemeriksaan Hasil No

1 Enung Juariah 10/1/2019 8 1
2 Deni Soleh 10/2/2019 3 2
3 U Saih 10/2/2019 5 3
4 Martini 10/2/2019 10 4
5 Imas Nurhayati 10/4/2019 10 5
6 Taskem 10/7/2019 9 dan dilengkapi 6
7 Yuni Ratnasari 10/9/2019 7 7
8 Ratih Nur Dewi 10/9/2019 9 8
9 Cecep Mulyana 10/10/2019 6 9
10 Setiawan Yupi 10/10/2019 2 10
11 Hasanah 10/16/2019 8 11
12 Cucu Nurhayati 10/18/2019 6 12
13 Mimin 10/21/2019 5 13
14 Rohayati 10/23/2019 9 14
15 Enok Marlia 10/23/2019 8 15
16 Rudi Setiawan 10/23/2019 7 16
17 Danu Hidayat 10/28/2019 8 17
18 Erma Nurwinceu 10/28/2019 10 18
19 Muhammad Shouman 10/30/2019 6 19
20 Aspan Kasmijan 10/30/2019 10 20
21 Suci Aji P 10/31/2019 9 21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
Rekap Pemeriksaan SGA Oktober 2019 Rekap Konsultasi Oktober2019

Sri 10/1/2019 B ^ 1 Edi Sucipto
Enung Juariah 10/1/2019 ^ 2 Deli Juliana
Teguh Sembodo 10/2/2019 B 3 Sonta Sidauruk
Deni Soleh 10/2/2019 A 4 Muhammad Shouman
Martini 10/2/2019 B 5 Udju
Masyamsir 10/2/2019 A 6 Taufik
Johan Lukas Swarts 10/3/2019 B ^ 7 Euis Rukmini
Imas Nurhayati 10/4/2019 B ^ 8 Ade Suryana
M Adang Sukrilah 10/4/2019 A ^Blm dibuat
Go Tjie Yang 10/4/2019 B
Kosim 10/4/2019 B `
Ade Salim 10/5/2019 B
Dedi Rustandi 10/5/2019 B
Supartini 10/7/2019 A Blm dibuat
Pendi Sugandi 10/7/2019 A Blm dibuat
Ani Kustinah 10/7/2019 A ^Blm dibuat
Suyatno 10/7/2019 A ^Blm dibuat
Kamsidi 10/7/2019 B
Taufik Hidayat 10/8/2019 B
Nyimas Rasmanah 10/8/2019 B
Wariah 10/8/2019 B
Taskem 10/8/2019 B
Cahya Nugraha 10/9/2019 A
Yuni Ratnasari 10/9/2019 A ^Blm dibuat
Ratih Nur Dewi 10/9/2019 B
Muhammad Shouman 10/9/2019 A
Cecep mulyana 10/10/2019 A Tdk terhitung ke laporan
Setiawan Yupi 10/10/2019 A
Udju 10/10/2019 B ^ Blm dibuat
Asep Dedeng 10/10/2019 A ^ Blm dibuat
Komalaningrum 10/10/2019 B ^ Blm dibuat
Ade Suryana 10/11/2019 B ^ Blm dibuat
Dadang Somantri 10/11/2019 B ^ Blm dibuat
Jajang Rusila 10/11/2019 A
Ato Norman 10/12/2019 A
Ahmad 10/14/2019 B
Suryanah 10/16/2019 A ^ Blm dibuat
Hasanah 10/16/2019 B ^ Blm dibuat
Odang Suryana 10/16/2019 B ^ Blm dibuat
Enda Suhenda 10/16/2019 B ^ Blm dibuat
Alek Purnawan 10/16/2019 B
Euis Mulyana 10/19/2019 B ^ Blm dibuat
Ade Suryana [B] 10/19/2019 A ^ Blm dibuat
Mimin 10/21/2019 A ^ Blm dibuat
Pujiati 10/22/2019 B
Marno 10/23/2019 A
Enok Marlia 10/23/2019 A
Euis Rukmini 10/23/2019 A
Sudrajat 10/23/2019 A
Tati Srihartati 10/23/2019 A
Heri 10/23/2019 A
Aspan Kasmijan 10/23/2019 B
Susiladiharti 10/23/2019 A
Rey Zenis Putra 10/23/2019 A
Rubby 10/23/2019 A ^ Blm dibuat
Sonny Andriana 10/23/2019 A
Feri Yunaidi 10/23/2019 A
Erna Siti Nurhayati 10/23/2019 B
Gunawan Wibisana 10/23/2019 A
Suprapti 24/10/1019 B
Harman 10/24/2019 A
M Alief Kharizki 10/24/2019 A
Maryani 10/24/2019 B
U Tahrudin 10/24/2019 B
Popon 10/24/2019 B
Empon 10/24/2019 A
Agustinus Sajil 10/24/2019 A
Rosid Hamdani 10/24/2019 A
Yuhan BSc 10/24/2019 A
Tatang Sutisna 10/24/2019 B
Lilis Yulianti 10/24/2019 B
Handian Ilham 10/24/2019 B
Dewi Nengsih 10/24/2019 B
Arnida 10/24/2019 A
Syaripudin 10/24/2019 A
Sutinah 10/24/2019 B
Andi Sardi Suhandi 10/24/2019 A
Luky Lukman 10/24/2019 A
Alwin Kumasi 10/24/2019 A
Atih 10/24/2020 B
Susi Supartini 10/24/2019 A
Syarifah 10/24/2019 A
Rena 10/24/2019 A
Oyok Karyo 10/24/2019 B
Haryanto Bt Teks 10/25/2019 B
Ai Bida 10/25/2019 A
Mujiman 10/25/2019 A
Nurman Zaelani 10/25/2019 A
Dedi Rustandi 10/25/2019 B
Icah 10/25/2019 B
Cecep Roni K 10/25/2019 B
Dindin Bin Aman 10/26/2020 A
Iin Daryana 10/28/2019 B
Ahmad Sulaeman 10/28/2019 B
Rustaman 10/28/2019 A
Moch Tahyan 10/28/2019 A
Achmad Beki B 10/28/2019 A
Hasan Fauzi 10/28/2019 A
Andri Budiman 10/28/2019 A
Joni Taryoni 10/28/2019 A
Ai Tati 10/28/2019 A a
Joseph Lisapaly 10/28/2019 A b
M Ali 10/28/2019 B c
Danu Hidayat 10/28/2019 A
Aryono 10/29/2019 B
Erna Mashuri 10/31/2019 A
Sudiro 10/7/2019 A
Nana Rahmana 10/24/2019 A
Ermina 10/11/2019 A
M Tahyan 10/11/2019 A

Pemeriksaan MIS 21
Edukasi HD
SGA 109
Konseling 8
Total 138
Total Pasien Ranap

Persentase
TOTAL 321
Konsultasi Oktober2019
Tanggal Pemeriksaan
10/1/2019
10/1/2019
10/4/2019
10/9/2019
10/10/2019
10/18/2019
10/23/2019
10/28/2019
65
48
0
Rekap Pemeriksaan MIS November 2019 Rekap Pemeriksaan SGA No

1 Mimin Maryati 11/4/2019 10 1
2 Asep Furqon N 11/4/2019 7 2
3 Euis Aisah 11/5/2019 8 3
4 Erwin S 11/7/2019 9 4
5 Dadan Suparman 11/8/2019 5 5
6 Nelda Sura 11/12/2019 10 6
7 Jajang Rohimat 11/14/2019 5 7
8 Komalaningrum 11/15/2019 10 8
9 Deli Juliana 11/15/2019 6 9
10 Oom Suryamah 11/16/2019 8 10
11 Agus Suherli 11/18/2019 5 11
12 Andi Rachmat 11/19/2019 11 12
13 Johan Lukas Swarts 11/19/2019 8 13
14 Wariah 11/20/2019 10 14
15 Go Tjie Yang 11/21/2019 9 15
16 Nyimas Rasmanah 11/22/2019 10 *Cttn Mkn 16
17 Suryanah 11/23/2019 7 17
18 Samsiah 11/28/2019 6 18
19 Ade Sunarya 11/30/2019 6 19
20 Achyar Sutachyar 5 20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
Rekap Pemeriksaan SGA November 2019 Rekap Konsultasi November 2019

Sonta Sidauruk 10/17/2019 B 1 Nasikin
Amad Aneng 10/29/2019 A 2 Nunu Kurnia
Suradi [B] 10/29/2019 A 3 Henny Hendrayani
Nandi Koswara 10/29/2019 A 4 Sarah Afifah
Romlan 10/29/2019 A 5 Erwin Syafianto
A Hartono 10/29/2019 B
IR Taufik Suryawan 10/29/2019 B
Yuliana 10/30/2019 A
Suprapti 10/30/2019 B
M Shouman 10/30/2019 A
Lilis Holisah 11/1/2019 B
Imas Nurhayati 11/2/2019 B
Ade Suryana 11/2/2019 B
Marno 11/2/2019 A
Ari Sudarsono 11/4/2019 B
Mimin Maryati 11/4/2019 B
Asep Furqon N 11/4/2019 A
Asmanila A Dharmawan 11/4/2019 A
Irwan Suherwan 11/4/2019 A
Didi Supriadi 11/5/2019 A
Siti Nurhani 11/5/2019 A
Nana 11/5/2019 A
Euis Aisah 11/5/2019 A
Harun Nugraha 11/6/2019 A
Nani Karwati 11/6/2019 B
Asep Turgani 11/7/2019 B
Uloh Saepuloh 11/7/2019 A
Tedy Irawan 11/8/2019 A
Lili Samsu Ramli 11/8/2019 A
Andhy Haryadi N 11/9/2019 A
Yayu Dianti 11/9/2019 B
Heri Kemaludin 11/9/2019 A
Yeyeh 11/9/2019 B
Endang 11/9/2019 B
Iis Suryati 11/9/2019 A
Dudi 11/9/2019 B
Lala Abdullatif 11/12/2019 B
Nelda Sura 11/12/2019 B
A Suryana 11/12/2019 A
Asep Mulyadi 11/13/2019 A
Neneng Tati 11/13/2019 B B/A?
Yani 11/14/2019 A
Andri Herdadi 11/14/2019 A
Taryati 11/14/2019 A
Minarsih 11/14/2019 B
Dedeh Siti Zubaedah 11/14/2019 B
Kholidin 11/14/2019 A
Komalaningrum 11/15/2019 B
Heru Priyantoro 11/15/2019 B/C?
Nurlaeli 11/16/2019 A
Oom S 11/16/2019 A
Entang Setiawan 11/16/2019 B
Dedi Taryana 11/16/2019 B
Imas Komariah 11/18/2019 B
Johan Lukas 11/19/2019 B
Andi Rachmat 11/19/2019 B
Sarah Afifah Arianti 19/11/019 B
Wariah 11/21/2019 B
Lilis Mulyati 11/21/2019 B
Ening Daningsih 11/22/2019
Asep Yaya 11/22/2019 A
Tien Nova Triana 11/22/2019 B
M Achjar 11/23/2019 B
Mulyono 11/23/2019 A
Dede Warsa 11/23/2019 B
Teddy Kuswandana 11/23/2019 B
Agus Muhamad 11/23/2019 B
Ayi Cahya 11/23/2019 A
Pajar Sapta Buana 11/23/2019 A
Tarmad Marto 11/23/2019 A
Cucu Suryani 11/23/2019 A
Jumaeli Jamaludin 11/23/2019 B
Taufik Nugraha 11/23/2019 B
Siti Aminah (B) 11/23/2019 A
Endi Sutarman 11/23/2019 A
Iyun Saumi Yuningsih 11/23/2019 A
Ani Yuhamah 11/23/2019 A
Patman 11/23/2019 B
Endang Rohendi 11/23/2019 B
Mita yustari 11/23/2019 A
Endjang Sobari 11/23/2019 A
Diah Sinta Setiowati 11/23/2019 B
Wahyu 11/23/2019 A
Irah Sutirah 11/23/2019 B
Devi Puspita Aryandini 11/23/2019 A
Sadimin 11/23/2019 A
Djaelani Tarabubun 11/23/2019 A
Endang Suhendar 11/23/2019 A
Efrizal 11/23/2019 A
Priatna 11/23/2019 A
Asep Komarudin 11/23/2019 A
Didin Saepudin 11/23/2019 A
Nurhayati 11/25/2019 B
Nani Rukmini 11/25/2019 B
Enang Sumanda 11/25/2019 A
Yadi Rochman 11/25/2019 A
Asep Kamaludin 11/25/2019 A
Dewi Maryati 11/25/2019 A
Atin Supriatin 11/25/2019 A
Isah Djuniasih 11/25/2019 A
Maya Maryanti 11/25/2019 A
Puput Siti Fatimah 11/25/2019 B
Susi Lestari 11/25/2019 B
Tamim 11/25/2019 B
Jaja 11/25/2019 A
Neng Amrina 11/25/2019 A
K Beni Mulyana 11/25/2019 A
Rosifah 11/25/2019 B
Cardi 11/25/2019 A
Endi Rusyana 11/26/2019 A
Nuraeni 11/26/2019 A
Ujang Asmaranudin 11/26/2019 A
Agus Prijanto 11/26/2019 A
Ermina 11/26/2019 A
Agus Rohyadi Dindin 11/26/2019 B
Ida Suryanti 11/26/2019 A
Hani Handayani 11/28/2019 B
Samsiah 11/28/2019 A
Sri Wahyuningsih 11/28/2019 B
Rustam Tisnaningsih 11/28/2019 B
Fahmi Ulfah 11/29/2019 B
Ponijo 11/29/2019 B
Agus Rosiadi 11/29/2019 B
Achyar Sutachyar 11/30/2019 A
Mulhimah B
Ijang Suparto A
Mimin Maryati B
Asep Dedeng A
Uju Senjaya A
Euis Kurniawati A
Siti Maryam (B) A
Tuti Rohaeti A
Tumarno A
Ading Sutisna A
Asim B
Jajang Jahidin A
Wiyono Rahardjo A
Karlan B
Dadan Mulyana B
Wiwi Wiarsih A
Benny Arifin A
Nasikin A
Sudiasih Kristiyanti A
RD. Waty Setiawaty B
Erwin Syafianto A
Aan Supriatna A
Aah B
Yusi Santika A
Mien Mintarsih B
Oom Rochmah A
Lestari Widiastuti A
David Sitio A
Sanuki A
Lia Susliawati B
Henny Hendrayani B
Sukriyah A
Zaenal Mutaqin A
Liliana Rinawati A
Aneukeu Mulyati A
Taufik Hidayat B
Nuryatin B
Mariani Rahayuningsih A
Dadan Suparman A
Deni Soleh A
Dede Koswara A
Kokom Komalasari A
Parmuhunan Siregar A
Toni B
Andrian Biandiko A
Sri Setiawati B
Nurhayati Farida B
Asep Mulyadi A
Ugih Sumarni A
Rudi Yulianto A
Epi Apiyati A
Atik Istiani A
Thafif andari Wiganda A
Didin Supriadi A
Agus Sutiawan A
M Uus Samsudin A
Kuswati B
Cucu Rudiwan A
Tisna A
Nana Rahmana B
Donni Septianto A
Nia Kurnia A
Ikah Saikah A
Usep Hidayat A
Atih Nuryati B
Cucu Nuryati B
Asep Yaya A
A Suryana A
Nizar Garnizar B A
Erna Siti N B
Ade Djumarsih A
Wati Embuh A
Sarah Afifah B
Titik Lestari A
Elah Herlina A
Andriana B
Edy Sucipto A
Nenden Safitri B
Enur Saepudin A
Abi B ?
Tumpal Pintu Batu A
Didin bin Aman A
Jajang A
Farid Dharmawan A
Salman Wibisana A
Karyati B
Fitri Nurul paton B
Gunawan Wibisana A
Drs.Zainal Mustofa A
Liong Tek Luk A
Yoga Nugraha A
Asep Deni Gunawan A
Rukmana A
Djons Sugiono A
Kuswanda A
Abdulah Supriatna A
Ian Rochayah A
Moch Darsin A
Atih A
Asep Furqon A
Ade Isnaini A
Uu Kamaludin A
Purnama Mulia A
Devi Seprtiani A
Rani Amalia A
Ade Suryati B
Ulung Atar A
Euis Yetti Rohaeti A
Nia Kurniawan A
Amid A
Mellyana Lie A
Saripin Hidayat A
Dede Eni Rohaeni A
Nani A
Ai Rahdiani B
Lilis Maemunah A
Eysen Situmorang A
Isah A
Ida A
Gugun Abdul Latief A 155
H.I Wayan Sudiana A a
Jajang Nurjaman A b
Oom Surjamah A c
Agus Purnomo A
Endang Amung A
Lilis Sumarni B
Enyang A
Mugi Waluyo A 331
Andi Rachmat 11/19/2019 B

Pemeriksaan MIS 20
Edukasi HD
SGA 266
Konseling 5
Total 291
Total Pasien Ranap
Persentase
TOTAL 442
onsultasi November 2019
Tanggal Pemeriksaan
11/7/2019
11/13/2019
11/15/2019
11/19/2019
11/21/2019
190
85
Rekap Pemeriksaan MIS Desember 2019 Rekap Pemeriksaan

1 Muhammad Ali 12/2/2019 8 1
2 Ade Supriadi 12/3/2019 7 2
3 Rohaedin 12/3/2019 4 3
4 Achmad Hidayat 12/4/2019 9 4
5 Pujiati 12/9/2019 2 5
6 Sonta Sidauruk 12/10/2019 11 6
7 Taufik Hidayat 12/13/2019 5 7
8 Marno 12/17/2019 7 8
9 Erna Mashuri 12/17/2019 6 9
10 M Adang Sukrilah 12/17/2019 7
11 Odang Suryana / Supriatna? 12/19/2019 5 10
12 Aryo Purbo 12/21/2019 5 11
13 Lilis Holisah 12/23/2019 10 12
14 Nizar Garnizar 12/24/2019 10 SGA? 13
15 Supardi 12/24/2019 7 14
16 Imin Rohimin 12/25/2019 3 15
17 Elis Kurniasih 12/25/2019 5 16
18 Yana 12/25/2019 7 17
19 Ikem 12/26/2019 5 18
20 Dedi Taryana 12/31/2019 4 19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38

David Sitio 12/2/2019 A 1 Helmun Hutabarat
Dedeng Effendi 12/2/2019 B 2 M Shobur
Rohaedin 12/3/2019 A 3 Ade Rokaesih
Mirah Delima 12/3/2019 A Blm dibuat 4 Susi Supartini
Ade Husin 12/3/2019 B Blm Dibuat
Riko Wijaya 12/4/2019 B Blm Dibuat
Imas Suryati 12/4/2019 B
Achmad Hidayat 12/4/2019 B
Helmun Hutabarat 12/5/2019 A
Karlan 12/6/2019 A
Mahmudin 12/7/2019 A
Sumarni A
Nia Seniawati 12/9/2019 B
Jonson Sanbasa 12/9/2019 B
Abi 12/9/2019 B
Bayu Aprianto Agusman 12/9/2019 A Blm Dibuat
Enur Saepudin 12/10/2019 A
Suhendar 12/10/2019 B Blm Dibuat
Carwilah 12/11/2019 B
Neni Rosmini 12/11/2019 B
Endi 12/11/2019 A
Mimi 12/13/2019 A
Dadang Johari 12/13/2019 B
Pariem 12/14/2019 B
Tati 12/15/2019 B
Lilis Sumiati 12/17/2019 B Blm dibuat
Mimin 12/17/2019 B Blm dibuat
Enung Nurjanah [B] 12/18/2019 B Blm dibuat
Maskana Sumitra 12/18/2019 A
Wahyu 12/19/2019 B
Harun Nugraha 12/19/2019 A a
Ade Rokaesih 12/21/2019 B b
Yani Suryani 12/21/2019 B c
Imin Rohimin 12/25/2019 A
Elis Kurniasih 12/25/2019 A
Nana Supriatna 12/26/2019 B
Aah 12/30/2019 B
Saripin Hidayat 12/3/2019 A

Pemeriksaan MIS 20
Edukasi HD
SGA 27
Konseling 4
Total 51

Persentase 77.6%
TOTAL 200
Konsultasi Desember 2019 SGA
Tanggal Pemeriksaan No Hari Jadwal Ruangan Pengkajian

12/9/2019 pagi 117 6
1 Senin
1/11/2019 pagi Seruni √
12/25/2019 pagi √ 1 lg ibu ida
2 Anyelir
12/30/2019 Rabu siang 1
3 pagi 117 7
18
22
0
Rekap Pemeriksaan MIS Januari 2020 Rekap Pemeriksaan S

1 Andi Rahmat 1/3/2020 7 1
2 Mirah delima 1/6/2020 6 2
3 IR taufik Suryawan 1/6/2020 7 3
4 Minarsih 1/8/2020 8 4
5 Rey Zenis 1/11/2020 5 1 5
6 Sukandar Dinata 1/14/2020 8 2
7 Nana Supriatna 1/15/2020 8 3 6
8 Mahmudin 1/18/2020 10 4 7
9 H Haryanto 1/20/2020 4 5 8
10 Helmun hutabarat 1/20/2020 7 6 9
11 Carwilah 1/22/2020 8 7 10
12 Endi 1/22/2020 5 8 11
13 Agus Rosiadi 1/24/2020 6 9 12
14 Dudi 1/24/2020 5 10 13
15 Nurhayati Farida 1/25/2020 10 11 14
16 Agus Samsudin 1/28/2020 3 12 15
13 16
14 17
15 18
16 19
17 20
18 21
19 22
20 23
21 24
22 25
23 26
24 27
25 28
26 29
27 30
28 31
29 32
30 33
31 34

Moh Shobur 12/11/2019 B 1 H Agus
Ruhyatna 12/27/2019 B
Tati 12/27/2019 B
Minar 12/28/2019 A
Heri 1/3/2020 A 9-Nov
Nasikin 1/6/2020 A
Christanto 1/7/2020 A
Euis Nurwati 1/7/2020 B
Lili Sadili 1/8/2020 B
Nining Junaengsih 1/8/2020 B 6-Dec
Otas 1/9/2020 B
Euis Yetti Rohaeti 1/11/2020 B
Sarmadi 1/14/2020 A
Itoh Masitoh 1/14/2020 B
Sukandar Dinata 1/14/2020 A
H Agus 1/15/2020 B
Tata 1/16/2020 B
Imas Kartini 1/17/2020 B
Devi Yanti 1/17/2020 B
Aneukeu 1/17/2020 B
Sohati 1/18/2020 B
Ian Rochayah 1/18/2020 B
H Haryanto 1/20/2020 A
Karmini 1/21/2020 B
Tatang Sudiawan 1/21/2020 A
Sutardi 1/21/2020 B
Patimah 1/21/2020 B
Piat 1/22/2020 B
Agus 1/22/2020 B
Asep Hidayat 1/22/2020 B
Didang Rusman 1/23/2020 A
Deden Hidayat 1/24/2020 A
Deden Sopandi 1/24/2020 B
Nurhayati Farida 1/25/2020 B

Pemeriksaan MIS 16
Edukasi HD
SGA 32 31 A 10
Konseling 1 B 21
Total 49 C 0

Persentase 92.9%
TOTAL 205
ekap Konsultasi Januari 2020 SGA
Tanggal Pemeriksaan No Hari Jadwal Ruangan Pengkajian

1/15/2020
Rekap Pemeriksaan MIS Februari 2020
No Nama Pasien Tanggal Pemeriksaan Hasil

1 Suhendar 2/5/2020 8
2 M Shobur 2/8/2020 1
3 Efrizal 2/8/2020 6
4 Dede Maryani 2/11/2020 6
5 Sonta Sidauruk 2/11/2020 8 11 (10/12)
6 Lala Abdullatif 2/11/2020 10
7 Christanto 2/18/2020 6
8 Taryati 2/19/2020 3
9 Deden Hidayat 2/21/2020 4
10 Hery Muh Taufik 2/21/2020 1
11 Ihat 2/25/2020 8
Rekap Pemeriksaan SGA Februari 2020 Rekap Konsultasi Febru

1 Herdadi 2/1/2020 A 1
2 Sri Setiawati 2/3/2020 B 2
3 U Nurhayat 2/4/2020 A 3
4 Kuswati 2/6/2020 B (/12) 4
5 Rohman Soleh 2/6/2020 B 5
6 H Adang Abdurahman 2/7/2020 B 6
7 Lilis Sumiati 2/10/2020 B 7
8 Jajang Jahidin 2/10/2020 A
9 Lilis Sumarni 2/11/2020 B
10 Imas Siti Masitoh 2/12/2020 B
11 Samsudin 2/12/2020 B
12 Eni 2/14/2020 B
13 Yayat Supriatna 2/15/2020 A
14 Aep Apriyana 2/18/2020 B
15 Prayetno 2/19/2020 B
16 Asner Abden 2/19/2020 A
17 Imas Fatimah 2/22/2020 B
18 Hidayati 2/25/2020 B
19 Ihat 2/25/2020 B
20 Maemunah 2/26/2020 B
21 Tiurlan Sihaloha 2/28/2020 B
22 Fahmi Ulfah 2/28/2020 B
23 Ujang Sutendi 2/29/2020 B
24 Nenden Safitri 2/29/2020 B

Pemeriksaan MIS 11
Edukasi HD
SGA 22 24 A
Konseling 7 B
Total 40 C
Total Pasien Ranap

Persentase
TOTAL 185
Rekap Konsultasi Februari 2020
Nama Pasien Tanggal Pemeriksaan

Didin Bachrudin 2/5/2020
Susanti 2/18/2020
Nyimas Rasmanah 2/21/2020
Bayu Aprianto Agusman 2/24/2020
Haryanto 2/24/2020
Yayat Supriatna 2/27/2020
Entin 2/27/2020
5
19
0
Rekap Pemeriksaan MIS Maret 2020 R

1 Tati 3/2/2020 12 1
2 Ruhyatna 3/5/2020 6 2
3 Dedi Rustandi 3/6/2020 8 3
4 Buche Budyanto 3/18/2020 1 4
5 Ade Rukaesih 3/18/2020 9 5
6 Itoh Masitoh 3/19/2020 4 6
7 H Adang Abdurachman 3/19/2020 6 7
8 Nining Junaengsih 3/20/2020 5 8
9 Pariyem 3/20/2020 8 9
10 Imas Siti Masitoh 3/20/2020 6 10
11 Yayat Supriatna 3/26/2020 6 11
12 Susanti 3/31/2020 8 12
13 Deden Spandi /03/2020 7 13
14
15
16
17
18
19
20
21
22
* Sudah dibuat, blm ditulis pengkajian 23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
Nama Pasien Tanggal Pemeriksaan Hasil No

Titim Maryana 3/3/2020 B 1
Mukhtar Bin Salim 3/3/2020 B 2
Andri Budiman 3/3/2020 B 3
Dedi Taryana 3/3/2020 B 4
Cik Imah 3/4/2020 B 5
Mimin 3/4/2020 B
Doni 3/5/2020 B
Rohamah 3/5/2020 A
Hatidjah 3/5/2020 A
Priatna 3/5/2020 A
Harun Nugraha 3/5/2020 A *
Sugiarti Tardan 3/7/2020 B
Aah Suma'ah 3/7/2020 B
Nendi Hilmawan 3/10/2020 A
Dedi Rahman 3/10/2020 B
Moch Mustofa Muhdianto 3/10/2020 A
Nining Yudia 3/10/2020 B
Masyamsir 3/12/2020 A
Deli Juliana 3/13/2020 B
AR Odjat Sutandy 3/14/2020 B
Ai Bida 3/14/2020 A
Sahri Wahyudin 3/17/2020 B
Dedeng Efendi 3/17/2020 B
Usep Hidayat 3/17/2020 A
Cahya Nugraha 3/21/2020 A
Siti Mariam 3/24/2020 B
Wiwi Wiarsih 3/27/2020 B
Yulia 3/28/2020 B
Siti Jubaedah 3/28/2020 B Blm dibuat
Yopi Noviani 3/28/2020 B
Susanti 3/31/2020 B
Sudiro 3/31/2020 B
Udju 3/31/2020 B
Wati Triastuti 3/14/2020 B
Asep Cucu 3/18/2020 B
Irwan Suherwan /5/2020 A
Pemeriksaan MIS 12
Edukasi HD
SGA 42 43 A
Konseling 5 B
Total 59 C
Total Pasien Ranap

Persentase
TOTAL 214
Rekap Konsultasi Maret 2020

Memed 3/4/2020
Tatang Sudiwan 3/4/2020
Asep Saepudin 3/5/2020
Zulkifli Luai 3/18/2020
Cahya Nugraha 3/21/2020
15
28
0
Rekap Pemeriksaan MIS April 2020

1
1 Samsudin 4/1/2020 2 2
2 Bambang yuli H 4/2/2020 3
3
3 U Nurhayat 4/2/2020 4
4 Asner Abden 4/11/2020 7
4
5 Mukhtar Bin Salim 4/16/2020 7
6 Johan Lukas 4/14/2020 5 5
7 Eddy Haryadi 4/17/2020 10 6
8 Minar 4/22/2020 4 7
9 Nining 4/23/2020 8 8
10 Mimin (NAMA YANG SAMA) 117 4/23/2020 13 9
11 Tiurlan 4/24/2020 13
10
12 Tati 4/24/2020 11
11
Bambang yuli H
12
13
14
15
16
17
18
19
20
21
22
23
24
25
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
Edukasi
Total
Edukasi
TOTAL
Rekap Pemeriksaan SGA April 2020 Rekap Konsultasi April 2
Nama Pasien Tanggal Pemeriksaan Hasil No

Suryanah 4/1/2020 A
Bambang yuli H 4/2/2020 A 1
4/3/2020 A 2
Rohman Sholeh
2/6/2020 B 3
4/4/2020 B 4
Entang Setiawan
11/16/2019 B `
Karlan 4/7/2020 A
Mimin 4/7/2020 B
Titim Maryana 4/7/2020 B
Ade Supriadi 4/8/2020 A
Wariah [B] 4/8/2020 B
4/9/2020 A
Gunawan Wibisana
10/23/2019 A
Minar 4/9/2020 A
4/9/2020 B *
4/4/2019 A
Nana Rahmana
6/4/2019 B
10/24/2019 A
Asep Saepudin 4/10/2020 A
10/10/2019 B
Cecep Mulyana
4/10/2020 B
4/13/2020 B
Anneke Muliati
1/17/2020 B
Benny Arifin
4/14/2020 A
Dindin Bin Aman
10/26/2019 A
Iin Daryana 4/14/2020 B
Nining W 4/15/2020 B
Dedeh (A) 4/15/2020 A
Pariyem 4/15/2020 B
Mahmudin 4/15/2020 B
Eddy Haryadi 4/17/2020 B
4/20/2020 A
Harman 10/24/2019 A
5/16/2019 A
Yono Karsono 4/21/2020 B
11/19/2019 A
Ujang Sair
4/21/2020 A
4/22/2020 A
Sudrajat
10/23/2019 A
Asep Mulyadi 4/22/2020 B
Moch Darsin 4/24/2020 B
4/24/2020 B
Tati
12/16/2020 B
4/25/2020 B
Cucu Suryani
11/23/2019 A
4/25/2020 B
Pajar Sapta Buana
11/23/2019 A
2/28/2020 B
Fahmi Ulfah
11/29/2019 B
10/7/2019 A
Sudiro
4/9/2020 B
Nendi Hilmawan 3/10/2020 A
Nenden Safitri 2/29/2020 B
Eni 2/14/2020 B
3/21/2020 A
Cahya Nugraha
10/9/2019 A
3/10/2020 A
Erni Yuniarsih
11/7/2019 A
3/21/2020 B
Emis Nuryati
11/12/2019 B
Mimin (NAMA YANG SAMA) 117 3/4/2020 B
Yopi Novianti 3/28/2020 B
Ujang Sutendi 2/29/2020 B
Samsudin 2/12/2020 B
Imas Fatimah 2/22/2020 B
3/12/2020 A
Masyamsir
10/2/2019 A
3/14/2020 A
Ai Bida
10/25/2019 A
AR Odjat Sutandy 3/14/2020 B
Abi 4/3/2019 A
Euis Rostika 4/28/2020 A

Pemeriksaan MIS 12 23
SGA 51 57 A 34
Konseling 4 B 0
Total 67 C

Persentase
TOTAL 168
Rekap Konsultasi April 2020
Asep Saepudin 4/10/2020

Mahmudin 4/15/2020
Ronald H L Tobing 4/20/2020
Lilis Sumiati 4/29/2020
Rekap Pemeriksaan MIS Mei 2020 Rekap P

1 Aep Apriyana 5/5/2020 8 1 1
2 Iin Daryana 5/5/2020 12 2 2
3 Yopi Novianti 5/6/2020 10 3 3
4 Moch Mustofa Muhdianto 5/7/2020 10 4 4
5 Yulia 5/8/2020 9 5 5
6 AR Odjat Sutandy 5/8/2020 10 6 6
7 Imas Fatimah 5/8/2020 7 7 7
8 Ujang Sutedi 5/9/2020 9 8 8
9 Dedi Rahman 5/11/2020 5 9
10 Deden Sopandi 5/11/2020 6 10
11 Wati Triastuti 5/12/2020 10 11 9
12 10
13 11
14 12
15 13
16 14
17 15
18 16
19 17
20 18
42 19
22 20
23 21
24
25 22
26
27
28
29 23
30 24
31
32 25
33 26
34
35 27
36 28
37 29
38 30
39 31
40 32
41 33
42 34
Rekap Pemeriksaan SGA Mei 2020 Rekap Konsultasi Mei2020

Saeful Bahri 5/1/2020 B 1 Sri Tahtiyana
Sri Tantiyana 5/2/2020 A 2 Agus Rosiadi
Lilis Mulyati 5/4/2020 B 3 Samsiah
IR Alwin Kumasi 5/7/2020 A 4 Hatidjah
Atih 5/7/2020 B 5 Sudiro
Asep Furqon Nurhakim 5/7/2020 A
Arnida 5/7/2020 A
Andi Sardi Suhandi 5/7/2020 A
Siti Maryam 5/12/2020 B
Aceng Suparman 5/13/2020 B
Wati Triastuti 3/14/2020 B
Jani 5/15/2020 B
Hj Zuryah Yusuf 5/15/2020 B
Abi 5/15/2020 A
5/15/2020 A
Enur Saepudin
12/10/2019 A
Andi Rachmat P 5/15/2020 A
Agus Rosiadi 5/19/2020 A
Erna Mashuri 5/19/2020 B
Agus Samsudin 5/19/2020 A
Ong Kiem Tjwan 5/19/2020 4
Agus Rosiadi 5/19/2020 A
Enung 5/20/2020 A
Neneng Tati 5/20/2020 A
Rohaedin 5/21/2020 B
Andhy Haryadi Nugraha 5/25/2020 B
Endik Kusnadi 5/23/2020 B
Aah Sumar'ah 5/23/2020 B
Jonson Sanbasa 5/27/2020 A
Dedi Rustandi 5/28/2020 A
Priatna 3/5/2020 A
Neneng Tati 5/20/2020 A
Ermina 5/22/2020 A
Jani 5/15/2020 B
Edukasi HD
Pemeriksaan MIS 11
Edukasi HD
SGA 32 42 A 28
Konseling 5 B 14
Total 48 C 0

Persentase 91.3%
TOTAL 132
ap Konsultasi Mei2020
Tanggal Pemeriksaan
5/5/2020
5/19/2020
5/21/2020
5/23/2020 117
5/28/2020

1 Tiurlan Sihaloha 6/2/2020 9 13 (24/04)
2 Irah Sutirah 6/6/2020 6
3 Asep Saepudin 6/9/2020 6
4 Nurhayati Farida 6/10/2020 7 10 (25/01)
Doni 6/11/2020 10
5 Asep Cucu H 6/12/2020 0
6 Iin Daryana 6/12/2020 12 12 (05/05)
7 Ai Tati 6/15/2020 3
9 Yono Karsono 6/18/2020 6
10 Ong Kiem Tjwan 6/23/2020 7
11 Achyar 6/24/2020 8
12 Tati 6/25/2020 10
13 Devi Yanti 6/29/2020 9
14 Agnes Yohana 6/29/2020 9
Rekap Pemeriksaan SGA Juni 2020

1 1 Lilis Sumarni 6/1/2020 B
2 Achyar Sutachyar 6/3/2020 A
3 2 Agnes Yohana 6/3/2020 B
4 3 Asep Turgani 6/4/2020 B
5 Deni Soleh 6/4/2020 B
6 4 Nana Supriatna 6/4/2020 A
7 Wariah (B) B
8 Tien Nova Triana 6/5/2020 B
9 Agus Suherli 6/5/2020 A
10 Herdadi 6/6/2020 B
11 Wati 6/6/2020 B
12 Devi Puspita 6/6/2020 B
13 Yusi Santika 6/6/2020 A
14 5 Irah Sutirah 6/6/2020 A blm 10 / 12? FB
15 Susi Supartini 6/8/2020 A
16 Nining 6/9/2020 B
17 Kokom 6/10/2020 A
18 6 Nia Kurnia (A) 6/10/2020 B
19 7 Dudi 6/10/2020 B
20 8 Erna Siti Nurhayati 6/10/2020 B
21 9 Nurhayati Farida 6/10/2020 B
22 Hasanah 6/11/2020 A *
23 10 Iwan Sudrajat 6/12/2020 A
24 Dewi Hidayati 6/12/2020 A
25 11 Wati Embuh 6/12/2020 A
26 6/12/2020 B
12 Sarah Afifah Arianti
11/19/2019 B
27 Ari Sudarsono 6/12/2020 B
28 Asep Yaya 6/12/2020 B
29 Yani Suryani 6/12/2020 B
30 Nuraeni 6/12/2020 A
31 Elis K 6/12/2020 B
32 Sri Wahyuningsih 6/12/2020 B
33 6/12/2020 B
Turyani
9/12/2019 A
34 Titi Maryati 6/13/2020 A
35 Buche Budyanto 6/13/2020 A
36 Siti Aminah (A) 6/13/2020 A
37 Asep Komarudin 6/13/2020 A
38 Jumaeli Jamaludin 6/13/2020 B
39 Ayi Cahya 6/13/2020 A
40 Endi Rusyana 6/16/2020 A
41 Agus Rohyadi Dindin 6/16/2020 A
42 Lala Atmala 6/16/2020 A
43 Enung Nurjanah 6/16/2020 A
44 Siti Romlah 6/16/2020 A
45 Anih Rohanih 6/16/2020 B
46 M Tahyan 6/16/2020 A
47 Handian Ilham 6/17/2020 B
48 13 Rohaedin 6/17/2020 B (21/05/2020)
49 Heri K 6/18/2020 A
50 Nenden Safitri 6/18/2020 B
51 14 Dewi Maryati 6/18/2020 A
52 15 H Odang Suryana 6/18/2020 A
53 16 Enang Sumanda 6/18/2020 B
54 17 Yadi Rochman 6/18/2020 A (09/05/2020)
55 18 Asep Kamaludin 6/18/2020 A
56 Solihin Ependi 6/19/2020 A
57 Adang 6/19/2020 A
58 Euis Esih 6/22/2020 B
59 Runggu 6/23/2020 B
60 Ida Suryanti 6/23/2020 A
61 Ngatidjo 6/24/2020 B
62 19 Ida Nengsih 6/25/2020 B
63 20 Agus Prijanto 6/26/2020 A
64 1/17/2020 B
21 Devi Yanti
6/29/2020 B
65 22 Neneng Tati 5/20/2020 A
66 12/9/2019 B
23 Abi 4/3/2019 A
5/15/2020 A
67 5/15/2020 A
24 Tumpal Pintu Batu
12/25/2019 A
68 25 Andi Rachmat 11/19/2019 B
69 26 Asep Cucu 3/18/2020 B
70 27 Deli Juliana 3/13/2020 B
71 28 Heri Kemaludin 6/18/2020 A
72 29 Jajang Jahidin 2/10/2020 A
73 30 Dedi Rustandi 5/28/2020 A
74 31 Siti Maryam 5/12/2020 B
75 32 Nasikin 1/6/2020 A
76 Iyun Saumi Yuningsih 5/21/2020 A
77 Djadjang 6/18/2020 A

Pemeriksaan MIS 14
Edukasi HD
SGA 59 77
Konseling 3
Total 76
Total Pasien Ranap

Edukasi Ranap
Persentase
TOTAL 192 164

Rekap Konsultasi Juni 2020
No Nama Pasien Tanggal Pemeriksaan

1 Siti Maryam 6/15/2020
2 H Odang Suryana 6/18/2020
3 Agus Prijanto 6/26/2020 PR Food record
A 40
B 37
C 0
Rekap Pemeriksaan MIS Juli 2020 Rekap Pem

1 Fahmi Ulfah 7/1/2020 7 1
2 Ikhsan Wibawa 7/1/2020 5 2
3 Neni Rosmini 7/3/2020 2
3
4 Nendi Hilmawan 7/3/2020 3
5 Sadirah 7/3/2020 5 4
6 Rohamah 7/9/2020 7 5
7 Endik (anyelir) 7/9/2020 10 6
8 Prayetno 7/10/2020 5 7
9 Aceng Suparman 7/21/2020 9 8
10 Hidayati 7/24/2020 3 9
11 Yoga Nugraha 7/29/2020 7 10
12 Hatijah 7/29/2020 8
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
Rekap Pemeriksaan SGA Juli 2020 Rekap Konsultasi Juli 2020

HD Inanoe Muhidin 7/2/2020 B 1 Wati Triastuti
Rey Zenis Putra 7/7/2020 B 2 Ai Rohaeti
7/8/2020 B 3 M Alief Kharizki
Saripin Hidayat
12/3/2019 A
Iyam 7/11/2020 B
Atikah 7/11/2020 B
Nani Siti Mulyani 7/11/2020 A
Dede Koswara 7/15/2020 A
12/30/2019 B
Aah
7/3/2020 A
5/26/2020 A
Oom Rochmah
1/24/2020 A
Ermina 5/22/2020 A
Pariyem 4/15/2020 B
Andhy Haryadi Nugraha 5/25/2020 B
Dedeh (A) 4/15/2020 A
Kokom 6/10/2020 A
Enung 5/20/2020 A
Mumun Syaban 7/23/2020 B
Riska Fauziah 7/23/2020 B
Asep Rusman 7/25/2020 B
Taufik Hidayat 7/18/2020 A
Euis Rostika 4/28/2020 A
Irwan Suherwan /5/2020 A
Jani 5/15/2020 B
Ida Farida 7/29/2020 B
7/29/2020 A
1/30/2020 B
Yoga Nugraha
7/6/2019 A
1/5/2019 A
Ida Farida 7/29/2020 B
Liswati 7/31/2020 B
Solihin Ependi 6/19/2020 A
Patimah 7/21/2020 A
Achyar Sutachyar 6/3/2020 A
Tien Nova Triana 6/5/2020 B
Hasanah 6/11/2020 A
Ari Sudarsono 6/12/2020 B
Asep Yaya 6/12/2020 B
Yani Suryani 6/12/2020 B
Nuraeni 6/12/2020 A
Siti Aminah (A) 6/13/2020 A
Asep Komarudin 6/13/2020 A
Jumaeli Jamaludin 6/13/2020 B
Endi Rusyana 6/16/2020 A
Agus Rohyadi Dindin 6/16/2020 A
Ruhyatna 6/18/2020 A
Mimin [A] 6/18/2020 A
Yani 6/18/2020 A
Solihin Ependi 6/19/2020 A
Ida Suryanti 6/23/2020 A
6/12/2020 B
Turyani
9/12/2019 A

Pemeriksaan MIS 12
Edukasi HD
SGA 65 67 A 44
Konseling 3 B 23
Total 80 C 0

Persentase 94.6%
TOTAL 186
ekap Konsultasi Juli 2020
Tanggal Pemeriksaan
7/14/2020
7/24/2020
Rekap Pemeriksaan MIS Agustus 2020 Rekap Pemeriksaan SGA Ag

1 Sahri Wahyudin 8/3/2020 10 1
2 Dewi Nengsih 8/3/2020 9 2
3 Iin Daryana 8/4/2020 10 3
4 Eem 8/8/2020 10 4
5 Nani Siti 8/8/2020 10 5
6 Titik Lestari 8/14/2020 4 6
7 Syarifah 8/17/2020 7 7
8 Deden Sopandi 8/27/2020 6 8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Rekap Pemeriksaan SGA Agustus 2020 Rekap Konsultasi Agustus 2020

Go Tjie Yang 6/19/2020 B 1 Tatang Sudiawan
Patimah 7/21/2020 A 2 Zuhchriah
8/3/2020 A 3 Andri Budiman
9/6/2019 B 4 Tatag T
Dewi Nengsih
/04/2019 B 5 Suhendrik
10/24/2019 B 6 Yulia
5/14/2019 A
6/16/2020 B
Ayi Cahya 6/13/2020 A
Zuhchriah 8/12/2020 B
iin Wasriah 8/13/2020 A
Melly Johari 8/17/2020 B *
Ani Kurniasih 8/15/2020 B *
Yuyun Yuniarsih 8/8/2020 B *
Deden Rosadi 8/7/2020 B *
10/11/2019 A
Moch Tahyan
6/16/2020 A
Tatag T 8/24/2020 A
Siti Jamilah 8/25/2020 A
Iin Wasriah 8/28/2020 B *
Kaetun 8/31/2020 B *
Uki 8/29/2020 B *
Wahyudin 8/29/2020 B SGA
A
B
Jenis Pemeriksaan Jumlah C
Pemeriksaan MIS 8
Edukasi HD
SGA 24
Konseling 6
Total 38
Total Pasien Ranap

Persentase
TOTAL 136
ap Konsultasi Agustus 2020
Tanggal Pemeriksaan
8/12/2020
8/12/2020
8/20/2020
8/24/2020
8/27/2020
8/28/2020
Jumlah
11
14
0
Rekap Pemeriksaan MIS September 2020 Rekap Pemeriksaan SGA Sep

1 Susi Susanti 9/1/2020 5 1 Suyatmi
2 Heradadi 9/1/2020 10 2 Iim Samsumilah
3 Wisnu Wardana 9/2/2020 7 3 Ani Kurniasih
4 Riska Fauziah 9/2/2020 7 4 Yayan Riyani
5 Jani 9/8/2020 2 5 Sri
6 Asep Rusman 9/12/2020 8 6 Nugraha
7 Ida S (flamboyan B) 9/15/2020 1 7 Ela
8 Dadang Caat 9/15/2020 4 8 Agus Komarudin
9 Mumun Saban 9/17/2020 10 9 Diah Herdi
10 Aep Taslimin 9/17/2020 0 10 Een
11 Erna Siti 9/18/2020 8 11 Joel Marolof
12 Iim Samsumilah 9/22/2020 2 12 Runrun
13 Fitri Nurul Faton 9/22/2020 8 13 Joel Marolop
14 Melly Johari 9/29/2020 7
Edukasi HD
Total
Edukasi Ranap
TOTAL
ap Pemeriksaan SGA September 2020 Rekap Konsultasi September 2020

9/17/2020 B 1 Devi Puspita 9/1/2020
9/20/2020 A 2 Agnes Yohama 9/7/2020
9/15/2020 B 3 Runggu Gultom 9/7/2020
9/2/2020 B * 4 Doni 9/7/2020
9/5/2020 B * 5 Hutabarat 9/7/2020
9/5/2020 B * 6 Djajang 9/10/2020
057/09/2020 B * 7 Siti Maryam 9/14/2020
9/9/2020 B * 8 Een 9/14/2020
9/14/2020 B * 9 Susiladiharti 9/23/2020
9/14/2020 A 10 Jack Zakaria 9/25/2020
9/29/2020 A 11 Suyatmi 9/17/2020
9/29/2020 B 12 Iim Samsumilah 9/20/2020
9/24/2020 B 13 Ani Kurniasih 1509/2020
14 Odang 9/3/2020
15 Yayan Riyani 9/2/2020
16 Sartika 9/26/2020
Jenis Pemeriksaan Jumlah SGA Jumlah

Pemeriksaan MIS 14 A 3
SGA 12 B 10
Konseling 15 C 0
41

Persentase 89.5%
TOTAL 169
Rekap Pemeriksaan MIS Oktober 2020 Rekap Pemeriksaan SGA O

1 Liswati 10/2/2020 9 1
2 Surya Kencana 10/5/2020 2 2
3 Suro 10/7/2020 7 3
4 Updi Kusnandar 10/14/2020 12 4
5 Ai Rohaeni 10/16/2020 4 5
6 Masyati 10/19/2020 6
7 Endang s 10/24/2020 7 7
8 Eem Sumiati 10/28/2020 6 8
9 Ruggu gulthom 10/29/2020 7 9
10 Aah Sumar'ah 10/10/2020 9 10
11
12
13
14
Rekap Pemeriksaan SGA Oktober 2020 Rekap Konsultasi September 2020

Erlin Sugiarti 10/21/2020 B * 1 Suwarko
Hj Acih 10/22/2020 B * 2 Dadang Supriatna
Rina Mustikawati 10/23/2020 B * 3 Erlin Sugiarti
Heri 10/29/2020 B * 4 Hj Acih
Cicih Sunengsih 10/30/2020 B * 5 Melly Johari
Oneng Rohaeti 10/28/2020 B *
Yuni Andiani 10/27/2020 B *
Yayan R 10/26/2020 B *
Ruhdin Cahyadin 10/20/2020 B *
Ooh Rohaety 10/17/2020 B *
Dede 10/9/2020 B *
Ronald H.I Tobing 10/8/2020 A *
Endang 10/6/2020 A *
Reni 10/2/2020 B *
Jenis Pemeriksaan Jumlah SGA

Pemeriksaan MIS 10 A
Edukasi HD
SGA 14 B
Konseling 5 C
Total 29

Persentase 92.8%
TOTAL 132
Konsultasi September 2020
Tanggal Pemeriksaan
10/15/2020
10/16/2020
10/21/2020
10/21/2020
10/22/2020
Jumlah
2
12
0
Rekap Pemeriksaan MIS November 2020 Rekap Pemeriksaan SG

1 Sri Winarni 11/2/2020 10 1
2 Wiwiek 11/7/2020 2
3 Hery Heriadi 11/30/2020 4 3
4
5
6
7
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63

Wahyudin 8/29/2020 B 1 Karnisah
11/2/2020 B 2 Ruhdin Cahyadin
Sri Winarni 11/3/2020 B 3 Ellen Rosawita
Neng Amrina 11/3/2020 A * 4 Sunarto Roesoel
Aah 11/4/2020 B * 5 Sagihariyem
Sunarto Roesoel 11/4/2020 B 6 Odang Suryana
Go Tjie Yang 11/4/2020 B * 7 Cucu Bin Wiharja
M Samsudin 11/5/2020 B * 8 Tati
Ely Yulia 11/5/2020 A * 9 Giantini
Suhendar 11/5/2020 A *
Wisnu B *
Ika Rostika 6/3/2020 A
11/6/2020 A
Supardi 11/6/2020 B *
Liswati 11/6/2020 B *
Kartini 11/6/2020 B *
Heradadi 11/6/2020 B *
Wawan Gunawan 11/9/2020 B *
Agus Suryadi 11/9/2020 A *
Jajang Rohimat 6/18/2020 A *
11/9/2020 A *
Ruhyatna 6/18/2020 A *
11/9/2020 A *
Yahya Samsudin 6/18/2020 A *
11/9/2020 A *
Mimin [A] 6/18/2020 A *
11/9/2020 A *
Yani 6/18/2020 A *
11/9/2020 A *
Deden Ahmad 6/18/2020 A *
11/21/2019 A *
11/9/2020 A *
Supartini 6/18/2020 A *
11/9/2020 A *
Pendi Sugandi 6/18/2020 A *
11/10/2020 A *
M Tahyan 11/10/2020 B *
Dede Binti Muslim 11/10/2020 B *
Odah Saodah 11/10/2020 B Cek 29/10
Agus 11/11/2020 *
Heri 11/11/2020 B *
Amad Aneng 11/11/2020 A *
Masyati 11/11/2020 A *
Eddy Haryadi 11/11/2020 B
Harry Aries 11/11/2020 A
Dede Warsa 6/20/2020 A
11/23/2019 B
11/11/2020 A
Jajang 6/13/2020 A
11/27/2019 A
11/11/2020 A
Yana Mulyana 6/13/2020 A
11/11/2020 A
Ratih Nur Dewi 6/13/2020 A
11/11/2020 A
Mulyono 6/13/2020 A
11/11/2020 B
1/15/2020 B
11/12/2020 B *
Ruhdin Cahyadin 11/12/2020 B *
Mawarni 11/12/2020 B *
Nunung Herawan 11/12/2020 B *
Pintiawan 11/12/2020 B *
Ecek Ade 11/12/2020 B *
Asep Turgani 11/13/2020 B *
Atik Istiantini 11/13/2020 B Pengkajian?
Nia Kurnia 11/13/2020 B *
Erna Mashuri 11/14/2020 B
Rohayati 6/3/2020 B *
11/16/2020 B *
Melly Johari 11/16/2020 B
Untung 11/18/2020 A
Ikhsan Wibawa 11/20/2020 B
Ernawati 11/24/2020 B
Ellen Rosawita T 11/25/2020 B
Dedy Setyawan 11/25/2020 B
Komalaningrum 6/16/2020 B *
11/25/2020 B
Nendi Hilmawan 11/25/2020 B
Jonson Sanbasa 11/25/2020 B *
Sagihariyem 11/26/2020 B *
Odang Suryana 11/26/2020 B *
Tati 11/26/2020 B
Kholidin 11/27/2020 B
Yuliana 11/27/2020 A *
Pemeriksaan MIS 3 SGA
Edukasi HD
SGA 62 A
Konseling 9 B
Total 74 C
Total Pasien Ranap

Persentase #DIV/0!
TOTAL 212
Tanggal Pemeriksaan
10/14/2020 Poli
11/12/2020 117
11/24/2020 117
11/24/2020 117
11/25/2020 117
11/26/2020 Seruni
11/26/2020 Poli
11/26/2020 Flamb B
11/30/2020 Poli
Jumlah
38
49
0
87
Rekap Pemeriksaan MIS Desember 2020 Rekap Pemeriksaan SGA Desember

1 Tatag Triyahyo 12/2/2020 6 FC 1 Winangsih
2 Sri Winarni 12/2/2020 10 2 R Andi Muchdiat
3 Mumun Saban 12/3/2020 10 3 Sri Winarni
4 Reni 12/7/2020 1 117 4 Reni
5 Aisyah 12/10/2020 10 117 5 Aisyah
6 Enong Nurhayati 12/10/2020 9 117 6 Enong Nurhayati
7 R Andi Muchdiat 12/11/2020 5 7 R Revy Ariffin
8 R Revy Ariffin 12/15/2020 5 8 Sagihariyem
9 Agus Komarudin 12/23/2020 10 9 Cicih Sunengsih
10 Cicih Sunengsih 12/25/2020 6 117 10 Yusi Santika
11 Lily Yuliana 12/26/2020 3 117 11 Lily Yuliana
12 Sadri Bin Madja 12/29/2020 10 115 12 Sadri Bin Madja
13 Wariah 12/24/2020 any 13 Agus Komarudin
14 Dede Rachmat 12/30/2020 2 FC 14 Kholidin
15 Deni Komarudin 12/30/2020 7 FC 15 Joel Marolop
16 Agus Sudrajat 11 FB 16 Yuliana
17 Dede Rachmat
18 Deni Komarudin
Edukasi HD
Total
Edukasi Ranap
TOTAL
kap Pemeriksaan SGA Desember 2020 Rekap Konsultasi Desember 2020

12/1/2020 B 1 Winangsih 12/1/2020
12/5/2020 A 2 Marno 12/4/2020
12/2/2020 B 3 R Andi Muchdiat 12/5/2020
12/7/2020 A 4 Ratniah 12/14/2020
12/10/2020 B 5 Sagihariyem 12/16/2020
12/10/2020 B 6 Sunarto 12/18/2020
12/15/2020 A 7 Yusi Santika 12/25/2020
12/16/2020 B
12/25/2020 B
12/25/2020 A
12/26/2020 A
12/29/2020 B
12/23/2020 B
11/27/2020 B
9/24/2020 B
11/27/2020 A
12/30/2020 A
12/30/2020 B

SGA 18 B 11
Konseling 7 C 0
40
Total Pasien Ranap

Persentase
TOTAL 146
Seruni
FC
Seruni
VIP
117
Rekap Pemeriksaan MIS Januari 2021 Rekap Pemeriksaan S

1 Ecek Ade 1/1/2021 7 Any 1
2 Budhi Nurdiana 02/01/20212 2 Seruni 2
3 Sunarto Roesoel 1/8/2021 4 VIP 3
4 Tria 1/8/2021 5 fC 4
5 Diah Herdy Herlianti 1/9/2021 7 Any 5
6 Maryam Amrina Rosyada 1/9/2021 9 FB 6
7 Ooh Rohaety 1/12/2020 8 FC 7
8 Ihat 1/15/2021 4 Any 8
9 Wiwiek 1/16/2021 8 117 9
10 Mawarni Sihombing 1/19/2021 6 Any 10
11 Hamid A Usman 1/19/2021 9 117 11
12 Sagihariem 1/20/2021 7 117 12
13 Erlin 1/20/2021 7 115 13
14 Erwin Syafianto 1/21/2021 4 117 14
15 Winangsih 1/22/2021 7 115 15
16 Nunung Herawan 1/26/2021 10 utama 16
17 Pintiawan Cahyadi 1/26/2021 7 utama 17
18 Toridah 1/26/2021 8 117 18
19 Uloh Saepulloh 1/27/2021 6 115 19
20 Yuni andiani 1/28/2021 7 115 20
21
22
23
24

Ikah 1/3/2021 B 1 Untung
Diah Herdy Herlianti 1/9/2021 B Any 2 Sunarto Roesoel
Maryam Amrina Rosyada 1/9/2021 B FB 3 Jaenal Muttakin
Hamid A Usman 1/19/2021 B 4 Asep sudrajat
Erwin Syafianto 1/21/2021 A 5 Deden Sopandi
Uan Ruhyana 1/20/2021 B 6 Uan Ruhiyatna
Pintiawan Cahyadi 1/26/2021 B
Nunung Herawan 1/26/2021 B
Tita rosita (tn. 1/20/2021 B
Sukandar 1/5/2021 A
Nani Karwati 1/16/2021 B *
Sarah Afifah 1/13/2021 B *
Adang abdurrahman 1/12/2021 A *
Jeni tania 1/4/2021 A *
Robin Halomun B *
Komrudin ffendi 1/6/2021 A *
Sutrisno 1/6/2021 B *
Andi Rachmat 1/2/2021 B *
Abi 1/2/2021 A *
Jaenal Muttakin 1/2/2021 B *
Minarsih 1/2/2021 B *
Nelda 1/2/2021 B *
Wisnu Hendarta 1/1/2021 B *
Eem Sumiati 1/1/2021 A *
Erlin 1/20/2021 B

Edukasi HD
SGA 24 B
Konseling 6 C
Total 50
Total Pasien Ranap

Persentase
TOTAL 134
ap Konsultasi Januari 2021
Tanggal Pemeriksaan
1/1/2021 115
1/19/2021 VIP
1/26/2021 117
1/11/2021 FB
1/11/2021 FB
1/20/2021
Jumlah
7
18
0
Rekap Pemeriksaan MIS Febuari 2021 Rekap Pemeriksaan SGA Febu

1 Dede Binti Muslim 2/2/2021 6 115 1
2 Sulyani 2/5/2021 1 FC 2
3 Patimah 2/8/2021 9 FC 3
4 Tita Rosita 2/9/2021 7 117 4
5 Ruhdin Cahyadin 2/11/2021 6 5
6 Djajang 2/11/2021 9 6
7 Harrie Aries 2/12/2021 8 115 7
8 Giantini 2/13/2021 19 117 8
9 Suyatmi 2/22/2021 6 FC 9
10 Benny Arifin 2/23/2021 5 115 10
11 Unijah 2/25/2021 5 117 11
12
Rekap Pemeriksaan SGA Febuari 2021 Rekap Konsultasi Febuari 2021

Muthi Fauziyah P 2/2/2021 B HD Anak 1 Muthi Fauziyah P
Titik Stiowati 2/5/2021 B Ranap 2 Joni
Deden Rosadi 2/6/2021 B Ranap 3 Titik Lestari
B Simamora 2/6/2021 A Ranap 4 H Haryanto
Giantini 2/8/2020 B 117
Yanti Rohmiati 2/20/2020 B Ranap
Benny Arifin 2/23/2021 A 115
Unijah 2/25/2021 A
Imas Suprihatin 2/8/2021 B
Dian Fajarina B
Erlin B

Pemeriksaan MIS 11 SGA
Edukasi HD
SGA 11 A
Konseling 4 B
Total 26 C
Total Pasien Ranap

Persentase
TOTAL 93
Konsultasi Febuari 2021
Tanggal Pemeriksaan
2/2/2021 HD Anak
2/27/2021 poli
2/19/2021 FA
Jumlah
3
8
0
Rekap Pemeriksaan MIS Maret 2021 Rekap Pemeriksaan

1 Nenden Safitri 3/2/2021 9 FC 1
2 Asep Sudrajat 3/4/2021 6 FB 2
3 N Etty Herawati 3/4/2021 8 115 3
4 Ratih Mugia 3/9/2021 9 FA 4
5 Suryanah 3/10/2021 5 5
6 Ernawati 3/10/2021 9 115 6
7 Masria 3/12/2021 9 115 7
8 Achmad Maulidin 3/17/2021 4 FC 8
9 Muthi Fauziyah P 3/30/2021 6 anak 9
10 Sukito 3/30/2021 6 10
11 Ade Salim 3/31/2021 4 any 11
12 Giantini 3/3/2021 19 12
13
14

Nenden Safitri 3/2/2021 B FC 1 H Haryanto
Asep Sudrajat 3/4/2021 A FB 2 fulan
N Etty Herawati 3/4/2021 B 115 3 Rizkie sanjaya
Ratih Mugia 3/9/2021 B FA 3 Boyong jasyono
Ernawati 3/10/2021 B 115 4 Zaenal Muttaqin
M Bayu Mahawalley 3/24/2021 A 115 5 M Bayu Mahawalley
Wartini 3/23/2021 B blm 6 Suibah
Idham Supriadi Apandi 3/20/2021 A blm
Hj Esih 3/20/2021 B blm
Achmad Maulidin 3/17/2021 A blm
Hadi Fahrurrozi 3/13/2021 A blm
Yuri Purbanendra 3/13/2021 B blm
Harry Aries 3/13/2021 B blm
Susry Hermawan 2/27/2021 A blm

Edukasi HD
SGA 14 B
Konseling 6 C
Total 32
Total Pasien Ranap

Persentase
TOTAL 135
p Konsultasi Maret 2021
Tanggal Pemeriksaan
3/4/2021 seruni
3/10/2021 poli
3/15/2021 poli
3/16/2021 poli
3/19/2021 117
3/24/2021 115
3/10/2021 poli
Jumlah
6
8
0
Rekap Pemeriksaan MIS April 2021 Rekap Pemeriksaan SGA

1 Deden Rosiadi 4/5/2021 3 seruni 1 Sukito
2 Asih 4/5/2021 5 FB 2 updi kusnandar
3 Rohaeti 4/9/2021 2 3 Endang Sunarya
4 Wawan Gunawan 4/14/2021 7 FA 4 Enung nurjanah
5 Hadi Fahrurrozi 4/23/2021 7 FC 5 Asep Mulyadi
6 Soewarso 4/27/2021 4 117 6 Maryam Amrina
7 Kokom Komalasari
8 Wawan Gunawan
9 Odang Suryana
10 Alwin Kumasih
11 Bambang yuli
12 Odah
13 Unijah
14 Ikah
15 Devi Septiani
16 Rani Amalia
17 Purnama Mulia
18 Mira
19 Hidayati
20 Iki
21 Mellyana
22 Lala Abdul latif
23 Nenden Safitri
24 Dedeh
25 Eem
26 Zainal Mustofa
27 Wiwiek Hindaiyah
28 Epi Epiyati
29 Enang Sumanda
30 Turyani
31 E. Karwati
32 Romlan
33 Mawarni Sihombing
34 Imas Fatimah
35 Nuryatin
36 Cahya Nugraha
37 Sukriyah
38 Ayi Cahya
39 Yana Mulyana
40 Elis Kurniasih
41 Minarsih
42 Liong Tek Luk
43 Hasanah
44 Yayu Dicinty
45 Asep Kamaludin
46 Yadi Rochmah
47 Dewi Maryati
48 Yayat Supratna
49 Nia Kurniawan
50 Andi Sardi Suhandi
51 Syarifah
52 Dewi Ningsih
53 Moch. Mustofa
54 Siti nurhani
55 Masria
56 Rusmana
57 Euis Rukmini
58 Samsudin
59 Heri
60 Joel Marolop
61 Go Tjie Yang
62 Albert Gustaf
63 Harry Aries
64 Siti Nurhayati
65 Nyimas
Edukasi HD
Total
Edukasi Ranap
TOTAL
ekap Pemeriksaan SGA April 2021 Rekap Konsultasi April 2021

4/13/2021 A 115 1 Ny. Ade R 4/9/2021
4/14/2021 A 117 2 R Andi Muchdiat 4/2/2021
4/14/2021 B 117 3 Winangsih 4/13/2021
4/14/2021 B 117 4 Rusmana 4/13/2021
4/14/2021 B 117 5 Sukito 4/13/2021
4/14/2021 B 117 6 Untung 4/13/2021
4/14/2021 A 117 7 Dadang Caat 4/13/2021
4/14/2021 A FA 8 updi kusnandar 4/14/2021
4/15/2021 A Seruni 9 Endang Sunarya 4/14/2021
4/15/2021 B Seruni 10 Enung nurjanah 4/14/2021
4/15/2021 A Seruni 11 Odang 4/15/2021
4/15/2021 A Seruni 12 Alwin 4/15/2021
4/15/2021 A Seruni 13 Odah 4/15/2021
4/14/2021 A FC 14 Purnama Mulia 4/16/2021
4/16/2021 A 115 15 Lala Abdul latif 4/16/2021
4/16/2021 A 115 16 Eem 4/17/2021
4/16/2021 A 115 17 M Zaenal Mustofa 4/17/2021
4/16/2021 B 115 18 Wiwiek Hindayah 4/17/2021
4/16/2021 A 115 19 Turyani 4/19/2021
4/16/2021 A 115 20 Enang Sumanda 4/19/2021
4/16/2021 A 115 21 Tiurlan Sihaloho 4/19/2021
4/16/2021 B 115 22 Albert Gustaaf 4/20/2021
4/16/2021 B 115 23 Mawarni Sihombing 4/20/2021
4/16/2021 A 115 24 Romlan 4/20/2021
4/17/2021 B 115 25 Ayi Cahya 4/21/2021
4/17/2021 A 115 26 Joel Marolop 4/22/2021
4/17/2021 A 117 27 Yayat Supriatna 4/22/2021
4/17/2021 A 117 28 Dewi Nengsih 4/22/2021
4/19/2021 B FB 29 Syarifah 4/22/2021
4/19/2021 B FC 30 Siti nurhani 4/23/2021
4/19/2021 B Teratai 31 Masria 4/23/2021
4/20/2021 A Anyelir 32 Rusmana 4/23/2021
4/20/2021 A Anyelir 33 Euis Rukmini 4/24/2021
4/20/2021 A melati 34 Andi Sardi 4/26/2021
4/20/2021 B teratai 35 Benny Arifin 4/26/2021
4/20/2021 A teratai 36 Karlan 4/26/2021
4/20/2021 A teratai 37 Nyimas Rasmanah 4/27/2021
4/21/2021 B FA 38 Asep Rusman 4/28/2021
4/21/2021 B FA 39 Ayumah 4/28/2021
4/21/2021 A FA
4/21/2021 B FA
4/21/2021 A 115
4/21/2021 A 117
4/21/2021 A 117
4/22/2021 A FB
4/22/2021 A FB
4/22/2021 A FB
4/22/2021 A FA
4/22/2021 A 115
4/22/2021 B 115
4/22/2021 B 115
4/22/2021 B 115
4/22/2021 B 115
4/23/2021 B 115
4/23/2021 B 115
4/23/2021 B 115
4/24/2021 B 115
4/24/2021 B 115
4/24/2021 A 115
4/26/2021 A 115
4/26/2021 B 115
4/27/2021 B 115
4/27/2021 A 115
4/27/2021 A 115
4/27/2021 B 117

SGA 65 B 28
Konseling 39 C 0
110 65
Total Pasien Ranap

Persentase
TOTAL 184
SGA Jumlah
A
B
C
poli
FC
115
115
115
115
115
117
117
117
Seruni
Seruni
Seruni
115
115
117
115
117
FC
FB
Seruni
115
Anyelir
Anyelir
FA
115
FA
115
115
115
117
115
115
115
117
117
117
FA
FA
Rekap Pemeriksaan MIS Mei 2021 Rekap Pemeriksaan SGA

1 Karlan 5/10/2021 6 1 Tuswati
2 Uan Ruhyana 5/11/2021 8 2 Lili Yuliana
3 Sugihariyem
4 Tiurlan Silasoho
5 Liliana Rinawati
6 M Alief Kharizki
7 H. Hutarabat
8 Rohaedin
Rekap Pemeriksaan MIS Januari 2021 9 Liswati
10 AR Odjat
No Nama Pasien Tanggal Pemeriksaan Hasil 11 Nani
1 Ecek Ade 1/1/2021 7 Sapturo
2 Budhi Nurdiana 02/01/20212 2
3 Sunarto Roesoel 1/8/2021 4
4 Tria 1/8/2021 5
5 Diah Herdy Herlianti 1/9/2021 7
6 Maryam Amrina Ros 1/9/2021 9
7 Ooh Rohaety 1/12/2020 8
8 Ihat 1/15/2021 4
9 Wiwiek 1/16/2021 8
10 Mawarni Sihombing 1/19/2021 6
11 Hamid A Usman 1/19/2021 9
12 Sagihariem 1/20/2021 7
13 Erlin 1/20/2021 7
14 Erwin Syafianto 1/21/2021 4
15 Winangsih 1/22/2021 7
16 Nunung Herawan 1/26/2021 10
17 Pintiawan Cahyadi 1/26/2021 7
18 Toridah 1/26/2021 8
19 Uloh Saepulloh 1/27/2021 6
20 Yuni andiani 1/28/2021 7
Edukasi HD
Total
Rekap Pemeriksaan MIS Febuari 2021
No Nama Pasien Tanggal Pemeriksaan Hasil Edukasi Ranap

1 Dede Binti Muslim 2/2/2021 6
2 Sulyani 2/5/2021 1
3 Patimah 2/8/2021 9 TOTAL
4 Tita Rosita 2/9/2021 7
5 Ruhdin Cahyadin 2/11/2021 6
6 Djajang 2/11/2021 9
7 Harrie Aries 2/12/2021 8
8 Giantini 2/13/2021 19
9 Suyatmi 2/22/2021 6
10 Benny Arifin 2/23/2021 5
11 Unijah 2/25/2021 5
12
Rekap Pemeriksaan MIS Maret 2021

1 Nenden Safitri 3/2/2021 9
2 Asep Sudrajat 3/4/2021 6
3 N Etty Herawati 3/4/2021 8
4 Ratih Mugia 3/9/2021 9
5 Suryanah 3/10/2021 5
6 Ernawati 3/10/2021 9
7 Masria 3/12/2021 9
8 Achmad Maulidin 3/17/2021 4
9 Muthi Fauziyah P 3/30/2021 6
10 Sukito 3/30/2021 6
11 Ade Salim 3/31/2021 4
12 Giantini 3/3/2021 19

1 Deden Rosiadi 4/5/2021 3
2 Asih 4/5/2021 5
3 Rohaeti 4/9/2021 2
4 Wawan Gunawan 4/14/2021 7
5 Hadi Fahrurrozi 4/23/2021 7
6 Soewarso 4/27/2021 4
Rekap Pemeriksaan MIS Mei 2021

1 Karlan 5/10/2021 6
2 Uan Ruhyana 5/11/2021 8
ekap Pemeriksaan SGA Mei 2021 Rekap Konsultasi Mei 2021

5/6/2021 A FB 1 Taufik Suryawan 5/15/2021
5/16/2021 A 117 2 Asep Sudratjat 5/14/2021
5/16/2021 B 117 3 Odah 5/17/2021
5/17/2021 B Seruni 4 Alwin Kumasih 5/17/2021
5/18/2021 A 117 5 Tiurlan Silasoho 5/17/2021
5/20/2021 A 115 6 Syarifah 5/17/2021
5/20/2021 A Anyelir 7 Dewi Nengsih 5/17/2021
5/21/2021 B Anyelir 8 Nyimas Rasmanah 5/18/2021
5/21/2021 B Anyelir 9 Lala Abdullatif 5/18/2021
5/21/2021 B Anyelir 10 Masria 5/18/2021
5/21/2021 B Anyelir 11 Basirin 5/20/2021
5/22/2021 B * 12 Tatag 5/20/2021
13 Joel marolop 5/20/2021
14 Hendrik N 5/21/2021
15 Taufik Suryawan 5/21/2021
16 Rohaedin 5/21/2021
17 Soenarto roesoel 5/21/2021
18 Soenarto roesoel 5/25/2021

Pemeriksaan MIS 2 SGA Jumlah
SGA 11 A 5
Konseling 18 B 6
31 C 0
11
Persentase 95.6%
TOTAL 117
SGA Jumlah
A
B
C
FC
Flam
117
115
Flam
Any
vip
vip
Rekap Pemeriksaan MIS Juni 2021 Rekap Pemeriksaan SG

1 U Saepudin 6/3/2021 14 1
2 Dahlan Dasuki 6/8/2021 14 2
3 H. Tatang 6/11/2021 6 3
4 M Ismail Ibu Haris 6/15/2021 8 4
5 Maliah Baharudin 6/18/2021 6 5
6
7
8
9
10
11
12
13
14
15
Rekap Pemeriksaan MIS Januari 2021 16
17
No Nama Pasien Tanggal Pemeriksaan Hasil 18
1 Ecek Ade 1/1/2021 7 19
2 Budhi Nurdiana 02/01/20212 2 20
3 Sunarto Roesoel 1/8/2021 4 21
4 Tria 1/8/2021 5 22
5 Diah Herdy Herlianti 1/9/2021 7 23
6 Maryam Amrina Rosy 1/9/2021 9 24
7 Ooh Rohaety 1/12/2020 8 25
8 Ihat 1/15/2021 4 26
9 Wiwiek 1/16/2021 8 27
10 Mawarni Sihombing 1/19/2021 6 28
11 Hamid A Usman 1/19/2021 9 29
12 Sagihariem 1/20/2021 7 30
13 Erlin 1/20/2021 7 31
14 Erwin Syafianto 1/21/2021 4 32
15 Winangsih 1/22/2021 7 33
16 Nunung Herawan 1/26/2021 10 34
17 Pintiawan Cahyadi 1/26/2021 7 35
18 Toridah 1/26/2021 8 36
19 Uloh Saepulloh 1/27/2021 6 37
20 Yuni andiani 1/28/2021 7 38
39
40

2 Sulyani 2/5/2021 1
3 Patimah 2/8/2021 9
6 Djajang 2/11/2021 9
8 Giantini 2/13/2021 19
9 Suyatmi 2/22/2021 6
11 Unijah 2/25/2021 5
12

5 Suryanah 3/10/2021 5
6 Ernawati 3/10/2021 9
7 Masria 3/12/2021 9
10 Sukito 3/30/2021 6
11 Ade Salim 3/31/2021 4
12 Giantini 3/3/2021 19

2 Asih 4/5/2021 5
3 Rohaeti 4/9/2021 2
6 Soewarso 4/27/2021 4

1 Karlan 5/10/2021 6

1 U Saepudin 6/3/2021 14
2 Dahlan Dasuki 6/8/2021 14
3 H. Tatang 6/11/2021 6
4 M Ismail Ibu Haris 6/15/2021 8
5 Maliah Baharudin 6/18/2021 6
Rekap Pemeriksaan SGA Juni 2021 Rekap Konsultasi Juni 2021

U Saepudin 6/3/2021 B 1 U Saepudin
Sunarto Roesoel 6/4/2021 A VIP 2 Dahlan Dasuki
Sunadi 6/4/2021 A any/rnp 3 H. Tatang
Tata Warsita 6/5/2021 B * 4 M Ismail Ibu Haris
Mamah 6/5/2021 B * 5 Rohman
Euis Kurniawati 6/7/2021 A 117 6 Maliah Baharudin
Ai bida 6/8/2021 A FC 7 Ridwan Faris
Abi 6/8/2021 B FC 8 Suwandiman
Dahlan Dasuki 6/8/2021 B 115 9 Suwandiman
M Bayu Hellawah 6/9/2021 B 117
Ida Nengsih 6/9/2021 B 115
Soenadi K 6/10/2021 A Anyelir
Ani Kustinah 6/10/2021 A FA
Dedi Rustandi 6/11/2021 A 115
H. Tatang 6/11/2021 A 117
Johan Lucas 6/11/2021 A Utama
Ong Kiem 6/11/2021 A Utama
Minar 6/14/2021 A
M Ismail Ibu Haris 6/15/2021 B FC
Fahrizal Ramdani 6/17/2021 A 115
Maliah Baharudin 6/18/2021 A FC
Agus Suherli 6/19/2021 A 117
Harman 6/21/2021 A 115
Susiladiharti 6/23/2021 A 115
Fitri Nurul 6/23/2021 B 115
Sintauli Sihombing 6/24/2021 B FC
Rahmat Sandi 6/24/2021 B 117
Erna Mashuri 6/25/2021 B 117
Enung Juariyah 6/25/2021 B 117
R Andi 6/26/2021 A
Yanti Rohmiati 6/26/2021 B
Heri Kamaludin 6/26/2021 A
Sulyani Hasanah 6/26/2021 A
K Beni 6/28/2021 A
Nining Junaengsih 6/29/2021 A 117
Emis Nuryati 6/29/2021 B 117
Nizar 6/30/2021 A 115
Moch Ridwan Fariz 6/30/2021 A 115
Laela Faray 6/10/2021 B *
Agus Hanura 6/9/2021 B *

Pemeriksaan MIS 5 A
Edukasi HD
Edukasi HD
SGA 40 B
Konseling 9 C
Total 54

Persentase 62.7%
TOTAL 123
kap Konsultasi Juni 2021
Tanggal Pemeriksaan
6/3/2021
6/8/2021
6/11/2021
6/15/2021
6/16/2021
6/18/2021
6/30/2021
6/30/2021
6/8/2021
Jumlah
23
17
0
38
Rekap Pemeriksaan MIS Juli 2021 Rekap Pemeriksaan SGA Juli 2021 Rekap Konsultasi Juli 2021
No Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien Tanggal Pemeriksaan
1 Rahmat sandi 7/6/2021 7 1 Yudi Irawan 7/9/2021 A 1 Rahmat sandi 7/6/2021
2 Soenadi Katmadire 7/12/2021 6 2 Endi Rusyana 7/9/2021 A 2 Soenadi Katmadireja 7/12/2021
3 Oneng Rohaeti 7/14/2021 9 3 Sulyani 7/9/2021 A 3 Ani Sri Wahyuni 7/14/2021
4 Yanti Rohmiati 7/26/2021 6 4 Nuraeni 7/9/2021 A 4 Nugraha Pradana 7/14/2021
5 Soenadi Kartmadireja 7/12/2021 A 5 Yanti Rohmiati 7/26/2021
6 Agus Rosyadi Dindin 7/13/2021 A
Rekap Pemeriksaan MIS Januari 2021 7 Rey Zenis 7/13/2021 A
8 Nandi Koswara 7/13/2021 B
No Nama Pasien Tanggal Pemeriksaan Hasil 9 Mulyono 7/14/2021 A
1 Ecek Ade 1/1/2021 7 10 Oneng Rohaeti 7/14/2021 B 117
2 Budhi Nurdiana 02/01/20212 2 11 Ani Sri Wahyuni 7/14/2021 B
3 Sunarto Roesoel 1/8/2021 4 12 Nugraha Pradana 7/14/2021 A 117
4 Tria 1/8/2021 5 13 Deden Ahmad 7/15/2021 A FA
5 Diah Herdy Herlian 1/9/2021 7 14 Wartini 7/11/2021 A
6 Maryam Amrina R 1/9/2021 9 15 Agnes Yohana 7/15/2021 A
7 Ooh Rohaety 1/12/2020 8 16 Nelda Sura 7/23/2021 A
8 Ihat 1/15/2021 4 17 Yanti Rohmiati 7/26/2021 B
9 Wiwiek 1/16/2021 8 18 Iyang 7/27/2021 A
10 Mawarni Sihombi 1/19/2021 6
11 Hamid A Usman 1/19/2021 9
13 Erlin 1/20/2021 7 Jenis Pemeriksaan Jumlah SGA Jumlah
14 Erwin Syafianto 1/21/2021 4 Pemeriksaan MIS 4 A 15
Edukasi HD
15 Winangsih 1/22/2021 7 SGA 18 B 4
16 Nunung Herawan 1/26/2021 10 Konseling 5 C 0
17 Pintiawan Cahyadi 1/26/2021 7 Total 27 18
18 Toridah 1/26/2021 8
19 Uloh Saepulloh 1/27/2021 6 Total Pasien Ranap 67
20 Yuni andiani 1/28/2021 7 Edukasi Ranap Pasien Teredukasi 39
Persentase 58.0%
TOTAL 66

2 Sulyani 2/5/2021 1
3 Patimah 2/8/2021 9
6 Djajang 2/11/2021 9
8 Giantini 2/13/2021 19
9 Suyatmi 2/22/2021 6
11 Unijah 2/25/2021 5
12

5 Suryanah 3/10/2021 5
6 Ernawati 3/10/2021 9
7 Masria 3/12/2021 9
10 Sukito 3/30/2021 6
11 Ade Salim 3/31/2021 4
12 Giantini 3/3/2021 19

2 Asih 4/5/2021 5
3 Rohaeti 4/9/2021 2
6 Soewarso 4/27/2021 4

1 Karlan 5/10/2021 6

1 U Saepudin 6/3/2021 14
3 H. Tatang 6/11/2021 6
Rekap Pemeriksaan MIS Juli 2021

1 Rahmat sandi 7/6/2021 7
2 Soenadi Katmadire 7/12/2021 6
3 Oneng Rohaeti 7/14/2021 9
4 Yanti Rohmiati 7/26/2021 6
Rekap Pemeriksaan MIS Agustus 2021 Rekap Pemeriksaan SGA Agustus 2021 Rekap Konsultasi Agustus 2021
1 Ani Sri 8/14/2021 7 1 Sadirah 8/6/2021 A 1 Ani Sri 8/14/2021
2 Iyang Ruhiyat 7/17/2021 6 2 Andi Rachmat 8/6/2021 A 2 Iyang Ruhiyat 7/17/2021
3 Mirah Delima 8/9/2021 A 3 Yuyun Yuliani 8/25/2021
3 Rohana 8/9/2021 A
4 Imas Suprihaningsih 8/10/2021 A
5 Epi Apiyanti 8/10/2021 A
6 Ani Sri 8/14/2021 B
7 Iyang Ruhiyat 7/17/2021 A
8 Yuyun Yuliani 8/25/2021 B
9 Adang Adurahman 8/30/2021 B
10 Epi Apiyanti 8/30/2021 A

Edukasi HD
SGA 12 B 3
Konseling 3 C 0
Total 17

Persentase
TOTAL 102
Rekap Pemeriksaan MIS September 2021 Rekap Pemeriksaan SGA September 2021 Rekap Konsultasi September 2021
1 M Ridwan Fariz 9/1/2021 4 1 M Ridwan Fariz 9/1/2021 A 1 M Ridwan Fariz 9/1/2021
2 Saeful Anwar 9/10/2021 4 2 Ade Salim 9/8/2021 A Anyelir 2 Saeful Anwar 9/10/2021
3 Agus Sadeli 9/11/2021 2 3 Sagihariyem 9/8/2021 A 117 3 Agus Sadeli 9/11/2021
4 Laniwati 9/30/2021 8 4 Wiwiek Hindaiyah 9/8/2021 A 117 4 Laniwati 9/30/2021
5 Saeful Anwar 9/10/2021 A FC
6 Agus Sadeli 9/11/2021 A
7 Moch Tahyan 9/21/2021 A
8 Sudarmanto 9/21/2021 A
9 Kokom Komalasari 9/21/2021 A
10 Mumun 9/22/2021 B
11 Harun Nugraha 9/22/2021 A
12 Laniwati 9/30/2021 B

Edukasi HD
SGA 12 B 2
Konseling 4 C
Total
Total Pasien Ranap

Persentase
TOTAL 58
A
Rekap Pemeriksaan MIS Oktober 2021 Rekap Pemeriksaan SGA Oktober 2021 Rekap Konsultasi Oktober 2021
No Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien
1 Effendi Simanjuntak 10/5/2021 4 1 Effendi Simanjuntak 10/5/2021 A 1 Effendi Simanjuntak
2 Saeful Anwar 10/22/2021 3 FC 2 Iwa Kartiwa 10/19/2021 B 2 Dian Widaningsih
3 Santanu 10/26/2021 6 115 3 Sadirah 10/19/2021 A 3 Grendie
4 Susi Susanti 10/20/2021 B 4 Erwin Syafianto
5 Heber Sitorus 10/20/2021 B Anyelir 5 Santanu
6 Agus Purnomo 10/20/2021 A Anyelir 6 Ade Isnaeni
7 Runggu Gultom 10/21/2021 B Anyelir
8 Liswati 10/22/2021 B Anyelir
9 Ai Tati 10/22/2021 A Anyelir
10 Euis Sukaesih 10/22/2021 A Anyelir
11 Achmad Beki 10/25/2021 B Anyelir
12 Suryana Kencana 10/25/2021 B Utama
13 Santanu 10/26/2021 A 115
14 Eutik Sartika 10/28/2021 B *
15 Ade Isnaeni 10/28/2021 B

Pemeriksaan MIS 3 A
Edukasi HD
SGA 15 B
Konseling 6 C
Total 24
Total Pasien Ranap

Persentase
TOTAL 92
Rekap Konsultasi Oktober 2021
Tanggal Pemeriksaan
10/5/2021
10/6/2021
10/9/2021
10/18/2021
10/26/2021
10/28/2021
Jumlah
6
9
0
Rekap Pemeriksaan MIS November 2021 Rekap Pemeriksaan SGA

1 Dede Kartika 11/3/2021 3 1
2 Ijang Suparto 11/8/2021 5 117 2
3 Laela Faray 11/11/2021 11 utama 3
4 Iwa Kartiwa 11/12/2021 5 any 4
5 Aditya Indra 11/16/2021 5 115 5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39

Erma Nurwinceu 11/1/2021 A FA 1 Dede Kartika
Neng Amrina 11/1/2021 B FA 2 Ijang Suparto
Danu Hidayat 11/1/2021 A 3 Laela Faray
Dede Kartika 11/3/2021 A
Ijang Suparto 11/8/2021 A 117
Agus Samsudin 11/8/2021 A FA
Yuni Andiani 11/8/2021 A FA
Ade Rustandi 11/8/2021 B FA
Muthi Fauziyah 11/8/2021 A Anak
Nasikin 11/8/2021 A VIP
Heni Hendarti 11/10/2021 B 117
Laela Faray 11/11/2021 B utama
Nenden Safitri 11/9/2021 A 115
Halimah Mulyani 11/12/2021 B 115
Wisnu Hendarta 11/15/2021 B FC
Sri Widaningsih 11/15/2021 A FC
Enok Rohaenah 11/15/2021 B
Asih [B] 11/15/2021 A FB
Mirah Delima 11/15/2021 A FB
Rohamah 11/15/2021 A FB
Aditya Indra 11/16/2021 A 115 P
Odah 11/16/2021 A
Asmanila 11/17/2021 B
Uus Samsudin 11/18/2021 A
Susi Susanti 11/18/2021 B
Dedi Rahman 11/18/2021 B seruni
Priatna 11/18/2021 B FC
Moch Tahyan 11/18/2021 A Any
11/18/2021 A seruni
Gunawan Wibisana
11/19/2021 A
Erlin Sugiarti 11/19/2021 B 115
Ecin Kuraesin 11/25/2021 A 115
Lina Herlina 11/25/2021 A
Imas Fatimah 11/26/2021 A 117
Sukriyah 11/27/2021 B 117*
Soenarto Roesoel 11/30/2021 A vip
Ecek Ade 11/30/2021 B any

Pemeriksaan MIS 5 A
Edukasi HD
SGA 39 B
Edukasi HD
Konseling 3 C
Total 47
Total Pasien Ranap

Edukasi Ranap Pasien Teredukasi 92 92
Persentase
TOTAL 139
kap Konsultasi November 2021
Tanggal Pemeriksaan
11/3/2021
11/8/2021
11/11/2021
Jumlah
26
13
0
Rekap Pemeriksaan MIS Desember 2021 Rekap Pemer

1 Asep Kamaludin 12/6/2021 6 1
2 Lina Herlina 12/8/2021 4 2
3 Syaripudin 12/9/2021 1 3
4 K Beni Mulyana 12/9/2021 3 4
5 Agus Prijanto 12/10/2021 3 5
6 Wawan Gunawan 12/13/2021 6 6
7 Heber Sitorus 12/14/2021 7 7
8 Wati Triastuti 12/14/2021 9 8
9 Mamah 12/14/2021 10 9
10 Mariani Rahayuningsih 12/14/2021 4 10
11 Eutik Sartika 12/17/2021 3 11
12 Romlan 12/17/2021 3 12
13 Dedeh 12/22/2021 4 13
14 Heni Hendarti 12/22/2021 9 14
15 Yayan Riyani 12/22/2021 2 15
16 R Revi Ariffin 12/24/2021 1 16
17 Ae Badriah 12/30/2021 5 17
18 Dedi Taryana 12/30/2021 4 18
19 Suwarso 12/31/2021 5 19
20 Andi Rachmat 12/31/2021 2 20
21 Jonson Sanbasa 12/31/2021 4 21

Mariani Rahayuningsih 12/3/2021 A 117 1 Empon
Asep Kamaludin 12/6/2021 A FB 2 Aditya Indra P
Empon 12/6/2021 B 115/117 3 Empon
Lina Herlina 12/8/2021 A 117 4 Soenadi Kadmadja
Syaripudin 12/9/2021 A 115 5 R Revi Ariffin
K Beni Mulyana 12/9/2021 A FA 6 Masyamsir
Agus Prijanto 12/10/2021 A 117
Wawan Gunawan 12/13/2021 A 117
Mamah 12/14/2021 B FA
Soenadi Kadmadja 12/13/2021 A any
Rini 12/10/2021 B ranap/117
Romlan 12/17/2021 A any
Netti Arwani 12/20/2021 A 117
Dedeh 12/22/2021 A 117
Heni Hendarti 12/22/2021 B 117
R Revi Ariffin 12/24/2021 A FA
Masyamsir 12/29/2021 A utama
Irah Sutirah 12/29/2021 A FB
Ae Badriah 12/30/2021 A FA
Dedi Taryana 12/30/2021 A FA
Suwarso 12/31/2021 A 117

Edukasi HD
SGA 21 B
Konseling 6 C
Total 48

Persentase
TOTAL 129
p Konsultasi Desember 2021
Tanggal Pemeriksaan
12/6/2021
12/7/2021
12/13/2021
12/13/2021
12/24/2021
12/29/2021
Jumlah
17
4
0
Rekap Pemeriksaan MIS Januari 2022 Rekap Pem

1 Arnoldus Aldy anggara 1/4/2022 3 1
2 Lili Rusli 1/4/2022 4 2
3 Kuswati 1/5/2022 8 117 3
4 Wariah 1/6/2022 6 4
5 Hasan Fauzi 1/6/2022 4 5
6 Ade Suryati 1/7/2022 10 6
7 Imas Siti Fatimah 1/7/2022 3 7
8 Winangsih 1/8/2022 3 8
9 Rusmana 2/11/2022 5 9
10 Lili Samsu Ramli 2/12/2022 6 10
11 Heri Kemaludin 2/12/2022 6 11
12 Taryati 2/12/2022 2 12
13 Feri Yunaidi 2/12/2022 3 13
14 Sukriyah 2/14/2022 4 14
15 Rohannah 2/14/2022 3 15
16 Agus Samsudin 2/15/2022 1 16
17 Gunawan Wibisana 1/19/2022 4 17
18 Ikhsan Wibawa 1/19/2022 5 18
19 H Adang Abdurachman 1/20/2022 9 19
20 Heri Heriadi 1/20/2022 1 20
21 Muh Deden Ahmad 1/21/2022 3 21
22 Asmanila 1/24/2022 8 22
23 Erma nurwinceu 1/24/2022 3 23
24 Hidayati 1/25/2022 3 24
25 Enur Saepudin 1/25/2022 7 25
26 Jaja 1/27/2022 2 26
27 Dedi Rustandi 1/28/2022 2 27
29 Ade Rustandi 1/31/2022 12 28
29
30
31
32
33
34
35
36

Arnoldus Aldy anggara 1/4/2022 A capd 1 Lina Herlina
Lili Rusli 1/4/2022 A 117 2 Arnoldus Aldy anggara
Wariah 1/6/2022 A any 3 Herman Laksana
Hasan Fauzi 1/7/2022 A any 4 Mumun Syaban
Ade Suryati 1/7/2022 B 115 5 Budi Hidayat
Imas Siti Fatimah 1/7/2022 A 117 6 Yulia
Bonnigus 1/7/2022 B 117 7 Yuliana
Mimin 1/10/2022 A FA
Atik Istiantini 1/10/2022 A 115
Rusmana 2/11/2022 A 115
Ani Yuhamah 1/12/2022 A FC
Lili Samsu Ramli 2/12/2022 A 115
Heri Kemaludin 2/12/2022 A 115
Taryati 2/12/2022 A FB
Feri Yunaidi 2/12/2022 A 115
Herman Laksana 1/14/2022 B FB
Winangsih 1/8/2022 A ranap
Sukriyah 2/14/2022 A 117
Rohannah 2/14/2022 A
Mumun Syaban 2/15/2022 A utama
Agus Samsudin 2/15/2022 A FA
Gunawan Wibisana 1/19/2022 A Seruni
Ikhsan Wibawa 1/19/2022 A FA
H Adang Abdurachman 1/20/2022 A 117
Heri Heriadi 1/20/2022 A fc
Muh Deden Ahmad 1/21/2022 A 115
Titik Lestari 1/21/2022 A 115
Asmanila 1/24/2022 B 117
Erma nurwinceu 1/24/2022 A FA
Muh Rifki 1/24/2022 B 115
Enur Saepudin 1/25/2022 B 116
Jaja 1/27/2022 A fa
Yulia 1/28/2022 B fc
Dedi Rustandi 1/28/2022 A 115
Yuliana 1/29/2022 A any
Ade Rustandi 1/31/2022 B

Pemeriksaan MIS 29
Edukasi HD
SGA 36
Konseling 7
Total 72
Total Pasien Ranap
Persentase
TOTAL 154
kap Konsultasi Januari 2022
Tanggal Pemeriksaan
1/1/2021
1/4/2022
1/14/2022
1/15/2022
1/21/2022
1/28/2022
1/29/2022
Rekap Pemeriksaan MIS Febuari 2022 Rekap Pemeriksaan SGA Fe

1 Rohaedin 2/4/2022 8 1 Rohaedin
2 Siti Nurhani 2/4/2022 7 2 Haryani
3 Devi Septiani 2/4/2022 5 3 Siti Nurhani
4 Mulianto Pari 2/5/2022 4 4 Devi Septiani
5 Nandi Koswara 2/8/2022 3 5 Mulyanto
6 Oom Rochmah 2/8/2022 3 6 Sri Wahyuningsih
7 Nia Kurniawan 2/8/2022 2 7 Wawan Gunawan
8 Endang sunarya 2/9/2022 7 8 Melly Johari
9 Salman Wibisana 2/9/2022 2 9 Ecin Kuraesin
10 Endang Muchtar 2/10/2022 8 10 Nandi Koswara
11 Oom Rochmah
12 Agus Prijanto
13 Effendi Simanjutak
14 Nia Kurniawan
15 Nenden Safitri
16 Endang sunarya
17 Salman Wibisana
18 Heriyanto
19 Tuti Rohaeni
20 Harman
21 Deli Juliana
22 Endang Muchtar
23 Johan Arifin
24 Amirah
25 Fahmi Ulfah
26 Ai Rohaeni
Jenis Pemeriksaan
Pemeriksaan MIS
Edukasi HD
SGA
Konseling
Total
Total Pasien Ranap
Edukasi Ranap
Pasien Teredukasi
Persentase
kap Pemeriksaan SGA Febuari 2022 Rekap Konsultasi Febuari 2022

2/4/2022 B 1 Yulia 2/4/2022
2/4/2022 B 2 Haryani 2/4/2022
2/4/2022 B 3 Johan Arifin 2/11/2022
2/4/2022 A
2/5/2022 A
2/7/2022 B
2/7/2022 A
2/7/2022 B
2/7/2022 A
2/8/2022 A
2/8/2022 A
2/8/2022 A
2/8/2022 B
2/8/2022 A
2/8/2022 A
2/9/2022 B
2/9/2022 A
2/9/2022 A
2/10/2022 B
2/10/2022 B
2/10/2022 B
2/10/2022 B
2/11/2022 B
2/11/2022 B
2/11/2022 B
2/11/2022 B
Jumlah SGA Jumlah

10 A
24 B
3 C
37
Tgl Masuk
No Status
Nama Pasien Medrec HD
Tgl Bln Thn
A SURYANA 022861 2 Mei 2019 BPJS
AAH SUMAR'AH 025317 7 Mar 2020 BPJS
ABI 020796 19 Sep 2018 BPJS
ACENG SUPARMAN 025614 12 Mei 2020 BPJS
ACHMAD BEKI BACHTIAR 018192 16 Nov 2017 BPJS
ACHMAD HIDAYAT 023407 13 Jul 2019 BPJS
ACHMAD MAULIDIN 017454 11 Nov 2020 BPJS
ACHYAR SUTACHYAR 024032 23 Sep 2019 BPJS
ACIH [PINDAH] 026305 30 Nov 2020 BPJS
ADANG ABDURACHMAN 025129 8 Feb 1944 BPJS
ADANG KUSNARA 006748 29 Des 2014 BPJS
ADE ISNAENI 00 19 53 8 Sep 2006 BPJS
ADE RUSTANDI 011395 1 Jun 2015 BPJS
ADE SALIM 024164 5 Okt 2019 BPJS
ADE SUNARYA 024267 19 Okt 2019 BPJS
ADE SUPRIADI 023729 19 Agu 2019 BPJS
ADE SURYATI 022093 6 Feb 2019 BPJS
ADING SUTISNA 021148 20 Okt 2018 BPJS
ADITYA INDRA RASPATI 028414 24 Sep 2021 SWASTA
ADRIAN BIANDIKO 019115 9 Mar 2018 BPJS
ADYA WARDANA 017158 26 Jul 2018 SWASTA
AE BADRIAH 011753 27 Jul 2015 BPJS
AEP TASLIMIN 025851 21 JUl 2020 BPJS
AGNES YOHANA 025617 13 Mei 2020 BPJS
AGUNG NURJAMAN 018894 11 Feb 2018 BPJS
AGUS HANURA 027737 8 Jun 2021 BPJS
AGUS KOMARUDIN 026180 8 Sep 2020 BPJS
AGUS PRIJANTO 006843 9 Mei 2013 BPJS
AGUS PURNOMO 022610 2 Apr 2019 BPJS
AGUS ROHYADI DINDIN 005354 13 Apr 2012 BPJS
AGUS ROSIADI 024558 28 Nov 2019 BPJS
AGUS SADELI 026656 18 Nov 2020 BPJS
AGUS SAMSUDIN 024335 28 Okt 2019 BPJS
AGUS SUHERLI 023977 16 Sep 2019 BPJS
AGUS SUTIAWAN 021952 10 Mar 2019 BPJS
AGUSTINUS SAJIL 006037 29 Okt 2012 BPJS
AHMAD [+] 024223 13 Okt 2019 BPJS
AHMAD SUHENDAR MAHDI 023138 1 Agu 2019 BPJS
AI BIDA 021490 1 Des 2018 BPJS
AI RATMANAH 027305 6 Mei 2021 BUMN
AI ROHAENI 025889 16 Jul 2020 BPJS
AI TATI 022310 28 Feb 2019 BPJS
AISYAH 026353 1 Okt 2020 BPJS
ALBERT GUSTAAF TAWAANG 019363 9 Apr 2018 BPJS
ALWIN KUMASI 023578 1 Agu 2019 BPJS
AMIR WAHIDIN 028143 12 Mei 1963 SWASTA
AMIRAH SUKMANI 017265 18 Jul 2017 BPJS
AMUH 026438 21 Apr 2021 BPJS
ANAH FATIMAH 026755 4 Des 2020 BPJS
ANDHY HARYADI NUGRAHA [ + ] 021118 16 OKt 2018 BPJS
ANDI RACHMAT P 023496 6 Agu 2019 BPJS
ANDI SARDI SUHANDI 012864 2 Jan 2016 BPJS
ANDRI BUDIMAN 009614 2 Okt 2014 BPJS
ANDRI HERDADI 012830 29 Des 2015 BPJS
ANI KUSTINAH 007735 28 Nov 2013 BPJS
ANI SRI WAHYUNI 027516 29 Apr 2021 BPJS
ANI YUHAMAH 019605 5 Mei 2018 BPJS
ANIH ROHANIH 006503 4 Nov 2013 BPJS
AR ODJAT SUTANDY 025364 13 Mar 2020 BPJS
ARYO PURBO 024425 10 Nov 2019 BUMN
ASEP CUCU H 024568 17 Mar 2020 BPJS
ASEP DEDENG 023057 27 Mei 2019 BPJS
ASEP DENI GUNAWAN 017625 27 Agu 2017 BPJS
ASEP FURQON NURHAKIM 018212 10 Jun 2019 BPJS
ASEP KAMALUDIN 0014.38 11 Jan 2004 BPJS
ASEP KOMARUDIN 023543 31 Jul 2019 BPJS
ASEP MULYADI 005483 23 Mei 2012 BPJS
ASEP RAMDAN MAULANA 009521 3 Jul 2021 BPJS
ASEP RAMDANI 027834 22 Jun 2021 BPJS
ASEP RUSMAN 025929 25 Jul 2020 BPJS
ASEP SAEPUDIN 024750 21 Des 2019 BPJS
ASEP SUDRAJAT 026671 19 Nov 2020 BPJS
ASEP YAYA 016471 5 Apr 2017 BPJS
ASIH 026745 3 Des 2020 BPJS
ASIH [A] 008496 11 Apr 2014 BPJS
ASMANILA A DHARMAWANSYA 023028 23 Mei 2019 BPJS
ASNER ABDEN NADAEK 022735 19 Feb 2020 BPJS
ATIH 015736 4 Jan 2017 BPJS
ATIK ISTIANTINI 020799 19 Sep 2018 BPJS
ATIN SUPRIATIN 022005 24 Jan 2019 BPJS
AYI CAHYA 018089 28 Okt 2017 BPJS
AYUMAH 019967 14 Jun 2018 BPJS
B SIMAMORA 027036 29 Jan 2021 BPJS
BAMBANG YULI HARDIYANTO 022011 28 Sep 2019 BPJS
BASIRUN 027587 12 Mei 2021 BPJS
BAYU APRIANTO AGUSMAN 018428 14 Des 2017 BPJS
BENNY ARIFIN 021524 5 Des 2018 BPJS
BUCHE BUDYANTO 021436 19 Des 2018 BPJS
BUDHI NURDIANA 026629 14 Nov 2020 BPJS
CAHYA NUGRAHA 015232 8 Nov 2016 BPJS
CARDI 021264 31 Okt 2018 BPJS
CECEP MULYANA 021637 17 Des 2018 BPJS
CECEP WANDA 027373 5 Apr 2021 BPJS
CEP RAMDAN 026436 13 Okt 2020 BPJS
CICIH SUNENGSIH [PINDAH} 026528 29 Okt 2020 BPJS
CUCU RUDIWAN 022877 4 Mei 2019 BPJS
CUCU SURYANI 018437 16 Des 2017 BPJS
DADAN JULI RAMDANI 023525 25 Jul 2019 BPJS
DADAN SUPARMAN 023956 13 Sep 2019 BPJS
DADANG CAAT SOMANTRI 025941 28 Jul 2020 BPJS
DAHLAH BASUKI 027489 23 Apr 2021 BPJS
DANU HIDAYAT 023664 12 Agu 2019 BPJS
DARPIN B DIRJA 027143 23 Nov 2021 BPJS
DEDE BINTI MUSLM 026411 8 Okt 2020 BPJS
DEDE ENI ROHAENI 015881 20 Jan 2017 BPJS
DEDE KARTIKA 028200 22 Agu 2021 BPJS
DEDE KOSWARA 021913 16 Jan 2019 BPJS
DEDE NIKMATUL AKBAR 023836 30 Agu 2019 BPJS
DEDE NIKMATUL AKBAR 023836 30 Agu 2019 BPJS
DEDE RACHMAT 026600 11 Nov 2020 BPJS
DEDE WARSA 016486 7 Apr 2017 BPJS
DEDEH 016146 22 Feb 2017 BPJS
DEDEN AHMAD 00 19 81 19 Okt 2006 BPJS
DEDEN HIDAYAT 025009 24 Jan 2020 BPJS
DEDEN ROSADI 025980 6 Agu 2020 BPJS
DEDEN SOPANDI 025008 23 Jan 2020 BPJS
DEDI RAHMAN 025342 9 Mar 2020 BPJS
DEDI RUSTANDI 024149 4 Okt 2019 BPJS
DEDI SUDIHARTO 027197 27 Feb 2021 BUMN
DEDI TARYANA 023360 15 Nov 2019 BPJS
DEDY SETYAWAN 026693 24 Nov 2020 BPJS
DELI JULIANA 024049 24 Sep 2019 BPJS
DENI KOMARUDIN 026596 11 Nov 2020 BPJS
DENIS RAHARDIANSYAH 017847 20 Sep 2017 BPJS
DEVI SEPTIANI 014584 25 Agu 2016 BPJS
DEWI HIDAYATI 00 22 89 22 Mar 2008 BPJS
DEWI MARYATI 00 27 39 21 Feb 2009 BPJS
DEWI NENGSIH 015761 7 Jan 2017 BPJS
DIAH HEIDY HARLIANTI 026196 13 Sep 2020 BPJS
DIAH ISTIQOMAH 027192 1 Mar 2021 BPJS
DIAH SINTA SETIOWATI 019493 24 Apr 2018 BPJS
DIAN FAJARIA 027126 16 Feb 2021 BPJS
DIAN WIDANINGSIH 008393 8 Sep 2021 BPJS
DIDI SUPRIADI 023027 24 Mei 2019 BPJS
DIDIN SAEPUDIN 020866 25 Sep 2018 BPJS
DIKDIK ROHENDI 019555 3 Nov 2020 BPJS
DINDIN BIN AMAN 021080 13 Okt 2018 BPJS
DJADJANG [B] 017361 27 Jul 2017 BPJS
DONDY PUJI NUGROHO 027517 28 Apr 2021 BPJS
DONI 025304 4 Mar 2020 BPJS
DORNORA SIHOTANG 025970 5 Agu 2020 BPJS
DUDI 023604 5 Agu 2019 BPJS
DWI HARYADI 028171 18 Agu 2021 BPJS
E SUMIASIH 016276 11 Mar 2017 BPJS
ECEK ADE 026583 8 Nov 2020 BPJS
ECIN KURAESIN 023485 21 Jul 2019 BPJS
EDDY HARYADI 025287 3 Mar 2020 BPJS
EEM 023475 19 Jul 2019 BPJS
EEM SUMIATI 026137 2 Sep 2020 BPJS
EEN 026201 17 Sep 2020 BPJS
EFFENDI SIMANJUNTAK 028123 20 Agu 2021 BPJS
ELIS KURNIASIH 024402 6 Nov 2019 BPJS
ELLEN ROSAWITA TUNGGONO 026535 30 Okt 2020 BPJS
ELLY KURNIAWATI 019484 17 Jun 2021 BPJS
ELY YULIA 015251 10 Nov 2016 BPJS
EMIS NURYATI 010377 17 Jan 2015 BPJS
EMPON 019486 23 Apr 2018 BPJS
ENANG SUMANDA 018477 22 Des 2017 BPJS
ENANG SURYADI 027902 2 Jul 2021 BUMN
ENDANG AMUNG 00 35 40 24 Mei 2010 BPJS
ENDANG SUHENDAR 021033 10 Okt 2018 BPJS
ENDANG SUNARYA 026254 23 Sep 2020 BPJS
ENDI 024657 11 Des 2019 BPJS
ENDI RUSYANA 022768 20 Apr 2019 BPJS
ENDI SUTARMAN 023004 16 Jul 2019 BPJS
ENDJANG SOBARI 011748 28 Jul 2015 BPJS
ENOK ROHAENAH 028706 14 Nov 2021 BPJS
ENONG NURHAYATI 026242 21 Sep 2020 BPJS
ENTANG 028723 16 Nov 2021 BPJS
ENUNG JUARIAH 022507 19 Mar 2019 BPJS
ENUNG NURJANAH [B] 019481 5 Sep 2018 BPJS
ENUR SAEPUDIN 023224 21 Jun 2019 BPJS
ENYANG 019218 22 Mar 2018 BPJS
EPI APIYATI 022582 27 Mar 2019 BPJS
ERLIN SUGIARTI 026400 7 Okt 2020 BPJS
ERMA NURWINCEU 024036 23 Sep 2019 BPJS
ERNA MASHURI 024348 30 Okt 2019 BPJS
ERNA SITI NURHAYATI 022110 5 Feb 2019 BPJS
ERNAWATI 026657 17 Nov 2020 BPJS
ERNI YUNIARSIH 018452 18 Des 2017 BPJS
ERWIN SYAFIANTO 023918 9 Sep 2019 BPJS
EUIS 026248 23 Sep 2020 BPJS
EUIS AISAH 016506 18 Sep 2019 BPJS
EUIS ESIH KURAENI [ + ] 025726 12 Jun 2020 BPJS
EUIS KURNIAWATI 00 41 63 20 Feb 2011 BPJS
EUIS ROSTIKA 010907 26 Mar 2015 BPJS
EUIS RUKMINI 019295 1 Apr 2018 BPJS
EUIS SUKAESIH 027289 19 Mar 2021 BPJS
EUTIK SARTIKA 028575 26 Okt 2021 BPJS
FAHMI ULFAH 024560 28 Nov 2019 BPJS
FAHRIZAL RAMDANI 027679 3 Juni 2021 BPJS
FARIS AHMAD 022077 1 Feb 2019 BPJS
FERI YUNAIDI 018952 17 Feb 2018 BPJS
FITRI NURUL PATON 023404 13 Jul 2019 BPJS
FRANS WELBIN TONDANG 022189 15 Feb 2019 BPJS
GIANTINI 026724 8 Des 2020 BPJS
GO TJIE YANG 024136 3 Okt 2019 BPJS
GRENDIE TEGUH PIDEGSO 028359 16 Sep 2021 BPJS
GUGUN ABDUL LATIEF 00 28 05 10 Jun 2009 BPJS
GUNAWAN WIBISANA 009213 12 Agu 2014 BPJS
GUNGUN GUNAWAN 027948 2 Jul 2021 BPJS
HADI FAHRURROZI 027254 12 Mar 2021 BPJS
HAERONI 020443 9 Agu 2018 BPJS
HALIMAH MULYANI 028629 2 Nov 2021 BPJS
HAMDANI KOSWARA [ + ] 028623 1 Nov 2021 BPJS
HAMID A USMAN 023263 23 Nov 2020 BPJS
HANDIAN ILHAM SOMANTRI 023531 26 Jul 2019 BPJS
HARMAN 016260 28 Jun 2018 BPJS
HARRY ARIES 025739 11 Nov 2020 BPJS
HARTONO 011965 18 Agu 2017 BPJS
HARUN NUGRAHA 018973 20 Feb 2018 BPJS
HARYANTO 024266 24 Okt 2019 BPJS
HASAN FAUZI 015360 9 Des 2016 BPJS
HASANAH 023699 20 Agu 2019 BPJS
HEBER SITORUS 028548 19 Okt 2021 BPJS
HENDRIK NURDIANSYAH 021908 14 Jan 2019 BPJS
HENI HENDARTI 028660 6 Nov 2021 BPJS
HENRY ADRIE SINJAL 027426 13 Apr 2021 BPJS
HERADADI 020289 5 Jun 2020 BPJS
HERI 021126 17 Okt 2018 BPJS
HERI HERIADI 026482 28 Okt 2020 BPJS
HERI KEMALUDIN 018143 7 Nov 2017 BPJS
HERIYANTO 023587 2 Agu 2019 BPJS
HERRY SUGIHARTO 027439 24 Nov 2021 BPJS
HERY MUH TAUFIK HIDAYAT 023915 9 Sep 2019 BPJS
HIDAYAT 015540 14 Des 2016 BPJS
HIDAYATI 025251 24 Feb 2020 BPJS
HUTABARAT 024598 5 Des 2019 BPJS
IDA 022589 28 Mar 2019 BPJS
IDA NENGSIH 021561 8 Des 2018 BPJS
IDA SURYANTI 019419 19 Apr 2019 BPJS
IDHAM SUPRIADIN APANDI 026613 19 Mar 2021 BPJS
IHAT 024927 14 Jan 2020 BPJS
IIM SAMSUMILAH 025966 3 Agu 2020 BPJS
IJANG SUPARTO 00 18 13 30 Des 2005 BPJS
IKA ROSTIKA 020916 29 Sep 2018 BPJS
IKAH BINTI ADUNG 026816 20 Nov 1965 BPJS
IKAH SAIKAH 020554 21 Agu 2018 BPJS
IKHSAN WIBAWA 021047 10 Okt 2018 BPJS
IKI 021648 18 Des 2018 BPJS
IMAS FATIMAH 025217 21 Feb 2020 BPJS
IMAS KOMARIAH 017670 31 Agu 2017 BPJS
IMAS NURHAYATI 023662 12 Agu 2019 BPJS
IMAS SUPRIHATININGSIH 027084 7 Feb 2021 BPJS
IMAS SUPRIHATININGSIH 027084 7 Feb 2021 BPJS
IMIN ROHIMIN 024382 3 Nov 2019 BPJS
IRAH SUTIRAH 020046 25 Jun 2018 BPJS
IRWAN SUHERWAN 014863 26 Sep 2015 BPJS
ISAH 015531 14 Des 2016 BPJS
ISAH DJUNIASIH [PINDAH] 020730 10 Sep 2018 BPJS
ITOH MASITOH 024920 13 Jan 2020 BPJS
IWA KARTIWA 023137 14 Jun 2021 BPJS
IWA KARTIWA 023137 14 Jun 2021 BPJS
IWAN SUDRAJAT 020825 21 Sep 2018 BPJS
IYANG RUHYAT 027514 29 Apr 2021 BPJS
IYUN SAUMI YUNINGSIH 021662 19 Des 2018 BPJS
JAJA 019513 26 Apr 2018 BPJS
JAJANG 013040 21 Apr 2016 BPJS
JAJANG JAHIDIN 022570 2 Jul 2019 BPJS
JAJANG NURJAMAN 021290 3 Nov 2018 BPJS
JAJANG ROHIMAT 012730 13 Des 2015 BPJS
JANI 025620 14 Mei 2020 BPJS
JENY THANIA 026060 3 Jan 2021 BPJS
JOEL MAROLOP NABABAN 026281 28 Sep 2020 BPJS
JOHAN LUKAS SWARTS 024115 2 Okt 2019 BPJS
JONSON SANBASAN 021127 17 Okt 2018 BPJS
JUMAELI JAMALUDIN 022616 5 Apr 2019 BPJS
K BENI MULYANA 018416 14 Des 2017 BPJS
KARLAN 021815 3 Jan 2019 BPJS
KARMINI 022584 27 Mar 2019 BPJS
KARWATI 027463 19 Apr 2021 BPJS
KHOLIDIN 002871 14 Jul 2009 BPJS
KOKOM KOMALASARI DEWI 021386 14 Nov 2018 BPJS
KOMALANINGRUM 024175 9 Okt 2019 BPJS
KOMARUDIN EFFENDI 026729 1 Des 2020 BPJS
KUSWANDA 023190 15 Jun 2019 BPJS
KUSWATI 019127 11 Mar 2018 BPJS
LAELA FARAY 027746 10 Jun 2021 SWASTA
LALA ABDULLATIF 024439 12 Nov 2019 BPJS
LALA ATMALA 003759 27 Agu 2010 BPJS
LANNYWATI N 027276 5 Agu 2021 BPJS
LILI RUSLI 028250 31 Agu 2021 BPJS
LILI SAMSU ROMLI 018643 10 Jan 2018 BPJS
LILIANA RINAWATI 018716 23 Jan 2018 BPJS
LILIS MAEMUNAH 020562 23 Agu 2018 BPJS
LILIS MULYATI 018315 4 Des 2017 BPJS
LILY YULIANA 025917 26 Agu 2000 BPJS
LINA HERLINA 028393 22 Sep 2021 BPJS
LIONG TEK LUK 017997 11 Okt 2017 BPJS
LISA IMELDA 023883 24 Sep 2021 BPJS
LISWATI 025953 30 Jul 2020 BPJS
LUCKY LUKMAN 000050 Sep 1991 BPJS
M ISMAIL IBNU HARIS 027416 10 Apr 2021 BPJS
M LUTHFI REYZA 025870 14 Jul 2020 BPJS
MAHMUDIN 024631 7 Des 2019 BPJS
MALIAH BAHARUDDIN 027556 4 Mei 2021 BPJS
MAMAH 027388 4 Juni 2021 BPJS
MARIANI 008418 12 Agu 2014 BPJS
MARIANI RAHAYUNINGSIH 017549 20 Nov 2017 BPJS
MARNO 024298 22 Okt 2019 BPJS
MARYAM AMRINA ROSYADA 024393 15 Jul 2020 BPJS
MASRIA 026378 5 Okt 2020 BPJS
MASYAMSIR 022049 29 Jan 2019 BPJS
MAWARNI SIHOMBING 026495 25 Okt 2020 BPJS
MAYASARI 028608 30 Okt 2021 BPJS
MELLY JOHARI 023581 17 Agu 2020 BPJS
MELLYANA LIE 022915 15 Mei 2019 BPJS
MIMIN 023825 29 Agu 2019 BPJS
MIMIN KUSMINAH 017285 19 Jul 2017 BPJS
MINAR 024793 28 Des 2019 BPJS
MINARSIH 024455 13 Nov 2019 BPJS
MIRA KOMALASARI [ + ] 027367 1 Apr 2021 BPJS
MIRAH DELIMA HARAHAP 024584 2 Des 2019 BPJS
MOCH SUDJANA 00 25 47 2 Agt 2008 BPJS
MOCH MUSTOFA MUHDIANTO 025340 9 Mar 2020 BPJS
MOCH RIDWAN FARIZ 027847 23 Jun 2021 BPJS
MOCH. TAHYAN 019076 5 Mar 2018 BPJS
MOHAMAD ADANG SUKRILAH 024138 3 Okt 2019 BPJS
MOHAMAD HANAPI 026568 6 Nov 2020 BPJS
MUGI WALUYO 009212 2 Nov 2015 BPJS
MUHAMAD UUS SAMSUDIN 022653 6 Apr 2019 BPJS
MUHAMMAD ALIEF KHARIZKI 018920 14 Feb 2018 BPJS
MUHAMMAD BAYU MAHAWELLY 023629 24 Okt 2020 BPJS
MULHIMAH 022557 26 Mar 2019 BPJS
MULYONO 006539 1 Mar 2013 BPJS
MUMUN 028347 15 Sep 2021 BPJS
MUMUN SYABAN 025367 13 Jul 2020 BPJS
MURNI'AH 028113 5 Agu 2021 BPJS
MUTHI FAUZIYAH P 027056 2 Feb 2021 BPJS
N ETTY HERAWATI 026664 19 Nov 2020 BPJS
NANA RAHMANA [ + ] 019900 2 Jun 2018 BPJS
NANA SUMPENA '021345 2 Jan 2019 BPJS
NANA SUPRIATNA 024427 10 Nov 2019 BPJS
NANDI KOSWARA 007431 30 Sep 2013 BPJS
NANI 022607 1 Apr 2019 BPJS
NANI KARWATI 019073 6 Mar 2018 BPJS
NANI SITI MULYANI 025619 4 Jul 2020 BPJS
NASIKIN 006146 Nov 2012 2017 BPJS
NELDA SURA 023434 16 Jul 2019 BPJS
NENDEN SAFITRI 023489 22 Jul 2019 BPJS
NENDI HILMAWAN 025313 9 Mar 2020 BPJS
NENENG TATI 022413 8 Mar 2019 BPJS
NENG AMRINA 017220 12 Jul 2017 BPJS
NENI ROSMINI 024656 10 Des 2019 BPJS
NIA KURNA [A] [PINDAH] 019986 18 Jun 2018 BPJS
NIA KURNIAWAN 008843 5 Jun 2014 BPJS
NINA HERLINA [ PINDAH] 026451 15 Okt 2020 BPJS
NINING HARYANTI 020459 10 Agu 2018 BPJS
NINING JUNAENGSIH 024880 7 Jan 2020 BPJS
NIZAR GARNIZAR BUNYAMIN 021878 7 Sep 2019 BPJS
NUGRAHA PRADANA 026157 4 Sep 2020 BPJS
NUNUNG HERAWAN 026601 11 Nov 2020 BPJS
NUNUNG WIDANINGSIH 028322 10 Sep 2021 BPJS
NURAENI 006388 24 Jan 2013 BPJS
NURHAYATI FARIDA 023780 24 Agu 2019 BPJS
NURLAELI 002302 12 Apr 2008 BPJS
NURMAN ZAELANI 017267 18 Jul 2017 BPJS
NURYATIN 015322 20 Nov 2016 BPJS
NYIMAS RASMANAH 024177 8 Okt 2019 BPJS
ODAH 026224 17 Sep 2020 BPJS
ODANG SURYANA 018999 15 Okt 2019 BPJS
ONENG ROHAETI 026514 28 Feb 2021 BPJS
ONG KIEM TJWAN HIMAWAN 024544 18 Mei 2020 BPJS
ONIH SURYATI 023439 16 Jul 2019 BPJS
OOH ROHAETY 026457 16 Okt 2020 BPJS
OOM ROCHMAH 017502 12 Agu 2017 BPJS
OOT RUHYAT GUNADI 015818 11 Apr 2017 BPJS
PAJAR SAPTA BUANA 020330 28 Jul 2018 BPJS
PATIMAH 024878 11 Jan 2020 BPJS
PATMAN 012152 19 Sep 2015 BPJS
PINTIAWAN CAHYADI 026603 11 Nov 2020 BPJS
PRIATNA 022305 2 Mar 2019 BPJS
PUPUT SITI FATIMAH 011764 28 Jul 2015 BPJS
PURNAMA MULIA 015420 2 Des 2016 BPJS
R ADRI SUMADI SANTOSA 021502 1 Des 2018 BPJS
R ANDI MUCHDIAT 026506 29 Okt 2020 BPJS
R REVY ARIFIN 026429 13 Okt 2020 BPJS
RAHMAT SANDI 027566 5 Mei 2021 BPJS
RANI AMALIA 005416 2 Mei 2012 BPJS
RATIH MUGIA MUKTI 026720 29 Nov 2020 BPJS
RATIH NUR DEWI 022863 4 Mei 2019 BPJS
RENA N O 001879 1 Mei 2006 BPJS
RENI 026356 1 Okt 2020 BPJS
REY ZENIS PUTRA 023930 10 Sep 2019 BPJS
RINA MUSTIKAWATI 026474 20 Okt 2020 BPJS
RIZAL ZAELANI 014985 10 Okt 2016 BPJS
ROHAEDIN 023001 20 Mei 2019 BPJS
ROHAETI 026721 28 Nov 2020 BPJS
ROHAMAH 025305 5 Mar 2020 BPJS
ROHANNAH 017566 18 Agu 2017 BPJS
ROHAYATI 023808 28 Agu 2019 BPJS
ROHMAN SOLEH 025117 5 Feb 2020 BPJS
ROMLAN 022262 20 Feb 2019 BPJS
RONI EL SOHIB 028771 23 Nov 2021 BPJS
RONNY MUHARAM 014209 5 Jul 2016 BPJS
ROSID HAMDANI 005469 17 Mei 2012 BPJS
ROSIFAH 009313 8 Des 2016 BPJS
RUBI 018744 23 Jan 2018 BPJS
RUDI SETIAWAN 023990 17 Sep 2019 BPJS
RUHDIN CAHYADIN 026467 19 Okt 2020 BPJS
RUHYATNA 024785 26 Des 2019 BPJS
RUKMANA 018234 22 Nov 2017 BPJS
RUNGGU GULTOM 025762 22 Jun 2020 BPJS
RUSMANA 017851 20 Sep 2017 BPJS
RUSTAMAN 009193 8 Agu 2014 BPJS
SADIMIN 021672 20 Des 2018 BPJS
SADIRAH 025691 5 Jun 2020 BPJS
SADRI BIN DJAMA MADHAPI 026393 6 Okt 2020 BPJS
SAEFUL ANWAR 028114 6 Agu 2021 BPJS
SAGIHARIYEM 026631 22 Nov 2020 BPJS
SALMAN WIBISANA KADAR 015895 24 Jan 2017 BPJS
SAMSUDIN 025164 11 Feb 2020 BPJS
SANTANU 021068 30 Jul 2021 BPJS
SANUKI 015187 1 Nov 2016 BPJS
SARAH AFIFAH ARIANTI 021587 11 Des 2018 BPJS
SARTI 026627 120 Feb 2021 BPJS
SARTIKA 025976 5 Agu 2020 BPJS
SATIB SYAMSUDIN 028238 27 Agu 2021 BPJS
SAYOTO 020078 29 Jun 2018 BPJS
SIGIT WIDODO 028495 9 Okt 2021 BPJS
SINTAULI SIHOMBING 027850 24 Jun 2021 BPJS
SITI AMINAH [B] 019108 25 Jul 2018 BPJS
SITI NURHANI 014587 12 Agu 2016 BPJS
SITI ROMLAH 007565 2 Nov 2013 BPJS
SOENADI KADMADIREJA 027544 3 Mei 2021 BPJS
SOLEH 027366 1 Apr 2021 BPJS
SOLIHIN EPENDI 023446 17 Jul 2019 BPJS
SONNY ADRIANA 021333 10 Nov 2018 BPJS
SONTA SIDAURUK 023933 13 Sep 2019 BPJS
SRI WAHYUNINGSIH 020936 1 Okt 2018 BPJS
SUBARNAS [ + ] 026663 18 Nov 2020 BPJS
SUDARMANTO 028243 28 Agu 2021 SWASTA
SUDIASIH KRISTYANTI 006233 19 Des 2012 BPJS
SUDRAJAT 020856 20 Mar 2019 BPJS
SUHENDAR 024645 10 Des 2019 BPJS
SUHENDRIK 021311 6 Nov 2018 BPJS
SUKANDAR DINATA NF 023558 30 Jul 2019 BPJS
SUKITO 027173 2 Mar 2021 BPJS
SUKRIYAH 014477 13 Agu 2016 BPJS
SULYANI HASANAH 026473 20 Okt 2020 BPJS
SUMARTINI 013654 20 Apr 2016 BPJS
SUMIYATI 027003 26 Jan 2021 BPJS
SUNARTO ROESOEL 026544 3 Nov 2020 BPJS
SUPARTINI 013669 21 Apr 2016 BPJS
SURO 025844 8 Jul 2020 BPJS
SURYA KENCANA 023101 3 Jun 2019 BPJS
SURYANAH 024245 15 Okt 2019 BPJS
SUSANTI 024494 20 Nov 2019 BPJS
SUSI SUSANTI 025892 17 Jul 2020 BPJS
SUSILADIHARTI 002611 20 Okt 2008 BPJS
SUSRY HERMAWAN 026946 19 Jan 2021 BPJS
SUTRISNO 023310 5 Jul 2019 BPJS
SUWARSO 027136 26 Feb 2021 BPJS
SUYATMI 026199 14 Sep 2020 BPJS
SUYATNO 021665 20 Des 2018 BPJS
SYARIFAH 022322 26 Feb 2019 BPJS
SYARIPUDIN 020992 5 Okt 2018 BPJS
TALMA 027392 7 Apr 2021 BPJS
TARMAD MARTO 019561 1 Mei 2018 BPJS
TARYATI 021688 22 Des 2018 BPJS
TATA WARSITA 027341 4 Jun 2021 BPJS
TATAG TRIYAHYO 026018 13 Agu 2020 BPJS
TATAG TRIYAHYO ADI 026018 13 Agu 2020 BPJS
TATAG TRIYAHYO ADI 026018 13 Agu 2020 BPJS
TATANG 022894 13 Apr 2021 BPJS
TAUFIK NUGRAHA 014705 12 Agu 2017 BPJS
TAUFIK SURYAWAN 023450 17 Jul 2019 BPJS
TETI SUPRIYATI 008093 4 Feb 2014 BPJS
TITA ROSITA 026728 1 Des 2020 BPJS
TITI MARYATI 019402 14 Apr 2018 BPJS
TITIK LESTARI 007082 4 Jul 2013 BPJS
TITIK STIOWATI 027075 4 Feb 2021 BPJS
TITIN KARTINI 028285 5 Sep 2021 BPJS
TIURLAN SIHALOHO 025270 27 Feb 2020 BPJS
TONI ROHENDI 021240 28 Okt 2018 BPJS
TORIDAH 026355 1 Okt 2020 BPJS
TRIA RISTIAWATI 026357 13 Okt 2020 BPJS
TUMARNO 010302 8 Jan 2015 BPJS
TURYANI 020768 4 Jan 2019 BPJS
TUSMAWATI 017125 26 Jun 2017 BPJS
TUTI ROHAETI 013754 23 Mei 2016 BPJS
U NURHAYAT 025088 3 Feb 2020 BPJS
U SAEPUDIN 025397 5 Apr 2021 BPJS
U TAHRUDIN 019096 9 Mar 2018 BPJS
UAN RUHYANA 026960 19 Jan 2021 BPJS
UGIH SUMARNI 017324 24 Jul 2017 BPJS
UJANG ASMARANUDIN 016512 13 Apr 2017 BPJS
UJANG SAIR [+] 021494 1 Des 2018 BPJS
UJU SENJAYA 022993 18 Mei 2019 BPJS
ULOH SAEPULOH 023129 8 Jun 2019 BPJS
ULUNG ATAR 015613 22 Des 2016 BPJS
UNIJAH 026810 21 Des 2020 BPJS
UNTUNG 026625 14 Nov 2020 BPJS
UPDI KUSNANDAR 026113 29 Agu 2020 BPJS
USEP HIDAYAT 018668 12 Jan 2018 BPJS
UUS SAMSUDIN
WARAN BIN RADI 028075 26 Nov 2021 BPJS
WARIAH [A] 024179 8 Okt 2019 BPJS
WARIAH [B] 024498 20 Nov 2019 BPJS
WARTINI 027306 22 Mar 2021 BPJS
WATI EMBUH 022103 4 Feb 2019 BPJS
WATI TRIASTUTI 025369 13 Mar 2020 BPJS
WAWAN GUNAWAN 018786 30 Jan 2019 BPJS
WAWAN GUNAWAN [BDG] 026403 7 Okt 2020 BPJS
WINANGSIH 026695 25 Nov 2020 BPJS
WISNU HENDARTA 026573 31 Des 2020 BPJS
WISNU WARDHANA 025913 22 JUl 2020 BPJS
WIWIEK HINDAIYAH WINARTI 026364 3 Okt 2020 BPJS
WIYONO RAHARDJO 009247 19 Agu 2014 BPJS
YADI ROCHMAN 007564 27 Okt 2013 BPJS
YAHYA SAMSUDIN 011950 26 Agu 2015 BPJS
YANA MULYANA 023679 13 Agu 2019 BPJS
YANI 007304 2 Sep 2013 BPJS
YANI ANDRIANI 022634 3 Apr 2019 BPJS
YANI SURYANI 018032 16 Okt 2017 BPJS
YANTI ROHMIATI 027154 19 Feb 2021 SWASTA
YAYAN HERYANTO 010899 3 Nov 2017 BPJS
YAYAN RIYANI 026143 2 Sep 2020 BPJS
YAYAT SUPRIATNA 024977 21 Jan 2020 BPJS
YAYU DIANTI 020869 26 Sep 2018 BPJS
YOGA NUGRAHA 003812 18 Sep 2010 BPJS
YOPI NOVIANI 025377 14 Mar 2020 BPJS
YUDI IRAWAN 003995 24 Nov 2010 BPJS
YULIA 025460 27 Mar 2020 BPJS
YULIANA 016401 27 Mar 2017 BPJS
YUNI RATNASARI 003432 25 Mar 2010 BPJS
YUNI ANDIANI 026504 29 Okt 2020 BPJS
YURI PURBANENDRA 027251 12 Mar 2021 BPJS
YUSI SANTIKA 021616 14 Des 2018 BPJS
YUYUN YULIANI 028131 9 Agu 2021 SWASTA
ZAENAL MUTAQIN 014536 20 Agu 2016 BPJS
ZAINAL MUSTOFA 022851 1 Mei 2019 BPJS
Pasien Keluar
Meninggal Pasien Pindah Pasien Tamu
Ket
Tgl Bln Thn Diagnosa Tempat Bln Thn Tgl
PL
PL
PL
PL 29 Mar 2021 Cardiovasculer
PL
PL
PL 17 Feb 2021 Syok Sepsis
PL Ke Jawa Jan 2021
PL
PL 31 Mar 2021 Respiratory Failure
PL
PL
PL
PL
PL
PL
PL 21 Feb 2021 Cardiovasculer
PB
PL
PL
PL
PL
PL
PL
PB 9
m
PL
PL
PL
PL 29 Mar 2021 Sepsis
PL
PL
PL 17 Mei 2021 Respiratory Failure
PL
PL 15 Jun 2021 Respiratory Failure
PL 31 Jan 2021 Cardiovasculer
PL 19
PL
PB 7
PL
PL
PL Ke RS Lain Jun 2021
PL
PB
PL
PB 22
PL 1 Mei 2021 Cardiovasculer
PL
PL
PL
PL
PB
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PB
PB 23
PL
PL 28 Apr 2021 Cardiovasculer
PL
PL
PL
PL
PL
PL 29 Apr 2021 Stroke Hemoragik
PL
PL Ke Subang Mar 2021
PL
PL
PB Ke RS Al'Islam Mar 2021
PL
PB 18
PL Ke Subang Mar 2021
PL
PL
PL
PL
PL 11 Apr 2021 Respiratory Failure
PL
PB 9
PL
PL Ke Subang Jan 2021
PL
PL
PL 20 Jun 2021 Cardiovasculer
PL
PL
PB 12 Jun 2021 Cardiovasculer
PL
PB
PL
PL
PB
PL
PL 21
PL 22
PL
PL
PL
PL
PL
PL
PL
PB 28
PL
PL Ke Jawa Mar 2021
PL
PL
PL 20
PL
PL
PL
PL
PL
PB 6
PL
PB Ke Bangka Belitung
Apr 2021
PL
PL
PL 5
PL
PL
PB
PL RS Lain Feb 2021
PB
PL
PL
PL
PL
PL
PL
PL Ke Cililin Jun 2021
PB
PL
PL RS Lain Feb 2021
PB 18
PL
PL
PL
PB
PL
PL
PL
PL
PL
PB
PL
PB
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PB
PB
PL
PB
PL
PL
PL
PL 2
PL
PB
PL
PL
PB
PB
PB
PB
PL
PL
PL
PL
PL 10 Apr 2021 Syok Sepsis
PL
PB
PL
PB
PB 17
PL 25 Mar 2021 Stroke Hemoragik
PL
PL
PL
PL
PB
PL
PL 17
PL
PL
PL
PL
PL
PB
PL
PL
PL
PL 27
PL
PL
PL
PL
PL
PL
PB 8
PL
PL
PL
PL
PL
PL Ke Cirebon Jan 2021
PB 18
PL
PB
PL
PL
PL
PL
PL
PL
PL
PL CAPD Mar 2021
PL
PL
PL
PL
PL
PL
PL
PB 27
PL
PL
PL
PL
PL
PB
PL
PL 29 Apr 2021 Syok Sepsis
PB
PB
PL
PL
PL
PL
PB
PL
PB
PL
PL
PB
PL
PL
PB
PB
PL 23
PL
PL
PL
PL
PL
PB
PL
PL
PL
PL
PL
PL
PB 16 Apr 2021 Cardiovasculer
PL
PL
PB
PL
PL
PL 4
PL
PL
PL
PL
PL
PL
PB
PL
PB
PB
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL Ke RS AMC Jan 2021
PL
PL Ke Subang Jan 2021
PL
PL
PL
PB
PL
PL
PL
PL
PL
PL
PB
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PB
PL
PL
PL
PL
PL
PL
PL Rs Lain Feb 2021
PL 17
PL
PL
PL
PL
PL
PL
PL
PB
PL
PL
PL
PL
PL
PL
PL Ke RS Salamun Jun 2021
PL
PL
PL
PL
PL Ke RS Lain Apr 2021
PB
PL
PL
PL
PB
PL
PL
PB 21
PL
PB
PL
PB
PB
PL
PL
PL
PB
PB
PL
PL
PL RS Dustira Mar 2021
PL
PB
PL
PL
PL
PL
PL
PB 29 Jun 2021 Respiratory Failure
PL
PL
PL 27 Mar 2021 Syok Sepsis
PB 28
PL
PL
PL
PL
PL
PL
PL
PL
PB Ke Aceh Mar 2021
PL
PB
PL
PL
PL
PL
PB
PL
PL
PB
PL 18
PL CAPD Apr 2021
PL
PB
PL
PL
PL 21 Mar 2021 Syok Kardiogenik
PL
PL
PL
PB
PB
PL
PL
PL
PL
PL
PL
PL
PL
PB
PL
PB
PL
PL
PL 23 Jan 2021 Respiratory Failure
PL
PL
PL
PL
PL
PL
PL 28 Mar 2021 Stroke Hemoragik
PB
PL
PL
PB
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PB
PL 8
PL
PL
PL
PL
PL
PL
PL
PL
PL
PL
PB
PL
PB
PL
PL
2021
Pasien Tamu SGA 1 SGA 2 MIS SGA 1
Bln Thn Tanggal Hasil Tanggal Hasil Tanggal Hasil Tanggal
1/2/2021 B 08/06/21 B
25/10/21 B
17/03/21 A
12/01/21 A 30/08/21 B
28/10/21 B
08/11/21 B
08/09/21 A
16/11/21 A 16/11/21 5
15/07/21 A
Jul 2021 099/06/2021 B
10/12/21 A 10/12/21 3
20/10/21 A
13/07/21 A
11/09/21 A 11/09/21 2
08/11/21 A
19/06/21 A
Jul 2021
08/06/21 A
Jun 2021
22/10/21 A
27/04/21 B
15/04/21 B
Mei 2021
02/01/21 B 06/08/21 A
22/04/21 B
10/06/21
14/08/21 B 14/08/21 06/01/00
21/05/21 B
22/04/21 A 06/12/21 A 06/12/21 05/01/00
14/04/21 B
Jul 2021
04/03/21 A
15/11/21 A
17/11/21 B
21/04/21 B
06/02/21 A
15/04/21
Jul 2021 A
23/02/21 A
Mei 2021
08/06/21 B
01/11/21 A
05/11/21 A 03/11/21 3
Mar 2021
Jun 2021
16/04/21 A
15/07/21 A
06/02/21 B
18/11/21 B
11/06/21 a
Mar 2021
Mar 2021
16/04/21 A
05/11/21 A
22/04/21 A
22/04/21 B
09/01/21 B
Apr 2021
Jul 2021
30/11/21 B
25/11/21 A
17/04/21 B
01/01/21 A
05/10/21 A 05/10/21 03/01/00

21/04/21 B
Jul 2021
29/06/21 B
06/12/21 B
19/04/21 B
14/04/21 B
09/07/21 A
15/11/21 B
25/06/21 B
14/04/21 B
17/04/21 A 10/08/21 A
B 19/11/21 B
01/11/21 A
25/06/21 B
10/03/21 B
21/01/21 A
07/06/21 A
24/04/21 B
22/10/21 A
28/10/21 B
17/06/21 A
23/06/21 B
Feb 2021
08/02/21 B
26/04/21 B
18/11/21 A
13/03/21 A
12/11/21 B
19/01/21 B
21/06/21 a
13/03/21 B 27/04/21 A
22/09/21 A
21/04/21 A
20/10/21 B 14/12/21 7
10/11/21 B
Mei 2021
24/04/21 A
26/06/21 A
Feb 2021
16/04/21 A
20/05/21 A
09/06/202`1 B
20/03/21 A
08/11/21 A 08/11/21 5
Mar 2021 03/01/21

14/04/21 A 01/11/21 A
16/04/21 A
26/11/21 A
20/04/21 A
Mar 2021 08/02/21 B

10/08/21 A
Jul 2021
12/11/21 5
17/07/21 A 17/07/21 05/01/00
04/01/21 A
26/04/21 A
11/06.2021 A
28/06/21 A 09/12/21 A 09/12/21 3
Mei 2021
14/04/21 A 21/09/21 A
06/01/21 A
10/06/21 B 11/11/21 B 11/11/21 11

16/04/21 B
30/09/21 B 30/09/21 07/01/00

18/05/21 A
16/05/21 A
08/12/21 A 08/12/21 4
21/04/21 A
21/05/21 B 22/10/21 B
18/06/21 A
05/06/21 B 14/12/21 B 14/12/21 9
Mar 2021
03/12/21 A 14/12/21 4
09/01/21 B 14/04/21 B
23/04/21 B
20/04/21 A
16/04/21 A
1/2/2021 B 14/06/21 A
21/04/21 B
16/04/21 B
009/08/2021 A 15/11/21 A
22/04/21 B
30/06/21 a 01/09/21 A 01/09/21 03/01/00
21/09/21 A 18/11/21 A
Feb 2021
20/05/21 A
3/24/2021 A 09/06/21 B
14/07/21 A
22/09/21 B
02/02/21 08/11/21 A
04/03/21 B
13/07/21 B
16/01/21 B
21/05/21 B
08/11/21 A
02/01/21 B 23/07/21 A
02/03/21 B 09/11/21 A
01/11/21 A
22/04/21 A
29/06/21 A
30/06/21 A
14/07/21 A
26/01/21 B
09/07/21 A
20/04/21 B
27/04/21 B
15/04/21 A 16/11/21 A
15/04/21 A
14/07/21 B 14/07/21 08/01/00
11/06/21 A
26/01/21 B
18/11/21 B
16/04/21 A
26/06/21 B
24/06/21 B 06/07/21 7
16/04/21 A
09/03/21 B
13/07/21 A
Feb 2021
21/05/21 B
09/08/21
15/11/21 A
20/04/21 A 17/12/21 A
21/10/21 B
23/04/21 B
06/08/21 A 19/10/21 A
10/09/21 A 22/10/21 3
16/05/21 B 08/09/21 A
24/04/21 B
26/10/21 A 26/10/21 6
13/01/21 B
Mar 2021
24/06/21 B
23/04/21 B
04/06/21 A 13/12/21 A 12/07/21 05/01/00
15/11/21 A
21/09/21 A
13/04/21 A
20/04/21 A 27/11/21 B
26/06/21 A 09/07/21 A
Feb 2021
04/06/21 A 30/11/21 A
22/11/21 B
25/10/21 B
20/10/21 B
24/06/21 A
06/01/21 B
22/04/21 B
09/12/21 A 09/12/21 1
05/06/21 B
Jul 2021
11/06/21 A
20/01/21 B
2/5/2021 B
17/05/21 B
19/04/21 B
06/05/21 a
03/06/21 B
20/01/21 B
25/02/21 A 15/04/21 A
14/04/21 A
18/11/21 A
11/07/21 A
14/12/21 9
13/12/21 A 13/12/21 6
14/04/21 A
03/01/21 B 15/11/21 B
17/04/21 A 08/09/21 A
22/04/21 A
21/04/21 B
26/06/21 B 26/07/21 B 26/07/21 6

Mar 2021
22/04/21 A
21/04/21 A
09/07/21 A
08/11/21 A
13/03/21 B
25/08/21 B
02/01/21 B
17/04/21 A
2022
SGA 1 SGA 2 MIS
Hasil Tanggal Hasil Tanggal Hasil

REKAP SGA PASIEN HEMODIALISA
RS KHUSUS GINJAL NY.R.A. HABIBIE 2020
SGA
No Bulan Jumlah
A B C SGA
1 Januari 10 21 0 31 A
2 Februari 5 19 0 24 45.38%
3 Maret 15 28 0 43
4 April 23 34 0 57
5 Mei 28 14 0 42
6 Juni 40 37 0 77
7 Juli 44 23 0 67
8 Agustus 11 14 0 25 Subjective
SubjectiveGlo
Gl
9 September 3 10 0 13 PASIEN HDPasien
RS KHU
HD
10 Oktober 2 12 0 100
14 90
11 November 38 49 0 87 80
70
12 Desember 7 11 0 18 60
50
TOTAL 226 272 0 498 40
30
45.381526 54.618474 0 20 55%
10
0

SGA A
S
SGA
No Bulan Jumlah
A B C Subjective G
1 Januari 7 18 0 25 PASIEN HEMO
2 Februari 3 8 0 11 GINJAL N
3 Maret 6 8 0 14 40
4 April 37 28 0 65 35
30
5 Mei 5 6 0 11 25
6 Juni 23 17 0 40 20
15
7 Juli 15 3 0 18
10
8 Agustus 7 3 0 10 5
9 September 10 2 0 0
12 ri ri et ril ei
nua rua ar Ap M
10 Oktober 6 9 0 15 J a
F eb M
11 November 26 13 0 39
12 Desember 17 4 0 21
TOTAL 281
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
ri ar
i et ril
nua ru ar Ap
J a e b M
F
SGA
No Bulan
SGA A B
B C 1 Januari 12 9
54.61% 0% 2 Februari 4 9
3 Maret 13 18
4 April 96 29
5 Mei 88 29
6 Juni 99 16
7 Juli 26 31
Subjective
SubjectiveGlobal
Glabal Assessment
Assessment 2020
2020 8 Agustus 12 19
PASIEN HDPasien
RS KHUSUS
HDRS KHUSUS
GINJAL GINJAL
NY R.A HABIBIE 9 September 8 20
100 10 Oktober 65 48
90
80 11 November 190 85
70
60 341 jan-jul 12 Desember 18 22
50
40
30
157 agst-des 45% TOTAL 631 335
20 55% 0.65186 0.346074
10
0 100% 65.2% 34.6%
SGA
A B
SGA A
SGA ASGA B SGA
C C 65.2% 34.6%
Subjective Global Asessment 2021

PASIEN HEMODIALISA RS KHUSUS
GINJAL NY.R.A. HABIBIE
40 Subjective G
35 PASIEN HD RS KHU
30
S
25
200
20 180
15 160
10 140 Subjective
120
5 166 jan-jul
100 PASIEN HD RS KH
0 115 t agst-des i 80
ri ri ril e ni li s r r r r
ua ua ar
e
Ap M Ju Ju tu be be be be 60
n r us m to m m
J a
F eb M
Ag
pt
e Ok ve s e 40
Se No De 20
0
ri ar
i et ril 35% e
SGA A B C nua ru ar Ap M
J a e b M
F
20
0
ri ri et ril 35% e
nua rua ar Ap M
J a
F eb M
100%
90%
80%
70%
SG
60%
50%
40%
30%
20%
10%
0%
ri ar
i et ril ei ni li us r er r r
ua ru ar Ap M Ju Ju st be ob be be
a n b M u m t m m
J F e Ag pt
e Ok ve se
Se No De
SGA A B C
EN HEMODIALISA
NY.R.A. HABIBIE 2019
SGA
Jumlah
C
0 21
0 13
0 31
1 126
0 117
0 115
0 57
0 31
1 29
0 113
0 275
0 40 423 jan-jul
2 968 545 agst-des
0.002066
0.2%
SGA
C
0.2%

PASIEN HD RS KHUSUS GINJAL NY R.A HABIBIE
SGA A B C

PASIEN HD RS KHUSUS GINJAL NY R.A HABIBIE
0%
i i et ril 35% ei ni li us r er r r
ar ar Ju Ju st be be be
ru Ap M u tob m
e b M g em Ok ve
m
se
F A pt
Se No De
65%
i ri et ril 35% ei ni li us r er r r
rua ar Ap M Ju Ju st be ob be be
u em t m m
F eb M
A g
pt Ok ve se
Se No De
65%
SGA A SGA B SGA C

Rekap M
Pasien HD RS Khusus
No Bulan
0 1 2 3 4
1 Januari 1 3
2 Februari 1
3 Maret 2
4 April 1 1 1
5 Mei
6 Juni
7 Juli
8 Agustus
9 September 1 2
10 Oktober 1 1
11 November 1
12 Desember 2 2 4 5
Rekap Pemeriksaan MIS Januari 2021

1 Ecek Ade 1/1/2021 7
2 Budhi Nurdiana 02/01/20212 2 Pas
3 Sunarto Roesoel 1/8/2021 4
16
4 Tria 1/8/2021 5
5 Diah Herdy Herlianti 1/9/2021 7
6 Maryam Amrina Rosyada 1/9/2021 9 14
7 Ooh Rohaety 1/12/2020 8
8 Ihat 1/15/2021 4
12
9 Wiwiek 1/16/2021 8
10 Mawarni Sihombing 1/19/2021 6
11 Hamid A Usman 1/19/2021 9 10
13 Erlin 1/20/2021 7
8
14 Erwin Syafianto 1/21/2021 4
15 Winangsih 1/22/2021 7
16 Nunung Herawan 1/26/2021 10 6
17 Pintiawan Cahyadi 1/26/2021 7
18 Toridah 1/26/2021 8 4
19 Uloh Saepulloh 1/27/2021 6
20 Yuni andiani 1/28/2021 7
2
0
Januari Februari M
Score MIS Colum

4
0
Rekap Pemeriksaan MIS Febuari 2021 Januari Februari M
Score MIS Colum

No Nama Pasien Tanggal Pemeriksaan Hasil Column M Colum
2 Sulyani 2/5/2021 1
3 Patimah 2/8/2021 9
6 Djajang 2/11/2021 9
8 Giantini 2/13/2021 19
9 Suyatmi 2/22/2021 6
11 Unijah 2/25/2021 5

5 Suryanah 3/10/2021 5
6 Ernawati 3/10/2021 9
7 Masria 3/12/2021 9
10 Sukito 3/30/2021 6
11 Ade Salim 3/31/2021 4
12 Giantini 3/3/2021 19

2 Asih 4/5/2021 5
3 Rohaeti 4/9/2021 2
6 Soewarso 4/27/2021 4

1 Karlan 5/10/2021 6

1 U Saepudin 6/3/2021 14
3 H. Tatang 6/11/2021 6

1 Rahmat sandi 7/6/2021 7
2 Soenadi Katmadireja 7/12/2021 6
3 Oneng Rohaeti 7/14/2021 9
4 Yanti Rohmiati 7/26/2021 6

1 Ani Sri 8/14/2021 7
2 Iyang Ruhiyat 7/17/2021 6

1 M Ridwan Fariz 9/1/2021 4
2 Saeful Anwar 9/10/2021 4
3 Agus Sadeli 9/11/2021 2
4 Laniwati 9/30/2021 8
Rekap Pemeriksaan MIS Oktober 2021

1 Effendi Simanjuntak 10/5/2021 4
2 Saeful Anwar 10/22/2021 3
3 Santanu 10/26/2021 6
Rekap Pemeriksaan MIS November 2021

1 Dede Kartika 11/3/2021 3
2 Ijang Suparto 11/8/2021 5
3 Laela Faray 11/11/2021 11
4 Iwa Kartiwa 11/12/2021 5
5 Aditya Indra 11/16/2021 5
Rekap Pemeriksaan MIS Desember 2021

1 Asep Kamaludin 12/6/2021 6
2 Lina Herlina 12/8/2021 4
3 Syaripudin 12/9/2021 1
4 K Beni Mulyana 12/9/2021 3
5 Agus Prijanto 12/10/2021 3
7 Heber Sitorus 12/14/2021 7
8 Wati Triastuti 12/14/2021 9
9 Mamah 12/14/2021 10
10 Mariani Rahayuningsih 12/14/2021 4
11 Eutik Sartika 12/17/2021 3
12 Romlan 12/17/2021 3
13 Dedeh 12/22/2021 4
14 Heni Hendarti 12/22/2021 9
15 Yayan Riyani 12/22/2021 2
16 R Revi Ariffin 12/24/2021 1
17 Ae Badriah 12/30/2021 5
18 Dedi Taryana 12/30/2021 4
19 Suwarso 12/31/2021 5
20 Andi Rachmat 12/31/2021 2
21 Jonson Sanbasa 12/31/2021 4
Rekap MIS 2021
en HD RS Khusus Ginjal Ny.R.A Habibie
Score MIS
5 6 7 8 9 10 11 12 13 14
1 2 7 3 2 1
2 3 1 1 2
1 3 1 4
1 2
1 1
2 1 2
2 1 1
1 1
1
1
3 1
2 2 1 2 1
Malnutrition Inflamation Score 2021

Pasien HD RS Khusus Ginjal NY.R.A Habibie
Januari Februari Maret April Mei Juni Juli Agustus September Oktober November Desember
Score MIS Column E Column F Column G Column H Column I Column J Column K Column L
Score MIS Column E Column F Column G Column H Column I Column J Column K Column L
Column M Column N Column O Column P Column Q Column R Column S Column T
15 >15
1
1
November Desember
L
November Desember
L
Rekap
Pasien HD RS Khusu
No Bulan
0 1 2 3
1 Januari 1
2 Februari 2 1
3 Maret 1
4 April 1 1
5 Mei 1
6 Juni 1 1
7 Juli 1 2
8 Agustus
9 September 1 1 2
10 Oktober 1
11 November
12 Desember 1 1 1

1 Andi Rahmat 1/3/2020 7
2 Mirah delima 1/6/2020 6
3 IR taufik Suryawan 1/6/2020 7
4 Minarsih 1/8/2020 8
5 Rey Zenis 1/11/2020 5
6 Sukandar Dinata 1/14/2020 8
7 Nana Supriatna 1/15/2020 8
8 Mahmudin 1/18/2020 10
4.5
9 H Haryanto 1/20/2020 4
10 Helmun hutabarat 1/20/2020 7
11 Carwilah 1/22/2020 8 4
12 Endi 1/22/2020 5
13 Agus Rosiadi 1/24/2020 6 3.5
14 Dudi 1/24/2020 5
15 Nurhayati Farida 1/25/2020 10 3
16 Agus Samsudin 1/28/2020 3
2.5
1.5
2.5
No Nama Pasien Tanggal Pemeriksaan Hasil 2

1 Suhendar 2/5/2020 8
2 M Shobur 2/8/2020 1 1.5
3 Efrizal 2/8/2020 6
4 Dede Maryani 2/11/2020 6 1
1
5 Sonta Sidauruk 2/11/2020 8
6 Lala Abdullatif 2/11/2020 10
0.5
7 Christanto 2/18/2020 6
8 Taryati 2/19/2020 3
9 Deden Hidayat 2/21/2020 4 0
0
10 Hery Muh Taufik 2/21/2020 1
11 Ihat 2/25/2020 8

1 Tati 3/2/2020 12
2 Ruhyatna 3/5/2020 6
3 Dedi Rustandi 3/6/2020 8
4 Buche Budyanto 3/18/2020 1
5 Ade Rukaesih 3/18/2020 9
6 Itoh Masitoh 3/19/2020 4
7 H Adang Abdurachman 3/19/2020 6
8 Nining Junaengsih 3/20/2020 5
9 Pariyem 3/20/2020 8
10 Imas Siti Masitoh 3/20/2020 6
11 Yayat Supriatna 3/26/2020 6
12 Susanti 3/31/2020 8
13 Deden Spandi /03/2020 7
1 Samsudin 4/1/2020 2
2 Bambang yuli H 4/2/2020 3
3 U Nurhayat 4/2/2020 4
4 Asner Abden 4/11/2020 7
5 Mukhtar Bin Salim 4/16/2020 7
6 Johan Lukas 4/14/2020 5
7 Eddy Haryadi 4/17/2020 10
8 Minar 4/22/2020 4
9 Nining 4/23/2020 8
10 Mimin (NAMA YANG SAMA) 117 4/23/2020 13
11 Tiurlan 4/24/2020 13
12 Tati 4/24/2020 11

1 Aep Apriyana 5/5/2020 8
2 Iin Daryana 5/5/2020 12
3 Yopi Novianti 5/6/2020 10
4 Moch Mustofa Muhdianto 5/7/2020 10
5 Yulia 5/8/2020 9
6 AR Odjat Sutandy 5/8/2020 10
7 Imas Fatimah 5/8/2020 7
8 Ujang Sutedi 5/9/2020 9
9 Dedi Rahman 5/11/2020 5
10 Deden Sopandi 5/11/2020 6
11 Wati Triastuti 5/12/2020 10

1 Tiurlan Sihaloha 6/2/2020 9
2 Irah Sutirah 6/6/2020 6
3 Asep Saepudin 6/9/2020 6
4 Nurhayati Farida 6/10/2020 7
Doni 6/11/2020 10
5 Asep Cucu H 6/12/2020 0
6 Iin Daryana 6/12/2020 12
7 Ai Tati 6/15/2020 3
9 Yono Karsono 6/18/2020 6
10 Ong Kiem Tjwan 6/23/2020 7
11 Achyar 6/24/2020 8
12 Tati 6/25/2020 10
13 Devi Yanti 6/29/2020 9
14 Agnes Yohana 6/29/2020 9

1 Fahmi Ulfah 7/1/2020 7
2 Ikhsan Wibawa 7/1/2020 5
3 Neni Rosmini 7/3/2020 2
4 Nendi Hilmawan 7/3/2020 3
5 Sadirah 7/3/2020 5
6 Rohamah 7/9/2020 7
7 Endik (anyelir) 7/9/2020 10
8 Prayetno 7/10/2020 5
9 Aceng Suparman 7/21/2020 9
10 Hidayati 7/24/2020 3
11 Yoga Nugraha 7/29/2020 7
12 Hatijah 7/29/2020 8

1 Sahri Wahyudin 8/3/2020 10
2 Dewi Nengsih 8/3/2020 9
3 Iin Daryana 8/4/2020 10
4 Eem 8/8/2020 10
5 Nani Siti 8/8/2020 10
6 Titik Lestari 8/14/2020 4
7 Syarifah 8/17/2020 7
8 Deden Sopandi 8/27/2020 6

1 Susi Susanti 9/1/2020 5
2 Heradadi 9/1/2020 10
3 Wisnu Wardana 9/2/2020 7
4 Riska Fauziah 9/2/2020 7
5 Jani 9/8/2020 2
6 Asep Rusman 9/12/2020 8
7 Ida S (flamboyan B) 9/15/2020 1
8 Dadang Caat 9/15/2020 4
9 Mumun Saban 9/17/2020 10
10 Aep Taslimin 9/17/2020 0
11 Erna Siti 9/18/2020 8
12 Iim Samsumilah 9/22/2020 2
13 Fitri Nurul Faton 9/22/2020 8
14 Melly Johari 9/29/2020 7

1 Liswati 10/2/2020 9
2 Surya Kencana 10/5/2020 2
3 Suro 10/7/2020 7
4 Updi Kusnandar 10/14/2020 12
5 Ai Rohaeni 10/16/2020 4
6 Masyati 10/19/2020
7 Endang s 10/24/2020 7
8 Eem Sumiati 10/28/2020 6
9 Ruggu gulthom 10/29/2020 7
10 Aah Sumar'ah 10/10/2020 9

1 Sri Winarni 11/2/2020 10
2 Wiwiek 11/7/2020
3 Hery Heriadi 11/30/2020 4

1 Tatag Triyahyo 12/2/2020 6
2 Sri Winarni 12/2/2020 10
3 Mumun Saban 12/3/2020 10
4 Reni 12/7/2020 1
5 Aisyah 12/10/2020 10
6 Enong Nurhayati 12/10/2020 9
7 R Andi Muchdiat 12/11/2020 5
8 R Revy Ariffin 12/15/2020 5
9 Agus Komarudin 12/23/2020 10
10 Cicih Sunengsih 12/25/2020 6
11 Lily Yuliana 12/26/2020 3
12 Sadri Bin Madja 12/29/2020 10
13 Wariah 12/24/2020
14 Dede Rachmat 12/30/2020 2
15 Deni Komarudin 12/30/2020 7
16 Agus Sudrajat 11
Rekap MIS 2020
asien HD RS Khusus Ginjal Ny.R.A Habibie
Score MIS
4 5 6 7 8 9 10 11 12 13
1 3 2 3 4 2
1 3 3 1
1 1 4 1 3 1 1
2 1 2 1 1 1 2
1 1 1 1 2 4
1 3 2 1 3 2 1
3 3 1 1 1
1 1 1 1 4
1 1 3 3 1 1
1 1 3 2 1
1 1
2 2 1 2 4 1
4.5
4
4
3.5
3 3 3
3
2.5
2 2 2 2 2 2
2
1.5
2.5
2 2 2 2 2 2
2
1.5
1 1 1 1 1 11 1 1 1 11 1 1 1 111 1111 1111 1

1
0.5
0
0 1 2 3 4 5
Januari F
14 15 >15
Malnutririon Inflamation Score 2020

Padien HD RS Khusus Ginjal Ny.R.A Habibie
4 4 4 4 4
3 3 3 3 3 3 33 33 3 3
2 2 2 2 2 2 2 2 2 2
2 2 2 2 2 2 2 2 2 2
11 1111 1 1 1 1 1 1 1 1 1111 1 111 1 1 1 1 1 1
5 6 7 8 9 10 11
Score MIS
4 4 4
2 2
2 2
1 1 1 1 1 1 1 1 1
10 11 12 13 14 15 >15
ember Desember
>15
Rekap MIS 2019
Pasien HD RS Khusus Ginjal Ny.R.A
Score MIS
No Bulan
0 1 2 3 4 5 6
1 Januari 1 1 3 6 3 6 1
2 Februari 0 0 1 4 1 1 5
3 Maret 0 0 2 2 2 1 1
4 April 0 0 1 1 1 10 5
5 Mei 0 0 4 1 4 6 5
6 Juni 0 0 0 1 6 2 3
7 Juli 0 0 2 2 5 3 5
8 Agustus 0 0 1 2 1 1 4
9 September 0 0 0 0 1 5 5
10 Oktober 0 0 1 1 0 2 3
11 November 0 0 0 0 0 4 3
12 Desember 0 0 1 1 2 5 1
JUMLAH 1 1 16 21 26 46 41
0.003356 0.00335570469798658 0.053691 0.07047 0.087248 0.154362 0.137584
%
No Nama Pasi Tanggal Pemeriksaan Skor

1 Sunaidi 1/1/2019 8
2 Ngatno 1/2/2019 5
12
3 Imas Sartik 1/4/2019 7
4 Ujang Asm 1/4/2019 3
5 Jajang Nur 1/12/2019 7
10
6 Yahya Sam 1/14/2019 3
7 Ade Isnaen 1/14/2019 3
8 Andi Sardi 1/14/2019 2 8
9 Cecep Roni 1/15/2019 4
10 Rohannah 1/15/2019 4
11 Ida Nengsi 1/16/2019 5 6
12 Odin Mahp 1/19/2019 5
13 Dedi Rohen 1/19/2019 5
14 Sumartini 1/20/2019 8 4
15 Atih Nuryat 1/21/2019 8
16 Ermina 1/22/2019 2
17 Asep Kusn 1/22/2019 7 2
0
0 1 2
4
2
18 R Adri Sum 1/23/2019 8
19 Ayi Cahya 1/23/2019 2
20 Herliana S 1/24/2019 8 0
0 1 2
21 Suhendrik 1/25/2019 4
22 Mien Minta 1/25/2019 9
23 Etty Setiya 1/26/2019 5
24 Asep Yaya 1/26/2019 3
25 Aah 1/26/2019 5
26 Een 1/26/2019 8
27 Lili Somant 1/26/2019 3
28 Yusi Santik 1/29/2019 7
29 Elah Nurha 1/29/2019 6
30 Engkar Kart 1/29/2019 14
31 Iki 1/29/2019 0
32 Buche Bud 1/30/2019 1
33 Tisna 1/30/2019 7
34 Djadjang 1/31/2019
35 Tuti Rohaet 1/31/2019
No Nama Pasi Tanggal Pemeriksaan Skor

1 Ai Bida 2/1/2019 6
2 Abi 2/5/2019 10
3 Mariani Ra 2/5/2019 4
4 Ade Isnaen 2/7/2019 3
5 Sonny Andr 2/9/2019 3
6 Hasan Udin 2/11/2019 9
7 Tjin Liong 2/11/2019 10
8 Suyatno 2/11/2019 5
9 Jonson San 2/12/2019 6
10 Siti Marya 2/17/2019 9
11 Imas Komar 2/17/2019 8
12 Liliana Rin 2/19/2019 3
13 Tati Srihart 2/20/2019 3
14 Noor Ainah 2/21/2019 10
15 Hendrik Nu 2/22/2019 6
16 Cecep Roni 2/22/2019 6
17 Dede Kosw 2/23/2019 7
18 Popon 2/25/2019 11
19 Toni Rohen 2/25/2019 6
20 Wildan Sya 2/26/2019 2
21 Soegianto 2/27/2019 7
22 Nana Sump 2/28/2019 8

1 Endang,Ny 3/6/2019 8
2 Euis Cucu 3/7/2019 12
3 Noor Ainah 3/7/2019 9
4 R.Etty Kurn 3/12/2019 11
5 Erah 3/12/2019 8
6 Masyamsir 3/13/2019 4
7 Deden Wa 3/15/2019 3
8 Amid 3/15/2019 2
9 Faris Ahma 3/16/2019 6
10 Atik Istiant 3/16/2019 9
11 Taryati 3/16/2019 10
12 Oyok Karyo 3/21/2019 7
13 Wati Embu 3/22/2019 5
14 Tati 3/22/2019 7
15 Dewi Marya 3/25/2019 3
16 Nasikin 3/25/2019 2
17 Sarah Afifa 3/26/2019 7
18 Maya Mary 3/28/2019 8
19 Romlan 3/29/2019 4

1 Osten Dau 4/1/2019 10
2 Elah Herlin 4/2/2019 4
3 Sadimin 4/3/2019 5
4 Eem 4/4/2019 5
5 Sudiro 4/4/2019 8
6 Teti Supriy 4/5/2019 6
7 Agus Prijan 4/5/2019 5
8 Sri Setiawa 4/6/2019 8
9 Rustaman 4/8/2019 5
10 Josep Lisap 4/8/2019 8
11 Ade Suryat 4/9/2019 11
12 Frans Wei 4/10/2019 5
13 Karlan 4/11/2019 6
14 Erna Siti 4/12/2019 5
15 M Nahrum 4/12/2019 9
16 Rum Rohae 4/15/2019 9
17 Taryati 4/16/2019 10
18 Euis Yetty 4/16/2019 5
19 Kokom Kom 4/17/2019 10
20 Hasan Fauz 4/18/2019 2
21 Gugun Abdu 4/20/2019 5
22 Agus Sutia 4/20/2019 6
23 Ijang Supar 4/22/2019 5
24 Supriatni 4/22/2019 9
25 Enung Nur 4/23/2019 6
26 Siti Djuba 4/25/2019 12
27 Ujang sair 4/25/2019 7
28 Ijang Junae 4/26/2019 7
29 Subakti 4/26/2019 7
30 Ida Rinday 4/27/2019 7
31 Arif Iskand 4/27/2019 8
32 Teddy Kus 4/27/2019 10
33 Achmad Bek 4/29/2019 3
34 Adang Kus 4/30/2019 6
35 Aah 4/13/2019 5

1 Iyun Saumi 5/1/2019 3
2 K Beni Mul 5/2/2019 2
3 Yudi Irawan 5/3/2019 8
4 H.D Inanoe 5/4/2019 8
5 Irah Sutira 5/4/2019 11
6 Supartini 5/6/2019 5
7 Enang Sum 5/6/2019 2
8 Heru Priya 5/6/2019 13
9 Epi Apiyant 5/8/2019 7
10 Jumaeli Ja 5/10/2019 7
11 Nunung 5/10/2019 10
12 Harun Nug 5/11/2019 5
13 Edeng 5/11/2019 9
14 Atin Supria 5/13/2019 5
15 Uu Kamalu 5/14/2019 4
16 Aan Supria 5/14/2019 4
17 Sudrajat 5/14/2019 6
18 Entang Set 5/15/2019 8
19 Asis 5/15/2019 5
20 Agus Purn 5/15/2019 8
21 Bob Sugen 5/16/2019 8
22 Arief Sura 5/16/2019 4
23 Neneng S 5/16/2019 11
24 Aah 5/17/2019 7
25 Ai Haryati 5/18/2019 7
26 Asep Kama 5/20/2019 10
27 Ami Isyami 5/20/2019 10
28 Ari Sudars 5/21/2019 8
29 Dede Wars 5/22/2019 6
30 Mulyono 5/22/2019 4
31 Kasman Ma 5/23/2019 5
32 Nurlaeli 5/25/2019 6
33 Jajat Sudra 5/25/2019 8
34 Tatang Sut 5/27/2019 5
35 Rusmana 5/28/2019 2
36 Parmuhunan 5/29/2019 6
37 Djons Sugi 5/29/2019 8
38 Dalis Lisna 5/30/2019 8
39 Lina Setiaw 5/30/2019 7
40 Rani Amali 5/31/2019 2
41 Ujang Asm 5/31/2019 6

1 Wahyu 6/1/2019 6
2 Rosid Ham 6/2/2019 4
3 Endi Rusya 6/3/2019 8
4 Eti Rohaeti 6/3/2019 8
5 Maskana S 6/4/2019 5
6 Drs Zainal 6/4/2019 4
7 Suradi 6/7/2019 7
8 Emis Nurya 6/7/2019 9
9 Titik Lestar 6/7/2019 4
10 Kuswati 6/8/2019 7
11 Agustinus S 6/10/2019 7
12 M. Uus Sa 6/12/2019 8
13 Aida Elmal 6/12/2019 9
14 Joni Taryon 6/13/2019 10
15 Siti Romlah 6/14/2019 3
16 Agus Purn 6/15/2019 8
17 Arnida 6/17/2019 5
18 Mellyana 6/18/2019 6
19 Zaenal Mut 6/18/2019 4
20 Cucu Surya 6/19/2019 4
21 Ida 6/19/2019 8
22 Iwan Sudra 6/21/2019 8
23 Nuryatin 6/21/2019 12
24 Lilis Mulya 6/24/2019 7
25 Ida Suryant 6/25/2019 6
26 Lala Atmal 6/28/2019 4
27 Henny Hen 6/28/2019 10

1 Uju Senjay 7/1/2019 9
2 Turyani 7/1/2019 11
3 Iyan Sofian 7/2/2019 8
4 Tuti Rohaet 7/4/2019 7
5 A. Hartono 7/5/2019 4
6 Purnomo H 7/5/2019 8
7 Surya Kenc 7/11/2019 7
8 Purnama M 7/12/2019 4
9 Ulung Atar 7/16/2019 4
10 H Dodo Fac 7/16/2019 14
11 Tarmad Ma 7/17/2019 2
12 A Suryana 7/19/2019 3
13 Lia Susliaw 7/19/2019 5
14 Uloh Saepu 7/20/2019 9
15 Priatna 7/20/2019 3
16 Asmanila 7/22/2019 5
17 Asep Dede 7/22/2019 5
18 Rohannah ( 7/23/2019 6
19 Amad Anen 7/23/2019 6
20 Agus Muh 7/24/2019 6
21 Kuswandan 7/24/2019 11
22 Yadi Roch 7/25/2019 4
23 Nani Rukmi 7/26/2019 4
24 Enung Juar 7/26/2019 11
25 Albert Gus 7/30/2019 6
26 Enur Saepu 7/30/2019 6
27 Rani Amali 7/31/2019 2

1 Nurman Zae 8/2/2019 3
2 Siti Nurhan 8/2/2019 5
3 Cucu 8/3/2019 2
4 Eysen Situ 8/6/2019 6
5 Wawan Gu 8/9/2019 3
6 Devi Puspit 8/10/2019 4
7 Sri Setiawa 8/10/2019 8
8 Jajang jahi 8/15/2019 6
9 Didi supria 8/15/2019 7
10 Wiwi Wiars 8/22/2019 6
11 Nani 8/23/2019 8
12 Onih Suryat 8/23/2019 10
13 Yayah 8/30/2019 6

1 Handian Il 9/2/2019 8
2 Lestari Wid 9/3/2019 6
3 Fitri Nurul 9/4/2019 7
4 Syarifah 9/5/2019 9
5 Sutrisno 9/6/2019 5
6 Yani Indray 9/9/2019 8
7 Ecin Kuraes 9/9/2019 9
8 Asep Yaya 9/10/2019 5
9 Farid Dar 9/11/2019 8
10 Asep Turga 9/11/2019 10
11 Turyani 9/12/2019 5
12 Asep Koma 9/14/2019 6
13 M Darsin 9/16/2019 6
14 Dewi Hiday 9/17/2019 5
15 Endi Sutar 9/21/2019 5
16 Alwin Kuma 23/09/20-19 6
17 Heriyanto 9/24/2019 4
18 Nenden Safi 9/24/2019 6
19 Ading Sofy 9/27/2019 10

1 Enung Juar 10/1/2019 8
2 Deni Soleh 10/2/2019 3
3 U Saih 10/2/2019 5
4 Martini 10/2/2019 10
5 Imas Nurha 10/4/2019 10
6 Taskem 10/7/2019 9
7 Yuni Ratnas 10/9/2019 7
8 Ratih Nur 10/9/2019 9
9 Cecep Mul 10/10/2019 6
10 Setiawan Y 10/10/2019 2
11 Hasanah 10/16/2019 8
12 Cucu Nurha 10/18/2019 6
13 Mimin 10/21/2019 5
14 Rohayati 10/23/2019 9
15 Enok Marli 10/23/2019 8
16 Rudi Setia 10/23/2019 7
17 Danu Hiday 10/28/2019 8
18 Erma Nurw 10/28/2019 10
19 Muhammad 10/30/2019 6
20 Aspan Kasm 10/30/2019 10
21 Suci Aji P 10/31/2019 9

1 Mimin Mary 11/4/2019 10
2 Asep Furqo 11/4/2019 7
3 Euis Aisah 11/5/2019 8
4 Erwin S 11/7/2019 9
5 Dadan Sup 11/8/2019 5
6 Nelda Sura 11/12/2019 10
7 Jajang Roh 11/14/2019 5
8 Komalanin 11/15/2019 10
9 Deli Julian 11/15/2019 6
10 Oom Sury 11/16/2019 8
11 Agus Suherl 11/18/2019 5
12 Andi Rach 11/19/2019 11
13 Johan Luka 11/19/2019 8
14 Wariah 11/20/2019 10
15 Go Tjie Yan 11/21/2019 9
16 Nyimas Ra 11/22/2019 10
17 Suryanah 11/23/2019 7
18 Samsiah 11/28/2019 6
19 Ade Sunary 11/30/2019 6
20 Achyar Sut 5

1 Muhammad 12/2/2019 8
2 Ade Supria 12/3/2019 7
3 Rohaedin 12/3/2019 4
4 Achmad Hi 12/4/2019 9
5 Pujiati 12/9/2019 2
6 Sonta Sida 12/10/2019 11
7 Taufik Hida 12/13/2019 5
8 Marno 12/17/2019 7
9 Erna Mashu 12/17/2019 6
10 M Adang Su 12/17/2019 7
11 Odang Sury 12/19/2019 5
12 Aryo Purbo 12/21/2019 5
13 Lilis Holisa 12/23/2019 10
14 Nizar Garni 12/24/2019 10
15 Supardi 12/24/2019 7
16 Imin Rohim 12/25/2019 3
17 Elis Kurnias 12/25/2019 5
18 Yana 12/25/2019 7
19 Ikem 12/26/2019 5
20 Dedi Tarya 12/31/2019 4
Rekap MIS 2019
Khusus Ginjal Ny.R.A Habibie
Score MIS
7 8 9 10 11 12 13 14 15 >15
5 7 1 0 0 0 0 1 0 0
2 2 2 3 1 0 0 0 0 0
3 3 2 1 1 1 0 0 0 0
4 4 3 4 1 1 0 0 0 0
5 9 1 3 2 0 1 0 0 0
4 6 2 2 0 1 0 0 0 0
2 2 2 0 3 0 0 1 0 0
1 2 0 1 0 0 0 0 0 0
1 3 2 2 0 0 0 0 0 0
2 4 4 4 0 0 0 0 0 0
2 3 2 5 1 0 0 0 0 0
5 0 1 2 1 0 0 0 0 0
36 45 22 27 10 3 1 2 0 0
0.120805 0.151007 0.073826 0.090604 0.033557 0.010067 0.003356 0.006711 0 0
Malnutrition Inflamation Score 2019

Pasien HD RS Khususu Ginjal Ny.R.A HAbibie
1 2 3 4 5 6 7 8 9 10
Score MIS
1 2 3 4 5 6 7 8 9 10
Score MIS
Januari Februari Maret April Mei Juni Juli Agustus September Oktober Novem
Score MIS
0 1 2 3 4 5 6 7
0.33557 0.33557 5.369128 7.04698 8.724832 15.43624 13.75839 12.08054
Malnutrition in
pasien hd rs khus
Sco
Score MISScore
12
Score MIS 11 1%
3%
Score MIS 10
9%
298
100
Score MIS 9
7%
n Score 2019
l Ny.R.A HAbibie
Score MIS 8
15%
9 10 11 12 13 14 15 >15 Score MIS 7

12%
9 10 11 12 13 14 15 >15 Score MIS 7
12%
September Oktober November Desember

Score MIS
8 9 10 11 12 13 14 15 >15
15.10067 7.38255 9.060403 3.355705 1.006711 0.33557 0.671141 0 0
Malnutrition inflamation score 2019

pasien hd rs khusus ginjal ny r.a habibie
Score
Score
Score MISScore
12 MIS
MIS
Score
MIS 1314 01
MIS
Score MIS 11 1% 0%1%0%
0% Score MIS 2
3% 5%
10 Score MIS 3
7%
Score MIS 4
9%
Score MIS 5
15%
Score MIS 7
12% Score MIS 6
Score MIS 7
12% Score MIS 6
14%
No Diagnosa Medis
1 Anemia Renal/ hemakromatosis sekunder/anemia ec hemoroid interna
2 Peritonitis
3 Hiperkalemia
4 Hipokalemia
5 Hipo albumin
6 Diare Akut
7 DF
8 AKI super imposed ec DKD
9 CKD stage v ec glumerulopati sekunder
10 Nefrotik syndrome
11 overhidrasi
12
arthritis gout
13 Sistem Kardiovaskuler dan Paru
obs dyspneu
edema paru dd CAP
Efusi Pleura
Bronko Pneumoni Bilateral
17 operasi Av Shunt + CDL
arterosklerosis
BCF
18 Training CAPD
19 Sistem gastrointestinal
Gastritis akut/GEA/obs vomitus
Kontipasi
acites
vomitus
21 TB Paru
22 susp.asidosis metabolik ISK
23
hipoglikemia
24 trombositopenia
25 Clabsi
26 stroke
27 Sirosis hepatis
28 Hiperfospotemia
29 Dehidrasi
30 P/B HD inisiasi
TERMINOLOGI GIZI
Diagnosa Gizi Umum

NI.5.10.1. Asupan mineral (Fe) tidak adekuat NI 1.4 Asupan energi tidak adekuat
NB.1.5 Gangguan pola makan NI. 2.1 Asupan makanan/minuman melalu
NC. 1.4. Gangguan fungsi gastrointestinal
NC.2.2 perubahan nilai laboratorium terkait gizi
NI. 5.10.2 Kelebihan asupan (kalium)
NI.5.4 penurunan kebutuhan (kalium)
NI.5.10.1. Asupan mineral (kalium) tidak adekuat
NI.5.7.1 Asupan protein tidak adekuat
NI.5.8.5 Kelebihan Asupan serat
NI.5.4 penurunan kebutuhan (protein)

NI.5.7.2 Kelebihan asupan protein
NI.5.4 penurunan kebutuhan (protein)
NI.5.7.2 Kelebihan asupan protein
NI.3.2 Kelebihan asupan cairan
NI. 5.10.2 Kelebihan asupan (purin)

NI.5.6.2 Kelebihan asupan lemak
NI.5.8.5 kelebihanasupan serat

NI.5.8.4 Asupan serat tidak adekuat
NC. 1.4. Gangguan fungsi gastrointestinal
NZ.3.2 Penurunan BB yang tidak direncanakan
NI.5.8.2 Asupan Karbohidrat tidak konsisten

NI.5.8.1 Asupan Karbohidrat tidak adekuat
NC 1.1 kesulitan menelan

NC 1.2 kesulitan mengunyah
NI.5.4 penurunan kebutuhan (fosfor)
NC.2.2 Perubahan nilai lab terkait gizi
NI. 5.10.2 Kelebihan asupan (fosfor))
NI. 3.1 Asupan cairan tidak adekuat
NB 1.1 kurang pengetahuan terkait (diet ginjal dalam dialisis)
NC.2.2 Perubahan nilai lab terkait gizi
upan energi tidak adekuat
upan makanan/minuman melalui oral tidak adekuat

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Rekap Pemeriksaan MIS Juni 2018

no Nama Pasien Tanggal Pemeriksaan Skor

no Nama Pasien Tanggal Pemeriksaan Skor

No Nama Pasien Tanggal Pemeriksaan Skor

Jenis Pemeriksaan Jumlah

No Nama Pasien Tanggal Pemeriksaan Skor No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

No Nama Pasien Tanggal Pemeriksaan Skor No Nama Pasien

Tanggal Pemeriksaan Hasil No Nama Pasien Tanggal Pemeriksaan

Jenis Pemeriksaan Jumlah

No Nama Pasien Tanggal Pemeriksaan Skor No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

No Nama Pasien Tanggal Pemeriksaan Skor No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

Total Pasien Ranap 228

No Nama Pasien Tanggal Pemeriksaan Skor No Nama Pasien

Tanggal Pemeriksaan Hasil No Nama Pasien Tanggal Pemeriksaan

Jenis Pemeriksaan Jumlah a 4

Total Pasien Ranap 226

No Nama Pasien Tanggal Pemeriksaan Skor No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah a

Total Pasien Ranap 233

No Nama Pasien Tanggal Pemeriksaan Skor No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah a

Total Pasien Ranap 241

TOTAL PASIEN HD 451

No Nama Pasien Tanggal Pemeriksaan Skor No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

Total Pasien Ranap 202

No Nama Pasien Tanggal Pemeriksaan Skor No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

Total Pasien Ranap 160

No Nama Pasien Tanggal Pemeriksaan Skor No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

Total Pasien Ranap 212

No Nama Pasien Tanggal Pemeriksaan Skor No Nama Pasien

Tanggal Pemeriksaan Hasil No Nama Pasien Tanggal Pemeriksaan

Jenis Pemeriksaan Jumlah

Total Pasien Ranap 211

No Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

Total Pasien Ranap 206

No Nama Pasien Tanggal Pemeriksaan Hasil No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

Total Pasien Ranap

No Nama Pasien Tanggal Pemeriksaan Hasil No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

No Nama Pasien Tanggal Pemeriksaan Hasil No

Nama Pasien Tanggal Pemeriksaan Hasil No Nama Pasien

Jenis Pemeriksaan Jumlah

Total Pasien Ranap 192

Tanggal Pemeriksaan No Hari Jadwal Ruangan Pengkajian

No Nama Pasien Tanggal Pemeriksaan Hasil No