Anda di halaman 1dari 3

DAFTAR PESERTA PROLANIS DENGAN HT

NO IDENTITAS PASIEN RIWAYAT PTM PADA DIRI SENDIRI TEKANAN DARAH

NIK NAMA PASIEN TTL JK ALAMAT RIWAYAT SISTOLE DIASTOLE

1 3324104107520002 MUZAJAROH 7/1/1952 P PEGANDON 1/4 HT 150 90

2 3324196605500002 NGAISAH 5/26/1950 P SUMBERSARI5/4 HT 140 90

3 3324105309670001 PIATI 9/13/1967 P PEGANDON 1/4 HT 150 90

4 3324191909180001 JUMIYATI 9/3/1954 P WINONG1/1 HT 150 90

5 3324105206520002 MARIYAM 6/12/1952 P PEGANDON 1/4 HT 160 90

6 33241041062050001 KUMISAH 5/22/1960 P TEGOREJO3/6 HT 140 90

7 3324105010500001 TUMINI 10/10/1950 P PEGANDON 2/5 HT 140 90

8 3324104106600001 HARTUTIK 9/1/1960 P MARGOMULYO7/1 HT 140 90

9 3324105705690001 KUSTINI 5/17/1969 P PESAWAHAN 2/3 HT 150 90

10 3324104504560003 SAKDIJAH 5/5/1956 P PESAWAHAN1/1 HT 140 90

11 3324104505700000 SUTARMI 5/5/1970 P PEGANDON1/4 HT 140 90

12 3324104902620002 JUMIATI 2/9/1962 P MARGOMULYO3/3 HT 160 90

13 3324104504650002 MUNASIROH 4/5/1946 P PENANGGULAN 1/1 HT 150 90

14 3324107008480001 SITI PARDIJAH 8/30/1948 P PUGUH 1/3 HT 180 90

15 33241001102720002 ARIS MUNANDAR 2/1/1972 L TEGOREJO 2/1 HT 160 90

16 3324102408660000 ARIFIN 8/24/1966 L KARANGMULYO 2/1 HT 140 90

17 3324104406660001 SUNAYAH 6/4/1966 P WONOSARI 1/1 HT 150 90

18 3324115002500001 SITI ROHMAH 2/10/1950 P GEMUHBLANTEN2/2 HT 140 90

19 3324104512500001 MARKUMI 12/5/1950 P MARGOMULYO4/1 HT 130 90

20 332494509690001 SOPIYATUN 9/5/1969 P SUMBERSARI 1/2 HT 140 90

21 3324106304580001 PUANAH 4/23/1958 P MAREGOMULYO 3/3 HT 140 90

22 332410020561001 KARMO 8/6/1954 P PENANGGULAN 3/1 HT 150 90

23 3324100608540001 M.TAOCHID 8/6/1954 L PENANGGULAN 3/1 HT 140 90

24 3324112112570001 SUNARDI 12/21/1957 L TAMANGEDE 2/1 HT 130 90

25 3324107101650001 SUTIYAH 1/31/1965 P TEGOREJO 3/7 HT 140 90

26 3324104106600001 HARTUTIK 9/1/1960 P MARGOMULYO7/1 HT 150 90

27 3324100703600002 NUR SALIM 3/17/1960 L MARGOMULYO 3/3 HT 150 90

28 3324105010500001 TUMINI 10/10/1950 P PEGANDON 2/5 HT 140 90

29 3324104410590001 SURIYATI 10/4/1959 P MARGOMULYO 5/2 HT 150 90

30 3324105512490002 RESMI SUPARMI 12/15/1949 P TEGOREJO 3/9 HT 160 90

L:5 P:25 J:30


DAFTAR PESERTA PROLANIS DENGAN DM
NO IDENTITAS PASIEN RIWAYAT PTM PADA DIRI SENDIRI HASIL PEMERIKSAAN GULA

NIK NAMA PASIEN TTL JK ALAMAT RIWAYAT

1 3324104504560003 SAKDIJAH 5/5/1956 P PESAWAHAN1/1 DM 331

2 3324104803670001 SITI MARWATI 3/8/1967 P TEGOREJO3/3 DM 123

3 3324104504460001 SRIJATI 4/5/1946 P WONOSARI DM 152

4 3324101903610001 KUSRIYONO 3/19/1961 L TEGOREJO6/7 DM 146

5 3324100306700001 AGUNG SISWANTO 6/3/1970 L TEGOREJO DM 201

6 3324105606660004 SITI MARYATUN 6/16/1966 P KARANGMULYO2/2 DM 240

7 3324105311660001 AMINATUN 11/13/1966 P GUBUGSARI4/4 DM 432

8 332410705660003 ABDUL WAKHID 5/17/1965 L PUCANGREJO4/1 DM 235

9 3324196912750001 SRIYATI 12/29/1975 P WINONG DM

10 3324104505700000 SUTARMI 5/5/1970 P PEGANDON1/4 DM 244

11 3324104706650001 MUJIYATI 6/7/1965 P MARGOMULYO3/3 DM 399

12 3324104302690001 SITI CHUMAIDAH 2/3/1969 P PEGANDON1/1 DM 242

13 3324104902620002 JUMIATI 2/9/1962 P MARGOMULYO3/3 DM 143

14 3324104902720001 SITI JUWARIYAH 2/9/1972 P TEGOREJO3/5 DM 162

15 3324101306600001 PAHROJI 6/13/1990 L TEGOREJO1/10 DM 276

16 3324105504750002 KUNIYATUN 4/15/1975 P PEKUNCEN2/4 DM 256

17 3324106303580001 MUJIHARNI 3/23/1953 P TEGOREJO2/10 DM 427

18 3324106403690001 NGATI 3/24/1969 P MARGOMULYO 8/1 DM 144

19 332106212600002 JUMIAH 12/22/1960 P PUCANGREJO 5/2 DM 124

20 3324105103640003 NURJANAH 3/11/1964 P MARGOMULYO 5/1 DM 233

21 3324100610630001 SUPAWI 10/6/1963 L PUCANGREJO 14/3 DM 155

22 3324104504650002 MUNASIROH 4/5/1946 P PENANGGULAN 1/1 DM 114

23 3324104405760002 SRI MULYATI 5/4/1976 P PEGANDON 2/3 DM 150

24 3324107008480001 SITI PARDIJAH 8/30/1948 P PUGUH 1/3 DM 203

25 33241001102720002 ARIS MUNANDAR 2/1/1972 L TEGOREJO 2/1 DM 152

26 3324102408660000 ARIFIN 8/24/1966 L KARANGMULYO 2/1 DM 117

27 3324104406660001 SUNAYAH 6/4/1966 P WONOSARI 1/1 DM 129

28 3324115002500001 SITI ROHMAH 2/10/1950 P GEMUHBLANTEN2/2 DM 361

29 3324104512500001 MARKUMI 12/5/1950 P MARGOMULYO4/1 DM 134

30 332494509690001 SOPIYATUN 9/5/1969 P SUMBERSARI 1/2 DM 153

31 3324106304580001 PUANAH 4/23/1958 P MAREGOMULYO 3/3 DM 245

32 332410020561001 KARMO 8/6/1954 P PENANGGULAN 3/1 DM 182

33 3324100608540001 M.TAOCHID 8/6/1954 L PENANGGULAN 3/1 DM 110

34 3324112112570001 SUNARDI 12/21/1957 L TAMANGEDE 2/1 DM 141

35 3324107101650001 SUTIYAH 1/31/1965 P TEGOREJO 3/7 DM 292

36 3324104106600001 HARTUTIK 9/1/1960 P MARGOMULYO7/1 DM 94

37 3324100703600002 NUR SALIM 3/17/1960 L MARGOMULYO 3/3 DM 474

38 3324105010500001 TUMINI 10/10/1950 P PEGANDON 2/5 DM 91

39 3324102507580001 PAIJO 7/25/1958 L TEGOREJO 2/3 DM 269

40 3324102706520001 RODHI 6/27/1952 L PEGANDON2/1 DM 137

41 3324104410590001 SURIYATI 10/4/1959 P MARGOMULYO 5/2 DM 75

42 3324105512490002 RESMI SUPARMI 12/15/1949 P TEGOREJO 3/9 DM 197

43 MUZAJANAH P DM 136

44 3324104404530001 RUSYANTI 4/4/1953 P TEGOREJO 3/9 DM 177

45 KUMISAH P DM 229

46 KUSRIYATI P DM 349

47 3324105109640001 SULISTYOWATI 9/11/1964 P DM 138

48 332410270082700860NGASMINAH 3/27/1966 P PUGUH1/2 DM 249

49 3174017003620003 ASMA INDIYANI 3/30/1962 P TEGOREJO 3/6 DM 150

L:12 P:37 J:49


DAFTAR PESERTA PROLANIS DENGAN PENYAKIT PENYERTA
NO IDENTITAS PASIEN RIWAYAT PTM PADA DIRI SENDIRI TEKANAN DARAH GDS

NIK NAMA PASIEN TTL JK ALAMAT RIWAYAT SISTOLE DIASTOLE

1 3324104504560003 SAKDIJAH 5/5/1956 P PESAWAHAN1/1 DM/HT 140 90 331

2 3324104505700000 SUTARMI 5/5/1970 P PEGANDON1/4 DM/HT 140 90 244

3 3324107008480001 SITI PARDIJAH 8/30/1948 P PUGUH 1/3 DM/HT 180 90 203

4 33241001102720002 ARIS MUNANDAR 2/1/1972 L TEGOREJO 2/1 DM/HT/STROKE 160 90 152

5 3324102408660000 ARIFIN 8/24/1966 L KARANGMULYO 2/1 DM/HT/STROKE 140 90 117

6 3324104406660001 SUNAYAH 6/4/1966 P WONOSARI 1/1 DM/HT 150 90 129

7 3324115002500001 SITI ROHMAH 2/10/1950 P GEMUHBLANTEN2/2 DM/HT 140 90 361

8 3324104512500001 MARKUMI 12/5/1950 P MARGOMULYO4/1 DM/HT 130 90 134

9 332494509690001 SOPIYATUN 9/5/1969 P SUMBERSARI 1/2 DM/HT 140 90 153

10 3324106304580001 PUANAH 4/23/1958 P MAREGOMULYO 3/3 DM TIPE 1/HT 140 90 245

11 332410020561001 KARMO 8/6/1954 P PENANGGULAN 3/1 DM/HT/STROKE 150 90 182

12 3324100608540001 M.TAOCHID 8/6/1954 L PENANGGULAN 3/1 DM/HT 140 90 110

13 3324112112570001 SUNARDI 12/21/1957 L TAMANGEDE 2/1 DM/HT 130 90 141

14 3324107101650001 SUTIYAH 1/31/1965 P TEGOREJO 3/7 DM/HT 140 90 292

15 3324100703600002 NUR SALIM 3/17/1960 L MARGOMULYO 3/3 DM/HT/STROKE 150 90 474

16 3324104410590001 SURIYATI 10/4/1959 P MARGOMULYO 5/2 DM/HT 150 90 75

17 3324105512490002 RESMI SUPARMI 12/15/1949 P TEGOREJO 3/9 DM/HT/STROKE 160 90 197

L: 5 P:12 J:17

Anda mungkin juga menyukai