KK nOPEMBER

REKAPITULASI PELAYANAN
RAWAT JALAN TINGKAT PERTAMA (RJTP) BAGI PESERTA KLU SEHAT

BULAN NOVEMBER TAHUN 2021
Nama Faskes : UPT BLUD Puskesmas Nipah

Unit : RAWAT JALAN
No Nama Peserta Nomor Kartu Alamat No. Telp/HP Diagnosa
Tiara Ayu Dini P 5208054907130002 Gili Trawangan Persistensi
2
Reni Wahyuni 5208055407900001 Telok Kodek Perikornitis
3
Afzal Arrahman 5208051005190003 Kecinan Desmatitis
Nurimah 5208054209710001 Lendang Luar DMT2
5
Adiba Cahya Canti Pandanan Ispa + Obs. Febris H+5
5208055403180002
6
Hj. Maerah 5208057112470098 Setangi Konjungtivitis
7
Talita Azkia
5208050691070001 Lendang Luar Ispa
Rahman
8
Ilham Hakim 5208053112800015 Nipah HT
9
M Fakihurrahman 5208051610200001 Badung
DKA
10
Jihan Talita Ulfa 5208056502180002 Kecinan Dyspepsia
11
Nadia Alesha 5208055042101001 Nipah ISPA
12
Aulia Erida 5271016704960003 Setangi G1P0A0 UK 35-36 mg

12
Aulia Erida 5271016704960003 Setangi G1P0A0 UK 35-36 mg
13
Baharudin 5208052009290001 Setangi Asma
14
Lutfia Aziza 5208054902160001 Malimbu ISPA
15
Syaluna Amanda
5208055901210001 Malimbu Sirkumsisi
Kirana
16
Firman 5208051407200001 Setangi Ispa
17
Zayyan Malik Hali 5208053008180002 Telok Kodek Ispa
18
Ulul Arhan Hakim 5208052804140001 Telok Kodek Bronhitis
19
Aswin 5208050502150007 Nipah Mobile 30
20
Mulyanti 5208054810000002 Teluk Nara Limpederitis
21
Khaeratun 5208057112850143 Nipah DM + Hiperkolestrol
22
M. Mizya Sungkar 5208052104210002 Nipah Ispa
23
Alfhan Zikri 5208052005200002 Nipah Ispa
24
Maura Cahaya DKA
Nipah
Anggita 5208054212200006
25
M Gilang Arza 5208052406190002 Kecinan Ispa
26
Kartini 5208053708950001 Nipah ISPA
26
Kartini 5208053708950001 Nipah ISPA
27
Arya Wirawan 5208051210200002 Pandanan Ispa
28
Saniah 5208057112600015 Pandanan
Cepalghia
29
Rafan Azta Zayan 5208050303210001 Setangi Ispa
30
Zaeniah 5208057112811216 Nipah
Ispa
31
Sarmiah 5208057112560021 Pandanan
Dermatitis
32
Alifa Febrianti 5208055603170001 Pandanan Scabies
33 Ispa
M Gohan Haidar 5208051812200005 Lendang Luar
34
Salsabila Azahra 5208054507210001 Nipah Tindik Telinga dan

Sirkumsisi Wanita
35
Ruslan Abdul
5208050702810001 Pandanan Bronhitis
Gani
36
Zaki Rahman Ada 5208052101080201 Pandanan

LBP
37
Rasyiq Nadhir 5208051001210002 Telok Kodek Ispa
38 Dermatitis
Alifa Sahidan 5208055112190001 Setangi
39
Selamah 5208054107620048 Setangi Ispa
40
Alfin Zaidanul 5208052005130001 Telok Kodek

Mobile 30
41
Anisa Ulandari 5208056406190003 Pandanan Diare akut + Ispa
42
Khalisa Gania 5208055001190001 Nipah Ispa
43
Ilmi Alfathunnisa 5208055511190002 Mentigi Dermatitis
44
Suhartini 5208057112919111 Telok Kodek OMA
45
Aslan Ajda 5208051306190001 Nipah Ispa
46
Sapiah 5208055904740001 Setangi Ispa
47
H Bahrudin 5208050508680001 Pandanan HT gr II
48
Efiana 5208055061300002 Pandanan Persistensi
49
Egi Al Farizi 5208052602140004 Teluk Nara Persistensi
50
M Mizyan Sungkar5208052104210002 Nipah
Ispa
51
Ilham Hakim 5208053112800015 Nipah HT gr I
52
Zaenab 5208057112730099 Nipah
OD
53
Azhar 5208053112770177 Telok Kodek Gastritis akut
54
H. Ikhwan 5208050501700003 Nipah Ispa
55
Bq Vania A 5208055110210001 K Bangket Ispa
55
Bq Vania A 5208055110210001 K Bangket Ispa
56
Zaeniah 5208054107680010 Pandanan
Cepalghia
57
Saripudin 5208051302600001 Pandanan Dermatitis + Dyspepsia
58
Masri 5208050501580001 Nipah HT gr II
59
Erlina Sari 5208057112000059 Mentigi Gangren radix
60
Sami'un 5208051908780001 Nipah
OA
61
Jamuhur 5208053112520033 Nipah DM T2
62
Ayunah 5208057112870076 Nipah DM T2
63
Hj. Raudatul Janna 5208057112650174 Setangi DM T2 + HT
64
Hj Joleha 5208057112650050 Nipah Katarak
65
Masri 5208050501580001 Nipah HT Terkontrol
66
H Ruslan 5208053112500057 Pandanan OA + Hiperkolestrol
67
Egi Al Farizi 5208052602140004 Teluk Nara Persistensi
68
Asiani 5208057112880091 Nipah GR
69
M Rafi Gani 5208051512180002 Badung Diare akut tanpa dehidrasi
70
Dewi Kumalasari 5208056205990001 Pandanan Ispa + ISK
71
M Arfan 5208051208210001 Kecinan
Ispa
72
Fitriah 5208056011960002 Nipah Ispa
73
Alia Zulfa 5208054605160001 Pandanan Ispa
74
Abdurrahman 5208051505910002 Lendang Luar Pulpitis
75
Sauti 5208050505620001 Teluk Nara S Lipoma
76
Sa'rah 5208057112750108 Nipah DM T2 + Hiperkolestrol
77
Iqbal Ansary 5208052109130001 Nipah Ispa
78
Diare akut non dehidrasi +
Sayyid Maulana 5208050205200001 Nipah
Ispa + DKA
79
Obs Tumor + DKA + Infeksi
Aina Zahran 5208054503190001 Nipah
skunder
80
M Arfan 5208051208210001 Kecinan
Ispa
81
Nurul Hafazah 5201145205920008 Nipah Pulpitis
82
Zaeniah 5208054107680010 Pandanan HT + Gastritis
83
Hj Maerah 5208057112470098 Setangi DM T2
83
Hj Maerah 5208057112470098 Setangi DM T2
84
Nabila Keyla P 5208056405190001 Setangi Dermatitis
85
Rofiq Siraj 5208051512170001 Pandanan Obs Febris
86
Ilham Hakim 5208053112800015 Nipah HT + Ispa
87
M Zakir 5208052604940001 Kecinan Skizofrenia
88
Hj Joleha 5208067112650050 Nipah Dyspepsia + Myalgia
89
Linda Murni
5201095707930002 Pandanan Pulpitis
Swari
90
Ilmi Alfathunnisa 5208055511190002 Kecinan
Ispa
91
Fadila
5208056509180001 Telok Borok Febris H3 + Ispa
Khaerunnisa
TOTAL BIAYA
ANAN
BAGI PESERTA KLU SEHAT
UN 2021
Jumlah
Tindakan Yg diberikan Tgl Kunjungan
Biaya
Farmakoterapi 11/1/2021
Kunjungan puskesmas 10,000
Pencabutan Gigi Sulung 10,000
Total 20,000
Total 10,000
Total 10,000
Reduksi Glukosa 60,000
Total 70,000
Total 10,000
10,000
Total 10,000
10,000
Total 10,000
Total 10,000
Total 10,000
Pemeriksaan Urine 30,000
Total 100,000
10,000
Total 10,000
Sirkumsisi Wanita 20,000
Total 30,000
Total 10,000
10,000
Total 10,000
20,000
Total 10,000
70,000
10,000
Total 10,000
Total 10,000
Total 10,000
10,000
10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Sirkumsisi Wanita 20,000
Tindik Daun Telinga 10,000
Total 40,000
Total 10,000
Total 20,000
Total 10,000
Total 10,000
Total 10,000
Total 20,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 20,000
Total 20,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 70,000
Total 10,000
Total 10,000
70,000
Total 10,000
Pencabutan Gigi Permanen 20,000
Total 30,000
Total 10,000
Total 70,000
Total 70,000
Total 70,000
Total 10,000
Total 10,000
Total 70,000
Total 20,000
Total 10,000
Total 10,000
Pemeriksaan Urine 30,000
Total 40,000
Total 10,000
Total 10,000
Total 10,000
Tumpatan Sementara 15,000
Total 25,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Tumpatan Tetap 20,000
Total 30,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
Total 10,000
1,685,000
Kepala UPT BLUD Puskesmas Nipah
Suparman, SKM
NIP. 19690502 199003 1 016

KK nOPEMBER

Diunggah oleh

Informasi Dokumen

Judul Asli

Hak Cipta

Format Tersedia

Bagikan dokumen Ini

Bagikan atau Tanam Dokumen

Opsi Berbagi

Apakah menurut Anda dokumen ini bermanfaat?

Apakah konten ini tidak pantas?

Hak Cipta:

Format Tersedia

KK nOPEMBER

Diunggah oleh

Hak Cipta:

Format Tersedia

REKAPITULASI PELAYANAN

RAWAT JALAN TINGKAT PERTAMA (RJTP) BAGI PESERTA KLU SEHAT

Nama Faskes : UPT BLUD Puskesmas Nipah

No Nama Peserta Nomor Kartu Alamat No. Telp/HP Diagnosa

Tiara Ayu Dini P 5208054907130002 Gili Trawangan Persistensi

Nurimah 5208054209710001 Lendang Luar DMT2

Aulia Erida 5271016704960003 Setangi G1P0A0 UK 35-36 mg

Aulia Erida 5271016704960003 Setangi G1P0A0 UK 35-36 mg

Aswin 5208050502150007 Nipah Mobile 30

Khaeratun 5208057112850143 Nipah DM + Hiperkolestrol

Salsabila Azahra 5208054507210001 Nipah Tindik Telinga dan

Zaki Rahman Ada 5208052101080201 Pandanan

Alfin Zaidanul 5208052005130001 Telok Kodek

Efiana 5208055061300002 Pandanan Persistensi

Egi Al Farizi 5208052602140004 Teluk Nara Persistensi

H. Ikhwan 5208050501700003 Nipah Ispa

Saripudin 5208051302600001 Pandanan Dermatitis + Dyspepsia

Erlina Sari 5208057112000059 Mentigi Gangren radix

Jamuhur 5208053112520033 Nipah DM T2

Ayunah 5208057112870076 Nipah DM T2

Hj. Raudatul Janna 5208057112650174 Setangi DM T2 + HT

H Ruslan 5208053112500057 Pandanan OA + Hiperkolestrol

Egi Al Farizi 5208052602140004 Teluk Nara Persistensi

Dewi Kumalasari 5208056205990001 Pandanan Ispa + ISK

Abdurrahman 5208051505910002 Lendang Luar Pulpitis

Nurul Hafazah 5201145205920008 Nipah Pulpitis

Kepala UPT BLUD Puskesmas Nipah

Anda mungkin juga menyukai