LAPORAN BULANAN PEME

RS PKU MUHAMMADIY
TAHUN 2019

BULAN : JANUARI
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 1/3/2019 SAPIR 18/3320044/1/0587 33200124608670004
2 1/3/2019 SULAMI 18/3320044/1/0588 3320044208540001
3 1/4/2019 TAZKIYATUN 18/3320044/1/0589 3320046712780001
4 1/7/2019 SUJONO 18/3320044/1/0592 3320121110650002
5 1/9/2019 NOR HANIFA 18/3320044/1/0593 3321136412710002
6 1/10/2019 ACHLIFAH 18/3320044/1/0596 3320125504600003
7 1/11/2019 SUGIYONO 18/3320044/11/0597 3320131108360001
8 1/15/2019 KASTONO 18/3320044/1/0599 3320121010600001
9 1/15/2019 HARYONO 18/3320044/1/0600 3320130906600001
10 1/16/2019 MISKIYAH 18/3320044/1/0601 3320134506700006
11 1/16/2019 QOMARIYAH 18/3320044/1/0603 3320134101570001
12 1/17/2019 SITI AMINAH 18/3320044/1/0601 3320125704710001
13 18//01/2019 ASRO 18/3320044/1/0603 3320040503550001
14 1/22/2019 RENI WAHYU 18/3320044/0/0604 332002670540003
15 1/22/2019 MIA ANJELIKA 18/3320044/1/0605 3320124704940002
16 1/26/2019 ALI MUHTADI 18/3320044/1/0606 3320120206770004
17 1/28/2019 KAHAR 18/3320044/1/0607 332013060746001
18 1/31/2019 MUH.LANA 18/3320044/1/0511 332408063000006
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
BATEGEDE 7/4 10
MAYONG LOR 4/3 10
BUARAN 2/1 10
NALUMSARI 3/2 10
KEDUNGMUTIH 5/2 6
PRINGTULIS 3/1 10
PENDOSAWALAN 4/2 6
TUNGGUL 1/1 6
KRIYAN 12/3 10
DAMARJATI 3/1 10
ROBAYAN 11/2 10
GEMIRING LOR 2/7 10
JEBOL 6/1 10
PULODARAT 10
DORANG 4/3 10
NGETUK 4/6 10
MARGOYOSO 4/2 6
PERUM NOLOKERTO 10
M

HASIL
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED MEDIUM RIFF RESS.NNOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED HUGH,RIFF RESS.NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
 LAPORAN BULANAN PEME
RS PKU MUHAMMADIY
TAHUN 2019

BULAN : FEBRUARI
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 2/2/2019 SOCIB 18/3320044/1/0609 3320051706520001
2 2/4/2019 ALI MAKRUF 18/3320044/1/0611 3320130504550002
3 2/6/2019 TANIAH 18/3320044/1/0615 3320135005570001
4 2/7/2019 SUPARYANTO 18/3320044/1/0617 332012103620001
5 2/7/2019 MUH.RIFAN 18/3320044/1/0618 3320033107480001
6 2/12/2019 WAGINI 18/3320044/1/0623 3320041210610004
7 2/25/2019 SUMARMI 18/3320044/1/0625 3320044107600051
8 2/27/2019 SRI AMBARWATI 18/3320044/11/0627 3320045207670001
9
10
11
12
13
14
15
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
GENENG 10/2 10
KALINYAMATAN 8/3 10
ROBAYAN 8/2 10
KRAJAN 6/2 10
WELAHAN 4/2 6
DATAR 3/1 10
BUARAN 2/2 7
DATAR 2/3 10
M

HASIL
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED LOW RIFF RESS.NNOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
 LAPORAN BULANAN PEME
RS PKU MUHAMMADIY
TAHUN 2019

BULAN : MARET
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 3/4/2019 ASROFIN 18/3320044/1/0631 3320134505590001
2 3/8/2019 SAMSUDIN 18/3320044/1/0635 3320021101590001
3 3/8/2019 LAMISIH 18/3320044/1/00636 3320044305750001
4 3/19/2019 SATIM 18/3320044/1/0638 3320040207670003
5 3/19/2019 MUH.AMIN 18/3320044/1/0639 3374061009770001
6 3/19/2019 AHWAN 18/3320044/1/0640 3320040804660001
7 3/21/2019 SOFIYATUN 18/3320044/1/0642 332002502600003
8 3/21/2020 DANURI 18/3320044/1/0643 33211131410560001
9 3/26/2019 NURKAN 18/3320044/1/0645 33200122707570001
10 3/28/2019 IKHA NOVITA 18/3320044/1/0646 3320026011940001
11 3/30/2019 SUKARTI 18/3320044/1/0647 33200124312530003
12
13
14
15
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
KRIYAN 8/2 1
GEMULUNG 3/3 10
PULE 2/1 10
NGEMPLAK 2/3 10
JLEPER 3/1 10
TIGAJURU 3/1 6
TROSO 6/8 10
KEDUNG MUTIH 13/1 10
BLIMBINGREJO 8/2 10
TUBANAN 3/1 6
PRINGTULIS 3/6 10
M

HASIL
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED LOW
MTB DETECTED LOW
MTB DETECTED HIGH IRFF RES.NOT
MTB NOT DETECTED
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : APRIL
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 4/4/2019 URIP 19/3320044/1/0653 3320030509480062
2 4/8/2019 SUDARNO 19/3320044/1/0656 3320122412450003
3 4/9/2019 KARJO 19/3320044/1/0617 3320031711480001
4 4/9/2019 AHMAD BAHARUDIN 19/3320044/1/0658 3321131404900001
5 4/9/2019 ABDUL SYUKUR 19/3320044/1/0660 3320131210390002
6 4/10/2019 KASAN 19/3320044/1/0662 3320031808540002
7 4/23/2019 SULAIDAH 19/3320044/1/0666 3320136904740001
8 4/23/2019 SUMINAH 19/3320044/1/0667 3320036302560001
9 4/23/2019 TOHA 19/3320044/1/0668 3320041206590002
10 4/24/2019 YAZID 19/3320044/1/0670 3320041207740002
11 4/25/2019 BADRUN 19/3320044/1/0671 3320046808550002
12 4/26/2019 TUNIMAH 19/3320044/1/0672 3321135005600011
13 4/30/2019 NENENG 19/3320044/1/0678 3320024910810001
14 4/30/2019 SUBIYAH 19/3320044/1/0674 332012450350003
15
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
KALIPUICANG WETAN 6/2 10
NGETUK 1/1 10
KALI[UCANG WETAN 4/4 10
KEDUNG KARANG 3/3 10
PURWOGONDO 18/3 10
KENDENG 8/2 10
BATUKALI 4/3 6
UJUNGPANDAN 1/1 6
RAJEKWESI 1/3 10
BRANANG 4/4 10
JEBOL 5/1 10
KENDAL ASEM 4/2 10
MINDAHAN KIDUL 3/5 6
GEMIRING KIDUL 2/4 10
 HASIL
MTB NOT DETECTED
MTB DETECTED MEDIUM
MTB NOT DETECTED
MTB DETECTED HIGH IRFF RES.NOT
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : MEI
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 5/3/2019 JUMAKIR 19/3320044/1/0681 3320032004620001
2 5/3/2019 MUSTOFA 19/3320044/1/0682 3320032709950001
3 5/16/2019 TURAH 19/3320044/1/0690 3320134205440001
4 5/16/2019 FAINDI 19/3320044/1/0692 3320041005520001
5 5/22/2019 SANAJI 19/3320044/1/0696 3320041105420001
6 5/24/2019 ZUNAIDI 19/3320044/1/0699 3320130708590001
7 5/27/2019 WAHIDATUL 19/3320044/1/0703 3320025490780002
8 5/28/2019 NAFIKAH 19/3320044/1/0704 3320134607610003
9
10
11
12
13
14
15
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
KENDENG SIDIALIT 1/1 10
KALIPUCANG WETAN 3/1 10
BAKALAN 5/1 6
MAYONG LOR 10
JEBOL 5/3 7
BAKALAN 5/1 6
RAGUKLAMPITAN 23/5 6
KRIYAN 8/2 6
 HASIL
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED VERY LOW RIFF RES NOT DETECTED
MTB NOT DETECTED
MTB DETECTED MEDIUM RIFF RES NOT DETECTED
MTB NOT DETECTED
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : JUNI
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 6/12/2019 SANAJI 19/3320044/1/0715 3320041105420001
2 6/12/2019 MASNUH 19/3320044/1/0716 3320122907770001
3 6/13/2019 LASONO 19/3320044/1/0718 33200131407390001
4 6/14/2019 YATIMAH 19/3320044/1/0720 3320035012530001
5 6/18/2019 BADIAH 19/3320044/1/0721 3320044204680005
6 6/21/2019 WINDUWATI 19/3320044/1/0725 3320135808810005
7 6/21/2019 SUTARNO 19/3320044/1/0726 3320042107520002
8 6/25/2019 SRI MINARSIH 19/3320044/1/0728 3320136406850001
9 6/29/2019 SUHADI 19/3320044/1/0730 33201210016600004
10
11
12
13
14
15
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
JEBOL 5/3 7
GEMIRING LOR 2/1 10
DAMARJATI 3/1 10
UJUNGPANDAN 11/4 10
BUARAN 14/1 6
BAKALAN 6/1 7
NGROTO 1/2 10
SENDANG 3/3 10
BENDAN PETE 8/2 6
 HASIL
MTB DETECTED LOW RIFF RES NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED MEDIUM RIFF RES NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : JULI
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 7/2/2019 EMI 19/3320044/1/0733 332013690884004
2 7/2/2019 YATIMAH 19/3320044/1/0734 3320035012530001
3 7/3/2019 SUPARMI 19/3320044/1/0735 3321136406560001
4 7/4/2019 ABDUL ROHMAN 19/3320044/1/0739
5 7/9/2019 MUKHLASIN 19/3320044/1/0743 3320021802640001
6 7/11/2019 SUDARMONO 19/3320044/1/0745 3320041906710003
7 7/20/2019 MINGSEL 19/3320044/1/0751 3320045502460001
8 7/23/2019 JAMINAH 19/3320044/10752 3320134406700004
9 7/25/2019 LUFATUN 19/3320044/1/0754 3320044705980001
10 7/30/2019 SUPARNO 19/3320044/1/0755 3320030107530243
11 7/31/2019 TUTIK 19/3320044/1/0756 3320135505860003
12
13
14
15
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
MARGOYOSO 21/1 10
UJUNGPANDAN 11/4 10
UJUNGPANDAN 7/3 6
PURWOGONDO 1/5 10
PEC.WETAN 3/5 10
MAYONG KIDUL 4/1 10
BANDUNG 4/1 6
DAMARJATI 2/5 10
NGEMPLAK 1/2 10
KRAJAN 2/1 10
BANYUPUTIH 11/3 10
 HASIL
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED MEDIUM
MTB DETECTED LOW
MTB DETECTED LOW
MTB DETECTED VERY LOW
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : AGUSTUS
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 8/2/2019 MUGIYANTI 19/3320044/0759 332002250864001
2 8/7/2019 NASRIN 19/3320044/1/0761 3321102903560001
3 8/9/2019 TRIANAH 19/3320044/1/0767 3320035909850003
4 8/13/2019 USWATUN 19/3320044/1/0769 3320125309990001
5 8/14/2019 NONIK 19/3320044/1/0772 3320086604930002
6 8/15/2019 ROKMAH 19/3320044/1/0773 332004200150002
7 8/15/2019 SAADAH 19/3320044/1/0774 3320024107780178
8 8/16/2019 BADIAH 19/3320044/1/0721 3320044204680005
9 8/19/2019 SUWARTI 19/3320044/1/0776 332012460373001
10 8/20/2019 SUNAYATI 19/320044/1/0778 3320014612640001
11 8/21/2019 NGAPINAH 19/320044/1/0781 3320046002530004
12 8/22/2019 NAFIYAH 19/3320044/1/0785 3320027112490004
13 8/23/2019 KASTINI 19/3320044/1/0787 3321105011690001
14 8/27/2019 ASHABUN 19/3320044/1/0789 3320032207930003
15
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
LEBUAWU 6/1 10
MIJEN 1/6 10
UJUNGPANDAN 1/1 10
PRINGTULIS 4/3 10
TROSO 5/3 10
MAYONG LOR 2/4 6
TROSO 4/5 10
BUARAN 14/1 2
GEMIRING KIDUL 4/1 10
SOWAN KIDUL 2/4 10
PAREN 1/1 10
PEC.WETAN 2/1 10
REJOSARI 2/3 10
KALIPUCANG KULON 10
 HASIL
MTB DETECTED VERY LOW
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED LOW
MTB DETECTED LOW
MTB DETECTED HIGH
MTB DETECTED LOW
MTB DETECTED MEDIUM
MTB DETECTED MEDIUM
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : SEPTEMBER
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 9/3/2019 LEGINI 19/3320044/1/0797 3320130506680001
2 9/6/2019 SUKAR 19/3320044/1/0801
3 9/6/2019 RUSMADI 19/3320044/1/0799
4 9/10/2019 RONDI 19/3320044/1/0803
5 9/18/2019 PUPON 19/3320044/1/0807 3320033250550001
6 9/18/2019 IGGA 19/3320044/1/0808 332002670596005
7 9/25/2019 FERANI 19/3320044/1/0815 3320136702820002
8 9/25/2019 PONCO 19/3320044/1/0816 3320132907980001
9 9/6/2019 SITI AMINAH 19/3320044/1/0818 3320013570876007
10 9/27/2019 BADIAH 19/3320044/1/0822 332004420468005
11 9/27/2019 EDI 19/3320044/1/0821 3320040110850002
12 9/27/2019 ISMAIL 19/3320044/1/0819 3321131512530001
13
14
15
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
PENDO 16/5 10
TIGAJURU 3/2 10
DATAR 3/2 6
SINGOROJO 7/1 6
LALIPUCANG KULON 2/4 6
TROSO 11/9 10
GEMULUNG 2/3 10
MARGOYOSO 5/1 10
KRIYAN 11/3 10
BUARAN 14/1 2
KUANYAR 3/3 10
TEDUNAN 3/2 10
 HASIL
MTB DETECTED LOW
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED HIGH
MTB NOT DETECTED
MTB DETECTED VERY LOW
MTB NOT DETECTED
MTB NOT DETECTED
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : OKTOBER
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 10/1/2019 JUMINAH 19/3320044/1/0824 3320025510610001
2 10/15/2019 FATKUL ADHIM 19/3320044/1/0829 3320031616940002
3 10/15/2019 ARTIKA 19/3320044/1/0830 3374026808670003
4 10/16/2019 MUSLIMAH 19/3320044/1/0831 332005460460006
5 10/16/2019 RANI 19/3320044/1/0832 3320045004950006
6 10/16/2019 BASORI 19/3320044/1/0833 3320130107400059
7 10/17/2019 SABAR 19/3320044/1/0835 3320130505770005
8 10/22/2019 AMIN 19/3320044/1/0839 3320021406870004
9 10/22/2019 ZARIAH 19/3320044/1/0840 3320044510570003
10 10/23/2019 KANDEK 19/3320044/1/0841 3320030709510002
11 10/23/2019 SLAMET HADI 19/3320044/1/0842 332013200864002
12 10/24/2019 SURATNO 19/3320044/1/0843 3320042410600001
13 10/28/2019 FATKUR ROHMAN 19/3320044/1/0847
14 10/30/2019 ABDUL LATIF 19/3320044/1/0849 332002051250001
15 10/30/2019 MUZAIRIN 19/3320044/1/0850 33211012043700001
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
PEC.KULON 5/7 10
KETING 1/2 10
PURWOSARI 4/2 10
RAGUKLAMPITAN 25/5 10
SINGOROJO 6/3 10
ROBAYAN 18/2 10
PURWOGONDO 3/1 10
TROSO 5/3 6
KEDUNGSARI 1/1 6
UJUNGPANDAN 7/3 10
KRIYAN 20/4 10
PELANG 6/2 6
BANYUPUTIH 28/10 10
GERDU 4/1 10
JLEPER 4/2 7
 HASIL
MTB DETECTED LOW
MTB NOT DETECTED
MTB DETECTED HIGH
MTB NOT DETECTED
MTB DETECTED LOW
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED MEDIUM
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : NOPEMBER
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 11/5/2019 BAMBANG 19/3320044/1/0857 3320041303580001
2 11/5/2019 KUSMANTO 19/3320044/1/0858 3320030801710001
3 11/6/2019 HENI 19/3320044/1/0851 3320124611000001
4 11/6/2019 MESRAN 19/3320044/1/0851 3320132410790002
5 11/11/2019 BUKHORI 19/3320044/1/0861 3320020304740004
6 11/13/2019 NURUL 19/3320044/10862 332013020554003
7 11/14/2019 SELAMET 19/3320044/1/0864 3320030101610002
8 11/14/2019 FAIDUL 19/3320044/1/0865 3320132808990001
9 11/18/2019 SRI DAYAH 19/3320044/1/0866 3320044808650006
10 11/19/2019 SUHALI 19/3320044/1/0868 3320040709530002
11 11/19/2019 UMI 19/3320044/1/0867 3320136212970002
12 11/19/2019 AGUS 19/3320044/1/0869 3320132804860003
13 11/19/2019 SINTA 19/3320044/1/0870 3320025505960009
14 11/21/2019 JUWARIYAH 19/3320044/1/0873 332004590430001
15 11/21/2019 SUNARTO 19/3320044/1/0872 332003050857001
16 11/21/2019 IRSAD 19/3320044/1/0874 3320041910680003
17 11/25/2019 BASORI 19/3320044/1/0878 3320130107450059
18 11/26/2019 SAMAH 19/3320044/1/0880 3320036010590001
11/27/2019 SAHLI 19/3320044/1/0881 3320130107580115
11/30/2019 BASRI 19/3320044/1/0885 3320032408550002
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
BENDOWANGEN 5/2 10
TELUK WETAN 9/1 10
BATEGEDE 4/4 10
BANDUNGREJO 1/3 10
KRASAK 2/4 10
ROBAYAN 20/3 7
KALIPUCANG 6/4 10
MAYARGADING 1/4 10
PELANG 4/2 10
BUARAN 2/4 10
PURWOGONDO 19/1 6
MARGOYOSO 5/1 10
KARANGRANDU 1/1 10
NGEMPLAK 1/1 10
TELUK WETAN 6/1 10
PANCUR 5/1 10
ROBAYAN 8/2 10
KALIPUCANG KULON 7/4 10
PENDOSAWALAN 21/8 10
KALIPUCANG KULON 6/4 10
 HASIL
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED HIGH
MTB NOT DETECTED
MTB DETECTED MEDIUM
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED HIGH
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED MEDIUM
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED MEDIUM
 LAPORAN BULANAN P
RS PKU MUHAMMAD
TAHUN

BULAN : DESEMBER
NO.IDENTITAS
NO TANGGAL NAMA PASIEN NIK
SEDIAAN
1 03/120/2019 SAFII 19/3320044/1/0887 3320122812610001
2 12/9/2019 IMAM 19/3320044/1/0894 3316060805850003
3 12/12/2019 EVI 19/3320044/1/0896 3175094905990004
4 12/12/2019 ADNAN 19/3320044/1/0895
5 12/12/2019 SUMINI 19/3320044/1/0897 3320025503740002
6 12/12/2019 LASONO 19/3320044/1/0894 3320131407390001
7 12/16/2019 KARMONAH 19/3320044/1/0903 3321104209550002
8 12/16/2019 SUKANDAR 19/3320044/1/0900 3320030107390035
9 12/18/2019 JAMIAH 19/3320044/1/0904 3320044206690001
10 12/19/2019 NGATMI 19/3320044/1/0905 3320126702670001
11 12/26/2019 ZAINI 19/3320044/1/0912 3320031306520001
12 12/26/2019 SUBEKAN 19/3320044/1/0911 3320122108800001
13 12/26/2019 KAMSIRAH 19/3320044/1/0910 3320024107590042
14 12/27/2019 NGATMI 19/3320044/1/0916 3320134310580001
15 12/31/2019 ISMAIL 19/3320044/1/0918 33201131512530001
16
17
18
LAPORAN BULANAN PEMERIKSAAN TCM
RS PKU MUHAMMADIYAH MAYONG
TAHUN 2019

ALAMAT KRITERIA
BENDAN PETE 5/1 10
TELUK WETAN 19/3 4
PENGKOL 3/1 6
JUNGPASIR 3/4 10
TROSO 3/4 10
DAMARJATI 3/1 10
PASIR 5/6 10
KETILENG 2/3 6
MAYONG KIDUL 1/5 6
GEMIRING KIDUL 3/4 10
KEDUNGSARI 1/1 10
MURYOLOBO 2/6 10
KARANGRANDU 9/5 10
ROBAYAN 5/1 6
TEDUNAN 3/2 6
 HASIL
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED HIGH
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB NOT DETECTED
MTB DETECTED MEDIUM
MTB NOT DETECTED