WARGA
NO TANGGAL NAMA UMUR JK (diisi Angka, 1 =
NEGARA
Ya, 0= Tidak)
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
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0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 1 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 PUSING
MERIANG, 0 0 0 0 0
1 DEMAM
SAKIT ULU 1
1 HATI,
SAKIT MUAL
ULU 0 0 0 0 0
1 HATI, MUAL
MUAL, PUSING, 0 0 0 0 0
1 HIPERTENSI 0 0 0 0 0
0 HIPERTENSI 0 0 0 0 0
1 PUSING
MUAL, SAKIT 0 0 0 0 0
0 ULU HATI, 0 0 0 0 0
SAKIT GIGI 0 0 0 0 0
1 SAKIT GIGI 0 0 0 0 0
SAKIT KEPALA,
1 SAKIT
MUAL,GIGI 0 0 0 0 0
1 MUNTAH
BAB CAIR 0 0 0 0 0
0 SUDAH
TENGGORAKAN 0 0 0 0 0
1 GATAL 0 0 0 0 0
1 DISMENORE 0 0 0 0 0
1 PUSING
MUAL, PUSING, 0 0 0 0 0
1 HIPERTENSI
MUAL DAN 0 0 0 0 0
MUNTAH 0 0 0 0 0
TELINGA SAKIT
MUAL, SAKIT 0 0 0 0 0
1 ULU HATI, 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
0 SLT 0 0 0 0 0
13
KUNJUNGAN KLINIK
T TAHUN 2023
SLT
RUJUK SAKIT PENYAKIT PENYAKIT PENYAKIT
TIDAK (diisi
(diisi (diisi POTENSIAL POTENSIAL
MENULAR Angka,
Angka, 1 Angka, 1 DIAGNOSA KKM (diisi SKDR (diisi (diisi Angka,
1 = Ya,
= Ya, 0= = Ya, 0= Angka, 1 = Angka, 1 = 1 = Ya, 0= 0=
Tidak) Tidak) Ya, 0= Tidak) Ya, 0= Tidak) Tidak) Tidak)
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 32 W 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 ULKUS PEDIS D 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 RIWAYAT PJK 0 0 1 1
0 1 ULKUS DIABETIKUM 0 0 1 1
0 0 G4P3A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G10A5P4 0 0 1 1
0 1 POST DHF + SUSP 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 34 W 0 0 1 1
0 1 FRACTURE TIBIA FI 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 SOFT TISSUE TUMO 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 RUPTUR TENDON PE 0 0 1 1
0 1 GOUT ARTHRITIS+ 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 SUSP STEVENS JO 0 0 1 1
0 1 LBP 0 0 1 1
0 1 LANSIA + HIPERTEN 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 PARALISIS LOWER 0 0 1 1
0 1 CA OVARIUM 0 0 1 1
0 1 ULKUS PEDIS 0 0 1 1
0 1 DISPNOE + SUSP. H 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 PEMULIHAN DARI M 0 0 1 1
0 1 HIPERPIGMENTASIS 0 0 1 1
0 1 PJK + DM 0 0 1 1
0 1 POST OP ACL 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 SENELITY+OA 0 0 1 1
0 1 ATHEROSKELROSIS 0 0 1 1
0 1 SENELITY+OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 DM + LANSIA 0 0 1 1
0 1 POST REPLACEMENT 0 0 1 1
0 1 LBP 0 0 1 1
0 1 GLAUKOMA+OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 PARALISIS LOWER 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 BAYI SEHAT 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 BAYI SEHAT 0 0 1 1
0 1 ARTRITIS + ON HD 0 0 1 1
0 1 LANSIA + TETRAPLE 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 POST AMPUTASI PED 0 0 1 1
0 0 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 POST STROKE 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 POST STROKE 0 0 1 1
0 0 PARALISIS LOWER 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 BAYI SEHAT 0 0 1 1
0 0 LANSIA + OA 0 0 1 1
0 0 BAYI SEHAT 0 0 1 1
0 0 ARTRITIS + ON HD 0 0 1 1
0 0 LANSIA + TETRAPLE 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 POST AMPUTASI PED 0 0 1 1
0 0 LANSIA + OA 0 0 1 1
0 0 POST STROKE 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 LANSIA 0 0 1 1
0 1 ULKUS DIABETIKUM 0 0 1 1
0 1 NEUROPATI 0 0 1 1
0 1 STENOSIS RECTI P 0 0 1 1
0 1 LANSIA + HT 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1A1P0 GRAVID 1 0 0 1 1
0 1 SUSP DISLOKASI PO 0 0 1 1
0 1 OA 0 0 1 1
0 0 G1P0AI 0 0 1 1
0 0 G1P0A0 GRAVID 3 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 RIWAYAT PJK 0 0 1 1
0 1 FRAKTUR PEDIS S 0 0 1 1
0 1 GANGGUAN DEPRESI 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 POST STROKE + PP 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 CKD ON HD 0 0 1 1
0 1 CA OVARIUM 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G7P3A3 0 0 1 1
0 1 PARALISIS EKSTRE 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 POST FRAKTUR PEDI 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 OBESITAS+OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 SENELITY+OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 SUSP MASSA CAPU 0 0 1 1
0 1 FRAKTUR FEMUR D 0 0 1 1
0 1 HNP 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 CIDERA ANKLE (S) 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 VULNUS LACERATU 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 DISPEPSIA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 SOL CEREBELLUM 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 GASTRITIS 0 0 1 1
0 1 PARAPARESE POST 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 SUSP SLE 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST KEMO 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 SUSP KNF 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 LANSIA + OA+ DM 0 0 1 1
0 1 HEMOROID 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 POST STROK +KATA 0 0 1 1
0 0 G4P2A1 GRAVID 2 0 0 1 1
0 0 CA MAMMAE 0 0 1 1
0 0 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 PPOK 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 FRAKTUR PEDIS D 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA+OA 0 0 1 1
0 0 G4A1P2 GRAVID 2 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 SUS ENDOMETRIOSI 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 Susp osteoartritis 0 0 1 1
0 1 POST OP NEFROLITI 0 0 1 1
0 1 POST KEMO CA CO 0 0 1 1
0 1 LANSIA + OA + HT 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST KLL 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 HNP 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 DISABILITY 0 0 1 1
0 1 PARKINSON DISEAS 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 SUSP FURUNKLE EXT 0 0 1 1
0 1 HNP+ SENILITY 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 CA PARU KANAN 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 AMPUTASI TANGAN 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 VULNUS LACERATU 0 0 1 1
0 0 G6P5A0 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 1 LANSIA + HIPERTEN 0 0 1 1
0 1 HNP + HIPERTENSI 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G4P3A0 0 0 1 1
0 1 GASTRITIS + ARTRIT 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 FRACTURE OS PATEL 0 0 1 1
0 1 LANSIA + OA + HT 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST FRAKTUR PEL 0 0 1 1
0 1 POST HECTING VUL 0 0 1 1
0 1 ANOMALI CRURIS D 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 RIWAYAT POLIO 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST APENDIKTOM 0 0 1 1
0 1 TUMOR LARING+PO 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 SIND DISPEPSIA 0 0 1 1
0 1 POST OP KISTA GA 0 0 1 1
0 1 LANSIA + ARTRITIS 0 0 1 1
0 0 G2P1A0 GR 33 W 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST APENDIKTOMI 0 0 1 1
0 1 ARTRITIS 0 0 1 1
0 1 POST OP ORIF FEM 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA+GLUKOMA 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 POST OP OSTEOART 0 0 1 1
0 1 CKD ST V 0 0 1 1
0 1 DYSPEPSIA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + fRACTURE 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 1 PJK + CHF 0 0 1 1
0 1 LANSIA 0 0 1 1
0 1 ASD 0 0 1 1
0 1 MENTAL DISORDER 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 HIPERTENSI + OA 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 1 KOMPRESI VERTEB 0 0 1 1
0 1 LANSIA + DM 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P1A 0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 GASTROENTERITIS 0 0 1 1
0 1 INTERVERTEBRA DI 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 LANSIA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST ARTROSCOPY 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 LANSIA 0 0 1 1
0 1 LANSIA + DISLOCAT 0 0 1 1
0 0 G7P5A1 0 0 1 1
0 0 LANSIA 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 NEUROPATI DM 0 0 1 1
0 1 KOLELITIASIS 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 Dislokasi 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST FRAKTUR PATE 0 0 1 1
0 1 POST CURRETAGE 3 0 0 1 1
0 1 HIPOTENSI + DM 0 0 1 1
0 1 CKD 5 PRO HD 0 0 1 1
0 1 FRACTURE TIBIA FI 0 0 1 1
0 1 PENGOBATAN PJK 0 0 1 1
0 1 CA MAMMAE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 LANSIA 0 0 1 1
0 1 POST OP HNP 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 DIABETES MELITUS 0 0 1 1
0 1 RIWAYAT PJK 0 0 1 1
0 1 POST OP BUKA PEN 0 0 1 1
0 1 POST FRAKTUR LU 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST KEMOTERAPI 0 0 1 1
0 1 FRAKTUR PEDIS S 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 RIWAYAT PDA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 HNP 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 AMPUTASI PEDIS S/ 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 GASTRITIS 0 0 1 1
0 1 LEUKIMIA 0 0 1 1
0 0 G2P0A1 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 SPRAIN ANKLE PEDI 0 0 1 1
0 1 PARKINSON DISEAS 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G4P2A1 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 HNP 0 0 1 1
0 1 DISPNOE + TAKIKAR 0 0 1 1
0 1 MALAISE SYNDROME 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 OSTEOARTRITIS 0 0 1 1
0 1 LANSIA 0 0 1 1
0 0 BAYI SEHAT 0 0 1 1
0 1 CA SERVIKS 0 0 1 1
0 1 POST ESWL 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 ARTRITIS 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 SENELITY+OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 POST OP KATARAK 0 0 1 1
0 1 ABLASIO RETINA 0 0 1 1
0 0 G5P3A1 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA+OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LBP 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 HNP 0 0 1 1
0 1 SUSP SYNOVIAL S 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 SPINAL CORD INJUR 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 34 W 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST ORIF FR PELVI 0 0 1 1
0 1 LBP 0 0 1 1
0 1 DISLOKASI ANCLE J 0 0 1 1
0 1 ARTRITIS 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 PEMASANGAN CHEM 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LBP + HT 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 HNP+HT 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 HNP 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 SUSP AML 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P0A1 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 HNP 0 0 1 1
0 0 G2P1A0 + Emesis g 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 VARICELLA 1 0 0 1
0 1 OSTEOPOROSIS 0 0 1 1
0 0 G7P4A2 0 0 1 1
0 1 CA SERVIKS 0 0 1 1
0 0 G4P3A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 LANSIA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST ORIF TIBIA DE 0 0 1 1
0 1 POST COLOSTOMY 0 0 1 1
0 1 PSORIASIS 0 0 1 1
0 1 RIWAYAT PJB 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 SUSP ISCHIALGIA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 HNP 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 DISMENORE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 1 HNP 0 0 1 1
0 1 OBESITAS+OA 0 0 1 1
0 0 G2P0A1 0 0 1 1
0 1 IRITASI MATA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 VARICELLA 1 0 0 1
0 0 SUSP AUTIS 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 RIWAYAT AMPUTASI 0 0 1 1
0 1 PRELEUKEMIA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 POST OP HERNIA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 FRACTURE TIBIA FI 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 POST OP ASD/VSD ( 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 PERIPHERAL NEURO 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 ca mamae 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 6MINGGU 0 0 1 1
0 0 G1P0A0 30 MINGG 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 1 LBP + POST OP KA 0 0 1 1
0 1 HNP 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 PARALISIS LOWER 0 0 1 1
0 1 STRAIN INJURY ON 0 0 1 1
0 1 VARICELLA HARI KE 1 0 0 1
0 0 G1P0A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 DISLOKASI HIP SINI 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 TOTAL KNEE REPL 0 0 1 1
0 1 DIABETES MELITUS 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P0A1 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 RIWAYAT CHD 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LBP + OBESITAS 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 SINDROME DISPEPS 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 OSTEOARTHRITIS 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 PARALISIS LOWER 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 ARTRITIS + HT 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G4P2A1 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 MYALGIA+ RIWAYA 0 0 1 1
0 1 GANGGUAN PSIKOSI 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 OSTEOARTITIS 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 NSTEMI + AHF PAD 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 POST ORIF OS PELVI 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 KOLELITIASIS 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 POST STROKE+ LAN 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G2P1A0 GR 33W 0 0 1 1
0 1 RIWAYAT VARICELL 1 0 0 1
0 0 G1P0A0 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 1 LIMFEDEMA 0 0 1 1
0 1 HNP 0 0 1 1
0 1 AUTOIMUN 0 0 1 1
0 1 FATIQUE 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 LANSIA 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 1 LANSIA + HT 0 0 1 1
0 0 LANSIA 0 0 1 1
0 0 LANSIA 0 0 1 1
0 0 LANSIA 0 0 1 1
0 1 FRACTURE TIBIA FI 0 0 1 1
0 1 LANSIA + POST OP 0 0 1 1
0 1 NEUROPATI DM 0 0 1 1
0 1 LANSIA + OA 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 G3P1A1 0 0 1 1
0 1 CEPHALGIA 0 0 1 1
1 OBS FEBRIS 0 0 1 0
0 1 DISPEPSIA 0 0 1 0
0 1 DISPEPSIA 0 0 1 0
0 1 EPILEPSI 0 0 1 0
0 1 HIPERTENSI 0 0 1 0
0 CEPHALGIA 0 0 1 0
0 1 DISPEPSIA 0 0 1 0
0 1 CARIES DENTAL 0 0 1 0
0 1 CARIES DENTAL 0 0 1 0
0 1 CARIES DENTAL 0 0 1 0
0 1 DISPEPSIA 0 0 1 0
0 1 DIARE 0 0 1 0
0 1 FARINGITIS 0 0 1 0
0 1 DISMENORE 0 0 1 0
0 1 CEPHALGIA 0 0 1 0
0 1 DISPEPSIA 0 0 1 0
0 1 DISPEPSIA 0 0 1 0
0 1 BAROTRAUMA 0 0 1 0
0 1 DISPEPSIA 0 0 1 0
0 0 G2P1A0 0 0 1 1
0 0 RIWAYAT LAPARATO 0 0 1 1
0 1 SUSP. HIPERTENSI 0 0 1 1
0 1 POST STROKE 0 0 1 1
0 1 GOUT ARTRITIS 0 0 1 1
0 0 G3P2A0 0 0 1 1
0 1 OSTEOARTRITIS 0 0 1 1
0 0 G1P0A0 0 0 1 1
0 0 LANSIA 0 0 1 1
0 1 ULKUS DIABETIKUM 0 0 1 1
0 0 LANSIA 0 0 1 1
0 0 LANSIA + OSTEOART 0 0 1 1
0 0 BAYI SEHAT 0 0 1 1
0 0 G2P1A0 0 0 1 1
0 0 G4A1P2 0 0 1 1
0 0 LANSIA + OA 0 0 1 1
0 0 G2P0A1 0 0 1 1
0 1 POST STROKE 0 0 1 1
362
PEMERIKSAAN JENAZAH
DALAM RANGKA
PENERBITAM SIMJ
PENERBITAN SURAT
SIMOS/ LAIK LOKASI
KET. DOKTER/
BERLAYAR (WILAYAH
(diisi Angka, 1 = PENYAKIT KKM TIDAK KKM SEHAT PETUGAS
KERJA)
Ya, 0= Tidak) (SKS)