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REGISTER LAYANAN HIV - IMS - HEPATITIS

HASIL PEMERIKSAAN
NO TANGGAL NAMA UMUR ALAMAT NIK NO HP POLI WAKTU HIV SHYPILIS
HBS Ag
R1 R2 R3 KESIMPULAN TP RAPID RPR TITER

03/01/23 IRNA JUNITA 35 PERUM SIBATU BATU INDAH 082165859819 KIA 30 NR NR NR


05/01/23 ASMA PUTRI 34 JL. NAGAHUTA KIA 30 NR NR NR
05/01/23 HERLINA SIREGAR 41 JL. ENGGANG KIA 30 NR NR NR
16/01/23 LINDA SARI NST 21 1272074907010003 083877146691 CATIN 30 NR NR NR
19/01/23 NOVITA SARI 34 JL. SM Raja 1272074705770004 KIA 30 NR NR NR
20/01/23 FAUZI PERDANA AD 22 JL. NAGAHUTA GG. HASAN 1272020505010002 085361713000 CATIN 30 NR NR NR
20/01/23 DEDY SYAHPUTRA SARAGIH 37 SIJAMBE 1208053112850008 085277775671 CATIN 30 NR NR NR
20/01/23 ENDANG TRISNAWATI 39 JL. TERATAI 1272076602830001 081379357186 CATIN 30 NR NR NR

Keterangan :
Kategori Pasien :
1. PPIA (Bumil, Catin)
2. KTIP / Konseling Tes atas Inisiasi Petugas Kesehatan (Terkait Penyakit/IO ) TB, IMS, Diare, Observasi Febris, Candidiasis, Whasting syndrome, Pnemonia
3. VCT / Konseling Tes Sukarela : Pasien umum yang ingin tahun status HIV nya
Anti HCV
REGISTER LAYANAN LABORATORIUM
BULAN: JANUARI 2023

NO TANGGAL NAMA UMUR Lama Baru LK PR ALAMAT NIK NO HP

1 02/01/23 ROHMINA BR SARAGIH 64 1 1 JL. SM Raja 0000011552927 -


2 02/01/23 JURAMIL DAMANIK 68 1 1 JL. Batu permata raya 0001869382629 -
3 03/01/23 PONIEM 69 1 1 JL. KARTINI GG. ANDALAS 0001449919798 -
4 4/01/23 ADITIA 68 1 1 Jl. Melati ;- -
5 05/01/23 ASMA PUTRI 34 1 1 JL. NAGAHUTA -
6 05/01/23 HERLINA SIREGAR 41 1 1 JL. ENGGANG -
7 09/01/23 RAMLI 54 1 1 JL. TVRI 0000011549979 -
8 09/01/23 DOHARANDA SIAHAAN 53 1 1 0002239148981 -
9 12/01/23 HELENA HUTAGAOL 49 1 1 VILLA VIYATA YUDHA A6 0001445387938 -
10 12/01/23 ACHMAD AMRY NST 77 1 1 JL. VIYATA YUDHA 0001492231331 -
11 12/01/23 SUMIATI 56 1 1 JL. SIBATUBATU BLOK. II -
12 12/01/23 HESRAULITA RAJAGUKGUK 55 1 1 JL. PERMATA BIRU 2171104112679003 -
13 12/01/23 SRIANI 57 1 1 JL. MELATI 1272065811650002 -
14 12/01/23 ROBERT HUTAGAOL 65 1 1 JL. TOBA 1272043009570001 -
15 16/01/23 RUBIKEM 74 1 1 JL. TERATAI -
16 16/01/23 ANA SURYANA 52 1 1 JL. NAGAHUTA 0002291403723 -
17 16/01/23 NAZARUDDIN 62 1 1 JL. SITALASARI 00000159532029 -
18 16/01/23 NINGRUM DEWI 40 1 1
19 17/01/23 DEDI SURYA LESMANA 52 1 1 JL. MELATI NO. 4 B 127202160770003
20 17/01/23 MISLI 70 1 1 JL. FLORES NO. 11 1272020701540001
21 17/01/23 SAULINA MANIK 81 1 1 JL. DESA INDAH 1272075212410003
22 17/01/23 SIMON SITOHANG 64 1 1 JL. PDT WISMAR SARAGIH 0002279435343
23 17/01/23 DINI TOGATOROP 60 1 1 JL. VIYATA YUDHA 1272075211630001
24 17/01/23 SUSLIANA 40 1 1 JL. NAGAHUTA 1272074210830002
25 17/01/23 TAMAULI HUTAGALUNG 58 1 1 JL. RINDAM III 1272076002650002
26 17/01/23 GANTIMAN PURBA 72 1 1 JL. KASAD 1272071407520003
27 17/01/23 ZUHRINA HRP 41 1 1 JL. MAWAR 1272027107820001 -
28 18/01/23 TAMULI 1 1 0000011528829
29 18/01/23 NUR DEWANA 58 1 1 JL. MAWAR 1272024205650003
30 19/01/23 MARIATI 40 1 1 JL. RAJAMIN PURBA 1272074705770004
31 19/01/23 MARDIANA HUTASOIT 59 1 1 JL. PLUTO 1272075106640002
32 19/01/23 ASWAN 54 1 1 JL. MESJID
33 19/01/23 JULIANA 72 1 1 JL. BAZOKA
34 19/01/23 A SIMANJUNTAK 73 1 1 JL. BAZOKA
35 19/01/23 SRI ANITA 25 1 1 JL. KENANGA 0002781085151
36 19/01/23 RICHAN 34 1 1 JL. KAIN 000327302797
37 19/01/23 WAKINO 55 1 1 JL. SEIBATUBATU
38 19/01/23 JONGGI 61 1 1 JL. VIYATA YUDHA
39 19/01/23 CHARLES F MARBUN 36 1 1 JL. PRATUP 0002236550545
40 19/01/23 SARAH 65 1 1 JL. JERUK ATAS
41 19/01/23 ANGGA ANDRIYANI 26 1 1 JL. VETERAN
42 19/01/23 RITA KESUMAWATI 56 1 1 JL. MELATI NO. 47 1272026606660003
43 19/01/23 NOVITA SARI 34 1 1 JL. SM Raja 1272074705770004
44 20/01/23 NAZARUDDIN 62 1 1 JL. SITALASARI 00000159532029 -
45 20/01/23 WALAN S MANIHURUK 63 1 1 JL. HARANGGAOL - -
46 24/01/23 ROBERT IRIANTO 60 1 1 JL. BOLA KAKI 0000011350912 -
47 24/01/23 EVI YANTI 53 1 1 JL ADE IRMA 1272034302690005 -
48 24/01/23 NURHABIBAH NST 62 1 1 JL. HANDAYANI 1272075308610002 -
49 24/01/23 HARRY HUTAGALUNG 56 1 1 JL. KASUARI 1272022005660001 -
50 24/01/23 ZULFAHRI HASIBUAN 54 1 1 JL. MESJID -
51 24/01/23 NURAINI 70 1 1 JL. SUMBAWA 1208114505520003 -
52 30/01/23 KARTINI NST 46 1 1 1272024107760001 -
53 30/01/23 JUNIKA TAMPUBOLON 53 1 1 JL. PELETON 1272075312680002 -
54 30/01/23 JULIANI 53 1 1 JL. KARTINI GG. ANDALAS 1272025807680002 -
55 30/01/23 ZULFAN SANI 59 1 1 JL. KARTINI GG. ANDALAS 1272023112630010 -
56 30/01/23 BURHANUDDIN 65 1 1 JL. VIYATA YUDHA 1272073107580001 -
57 30/01/23 HOTMAIDA BR L TOBING 58 1 1 JL. BAHKAPUL 1272074808640002 -
58 30/01/23 NURLIANA SIREGAR 57 1 1 JL. ADE IRMA 1272034803660001 -
59 30/01/23 ZUHRINA HRP 41 1 1 JL. MAWAR 1272027107820001 -
60 30/01/23 NURIATI 58 1 1 JL. SERDANG 1272025004650002 -
61 30/01/23 INDRA MAYU DAULAY 47 1 1 JL. MELATI 1272021610780003 -
62 30/01/23 SRI MUNIARTY 66 1 1 JL. JAWA
63 30/01/23 DINI TASYA DIREGAR 21 1 1 JL. MELATI
64 30/01/23 FIRMAN SYAHPUTRA 37 1 1 JL. MALJUKU
65 30/01/23 AZHARI RAIS 23 1 1 JL. KH .AHMAD DAHLAN
66 30/01/23 EVA LESTARI 42 1 1 JL. KH .AHMAD DAHLAN
67 30/01/23 LATIFAH HANUM 28 1 1 JL. JORLANG
68 30/01/23 CLAUDIA F SITOMPUL 23 1 1 JL. BANGAU
69 30/01/23 EVA V HUTAPEA 49 1 1 JL. PELETON
70 30/01/23 DEVI SARI DAMANIK 36 1 1 JL. PELETON
71 30/01/23 ROIDA FITRIYANTI 53 1 1 JL. SILIMAKUTA
72 30/01/23 NOVA REPELITA LUBIS 39 1 1 JL. TEKUKUR
73 1/31/2023 KRISTINA SITORUS 51 1 1 JL. KVELERI
74 1/31/2023 M SYAHRUDIN 68 1 1 JL. KARTINI
75 1/31/2023 SISWOYO 61 1 1 JL. TEKUKUR
76 1/31/2023 IRENE YOLANDA 25 1 1 JL. MELATI 000901207799
77 1/31/2023 TRIANDA S 24 1 1 JL. ENGGANG 0002287181035
78 1/31/2023 SURYANI 34 1 1 JL. TEKUKUR
79 1/31/2023 SURIYANTO 42 1 1 JL. TEKUKUR
HASIL PEMERIKSAAN LABORATORIUM
POLI U/BPJS WAKTU
KGD AS.URAT CHOL HB GOLDAR IGgIgm
BP BPJS 5 142 1 3 1 189 1
BP BPJS 5 178 1 4.5 1
BP BPJS 5 142(p) 1 6.7 1
BP BPJS 5 110 1 7 1 202 1
KIA BPJS 5 6 1 12.4
KIA BPJS 5 4.7 1 11.5
BP BPJS 5 9 1
BP BPJS 5 266 1 5.4 1 165 1
BP BPJS 5 339 1 4.9 1 189 1
BP BPJS 5 140 1 7.2 1
BP BPJS 5 5.8 1
BP BPJS 5 357 1 5.6 1
BP BPJS 5 9.2 1
BP BPJS 5 143 1 6 1 165 1
BP BPJS 5 205 1 6.5 1 189 1
BP BPJS 5 117 1 3.5 1 180 1
BP BPJS 5 10.4 1 190 1
BP BPJS 5 134 1 187 1
BP BPJS 5 409 1 178 1
BP BPJS 5 230 1 203 1
BP BPJS 5 130 1 9.1 1 206 1
BP GIGI 5 170 1 7 1 209 1
BP BPJS 5 210 1 8 1 235 1
BP BPJS 10 98 1 1 187 1
BP BPJS 5 375 1 7.4 1 245 1
BP BPJS 5 8.3 1 275 1
BP BPJS 5 370 1 6.5 1
BP BPJS 5 367 1 4.6 1 1
GIGI BPJS 5 164 1 5.8 1 1
BP BPJS 5 265 1 9 1 1
BP BPJS 5 460 1 6 1
BP BPJS 5 205 1
BP BPJS 5 235 1
BP BPJS 5 4.8 1 167 1
BP BPJS 5 5.9 1 158 1
BP BPJS 5 6 1 189 1
BP BPJS 5 6.1 1 197 1
BP BPJS 5 5.3 1 199 1
BP BPJS 5 210 1
BP BPJS 5 4.9 1 240 1
BP BPJS 5 210 1
BP BPJS 5 201 1 7 1
KIA BPJS 5 4.5 1 11.3
BP BPJS 10 134 1 14.3 1 208 1
GIGI BPJS 5 367 1 9.2 1 165 1
BP BPJS 5 114 1 190 1
GIGI BPJS 5 140 1 189 1
BP BPJS 10 117 1 8.7 1 220 1
BP BPJS 5 225 1
GIGI BPJS 5 97 1 205 1
BP BPJS 5 157 1 4.3 1 190 1
BP BPJS 5 415(P) 1 5.6 1 187 1
BP BPJS 5 103 1 175 1
BP BPJS 5 120 1 198 1
BP BPJS 5 137(P) 1 6.4 1
BP BPJS 5 3.7 1
BP BPJS 5 362 1 5.8 1
BP BPJS 5 7.2 1 168 1
BP BPJS 5 196 1 3.4 1
BP BPJS 5 297 1
BP BPJS 5 208 1
BP BPJS 5 215 1
BP KPPS 10 90 1 6.1 1 163 1
BP KPPS 10 129 1 5.2 1 140 1
BP KPPS 10 92 1 6.7 1 160 1
BP KPPS 10 102 1 5.7 1 250 1
BP KPPS 10 129 1 4.1 1 163 1
BP KPPS 10 83 1 4 1 163 1
BP KPPS 10 83 1 4.6 1 138 1
BP KPPS 10 99 1 5.7 1 162 1
BP KPPS 10 107 1 5.8 1 170 1
BP KPPS 10 153 1 5.9 1 190 1
BP BPJS 5 121 1
BP BPJS 5 120 1 198 1
BP BPJS 5 98 1 4.5 1 170 1
BP BPJS 5 87 1 6 1 187 1
BP BPJS 5 135 1 5.8 1 203 1
BP BPJS 5 130 1 5.3 1 200 1
BP KPPS 15 97 1 7.3 1 191 1
56 61 59

SISA STOK JANUARI


KGD = '100-56=44 AS. U = 100-61= 39 CHOL=100-59=41

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