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PENANGGULANGAN TB NASIONAL TB.

04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : JANUARI
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda TanganKeterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
1 03-027-001 03/01/22 DEDE MURNI 3602094506620003 60 P LEBAK PICUNG AB - - - - 07/01/22 NEG 07/01/22 RO +
2 03-027-002 03/01/22 IROH 3601114112740001 48 P PASIRSEDANG PICUNG AB - - - - 07/01/22 NEG 07/01/22
3 03-027-003 03/01/22 AHEN 3601110107730029 49 L PASIRSEDANG PICUNG AB - - - - 07/01/22 NEG 07/01/22
4 03-027-004 03/01/22 SUHERMAN 3601110107550001 67 L CILILITAN PICUNG AB - - - - 07/01/22 RIF SEN 07/01/22
5 03-027-005 03/01/22 IPAT KOFIFAH 3602096508820001 40 P LEBAK PICUNG AB - - - - 06/01/22 NEG 06/01/22
6 03-027-006 03/01/22 GINA 30 P LEBAK PICUNG AB - - - - 06/01/22 NEG 06/01/22
7 03-027-007 03/01/22 DJADJA WITARYA 3602091103550001 67 L LEBAK PICUNG AB - - - - 06/01/22 NEG 06/01/22
8 03-027-008 03/01/22 JAZIA ABDI F 3601105801870004 35 P LEBAK PICUNG AB - - - - 06/01/22 NEG 06/01/22
9 03-027-009 03/01/22 YUSRIANTI 3602096401610002 61 P LEBAK PICUNG AB - - - - 06/01/22 NEG 06/01/22
10 03-027-010 03/01/22 EMAH 3601114107600009 52 P PASIRSEDANG PICUNG AB - - - - 07/01/22 NEG 07/01/22
11 03-027-011 03/01/22 ABDULAH 3601240107780010 43 L PATIA PICUNG AB 07/01/22 RIF SEN 07/01/22
12 03-027-101 03/01/22 MIMIN 41 P KOLELET PICUNG FG 04/01/22 NEG NEG
13 03-027-084 03/01/22 IPAT 33 P CIHERANG PICUNG HI 04/01/22 NEG NEG
58 03-027-078 03/01/22 ALDA 17 P KADUPANDAK PICUNG HI 04/01/22 NEG NEG
59 03-027-125 03/01/22 REDI 31 L BOJONG PICUNG DE 04/01/22 NEG NEG
14 03-027-012 10/01/22 RANTA 3602090608590001 63 P LEBAK PICUNG AB - - - - 10/01/22 NEG 10/01/22
15 03-027-013 10/01/22 JUMI 3602094106540003 58 P LEBAK PICUNG AB - - - - 11/01/22 NEG 11/01/22
16 03-027-014 10/01/22 SUHADAH 3601115502630001 58 L CILILITAN PICUNG AB - - - - 14/01/22 NEG 14/01/22
17 03-027-015 10/01/22 M. RASUDIN 3601111504540001 58 L CILILITAN PICUNG AB - - - - 14/01/22 NEG 14/01/22
18 03-027-016 10/01/22 SAAD 3601110107780249 44 L KADUBERA PICUNG AB - - - - 16/01/22 NEG 16/01/22
19 03-027-017 10/01/22 JUMSI FATRIAH 3601114107800169 42 P KADUBERRA PICUNG AB - - - - 16/01/22 NEG 16/01/22
20 03-027-018 10/01/22 JUJU 3602094106580002 63 P LEBAK PICUNG AB - - - - 16/01/22 NEG 16/01/22
21 03-027-019 10/01/22 KOKOM KOMARIAH 3601114107790051 37 P BUNGURCOPONG PICUNG AB - - - - 16/01/22 NEG 16/01/22
22 03-027-020 10/01/22 MAMAT 3602091003070002 21 L LEBAK PICUNG AB - - - - 16/01/22 RIF SEN 16/01/22
23 03-027-021 10/01/22 NENG SARI 3601115102010006 21 P KOLELET PICUNG AB - - - - 16/01/22 RIF SEN 16/01/22
24 03-027-022 10/01/22 SODIK 3601110203560001 60 L PASIRSEDANG PICUNG AB - - - - 16/01/22 RIF SEN 16/01/22
25 03-027-149 10/01/22 MOH. ARIS 20 L KADUPANDAK PICUNG DE 11/01/22 NEG NEG
26 03-027-089 10/01/22 RASIH 60 P BUNGURCOPONG PICUNG HI 11/01/22 NEG NEG
27 03-027-023 17/01/22 SARHANI 3601110107750134 37 L PASIRSEDANG PICUNG AB 17/01/22 RIF SEN 17/01/22
28 03-027-024 17/01/22 IKA RATNASARI 3601115706950001 25 P BUNGURCOPONG PICUNG AB 18/01/22 NEG 18/01/22 RO +
29 03-027-025 17/01/22 ENJEN 47 L KADUPANDAK PICUNG AB 22/01/22 RIF SEN 22/01/22
30 03-027-026 17/01/22 SAGANI 48 L KOLELET PICUNG AB 22/01/22 NEG 22/01/22
31 03-027-027 17/01/22 SUBANDI 61 L CILILITAN PICUNG AB 22/01/22 NEG 22/01/22
32 03-027-028 17/01/22 MUSA 54 L PASIRSEDANG PICUNG AB 22/01/22 NEG 22/01/22
33 03-027-029 17/01/22 AYAT 52 L KADUPANDAK PICUNG AB 22/01/22 NEG 22/01/22
34 03-027-030 17/01/22 LUMRAH 52 P CILILITAN PICUNG AB 22/01/22 NEG 22/01/22
35 03-027-031 17/01/22 ICAH 50 P KADUPANDAK PICUNG AB 23/01/22 NEG 23/01/22
36 03-027-032 17/01/22 TINI 42 P KADUPANDAK PICUNG AB 23/01/22 NEG 23/01/22
37 03-027-033 17/01/22 PAHRI 17 L KADUPANDAK PICUNG AB 23/01/22 NEG 23/01/22
38 03-027-034 17/01/22 BASRI 59 L LEBAK PICUNG AB 23/01/22 RIF SEN 23/01/22
39 03-027-035 17/01/22 ROPIAH 42 P KOLELET PICUNG AB 23/01/22 NEG 23/01/22
40 03-027-036 17/01/22 SUKMINAH 32 P CIHERANG PICUNG AB 23/01/22 NEG 23/01/22
41 03-027-037 17/01/22 YULI 23 P KADUPANDAK PICUNG AB 23/01/22 NEG 23/01/22
42 03-027-038 17/01/22 LIA 21 P KADUPANDAK PICUNG AB 23/01/22 NEG 23/01/22
43 03-027-039 17/01/22 IPAT 37 P CIHERANG PICUNG AB 24/01/22 RIF SEN 24/01/22
44 03-027-040 17/01/22 ENENG ANISAH 35 P PASIRSEDANG PICUNG AB 24/01/22 NEG 24/01/22
45 03-027-145 17/01/22 RANISAH 50 P CILILITAN PICUNG DE 18/01/22 NEG NEG
46 03-027-095 17/01/22 AMI 28 L KOLELET PICUNG FG 17/01/22 NEG NEG
47 03-027-041 24/01/22 ENDANG 35 L CILILITAN PICUNG AB 25/01/22 RIF SEN 25/01/22
48 03-027-042 24/01/22 ATIB 34 L LEBAK PICUNG AB 29/01/22 NEG 29/01/22
49 03-027-043 24/01/22 MAHESA 12 L KOLELET PICUNG AB 29/01/22 NEG 29/01/22
50 03-027-044 24/01/22 YANTO 46 L KOLELET PICUNG AB 29/01/22 NEG 29/01/22
51 03-027-045 24/01/22 IWIN 20 L KADUPANDAK PICUNG AB 30/01/22 NEG 30/01/22
52 03-027-046 24/01/22 SARJA 64 L KOLELET PICUNG AB 30/01/22 NEG 30/01/22
53 03-027-047 24/01/22 YANTI 24 P LEBAK PICUNG AB 30/01/22 NEG 30/01/22
54 03-027-048 01/01/22 AMIN 30 L CIHERANG PICUNG AB 02/01/22 NEG 02/01/22
55 03-027-049 03/01/22 SUPARTI 45 P KADUPANDAK PICUNG AB 07/01/22 NEG 07/01/22
56 03-027-193 24/01/22 MARNO 31 L PASIRPANJANG PICUNG DE 25/01/22 NEG NEG
57 03-027-105 24/01/22 PANDI 58 L KOLELET PICUNG FG 25/01/22 NEG NEG
60 03-027-148 24/01/22 ROHMAN 38 L PASIRSEDANG PICUNG DE 25/01/22 NEG NEG
61 03-027-179 24/01/22 YANA 35 L KADUPANDAK PICUNG DE 25/01/22 NEG NEG
62 03-027-050 31/01/22 NADHIF 10 L LEBAK PICUNG AB 06/02/22 NEG 06/02/22 RO +
63 03-027-051 31/01/22 HUDORI 42 L CILILITAN PICUNG AB 03/02/22 NEG 03/02/22 RO +
02/02/22 02/02/22
64 03-027-052 31/01/22 SUHANDA 3601110107990242 23 L PASIRPANJANG PICUNG AB 04/02/22 RIF RES 04/02/22
BERYL HAMIZAN
65 03-027-053 31/01/22 RABBANI SUZI
3602092912190002 2 L LEBAK PICUNG AB 06/02/22 NEG 06/02/22 RO +

66 03-027-054 31/01/22 SAPIN 28 L CILILITAN PICUNG AB 01/02/22 NEG 01/02/22


67 03-027-055 31/01/22 DIKI 18 L CILILITAN PICUNG AB 01/02/22 NEG 01/02/22
68 03-027-056 31/01/22 RASIH 60 P BUNGURCOPONG PICUNG AB 01/02/22 NEG 01/02/22
69 03-027-057 31/01/22 MAESAROH 47 P CILILITAN PICUNG AB 01/02/22 NEG 01/02/22
70 03-027-058 31/01/22 UMRI 30 L CILILITAN PICUNG AB 01/02/22 NEG 01/02/22
71 03-027-059 31/01/22 MAMAN 44 L CILILITAN PICUNG AB 05/02/22 NEG 05/02/22
72 03-027-060 31/01/22 MUKTAR 54 L CIHERANG PICUNG AB 04/02/22 RIF SEN 04/02/22
73 03-027-061 31/01/22 ENUR 45 P KADUPANDAK PICUNG AB 05/02/22 NEG 05/02/22
74 03-027-062 31/01/22 SARIP 20 L KADUPANDAK PICUNG AB 05/02/22 NEG 05/02/22
75 03-027-063 31/01/22 BAMBANG 58 L KADUPANDAK PICUNG AB 05/02/22 NEG 05/02/22
76 03-027-064 31/01/22 BAI 58 P KADUPANDAK PICUNG AB 05/02/22 NEG 05/02/22
77 03-027-065 31/01/22 ADE EMI 40 P KADUPANDAK PICUNG AB 05/02/22 NEG 05/02/22
78 03-027-066 31/01/22 HENDI 36 L CILILITAN PICUNG AB 05/02/22 NEG 05/02/22
79 03-027-178 31/01/22 IMAN 27 L PASIRSEDANG PICUNG DE 02/02/22 NEG NEG
80 03-027-101 31/01/22 MIMIN 41 P KOLELET PICUNG HI 02/02/22 NEG NEG
81 03-027-100 31/01/22 SUKMA 48 L KADUBERA PICUNG HI 02/02/22 NEG NEG

4
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : FEBRUARI
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda TanganKeterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
82 03-027-067 07/02/22 ADE ROHMAN 3601110107800072 51 L KADUPANDAK PICUNG AB 09/02/22 NEG 09/02/22 RO +
83 03-027-068 07/02/22 RUKIYAH 3601114107470014 75 P KADUPANDAK PICUNG AB 09/02/22 NEG 09/02/22
84 03-027-069 07/02/22 SARMAH 47 P KADUPANDAK PICUNG AB 12/02/22 NEG 12/02/22
85 03-027-070 07/02/22 AYU 23 P CILILITAN PICUNG AB 12/02/22 NEG 12/02/22
86 03-027-071 07/02/22 ENCUK 3601114107630165 50 P KADUPANDAK PICUNG AB 12/02/22 RIF SEN 12/02/22
87 03-027-072 07/02/22 SELFI 12 P KADUPANDAK PICUNG AB 13/02/22 NEG 13/02/22
88 03-027-073 07/02/22 TASLIM 25 L CILILITAN PICUNG AB 13/02/22 NEG 13/02/22
89 03-027-074 07/02/22 JENAL 36 L CILILITAN PICUNG AB 13/02/22 NEG 13/02/22
90 03-027-075 07/02/22 YUYUN 35 P CILILITAN PICUNG AB 13/02/22 NEG 13/02/22
91 03-027-076 07/02/22 UBAY 29 L CIHERANG PICUNG AB 23/02/22 NEG 23/02/22 RO +
92 03-027-190 07/02/22 JANAH 55 P CILILITAN PICUNG DE 08/02/22 NEG NEG
93 03-027-204 07/02/22 SARMANAH 29 P PATIA PICUNG DE 08/02/22 NEG NEG
94 03-027-201 07/02/22 ROBI 27 L CILILITAN PICUNG DE 08/02/22 NEG NEG
95 03-027-202 07/02/22 DAFA 14 L PASIRPANJANG PICUNG DE 08/02/22 NEG NEG
96 03-027-203 07/02/22 SELVI 21 P KADUPANDAK PICUNG DE 08/02/22 NEG NEG
97 03-027-109 07/02/22 SAKIMAN 56 L KADUBERA PICUNG FG 08/02/22 NEG NEG
98 03-027-110 07/02/22 AAM 56 P CIHERANG PICUNG FG 08/02/22 NEG NEG
99 03-027-077 14/02/22 SUMINTA 46 L KOLELET PICUNG AB 14/02/22 NEG 14/02/22
100 03-027-078 14/02/22 IKAH 37 P KOLELET PICUNG AB 16/02/22 NEG 16/02/22
101 03-027-079 14/02/22 ATBI 17 L KOLELET PICUNG AB 16/02/22 NEG 16/02/22
102 03-027-080 14/02/22 AULIA 7 P KOLELET PICUNG AB 15/02/22 NEG 15/02/22
103 03-027-081 14/02/22 YANA 22 L KOLELET PICUNG AB 17/02/22 NEG 17/02/22
104 03-027-082 14/02/22 OPAN 3601110605910011 31 L PASIRSEDANG PICUNG AB 20/02/22 RIF SEN 20/02/22
105 03-027-083 14/02/22 ALFAZRI 9 L SINDANGRESMI PICUNG AB 20/02/22 NEG 20/02/22
106 03-027-084 14/02/22 HABSAH 60 P PASIRSEDANG PICUNG AB 21/02/22 NEG 21/02/22 RO +
107 03-027-085 14/02/22 KALELUL 16 L KOLELET PICUNG AB 18/02/22 NEG 18/02/22
108 03-027-086 14/02/22 ROHMAN 22 L KOLELET PICUNG AB 18/02/22 NEG 18/02/22
109 03-027-087 14/02/22 AKFA 15 L KOLELET PICUNG AB 18/02/22 NEG 18/02/22
110 03-027-191 14/02/22 AJAT 45 L PASIRPANJANG PICUNG DE 15/02/22 NEG NEG
111 03-027-209 14/02/22 ARMAENAH 55 P CILILITAN PICUNG DE 15/02/22 NEG NEG
112 03-027-211 14/02/22 YATI 48 P SINDANGRESMI PICUNG DE 15/02/22 NEG NEG
113 03-027-112 14/02/22 WIRTAJAYA 50 L KOLELET PICUNG FG 15/02/22 NEG NEG
114 03-027-109 14/02/22 SAKIMAN 56 L KADUBERA PICUNG HI 15/02/22 NEG NEG
115 03-027-095 14/02/22 AMI 28 L KOLELET PICUNG HI 15/02/22 NEG NEG
116 03-027-088 21/02/22 EGI ADHARA 3601110107950113 27 L CILILITAN PICUNG AB 23/02/22 RIF SEN 23/02/22 RO +
117 03-027-089 21/02/22 WIRDA 3601110107990120 22 L CILILITAN PICUNG AB 24/02/22 RIF SEN 24/02/22 RO +
118 03-027-090 21/02/22 ALIYUDI 3601111004630003 56 L KOLELET PICUNG AB 23/02/22 NEG 23/02/22 RO +
119 03-027-091 21/02/22 ARSAD 3601310810760001 46 L SINDANGRESMI PICUNG AB 23/02/22 RIF SEN 23/02/22 RO +
120 03-027-092 21/02/22 UMDAH 3601114605580001 64 P KOLELET PICUNG AB 23/02/22 RIF SEN 23/02/22 RO +
121 03-027-105 21/02/22 PANDI 58 L KOLELET PICUNG HI 22/02/22 NEG NEG
122 03-027-093 21/02/22 AMAD 75 L GANGGAENG PICUNG AB 23/02/22 NEG 23/02/22
123 03-027-094 21/02/22 HALIMI 50 L CILILITAN PICUNG AB 23/02/22 NEG 23/02/22
124 03-027-095 21/02/22 SAHIRI 3601110107350001 70 L PASIRSEDANG PICUNG AB 24/02/22 NEG 24/02/22
125 03-027-096 21/02/22 M. DARUL 3601110107000306 22 L KADUBERA PICUNG AB 24/02/22 NEG 24/02/22
126 03-027-097 21/02/22 AMIN BIN RAFIK 43 L CIHERANG PICUNG AB 26/02/22 NEG 26/02/22 RO +
127 03-027-098 21/02/22 ACMAD SUHAENI 3601112808650001 57 L KADUPANDAK PICUNG AB 26/02/22 NEG 26/02/22
128 03-027-099 21/02/22 M. DERI RIZKI HAKIKI 3601110508960001 26 L KADUPANDAK PICUNG AB 27/02/22 NEG 28/02/22 RO +
129 03-027-100 21/02/22 LELI 19 P KOLELET PICUNG AB 27/02/22 NEG 27/02/22
130 03-027-101 21/02/22 IPAL 11 L KOLELET PICUNG AB 27/02/22 NEG 27/02/22
131 03-027-102 28/02/22 DINA 16 P KARAWANG PICUNG AB 28/02/22 RIF SEN 28/02/22 RO +
132 03-027-103 28/02/22 NENGSIH 45 P KADUPANDAK PICUNG AB 28/02/22 NEG 28/02/22 RO +
133 03-027-104 28/02/22 KIYAN 15 L KOLELET PICUNG AB 28/02/22 NEG 28/02/22
134 03-027-105 28/02/22 MAULANA 21 L KOLELET PICUNG AB 28/02/22 NEG 28/02/22
135 03-027-106 28/02/22 ALI 25 L KOLELET PICUNG AB 28/02/22 NEG 28/02/22
136 03-027-107 28/02/22 RIYAN 16 L KOLELET PICUNG AB 28/02/22 NEG 28/02/22
137 03-027-108 28/02/22 FINA 17 P KOLELET PICUNG AB 28/02/22 NEG 28/02/22
138 03-027-109 28/02/22 SAUD 3601110107480073 64 L PASIRPANJANG PICUNG AB 01/03/22 NEG 01/03/22
139 03-027-110 28/02/22 SANA 70 L KADUBERA PICUNG AB 01/03/22 NEG 01/03/22
140 03-027-120 28/02/22 AKO 56 L KADUBERA PICUNG FG 01/03/22 NEG NEG
141 03-027-219 28/02/22 IWAN 22 L CIHERANG PICUNG DE 01/03/22 NEG NEG
142 03-027-111 14/02/22 DIAN 19 P KOLELET PICUNG AB 17/02/22 NEG 17/02/22
143 03-027-112 21/02/22 ANIAH 67 P LEBAK PICUNG AB 21/02/22 NEG 21/02/22
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : MARET
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
144 03-027-113 01/03/22 UJANG 3601110602780002 53 L KOLELET PICUNG AB 04/03/22 NEG 04/03/22
145 03-027-114 01/03/22 ZESI 14 P KOLELET PICUNG AB 04/03/22 NEG 04/03/22
146 03-027-115 01/03/22 NENI, SAROH 3601104802940001 30 P BOJONG PICUNG AB 04/03/22 RIF SEN 04/03/22
147 03-027-116 01/03/22 ADON 3601111203630003 62 L KADUPANDAK PICUNG AB 05/03/22 NEG 05/03/22
148 03-027-117 01/03/22 SANTA 3601111211710001 51 L PASIRSEDANG PICUNG AB 07/03/22 RIF SEN 07/03/22
149 03-027-118 07/03/22 FEBRIANA 12 L PASIRSEDANG PICUNG AB 08/03/22 NEG 08/03/22
150 03-027-119 07/03/22 MAMAH 47 L PASIRSEDANG PICUNG AB 08/03/22 NEG 08/03/22
151 03-027-120 07/03/22 LIA 27 P PASIRSEDANG PICUNG AB 08/03/22 NEG 08/03/22
152 03-027-121 07/03/22 YUNI 31 P PASIRSEDANG PICUNG AB 09/03/22 NEG 09/03/22
153 03-027-122 07/03/22 ARIF 28 L KOLELET PICUNG AB 09/03/22 NEG 09/03/22
154 03-027-123 07/03/22 UTARI 27 P PASIRSEDANG PICUNG AB 09/03/22 NEG 09/03/22
155 03-027-124 07/03/22 DJAJA 67 L KADUBERA PICUNG AB 09/03/22 NEG 09/03/22
156 03-027-125 07/03/22 SAEBAH 54 P PASIRSEDANG PICUNG AB 09/03/22 NEG 09/03/22
157 03-027-126 07/03/22 NENI. N 42 P PASIRSEDANG PICUNG AB 09/03/22 NEG 09/03/22
158 03-027-127 07/03/22 SITI ANJANI 21 P PASIRSEDANG PICUNG AB 09/03/22 NEG 09/03/22
159 03-027-128 07/03/22 SARNI 36 P PASIRSEDANG PICUNG AB 09/03/22 NEG 09/03/22
160 03-027-129 07/03/22 HERA SAPIRA 20 P KOLELET PICUNG AB 09/03/22 NEG 09/03/22
161 03-027-011 07/03/22 ABDULOH 43 L PATIA PICUNG DE 07/03/22 NEG NEG
162 03-027-139 07/03/22 ASEP 31 L KADUBERA PICUNG FG 07/03/22 NEG NEG
163 03-027-123 07/03/22 LINA 41 P LEBAK PICUNG FG 07/03/22 NEG NEG
164 03-027-110 07/03/22 AAM 50 P CIHERANG PICUNG HI 07/03/22 NEG NEG
165 03-027-130 08/03/22 RASTI 55 P KOLELET PICUNG AB 10/03/22 NEG 10/03/22
166 03-027-131 08/03/22 SURAHMAT 50 L KOLELET PICUNG AB 10/03/22 NEG 10/03/22
167 03-027-132 08/03/22 ARINAH 62 P KOLELET PICUNG AB 10/03/22 NEG 10/03/22
168 03-027-133 08/03/22 M. FAHMI 5 L KADUPANDAK PICUNG AB 10/03/22 NEG 10/03/22
169 03-027-134 08/03/22 JUMAENAH 40 P KADUPANDAK PICUNG AB 10/03/22 NEG 10/03/22
170 03-027-135 08/03/22 ARMAH 50 P KADUPANDAK PICUNG AB 10/03/22 NEG 10/03/22
171 03-027-136 08/03/22 UDIN 50 L KADUPANDAK PICUNG AB 10/03/22 NEG 10/03/22
172 03-027-137 08/03/22 ELIS 21 P KADUPANDAK PICUNG AB 10/03/22 NEG 10/03/22
173 03-027-138 08/03/22 MIMIN 25 P CILILITAN PICUNG AB 10/03/22 NEG 10/03/22
174 03-027-139 08/03/22 PENTI 10 P CILILITAN PICUNG AB 10/03/22 NEG 10/03/22
175 03-027-140 08/03/22 ECIH 26 P CILILITAN PICUNG AB 10/03/22 NEG 10/03/22
176 03-027-141 08/03/22 UNI 35 P CILILITAN PICUNG AB 10/03/22 NEG 10/03/22
177 03-027-142 09/03/22 SANTIBI 54 L KADUPANDAK PICUNG AB 11/03/22 NEG 11/03/22
178 03-027-143 09/03/22 ANISA 21 P CILILITAN PICUNG AB 11/03/22 NEG 11/03/22
179 03-027-144 09/03/22 ANAH 56 P CILILITAN PICUNG AB 11/03/22 NEG 11/03/22
180 03-027-145 09/03/22 SURNI 59 P KOLELET PICUNG AB 11/03/22 NEG 11/03/22
181 03-027-146 09/03/22 ANAMAH 46 P KADUBERA PICUNG AB 11/03/22 NEG 11/03/22
182 03-027-147 10/03/22 JUPRI 51 L KOLELET PICUNG AB 12/03/22 NEG 12/03/22
183 03-027-148 10/03/22 MARSIH 55 P KOLELET PICUNG AB 12/03/22 NEG 12/03/22
184 03-027-149 10/03/22 AL SAADAH 42 P KOLELET PICUNG AB 12/03/22 NEG 12/03/22
185 03-027-150 10/03/22 UPUD 55 L CILILITAN PICUNG AB 12/03/22 NEG 12/03/22
186 03-027-151 10/03/22 ARIF 36 L KOLELET PICUNG AB 12/03/22 NEG 12/03/22
187 03-027-152 10/03/22 SRI WAHYUNI 24 P KOLELET PICUNG AB 12/03/22 NEG 12/03/22
188 03-027-153 10/03/22 AMIR 59 L KOLELET PICUNG AB 12/03/22 NEG 12/03/22
189 03-027-154 10/03/22 UCI 71 L KOLELET PICUNG AB 12/03/22 NEG 12/03/22
190 03-027-155 14/03/22 ENONG 3601115102750001 49 P BUNGURCOPONG PICUNG AB 14/03/22 NEG 14/03/22
191 03-027-156 14/03/22 SOKER 3601110107680070 60 L PASIRSEDANG PICUNG AB 14/03/22 RIF SEN 14/03/22
192 03-027-157 14/03/22 SAINAN 3602091705870002 35 L KADUPANDAK PICUNG AB 14/03/22 NEG 14/03/22
193 03-027-158 14/03/22 MARNI 50 P PASIRSEDANG PICUNG AB 14/03/22 NEG 14/03/22
194 03-027-159 14/03/22 RANI 55 P PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
195 03-027-160 14/03/22 SANTI 34 P PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
196 03-027-161 14/03/22 SARINAH 50 P PASIRSEDANG PICUNG AB 15/03/22 RIF SEN 15/03/22
197 03-027-162 14/03/22 SITI FATIMAH 45 P PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
198 03-027-163 14/03/22 YUNUS 50 L PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
199 03-027-164 14/03/22 AAH 36 P PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
200 03-027-165 14/03/22 IJAH 40 P PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
201 03-027-166 14/03/22 ASKAH 32 P PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
202 03-027-167 14/03/22 ASWIYAH 3602095707760002 45 P LEBAK PICUNG AB 15/03/22 NEG 15/03/22
203 03-027-168 14/03/22 SARIPUDIN 42 L PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
204 03-027-169 14/03/22 ENCEP SUPENDI 49 L KADUPANDAK PICUNG AB 15/03/22 NEG 15/03/22
205 03-027-170 14/03/22 UHED 50 L PASIRSEDANG PICUNG AB 15/03/22 NEG 15/03/22
206 03-027-210 14/03/22 SAEPUDIN 60 L KOLELET PICUNG DE 14/03/22 NEG NEG
207 03-027-023 14/03/22 SARHANI 46 L PASIRSEDANG PICUNG DE 14/03/22 NEG NEG
208 03-027-022 14/03/22 SODIK 60 L PASIRSEDANG PICUNG DE 14/03/22 NEG NEG
209 03-027-020 14/03/22 MAMAT 21 L LEBAK PICUNG DE 14/03/22 NEG NEG
210 03-027-021 14/03/22 NENG SARI 21 P KOLELET PICUNG DE 14/03/22 NEG NEG
211 03-027-137 14/03/22 NURHANI 40 L PASIRSEDANG PICUNG FG 14/03/22 NEG NEG
212 03-027-127 14/03/22 SUHENDAR 22 L KADUBERA PICUNG FG 14/03/22 NEG NEG
213 03-027-138 14/03/22 UNI 26 P CILILITAN PICUNG FG 14/03/22 NEG NEG
214 03-027-112 14/03/22 WIRTA 50 L KOLELET PICUNG HI 14/03/22 NEG NEG
215 03-027-109 14/03/22 SAKIMAN 50 L KADUBERA PICUNG HI 14/03/22 NEG NEG
216 03-027-171 15/03/22 I'OT 3601114209670001 55 P KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
217 03-027-172 15/03/22 TIAH 3601114107680142 53 P KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
218 03-027-173 15/03/22 NYAI ENI SUMIARTI 3601114510720006 50 P KADUPANDAK PICUNG AB 16/03/22 RIF SEN 16/03/22
219 03-027-174 15/03/22 ATA 3601111112640001 62 L KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
220 03-027-175 15/03/22 DEDEN HERMAWAN 3601111312010002 23 L KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
221 03-027-176 15/03/22 SILPI 20 P KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
222 03-027-177 15/03/22 MAHPUDIN 3601110207750004 45 L KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
223 03-027-178 15/03/22 YANI 3601115409840001 38 P KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
224 03-027-179 15/03/22 PUJI 30 P KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
225 03-027-180 15/03/22 LOMRAH 50 P KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
226 03-027-181 15/03/22 CUCUN 3601114207820011 37 P KADUPANDAK PICUNG AB 16/03/22 NEG 16/03/22
227 03-027-182 16/03/22 ENI 40 P CILILITAN PICUNG AB 17/03/22 NEG 17/03/22
228 03-027-183 16/03/22 NURHOLIS 3601114508860001 35 L CIHERANG PICUNG AB 17/03/22 NEG 17/03/22
229 03-027-184 16/03/22 TATANG HERMAWAN 3601110307850006 40 L KADUPANDAK PICUNG AB 17/03/22 NEG 17/03/22
230 03-027-185 16/03/22 NENI 3602094710900004 32 P LEBAK PICUNG AB 17/03/22 NEG 17/03/22
231 03-027-186 19/03/22 TIKAH 3601024107560024 56 P CIBADAK, CIMANGGU PICUNG AB 20/03/22 NEG 20/03/22
232 03-027-187 19/03/22 JASMIN 57 L CILILITAN PICUNG AB 20/03/22 NEG 20/03/22
233 03-027-188 19/03/22 EMAH 55 P CILILITAN PICUNG AB 20/03/22 NEG 20/03/22
234 03-027-189 19/03/22 AHMAD ASSABAH 50 L CILILITAN PICUNG AB 20/03/22 NEG 20/03/22
235 03-027-190 19/03/22 NURHAYATI 3601114107830130 45 P CILILITAN PICUNG AB 20/03/22 NEG 20/03/22
236 03-027-191 19/03/22 HERNI 30 P KADUPANDAK PICUNG AB 20/03/22 NEG 20/03/22
237 03-027-192 19/03/22 ROHANAH 38 P KADUPANDAK PICUNG AB 20/03/22 NEG 20/03/22
238 03-027-193 19/03/22 CHICHA 3601115801020002 21 P KADUPANDAK PICUNG AB 20/03/22 NEG 20/03/22
239 03-027-194 19/03/22 AHMAD IMAMI 3601210505870003 35 L KADUPANDAK PICUNG AB 20/03/22 NEG 20/03/22
240 03-027-195 19/03/22 NURHAYATI 3601114808990002 21 P KADUPANDAK PICUNG AB 20/03/22 NEG 20/03/22
241 03-027-196 19/03/22 TIA SULISTIANI 3601114709980001 24 P KADUPANDAK PICUNG AB 20/03/22 NEG 20/03/22
242 03-027-197 19/03/22 EMBAY 3601114606640001 53 P KADUPANDAK PICUNG AB 20/03/22 NEG 20/03/22
243 03-027-198 21/03/22 M. FAHMI PAIRUS 3601112203170003 5 L KOLELET PICUNG AB
244 03-027-199 21/03/22 SUHERMAN 3601110801720001 51 L KADUBERA PICUNG AB 21/03/22 NEG 21/03/22
245 03-027-200 21/03/22 SADUN 3601110602660003 60 L PASIRPANJANG PICUNG AB 21/03/22 NEG 21/03/22 RO +
246 03-027-201 21/03/22 IRMA 3601114105830002 38 P PASIRSEDANG PICUNG AB 21/03/22 NEG 21/03/22
247 03-027-202 21/03/22 RASTI 3601114807890001 60 P KOLELET PICUNG AB 21/03/22 NEG 21/03/22
248 03-027-041 21/03/22 ENDANG 35 L CILILITAN PICUNG DE 21/03/22 NEG NEG
249 03-027-039 21/03/22 IPAT 33 P CIHERANG PICUNG DE 21/03/22 NEG NEG
250 03-027-025 21/03/22 ENJEN 49 L KADUPANDAK PICUNG DE 21/03/22 NEG NEG
251 03-027-147 21/03/22 SUKRAMAH 56 P PASIRPANJANG PICUNG FG 21/03/22 NEG NEG
252 03-027-203 21/03/22 UNDAY 3601114102660002 56 P KADUBERA PICUNG AB 22/03/22 NEG 22/03/22
253 03-027-204 21/03/22 HADIJAH 70 P KOLELET PICUNG AB 22/03/22 NEG 22/03/22
254 03-027-205 21/03/22 JARMANI 3601110207560004 65 L BUNGURCOPONG PICUNG AB 24/03/22 NEG 24/03/22
255 03-027-206 21/03/22 OOM ENI 36011145033770003 43 P CILILITAN PICUNG AB 24/03/22 NEG 24/03/22
256 03-027-207 21/03/22 NANI 3601117005010001 21 P CILILITAN PICUNG AB 24/03/22 NEG 24/03/22
257 03-027-208 21/03/22 BAYI 3601115410620001 60 P CILILITAN PICUNG AB 24/03/22 NEG 24/03/22
258 03-027-209 21/03/22 ENJEN 360111106520001 70 L CILILITAN PICUNG AB 24/03/22 INVALID 24/03/22
259 03-027-210 21/03/22 MARCA 3601114103620001 60 L CILILITAN PICUNG AB 24/03/22 NEG 24/0322
260 03-027-211 22/03/22 DADAN 3601311204940001 28 L KOLELET PICUNG AB 23/03/22 NEG 23/03/22
261 03-027-212 22/03/22 ADE DOLIHIN 3601111203720001 56 L KOLELET PICUNG AB 23/03/22 NEG 23/03/22
262 03-027-213 22/03/22 YULIA 3601115007950001 27 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
263 03-027-214 22/03/22 ARSITI 51 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
264 03-027-215 22/03/22 RANTES 64 L KOLELET PICUNG AB 23/03/22 NEG 23/03/22
265 03-027-216 22/03/22 AGUS MULYANA 3601110304890001 34 L KOLELET PICUNG AB 23/03/22 NEG 23/03/22
266 03-027-217 22/03/22 NURSIAH 3601114405520001 70 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
267 03-027-218 23/03/22 SUMA'AH 3601115104680001 51 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
268 03-027-219 23/03/22 HASANAH 3601116203910001 40 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
269 03-027-220 23/03/22 MAMAH 3601114107630201 59 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
270 03-027-221 23/03/22 RINI 3602094505970001 26 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
271 03-027-222 23/03/22 SARIPAN 3601111006660001 55 L KOLELET PICUNG AB 23/03/22 NEG 23/03/22
272 03-027-223 23/03/22 JUHENDI 3601081502940002 28 L KOLELET PICUNG AB 23/03/22 NEG 23/03/22
273 03-027-224 23/03/22 METI 3601114411760001 44 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
274 03-027-225 23/03/22 MASDUKI 3601111205590002 70 L KOLELET PICUNG AB 23/03/22 NEG 23/03/22
275 03-027-226 23/03/22 SARNATA 3601110609540001 60 L KOLELET PICUNG AB 23/03/22 NEG 23/03/22
276 03-027-227 23/03/22 NARTI 3601114105550002 62 P KOLELET PICUNG AB 23/03/22 NEG 23/03/22
277 03-027-228 24/03/22 IPAH 3601114107610026 61 P CILILITAN PICUNG AB 25/03/22 NEG 25/03/22
278 03-027-229 26/03/22 ENAH 3601115911800001 42 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
279 03-027-230 26/03/22 CIMAN 3601112103640001 58 L KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
280 03-027-231 26/03/22 KANAH 3601114107630164 59 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
281 03-027-232 26/03/22 AMINAH 3601114107670018 55 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
282 03-027-233 26/03/22 JAHROH 3601334808990001 23 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
283 03-027-234 26/03/22 SAKOD 3601111509570001 62 L KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
284 03-027-235 26/03/22 MURNI 3601114205600003 62 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
285 03-027-236 26/03/22 SAEFUL ANWAR 3601111407000002 22 L KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
286 03-027-237 26/03/22 ODAH 3601114205760002 41 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
287 03-027-238 26/03/22 ENI 3601115208830001 39 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
288 03-027-239 26/03/22 NURHAETI 3601114506850005 37 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
289 03-027-240 26/03/22 HAMDAN 3601111110760001 47 L KADUPANDAK PICUNG AB 28/03/22 INVALID 28/03/22
290 03-027-241 28/03/22 ROHAESIH 40 P KADUPANDAK PICUNG AB 29/03/22 NEG 29/03/22
291 03-027-242 28/03/22 KURNIASIH 36011141076303002 55 P PASIRPANJANG PICUNG AB 29/03/22 NEG 29/03/22
292 03-027-243 28/03/22 JUMAEDI 3601110512750001 45 L KADUPANDAK PICUNG AB 30/03/22 NEG 30/03/22
293 03-027-244 28/03/22 DJAKAR 3601112009540003 68 L KADUPANDAK PICUNG AB 30/03/22 NEG 30/03/22
294 03-027-245 28/03/22 IPAH 3601115409620001 63 P KADUPANDAK PICUNG AB 30/03/22 NEG 30/03/22
295 03-027-246 28/03/22 MAEMUNAH 3601114107730154 45 P KADUPANDAK PICUNG AB 30/03/22 NEG 30/03/22
296 03-027-247 28/03/22 SARAH 3601115204780001 45 P KADUPANDAK PICUNG AB 30/03/22 NEG 30/03/22
297 03-027-248 28/03/22 FITRI AMINAH 3601116811010003 21 P KADUPANDAK PICUNG AB 30/03/22 NEG 30/03/22
298 03-027-249 28/03/22 SAIN 26 L KADUPANDAK PICUNG AB 30/03/22 NEG 30/03/22
299 03-027-250 28/03/22 HAERUL 29 L KADUPANDAK PICUNG AB 30/03/22 NEG 30/03/22
300 03-027-251 28/03/22 SOHIB 38 L PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
301 03-027-252 28/03/22 RUKMINI 31 P PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
302 03-027-253 28/03/22 SAMSUL HIDAYAT 28 L PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
303 03-027-254 28/03/22 NURLINDA SARI 27 P PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
304 03-027-255 28/03/22 HALIPAH 11 P PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
305 03-027-256 28/03/22 HASAN NURDIN 30 L PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
306 03-027-257 28/03/22 BUSTOMI 18 L PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
307 03-027-258 28/03/22 APADAH 45 P PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
308 03-027-259 28/03/22 USEN 3601110107930241 33 L PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
309 03-027-260 28/03/22 YENI 3601115406740001 48 P PASIRPANJANG PICUNG AB 31/03/22 NEG 31/03/22
310 03-027-261 28/03/22 NANI 3601115305990002 23 P PASIRPANJANG PICUNG AB 31/03/22 ERROR 31/03/22
311 03-027-262 28/03/22 SAKOL 56 L SINDANGRESMI PICUNG AB 31/03/22 RIF SEN 31/03/22
312 03-027-263 07/03/22 HALIMI 3601110107710045 53 L CILILITAN PICUNG AB 08/03/22 NEG 08/03/22
313 03-027-264 28/03/22 ATIKAH 45 P KADUPANDAK PICUNG AB 28/03/22 NEG 28/03/22
314 03-027-265 10/03/22 ICOH 67 P CILILITAN PICUNG AB 12/03/22 NEG 12/03/22

2
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : APRIL
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
315 03-027-266 01/04/22 SARYATI 3601114107900200 34 P PASIRPANJANG PICUNG AB 01/04/22 ERROR 01/04/22
316 03-027-267 01/04/22 SARYANI 3601110708780004 44 L PASIRPANJANG PICUNG AB 01/04/22 NEG 01/04/22
317 03-027-268 01/04/22 YOYON 3601106501760001 43 P BOJONG PICUNG AB 01/04/22 RIF SEN 01/04/22
318 03-027-269 01/04/22 IDUS 37 L CILILITAN PICUNG AB 01/04/22 NEG 01/04/22
319 03-027-270 01/04/22 MISNAN 39 L CILILITAN PICUNG AB 01/04/22 NEG 01/04/22
320 03-027-271 01/04/22 BADRI 40 P CILILITAN PICUNG AB 01/04/22 NEG 01/04/22
321 03-027-272 01/04/22 RUKANAH 3601114604560001 58 P PASIRPANJANG PICUNG AB 01/04/22 NEG 01/04/22
322 03-027-273 01/04/22 EDAH 38 P KADUPANDAK PICUNG AB 01/04/22 NEG 01/04/22
323 03-027-274 01/04/22 DAYAT 3601110107800249 42 L KADUPANDAK PICUNG AB 01/04/22 NEG 01/04/22
324 03-027-275 01/04/22 RUKMAN 3601110507850002 37 L KADUPANDAK PICUNG AB 01/04/22 NEG 01/04/22
325 03-027-276 01/04/22 INAH 43 P KADUPANDAK PICUNG AB 01/04/22 NEG 01/04/22
326 03-027-277 01/04/22 HERDI 34 L PASIRPANJANG PICUNG AB 01/04/22 RIF SEN 01/04/22
327 03-027-278 01/04/22 INAH 52 P PASIRPANJANG PICUNG AB 01/04/22 NEG 01/04/22
328 03-027-279 01/04/22 GINANJAR 18 L CILILITAN PICUNG AB 01/04/22 NEG 01/04/22
329 03-027-280 04/04/22 RASIDI 3601110107530030 70 L PASIRSEDANG PICUNG AB 04/04/22 NEG 04/04/22
330 03-027-281 04/04/22 EDI 3601110107780068 47 L CILILITAN PICUNG AB 04/04/22 RIF SEN 04/04/22
331 03-027-282 04/04/22 AZAM 16 L KOLELET PICUNG AB 04/04/22 NEG 04/04/22
332 03-027-283 04/04/22 LEVIANA 3601116304990001 23 P KOLELET PICUNG AB 04/04/22 NEG 04/04/22
333 03-027-284 04/04/22 ROSDIANA 25 P KOLELET PICUNG AB 04/04/22 NEG 04/04/22
334 03-027-285 04/04/22 YOYON 3601110504750003 47 L KADUPANDAK PICUNG AB 04/04/22 RIF SEN 04/04/22
335 03-027-286 04/04/22 SARIAH 3601114107780127 44 P KADUPANDAK PICUNG AB 04/04/22 NEG 04/04/22
336 03-027-287 04/04/22 ARWAD 3601110107510026 47 L KADUPANDAK PICUNG AB 04/04/22 NEG 04/04/22
337 03-027-123 04/04/22 LINA 42 P LEBAK PICUNG HI 04/04/22 NEG NEG
338 03-027-288 04/04/22 MULHAT 41 L KADUPANDAK PICUNG AB 05/04/22 NEG 05/04/22
339 03-027-289 04/04/22 AGUS 28 L KADUPANDAK PICUNG AB 05/04/22 NEG 05/04/22
340 03-027-290 04/04/22 HERNI 25 P KADUPANDAK PICUNG AB 05/04/22 NEG 05/04/22
341 03-027-291 04/04/22 IWAN 30 L CILILITAN PICUNG AB 05/04/22 NEG 05/04/22
342 03-027-292 04/04/22 PERA 17 P CILILITAN PICUNG AB 05/04/22 NEG 05/04/22
343 03-027-293 04/04/22 SARNAH 47 P CILILITAN PICUNG AB 05/04/22 NEG 05/04/22
344 03-027-294 04/04/22 MASKAH 50 P CILILITAN PICUNG AB 05/04/22 NEG 05/04/22
345 03-027-295 04/04/22 DENDA 21 L CILILITAN PICUNG AB 05/04/22 NEG 05/04/22
346 03-027-296 04/04/22 SUHANDI 35 L CILILITAN PICUNG AB 05/04/22 NEG 05/04/22
347 03-027-297 05/04/22 NAIM 3601110107790085 43 L PASIRPANJANG PICUNG AB 06/04/22 NEG 06/04/22
348 03-027-298 05/04/22 SUHAEMI 3601114107800237 42 P PASIRPANJANG PICUNG AB 06/04/22 NEG 06/04/22
349 03-027-299 05/04/22 SITI AISAH 3601115503000001 22 P KOLELET PICUNG AB 06/04/22 NEG 06/04/22
350 03-027-300 05/04/22 NENENG KHOLIFAH 3601114107930108 30 P KADUPANDAK PICUNG AB 06/04/22 NEG 06/04/22
351 03-027-301 05/04/22 DEDEN SUNARDI 3601110107980152 25 L KADUPANDAK PICUNG AB 06/04/22 NEG 06/04/22
352 03-027-302 05/04/22 SADIAN 3601112506420001 83 L KOLELET PICUNG AB 06/04/22 NEG 06/04/22
353 03-027-303 05/04/22 ENE SANIP 60 P KADUPANDAK PICUNG AB 06/04/22 NEG 06/04/22
354 03-027-304 05/04/22 IMAS 39 P KADUPANDAK PICUNG AB 06/04/22 NEG 06/04/22

355 03-027-305 05/04/22 ELAN 43 P KADUPANDAK PICUNG AB 06/04/22 NO RESULT 06/04/22


NEG
356 03-027-306 05/04/22 IJAH 40 P KADUPANDAK PICUNG AB 06/04/22 NEG 06/04/22
357 03-027-307 05/04/22 SANIP 60 L KADUPANDAK PICUNG AB 06/04/22 NEG 06/04/22
358 03-027-308 05/04/22 ASMANAH 33 P KADUPANDAK PICUNG AB 06/04/22 NEG 06/04/22
359 03-027-309 06/04/22 JUHRI 53 L KOLELET PICUNG AB 07/04/22 NEG 07/04/22
360 03-027-310 06/04/22 IWAT 35 P CILILITAN PICUNG AB 07/04/22 NEG 07/04/22
361 03-027-311 06/04/22 NURHAYATI 35 P CILILITAN PICUNG AB 07/04/22 NEG 07/04/22
362 03-027-312 06/04/22 SOLIHAH 3601114107940084 28 P KADUPANDAK PICUNG AB 07/04/22 NEG 07/04/22
363 03-027-313 06/04/22 AMSAH 55 P KADUPANDAK PICUNG AB 07/04/22 INVALID 07/04/22
364 03-027-314 06/04/22 KAMSINAH 3601114207580008 64 P PASIRPANJANG PICUNG AB 07/04/22 NEG 07/04/22
365 03-027-315 06/04/22 MASMUNAH 50 P KADUPANDAK PICUNG AB 07/04/22 NEG 07/04/22
366 03-027-316 06/04/22 REVA 19 P KADUPANDAK PICUNG AB 07/04/22 NEG 07/04/22
367 03-027-317 06/04/22 BAYI 40 P KADUPANDAK PICUNG AB 07/04/22 NEG 07/04/22
368 03-027-318 06/04/22 SUHETI 40 P KOLELET PICUNG AB 07/04/22 INVALID 07/04/22
369 03-027-319 06/04/22 SARYANAH 63 P GANGGAENG PICUNG AB 07/04/22 INVALID 07/04/22
370 03-027-320 06/04/22 BADRI 3602090608600001 60 L LEBAK PICUNG AB 07/04/22 RIF SEN 07/04/22
371 03-027-321 07/04/22 YOYOH KOMARIAH 3601114107950316 27 P KADUBERA PICUNG AB 09/04/22 NEG 09/04/22
372 03-027-322 07/04/22 NURHASANAH 3601114407730001 49 P KADUBERA PICUNG AB 09/04/22 NEG 09/04/22
373 03-027-323 07/04/22 EMAH 3601114107780029 50 P PASIRSEDANG PICUNG AB 09/04/22 NEG 09/04/22
374 03-027-324 07/04/22 ELFAN 9 L KADUPANDAK PICUNG AB 09/04/22 NEG 09/04/22
375 03-027-325 07/04/22 PIAH 3601115512820004 40 P PASIRSEDANG PICUNG AB 09/04/22 NEG 09/04/22

376 03-027-326 07/04/22 EMAH 3601114107600088 53 P PASIRSEDANG PICUNG AB 09/04/22 NO RESULT 09/04/22
NEG
377 03-027-327 07/04/22 NARWATI 3601114107580028 64 P PASIRSEDANG PICUNG AB 09/04/22 NEG 09/04/22
378 03-027-328 07/04/22 HINDUN 70 P CILILITAN PICUNG AB 09/04/22 NEG 09/04/22
379 03-027-329 07/04/22 SUKMANAH 58 P CILILITAN PICUNG AB 09/04/22 NEG 09/04/22
380 03-027-330 08/04/22 MASDI 58 L CILILITAN PICUNG AB 09/04/22 NEG 09/04/22
381 03-027-331 08/04/22 EMAH 40 P KADUBERA PICUNG AB 09/04/22 NEG 09/04/22
382 03-027-332 08/04/22 ENTIS 54 L CILILITAN PICUNG AB 09/04/22 NEG 09/04/22
383 03-027-333 08/04/22 SUKESIH 45 P CILILITAN PICUNG AB 09/04/22 NEG 09/04/22
384 03-027-334 08/04/22 SUMANTRI 30 L CILILITAN PICUNG AB 09/04/22 NEG 09/04/22
385 03-027-335 08/04/22 MELAWATI 32 P CILILITAN PICUNG AB 09/04/22 NEG 09/04/22
386 03-027-336 08/04/22 ENENG MURNIAWATI 3601114107670053 47 P KADUBERA PICUNG AB 09/04/22 NEG 09/04/22
387 03-027-337 08/04/22 SAID 3601111702680001 54 L KADUBERA PICUNG AB 09/04/22 INVALID 09/04/22
388 03-027-338 08/04/22 SYUAIB RIZAL 3601110107610113 57 L KADUBERA PICUNG AB 09/04/22 INVALID 09/04/22
389 03-027-339 08/04/22 PURNAWATI 3601114107940098 28 P KADUPANDAK PICUNG AB 09/04/22 NEG 09/04/22
390 03-027-340 11/04/22 NURLAILA 3602094607910002 32 P MUNJUL PICUNG AB 11/04/22 NEG 11/04/22
391 03-027-341 11/04/22 YATI 3601114107840113 39 P KADUBERA PICUNG AB 11/04/22 NEG 11/04/22
392 03-027-342 11/04/22 MU'MIN 3601110107810126 48 L KADUBERA PICUNG AB 11/04/22 NEG 11/04/22
393 03-027-343 11/04/22 AHYAR 56 L CILILITAN PICUNG AB 11/04/22 NEG 11/04/22
394 03-027-344 11/04/22 M. NURJAENI 23 L CILILITAN PICUNG AB 11/04/22 NEG 11/04/22
395 03-027-345 11/04/22 H. NURMI 60 L CILILITAN PICUNG AB 11/04/22 NEG 11/04/22
396 03-027-346 11/04/22 EROH 49 P CILILITAN PICUNG AB 11/04/22 ERROR 11/04/22
397 03-027-347 11/04/22 HIDEUNG 3601114107640050 58 P KADUBERA PICUNG AB 11/04/22 NEG 11/04/22
398 03-027-348 11/04/22 SAWIDI 3601110107610112 62 L KADUBERA PICUNG AB 11/04/22 NEG 11/04/22
399 03-027-082 11/04/22 OPAN 31 L PASIRSEDANG PICUNG DE 11/04/22 NEG NEG
400 03-027-023 11/04/22 SARHANI 37 L PASIRSEDANG PICUNG DE 11/04/22 NEG NEG
401 03-027-060 11/04/22 MUKTAR 54 L CIHERANG PICUNG DE 11/04/22 NEG NEG
402 03-027-089 11/04/22 WIRDA 22 L CILILITAN PICUNG DE 11/04/22 NEG NEG
403 03-027-145 11/04/22 RANISAH 50 P CILILITAN PICUNG FG 11/04/22 NEG NEG
404 03-027-127 11/04/22 SUHENDAR 22 L KADUBERA PICUNG HI 11/04/22 NEG NEG
405 03-027-138 11/04/22 UNI 26 P CILILITAN PICUNG HI 11/04/22 NEG NEG
406 03-027-349 12/04/22 IDIL JUNAEDI 28 L BUNGURCOPONG PICUNG AB 12/04/22 NEG 12/04/22
407 03-027-350 12/04/22 ROSID 3601110805960005 26 L BUNGURCOPONG PICUNG AB 12/04/22 NEG 12/04/22
408 03-027-351 12/04/22 ITA AYUNDA SARI 3601114201930002 31 P KADUPANDAK PICUNG AB 12/04/22 NEG 12/04/22
409 03-027-352 12/04/22 HJ. ISAH 3601114305460001 74 P KADUPANDAK PICUNG AB 12/04/22 NEG 12/04/22
410 03-027-353 12/04/22 CUCUM 3601114904800001 47 P KADUPANDAK PICUNG AB 12/04/22 NEG 12/04/22
411 03-027-354 12/04/22 RUKAYAH 3601114606810001 38 P KADUPANDAK PICUNG AB 12/04/22 NEG 12/04/22
412 03-027-355 12/04/22 MELANI 3601114401070001 15 P KADUPANDAK PICUNG AB 12/04/22 NEG 12/04/22
413 03-027-356 12/04/22 NAZWA 18 P PASIRSEDANG PICUNG AB 12/04/22 NEG 12/04/22
414 03-027-357 12/04/22 AMINAH 3601114307800011 40 P PASIRSEDANG PICUNG AB 12/04/22 NEG 12/04/22
415 03-027-358 13/04/22 IDA 3601115111890001 31 P KADUPANDAK PICUNG AB 13/04/22 NEG 13/04/22
416 03-027-359 13/04/22 SURIAMAH 3601116312750001 52 P KADUPANDAK PICUNG AB 13/04/22 NEG 13/04/22
417 03-027-360 13/04/22 AAN 42 L KADUPANDAK PICUNG AB 13/04/22 NEG 13/04/22
418 03-027-361 13/04/22 NADIRA 3601115507100001 12 P KADUPANDAK PICUNG AB 13/04/22 NEG 13/04/22
419 03-027-362 16/04/22 ANAMAH 3601114017760179 43 P KADUBERA PICUNG AB 17/04/22 NEG 17/04/22
420 03-027-060 18/04/22 MUKTAR 54 L CIHERANG PICUNG DE 18/04/22 NEG NEG
421 03-027-092 18/04/22 UMDAH 70 P KOLELET PICUNG DE 18/04/22 NEG NEG
422 03-027-088 18/04/22 EGI 27 L CILILITAN PICUNG DE 18/04/22 NEG NEG
423 03-027-148 18/04/22 ROHMAN 35 L PASIRPANJANG PICUNG FG 18/04/22 NEG NEG
424 03-027-179 18/04/22 YANA 35 L KADUPANDAK PICUNG FG 18/04/22 NEG NEG
425 03-027-149 18/04/22 MOH. ARIS 21 L KADUPANDAK PICUNG HI 18/04/22 NEG NEG
426 03-027-147 18/04/22 SUKRAMAH 50 P PASIRPANJANG PICUNG HI 18/04/22 NEG NEG
427 03-027-137 18/04/22 NURHANI 40 L PASIRSEDANG PICUNG HI 18/04/22 NEG NEG
428 03-027-131 18/04/22 A. BUSTOMI 19 L KADUPANDAK PICUNG HI 18/04/22 NEG NEG
429 03-027-363 18/04/22 SUPRIYATI 3601114107680209 54 P BUNGURCOPONG PICUNG AB 20/04/22 NEG 20/04/22
430 03-027-364 18/04/22 SARNITI 3601114202850002 37 P PASIRPANJANG PICUNG AB 20/04/22 NEG 20/04/22
431 03-027-365 18/04/22 SAMNAH 3602094909040001 19 P LEBAK PICUNG AB 20/04/22 NEG 20/04/22
432 03-027-366 18/04/22 SUKARMA 3601110107630197 59 L BUNGURCOPONG PICUNG AB 20/04/22 NEG 20/04/22
433 03-027-367 18/04/22 SURNAH 3601114107790097 53 P KADUBERA PICUNG AB 21/04/22 NEG 21/04/22
434 03-027-368 18/04/22 ITI 3601114107630167 54 P KADUPANDAK PICUNG AB 21/04/22 NEG 21/04/22
435 03-027-369 18/04/22 ANAH 3601114107630163 62 P KADUPANDAK PICUNG AB 21/04/22 NEG 21/04/22
436 03-027-370 18/04/22 BADRIAH 3601114107650032 57 P KADUPANDAK PICUNG AB 21/04/22 NEG 21/04/22
437 03-027-371 18/04/22 ABU MUTAHAR 3601110107740016 48 L KADUPANDAK PICUNG AB 21/04/22 NEG 21/04/22
438 03-027-372 18/04/22 RINA IRAYA 3601116709890001 33 P KADUPANDAK PICUNG AB 21/04/22 NEG 21/04/22
439 03-027-373 18/04/22 HAFIZATUN NASHA 3601115002150007 14 P KADUBERA PICUNG AB 22/04/22 NEG 22/04/22
440 03-027-374 18/04/22 MUTIRAH 3601114107840112 36 P KADUBERA PICUNG AB 22/04/22 NEG 22/04/22
441 03-027-375 18/04/22 MUHAMAD AMIR 3601110506060005 15 L KADUBERA PICUNG AB 22/04/22 NEG 22/04/22
442 03-027-376 18/04/22 M. MUJIONO 3601110107840121 48 L KADUBERA PICUNG AB 22/04/22 NEG 22/04/22
443 03-027-377 18/04/22 IIP SAEPUDIN 3601111005820005 44 L KOLELET PICUNG AB 22/04/22 NEG 22/04/22
444 03-027-378 18/04/22 MIMIN 3601116006850001 37 P KOLELET PICUNG AB 22/04/22 NEG 22/04/22
445 03-027-379 18/04/22 NANI 3601114504920001 30 P KOLELET PICUNG AB 22/04/22 NEG 22/04/22
446 03-027-380 18/04/22 SANAN 3601110607530002 68 L KOLELET PICUNG AB 22/04/22 NEG 22/04/22
447 03-027-381 19/04/22 KAMDANI 3601110107580112 69 L KADUPANDAK PICUNG AB 21/04/22 NEG 21/04/22
448 03-027-382 19/04/22 ERNA 3601114607020004 20 P KADUPANDAK PICUNG AB 21/04/22 NEG 21/04/22
449 03-027-383 19/04/22 MUHAMAD SARIF 3601110511020004 20 L KADUPANDAK PICUNG AB 21/04/22 NEG 21/04/22
450 03-027-193 25/04/22 MARNO 31 L PASIRPANJANG PICUNG FG 25/04/22 NEG NEG
451 03-027-201 25/04/22 ROBI 27 L CILILITAN PICUNG FG 25/04/22 NEG NEG
452 03-027-178 25/04/22 IMAN 27 L PASIRSEDANG PICUNG FG 25/04/22 NEG NEG
453 03-027-384 25/04/22 SALEHUDIN 3601110107550065 72 L KADUBERA PICUNG AB 25/04/22 NEG 25/04/22
454 03-027-385 25/04/22 KASIH 3601114107580249 63 P KADUBERA PICUNG AB 25/04/22 NEG 25/04/22
455 03-027-386 25/04/22 HAYATUN NUFUS 3601110106070006 15 P KADUBERA PICUNG AB 25/04/22 NEG 25/04/22
456 03-027-387 25/04/22 SINTIA YULIANA 3601110106990092 23 P PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
457 03-027-388 25/04/22 AMIR 3601111209720002 50 L PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
458 03-027-389 25/04/22 LIDIA 3601115009890003 33 P PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
459 03-027-390 25/04/22 YENI 3601114708700001 52 P PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
460 03-027-391 25/04/22 JUHRI 3601110406720001 50 L PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
461 03-027-392 25/04/22 HABSAH 3601114107630058 59 P PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
462 03-027-393 25/04/22 ASTI 3601114508700001 52 P PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
463 03-027-394 25/04/22 DIDI 3601110107630254 54 L PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
464 03-027-395 25/04/22 SAPINAH 3601114107660097 51 P PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
465 03-027-396 25/04/22 AGUS PURNOMO 3601111808050002 17 L PASIRSEDANG PICUNG AB 26/04/22 NEG 26/04/22
466 03-027-397 25/04/22 SAR'AH 3601114107660013 70 P PASIRSEDANG PICUNG AB 27/04/22 NEG 27/04/22
467 03-027-398 25/04/22 JUMAENAH 3601114107730380 43 P PASIRSEDANG PICUNG AB 27/04/22 NEG 27/04/22
468 03-027-399 25/04/22 MARSIDIK 3601110107580034 82 L PASIRSEDANG PICUNG AB 27/04/22 NEG 27/04/22
469 03-027-400 25/04/22 BUSTOMI 3601110606040002 17 L PASIRPANJANG PICUNG AB 26/04/22 NEG 26/04/22
470 03-027-401 25/04/22 HENDAR 3601110107960274 26 L PASIRPANJANG PICUNG AB 26/04/22 NEG 26/04/22
471 03-027-402 25/04/22 APADAH 3601114107770107 45 P PASIRPANJANG PICUNG AB 26/04/22 NEG 26/04/22
472 03-027-403 25/04/22 HASAN NURDIN 3601112107090002 13 L PASIRPANJANG PICUNG AB 26/04/22 NEG 26/04/22
473 03-027-404 25/04/22 SITI HALIPAH 3601114112110001 11 P PASIRPANJANG PICUNG AB 26/04/22 NEG 26/04/22
474 03-027-405 26/04/22 NURMAH 3601114501750001 46 P PASIRSEDANG PICUNG AB 27/04/22 RIF SEN 27/04/22
475 03-027-406 27/04/22 DINI 3601110107050016 17 P PASIRSEDANG PICUNG AB 28/04/22 NEG 28/04/22
476 03-027-407 27/04/22 DIKA 3601110107090031 13 L KOLELET PICUNG AB 27/04/22 NEG 27/04/22
477 03-027-408 27/04/22 RAHMAT HIDAYAT 3601110510020002 20 L KADUBERA PICUNG AB 27/04/22 NEG 27/04/22
478 03-027-409 27/04/22 SANAIH 3601110108593014 63 P KOLELET PICUNG AB 27/04/22 NEG 27/04/22
479 03-027-410 27/04/22 ARSINAH 3601115605950001 27 P PASIRSEDANG PICUNG AB 27/04/22 NEG 27/04/22
480 03-027-411 27/04/22 UNUS 3601110107740048 47 L KADUBERA PICUNG AB 27/04/22 NEG 27/04/22
481 03-027-412 27/04/22 EMAH 3601114107600009 53 P PASIRSEDANG PICUNG AB 27/04/22 NEG 27/04/22
482 03-027-413 27/04/22 AGUS 3601110107900205 32 L PASIRSEDANG PICUNG AB 27/04/22 NEG 27/04/22
483 03-027-414 27/04/22 SUKMANAH 3601114805730001 49 P PASIRSEDANG PICUNG AB 27/04/22 NEG 27/04/22
484 03-027-415 27/04/22 SURNAWATI 3601114107840115 47 P KADUBERA PICUNG AB 27/04/22 NEG 27/04/22
485 03-027-416 05/04/22 DEDEN AUDOH 3601141009950001 27 L SAKETI PICUNG AB 05/04/22 NEG 05/04/22
486 03-027-417 05/04/22 M. FAHRI 3601311908100021 40 L SINDANGRESMI PICUNG AB 06/04/22 NEG 06/04/22

4
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : MEI
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
487 03-027-418 09/05/22 ARIS WIJAKSANA 3601111005990005 22 L KADUPANDAK PICUNG AB 14/05/22 RIF SEN 14/05/22
488 03-027-204 09/05/22 SARMANAH 27 P PATIA PICUNG FG 09/05/22 NEG NEG
489 03-027-209 09/05/22 ARMAENAH 55 P CILILITAN PICUNG FG 09/05/22 NEG NEG
490 03-027-190 09/05/22 JANAH 55 P CILILITAN PICUNG FG 09/05/22 NEG NEG
491 03-027-145 09/05/22 RANISAH 50 P CILILITAN PICUNG HI 09/05/22 NEG NEG
492 03-027-419 11/05/22 RUBAI PADYANI 3604310712970004 26 L BUNGURCOPONG PICUNG AB 14/05/22 RIF SEN 14/05/22
493 03-027-420 11/05/22 ICAH 3601111102810001 65 P KOLELET PICUNG AB 14/05/22 NEG 14/05/22
494 03-027-421 11/05/22 SUDAN 3601110312630001 55 L CILILITAN PICUNG AB 15/05/22 NEG 15/05/22
495 03-027-422 12/05/22 UNI 360111480495000 23 P CILILITAN PICUNG AB 14/05/22 NEG 14/05/22
496 03-027-423 12/05/22 AMINAH 3601144071040064 18 P LEBAK PICUNG AB 14/05/22 NEG 14/05/22
497 03-027-424 12/05/22 SITI MASITOH 3601114505800006 42 P PASIRSEDANG PICUNG AB 15/05/22 NEG 15/05/22
498 03-027-425 13/05/22 DEDE MIFTAH 3601112809980002 24 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
499 03-027-426 13/05/22 MUHAMAD REVAN 3601112412130001 9 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
500 03-027-427 13/05/22 NOPA 3602095709030001 18 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
501 03-027-428 13/05/22 SARKAMAN 3601110107720034 50 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
502 03-027-429 13/05/22 MOH. YUSUF 3601110303070001 15 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
503 03-027-430 13/05/22 MURSIH 3601114107640024 58 P KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
504 03-027-431 13/05/22 MIMI MAESAROH 3601114107930130 29 P KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
505 03-027-432 13/05/22 ENDI 3601111511040001 18 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
506 03-027-433 13/05/22 SAMIAH 3601114107680172 54 P KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
507 03-027-434 13/05/22 RESA 3601114107030051 19 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
508 03-027-435 13/05/22 AHMAD 3601110107940126 28 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
509 03-027-436 13/05/22 ASNAWI 3606110107550024 67 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
510 03-027-437 13/05/22 SANAN 3601110107630146 59 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
511 03-027-438 13/05/22 ANI 3601114107780136 44 P KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
512 03-027-439 13/05/22 MARJANI 3601110107540018 69 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
513 03-027-440 13/05/22 SITI ANIAH 3601110107960015 26 P KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
514 03-027-441 13/05/22 DEDE ALIAH 3601114107950132 27 P KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
515 03-027-442 13/05/22 UDIN 3601110407820002 54 L KADUPANDAK PICUNG AB 16/05/22 NEG 16/05/22
516 03-027-443 14/05/22 MENAH 3601114107800108 42 P BUNGURCOPONG PICUNG AB 17/05/22 NEG 17/05/22
517 03-027-444 14/05/22 PERDI SETIAWAN 3601113001060002 16 L BUNGURCOPONG PICUNG AB 17/05/22 NEG 17/05/22
518 03-027-445 14/05/22 MARYATI 3601110107900177 32 P BUNGURCOPONG PICUNG AB 17/05/22 NEG 17/05/22
519 03-027-446 14/05/22 ANDI 3601110107430092 79 L BUNGURCOPONG PICUNG AB 17/05/22 NEG 17/05/22
520 03-027-447 14/05/22 MURNI 3601114107630222 61 P BUNGURCOPONG PICUNG AB 17/05/22 NEG 17/05/22
521 03-027-448 14/05/22 YAYAT 3601114107680204 60 P BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
522 03-027-449 14/05/22 AISAH 3601114107630219 59 P BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
523 03-027-450 14/05/22 MARKUM 3601110107630181 61 L BUNGURCOPONG PICUNG AB 18/05/22 RIF INDET 18/05/22
524 03-027-451 14/05/22 SITI 3601114107630217 59 P BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
525 03-027-452 14/05/22 YUNANTI 3601115502010003 20 P BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
526 03-027-453 14/05/22 RUMANAH 3601110107722011 50 P BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
527 03-027-454 14/05/22 IJAH 3601114107580130 64 P BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
528 03-027-455 14/05/22 ADHAR 3601110107200033 22 L BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
529 03-027-456 14/05/22 ANISAH 3601110107990054 23 P BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
530 03-027-156 16/05/22 SOKER 60 L PASIRSEDANG PICUNG DE 16/05/22 NEG NEG
531 03-027-148 16/05/22 ROHMAN 35 L PASIRSEDANG PICUNG HI 16/05/22 NEG NEG
532 03-027-179 16/05/22 YANA 35 L KADUPANDAK PICUNG HI 16/05/22 NEG NEG
533 03-027-193 16/05/22 MARNO 31 L PASIRPANJANG PICUNG HI 16/05/22 NEG NEG
534 03-027-457 17/05/22 MULYADI 3601110206710003 51 L BUNGURCOPONG PICUNG AB 17/05/22 ERROR 17/05/22
535 03-027-458 17/05/22 ANI MARYANI 3601116303830001 39 P KADUPANDAK PICUNG AB 17/05/22 NEG 17/05/22
536 03-027-459 17/05/22 AINUN ALFATIHAH 3601115605140001 8 P KADUPANDAK PICUNG AB 17/05/22 NEG 17/05/22
537 03-027-460 17/05/22 IDIS 3601110107610018 61 L PASIRSEDANG PICUNG AB 17/05/22 RIF SEN 17/05/22
538 03-027-461 17/05/22 SOFI LAELA 3601114406940003 28 P KADUPANDAK PICUNG AB 18/05/22 NEG 18/05/22
539 03-027-462 17/05/22 FITRIAH 3601114805870004 35 P KADUPANDAK PICUNG AB 18/05/22 NEG 18/05/22
540 03-027-463 17/05/22 RANI 3601114107680021 54 P PASIRSEDANG PICUNG AB 19/05/22 NEG 19/05/22
541 03-027-464 17/05/22 ABSIN 3601110107580289 64 L PASIRSEDANG PICUNG AB 19/05/22 NEG 19/05/22
542 03-027-465 17/05/22 ATENG 3601110103800003 42 L PASIRSEDANG PICUNG AB 19/05/22 NEG 19/05/22
543 03-027-466 17/05/22 LAILA 3601110207910012 30 P KADUPANDAK PICUNG AB 19/05/22 NEG 19/05/22
544 03-027-467 17/05/22 ICIH 3601114107630190 59 P KADUPANDAK PICUNG AB 19/05/22 NEG 19/05/22
545 03-027-468 17/05/22 SYAMAS 3601112305030001 19 L KADUPANDAK PICUNG AB 19/05/22 NEG 19/05/22
546 03-027-469 17/05/22 RIZNA 3172054908901001 32 P KADUPANDAK PICUNG AB 19/05/22 NEG 19/05/22
547 03-027-470 17/05/22 BAHRI 3601110107790009 43 L KADUPANDAK PICUNG AB 19/05/22 NEG 19/05/22
548 03-027-471 17/05/22 ADE SUBEKTI 3601112208730001 49 L KADUPANDAK PICUNG AB 19/05/22 NEG 19/05/22
549 03-027-472 17/05/22 ADRA'I 3601110107530013 69 L PASIRSEDANG PICUNG AB 20/05/22 NEG 20/05/22
550 03-027-473 17/05/22 KARSI 3601114107700090 52 P PASIRSEDANG PICUNG AB 20/05/22 NEG 20/05/22
551 03-027-474 17/05/22 ROSMIATI 3601115608850001 36 P CIHERANG PICUNG AB 26/05/22 NEG 26/05/22
552 03-027-475 18/05/22 NENG SRI 3603036911830002 38 P PASIRSEDANG PICUNG AB 20/05/22 NEG 20/05/22
553 03-027-476 18/05/22 SILVIANA SAFITRI 3601110209170012 17 P PASIRSEDANG PICUNG AB 20/05/22 NEG 20/05/22
554 03-027-477 18/05/22 EDAH 3601115805800001 42 P CILILITAN PICUNG AB 20/05/22 NEG 20/05/22
555 03-027-478 18/05/22 YATI 3601110209450009 45 P PASIRSEDANG PICUNG AB 20/05/22 NEG 20/05/22
556 03-027-479 18/05/22 DASIH 3601110209400212 40 P PASIRSEDANG PICUNG AB 20/05/22 NEG 20/05/22
557 03-027-480 18/05/22 JUMANTEN 3601110207600123 60 P PASIRSEDANG PICUNG AB 20/05/22 NEG 20/05/22
558 03-027-481 18/05/22 RIDWAN 3601110207080011 14 L KADUPANDAK PICUNG AB 20/05/22 NEG 20/05/22
559 03-027-482 18/05/22 SUPRI 3601110208600129 60 L CIHERANG PICUNG AB 20/05/22 NEG 20/05/22
560 03-027-483 18/05/22 KOSASIH 3601110107760006 53 L PASIRSEDANG PICUNG AB 20/05/22 NEG 20/05/22
561 03-027-484 19/05/22 NEDI 3601110107200912 9 L PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
562 03-027-485 19/05/22 SALBIAH 3601110107292121 29 P PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
563 03-027-486 19/05/22 YATI 3601110207332100 33 P PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
564 03-027-487 19/05/22 IKAH 3601114102444001 44 P PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
565 03-027-488 19/05/22 ENOK 3601111020712311 30 P PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
566 03-027-489 19/05/22 IROH 3601111020948001 48 P PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
567 03-027-490 19/05/22 MUMUN 3601110203400123 40 P PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
568 03-027-491 19/05/22 ICUM 3601114107410002 41 P PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
569 03-027-492 19/05/22 UUM 3601110302303002 30 P PASIRSEDANG PICUNG AB 21/05/22 NEG 21/05/22
570 03-027-493 20/05/22 ARMAN 3601111020407001 7 L PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
571 03-027-494 20/05/22 SAKAM 3601112034129719 70 L PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
572 03-027-495 20/05/22 SAIYAH 3601110107970133 47 P KADUPANDAK PICUNG AB 22/05/22 NEG 22/05/22
573 03-027-496 20/05/22 BASUDIN 3601110109830012 39 L KADUPANDAK PICUNG AB 22/05/22 NEG 22/05/22
574 03-027-497 20/05/22 IPAT 3601110207860033 36 P KADUPANDAK PICUNG AB 22/05/22 NEG 22/05/22
575 03-027-498 20/05/22 HERNI 3601110207810092 41 P KADUPANDAK PICUNG AB 22/05/22 NEG 22/05/22
576 03-027-499 20/05/22 ENTIN 3601116207870002 35 P PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
577 03-027-500 20/05/22 BAKRI 3601111102620001 60 L PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
578 03-027-501 20/05/22 MUNAWATI 3601115109900005 32 P PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
579 03-027-502 20/05/22 SUKRI 3601110207570120 57 L PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
580 03-027-503 21/05/22 SUHARIAH 3601115205710001 51 P PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
581 03-027-504 21/05/22 ICUM 3601116704850003 37 P PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
582 03-027-505 21/05/22 ABKORIAH 3601110207410024 41 P PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
583 03-027-506 21/05/22 JAENUDIN 3601111010670002 55 L PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
584 03-027-507 21/05/22 UCU 3601115809950001 27 P PASIRSEDANG PICUNG AB 22/05/22 NEG 22/05/22
585 03-027-508 21/05/22 SITI HASANAH 3601314808800001 42 P KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
586 03-027-509 21/05/22 SADIK 3601110307800003 45 L KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
587 03-027-510 21/05/22 MULYANA 3601114107730168 48 L KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
588 03-027-201 23/05/22 ROBI 27 L CILILITAN PICUNG HI 23/05/22 NEG NEG
589 03-027-178 23/05/22 IMAN 27 L PASIRSEDANG PICUNG HI 23/05/22 NEG NEG
590 03-027-511 23/05/22 SUHAYAT 3601110107710062 55 L KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
591 03-027-512 23/05/22 TIA 3601114101050002 17 P KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
592 03-027-513 23/05/22 RUSNI 3601117607830001 36 L KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
593 03-027-514 23/05/22 APNI 3601115508090001 11 L KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
594 03-027-515 23/05/22 IMAS 3601116106090004 13 P KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
595 03-027-516 23/05/22 APAD 3601110207780021 45 L KADUPANDAK PICUNG AB 23/05/22 NEG 23/05/22
596 03-027-517 23/05/22 RATNA 3601114805700003 51 P PASIRSEDANG PICUNG AB 24/05/22 NEG 24/05/22
597 03-027-518 23/05/22 ACENG 5304144905690001 51 L CILILITAN PICUNG AB 24/05/22 NEG 24/05/22
598 03-027-519 23/05/22 TUTI 3601114905770001 45 P CILILITAN PICUNG AB 24/05/22 NEG 24/05/22
599 03-027-520 23/05/22 SUHELI 3175010807880004 34 L CILILITAN PICUNG AB 24/05/22 NEG 24/05/22
600 03-027-521 23/05/22 LIAWATI 3601114302000001 22 P CILILITAN PICUNG AB 24/05/22 NEG 24/05/22
601 03-027-522 23/05/22 IIS 3601114107930088 29 P CILILITAN PICUNG AB 24/05/22 NEG 24/05/22
602 03-027-523 24/05/22 ANI HANDAYANI 3601114204820003 37 P CILILITAN PICUNG AB 25/05/22 NEG 25/05/22
603 03-027-524 24/05/22 RODIAH ARIYANA 3601114602840002 38 P CILILITAN PICUNG AB 25/05/22 NEG 25/05/22
604 03-027-525 24/05/22 FAJAR 3601110207220123 20 L CILILITAN PICUNG AB 25/05/22 NEG 25/05/22
605 03-027-526 24/05/22 UNI 3601114107530058 69 P CILILITAN PICUNG AB 25/05/22 NEG 25/05/22
606 03-027-527 24/05/22 GHESYA 3601117006090003 7 P CILILITAN PICUNG AB 25/05/22 NEG 25/05/22
607 03-027-528 24/05/22 JUNARIAH 3601110207670091 55 P CILILITAN PICUNG AB 26/05/22 NEG 26/05/22
608 03-027-529 24/05/22 AGUS H 3601110207646401 58 L CILILITAN PICUNG AB 26/05/22 NEG 26/05/22
609 03-027-530 24/05/22 YANI H 3601110108830021 39 P CILILITAN PICUNG AB 26/05/22 NEG 26/05/22
610 03-027-531 24/05/22 IRA 3601110207200101 21 P CILILITAN PICUNG AB 26/05/22 NEG 26/05/22
611 03-027-532 24/05/22 DULFIKRIANI 3601110207070702 15 L CILILITAN PICUNG AB 26/05/22 NEG 26/05/22
612 03-027-533 24/05/22 AI SUMIATI 3601110207570911 65 P CILILITAN PICUNG AB 26/05/22 NEG 26/05/22
613 03-027-534 25/05/22 AMAH 3601114910770001 45 P PASIRSEDANG PICUNG AB 26/05/22 NEG 26/05/22
614 03-027-535 25/05/22 UMAYAH 3601114107740005 48 P PASIRSEDANG PICUNG AB 26/05/22 NEG 26/05/22
615 03-027-536 25/05/22 SUBEKTI 3601110107620009 63 L PASIRSEDANG PICUNG AB 26/05/22 NEG 26/05/22
616 03-027-537 25/05/22 NIA ANIATI 3215096305930004 27 P PASIRSEDANG PICUNG AB 26/05/22 NEG 26/05/22
617 03-027-538 25/05/22 USIAH 3601114107660015 55 P PASIRSEDANG PICUNG AB 26/05/22 NEG 26/05/22
618 03-027-539 25/05/22 ASPATI 3601114107680037 60 P PASIRSEDANG PICUNG AB 26/05/22 NEG 26/05/22
619 03-027-540 25/05/22 SUHAYATI 3601114107910035 31 P PASIRSEDANG PICUNG AB 26/05/22 NEG 26/05/22
620 03-027-541 25/05/22 MUSNA 3601110208970281 25 L PASIRSEDANG PICUNG AB 26/05/22 NEG 26/05/22
621 03-027-542 25/05/22 ADELIA 3601111020907111 7 P SINDANGRESMI PICUNG AB 26/05/22 NEG 26/05/22
622 03-027-543 25/05/22 ANISAH 3601111020972721 72 P CILILITAN PICUNG AB 26/05/22 NEG 26/05/22
623 03-027-544 25/05/22 DULHALIM 3601110107777221 77 L CILILITAN PICUNG AB 26/05/22 NEG 26/05/22
624 03-027-545 26/05/22 ASIHIN 3601111010729009 29 L KADUBERA PICUNG AB 28/05/22 NEG 28/05/22
625 03-027-546 26/05/22 SARMANAH 3601111020735091 35 P PASIRSEDANG PICUNG AB 29/05/22 NEG 29/05/22
626 03-027-547 26/05/22 DINI 3601111030823084 23 P PASIRSEDANG PICUNG AB 29/05/22 NEG 29/05/22
627 03-027-548 26/05/22 RIMA 3601111010727902 27 P PASIRSEDANG PICUNG AB 29/05/22 NEG 29/05/22
628 03-027-549 26/05/22 RAENI 3601110209930002 29 P PASIRSEDANG PICUNG AB 29/05/22 NEG 29/05/22
629 03-027-550 26/05/22 SUHEM 3601110201601123 62 L BUNGURCOPONG PICUNG AB 30/05/22 NEG 30/05/22
630 03-027-551 26/05/22 SARNIAH 3601111197238712 67 P BUNGURCOPONG PICUNG AB 30/05/22 NEG 30/05/22
631 03-027-552 30/05/22 JULAEHA 3601111102051401 14 P KOLELET PICUNG AB 30/05/22 RIF SEN 30/05/22
632 03-027-553 30/05/22 KASTOMI 3601111090248002 48 P PASIRSEDANG PICUNG AB 30/05/22 NEG 30/05/22
633 03-027-554 30/05/22 ARMIN 3602901270000231 70 L LEBAK PICUNG AB 30/05/22 NEG 30/05/22
634 03-027-555 30/05/22 MUMUN 3601111080246021 46 P PASIRSEDANG PICUNG AB 30/05/22 NEG 30/05/22
635 03-027-556 30/05/22 USMAN 3601110107810089 48 L BUNGURCOPONG PICUNG AB 30/05/22 NEG 30/05/22
636 03-027-557 30/05/22 HASAN BASRI 3601100107600006 63 L BUNGURCOPONG PICUNG AB 30/05/22 NEG 30/05/22
637 03-027-558 23/05/22 ACIH 3601116001890003 33 P CILILITAN PICUNG AB 24/05/22 NEG 24/05/22
638 03-027-559 23/05/22 ARPAH 3601114107680109 53 P CILILITAN PICUNG AB 24/05/22 NEG 24/05/22
639 03-027-560 17/05/22 EPI NUREPIAH 3601112507980003 24 P BUNGURCOPONG PICUNG AB 17/05/22 NEG 17/05/22
640 03-027-561 18/05/22 MARYADI 3601111705780001 44 L KADUPANDAK PICUNG AB 20/05/22 NEG 20/05/22
641 03-027-562 24/05/22 MUMUH 3601114910030001 18 L BUNGURCOPONG PICUNG AB 26/05/22 NEG 26/05/22
642 03-027-563 17/05/22 SAPINAH 3601114107670030 55 P BUNGURCOPONG PICUNG AB 17/05/22 NEG 17/05/22
643 03-027-564 17/05/22 SIRUN 3601110107580154 66 L BUNGURCOPONG PICUNG AB 18/05/22 NEG 18/05/22
644 03-027-565 23/05/22 TINAH 3601114107630147 59 P CILILITAN PICUNG AB 24/05/22 NEG 24/05/22
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : JUNI
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
645 03-027-566 01/06/22 RANI 3601104505040005 18 P BOJONG PICUNG AB 01/06/22 RIF SEN 01/06/22
646 03-027-567 01/06/22 SUNAIAH 3601110507630123 59 P BUNGURCOPONG PICUNG AB 01/06/22 NEG 01/06/22
647 03-027-568 01/06/22 JAMINAH 360114107950159 39 P BUNGURCOPONG PICUNG AB 01/06/22 NEG 01/06/22
648 03-027-569 01/06/22 SELA 3602090107200101 21 P LEBAK PICUNG AB 01/06/22 NEG 01/06/22
649 03-027-570 01/06/22 RIANTI 3601110307200912 13 P KOLELET PICUNG AB 01/06/22 NEG 01/06/22
650 03-027-571 01/06/22 SAMA'AH 3601115001560001 60 P KOLELET PICUNG AB 01/06/22 NEG 01/06/22
651 03-027-572 01/06/22 RIRIN 3601110307201201 10 P KOLELET PICUNG AB 01/06/22 NEG 01/06/22
652 03-027-573 01/06/22 ROTIAH 3601110309195709 65 P KOLELET PICUNG AB 01/06/22 NEG 01/06/22
653 03-027-574 01/06/22 SAKILA 3601315904130001 9 P SINDANGRESMI PICUNG AB 03/06/22 NEG 03/06/22
654 03-027-575 01/06/22 SAMAUN 3601110909199002 32 L BOJONG PICUNG AB 03/06/22 NEG 03/06/22
655 03-027-576 01/06/22 ANIS 3601110207197302 49 P KADUPANDAK PICUNG AB 03/06/22 NEG 03/06/22
656 03-027-577 01/06/22 M. ALIF 3602091801090002 13 L CILILITAN PICUNG AB 03/06/22 NEG 03/06/22
657 03-027-578 04/06/22 JANATI 3601110306198612 38 P KOLELET PICUNG AB 05/06/22 NEG 05/06/22
658 03-027-579 04/06/22 BASARI 3601110107680045 60 L PASIRSEDANG PICUNG AB 05/06/22 NEG 05/06/22
659 03-027-580 04/06/22 HANDRI 3601110407030002 17 L CILILITAN PICUNG AB 05/06/22 RIF SEN 05/06/22
660 03-027-191 06/06/22 AJAT 45 L PASIRPANJANG PICUNG HI 06/06/22 NEG NEG
661 03-027-581 06/06/22 NURJAMAN 3601110107500031 57 L PASIRPANJANG PICUNG AB 07/06/22 NEG 07/06/22
662 03-027-582 06/06/22 SUHADA 3601110310820001 30 L PASIRSEDANG PICUNG AB 07/06/22 NEG 07/06/22
663 03-027-583 06/06/22 SARI 3601111020862001 60 P CILILITAN PICUNG AB 07/06/22 NEG 07/06/22
664 03-027-584 08/06/22 MAYANIH 3601114107600035 62 P CILILITAN PICUNG AB 08/06/22 NEG 08/06/22
665 03-027-585 08/06/22 KARTAN 3601110107640037 58 L CIHERANG PICUNG AB 08/06/22 NEG 08/06/22
666 03-027-586 08/06/22 BAYI RUMSANAH 3601115410620001 60 P CILILITAN PICUNG AB 08/06/22 NEG 08/06/22
667 03-027-587 08/06/22 SOPIAH 3601116104710001 60 P KADUBERA PICUNG AB 08/06/22 NEG 08/06/22
668 03-027-588 08/06/22 ADE MUNANDAR 3601111309690001 53 L KADUBERA PICUNG AB 08/06/22 NEG 08/06/22
669 03-027-589 08/06/22 ENDAH 3601115105550001 63 P CILILITAN PICUNG AB 08/06/22 NEG 08/06/22
670 03-027-590 08/06/22 MIKI ALANWARI 3601110205960001 26 L CIHERANG PICUNG AB 09/06/22 NEG 09/06/22
671 03-027-591 08/06/22 CINAH 3601115612800001 42 P CIHERANG PICUNG AB 09/06/22 NEG 09/06/22
672 03-027-592 08/06/22 JULI 3601110107660006 52 L PASIRSEDANG PICUNG AB 09/06/22 NEG 09/06/22
673 03-027-593 08/06/22 SUNARYA 3601110707670011 55 L PASIRPANJANG PICUNG AB 09/06/22 NEG 09/06/22
674 03-027-594 08/06/22 SUHERNI 3601110707830001 39 P PASIRPANJANG PICUNG AB 09/06/22 NEG 09/06/22
675 03-027-595 08/06/22 SUHANDI 3601110707911011 31 L PASIRPANJANG PICUNG AB 09/06/22 NEG 09/06/22
676 03-027-596 08/06/22 KARMA 3601110707710021 51 L PASIRPANJANG PICUNG AB 09/06/22 NEG 09/06/22
677 03-027-597 09/06/22 ARBINAH 3601114107400597 40 P PASIRSEDANG PICUNG AB 11/06/22 NEG 11/06/22
678 03-027-598 09/06/22 JUMIAH 3601114207330598 33 P PASIRSEDANG PICUNG AB 11/06/22 NEG 11/06/22
679 03-027-599 09/06/22 AMINAH 3601110407530599 53 P PASIRSEDANG PICUNG AB 11/06/22 NEG 11/06/22
680 03-027-600 09/06/22 ENI 36011110207730478 49 P KADUPANDAK PICUNG AB 12/06/22 NEG 12/06/22
681 03-027-601 09/06/22 LIA 36011110207880036 34 P KADUPANDAK PICUNG AB 12/06/22 NEG 12/06/22
682 03-027-602 09/06/22 ASEP SETIAWAN 36011102079440114 28 L KADUPANDAK PICUNG AB 12/06/22 NEG 12/06/22
683 03-027-603 09/06/22 BASTARI 3601110107680046 60 L KOLELET PICUNG AB 12/06/22 NEG 12/06/22
684 03-027-604 09/06/22 RUMSIAH 3601114506910003 31 P CILILITAN PICUNG AB 12/06/22 NEG 12/06/22
685 03-027-605 09/06/22 DEDE 3601114107910105 32 L CILILITAN PICUNG AB 12/06/22 NEG 12/06/22
686 03-027-606 09/06/22 EEM 3602094411640001 56 P LEBAK PICUNG AB 12/06/22 NEG 12/06/22
687 03-027-607 09/06/22 UNAH 3601104507730001 40 P BOJONG PICUNG AB 12/06/22 RIF SEN 12/06/22
688 03-027-608 09/06/22 JIA 3602094207380608 38 P BANJARSARI PICUNG AB 12/06/22 NEG 12/06/22
689 03-027-609 09/06/22 WAHID 3601110405810001 42 L CILILITAN PICUNG AB 12/06/22 NEG 12/06/22
690 03-027-610 10/06/22 WATI 3601114301710002 51 P CILILITAN PICUNG AB 14/06/22 NEG 14/06/22
691 03-027-611 10/06/22 NINA 3601116504000001 22 P CILILITAN PICUNG AB 14/06/22 NEG 14/06/22
692 03-027-612 10/06/22 PIKI 3601110804070002 15 L CILILITAN PICUNG AB 14/06/22 NEG 14/06/22
693 03-027-613 10/06/22 RUSDI 3601110907640002 56 L CILILITAN PICUNG AB 14/06/22 NEG 14/06/22
694 03-027-614 10/06/22 AHMANUDIN 3601111303710001 50 L CILILITAN PICUNG AB 14/06/22 INVALID 14/06/22
695 03-027-615 10/06/22 AMI 3601114303750002 42 P CILILITAN PICUNG AB 14/06/22 NEG 14/06/22
696 03-027-616 10/06/22 SITI N 3601114312050001 16 P CILILITAN PICUNG AB 14/06/22 NEG 14/06/22
697 03-027-617 10/06/22 ABU SOFIANI 3601112707040001 17 L CILILITAN PICUNG AB 14/06/22 NEG 14/06/22
698 03-027-618 10/06/22 MURTAIYAH 3601114107800618 80 P KOLELET PICUNG AB 14/06/22 INVALID 14/06/22
699 03-027-619 13/06/22 M. SOLIHIN 3601110311750002 53 L KADUPANDAK PICUNG AB 15/06/22 NEG 15/06/22
700 03-027-620 13/06/22 ARTIKA 3601114202920006 30 P KADUPANDAK PICUNG AB 15/06/22 NEG 15/06/22
701 03-027-621 13/06/22 M. BAGUS 3601111208130002 9 L KADUPANDAK PICUNG AB 15/06/22 NEG 15/06/22
702 03-027-622 13/06/22 QIA 3601116909140002 17 P KADUPANDAK PICUNG AB 15/06/22 NEG 15/06/22
703 03-027-623 13/06/22 MURNI 3601114907820003 40 P KADUPANDAK PICUNG AB 15/06/22 NEG 15/06/22
704 03-027-624 13/06/22 ENDANG 3601110702710002 51 L KADUPANDAK PICUNG AB 15/06/22 NEG 15/06/22
705 03-027-625 13/06/22 A.WINU 3601111702120002 10 L KADUPANDAK PICUNG AB 15/06/22 INVALID 15/06/22
706 03-027-626 13/06/22 SONARI 3601114707710001 41 L KADUPANDAK PICUNG AB 15/06/22 NEG 15/06/22
707 03-027-627 13/06/22 NISA 3601115506090001 13 P KADUPANDAK PICUNG AB 15/06/22 NEG 15/06/22
708 03-027-628 13/06/22 ULAN 3601116611070003 15 P KADUBERA PICUNG AB 15/06/22 NEG 15/06/22
709 03-027-629 13/06/22 ANISA UTAMI 3601117108140002 18 P KADUBERA PICUNG AB 15/06/22 NEG 15/06/22
710 03-027-630 13/06/22 ROS 3601114107960332 26 P KADUBERA PICUNG AB 15/06/22 NEG 15/06/22
711 03-027-631 13/06/22 ARNA 3601114107580212 64 L KADUBERA PICUNG AB 15/06/22 NEG 15/06/22
712 03-027-632 13/06/22 ANIS 3601114107930263 29 P KADUBERA PICUNG AB 15/06/22 NEG 15/06/22
713 03-027-633 13/06/22 ARJUN 3601111402150004 17 L KADUBERA PICUNG AB 15/06/22 NEG 15/06/22
714 03-027-634 13/06/22 AISAH 3601115003150001 17 P KADUBERA PICUNG AB 15/06/22 NEG 15/06/22
715 03-027-635 13/06/22 ADELIA 3601114107980245 24 P KADUBERA PICUNG AB 16/06/22 NEG 16/06/22
716 03-027-636 13/06/22 JUHAEDI 3601110501960004 27 L KADUBERA PICUNG AB 16/06/22 NEG 16/06/22
717 03-027-637 13/06/22 ELAM 3601114807770011 45 P KADUBERA PICUNG AB 16/06/22 NEG 16/06/22
718 03-027-638 13/06/22 YANTI 3601111491200001 21 P KADUBERA PICUNG AB 17/06/22 RIF SEN 17/06/22
719 03-027-639 14/06/22 ARTINAH 3601114107500639 50 P PASIRSEDANG PICUNG AB 16/06/22 NEG 16/06/22
720 03-027-640 14/06/22 SUHETI 3601114107460640 46 P PASIRSEDANG PICUNG AB 16/06/22 NEG 16/06/22
721 03-027-641 14/06/22 SURANDI 3601110107550641 55 L PASIRSEDANG PICUNG AB 17/06/22 NEG 17/06/22
722 03-027-642 14/06/22 ENJOH 3601114409700002 52 P PASIRSEDANG PICUNG AB 17/06/22 NEG 17/06/22
723 03-027-643 14/06/22 ADE Y 3601114207850022 38 P CILILITAN PICUNG AB 16/06/22 NEG 16/06/22
724 03-027-644 14/06/22 ROHANI 3601110207790011 44 L CILILITAN PICUNG AB 16/06/22 NEG 16/06/22
725 03-027-645 14/06/22 SUHARTI 3601114909840001 38 P CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
726 03-027-646 14/06/22 LUKMAN 3601111509730002 49 L CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
727 03-027-647 14/06/22 SUTINAH 3601114107630116 68 P CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
728 03-027-648 14/06/22 M. SOLEH 3601112501570002 65 L CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
729 03-027-649 14/06/22 AMINAH 3601114402110001 12 P CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
730 03-027-650 14/06/22 JUMIAH 3601114207750011 49 P CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
731 03-027-651 14/06/22 AKRIM 3601110207730009 49 L CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
732 03-027-652 14/06/22 LEDI 3601114708060001 16 L CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
733 03-027-653 14/06/22 TEDI 3601112604090003 13 L CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
734 03-027-654 14/06/22 SRI MULIYANI 3601114205110003 11 P CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
735 03-027-655 14/06/22 ARDAMAN 3601110311950001 27 L CILILITAN PICUNG AB 17/06/22 NEG 17/06/22
736 03-027-656 14/06/22 ISAH 3601246102630001 59 P PATIA PICUNG AB 17/06/22 NEG 17/06/22
737 03-027-657 14/06/22 SATRIO 3602092802090001 13 L LEBAK PICUNG AB 17/06/22 NEG 17/06/22
738 03-027-658 14/06/22 TIA 3601115508940006 28 P KOLELET PICUNG AB 17/06/22 NEG 17/06/22
739 03-027-659 14/06/22 SUSILAWATI 3603126758500009 37 P KOLELET PICUNG AB 17/06/22 NEG 17/06/22
740 03-027-660 14/06/22 ACENG 3603120504790009 43 L KOLELET PICUNG AB 17/06/22 NEG 17/06/22
741 03-027-661 14/06/22 MAULANA HIDAYAT 3601111304110003 11 L KOLELET PICUNG AB 17/06/22 NEG 17/06/22
742 03-027-662 15/06/22 M. REFI 3601112503120001 10 L KOLELET PICUNG AB 18/06/22 NEG 18/06/22
743 03-027-663 15/06/22 SITI RAHMAWATI 3601116909730001 49 P KOLELET PICUNG AB 18/06/22 NEG 18/06/22
744 03-027-664 15/06/22 UNAH 3601114508820002 44 P KOLELET PICUNG AB 18/06/22 NEG 18/06/22
745 03-027-665 15/06/22 KONI 3601111105680001 54 L KOLELET PICUNG AB 18/06/22 NEG 18/06/22
746 03-027-666 15/06/22 JAMAH 3601115202690001 53 P KOLELET PICUNG AB 18/06/22 NEG 18/06/22
747 03-027-667 15/06/22 MURSIH 3601112506830001 51 P KOLELET PICUNG AB 18/06/22 NEG 18/06/22
748 03-027-668 15/06/22 ACIH 3601116807730001 54 P KOLELET PICUNG AB 18/06/22 NEG 18/06/22
749 03-027-669 15/06/22 RIANA 3601111909990002 17 P KOLELET PICUNG AB 18/06/22 NEG 18/06/22
750 03-027-670 15/06/22 TIARA 3601114606060002 14 P KOLELET PICUNG AB 18/06/22 NEG 18/06/22
751 03-027-671 15/06/22 SATI 3601115507640001 65 P KOLELET PICUNG AB 18/06/22 NEG 18/06/22
752 03-027-672 15/06/22 EKA 3601114107850054 23 P CILILITAN PICUNG AB 18/06/22 NEG 18/06/22
753 03-027-673 15/06/22 NATHAN 3601112204080002 14 L CILILITAN PICUNG AB 18/06/22 NEG 18/06/22
754 03-027-674 15/06/22 WINDRI 3601114405140002 8 P CILILITAN PICUNG AB 18/06/22 NEG 18/06/22
755 03-027-675 15/06/22 BABAY 3601114107850055 37 L CILILITAN PICUNG AB 18/06/22 NEG 18/06/22
756 03-027-676 15/06/22 ASJA 3601114107600676 60 L PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
757 03-027-677 15/06/22 TUTI 3601114107510677 51 P PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
758 03-027-678 15/06/22 TATI 3601114107500678 50 P PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
759 03-027-679 15/06/22 IPUH 3601114107350679 35 L PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
760 03-027-680 15/06/22 AYU 3601114107290680 29 P PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
761 03-027-681 15/06/22 PIAH 3601114107700681 70 L PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
762 03-027-682 15/06/22 KASMI 3601114107220682 22 P PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
763 03-027-683 15/06/22 RODIAH 3601114107280683 28 P PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
764 03-027-684 15/06/22 HETI 3601114107450684 45 P PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
765 03-027-685 15/06/22 PIAH 3601114107450685 45 P PASIRSEDANG PICUNG AB 18/06/22 NEG 18/06/22
766 03-027-686 15/06/22 TUTI 3601114107350686 35 P PASIRSEDANG PICUNG AB 18/06/22 NO RESULT 18/06/22
767 03-027-687 16/06/22 SAKIM 3601110911570002 65 L PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
768 03-027-688 16/06/22 OMBI 3601114107630014 59 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
769 03-027-689 16/06/22 JUHDI 3601110107620001 67 L PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
770 03-027-690 16/06/22 RASIMAH 3601114107730011 48 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
771 03-027-691 16/06/22 ITOH 3601114107630007 66 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
772 03-027-692 16/06/22 JOHARI 3601110107630005 54 L PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
773 03-027-693 16/06/22 SUMA'AH 3601114107680004 57 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
774 03-027-694 16/06/22 CHAERIYAH 3601114107630006 67 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
775 03-027-695 16/06/22 WINAH 3601114107730005 47 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
776 03-027-696 16/06/22 HANAFI 3601110901670002 55 L PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
777 03-027-697 16/06/22 SITI SAROH 3601114107677701 57 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
778 03-027-698 16/06/22 SA'I 3601114107690002 69 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
779 03-027-699 16/06/22 AHMAD PATONI 3601110107680012 56 L PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
780 03-027-700 16/06/22 HENI 3601114107630002 56 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
781 03-027-701 16/06/22 ENI 3601114107620003 60 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
NO RESULT
782 03-027-702 16/06/22 ISAH 3601114106590001 63 P PASIRSEDANG PICUNG AB 20/06/22 NEG 20/06/22
783 03-027-703 17/06/22 SUDIN 3601110107680026 54 L PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
784 03-027-704 17/06/22 NURDI 3601110106540002 60 L PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
785 03-027-705 17/06/22 JAKO JAKARIA 3601110107430009 77 L PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
786 03-027-706 17/06/22 SUMINTA JAYA 3601090107710025 45 L PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
NO RESULT
787 03-027-707 17/06/22 ERUM 3601114107650008 57 P PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
788 03-027-708 17/06/22 HJ. ARUM 3601114107520007 75 P PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
789 03-027-709 17/06/22 MADI 3674021005700014 52 L PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
790 03-027-710 17/06/22 SADI 3601110912710001 61 L PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
NO RESULT
791 03-027-711 17/06/22 SAKUN 3601110107530017 72 L PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
792 03-027-712 17/06/22 UDIN 3601110107650005 54 L PASIRSEDANG PICUNG AB 21/06/22 NEG 21/06/22
793 03-027-713 17/06/22 SAENAH 3601114107510713 51 P CILILITAN PICUNG AB 21/06/22 NEG 21/06/22
794 03-027-714 17/06/22 ENIH 3601114107450714 45 P CILILITAN PICUNG AB 21/06/22 NEG 21/06/22
795 03-027-715 18/06/22 LILIS 3601114606800003 33 P CILILITAN PICUNG AB 22/06/22 NEG 22/06/22
796 03-027-716 18/06/22 ROSDELIANA 3601114107890080 33 P CILILITAN PICUNG AB 22/06/22 NEG 22/06/22
797 03-027-717 18/06/22 NURSINAH 3601114107760077 45 P CILILITAN PICUNG AB 22/06/22 NEG 22/06/22
798 03-027-718 18/06/22 CEMONG 3601111004630001 59 L KADUPANDAK PICUNG AB 22/06/22 NEG 22/06/22
799 03-027-719 18/06/22 SUNAIYAH 3601114107730034 52 P PASIRSEDANG PICUNG AB 22/06/22 NEG 22/06/22
800 03-027-720 18/06/22 ROKAYAH 3601115810830001 39 P PASIRSEDANG PICUNG AB 22/06/22 NEG 22/06/22
801 03-027-721 18/06/22 SUKUR 3601110505460001 76 L PASIRSEDANG PICUNG AB 22/06/22 NEG 22/06/22
802 03-027-722 18/06/22 KURIAH 3601114107730026 56 P PASIRSEDANG PICUNG AB 22/06/22 NEG 22/06/22
803 03-027-723 18/06/22 KURIAH 3601110107500723 50 P KOLELET PICUNG AB 23/06/22 NEG 23/06/22
804 03-027-724 18/06/22 SANAH 3601114405800005 41 P CILILITAN PICUNG AB 23/06/22 NEG 23/06/22
805 03-027-725 18/06/22 YANTO 3601110307750001 52 L CILILITAN PICUNG AB 23/06/22 NEG 23/06/22
806 03-027-726 18/06/22 ALPIAH 3601114107780063 48 P CILILITAN PICUNG AB 23/06/22 NEG 23/06/22
807 03-027-727 18/06/22 YANI 3602096206000003 22 P CILILITAN PICUNG AB 23/06/22 NEG 23/06/22
808 03-027-728 18/06/22 HENDI 3602090703730001 48 L CILILITAN PICUNG AB 23/06/22 NEG 23/06/22
809 03-027-729 18/06/22 ENI 3601116403960003 28 P CILILITAN PICUNG AB 23/06/22 NEG 23/06/22
810 03-027-730 18/06/22 SA'I 3601111001660001 60 L CILILITAN PICUNG AB 23/06/22 NEG 23/06/22
811 03-027-731 18/06/22 DEDE SUPRIYATNA 3601111106000007 22 L CILILITAN PICUNG AB 23/06/22 NEG 23/06/22
812 03-027-732 18/06/22 MARSAH 3601117112680001 37 P CILILITAN PICUNG AB 24/06/22 NEG 24/06/22
813 03-027-733 18/06/22 MADSARI 3601110511980002 24 L CILILITAN PICUNG AB 24/06/22 NEG 24/06/22
814 03-027-734 18/06/22 ACENG KASMAN 3601110107720025 49 L CILILITAN PICUNG AB 24/06/22 NEG 24/06/22
815 03-027-735 18/06/22 DEDE F 3601114107910105 30 L CILILITAN PICUNG AB 24/06/22 NEG 24/06/22
816 03-027-736 20/06/22 EMI 3601115207720003 50 P CILILITAN PICUNG AB 24/06/22 NEG 24/06/22
817 03-027-737 20/06/22 AGUSTINO 3601110107990112 22 L CILILITAN PICUNG AB 24/06/22 NEG 24/06/22
818 03-027-738 20/06/22 ABDULLAH 3601110611650001 57 L CILILITAN PICUNG AB 24/06/22 NEG 24/06/22
819 03-027-739 20/06/22 SONY 3601111201000003 11 L KOLELET PICUNG AB 24/06/22 NEG 24/06/22
820 03-027-740 20/06/22 SUNARJA 3601112001800002 43 L KOLELET PICUNG AB 24/06/22 NEG 24/06/22
821 03-027-741 20/06/22 ASMUNI 3601111309880003 34 L PASIRPANJANG PICUNG AB 24/06/22 NEG 24/06/22
822 03-027-742 20/06/22 MARSA 3601110208930004 29 L PASIRPANJANG PICUNG AB 24/06/22 NEG 24/06/22
823 03-027-743 20/06/22 FITRIA NINGSIH 3601116503990002 23 P BUNGURCOPONG PICUNG AB 24/06/22 NEG 24/06/22
824 03-027-744 20/06/22 ARSINAH 3601114107230744 23 P KADUPANDAK PICUNG AB 24/06/22 NEG 24/06/22
825 03-027-745 20/06/22 ARSIDI 3601100107420013 68 L BOJONG PICUNG AB 24/06/22 RIF SEN 24/06/22
826 03-027-746 20/06/22 KUSNIAH 3601244602780002 29 P PATIA PICUNG AB 24/06/22 NEG 24/06/22
827 03-027-747 20/06/22 SARDI 3601240107670041 29 L PATIA PICUNG AB 24/06/22 NEG 24/06/22
828 03-027-748 20/06/22 MUHIDIN 3602090211640001 29 L LEBAK PICUNG AB 24/06/22 NEG 24/06/22
829 03-027-749 20/06/22 RUMAENAH 3602094708740001 47 P LEBAK PICUNG AB 24/06/22 NEG 24/06/22
830 03-027-750 20/06/22 AJI RIPAI 3601110506030009 19 L PASIRPANJANG PICUNG AB 25/05/22 NEG 25/05/22
831 03-027-751 20/06/22 DANTY 3601116202890004 33 P PASIRPANJANG PICUNG AB 25/05/22 NEG 25/05/22
832 03-027-212 20/06/22 BENI 3601110107680234 L PASIRPANJANG PICUNG FG 20/06/22 NEG NEG
833 03-027-752 21/06/22 AAM MASAMAH 3601114208850001 37 P KOLELET PICUNG AB 25/05/22 NEG 25/05/22
834 03-027-753 21/06/22 M KHOIRUL RIZKI 3601111701130006 9 L KOLELET PICUNG AB 25/05/22 NEG 25/05/22
835 03-027-754 21/06/22 AMIR 3601110107450017 73 L KADUBERA PICUNG AB 25/05/22 RIF SEN 25/05/22
836 03-027-755 21/06/22 KARTINI 3601114107600065 62 P KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
837 03-027-756 21/06/22 PATIMAH 3601110107380081 35 P KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
838 03-027-757 21/06/22 ATI KOMALASARI 3601114107910277 32 P KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
839 03-027-758 21/06/22 SUKMA 3601110107830339 39 L KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
840 03-027-759 21/06/22 IROH 3601116502860002 36 P KADUBERA PICUNG AB 25/05/22 INVALID 25/05/22
841 03-027-760 21/06/22 SAMIAN 3601112009050002 17 L KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
842 03-027-761 21/06/22 SINDI AMELIYA 3601116809090001 13 P KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
843 03-027-762 21/06/22 LANI 3601110107780247 39 L KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
844 03-027-763 21/06/22 SANAAH 3601114107840106 38 P KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
845 03-027-764 21/06/22 KARLINA 3601115110030006 19 P KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
846 03-027-765 21/06/22 MOCH FACHRUL 3601112612990001 26 L KADUBERA PICUNG AB 25/05/22 NEG 25/05/22
847 03-027-766 21/06/22 AMAH 3601114107810144 41 P KADUBERA PICUNG AB 26/06/22 NEG 26/06/22
848 03-027-767 21/06/22 MIAH 3601115201500001 72 P KADUBERA PICUNG AB 26/06/22 NEG 26/06/22
849 03-027-768 28/06/22 HOLILAH 3601114107930079 30 P CILILITAN PICUNG AB 22/06/22 LIMFADENITIS
850 03-027-769 28/06/22 ELFAN 3601112010130001 9 L KADUPANDAK PICUNG AB 29/06/22 NEG 29/06/22
851 03-027-770 28/06/22 MASAMAH 3601114107230770 23 P KADUPANDAK PICUNG AB 29/06/22 INVALID NEG 30/06/22
852 03-027-771 28/06/22 OJI 3601111509880001 40 L KOLELET PICUNG AB 29/06/22 NEG 29/06/22
853 03-027-772 28/06/22 SARMUNAH 3601114302700003 60 P GANGGAENG PICUNG AB 29/06/22 RIF SEN 29/06/22

3
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : JULI
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
854 03-027-773 01/07/22 SATIMAH 3601114107980249 23 P KADUBERA PICUNG AB 02/07/22 NEG 02/07/22
855 03-027-774 04/07/22 SUNTA 3602090208650001 27 L BANJARSARI PICUNG AB 05/07/22 RIF SEN 05/07/22
856 03-027-775 04/07/22 HERMAN 3601110207530005 55 L PASIRPANJANG PICUNG AB 08/07/22 NEG 08/07/22
857 03-027-776 04/07/22 HERA 3601110107470776 47 P KOLELET PICUNG AB 08/07/22 NEG 08/07/22
858 03-027-777 04/07/22 TITIN 3601114707850001 44 P CILILITAN PICUNG AB 10/07/22 RIF RES 10/07/22
859 03-027-023 04/07/22 SARHANI 3601110107750134 42 L PASIRSEDANG PICUNG HI 04/07/22 NEG NEG
860 03-027-089 04/07/22 WIRDA 3601110107990120 21 L CILILITAN PICUNG FG 04/07/22 NEG NEG
861 03-027-071 04/07/22 ENCUP 3601114107630165 57 P KADUPANDAK PICUNG FG 04/07/22 NEG NEG
862 03-027-277 04/07/22 HERDI 3601110107880182 46 L PASIRPANJANG PICUNG DE 04/07/22 NEG NEG
863 03-027-004 04/07/22 SUHERMAN 3601110107550001 67 L CILILITAN PICUNG HI 04/07/22 NEG NEG
864 03-027-418 04/07/22 ARIS 3601111005990005 22 L KADUPANDAK PICUNG DE 04/07/22 NEG NEG
865 03-027-021 04/07/22 NENG SARI 3601115102010006 21 P KOLELET PICUNG HI 04/07/22 NEG NEG
866 03-027-082 04/07/22 OPAN 3601110605910011 35 L PASIRSEDANG PICUNG FG 04/07/22 NEG NEG
867 03-027-778 11/07/22 MUHAMAD ERIS 3601110107950016 27 L PASIRSEDANG PICUNG AB 15/07/22 NEG 15/07/22
868 03-027-779 11/07/22 DAMAN WIJAYA 3601110107930009 27 L PASIRSEDANG PICUNG AB 15/07/22 NEG 15/07/22
869 03-027-780 11/07/22 MAHPUDIN 3601110112830001 37 L PASIRSEDANG PICUNG AB 15/07/22 NEG 15/07/22
870 03-027-781 11/07/22 DESI PURWANTI 3601114107930012 30 P PASIRSEDANG PICUNG AB 15/07/22 NEG 15/07/22
871 03-027-782 11/07/22 MUHAEMIN 3601115901010001 20 L PASIRSEDANG PICUNG AB 15/07/22 NEG 15/07/22
872 03-027-783 11/07/22 HARIS MUNANDAR 3601110508900001 32 L PASIRSEDANG PICUNG AB 15/07/22 NEG 15/07/22
873 03-027-784 11/07/22 M. FIKRI 3601112903150001 7 L PASIRSEDANG PICUNG AB 15/07/22 NEG 15/07/22
874 03-027-785 11/07/22 ARIF 3601111512720001 50 L CILILITAN PICUNG AB 15/07/22 RIF SEN 15/07/22
875 03-027-786 11/07/22 ABDUL MUKIT 3601110107500786 50 L KADUPANDAK PICUNG AB 15/07/22 RIF SEN 15/07/22
876 03-027-419 11/07/22 RUBAI 3604310712970004 26 L BUNGURCOPONG PICUNG DE 11/07/22 NEG NEG
877 03-027-084 11/07/22 IPAT 3601116008920001 32 P CIHERANG PICUNG HI 11/07/22 NEG NEG
878 03-027-787 12/07/22 AMAH 3601114107080021 30 L PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
879 03-027-788 12/07/22 SUBANI 3601110107000001 22 L PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
880 03-027-789 12/07/22 UNI USINAH 3601114107940002 26 P PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
881 03-027-790 12/07/22 ANISA 3601115105000001 21 P PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
882 03-027-791 12/07/22 ASPURI 3601110904970001 24 L PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
883 03-027-792 12/07/22 GUNAWAN 3601110112010002 19 L PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
884 03-027-793 12/07/22 MAHPUDIN 3601112011020001 18 L PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
885 03-027-794 12/07/22 AISAH 3601114609030002 18 P PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
886 03-027-795 12/07/22 MUJID 3601110107780001 43 L PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
887 03-027-796 12/07/22 YULIYANTI 3601114307960005 25 P PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
888 03-027-797 12/07/22 JUNARIYAH 3601114107630104 55 P PASIRSEDANG PICUNG AB 16/07/22 NEG 16/07/22
ERROR
889 03-027-798 13/07/22 SUTIHAT 3601115707030001 19 P CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
890 03-027-799 13/07/22 TOBRI 3601111706890003 33 L CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
891 03-027-800 13/07/22 YUSUP 3601112810930001 29 L CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
892 03-027-801 13/07/22 JAJULI 3601111209870003 35 L CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
893 03-027-802 13/07/22 USMAN 3601111109960001 26 L CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
894 03-027-803 13/07/22 TONI 3601110406980004 40 L CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
895 03-027-804 13/07/22 MAHPUD 3601112207900001 32 L CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
896 03-027-805 13/07/22 RIZKI PRATAMA 3601112206060003 16 L CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
897 03-027-806 13/07/22 AAS ASMAWIYAH 3601116509830001 39 P CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
898 03-027-807 13/07/22 ARNI 3601116804890002 33 P CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
899 03-027-808 13/07/22 HERMAN 3601110207820020 24 L CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
900 03-027-809 13/07/22 SAKINAH 3601115507920003 30 P CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
901 03-027-810 13/07/22 ETI SUSILAWATI 3601116409850001 37 P CIHERANG PICUNG AB 17/07/22 NEG 17/07/22
902 03-027-811 13/07/22 UPI 3602094704750001 50 P BANJARSARI PICUNG AB 17/07/22 NEG 17/07/22
903 03-027-812 13/07/22 SURYA 3601112005910001 31 L KADUPANDAK PICUNG AB 17/07/22 NEG 17/07/22
904 03-027-813 14/07/22 HERDIANSYAH 3601111703010001 22 L KOLELET PICUNG AB 18/07/22 NEG 18/07/22
905 03-027-814 14/07/22 AGUS SUJANA 3601111008980001 24 L KOLELET PICUNG AB 18/07/22 NEG 18/07/22
906 03-027-815 14/07/22 SUHETI 3601114309820001 42 P KOLELET PICUNG AB 18/07/22 NEG 18/07/22
907 03-027-816 14/07/22 SARMAN 3601110606750001 46 L KOLELET PICUNG AB 18/07/22 NEG 18/07/22
908 03-027-817 14/07/22 AHMAD SYAFEI 3601111903890001 33 L KOLELET PICUNG AB 18/07/22 NEG 18/07/22
909 03-027-818 14/07/22 SITI NURJANAH 3601111903890818 30 P KOLELET PICUNG AB 18/07/22 NEG 18/07/22
910 03-027-819 14/07/22 ROSID 3601110306930002 29 L KOLELET PICUNG AB 18/07/22 NEG 18/07/22
911 03-027-820 14/07/22 ASYIK 3601111008860005 36 L KOLELET PICUNG AB 18/07/22 NEG 18/07/22
912 03-027-821 14/07/22 RESKI 3601115812030001 18 P KOLELET PICUNG AB 18/07/22 NEG 18/07/22
913 03-027-822 14/07/22 NENG LINDA 3601116401910001 31 P KOLELET PICUNG AB 18/07/22 NEG 18/07/22
914 03-027-823 14/07/22 TITA CITRA 3601114504950003 34 P KOLELET PICUNG AB 18/07/22 NEG 18/07/22
NO RESULT
915 03-027-824 14/07/22 NURHAYATI 3601114604660001 55 P KOLELET PICUNG AB 18/07/22 NEG 18/07/22
916 03-027-825 14/07/22 PEPEN 3601112607840001 35 L KOLELET PICUNG AB 19/07/22 NEG 19/07/22
917 03-027-826 15/07/22 SAEPUL 3601112607840826 29 L KOLELET PICUNG AB 19/07/22 NEG 19/07/22
918 03-027-827 15/07/22 AGUSTIANA 3601111308910001 30 L KOLELET PICUNG AB 19/07/22 NEG 19/07/22
919 03-027-828 15/07/22 RENDI 3601110809930001 27 L KOLELET PICUNG AB 19/07/22 NEG 19/07/22
920 03-027-829 15/07/22 MOH AKBAR 3601111312970001 23 L KOLELET PICUNG AB 19/07/22 NEG 19/07/22
921 03-027-830 15/07/22 M. IKMAL 3601111702070001 13 L KOLELET PICUNG AB 19/07/22 NEG 19/07/22
922 03-027-831 15/07/22 HENDI 3601112308750001 43 L KOLELET PICUNG AB 19/07/22 NEG 19/07/22
923 03-027-832 15/07/22 SAPRONI 3601112403770001 43 L KOLELET PICUNG AB 19/07/22 NEG 19/07/22
924 03-027-833 15/07/22 SITI AISAH 3601115503000001 21 P KOLELET PICUNG AB 19/07/22 NEG 19/07/22
925 03-027-834 15/07/22 INDRY OKTAVIA 3601115110980003 23 P KOLELET PICUNG AB 19/07/22 NEG 19/07/22
926 03-027-835 15/07/22 KARYATI 3601115404850001 36 P KOLELET PICUNG AB 19/07/22 NEG 19/07/22
927 03-027-836 15/07/22 MASITOH 3601116510800001 31 P KOLELET PICUNG AB 19/07/22 NEG 19/07/22
928 03-027-837 16/07/22 SAPRUDIN 3601110207850040 33 L PASIRPANJANG PICUNG AB 20/07/22 NEG 20/07/22
929 03-027-838 16/07/22 M. HAIKAL 3601111110150001 7 L PASIRPANJANG PICUNG AB 20/07/22 NEG 20/07/22
930 03-027-839 16/07/22 HENDRA 3601111283120001 10 L PASIRPANJANG PICUNG AB 20/07/22 NEG 20/07/22
931 03-027-840 16/07/22 UUM 3601114208930001 28 P PASIRPANJANG PICUNG AB 20/07/22 NEG 20/07/22
932 03-027-841 16/07/22 SARIAH 3601114107730291 43 P PASIRPANJANG PICUNG AB 20/07/22 NEG 20/07/22
933 03-027-842 16/07/22 ACANG 3601110107680231 50 L PASIRPANJANG PICUNG AB 20/07/22 NEG 20/07/22
934 03-027-843 16/07/22 ENTIS 3601111212940001 15 L PASIRPANJANG PICUNG AB 20/07/22 NEG 20/07/22
935 03-027-844 16/07/22 OMANUDIN 3601110107900229 29 L PASIRPANJANG PICUNG AB 20/07/22 NEG 20/07/22
936 03-027-845 16/07/22 ARIS SUPRIYADI 3601111507990003 22 L PASIRPANJANG PICUNG AB 21/07/22 NEG 21/07/22
937 03-027-846 16/07/22 JARNI 3601115301840003 37 P PASIRPANJANG PICUNG AB 21/07/22 NEG 21/07/22
938 03-027-847 16/07/22 HERDI 3601110107880182 33 L PASIRPANJANG PICUNG AB 21/07/22 NEG 21/07/22
939 03-027-848 16/07/22 HERI 3601110107910279 30 L KADUBERA PICUNG AB 20/07/22 NEG 20/07/22
940 03-027-849 16/07/22 KOKOM 3601114107810136 40 P KADUBERA PICUNG AB 20/07/22 NEG 20/07/22
941 03-027-850 16/07/22 ARSI 3601116005720002 43 P KADUBERA PICUNG AB 20/07/22 NEG 20/07/22
942 03-027-851 16/07/22 NANA 3601112204630001 53 L KADUBERA PICUNG AB 20/07/22 NEG 20/07/22
943 03-027-852 16/07/22 DITA 3601114107980253 17 P KADUBERA PICUNG AB 21/07/22 NEG 21/07/22
944 03-027-853 16/07/22 SYARIPUDIN 3601110708670001 55 L KADUBERA PICUNG AB 21/07/22 NEG 21/07/22
945 03-027-854 18/07/22 ZULFI 3601110107480038 54 L CILILITAN PICUNG AB 21/07/22 RIF SEN 21/07/22
946 03-027-855 18/07/22 AANG 3601310701830001 39 L SINDANGRESMI PICUNG AB 21/07/22 RIF SEN 21/07/22
947 03-027-856 18/07/22 KHUDORI 3601110107420849 42 L CILILITAN PICUNG AB 20/07/22 NEG 20/07/22
948 03-027-857 18/07/22 MISTA 3601112110780001 44 L CIHERANG PICUNG AB 23/07/22 ERR0R 23/07/22
949 03-027-858 18/07/22 OJI MULYADI 3601110107870231 33 L PASIRPANJANG PICUNG AB 23/07/22 NEG 23/07/22
950 03-027-859 18/07/22 ELA 3601114107000346 21 P PASIRPANJANG PICUNG AB 23/07/22 NEG 23/07/22
951 03-027-860 18/07/22 MUHAMAD PUDIN 3601113012070001 13 L PASIRPANJANG PICUNG AB 23/07/22 NEG 23/07/22
952 03-027-861 18/07/22 AGUS SUPRIATNA 3601110108060006 15 L PASIRPANJANG PICUNG AB 23/07/22 NEG 23/07/22
953 03-027-862 18/07/22 NUR FITRI JULIANTI 3601115960700001 21 P PASIRPANJANG PICUNG AB 23/07/22 NEG 23/07/22
954 03-027-863 18/07/22 UHED 3601110107850308 35 L PASIRPANJANG PICUNG AB 23/07/22 NEG 23/07/22
955 03-027-864 18/07/22 BINTANG M FADILAAH 3601113103080001 13 L PASIRPANJANG PICUNG AB 23/07/22 NEG 23/07/22
956 03-027-865 19/07/22 IRAH 3601114403950002 23 P BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
957 03-027-866 19/07/22 ARWATI 3601214404810001 40 P BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
958 03-027-867 19/07/22 ACENG RUHIYAT 3601110307800008 39 L BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
959 03-027-868 19/07/22 SADAPI 3601111004870002 34 L BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
960 03-027-869 19/07/22 TITI KATIAH 3601111670390001 31 P BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
961 03-027-870 19/07/22 SARAH 3601115502000003 21 P BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
962 03-027-871 19/07/22 ISUN 3601110804900001 31 P BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
963 03-027-872 19/07/22 HARMI 3601314305950002 26 P BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
964 03-027-873 19/07/22 AHMAD YANTO 3601110107870004 35 L BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
965 03-027-874 19/07/22 IIM 3601114107960050 30 P BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
966 03-027-875 19/07/22 SUSTI 3601111450870005 25 P BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
967 03-027-876 19/07/22 UHAR 3601310107930077 28 L BUNGURCOPONG PICUNG AB 24/07/22 NEG 24/07/22
968 03-027-877 19/07/22 RAHMAT 3601110201880001 41 L BUNGURCOPONG PICUNG AB 25/07/22 RIF SEN 25/07/22
969 03-027-878 19/07/22 AMEN 3601112706930002 55 L KOLELET PICUNG AB 25/07/22 RIF SEN 25/07/22
970 03-027-879 19/07/22 QANIA 3601110107250879 25 P KOLELET PICUNG AB 25/07/22 NEG 25/07/22
971 03-027-092 25/07/22 UMDAH 3601114605580001 65 P KOLELET PICUNG FG 25/07/22 NEG NEG
972 03-027-880 25/07/22 ASMINAH 3601114107750071 45 P SINDANGRESMI PICUNG AB 26/07/22 NEG 26/07/22
973 03-027-881 25/07/22 NADIF 3601114107100882 10 L BANJARSARI PICUNG AB 26/07/22 NEG 26/07/22
974 03-027-882 25/07/22 ARSIKAH 3601114107450882 45 P SINDANGRESMI PICUNG AB 26/07/22 RIF SEN 26/07/22
975 03-027-883 25/07/22 TONO 3601110107910055 37 L PASIRSEDANG PICUNG AB 26/07/22 RIF SEN 26/07/22
976 03-027-884 26/07/22 DEDEH 3601114409630002 59 P CILILITAN PICUNG AB 28/07/22 NEG 28/07/22
977 03-027-885 26/07/22 DILAH 3601116011030002 19 P CILILITAN PICUNG AB 28/07/22 NEG 28/07/22
978 03-027-886 26/07/22 M. IBNU 3673052804140003 8 L CILILITAN PICUNG AB 28/07/22 NEG 28/07/22
979 03-027-887 26/07/22 WATI 3601116010800001 42 P CILILITAN PICUNG AB 28/07/22 NEG 28/07/22
980 03-027-888 26/07/22 CECEP 3601114107380888 38 L CILILITAN PICUNG AB 28/07/22 NEG 28/07/22
981 03-027-889 26/07/22 SANIMIN 3601114107680889 68 L KOLELET PICUNG AB 28/07/22 NEG 28/07/22
982 03-027-890 26/07/22 JUHDI 3601111308630001 62 L KOLELET PICUNG AB 28/07/22 NEG 28/07/22
983 03-027-891 26/07/22 HUSNUL 3601114502020002 20 P KOLELET PICUNG AB 28/07/22 NEG 28/07/22
984 03-027-892 26/07/22 PATIMAH 3601115404750001 47 P KOLELET PICUNG AB 28/07/22 NEG 28/07/22
985 03-027-893 26/07/22 AMELIA 3601115502070001 15 P KOLELET PICUNG AB 28/07/22 NEG 28/07/22
986 03-027-894 26/07/22 SARKIMAH 3601114408780001 49 P KOLELET PICUNG AB 28/07/22 NEG 28/07/22
987 03-027-895 26/07/22 JULAEHA 3601116504040001 18 P KOLELET PICUNG AB 28/07/22 NEG 28/07/22
988 03-027-896 27/07/22 MURTI 3601114401850001 59 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
989 03-027-897 27/07/22 JAYANAH 3601115804650001 57 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
990 03-027-898 27/07/22 JULAEHA 3601116109730001 49 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
991 03-027-899 27/07/22 MIRAWATI 3601110606990005 23 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
992 03-027-900 27/07/22 NASMAH 3601114501580001 64 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
993 03-027-901 27/07/22 MILA SAPIRA 3601116909110003 11 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
994 03-027-902 27/07/22 ARTI 3601114704530001 71 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
995 03-027-903 27/07/22 SITI ROHMAH 3601114107470892 47 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
996 03-027-904 27/07/22 ENENG 3601110107460893 46 P KOLELET PICUNG AB 29/07/22 NEG 29/07/22
997 03-027-905 27/07/22 PAKIH 3601110107180894 18 L KOLELET PICUNG AB 29/07/22 NEG 29/07/22
998 03-027-906 27/07/22 HJ. EMAH 3601115007790004 67 P CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
999 03-027-907 27/07/22 ILHAM 3601140709850002 37 L CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
1000 03-027-908 27/07/22 HERU JAJULI 3601111007900011 32 L CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
1001 03-027-909 27/07/22 RIFKI HERWANTI 3601114107890060 34 L CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
1002 03-027-910 27/07/22 NISRINA 3601115208130005 9 P CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
1003 03-027-911 27/07/22 SUHAYATI 3601115005580001 64 P CILILITAN PICUNG AB 29/07/22 RIF SEN 29/07/22
1004 03-027-912 27/07/22 IPUL SAEPULAH 3601110207890003 32 L BUNGURCOPONG PICUNG AB 29/07/22 NEG 29/07/22
1005 03-027-913 27/07/22 ITA ROSITA 3601114207010002 21 P BUNGURCOPONG PICUNG AB 29/07/22 NEG 29/07/22
1006 03-027-914 27/07/22 IWIH 3601214103950003 25 P BUNGURCOPONG PICUNG AB 29/07/22 NEG 29/07/22
1007 03-027-915 27/07/22 ADI DARMAWAN 3601310201780001 28 L BUNGURCOPONG PICUNG AB 29/07/22 NEG 29/07/22
1008 03-027-916 27/07/22 ARISMA KUSUMA 3601111105070001 15 P BUNGURCOPONG PICUNG AB 29/07/22 NEG 29/07/22
1009 03-027-917 27/07/22 RISNAWATI 3601115503050001 15 P BUNGURCOPONG PICUNG AB 29/07/22 NEG 29/07/22
1010 03-027-918 27/07/22 AYAT KURSI 3601110202780006 21 P BUNGURCOPONG PICUNG AB 29/07/22 NEG 29/07/22
1011 03-027-919 27/07/22 MAYA APRILIA 3601110107130908 13 P CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
1012 03-027-920 27/07/22 JAHWA 3601110107090909 9 P CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
1013 03-027-921 27/07/22 ADE ASTUTI 3601110107280910 28 P CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
1014 03-027-922 27/07/22 IIS 3601110107350911 35 P CILILITAN PICUNG AB 29/07/22 NEG 29/07/22
1015 03-027-923 28/07/22 ASIH 3601114107710063 47 P CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1016 03-027-924 28/07/22 NUR AISYAH 3601110107230913 23 P CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1017 03-027-925 28/07/22 NURJANAH 3601114107260914 26 P CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1018 03-027-926 28/07/22 RIYAN FAUZI 3601110107290915 29 L CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1019 03-027-927 28/07/22 IMAS 3601110107160916 16 P CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1020 03-027-928 28/07/22 HANANI 3601110207810014 41 L CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1021 03-027-929 28/07/22 HJ NURHAYATIN 3601114107600028 44 P CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1022 03-027-930 28/07/22 ENOK 3601114404850001 37 P CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1023 03-027-931 28/07/22 DEDEH 3601114107590931 59 P CILILITAN PICUNG AB 30/07/22 NEG 30/07/22
1024 03-027-932 28/07/22 AJID 3604311210660001 67 L BUNGURCOPONG PICUNG AB 29/07/22 NEG 29/07/22
1025 03-027-933 28/07/22 SUMAH 3604316006600011 62 P BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1026 03-027-934 28/07/22 AIN 3604315804900001 32 P BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1027 03-027-935 28/07/22 ROBI 3604310712970001 25 L BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1028 03-027-936 28/07/22 AJI PANGESTU 3604311603000001 22 L BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1029 03-027-937 28/07/22 UMIYATI 3601115410940001 28 P BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1030 03-027-938 28/07/22 RAENI 3601114111910001 32 P BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1031 03-027-939 28/07/22 NAHRUDIN 3601312201840001 34 L BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1032 03-027-940 28/07/22 MIMIN 3601110470781001 40 P BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1033 03-027-941 28/07/22 NURLAELA 3601115509080006 13 P BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1034 03-027-942 28/07/22 NANANG KOSIM 3601241804830001 38 L BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1035 03-027-943 28/07/22 M. LUTFI 3601110107000208 21 L BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1036 03-027-944 28/07/22 MEDI 3601110606960004 25 L BUNGURCOPONG PICUNG AB 30/07/22 NEG 30/07/22
1037 03-027-945 28/07/22 SARIYATI 3601115604890001 32 P KOLELET PICUNG AB 30/07/22 NEG 30/07/22
1038 03-027-946 28/07/22 FAZAR ALAMSYAH 3601110107180935 18 L KOLELET PICUNG AB 30/07/22 NEG 30/07/22
1039 03-027-947 29/07/22 DANAH 3601114302993003 22 P BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1040 03-027-948 29/07/22 DEDE 3601114302990003 39 L BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1041 03-027-949 29/07/22 SUARJA 3601110210860001 35 L BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1042 03-027-950 29/07/22 YANDI 3601114107920116 19 L BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1043 03-027-951 29/07/22 USWATI DEWI 3601116407940001 27 P BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1044 03-027-952 29/07/22 JUMRI 3601110207020001 19 L BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1045 03-027-953 29/07/22 YANTO 3601110107190010 31 L BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1046 03-027-954 29/07/22 YANAH 3601115407870002 34 P BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1047 03-027-955 29/07/22 DEDE FIKRI 3601112501020007 19 L BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1048 03-027-956 29/07/22 SENDI 3601110907030002 18 L BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1049 03-027-957 29/07/22 SARNA 3601110203800001 42 L BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1050 03-027-958 29/07/22 ANARIAH 3601114506820001 40 P BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1051 03-027-959 29/07/22 SARMILA 3601114304050001 23 P BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1052 03-027-960 29/07/22 NOVI 3601114501100001 12 P BUNGURCOPONG PICUNG AB 31/07/22 NEG 31/07/22
1053 03-027-961 11/07/22 GIBRAN 3601113101180001 4 L KADUPANDAK PICUNG AB 10mm
1054 03-027-962 25/07/22 SAPRUDIN 3601110107100002 70 L KADUPANDAK PICUNG AB RUJUKAN RS BANTEN
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : AGUSTUS
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
1055 03-027-963 01/08/22 ENTIN 3601114107690011 54 L CILILITAN PICUNG AB 01/08/22 NEG 01/08/22

1056 03-027-964 01/08/22 ISRUN 3601110706780001 40 L CILILITAN PICUNG AB 02/08/22 ERROR 02/08/22
16/08/22 RIF SEN 16/08/22
1057 03-027-965 01/08/22 AMIRA 3601115009130004 9 P CILILITAN PICUNG AB 02/08/22 ERROR 02/08/22
1058 03-027-966 01/08/22 NENENG 3601114107450966 45 P CILILITAN PICUNG AB 02/08/22 NEG 02/08/22
1059 03-027-967 01/08/22 RAMAN 3601110107650055 59 L PASIRPANJANG PICUNG AB 02/08/22 NEG 02/08/22
1060 03-027-968 01/08/22 MUHAMAD IKSAN 3601111202100004 13 L CIHERANG PICUNG AB 02/08/22 NEG 02/08/22
1061 03-027-969 01/08/22 LELA 3601115305790001 36 P CILILITAN PICUNG AB 02/08/22 NEG 02/08/22
1062 03-027-970 01/08/22 SUHAELI 3601111405640001 57 L CILILITAN PICUNG AB 02/08/22 NEG 02/08/22
1063 03-027-971 01/08/22 DONI 3601111508890001 33 L CILILITAN PICUNG AB 02/08/22 NEG 02/08/22
1064 03-027-972 01/08/22 MUDIYATULLAH 3601111205020001 20 L CILILITAN PICUNG AB 03/08/22 NEG 03/08/22
1065 03-027-973 01/08/22 LILI 3601110107630106 56 L CILILITAN PICUNG AB 06/08/22 NEG 06/08/22
1066 03-027-974 01/08/22 RIDWAN 3601110307030005 20 L GANGGAENG PICUNG AB 06/08/22 RIF SEN 06/08/22
1067 03-027-975 01/08/22 ENOK SAPRAH 3601115207730001 43 P KOLELET PICUNG AB 06/08/22 NEG 06/08/22
1068 03-027-976 05/08/22 ENAP 3601114107620029 60 L KADUPANDAK PICUNG AB 07/08/22 NEG 07/08/22
1069 03-027-977 05/08/22 UMI 3601114806720004 50 P KADUPANDAK PICUNG AB 07/08/22 NEG 07/08/22
1070 03-027-978 05/08/22 IKAH 3601114107000186 22 P BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1071 03-027-979 05/08/22 SUTIYANAH 3601114107970160 26 P BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1072 03-027-980 05/08/22 NHADIRA 3601115308140001 8 P KADUPANDAK PICUNG AB 07/08/22 NEG 07/08/22
1073 03-027-981 05/08/22 UTMINI 3601114175000285 72 P KADUPANDAK PICUNG AB 07/08/22 NEG 07/08/22
1074 03-027-982 05/08/22 NASMAH 3601114107380038 84 P KADUPANDAK PICUNG AB 07/08/22 NEG 07/08/22

1075 03-027-983 05/08/22 NOVI 3601115709060001 18 P KADUPANDAK PICUNG AB 07/08/22 NO RESULT 07/08/22
NEG

1076 03-027-984 05/08/22 DIDIN 3601260107930066 31 L KADUPANDAK PICUNG AB 07/08/22 ERROR 07/08/22
NEG
1077 03-027-985 05/08/22 ESIH 3601315310950002 26 P BUNGURCOPONG PICUNG AB 07/08/22 ERROR 07/08/22
1078 03-027-986 05/08/22 DEDI 3601201510760002 28 L BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1079 03-027-987 05/08/22 WENI 3601114707950001 26 P BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1080 03-027-988 05/08/22 ELSA 3601114510990007 22 P BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1081 03-027-989 05/08/22 SOPYAN 3601110107000212 21 L BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1082 03-027-990 05/08/22 SENA 3601114107930164 29 L BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1083 03-027-991 05/08/22 MARNI 3601114708890002 32 P BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1084 03-027-992 05/08/22 IRFAN 3601110107020127 19 L BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1085 03-027-993 05/08/22 PUPUT 3601115501003003 18 P BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1086 03-027-994 05/08/22 RUDI YATNA 3601110708990004 22 L BUNGURCOPONG PICUNG AB 07/08/22 NEG 07/08/22
1087 03-027-088 08/08/22 EGI 3601110107950113 27 L CILILITAN PICUNG HI 08/08/22 NEG NEG
1088 03-027-995 08/08/22 SANTI 3601115204900001 25 P BUNGURCOPONG PICUNG AB 10/08/22 NEG 10/08/22
1089 03-027-996 08/08/22 SINTA 3601114610980003 25 P BUNGURCOPONG PICUNG AB 10/08/22 NEG 10/08/22
1090 03-027-997 08/08/22 ANDA 3601114107310997 31 L CILILITAN PICUNG AB 10/08/22 NEG 10/08/22
1091 03-027-998 08/08/22 TONI 3601114107260998 26 L CILILITAN PICUNG AB 10/08/22 NEG 10/08/22
1092 03-027-999 08/08/22 RAKA 3601114107170999 17 L CILILITAN PICUNG AB 10/08/22 NEG 10/08/22
1093 03-027-1000 08/08/22 AMAH 3601114107421000 42 P CILILITAN PICUNG AB 10/08/22 NEG 10/08/22
1094 03-027-1001 08/08/22 DEDE WIAH 3601114107190101 19 P KADUPANDAK PICUNG AB 10/08/22 NEG 10/08/22
1095 03-027-1002 08/08/22 ANIS 3601110107221002 22 P KADUPANDAK PICUNG AB 10/08/22 NEG 10/08/22
1096 03-027-1003 08/08/22 LIAWATI 3601116000300002 22 P CILILITAN PICUNG AB 11/08/22 NEG 11/08/22
1097 03-027-1004 08/08/22 HERU 3601110107880022 33 L CILILITAN PICUNG AB 11/08/22 NEG 11/08/22
1098 03-027-1005 08/08/22 MULYADI 3601112509850001 26 L CILILITAN PICUNG AB 11/08/22 NEG 11/08/22
1099 03-027-1006 08/08/22 ADIH 3601111208910002 30 L CILILITAN PICUNG AB 11/08/22 NEG 11/08/22
1100 03-027-1007 08/08/22 PAHRUROJI 3601110107980116 23 L CILILITAN PICUNG AB 11/08/22 NEG 11/08/22
1101 03-027-1008 08/08/22 DONI 3601111508890011 31 L CILILITAN PICUNG AB 11/08/22 NEG 11/08/22
1102 03-027-1009 08/08/22 EKA WATI 3601114505920004 29 P CILILITAN PICUNG AB 12/08/22 NEG 12/08/22
1103 03-027-1010 08/08/22 AHMAD FAIDONA 3601110207840002 38 L CILILITAN PICUNG AB 12/08/22 NEG 12/08/22
1104 03-027-1011 08/08/22 AMAR MARUF 3601112302950001 23 L CILILITAN PICUNG AB 12/08/22 NEG 12/08/22
1105 03-027-1012 08/08/22 PUTRI 3328166412120003 18 P PASIRSEDANG PICUNG AB 12/08/22 NEG 12/08/22
1106 03-027-1013 08/08/22 ENCIM 3601114102850002 35 P PASIRSEDANG PICUNG AB 12/08/22 NEG 12/08/22
1107 03-027-1014 08/08/22 ROHANAH 3602095708810001 40 P PASIRSEDANG PICUNG AB 12/08/22 NEG 12/08/22
1108 03-027-1015 08/08/22 SAEPUL 3601112604103003 9 L PASIRSEDANG PICUNG AB 12/08/22 NEG 12/08/22
1109 03-027-1016 08/08/22 JAENAL 3601111202740001 48 L PASIRSEDANG PICUNG AB 12/08/22 NEG 12/08/22
1110 03-027-1017 08/08/22 M. NAZRIL 3601111005080003 15 L PASIRSEDANG PICUNG AB 12/08/22 NEG 12/08/22

1111 03-027-1018 10/08/22 ADELIA 3601115005130001 9 P PASIRSEDANG PICUNG AB 14/08/22 ERROR 14/08/22
NEG
1112 03-027-1019 10/08/22 SUKMINAH 3601114107700014 46 P PASIRSEDANG PICUNG AB 14/08/22 NEG 14/08/22
1113 03-027-1020 10/08/22 ETI 3601114107760003 57 P PASIRSEDANG PICUNG AB 14/08/22 NEG 14/08/22
1114 03-027-1021 10/08/22 ARSAH 3601114107760050 46 P PASIRSEDANG PICUNG AB 14/08/22 NEG 14/08/22
1115 03-027-1022 10/08/22 KARLINA 3601114107050025 19 P KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1116 03-027-1023 10/08/22 MINI 3601114107730117 49 P KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1117 03-027-1024 10/08/22 SAWADIL 3601110107640049 58 L KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1118 03-027-1025 10/08/22 NURAZIZAH 3601115208080008 22 P KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1119 03-027-1026 10/08/22 PENDI 3601110205950004 29 L KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1120 03-027-1027 10/08/22 M. SUFYAN 3601111401160002 18 L KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1121 03-027-1028 10/08/22 ATI 3601110107910299 32 P KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1122 03-027-1029 10/08/22 FIRDA 3601111480410002 12 P KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1123 03-027-1030 10/08/22 HERAWATI 3601117012140002 28 P KADUBERA PICUNG AB 14/08/22 NEG 14/08/22
1124 03-027-1031 10/08/22 ARTI 3601114704530001 71 P KOLELET PICUNG AB 14/08/22 NEG 14/08/22
1125 03-027-1032 10/08/22 MURTI 3601114401850001 34 P KOLELET PICUNG AB 14/08/22 NEG 14/08/22
1126 03-027-1033 10/08/22 EEM 3601110108800001 42 P KOLELET PICUNG AB 14/08/22 NEG 14/08/22
1127 03-027-1034 10/08/22 ROBIAH 3601114107000097 22 P CILILITAN PICUNG AB 14/08/22 NEG 14/08/22
1128 03-027-1035 10/08/22 DILAH 3601116011030002 19 P CILILITAN PICUNG AB 14/08/22 NEG 14/08/22
1129 03-027-1036 10/08/22 AGIS 3214141203860002 36 L CILILITAN PICUNG AB 14/08/22 NEG 14/08/22
1130 03-027-1037 10/08/22 AMIRA 3601115009130044 19 P CILILITAN PICUNG AB 14/08/22 NEG 14/08/22
1131 03-027-1038 10/08/22 NURLAELA 3601115305790011 36 P CILILITAN PICUNG AB 14/08/22 NEG 14/08/22
1132 03-027-1039 15/08/22 BETI 3601114107351039 35 P CILILITAN PICUNG AB 15/08/22 NEG 15/08/22
1133 03-027-1040 15/08/22 TUTI 3601116717890001 32 P CILILITAN PICUNG AB 15/08/22 NEG 15/08/22
1134 03-027-1041 15/08/22 FITRIAH 3601115910980001 23 P CILILITAN PICUNG AB 15/08/22 NEG 15/08/22
1135 03-027-1042 15/08/22 YULIDA 3601104706870002 40 P CILILITAN PICUNG AB 15/08/22 NEG 15/08/22
1136 03-027-1043 15/08/22 DEDE SULAEMAN 3601110107930090 28 L CILILITAN PICUNG AB 15/08/22 NEG 15/08/22
1137 03-027-1044 15/08/22 IIM 3601110107930039 39 P CILILITAN PICUNG AB 15/08/22 NEG 15/08/22
1138 03-027-1045 15/08/22 SITI NURLAILAH 3601114810960003 25 P CILILITAN PICUNG AB 15/08/22 NEG 15/08/22
1139 03-027-1046 15/08/22 MA ACI 3601114107581046 58 P GANGGAENG PICUNG AB 15/08/22 NEG 15/08/22
1140 03-027-1047 15/08/22 ABDUL MAJID 3601114107331047 33 L GANGGAENG PICUNG AB 15/08/22 NEG 15/08/22
1141 03-027-1048 15/08/22 SAPRI 3601110107321048 32 L GANGGAENG PICUNG AB 15/08/22 NEG 15/08/22
1142 03-027-1049 15/08/22 SUPIAH 3601111007581049 58 P GANGGAENG PICUNG AB 15/08/22 NEG 15/08/22
1143 03-027-1050 15/08/22 RUNAH 3601114107231050 23 P GANGGAENG PICUNG AB 15/08/22 NEG 15/08/22
1144 03-027-1051 15/08/22 MUDHAR 3601110107540008 64 L PASIRSEDANG PICUNG AB 16/08/22 NEG 16/08/22
1145 03-027-1052 15/08/22 SAUD 3601110107480073 64 L PASIRSEDANG PICUNG AB 16/08/22 NEG 16/08/22
1146 03-027-1053 15/08/22 M. NURJEN 3601112810050001 17 L PASIRSEDANG PICUNG AB 16/08/22 NEG 16/08/22
1147 03-027-1054 15/08/22 MADRAIS 3601110107610020 55 L PASIRSEDANG PICUNG AB 16/08/22 NEG 16/08/22
1148 03-027-1055 15/08/22 EVA 3601116712020004 20 P PASIRSEDANG PICUNG AB 16/08/22 RIF SEN 16/08/22
1149 03-027-1056 16/08/22 HABIBAH 3601114107211056 21 P CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1150 03-027-1057 16/08/22 AAT 3601114107471057 47 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1151 03-027-1058 16/08/22 EMAD 3601114107561058 56 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1152 03-027-1059 16/08/22 HASAN 3601114107551059 55 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1153 03-027-1060 16/08/22 ETI S 3601114107421060 42 P CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1154 03-027-1061 16/08/22 MUNAH 3601114107481061 48 P CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1155 03-027-1062 16/08/22 UUM 3601116012960005 24 P CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1156 03-027-1063 16/08/22 ILYAS 3601150708940001 29 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1157 03-027-1064 16/08/22 MULYATI 3601116404870001 36 P CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1158 03-027-1065 16/08/22 MUAZIZAH 3601114207890016 34 P CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1159 03-027-1066 16/08/22 DANU 3601111205950003 26 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1160 03-027-1067 16/08/22 SUJANA 3601110107990276 23 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1161 03-027-1068 16/08/22 YAYAN 3601114107000297 20 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1162 03-027-1069 16/08/22 REHAN 3601112110080001 13 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1163 03-027-1070 16/08/22 M. RIJWAN 3601111606080002 13 L CILILITAN PICUNG AB 19/08/22 NEG 19/08/22
1164 03-027-1071 16/08/22 YUSUF 3602090101770005 42 L BANJARSARI PICUNG AB 20/08/22 RIF SEN 20/08/22
1165 03-027-1072 16/08/22 SUKEMAH 3174104811720007 48 P KOLELET PICUNG AB 20/08/22 NEG 20/08/22
1166 03-027-1073 16/08/22 HARUN 3601110107730282 49 L KADUBERA PICUNG AB 20/08/22 RIF SEN 20/08/22
1167 03-027-1074 16/08/22 MARI 36011114107351074 35 P KOLELET PICUNG AB 20/08/22 NEG 20/08/22
1168 03-027-1075 16/08/22 DEPI 36011101072501075 25 L CILILITAN PICUNG AB 20/08/22 NEG 20/08/22
1169 03-027-1076 16/08/22 ENDET 36011141073001076 30 P CILILITAN PICUNG AB 20/08/22 NEG 20/08/22
1170 03-027-1077 16/08/22 SATIR 36011120660010777 60 L SINDANGRESMI PICUNG AB 20/08/22 NEG 20/08/22
1171 03-027-1078 16/08/22 ANTIAH 3601111606080003 43 P BABAKAN KADUBERA PICUNG AB 20/08/22 NEG 20/08/22
1172 03-027-1079 16/08/22 ABDUL HALIM 3601110107870194 35 L BABAKAN KADUBERA PICUNG AB 20/08/22 NEG 20/08/22
1173 03-027-1080 16/08/22 NOKIAH 3601114911820001 39 P BABAKAN KADUBERA PICUNG AB 20/08/22 NEG 20/08/22
1174 03-027-1081 16/08/22 ABDUL ROHMAN 3601110107930294 28 L BABAKAN KADUBERA PICUNG AB 20/08/22 NEG 20/08/22
1175 03-027-1082 16/08/22 ABDUL WAHID 3601110107900299 31 L BABAKAN KADUBERA PICUNG AB 20/08/22 NEG 20/08/22
1176 03-027-1083 16/08/22 RUMSINAH 3601114107910030 32 P PASIRSEDANG PICUNG AB 20/08/22 NEG 20/08/22
1177 03-027-1084 16/08/22 KASINAH 3601114107630041 61 P PASIRSEDANG PICUNG AB 20/08/22 NEG 20/08/22
1178 03-027-1085 16/08/22 SITI RODIAH 3601114107890015 36 P PASIRSEDANG PICUNG AB 20/08/22 NEG 20/08/22
1179 03-027-1086 16/08/22 NISFA 3601114307100001 12 P PASIRSEDANG PICUNG AB 20/08/22 NEG 20/08/22
1180 03-027-1087 16/08/22 ENCUH SUKANDA 3601110107580033 69 L PASIRSEDANG PICUNG AB 20/08/22 NEG 20/08/22
1181 03-027-1088 18/08/22 SANAN 3601110107910325 30 L BABAKAN KADUBERA PICUNG AB 21/08/22 NEG 21/08/22
1182 03-027-1089 18/08/22 FIRMAN 3601110401000006 20 L BABAKAN KADUBERA PICUNG AB 21/08/22 NEG 21/08/22
1183 03-027-1090 18/08/22 ROBI MULYANA 3601110107980312 24 L BABAKAN KADUBERA PICUNG AB 21/08/22 NEG 21/08/22
1184 03-027-1091 18/08/22 ANITA 3601110107900296 26 P BABAKAN KADUBERA PICUNG AB 21/08/22 NEG 21/08/22
1185 03-027-1092 18/08/22 PARDI 3601101106840001 37 L BABAKAN KADUBERA PICUNG AB 21/08/22 NEG 21/08/22
1186 03-027-1093 18/08/22 ILMAN 3601240107860038 33 L BABAKAN KADUBERA PICUNG AB 21/08/22 NEG 21/08/22
1187 03-027-1094 18/08/22 IDRUS 3601114107311094 31 L KADUPANDAK PICUNG AB 21/08/22 NEG 21/08/22
1188 03-027-1095 18/08/22 ENE 3601114107301095 30 P KADUPANDAK PICUNG AB 21/08/22 NEG 21/08/22
1189 03-027-1096 18/08/22 DJATIKAH 3601114107531096 53 P KADUPANDAK PICUNG AB 21/08/22 NEG 21/08/22
1190 03-027-1097 18/08/22 KUSNADI 3601114207481097 48 L KADUPANDAK PICUNG AB 21/08/22 NEG 21/08/22
1191 03-027-1098 18/08/22 PATMAWATI 3601114207381098 39 P CIGARUNGGUNG PICUNG AB 21/08/22 NEG 21/08/22
1192 03-027-1099 18/08/22 UNASIH 3601114207401099 40 P CIGARUNGGUNG PICUNG AB 21/08/22 NEG 21/08/22
1193 03-027-1100 18/08/22 SAJI 3305050412830001 40 L PASIRSEDANG PICUNG AB 21/08/22 RIF SEN 21/08/22
1194 03-027-1101 18/08/22 JUHAEDI 3601110107580017 62 L PASIRSEDANG PICUNG AB 21/08/22 NEG 21/08/22
1195 03-027-1102 18/08/22 DARMA 3601110107580020 55 L PASIRSEDANG PICUNG AB 21/08/22 NEG 21/08/22
1196 03-027-1103 18/08/22 JUMAENI 3601114207860018 40 L PASIRSEDANG PICUNG AB 21/08/22 NEG 21/08/22
1197 03-027-1104 18/08/22 SAENI 3601114107920018 33 P PASIRSEDANG PICUNG AB 21/08/22 NEG 21/08/22
1198 03-027-1105 18/08/22 ACIH 3601114107700003 44 P PASIRSEDANG PICUNG AB 21/08/22 NEG 21/08/22
1199 03-027-754 22/08/22 AMIR 3601110107450017 73 L KADUBERA PICUNG DE 22/08/22 NEG NEG
1200 03-027-1106 22/08/22 NETI 36011141076200035 60 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1201 03-027-1107 22/08/22 SAKIMAH 36011115205790001 43 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1202 03-027-1108 22/08/22 SUMAR 36011101075800021 64 L PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1203 03-027-1109 22/08/22 DAYATI 36011142075201109 52 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1204 03-027-1110 22/08/22 ABENAH 36011142076001110 60 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22

1205 03-027-1111 22/08/22 MASKAH 36011114107551111 55 P PASIRSEDANG PICUNG AB 22/08/22 NO RESULT 22/08/22
NEG
1206 03-027-1112 22/08/22 SAIBAH 36011142074901112 49 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1207 03-027-1113 22/08/22 ASWIAH 36011142084501113 45 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1208 03-027-1114 22/08/22 SUKAESIH 36011141083801114 39 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1209 03-027-1115 22/08/22 ASMAH 36011143064301115 43 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1210 03-027-1116 22/08/22 RASMIASIH 36011114204471116 47 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1211 03-027-1117 22/08/22 ALIMAN 36011142065401117 54 L PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1212 03-027-1118 22/08/22 CACA 36011114306221118 22 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1213 03-027-1119 22/08/22 HOSI 36011142072101119 21 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1214 03-027-1120 22/08/22 MUTIAH 36011142082801120 29 P PASIRSEDANG PICUNG AB 22/08/22 NEG 22/08/22
1215 03-027-1121 22/08/22 ARSUDIN 36011101076303033 57 L PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1216 03-027-1122 22/08/22 PARDI 36011141074901122 49 L PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1217 03-027-1123 22/08/22 WATI 36011114107670072 51 P PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1218 03-027-1124 22/08/22 IDIL 36011141073601124 36 L PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1219 03-027-1125 22/08/22 YUYUM 36011141074201125 42 P PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1220 03-027-1126 22/08/22 SITI 36011141072101126 21 P PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1221 03-027-1127 22/08/22 REPAN 36011141072001127 20 L PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1222 03-027-1128 22/08/22 HENA 36011141071901128 19 P PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1223 03-027-1129 22/08/22 WILDA 36011142072201129 22 P PASIRSEDANG PICUNG AB 23/08/22 NEG 23/08/22
1224 03-027-1130 23/08/22 MARIAM 3602094106970001 26 P CIBATUR KEUSIK PICUNG AB 23/08/22 NEG 23/08/22
1225 03-027-1131 23/08/22 LILI 3601114207531131 53 L KADUMULA PICUNG AB 26/08/22 NEG 26/08/22
1226 03-027-1132 23/08/22 WISNU 3601114207211132 21 L KADUKALAHANG PICUNG AB 26/08/22 NEG 26/08/22
1227 03-027-1133 23/08/22 TINGGAL 3601114107601133 60 L KADUMULA PICUNG AB 26/08/22 NEG 26/08/22
1228 03-027-1134 23/08/22 MUAFIFAH 3601114207171134 17 P KOLELET PICUNG AB 26/08/22 NEG 26/08/22
1229 03-027-1135 23/08/22 TITI 3601114207471135 47 P CIHERANG PICUNG AB 26/08/22 NEG 26/08/22
1230 03-027-1136 23/08/22 MIKI 3602092508090701 27 L BABAKAN SUPAKALAS PICUNG AB 26/08/22 NEG 26/08/22
1231 03-027-1137 23/08/22 MUHAMAD 3601114107361137 36 L KADUPANDAK PICUNG AB 27/08/22 NEG 27/08/22
1232 03-027-1138 23/08/22 JUNIAH 3601114207431138 43 P CIMOYAN PICUNG AB 27/08/22 NEG 27/08/22
1233 03-027-1139 23/08/22 IMAS 3601114207251139 25 P CIMOYAN PICUNG AB 27/08/22 NEG 27/08/22
1234 03-027-200 29/08/22 SADUN 3601110602660003 60 L PASIRPANJANG PICUNG HI 29/08/22 NEG NEG
1235 03-027-084 29/08/22 HABSAH 3601114107580001 60 P PASIRSEDANG PICUNG HI 29/08/22 NEG NEG
1236 03-027-1140 29/08/22 ABIAN 3601112512130003 9 L PAMATANG PICUNG AB 29/08/22 10mm 29/08/22
1237 03-027-1141 29/08/22 ROJAK 3601114207311141 31 L BUNGURCOPONG PICUNG AB 29/08/22 NEG 29/08/22
1238 03-027-1142 29/08/22 ENO 3601114207301142 30 P BUNGURCOPONG PICUNG AB 29/08/22 NEG 29/08/22
1239 03-027-1143 29/08/22 MEGA 3601114107251143 25 P BUNGURCOPONG PICUNG AB 29/08/22 NEG 29/08/22
1240 03-027-1144 29/08/22 MAMAN 3601114107451144 45 L BUNGURCOPONG PICUNG AB 29/08/22 NEG 29/08/22
1241 03-027-1145 29/08/22 ANI 3601114207311145 31 P BUNGURCOPONG PICUNG AB 29/08/22 NEG 29/08/22
1242 03-027-1146 29/08/22 NURAENI 3601114207351146 35 P BUNGURCOPONG PICUNG AB 29/08/22 NEG 29/08/22
1243 03-027-1147 29/08/22 SUKMINAH 3601114207521147 52 P PASIRSEDANG PICUNG AB 29/08/22 NEG 29/08/22
1244 03-027-1148 29/08/22 SUTINAH 3601114910880001 35 P KADUMULA PICUNG AB 30/08/22 NEG 30/08/22
1245 03-027-1149 29/08/22 SUHARI 3602094107781149 78 L BANJARSARI PICUNG AB 30/08/22 NEG 30/08/22
1246 03-027-1150 22/08/22 AYU LESTARI 3601114107000086 22 P CIBAGOLO PICUNG AB 20/09/22 RIF SEN 20/09/22
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : SEPTEMBER
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
1247 03-027-1151 01/09/22 DWI 3602086105850002 37 P GUNUNGKENCANA PICUNG AB 01/09/22 RIF SEN 01/09/22
1248 03-027-1152 05/09/22 NURBAETI 3601114107271151 27 P CILILITAN PICUNG AB 05/09/22 NEG 05/09/22
1249 03-027-1153 05/09/22 MAMAH 3601115204680003 54 P MULIJATI PICUNG AB 05/09/22 RIF SEN 05/09/22
1250 03-027-1154 05/09/22 EMI LINDAYANI 3601116703680001 55 P KADUMULA PICUNG AB 05/09/22 NEG 05/09/22
1251 03-027-1155 05/09/22 JUMANTA 3601110107630055 50 L KUBANG PANJANG PICUNG AB 05/09/22 NEG 05/09/22
1252 03-027-1156 05/09/22 SAKINAH 3602086603040001 18 P CIILAT PICUNG AB 05/09/22 NEG 05/09/22
1253 03-027-1157 05/09/22 JASIAH 3601114609840002 60 P SINDANGRESMI PICUNG AB 05/09/22 NEG 05/09/22
1254 03-027-1158 05/09/22 YANTI 3601114207710003 54 P BABAKAN KEMBANG PICUNG AB 05/09/22 NEG 05/09/22
1255 03-027-1159 05/09/22 MURTEDI 3601101206870001 35 L KADUKALAHANG PICUNG AB 05/09/22 NEG 05/09/22
1256 03-027-1160 05/09/22 SITI HARDIANTI 3601114107271160 27 P SEUTI UMBUL PICUNG AB 10/09/22 NEG 10/09/22
1257 03-027-1161 05/09/22 ELAH 3602095410970007 25 P KADUHAUK PICUNG AB 10/09/22 RIF SEN 10/09/22
1258 03-027-1162 12/09/22 SUMI 3601114107500005 77 P SEUTI PICUNG AB 12/09/22 NEG 12/09/22
1259 03-027-1163 12/09/22 IMAN 3601112609940001 27 L NEGLASARI PICUNG AB 14/09/22 NEG 14/09/22
1260 03-027-1164 12/09/22 ARPIN 3601111065600001 66 L BABAKAN KEMBANG PICUNG AB 14/09/22 NEG 14/09/22
1261 03-027-1165 12/09/22 ROHAMAH 3601114107680031 54 P MONGGOR SAGA PICUNG AB 14/09/22 RIF SEN 14/09/22
1262 03-027-1166 12/09/22 SITI HASANAH 3601114405710001 51 P CILILITAN PICUNG AB 16/09/22 NEG 16/09/22
1263 03-027-1167 12/09/22 SAHRUDIN 3601114107851167 37 L KUBANG PANJANG PICUNG AB 16/09/22 NEG 16/09/22
1264 03-027-405 19/09/22 NURMAH 3601114501750001 47 L RANCA MULYA PICUNG FG 19/09/22 NEG NEG
1265 03-027-878 19/09/22 AMEN 3601112706930002 55 L BAJEG PICUNG DE 19/09/22 NEG NEG
1266 03-027-1168 19/09/22 SARINAH 3601115208870002 34 P PASIRSEDANG PICUNG AB 19/09/22 NEG 19/09/22
1267 03-027-1169 19/09/22 SARNAAH 3601114107630039 54 P PASIRSEDANG PICUNG AB 19/09/22 NEG 19/09/22
1268 03-027-1170 19/09/22 JULIA 3601114207351170 35 P PASIRSEDANG PICUNG AB 19/09/22 NEG 19/09/22
1269 03-027-1171 19/09/22 JASIH 3601114107500001 70 P PASIRSEDANG PICUNG AB 19/09/22 NEG 19/09/22
1270 03-027-1172 19/09/22 TINAH 3601114207251172 25 P PASIRSEDANG PICUNG AB 19/09/22 NEG 19/09/22
1271 03-027-1173 19/09/22 SAHRUDIN 3601114107381173 38 L PASIRSEDANG PICUNG AB 19/09/22 NEG 19/09/22
1272 03-027-1174 19/09/22 NURIAH 3601114207401174 40 P PASIRSEDANG PICUNG AB 19/09/22 NEG 19/09/22
1273 03-027-1175 19/09/22 MISTEM 3601114107511182 51 P PASIRSEDANG PICUNG AB 21/09/22 NEG 21/09/22
1274 03-027-1176 19/09/22 MARWI 3601114107401183 40 P PASIRSEDANG PICUNG AB 21/09/22 NEG 21/09/22
1275 03-027-1177 19/09/22 SITI 3601312047600002 38 P SALAMPAK PICUNG AB 20/09/22 RIF SEN 20/09/22
1276 03-027-1178 20/09/22 JUMANTA 3601114207501176 50 L CILILITAN PICUNG AB 21/09/22 NEG 21/09/22
1277 03-027-1179 20/09/22 LINA 3601114207371177 37 P CILILITAN PICUNG AB 21/09/22 NEG 21/09/22
1278 03-027-1180 20/09/22 NURALISAH 3601114207221178 22 P CILILITAN PICUNG AB 21/09/22 NEG 21/09/22
1279 03-027-1181 20/09/22 ATISAH 3601114207181179 18 P CILILITAN PICUNG AB 21/09/22 NEG 21/09/22
1280 03-027-1182 20/09/22 RATNA 3601114107211180 21 P CIMOYAN PICUNG AB 21/09/22 NEG 21/09/22
1281 03-027-1183 20/09/22 EMUD 3601114170391181 39 L CIMOYAN PICUNG AB 21/09/22 NEG 21/09/22
1282 03-027-1184 20/09/22 SANIRAH 3601114107351184 35 P PASIRSEDANG PICUNG AB 22/09/22 NEG 22/09/22
1283 03-027-1185 20/09/22 DIAN 3601110107351185 35 P PASIRSEDANG PICUNG AB 22/09/22 NEG 22/09/22
1284 03-027-1186 20/09/22 JURNAH 3601110101351186 35 P PASIRSEDANG PICUNG AB 22/09/22 NEG 22/09/22
1285 03-027-1187 20/09/22 SARKIYAH 3601110207351187 35 P PASIRSEDANG PICUNG AB 22/09/22 NEG 22/09/22
1286 03-027-1188 20/09/22 DAMIR 3601110107580031 72 L PASIRSEDANG PICUNG AB 24/09/22 NEG 24/09/22
1287 03-027-1189 20/09/22 NURMILA 3601114208000001 22 P CANGKEUTEUKEUN PICUNG AB 24/09/22 NEG 24/09/22
1288 03-027-1190 20/09/22 SYAFIRA 3601115411170001 15 P CANGKEUTEUKEUN PICUNG AB 24/09/22 NEG 24/09/22
1289 03-027-1191 20/09/22 JOHADI 3601112412780001 44 L CANGKEUTEUKEUN PICUNG AB 24/09/22 NEG 24/09/22
1290 03-027-1192 20/09/22 SAYI 3601114602770001 45 P CANGKEUTEUKEUN PICUNG AB 24/09/22 NEG 24/09/22
1291 03-027-1193 20/09/22 AGIS 3601110905060001 16 L CANGKEUTEUKEUN PICUNG AB 24/09/22 NEG 24/09/22
1292 03-027-1194 20/09/22 ROHANAH 3601114107860148 28 P CANGKEUTEUKEUN PICUNG AB 25/09/22 NEG 25/09/22
1293 03-027-1195 20/09/22 RONNY 3601110901860002 35 L CANGKEUTEUKEUN PICUNG AB 25/09/22 INVALID 25/09/22
1294 03-027-1196 20/09/22 JUMAN 3601114107621196 62 L CANGKEUTEUKEUN PICUNG AB 25/09/22 NEG 25/09/22
1295 03-027-1197 20/09/22 SABTA 3601114107331197 33 L CANGKEUTEUKEUN PICUNG AB 25/09/22 NEG 25/09/22
1296 03-027-1198 20/09/22 ENENG JUNIAH 3601114107930256 28 P CANGKEUTEUKEUN PICUNG AB 25/09/22 NEG 25/09/22
1297 03-027-1199 20/09/22 RIJWAN 3601111605070007 17 L CANGKEUTEUKEUN PICUNG AB 25/09/22 NEG 25/09/22
1298 03-027-1200 20/09/22 MUHAMAD DANI 3601112604060004 16 L KADUMULA PICUNG AB 25/09/22 NEG 25/09/22
1299 03-027-1201 20/09/22 JUMARIAH 3601114307620004 60 P KADUMULA PICUNG AB 25/09/22 NEG 25/09/22
1300 03-027-1202 20/09/22 DEWI SARTIKA 3601114503860004 36 P KADUMULA PICUNG AB 25/09/22 NEG 25/09/22
1301 03-027-1203 20/09/22 MUHAMAD JAEHURI 3601111031050004 17 L KADUMULA PICUNG AB 25/09/22 NEG 25/09/22
1302 03-027-1204 20/09/22 HJ. PATMA 3601114107451204 45 P KADUMULA PICUNG AB 25/09/22 NEG 25/09/22
1303 03-027-1205 20/09/22 HOLIS 3601114207351205 35 P KADUMULA PICUNG AB 25/09/22 INVALID 25/09/22
1304 03-027-1206 21/09/22 RANDIN 3601114107621206 62 L KADUBERA PICUNG AB 26/09/22 NEG 26/09/22
1305 03-027-1207 21/09/22 ASMI 3601110107351207 35 P KADUBERA PICUNG AB 26/09/22 NEG 26/09/22
1306 03-027-1208 21/09/22 IYAM 3601110207221208 22 P KADUBERA PICUNG AB 26/09/22 NEG 26/09/22
1307 03-027-1209 21/09/22 NURAENI 3601114107221209 22 P KADUBERA PICUNG AB 26/09/22 NEG 26/09/22
1308 03-027-1210 21/09/22 ULYADI 3601114207351210 35 L KADUBERA PICUNG AB 26/09/22 NEG 26/09/22
1309 03-027-1211 21/09/22 SUSILAWATI 3601110107211211 21 P KADUBERA PICUNG AB 26/09/22 NEG 26/09/22
1310 03-027-1212 21/09/22 AMAD 3601114107421212 42 L KADUBERA PICUNG AB 26/09/22 INVALID 26/09/22
1311 03-027-1213 21/09/22 ASMI 3601114107381213 38 P KADUBERA PICUNG AB 26/09/22 INVALID 26/09/22
1312 03-027-1214 21/09/22 INAH 3601114207611214 61 P KADUBERA PICUNG AB 27/09/22 NEG 27/09/22
1313 03-027-1215 21/09/22 UPI 3601114207221215 22 P KADUBERA PICUNG AB 27/09/22 NEG 27/09/22
1314 03-027-1216 21/09/22 JUMAYA 3601110208141216 14 P KADUBERA PICUNG AB 27/09/22 NEG 27/09/22
1315 03-027-1217 21/09/22 AJIS 3601110109151217 15 L KADUBERA PICUNG AB 27/09/22 NEG 27/09/22
1316 03-027-1218 21/09/22 SAMBIA 3601110167950177 23 P BUNGURCOPONG PICUNG AB 27/09/22 NEG 27/09/22
1317 03-027-1219 21/09/22 ISUN 3601114107550080 67 P BUNGURCOPONG PICUNG AB 27/09/22 NEG 27/09/22
1318 03-027-1220 21/09/22 AMSIR 3601114107511220 51 L SEUTI PICUNG AB 27/09/22 NEG 27/09/22
1319 03-027-1221 21/09/22 SAPRAH 3601110107471221 47 P SEUTI PICUNG AB 27/09/22 NEG 27/09/22
1320 03-027-1222 21/09/22 ONENG 3601114107391222 39 P SEUTI PICUNG AB 27/09/22 INVALID 27/09/22
1321 03-027-1223 21/09/22 HALIMAH 3601114207441321 44 P PASIR LAME PICUNG AB 27/09/22 NEG 27/09/22
1322 03-027-1224 21/09/22 OLIVIA 3601110107131322 13 P CIRUJI PICUNG AB 27/09/22 NEG 27/09/22
1323 03-027-1225 21/09/22 LINAH 3601110107651225 65 P CILILITAN PICUNG AB 28/09/22 NEG 28/09/22
1324 03-027-1226 21/09/22 MULYANAH 3601114207581226 58 P CILILITAN PICUNG AB 28/09/22 NEG 28/09/22
1325 03-027-1227 21/09/22 ASHARI 3601110202621227 64 L CILILITAN PICUNG AB 28/09/22 NEG 28/09/22
1326 03-027-1228 21/09/22 ENOK 3601114107351228 35 P CILILITAN PICUNG AB 28/09/22 NEG 28/09/22
1327 03-027-1229 21/09/22 GINASARI 3601114107141229 14 P CILILITAN PICUNG AB 28/09/22 NEG 28/09/22
1328 03-027-1230 21/09/22 MASTURI 3601114107471230 47 L CILILITAN PICUNG AB 28/09/22 NEG 28/09/22
1329 03-027-1231 23/09/22 AMANAH 3601114107201231 20 P CIMOYAN PICUNG AB 30/09/22 NEG 30/09/22
1330 03-027-1232 23/09/22 ASINAH 3601110107471232 47 P BUNGURCOPONG PICUNG AB 30/09/22 NEG 30/09/22
1331 03-027-1233 23/09/22 NURLELA 3601114208211233 21 P LEBAK BULUH PICUNG AB 30/09/22 INVALID 30/09/22
1332 03-027-1234 23/09/22 SITI AISAH 3601114207331234 33 P LEBAK BULUH PICUNG AB 30/09/22 INVALID 30/09/22
1333 03-027-1235 23/09/22 IDA 3601110208411235 41 P KOLELET PICUNG AB 30/09/22 NEG 30/09/22
1334 03-027-1236 23/09/22 SALMAN 3602091403590001 63 L CIRUJI PICUNG AB 30/09/22 RIF SEN 30/09/22
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : OKTOBER
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
1335 03-027-1237 01/10/22 ARMIN 3601110105201237 20 L PASARLAMA PICUNG AB 05/10/22 NEG 05/10/22
1336 03-027-1238 01/10/22 ENGKOS 3601110207161238 16 L PASARLAMA PICUNG AB 05/10/22 INVALID 05/10/22
1337 03-027-1239 01/10/22 APRILIANA 3601110609201239 20 P PASARLAMA PICUNG AB 05/10/22 NEG 05/10/22
1338 03-027-1240 01/10/22 APRILIANI 3601110607201240 20 P PASARLAMA PICUNG AB 05/10/22 NEG 05/10/22
1339 03-027-1241 01/10/22 MAMAY 3601110107161241 16 P HARENDONGEUN PICUNG AB 05/10/22 NEG 05/10/22
1340 03-027-1242 01/10/22 ENAWATI 3601110207251242 25 P HARENDONGEUN PICUNG AB 05/10/22 NEG 05/10/22
1341 03-027-1243 01/10/22 HERNI 3601110208281243 28 P HARENDONGEUN PICUNG AB 05/10/22 NEG 05/10/22
1342 03-027-1244 01/10/22 ROBI 3601110109211244 21 L HARENDONGEUN PICUNG AB 05/10/22 NEG 05/10/22
1343 03-027-1245 01/10/22 PARDI 3601110101451245 45 L HARENDONGEUN PICUNG AB 05/10/22 NEG 05/10/22
1344 03-027-1246 01/10/22 MANSUR 3601110207301246 30 L HARENDONGEUN PICUNG AB 05/10/22 NEG 05/10/22
1345 03-027-1247 01/10/22 NURWATI 3601110108351247 35 P HARENDONGEUN PICUNG AB 06/10/22 NEG 06/10/22
1346 03-027-1248 01/10/22 AYONG 3601110108391248 39 L HARENDONGEUN PICUNG AB 06/10/22 INVALID 06/10/22
1347 03-027-1249 01/10/22 MURNI 3601110208301249 30 P HARENDONGEUN PICUNG AB 06/10/22 NEG 06/10/22
1348 03-027-1250 01/10/22 ENENG 3601110108251250 25 P HARENDONGEUN PICUNG AB 06/10/22 NEG 06/10/22
1349 03-027-1251 01/10/22 ROHAETI 3601110206451251 45 P HARENDONGEUN PICUNG AB 06/10/22 NEG 06/10/22
1350 03-027-1252 01/10/22 TUTI 3601110208281252 28 P HARENDONGEUN PICUNG AB 06/10/22 NEG 06/10/22
1351 03-027-1253 01/10/22 AZIS 3601110108451253 45 L HARENDONGEUN PICUNG AB 07/10/22 NEG 07/10/22
1352 03-027-1254 01/10/22 MADSARI 3601110237331254 33 L HARENDONGEUN PICUNG AB 07/10/22 NEG 07/10/22
1353 03-027-1255 01/10/22 ALVIAN 3601110107071255 17 L HARENDONGEUN PICUNG AB 07/10/22 NEG 07/10/22
1354 03-027-1256 01/10/22 LINDA 3601110208221256 22 P HARENDONGEUN PICUNG AB 07/10/22 NEG 07/10/22
1355 03-027-1257 01/10/22 TINA 3601110108301257 30 P HARENDONGEUN PICUNG AB 07/10/22 NEG 07/10/22
1356 03-027-1258 03/10/22 HERDRAYANI 3601112407900001 30 L CIBAGOLO PICUNG AB 07/10/22 RIF SEN 07/10/22
1357 03-027-1259 03/10/22 MINI 3601110107251259 25 P PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1358 03-027-1260 03/10/22 RUNI 3601110208201260 20 P PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1359 03-027-1261 03/10/22 AMAH 3601110107451261 45 P PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1360 03-027-1262 03/10/22 RIZKI 3601110102121262 12 L PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1361 03-027-1263 03/10/22 TATANG 3601110608351263 35 L PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1362 03-027-1264 03/10/22 YATI 3601112806301264 30 P PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1363 03-027-1265 03/10/22 AHMAD 3601111405271265 27 L PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1364 03-027-1266 03/10/22 BABAY 3601113011301266 30 L PASARLAMA PICUNG AB 07/10/22 ERROR 07/10/22
1365 03-027-1267 03/10/22 CINAH 3601112602451267 45 P PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1366 03-027-1268 03/10/22 SURTI 3601112812271268 27 P PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1367 03-027-1269 03/10/22 SOLEMAN 3601110307521269 52 L PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1368 03-027-1270 03/10/22 SALSA 3601110107121270 12 P PASARLAMA PICUNG AB 07/10/22 NEG 07/10/22
1369 03-027-1271 03/10/22 RAMAH 3601111107451271 45 P PASARLAMA PICUNG AB 08/10/22 NEG 08/10/22
1370 03-027-1272 03/10/22 SARIP 3601110107211272 21 L PASARLAMA PICUNG AB 08/10/22 ERROR 08/10/22
1371 03-027-1273 04/10/22 SARJA 3601110107610019 62 L MONGGOR SAGA PICUNG AB 08/10/22 NEG 08/10/22
1372 03-027-1274 04/10/22 CECEP 3601112609040001 18 L MONGGOR SAGA PICUNG AB 08/10/22 ERROR 08/10/22
1373 03-027-1275 04/10/22 ANI 3601114107740012 48 P MONGGOR SAGA PICUNG AB 08/10/22 NEG 08/10/22
1374 03-027-1276 04/10/22 KASMI 3601114309700001 50 P MONGGOR SAGA PICUNG AB 08/10/22 NEG 08/10/22
1375 03-027-1277 04/10/22 INAH 3601111103830001 59 P MONGGOR SAGA PICUNG AB 08/10/22 NEG 08/10/22

1376 03-027-1278 04/10/22 SUKAESIH 3601114310800002 42 P MONGGOR SAGA PICUNG AB 09/10/22 ERROR 09/10/22
NEG
1377 03-027-1279 04/10/22 ATIKAH 3601114704700001 42 P MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1378 03-027-1280 04/10/22 NUR INDAH 3601114110000003 22 P MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1379 03-027-1281 04/10/22 NASIR 3601110107700014 53 L MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1380 03-027-1282 04/10/22 EHA 3601115208790002 43 P MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1381 03-027-1283 04/10/22 MINI 3601114107560013 66 P MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1382 03-027-1284 04/10/22 SUNINGRAT 3601114107680067 54 P MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1383 03-027-1285 04/10/22 JUWITA 3601115006100004 12 P MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1384 03-027-1286 04/10/22 SUHARDI 3601110206740001 44 L MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1385 03-027-1287 04/10/22 KAMAD 3601111103680001 51 L MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1386 03-027-1288 04/10/22 ALIMAN 3601110612520001 54 L MONGGOR SAGA PICUNG AB 09/10/22 NEG 09/10/22
1387 03-027-1289 04/10/22 HAMSAH 3601110207521289 52 P CIHUJAN PICUNG AB 09/10/22 NEG 09/10/22
1388 03-027-1290 04/10/22 ERLAN 3601110207171290 17 L CIHUJAN PICUNG AB 09/10/22 NEG 09/10/22
1389 03-027-1291 04/10/22 HERNI 3601114107221291 22 P CIHUJAN PICUNG AB 09/10/22 NEG 09/10/22
1390 03-027-1292 04/10/22 HERI 3601110108301292 30 L CIHUJAN PICUNG AB 09/10/22 NEG 09/10/22
1391 03-027-1293 04/10/22 ANAMAH 3601114208541293 54 P CIHUJAN PICUNG AB 09/10/22 NEG 09/10/22
1392 03-027-199 10/10/22 SUHERMAN 3601110801720001 51 L KADUBERA PICUNG FG 10/10/22 NEG NEG

1393 03-027-1294 10/10/22 ADE 3601114107730212 49 P CIMOYAN PICUNG AB 11/10/22 EROOR 11/10/22
RIF SEN
1394 03-027-1295 10/10/22 DESI 3601104812090001 14 P SALUYU PICUNG AB 11/10/22 RIF SEN 11/10/22
1427 03-027-1328 11/10/22 SARPAH 3601114107430033 67 P PASIRSEDANG PICUNG AB 11/10/22 NEG 11/10/22
1428 03-027-1329 11/10/22 HENI 3601111510380002 42 P PASIRSEDANG PICUNG AB 11/10/22 NEG 11/10/22
1429 03-027-1330 11/10/22 NADI RIZKI 3601111127120003 9 L PASIRSEDANG PICUNG AB 11/10/22 NEG 11/10/22
1430 03-027-1331 11/10/22 SITI AMINAH 3602090607980004 18 P CILEGONG PICUNG AB 11/10/22 NEG 11/10/22
1395 03-027-1296 10/10/22 SITI ARUM 3601114301580001 57 P CIHUJAN PICUNG AB 14/10/22 NEG 14/10/22
1396 03-027-1297 10/10/22 AJAT SUDRAJAT 3601110210400001 70 L CIHUJAN PICUNG AB 14/10/22 NEG 14/10/22
1397 03-027-1298 10/10/22 UUN UNAYAH 3602111408080003 14 P CIHUJAN PICUNG AB 14/10/22 ERROR 14/10/22
1398 03-027-1299 10/10/22 RUMSARI 3601114107640011 49 P CIHUJAN PICUNG AB 14/10/22 NEG 14/10/22
1399 03-027-1300 10/10/22 SUKMA 3601111508750001 47 L CIHUJAN PICUNG AB 14/10/22 NEG 14/10/22
1400 03-027-1301 10/10/22 YUDI 3601114107520003 45 L CIHUJAN PICUNG AB 14/10/22 NEG 14/10/22
1401 03-027-1302 10/10/22 UMU 3602094212830002 39 P JALUPANG GIRANG PICUNG AB 15/10/22 NEG 15/10/22
1402 03-027-1303 10/10/22 HAYATUN NUFUS 3601114107030014 14 P KADUBERA PICUNG AB 15/10/22 NEG 15/10/22
1403 03-027-1304 10/10/22 HERMAN 3601240107610041 61 L LEBAK GEDONG PICUNG AB 15/10/22 NEG 15/10/22
1404 03-027-1305 10/10/22 SAEN 3601110107550012 67 P PASIR PEUNEUY PICUNG AB 15/10/22 NEG 15/10/22
1405 03-027-1306 10/10/22 H. SLAMET 3601110107670003 55 L PASIRSEDANG PICUNG AB 15/10/22 NEG 15/10/22
1406 03-027-1307 10/10/22 RISKI 3601114107040013 18 L PASIRSEDANG PICUNG AB 15/10/22 NEG 15/10/22
1407 03-027-1308 10/10/22 AMAH 3601110107910012 30 P PASIRSEDANG PICUNG AB 15/10/22 NEG 15/10/22
1408 03-027-1309 10/10/22 KUAH 3601114107750001 47 P PASIRSEDANG PICUNG AB 15/10/22 NEG 15/10/22
1409 03-027-1310 10/10/22 YAYAT 3601114107820019 40 L PASIRSEDANG PICUNG AB 15/10/22 NEG 15/10/22
1410 03-027-1311 11/10/22 MULYANAH 3601114107840011 38 P RANCA MULYA PICUNG AB 15/10/22 NEG 15/10/22
1411 03-027-1312 11/10/22 UNAYAH 3601110107800128 42 P RANCA MULYA PICUNG AB 15/10/22 NEG 15/10/22
1412 03-027-1313 11/10/22 ARSAH 3601110108720005 50 P RANCA MULYA PICUNG AB 15/10/22 NEG 15/10/22
1413 03-027-1314 11/10/22 HELMA 3601114107880034 34 P RANCA MULYA PICUNG AB 15/10/22 NEG 15/10/22
1414 03-027-1315 11/10/22 RATIH 3601110207820040 40 P RANCA MULYA PICUNG AB 15/10/22 NEG 15/10/22
1415 03-027-1316 11/10/22 VIRSI 3601110207070015 15 P RANCA MULYA PICUNG AB 15/10/22 NEG 15/10/22
1416 03-027-1317 11/10/22 SIMUN 3601110107640058 58 L RANCA MULYA PICUNG AB 15/10/22 NEG 15/10/22
1417 03-027-1318 11/10/22 H. JAMA 3601114108650057 57 L RANCA MULYA PICUNG AB 16/10/22 NEG 16/10/22
1418 03-027-1319 11/10/22 DIAN 3601110107060016 16 P RANCA MULYA PICUNG AB 16/10/22 NEG 16/10/22
1419 03-027-1320 11/10/22 DINA 3601114207070015 15 P RANCA MULYA PICUNG AB 16/10/22 NEG 16/10/22
1420 03-027-1321 11/10/22 RIPAI 3601114207830039 39 L PASIRSEDANG PICUNG AB 16/10/22 NEG 16/10/22
1421 03-027-1322 11/10/22 RIZKI 3601114108120010 10 L PASIRSEDANG PICUNG AB 16/10/22 NEG 16/10/22
1422 03-027-1323 11/10/22 IIP 3601110106900032 32 L PASIRSEDANG PICUNG AB 16/10/22 NEG 16/10/22
1423 03-027-1324 11/10/22 TINI 3601114107870035 35 P PASIRSEDANG PICUNG AB 16/10/22 NEG 16/10/22
1424 03-027-1325 11/10/22 ADI 3601110107030002 19 L PASIRSEDANG PICUNG AB 16/10/22 NEG 16/10/22
1425 03-027-1326 11/10/22 MUSANAH 3601110107780002 44 P PASIRSEDANG PICUNG AB 16/10/22 ERROR 16/10/22
1426 03-027-1327 11/10/22 ATIB 3601114107760046 46 L PASIRSEDANG PICUNG AB 16/10/22 ERROR 16/10/22
1431 03-027-1332 12/10/22 ST. AMINAH 3602090908040001 18 P CISAMPIH PICUNG AB 17/10/22 NEG 17/10/22
1432 03-027-1333 12/10/22 TIRTA 3601114107200004 21 L PASIRSEDANG PICUNG AB 17/10/22 NEG 17/10/22
1433 03-027-1334 12/10/22 TINAH 3601114107770301 45 L PASIRSEDANG PICUNG AB 17/10/22 NEG 17/10/22
1434 03-027-1150 17/10/22 AYU LESTARI 3601114107000086 22 P CIBAGOLO PICUNG DE 17/10/22 NEG NEG
1435 03-027-1055 17/10/22 EVA 3601116712020004 20 P CIHUJAN PICUNG DE 17/10/22 NEG NEG
1436 03-027-1335 17/10/22 RAIMAN 3601110107680256 52 L CANGKEUTEUKEUN PICUNG AB 18/10/22 NEG 18/10/22
1437 03-027-1336 17/10/22 YAYAT 3601110107750088 46 L CANGKEUTEUKEUN PICUNG AB 18/10/22 NEG 18/10/22

1438 03-027-1337 17/10/22 ARMI 3602094208710002 50 P LEBAK MENTENG PICUNG AB 22/10/22 RIF INDET 22/10/22
NEG
1439 03-027-1338 17/10/22 YUMAIDA 3602094507960002 27 P JALUPANG PICUNG AB 22/10/22 NEG 22/10/22
1440 03-027-1339 17/10/22 SAHMILA 3601116611020002 20 P BAJEG PICUNG AB 22/10/22 RIF SEN 22/10/22
1441 03-027-1340 17/10/22 YANTO 3601111230560001 62 L CIBAGOLO PICUNG AB 22/10/22 NEG 22/10/22
1442 03-027-1341 17/10/22 DEDE 3601110411930001 29 L KADUMULA PICUNG AB 22/10/22 RIF SEN 22/10/22
1443 03-027-1342 17/10/22 NURHAYATI 3601114207890003 34 P CIUYANG PICUNG AB 22/10/22 RIF SEN 22/10/22
1444 03-027-1343 17/10/22 UMRI 3601110107660011 59 L SUKAMAJU PICUNG AB 22/10/22 RIF RES 22/10/22
1445 03-027-199 24/10/22 SUHERMAN 3601110801720001 51 L KADUBERA PICUNG HI 24/10/22 NEG NEG
1446 03-027-277 24/10/22 HERDI 46 L PASIRPANJANG PICUNG HI 24/10/22 NEG NEG
1447 03-027-1344 24/10/22 JANAH 3602104107870023 34 P PRABUGANTUNGAN PICUNG AB 26/10/22 NEG 26/10/22
1448 03-027-1345 24/10/22 NURIAH 3601114107910263 27 P KADUBERA PICUNG AB 28/10/22 RIF SEN 28/10/22
1449 03-027-1346 24/10/22 TITIN 3601114107920124 31 P MULIJATI PICUNG AB 29/10/22 RIF SEN 29/10/22
1450 03-027-1347 31/10/22 DIKI DAMARA 3602091407980001 23 L JALUPANG II PICUNG AB 31/10/22 RIF SEN 31/10/22
1451 03-027-1348 31/10/22 HERNI 3601114107830095 36 P MULIJATI PICUNG AB 31/10/22 NEG 31/10/22
1452 03-027-0419 31/10/22 RUBAI 3604310712970004 26 L BUNGURCOPONG PICUNG HI 31/10/22 NEG NEG
1453 03-027-1349 01/10/22 TB ILHAM TAUFIK 3601110107940174 28 L BUNGURCOPONG PICUNG AB 01/10/22 NEG 01/10/22
1454 03-027-1350 01/10/22 MUNAYAH 3601115307980001 24 P BUNGURCOPONG PICUNG AB 01/10/22 INVALID 01/10/22
1455 03-027-1351 01/10/22 MUHAMAD SOFYAN 3601110101010005 21 L BUNGURCOPONG PICUNG AB 01/10/22 NEG 01/10/22
1456 03-027-1352 01/10/22 ASEP SAEPUDIN 3601110510930004 29 L BUNGURCOPONG PICUNG AB 01/10/22 INVALID 01/10/22
1457 03-027-1353 01/10/22 SUKANDI 3601310603630003 61 L SINDANGRESMI PICUNG AB 02/10/22 NEG 02/10/22
1458 03-027-1354 01/10/22 IIP PRAMONO 3502100107880001 34 L CANGKEUTEUKEUN PICUNG AB 02/10/22 NEG 02/10/22
1459 03-027-1355 01/10/22 MUTMAENAH 3601114107000296 20 P CANGKEUTEUKEUN PICUNG AB 02/10/22 NEG 02/10/22
1460 03-027-1356 01/10/22 SAMSUDIN 3601111508940002 26 L CANGKEUTEUKEUN PICUNG AB 02/10/22 NEG 02/10/22
1461 03-027-1357 01/10/22 UNAH 3601114107560049 66 P CANGKEUTEUKEUN PICUNG AB 02/10/22 INVALID 02/10/22
1462 03-027-1358 01/10/22 EDWAR 3601111509060002 16 L CANGKEUTEUKEUN PICUNG AB 02/10/22 NEG 02/10/22
1463 03-027-1359 01/10/22 HARUN 3601110107730283 49 L CANGKEUTEUKEUN PICUNG AB 02/10/22 NEG 02/10/22
1464 03-027-1360 01/10/22 IROH 3601115709920001 31 P GANGGAENG PICUNG AB 02/10/22 NEG 02/10/22
1465 03-027-1361 01/10/22 AAT 3601104107780036 44 P GUNUNG CANGRI PICUNG AB 03/10/22 ERROR 03/10/22
1466 03-027-1362 01/10/22 PAHRI PAHRUROJI 3601110107940077 28 L BABAKAN KEMBANG PICUNG AB 10/10/22 NEG 10/10/22
1467 03-027-1363 01/10/22 HELMI 3601110101960003 26 L BABAKAN KEMBANG PICUNG AB 13/10/22 NEG 13/10/22
1468 03-027-1364 01/10/22 M. JOHANI 3601110407740001 48 L KADUPANDAK PICUNG AB 02/10/22 NEG 02/10/22
1469 03-027-1365 17/10/22 NURJANAH 3601114207890012 34 P SUKAMANAH PICUNG AB 19/10/22 NEG 19/10/22
1470 03-027-1366 17/10/22 ATISAHH 3602095104990004 23 P KADUPANDAK PICUNG AB 19/10/22 NEG 19/10/22
1471 03-027-1367 24/10/22 NARTI 3601114105550002 62 P KOLELET PICUNG AB 24/10/22 NEG 24/10/22
1472 03-027-1368 24/10/22 ELI 3601114107830101 43 P CIBAGOLO PICUNG AB 26/10/22 NEG 26/10/22
1473 03-027-1369 31/10/22 SUKAENI 3601114107920027 28 P MONGGOR SAGA PICUNG AB 31/10/22 NEG 31/10/22
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : NOVEMBER
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
1474 03-027-1370 01/11/22 TONI 3601110710820001 31 L CIMOYAN PICUNG AB 01/11/22 RIF SEN 01/11/22
1475 03-027-1371 01/11/22 UMRI 3174010703710008 52 L JAKARTA SELATAN PICUNG AB 03/11/22 RIF SEN 03/11/22
1476 03-027-1372 01/11/22 ANAMAH 3601114107760179 46 P KADUBERA PICUNG AB 03/11/22 NEG 03/11/22
1477 03-027-1373 01/11/22 SAERIN 3601112105660001 63 P LEBAK BULUH PICUNG AB 03/11/22 NEG 03/11/22
1478 03-027-1374 01/11/22 RENITA 3601115102950001 27 P LEUWI BULUH PICUNG AB 06/11/22 NEG 06/11/22
1479 03-027-1375 01/11/22 IROS HIDAYAT 3601110107850088 38 L PASIR PEUNDEUY PICUNG AB 06/11/22 RIF SEN 06/11/22
1480 03-027-1376 01/11/22 KY. APANDI 3601110601640001 58 L BAJEG 2 PICUNG AB 06/11/22 NEG 06/11/22
1481 03-027-1377 07/11/22 HALIMAH 3602085411950001 27 P CIBEUSI JALAN PICUNG AB 07/11/22 RIF SEN 07/11/22
1482 03-027-1378 07/11/22 HERMAN 3601113012760001 46 L BABAKAN TEUREUP PICUNG AB 08/11/22 NEG 08/11/22
1483 03-027-1379 07/11/22 IMRON 3601310103590001 51 L CIKIRAI PICUNG AB 11/11/22 RIF SEN 11/11/22
1484 03-027-1380 07/11/22 SUHEMI 3601114306810002 41 P BAJEG PICUNG AB 11/11/22 RIF SEN 11/11/22
1485 03-027-1381 07/11/22 JANA 3601100702720002 57 L PASIR JAMBU PICUNG AB 11/11/22 ERROR 11/11/22
1486 03-027-1382 07/11/22 IJAH 3601114107730295 52 P PASIR RAHAYU PICUNG AB 11/11/22 NEG 11/11/22
1487 03-027-1383 07/11/22 UJANG 3601111205730001 L BAJEG PICUNG AB 11/11/22 NEG 11/11/22
1488 03-027-1384 07/11/22 JUMAN 3601112508520001 50 L CANGKETEUKEUN PICUNG AB 11/11/22 NEG 11/11/22
1489 03-027-1385 07/11/22 TJASMO 3601110602630001 54 L BAJEG PICUNG AB 11/11/22 NEG 11/11/22
1490 03-027-1161 07/11/22 ELAH 3602095410970007 22 P KADUHAUK PICUNG DE 07/11/22 NEG NEG
1491 03-027-1386 14/11/22 AAM 3601114107770024 44 P CIBAGOLO PICUNG AB 14/11/22 NEG 14/11/22
1492 03-027-1387 14/11/22 UDING 3601110107550035 57 L CANGKETEUKEUN PICUNG AB 14/11/22 NEG 14/11/22
1493 03-027-1388 14/11/22 JUNI 3601110711220006 68 P CIBAGOLO PICUNG AB 14/11/22 NEG 14/11/22
1495 03-027-552 14/11/22 JULAEHA 3601111102051401 14 P KADUMULA PICUNG HI 14/11/22 NEG NEG
1494 03-027-1389 21/11/22 RASYA 3601131112070002 8 P MENES PICUNG AB 21/11/22 NEG 21/11/22
1496 03-027-545 21/11/22 ASIHIN 3601111010729009 29 L KADUBERA PICUNG HI 21/11/22 NEG NEG
1497 03-027-1390 28/11/22 DIDI 3602090706590001 63 L RANCA BILUK PICUNG AB 02/12/22 NEG 02/12/22
1498 03-027-1391 28/11/22 NENG YATI 3602084107790006 41 P BOJONG KONENG PICUNG AB 02/12/22 NEG 02/12/22
1499 03-027-1392 28/11/22 KUSNIAWAN 3601110202020001 21 L BUNGURCOPONG PICUNG AB 02/12/22 NEG 02/12/22
1500 03-027-1393 28/11/22 ISAH 3601115701670002 52 P MULIJATI PICUNG AB 02/12/22 NEG 02/12/22
1501 03-027-1394 28/11/22 SYLFIA 3674044405090006 13 P PASIRPANJANG PICUNG AB 02/12/22 NEG 02/12/22
1502 03-027-1395 28/11/22 TAJUDIN 3601110109650001 57 L CIBAGOLO PICUNG AB 02/12/22 NEG 02/12/22
1503 03-027-1396 28/11/22 ADE MAESAROH 3601114207850037 37 P TUNAS BARU PICUNG AB 02/12/22 NEG 02/12/22
1504 03-027-1397 28/11/22 SUFI 3602094309650005 65 P BANJARSARI PICUNG AB 02/12/22 NEG 02/12/22
PENANGGULANGAN TB NASIONAL TB.04

REGISTER LABORATORIUM TB
UNTUK LABORATORIUM FASKES MIKROSKOPIS DAN TES CEPAT
Nama Laboratorium Pemeriksaan : PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN
Bulan : DESEMBER
Tahun : 2022

Tanggal Nama Fasilitas


Hasil Pemeriksaan Mikroskopis (BTA/Lainnya) Hasil Tes Cepat dengan Xpert
Penerimaan Nomor Induk Umur Jenis Kesehatan Asal Alasan
No. Reg Lab Nomor Identitas Contoh Uji Nama Lengkap Pasien Alamat Lengkap Tanda Tangan Keterangan
Contoh Uji Kependudukan (NIK) (Tahun) Kelamin Contoh Uji Pemeriksaan Tanggal Hasil Tanggal Hasil
Tanggal Hasil 1 2 3
(HH/BB) Pemeriksaan Pemeriksaan dilaporkan
1510 03-027-638 05/12/22 YANTI 3601111491200001 21 P KADUBERA PICUNG HI 05/12/22 NEG NEG
1511 03-027-1258 05/12/22 HENDRAYANI 3601112407900001 30 L CIBAGOLO PICUNG DE 05/12/22 NEG NEG

1505 03-027-1398 05/12/22 KEJOY 3601110903530002 54 L BABAKAN SUPAKALAS PICUNG AB 12/12/22 RIF INDET 12/12/22
17/12/22 NEG 17/12/22
1506 03-027-1399 05/12/22 SARMAH 3601115912680001 50 P CIMOYAN PICUNG AB 24/12/22 NEG 24/12/22
1507 03-027-1400 12/12/22 JAMLUDIN 3601111109540002 68 L CIHUJAN PICUNG AB 12/12/22 RIF SEN 12/12/22
1508 03-027-1401 12/12/22 ADE SOLIHIN 3601111203720001 50 L KADUMULA PICUNG AB 12/12/22 NEG 12/12/22
RUJUK
1509 03-027-1402 12/12/22 SUKARMA 3602090906790002 42 L PASIRMALANG PICUNG AB 17/12/22 RIF SEN 17/12/22 BANJARSARI
1512 03-027-1403 12/12/22 SUENG 3601110502800001 L PASIRPANJANG PICUNG AB 12/12/22 NEG 12/12/22
1513 03-027-1342 19/12/22 NURHAYATI 3601114207890003 33 P CIUYANG PICUNG DE 19/12/22 NEG NEG
1514 03-027-772 19/12/22 SARMUNAH 3601114302700003 52 P GANGGAENG PICUNG FG 19/12/22 NEG NEG
1515 03-027-974 19/12/22 RIDWAN 3601110307030005 20 L GANGGAENG PICUNG FG 19/12/22 NEG NEG
1516 03-027-911 19/12/22 SUHAYATI 3601115005580001 64 P PASARLAMA PICUNG FG 19/12/22 NEG NEG
1517 03-027-854 19/12/22 JULFI 3601110107480038 67 L PASIRPEUNDEUY PICUNG HI 19/12/22 NEG NEG
1518 03-027-1404 19/12/22 IIN NURAENI SURYATI 3601114107010228 21 P KADUBERA PICUNG AB 20/12/22 RIF SEN 20/12/22
1519 03-027-1405 19/12/22 UUNG 3601111105870002 35 L BABAKAN TEUREUP PICUNG AB 20/12/22 RIF SEN 20/12/22
1520 03-027-1406 19/12/22 REGAL 3601312004140003 8 L SINDANGRESMI PICUNG AB 20/12/22 NEG 20/12/22
1521 03-027-1407 19/12/22 M. IRWAN 3601111611050002 16 L KADUMULA PICUNG AB 20/12/22 RIF SEN 20/12/22
1522 03-027-1408 19/12/22 MARSALI 3601310806480001 62 L CIKIRAY PICUNG AB 22/12/22 NEG 22/12/22
1523 03-027-1409 19/12/22 MARSITI 3601114107850241 42 P SEUTI PASIR PICUNG AB 22/12/22 RIF SEN 22/12/22
1524 03-027-1410 22/12/22 SARMEDI 3601110107630112 59 L PASIRPEUNDEUY PICUNG AB 24/12/22 NEG 24/12/22
1525 03-027-1411 22/12/22 DARSIM 3602090405580001 64 L JALUPANG PICUNG AB 24/12/22 NEG 24/12/22
1526 03-027-1412 26/12/22 DESI 3601115210930005 29 P KADUMULA PICUNG AB 26/12/22 RIF SEN 26/12/22
1527 03-027-1413 26/12/22 AAS 3601114107780186 40 P BUNGURCOPONG PICUNG AB 26/12/22 NEG 26/12/22
1528 03-027-1414 26/12/22 AFIFA NAHDA 3601114508160001 6 P SUPAKALAS PICUNG AB 26/12/22 NEG 26/12/22
1529 03-027-1415 02/12/22 SUHADI 3601112707530001 70 L KADUMULA PICUNG AB 02/12/22 NEG 02/12/22
1530 03-027-1416 26/12/22 RUMI 3601115411030001 19 P SUNGKELANG PICUNG AB 28/12/22 RIF SEN 28/12/22
1531 03-027-1417 26/12/22 KANAH 1671075010700033 50 P CIMOYAN PICUNG AB 28/12/22 NEG 28/12/22
1532 03-027-1418 26/12/22 FITRIANINGSIH 3601116503990002 23 P CIMOYAN PICUNG AB 28/12/22 RIF SEN 28/12/22
1533 03-027-1419 29/12/22 NOVIONO 3601110107950199 27 L BUNGURCOPONG PICUNG AB 29/12/22 NEG 29/12/22

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