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PENANGGULANGAN TB NASIONAL TB.

06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : JANUARI Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1 03-027-001 03/01/22 3602094506620003 DEDE MURNI 60 P LEBAK KADER P - POS NEG NEG 03/01/22 03/01/22 - - - - 07/01/22 NEG - - 1 10/01/2022
2 03-027-002 03/01/22 3601114112740001 IROH 48 P PASIRSEDANG KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 07/01/22 NEG - - 2
3 03-027-003 03/01/22 3601110107730029 AHEN 49 L PASIRSEDANG KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 07/01/22 NEG - - 3
4 03-027-004 03/01/22 3601110107550001 SUHERMAN 67 L CILILITAN KADER P - TDL NEG NEG 03/01/22 03/01/22 - - - - 07/01/22 RIF SEN - - 4 10/01/2022
5 03-027-005 03/01/22 3602096508820001 IPAT KOFIFAH 40 P LEBAK KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 06/01/22 NEG - - 5
6 03-027-006 03/01/22 GINA 30 P LEBAK KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 06/01/22 NEG - - 6
7 03-027-007 03/01/22 3602091103550001 DJADJA WITARYA 67 L LEBAK KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 06/01/22 NEG - - 7
8 03-027-008 03/01/22 3601105801870004 JAZIA ABDI F 35 P LEBAK KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 06/01/22 NEG - - 8
9 03-027-009 03/01/22 3602096401610002 YUSRIANTI 61 P LEBAK KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 06/01/22 NEG - - 9
10 03-027-010 03/01/22 3601114107600009 EMAH 52 P PASIRSEDANG KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 07/01/22 NEG - - 10
11 03-027-011 03/01/22 3601240107780010 ABDULAH 43 L PATIA KADER P - TDL NEG NEG 03/01/22 03/01/22 - - - - 07/01/22 RIF SEN - - 11 10/01/2022
12 03-027-012 10/01/22 3602090608590001 RANTA 63 P LEBAK KADER P - TDL TD TIDAK 10/01/22 10/01/22 - - - - 10/01/22 NEG - - 14
13 03-027-013 10/01/22 3602094106540003 JUMI 58 P LEBAK KADER P - TDL TD TIDAK 10/01/22 10/01/22 - - - - 11/01/22 NEG - - 15
14 03-027-014 10/01/22 3601115502630001 SUHADAH 58 L CILILITAN KADER P - TDL TD TIDAK 10/01/22 10/01/22 - - - - 14/01/22 NEG - - 16
15 03-027-015 10/01/22 3601111504540001 M. RASUDIN 58 L CILILITAN KADER P - TDL TD TIDAK 10/01/22 10/01/22 - - - - 14/01/22 NEG - - 17
16 03-027-016 10/01/22 3601110107780249 SAAD 44 L KADUBERA KADER P - TDL TD TIDAK 10/01/22 10/01/22 - - - - 16/01/22 NEG - - 18
17 03-027-017 10/01/22 3601114107800169 JUMSI FATRIAH 42 P KADUBERRA KADER P - TDL TD TIDAK 10/01/22 10/01/22 - - - - 16/01/22 NEG - - 19
18 03-027-018 10/01/22 3602094106580002 JUJU 63 P LEBAK KADER P - TDL TD TIDAK 10/01/22 10/01/22 - - - - 16/01/22 NEG - - 20
19 03-027-019 10/01/22 3601114107790051 KOKOM KOMARIAH 37 P BUNGURCOPONG KADER P - TDL TD TIDAK 10/01/22 10/01/22 - - - - 16/01/22 NEG - - 21
20 03-027-020 10/01/22 3602091003070002 MAMAT 21 L LEBAK KADER P - TDL NEG NEG 10/01/22 10/01/22 - - - - 16/01/22 RIF SEN - - 22 1/17/2022
21 03-027-021 10/01/22 3601115102010006 NENG SARI 21 P KOLELET KADER P - TDL NEG NEG 10/01/22 10/01/22 - - - - 16/01/22 RIF SEN - - 23 1/17/2022
22 03-027-022 10/01/22 3601110203560001 SODIK 60 L PASIRSEDANG KADER P - TDL NEG NEG 10/01/22 10/01/22 - - - - 16/01/22 RIF SEN - - 24 1/17/2022
23 03-027-023 17/01/22 3601110107750134 SARHANI 37 L PASIRSEDANG KADER P - TDL NEG NEG 17/01/22 17/01/22 - - - - 17/01/22 RIF SEN - - 27 1/17/2022
24 03-027-024 17/01/22 3601115706950001 IKA RATNASARI 25 P BUNGURCOPONG KADER P - POS NEG NEG 17/01/22 17/01/22 - - - - 18/01/22 NEG - - 28 1/24/2022
25 03-027-025 17/01/22 3601110107680141 ENJEN 47 L KADUPANDAK KADER P - TDL NEG NEG 17/01/22 17/01/22 - - - - 22/01/22 RIF SEN - - 29 1/24/2022
26 03-027-026 17/01/22 SAGANI 48 L KOLELET KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 22/01/22 NEG - - 30
27 03-027-027 17/01/22 SUBANDI 61 L CILILITAN KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 22/01/22 NEG - - 31
28 03-027-028 17/01/22 MUSA 54 L PASIRSEDANG KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 22/01/22 NEG - - 32
29 03-027-029 17/01/22 AYAT 52 L KADUPANDAK KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 22/01/22 NEG - - 33
30 03-027-030 17/01/22 LUMRAH 52 P CILILITAN KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 22/01/22 NEG - - 34
31 03-027-031 17/01/22 ICAH 50 P KADUPANDAK KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 23/01/22 NEG - - 35
32 03-027-032 17/01/22 TINI 42 P KADUPANDAK KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 23/01/22 NEG - - 36
33 03-027-033 17/01/22 PAHRI 17 L KADUPANDAK KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 23/01/22 NEG - - 37
34 03-027-034 17/01/22 BASRI 59 L LEBAK KADER P - TDL NEG NEG 17/01/22 17/01/22 - - - - 23/01/22 RIF SEN - - 38 DTP PKM BANJARSARI
35 03-027-035 17/01/22 3601114806720002 ROPIAH 42 P KOLELET KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 23/01/22 NEG - - 39
36 03-027-036 17/01/22 SUKMINAH 32 P CIHERANG KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 23/01/22 NEG - - 40
37 03-027-037 17/01/22 YULI 23 P KADUPANDAK KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 23/01/22 NEG - - 41
38 03-027-038 17/01/22 LIA 21 P KADUPANDAK KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 23/01/22 NEG - - 42
39 03-027-039 17/01/22 IPAT 37 P CIHERANG KADER P - TDL NEG NEG 17/01/22 17/01/22 - - - - 24/01/22 RIF SEN - - 43 1/24/2022
40 03-027-040 17/01/22 3601114207830022 ENENG ANISAH 35 P PASIRSEDANG KADER P - TDL TD TIDAK 17/01/22 17/01/22 - - - - 24/01/22 NEG - - 44
41 03-027-041 24/01/22 ENDANG 35 L CILILITAN KADER P - TDL NEG NEG 17/01/22 17/01/22 - - - - 25/01/22 RIF SEN - - 47 25/01/22
42 03-027-042 24/01/22 36020924019000001 ATIB 34 L LEBAK KADER P - TDL TD TIDAK 24/01/22 24/01/22 - - - - 29/01/22 NEG - - 48
43 03-027-043 24/01/22 MAHESA 12 L KOLELET KADER P - TDL TD TIDAK 24/01/22 24/01/22 - - - - 29/01/22 NEG - - 49
44 03-027-044 24/01/22 YANTO 46 L KOLELET KADER P - TDL TD TIDAK 24/01/22 24/01/22 - - - - 29/01/22 NEG - - 50
45 03-027-045 24/01/22 36011112082010001 IWIN 20 L KADUPANDAK KADER P - TDL TD TIDAK 24/01/22 24/01/22 - - - - 30/01/22 NEG - - 51
46 03-027-046 24/01/22 SARJA 64 L KOLELET KADER P - TDL TD TIDAK 24/01/22 24/01/22 - - - - 30/01/22 NEG - - 52
47 03-027-047 24/01/22 YANTI 24 P LEBAK KADER P - TDL TD TIDAK 24/01/22 24/01/22 - - - - 30/01/22 NEG - - 53
48 03-027-048 01/01/22 AMIN 30 L CIHERANG KADER P - TDL TD TIDAK 01/01/22 01/01/22 - - - - 02/01/22 NEG - - 54
49 03-027-049 03/01/22 SUPARTI 45 P KADUPANDAK KADER P - TDL TD TIDAK 03/01/22 03/01/22 - - - - 07/01/22 NEG - - 55
50 03-027-050 31/01/22 3601102004120003 NADHIF 10 L LEBAK KADER P 10 POS NEG TIDAK 31/01/22 31/01/22 - - - - 06/02/22 NEG - - 62 31/01/2022
51 03-027-051 31/01/22 3601111002800001 HUDORI 42 L CILILITAN KADER P - POS NEG NEG 31/01/22 31/01/22 - - - - 03/02/22 NEG - - 63 07/02/2022
02/02/22
52 03-027-052 31/01/22 3601110107990242 SUHANDA 23 L PASIRPANJANG KADER P - TDL NEG NEG 31/01/22 31/01/22 - - - - 04/02/22 RIF RES - - 64 RSUD BERKAH
53 03-027-053 31/01/22 3602092912190002 BERYL HAMIZAN RABBANI SUZI 2 L LEBAK KADER P 10 POS NEG NEG - - - - - - 06/02/22 NEG - - 65 31/01/2022
54 03-027-054 31/01/22 SAPIN 28 L CILILITAN KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 01/02/22 NEG - - 66
55 03-027-055 31/01/22 DIKI 18 L CILILITAN KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 01/02/22 NEG - - 67
56 03-027-056 31/01/22 RASIH 60 P BUNGURCOPONG KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 01/02/22 NEG - - 68
57 03-027-057 31/01/22 MAESAROH 47 P CILILITAN KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 01/02/22 NEG - - 69
58 03-027-058 31/01/22 UMRI 30 L CILILITAN KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 01/02/22 NEG - - 70
59 03-027-059 31/01/22 MAMAN 44 L CILILITAN KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 04/02/22 INVALID - - 71
60 03-027-060 31/01/22 3601110808680001 MUKTAR 54 L CIHERANG KADER P - TDL NEG NEG 31/01/22 31/01/22 - - - - 04/02/22 RIF SEN - - 72 07/02/2022
61 03-027-061 31/01/22 ENUR 45 P KADUPANDAK KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 05/02/22 NEG - - 73
62 03-027-062 31/01/22 SARIP 20 L KADUPANDAK KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 05/02/22 NEG - - 74
63 03-027-063 31/01/22 BAMBANG 58 L KADUPANDAK KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 05/02/22 NEG - - 75
64 03-027-064 31/01/22 BAI 58 P KADUPANDAK KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 05/02/22 NEG - - 76
65 03-027-065 31/01/22 ADE EMI 40 P KADUPANDAK KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 05/02/22 NEG - - 77
66 03-027-066 31/01/22 HENDI 36 L CILILITAN KADER P - TDL TD TIDAK 31/01/22 31/01/22 - - - - 05/02/22 NEG - - 78
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : FEBRUARI Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

67 03-027-067 07/02/22 3601110107800072 ADE ROHMAN 51 L KADUPANDAK KADER P - POS NEG NEG 07/02/22 07/02/22 - - - - 09/02/22 NEG 82 14/02/2022

68 03-027-068 07/02/22 3601114107470014 RUKIYAH 75 P KADUPANDAK KADER P - TDL TD TIDAK 07/02/22 07/02/22 - - - - 09/02/22 NEG 83

69 03-027-069 07/02/22 SARMAH 47 P KADUPANDAK KADER P - TDL TD TIDAK 07/02/22 07/02/22 - - - - 12/02/22 NEG 84
70 03-027-070 07/02/22 AYU 23 P CILILITAN KADER P - TDL TD TIDAK 07/02/22 07/02/22 - - - - 12/02/22 NEG 85

71 03-027-071 07/02/22 3601114107630165 ENCUK 50 P KADUPANDAK KADER P - TDL NEG NEG 07/02/22 07/02/22 - - - - 12/02/22 RIF SEN 86 14/02/2022

72 03-027-072 07/02/22 SELFI 12 P KADUPANDAK KADER P - TDL TD TIDAK 07/02/22 07/02/22 - - - - 13/02/22 NEG 87

73 03-027-073 07/02/22 TASLIM 25 L CILILITAN KADER P - TDL TD TIDAK 07/02/22 07/02/22 - - - - 13/02/22 NEG 88
74 03-027-074 07/02/22 JENAL 36 L CILILITAN KADER P - TDL TD TIDAK 07/02/22 07/02/22 - - - - 13/02/22 NEG 89

75 03-027-075 07/02/22 YUYUN 35 P CILILITAN KADER P - TDL TD TIDAK 07/02/22 07/02/22 - - - - 13/02/22 NEG 90

76 03-027-076 07/02/22 UBAY 29 L CIHERANG KADER P - POS NEG NEG 07/02/22 07/02/22 - - - - 23/02/22 NEG 91 14/02/2022

77 03-027-077 14/02/22 SUMINTA 46 L KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 14/02/22 NEG 99
78 03-027-078 14/02/22 IKAH 37 P KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 16/02/22 NEG 100

79 03-027-079 14/02/22 ATBI 17 L KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 16/02/22 NEG 101

80 03-027-080 14/02/22 AULIA 7 P KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 15/02/22 NEG 102

81 03-027-081 14/02/22 YANA 22 L KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 17/02/22 NEG 103

82 03-027-082 14/02/22 3601110605910011 OPAN 31 L PASIRSEDANG KADER P - POS NEG NEG 14/02/22 14/02/22 - - - - 20/02/22 RIF SEN 104 21/02/2022
83 03-027-083 14/02/22 ALFAZRI 9 L SINDANGRESMI KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 20/02/22 NEG 105

84 03-027-084 14/02/22 HABSAH 60 P PASIRSEDANG KADER P - POS NEG NEG 14/02/22 14/02/22 - - - - 21/02/22 NEG 106

85 03-027-085 14/02/22 KALELUL 16 L KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 18/02/22 NEG 107

86 03-027-086 14/02/22 ROHMAN 22 L KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 18/02/22 NEG 108
87 03-027-087 14/02/22 AKFA 15 L KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 18/02/22 NEG 109

88 03-027-088 21/02/22 3601110107950113 EGI ADHARA 27 L CILILITAN KADER P - POS NEG NEG 21/02/22 21/02/22 - - - - 23/02/22 RIF SEN 116 28/02/22
89 03-027-089 21/02/22 3601110107990120 WIRDA 22 L CILILITAN KADER P - POS NEG NEG 21/02/22 21/02/22 - - - - 24/02/22 RIF SEN 117 28/02/22

90 03-027-090 21/02/22 ALIYUDI 56 L KOLELET KADER P - POS NEG NEG 21/02/22 21/02/22 - - - - 23/02/22 NEG 118 28/02/22
91 03-027-091 21/02/22 3601310810760001 ARSAD 46 L SINDANGRESMI KADER P - POS NEG NEG 21/02/22 21/02/22 - - - - 23/02/22 RIF SEN 119 28/02/22

92 03-027-092 21/02/22 3601114605580001 UMDAH 64 P KOLELET KADER P - POS NEG NEG 21/02/22 21/02/22 - - - - 23/02/22 RIF SEN 120 28/02/22

93 03-027-093 21/02/22 AMAD 75 L GANGGAENG KADER P - TDL TD TIDAK 21/02/22 21/02/22 - - - - 23/02/22 NEG 122

94 03-027-094 21/02/22 HALIMI 50 L CILILITAN KADER P - TDL TD TIDAK 21/02/22 21/02/22 - - - - 23/02/22 NEG 123

95 03-027-095 21/02/22 3601110107350001 SAHIRI 70 L PASIRSEDANG KADER P - TDL TD TIDAK 21/02/22 21/02/22 - - - - 24/02/22 NEG 124
96 03-027-096 21/02/22 3601110107000306 M. DARUL 22 L KADUBERA KADER P - TDL TD TIDAK 21/02/22 21/02/22 - - - - 24/02/22 NEG 125

97 03-027-097 21/02/22 AMIN BIN RAFIK 43 L CIHERANG KADER P - POS NEG NEG 21/02/22 21/02/22 - - - - 26/02/22 NEG 126

98 03-027-098 21/02/22 3601112808650001 ACMAD SUHAENI 57 L KADUPANDAK KADER P - TDL TD TIDAK 21/02/22 21/02/22 - - - - 26/02/22 NEG 127

99 03-027-099 21/02/22 3601110508960001 M. DERI RIZKI HAKIKI 26 L KADUPANDAK KADER P - POS NEG NEG 21/02/22 21/02/22 - - - - 27/02/22 NEG 128 28/02/22
100 03-027-100 21/02/22 LELI 19 P KOLELET KADER P - TDL TD TIDAK 21/02/22 21/02/22 - - - - 27/02/22 NEG 129

101 03-027-101 21/02/22 IPAL 11 L KOLELET KADER P - TDL TD TIDAK 21/02/22 21/02/22 - - - - 27/02/22 NEG 130

102 03-027-102 28/02/22 DINA 16 P KARAWANG KADER P - POS NEG NEG 28/02/22 28/02/22 - - - - 28/02/22 RIF SEN 131 28/02/22

103 03-027-103 28/02/22 NENGSIH 45 P KADUPANDAK KADER P - POS NEG NEG 28/02/22 28/02/22 - - - - 28/02/22 NEG 132 28/02/22
104 03-027-104 28/02/22 KIYAN 15 L KOLELET KADER P - TDL TD TIDAK 28/02/22 28/02/22 - - - - 28/02/22 NEG 133

105 03-027-105 28/02/22 MAULANA 21 L KOLELET KADER P - TDL TD TIDAK 28/02/22 28/02/22 - - - - 28/02/22 NEG 134

106 03-027-106 28/02/22 ALI 25 L KOLELET KADER P - TDL TD TIDAK 28/02/22 28/02/22 - - - - 28/02/22 NEG 135

107 03-027-107 28/02/22 RIYAN 16 L KOLELET KADER P - TDL TD TIDAK 28/02/22 28/02/22 - - - - 28/02/22 NEG 136
108 03-027-108 28/02/22 FINA 17 P KOLELET KADER P - TDL TD TIDAK 28/02/22 28/02/22 - - - - 28/02/22 NEG 137

109 03-027-109 28/02/22 SAUD 64 L PASIRPANJANG KADER P - TDL TD TIDAK 28/02/22 28/02/22 - - - - 01/03/22 NEG 138

110 03-027-110 28/02/22 SANA 70 L KADUBERA KADER P - TDL TD TIDAK 28/02/22 28/02/22 - - - - 01/03/22 NEG 139

111 03-027-111 14/02/22 DIAN 19 P KOLELET KADER P - TDL TD TIDAK 14/02/22 14/02/22 - - - - 17/02/22 NEG 142
112 03-027-112 21/02/22 ANIAH 67 P LEBAK KADER P - TDL TD TIDAK 21/02/22 21/02/22 - - - - 21/02/22 NEG 143
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : MARET Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
113 03-027-113 01/03/22 3601110602780002 UJANG 53 L KOLELET KADER P - TDL TD TIDAK - 01/03/22 01/03/22 - - - - 04/03/22 NEG 144
114 03-027-114 01/03/22 ZESI 14 P KOLELET KADER P - TDL TD TIDAK - 01/03/22 01/03/22 - - - - 04/03/22 NEG 145
115 03-027-115 01/03/22 3601104802940001 NENI, SAROH 30 P BOJONG KADER P - TDL TD TIDAK - 01/03/22 01/03/22 - - - - 04/03/22 RIF SEN 146 PKM BOJONG
116 03-027-116 01/03/22 3601111203630003 ADON 62 L KADUPANDAK KADER P - TDL TD TIDAK - 01/03/22 01/03/22 - - - - 05/03/22 NEG 147
117 03-027-117 01/03/22 3601111211710001 SANTA 51 L PASIRSEDANG KADER P - TDL NEG NEG - 01/03/22 01/03/22 - - - - 07/03/22 RIF SEN 148 07/03/22
118 03-027-118 07/03/22 FEBRIANA 12 L PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 08/03/22 NEG 149
119 03-027-119 07/03/22 MAMAH 47 L PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 08/03/22 NEG 150
120 03-027-120 07/03/22 LIA 27 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 08/03/22 NEG 151
121 03-027-121 07/03/22 YUNI 31 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 152
122 03-027-122 07/03/22 ARIF 28 L KOLELET KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 153
123 03-027-123 07/03/22 UTARI 27 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 154
124 03-027-124 07/03/22 DJAJA 67 L KADUBERA KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 155
125 03-027-125 07/03/22 SAEBAH 54 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 156
126 03-027-126 07/03/22 NENI. N 42 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 157
127 03-027-127 07/03/22 SITI ANJANI 21 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 158
128 03-027-128 07/03/22 SARNI 36 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 159
129 03-027-129 07/03/22 HERA SAPIRA 20 P KOLELET KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 09/03/22 NEG 160
130 03-027-130 08/03/22 RASTI 55 P KOLELET KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 165
131 03-027-131 08/03/22 SURAHMAT 50 L KOLELET KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 166
132 03-027-132 08/03/22 ARINAH 62 P KOLELET KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 167
133 03-027-133 08/03/22 M. FAHMI 5 L KADUPANDAK KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 168
134 03-027-134 08/03/22 JUMAENAH 40 P KADUPANDAK KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 169
135 03-027-135 08/03/22 ARMAH 50 P KADUPANDAK KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 170
136 03-027-136 08/03/22 UDIN 50 L KADUPANDAK KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 171
137 03-027-137 08/03/22 ELIS 21 P KADUPANDAK KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 172
138 03-027-138 08/03/22 MIMIN 15 P CILILITAN KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 173
139 03-027-139 08/03/22 PENTI 10 P CILILITAN KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 174
140 03-027-140 08/03/22 ECIH 26 P CILILITAN KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 175
141 03-027-141 08/03/22 UNI 35 P CILILITAN KADER P - TDL TD TIDAK - 08/03/22 08/03/22 - - - - 10/03/22 NEG 176
142 03-027-142 09/03/22 SANTIBI 54 L KADUPANDAK KADER P - TDL TD TIDAK - 09/03/22 09/03/22 - - - - 11/03/22 NEG 177
143 03-027-143 09/03/22 ANISA 21 P CILILITAN KADER P - TDL TD TIDAK - 09/03/22 09/03/22 - - - - 11/03/22 NEG 178
144 03-027-144 09/03/22 ANAH 56 P CILILITAN KADER P - TDL TD TIDAK - 09/03/22 09/03/22 - - - - 11/03/22 NEG 179
145 03-027-145 09/03/22 SURNI 59 P KOLELET KADER P - TDL TD TIDAK - 09/03/22 09/03/22 - - - - 11/03/22 NEG 180
146 03-027-146 09/03/22 ANAMAH 46 P KADUBERA KADER P - TDL TD TIDAK - 09/03/22 09/03/22 - - - - 11/03/22 NEG 181
147 03-027-147 10/03/22 JUPRI 51 L KOLELET KADER P - TDL TD TIDAK - 10/03/22 10/03/22 - - - - 12/03/22 NEG 182
148 03-027-148 10/03/22 MARSIH 55 P KOLELET KADER P - TDL TD TIDAK - 10/03/22 10/03/22 - - - - 12/03/22 NEG 183
149 03-027-149 10/03/22 AL SAADAH 42 P KOLELET KADER P - TDL TD TIDAK - 10/03/22 10/03/22 - - - - 12/03/22 NEG 184
150 03-027-150 10/03/22 UPUD 55 L CILILITAN KADER P - TDL TD TIDAK - 10/03/22 10/03/22 - - - - 12/03/22 NEG 185
151 03-027-151 10/03/22 ARIF 36 L KOLELET KADER P - TDL TD TIDAK - 10/03/22 10/03/22 - - - - 12/03/22 NEG 186
152 03-027-152 10/03/22 SRI WAHYUNI 24 P KOLELET KADER P - TDL TD TIDAK - 10/03/22 10/03/22 - - - - 12/03/22 NEG 187
153 03-027-153 10/03/22 AMIR 59 L KOLELET KADER P - TDL TD TIDAK - 10/03/22 10/03/22 - - - - 12/03/22 NEG 188
154 03-027-154 10/03/22 UCI 71 L KOLELET KADER P - TDL TD TIDAK - 10/03/22 10/03/22 - - - - 12/03/22 NEG 189
155 03-027-155 14/03/22 3601115102750001 ENONG 49 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 14/03/22 NEG 190
156 03-027-156 14/03/22 3601110107680070 SOKER 60 L PASIRSEDANG KADER P - POS NEG NEG - 14/03/22 14/03/22 - - - - 14/03/22 RIF SEN 191 14/03/22
157 03-027-157 14/03/22 3602091705870002 SAINAN 35 L KADUPANDAK KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 14/03/22 NEG 192
158 03-027-158 14/03/22 MARNI 50 P PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 14/03/22 NEG 193
159 03-027-159 14/03/22 RANI 55 P PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 194
160 03-027-160 14/03/22 SANTI 34 P PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 195
161 03-027-161 14/03/22 SARINAH 50 P PASIRSEDANG KADER P - TDL NEG NEG - 14/03/22 14/03/22 - - - - 15/03/22 RIF SEN 196 21/03/22
162 03-027-162 14/03/22 SITI FATIMAH 45 P PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 197
163 03-027-163 14/03/22 YUNUS 50 L PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 198
164 03-027-164 14/03/22 AAH 36 P PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 199
165 03-027-165 14/03/22 IJAH 40 P PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 200
166 03-027-166 14/03/22 ASKAH 32 P PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 201
167 03-027-167 14/03/22 3602095707760002 ASWIYAH 45 P LEBAK KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 202
168 03-027-168 14/03/22 SARIPUDIN 42 L PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 203
169 03-027-169 14/03/22 ENCEP SUPENDI 49 L KADUPANDAK KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 204
170 03-027-170 14/03/22 UHED 50 L PASIRSEDANG KADER P - TDL TD TIDAK - 14/03/22 14/03/22 - - - - 15/03/22 NEG 205
171 03-027-171 15/03/22 I'OT 55 P KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 216
172 03-027-172 15/03/22 TIAH 53 P KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 217
173 03-027-173 15/03/22 3601114510720006 NYAI ENI SUMIARTI 50 P KADUPANDAK KADER P - TDL NEG NEG - 15/03/22 15/03/22 - - - - 16/03/22 RIF SEN 218 21/03/22
174 03-027-174 15/03/22 ATA 62 L KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 219
175 03-027-175 15/03/22 DEDEN HERMAWAN 23 L KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 220
176 03-027-176 15/03/22 SILPI 20 P KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 221
177 03-027-177 15/03/22 MAHPUDIN 45 L KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 222
178 03-027-178 15/03/22 YANI 38 P KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 223
179 03-027-179 15/03/22 PUJI 30 P KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 224
180 03-027-180 15/03/22 LOMRAH 50 P KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 225
181 03-027-181 15/03/22 CUCUN 37 P KADUPANDAK KADER P - TDL TD TIDAK - 15/03/22 15/03/22 - - - - 16/03/22 NEG 226
182 03-027-182 16/03/22 ENI 40 P CILILITAN KADER P - TDL TD TIDAK - 16/03/22 16/03/22 - - - - 17/03/22 NEG 227
183 03-027-183 16/03/22 NURHOLIS 35 L CIHERANG KADER P - TDL TD TIDAK - 16/03/22 16/03/22 - - - - 17/03/22 NEG 228
184 03-027-184 16/03/22 TATANG HERMAWAN 40 L KADUPANDAK KADER P - TDL TD TIDAK - 16/03/22 16/03/22 - - - - 17/03/22 NEG 229
185 03-027-185 16/03/22 NENI 32 P LEBAK KADER P - TDL TD TIDAK - 16/03/22 16/03/22 - - - - 17/03/22 NEG 230
186 03-027-186 19/03/22 3601024107560024 TIKAH 56 P CIBADAK, CIMANGGU KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 231
187 03-027-187 19/03/22 JASMIN 57 L CILILITAN KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 232
188 03-027-188 19/03/22 EMAH 55 P CILILITAN KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 233
189 03-027-189 19/03/22 AHMAD ASSABAH 50 L CILILITAN KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 234
190 03-027-190 19/03/22 3601114107830130 NURHAYATI 45 P CILILITAN KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 235
191 03-027-191 19/03/22 HERNI 35 P KADUPANDAK KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 236
192 03-027-192 19/03/22 ROHANAH 35 P KADUPANDAK KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 237
193 03-027-193 19/03/22 3601115801020002 CHICHA 21 P KADUPANDAK KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 238
194 03-027-194 19/03/22 3601210505870003 AHMAD IMAMI 35 L KADUPANDAK KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 239
195 03-027-195 19/03/22 3601114808990002 NURHAYATI 21 P KADUPANDAK KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 240
196 03-027-196 19/03/22 3601114709980001 TIA SULISTIANI 24 P KADUPANDAK KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 241
197 03-027-197 19/03/22 3601114606640001 EMBAY 53 P KADUPANDAK KADER P - TDL TD TIDAK - 19/03/22 19/03/22 - - - - 20/03/22 NEG 242
198 03-027-198 21/03/22 3601112203170003 M. FAHMI PAIRUS 5 L KOLELET KADER P 10 TDL NEG NEG - 21/03/22 21/03/22 - - - - 243 21/03/22
199 03-027-199 21/03/22 3601110801720001 SUHERMAN 51 L KADUBERA KADER P - POS NEG NEG - 21/03/22 21/03/22 - - - - 21/03/22 NEG 244 18/04/22
200 03-027-200 21/03/22 3601110602660003 SADUN 60 L PASIRPANJANG KADER P - POS NEG NEG - 21/03/22 21/03/22 - - - - 21/03/22 NEG 245 28/03/22
201 03-027-201 21/03/22 3601114105830002 IRMA 38 P PASIRSEDANG KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 21/03/22 NEG 246
202 03-027-202 21/03/22 3601114807890001 RASTI 60 P KOLELET KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 21/03/22 NEG 247
203 03-027-203 21/03/22 3601114102660002 UNDAY 56 P KADUBERA KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 22/03/22 NEG 252
204 03-027-204 21/03/22 HADIJAH 70 P KOLELET KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 22/03/22 NEG 253
205 03-027-205 21/03/22 3601110207560004 JARMANI 65 L BUNGURCOPONG KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 24/03/22 NEG 254
206 03-027-206 21/03/22 36011145033770003 OOM ENI 43 P CILILITAN KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 24/03/22 NEG 255
207 03-027-207 21/03/22 3601117005010001 NANI 21 P CILILITAN KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 24/03/22 NEG 256
208 03-027-208 21/03/22 3601115410620001 BAYI 60 P CILILITAN KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 24/03/22 NEG 257
209 03-027-209 21/03/22 360111106520001 ENJEN 70 L CILILITAN KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 24/03/22 INVALID 258
210 03-027-210 21/03/22 3601114103620001 MARCA 60 L CILILITAN KADER P - TDL TD TIDAK - 21/03/22 21/03/22 - - - - 24/03/22 NEG 259
211 03-027-211 22/03/22 3601311204940001 DADAN 28 L KOLELET KADER P - TDL TD TIDAK - 22/03/22 22/03/22 - - - - 23/03/22 NEG 260
212 03-027-212 22/03/22 3601111203720001 ADE DOLIHIN 56 L KOLELET KADER P - TDL TD TIDAK - 22/03/22 22/03/22 - - - - 23/03/22 NEG 261
213 03-027-213 22/03/22 3601115007950001 YULIA 27 P KOLELET KADER P - TDL TD TIDAK - 22/03/22 22/03/22 - - - - 23/03/22 NEG 262
214 03-027-214 22/03/22 ARSITI 51 P KOLELET KADER P - TDL TD TIDAK - 22/03/22 22/03/22 - - - - 23/03/22 NEG 263
215 03-027-215 22/03/22 RANTES 64 L KOLELET KADER P - TDL TD TIDAK - 22/03/22 22/03/22 - - - - 23/03/22 NEG 264
216 03-027-216 22/03/22 3601110304890001 AGUS MULYANA 34 L KOLELET KADER P - TDL TD TIDAK - 22/03/22 22/03/22 - - - - 23/03/22 NEG 265
217 03-027-217 22/03/22 3601114405520001 NURSIAH 70 P KOLELET KADER P - TDL TD TIDAK - 22/03/22 22/03/22 - - - - 23/03/22 NEG 266
218 03-027-218 23/03/22 3601115104680001 SUMA'AH 51 P KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 267
219 03-027-219 23/03/22 3601116203910001 HASANAH 40 P KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 268
220 03-027-220 23/03/22 3601114107630201 MAMAH 59 P KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 269
221 03-027-221 23/03/22 3602094505970001 RINI 26 P KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 270
222 03-027-222 23/03/22 3601111006660001 SARIPAN 55 L KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 271
223 03-027-223 23/03/22 3601081502940002 JUHENDI 28 L KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 272
224 03-027-224 23/03/22 3601114411760001 METI 44 P KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 273
225 03-027-225 23/03/22 3601111205590002 MASDUKI 70 L KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 274
226 03-027-226 23/03/22 3601110609540001 SARNATA 60 L KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 275
227 03-027-227 23/03/22 3601114105550002 NARTI 62 P KOLELET KADER P - TDL TD TIDAK - 23/03/22 23/03/22 - - - - 23/03/22 NEG 276
228 03-027-228 24/03/22 3601114107610026 IPAH 61 P CILILITAN KADER P - TDL TD TIDAK - 24/03/22 24/03/22 - - - - 25/03/22 NEG 277
229 03-027-229 26/03/22 3601115911800001 ENAH 42 P KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 278
230 03-027-230 26/03/22 3601112103640001 CIMAN 58 L KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 279
231 03-027-231 26/03/22 3601114107630164 KANAH 59 P KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 280
232 03-027-232 26/03/22 3601114107670018 AMINAH 55 P KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 281
233 03-027-233 26/03/22 3601334808990001 JAHROH 23 P KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 282
234 03-027-234 26/03/22 3601111509570001 SAKOD 62 L KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 283
235 03-027-235 26/03/22 3601114205600003 MURNI 62 P KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 284
236 03-027-236 26/03/22 3601111407000002 SAEFUL ANWAR 22 L KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 285
237 03-027-237 26/03/22 3601114205760002 ODAH 41 P KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 286
238 03-027-238 26/03/22 3601115208830001 ENI 39 P KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 287
239 03-027-239 26/03/22 3601114506850005 NURHAETI 37 P KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 NEG 288
240 03-027-240 26/03/22 3601111110760001 HAMDAN 47 L KADUPANDAK KADER P - TDL TD TIDAK - 26/03/22 26/03/22 - - - - 28/03/22 INVALID 289
241 03-027-241 28/03/22 ROHAESIH 40 P KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 29/03/22 NEG 290
242 03-027-242 28/03/22 36011141076303002 KURNIASIH 55 P PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 29/03/22 NEG 291
243 03-027-243 28/03/22 3601110512750001 JUMAEDI 45 L KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 30/03/22 NEG 292
244 03-027-244 28/03/22 3601112009540003 DJAKAR 68 L KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 30/03/22 NEG 293
245 03-027-245 28/03/22 3601115409620001 IPAH 63 P KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 30/03/22 NEG 294
246 03-027-246 28/03/22 3601114107730154 MAEMUNAH 45 P KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 30/03/22 NEG 295
247 03-027-247 28/03/22 3601115204780001 SARAH 45 P KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 30/03/22 NEG 296
248 03-027-248 28/03/22 3601116811010003 FITRI AMINAH 21 P KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 30/03/22 NEG 297
249 03-027-249 28/03/22 SAIN 26 L KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 30/03/22 NEG 298
250 03-027-250 28/03/22 HAERUL 29 L KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 30/03/22 NEG 299
251 03-027-251 28/03/22 SOHIB 38 L PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 300
252 03-027-252 28/03/22 RUKMINI 31 P PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 301
253 03-027-253 28/03/22 SAMSUL HIDAYAT 28 L PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 302
254 03-027-254 28/03/22 NURLINDA SARI 27 P PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 303
255 03-027-255 28/03/22 HALIPAH 11 P PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 304
256 03-027-256 28/03/22 HASAN NURDIN 30 L PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 305
257 03-027-257 28/03/22 BUSTOMI 18 L PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 306
258 03-027-258 28/03/22 APADAH 45 P PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 307
259 03-027-259 28/03/22 3601110107930241 USEN 33 L PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 308
260 03-027-260 28/03/22 3601115406740001 YENI 48 P PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 NEG 309
261 03-027-261 28/03/22 3601115305990002 NANI 23 P PASIRPANJANG KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 31/03/22 ERROR 310
262 03-027-262 28/03/22 SAKOL 39 L SINDANGRESMI KADER P - TDL NEG NEG - 28/03/22 28/03/22 - - - - 31/03/22 RIF RES 311 04/04/22
263 03-027-263 07/03/22 3601110107710045 HALIMI 53 L CILILITAN KADER P - TDL TD TIDAK - 07/03/22 07/03/22 - - - - 08/03/22 NEG 312
264 03-027-264 28/03/22 ATIKAH 45 P KADUPANDAK KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 28/03/22 NEG 313
265 03-027-265 28/03/22 MASNI P KADER P - TDL TD TIDAK - 28/03/22 28/03/22 - - - - 314
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : APRIL Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
266 03-027-266 01/04/22 3601114107900200 SARYATI 34 P PASIRPANJANG KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 ERROR 315
267 03-027-267 01/04/22 3601110708780004 SARYANI 44 L PASIRPANJANG KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 316
268 03-027-268 01/04/22 3601106501760001 YOYON 43 P BOJONG KADER P - TDL TD NEG - 01/04/22 01/04/22 - - - - 01/04/22 RIF SEN 317 04/04/22 BOJONG
269 03-027-269 01/04/22 IDUS 37 L CILILITAN KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 318
270 03-027-270 01/04/22 MISNAN 39 L CILILITAN KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 319
271 03-027-271 01/04/22 BADRI 40 P CILILITAN KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 320
272 03-027-272 01/04/22 3601114604560001 RUKANAH 58 P PASIRPANJANG KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 321
273 03-027-273 01/04/22 EDAH 38 P KADUPANDAK KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 322
274 03-027-274 01/04/22 3601110107800249 DAYAT 42 L KADUPANDAK KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 323
275 03-027-275 01/04/22 3601110507850002 RUKMAN 37 L KADUPANDAK KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 324
276 03-027-276 01/04/22 INAH 43 P KADUPANDAK KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 325
277 03-027-277 01/04/22 HERDI 34 L PASIRPANJANG KADER P - TDL NEG NEG - 01/04/22 01/04/22 - - - - 01/04/22 RIF SEN 326 04/04/22
278 03-027-278 01/04/22 INAH 52 P PASIRPANJANG KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 327
279 03-027-279 01/04/22 GINANJAR 18 L CILILITAN KADER P - TDL TD TIDAK - 01/04/22 01/04/22 - - - - 01/04/22 NEG 328
280 03-027-280 04/04/22 3601110107530030 RASIDI 70 L PASIRSEDANG KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 04/04/22 NEG 329
281 03-027-281 04/04/22 3601110107780068 EDI 47 L CILILITAN KADER P - TDL NEG NEG - 04/04/22 04/04/22 - - - - 04/04/22 RIF SEN 330 04/04/22
282 03-027-282 04/04/22 AZAM 6 L KOLELET KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 04/04/22 NEG 331
283 03-027-283 04/04/22 3601116304990001 LEVIANA 23 P KOLELET KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 04/04/22 NEG 332
284 03-027-284 04/04/22 ROSDIANA 25 P KOLELET KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 04/04/22 NEG 333
285 03-027-285 04/04/22 3601110504750003 YOYON 47 L KADUPANDAK KADER P - TDL NEG NEG - 04/04/22 04/04/22 - - - - 04/04/22 RIF SEN 334 04/04/22
286 03-027-286 04/04/22 3601114107780127 SARIAH 44 P KADUPANDAK KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 04/04/22 NEG 335
287 03-027-287 04/04/22 3601110107510026 ARWAD 47 L KADUPANDAK KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 04/04/22 NEG 336
288 03-027-288 04/04/22 MULHAT L KADUPANDAK KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 338
289 03-027-289 04/04/22 AGUS L KADUPANDAK KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 339
290 03-027-290 04/04/22 HERNI P KADUPANDAK KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 340
291 03-027-291 04/04/22 IWAN L CILILITAN KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 341
292 03-027-292 04/04/22 PERA P CILILITAN KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 342
293 03-027-293 04/04/22 SARNAH P CILILITAN KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 343
294 03-027-294 04/04/22 MASKAH P CILILITAN KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 344
295 03-027-295 04/04/22 DENDA L CILILITAN KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 345
296 03-027-296 04/04/22 SUHANDI L CILILITAN KADER P - TDL TD TIDAK - 04/04/22 04/04/22 - - - - 05/04/22 NEG 346
297 03-027-297 05/04/22 3601110107790085 NAIM 43 L PASIRPANJANG KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 347
298 03-027-298 05/04/22 3601114107800237 SUHAEMI 42 P PASIRPANJANG KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 348
299 03-027-299 05/04/22 3601115503000001 SITI AISAH 22 P KOLELET KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 349
300 03-027-300 05/04/22 3601114107930108 NENENG KHOLIFAH 30 P KADUPANDAK KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 350
301 03-027-301 05/04/22 3601110107980152 DEDEN SUNARDI 25 L KADUPANDAK KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 351
302 03-027-302 05/04/22 3601112506420001 SADIAN 83 L KOLELET KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 352
303 03-027-303 05/04/22 ENE SANIP 60 P KADUPANDAK KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 353
304 03-027-304 05/04/22 IMAS 39 P KADUPANDAK KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG
NO 354
305 03-027-305 05/04/22 ELAN 43 P KADUPANDAK KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 RESULT 355
306 03-027-306 05/04/22 IJAH 40 P KADUPANDAK KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG
NEG 356
307 03-027-307 05/04/22 SANIP 60 L KADUPANDAK KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 357
308 03-027-308 05/04/22 ASMANAH 33 P KADUPANDAK KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 06/04/22 NEG 358
309 03-027-309 06/04/22 JUHRI 53 L KOLELET KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 NEG 359
310 03-027-310 06/04/22 IWAT P CILILITAN KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 NEG 360
311 03-027-311 06/04/22 NURHAYATI 35 P CILILITAN KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 NEG 361
312 03-027-312 06/04/22 3601114107940084 SOLIHAH 28 P KADUPANDAK KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 NEG 362
313 03-027-313 06/04/22 AMSAH 55 P KADUPANDAK KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 INVALID 363
314 03-027-314 06/04/22 3601114207580008 KAMSINAH 64 P PASIRPANJANG KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 NEG 364
315 03-027-315 06/04/22 MASMUNAH 50 P KADUPANDAK KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 NEG 365
316 03-027-316 06/04/22 REVA P KADUPANDAK KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 NEG 366
317 03-027-317 06/04/22 BAYI 40 P KADUPANDAK KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 NEG 367
318 03-027-318 06/04/22 SUHETI 40 P KOLELET KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 INVALID 368
319 03-027-319 06/04/22 SARYANAH 63 P GANGGAENG KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 INVALID 369
320 03-027-320 06/04/22 360209060860000 BADRI 60 L LEBAK KADER P - POS TD TIDAK - 06/04/22 06/04/22 - - - - 07/04/22 RIF SEN 370 11/04/22 BANJARSARI
321 03-027-321 07/04/22 3601114107950316 YOYOH KOMARIAH 27 P KADUBERA KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 NEG 371
322 03-027-322 07/04/22 3601114407730001 NURHASANAH 49 P KADUBERA KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 NEG 372
323 03-027-323 07/04/22 3601114107780029 EMAH 50 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 NEG 373
324 03-027-324 07/04/22 ELFAN 9 L KADUPANDAK KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 NEG 374
325 03-027-325 07/04/22 3601115512820004 PIAH 40 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 NEG 375
NO
326 03-027-326 07/04/22 3601114107600009 EMAH 53 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 RESULT 376
327 03-027-327 07/04/22 3601114107580028 NARWATI 64 P PASIRSEDANG KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 NEG
NEG 377
328 03-027-328 07/04/22 HINDUN 70 P CILILITAN KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 NEG 378
329 03-027-329 07/04/22 SUKMANAH 58 P CILILITAN KADER P - TDL TD TIDAK - 07/04/22 07/04/22 - - - - 09/04/22 NEG 379
330 03-027-330 08/04/22 MASDI 58 L CILILITAN KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 NEG 380
331 03-027-331 08/04/22 EMAH P KADUBERA KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 NEG 381
332 03-027-332 08/04/22 ENTIS 54 L CILILITAN KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 NEG 382
333 03-027-333 08/04/22 SUKESIH 45 P CILILITAN KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 NEG 383
334 03-027-334 08/04/22 SUMANTRI 30 L CILILITAN KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 NEG 384
335 03-027-335 08/04/22 MELAWATI 32 P CILILITAN KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 NEG 385
336 03-027-336 08/04/22 3601114107670053 ENENG MURNIAWATI 47 P KADUBERA KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 NEG 386
337 03-027-337 08/04/22 3601111702680001 SAID 54 L KADUBERA KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 INVALID 387
338 03-027-338 08/04/22 3601110107610113 SYUAIB RIZAL 57 L KADUBERA KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 INVALID 388
339 03-027-339 08/04/22 3601114107940098 PURNAWATI 28 P KADUPANDAK KADER P - TDL TD TIDAK - 08/04/22 08/04/22 - - - - 09/04/22 NEG 389
340 03-027-340 11/04/22 3602094607910002 NURLAILA 32 P MUNJUL KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 NEG 390
341 03-027-341 11/04/22 3601114107840113 YATI 39 P KADUBERA KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 NEG 391
342 03-027-342 11/04/22 3601110107810126 MU'MIN 48 L KADUBERA KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 NEG 392
343 03-027-343 11/04/22 AHYAR 56 L CILILITAN KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 NEG 393
344 03-027-344 11/04/22 M. NURJAENI 23 L CILILITAN KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 NEG 394
345 03-027-345 11/04/22 H. NURMI 60 L CILILITAN KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 NEG 395
346 03-027-346 11/04/22 EROH 49 P CILILITAN KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 ERROR 396
347 03-027-347 11/04/22 3601114107640050 HIDEUNG 58 P KADUBERA KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 NEG 397
348 03-027-348 11/04/22 3601110107610112 SAWIDI 62 L KADUBERA KADER P - TDL TD TIDAK - 11/04/22 11/04/22 - - - - 11/04/22 NEG 398
349 03-027-349 12/04/22 IDIL JUNAEDI 28 L BUNGURCOPONG KADER P - TDL TD TIDAK - 12/04/22 12/04/22 - - - - 12/04/22 NEG 406
350 03-027-350 12/04/22 3601110805960005 ROSID 26 L BUNGURCOPONG KADER P - POS NEG NEG - 12/04/22 12/04/22 - - - - 12/04/22 NEG 407 11/04/22
351 03-027-351 12/04/22 3601114201930002 ITA AYUNDA SARI 31 P KADUPANDAK KADER P - TDL TD TIDAK - 12/04/22 12/04/22 - - - - 12/04/22 NEG 408
352 03-027-352 12/04/22 3601114305460001 HJ. ISAH 74 P KADUPANDAK KADER P - TDL TD TIDAK - 12/04/22 12/04/22 - - - - 12/04/22 NEG 409
353 03-027-353 12/04/22 3601114904800001 CUCUM 47 P KADUPANDAK KADER P - TDL TD TIDAK - 12/04/22 12/04/22 - - - - 12/04/22 NEG 410
354 03-027-354 12/04/22 3601114606810001 RUKAYAH 38 P KADUPANDAK KADER P - TDL TD TIDAK - 12/04/22 12/04/22 - - - - 12/04/22 NEG 411
355 03-027-355 12/04/22 3601114401070001 MELANI 15 P KADUPANDAK KADER P - TDL TD TIDAK - 12/04/22 12/04/22 - - - - 12/04/22 NEG 412
356 03-027-356 12/04/22 NAZWA 8 P PASIRSEDANG KADER P - TDL TD TIDAK - 12/04/22 12/04/22 - - - - 12/04/22 NEG 413
357 03-027-357 12/04/22 3601114307800011 AMINAH 40 P PASIRSEDANG KADER P - TDL TD TIDAK - 12/04/22 12/04/22 - - - - 12/04/22 NEG 414
358 03-027-358 13/04/22 3601115111890001 IDA 31 P KADUPANDAK KADER P - TDL TD TIDAK - 13/04/22 13/04/22 - - - - 13/04/22 NEG 415
359 03-027-359 13/04/22 3601116312750001 SURIAMAH 52 P KADUPANDAK KADER P - TDL TD TIDAK - 13/04/22 13/04/22 - - - - 13/04/22 NEG 416
360 03-027-360 13/04/22 AAN 42 L KADUPANDAK KADER P - TDL TD TIDAK - 13/04/22 13/04/22 - - - - 13/04/22 NEG 417
361 03-027-361 13/04/22 3601115507100001 NADIRA 12 P KADUPANDAK KADER P - TDL TD TIDAK - 13/04/22 13/04/22 - - - - 13/04/22 NEG 418
362 03-027-362 16/04/22 3601114017760179 ANAMAH 43 P KADUBERA KADER P - POS NEG NEG - 16/04/22 16/04/22 - - - - 17/04/22 NEG 419 18/04/22
363 03-027-363 18/04/22 3601114107680209 SUPRIYATI 54 P BUNGURCOPONG KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 20/04/22 NEG 429
364 03-027-364 18/04/22 3601114202850002 SARNITI 37 P PASIRPANJANG KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 20/04/22 NEG 430
365 03-027-365 18/04/22 3602094909040001 SAMNAH 19 P LEBAK KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 20/04/22 NEG 431
366 03-027-366 18/04/22 3601110107630197 SUKARMA 59 L BUNGURCOPONG KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 20/04/22 NEG 432
367 03-027-367 18/04/22 3601114107790097 SURNAH 53 P KADUBERA KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 21/04/22 NEG 433
368 03-027-368 18/04/22 3601114107630167 ITI 54 P KADUPANDAK KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 21/04/22 NEG 434
369 03-027-369 18/04/22 3601114107630163 ANAH 62 P KADUPANDAK KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 21/04/22 NEG 435
370 03-027-370 18/04/22 3601114107650032 BADRIAH 57 P KADUPANDAK KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 21/04/22 NEG 436
371 03-027-371 18/04/22 3601110107740016 ABU MUTAHAR 48 L KADUPANDAK KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 21/04/22 NEG 437
372 03-027-372 18/04/22 3601116709890001 RINA IRAYA 33 P KADUPANDAK KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 21/04/22 NEG 438
373 03-027-373 18/04/22 3601115002150007 HAFIZATUN NASHA 14 P KADUBERA KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 22/04/22 NEG 439
374 03-027-374 18/04/22 3601114107840112 MUTIRAH 36 P KADUBERA KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 22/04/22 NEG 440
375 03-027-375 18/04/22 3601110506060005 MUHAMAD AMIR 15 L KADUBERA KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 22/04/22 NEG 441
376 03-027-376 18/04/22 3601110107840121 M. MUJIONO 48 L KADUBERA KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 22/04/22 NEG 442
377 03-027-377 18/04/22 3601111005820005 IIP SAEPUDIN 44 L KOLELET KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 22/04/22 NEG 443
378 03-027-378 18/04/22 3601116006850001 MIMIN 37 P KOLELET KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 22/04/22 NEG 444
379 03-027-379 18/04/22 3601114504920001 NANI 30 P KOLELET KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 22/04/22 NEG 445
380 03-027-380 18/04/22 3601110607530002 SANAN 68 L KOLELET KADER P - TDL TD TIDAK - 18/04/22 18/04/22 - - - - 22/04/22 NEG 446
381 03-027-381 19/04/22 3601110107580112 KAMDANI 69 L KADUPANDAK KADER P - TDL TD TIDAK - 19/04/22 19/04/22 - - - - 21/04/22 NEG 447
382 03-027-382 19/04/22 3601114607020004 ERNA 20 P KADUPANDAK KADER P - TDL TD TIDAK - 19/04/22 19/04/22 - - - - 21/04/22 NEG 448
383 03-027-383 19/04/22 3601110511020004 MUHAMAD SARIF 20 L KADUPANDAK KADER P - TDL TD TIDAK - 19/04/22 19/04/22 - - - - 21/04/22 NEG 449
384 03-027-384 25/04/22 3601110107550065 SALEHUDIN 72 L KADUBERA KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 25/04/22 NEG 453
385 03-027-385 25/04/22 3601114107580249 KASIH 63 P KADUBERA KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 25/04/22 NEG 454
386 03-027-386 25/04/22 3601110106070006 HAYATUN NUFUS 15 P KADUBERA KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 25/04/22 NEG 455
387 03-027-387 25/04/22 3601110106990092 SINTIA YULIANA 23 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 456
388 03-027-388 25/04/22 3601111209720002 AMIR 50 L PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 457
389 03-027-389 25/04/22 3601115009890003 LIDIA 33 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 458
390 03-027-390 25/04/22 3601114708700001 YENI 52 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 459
391 03-027-391 25/04/22 3601110406720001 JUHRI 50 L PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 460
392 03-027-392 25/04/22 3601114107630058 HABSAH 59 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 461
393 03-027-393 25/04/22 3601114508700001 ASTI 52 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 462
394 03-027-394 25/04/22 3601110107630254 DIDI 54 L PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 463
395 03-027-395 25/04/22 3601114107660097 SAPINAH 51 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 464
396 03-027-396 25/04/22 3601111808050002 AGUS PURNOMO 17 L PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 465
397 03-027-397 25/04/22 3601114107660013 SAR'AH 70 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 27/04/22 NEG 466
398 03-027-398 25/04/22 3601114107730380 JUMAENAH 43 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 27/04/22 NEG 467
399 03-027-399 25/04/22 3601110107580034 MARSIDIK 82 L PASIRSEDANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 27/04/22 NEG 468
400 03-027-400 25/04/22 3601110606040002 BUSTOMI 17 L PASIRPANJANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 469
401 03-027-401 25/04/22 3601110107960274 HENDAR 26 L PASIRPANJANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 470
402 03-027-402 25/04/22 3601114107770107 APADAH 45 P PASIRPANJANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 471
403 03-027-403 25/04/22 3601112107090002 HASAN NURDIN 13 L PASIRPANJANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 472
404 03-027-404 25/04/22 3601114112110001 SITI HALIPAH 11 P PASIRPANJANG KADER P - TDL TD TIDAK - 25/04/22 25/04/22 - - - - 26/04/22 NEG 473
405 03-027-405 26/04/22 3601114501750001 NURMAH 46 P PASIRSEDANG KADER P - TDL NEG NEG - 26/04/22 26/04/22 - - - - 27/04/22 RIF SEN 474 27/04/2022
406 03-027-406 27/04/22 3601110107050016 DINI 17 P PASIRSEDANG KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 28/04/22 NEG 475
407 03-027-407 27/04/22 3601110107090031 DIKA 13 L KOLELET KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 476
408 03-027-408 27/04/22 3601110510020002 RAHMAT HIDAYAT 20 L KADUBERA KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 477
409 03-027-409 27/04/22 3601110108593014 SANAIH 63 P KOLELET KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 478
410 03-027-410 27/04/22 3601115605950001 ARSINAH 27 P PASIRSEDANG KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 479
411 03-027-411 27/04/22 3601110107740048 UNUS 47 L KADUBERA KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 480
412 03-027-412 27/04/22 3601114107600009 EMAH 53 P PASIRSEDANG KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 481
413 03-027-413 27/04/22 3601110107900205 AGUS 32 L PASIRSEDANG KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 482
414 03-027-414 27/04/22 3601114805730001 SUKMANAH 49 P PASIRSEDANG KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 483
415 03-027-415 27/04/22 3601114107840115 SURNAWATI 47 P KADUBERA KADER P - TDL TD TIDAK - 27/04/22 27/04/22 - - - - 27/04/22 NEG 484
416 03-027-416 05/04/22 3601141009950001 DEDEN AUDOH 27 L SAKETI KADER P - TDL TD TIDAK - 05/04/22 05/04/22 - - - - 05/04/22 NEG 485
417 03-027-417 05/04/22 3601311908100021 M. FAHRI 40 L SINDANGRESMI KADER P - TDL TD TIDAK - 06/04/22 06/04/22 - - - - 06/04/22 NEG 486
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : MEI Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
418 03-027-418 09/05/22 3601111005990005 ARIS WIJAKSANA 22 L KADUPANDAK KADER P - POS NEG NEG - 09/05/22 09/05/22 - - - - 14/05/22 RIF SEN 487 16/05/22
419 03-027-419 11/05/22 3604310712970004 RUBAI PADYANI 26 L BUNGURCOPONG KADER P - TDL NEG NEG - 11/05/22 11/05/22 - - - - 14/05/22 RIF SEN 492 16/05/22
420 03-027-420 11/05/22 3601111102810001 ICAH 65 P KOLELET KADER P - TDL TD TIDAK - 11/05/22 11/05/22 - - - - 14/05/22 NEG 493
421 03-027-421 11/05/22 3601110312630001 SUDAN 55 L CILILITAN KADER P - TDL TD TIDAK - 11/05/22 11/05/22 - - - - 15/05/22 NEG 494
422 03-027-422 12/05/22 3601114804950001 UNI 23 P CILILITAN KADER P - TDL TD TIDAK - 12/05/22 12/05/22 - - - - 14/05/22 NEG 495
423 03-027-423 12/05/22 3601144071040064 AMINAH 18 P LEBAK KADER P - TDL TD TIDAK - 12/05/22 12/05/22 - - - - 14/05/22 NEG 496
424 03-027-424 12/05/22 3601114505800006 SITI MASITOH 42 P PASIRSEDANG KADER P - TDL TD TIDAK - 12/05/22 12/05/22 - - - - 15/05/22 NEG 497
425 03-027-425 13/05/22 3601112809980002 DEDE MIFTAH 24 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 498
426 03-027-426 13/05/22 3601112412130001 MUHAMAD REVAN 9 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 499
427 03-027-427 13/05/22 3602095709030001 NOPA 18 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 500
428 03-027-428 13/05/22 3601110107720034 SARKAMAN 50 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 501
429 03-027-429 13/05/22 3601110303070001 MOH. YUSUF 15 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 502
430 03-027-430 13/05/22 3601114107640024 MURSIH 58 P KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 503
431 03-027-431 13/05/22 3601114107930130 MIMI MAESAROH 29 P KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 504
432 03-027-432 13/05/22 3601111511040001 ENDI 18 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 505
433 03-027-433 13/05/22 3601114107680172 SAMIAH 54 P KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 506
434 03-027-434 13/05/22 3601114107030051 RESA 19 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 507
435 03-027-435 13/05/22 3601110107940126 AHMAD 28 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 508
436 03-027-436 13/05/22 3606110107550024 ASNAWI 67 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 509
437 03-027-437 13/05/22 3601110107630146 SANAN 59 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 510
438 03-027-438 13/05/22 3601114107780136 ANI 44 P KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 511
439 03-027-439 13/05/22 3601110107540018 MARJANI 69 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 512
440 03-027-440 13/05/22 3601110107960015 SITI ANIAH 26 P KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 513
441 03-027-441 13/05/22 3601114107950132 DEDE ALIAH 27 P KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 514
442 03-027-442 13/05/22 3601110407820002 UDIN 54 L KADUPANDAK KADER P - TDL TD TIDAK - 13/05/22 13/05/22 - - - - 16/05/22 NEG 515
443 03-027-443 14/05/22 3601114107800108 MENAH 42 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 17/05/22 NEG 516
444 03-027-444 14/05/22 3601113001060002 PERDI SETIAWAN 16 L BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 17/05/22 NEG 517
445 03-027-445 14/05/22 3601110107900177 MARYATI 32 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 17/05/22 NEG 518
446 03-027-446 14/05/22 3601110107430092 ANDI 79 L BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 17/05/22 NEG 519
447 03-027-447 14/05/22 3601114107630222 MURNI 61 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 17/05/22 NEG 520
448 03-027-448 14/05/22 3601114107680204 YAYAT 60 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 18/05/22 NEG 521
449 03-027-449 14/05/22 3601114107630219 AISAH 59 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 18/05/22 NEG 522
450 03-027-450 14/05/22 3601110107630181 MARKUM 61 L BUNGURCOPONG KADER P - TDL NEG NEG - 14/05/22 14/05/22 - - - - 18/05/22 RIF INDET 523 23/05/22
451 03-027-451 14/05/22 3601114107630217 SITI 59 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 18/05/22 NEG 524
452 03-027-452 14/05/22 3601115502010003 YUNANTI 20 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 18/05/22 NEG 525
453 03-027-453 14/05/22 3601110107722011 RUMANAH 50 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 18/05/22 NEG 526
454 03-027-454 14/05/22 3601114107580130 IJAH 64 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 18/05/22 NEG 527
455 03-027-455 14/05/22 3601110107200033 ADHAR 22 L BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 18/05/22 NEG 528
456 03-027-456 14/05/22 3601110107990054 ANISAH 23 P BUNGURCOPONG KADER P - TDL TD TIDAK - 14/05/22 14/05/22 - - - - 18/05/22 NEG 529
457 03-027-457 17/05/22 3601110206710003 MULYADI 51 L BUNGURCOPONG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 17/05/22 ERROR 534
458 03-027-458 17/05/22 3601116303830001 ANI MARYANI 39 P KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 17/05/22 NEG 535
459 03-027-459 17/05/22 3601115605140001 AINUN ALFATIHAH 8 P KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 17/05/22 NEG 536
460 03-027-460 17/05/22 3601110107610018 IDIS 61 L PASIRSEDANG KADER P - TDL NEG NEG - 17/05/22 17/05/22 - - - - 17/05/22 RIF SEN 537 23/05/22
461 03-027-461 17/05/22 3601114406940003 SOFI LAELA 28 P KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 18/05/22 NEG 538
462 03-027-462 17/05/22 3601114805870004 FITRIAH 35 P KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 18/05/22 NEG 539
463 03-027-463 17/05/22 3601114107680021 RANI 54 P PASIRSEDANG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 540
464 03-027-464 17/05/22 3601110107580289 ABSIN 64 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 541
465 03-027-465 17/05/22 3601110103800003 ATENG 42 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 542
466 03-027-466 17/05/22 LAILA KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 543
467 03-027-467 17/05/22 3601114107630190 ICIH 59 P KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 544
468 03-027-468 17/05/22 3601112305030001 SYAMAS 19 L KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 545
469 03-027-469 17/05/22 3172054908901001 RIZNA 32 P KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 546
470 03-027-470 17/05/22 3601110107790009 BAHRI 43 L KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 547
471 03-027-471 17/05/22 3601112208730001 ADE SUBEKTI 49 L KADUPANDAK KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 19/05/22 NEG 548
472 03-027-472 17/05/22 3601110107530013 ADRA'I 69 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 20/05/22 NEG 549
473 03-027-473 17/05/22 3601114107700090 KARSI 52 P PASIRSEDANG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 20/05/22 NEG 550
474 03-027-474 17/05/22 3601115608850001 ROSMIATI 36 P CIHERANG KADER P - POS NEG NEG - 17/05/22 17/05/22 - - - - 26/05/22 NEG 551 17/05/22
475 03-027-475 18/05/22 3603036911830002 NENG SRI 38 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 552
476 03-027-476 18/05/22 3601110209170012 SILVIANA SAFITRI 17 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 553
477 03-027-477 18/05/22 3601115805800001 EDAH 42 P CILILITAN KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 554
478 03-027-478 18/05/22 3601110209450009 YATI 45 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 555
479 03-027-479 18/05/22 3601110209400212 DASIH 40 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 556
480 03-027-480 18/05/22 3601110207600123 JUMANTEN 60 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 557
481 03-027-481 18/05/22 3601110207080011 RIDWAN 14 L KADUPANDAK KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 558
482 03-027-482 18/05/22 3601110208600129 SUPRI 60 L CIHERANG KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 559
483 03-027-483 18/05/22 3601110107760006 KOSASIH 53 L PASIRSEDANG KADER P - POS NEG NEG - 18/05/22 18/05/22 - - - - 20/05/22 NEG 560 30/05/22
484 03-027-484 19/05/22 3601110107200912 NEDI 9 L PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 561
485 03-027-485 19/05/22 3601110107292121 SALBIAH 29 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 562
486 03-027-486 19/05/22 3601110207332100 YATI 33 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 563
487 03-027-487 19/05/22 3601114102444001 IKAH 44 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 564
488 03-027-488 19/05/22 3601111020712311 ENOK 30 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 565
489 03-027-489 19/05/22 3601111020948001 IROH 48 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 566
490 03-027-490 19/05/22 3601110203400123 MUMUN P PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 567
491 03-027-491 19/05/22 3601114107410002 ICUM 41 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 568
492 03-027-492 19/05/22 3601110302303002 UUM 30 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/05/22 19/05/22 - - - - 21/05/22 NEG 569
493 03-027-493 20/05/22 3601111020407001 ARMAN 7 L PASIRSEDANG KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 570
494 03-027-494 20/05/22 3601112034129719 SAKAM 70 L PASIRSEDANG KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 571
495 03-027-495 20/05/22 3601110107970133 SAIYAH 47 P KADUPANDAK KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 572
496 03-027-496 20/05/22 3601110109830012 BASUDIN 39 L KADUPANDAK KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 573
497 03-027-497 20/05/22 3601110207860033 IPAT 36 P KADUPANDAK KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 574
498 03-027-498 20/05/22 3601110207810092 HERNI 41 P KADUPANDAK KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 575
499 03-027-499 20/05/22 3601116207870002 ENTIN 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 576
500 03-027-500 20/05/22 3601111102620001 BAKRI 60 L PASIRSEDANG KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 577
501 03-027-501 20/05/22 3601115109900005 MUNAWATI 32 P PASIRSEDANG KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 578
502 03-027-502 20/05/22 3601110207570120 SUKRI L PASIRSEDANG KADER P - TDL TD TIDAK - 20/05/22 20/05/22 - - - - 22/05/22 NEG 579
503 03-027-503 21/05/22 3601115205710001 SUHARIAH 51 P PASIRSEDANG KADER P - TDL TD TIDAK - 21/05/22 21/05/22 - - - - 22/05/22 NEG 580
504 03-027-504 21/05/22 3601116704850003 ICUM 37 P PASIRSEDANG KADER P - TDL TD TIDAK - 21/05/22 21/05/22 - - - - 22/05/22 NEG 581
505 03-027-505 21/05/22 3601110207410024 ABKORIAH P PASIRSEDANG KADER P - TDL TD TIDAK - 21/05/22 21/05/22 - - - - 22/05/22 NEG 582
506 03-027-506 21/05/22 3601111010670002 JAENUDIN 55 L PASIRSEDANG KADER P - TDL TD TIDAK - 21/05/22 21/05/22 - - - - 22/05/22 NEG 583
507 03-027-507 21/05/22 3601115809950001 UCU 27 P PASIRSEDANG KADER P - TDL TD TIDAK - 21/05/22 21/05/22 - - - - 22/05/22 NEG 584
508 03-027-508 21/05/22 3601314808800001 SITI HASANAH 42 P KADUPANDAK KADER P - TDL TD TIDAK - 21/05/22 21/05/22 - - - - 23/05/22 NEG 585
509 03-027-509 21/05/22 3601110307800003 SADIK 45 L KADUPANDAK KADER P - TDL TD TIDAK - 21/05/22 21/05/22 - - - - 23/05/22 NEG 586
510 03-027-510 21/05/22 3601114107730168 MULYANA 48 L KADUPANDAK KADER P - TDL TD TIDAK - 21/05/22 21/05/22 - - - - 23/05/22 NEG 587
511 03-027-511 23/05/22 3601110107710062 SUHAYAT 55 L KADUPANDAK KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 23/05/22 NEG 590
512 03-027-512 23/05/22 3601114101050002 TIA 17 P KADUPANDAK KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 23/05/22 NEG 591
513 03-027-513 23/05/22 3601117607830001 RUSNI 36 L KADUPANDAK KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 23/05/22 NEG 592
514 03-027-514 23/05/22 3601115508090001 APNI 11 L KADUPANDAK KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 23/05/22 NEG 593
515 03-027-515 23/05/22 3601116106090004 IMAS 13 P KADUPANDAK KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 23/05/22 NEG 594
516 03-027-516 23/05/22 3601110207780021 APAD 45 L KADUPANDAK KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 23/05/22 NEG 595
517 03-027-517 23/05/22 3601114805700003 RATNA 51 P PASIRSEDANG KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 596
518 03-027-518 23/05/22 5304144905690001 ACENG 51 L CILILITAN KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 597
519 03-027-519 23/05/22 3601114905770001 TUTI 45 P CILILITAN KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 598
520 03-027-520 23/05/22 3175010807880004 SUHELI 34 L CILILITAN KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 599
521 03-027-521 23/05/22 3601114302000001 LIAWATI 22 P CILILITAN KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 600
522 03-027-522 23/05/22 3601114107930088 IIS 29 P CILILITAN KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 601
523 03-027-523 24/05/22 3601114204820003 ANI HANDAYANI 37 P CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 25/05/22 NEG 602
524 03-027-524 24/05/22 3601114602840002 RODIAH ARIYANA 38 P CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 25/05/22 NEG 603
525 03-027-525 24/05/22 3601110207220123 FAJAR 20 L CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 25/05/22 NEG 604
526 03-027-526 24/05/22 3601114107530058 UNI 69 P CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 25/05/22 NEG 605
527 03-027-527 24/05/22 3601117006090003 GHESYA 7 P CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 25/05/22 NEG 606
528 03-027-528 24/05/22 3601110207670091 JUNARIAH 55 P CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 26/05/22 NEG 607
529 03-027-529 24/05/22 3601110207646401 AGUS H 58 L CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 26/05/22 NEG 608
530 03-027-530 24/05/22 3601110108830021 YANI H 39 P CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 26/05/22 NEG 609
531 03-027-531 24/05/22 3601110207200101 IRA 21 P CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 26/05/22 NEG 610
532 03-027-532 24/05/22 3601110207070702 DULFIKRIANI 15 L CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 26/05/22 NEG 611
533 03-027-533 24/05/22 3601110207570911 AI SUMIATI 65 P CILILITAN KADER P - TDL TD TIDAK - 24/05/22 24/05/22 - - - - 26/05/22 NEG 612
534 03-027-534 25/05/22 3601114910770001 AMAH 45 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 613
535 03-027-535 25/05/22 3601114107740005 UMAYAH 48 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 614
536 03-027-536 25/05/22 3601110107620009 SUBEKTI 63 L PASIRSEDANG KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 615
537 03-027-537 25/05/22 3215096305930004 NIA ANIATI 27 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 616
538 03-027-538 25/05/22 3601114107660015 USIAH 55 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 617
539 03-027-539 25/05/22 3601114107680037 ASPATI 60 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 618
540 03-027-540 25/05/22 3601114107910035 SUHAYATI 31 P PASIRSEDANG KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 619
541 03-027-541 25/05/22 3601110208970281 MUSNA 25 L PASIRSEDANG KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 620
542 03-027-542 25/05/22 3601111020907111 ADELIA 7 P SINDANGRESMI KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 621
543 03-027-543 25/05/22 3601111020972721 ANISAH 72 P CILILITAN KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 622
544 03-027-544 25/05/22 3601110107777221 DULHALIM 77 L CILILITAN KADER P - TDL TD TIDAK - 25/05/22 25/05/22 - - - - 26/05/22 NEG 623
545 03-027-545 26/05/22 3601111010729009 ASIHIN 29 L KADUBERA KADER P - POS NEG NEG - 26/05/22 26/05/22 - - - - 28/05/22 NEG 624 5/30/2022
546 03-027-546 26/05/22 3601111020735091 SARMANAH 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 26/05/22 26/05/22 - - - - 29/05/22 NEG 625
547 03-027-547 26/05/22 3601111030823084 DINI 23 P PASIRSEDANG KADER P - TDL TD TIDAK - 26/05/22 26/05/22 - - - - 29/05/22 NEG 626
548 03-027-548 26/05/22 3601111010727902 RIMA 27 P PASIRSEDANG KADER P - TDL TD TIDAK - 26/05/22 26/05/22 - - - - 29/05/22 NEG 627
549 03-027-549 26/05/22 3601110209930002 RAENI 29 P PASIRSEDANG KADER P - TDL TD TIDAK - 26/05/22 26/05/22 - - - - 29/05/22 NEG 628
550 03-027-550 26/05/22 3601110201601123 SUHEM 62 L BUNGURCOPONG KADER P - TDL TD TIDAK - 26/05/22 26/05/22 - - - - 30/05/22 NEG 629
551 03-027-551 26/05/22 3601111197238712 SARNIAH 67 P BUNGURCOPONG KADER P - TDL TD TIDAK - 26/05/22 26/05/22 - - - - 30/05/22 NEG 630
552 03-027-552 30/05/22 3601111102051401 JULAEHA 14 P KOLELET KADER P - TDL NEG NEG - 30/05/22 30/05/22 - - - - 30/05/22 RIF SEN 631 5/30/2022
553 03-027-553 30/05/22 3601111090248002 KASTOMI 48 P PASIRSEDANG KADER P - TDL NEG NEG - 30/05/22 30/05/22 - - - - 30/05/22 NEG 632 5/30/2022
554 03-027-554 30/05/22 3602901270000231 ARMIN 70 L LEBAK KADER P - TDL TD TIDAK - 30/05/22 30/05/22 - - - - 30/05/22 NEG 633
555 03-027-555 30/05/22 3601111080246021 MUMUN 46 P PASIRSEDANG KADER P - TDL TD TIDAK - 30/05/22 30/05/22 - - - - 30/05/22 NEG 634
556 03-027-556 30/05/22 3601110107810089 USMAN 48 L BUNGURCOPONG KADER P - TDL TD TIDAK - 30/05/22 30/05/22 - - - - 30/05/22 NEG 635
557 03-027-557 30/05/22 3601100107600006 HASAN BASRI 63 L BUNGURCOPONG KADER P - TDL TD TIDAK - 30/05/22 30/05/22 - - - - 30/05/22 NEG 636
558 03-027-558 23/05/22 3601116001890003 ACIH 33 P CILILITAN KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 637
559 03-027-559 23/05/22 3601114107680109 ARPAH 53 P CILILITAN KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 638
560 03-027-560 17/05/22 3601112507980003 EPI NUREPIAH 24 P BUNGURCOPONG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 17/05/22 NEG 639
561 03-027-561 18/05/22 3601111705780001 MARYADI 44 L KADUPANDAK KADER P - TDL TD TIDAK - 18/05/22 18/05/22 - - - - 20/05/22 NEG 640
562 03-027-562 24/05/22 3601114910030001 MUMUH 18 L BUNGURCOPONG KADER P - TDL NEG NEG - 24/05/22 24/05/22 - - - - 26/05/22 NEG 641 5/30/2022
563 03-027-563 17/05/22 3601114107670030 SAPINAH 55 P BUNGURCOPONG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 17/05/22 NEG 642
564 03-027-564 17/05/22 3601110107580154 SIRUN 66 L BUNGURCOPONG KADER P - TDL TD TIDAK - 17/05/22 17/05/22 - - - - 18/05/22 NEG 643
565 03-027-565 23/05/22 3601114107630147 TINAH 59 P CILILITAN KADER P - TDL TD TIDAK - 23/05/22 23/05/22 - - - - 24/05/22 NEG 644
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : JUNI Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
566 03-027-566 01/06/22 3601104505040005 RANI 18 P BOJONG KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 01/06/22 RIF SEN 645 PKM BOJONG
567 03-027-567 01/06/22 3601110507630123 SUNAIAH 59 P BUNGURCOPONG KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 01/06/22 NEG 646
568 03-027-568 01/06/22 360114107950159 JAMINAH 39 P BUNGURCOPONG KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 01/06/22 NEG 647
569 03-027-569 01/06/22 3602090107200101 SELA 21 P LEBAK KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 01/06/22 NEG 648
570 03-027-570 01/06/22 3601110307200912 RIANTI 13 P KOLELET KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 01/06/22 NEG 649
571 03-027-571 01/06/22 3601115001560001 SAMA'AH 60 P KOLELET KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 01/06/22 NEG 650
572 03-027-572 01/06/22 3601110307201201 RIRIN 10 P KOLELET KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 01/06/22 NEG 651
573 03-027-573 01/06/22 3601110309195709 ROTIAH 65 P KOLELET KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 01/06/22 NEG 652
574 03-027-574 01/06/22 3601315904130001 SAKILA 9 P SINDANGRESMI KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 03/06/22 NEG 653
575 03-027-575 01/06/22 3601110909199002 SAMAUN 32 L BOJONG KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 03/06/22 NEG 654
576 03-027-576 01/06/22 3601110207197302 ANIS 49 P KADUPANDAK KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 03/06/22 NEG 655
577 03-027-577 01/06/22 3602091801090002 M. ALIF 13 L CILILITAN KADER P - TDL TD TIDAK - 01/06/22 01/06/22 - - - - 03/06/22 NEG 656
578 03-027-578 04/06/22 3601110306198612 JANATI 38 P KOLELET KADER P - TDL TD TIDAK - 04/06/22 04/06/22 - - - - 05/06/22 NEG 657
579 03-027-579 04/06/22 3601110107680045 BASARI 60 L PASIRSEDANG KADER P - TDL TD TIDAK - 04/06/22 04/06/22 - - - - 05/06/22 NEG 658
580 03-027-580 04/06/22 3601110407030002 HANDRI 17 L CILILITAN KADER P - TDL NEG NEG - 04/06/22 04/06/22 - - - - 05/06/22 RIF SEN 659 06/06/22
581 03-027-581 06/06/22 3601110107500031 NURJAMAN 57 L PASIRPANJANG KADER P - POS NEG NEG - 06/06/22 06/06/22 - - - - 07/06/22 NEG 661 06/06/22
582 03-027-582 06/06/22 3601110310820001 SUHADA 30 L PASIRSEDANG KADER P - POS NEG NEG - 06/06/22 06/06/22 - - - - 07/06/22 NEG 662 06/06/22
583 03-027-583 06/06/22 3601111020862001 SARI 60 P CILILITAN KADER P - TDL TD TIDAK - 06/06/22 06/06/22 - - - - 07/06/22 NEG 663
584 03-027-584 08/06/22 3601114107600035 MAYANIH 62 P CILILITAN KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 08/06/22 NEG 664
585 03-027-585 08/06/22 3601110107640037 KARTAN 58 L CIHERANG KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 08/06/22 NEG 665
586 03-027-586 08/06/22 3601115410620001 BAYI RUMSANAH 60 P CILILITAN KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 08/06/22 NEG 666
587 03-027-587 08/06/22 3601116104710001 SOPIAH 60 P KADUBERA KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 08/06/22 NEG 667
588 03-027-588 08/06/22 3601111309690001 ADE MUNANDAR 53 L KADUBERA KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 08/06/22 NEG 668
589 03-027-589 08/06/22 3601115105550001 ENDAH 63 P CILILITAN KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 08/06/22 NEG 669
590 03-027-590 08/06/22 3601110205960001 MIKI ALANWARI 26 L CIHERANG KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 09/06/22 NEG 670
591 03-027-591 08/06/22 3601115612800001 CINAH 42 P CIHERANG KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 09/06/22 NEG 671
592 03-027-592 08/06/22 3601110107660006 JULI 52 L PASIRSEDANG KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 09/06/22 NEG 672
593 03-027-593 08/06/22 3601110707670011 SUNARYA 55 L PASIRPANJANG KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 09/06/22 NEG 673
594 03-027-594 08/06/22 3601110707830001 SUHERNI 39 P PASIRPANJANG KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 09/06/22 NEG 674
595 03-027-595 08/06/22 3601110707911011 SUHANDI 31 L PASIRPANJANG KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 09/06/22 NEG 675
596 03-027-596 08/06/22 3601110707710021 KARMA 51 L PASIRPANJANG KADER P - TDL TD TIDAK - 08/06/22 08/06/22 - - - - 09/06/22 NEG 676
597 03-027-597 09/06/22 3601114107400597 ARBINAH 40 P PASIRSEDANG KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 11/06/22 NEG 677
598 03-027-598 09/06/22 3601114207330598 JUMIAH 33 P PASIRSEDANG KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 11/06/22 NEG 678
599 03-027-599 09/06/22 3601110407530599 AMINAH 53 P PASIRSEDANG KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 11/06/22 NEG 679
600 03-027-600 09/06/22 36011110207730478 ENI 49 P KADUPANDAK KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 680
601 03-027-601 09/06/22 36011110207880036 LIA 34 P KADUPANDAK KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 681
602 03-027-602 09/06/22 36011102079440114 ASEP SETIAWAN 28 L KADUPANDAK KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 682
603 03-027-603 09/06/22 3601110107680046 BASTARI 60 L KOLELET KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 683
604 03-027-604 09/06/22 3601114506910003 RUMSIAH 31 P CILILITAN KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 684
605 03-027-605 09/06/22 3601114107910105 DEDE 32 L CILILITAN KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 685
606 03-027-606 09/06/22 3602094411640001 EEM 56 P LEBAK KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 686
607 03-027-607 09/06/22 3601104507730001 UNAH 40 P BOJONG KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 RIF SEN 687 PKM BOJONG
608 03-027-608 09/06/22 3602094207380608 JAJIA 38 P BANJARSARI KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 688
609 03-027-609 09/06/22 3601110405810001 WAHID 42 L CILILITAN KADER P - TDL TD TIDAK - 09/06/22 09/06/22 - - - - 12/06/22 NEG 689
610 03-027-610 10/06/22 3601114301710002 WATI 51 P CILILITAN KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 NEG 690
611 03-027-611 10/06/22 3601116504000001 NINA 22 P CILILITAN KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 NEG 691
612 03-027-612 10/06/22 3601110804070002 PIKI 15 L CILILITAN KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 NEG 692
613 03-027-613 10/06/22 3601110907640002 RUSDI 56 L CILILITAN KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 NEG 693
614 03-027-614 10/06/22 3601111303710001 AHMANUDIN 50 L CILILITAN KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 INVALID 694
615 03-027-615 10/06/22 3601114303750002 AMI 42 P CILILITAN KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 NEG 695
616 03-027-616 10/06/22 3601114312050001 SITI N 16 P CILILITAN KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 NEG 696
617 03-027-617 10/06/22 3601112707040001 ABU SOFIANI 17 L CILILITAN KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 NEG 697
618 03-027-618 10/06/22 3601114107800618 MURTAIYAH 80 P KOLELET KADER P - TDL TD TIDAK - 10/06/22 10/06/22 - - - - 14/06/22 INVALID 698
619 03-027-619 13/06/22 3601110311750002 M. SOLIHIN 53 L KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 699
620 03-027-620 13/06/22 3601114202920006 ARTIKA 30 P KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 700
621 03-027-621 13/06/22 3601111208130002 M. BAGUS 9 L KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 701
622 03-027-622 13/06/22 3601116909140002 QIA 17 P KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 702
623 03-027-623 13/06/22 3601114907820003 MURNI 40 P KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 703
624 03-027-624 13/06/22 3601110702710002 ENDANG 51 L KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 704
625 03-027-625 13/06/22 3601111702120002 A.WINU 10 L KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 INVALID 705
626 03-027-626 13/06/22 3601114707710001 SONARI 41 L KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 706
627 03-027-627 13/06/22 3601115506090001 NISA 13 P KADUPANDAK KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 707
628 03-027-628 13/06/22 3601116611070003 ULAN 15 P KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 708
629 03-027-629 13/06/22 3601117108140002 ANISA UTAMI 18 P KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 709
630 03-027-630 13/06/22 3601114107960332 ROS 26 P KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 710
631 03-027-631 13/06/22 3601114107580212 ARNA 64 L KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 711
632 03-027-632 13/06/22 3601114107930263 ANIS 29 P KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 712
633 03-027-633 13/06/22 3601111402150004 ARJUN 17 L KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 713
634 03-027-634 13/06/22 3601115003150001 AISAH 17 P KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 15/06/22 NEG 714
635 03-027-635 13/06/22 3601114107980245 ADELIA 24 P KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 16/06/22 NEG 715
636 03-027-636 13/06/22 3601110501960004 JUHAEDI 27 L KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 16/06/22 NEG 716
637 03-027-637 13/06/22 3601114807770011 ELAM 45 P KADUBERA KADER P - TDL TD TIDAK - 13/06/22 13/06/22 - - - - 16/06/22 NEG 717
638 03-027-638 13/06/22 3601111491200001 YANTI 21 P KADUBERA KADER P - TDL NEG NEG - 13/06/22 13/06/22 - - - - 17/06/22 RIF SEN 718 20/06/22
639 03-027-639 14/06/22 3601114107500639 ARTINAH P PASIRSEDANG KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 16/06/22 NEG 719
640 03-027-640 14/06/22 3601114107460640 SUHETI P PASIRSEDANG KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 16/06/22 NEG 720
641 03-027-641 14/06/22 3601110107550641 SURANDI L PASIRSEDANG KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 721
642 03-027-642 14/06/22 3601114409700002 ENJOH 52 P PASIRSEDANG KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 722
643 03-027-643 14/06/22 3601114207850022 ADE Y 38 P CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 16/06/22 NEG 723
644 03-027-644 14/06/22 3601110207790011 ROHANI 44 L CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 16/06/22 NEG 724
645 03-027-645 14/06/22 3601114909840001 SUHARTI 38 P CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 725
646 03-027-646 14/06/22 3601111509730002 LUKMAN 49 L CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 726
647 03-027-647 14/06/22 3601114107630116 SUTINAH 68 P CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 727
648 03-027-648 14/06/22 3601112501570002 M. SOLEH 65 L CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 728
649 03-027-649 14/06/22 3601114402110001 AMINAH 12 P CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 729
650 03-027-650 14/06/22 3601114207750011 JUMIAH 49 P CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 730
651 03-027-651 14/06/22 3601110207730009 AKRIM 49 L CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 731
652 03-027-652 14/06/22 3601114708060001 LEDI 16 L CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 732
653 03-027-653 14/06/22 3601112604090003 TEDI 13 L CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 733
654 03-027-654 14/06/22 3601114205110003 SRI MULIYANI 11 P CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 734
655 03-027-655 14/06/22 3601110311950001 ARDAMAN 27 L CILILITAN KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 735
656 03-027-656 14/06/22 3601246102630001 ISAH 59 P PATIA KADER P - POS NEG NEG - 14/06/22 14/06/22 - - - - 17/06/22 NEG 736 04/07/22
657 03-027-657 14/06/22 3602092802090001 SATRIO 13 L LEBAK KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 737
658 03-027-658 14/06/22 3601115508940006 TIA 28 P KOLELET KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 738
659 03-027-659 14/06/22 3603126758500009 SUSILAWATI 37 P KOLELET KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 739
660 03-027-660 14/06/22 3603120504790009 ACENG 43 L KOLELET KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 740
661 03-027-661 14/06/22 3601111304110003 MAULANA HIDAYAT 11 L KOLELET KADER P - TDL TD TIDAK - 14/06/22 14/06/22 - - - - 17/06/22 NEG 741
662 03-027-662 15/06/22 3601112503120001 M. REFI 10 L KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 742
663 03-027-663 15/06/22 3601116909730001 SITI RAHMAWATI 49 P KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 743
664 03-027-664 15/06/22 3601114508820002 UNAH 44 P KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 744
665 03-027-665 15/06/22 3601111105680001 KONI 54 L KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 745
666 03-027-666 15/06/22 3601115202690001 JAMAH 53 P KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 746
667 03-027-667 15/06/22 3601112506830001 MURSIH 51 P KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 747
668 03-027-668 15/06/22 3601116807730001 ACIH 54 P KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 748
669 03-027-669 15/06/22 3601111909990002 RIANA 17 P KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 749
670 03-027-670 15/06/22 3601114606060002 TIARA 14 P KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 750
671 03-027-671 15/06/22 3601115507640001 SATI 65 P KOLELET KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 751
672 03-027-672 15/06/22 3601114107850054 EKA 23 P CILILITAN KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 752
673 03-027-673 15/06/22 3601112204080002 NATHAN 14 L CILILITAN KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 753
674 03-027-674 15/06/22 3601114405140002 WINDRI 8 P CILILITAN KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 754
675 03-027-675 15/06/22 3601114107850054 BABAY 37 L CILILITAN KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 755
676 03-027-676 15/06/22 3601114107600676 ASJA 60 L PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 756
677 03-027-677 15/06/22 3601114107510677 TUTI 51 P PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 757
678 03-027-678 15/06/22 3601114107500678 TATI 50 P PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 758
679 03-027-679 15/06/22 3601114107350679 IPUH 35 L PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 759
680 03-027-680 15/06/22 3601114107290680 AYU 29 P PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 760
681 03-027-681 15/06/22 3601114107700681 PIAH 70 L PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 761
682 03-027-682 15/06/22 3601114107220682 KASMI 22 P PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 762
683 03-027-683 15/06/22 3601114107280683 RODIAH 28 P PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 763
684 03-027-684 15/06/22 3601114107450684 HETI 45 P PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 764
685 03-027-685 15/06/22 3601114107450685 PIAH 45 P PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NEG 765
686 03-027-686 15/06/22 3601114107350686 TUTI 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 15/06/22 15/06/22 - - - - 18/06/22 NO RESULT 766
687 03-027-687 16/06/22 3601110911570002 SAKIM 65 L PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 767
688 03-027-688 16/06/22 3601114107630014 OMBI 59 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 768
689 03-027-689 16/06/22 3601110107620001 JUHDI 67 L PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 769
690 03-027-690 16/06/22 3601114107730011 RASIMAH 48 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 770
691 03-027-691 16/06/22 3601114107630007 ITOH 66 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 771
692 03-027-692 16/06/22 3601110107630005 JOHARI 54 L PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 772
693 03-027-693 16/06/22 3601114107680004 SUMA'AH 57 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 773
694 03-027-694 16/06/22 3601114107630006 CHAERIYAH 67 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 774
695 03-027-695 16/06/22 3601114107730005 WINAH 47 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 775
696 03-027-696 16/06/22 3601110901670002 HANAFI 55 L PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 776
697 03-027-697 16/06/22 3601114107677701 SITI SAROH 57 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 777
698 03-027-698 16/06/22 3601114107690002 SA'I 69 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 778
699 03-027-699 16/06/22 3601110107680012 AHMAD PATONI 56 L PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 779
700 03-027-700 16/06/22 3601114107630002 HENI 56 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 780
701 03-027-701 16/06/22 3601114107620003 ENI 60 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 NEG 781
NO
702 03-027-702 16/06/22 3601114106590001 ISAH 63 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/06/22 16/06/22 - - - - 20/06/22 RESULT 782
NEG
703 03-027-703 17/06/22 3601110107680026 SUDIN 54 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 783
704 03-027-704 17/06/22 3601110106540002 NURDI 60 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 784
705 03-027-705 17/06/22 3601110107430009 JAKO JAKARIA 77 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 785
706 03-027-706 17/06/22 3601090107710025 SUMINTA JAYA 45 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 786
NO
707 03-027-707 17/06/22 3601114107650008 ERUM 57 P PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 RESULT 787
NEG
708 03-027-708 17/06/22 3601114107520007 HJ. ARM 75 P PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 788
709 03-027-709 17/06/22 3674021005700014 MADI 52 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 789
710 03-027-710 17/06/22 3601110912710001 SADI 61 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 790
NO
711 03-027-711 17/06/22 3601110107530017 SAKUN 72 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 RESULT 791
NEG
712 03-027-712 17/06/22 3601110107650005 UDIN 54 L PASIRSEDANG KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 792
713 03-027-713 17/06/22 3601114107510713 SAENAH P CILILITAN KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 793
714 03-027-714 17/06/22 3601114107450714 ENIH P CILILITAN KADER P - TDL TD TIDAK - 17/06/22 17/06/22 - - - - 21/06/22 NEG 794
715 03-027-715 18/06/22 3601114606800003 LILIS 33 P CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 22/06/22 NEG 795
716 03-027-716 18/06/22 3601114107890080 ROSDELIANA 33 P CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 22/06/22 NEG 796
717 03-027-717 18/06/22 3601114107760077 NURSINAH 45 P CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 22/06/22 NEG 797
718 03-027-718 18/06/22 3601111004630001 CEMONG 59 L KADUPANDAK KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 22/06/22 NEG 798
719 03-027-719 18/06/22 3601114107730034 SUNAIYAH 52 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 22/06/22 NEG 799
720 03-027-720 18/06/22 3601115810830001 ROKAYAH 39 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 22/06/22 NEG 800
721 03-027-721 18/06/22 3601110505460001 SUKUR 76 L PASIRSEDANG KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 22/06/22 NEG 801
722 03-027-722 18/06/22 3601114107730026 KURIAH 56 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 22/06/22 NEG 802
723 03-027-723 18/06/22 3601110107500723 KURIAH 50 P KOLELET KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 803
724 03-027-724 18/06/22 3601114405800005 SANAH 41 P CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 804
725 03-027-725 18/06/22 3601110307750001 YANTO 52 L CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 805
726 03-027-726 18/06/22 3601114107780063 ALPIAH 48 P CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 806
727 03-027-727 18/06/22 3602096206000003 YANI 22 P CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 807
728 03-027-728 18/06/22 3602090703730001 HENDI 48 L CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 808
729 03-027-729 18/06/22 3601116403960003 ENI 28 P CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 809
730 03-027-730 18/06/22 3601111001660001 SA'I 60 L CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 810
731 03-027-731 18/06/22 3601111106000007 DEDE SUPRIYATNA 22 L CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 23/06/22 NEG 811
732 03-027-732 18/06/22 3601117112680001 MARSAH 37 P CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 24/06/22 NEG 812
733 03-027-733 18/06/22 3601110511980002 MADSARI 24 L CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 24/06/22 NEG 813
734 03-027-734 18/06/22 3601110107720025 ACENG KASMAN 49 L CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 24/06/22 NEG 814
735 03-027-735 18/06/22 3601114107910105 DEDE F 30 L CILILITAN KADER P - TDL TD TIDAK - 18/06/22 18/06/22 - - - - 24/06/22 NEG 815
736 03-027-736 20/06/22 3601115207720003 EMI 50 P CILILITAN KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 816
737 03-027-737 20/06/22 3601110107990112 AGUSTINO 22 L CILILITAN KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 817
738 03-027-738 20/06/22 3601110611650001 ABDULLAH 57 L CILILITAN KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 818
739 03-027-739 20/06/22 3601111201000003 SONY 11 L KOLELET KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 819
740 03-027-740 20/06/22 3601112001800002 SUNARJA 43 L KOLELET KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 820
741 03-027-741 20/06/22 3601111309880003 ASMUNI 34 L PASIRPANJANG KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 821
742 03-027-742 20/06/22 3601110208930004 MARSA 29 L PASIRPANJANG KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 822
743 03-027-743 20/06/22 3601116503990002 FITRIA NINGSIH 23 P BUNGURCOPONG KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 823
744 03-027-744 20/06/22 3601114107230744 ARSINAH 23 P KADUPANDAK KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 824
745 03-027-745 20/06/22 3601100107420013 ARSIDI 68 L BOJONG KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 RIF SEN 825 PKM BOJONG
746 03-027-746 20/06/22 3601244602780002 KUSNIAH 29 P PATIA KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 826
747 03-027-747 20/06/22 3601240107670041 SARDI 29 L PATIA KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 827
748 03-027-748 20/06/22 3602090211640001 MUHIDIN 29 L LEBAK KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 828
749 03-027-749 20/06/22 3602094708740001 RUMAENAH 47 P LEBAK KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 24/06/22 NEG 829
750 03-027-750 20/06/22 3601110506030009 AJI RIPAI 19 L PASIRPANJANG KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 25/05/22 NEG 830
751 03-027-751 20/06/22 3601116202890004 DANTY 33 P PASIRPANJANG KADER P - TDL TD TIDAK - 20/06/22 20/06/22 - - - - 25/05/22 NEG 831
752 03-027-752 21/06/22 3601114208850001 AAM MASAMAH 37 P KOLELET KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 833
753 03-027-753 21/06/22 3601111701130006 M KHOIRUL RIZKI 9 L KOLELET KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 834
754 03-027-754 21/06/22 3601110107450017 AMIR 73 L KADUBERA KADER P - TDL NEG NEG - 21/06/22 21/06/22 - - - - 25/05/22 RIF SEN 835 27/06/22
755 03-027-755 21/06/22 3601114107600065 KARTINI 62 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 836
756 03-027-756 21/06/22 3601110107380081 PATIMAH 35 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 837
757 03-027-757 21/06/22 3601114107910277 ATI KOMALASARI 32 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 838
758 03-027-758 21/06/22 3601110107830339 SUKMA 39 L KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 839
759 03-027-759 21/06/22 3601116502860002 IROH 36 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 INVALID 840
760 03-027-760 21/06/22 3601112009050002 SAMIAN 17 L KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 841
761 03-027-761 21/06/22 3601116809090001 SINDI AMELIYA 13 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 842
762 03-027-762 21/06/22 3601110107780247 LANI 39 L KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 843
763 03-027-763 21/06/22 3601114107840106 SANAAH 38 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 844
764 03-027-764 21/06/22 3601115110030006 KARLINA 19 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 845
765 03-027-765 21/06/22 3601112612990001 MOCH FACHRUL 26 L KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 25/05/22 NEG 846
766 03-027-766 21/06/22 3601114107810144 AMAH 41 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 26/06/22 NEG 847
767 03-027-767 21/06/22 3601115201500001 MIAH 72 P KADUBERA KADER P - TDL TD TIDAK - 21/06/22 21/06/22 - - - - 26/06/22 NEG 848
768 03-027-768 28/06/22 3601114107930079 HOLILAH 30 P CILILITAN KADER EP - TDL NEG NEG - - - - - 849 28/06/22
769 03-027-769 28/06/22 3601112010130001 ELFAN 9 L KADUPANDAK KADER P - TDL TD TIDAK - 28/06/22 28/06/22 - - - - 29/06/22 NEG 850
INVALID
770 03-027-770 28/06/22 3601114107230770 MASAMAH 23 P KADUPANDAK KADER P - TDL TD TIDAK - 28/06/22 28/06/22 - - - - 29/06/22 NEG 851
771 03-027-771 28/06/22 3601111509880001 OJI 40 L KOLELET KADER P - TDL TD TIDAK - 28/06/22 28/06/22 - - - - 29/06/22 NEG 852
772 03-027-772 28/06/22 3601114302700003 SARMUNAH 60 P GANGGAENG KADER P - TDL NEG NEG - 28/06/22 28/06/22 - - - - 29/06/22 RIF SEN 853 29/06/22
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : JULI Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
773 03-027-773 01/07/22 3601114107980249 SATIMAH 23 P KADUBERA KADER P - TDL TD TIDAK - 01/07/22 01/07/22 - - - - 02/07/22 NEG 854
774 03-027-774 04/07/22 3602090208650001 SUNTA 27 L BANJARSARI KADER P - TDL NEG NEG - 04/07/22 04/07/22 - - - - 05/07/22 RIF SEN 855 11/07/11
775 03-027-775 04/07/22 3601110207530005 HERMAN 55 L PASIRPANJANG KADER P - TDL TD TIDAK - 04/07/22 04/07/22 - - - - 08/07/22 NEG 856
776 03-027-776 04/07/22 3601110107470776 HERA 47 P KOLELET KADER P - TDL TD TIDAK - 04/07/22 04/07/22 - - - - 08/07/22 NEG 857
777 03-027-777 04/07/22 3601114707850001 TITIN 44 P CILILITAN KADER P - TDL NEG NEG - 04/07/22 04/07/22 - - - - 10/07/22 RIF RES 858 RSUD BERKAH
778 03-027-778 11/07/22 3601110107950016 MUHAMAD ERIS 27 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/07/22 11/07/22 - - - - 15/07/22 NEG 867
779 03-027-779 11/07/22 3601110107930009 DAMAN WIJAYA 27 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/07/22 11/07/22 - - - - 15/07/22 NEG 868
780 03-027-780 11/07/22 3601110112830001 MAHPUDIN 37 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/07/22 11/07/22 - - - - 15/07/22 NEG 869
781 03-027-781 11/07/22 3601114107930012 DESI PURWANTI 30 P PASIRSEDANG KADER P - TDL TD TIDAK - 11/07/22 11/07/22 - - - - 15/07/22 NEG 870
782 03-027-782 11/07/22 3601115901010001 MUHAEMIN 20 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/07/22 11/07/22 - - - - 15/07/22 NEG 871
783 03-027-783 11/07/22 3601110508900001 HARIS MUNANDAR 32 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/07/22 11/07/22 - - - - 15/07/22 NEG 872
784 03-027-784 11/07/22 3601112903150001 M. FIKRI 7 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/07/22 11/07/22 - - - - 15/07/22 NEG 873
785 03-027-785 11/07/22 3601111512720001 ARIF 50 L CILILITAN KADER P - TDL NEG NEG - 11/07/22 11/07/22 - - - - 15/07/22 RIF SEN 874 18/07/22
786 03-027-786 11/07/22 3601110107500786 ABDUL MUKIT 50 L KADUPANDAK KADER P - POS NEG NEG - 11/07/22 11/07/22 - - - - 15/07/22 RIF SEN 875 11/07/22
787 03-027-787 12/07/22 3601114107080021 AMAH 30 L PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 878
788 03-027-788 12/07/22 3601110107000001 SUBANI 22 L PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 879
789 03-027-789 12/07/22 3601114107940002 UNI USINAH 26 P PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 880
790 03-027-790 12/07/22 3601115105000001 ANISA 21 P PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 881
791 03-027-791 12/07/22 3601110904970001 ASPURI 24 L PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 882
792 03-027-792 12/07/22 3601110112010002 GUNAWAN 19 L PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 883
793 03-027-793 12/07/22 3601112011020001 MAHPUDIN 18 L PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 884
794 03-027-794 12/07/22 3601114609030002 AISAH 18 P PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 885
795 03-027-795 12/07/22 3601110107780001 MUJID 43 L PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 886
796 03-027-796 12/07/22 3601114307960005 YULIYANTI 25 P PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 887
797 03-027-797 12/07/22 3601114107630104 JUNARIYAH 55 P PASIRSEDANG KADER P - TDL TD TIDAK - 12/07/22 12/07/22 - - - - 16/07/22 NEG 888
ERROR
798 03-027-798 13/07/22 3601115707030001 SUTIHAT 19 P CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 889
799 03-027-799 13/07/22 3601111706890003 TOBRI 33 L CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 890
800 03-027-800 13/07/22 3601112810930001 YUSUP 29 L CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 891
801 03-027-801 13/07/22 3601111209870003 JAJULI 35 L CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 892
802 03-027-802 13/07/22 3601111109960001 USMAN 26 L CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 893
803 03-027-803 13/07/22 3601110406980004 TONI 40 L CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 894
804 03-027-804 13/07/22 3601112207900001 MAHPUD 32 L CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 895
805 03-027-805 13/07/22 3601112206060003 RIZKI PRATAMA 16 L CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 896
806 03-027-806 13/07/22 3601116509830001 AAS ASMAWIYAH 39 P CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 897
807 03-027-807 13/07/22 3601116804890002 ARNI 33 P CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 898
808 03-027-808 13/07/22 3601110207820020 HERMAN 24 L CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 899
809 03-027-809 13/07/22 3601115507920003 SAKINAH 30 P CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 900
810 03-027-810 13/07/22 3601116409850001 ETI SUSILAWATI 37 P CIHERANG KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 901
811 03-027-811 13/07/22 3602094704750001 UPI 50 P BANJARSARI KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 902
812 03-027-812 13/07/22 3601112005910001 SURYA 31 L KADUPANDAK KADER P - TDL TD TIDAK - 13/07/22 13/07/22 - - - - 17/07/22 NEG 903
813 03-027-813 14/07/22 3601111703010001 HERDIANSYAH 22 L KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 904
814 03-027-814 14/07/22 3601111008980001 AGUS SUJANA 24 L KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 905
815 03-027-815 14/07/22 3601114309820001 SUHETI 42 P KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 906
816 03-027-816 14/07/22 3601110606750001 SARMAN 46 L KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 907
817 03-027-817 14/07/22 3601111903890001 AHMAD SYAFEI 33 L KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 908
818 03-027-818 14/07/22 3601111903890818 SITI NURJANAH 30 P KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 909
819 03-027-819 14/07/22 3601110306930002 ROSID 29 L KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 910
820 03-027-820 14/07/22 3601111008860005 ASYIK 36 L KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 911
821 03-027-821 14/07/22 3601115812030001 RESKI 18 P KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 912
822 03-027-822 14/07/22 3601116401910001 NENG LINDA 31 P KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 913
823 03-027-823 14/07/22 3601114504950003 TITA CITRA 34 P KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 NEG 914
NO
824 03-027-824 14/07/22 3601114604660001 NURHAYATI 55 P KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 18/07/22 RESULT 915
NEG
825 03-027-825 14/07/22 3601112607840001 PEPEN 35 L KOLELET KADER P - TDL TD TIDAK - 14/07/22 14/07/22 - - - - 19/07/22 NEG 916
826 03-027-826 15/07/22 3601112607840826 SAEPUL 29 L KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 917
827 03-027-827 15/07/22 3601111308910001 AGUSTIANA 30 L KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 918
828 03-027-828 15/07/22 3601110809930001 RENDI 27 L KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 919
829 03-027-829 15/07/22 3601111312970001 MOH AKBAR 23 L KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 920
830 03-027-830 15/07/22 3601111702070001 M. IKMAL 13 L KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 921
831 03-027-831 15/07/22 3601112308750001 HENDI 43 L KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 922
832 03-027-832 15/07/22 3601112403770001 SAPRONI 43 L KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 923
833 03-027-833 15/07/22 3601115503000001 SITI AISAH 21 P KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 924
834 03-027-834 15/07/22 3601115110980003 INDRY OKTAVIA 23 P KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 925
835 03-027-835 15/07/22 3601115404850001 KARYATI 36 P KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 926
836 03-027-836 15/07/22 3601116510800001 MASITOH 31 P KOLELET KADER P - TDL TD TIDAK - 15/07/22 15/07/22 - - - - 19/07/22 NEG 927
837 03-027-837 16/07/22 3601110207850040 SAPRUDIN 33 L PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 928
838 03-027-838 16/07/22 3601111110150001 M. HAIKAL 7 L PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 929
839 03-027-839 16/07/22 3601111283120001 HENDRA 10 L PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 930
840 03-027-840 16/07/22 3601114208930001 UUM 28 P PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 931
841 03-027-841 16/07/22 3601114107730291 SARIAH 43 P PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 932
842 03-027-842 16/07/22 3601110107680231 ACANG 50 L PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 933
843 03-027-843 16/07/22 3601111212940001 ENTIS 15 L PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 934
844 03-027-844 16/07/22 3601110107900229 OMANUDIN 29 L PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 935
845 03-027-845 16/07/22 3601111507990003 ARIS SUPRIYADI 22 L PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 21/07/22 NEG 936
846 03-027-846 16/07/22 3601115301840003 JARNI 37 P PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 21/07/22 NEG 937
847 03-027-847 16/07/22 3601110107880182 HERDI 33 L PASIRPANJANG KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 21/07/22 NEG 938
848 03-027-848 16/07/22 3601110107910279 HERI 30 L KADUBERA KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 939
849 03-027-849 16/07/22 3601114107810136 KOKOM 40 P KADUBERA KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 940
850 03-027-850 16/07/22 3601116005720002 ARSI 43 P KADUBERA KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 941
851 03-027-851 16/07/22 3601112204630001 NANA 53 L KADUBERA KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 20/07/22 NEG 942
852 03-027-852 16/07/22 3601114107980253 DITA 17 P KADUBERA KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 21/07/22 NEG 943
853 03-027-853 16/07/22 3601110708670001 SYARIPUDIN 55 L KADUBERA KADER P - TDL TD TIDAK - 16/07/22 16/07/22 - - - - 21/07/22 NEG 944
854 03-027-854 18/07/22 3601110107480038 ZULFI 54 L CILILITAN KADER P - POS NEG NEG - 18/07/22 18/07/22 - - - - 21/07/22 RIF SEN 945 21/07/22
855 03-027-855 18/07/22 3601310701830001 AANG 39 L CIODENG KADER P - TDL NEG NEG - 18/07/22 18/07/22 - - - - 21/07/22 RIF SEN 946 21/07/22
856 03-027-856 18/07/22 3601110107420849 KHUDORI 42 L CILILITAN KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 20/07/22 NEG 947
857 03-027-857 18/07/22 3601112110780001 MISTA 44 L CIHERANG KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 23/07/22 ERR0R 948
858 03-027-858 18/07/22 3601110107870231 OJI MULYADI 33 L PASIRPANJANG KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 23/07/22 NEG 949
859 03-027-859 18/07/22 3601114107000346 ELA 21 P PASIRPANJANG KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 23/07/22 NEG 950
860 03-027-860 18/07/22 3601113012070001 MUHAMAD PUDIN 13 L PASIRPANJANG KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 23/07/22 NEG 951
861 03-027-861 18/07/22 3601110108060006 AGUS SUPRIATNA 15 L PASIRPANJANG KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 23/07/22 NEG 952
862 03-027-862 18/07/22 3601115960700001 NUR FITRI JULIANTI 21 P PASIRPANJANG KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 23/07/22 NEG 953
863 03-027-863 18/07/22 3601110107850308 UHED 35 L PASIRPANJANG KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 23/07/22 NEG 954
864 03-027-864 18/07/22 3601113103080001BINTANG M FADILAAH 13 L PASIRPANJANG KADER P - TDL TD TIDAK - 18/07/22 18/07/22 - - - - 23/07/22 NEG 955
865 03-027-865 19/07/22 3601114403950002 IRAH 23 P BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 956
866 03-027-866 19/07/22 3601214404810001 ARWATI 40 P BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 957
867 03-027-867 19/07/22 3601110307800008 ACENG RUHIYAT 39 L BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 958
868 03-027-868 19/07/22 3601111004870002 SADAPI 34 L BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 959
869 03-027-869 19/07/22 3601111670390001 TITI KATIAH 31 P BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 960
870 03-027-870 19/07/22 3601115502000003 SARAH 21 P BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 961
871 03-027-871 19/07/22 3601110804900001 ISUN 31 P BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 962
872 03-027-872 19/07/22 3601314305950002 HARMI 26 P BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 963
873 03-027-873 19/07/22 3601110107870004 AHMAD YANTO 35 L BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 964
874 03-027-874 19/07/22 3601114107960050 IIM 30 P BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 965
875 03-027-875 19/07/22 3601111450870005 SUSTI 25 P BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 966
876 03-027-876 19/07/22 3601310107930077 UHAR 28 L BUNGURCOPONG KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 24/07/22 NEG 967
877 03-027-877 19/07/22 3601110201880001 RAHMAT 41 L BUNGURCOPONG KADER P - TDL NEG YA - 19/07/22 19/07/22 - - - - 25/07/22 RIF SEN 968 25/07/22
878 03-027-878 19/07/22 3601112706930002 AMEN 55 L KOLELET KADER P - POS NEG NEG - 19/07/22 19/07/22 - - - - 25/07/22 RIF SEN 969 25/07/22
879 03-027-879 19/07/22 3601110107250879 QANIA 25 P KOLELET KADER P - TDL TD TIDAK - 19/07/22 19/07/22 - - - - 25/07/22 NEG 970
880 03-027-880 25/07/22 3601114107750071 ASMINAH 45 P SINDANGRESMI KADER P - TDL TD TIDAK - 25/07/22 25/07/22 - - - - 26/07/22 NEG 972
881 03-027-881 25/07/22 3601114107100882 NADIF 10 L BANJARSARI KADER P - TDL TD TIDAK - 25/07/22 25/07/22 - - - - 26/07/22 NEG 973
882 03-027-882 25/07/22 3601114107450882 ARSIKAH 45 P SINDANGRESMI KADER P - TDL NEG NEG - 25/07/22 25/07/22 - - - - 26/07/22 RIF SEN 974 26/07/22
883 03-027-883 25/07/22 3601110107910055 TONO 37 L PASIRSEDANG KADER P - POS NEG NEG - 25/07/22 25/07/22 - - - - 26/07/22 RIF SEN 975 26/07/22
884 03-027-884 26/07/22 3601114409630002 DEDEH 59 P CILILITAN KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 976
885 03-027-885 26/07/22 3601116011030002 DILAH 19 P CILILITAN KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 977
886 03-027-886 26/07/22 3673052804140003 M. IBNU 8 L CILILITAN KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 978
887 03-027-887 26/07/22 3601116010800001 WATI 42 P CILILITAN KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 979
888 03-027-888 26/07/22 3601114107380888 CECEP 38 L CILILITAN KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 980
889 03-027-889 26/07/22 3601114107680889 SANIMIN 68 L KOLELET KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 981
890 03-027-890 26/07/22 3601111308630001 JUHDI 62 L KOLELET KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 982
891 03-027-891 26/07/22 3601114502020002 HUSNUL 20 P KOLELET KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 983
892 03-027-892 26/07/22 3601115404750001 PATIMAH 47 P KOLELET KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 984
893 03-027-893 26/07/22 3601115502070001 AMELIA 15 P KOLELET KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 985
894 03-027-894 26/07/22 3601114408780001 SARKIMAH 49 P KOLELET KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 986
895 03-027-895 26/07/22 3601116504040001 JULAEHA 18 P KOLELET KADER P - TDL TD TIDAK - 26/07/22 26/07/22 - - - - 28/07/22 NEG 987
896 03-027-896 27/07/22 3601114401850001 MURTI 59 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 988
897 03-027-897 27/07/22 3601115804650001 JAYANAH 57 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 989
898 03-027-898 27/07/22 3601116109730001 JULAEHA 49 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 990
899 03-027-899 27/07/22 3601110606990005 MIRAWATI 23 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 991
900 03-027-900 27/07/22 3601114501580001 NASMAH 64 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 992
901 03-027-901 27/07/22 3601116909110003 MILA SAPIRA 11 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 993
902 03-027-902 27/07/22 3601114704530001 ARTI 71 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 994
903 03-027-903 27/07/22 3601114107470892 SITI ROHMAH 47 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 995
904 03-027-904 27/07/22 3601110107460893 ENENG 46 P KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 996
905 03-027-905 27/07/22 3601110107180894 PAKIH 18 L KOLELET KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 997
906 03-027-906 27/07/22 3601115007790004 HJ. EMAH 67 P CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 998
907 03-027-907 27/07/22 3601140709850002 ILHAM 37 L CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 999
908 03-027-908 27/07/22 3601111007900011 HERU JAJULI 32 L CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1000
909 03-027-909 27/07/22 3601114107890060 RIFKI HERWANTI 34 L CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1001
910 03-027-910 27/07/22 3601115208130005 NISRINA 9 P CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1002
911 03-027-911 27/07/22 3601115005580001 SUHAYATI 64 P CILILITAN KADER P - POS NEG YA - 27/07/22 27/07/22 - - - - 29/07/22 RIF SEN 1003 29/07/22
912 03-027-912 27/07/22 3601110207890003 IPUL SAEPULAH 32 L BUNGURCOPONG KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1004
913 03-027-913 27/07/22 3601114207010002 ITA ROSITA 21 P BUNGURCOPONG KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1005
914 03-027-914 27/07/22 3601214103950003 IWIH 25 P BUNGURCOPONG KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1006
915 03-027-915 27/07/22 3601310201780001 ADI DARMAWAN 28 L BUNGURCOPONG KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1007
916 03-027-916 27/07/22 3601111105070001 ARISMA KUSUMA 15 P BUNGURCOPONG KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1008
917 03-027-917 27/07/22 3601115503050001 RISNAWATI 15 P BUNGURCOPONG KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1009
918 03-027-918 27/07/22 3601110202780006 AYAT KURSI 21 P BUNGURCOPONG KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1010
919 03-027-919 27/07/22 3601110107130908 MAYA APRILIA 13 P CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1011
920 03-027-920 27/07/22 3601110107090909 JAHWA 9 P CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1012
921 03-027-921 27/07/22 3601110107280910 ADE ASTUTI 28 P CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1013
922 03-027-922 27/07/22 3601110107350911 IIS 35 P CILILITAN KADER P - TDL TD TIDAK - 27/07/22 27/07/22 - - - - 29/07/22 NEG 1014
923 03-027-923 28/07/22 3601114107710063 ASIH 47 P CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1015
924 03-027-924 28/07/22 3601110107230913 NUR AISYAH 23 P CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1016
925 03-027-925 28/07/22 3601114107260914 NURJANAH 26 P CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1017
926 03-027-926 28/07/22 3601110107290915 RIYAN FAUZI 29 L CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1018
927 03-027-927 28/07/22 3601110107160916 IMAS 16 P CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1019
928 03-027-928 28/07/22 3601110207810014 HANANI 41 L CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1020
929 03-027-929 28/07/22 3601114107600028 HJ NURHAYATIN 44 P CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1021
930 03-027-930 28/07/22 3601114404850001 ENOK 37 P CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1022
931 03-027-931 28/07/22 3601114107590931 DEDEH 59 P CILILITAN KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1023
932 03-027-932 28/07/22 3604311210660001 AJID 67 L BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 29/07/22 NEG 1024
933 03-027-933 28/07/22 3604316006600011 SUMAH 62 P BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1025
934 03-027-934 28/07/22 3604315804900001 AIN 32 P BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1026
935 03-027-935 28/07/22 3604310712970001 ROBI 25 L BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1027
936 03-027-936 28/07/22 3604311603000001 AJI PANGESTU 22 L BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1028
937 03-027-937 28/07/22 3601115410940001 UMIYATI 28 P BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1029
938 03-027-938 28/07/22 3601114111910001 RAENI 32 P BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1030
939 03-027-939 28/07/22 3601312201840001 NAHRUDIN 34 L BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1031
940 03-027-940 28/07/22 3601110470781001 MIMIN 40 P BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1032
941 03-027-941 28/07/22 3601115509080006 NURLAELA 13 P BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1033
942 03-027-942 28/07/22 3601241804830001 NANANG KOSIM 38 L BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1034
943 03-027-943 28/07/22 3601110107000208 M. LUTFI 21 L BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1035
944 03-027-944 28/07/22 3601110606960004 MEDI 25 L BUNGURCOPONG KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1036
945 03-027-945 28/07/22 3601115604890001 SARIYATI 32 P KOLELET KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1037
946 03-027-946 28/07/22 3601110107180935 FAZAR ALAMSYAH 18 L KOLELET KADER P - TDL TD TIDAK - 28/07/22 28/07/22 - - - - 30/07/22 NEG 1038
947 03-027-947 29/07/22 3601114302993003 DANAH 22 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1039
948 03-027-948 29/07/22 3601114302990003 DEDE 39 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1040
949 03-027-949 29/07/22 3601110210860001 SUARJA 35 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1041
950 03-027-950 29/07/22 3601114107920116 YANDI 19 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1042
951 03-027-951 29/07/22 3601116407940001 USWATI DEWI 27 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1043
952 03-027-952 29/07/22 3601110207020001 JUMRI 19 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1044
953 03-027-953 29/07/22 3601110107190010 YANTO 31 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1045
954 03-027-954 29/07/22 3601115407870002 YANAH 34 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1046
955 03-027-955 29/07/22 3601112501020007 DEDE FIKRI 19 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1047
956 03-027-956 29/07/22 3601110907030002 SENDI 18 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1048
957 03-027-957 29/07/22 3601110203800001 SARNA 42 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1049
958 03-027-958 29/07/22 3601114506820001 ANARIAH 40 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1050
959 03-027-959 29/07/22 3601114304050001 SARMILA 23 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1051
960 03-027-960 29/07/22 3601114501100001 NOVI 12 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/07/22 29/07/22 - - - - 31/07/22 NEG 1052
961 03-027-961 11/07/22 3601113101180001 GIBRAN 4 L KADUPANDAK KADER EP 10 TDL NEG NEG - - - - - 1053 11/07/22
962 03-027-962 25/07/22 3601110107100002 SAPRUDIN 70 L KADUPANDAK KADER P - POS NEG NEG - - - - - 1054 25/07/22
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : AGUSTUS Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
963 03-027-963 01/08/22 3601114107690011 ENTIN 54 L CILILITAN KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 01/08/22 ERROR
NEG 1055
964 03-027-964 01/08/22 3601110706780001 ISRUN 40 L CILILITAN KADER P - POS NEG NEG - 01/08/22 01/08/22 - - - - 02/08/22 1056 16/08/22
16/08/22 RIF SEN
965 03-027-965 01/08/22 3601115009130004 AMIRA 9 P CILILITAN KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 02/08/22 ERROR 1057
966 03-027-966 01/08/22 3601114107450966 NENENG 45 P CILILITAN KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 02/08/22 NEG 1058
967 03-027-967 01/08/22 3601110107650055 RAMAN 59 L PASIRPANJANG KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 02/08/22 NEG 1059
968 03-027-968 01/08/22 3601111202100004 MUHAMAD IKSAN 13 L CIHERANG KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 02/08/22 NEG 1060
969 03-027-969 01/08/22 3601115305790001 LELA 36 P CILILITAN KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 02/08/22 NEG 1061
970 03-027-970 01/08/22 3601111405640001 SUHAELI 57 L CILILITAN KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 02/08/22 NEG 1062
971 03-027-971 01/08/22 3601111508890001 DONI 33 L CILILITAN KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 02/08/22 NEG 1063
972 03-027-972 01/08/22 3601111205020001 MUDIYATULLAH 20 L CILILITAN KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 03/08/22 NEG 1064
973 03-027-973 01/08/22 3601110107630106 LILI 56 L CILILITAN KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 06/08/22 NEG 1065
974 03-027-974 01/08/22 3601110307030005 RIDWAN 20 L GANGGAENG KADER P - POS NEG NEG - 01/08/22 01/08/22 - - - - 06/08/22 RIF SEN 1066 08/08/22
975 03-027-975 01/08/22 3601115207730001 ENOK SAPRAH 43 P KOLELET KADER P - TDL TD TIDAK - 01/08/22 01/08/22 - - - - 06/08/22 NEG 1067
976 03-027-976 05/08/22 3601114107620029 ENAP 60 L KADUPANDAK KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1068
977 03-027-977 05/08/22 3601114806720004 UMI 50 P KADUPANDAK KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1069
978 03-027-978 05/08/22 3601114107000186 IKAH 22 P BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1070
979 03-027-979 05/08/22 3601114107970160 SUTIYANAH 26 P BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1071
980 03-027-980 05/08/22 3601115308140001 NHADIRA 8 P KADUPANDAK KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1072
981 03-027-981 05/08/22 3601114175000285 UTMINI 72 P KADUPANDAK KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1073
982 03-027-982 05/08/22 3601114107380038 NASMAH 84 P KADUPANDAK KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG
NO 1074
983 03-027-983 05/08/22 3601115709060001 NOVI 18 P KADUPANDAK KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 RESULT 1075
984 03-027-984 05/08/22 3601260107930066 DIDIN 31 L KADUPANDAK KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 ERROR
NEG 1076
NEG
985 03-027-985 05/08/22 3601315310950002 ESIH 26 P BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 ERROR 1077
986 03-027-986 05/08/22 3601201510760002 DEDI 28 L BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1078
987 03-027-987 05/08/22 3601114707950001 WENI 26 P BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1079
988 03-027-988 05/08/22 3601114510990007 ELSA 22 P BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1080
989 03-027-989 05/08/22 3601110107000212 SOPYAN 21 L BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1081
990 03-027-990 05/08/22 3601114107930164 SENA 29 L BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1082
991 03-027-991 05/08/22 3601114708890002 MARNI 32 P BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1083
992 03-027-992 05/08/22 3601110107020127 IRFAN 19 L BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1084
993 03-027-993 05/08/22 3601115501003003 PUPUT 18 P BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1085
994 03-027-994 05/08/22 3601110708990004 RUDI YATNA 22 L BUNGURCOPONG KADER P - TDL TD TIDAK - 05/08/22 05/08/22 - - - - 07/08/22 NEG 1086
995 03-027-995 08/08/22 3601115204900001 SANTI 25 P BUNGURCOPONG KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 10/08/22 NEG 1088
996 03-027-996 08/08/22 3601114610980003 SINTA 25 P BUNGURCOPONG KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 10/08/22 NEG 1089
997 03-027-997 08/08/22 3601114107310997 ANDA 31 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 10/08/22 NEG 1090
998 03-027-998 08/08/22 3601114107260998 TONI 26 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 10/08/22 NEG 1091
999 03-027-999 08/08/22 3601114107170999 RAKA 17 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 10/08/22 NEG 1092
1000 03-027-1000 08/08/22 3601114107421000 AMAH 42 P CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 10/08/22 NEG 1093
1001 03-027-1001 08/08/22 3601114107190101 DEDE WIAH 19 P KADUPANDAK KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 10/08/22 NEG 1094
1002 03-027-1002 08/08/22 3601110107221002 ANIS 22 P KADUPANDAK KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 10/08/22 NEG 1095
1003 03-027-1003 08/08/22 3601116000300002 LIAWATI 22 P CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 11/08/22 NEG 1096
1004 03-027-1004 08/08/22 3601110107880022 HERU 33 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 11/08/22 NEG 1097
1005 03-027-1005 08/08/22 3601112509850001 MULYADI 26 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 11/08/22 NEG 1098
1006 03-027-1006 08/08/22 3601111208910002 ADIH 30 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 11/08/22 NEG 1099
1007 03-027-1007 08/08/22 3601110107980116 PAHRUROJI 23 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 11/08/22 NEG 1100
1008 03-027-1008 08/08/22 3601111508890011 DONI 31 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 11/08/22 NEG 1101
1009 03-027-1009 08/08/22 3601114505920004 EKA WATI 29 P CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1102
1010 03-027-1010 08/08/22 3601110207840002 AHMAD FAIDONA 38 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1103
1011 03-027-1011 08/08/22 3601112302950001 AMAR MARUF 23 L CILILITAN KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1104
1012 03-027-1012 08/08/22 3328166412120003 PUTRI 18 P PASIRSEDANG KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1105
1013 03-027-1013 08/08/22 3601114102850002 ENCIM 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1106
1014 03-027-1014 08/08/22 3602095708810001 ROHANAH 40 P PASIRSEDANG KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1107
1015 03-027-1015 08/08/22 3601112604103003 SAEPUL 9 L PASIRSEDANG KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1108
1016 03-027-1016 08/08/22 3601111202740001 JAENAL 48 L PASIRSEDANG KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1109
1017 03-027-1017 08/08/22 3601111005080003 M. NAZRIL 15 L PASIRSEDANG KADER P - TDL TD TIDAK - 08/08/22 08/08/22 - - - - 12/08/22 NEG 1110
1018 03-027-1018 10/08/22 3601115005130001 ADELIA 9 P PASIRSEDANG KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 ERROR 1111
NEG
1019 03-027-1019 10/08/22 3601114107700014 SUKMINAH 46 P PASIRSEDANG KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1112
1020 03-027-1020 10/08/22 3601114107760003 ETI 57 P PASIRSEDANG KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1113
1021 03-027-1021 10/08/22 3601114107760050 ARSAH 46 P PASIRSEDANG KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1114
1022 03-027-1022 10/08/22 3601114107050025 KARLINA 19 P KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1115
1023 03-027-1023 10/08/22 3601114107730117 MINI 49 P KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1116
1024 03-027-1024 10/08/22 3601110107640049 SAWADIL 58 L KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1117
1025 03-027-1025 10/08/22 3601115208080008 NURAZIZAH 22 P KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1118
1026 03-027-1026 10/08/22 3601110205950004 PENDI 29 L KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1119
1027 03-027-1027 10/08/22 3601111401160002 M. SUFYAN 18 L KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1120
1028 03-027-1028 10/08/22 3601110107910299 ATI 32 P KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1121
1029 03-027-1029 10/08/22 3601111480410002 FIRDA 12 P KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1122
1030 03-027-1030 10/08/22 3601117012140002 HERAWATI 28 P KADUBERA KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1123
1031 03-027-1031 10/08/22 3601114704530001 ARTI 71 P KOLELET KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1124
1032 03-027-1032 10/08/22 3601114401850001 MURTI 34 P KOLELET KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1125
1033 03-027-1033 10/08/22 3601110108800001 EEM 42 P KOLELET KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1126
1034 03-027-1034 10/08/22 3601114107000097 ROBIAH 22 P CILILITAN KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1127
1035 03-027-1035 10/08/22 3601116011030002 DILAH 19 P CILILITAN KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1128
1036 03-027-1036 10/08/22 3214141203860002 AGIS 36 L CILILITAN KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1129
1037 03-027-1037 10/08/22 3601115009130044 AMIRA 19 P CILILITAN KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1130
1038 03-027-1038 10/08/22 3601115305790011 NURLAELA 36 P CILILITAN KADER P - TDL TD TIDAK - 10/08/22 10/08/22 - - - - 14/08/22 NEG 1131
1039 03-027-1039 15/08/22 3601114107351039 BETI 35 P CILILITAN KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1132
1040 03-027-1040 15/08/22 3601116717890001 TUTI 32 P CILILITAN KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1133
1041 03-027-1041 15/08/22 3601115910980001 FITRIAH 23 P CILILITAN KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1134
1042 03-027-1042 15/08/22 3601104706870002 YULIDA 40 P CILILITAN KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1135
1043 03-027-1043 15/08/22 3601110107930090 DEDE SULAEMAN 28 L CILILITAN KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1136
1044 03-027-1044 15/08/22 3601110107930039 IIM 39 P CILILITAN KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1137
1045 03-027-1045 15/08/22 3601114810960003 SITI NURLAILAH 25 P CILILITAN KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1138
1046 03-027-1046 15/08/22 3601114107581046 MA ACI 58 P GANGGAENG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1139
1047 03-027-1047 15/08/22 3601114107331047 ABDUL MAJID 33 L GANGGAENG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1140
1048 03-027-1048 15/08/22 3601110107321048 SAPRI 32 L GANGGAENG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1141
1049 03-027-1049 15/08/22 3601111007581049 SUPIAH 58 P GANGGAENG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1142
1050 03-027-1050 15/08/22 3601114107231050 RUNAH 23 P GANGGAENG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 15/08/22 NEG 1143
1051 03-027-1051 15/08/22 3601110107540008 MUDHAR 64 L PASIRSEDANG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 16/08/22 NEG 1144
1052 03-027-1052 15/08/22 3601110107480073 SAUD 64 L PASIRSEDANG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 16/08/22 NEG 1145
1053 03-027-1053 15/08/22 3601112810050001 M. NURJEN 17 L PASIRSEDANG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 16/08/22 NEG 1146
1054 03-027-1054 15/08/22 3601110107610020 MADRAIS 55 L PASIRSEDANG KADER P - TDL TD TIDAK - 15/08/22 15/08/22 - - - - 16/08/22 NEG 1147
1055 03-027-1055 15/08/22 3601116712020004 EVA 20 P PASIRSEDANG KADER P - POS NEG NEG - 15/08/22 15/08/22 - - - - 16/08/22 RIF SEN 1148 16/08/22
1056 03-027-1056 16/08/22 3601114107211056 HABIBAH 21 P CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1149
1057 03-027-1057 16/08/22 3601114107471057 AAT 47 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1150
1058 03-027-1058 16/08/22 3601114107561058 EMAD 56 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1151
1059 03-027-1059 16/08/22 3601114107551059 HASAN 55 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1152
1060 03-027-1060 16/08/22 3601114107421060 ETI S 42 P CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1153
1061 03-027-1061 16/08/22 3601114107481061 MUNAH 48 P CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1154
1062 03-027-1062 16/08/22 3601116012960005 UUM 24 P CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1155
1063 03-027-1063 16/08/22 3601150708940001 ILYAS 29 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1156
1064 03-027-1064 16/08/22 3601116404870001 MULYATI 36 P CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1157
1065 03-027-1065 16/08/22 3601114207890016 MUAZIZAH 34 P CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1158
1066 03-027-1066 16/08/22 3601111205950003 DANU 26 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1159
1067 03-027-1067 16/08/22 3601110107990276 SUJANA 23 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1160
1068 03-027-1068 16/08/22 3601114107000297 YAYAN 20 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1161
1069 03-027-1069 16/08/22 3601112110080001 REHAN 13 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1162
1070 03-027-1070 16/08/22 3601111606080002 M. RIJWAN 13 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 19/08/22 NEG 1163
1071 03-027-1071 16/08/22 3602090101770005 YUSUF 42 L BANJARSARI KADER P - POS NEG NEG - 16/08/22 16/08/22 - - - - 20/08/22 RIF SEN 1164 22/08/22
1072 03-027-1072 16/08/22 3174104811720007 SUKEMAH 48 P KOLELET KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1165
1073 03-027-1073 16/08/22 3601110107730282 HARUN 49 L KADUBERA KADER P - TDL NEG NEG - 16/08/22 16/08/22 - - - - 20/08/22 RIF SEN 1166 22/08/22
1074 03-027-1074 16/08/22 36011114107351074 MARI 35 P KOLELET KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1167
1075 03-027-1075 16/08/22 36011101072501075 DEPI 25 L CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1168
1076 03-027-1076 16/08/22 36011141073001076 ENDET 30 P CILILITAN KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1169
1077 03-027-1077 16/08/22 36011120660010777 SATIR 60 L SINDANGRESMI KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1170
1078 03-027-1078 16/08/22 3601111606080003 ANTIAH 43 P BABAKAN KADUBERA KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1171
1079 03-027-1079 16/08/22 3601110107870194 ABDUL HALIM 35 L BABAKAN KADUBERA KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1172
1080 03-027-1080 16/08/22 3601114911820001 NOKIAH 39 P BABAKAN KADUBERA KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1173
1081 03-027-1081 16/08/22 3601110107930294 ABDUL ROHMAN 28 L BABAKAN KADUBERA KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1174
1082 03-027-1082 16/08/22 3601110107900299 ABDUL WAHID 31 L BABAKAN KADUBERA KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1175
1083 03-027-1083 16/08/22 3601114107910030 RUMSINAH 32 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1176
1084 03-027-1084 16/08/22 3601114107630041 KASINAH 61 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1177
1085 03-027-1085 16/08/22 3601114107890015 SITI RODIAH 36 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1178
1086 03-027-1086 16/08/22 3601114307100001 NISFA 12 P PASIRSEDANG KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1179
1087 03-027-1087 16/08/22 3601110107580033 ENCUH SUKANDA 69 L PASIRSEDANG KADER P - TDL TD TIDAK - 16/08/22 16/08/22 - - - - 20/08/22 NEG 1180
1088 03-027-1088 18/08/22 3601110107910325 SANAN 30 L BABAKAN KADUBERA KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1181
1089 03-027-1089 18/08/22 3601110401000006 FIRMAN 20 L BABAKAN KADUBERA KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1182
1090 03-027-1090 18/08/22 3601110107980312 ROBI MULYANA 24 L BABAKAN KADUBERA KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1183
1091 03-027-1091 18/08/22 3601110107900296 ANITA 26 P BABAKAN KADUBERA KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1184
1092 03-027-1092 18/08/22 3601101106840001 PARDI 37 L BABAKAN KADUBERA KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1185
1093 03-027-1093 18/08/22 3601240107860038 ILMAN 33 L BABAKAN KADUBERA KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1186
1094 03-027-1094 18/08/22 3601114107311094 IDRUS 31 L KADUPANDAK KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1187
1095 03-027-1095 18/08/22 3601114107301095 ENE 30 P KADUPANDAK KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1188
1096 03-027-1096 18/08/22 3601114107531096 DJATIKAH 53 P KADUPANDAK KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1189
1097 03-027-1097 18/08/22 3601114207481097 KUSNADI 48 L KADUPANDAK KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1190
1098 03-027-1098 18/08/22 3601114207381098 PATMAWATI 39 P CIGARUNGGUNG KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1191
1099 03-027-1099 18/08/22 3601114207401099 UNASIH 40 P CIGARUNGGUNG KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1192
1100 03-027-1100 18/08/22 3305050412830001 SAJI 40 L PASIRSEDANG KADER P - TDL NEG NEG - 18/08/22 18/08/22 - - - - 21/08/22 RIF SEN 1193 22/08/22
1101 03-027-1101 18/08/22 3601110107580017 JUHAEDI 62 L PASIRSEDANG KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1194
1102 03-027-1102 18/08/22 3601110107580020 DARMA 55 L PASIRSEDANG KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1195
1103 03-027-1103 18/08/22 3601114207860018 JUMAENI 40 L PASIRSEDANG KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1196
1104 03-027-1104 18/08/22 3601114107920018 SAENI 33 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1197
1105 03-027-1105 18/08/22 3601114107700003 ACIH 44 P PASIRSEDANG KADER P - TDL TD TIDAK - 18/08/22 18/08/22 - - - - 21/08/22 NEG 1198
1106 03-027-1106 22/08/22 36011141076200035 NETI 60 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1200
1107 03-027-1107 22/08/22 36011115205790001 SAKIMAH 43 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1201
1108 03-027-1108 22/08/22 36011101075800021 SUMAR 64 L PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1202
1109 03-027-1109 22/08/22 36011142075201109 DAYATI 52 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1203
1110 03-027-1110 22/08/22 36011142076001110 ABENAH 60 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1204
NO
1111 03-027-1111 22/08/22 36011114107551111 MASKAH 55 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 RESULT 1205
1112 03-027-1112 22/08/22 36011142074901112 SAIBAH 49 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG
NEG 1206
1113 03-027-1113 22/08/22 36011142084501113 ASWIAH 45 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1207
1114 03-027-1114 22/08/22 36011141083801114 SUKAESIH 39 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1208
1115 03-027-1115 22/08/22 36011143064301115 ASMAH 43 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1209
1116 03-027-1116 22/08/22 36011114204471116 RASMIASIH 47 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1210
1117 03-027-1117 22/08/22 36011142065401117 ALIMAN 54 L PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1211
1118 03-027-1118 22/08/22 36011114306221118 CACA 22 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1212
1119 03-027-1119 22/08/22 36011142072101119 HOSI 21 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1213
1120 03-027-1120 22/08/22 36011142082801120 MUTIAH 29 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 22/08/22 NEG 1214
1121 03-027-1121 22/08/22 36011101076303033 ARSUDIN 57 L PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1215
1122 03-027-1122 22/08/22 36011141074901122 PARDI 49 L PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1216
1123 03-027-1123 22/08/22 36011114107670072 WATI 51 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1217
1124 03-027-1124 22/08/22 36011141073601124 IDIL 36 L PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1218
1125 03-027-1125 22/08/22 36011141074201125 YUYUM 42 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1219
1126 03-027-1126 22/08/22 36011141072101126 SITI 21 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1220
1127 03-027-1127 22/08/22 36011141072001127 REPAN 20 L PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1221
1128 03-027-1128 22/08/22 36011141071901128 HENA 19 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1222
1129 03-027-1129 22/08/22 36011142072201129 WILDA 22 P PASIRSEDANG KADER P - TDL TD TIDAK - 22/08/22 22/08/22 - - - - 23/08/22 NEG 1223
1130 03-027-1130 23/08/22 3602094106970001 MARIAM 26 P CIBATUR KEUSIK KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 23/08/22 NEG 1224
1131 03-027-1131 23/08/22 LILI 53 L KADUMULA KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 26/08/22 NEG 1225
1132 03-027-1132 23/08/22 WISNU 21 L KADUKALAHANG KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 26/08/22 NEG 1226
1133 03-027-1133 23/08/22 TINGGAL 60 L KADUMULA KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 26/08/22 NEG 1227
1134 03-027-1134 23/08/22 MUAFIFAH 17 P KOLELET KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 26/08/22 NEG 1228
1135 03-027-1135 23/08/22 TITI 47 P CIHERANG KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 26/08/22 NEG 1229
1136 03-027-1136 23/08/22 3602092508090701 MIKI 27 L BABAKAN SUPAKALAS KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 26/08/22 NEG 1230
1137 03-027-1137 23/08/22 MUHAMAD 1986 L KADUPANDAK KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 27/08/22 NEG 1231
1138 03-027-1138 23/08/22 JUNIAH P CIMOYAN KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 27/08/22 NEG 1232
1139 03-027-1139 23/08/22 IMAS CIMOYAN KADER P - TDL TD TIDAK - 23/08/22 23/08/22 - - - - 27/08/22 NEG 1233
1140 03-027-1140 29/08/22 3601112512130003 ABIAN 9 L PAMATANG KADER EP 8 TDL NEG NEG - 29/08/22 29/08/22 - - - - 29/08/22 10mm 1236 29/08/22
1141 03-027-1141 29/08/22 ROJAK 31 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 29/08/22 NEG 1237
1142 03-027-1142 29/08/22 ENO 30 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 29/08/22 NEG 1238
1143 03-027-1143 29/08/22 MEGA 25 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 29/08/22 NEG 1239
1144 03-027-1144 29/08/22 MAMAN 45 L BUNGURCOPONG KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 29/08/22 NEG 1240
1145 03-027-1145 29/08/22 ANI 31 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 29/08/22 NEG 1241
1146 03-027-1146 29/08/22 NURAENI 35 P BUNGURCOPONG KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 29/08/22 NEG 1242
1147 03-027-1147 29/08/22 SUKMINAH 52 P PASIRSEDANG KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 29/08/22 NEG 1243
1148 03-027-1148 29/08/22 SUTINAH 35 P KOLELET KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 30/08/22 NEG 1244
1149 03-027-1149 29/08/22 SUHARI 78 L BANJARSARI KADER P - TDL TD TIDAK - 29/08/22 29/08/22 - - - - 30/08/22 NEG 1245
1150 03-027-1150 22/08/22 AYU LESTARI 22 P CIBAGOLO KADER P - POS NEG NEG - 22/08/22 22/08/22 - - - - 20/09/22 RIF SEN 1246 20/09/22
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : SEPTEMBER Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
PKM GUNUNG
1151 03-027-1151 01/09/22 3602086105850002 DWI 37 P GUNUNGKENCANA KADER P - POS TD TIDAK - 01/09/22 01/09/22 - - - - 01/09/22 RIF SEN 1247 KENCANA
1152 03-027-1152 05/09/22 3601114107271151 NURBAETI 27 P CILILITAN KADER P - TDL TD TIDAK - 05/09/22 05/09/22 - - - - 05/09/22 NEG 1248
1153 03-027-1153 05/09/22 3601115204680003 MAMAH 54 P MULIJATI KADER P - TDL NR NEG - 05/09/22 05/09/22 - - - - 05/09/22 RIF SEN 1249 05/09/22
1154 03-027-1154 05/09/22 3601116703680001 EMI LINDAYANI 55 P KADUMULA KADER P - TDL TD TIDAK - 05/09/22 05/09/22 - - - - 05/09/22 NEG 1250
1155 03-027-1155 05/09/22 3601110107630055 JUMANTA 50 L KUBANG PANJANG KADER P - POS NR NEG - 05/09/22 05/09/22 - - - - 05/09/22 NEG 1251 05/09/22
1156 03-027-1156 05/09/22 3602086603040001 SAKINAH 18 P CIILAT KADER P - POS NR NEG - 05/09/22 05/09/22 - - - - 05/09/22 NEG 1252 05/09/22
1157 03-027-1157 05/09/22 3601114609840002 JASIAH 60 P SINDANGRESMI KADER P - POS NR NEG - 05/09/22 05/09/22 - - - - 05/09/22 NEG 1253 05/09/22
1158 03-027-1158 05/09/22 3601114207710003 YANTI 54 P BABAKAN KEMBANG KADER P - TDL TD TIDAK - 05/09/22 05/09/22 - - - - 05/09/22 NEG 1254
1159 03-027-1159 05/09/22 3601101206870001 MURTEDI 35 L KADUKALAHANG KADER P - TDL TD TIDAK - 05/09/22 05/09/22 - - - - 05/09/22 NEG 1255
1160 03-027-1160 05/09/22 3601114107271160 SITI HARDIANTI 27 P SEUTI UMBUL KADER P - TDL TD TIDAK - 05/09/22 05/09/22 - - - - 10/09/22 NEG 1256
1161 03-027-1161 05/09/22 3602095410970007 ELAH 25 P KADUHAUK KADER P - TDL NR NEG - 05/09/22 05/09/22 - - - - 10/09/22 RIF SEN 1257 12/09/22
1162 03-027-1162 12/09/22 3601114107500005 SUMI 77 P SEUTI KADER P - TDL TD TIDAK - 12/09/22 12/09/22 - - - - 12/09/22 NEG 1258
1163 03-027-1163 12/09/22 3601112609940001 IMAN 27 L NEGLASARI KADER P - POS NR NEG - 12/09/22 12/09/22 - - - - 14/09/22 NEG 1259 19/09/22
1164 03-027-1164 12/09/22 3601111065600001 ARPIN 66 L BABAKAN KEMBANG KADER P - TDL TD TIDAK - 12/09/22 12/09/22 - - - - 14/09/22 NEG 1260
1165 03-027-1165 12/09/22 3601114107680031 ROHAMAH 54 P MONGGOR SAGA KADER P - TDL NR NEG - 12/09/22 12/09/22 - - - - 14/09/22 RIF SEN 1261 19/09/22
1166 03-027-1166 12/09/22 3601114405710001 SITI HASANAH 51 P CILILITAN KADER P - TDL TD TIDAK - 12/09/22 12/09/22 - - - - 16/09/22 NEG 1262
1167 03-027-1167 12/09/22 3601114107851167 SAHRUDIN 37 L KUBANG PANJANG KADER P - TDL TD TIDAK - 12/09/22 12/09/22 - - - - 16/09/22 NEG 1263
1168 03-027-1168 19/09/22 3601115208870002 SARINAH 34 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 19/09/22 NEG 1266
1169 03-027-1169 19/09/22 3601114107630039 SARNAAH 54 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 19/09/22 NEG 1267
1170 03-027-1170 19/09/22 3601114207351170 JULIA 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 19/09/22 NEG 1268
1171 03-027-1171 19/09/22 3601114107500001 JASIH 70 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 19/09/22 NEG 1269
1172 03-027-1172 19/09/22 3601114207251172 TINAH 25 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 19/09/22 NEG 1270
1173 03-027-1173 19/09/22 3601114107381173 SAHRUDIN 38 L PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 19/09/22 NEG 1271
1174 03-027-1174 19/09/22 3601114207401174 NURIAH 40 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 19/09/22 NEG 1272
1175 03-027-1175 19/09/22 3601114107511182 MISTEM 51 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 21/09/22 NEG 1273
1176 03-027-1176 19/09/22 3601114107401183 MARWI 40 P PASIRSEDANG KADER P - TDL TD TIDAK - 19/09/22 19/09/22 - - - - 21/09/22 NEG 1274
1177 03-027-1177 19/09/22 3601312047600002 SITI 38 P SALAMPAK KADER P - TDL NR NEG - 19/09/22 19/09/22 - - - - 20/09/22 RIF SEN 1275 20/09/22
1178 03-027-1178 20/09/22 3601114207501176 JUMANTA 50 L CILILITAN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 21/09/22 NEG 1276
1179 03-027-1179 20/09/22 3601114207371177 LINA 37 P CILILITAN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 21/09/22 NEG 1277
1180 03-027-1180 20/09/22 3601114207221178 NURALISAH 22 P CILILITAN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 21/09/22 NEG 1278
1181 03-027-1181 20/09/22 3601114207181179 ATISAH 18 P CILILITAN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 21/09/22 NEG 1279
1182 03-027-1182 20/09/22 3601114107211180 RATNA 21 P CIMOYAN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 21/09/22 NEG 1280
1183 03-027-1183 20/09/22 3601114170391181 EMUD 39 L CIMOYAN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 21/09/22 NEG 1281
1184 03-027-1184 20/09/22 3601114107351184 SANIRAH 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 22/09/22 NEG 1282
1185 03-027-1185 20/09/22 3601110107351185 DIAN 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 22/09/22 NEG 1283
1186 03-027-1186 20/09/22 3601110101351186 JURNAH 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 22/09/22 NEG 1284
1187 03-027-1187 20/09/22 3601110207351187 SARKIYAH 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 22/09/22 NEG 1285
1188 03-027-1188 20/09/22 3601110107580031 DAMIR 72 L PASIRSEDANG KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 24/09/22 NEG 1286
1189 03-027-1189 20/09/22 3601114208000001 NURMILA 22 P CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 24/09/22 NEG 1287
1190 03-027-1190 20/09/22 3601115411170001 SYAFIRA 15 P CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 24/09/22 NEG 1288
1191 03-027-1191 20/09/22 3601112412780001 JOHADI 44 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 24/09/22 NEG 1289
1192 03-027-1192 20/09/22 3601114602770001 SAYI 45 P CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 24/09/22 NEG 1290
1193 03-027-1193 20/09/22 3601110905060001 AGIS 16 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 24/09/22 NEG 1291
1194 03-027-1194 20/09/22 3601114107860148 ROHANAH 28 P CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1292
1195 03-027-1195 20/09/22 3601110901860002 RONNY 35 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 INVALID 1293
1196 03-027-1196 20/09/22 3601114107621196 JUMAN 62 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1294
1197 03-027-1197 20/09/22 3601114107331197 SABTA 33 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1295
1198 03-027-1198 20/09/22 3601114107930256 ENENG JUNIAH 28 P CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1296
1199 03-027-1199 20/09/22 3601111605070007 RIJWAN 17 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1297
1200 03-027-1200 20/09/22 3601112604060004 MUHAMAD DANI 16 L KADUMULA KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1298
1201 03-027-1201 20/09/22 3601114307620004 JUMARIAH 60 P KADUMULA KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1299
1202 03-027-1202 20/09/22 3601114503860004 DEWI SARTIKA 36 P KADUMULA KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1300
1203 03-027-1203 20/09/22 3601111031050004 MUHAMAD JAEHURI 17 L KADUMULA KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1301
1204 03-027-1204 20/09/22 3601114107451204 HJ. PATMA 45 P KADUMULA KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 NEG 1302
1205 03-027-1205 20/09/22 3601114207351205 HOLIS 35 P KADUMULA KADER P - TDL TD TIDAK - 20/09/22 20/09/22 - - - - 25/09/22 INVALID 1303
1206 03-027-1206 21/09/22 3601114107621206 RANDIN 62 L KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 26/09/22 NEG 1304
1207 03-027-1207 21/09/22 3601110107351207 ASMI 35 P KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 26/09/22 NEG 1305
1208 03-027-1208 21/09/22 3601110207221208 IYAM 22 P KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 26/09/22 NEG 1306
1209 03-027-1209 21/09/22 3601114107221209 NURAENI 22 P KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 26/09/22 NEG 1307
1210 03-027-1210 21/09/22 3601114207351210 ULYADI 35 L KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 26/09/22 NEG 1308
1211 03-027-1211 21/09/22 3601110107211211 SUSILAWATI 21 P KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 26/09/22 NEG 1309
1212 03-027-1212 21/09/22 3601114107421212 AMAD 42 L KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 26/09/22 INVALID 1310
1213 03-027-1213 21/09/22 3601114107381213 ASMI 38 P KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 26/09/22 INVALID 1311
1214 03-027-1214 21/09/22 3601114207611214 INAH 61 P KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1312
1215 03-027-1215 21/09/22 3601114207221215 UPI 22 P KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1313
1216 03-027-1216 21/09/22 3601110208141216 JUMAYA 14 P KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1314
1217 03-027-1217 21/09/22 3601110109151217 AJIS 15 L KADUBERA KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1315
1218 03-027-1218 21/09/22 3601110167950177 SAMBIA 23 P BUNGURCOPONG KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1316
1219 03-027-1219 21/09/22 3601114107550080 ISUN 67 P BUNGURCOPONG KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1317
1220 03-027-1220 21/09/22 3601114107511220 AMSIR 51 L SEUTI KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1318
1221 03-027-1221 21/09/22 3601110107471221 SAPRAH 47 P SEUTI KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1319
1222 03-027-1222 21/09/22 3601114107391222 ONENG 39 P SEUTI KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 INVALID 1320
1223 03-027-1223 21/09/22 3601114207441321 HALIMAH 44 P PASIR LAME KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1321
1224 03-027-1224 21/09/22 3601110107131322 OLIVIA 13 P CIRUJI KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 27/09/22 NEG 1322
1225 03-027-1225 21/09/22 3601110107651225 LINAH 65 P CILILITAN KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 28/09/22 NEG 1323
1226 03-027-1226 21/09/22 3601114207581226 MULYANAH 58 P CILILITAN KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 28/09/22 NEG 1324
1227 03-027-1227 21/09/22 3601110202621227 ASHARI 64 L CILILITAN KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 28/09/22 NEG 1325
1228 03-027-1228 21/09/22 3601114107351228 ENOK 35 P CILILITAN KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 28/09/22 NEG 1326
1229 03-027-1229 21/09/22 3601114107141229 GINASARI 14 P CILILITAN KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 28/09/22 NEG 1327
1230 03-027-1230 21/09/22 3601114107471230 MASTURI 47 L CILILITAN KADER P - TDL TD TIDAK - 21/09/22 21/09/22 - - - - 28/09/22 NEG 1328
1231 03-027-1231 23/09/22 3601114107201231 AMANAH 20 P CIMOYAN KADER P - TDL TD TIDAK - 23/09/22 23/09/22 - - - - 30/09/22 NEG 1329
1232 03-027-1232 23/09/22 3601110107471232 ASINAH 47 P BUNGURCOPONG KADER P - TDL TD TIDAK - 23/09/22 23/09/22 - - - - 30/09/22 NEG 1330
1233 03-027-1233 23/09/22 3601114208211233 NURLELA 21 P LEBAK BULUH KADER P - TDL TD TIDAK - 23/09/22 23/09/22 - - - - 30/09/22 INVALID 1331
1234 03-027-1234 23/09/22 3601114207331234 SITI AISAH 33 P LEBAK BULUH KADER P - TDL TD TIDAK - 23/09/22 23/09/22 - - - - 30/09/22 INVALID 1332
1235 03-027-1235 23/09/22 3601110208411235 IDA 41 P KOLELET KADER P - TDL TD TIDAK - 23/09/22 23/09/22 - - - - 30/09/22 NEG 1333
1236 03-027-1236 23/09/22 3602091403590001 SALMAN 63 L CIRUJI KADER P - TDL NR NEG - 23/09/22 23/09/22 - - - - 30/09/22 RIF SEN 1334 03/010/22
1237 03-027-1237 24/09/22 3602082804170001 AZZAM 5 L BOJONG KONENG KADER EP 10 TDL NR NEG - - - - - - - 1334 24/09/22
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : OKTOBER Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1238 03-027-1237 01/10/22 3601110105201237 ARMIN 20 L PASARLAMA KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1335
1239 03-027-1238 01/10/22 3601110207161238 ENGKOS 16 L PASARLAMA KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 INVALID 1336
1240 03-027-1239 01/10/22 3601110609201239 APRILIANA 20 P PASARLAMA KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1337
1241 03-027-1240 01/10/22 3601110607201240 APRILIANI 20 P PASARLAMA KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1338
1242 03-027-1241 01/10/22 3601110107161241 MAMAY 16 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1339
1243 03-027-1242 01/10/22 3601110207251242 ENAWATI 25 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1340
1244 03-027-1243 01/10/22 3601110208281243 HERNI 28 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1341
1245 03-027-1244 01/10/22 3601110109211244 ROBI 21 L HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1342
1246 03-027-1245 01/10/22 3601110101451245 PARDI 45 L HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1343
1247 03-027-1246 01/10/22 3601110207301246 MANSUR 30 L HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 05/10/22 NEG 1344
1248 03-027-1247 01/10/22 3601110108351247 NURWATI 35 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 06/10/22 NEG 1345
1249 03-027-1248 01/10/22 3601110108391248 AYONG 39 L HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 06/10/22 INVALID 1346
1250 03-027-1249 01/10/22 3601110208301249 MURNI 30 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 06/10/22 NEG 1347
1251 03-027-1250 01/10/22 3601110108251250 ENENG 25 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 06/10/22 NEG 1348
1252 03-027-1251 01/10/22 3601110206451251 ROHAETI 45 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 06/10/22 NEG 1349
1253 03-027-1252 01/10/22 3601110208281252 TUTI 28 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 06/10/22 NEG 1350
1254 03-027-1253 01/10/22 3601110108451253 AZIS 45 L HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 07/10/22 NEG 1351
1255 03-027-1254 01/10/22 3601110237331254 MADSARI 33 L HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 07/10/22 NEG 1352
1256 03-027-1255 01/10/22 3601110107071255 ALVIAN 17 L HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 07/10/22 NEG 1353
1257 03-027-1256 01/10/22 3601110208221256 LINDA 22 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 07/10/22 NEG 1354
1258 03-027-1257 01/10/22 3601110108301257 TINA 30 P HARENDONGEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 07/10/22 NEG 1355
1259 03-027-1258 03/10/22 3601112407900001 HERDRAYANI 30 L CIBAGOLO KADER P - TDL NR NEG - 03/10/22 03/10/22 - - - - 07/10/22 RIF SEN 1356 10/10/22
1260 03-027-1259 03/10/22 3601110107251259 MINI 25 P PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1357
1261 03-027-1260 03/10/22 3601110208201260 RUNI 20 P PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1358
1262 03-027-1261 03/10/22 3601110107451261 AMAH 45 P PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1359
1263 03-027-1262 03/10/22 3601110102121262 RIZKI 12 L PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1360
1264 03-027-1263 03/10/22 3601110608351263 TATANG 35 L PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1361
1265 03-027-1264 03/10/22 3601112806301264 YATI 30 P PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1362
1266 03-027-1265 03/10/22 3601111405271265 AHMAD 27 L PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1363
1267 03-027-1266 03/10/22 3601113011301266 BABAY 30 L PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 ERROR 1364
1268 03-027-1267 03/10/22 3601112602451267 CINAH 45 P PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1365
1269 03-027-1268 03/10/22 3601112812271268 SURTI 27 P PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1366
1270 03-027-1269 03/10/22 3601110307521269 SOLEMAN 52 L PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1367
1271 03-027-1270 03/10/22 3601110107121270 SALSA 12 P PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 07/10/22 NEG 1368
1272 03-027-1271 03/10/22 3601111107451271 RAMAH 45 P PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 08/10/22 NEG 1369
1273 03-027-1272 03/10/22 3601110107211272 SARIP 21 L PASARLAMA KADER P - TDL TD TIDAK - 03/10/22 03/10/22 - - - - 08/10/22 ERROR 1370
1274 03-027-1273 04/10/22 3601110107610019 SARJA 62 L MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 08/10/22 NEG 1371
1275 03-027-1274 04/10/22 3601112609040001 CECEP 18 L MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 08/10/22 ERROR 1372
1276 03-027-1275 04/10/22 3601114107740012 ANI 48 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 08/10/22 NEG 1373
1277 03-027-1276 04/10/22 3601114309700001 KASMI 50 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 08/10/22 NEG 1374
1278 03-027-1277 04/10/22 3601111103830001 INAH 59 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 08/10/22 NEG 1375
1279 03-027-1278 04/10/22 3601114310800002 SUKAESIH 42 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 ERROR 1376
NEG
1280 03-027-1279 04/10/22 3601114704700001 ATIKAH 42 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1377
1281 03-027-1280 04/10/22 3601114110000003 NUR INDAH 22 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1378
1282 03-027-1281 04/10/22 3601110107700014 NASIR 53 L MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1379
1283 03-027-1282 04/10/22 3601115208790002 EHA 43 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1380
1284 03-027-1283 04/10/22 3601114107560013 MINI 66 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1381
1285 03-027-1284 04/10/22 3601114107680067 SUNINGRAT 54 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1382
1286 03-027-1285 04/10/22 3601115006100004 JUWITA 12 P MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1383
1287 03-027-1286 04/10/22 3601110206740001 SUHARDI 44 L MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1384
1288 03-027-1287 04/10/22 3601111103680001 KAMAD 51 L MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1385
1289 03-027-1288 04/10/22 3601110612520001 ALIMAN 54 L MONGGOR SAGA KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1386
1290 03-027-1289 04/10/22 3601110207521289 HAMSAH 52 P CIHUJAN KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1387
1291 03-027-1290 04/10/22 3601110207171290 ERLAN 17 L CIHUJAN KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1388
1292 03-027-1291 04/10/22 3601114107221291 HERNI 22 P CIHUJAN KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1389
1293 03-027-1292 04/10/22 3601110108301292 HERI 30 L CIHUJAN KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1390
1294 03-027-1293 04/10/22 3601114208541293 ANAMAH 54 P CIHUJAN KADER P - TDL TD TIDAK - 04/10/22 04/10/22 - - - - 09/10/22 NEG 1391
EROOR
1295 03-027-1294 10/10/22 3601114107730212 ADE 49 P CIMOYAN KADER P - TDL NR NEG - 10/10/22 10/10/22 - - - - 11/10/22 RIF 1393 17/10/22
1296 03-027-1295 10/10/22 3601104812090001 DESI 14 P SALUYU KADER P - TDL NR NEG - 10/10/22 10/10/22 - - - - SEN
11/10/22 RIF SEN 1394 17/10/22
1297 03-027-1328 11/10/22 3601114107430033 SARPAH 67 P PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 11/10/22 NEG 1427
1298 03-027-1329 11/10/22 3601111510380002 HENI 42 P PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 11/10/22 NEG 1428
1299 03-027-1330 11/10/22 3601111127120003 NADI RIZKI 9 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 11/10/22 NEG 1429
1300 03-027-1331 11/10/22 3602090607980004 SITI AMINAH 18 P CILEGONG KADER P - POS NR NEG - 11/10/22 11/10/22 - - - - 11/10/22 NEG 1430 11/10/22
1301 03-027-1296 10/10/22 3601114301580001 SITI ARUM 57 P CIHUJAN KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 14/10/22 NEG 1395
1302 03-027-1297 10/10/22 3601110210400001 AJAT SUDRAJAT 70 L CIHUJAN KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 14/10/22 NEG 1396
1303 03-027-1298 10/10/22 3602111408080003 UUN UNAYAH 14 P CIHUJAN KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 14/10/22 ERROR 1397
1304 03-027-1299 10/10/22 3601114107640011 RUMSARI 49 P CIHUJAN KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 14/10/22 NEG 1398
1305 03-027-1300 10/10/22 3601111508750001 SUKMA 47 L CIHUJAN KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 14/10/22 NEG 1399
1306 03-027-1301 10/10/22 3601114107520003 YUDI 45 L CIHUJAN KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 14/10/22 NEG 1400
1307 03-027-1302 10/10/22 3602094212830002 UMU 39 P JALUPANG GIRANG KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1401
1308 03-027-1303 10/10/22 3601114107030014 HAYATUN NUFUS 14 P KADUBERA KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1402
1309 03-027-1304 10/10/22 3601240107610041 HERMAN 61 L LEBAK GEDONG KADER P - POS NR NEG - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1403 17/10/22
1310 03-027-1305 10/10/22 3601110107550012 SAEN 67 P PASIR PEUNEUY KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1404
1311 03-027-1306 10/10/22 3601110107670003 H. SLAMET 55 L PASIRSEDANG KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1405
1312 03-027-1307 10/10/22 3601114107040013 RISKI 18 L PASIRSEDANG KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1406
1313 03-027-1308 10/10/22 3601110107910012 AMAH 30 P PASIRSEDANG KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1407
1314 03-027-1309 10/10/22 3601114107750001 KUAH 47 P PASIRSEDANG KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1408
1315 03-027-1310 10/10/22 3601114107820019 YAYAT 40 L PASIRSEDANG KADER P - TDL TD TIDAK - 10/10/22 10/10/22 - - - - 15/10/22 NEG 1409
1316 03-027-1311 11/10/22 3601114107840011 MULYANAH 38 P RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 15/10/22 NEG 1410
1317 03-027-1312 11/10/22 3601110107800128 UNAYAH 42 P RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 15/10/22 NEG 1411
1318 03-027-1313 11/10/22 3601110108720005 ARSAH 50 P RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 15/10/22 NEG 1412
1319 03-027-1314 11/10/22 3601114107880034 HELMA 34 P RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 15/10/22 NEG 1413
1320 03-027-1315 11/10/22 3601110207820040 RATIH 40 P RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 15/10/22 NEG 1414
1321 03-027-1316 11/10/22 3601110207070015 VIRSI 15 P RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 15/10/22 NEG 1415
1322 03-027-1317 11/10/22 3601110107640058 SIMUN 58 L RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 15/10/22 NEG 1416
1323 03-027-1318 11/10/22 3601114108650057 H. JAMA 57 L RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 NEG 1417
1324 03-027-1319 11/10/22 3601110107060016 DIAN 16 P RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 NEG 1418
1325 03-027-1320 11/10/22 3601114207070015 DINA 15 P RANCA MULYA KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 NEG 1419
1326 03-027-1321 11/10/22 3601114207830039 RIPAI 39 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 NEG 1420
1327 03-027-1322 11/10/22 3601114108120010 RIZKI 10 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 NEG 1421
1328 03-027-1323 11/10/22 3601110106900032 IIP 32 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 NEG 1422
1329 03-027-1324 11/10/22 3601114107870035 TINI 35 P PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 NEG 1423
1330 03-027-1325 11/10/22 3601110107030002 ADI 19 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 NEG 1424
1331 03-027-1326 11/10/22 3601110107780002 MUSANAH 44 P PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 ERROR 1425
1332 03-027-1327 11/10/22 3601114107760046 ATIB 46 L PASIRSEDANG KADER P - TDL TD TIDAK - 11/10/22 11/10/22 - - - - 16/10/22 ERROR 1426
1333 03-027-1332 12/10/22 3602090908040001 ST. AMINAH 18 P CISAMPIH KADER P - TDL TD TIDAK - 12/10/22 12/10/22 - - - - 17/10/22 NEG 1431
1334 03-027-1333 12/10/22 3601114107200004 TIRTA 21 L PASIRSEDANG KADER P - TDL TD TIDAK - 12/10/22 12/10/22 - - - - 17/10/22 NEG 1432
1335 03-027-1334 12/10/22 3601114107770301 TINAH 45 L PASIRSEDANG KADER P - TDL TD TIDAK - 12/10/22 12/10/22 - - - - 17/10/22 NEG 1433
1336 03-027-1335 17/10/22 3601110107680256 RAIMAN 52 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 17/10/22 17/10/22 - - - - 18/10/22 NEG 1436
1337 03-027-1336 17/10/22 3601110107750088 YAYAT 46 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 17/10/22 17/10/22 - - - - 18/10/22 NEG 1437
RUJUK DTP
1338 03-027-1337 17/10/22 3602094208710002 ARMI 50 P LEBAK MENTENG KADER P - TDL TD TIDAK - 17/10/22 17/10/22 - - - - 22/10/22 RIF INDET 1438 24/10/22 UPT PKM
NEG BANJARSARI
1339 03-027-1338 17/10/22 3602094507960002 YUMAIDA 27 P JALUPANG KADER P - TDL TD TIDAK - 17/10/22 17/10/22 - - - - 22/10/22 NEG 1439
1340 03-027-1339 17/10/22 3601116611020002 SAHMILA 20 P BAJEG KADER P - TDL NR NEG - 17/10/22 17/10/22 - - - - 22/10/22 RIF SEN 1440 24/10/22
1341 03-027-1340 17/10/22 3601111230560001 YANTO 62 L CIBAGOLO KADER P - TDL TD TIDAK - 17/10/22 17/10/22 - - - - 22/10/22 NEG 1441
1342 03-027-1341 17/10/22 3601110411930001 DEDE 29 L KADUMULA KADER P - TDL NR NEG - 17/10/22 17/10/22 - - - - 22/10/22 RIF SEN 1442 24/10/22
1343 03-027-1342 17/10/22 3601114207890003 NURHAYATI 34 P CIUYANG KADER P - TDL NR NEG - 17/10/22 17/10/22 - - - - 22/10/22 RIF SEN 1443 24/10/22
RUJUK RSUD
1344 03-027-1343 17/10/22 3601110107660011 UMRI 59 L SUKAMAJU KADER P - TDL TD TIDAK - 17/10/22 17/10/22 - - - - 22/10/22 RIF RES 1444 BERKAH
PANDEGLANG
1345 03-027-1344 24/10/22 3602104107870023 JANAH 34 P PRABUGANTUNGAN KADER P - TDL TD TIDAK - 24/10/22 24/10/22 - - - - 26/10/22 NEG 1447
1346 03-027-1345 24/10/22 3601114107910263 NURIAH 27 P KADUBERA KADER P - TDL NR NEG - 24/10/22 24/10/22 - - - - 28/10/22 RIF SEN 1448 31/10/22
1347 03-027-1346 24/10/22 3601114107920124 TITIN 31 P MULIJATI KADER P - TDL NR NEG - 24/10/22 24/10/22 - - - - 29/10/22 RIF SEN 1449 31/10/22
RUJUK DTP
1348 03-027-1347 31/10/22 3602091407980001 DIKI DAMARA 23 L JALUPANG II KADER P - TDL TD TIDAK - 31/10/22 31/10/22 - - - - 31/10/22 RIF SEN 1450 31/10/22 UPT PKM
BANJARSARI
1349 03-027-1348 31/10/22 3601114107830095 HERNI 36 P MULIJATI KADER P - TDL TD TIDAK - 31/10/22 31/10/22 - - - - 31/10/22 NEG 1451
1350 03-027-1349 01/10/22 3601110107940174 TB ILHAM TAUFIK 28 L BUNGURCOPONG KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1453
1351 03-027-1350 01/10/22 3601115307980001 MUNAYAH 24 P BUNGURCOPONG KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 INVALID 1454
1352 03-027-1351 01/10/22 3601110101010005 MUHAMAD SOFYAN 21 L BUNGURCOPONG KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1455
1353 03-027-1352 01/10/22 3601110510930004 ASEP SAEPUDIN 29 L BUNGURCOPONG KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 INVALID 1456
1354 03-027-1353 01/10/22 3601310603630003 SUKANDI 61 L SINDANGRESMI KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1457
1355 03-027-1354 01/10/22 3502100107880001 IIP PRAMONO 34 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1458
1356 03-027-1355 01/10/22 3601114107000296 MUTMAENAH 20 P CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1459
1357 03-027-1356 01/10/22 3601111508940002 SAMSUDIN 26 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1460
1358 03-027-1357 01/10/22 3601114107560049 UNAH 66 P CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 INVALID 1461
1359 03-027-1358 01/10/22 3601111509060002 EDWAR 16 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1462
1360 03-027-1359 01/10/22 3601110107730283 HARUN 49 L CANGKEUTEUKEUN KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1463
1361 03-027-1360 01/10/22 3601115709920001 IROH 31 P GANGGAENG KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1464
1362 03-027-1361 01/10/22 3601104107780036 AAT 44 P GUNUNG CANGRI KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 ERROR 1465
1363 03-027-1362 01/10/22 3601110107940077 PAHRI PAHRUROJI 28 L BABAKAN KEMBANG KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1466
1364 03-027-1363 01/10/22 3601110101960003 HELMI 26 L BABAKAN KEMBANG KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1467
1365 03-027-1364 01/10/22 3601110407740001 M. JOHANI 48 L KADUPANDAK KADER P - TDL TD TIDAK - 01/10/22 01/10/22 - - - - 01/10/22 NEG 1468
1366 03-027-1365 17/10/22 3601114207890012 NURJANAH 34 P SUKAMANAH KADER P - TDL TD TIDAK - 17/10/22 17/10/22 - - - - 17/10/22 NEG 1469
1367 03-027-1366 17/10/22 3602095104990004 ATISAHH 23 P KADUPANDAK KADER P - TDL TD TIDAK - 17/10/22 17/10/22 - - - - 17/10/22 NEG 1470
1368 03-027-1367 24/10/22 3601114105550002 NARTI 62 P KOLELET KADER P - TDL TD TIDAK - 24/10/22 24/10/22 - - - - 24/10/22 NEG 1471
1369 03-027-1368 24/10/22 3601114107830101 ELI 43 P CIBAGOLO KADER P - TDL TD TIDAK - 24/10/22 24/10/22 - - - - 24/10/22 NEG 1472
1370 03-027-1369 31/10/22 3601114107920027 SUKAENI 28 P MONGGOR SAGA KADER P - TDL TD TIDAK - 31/10/22 31/10/22 - - - - 31/10/22 NEG 1473
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : NOVEMBER Tahun 2022
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
1371 03-027-1370 01/11/22 3601110710820001 TONI 31 L CIMOYAN KADER P - TDL NR NEG - 01/11/22 01/11/22 - - - - 01/11/22 RIF SEN 1474 03/11/22
1372 03-027-1371 01/11/22 3174010703710008 UMRI 52 L JAKARTA SELATAN KADER P - TDL NR NEG - 01/11/22 01/11/22 - - - - 03/11/22 RIF SEN 1475 03/11/22
1373 03-027-1372 01/11/22 3601114107760179 ANAMAH 46 P KADUBERA KADER P - TDL TD TIDAK - 01/11/22 01/11/22 - - - - 03/11/22 NEG 1476
1374 03-027-1373 01/11/22 3601112105660001 SAERIN 63 P LEBAK BULUH KADER P - TDL TD TIDAK - 01/11/22 01/11/22 - - - - 03/11/22 NEG 1477
1375 03-027-1374 01/11/22 3601115102950001 RENITA 27 P LEUWI BULUH KADER P - TDL TD TIDAK - 01/11/22 01/11/22 - - - - 06/11/22 NEG 1478
1376 03-027-1375 01/11/22 3601110107850088 IROS HIDAYAT 38 L PASIR PEUNDEUY KADER P - TDL NR NEG - 01/11/22 01/11/22 - - - - 06/11/22 RIF SEN 1479 07/11/22
1377 03-027-1376 01/11/22 3601110601640001 KY. APANDI 58 L BAJEG 2 KADER P - TDL TD TIDAK - 01/11/22 01/11/22 - - - - 06/11/22 NEG 1480
1378 03-027-1377 07/11/22 3602083411950001 HALIMAH 27 P CIBEUSI JALAN KADER P - TDL NR NEG - 07/11/22 07/11/22 - - - - 07/11/22 RIF SEN 1481 07/11/22
1379 03-027-1378 07/11/22 3601113012760001 HERMAN 46 L BABAKAN TEUREUP KADER P - TDL TD TIDAK - 07/11/22 07/11/22 - - - - 08/11/22 NEG 1482
1380 03-027-1379 07/11/22 3601310103590001 IMRON 51 L CIKIRAI KADER P - TDL NR NEG - 07/11/22 07/11/22 - - - - 11/11/22 RIF SEN 1483 14/11/22
1381 03-027-1380 07/11/22 3601114306810002 SUHEMI 41 P BAJEG KADER P - TDL NR NEG - 07/11/22 07/11/22 - - - - 11/11/22 RIF SEN 1484 14/11/22
1382 03-027-1381 07/11/22 3601100702720002 JANA 57 L PASIR JAMBU KADER P - TDL TD TIDAK - 07/11/22 07/11/22 - - - - 11/11/22 ERROR 1485
1383 03-027-1382 07/11/22 3601114107720061 IJAH 52 P PASIR RAHAYU KADER P - TDL TD TIDAK - 07/11/22 07/11/22 - - - - 11/11/22 NEG 1486
1384 03-027-1383 07/11/22 UJANG L BAJEG KADER P - TDL TD TIDAK - 07/11/22 07/11/22 - - - - 11/11/22 NEG 1487
1385 03-027-1384 07/11/22 3601112508520001 JUMAN 50 L CANGKETEUKEUN KADER P - TDL TD TIDAK - 07/11/22 07/11/22 - - - - 11/11/22 NEG 1488
1386 03-027-1385 07/11/22 3601110602630001 TJASMO 54 L BAJEG KADER P - TDL TD TIDAK - 07/11/22 07/11/22 - - - - 11/11/22 NEG 1489
1387 03-027-1386 14/11/22 3601114107770024 AAM 44 P CIBAGOLO KADER P - RO + NR NEG - 14/11/22 14/11/22 - - - - 14/11/22 NEG 1491 14/11/22
1388 03-027-1387 14/11/22 3601110107550035 UDING 57 L CANGKETEUKEUN KADER P - TDL TD TIDAK - 14/11/22 14/11/22 - - - - 14/11/22 NEG 1492
1389 03-027-1388 14/11/22 3601110711220006 JUNI 68 P CIBAGOLO KADER P - RO + NR NEG - 14/11/22 14/11/22 - - - - 14/11/22 NEG 1493
1390 03-027-1389 21/11/22 3601131112070002 RASYA 8 P MENES KADER P - TDL TD TIDAK - 21/11/22 21/11/22 - - - - 21/11/22 NEG 1494
1391 03-027-1390 28/11/22 3602090706590001 DIDI 63 L RANCA BILUK KADER P - TDL TD TIDAK - 28/11/22 28/11/22 - - - - 02/12/22 NEG 1497
1392 03-027-1391 28/11/22 3602084107790006 NENG YATI 41 P BOJONG KONENG KADER P - TDL TD TIDAK - 28/11/22 28/11/22 - - - - 02/12/22 NEG 1498
1393 03-027-1392 28/11/22 KUSNI L PASIRPANJANG KADER P - TDL TD TIDAK - 28/11/22 28/11/22 - - - - 02/12/22 NEG 1499
1394 03-027-1393 28/11/22 3601115701670002 ISAH P MULIJATI KADER P - TDL TD TIDAK - 28/11/22 28/11/22 - - - - 02/12/22 NEG 1500
1395 03-027-1394 28/11/22 3674044405090006 SYLFIA 13 P PASIRPANJANG KADER P - TDL TD TIDAK - 28/11/22 28/11/22 - - - - 02/12/22 NEG 1501
1396 03-027-1395 28/11/22 3601110109650001 TAJUDIN 57 L CIBAGOLO KADER P - RO + NR NEG - 28/11/22 28/11/22 - - - - 02/12/22 NEG 1502
1397 03-027-1396 28/11/22 MAESAROH P TUNAS BARU KADER P - TDL TD TIDAK - 28/11/22 28/11/22 - - - - 02/12/22 NEG 1503
1398 03-027-1397 28/11/22 SUFI P CILEGONG KADER P - TDL TD TIDAK - 28/11/22 28/11/22 - - - - 02/12/22 NEG 1504
PENANGGULANGAN TB NASIONAL TB. 06
DAFTAR TERDUGA TB
Nama Fasilitas Kesehatan : UPT PUSKESMAS PICUNG
Kabupaten/Kota : PANDEGLANG
Provinsi : BANTEN Bulan : DESEMBER Tahun 2021
No. NIK Lokasi Total Hasil Status Riwayat Tanggal Pengambilan Contoh Uji Mikroskopis Xpert MTB/RIF Biakan No. Tindak Lanjut Pengobatan
Identitas Tanggal Nomor Nama Lengkap Umur Jenis Alamat Dijujuk Anatomi Skoring Pemeriksaan HIV Diabetes (HH/BB/TTTT) Tanggal Tanggal Tanggal Reg Tangal Mulai
NO Ket
Sediaan didaftar Identitas Terduga TB (tahun) Kelamin Lengkap Oleh Penyakit TB Anak Foto Melitus Hasil Hasil A Hasil B Hasil C Hasil Hasil Hasil Hasil Lab Pengobatan TB Dirujuk Ke
A B C
Dahak Kependudukan Thoraks Diperoleh Diperoleh Diperoleh (TB.04) (Tgl/Bln/Thn)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29
BABAKAN 12/12/22 RIF INDET
1399 03-027-1398 05/12/22 3601110903530002 KEJOY 54 L SUPAKALAS KADER P - RO + NR NEG - 05/12/22 05/12/22 - - - - 17/12/22 NEG 1505 17/12/22
1400 03-027-1399 05/12/22 3601115912680001 SARMAH 50 P CIMOYAN KADER P - RO + NR NEG - 05/12/22 05/12/22 - - - - 24/12/22 NEG 1506 24/12/22
1401 03-027-1400 12/12/22 3601111109540002 JAMLUDIN 68 L CIHUJAN KADER P - RO + NR NEG - 12/12/22 12/12/22 - - - - 12/12/22 RIF SEN 1507 12/12/22
1402 03-027-1401 12/12/22 3601111203720001 ADE SOLIHIN 50 L KADUMULA KADER P - TDL TD TIDAK - 12/12/22 12/12/22 - - - - 12/12/22 NEG 1508
1403 03-027-1402 12/12/22 3602090906790002 SUKARMA 42 L PASIRMALANG KADER P - TDL NR NEG - 12/12/22 12/12/22 - - - - 17/12/22 RIF SEN 1509 17/12/22 PKM JLP
1404 03-027-1403 12/12/22 3601110502800001 SUENG L PASIRPANJANG KADER P - TDL TD TIDAK - 12/12/22 12/12/22 - - - - 12/12/22 NEG 1512
1405 03-027-1404 19/12/22 3601114107010228 IIN NURAENI SURYATI 21 P KADUBERA KADER P - RO + NR NEG - 19/12/22 19/12/22 - - - - 20/12/22 RIF SEN 1518 20/12/22
BABAKAN
1406 03-027-1405 19/12/22 3601111105870002 UUNG 35 L
TEUREUP
KADER P - TDL NR NEG - 19/12/22 19/12/22 - - - - 20/12/22 RIF SEN 1519 20/12/22
1407 03-027-1406 19/12/22 3601312004140003 REGAL 8 L SINDANGRESMI KADER P - TDL TD TIDAK - 19/12/22 19/12/22 - - - - 20/12/22 NEG 1520
1408 03-027-1407 19/12/22 3601111611050002 M. IRWAN 16 L KADUMULA KADER P - RO + NR NEG - 19/12/22 19/12/22 - - - - 20/12/22 RIF SEN 1521 20/12/22
1409 03-027-1408 19/12/22 3601310806480001 MARSALI 62 L CIKIRAY KADER P - TDL TD TIDAK - 19/12/22 19/12/22 - - - - 22/12/22 NEG 1522
1410 03-027-1409 19/12/22 3601114107850241 MARSITI 42 P SEUTI PASIR KADER P - TDL NR NEG - 19/12/22 19/12/22 - - - - 22/12/22 RIF SEN 1523 22/12/22
1411 03-027-1410 22/12/22 3601110107630112 SARMEDI 59 L PASIRPEUNDEUY KADER P - RO + NR NEG - 22/12/22 22/12/22 - - - - 24/12/22 NEG 1524 24/12/22
1412 03-027-1411 22/12/22 3602090405580001 DARSIM 64 L JALUPANG KADER P - RO + NR NEG - 22/12/22 22/12/22 - - - - 24/12/22 NEG 1525 24/12/22
1413 03-027-1412 26/12/22 3601115210930005 DESI 29 P KADUMULA KADER P - TDL NR NEG - 26/12/22 26/12/22 - - - - 26/12/22 RIF SEN 1526 26/12/22
1414 03-027-1413 26/12/22 3601114107780186 AAS 40 P BUNGURCOPONG KADER P - TDL TD TIDAK - 26/12/22 26/12/22 - - - - 26/12/22 NEG 1527
1415 03-027-1414 26/12/22 3601114508160001 AFIFA NAHDA 6 P SUPAKALAS KADER P - TDL TD TIDAK - 26/12/22 26/12/22 - - - - 26/12/22 NEG 1528
1416 03-027-1415 26/12/22 3601112707530001 SUHADI 70 L KADUMULA KADER P - RO + NR NEG - 26/12/22 26/12/22 - - - - 26/12/22 NEG 1529 26/12/22
1417 03-027-1416 26/12/22 3601115411030001 RUMI 19 P SUNGKELANG KADER P - RO + NR NEG - 26/12/22 26/12/22 - - - - 28/12/22 RIF SEN 1530 28/12/22
1418 03-027-1417 26/12/22 1671075010700033 KANAH 50 P CIMOYAN KADER P - TDL TD TIDAK - 26/12/22 26/12/22 - - - - 28/12/22 NEG 1531
1419 03-027-1418 26/12/22 3601116503990002 FITRIANINGSIH 23 P CIMOYAN KADER P - TDL NR NEG - 26/12/22 26/12/22 - - - - 28/12/22 RIF SEN 1532 28/12/22
1420 03-027-1419 29/12/22 3601110107950199 NOVIONO 27 L BUNGURCOPONG KADER P - TDL NR NEG - 29/12/22 29/12/22 - - - - 29/12/22 NEG 1533 29/12/22

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