jdbhksjhskjhdkjshdkfhksjdfhksbjfhkshdkushbfbdkushhdsbfhsdkbskhfhkushdfbkhsbfsukbskhfhksduhfksbuh
dkfbsjdhfkjbshkdjfhdshfuskhdfkdbshfkjbdfbskjhbhskdhfkjshbdkhfsuebkshdfskdbfhkbsjdhfbskudhfksuhdf
kushdfkbhskdbfhskdhfkjbshkdfhskdhfbskudhfbskdhfbsufhbkushdkushdskhdkbfhksjbdhfskjhdf
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
HARJAWINANGUN RT 1 RW Pemeriksaan
1 ABAS 3328041806730002 53 2023000046430157 Terduga TBC SO 11/03/2023 Neg 11/03/2023 11/03/2023 11/03/2023 12/03/2023 Puskesmas Kalibakung
3 Diagnosis
Pemeriksaan
2 ABDUL AZIZ 3328010302990005 23 2023000046370096 KARANGDAWA 02/03 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
3 ABDUL BASIT 1301010303890005 30 2023000046420034 Jalan Mustika Ratu Terduga TBC SO 11/01/2023 Rif Sen 11/01/2023 11/01/2023 20/01/2023 20/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
4 ABDUL MUKHLIS 3328012107830001 39 2023000046380030 PAKULAUT RT 6 RW 3 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
5 ABDUL MUTOPIK 3328040107730019 54 2023000046430119 BUKATEJA RT 2 RW 2 Terduga TBC SO 02/03/2023 Neg 02/03/2023 02/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
HARJAWINANGUN RT 2 RW Pemeriksaan
6 ABDUL ROHMAN 3328040107600161 58 2023000046430058 Terduga TBC SO 04/02/2023 Neg 04/02/2023 04/02/2023 04/02/2023 04/02/2023 Puskesmas Kalibakung
3 Diagnosis
Pemeriksaan
7 ABIYYAN HILLAL AZKA 3328100912100001 12 2023000046450185 DUKUHLO RT 4 RW 5 Terduga TBC SO 25/01/2023 Neg 25/01/2023 25/01/2023 26/01/2023 26/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
10 ADE SETIYAWATI 3328046608960003 26 2023000046430052 BANJARANYAR RT 7 RW 2 Terduga TBC SO 30/01/2023 Neg 30/01/2023 30/01/2023 30/01/2023 30/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
11 AESYA ASFIATUR RIZQI 3328034908100002 12 2023000046450386 BUNIWAH RT 1 RW 3 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
12 AFANIN LUBNA MUMTAZ 3328134801090002 14 2023000046450391 PENGARASAN RT 8 RW 2 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
13 AFDEL MUAFFA 3328013108070004 15 2023000046370064 MARGASARI RT 1 RW 4 Terduga TBC SO 19/01/2023 Neg 19/01/2023 19/01/2023 20/01/2023 20/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
14 AFFAN MAULANA 3328011508090003 13 2023000046370065 JATILABA RT 2 RW 3 Terduga TBC SO 19/01/2023 Neg 19/01/2023 19/01/2023 20/01/2023 20/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
16 AGUS HERONI 3328010305630001 59 2023000046380005 PAKULAUT RT 3 RW 2 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 14/01/2023 14/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
18 AGUS MULYANTO 3328042708730001 52 2023000046430062 BATUAGUNG RT 20 RW 4 Terduga TBC SO 06/02/2023 Neg 06/02/2023 06/02/2023 06/02/2023 06/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
19 AGUSTINA TASYA RAMADHANI 3328126508100001 12 2023000046450373 KEBASEN RT 7 RW 2 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 2 dari 41
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
21 AHMAD FAUZI 3329162007050005 17 2023000046450448 KUBANGJATI RT 2 RW 2 Terduga TBC SO 28/02/2023 Neg 28/02/2023 28/02/2023 02/03/2023 02/03/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
22 AHMAD MUBAROK 3328010310940004 28 2023000046370095 KARANGDAWA 02/03 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
24 AIDIN 3328062207670001 55 2023000046420112 DUREN SAWIT RT 5 RW 5 Terduga TBC SO 13/02/2023 Rif Sen 13/02/2023 13/02/2023 14/02/2023 14/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
25 AJI GUNAWAN 3328012807920003 30 2023000046370327 MARGASARI RT 1 RW 10 Terduga TBC SO 29/03/2023 Neg 29/03/2023 29/03/2023 30/03/2023 30/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
26 AKHMAD ABDUROHMAN 3328010107930038 28 2023000046380016 PAKULAUT RT 4 RW 3 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 16/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
27 AKHMAD DARDIRI 3328013112470091 75 2023000046370269 JEMBAYAT RT 3 RW 1 Terduga TBC SO 01/03/2023 Neg 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
28 AKHMAD FATORI 3328062705680004 54 2023000046450252 DUKUHLO RT 2 RW 1 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 02/02/2023 02/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
30 AKIL SAMSUL ARIFIN 3328042606890002 33 2023000046430024 KARANGJAMBU RT 1 RW 7 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 12/01/2023 12/01/2023 Puskesmas Kalibakung
Diagnosis
JL WALET I BLOK
Pemeriksaan
32 AKROM MAULANA ATARSYAH 3328010102120004 11 2023000046380088 E-26/8 PD SEJAHTERA Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
RT 8 RW 10
Pemeriksaan
33 ALFUN NI'MAH 3328044906100008 12 2023000046450400 BANJARANYAR RT 3 RW 4 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
34 ALVIANA 3328066507050001 17 2023000046450039 KESUBEN RT 2 RW 10 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 13/01/2023 13/01/2023 Puskesmas Lebaksiu
Diagnosis
HARJAWINANGUN RT 5 RW Pemeriksaan
35 ALYA NAJLA THUFAILAH 3328042307070004 15 2023000046430141 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 04/03/2023 06/03/2023 Puskesmas Kalibakung
4 Diagnosis
Pemeriksaan
36 AMIN MUSTAKHIM 3305080409800001 42 2023000046370261 MARGA AYU RT 1 RW 2 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
37 AMIN SUGITO 3328012009590001 63 2023000046370300 MARGASARI RT 5 RW 2 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 17/03/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 3 dari 41
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
39 AMINUDIN 3328010707770006 45 2023000046370126 MARGASARI RT 2 RW 4 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 17/02/2023 17/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
40 AMIROH ULPAH 3328040107850243 40 2023000046430164 CENGGINI RT 3 RW 4 Terduga TBC SO 14/03/2023 Neg 14/03/2023 14/03/2023 14/03/2023 14/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
41 ANGGI BUDIYARTI 3327024608000008 22 2023000046430023 KARANGJAMBU RT 1 RW 7 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 12/01/2023 12/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
42 ANI LUTFIYAH 3328047012970004 25 2023000046420224 DANAWARIH RT 3 RW 2 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 28/03/2023 28/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
43 ANISA FITRI AINUN FADILLA 3328065709100001 12 2023000046450283 DUKUHLO RT 3 RW 1 Terduga TBC SO 08/02/2023 Neg 08/02/2023 08/02/2023 09/02/2023 09/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
44 ANISSA DWI ARYANI 3328124101100001 13 2023000046450399 DESA PACUL RT 20 RW 5 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
47 ARDIANTORO ARSO 3328062202770005 45 2022000046450208 kajen 3/2 Terduga TBC SO 20/01/2023 Rif Sen 20/01/2023 20/01/2023 21/01/2023 21/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
48 ARIFIN 3328011911540001 68 2023000046380015 PAKULAUT RT 4 RW 3 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 14/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
49 ARIPIN 3328012506800001 42 2023000046370117 MARGASARI RT 2 RW 8 Terduga TBC SO 09/02/2023 Rif Sen 09/02/2023 09/02/2023 14/02/2023 14/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
51 ARUM PANDANSARI 3328015508010007 21 2023000046370119 MARGA AYU RT 5 RW 1 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 14/02/2023 14/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
52 ARY GUSTONI 3328060608730003 49 2023000046450410 DUREN SAWIT RT 3 RW 5 Terduga TBC SO 21/02/2023 Neg 22/02/2023 22/02/2023 24/02/2023 24/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
53 ARYA AJI PANGESTU 3328042208020003 20 2023000046430065 BUKATEJA RT 2 RW 2 Terduga TBC SO 08/02/2023 Neg 08/02/2023 08/02/2023 09/02/2023 09/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
54 ARZY WAHYU AMINULLOH 3328040312100001 12 2023000046430038 BANJARANYAR RT 6 RW 5 Terduga TBC SO 17/01/2023 Neg 17/01/2023 17/01/2023 18/01/2023 18/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
55 ASIILAH ZAHRA BASHIR 3328124806060003 16 2023000046450406 PASANGAN RT 11 RW 4 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
56 ASIKIN 3328012011650003 57 2023000046370187 JEMBAYAT RT 1 RW 1 Terduga TBC SO 23/02/2023 Neg 23/02/2023 23/02/2023 24/02/2023 24/02/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 4 dari 41
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
58 ATHAYA ARUMI SALSABILA 3328044811160005 6 2023000046430190 KALIBAKUNG RT 1 RW 3 Terduga TBC SO 30/03/2023 Neg 30/03/2023 30/03/2023 30/03/2023 30/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
59 AURA AINAN NYSA 3329154408090002 13 2023000046450377 SITANGGAL RT 7 RW 5 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
60 AVIN NURLAILA 3328014606990004 23 2023000046370109 SULUSUBAN RT 28 RW 4 Terduga TBC RO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
61 AYU WULANDARI 3328036412030003 19 2023000046450405 BOJONG RT 8 RW 2 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
KETANGGUNGAN RT 6 RW Pemeriksaan
63 AZITA LAELA RAHMA 3328136201090001 14 2023000046450394 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
1 Diagnosis
Pemeriksaan
64 AZIZ ZAWAWI 3328040101740005 49 2023000046430030 KALIBAKUNG RT 2 RW 1 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 16/01/2023 16/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
66 AZRIEL ARKAN PUTRA GHOZALI 3328010710090001 13 2023000046370066 KARANGDAWA RT 2 RW 1 Terduga TBC SO 19/01/2023 Neg 19/01/2023 19/01/2023 20/01/2023 20/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
67 BACHRI 3328042503530004 69 2023000046430078 KALIBAKUNG RT 5 RW 2 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 13/02/2023 13/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
68 BAGAS ZAKIA MUNIR 3328010802090001 14 2023000046380060 DUKUHTENGAH RT 4 RW 4 Terduga TBC SO 20/02/2023 Neg 20/02/2023 20/02/2023 21/02/2023 21/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
69 BAMBANG MUROKHIM 3328061005620001 60 2022000046451272 KRAJAN 1 1/7 Terduga TBC SO 10/01/2023 Neg 10/01/2023 10/01/2023 11/01/2023 11/01/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
70 BANAJI 3328011312620001 60 2023000112710552 KALISALAK RT 1 RW 1 Terduga TBC RO 09/03/2023 Rif Res 09/03/2023 09/03/2023 10/03/2023 10/03/2023 Puskesmas Margasari Tegal
Diagnosis
HARJAWINANGUN RT 5 RW Pemeriksaan
71 BAROKATUN ANNISA 3328044205140007 8 2023000046430070 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 10/02/2023 10/02/2023 Puskesmas Kalibakung
4 Diagnosis
Pemeriksaan
72 BAWON 3328014506670005 54 2023000046370094 KARANGDAWA 02/03 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
73 BEGI ADITIA PRATAMA 3328010308000004 22 2023000046380091 PAKULAUT RT 4 RW 2 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
WRINGINJENGGOT RT 1 Pemeriksaan
75 BIAS KHAYATUN NUFUS 3328046707090003 13 2023000046450393 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
RW 3 Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 5 dari 41
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
77 BUDIYANTI 3328014703790011 43 2023000046380028 PAKULAUT RT 1 RW 2 Terduga TBC RO 30/01/2023 Neg 30/01/2023 30/01/2023 31/01/2023 31/01/2023 Puskesmas Kesambi
Diagnosis
HARJAWINANGUN RT 5 RW Pemeriksaan
78 BUNAIM 3328041212600023 62 2023000046430165 Terduga TBC SO 14/03/2023 Neg 14/03/2023 14/03/2023 14/03/2023 14/03/2023 Puskesmas Kalibakung
4 Diagnosis
Pemeriksaan
79 BUNGA ASA VERNANDA 3328047001090001 14 2023000046430108 PAGERWANGI RT 4 RW 1 Terduga TBC SO 24/02/2023 Neg 24/02/2023 24/02/2023 24/02/2023 24/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
80 CANDRA SUWANDI 3328011310930003 29 2023000046380115 DUKUHTENGAH RT 1 RW 2 Terduga TBC SO 29/03/2023 Rif Sen 29/03/2023 29/03/2023 30/03/2023 30/03/2023 Puskesmas Kesambi
Diagnosis
HARJAWINANGUN RT 2 RW Pemeriksaan
81 CARKUM EDI S. 3328040812870001 35 2023000046430181 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 27/03/2023 27/03/2023 Puskesmas Kalibakung
2 Diagnosis
Pemeriksaan
82 CARMUN 3328011404460002 76 2023000046370273 JEMBAYAT RT 1 RW 12 Terduga TBC SO 01/03/2023 Rif Sen 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
83 CASIH 3328016705720004 50 2023000046370265 JEMBAYAT RT 1 RW 12 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
84 CASIH 3328065008500011 72 2023000046450412 DUKUHLO 1/6 Terduga TBC SO 22/02/2023 Neg 22/02/2023 22/02/2023 24/02/2023 24/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
85 CASMIRAH 3328016108840002 38 2023000046370288 JATILABA RT 2 RW 8 Terduga TBC SO 08/03/2023 Neg 08/03/2023 08/03/2023 09/03/2023 10/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
86 CASONAH 3328014808950005 27 2023000046370129 KARANGDAWA RT 2 RW 10 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
88 CHANDRA PUTRA FEBRIAN 3328041502150001 8 2023000046430148 KALIBAKUNG RT 1 RW 1 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 06/03/2023 07/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
89 CHANIROH 3328045602810010 42 2023000046420150 PAMIRITAN RT 3 RW 1 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Balapulang
Diagnosis
HARJAWINANGUN RT 6 RW Pemeriksaan
90 CHATTANA RIDHOKA 3328041604100002 12 2023000046430083 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 14/02/2023 14/02/2023 Puskesmas Kalibakung
4 Diagnosis
HARJAWINANGUN RT 6 RW Pemeriksaan
91 CHODIDJAH 3328046412520001 70 2023000046430133 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 04/03/2023 04/03/2023 Puskesmas Kalibakung
2 Diagnosis
Pemeriksaan
92 CHOERUNISA 3174075509881001 33 2023000046420202 CIBUNAR 1/5 Terduga TBC SO 07/03/2023 Neg 07/03/2023 07/03/2023 08/03/2023 08/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
93 CICI NUR SAFITRI 3328015512990008 23 2023000046370136 DUKUHTENGAH RT 1 RW 5 Terduga TBC SO 22/02/2023 Neg 22/02/2023 22/02/2023 23/02/2023 23/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
94 DAENAH 3328066510660002 56 2023000046450449 SEMPUMAJA RT 5 RW 2 Terduga TBC SO 28/02/2023 Neg 28/02/2023 28/02/2023 02/03/2023 02/03/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
95 DAIRAH 3328044708560001 66 2023000046430111 CENGGINI RT 4 RW 1 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 27/02/2023 27/02/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 6 dari 41
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
96 DAIROH 3328014504910003 31 2023000046370113 JATILABA RT 1 RW 7 Terduga TBC SO 08/02/2023 Rif Sen 08/02/2023 08/02/2023 09/02/2023 09/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
97 DAKRUN 3328040705520002 62 2023000046430160 DANAREJA RT 5 RW 3 Terduga TBC SO 13/03/2023 Neg 13/03/2023 13/03/2023 13/03/2023 13/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
98 DAKUM A DARKUM 3328011212590007 63 2023000046370060 KARANGDAWA RT 4 RW 5 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
100 DAMU 3328040503530004 70 2023000046430159 BATUAGUNG RT 6 RW 1 Terduga TBC RO 11/03/2023 Neg 11/03/2023 11/03/2023 11/03/2023 12/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
102 DANINGSIH 3328044101850003 40 2023000046430174 DANAREJA RT 6 RW 3 Terduga TBC SO 17/03/2023 Neg 17/03/2023 17/03/2023 17/03/2023 18/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
103 DARJO 3328012604670002 55 2023000046370152 MARGASARI RT 4 RW 9 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 28/03/2023 28/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
104 DARJO 3328031812720001 50 2023000046430120 KALIBAKUNG RT 3 RW 3 Terduga TBC SO 02/03/2023 Neg 02/03/2023 02/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
106 DARMI 3328016802830002 39 2023000046370037 JEMBAYAT RT 1 RW 12 Terduga TBC RO 10/01/2023 Neg 10/01/2023 10/01/2023 11/01/2023 11/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
107 DARNINGSIH 3328015408890010 33 2023000046430094 BATUAGUNG RT 24 RW 4 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
109 DARSO 3328010108490002 73 2023000046380105 PRUPUK UTARA 7/2 Terduga TBC SO 18/03/2023 Neg 18/03/2023 18/03/2023 20/03/2023 20/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
110 DARSONI 3328040102710004 52 2023000046430066 BATUAGUNG RT 16 RW 3 Terduga TBC SO 08/02/2023 Neg 08/02/2023 08/02/2023 09/02/2023 09/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
111 DARSONO 3328010107740103 48 2022000046370035 MARGA AYU 1/3 Terduga TBC SO 18/03/2023 Neg 18/03/2023 18/03/2023 20/03/2023 20/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
113 DARYATI 3328017011790001 43 2023000046370134 JATILABA RT 4 RW 6 Terduga TBC SO 20/02/2023 Neg 20/02/2023 20/02/2023 21/02/2023 21/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
114 DARYO 3328010308630005 59 2023000046370057 JEMBAYAT RT 3 RW 12 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 7 dari 41
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
115 DARYO 3328012512470002 75 2023000046370058 JEMBAYAT RT 1 RW 12 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
116 DASRI 3328016201730002 49 2023000046370052 JEMBAYAT RT 2 RW 10 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
117 DEA APRILIAN 3205025404920002 30 2023000153040085 Lebaksiu Lor Terduga TBC SO 04/02/2023 Rif Sen 04/02/2023 04/02/2023 07/02/2023 07/02/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
119 DEPI RAMANSYAH 3328044212940001 28 2023000046430042 KALIBAKUNG RT 4 RW 2 Terduga TBC SO 20/01/2023 Neg 20/01/2023 20/01/2023 20/01/2023 20/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
120 DESI DIANA SARI 3328016812140002 8 2023000046370072 MARGAAYU RT 2 RW 2 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 25/01/2023 25/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
121 DEVI MAESANTI 3328045608010005 22 2023000046430106 BANJARANYAR RT 3 RW 3 Terduga TBC SO 23/02/2023 Rif Sen 23/02/2023 23/02/2023 23/02/2023 23/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
124 DEWI PURWANTI 3328045001910010 32 2023000046420149 KALIWUNGU RT 3 RW 2 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
125 DIAH 3328014104630002 59 2023000046370061 KARANGDAWA RT 4 RW 5 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 18/01/2023 18/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
128 DINAR AYU PRAMESTI 3328016804090005 13 2023000046370073 JATILABA RT 3 RW 3 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 25/01/2023 25/01/2023 Puskesmas Margasari Tegal
Diagnosis
HARJAWINANGUN RT 1 RW Pemeriksaan
129 DINI PIDIYAH ELIYANTI 3328044101900018 33 2023000046430014 Terduga TBC SO 09/01/2023 Neg 09/01/2023 09/01/2023 09/01/2023 09/01/2023 Puskesmas Kalibakung
1 Diagnosis
Pemeriksaan
130 DIRAH 3328014107530044 69 2020000046380020 prupuk selatan 5/3 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 01/03/2023 01/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
131 DISKA AMELIA 3328045412010001 21 2023000046430168 BUKATEJA RT 8 RW 2 Terduga TBC SO 15/03/2023 Neg 15/03/2023 15/03/2023 15/03/2023 15/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
133 DITA NAJUNDASARI 3328046611010005 21 2023000046420216 KALIWUNGU RT 4 RW 1 Terduga TBC SO 20/03/2023 Neg 20/03/2023 20/03/2023 24/03/2023 24/03/2023 Puskesmas Balapulang
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 8 dari 41
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
134 DJAMALUDIN 3328040502580002 65 2023000046420093 KALIWUNGU RT 2 RW 1 Terduga TBC SO 10/02/2023 Neg 10/02/2023 10/02/2023 13/02/2023 13/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
135 DOHIROH 3328046405810003 41 2023000046430072 BATUAGUNG RT 17 RW 3 Terduga TBC SO 10/02/2023 Neg 10/02/2023 10/02/2023 11/02/2023 11/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
136 DRAJAT 3328041501620006 61 2023000046420079 CIBUNAR RT 1 RW 5 Terduga TBC SO 06/02/2023 Rif Sen 06/02/2023 06/02/2023 07/02/2023 07/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
137 DUL HALIM 3328041507530008 69 2022000046430201 KARANGJAMBU RT 1 RW 4 Terduga TBC SO 10/03/2023 Neg 10/03/2023 10/03/2023 10/03/2023 11/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
139 DYAH FAUZIYATI 3328065609930003 29 2023000046450202 KESUBEN RT 2 RW 12 Terduga TBC SO 26/01/2023 Neg 26/01/2023 26/01/2023 27/01/2023 27/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
140 EDLYN QISYA AZARIA 3328107001140002 9 2023000046450452 SLAWI KULON RT 3 RW 9 Terduga TBC SO 28/02/2023 Neg 28/02/2023 28/02/2023 02/03/2023 02/03/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
141 EKA AYU MAULIDDIA 3173045707970002 25 2023000046430069 BANJARANYAR RT 5 RW 2 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 10/02/2023 10/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
147 ERLINAWATI 3328044405810002 41 2023000046430169 BUKATEJA RT 8 RW 2 Terduga TBC SO 15/03/2023 Neg 15/03/2023 15/03/2023 15/03/2023 15/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
150 EVA DWI ROSIANA 3328046411930004 29 2023000046430013 BATUAGUNG RT 18 RW 3 Terduga TBC SO 09/01/2023 Neg 09/01/2023 09/01/2023 09/01/2023 09/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
151 EVAN ETENIA SANDY 3328040303040001 18 2022000046380215 WANASARI RT 4 RW 3 Terduga TBC SO 02/01/2023 Neg 02/01/2023 02/01/2023 03/01/2023 03/01/2023 Puskesmas Kesambi
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 9 dari 41
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
153 FACHRI RAHMADANI 3328040205090003 13 2023000046430087 BATUAGUNG RT 13 RW 3 Terduga TBC SO 15/02/2023 Rif Sen 15/02/2023 15/02/2023 15/02/2023 15/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
154 FADLI AHMAD 3328041401150004 7 2023000046430018 CENGGINI RT 1 RW 2 Terduga TBC SO 09/01/2023 Rif Sen 09/01/2023 09/01/2023 10/01/2023 10/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
155 FAIZAR AL GHAZALI 3328011110150001 7 2023000046370125 KARANGDAWA RT 4 RW 8 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 15/02/2023 15/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
156 FAIZATUL AMILA 3328045605120001 10 2023000046430020 BUKATEJA RT 2 RW 1 Terduga TBC SO 10/01/2023 Neg 10/01/2023 10/01/2023 10/01/2023 10/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
161 FATIKHA 3328044204650001 57 2023000046420001 DK.KASERAN RT 4 RW 1 Terduga TBC SO 02/01/2023 Neg 02/01/2023 02/01/2023 03/01/2023 03/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
162 FATIMAH 3328014809610006 61 2023000046370062 JEMBAYAT RT 1 RW 10 Terduga TBC SO 18/01/2023 Neg 18/01/2023 18/01/2023 19/01/2023 19/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
164 FATLUROH 3328066808870005 35 2023000046450010 KESUBEN RT 4 RW 9 Terduga TBC SO 05/01/2023 Neg 05/01/2023 05/01/2023 07/01/2023 07/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
165 FATONI 3328040705560001 66 2023000046420152 DANAWARIH RT 1 RW 1 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 04/03/2023 06/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
166 FAZARI KHARIZA 3328066612020001 20 2023000046450280 DK. YOMANI RT 5 RW 3 Terduga TBC SO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
167 FIDEA MIRANTIKA 3328066009960003 26 2023000046450314 DURENSAWIT RT 1 RW 5 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 15/02/2023 15/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
170 FIRLY IRNAENI 3328146402090001 13 2023000046450376 SETU RT 4 RW 1 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 10 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
172 FITRIYANI 3328065404910006 31 2023000046450129 KAJEN RT 3 RW 8 Terduga TBC SO 17/01/2023 Neg 17/01/2023 17/01/2023 18/01/2023 18/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
175 GURITNO AGUS PURNOMO 3328011808720005 50 2023000046380111 PRUPUKUTARA RT 3 RW 1 Terduga TBC RO 28/03/2023 Neg 28/03/2023 28/03/2023 29/03/2023 29/03/2023 Puskesmas Kesambi
Diagnosis
TANGGUNGSARI RT 2 RW Pemeriksaan
176 HABIL SATYA ABDILAH 3329161004090002 13 2023000046370067 Terduga TBC SO 19/01/2023 Neg 19/01/2023 19/01/2023 20/01/2023 20/01/2023 Puskesmas Margasari Tegal
1 Diagnosis
Pemeriksaan
178 HARIRI 3328060409490001 73 2023000046450366 KESUBEN RT 5 RW 10 Terduga TBC SO 20/02/2023 Neg 20/02/2023 20/02/2023 21/02/2023 21/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
179 HARSONO 3328041512550005 67 2023000046430137 KALIBAKUNG RT 6 RW 2 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
181 HARTONO 3328042406750007 47 2023000046430155 BATUAGUNG RT 23 RW 4 Terduga TBC SO 10/03/2023 Neg 10/03/2023 10/03/2023 10/03/2023 11/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
182 HASNA NADA FITRIA 3328125009100004 12 2023000046450380 CANGKRING RT 5 RW 2 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
184 HENA ALEYDA SUTISNA 3328045510030004 19 2023000046430006 KALIBAKUNG RT 4 RW 1 Terduga TBC SO 03/01/2023 Neg 03/01/2023 03/01/2023 04/01/2023 04/01/2023 Puskesmas Kalibakung
Diagnosis
HARJAWINANGUN RT 1 RW Pemeriksaan
185 HENDRIK MAULANA 3328040105850002 37 2023000046430187 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 27/03/2023 28/03/2023 Puskesmas Kalibakung
2 Diagnosis
Pemeriksaan
186 HERI PURNOMO 3328010610980004 24 2023000046370013 JEMBAYAT RT 3 RW 12 Terduga TBC SO 05/01/2023 Neg 05/01/2023 05/01/2023 06/01/2023 06/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
187 HESTI SUPRIYATIN 3328047006090002 13 2023000046430154 BANJARANYAR RT 7 RW 1 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 09/03/2023 09/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
189 HIMATUL ATQIYA 3328035506050003 17 2023000153040093 KEDAWUNG RT 2 RW 3 Terduga TBC SO 27/02/2023 Rif Sen 27/02/2023 27/02/2023 28/02/2023 28/02/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
190 IDA ROYANI 3328014805960008 26 2023000046370092 KARANGDAWA 02/03 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 11 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
191 IKA ALIYA AZIZAH 3328016802970004 26 2023000046370264 JEMBAYAT RT 2 RW 12 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
192 IKA AULYA NAFISYAH 3328047008940001 28 2023000046430017 BANJARANYAR RT 2 RW 1 Terduga TBC SO 09/01/2023 Neg 09/01/2023 09/01/2023 10/01/2023 10/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
194 IKE KOMALA DEWI 3328044112980006 24 2023000046430107 BANJARANYAR RT 3 RW 4 Terduga TBC SO 24/02/2023 Neg 24/02/2023 24/02/2023 24/02/2023 24/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
195 IMA HELIANINGSIH 3328045502910003 32 2023000046430100 CENGGINI RT 1 RW 4 Terduga TBC SO 20/02/2023 Neg 20/02/2023 20/02/2023 21/02/2023 21/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
196 IMAM WAHYUDO 3328062712890007 33 2023000046450001 DUKUHLO RT 3 RW 4 Terduga TBC SO 03/01/2023 Rif Sen 03/01/2023 03/01/2023 04/01/2023 04/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
198 INDRA YULIANTO 3928060805840007 27 2023000046450253 KESUBEN 4/1 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
199 INDRAGANDI 3328105103850005 37 2022000046450941 Dukuh lo 5/5 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 15/02/2023 15/02/2023 Puskesmas Lebaksiu
Diagnosis
HARJAWINANGUN RT 2 RW Pemeriksaan
200 INTAN AMELIA KHUSNA 3328046507990010 23 2023000046430073 Terduga TBC SO 10/02/2023 Neg 10/02/2023 10/02/2023 11/02/2023 11/02/2023 Puskesmas Kalibakung
3 Diagnosis
Pemeriksaan
201 IRAWATI DWI ANDAYANI 3328046908930003 29 2023000046420219 KALIWUNGU RT 1 RW 2 Terduga TBC SO 21/03/2023 Neg 21/03/2023 21/03/2023 24/03/2023 24/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
202 IRFINA NURLAILA 3328016501010004 22 2021000046370072 marga ayu 2/1 Terduga TBC RO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
203 IRPAN SUJADI 3328042501680002 54 2023000046420035 KALIWUNGU RT 2 RW 1 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
204 IRPAN SUJADI 3328042501680002 54 2023000046420035 KALIWUNGU RT 2 RW 1 Terduga TBC SO 01/03/2023 Neg 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
205 ISHMATUL ZULFA 3328066501030005 19 2023000046450011 KESUBEN RT 1 RW 9 Terduga TBC SO 05/01/2023 Rif Sen 05/01/2023 05/01/2023 07/01/2023 07/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
207 ISNI NURUL HIDAYAH 3328135104100002 12 2023000046450397 KEPANDEAN RT 1 RW 6 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
HARJOWINANGUN RT 4 RW Pemeriksaan
208 ISRO 3328045711530001 61 2023000046430122 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
3 Diagnosis
Pemeriksaan
209 ITA MUNDIARTI 3328045006970008 25 2023000046430178 CILONGOK RT 2 RW 1 Terduga TBC SO 20/03/2023 Rif Sen 20/03/2023 20/03/2023 20/03/2023 20/03/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 12 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
210 JACHJA 3328040107370125 84 2023000046430134 KARANGJAMBU RT 2 RW 1 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 04/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
211 JAETUN 3328044107520104 70 2023000046430132 TEMBONGWAH RT 4 RW 4 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
212 JAHRO 3328045207620006 60 2023000046420154 DARAWARIH RT 1 RW 1 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 04/03/2023 06/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
213 JAMALUDIN 3328040107910125 32 2023000046420220 SANGKANJAYA RT 3 RW 1 Terduga TBC SO 24/03/2023 Rif Sen 24/03/2023 24/03/2023 25/03/2023 25/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
214 JAMARI 3328060107500118 72 2023000046450352 TIMBANGREJA RT 1 RW 7 Terduga TBC SO 14/02/2023 Neg 14/02/2023 14/02/2023 15/02/2023 15/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
218 JESSICA PUTRI NAILAH 3328114512050004 17 2023000046450390 KALIWADAS RT 3 RW 1 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
221 JUMAROH 3328016908690002 53 2023000046370266 JEMBAYAT RT 2 RW 12 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 01/03/2023 01/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
223 JUNAEDI 3328060303660005 56 2022000046450847 Kesuben 5/3 Terduga TBC SO 10/01/2023 Neg 10/01/2023 10/01/2023 11/01/2023 11/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
225 JUPRI 3328010112650008 57 2023000046370093 KARANGDAWA 02/03 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
226 JUWAHIR 3328010507840001 38 2023000046370275 JEMBAYAT RT 3 RW 3 Terduga TBC SO 01/03/2023 Neg 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
227 K. UNTUNG 3328040107550095 67 2023000046430015 KALIBAKUNG RT 6 RW 1 Terduga TBC SO 09/01/2023 Neg 09/01/2023 09/01/2023 09/01/2023 09/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
228 KADORI 3328011207520006 70 2023000046370005 KALISALAK RT 2 RW 10 Terduga TBC SO 03/01/2023 Neg 03/01/2023 03/01/2023 04/01/2023 04/01/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 13 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
229 KAMALI 3328060701550001 68 2023000046450409 DK. WINONG RT 2 RW 4 Terduga TBC SO 21/02/2023 Rif Sen 22/02/2023 22/02/2023 24/02/2023 24/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
231 KAMPLIS 3328010604600001 62 2023000046370047 KARANGDAWA RT 4 RW 5 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 13/01/2023 13/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
235 KARNOTO 3328060903740001 48 2023000046450362 DESA KAJEN RT 2 RW 9 Terduga TBC SO 16/02/2023 Neg 16/02/2023 16/02/2023 17/02/2023 17/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
236 KARTO 3328041202670003 56 2023000046430096 BANJARANYAR RT 4 RW 3 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
237 KARYONO 3328011209770003 45 2023000046370128 MARGASARI RT 2 RW 4 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 17/02/2023 17/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
238 KASMINAH 3328045301600001 63 2023000046430142 BANJARANYAR RT 5 RW 2 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 04/03/2023 06/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
240 KASNARI 3328060304520003 70 2023000046450277 YAMANSARI RT 4 RW 1 Terduga TBC SO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
242 KASWINAH 3328015908660001 56 2023000046370306 JEMBAYAT RT 2 RW 4 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 18/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
243 KAYANA MIKHAELLIA BILQISTY 3328045112130001 9 2023000046430163 KARANGJAMBU RT 2 RW 1 Terduga TBC SO 13/03/2023 Neg 13/03/2023 13/03/2023 13/03/2023 13/03/2023 Puskesmas Kalibakung
Diagnosis
HARJAWINANGUN RT 1 RW Pemeriksaan
244 KEISHA ANINDITA 3328045704160004 6 2023000046430189 Terduga TBC SO 29/03/2023 Neg 29/03/2023 29/03/2023 29/03/2023 29/03/2023 Puskesmas Kalibakung
2 Diagnosis
Pemeriksaan
245 KENDAR 3328013108300002 92 2023000046370305 DANARAJA RT 4 RW 4 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 18/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
246 KESIH 3328015103470001 75 2023000046370185 DUKUHTENGAH RT 1 RW 5 Terduga TBC SO 23/02/2023 Neg 23/02/2023 23/02/2023 24/02/2023 24/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
247 KHAIDIR AKBAR HIDAYATULLAH 3328041604010001 21 2023000046430061 BANJARANYAR RT 3 RW 4 Terduga TBC SO 06/02/2023 Neg 06/02/2023 06/02/2023 06/02/2023 06/02/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 14 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
248 KHALIMI 1301010909580001 68 2023000046420153 DARAWARIH RT 1 RW 1 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 06/03/2023 06/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
249 KHAMILAH 3328015212770009 45 2023000046370319 KARANGDAWA RT 4 RW 3 Terduga TBC SO 25/03/2023 Neg 25/03/2023 25/03/2023 27/03/2023 27/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
250 KHAMIM 3328012005990009 25 2023000046370091 KARANGDAWA 02/03 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
251 KHAMIROH 3328067112620047 60 2023000046450359 DURENSAWIT RT 3 RW 5 Terduga TBC SO 16/02/2023 Neg 16/02/2023 16/02/2023 17/02/2023 17/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
252 KHAPIDIN 3328042306850005 37 2023000046430129 TEMBONGWAH RT 2 RW 4 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
253 KHERUDIN 3328040308900005 32 2023000046430033 CENGGINI RT 5 RW 1 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
255 KHOIRUL MAUJUDIN 3328041210660003 56 2023000046430144 BANJARANYAR RT 4 RW 2 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 06/03/2023 07/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
256 KHOPIFAH 3328014602550004 67 2023000046370071 KALISALAK RT 1 RW 5 Terduga TBC SO 19/01/2023 Rif Sen 19/01/2023 19/01/2023 20/01/2023 20/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
257 KHOTIAH 3328065207550002 67 2023000046450134 KAJEN RT 2 RW 1 Terduga TBC SO 17/01/2023 Neg 17/01/2023 17/01/2023 18/01/2023 18/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
258 KHUMIDAH 3328014107500201 72 2023000046370292 KARANGDAWA RT 3 RW 9 Terduga TBC SO 10/03/2023 Neg 10/03/2023 10/03/2023 11/03/2023 13/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
259 KHUNIMAH 3328016107670003 55 2023000046370272 JEMBAYAT RT 1 RW 12 Terduga TBC SO 01/03/2023 Neg 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
260 KHURAEROTUN 3328015708660001 56 2023000046370301 MARGASARI RT 5 RW 2 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 17/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
262 KHUZAEMAH NAZWA SAFITRI 3328045108130002 9 2023000046430177 CENGGINI RT 1 RW 3 Terduga TBC SO 20/03/2023 Neg 20/03/2023 20/03/2023 20/03/2023 20/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
263 KOMISAH 3328014304730005 49 2022000046370126 KALISALAK 1/7 Terduga TBC SO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
264 KOTIM 3328016207680004 54 2023000046370016 JEMBAYAT RT 3 RW 12 Terduga TBC SO 05/01/2023 Neg 05/01/2023 05/01/2023 06/01/2023 06/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
265 KUMPUL 3328047112670010 55 2023000046430099 TEMBONGWAH RT 1 RW 1 Terduga TBC SO 20/02/2023 Rif Sen 20/02/2023 20/02/2023 20/02/2023 20/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
266 KUMYENI 3328045212480005 74 2023000046430124 KARANGJAMBU RT 3 RW 3 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 15 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
267 KUNYATI 3328015703550001 67 2023000046370089 KARANGDAWA RT 3 RW 8 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 01/02/2023 01/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
268 KURNIASIH 3328015101740002 49 2023000046380045 DUKUHTENGAH RT 2 RW 2 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 16/02/2023 16/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
269 KUSMANTO 3328012701750002 48 2023000046380112 PAKULAUT RT 1 RW 4 Terduga TBC SO 28/03/2023 Rif Sen 28/03/2023 28/03/2023 29/03/2023 29/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
270 KUSNO 3328011812770002 48 2023000046370315 JEMBAYAT RT 3 RW 12 Terduga TBC SO 24/03/2023 Rif Sen 24/03/2023 24/03/2023 25/03/2023 25/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
271 KUSRIN MARJOKO 3328041308690001 53 2023000046430118 DANAREJA RT 10 RW 4 Terduga TBC SO 02/03/2023 Neg 02/03/2023 02/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
272 LAELATUL MAGHFIROH 3328065711030004 19 2023000046450348 KESUBEN RT 3 RW 10 Terduga TBC SO 14/02/2023 Neg 14/02/2023 14/02/2023 15/02/2023 15/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
273 LARAS TRIANA 3328015010960002 26 2023000046380061 WANASARI RT 4 RW 2 Terduga TBC SO 24/02/2023 Rif Sen 24/02/2023 24/02/2023 25/02/2023 25/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
276 LINA AMALIA 3328016201980003 25 2023000046370278 JEMBAYAT RT 4 RW 13 Terduga TBC SO 02/03/2023 Neg 02/03/2023 02/03/2023 03/03/2023 03/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
278 LUKMAN ISMAIL 3328011808850012 37 2023000046370053 KARANG DAWA RT 4 RW 5 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
279 LUKMAN ISMAIL 3328011808850012 37 2023000046370053 KARANG DAWA RT 4 RW 5 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 01/02/2023 01/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
280 LUTFIYANA ZAHRA 3328114104090003 13 2023000046450374 PESAREAN RT 31 RW 7 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
281 M. ALEK MUNAJIB 3328043004960002 26 2023000046430027 PAGERWANGI RT 1 RW 1 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 16/01/2023 16/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
282 M. HUSNA 3328012505000009 22 2023000046370039 JEMBAYAT RT 1 RW 12 Terduga TBC SO 10/01/2023 Rif Sen 10/01/2023 10/01/2023 11/01/2023 11/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
283 M. RIDWAN 3328041010840016 38 2022000046420228 PAMIRITAN 2/4 Terduga TBC SO 31/01/2023 Neg 31/01/2023 31/01/2023 01/02/2023 01/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
284 M. RIZAL AMINUDIN 3328010108930004 29 2023000046370106 JEMBAYAT RT 1 RW 11 Terduga TBC SO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
285 M. SAKHI ARKAN AL-KARM 3328041410160002 6 2021000112740633 DK. PETIR RT 2 RW 4 Terduga TBC SO 02/01/2023 Neg 02/01/2023 02/01/2023 03/01/2023 03/01/2023 Puskesmas Balapulang
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 16 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
286 M. TOBIIN 3328041510740004 48 2023000046420164 DANAWARIH RT 2 RW 3 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 04/03/2023 06/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
289 MA'MUROH 3328046102590001 63 2023000046430095 PAGERWANGI RT 1 RW 1 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
291 MAEMUNAH 3328045204800002 42 2023000046420163 DANAWARIH RT 2 RW 3 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 06/03/2023 06/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
292 MAENATUL KHASANAH 3328026204040001 18 2023000046450403 CEMPAKA RT 2 RW 2 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
293 MAESAROH 3328064107600125 62 2022000046450755 TIMBANG REJA 1/4 Terduga TBC SO 24/02/2023 Neg 24/02/2023 24/02/2023 25/02/2023 25/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
294 MAHYANI 3328010107500247 70 2023000046370307 JEMBAYAT RT 2 RW 4 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 17/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
295 MALIYAH 3328145212920003 30 2023000046420085 CIBUNAR RT 2 RW 6 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 10/02/2023 10/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
296 MAPTUHA 3328064811800002 42 2021000046450026 Yamansari 5/9 Terduga TBC SO 28/02/2023 Neg 28/02/2023 28/02/2023 02/03/2023 02/03/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
297 MARINI 3276034205820003 40 2023000046430060 KALIBAKUNG RT 3 RW 3 Terduga TBC SO 04/02/2023 Neg 04/02/2023 04/02/2023 04/02/2023 04/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
298 MARJUKI 3328010107550196 67 2023000046370123 JEMBAYAT RT 1 RW 1 Terduga TBC SO 10/02/2023 Rif Sen 10/02/2023 10/02/2023 14/02/2023 14/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
300 MARYAM 3328015008570002 65 2023000046370115 KARANGDAWA RT 4 RW 3 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 21/02/2023 21/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
301 MASHUDI 3328041008850011 37 2023000046420031 KALIWUNGU RT 3 RW 1 Terduga TBC SO 09/01/2023 Rif Sen 09/01/2023 09/01/2023 10/01/2023 10/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
302 MASITOH 3328044107590076 63 2023000046430121 PAGERWANGI RT 2 RW 2 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
303 MASLAH 3328044107550054 67 2023000046430045 BUKATEJA RT 2 RW 1 Terduga TBC SO 26/01/2023 Neg 26/01/2023 26/01/2023 26/01/2023 26/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
304 MASLIKHA 3328045801500004 72 2023000046430005 BANJARANYAR RT 5 RW 5 Terduga TBC SO 03/01/2023 Neg 03/01/2023 03/01/2023 04/01/2023 04/01/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 17 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
306 MASRIYAH 3328045501770001 45 2023000046430025 PAGERWANGI RT 4 RW 1 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
307 MAULA ZULFA 3328024703060002 16 2023000046450398 SOKATENGAH RT 5 RW 1 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
308 MEGA WATI 3328044211990009 23 2023000046430085 KALIBAKUNG RT 1 RW 1 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 15/02/2023 15/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
312 MISTI LAELI 3328064410800007 42 2021000046450011 lebaksiu lor 3/3 Terduga TBC RO 21/02/2023 Neg 22/02/2023 22/02/2023 24/02/2023 24/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
313 MITA DWI SARI 3328016306020002 20 2023000046380096 KALIGAYAM RT 4 RW 2 Terduga TBC SO 10/03/2023 Neg 10/03/2023 10/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
314 MOH. BAGUS INDRA RIZKI 3328040802040003 19 2023000046430116 BATUAGUNG RT 14 RW 3 Terduga TBC SO 02/03/2023 Neg 02/03/2023 02/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
316 MOHAMAD CHUMAEDI ABDILAH 3322041012780002 44 2023000046420151 Balapulang Kulon 2/4 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 06/03/2023 06/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
317 MOHAMAD FAHRUDIN 3328062705760006 46 2023000046450281 YAMANSARI RT 2 RW 2 Terduga TBC SO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
319 MOHAMAD WAHYUDIN 3328010506930001 29 2023000046370326 KARANGDAWA RT 4 RW 1 Terduga TBC SO 29/03/2023 Neg 29/03/2023 29/03/2023 30/03/2023 30/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
322 MUFRIYADI 3328061804660004 56 2020000046450135 kesuben 1/3 Terduga TBC RO 13/02/2023 Neg 13/02/2023 13/02/2023 14/02/2023 14/02/2023 Puskesmas Lebaksiu
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 18 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
323 MUHAEMIN 3328010705620004 60 2023000046370299 JEMBAYAT RT 1 RW 1 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 17/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
324 MUHAMAD FAJAR SETIAWAN 3328011109080001 14 2023000046370068 JATILABA RT 2 RW 3 Terduga TBC SO 19/01/2023 Neg 19/01/2023 19/01/2023 20/01/2023 20/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
325 MUHAMAD IZAZI 3328043108830002 39 2023000046430019 KALIWUNGU RT 1 RW 1 Terduga TBC SO 10/01/2023 Neg 10/01/2023 10/01/2023 10/01/2023 10/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
326 MUHAMMAD ABDUL MUIS 3328010112050011 18 2023000046370097 KARANGDAWA 02/03 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
327 MUHAMMAD ANDI KURNIAWAN 3328060608920004 30 2021000046450041 kajen 2/9 Terduga TBC SO 27/01/2023 Neg 27/01/2023 27/01/2023 28/01/2023 30/01/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
328 MUHAMMAD ARZAN FAHREZI 3328010701180001 5 2022000046370213 KARANGDAWA 01/05 Terduga TBC SO 14/02/2023 Neg 14/02/2023 14/02/2023 17/02/2023 17/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
329 MUHAMMAD DRAJAT 3328040702770001 43 2023000046420228 BATURGEDONG RT 2 RW 1 Terduga TBC SO 28/03/2023 Neg 28/03/2023 28/03/2023 29/03/2023 29/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
331 MUHAMMAD KHAFID ARDIANSYAH 3328011606090002 13 2023000046370070 JEMBAYAT RT 1 RW 10 Terduga TBC SO 19/01/2023 Neg 19/01/2023 19/01/2023 20/01/2023 20/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
332 MUHAMMAD SAIF ALI MUZAKI 3328010401010005 22 2023000046370038 JEMBAYAT RT 1 RW 12 Terduga TBC SO 10/01/2023 Neg 10/01/2023 10/01/2023 11/01/2023 11/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
333 MUHAMMAD ZAIN AL FATIH 3328062505160002 6 2023000046450355 YAMANSARI RT 4 RW 4 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 16/02/2023 16/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
334 MUHIROH 3328044203760003 46 2023000046420058 DK.MALANG RT 1 RW 5 Terduga TBC SO 30/01/2023 Neg 30/01/2023 30/01/2023 31/01/2023 31/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
335 MUJAENI 3328041106710001 51 2023000046430056 TEMBONGWAH RT 3 RW 4 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 01/02/2023 01/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
336 MUJIANAH 3328046810700001 52 2023000046420218 KALIWUNGU RT 1 RW 2 Terduga TBC SO 21/03/2023 Neg 21/03/2023 21/03/2023 24/03/2023 28/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
337 MUJIARTI 3328016311790001 43 2023000046380095 PAKULAUT RT 5 RW 1 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
WRINGINJENGGOT RT 1 Pemeriksaan
338 MUJIHARTI 3328044504560001 66 2023000046420155 Terduga TBC SO 04/03/2023 Neg 04/03/2023 04/03/2023 06/03/2023 06/03/2023 Puskesmas Balapulang
RW 4 Diagnosis
Pemeriksaan
339 MUKHAMAD AFDI ARDIANSYAH 3328040110010009 21 2023000046420126 KALIWUNGU RT 1 RW 3 Terduga TBC SO 23/02/2023 Neg 23/02/2023 23/02/2023 24/02/2023 24/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
340 MUKRONI 3328013112590118 63 2023000046370276 KALISALAK RT 2 RW 7 Terduga TBC SO 01/03/2023 Neg 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
341 MULYADI 3328063112650012 57 2023000046430156 SEMPUMAJA RT 1 RW 1 Terduga TBC SO 11/03/2023 Neg 11/03/2023 11/03/2023 11/03/2023 12/03/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 19 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
HARJAWINANGUN RT 6 RW Pemeriksaan
342 MULYANI 3328046010740002 48 2023000046430151 Terduga TBC SO 08/03/2023 Neg 08/03/2023 08/03/2023 08/03/2023 08/03/2023 Puskesmas Kalibakung
4 Diagnosis
Pemeriksaan
344 MUNAJI 3328043112550006 67 2023000046420059 DANAWARIH RT 5 RW 5 Terduga TBC SO 31/01/2023 Rif Sen 31/01/2023 31/01/2023 01/02/2023 01/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
348 MURNIASIH 3328046104920006 30 2023000046430166 BANJARANYAR RT 2 RW 1 Terduga TBC SO 14/03/2023 Neg 14/03/2023 14/03/2023 14/03/2023 14/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
351 MURYATNI 3328065301740002 49 2023000046450382 YAMANSARI RT 5 RW 3 Terduga TBC SO 24/02/2023 Neg 24/02/2023 24/02/2023 25/02/2023 25/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
353 MUSLIHA 3328044604700002 54 2023000046430117 DANAREJA RT 10 RW 4 Terduga TBC SO 02/03/2023 Neg 02/03/2023 02/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
354 MUSTAKIM 3328011506950007 27 2023000046370277 JATILABA RT 2 RW 11 Terduga TBC SO 01/03/2023 Rif Sen 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
355 MUSTOFA 3328010305810005 41 2023000046370329 KARANGDAWA RT 4 RW 2 Terduga TBC SO 29/03/2023 Neg 29/03/2023 29/03/2023 30/03/2023 30/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
356 MUTIA RIZKI MAFTUKHA 3329076611070002 15 2023000046450372 KEBOGADUNG RT 2 RW 4 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
358 NADIA KHASANAH 3329054206040002 18 2023000046420148 PONPES DI DANAWARIH Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
360 NADIROH 3328045408770002 45 2023000046430035 PAGERWANGI RT 3 RW 2 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 20 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
363 NAELA FADILAH 3328044807030003 19 2023000046420123 DK. MALANG RT 4 RW 3 Terduga TBC SO 20/02/2023 Neg 20/02/2023 20/02/2023 21/02/2023 21/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
364 NAILUL FALAKHI 3328040901020003 21 2020000112711211 CIBUNAR RT 002 RW 001 Terduga TBC SO 11/03/2023 Rif Sen 11/03/2023 11/03/2023 11/03/2023 13/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
368 NASICHATUN 3328017112680091 54 2023000046370088 KARANGDAWA RT 3 RW 8 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 01/02/2023 01/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
369 NASIROH 3328014107570575 65 2023000046370284 KARANGDAWA RT 2 RW 3 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 07/03/2023 07/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
370 NAYLA FATIH HAMSYAR 3328015406070007 15 2023000046370122 MARGASARI RT 1 RW 5 Terduga TBC SO 10/02/2023 Neg 10/02/2023 10/02/2023 14/02/2023 14/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
372 NIHAYATUL MIRZAH 3328016408000003 22 2023000046370087 KARANGDAWA RT 3 RW 8 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 01/02/2023 01/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
373 NILNA MAZYA 3315027103100002 12 2023000046450388 TALANG RT 4 RW 1 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
374 NINDI ELISA 3328016607900006 32 2023000046370133 MARGA AYU RT 3 RW 1 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
375 NINING ERLINAH 3328014601860004 37 2023000046380017 PAKU LAUT RT 1 RW 3 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 14/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
377 NIRWASITA ZAHWA OKTAVIANI 3328064410130001 9 2023000046450002 KAJEN RT 3 RW 8 Terduga TBC SO 03/01/2023 Neg 03/01/2023 03/01/2023 04/01/2023 04/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
378 NISSA AGUSTINA 3328047008840001 38 2022000046420479 DANAWARIH 4/1 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
379 NOK HARNITI 3328015401770003 46 2023000046370059 PAKULAUT RT 5 RW 1 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 21 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
380 NOK WININGSIH 3328014507800008 42 2023000046370296 MARGASARI RT 5 RW 1 Terduga TBC SO 13/03/2023 Neg 13/03/2023 13/03/2023 14/03/2023 14/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
384 NUR AMAN 3328041605700003 52 2023000046430101 BANJARANYAR RT 3 RW 4 Terduga TBC SO 20/02/2023 Neg 20/02/2023 20/02/2023 21/02/2023 21/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
385 NUR AZIZAH 3328014410930012 29 2022000046370212 KARANGDAWA 01/05 Terduga TBC SO 14/02/2023 Neg 14/02/2023 14/02/2023 18/02/2023 18/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
386 NUR ILMIYATI NAIMAH 3328064507010004 21 2023000046450349 KESUBEN RT 2 RW 7 Terduga TBC SO 14/02/2023 Neg 14/02/2023 14/02/2023 15/02/2023 15/02/2023 Puskesmas Lebaksiu
Diagnosis
HARJAWINANGUN RT 2 RW Pemeriksaan
387 NUR JANAH 3328046710860003 36 2023000046430074 Terduga TBC SO 11/02/2023 Neg 11/02/2023 11/02/2023 13/02/2023 13/02/2023 Puskesmas Kalibakung
3 Diagnosis
Pemeriksaan
389 NUR KHIKMAH 3328045111850003 37 2023000046430158 CENGGINI RT 2 RW 2 Terduga TBC SO 11/03/2023 Neg 11/03/2023 11/03/2023 11/03/2023 12/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
390 NUR LAELAH 3328015001780004 45 2023000046370107 MARGA AYU RT 2 RW 1 Terduga TBC SO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
391 NUR MAELISA 3328016307960012 26 2023000046370127 PAKULAUT RT 2 RW 3 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 17/02/2023 17/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
394 NURHARDI WIYONO 3328010810990002 23 2023000046380093 PAKULAUT RT 5 RW 1 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 12/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
395 NURHIDAYATI 3328044411750001 47 2023000046430071 BATUAGUNG RT 13 RW 3 Terduga TBC SO 10/02/2023 Rif Sen 10/02/2023 10/02/2023 11/02/2023 11/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
398 NURKHOTIMAH 3328025605770001 45 2022000046430267 BUMIJAWA RT 5 RW 2 Terduga TBC SO 14/03/2023 Neg 14/03/2023 14/03/2023 14/03/2023 14/03/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 22 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
399 NURSIDIK 3328012708870003 35 2023000046370002 KALISALAK RT 1 RW 8 Terduga TBC SO 02/01/2023 Rif Sen 02/01/2023 02/01/2023 03/01/2023 03/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
401 OMISAH 3328064801890001 33 2023000046450279 KESUBEN RT 3 RW 10 Terduga TBC SO 07/02/2023 Rif Sen 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
402 PAKUWATI 3328017112520129 70 2023000046370083 JATILABA RT 2 RW 5 Terduga TBC SO 25/01/2023 Neg 25/01/2023 25/01/2023 26/01/2023 26/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
403 PANDU EKA PRASETYA 3328042004070005 15 2023000046430046 BUKATEJA RT 4 RW 1 Terduga TBC SO 26/01/2023 Neg 26/01/2023 26/01/2023 26/01/2023 26/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
404 PARYATI 3328015211650009 57 2023000046370322 MARGASARI RT 1 RW 4 Terduga TBC SO 25/03/2023 Neg 25/03/2023 25/03/2023 27/03/2023 27/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
405 PASIKHA 3328015803620001 60 2023000046370302 JEMBAYAT RT 2 RW 2 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 17/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
406 PATONAH 3328045203480002 74 2023000046430126 KARANGJAMBU RT 4 RW 4 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
407 PRITA 3328014704070005 15 2023000112740396 Bintara RT 02/05 Terduga TBC SO 30/01/2023 Neg 30/01/2023 30/01/2023 31/01/2023 31/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
408 PUJI ASTUTI 3328045209960001 26 2023000046430003 BATUAGUNG RT 8 RW 2 Terduga TBC SO 02/01/2023 Neg 02/01/2023 02/01/2023 03/01/2023 03/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
409 QOMARUDIN 3328041211800006 42 2023000046430016 TEMBONGWAH RT 1 RW 1 Terduga TBC SO 09/01/2023 Neg 09/01/2023 09/01/2023 09/01/2023 09/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
410 QONITATUL HILMI AHMAD 3328035408080001 14 2023000046370074 BOJONG RT 3 RW 1 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 25/01/2023 25/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
412 RAHAYU 3328067011580002 64 2023000046450278 DURENSAWIT RT 5 RW 3 Terduga TBC SO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
413 RAHMA ALFIANNA RISQI 3328034108100002 12 2023000046450401 BUNIWAH RT 3 RW 3 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
414 RAHMAT MAULANA 3328041705130001 9 2023000046430079 KALIBAKUNG RT 4 RW 2 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 13/02/2023 13/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
417 RAISYA NADZIRA SAKILA 3329095209110002 11 2023000046430091 CILONGOK RT 2 RW 3 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 15/02/2023 15/02/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 23 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
418 RAJIYONO 3328010405610008 61 2023000046370304 MARGASARI RT 4 RW 6 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 18/03/2023 18/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
419 RAMLAH 3328040701490002 74 2023000046430093 TEMBONGWAH RT 1 RW 4 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
420 RANI 3328016008930004 29 2023000046380047 WANASARI RT 1 RW 2 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 16/02/2023 16/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
421 RANI DEWI ASTUTI 3328044401040003 19 2023000046430051 BUKATEJA RT 2 RW 1 Terduga TBC SO 30/01/2023 Neg 30/01/2023 30/01/2023 30/01/2023 30/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
422 RAPIASIH 3328015705980009 24 2023000046370011 MARGAAYU RT 3 RW 3 Terduga TBC RO 04/01/2023 Neg 04/01/2023 04/01/2023 05/01/2023 05/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
424 RASMUN 3328040107470077 75 2023000046430131 TEMBONGWAH RT 4 RW 4 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
425 RASTINAH 3328014107470417 75 2023000046370132 MARGAAYU 03/01 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
426 RASTO 3328010107640073 58 2023000046370081 JATILABA RT 1 RW 7 Terduga TBC SO 25/01/2023 Neg 25/01/2023 25/01/2023 26/01/2023 26/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
427 RATAM 3328013112520076 70 2023000046380014 PAKULAUT RT 1 RW 3 Terduga TBC SO 12/01/2023 Rif Sen 12/01/2023 12/01/2023 14/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
428 RATINAH 3328046409650002 57 2023000046420064 DANAWARIH RT 3 RW 1 Terduga TBC SO 03/02/2023 Neg 03/02/2023 03/02/2023 04/02/2023 04/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
429 RATNI 3328014801740003 49 2023000046370121 KARANGDAWA RT 5 RW 6 Terduga TBC SO 10/02/2023 Neg 10/02/2023 10/02/2023 14/02/2023 14/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
432 REZA ARDILA 3276064708000003 22 2023000046370295 KARANGDAWA RT 4 RW 7 Terduga TBC SO 13/03/2023 Neg 13/03/2023 13/03/2023 14/03/2023 14/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
433 RIA YULIANINGSIH 3328065707970001 25 2023000046450135 KAJEN RT 3 RW 2 Terduga TBC SO 17/01/2023 Rif Sen 17/01/2023 17/01/2023 18/01/2023 18/01/2023 Puskesmas Lebaksiu
Diagnosis
HARJAWINANGUN RT 6 RW Pemeriksaan
435 RIDHO RAHARJO 3313122411730001 49 2023000046430113 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 27/02/2023 27/02/2023 Puskesmas Kalibakung
1 Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 24 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
437 RIFA EQI PRATAMA 3328011812060001 16 2023000046380031 PAKULAUT RT 6 RW 3 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
438 RIKHAYATI 3328016507890001 33 2022000046370124 KARANGDAWA 1/3 Terduga TBC RO 16/01/2023 Rif Res 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
439 RIKHMAYATI 3328014708710003 51 2023000046370279 MARGASARI RT 4 RW 8 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 04/03/2023 06/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
440 RIYA RANITA 3328016003050003 18 2023000046380087 PAKULAUT RT 5 RW 6 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
441 RIYANTI AULIA SAFITRI 3328015705100001 12 2023000046380099 PAKULAUT RT 5 RW 6 Terduga TBC SO 09/03/2023 Neg 10/03/2023 10/03/2023 11/03/2023 13/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
443 RIZIQ KURAISI 3328061310970011 25 2023000046450251 TIMBANGREJA RT 3 RW 3 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 02/02/2023 02/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
444 ROCHATI 3328015712660003 56 2023000046380010 PAKULAUT RT 8 RW 3 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 14/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
446 RODIYAH 3328015102670004 55 2022000046370538 KALISALAK 02/08 Terduga TBC SO 11/01/2023 Neg 11/01/2023 11/01/2023 17/01/2023 17/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
448 RODIYAH 3328017112590148 63 2023000046370283 MARGAAYU RT 3 RW 1 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 07/03/2023 07/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
450 ROHMAH 3328015303640001 59 2023000046370303 MARGASARI RT 4 RW 6 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 17/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
451 ROIS 3328042808740009 48 2023000046430026 KARANGJAMBU RT 2 RW 2 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
452 ROISAH 3328015111780001 47 2023000046370045 KARANGDAWA RT 4 RW 5 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 13/01/2023 13/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
453 ROISAH 3328015111780001 47 2023000046370045 KARANGDAWA RT 4 RW 5 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 17/02/2023 18/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
454 ROISAH 3328016505870005 35 2023000046380082 PAKULAUT RT 5 RW 6 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
455 ROJALI 3172030311750009 47 2023000046380059 DUKUHTENGAH RT 4 RW 4 Terduga TBC SO 20/02/2023 Neg 20/02/2023 20/02/2023 21/02/2023 21/02/2023 Puskesmas Kesambi
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 25 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
456 ROJIKHI 3328012012730002 49 2023000046380114 KALIGAYAM RT 1 RW 1 Terduga TBC SO 28/03/2023 Neg 28/03/2023 28/03/2023 29/03/2023 29/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
458 ROLIYAH 3328044107620181 60 2023000046430001 KARANGJAMBU RT 5 RW 5 Terduga TBC SO 02/01/2023 Neg 02/01/2023 02/01/2023 02/01/2023 02/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
459 RONI 3174040709730009 49 2023000046370289 KARANGDAWA RT 1 RW 2 Terduga TBC SO 08/03/2023 Neg 08/03/2023 08/03/2023 10/03/2023 10/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
460 ROSID 3328013112600076 62 2023000046370003 JEMBAYAT RT 4 RW 10 Terduga TBC SO 02/01/2023 Neg 02/01/2023 02/01/2023 03/01/2023 03/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
461 ROSYIDI 3328012707630003 59 2023000046370320 MARGASARI RT 1 RW 9 Terduga TBC SO 25/03/2023 Neg 25/03/2023 25/03/2023 27/03/2023 27/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
463 ROUDHATUL JANAH 3328014808960006 26 2023000046370079 KARANGDAWA RT 2 RW 1 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 25/01/2023 25/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
464 ROUP 3328013112580141 64 2023000046370270 JEMBAYAT RT 3 RW 1 Terduga TBC SO 01/03/2023 Neg 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
465 ROYANAH 3328014805660003 56 2023000046380101 PAKULAUT RT 9 RW 3 Terduga TBC RO 15/03/2023 Neg 15/03/2023 15/03/2023 16/03/2023 16/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
466 ROYANAH 3328044712800001 42 2023000046430055 BANJARANYAR RT 6 RW 5 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 01/02/2023 01/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
467 RUKILAH 3328044107570243 65 2023000046430022 TEMBONGWAH RT 7 RW 1 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 12/01/2023 12/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
468 RUMINAH 3328014107460041 76 2023000046370082 JATILABA 02/05 Terduga TBC SO 25/01/2023 Neg 25/01/2023 25/01/2023 26/01/2023 26/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
469 RUMINAH 3328014107500292 72 2023000046380103 dukuhtengah 1/2 Terduga TBC SO 17/03/2023 Rif Sen 17/03/2023 17/03/2023 18/03/2023 18/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
470 RUPIAH 3328044107720020 62 2023000046430145 BATUAGUNG RT 24 RW 4 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 06/03/2023 07/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
471 RUPIAH 3328046309540001 60 2023000046420091 SESEPAN RT 1 RW 2 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 11/02/2023 11/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
472 RUPINAH 3328016801710002 52 2023000046380046 WANASARI RT 2 RW 3 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 16/02/2023 16/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
473 RUSDI 3328011312510002 71 2023000046370051 KARANGDAWA RT 1 RW 2 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
474 RUSMINAH 3328015102540001 64 2023000046370313 KARANGDAWA RT 2 RW 5 Terduga TBC SO 24/03/2023 Neg 24/03/2023 24/03/2023 25/03/2023 25/03/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 26 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
475 RUSMIYATI 3328045905600001 62 2023000046420115 BANJARANYAR RT 2 RW 1 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 16/02/2023 16/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
477 SAADAH 3328015509760001 46 2023000046370311 JENBAYAT RT 2 RW 4 Terduga TBC SO 24/03/2023 Neg 24/03/2023 24/03/2023 25/03/2023 25/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
478 SAAT KHATAMAN 3328042509630005 59 2023000046430185 BANJARANYAR RT 1 RW 2 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 27/03/2023 27/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
479 SABILA NAJAH 3328065205010003 17 2023000046450404 PAMIRITAN RT 3 RW 3 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
480 SADIKIN AL ASIKIN 3328013112360041 86 2023000046370297 MARGASARI RT 2 RW 11 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 17/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
481 SAEFUL KHANIF 3328040108000010 22 2023000046420204 PAMIRITAN RT 1 RW 2 Terduga TBC SO 08/03/2023 Neg 08/03/2023 08/03/2023 09/03/2023 09/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
483 SAHURI 3328010711510002 71 2023000153040087 PUPUK UTARA RT 3 RW 1 Terduga TBC SO 15/02/2023 Rif Sen 15/02/2023 15/02/2023 16/02/2023 16/02/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
484 SAIRAH 3328014107670384 55 2023000046370120 MARGAAYU RT 4 RW 1 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 14/02/2023 14/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
485 SAIRAH 3328045108610001 61 2023000046420054 CIBUNAR RT 2 RW 1 Terduga TBC SO 26/01/2023 Neg 26/01/2023 26/01/2023 27/01/2023 27/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
486 SAIRAN 3328121510770007 45 2023000046430036 BANJARANYAR RT 2 RW 1 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
487 SAIRIN 3328011004740003 49 2023000046370291 JEMBAYAT RT 2 RW 3 Terduga TBC SO 10/03/2023 Neg 10/03/2023 10/03/2023 11/03/2023 12/03/2023 Puskesmas Margasari Tegal
Diagnosis
HARJAWINANGUN RT 1 RW Pemeriksaan
488 SAIROH 3328044303730003 49 2023000046430089 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 15/02/2023 15/02/2023 Puskesmas Kalibakung
2 Diagnosis
Pemeriksaan
489 SAIROH 3328045209720004 50 2023000046430153 BANJARANYAR RT 7 RW 1 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 09/03/2023 09/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
491 SALISA AULADINA 3328075802080002 15 2022000046470937 CERIH RT 13/ RW 1 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
492 SALSA FEBRIAN AROHMAH 3329176702070005 15 2023000046430057 BUKATEJA RT 1 RW 2 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 02/02/2023 02/02/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 27 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
494 SAMILAH 3328014107550273 67 2023000046370012 KARANGDAWA RT 1 RW 2 Terduga TBC SO 04/01/2023 Rif Sen 04/01/2023 04/01/2023 05/01/2023 05/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
496 SAMUD 3328013001590002 58 2023000046370188 KARANGDAWA 04/03 Terduga TBC SO 23/02/2023 Neg 23/02/2023 23/02/2023 24/02/2023 24/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
497 SANEP 3328013112720113 50 2023000046370262 JEMBAYAT 02/12 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
498 SANIPAH 3328044703650004 57 2023000046420095 CIBUNAR RT 1 RW 5 Terduga TBC SO 10/02/2023 Neg 10/02/2023 10/02/2023 13/02/2023 13/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
500 SARIPUDIN 3328012009830005 39 2022000046370369 KARANGDAWA 02/03 Terduga TBC RO 02/02/2023 Rif Sen 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
501 SARNO 3328010107340007 88 2023000046380094 PAKULAUT RT 5 RW 1 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
502 SAROH 3328016811650001 57 2023000046370015 JEMBAYAT RT 3 RW 12 Terduga TBC SO 05/01/2023 Neg 05/01/2023 05/01/2023 06/01/2023 06/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
504 SARTINI 3328056711670001 55 2023000046420036 SEMBOJA RT 3 RW 1 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
506 SARTONO 3328040107630077 63 2023000046430043 TEMBONGHWAH RT 3 RW 1 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 24/01/2023 24/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
507 SATRIA PUTRA PRATAMA 3376030505080004 14 2023000046430082 KARANGJAMBU RT 1/2 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 14/02/2023 14/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
508 SATRIO BAGUS SAPUTRA 3328010207150002 7 2023000046380083 PAKULAUT RT 5 RW 6 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
510 SAUNI 3328014107620187 60 2023000046370274 JEMBAYAT RT 3 RW 3 Terduga TBC SO 01/03/2023 Neg 01/03/2023 01/03/2023 02/03/2023 02/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
512 SEMI 3328014107150252 107 2023000046380018 PAKULAUT RT 4 RW 3 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 28 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
513 SEPTI NURLAELA 3328015609030003 19 2023000046370108 MARGA AYU RT 2 RW 1 Terduga TBC SO 07/02/2023 Neg 07/02/2023 07/02/2023 08/02/2023 08/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
515 SEPUL MUJAB 3328032707810006 36 2023000046430182 CILONGOK RT 2 RW 1 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 27/03/2023 27/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
517 SHINTA NURRIYAH ASSYARI 3328166212040005 18 2023000046450389 SURADADI RT 2 RW 3 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
518 SILVA RUGAYAH 3328045006970005 25 2023000046420094 DANAWARIH RT 2 RW 2 Terduga TBC SO 10/02/2023 Rif Sen 10/02/2023 10/02/2023 13/02/2023 13/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
519 SINGGIH NURDIYANTI 3328014202060004 16 2023000046380009 PAKULAUT RT 7 RW 2 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 16/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
520 SISCA MULIA PRATAMI 3328096006100004 12 2023000046450378 JL. MANGGA RT 4 RW 5 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
521 SISWANTO 3328042109790002 43 2023000046430031 CILONGOK RT 2 RW 4 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Kalibakung
Diagnosis
HARJAWINANGUN RT 1 RW Pemeriksaan
523 SITI ALIA ROSALI 3328046605050001 17 2023000046430170 Terduga TBC SO 15/03/2023 Neg 15/03/2023 15/03/2023 15/03/2023 15/03/2023 Puskesmas Kalibakung
4 Diagnosis
Pemeriksaan
524 SITI AMELIA 3328045110020002 20 2023000046430097 TEMBONGWAH RT 4 RW 4 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
526 SITI AMINAH 3328064207870002 33 2023000046450411 YAMANSARI RT 1 RW 1 Terduga TBC SO 22/02/2023 Neg 22/02/2023 22/02/2023 24/02/2023 24/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
527 SITI AMIROH 3328045205830012 47 2023000046430175 BUKATEJA RT 3 RW 1 Terduga TBC SO 17/03/2023 Neg 17/03/2023 17/03/2023 17/03/2023 18/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
528 SITI BADRIYAH 3328016210690002 53 2023000046370298 JEMBAYAT RT 1 RW 1 Terduga TBC SO 16/03/2023 Neg 16/03/2023 16/03/2023 17/03/2023 17/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
529 SITI BAROYAH 3328016212870006 35 2023000046430010 KALIBAKUNG RT 1 RW 1 Terduga TBC SO 04/01/2023 Rif Sen 04/01/2023 04/01/2023 04/01/2023 04/01/2023 Puskesmas Kalibakung
Diagnosis
HARJAWINANGUN RT 1 RW Pemeriksaan
530 SITI DAROJAH 3328045506940001 28 2023000046430186 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 27/03/2023 27/03/2023 Puskesmas Kalibakung
2 Diagnosis
Pemeriksaan
531 SITI FATIMAH TUJJAHRO 3328044711940002 28 2023000046430090 BATUAGUNG RT 2 RW 1 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 15/02/2023 15/02/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 29 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
532 SITI HAPSOH RAMADHANI 3328164309080001 14 2023000046450408 SURADADI RT 2 RW 3 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
533 SITI HIKMAWATI 3328044107780059 44 2023000046430098 BANJARANYAR RT 3 RW 5 Terduga TBC SO 20/02/2023 Neg 20/02/2023 20/02/2023 20/02/2023 20/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
535 SITI JAROKHA 3328045207850004 37 2023000046430088 PAGERWANGI RT 2 RW 2 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 15/02/2023 15/02/2023 Puskesmas Kalibakung
Diagnosis
HARJAWINANGUN RT 6 RW Pemeriksaan
536 SITI KEYSA ANIQ 3328045105100001 12 2023000046450381 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
2 Diagnosis
Pemeriksaan
537 SITI KHUMAIROH 3275015005080009 14 2023000046370049 JEMBAYAT RT 3 RW 12 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
538 SITI LUTIFAH 3328046605800002 42 2023000046430075 BUKATEJA RT 1 RW 2 Terduga TBC SO 11/02/2023 Neg 11/02/2023 11/02/2023 13/02/2023 13/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
540 SITI MASRUROH 3328014608820004 40 2023000046370186 JEMBAYAT RT 1 RW 1 Terduga TBC SO 23/02/2023 Neg 23/02/2023 23/02/2023 24/02/2023 24/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
541 SITI MUTMAINAH 3328045204500006 72 2023000046420203 JL. MERAK RT 7 RW 1 Terduga TBC SO 07/03/2023 Neg 07/03/2023 07/03/2023 08/03/2023 08/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
544 SITI NURAMALIYAH 3328047108020003 20 2023000046430114 KALIBAKUNG RT 1 RW 1 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 27/02/2023 27/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
545 SITI NURHAYATI 3328045811660001 56 2023000046430077 BATUAGUNG RT 24 RW 4 Terduga TBC SO 11/02/2023 Neg 11/02/2023 11/02/2023 13/02/2023 13/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
546 SITI PATIMAH 3328046501790002 44 2023000046430081 BANJARANYAR RT 3 RW 4 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 14/02/2023 14/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
547 SITI RETNO JOHARIYAH 3328014901700001 53 2023000046380006 PAKULAUT RT 3 RW 2 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 14/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
548 SITI ROATUN 3328065506690006 53 2021000046450258 Lebaksiu lor 2/6 Terduga TBC SO 16/02/2023 Neg 16/02/2023 16/02/2023 17/02/2023 17/02/2023 Puskesmas Lebaksiu
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 30 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
551 SITI ROKHMAH 3328045107580005 64 2023000046420053 KALIWUNGU RT 2 RW 2 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 25/01/2023 25/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
555 SLAMET 3328017012790007 43 2023000046370050 KARANGDAWA RT 4 RW 5 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
557 SOBARI 3328062912530002 69 2023000046450254 KAJEN RT 4 RW 1 Terduga TBC SO 02/02/2023 Neg 02/02/2023 02/02/2023 03/02/2023 03/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
558 SOBICHA 3328045210530003 69 2023000046430059 BATUAGUNG RT 10 RW 2 Terduga TBC SO 04/02/2023 Neg 04/02/2023 04/02/2023 04/02/2023 04/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
559 SOBIKHA 3328044204710001 51 2023000046430149 CENGGINI RT 4 RW 3 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 06/03/2023 07/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
560 SOBIRIN 3328023101900001 32 2023000153040060 BATUNYANA RT 6 RW 1 Terduga TBC SO 28/01/2023 Neg 28/01/2023 28/01/2023 28/01/2023 30/01/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
562 SOBIRIN 3328043012690007 53 2023000046430176 BANJARANYAR RT 4 RW 3 Terduga TBC SO 17/03/2023 Neg 17/03/2023 17/03/2023 17/03/2023 18/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
564 SOHIBI 3328011209740001 48 2023000046370318 JATILABA RT 1 RW 4 Terduga TBC SO 25/03/2023 Rif Sen 25/03/2023 25/03/2023 27/03/2023 27/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
565 SOLICHIN 3328041212530027 76 2023000046430123 KARANGJAMBU RT 3 RW 3 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
566 SOLIKHIN 3328022003790001 40 2022000046542143 SIGEDONG RT 10 RW 4 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 10/02/2023 10/02/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
567 SOLIYAH 3328044107740080 48 2023000046430044 TEMBONGWAH RT 5 RW 2 Terduga TBC SO 25/01/2023 Neg 25/01/2023 25/01/2023 25/01/2023 25/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
568 SOPAN JAMALI 3328010506700006 52 2023000188200016 KARANGDAWA RT 1 RW 1 Terduga TBC SO 02/03/2023 Rif Sen 02/03/2023 02/03/2023 03/03/2023 03/03/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 31 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
571 SRI HARTATI 3328044107790026 44 2023000046430152 TEMBONGWAH RT 1 RW 3 Terduga TBC SO 08/03/2023 Neg 08/03/2023 08/03/2023 08/03/2023 08/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
572 SRI HERI SUSANTO 3328040203780005 44 2023000046430037 BATUAGUNG RT 1 RW 1 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
574 SRI JAETIN 3328045504680002 54 2023000046430136 KALIBAKUNG RT 5 RW 2 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
575 SRI MULYANI 3328045001880003 35 2023000046420033 DANAWARIH RT 3 RW 1 Terduga TBC SO 11/01/2023 Neg 11/01/2023 11/01/2023 12/01/2023 12/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
576 SRI MUSTIKA ASIH 3328044402800008 43 2023000046430086 BUKATEJA RT 6 RW 1 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 15/02/2023 15/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
577 SRI PUJI PURWATI 3328046010750001 47 2023000046420113 DANAWARIH RT 4 RW 4 Terduga TBC SO 14/02/2023 Neg 14/02/2023 14/02/2023 15/02/2023 15/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
579 SRIYATI 3328045902950001 27 2023000046420086 PAMIRITAN RT 1 RW 3 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 10/02/2023 10/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
580 ST. DJOLECHA 3328044107470085 75 2023000046430180 KALIBAKUNG RT 1 RW 2 Terduga TBC SO 24/03/2023 Neg 24/03/2023 24/03/2023 24/03/2023 24/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
581 SUALI 3328010107600102 63 2023000046370290 JEMBAYAT RT 3 RW 3 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 10/03/2023 11/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
582 SUCIATI 3174105603781001 44 2023000046430040 KP BARU IV RT 5 RW 2 Terduga TBC SO 19/01/2023 Neg 19/01/2023 19/01/2023 19/01/2023 19/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
583 SUDIRMAN 3328011606790005 43 2023000046370063 JATILABA RT 4 RW 14 Terduga TBC SO 18/01/2023 Rif Sen 18/01/2023 18/01/2023 19/01/2023 19/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
584 SUDIRNO 3329152201940002 29 2023000046380089 PAKULAUT RT 5 RW 6 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
586 SUGIARTO 3328010304740006 48 2023000188200021 MARGASARI RT 4 RW 8 Terduga TBC SO 24/03/2023 Rif Sen 24/03/2023 24/03/2023 25/03/2023 25/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
588 SUGINAH 3328016409870012 35 2023000046370282 JEMBAYAT RT 2 RW 12 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 07/03/2023 07/03/2023 Puskesmas Margasari Tegal
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 32 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
591 SUHARDI 3328040702910004 32 2023000046420214 KALIWUNGU RT 3 RW 3 Terduga TBC SO 17/03/2023 Rif Sen 17/03/2023 17/03/2023 18/03/2023 18/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
592 SUHARJO 3328013112570020 65 2023000046370130 MARGA AYU RT 4 RW 1 Terduga TBC SO 17/02/2023 Rif Res 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
593 SUHERMANTO 3328062606870007 35 2023000046430011 BUKATEJA RT 5 RW 1 Terduga TBC SO 09/01/2023 Neg 09/01/2023 09/01/2023 09/01/2023 09/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
596 SUJA'I 3328010605600001 62 2023000046380113 KALIGAYAM RT 2 RW 1 Terduga TBC SO 28/03/2023 Neg 28/03/2023 28/03/2023 29/03/2023 29/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
597 SUKAR 3328041206770004 45 2023000046430183 CILONGOK RT 02 RW 01 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 27/03/2023 27/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
598 SUKI 3328014110490002 73 2023000046370014 JEMBAYAT 03/12 Terduga TBC SO 05/01/2023 Neg 05/01/2023 05/01/2023 06/01/2023 06/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
600 SUKIRNO 3328060507720008 50 2021000046450060 Dukuh lo 1/5 Terduga TBC RO 05/01/2023 Rif Sen 05/01/2023 05/01/2023 07/01/2023 07/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
601 SUKRIB 3328041107490001 74 2022000046430162 BANJARANYAR RT 7 RW 2 Terduga TBC SO 11/03/2023 Rif Sen 11/03/2023 11/03/2023 11/03/2023 13/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
603 SULASTRI 3328067112540034 68 2023000046450184 KESUBEN RT 4 RW 6 Terduga TBC SO 25/01/2023 Neg 25/01/2023 25/01/2023 26/01/2023 26/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
604 SULEMI 3328016308820003 40 2023000046370084 DUKUHTENGAH RT 4 RW 4 Terduga TBC SO 27/01/2023 Rif Sen 27/01/2023 27/01/2023 28/01/2023 30/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
605 SULENI 3328016505980009 24 2023000046370312 KALISALAK RT 2 RW 5 Terduga TBC SO 24/03/2023 Neg 24/03/2023 24/03/2023 25/03/2023 25/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
606 SULISTIA 3328047011950008 27 2023000046420088 BANJARANYAR RT 3 RW 1 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 10/02/2023 11/02/2023 Puskesmas Balapulang
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 33 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
HARJAWINANGUN RT 3 RW Pemeriksaan
608 SUMARNI 3328045212630006 59 2023000046430021 Terduga TBC SO 11/01/2023 Neg 11/01/2023 11/01/2023 12/01/2023 12/01/2023 Puskesmas Kalibakung
3 Diagnosis
Pemeriksaan
610 SUMIATI 3328044707740001 48 2023000046420206 PAMIRITAN RT 4 RW 4 Terduga TBC SO 13/03/2023 Neg 13/03/2023 13/03/2023 14/03/2023 14/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
611 SUMIROH 3328017101620002 60 2023000046370056 JEMBAYAT RT 3 RW 12 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
612 SUMYATI 3328015509720006 52 2023000046380085 PAKULAUT RT 8 RW 3 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
613 SUNADI 3328010511420001 80 2023000046370131 MARGASARI RT 2 RW 9 Terduga TBC SO 17/02/2023 Neg 17/02/2023 17/02/2023 20/02/2023 20/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
615 SUNARTI 3328045012560001 66 2023000046430138 KALIBAKUNG RT 1 RW 1 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
617 SUNARYO 3328061711880001 34 2023000046450414 DURENSAWIT RT 3 RW 2 Terduga TBC SO 24/02/2023 Neg 24/02/2023 24/02/2023 25/02/2023 25/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
618 SUNASID 3328012402680002 54 2023000046380051 WANASARI RT 2 RW 3 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 16/02/2023 16/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
620 SUNIPAH 3328044107610069 61 2023000046430130 TEMBONGWAH RT 2 RW 4 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 04/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
621 SUNITI 3328047112630021 59 2023000046430039 CENGGINI RT 5 RW 2 Terduga TBC SO 18/01/2023 Neg 18/01/2023 18/01/2023 18/01/2023 18/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
623 SUNOTO 3328040107670076 55 2023000046430067 CENGGINI RT 1 RW 3 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 10/02/2023 10/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
624 SUPARJO 3328012803660002 56 2023000046370080 KALISALAK RT 3 RW 12 Terduga TBC SO 25/01/2023 Neg 25/01/2023 25/01/2023 26/01/2023 26/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
626 SUPARYATI 3328064107730131 56 2023000046450453 YAMANSARI RT 3 RW 7 Terduga TBC RO 28/02/2023 Rif Sen 28/02/2023 28/02/2023 01/03/2023 01/03/2023 Puskesmas Lebaksiu
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 34 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
KARANGMONCOL 1 RT 1 Pemeriksaan
629 SUPRIYATIN 3328065212630022 59 2023000046450315 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 15/02/2023 15/02/2023 Puskesmas Lebaksiu
RW 3 Diagnosis
Pemeriksaan
633 SUTARJO 3328021505650009 57 2023000153040059 SOKATENGAH RT 5 RW 4 Terduga TBC SO 28/01/2023 Neg 28/01/2023 28/01/2023 28/01/2023 30/01/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
635 SUTIJAH 3328044310650001 57 2023000046430109 KARANGJAMBU RT 4 RW 7 Terduga TBC SO 25/02/2023 Neg 25/02/2023 25/02/2023 25/02/2023 27/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
636 SUTIRAH 3328016212900004 32 2023000046370044 PAKULAUT RT 6 RW 2 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 13/01/2023 13/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
639 SUWITNO 3328010708760002 46 2023000046370309 DANARAJA RT 3 RW 3 Terduga TBC SO 18/03/2023 Rif Sen 18/03/2023 18/03/2023 20/03/2023 20/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
640 SUWITO 3328011705560003 66 2023000046370114 KARANGDAWA RT 4 RW 3 Terduga TBC SO 08/02/2023 Neg 08/02/2023 08/02/2023 09/02/2023 09/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
642 SUYATINI 3328064607580003 64 2020000046450074 kajen 1/4 Terduga TBC SO 22/02/2023 Neg 22/02/2023 22/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
644 SYAIPUDIN 3328042810590002 63 2023000046420217 KALIWUNGU RT 1 RW 2 Terduga TBC SO 21/03/2023 Neg 21/03/2023 21/03/2023 24/03/2023 24/03/2023 Puskesmas Balapulang
Diagnosis
KARJAWINANGUN RT 1 RW Pemeriksaan
645 TAHRUDIN 3328040105540008 68 2022000046430236 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 10/03/2023 10/03/2023 Puskesmas Kalibakung
2 Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 35 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
646 TAHYUDIN 3328040102630001 60 2023000046420184 SESEPAN RT 2 RW 4 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 07/03/2023 07/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
647 TAJUDIN 3328042206750002 47 2023000046420131 DK.MALANG RT 1 RW 3 Terduga TBC SO 24/02/2023 Neg 24/02/2023 24/02/2023 25/02/2023 25/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
648 TALITA NURJIYANA 3328015408090002 13 2023000046370076 KARANGDAWA RT 2 RW 3 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 25/01/2023 25/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
649 TAPSILAH 3328044207540004 66 2022000046430057 CILONGOK 4/3 Terduga TBC SO 30/01/2023 Neg 30/01/2023 30/01/2023 30/01/2023 30/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
650 TARDJUKI 3328041012530009 69 2023000046430161 BANJARANYAR RT 3 RW 5 Terduga TBC SO 13/03/2023 Neg 13/03/2023 13/03/2023 13/03/2023 13/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
651 TARHADI 3328040107150028 62 2022000112712424 PAMIRITAN RT 1 RW 4 Terduga TBC SO 06/02/2023 Neg 06/02/2023 06/02/2023 07/02/2023 07/02/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
654 TARINI 3328044607570004 65 2023000046420215 KALIWUNGU RT 6 RW 2 Terduga TBC SO 18/03/2023 Neg 18/03/2023 18/03/2023 20/03/2023 20/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
655 TARINI 3328064304430001 79 2023000046450186 RT 0 RW 0 Terduga TBC SO 25/01/2023 Rif Sen 25/01/2023 25/01/2023 26/01/2023 26/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
656 TARJI 3328010611550001 79 2023000046370314 JEMBAYAT RT 3 RW 12 Terduga TBC SO 24/03/2023 Neg 24/03/2023 24/03/2023 25/03/2023 25/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
657 TARJUNAEDI 3328041409660002 56 2023000046430135 KALIBAKUNG RT 5 RW 2 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 03/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
658 TARMO 3328010312630002 59 2023000046380001 WANASARI RT 1 RW 1 Terduga TBC SO 04/01/2023 Rif Sen 04/01/2023 04/01/2023 05/01/2023 05/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
659 TARSONO 3328013112600157 62 2020000046370105 karang dawa1/1 Terduga TBC RO 19/01/2023 Neg 19/01/2023 19/01/2023 20/01/2023 20/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
660 TARUNI 3328046006640001 58 2023000046430002 CILONGOK RT 2 RW 3 Terduga TBC SO 02/01/2023 Neg 02/01/2023 02/01/2023 02/01/2023 02/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
661 TARWADI 3328010712550005 67 2023000046380012 PAKULAUT RT 4 RW 3 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 16/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
663 TASJAD 3328010107510085 71 2023000153040041 KARANGDAWA RT 6 RW 7 Terduga TBC SO 21/01/2023 Neg 21/01/2023 21/01/2023 21/01/2023 21/01/2023 RS Hawari Essa
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 36 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
666 TASRIPAH 3328014911710004 51 2023000046370054 KARANGDAWA RT 4 RW 3 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
667 TASWI 3328014107550274 67 2023000046370048 KARANGDAWA RT 1 RW 2 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 13/01/2023 13/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
668 TAZKIYATUL AMALIA 3328045712090003 13 2023000046450402 KASERAN RT 5 RW 1 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
669 THOHIDIN 3328040107740090 48 2023000046420227 DK.KASERAN RT 4 RW 1 Terduga TBC SO 28/03/2023 Rif Sen 28/03/2023 28/03/2023 29/03/2023 29/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
670 TIARA ANINDYA SALSABILA 3328045403120002 10 2023000046430063 KALIBAKUNG RT 3 RW 3 Terduga TBC SO 08/02/2023 Neg 08/02/2023 08/02/2023 09/02/2023 09/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
673 TOHIR 3328040107670165 55 2023000046430050 TEMBONGWAH RT 4 RW 2 Terduga TBC SO 30/01/2023 Neg 30/01/2023 30/01/2023 30/01/2023 30/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
674 TOIPAH 3328044802700002 52 2023000046430028 BATUAGUNG RT 18 RW 3 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 16/01/2023 16/01/2023 Puskesmas Kalibakung
Diagnosis
HARJAWINANGUN RT 2 RW Pemeriksaan
675 TONIAH 3328044604650003 57 2023000046430147 Terduga TBC SO 06/03/2023 Neg 06/03/2023 06/03/2023 06/03/2023 07/03/2023 Puskesmas Kalibakung
1 Diagnosis
Pemeriksaan
676 TUMINAH 3328044901550001 68 2023000046430102 BANJARANYAR RT 3 RW 5 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 21/02/2023 21/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
677 TUMINAH 3329144203930011 30 2023000046420207 PAMIRITAN RT 1 RW 2 Terduga TBC SO 13/03/2023 Neg 13/03/2023 13/03/2023 14/03/2023 14/03/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
678 TURAH 3328044112600008 62 2020000046420215 BANJARANYAR 1/1 Terduga TBC SO 11/02/2023 Neg 11/02/2023 11/02/2023 13/02/2023 13/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
680 UKHFIDUN NAFSI 3328045301020001 21 2023000046430184 BUKATEJA RT 2 RW 1 Terduga TBC SO 27/03/2023 Neg 27/03/2023 27/03/2023 27/03/2023 28/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
681 UMAYAH 3328045506900003 32 2023000046430150 DANAREJA RT 5 RW 3 Terduga TBC RO 06/03/2023 Rif Res 06/03/2023 06/03/2023 06/03/2023 07/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
682 UMI HANI 3328045005840004 38 2023000046420057 DANAWARIH RT 4 RW 3 Terduga TBC SO 30/01/2023 Neg 30/01/2023 30/01/2023 31/01/2023 31/01/2023 Puskesmas Balapulang
Diagnosis
Pemeriksaan
683 UMU HABIBAH 3301194507930003 29 2023000046430034 PAGERWANGI RT 1 RW 2 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Kalibakung
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 37 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
685 URIPAH 3328044709550001 67 2023000046430092 BATUAGUNG RT 9 RW 2 Terduga TBC SO 16/02/2023 Neg 16/02/2023 16/02/2023 20/02/2023 20/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
687 VANI ANGGI RAMADANI 3328066509060006 16 2023000046450356 YAMANSARI RT 5 RW 3 Terduga TBC SO 16/02/2023 Neg 16/02/2023 16/02/2023 17/02/2023 17/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
688 VANI ANGGI RAMADANI 3328066509060006 16 2023000046450356 YAMANSARI RT 5 RW 3 Terduga TBC SO 22/02/2023 Neg 22/02/2023 22/02/2023 23/02/2023 23/02/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
692 WAEBAH 3328044202610002 62 2023000046430068 BATUAGUNG RT 2 RW 1 Terduga TBC SO 09/02/2023 Neg 09/02/2023 09/02/2023 10/02/2023 10/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
693 WAGE 3328040107690089 53 2023000046430047 TEMBONGWAH RT 5 RW 2 Terduga TBC SO 28/01/2023 Neg 28/01/2023 28/01/2023 28/01/2023 30/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
696 WAHYU AGUNG AMILAH 3328013110970002 25 2023000046380013 PAKULAUT RT 1 RW 3 Terduga TBC SO 30/01/2023 Neg 30/01/2023 30/01/2023 31/01/2023 31/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
697 WAHYU MULYANI 3328015107980001 25 2023000046380090 PAKULAUT RT 5 RW 6 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
698 WAHYUDI 3328010608890002 33 2022000046370477 KARANGDAWA 04/02 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 13/01/2023 13/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
701 WAINAH 3328064107590245 63 2023000046450451 KESUBEN RT 4 RW 1 Terduga TBC SO 28/02/2023 Neg 28/02/2023 28/02/2023 02/03/2023 02/03/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
702 WAKRONI 3328011010690009 54 2023000046380084 PAKULAUT RT 8 RW 3 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 11/03/2023 Puskesmas Kesambi
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 38 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
703 WALIKHA 3328025107640003 58 2023000046430054 JEJEG RT 4 RW 2 Terduga TBC SO 01/02/2023 Neg 01/02/2023 01/02/2023 01/02/2023 01/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
704 WANIROH 3328014709600001 42 2023000046380102 PAKULAUT 8/2 Terduga TBC SO 17/03/2023 Rif Sen 17/03/2023 17/03/2023 18/03/2023 18/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
705 WARDAH RAMADHANI ZAHFA 3328125909090003 13 2023000046450375 TEGALWANGI RT 13 RW 5 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 23/02/2023 23/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
707 WARISEM 3328016001730003 50 2023000046370124 DANARAJA RT 1 RW 3 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 15/02/2023 15/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
708 WARKONAH 3328014809670001 55 2023000046370263 JEMBAYAT RT 1 RW 12 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 28/02/2023 28/02/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
710 WARPUAH 3328044508590003 63 2023000046430012 PAGERWANGI RT 3 RW 1 Terduga TBC SO 09/01/2023 Neg 09/01/2023 09/01/2023 09/01/2023 09/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
711 WARSIYANTI 3328016401760002 47 2023000046380025 PAKULAUT RT 6 RW 5 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 25/01/2023 25/01/2023 Puskesmas Kesambi
Diagnosis
HARJAWINANGUN RT 1 RW Pemeriksaan
713 WARTONI 3328040101770019 46 2023000046430032 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Kalibakung
2 Diagnosis
Pemeriksaan
715 WASHADI 3328010810750004 47 2023000046380011 PAKULAUT RT 7 RW 2 Terduga TBC SO 12/01/2023 Neg 12/01/2023 12/01/2023 16/01/2023 16/01/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
716 WASHORI 3328010412910007 31 2023000153040017 KALIGAYAM RT 1 RW 2 Terduga TBC SO 13/01/2023 Neg 13/01/2023 13/01/2023 14/01/2023 14/01/2023 RS Hawari Essa
Diagnosis
Pemeriksaan
717 WASIHATUN 3203154602900005 29 2023000046370055 KARANGDAWA RT 4 RW 3 Terduga TBC SO 16/01/2023 Neg 16/01/2023 16/01/2023 17/01/2023 17/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
719 WASRIPAH 3328014305710003 51 2023000046370321 MARGASARI RT 4 RW 9 Terduga TBC SO 25/03/2023 Neg 25/03/2023 25/03/2023 27/03/2023 27/03/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
720 WATA 3328040108470001 75 2023000046430125 KARANGJAMBU RT 4 RW 4 Terduga TBC SO 03/03/2023 Neg 03/03/2023 03/03/2023 03/03/2023 04/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
721 WATIFA 3328016703940006 28 2023000153040086 MARGA AYU RT 3 RW 1 Terduga TBC SO 10/02/2023 Neg 10/02/2023 10/02/2023 11/02/2023 11/02/2023 RS Hawari Essa
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 39 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
HARJOWINANGUN RT 3 RW Pemeriksaan
722 WATRIAH 3328044703710002 49 2023000046430112 Terduga TBC SO 27/02/2023 Neg 27/02/2023 27/02/2023 27/02/2023 27/02/2023 Puskesmas Kalibakung
4 Diagnosis
Pemeriksaan
726 WINAH 3328014104690001 53 2023000046370006 KALISALAK RT 2 RW 8 Terduga TBC SO 03/01/2023 Neg 03/01/2023 03/01/2023 04/01/2023 04/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
728 WIWIN AMELIA 3328047007010001 21 2023000046430104 CENGGINI RT 2 RW 2 Terduga TBC SO 22/02/2023 Neg 22/02/2023 22/02/2023 23/02/2023 23/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
729 WIWIN ROSMIYATI 3328045007850003 37 2023000046430080 BANJARANYAR RT 9 RW 2 Terduga TBC SO 13/02/2023 Neg 13/02/2023 13/02/2023 13/02/2023 13/02/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
731 WUTUH 3328046003670001 55 2023000046430048 KARANGJAMBU RT 2 RW 5 Terduga TBC SO 28/01/2023 Neg 28/01/2023 28/01/2023 28/01/2023 30/01/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
733 YETI OKTRIYANA 3328015610990004 23 2023000046380092 PAKULAUT RT 4 RW 2 Terduga TBC SO 09/03/2023 Neg 09/03/2023 09/03/2023 11/03/2023 12/03/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
734 YUANA AWANTI 3328066002920002 30 2022000046451156 YAMANSARI 2/5 Terduga TBC SO 26/01/2023 Neg 26/01/2023 26/01/2023 27/01/2023 27/01/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
736 YULIYADI 3328010512700007 52 2023000046380044 DUKUHTENGAH RT 2 RW 2 Terduga TBC SO 15/02/2023 Neg 15/02/2023 15/02/2023 16/02/2023 16/02/2023 Puskesmas Kesambi
Diagnosis
Pemeriksaan
738 ZAETUN 3328016507660004 56 2023000046370004 JEMBAYAT RT 3 RW 7 Terduga TBC SO 03/01/2023 Neg 03/01/2023 03/01/2023 04/01/2023 04/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
739 ZAHRA LAILUL MI'RAJ 3603305907090001 13 2023000046450370 KP. BAYUR RT 6 RW 5 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
740 ZAHRATUN NISA 3329124803100004 12 2023000046450384 PENGABEAN RT 8 RW 5 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
HASIL PEMERIKSAAN XPERT (TCM) YANG DIAJUKAN KLAIM OLEH Puskesmas Kalibakung PADA TANGGAL 01 April 2023
Hal 40 dari
Jumlah
Laboratorium : Puskesmas Kalibakung Tujuan Klaim : Dinas Kesehatan Kabupaten Tegal : 747
Periode Hasil Pemeriksaan : Januari - Maret 2023 Jenis Pemeriksaan : Xpert (TCM) Status Klaim : Pengajuan klaim
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15)
Pemeriksaan
741 ZAIDA ERNIYANTI 3173015006920005 30 2023000046430146 KALIBAKUNG RT 2 RW 2 Terduga TBC SO 06/03/2023 Rif Indet 06/03/2023 06/03/2023 07/03/2023 07/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
742 ZAIDA ERNIYANTI 3173015006920005 30 2023000046430146 KALIBAKUNG RT 2 RW 2 Terduga TBC SO 06/03/2023 Rif Sen 06/03/2023 06/03/2023 07/03/2023 13/03/2023 Puskesmas Kalibakung
Diagnosis
Pemeriksaan
744 ZAKIYATUL MAHBUBAH 3328124306100001 12 2023000046450379 BENGLE RT 9 RW 2 Terduga TBC SO 21/02/2023 Neg 21/02/2023 21/02/2023 22/02/2023 22/02/2023 Puskesmas Lebaksiu
Diagnosis
Pemeriksaan
745 ZALFAA AZIZAH 3328015605090005 13 2023000046370077 PAKULAUT RT 6 RW 1 Terduga TBC SO 24/01/2023 Neg 24/01/2023 24/01/2023 25/01/2023 25/01/2023 Puskesmas Margasari Tegal
Diagnosis
Pemeriksaan
746 ZASKIA WULANDARI 3328014310130002 9 2023000046370324 JEMBAYAT RT 2 RW 12 Terduga TBC SO 28/03/2023 Neg 28/03/2023 28/03/2023 28/03/2023 28/03/2023 Puskesmas Margasari Tegal
Diagnosis
TAGIHAN PENGAJUAN KLAIM PEMERIKSAAN XPERT (TCM): Puskesmas Kalibakung (01 April 2023)
Hal 41 dari