LAPORAN REGISTER HARIAN

Tanggal 01-06-2023 sampai 27-06-2023

NO TGL KUNJUNGAN NO RM NIK NO BPJS NAMA TGL LAHIR UMUR (Th,Bln,Hr) BB TB IMT HASIL IMT SISTOLE DIASTOLE RR HB LIKA LILA NADI LINGKAR PERUT SUHU TUBUH POSISI GIGI DIAGNOSA TERAPI JENIS KELAMIN PROFESI ALAMAT RW RT KELURAHAN KECAMATAN KABUPATEN WILAYAH PUSKESMAS PUSTU POLINDES POSYANDU POLI PETUGAS PEMERIKSA PETUGAS INPUT CARA BAYAR JENIS PESERTA RUJUKAN LABORATORIUM
76 05-06-2023 `SKL-21748 `0003515597515 `0003515597515 MUHAMMAD DAFFIN HAFIZH ALFAREZI 10-05-2021 2, 0, 26 11 80 17.2 Kurus 100 70 20 0 0 0 45 80 0 A09-Diarrhoea and gastroenANTASIDA DOEN TABLET KU
L LAIN LAIN purworejo 7 3 Purworejo Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON PURWOREJO Umum dr. Adhe Marlin Sanyoto Agung Setiawan, A.Md.Kep PBID / JAMKESDA PBI (APBD)
83 05-06-2023 `SKL-18749 `3505074103180002 `0002857458093 ANASTASYA RIZKIKA NAF'U 01-03-2018 5, 3, 4 22.7 120 15.8 Sangat Kurus 90 60 20 0 0 0 65 85 36.3 A09-Diarrhoea and gastroenGARAM ORALIT/8/1 sachet
Pt LAIN LAIN DSN GENDONG 8 2 Purworejo Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON Umum dr. Adhe Marlin Sanyoto dr. Adhe Marlin Sunyoto GRATIS PBI (APBN)
100 05-06-2023 `SKL-1536 `3505071912620003 `0001884945262 MUJITO 19-12-1962 60, 5, 17 73 170 25.3 Gizi Lebih 110 80 22 0 0 0 90 80 0 A09-Diarrhoea and gastroenANTASIDA DOEN TABLET KU
L LAIN LAIN SANANKULON 7 2 Sanankulon Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON SANANKULON Umum RETI ENDANG SETYAWATI,Amd.Keb Reti Endang, AM.d, Keb GRATIS PEKERJA MANDIRI
484 08-06-2023 `SKL-22046 ` ` DICKY RUANDRIKA 19-11-2018 4, 6, 19 15.6 106 12.9 Sangat Kurus 70 40 26 0 0 0 46 92 0 A09-Diarrhoea and gastroenANTASIDA DOEN TABLET KL LAIN LAIN KALIPUCUNG 3 2 Kalipucung Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON KIA ERNIE YULIASTUTIK,Amd.Keb Sheila Ayu Sandita, Amd.Keb UMUM
915 14-06-2023 `SKL-20490 `3505076307220002 ` Kikanaya 23-07-2022 0, 10, 22 8 76 12.5 Sangat Kurus 100 60 20 0 0 0 45 100 37 A09-Diarrhoea and gastroenANTASIDA DOEN TABLET KL LAIN LAIN Purworejo 002 005 Purworejo Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON PURWOREJO Umum dr. Adhe Marlin Sanyoto Agung Setiawan, A.Md.Kep GRATIS
977 14-06-2023 `SKL-17215 `3505070709190002 `0002932240803 NABIL EKA WIRATAMA 07-09-2019 3, 9, 7 14 97 14 Sangat Kurus 100 80 20 0 0 0 50 80 36.5 A09-Diarrhoea and gastroe, L LAIN LAIN DSN SENDANG 3 3 Tuliskriyo Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON KIA dr. Anna Dewi Anggraini P dr. Anna Dewi Anggraini Puspita N PBI / JAMKESMAS PBI (APBN)
1136 16-06-2023 `SKL-7301 `3505072505180002 `0002619201262 ADEEVA BALQIS AZZAHRA 29-11-2018 4, 6, 17 13 30 144.4 Obesitas 100 79 22 0 0 0 90 80 0 A09-Diarrhoea and gastroenDOMPERIDON 10 mg/4/3x1/2
P LAIN LAIN Sanankulon 2 2 Sanankulon Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON SANANKULON Umum RETI ENDANG SETYAWATI,Amd.Keb Reti Endang, AM.d, Keb GRATIS PBI (APBN)
1217 17-06-2023 `SKL-1396 `3505075008590002 `0000670917418 SUHARTI 10-08-1959 63, 10, 7 60 150 26.7 Gizi Lebih 160 90 18 0 0 0 80 86 36 A09-Diarrhoea and gastroenANTI SPASMOLITIK/SPASMO
P PEDAGANG KALIPUCUNG 3 3 Kalipucung Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON Lansia dr. Anna Dewi Anggraini P dr. Anna Dewi Anggraini Puspita N PBI / JAMKESMAS PBI (APBN)
1298 19-06-2023 `SKL-8948 ` 3505071203550001 `0000671362503 SUKIMIN 12-03-1955 68, 3, 7 54 160 21.1 Normal 155 90 20 0 0 0 70 80 36.5 I10-Essential (primary) h ANTASIDA DOEN TABLET KL LAIN LAIN SUMBER 1 1 Sumber Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON Lansia dr. Anna Dewi Anggraini P dr. Anna Dewi Anggraini Puspita N GRATIS PBI (APBN)
1439 20-06-2023 `SKL-22254 ` 3505077105510001 `0001037565145 SUNARMI 31-05-1951 72, 0, 20 60 155 23.4 Normal 160 90 20 0 0 0 65 80 36 A09-Diarrhoea and gastroenANTASIDA DOEN TABLET KP LAIN LAIN centong 004 003 Purworejo Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON PURWOREJO Umum dr. Adhe Marlin Sanyoto Agung Setiawan, A.Md.Kep GRATIS
1778 26-06-2023 `SKL-22380 `3529144103960002 `0000781040237 YULIANA 17-04-1995 28, 2, 9 65 155 25.4 Gizi Lebih 100 80 20 0 0 0 80 80 36.5 A09-Diarrhoea and gastroeANTI SPASMOLITIK/SPASMOL LAIN LAIN ponggok 2 3 Ponggok Ponggok KAB. BLITAR LW UPT PUSKESMAS SANANKULON Lansia dr. Anna Dewi Anggraini P dr. Anna Dewi Anggraini Puspita N BPJS MANDIRI
1783 26-06-2023 `SKL-2772 `3505075905770001 `0002939093436 WIDYA ANDRI YANI 19-05-1977 46, 1, 7 61 158 23.8 Normal 133 71 24 0 0 0 80 88 36 A09-Diarrhoea and gastroeMETFORMIN 500 mg/10/2x1P MENGURUS RUMAH TANGGA Sumber 06 01 Sumber Sanankulon KAB. BLITAR DW UPT PUSKESMAS SANANKULON Umum dr. Adhe Marlin Sanyoto Agus Dwi Prasetyo, A.Md Kep PBI / JAMKESMAS PBI (APBN) Asam Urat Hasil : 3,2; Gula darah acak Hasil : 334; Kolesterol Hasil : 174
1828 26-06-2023 `SKL-3949 `35050657000006 ` SILVIA ANGGUN 17-05-2000 23, 1, 9 60 155 23.4 Normal 115 75 22 0 0 0 85 82 0 A09-Diarrhoea and gastroenANTASIDA DOEN TABLET KL LAIN LAIN Bendo 01 05 Bendo Ponggok KAB. BLITAR LW UPT PUSKESMAS SANANKULON Umum dr. Adhe Marlin Sanyoto HARJITO,A.Md.Kep GRATIS
NO TGL KUNJUNGAN NIK NO BPJS NAMA JENIS
KELAMIN

1 03-06-2023 ` `0000107503582 UMI SALAMAH P

12 03-06-2023 `3505074107590148 ` HARJIEM P
17 05-06-2023 ` `0000672210652 KATMINI P
23 05-06-2023 ` `107337172 Nurmiati P
43 07-06-2023 ` `107337172 Nurmiati P
47 08-06-2023 ` `0000107503582 UMI SALAMAH P
80 13-06-2023 `3505074107440111 ` MINARTI P
83 13-06-2023 `3505074403620002 `0002517493263 SUSTIANI P
117 16-06-2023 ` 3505074503560001 `0000670417402 PONIAH P
118 16-06-2023 `3505074407580001 `0000107337172 NURMIATI P
141 20-06-2023 `35050745086000002 ` KATMIASIH P
157 21-06-2023 `3505074107590148 ` HARJIEM P
169 22-06-2023 `3505075609620006 ` ENDANG SUPRAPTI P
182 24-06-2023 `3505194107540106 `0002803181242 SUTILAH P
TGL LAHIR UMUR RR DIAGNOSA
(Th,Bln,Hr)

18-09-1952 70, 8, 15 18 I10-Essential (primar

01-07-1959 63, 11, 2 18 A15-Respiratory tuber
01-07-1958 64, 11, 4 18 J06-Acute upper respi
10-06-1959 63, 11, 25 22 J06.8-Other acute upp
10-06-1959 63, 11, 27 22 J06.9-Acute upper res
18-09-1952 70, 8, 20 20 I10-Essential (primar
01-07-1944 78, 11, 12 20 I10-Essential (primar
04-03-1962 61, 3, 9 18 I10-Essential (primar
05-03-1956 67, 3, 11 24 J06-Acute upper respi
04-07-1958 64, 11, 12 22 J06-Acute upper respi
05-08-1960 62, 10, 15 18 J06-Acute upper respi
01-07-1959 63, 11, 20 18 A15-Respiratory tuber
16-09-1962 60, 9, 6 20 J06.9-Acute upper res
01-07-1954 68, 11, 23 20 I10-Essential (primar
 KELURAHAN RT RW
TERAPI
AMBROXOL 30 MG/10/3*1; AMLODIPINE 5 mg/10/1-0-1; SALBSumberjo 4 9
AMBROXOL 30 MG/30/2X1; VITAMIN B6 10 mg/30/2X1, Sumberingin 1 8
ALPARA (Paracetamol 500 mg, PPA 12,5 mg, CTM 2 mg, DMP 1 Purworejo 1 4
AMOXICILLIN 500 mg/6/3x1; DEXAMETHASON 0.5 mg/6/3x1; Sanankulon 1 7
CTM 4 MG/6/3x1; GLICERYL GUAIACOLATE/6/3x1; PARACETAMO Sanankulon 1 7
AMBROXOL 30 MG/10/3x1; AMLODIPINE 5 mg/10/1-0-1; PEHAV Sumberjo 4 9
ALPARA (Paracetamol 500 mg, PPA 12,5 mg, CTM 2 mg, DMP 15Kalipucung 4 2
ALPARA (Paracetamol 500 mg, PPA 12,5 mg, CTM 2 mg, DMP 1 Bendosari 1 2
GLICERYL GUAIACOLATE/10/3x1; PARACETAMOL 500 mg/10/3x1 Kalipucung 2 5
GLICERYL GUAIACOLATE/6/3x1, Sanankulon 01 07
ALPARA (Paracetamol 500 mg, PPA 12,5 mg, CTM 2 mg, DMP 1 Sumber 1 5
ALLOPURINOL 100 mg/20/2x1; AMBROXOL 30 MG/30/3x1; PEHSumberingin 1 8
CTM 4 MG/6/0-1-1; GLICERYL GUAIACOLATE/10/1-1-1; VITAMIN Sumberjo 2 1
AMOXICILLIN 500 mg/10/3X1; GLICERYL GUAIACOLATE/6/3X1 Kalipucung 1 5
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 TGL
NO NIK NAMA TGL LAHIR
KUNJUNGAN

1 05-06-2023 `0003515597515 MUHAMMAD DAFFIN HAFIZH ALFAREZI 10-05-2021

2 05-06-2023 `3505074103180002 ANASTASYA RIZKIKA NAF'U 01-03-2018
3 05-06-2023 `3505071912620003 MUJITO 19-12-1962
4 08-06-2023 ` DICKY RUANDRIKA 19-11-2018
5 14-06-2023 `3505076307220002 Kikanaya 23-07-2022
6 14-06-2023 `3505070709190002 NABIL EKA WIRATAMA 07-09-2019
7 16-06-2023 `3505072505180002 ADEEVA BALQIS AZZAHRA 29-11-2018
8 17-06-2023 `3505075008590002 SUHARTI 10-08-1959
9 19-06-2023 ` 3505071203550001 SUKIMIN 12-03-1955
10 20-06-2023 ` 3505077105510001 SUNARMI 31-05-1951
11 26-06-2023 `3529144103960002 YULIANA 17-04-1995
12 26-06-2023 `3505075905770001 WIDYA ANDRI YANI 19-05-1977
13 26-06-2023 `35050657000006 SILVIA ANGGUN 17-05-2000
 UMUR JENIS
KELURAHAN RT RW
(Th,Bln,Hr) KELAMIN

2 L Purworejo 3 7
5 P Purworejo 2 8
60 L Sanankulon 2 7
4 L Kalipucung 2 3
10 BLN L Purworejo 5 2
3 L Tuliskriyo 3 3
4 P Sanankulon 2 2
63 P Kalipucung 3 3
68 L Sumber 1 1
72 P Purworejo 3 4
28 L Ponggok 3 2
46 P Sumber 1 6
23 L Bendo 5 1