DAFTAR SKRINING PASIEN RESIKO JATUH

Tanggal No. RM Nama No. JKN Alamat

1/3/2023 4465 SITI NGAISAH 785163431 MERGAN
1/3/2023 44159 ASTRI 2814533875 KASIN JAYA
1/3/2023 14860 MISTID 111709888 MERGAN
1/4/2023 278 SOEPARMI 111469937 KLAYATAN 2
1/4/2023 34355 LAILATUL R 2814520173 KASIN JAYA
1/4/2023 660 ANIS FARID 20783902593 KBS
1/5/2023 3660 SRIATI 785188348 JANTI BARAT
1/5/2023 43779 SUNARTI 1435701047 KEMANTREN 1
1/5/2023 42678 PRATAMI H 272019735 S SUPRIADI
1/6/2023 13926 SUPARTIN 1538501444 kemantren
1/6/2023 5022 RUSTIN 1049540455 kemantren
1/6/2023 6440 LUKIYATININGSIH 2728991597 janti barat
1/6/2023 33887 WINARSIH 2814518125 gempol
1/7/2023 948 MESLIKHAH 784218559 IR RAIS
1/7/2023 28837 LIEM WAN SOEI 2611335576 GREENFIELD
1/7/2023 2755 RIATI 7853542079 NGAGLIK
1/7/2023 4477 MINARSIH 1380415983 TERS TPY
1/9/2023 44063 SUDIONO 2730359529 JANTI BAR
1/9/2023 9658 SRI ATININGSIH 1379157849 SAT TUBUN
1/9/2023 9557 SAMINI 111721781 PEL. KETAPANG
1/9/2023 11542 TURIWATI 1705007812 SUKUN
1/9/2023 1543 WIWIK S 784364951 SUKUN
1/9/2023 12201 ELOK A 2268705778 KLAYATAN
1/10/2023 1882 MUTINGAH 784432866 JANTI
1/10/2023 13105 AMALAH 784252528 KEMANTREN
1/10/2023 3849 LASIAMI 1403209078 S SUKUN
1/11/2023 2632 MUJIATI 250415248 S SUPRIADI
1/11/2023 31780 SARTINI 2310864625 IR RAIS
1/11/2023 15815 SUMIATI 1899892124 SAT TUBUN
1/11/2023 8754 NINIK P 784053551 KLAYATAN
1/12/2023 2608 SITI ROCHMAN 1451703947 JANTI 8
1/12/2023 21212 SUTIYAH 1403204657 NGAGLIK 4B
1/12/2023 42362 SULISWATI 2414064857 IR RAIS
1/12/2023 3317 MARSINAH 111460151409 KLAYATAN 3
1/13/2023 2454 SAKINAH 1871256194 SUKUN
1/13/2023 36360 MARSOEMM 111614782 CANGAK
1/13/2023 42375 MISTRI 1798081053 SIDOMULYO
1/13/2023 3694 KARTINI 1403205658 JANTI UT
1/13/2023 4362 SITI AMINAH 1049534741 SUKUN
1/14/2023 6406 ROHIYUNI 1437297805 KLAYATAN
1/14/2023 39840 MARINI 783973348 KEMANTREN
1/14/2023 7383 MARLIYAH 1049539059 KEMANTREN
1/14/2023 13831 SIH LUMINTU 2814578024 GEMPOL
1/14/2023 22423 SRIYANI 784443644 JANTI UTARA
1/14/2023 3766 SJAFFAT 111704769 TAMAN SEGAWE 9
1/16/2023 6166 YASMI UMIATI 784361619 IR RAIS
1/16/2023 179 PONIARTI 272218349 GADANG IV-29
1/16/2023 279 MISTIN 1403199549 PEKRUTUT
1/17/2023 41437 KUSMANI 273068755 KLAYATAN
1/17/2023 3949 MURTIYEM 1049531758 PARKIT
1/17/2023 28972 RUMINAH 1338887316 KEMANTREN
1/17/2023 21522 TUKILAN 1476307273 KEMANTREN
1/18/2023 36875 SUGIANTO 226204189 KEMANTREN
1/18/2023 21843 SRI KARTINI 111747789 KLAYATAN
1/18/2023 43249 DJASMAUN 2814534628 MERGAN
1/18/2023 23944 ALFIJAH 1403206097 BERINGIN
1/19/2023 9767 WIJIATI 1292222515 JL.P.KETAPANG 1-17
1/19/2023 178 SUPARMAN 2772218182 JL.GADANG
1/19/2023 12732 IMAM 11708527 JANTI
1/20/2023 40724 WIDHI A 129002182 SUKUN
1/20/2023 4362 SITI AMINAH 1049534741 SUKUN 9
1/21/2023 44372 GINO AGUSTINI 2814523694 KLAYATAN
1/21/2023 3921 SUPARNO 208897075 KEPODANG
1/24/2023 11372 SARIMAH 784489015 SIDOMULYO
1/24/2023 38104 SRIATUN 2607701668 GEMPOL
1/25/2023 32362 ISWINARTI 2774668893 KEPUH
1/25/2023 8082 YAMSIAH 784990967 S.SUPRIADI
1/26/2023 21212 SUTIYAH 1403204657 NGAGLIK
1/26/2023 29211 HARSINI 1286876867 JANTI
1/27/2023 7531 SUMARYONO 200891788 KEMANTREN 3
1/27/2023 7530 SUYATI 200892464 KEMANTREN 3
1/28/2023 43923 SUTRISNO 1872469513 MERGAN RAYA
1/28/2023 3572 SUSIANI 1790529524 S SUPRIADI
1/30/2023 278 SOEPARMI 111469937 KLAYATAN 3
1/30/2023 1882 MUTINGAH 784432686 JANTI 8
1/31/2023 16771 SARI 784453138 GEMPOL
1/31/2023 7832 AGUS TRI 1832106587 S SUPRIADI
Tanggal lahir

5/5/1960
10/12/1958
9/3/1954
2/16/1946
7/10/1958
3/3/1960
5/3/1955
12/31/1954
12/12/1956
8/28/1954
1/1/1955
5/29/1961
1/8/1960
8/10/1958
6/5/1975
12/31/1961
8/27/1961
11/3/1941
2/2/1956
5/10/1956
6/8/1951
12/31/1952
12/5/1958
9/1/1962
4/21/1962
4/24/1957
6/21/1962
3/19/1961
3/19/1951
 1/1/1953
5/16/1961
8/15/1947
1/1/1962
11/11/1952
4/19/1958
4/30/1953
7/1/1957
12/9/1960
6/3/1956
8/6/1961
8/7/1952
8/21/1955
4/20/1956
8/11/1958
3/10/1951
8/7/1948
10/2/1960
4/24/1957
2/8/1962
8/30/1958
12/31/1963
12/15/1963
8/8/1964
1/7/1956
2/21/1956
4/1/1962
2/3/1958
12/17/1961
3/12/1960
3/12/1949
8/12/1952
1/1/1955
12/31/1952
8/3/1960
 DAFTAR SKRINING PASIEN RESIKO JATUH

Tanggal No. RM Nama No. JKN NIK Tanggal lahir

2/1/2023 35698 ANIE SUKARMI 1846882596 2/23/1947
2/1/2023 5894 SUPATMIWATI 111705085 9/16/1956
2/1/2023 16228 SRI BAWON 2728981449 1/1/1955
2/2/2023 23944 ALFIJAH 1403206097 3573046004550000 4/20/1956
2/2/2023 37638 SUHARMADJI 1797209842 3573041212540010 12/12/1954
2/2/2023 2990 NGATIMUN 1049540117 3573041507520000 7/15/1952
2/3/2023 22417 SARMINI 784528198 12/31/1942
2/3/2023 2216 TARMI 1326046162 8/23/1961
2/3/2023 5680 RIANTO 1312022351 2/4/1963
2/4/2023 41263 ENDANG ARUM 111349901 6/28/1956
2/4/2023 30717 YUSUF M 2626897105 3507212605560000 5/26/1956
2/4/2023 11061 AMININ 111055318 3573045912600000 12/19/1960
2/6/2023 34377 TANEKE B 2814517901 10/24/1962
2/6/2023 11542 TURIWATI 1705007812 1/20/1960
2/6/2023 1500 MURAH 1049537553 1/1/1937
2/6/2023 42261 SITI R 2814523435 2/7/1960
2/7/2023 30717 YUSUF M 2626897105 5/26/1956
2/7/2023 3849 LASIAMI 1403209078 1/8/1960
2/7/2023 34095 SITIN 1403207943 3573044101420030 1/1/1942
2/8/2023 12763 BAWON S 784209161 5/5/1953
2/8/2023 12347 MULYADI 1432777331 357304030460002 4/3/1960
2/8/2023 1743 TRISNADI 1407311957 2/1/1958
2/9/2023 204 SRI PUJI 784210198 4/7/1964
2/9/2023 10958 LALA 111454424 8/7/1950
2/9/2023 2608 SITI ROCHMAN 1451703947 11/3/1941
2/10/2023 5022 RUSTIN 1049540455 3573044412570000 12/4/1955
2/10/2023 30717 YUSUF 2626897105 3507212605560000 6/26/1956
2/10/2023 12392 NUR HIDAYAT 1305096535 3573041001540000 1/10/1954
2/11/2023 36360 MARSOEM 111614782 12/5/1938
2/11/2023 1633 SUSWATI 2232739394 3/25/1962
2/11/2023 43923 SUTRISNO 1872469513 3/12/1960
2/13/2023 1788 SUDARNO 1302542381 3573043112560020 12/31/1956
2/13/2023 1789 KRISTANTY 1302544438 12/3/1960
2/13/2023 21457 M FAUZAN 1899891415 4/12/1954
2/13/2023 12390 SUSIATI 1305097659 3573045010580000 8/1/1957
2/14/2023 6064 RUSMIASIH 1268962165 3/27/1948
2/14/2023 19366 MUSLIM 784053494 6/15/1954
2/14/2023 42375 MISTRI 1798081053 9/1/1962
2/15/2023 1470 SARDJU H 111720879 3573046808450000 8/29/1945
2/15/2023 1139 INEM 1255939402 3573044201520000 1/2/1952
2/15/2023 9913 SUTIK 784028507 3573046405620000 1/1/1962
2/16/2023 8584 RUPIATI 1472085606 3573046709500000 9/27/1950
2/16/2023 18331 SUTIAMI 1403220881 12/12/1962
2/16/2023 7383 MARLIYAH 1049539059 3/19/1954
2/17/2023 41355 RAHMI ANDAYANI 1796788629 5/3/1963
2/17/2023 24152 TJONG NIO 1438932262 10/6/1939
2/17/2023 1658 SIAMAH 273250563 6/16/1952
2/20/2023 30296 SALAMAH 110580445 4/30/1960
2/20/2023 30717 YUSUF M 2626897105 5/26/1956
2/20/2023 38307 SUDARMADJI 2458627975 7/8/1955
2/20/2023 1128 TOYIB 1795155669 9/3/1950
2/20/2023 36586 MUJIATI 2729057242 11/5/1961
2/21/2023 20707 EDDY H 2377612866 3573044303610000 3/3/1961
2/21/2023 1883 SUWITO 784430807 3573042002500000 2/20/1956
2/21/2023 4263 SUPRAPTI 111724086 3573045005550000 5/10/1955
2/22/2023 12347 MULYADI 1432777331 3573040304600000 4/3/1960
2/22/2023 22595 SUPRAPTI 784670152 11/25/1957
2/22/2023 2056 MISDIANTO 1843655207 6/7/1953
 Alamat
KLAYATAN
PUTER
IR RAIS
BERINGIN
KLAYATAN
KEMANTREN
S SUPRIADI
KLAYATAN
MERGAN
KAVALERI DALAM
TEMU
KEPUH
GEMPOL
SUKUN 7
JANTI BARAT
KLAYATAN 1
TEMU
SUKUN TIMUR
SIMP SUKUN
IR RAIS
KEMANTREN
KEMANTREN
JANTI VVI
AS TUBUN
JANTI VII
kemanten
DSN temu
bido
CANGAK
JANTI
MERGAN
KLAYATAN
KLAYATAN
AS TUBUN
BIDO
SPI
KLAYATAN
SUKUN
S SUPRIADI
S SUPRIADI
JANTI SEL
TRS MERGAN
 SIDOMULYO
KEMANTREN
klayatan 1
ZAENAL ARIFIN
s supriadi
JANTI BAR
TEMU
KEPUH
TEMU
KEMANTREN
KLAYATAN
JANTI SELATAN
GEMPOL
KEMANTREN
TANJUNG
GADANG
 DAFTAR SKRINING PASIEN RESIKO JATUH

Tanggal No. RM Nama No. JKN NIK Tanggal lahir

3/1/2023 2454 SAKIYAH 1871256194 12/31/1954
3/1/2023 44411 TASMINI 1276318056 10/16/1957
3/2/2023 37638 SUHARMADJI 1797209842 12/12/1954
3/2/2023 2023 SUMIATI 1403228777 12/9/1967
3/3/2023 1658 SIAMAH 2730250563 6/15/1952
3/3/2023 23171 SUDORO R 111793511 3/9/1959
3/4/2023 10856 YATINAH 784086175 3/7/1954
3/4/2023 38400 VALENTINA 1407317973 1/21/1962
3/4/2023 32990 SRI INDRA 2467338748 9/4/1956
3/6/2023 42362 SULISTWATI 2414064857 5/10/1956
3/6/2023 5799 SU[PARMI 783964719 11/15/1955
3/6/2023 4504 SUNARIYAH 784316103 9/30/1956
3/7/2023 1788 SUDARNO 1302542381 3573043112560020 12/31/1956
3/7/2023 3011 RACHMAD BUDIONO 2778580383 3573042404600000 4/24/1960
3/8/2023 14866 BACRIYAH 785090632 5/3/1960
3/8/2023 16236 SUMARIYANI 1433714848 12/6/1956
3/8/2023 39336 SRI LESTARI 100045438 4/4/1958
3/9/2023 42289 HARIYATI 112994381 3/18/1962
3/9/2023 21457 M FAUZAN 1899891415 4/12/1954
3/9/2023 4106 SUYITNO 1263837519 5/5/1950
3/10/2023 12392 NUR HIDAYAT 1305096535 1/10/1954
3/10/2023 1812 KHASANAH 2772455253 12/31/1957
3/10/2023 2127 RIYANTO 784734704 9/10/1962
3/11/2023 21112 CHUSEN 784713723 12/31/1953
3/11/2023 2632 MUDJIATI 2500415245 8/10/1958
3/11/2023 2755 RIATI 785354207 9/3/1954
3/13/2023 12958 RR YOEL 783909707 5/26/1960
3/13/2023 5022 RUSTIN 1049540455 12/4/1957
3/13/2023 34386 NAWAWI 784429402 10/3/1958
3/14/2023 6440 LUKIYATINGSIH 2728991597 3/13/1954
3/14/2023 14860 MISTID 111709888 12/25/1956
3/15/2023 3264 SUPONO 1433372242 5/9/1948
3/15/2023 28972 RUMINAH 1338887316 12/9/1960
3/16/2023 5921 SUPARMI 784015356 3573047112470010 12/31/1947
3/16/2023 1139 INEM 1255939402 357304420152001 1/2/1952
3/17/2023 30717 YUSUF M 2626897105 5/26/1956
3/17/2023 22400 ASTUTIK HARIYATI 783979064 4/30/1952
3/17/2023 1276 MOEDJI S 784918855 10/18/1965
3/18/2023 278 SOEPARMI 111469937 8/12/1952
3/18/2023 19410 SUDARSONO 111473076 5/2/1942
3/18/2023 14282 RIYANI 783209248 12/31/1947
3/20/2023 4921 MISDI 1387193589 3507190202540000 2/2/1954
3/20/2023 4017 SUPIJATUN 111453502 3573047112450050 12/31/1945
3/20/2023 15815 SUMIATI 1899892124 12/31/1961
3/21/2023 3949 MURTIYEM 1049531758 3573044107530050 7/1/1953
3/21/2023 16525 NGATEMI 2213311364 10/24/1969
3/21/2023 5082 LASMI 111711328 12/18/1949
3/24/2023 38308 SUNARIYATI 2458631417 3/14/1960
3/24/2023 30110 MARIYANI 110458743 6/7/1958
3/24/2023 28340 SIH WANODYO 2378391636 10/21/1963
3/25/2023 39730 SUROSO 1892239705 4/13/1955
3/25/2023 4107 SUKATMI 111701169 2/12/1950
3/25/2023 10585 RUSMAT 784433755 1/4/1956
3/27/2023 14949 MARIYATUN 1403199865 12/12/1956
3/27/2023 24828 SULIADI 110810823 8/16/1946
3/27/2023 37034 SRI WAHYU 1892322483 12/31/1957
3/28/2023 5022 RUSTIN 1049540455 12/4/1955
3/28/2023 13593 LASMINI 1445371986 1/1/1945
3/28/2023 25377 SUKARDI 1268288201 9/9/1950
 Alamat
SUKUN
PEL BAHAKUNI
KLAYATAN 2
JANTI SEL
JL.Simp.Supriadi XI-156
Simp.janti regency kav. II
TPY
NEW CLUSTER
S SUPRIADI
IR RAIS
KLAYATAN 2
GLATIK DALAM
KLAYATAN
KLAYATAN
KLAYATAN
KEPUH
KLAYATAN
SPI
AS TUBUN
KBS
JLN BIDO
ARIF MARGONO
GADANG
KLAYATAN
S S SUPIADI
NGAGLIK
IR RAIS
KEMANTREN
KEMANTREN
JANTI BAR
MERGAN
NGAGLIK
KEMANTREN
KLAYATAN I
S. SUPRIADI
TEMU
IR RAIS
PRENJAK
KLAYATAN 2
GEMPOL MARGA BAKTI
KEPODANG
TARUPALA
 KLAYATAN
S TUBUN
PARKIT UTARA
KARANGLO
SUKUN
KEPUH 5B
JANTI C
KARYA TIMUR
GEMPOL
CENDANA
KLAYATAN
GEMPOL
DS BUWEK
KEPUH
KEMANTREN III
SUKUN VI
JANTI
 DAFTAR SKRINING PASIEN RESIKO JATUH

Tanggal No. RM Nama No. JKN Tanggal lahir Alamat

4/1/2023 7724 MISKAN 1286201878 6/16/1956 KLAYATAN
4/1/2023 30717 YUSUF M 2626897105 5/2/1956 TEMU
4/3/2023 279 MISTIN
LIMPATING 1403199549 4/19/1958 PERKUTUT SEL
4/3/2023 41044 BUDI 1082518863 10/30/1960 PERUM ROYAL JANTI
4/3/2023 280 SUTONO 1403199595 5/10/1957 PERKUTUT SEL
4/3/2023 43930 I MADE S 3295064092 24/41963 IR RAIS
4/4/2023 42289 HARIYATI 112994381 3/18/1962 SPI
4/4/2023 44372 GINO 2814523694 12/8/1963 KLAYATAN 1
4/4/2023 10004 SANTOSO 1294554328 4/20/1952 PUTER TENGAH
4/5/2023 5680 RIANTO 1312022351 2/4/1963 jl.Mergan musholla 719
4/5/2023 30717 YUSUF M 2626897105 5/26/1956 Dsn temu rt 07 rw 03
4/5/2023 5089 SARIYAMI 203768109 7/19/1957 jl.mergan lori 2b
4/6/2023 788 SURYANTO 110388532 7/19/1957 jl.mergan lori 2b
4/6/2023 4921 MISDI 1387193589 2/20/1956 janti vIII
4/6/2023 20707 EDDY H 2377612866 11/15/1949 klayatan 1
4/8/2023 36360 MARSOEM 111614782 12/5/1938 CANGAK
4/8/2023 30717 YUSUF M 2626897105 5/26/1956 TEMU
4/10/2023 29384 JUMALI 11/17/1960 BANDUNGREJOSARI
4/11/2023 4775 DARMI 1403228946 2/15/1952 BANDUNGREJOSARI
4/11/2023 10250 SUGIATI 785480376 9/24/1955 kepuh
4/11/2023 16442 SUWARTI 2730251733 5/5/1950 s supriadi
4/12/2023 11597 MISENI 783290801 5/10/1959 SUKUN
4/12/2023 21418 SUADMADJI 1390511913 11/26/1954 MENCO
4/13/2023 28972 RUMINAH 1338887316 12/9/1960 BANDUNGREJOSARI
4/13/2023 44801 RIYONO
RAHAYUNINGD 1325929454 6/25/1954 BANDUNGREJOSARI
4/14/2023 6057 YAH 1874597253 9/13/1960 JANTI BARAT
4/14/2023 42375 MISTRI 1798081053 9/1/1962 SUKUN
4/14/2023 1543 WIWIK
LESTARIS 784364951 12/12/1956 SUKUN
4/15/2023 500 RAHAYU 111711475 3/20/1947 janti
4/15/2023 34476 ENDANG SRI H 1462788562 4/11/1980 suwari utara
4/17/2023 469 SUMIJAH 1286211273 3/13/1954 KLAYATAN
4/17/2023 30717 YUSUF M 2626897105 5/26/1956 TEMU
4/18/2023 468 TAMINTEN 1403205985 12/31/1951 JANTI UT
4/18/2023 21212 SUTIYAH 1403204657 2/2/1956 NGAGLIK
4/18/2023 5636 USOLI AKBARI 111737024 6/10/1948 JANTI SEL
4/18/2023 19696 TARMININGSIH 111737035 5/15/1951 JANTI
4/27/2023 38307 SUDARMADJI 2458627975 7/8/1955 KEPUH
4/27/2023 41043 NUNUK S 39535806 1/6/1962 JANTI BARAT
4/27/2023 4017 SUPIJATUN 111453502 12/31/1945 KLAYATAN III
4/27/2023 6664 SUSIANA 2762643695 6/14/1953 JANTI BARAT
4/28/2023 11794 PRIADMAJI 1807431423 1/2/1951 TPY 4
4/28/2023 3265 KEMI 111736732 7/15/1954 KEPUH 6
4/28/2023 36329 HEPI 2730314068 1/3/1963 KEBEN
4/29/2023 9149 KUNAMAH 210453952 12/12/1957 jl.mergan sekolahan 12a
4/29/2023 13557 MISTIN 783178569 12/31/1959 JL.S SUPRIADI
4/29/2023 21115 TRI BUDJIATI 2866296699 8/10/1954 perum tirtasari raya
4/29/2023 7531 SUMARYON 200891788 2/3/1958 kemantren III
 DAFTAR SKRINING PASIEN RESIKO JATUH

Tanggal No. RM Nama No. JKN NIK Tanggal lahir

Alamat
 DAFTAR SKRINING PASIEN RESIKO JATUH

Tanggal No. RM Nama No. JKN NIK Tanggal lahir

Alamat
 DAFTAR SKRINING PASIEN RESIKO JATUH

Tanggal No. RM Nama No. JKN NIK Tanggal lahir

Alamat
 DAFTAR SKRINING PASIEN RESIKO JATUH

Tanggal No. RM Nama No. JKN NIK Tanggal lahir

Alamat