REGISTER LABORATORIUM TB

PROGRAM TB NASIONAL TB.04

PUSKESMAS : MALINJAK
BULAN : April
TAHUN : 2015
NO IDENTITAS NOMOR TANGGAL NAMA TERSANGKA UMUR ALAMAT NAMA ALASAN PEMERIKSAAN HASIL PEMERIKSAAN TTD
NO SEDIAN DAHAK REG LAB PEMERIKSAAN PENDERITA L P LENGKAP PUSKESMAS DIAGNOSA FOLLOW UP A B C
1 001/06/121 121 3/4/2015 Umbu S W Adung 66 Manurara Malinjak √ _ _ _ _
2 001/06/122 122 4/4/2015 Oktavianus U K Lawu 32 Manurara Malinjak √ _ _ _ _
3 001/06/123 123 4/4/2015 Arisanti R B Toji 30 Manurara Malinjak √ _ _ _ _
4 001/06/124 124 4/4/2015 Toreto U Sangera 8 Manurara Malinjak √ _ _ _ _
5 001/06/125 125 4/4/2015 Vikrianto U Sunga 15 Tanamodu Malinjak _ FU1 _ _ _
6 001/06/126 126 7/4/2015 Kanisius K Pagalang 13 Manurara Malinjak √ _ _ _ _
7 001/06/127 127 8/4/2015 Tauwa Garamesa 41 Manurara Malinjak √ _ _ _ _
8 001/06/128 128 8/5/2015 Gauka Rawa 42 Wailawa Malinjak √ _ _ _ _
9 001/06/129 129 9/4/2015 Idi Rambu Suatu 21 Wailawa Malinjak √ _ _ _ _
10 001/06/130 130 8/4/2015 Citra R P Mosa 31 Wailawa Malinjak _ FUAP _ _ _
11 001/06/131 131 10/4/2015 Deksi U Kabali 23 Wailawa Malinjak √ _ _ _ _
12 001/06/132 132 11/4/2015 Selfiana D Gina 20 Wailawa Malinjak √ _ _ _ _
13 001/06/133 133 11/4/2015 Boba Radi 60 Wailawa Malinjak _ FUAP _ _ _
14 001/06/134 134 14/4/2015 Meka B Dauki 18 Wailawa Malinjak √ _ _ _ _
15 001/06/135 135 15/4/2015 Des B Laiju 10 Wailawa Malinjak √ _ _ _ _
16 001/06/136 136 16/4/2015 Rambu Padu Leba 40 Wailawa Malinjak √ _ _ 1+ 1+ SUSU
17 001/06/137 137 16/4/2015 Dapa Katanga 28 Wailawa Malinjak √ _ _ _ _
18 001/06/138 138 17/4/2015 Elfis l Bili 32 Wailawa Malinjak √ _ _ _ _
19 001/06/139 139 18/4/2015 David Dingu Dedi 50 Wailawa Malinjak √ _ _ 1+ 1+ SUSU
20 001/06/140 140 21/4/2015 Umbu Kaledi Kapeta 40 Malinjak Malinjak √ _ _ _ _
21 001/06/141 141 22/4/2015 Alfrido 14 Malinjak Malinjak √ _ _ _ _
22 001/06/142 142 22/4/2015 U M Sipul 70 Malinjak Malinjak √ _ _ _ _
23 001/06/143 143 23/4/2015 Karaji D Ngana 65 Malinjak Malinjak √ _ _ _ _
24 001/06/144 144 24/4/2015 Sari Rambu Regi 10 Wailawa Malinjak √ _ _ _ _
25 001/06/145 145 29/4/2015 Karolus U K yani 52 Malinjak Malinjak √ _ _ _ _
26 001/06/146 146 29/4/2015 Paulina R P Jabu 50 Malinjak Malinjak √ _ _ _ _
27 001/06/147 147 30/4/2015 Gadi Mayi 48 Malinjak Malinjak √ _ _ _ _
28 001/06/148 148 30/4/2015 Petrus P P Bani 30 Malinjak Malinjak √ _ _ _ _
29 001/06/149 149 30/4/2015 Marta R M Imung 58 Malinjak Malinjak _ FU1 _ _ _
PROGRAM TB NASIONAL TB.06
DAFTAR TERSANGKA PENDERITA (SUSPEK) TBC YANG DIPERIKSA DAHAK SPS
PUSKESMAS : MALINJAK TAHUN : 2015
BULAN : April
HASIL PEMERIKSAAN
NO IDENTITAS UMUR NOMOR REG
NO NAMA TERSANGKA PENDERITA ALAMAT LENGKAP A B C
SEDIAAN DAHAK LAB
L P TANGGAL HASIL TANGGAL HASIL TANGGAL HASIL
1 2 3 4 5 6 7 8 9 10 11 12 13
1 001/06/121 Umbu S W Adung 66 Manurara 2/4/2015 _ 3/4/2015 _ 3/4/2015 _ 121
2 001/06/122 Oktavianus K Lawu 32 Manurara 3/4/2015 _ 4/4/2015 _ 4/4/2015 _ 122
3 001/06/123 Arisanti R B Toji 30 Manurara 3/4/2015 _ 4/4/2015 _ 4/4/2015 _ 123
4 001/06/124 Toreto U Sangera 8 Manurara 3/4/2015 _ 4/4/2015 _ 4/4/2015 _ 124
5 001/06/126 Kanisius K Pagalang 13 Manurara 6/4/2015 _ 7/4/2015 _ 7/4/2015 _ 126
6 001/06/127 Tauwa Garamesa 41 Manurara 7/4/2015 _ 8/4/2015 _ 8/4/2015 _ 127
7 001/06/128 Gauka Rawa 42 Wailawa 7/4/2015 _ 8/4/2015 _ 8/4/2015 _ 128
8 001/06/129 Idi R Suatu 21 Wailawa 8/4/2015 _ 9/4/2015 _ 9/4/2015 _ 129
9 001/06/131 Deksi U Kabali 23 Wailawa 9/4/2015 _ 10/4/2015 _ 10/4/2015 _ 131
10 001/06/132 Selfiana D Gana 20 Wailawa 10/4/2015 _ 11/4/2015 _ 11/4/2015 _ 132
11 001/06/134 Meka B Dauki 18 Wailawa 13/4/2015 _ 14/4/2015 _ 14/4/2015 _ 134
12 001/06/135 Des B Laiju 10 Wailawa 14/4/2015 _ 15/4/2015 _ 15/4/2015 _ 135
13 001/06/136 R Padu Leba 40 Wailawa 15/4/2015 _ 16/4/2015 1+ 16/4/2015 1+ 136
14 001/06/137 Dapa Katanga 28 Wailawa 15/4/2015 _ 16/4/2015 _ 16/4/2015 _ 137
15 001/06/138 Elfis L Bili 32 Wailawa 16/4/2015 _ 17/4/2015 _ 17/4/2015 _ 138
16 001/06/139 David Dingu Dedi 50 Wailawa 17/4/2015 _ 18/4/2015 1+ 18/4/2015 1+ 139
17 001/06/140 Umbu Kaledi Kapeta 40 Malinjak 20/4/2015 _ 21/4/2015 _ 21/4/2015 _ 140
18 001/06/141 Alfrido 14 Malinjak 21/4/2015 _ 22/4/2015 _ 22/4/2015 _ 141
19 001/06/142 U M Sipul 70 Malinjak 21/4/2015 _ 22/4/2015 _ 22/4/2015 _ 142
20 001/06/143 Karaji D Ngana 65 Malinjak 22/4/2015 _ 23/4/2015 _ 23/4/2015 _ 143
21 001/06/144 Sari R Regi 10 Wailawa 23/4/2015 _ 24/4/12015 _ 24/4/2015 _ 144
22 001/06/145 Karolus U K Yani 52 Malinjak 28/4/2015 _ 29/4/2015 _ 29/4/2015 _ 145
23 001/06/146 Paulina R P Jabu 50 Malinjak 28/4/2015 _ 29/4/2015 _ 29/4/2015 _ 146
24 001/06/147 Gadi Mayi 48 Malinjak 29/4/2015 _ 30/4/2015 _ 30/4/2015 _ 147
25 001/06/148 Petrus P P Bani 30 Malinjak 29/3/2015 _ 30/4/2015 _ 30/4/2015 _ 148