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  • NO Nama Nomor Kartu Diagnosa Alamat Rumah Telepon/Hp TB (CM) BB (KG)

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    Wahid Fuoy
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    This document contains a table summarizing the health monitoring results of 20 participants in a routine Prolanis activity group at the Bhakti Pratama Mayang Clinic on an unspecified Sunday. It includes each participant's name, ID number, diagnosis, address, phone number, height, weight, BMI, blood pressure readings, and blood glucose levels. Signatures are included at the bottom to verify the results.

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    Absen Prolanis 1 - Copy

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    This document contains a table summarizing the health monitoring results of 20 participants in a routine Prolanis activity group at the Bhakti Pratama Mayang Clinic on an unspecified Sunday. It includes each participant's name, ID number, diagnosis, address, phone number, height, weight, BMI, blood pressure readings, and blood glucose levels. Signatures are included at the bottom to verify the results.

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    4 views7 pages

    NO Nama Nomor Kartu Diagnosa Alamat Rumah Telepon/Hp TB (CM) BB (KG)

    Uploaded by

    Wahid Fuoy
    This document contains a table summarizing the health monitoring results of 20 participants in a routine Prolanis activity group at the Bhakti Pratama Mayang Clinic on an unspecified Sunday. It includes each participant's name, ID number, diagnosis, address, phone number, height, weight, BMI, blood pressure readings, and blood glucose levels. Signatures are included at the bottom to verify the results.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    of 7

    DAFTAR HADIR DAN REKAP HASIL PEMANTAUAN KESEHATAN RUTIN

    DALAM RANGKA KEGIATAN KELOMPOK PROLANIS


    DI KLINIK BHAKTI PRATAMA MAYANG
    HARI MINGGU TANGGAL ..................................

    TB BB
    NO NAMA NOMOR KARTU DIAGNOSA ALAMAT RUMAH TELEPON/HP (cm) (kg)

    1 TN. ABDUL AZIZ 0002223261663 DM + HT MRAWAN 081332031493

    2 TN. ABDULLAH H 0002236918162 DM SUKOWONO 081331452028

    3 TN. ANDRIYANTO TJANDRA 0001285992134 HT SUMBER KEJAYAN 08125265687

    4 NY. HAJIATUS SOLEHA 0001850739175 DM + HT TEGAL REJO 085312989671

    5 NY. HUSNUL HOTIMAH 0001790029596 DM KLAYU 085204872275

    6 TN. JEMHARI 0000691212666 HT MAYANG 085100830798

    7 NY. JUMANI 0002232680128 DM + HT SUMBER KEJAYAN 085104751626

    8 TN. KARIYANTO 0001441824129 HT TEGAL REJO 082139703502

    9 NY.LIM 0000694896748 HT PAKUSARI 082301157241

    10 NY. MISYANI 0000691011999 HT SUMBER KEJAYAN 082312068386

    11 NY. NIMA 0000114105824 HT KARANG KEDAWUNG 082316280235

    12 NY. ROBBENA 0001039520531 DM SUMBER KEJAYAN 085214441062

    13 NY. SAHRIYA 0000690503815 HT SUMBER KEJAYAN 087712965225

    14 TN. SAMSURI 0001790028101 DM + HT KLAYU 085209872275

    15 TN. SATRUKI 0000690604391 HT TEGAL REJO 081235100722

    16 TN. SAWAR 0000689443244 HT SIDOMUKTI 082301052343

    17 TN. SIGIT SUGIARTO 0000167660482 HT MAYANG 085236960853


    DI KLINIK BHAKTI PRATAMA MAYANG
    HARI MINGGU TANGGAL ..................................

    TB BB
    NO NAMA NOMOR KARTU DIAGNOSA ALAMAT RUMAH TELEPON/HP (cm) (kg)

    18 TN. SLAWI 0000113985821 HT KARANG KEDAWUNG 085102685463

    19 NY. SUGINI 0000114578302 HT MAYANG 082140174147

    20 NY. SUNARSI 0002002313957 DM TEGAL REJO 085233838028


    TIN

    IMT TEKANAN DARAH KADAR GULA DARAH


    TANDA TANGAN
    (Kg/m2) SISTOLE DIASTOLE GDP GDPP GDS
    1

    10

    11

    12

    13

    14

    15

    16

    17
    IMT TEKANAN DARAH KADAR GULA DARAH
    TANDA TANGAN
    (Kg/m2) SISTOLE DIASTOLE GDP GDPP GDS
    18

    19

    20
    Jember,....................................
    Penanggung Jawab Kegiatan

    Dhanis One
    ANAMNESE PESERTA PROLANIS HARI KAMIS TGL 29 SEPTEMBER 2016

    NO NAMA ALAMAT KELUHAN TD GDA CHOLESTEROL TERAPI

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