FORMAT PENCATATAN DAN PELAPORAN HASIL DETEKSI DINI

PERINGATAN HARI DIABETES SEDUNIA 2018

POS PELAYANAN :
HASIL PEMERIKSAAN
NO NAMA UMUR NIK ALAMAT BB TB IMT LP TEKANAN DARAH GDS/GDP
NORMAL TDK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAKNORMAL

1 Yanti Sirait 1-8-1971 1272085908810001 Marihat Central 62 152 104 130/80 104
2 Arina 1-1-1971 1272085101840001 Marihat Central 55 150 104 120/70 158
3 Dena Indriani 1-7-1981 12708016106930800 Marihat Central 58 150 115 120/70 78
4 Mahrum 24-4-1964'127205240460002 Marihat Central 70 162 98 140/90 121
5 Nurhayat 1-12-1998'1272056201580001 Marihat Central 60 162 95 120/80 92
6 Sri Hartat 8-11-1965'1208014811850003 Marihat Central 52 150 902 120/80 137
7 Syaumi Ifdiana 25-11-1985'1272056711690004 Marihat Central 65 151 108 150/90 421
8 Linda 16-4-1967'1272085604670001 Marihat Central 70 156 98 120/70 115
9 Sri Yant 13-3-1983'1272085103820002 Marihat Central 60 150 104 120/80 81
10 Ainum Mardiah 16-1-1990'1272015681900005 Marihat Central 65 150 90 110/60 86
11 Hutnul Hotmah 9-12-1981'1272054912810001 Marihat Central 64 155 104 110/70 106
12 Nomianna Sembiring '14-4-1975 127208540780003 Marihat Central 62 150 106 110/70 100
13 Epina Hasibuan 17-11-1979'1272085711690001 Marihat Central 61 152 96 120/70 118
14 Janetti Simorangkir 18-8-1966'127208580660001 Marihat Central 52 150 98 130/80 124
15 Rokki Sihombing 29-7-1965'12720829077650001 Marihat Central 50 160 87 100/60 178
16 Barita Samosir '1-12-1963 1272056707670006 marihat dua 58 156 98 100/60 104
17 Delima SIRINGGO2 15-5-1969'1272055505690001 JLN M SIREGAR 68 163 97 160/90 158
18 Irman Yosep 21-7-2001'1272082107010001 JLN M SIREGAR 55 156 89 110/70
19 Ade Cinthya M 16-8-1999'1272085608990001 JLN M SIREGAR 59 160 89 110/70 136
20 Sant Kristalina S 27-1-1989'127205670190001 MARIHAT 3 62 150 100 130/80 124
21 Mastyah 27-8-1856'12720568077560002 marihat central 62 145 98 150/90 158
22 Patar Simanjuntak 4-11-1976'1272050411760003 Marihat3 47 157 86 120/70 137
23 HENDRI Panjaitan 16-8-1968'1 1272051904690001 marihat3 67 160 87 120/70 165
24 lodewek op sunggu 22-7-1963'1272082207630001 Marihat3 65 168 86 140/90 350
25 Sanuber Damanik 12720815055300001 JLN M SIREGAR 76 156 104 150/90 286
26 Albertus Simarmata 16-07-1977 1272081607770001 Gg Pd 55 165 68 130/70 430
27 Bunga Nainggolan 1-5-1959 1272055507540001 Marihat 3 53 147 94 120/70 115
 HASIL PEMERIKSAAN
NO NAMA UMUR NIK ALAMAT BB TB IMT LP TEKANAN DARAH GDS/GDP
NORMAL TDK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAKNORMAL

28 Rusmala Sitanggang 30-8-1975 1272057008750002 jln bahkora marihat 2 62 154 100 100/60 109
29 Erpina Ringgo ringo 7-71-1962 1272083099116 JLN BAHKORA 2 65 165 98 130/70 396
30 Arlen Saragih 6-6-1956 1208190606560002 jln manunggal karya 69 167 96 120/70 158
31 Tiurlina Sihotang 10-6-1954 1208195006540001 Gg Betesda 40 151 74 150/90 542
32 Romiko Nainggolan 1-12-1978'1272052512780003 Marihat central 58 157 102 120/70 108
33 Armin Susila 7-4-1949 1272080704490002 Marihat central 68 162 105 140/80 108
34 Nurmala Sitorus 10-11-1959 1272025011590004 jln M KARYA 62 149 102 140/90 132
35 Rinie Sidabutar 18-10-1987 1217095810870001 jln m siregar 57 157 98 90/60 145
36 Darlian Siregar 10-8-1954'1272015008540003 jln Patmura 54 148 109 140/90 306
37 Sopian Damanik 8-4-1953 1272010804540001 jln Patmura 60 159 98 130/90 223
38 Elpia Panjaitan 1-9-1957 1272084910570001 Sibiak 50 144 89 120/70 104
39 Wasinton Purba 22-1-19651272052201650003 Gg PD 67 165 108 130/80 127
40 Bermanto Sagala 10-12-1999 1272081012990003 Sibiak 51 163 109 110/70 165
41 Linda Sagala 1-11-1974'1272085011740001 Sibiak 85 153 140 150/90 243
42 Nurlia Matondang 1-10-1957'1208274210570001 Sibiak 68 153 102 120/70 135
43 Makhyar Nasuton 1-8-1973 1272056208730001 M CENTRAL 64 152 105 160/90 246
44 Ramah Manalu 21-3-1978'1272086103780001 Sibiak 76 159 143 120/80 236
45 Rohani Sianturi 1-7-1968 1272055407690002 Sibiak 62 149 98 120/70 145
46 Naomi Sh Siagian 17-9-1975'1272055709750002 Marihat 3 50 145 104 120/70 122
47 Nuraini 10-3-1957'1272085003570001 M CENTRAL 60 157 108 140/90 212
48 Timbang Simanjuntak 1-11-1996'127080111960001 Ht pisang 56 165 98 120/70 86
49 Poltak Simanjuntak 1-9-1967 1272052709670001 Ht pisang 68 167 109 140/90 230
50 Pittir Sidabutar 24-9-1965'127208409650001 Gg Pd 72 155 120 130/80 155
51 Vica Natal Siahaan 1-12-2001121272055612010001 Gg Pd 46 145 89 120/70 98
52 Haji Bin Maruhu 1-8-1974 1272081608740001 M CENTRAL 50 157 100 120/70 134
53 Mhd Rahmat Siregar 13-11-1974 1272081311740002 JLn M Siregar 65 163 89 120/60 106
54 Restanna Sirait 15-7-1957'1272055507570001 Sibiak 54 145 98 140/90 223
55 Irfansius Sidabalok 21-11-1995'1272052111950002 Gg Barito 65 170 109 130/80 138
56 Udur K Simorangkir 1-5-1972 1272083105720001 BAHAIL 72 170 105 130/80 145

HASIL PEMERIKSAAN
NO NAMA UMUR NIK ALAMAT BB TB IMT LP TEKANAN DARAH GDS/GDP
NORMAL TDK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAKNORMAL

57 OSLIANNE SIRAIT 17-3-1982'1212075703820002 Sibiak 53 143 105 130/80 108

58 Elken Siregar 1-6-1959 1272085907590001 Marihat 2 59 143 108 160/90 232
59 Januari Siagian 31-12-1956'1272080101570002 Gg kuku balam 60 158 102 110/70 153
60 Kores Siagian 29-9-1956'1272052909560001 Sibiak 84 170 112 140/90 145

Mengetahui, Penanggung Jawab Program

Kepala Puskesmas bah Biak

Rumondang RJ Sirait, M. Kes Rismawat Simanjuntak

 NIP. 19710710 199403 2 001 NIP.19720806 199303 2 004

HASIL PEMERIKSAAN
NO NAMA UMUR NIK ALAMAT BB TB IMT LP TEKANAN DARAH GDS/GDP
NORMAL TDK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAKNORMAL

1 Ernawat Saragih 17/02/1968 1272055902680002 marihat central 61 148 102 150/90 122
2 Marojahan Opsungguh 14-4-1958' 1272051404580001' jln bahkora 2 69 156 106 120/70 111
3 Mangadar Tua sinurat 7-4-1957' 1272050704570001' jln m karya sibiak 55 162 79 130/70 124
4 Riama Simanjuntak 10-6-1948' 1272085006480002' marihat 2 51 146 94 140/90 146
5 Nurhayat Situmorang 9-5-1977' 1272084905770001' marihat 2 60 150 98 120/70 134
6 Japansius Simanjuntak 13-3-1942' 12720513033420001' jln m karya sibiak 62 152 86 120/80 126
7 Espina Siringgo-ringgo 7-7-1962' 12720847077620001' jln bahkora 2 65 165 89 140/90 335
8 Halil U Damanik 1-11-1997' 1272052511970002' marihat central 60 163 94 90/60 92
9 Sangkot Saragih 8-6-1962' 1208010806620001' jln melanyhon siregar 35 158 65 120/80 89
10 Rohima A Tambunan 17-61959 "1408065706590000 jln pisang 55 152 87 140/90 150
11 Lumangga Simbolon 11/10/1962 120815011'620001 jln mawar 60 160 87 140/90 149
12 Merita Manurung 2/8/1986 1272084802860001' jln bahkora 2 46 153 64 110/70 122
13 Alentna br Munte 3/9/1963 1272034903630005' ljn bah biak 65 155 80 120/70 117
14 Sosianna Sembiring 4/4/1964 1272074404640004' jln handayani 76 155 98 140/90 118 295
15 Triandayani Siregar 1208175906720003' bah biak 98 120/70 120
16 Matta Simamora 45 thn 1272057005730002' Siantar marihat 69 150 87 120/70 120
17 Delima Hasibuan 60 thn 1208015404590001' Siantar sitalasari 70 157 76 120/70 186
18 Tat Andika Marini 50 thn 1272045605680001' Siantar selatan 55 150 87 120/70 93
19 Debora Hutahayan 52 thn 12720740102670001' Siantar sitalasari 60 157 90 130/80 104
20 Bunndy 67 1375011310510001' Bukit tnggi 51 160 84 130/80 156
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HASIL PEMERIKSAAN
NO NAMA UMUR NIK ALAMAT BB TB IMT LP TEKANAN DARAH GDS/GDP
NORMAL TDK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAK NORMAL NORMAL TIDAKNORMAL

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