Data Offline Surveilans PTM berbasis POSBINDU

Identitas Peserta Posbindu

No Tanggal Pemeriksaan
No KTP Nama Pasien Nama Panggilan

1 12 January 2018 Dayem

2 12 January 2018 Maimunah
3 12 January 2018 Triani
4 12 January 2018 Hasniat
5 12 January 2018 Suparni
6 12 January 2018 Subekt
7 12 January 2018 Iin Lestari
8 12 January 2018 Baiq Arliata. N
9 12 January 2018 Afrilia
10 15 January 2018 Sadiyem
11 15 January 2018 Manisem
12 15 January 2018 Waginem
13 15 January 2018 Wiji
14 15 January 2018 Sutyem
15 15 January 2018 Salamah
16 15 January 2018 Suyat
17 15 January 2018 Mustapiyah
18 15 January 2018 Reben
19 15 January 2018 Wijiatm
20 15 January 2018 Kadem
21 15 January 2018 Mu'minatun
22 15 January 2018 Rasminah
23 15 January 2018 Maysarah
24 15 January 2018 Sri Hart
25 15 January 2018 Sit Muslimah
26 15 January 2018 Tat
27 15 January 2018 Daryono
28 15 January 2018 Het
29 15 January 2018 Siasi
30 17 January 2018 Nurhayat
31 17 January 2018 Sanimah
32 17 January 2018 Sukaisih
33 17 January 2018 Suryat
34 17 January 2018 Kasipah
35 17 January 2018 Atmawat
36 17 January 2018 Ermatun
37 17 January 2018 Khotjah
38 17 January 2018 Martni
39 17 January 2018 Sugiart
40 17 January 2018 Qodirah
41 17 January 2018 Sriyat
 42 17 January 2018 Nita
43 17 January 2018 Sit
44 20 January 2018 Sanawi
45 20 January 2018 Mardi Utomo
46 20 January 2018 Mursidah
47 20 January 2018 Mainem
48 20 January 2018 Sutyem
49 20 January 2018 Samining
50 20 January 2018 Mansum
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 Jenis
Tanggal Lahir Agama Alamat No Telp/ HP
Kelamin

Islam Rt 04 KR
Islam Rt 01 KR
Islam Rt 10 KR
Islam Rt 04 KR
Islam Rt 17 KR
Islam Rt 08 KR
Islam Rt 03 KR
Islam Rt 06 KR
Islam Rt 08 KR
Islam Rt 18 KR
Islam Rt 11 KR
Islam Rt 16 KR
Islam Rt 14 KR
Islam Rt 11 KR
Islam Rt 18 KR
Islam Rt 12 KR
Islam Rt 18 KR
Islam Rt 11 KR
Islam Rt 18 KR
Islam Rt 13 KR
Islam Rt 11 KR
Islam Rt 12 KR
Islam Rt 18 KR
Islam Rt 12 KR
Islam Rt 12 KR
Islam Rt 12 KR
Islam Rt 12 KR
Islam Rt 12 KR
Islam Rt 13 KR
Islam Rt 05 AJ
Islam Rt 07 AJ
Islam Rt 06 AJ
Islam Rt 07 AJ
Islam Rt 06 AJ
Islam Rt 05 AJ
Islam Rt 05 AJ
Islam Rt 06 AJ
Islam Rt 06 AJ
Islam Rt 08 AJ
Islam Rt 07 AJ
Islam Rt 08 AJ
 Islam Rt 05 AJ
Islam Rt 07 AJ
Islam Rt 04 AM
Islam Rt 09 AM
Islam Rt 04 AM
Islam Rt 02 AM
Islam Rt 01 AM
Islam Rt 07 AM
Islam Rt 02 AM
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 Golongan
Pendidikan Terakhir Pekerjaan Status Darah
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 Riwayat Penyakit Tidak Menular Pada Keluarga

Penyakit Penyakit Penyakit Penyakit Penyakit Penyakit Kolesterol

eMail Diabetes Hipertensi Jantung Stroke Asma Kanker Tinggi
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Riwayat Penyakit Tidak Menular Pada Diri Sendiri WAWANCARA

Kurang
Penyakit Penyakit Penyakit Penyakit Penyakit Penyakit Kolesterol Merokok Aktivitas
Diabetes Hipertensi Jantung Stroke Asma Kanker Tinggi
Fisik
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WAWANCARA Tekanan Darah IMT Pemeriksaan La

Kurang Lingkar Pengukuran

Sayur dan Konsumsi Tinggi Berat Perut Fungsi Paru
Sistol Diastol Gula
Alkohol Badan Badan
Buah

130 80 42 Normal
120 80 60 Normal
120 80 51 Normal
140 90 64 Normal
110 70 51 Normal
100 80 63 Normal
120 80 68 Normal
110 70 53 Normal
100 70 Normal
100 60 35 Normal
160 100 54 Normal
140 90 44 Normal
140 70 41 Normal
130 80 40 Normal
110 80 57 Normal
120 80 40 Normal
110 80 56 Normal
120 80 61 Normal
110 80 55 Normal
140 70 53 Normal
140 80 61 Normal
100 70 44 Normal
140 90 34 Normal
100 70 53 Normal
140 80 61 Normal
110 70 63 Normal
100 60 49 Normal
100 80 62 Normal
90 60 74 Normal
140 90 42 Normal
120 100 69 Normal
140 90 62 Normal
90 60 51 Normal
140 90 51 Normal
100 60 66 Normal
100 80 85 Normal
160 90 56 Normal
150 90 69 Normal
100 80 Normal
120 80 55 Normal
120 80 78 Normal
 90 60 55 Normal
140 90 70 Normal
160 90 57 Normal
160 100 71 Normal
100 90 72 Normal
140 90 64 Normal
110 80 36 Normal
140 80 56 Normal
140 90 55 Normal
xxx xxx 100 xxx xxx xxx xxx xxx xxx
xxx xxx xxx xxx xxx xxx xxx xxx xxx
 Pemeriksaan Lab. Penyuluhan
Kadar Tes
Benjolan IVA Alkohol Amfetamin Penyuluhan Penyuluhan
Kolesterol Trigliserida Pernafasan Urin
Payudara IVA & CBE Rokok
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Penyuluhan

Penyuluhan
Potensi
Cedera
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xxx
tanggal_pemeriksaanno_ktp nama_pasinama_pangtanggal_lah
jenis_kelaminagama alamat no_telp
2018-01-12 Dayem Islam Rt 04 KR
2018-01-12 Maimunah Islam Rt 01 KR
2018-01-12 Triani Islam Rt 10 KR
2018-01-12 Hasniat Islam Rt 04 KR
2018-01-12 Suparni Islam Rt 17 KR
2018-01-12 Subekt Islam Rt 08 KR
2018-01-12 Iin Lestari Islam Rt 03 KR
2018-01-12 Baiq Arliata. N Islam Rt 06 KR
2018-01-12 Afrilia Islam Rt 08 KR
2018-01-15 Sadiyem Islam Rt 18 KR
Err:509 Manisem Islam Rt 11 KR
2018-01-15 Waginem Islam Rt 16 KR
2018-01-15 Wiji Islam Rt 14 KR
2018-01-15 Sutyem Islam Rt 18 KR
2018-01-15 Salamah Islam Err:509
2018-01-15 Suyat Islam Rt 18 KR
Err:509 Mustapiyah Islam Rt 11 KR
2018-01-15 Reben Islam Rt 18 KR
2018-01-15 Wijiatm Islam Rt 13 KR
2018-01-15 Kadem Islam Rt 11 KR
2018-01-15 Mu'minatun Err:509 Err:509
2018-01-15 Rasminah Islam Rt 12 KR
2018-01-15 Maysarah Islam Rt 12 KR
2018-01-15 Sri Hart Islam Rt 12 KR
2018-01-15 Sit Muslimah Islam Rt 12 KR
2018-01-15 Tat Islam Rt 12 KR
2018-01-15 Daryono Islam Rt 12 KR
2018-01-15 Het Islam Err:509
2018-01-17 Siasi Islam Rt 13 KR
2018-01-17 Nurhayat Islam Rt 05 AJ
2018-01-17 Sanimah Islam Rt 07 AJ
Err:509 Sukaisih Islam Rt 06 AJ
2018-01-17 Suryat Islam Rt 07 AJ
2018-01-17 Kasipah Islam Rt 06 AJ
2018-01-17 Atmawat Islam Rt 05 AJ
2018-01-17 Ermatun Islam Rt 05 AJ
2018-01-17 Khotjah Islam Rt 06 AJ
2018-01-17 Martni Islam Rt 06 AJ
2018-01-17 Sugiart Islam Rt 08 AJ
2018-01-17 Qodirah Islam Rt 07 AJ
2018-01-17 Sriyat Islam Rt 08 AJ
2018-01-17 Nita Islam Rt 05 AJ
2018-01-17 Sit Islam Rt 07 AJ
2018-01-20 Sanawi Islam Rt 04 AM
2018-01-20 Mardi Utomo Islam Rt 09 AM
2018-01-20 Mursidah Islam Rt 04 AM
2018-01-20 Mainem Islam Rt 02 AM
2018-01-20 Sutyem Islam Rt 01 AM
2018-01-20 Samining Islam Rt 07 AM
2018-01-20 Mansum Islam Rt 02 AM
pendidikan_terakhir
pekerjaan statusgolongan_darah emailpenyakit_diabetes
penyakit_hipertensi
penyakit_jantung
penyakit_stroke
penyakit_asma
penyakit_kanker
kolesterol_tnggi
penyakit_diabetes
penyakit_hipertensi
penyakit_jantung
penyakit_stroke
penyakit_asma
penyakit_kanker
kolesterol_tnggi
merokok
kurang_aktvitas
kurang_sayur
konsumsi_alkoholsistol diastol tnggi_badberat_bad lingkar_pepengukura
130 80 42 2
120 80 60 2
120 80 51 2
140 90 64 2
110 70 51 2
100 80 63 2
120 80 68 2
110 70 53 2
100 70 35 2
100 60 54 2
160 100 44 2
140 90 41 2
140 70 40 2
130 80 57 2
110 80 40 2
120 80 56 2
110 80 61 2
120 80 55 2
110 80 53 2
140 70 61 2
140 80 44 2
100 70 34 2
140 90 53 2
100 70 61 2
140 80 63 2
110 70 49 2
100 60 62 2
100 80 Err:509 2
90 60 74 2
140 90 42 2
120 100 69 2
140 90 62 2
90 60 51 2
140 90 51 2
100 60 66 2
100 80 85 2
160 90 56 2
150 90 69 2
100 80 2
120 80 55 2
120 80 78 2
90 60 55 2
140 90 70 2
160 90 57 2
160 100 71 2
100 90 72 2
140 90 64 2
110 80 36 2
140 80 56 2
140 90 55 2
gula kolesterol trigliseridabenjolan_ iva kadar_alkotes_amfet penyuluhapenyuluhapenyuluhan_cedera
penyuluhan_cedera
1 posbindu