Kunjungan Pustu Pany. Lor November 2019 Puskesmas Cantigi

REGISTER HARIAN PENDAFTARAN PUSKESMAS PEMBANTU
JKN
PENGUNJUNG
UMUR STATUS JKN (NO.RM) KUNJUNGAN TUJUAN FASKES
UMUM KASEP ( NOMOR )
BP
TANGGAL NO NAMA ALAMAT NOMOR JKN A B C D E LAMA BARU LAMA BARU
UMUM
BP GIGI KIA KB DIAGNOSA
LUAR DALAM
L P
Tanda Tanda Tanda Tanda Tanda Tanda Tanda Tanda Tanda Tanda Tanda
Tanda (1) NO. KASEP Tanda (1) Tanda (1) Tanda (1) Tanda (1) Tanda (1)
(1) (1) (1) (1) (1) (1) (1) (1) (1) (1) (1)
1 2 3 4 5 6 7 8 10 12 14 16 18 20 21 22 24 26 28 30 32 34 36 38 40 42
01-11-2019 1 RASMEN 60 PL 1 1 1 1
2 DARSIH 34 PL 0000472274796 1 1 1 1 1
3 DARSONO 28 PL 1 1 1 1
4 YANTO 49 PL 1 1 1 1
5 KARNOTO 36 LT 1 1 1 1
6 KUNA 60 LT 1 1 1 1
7 TUBINEM 56 SINDANG 0000068392719 1 1 1 1 1
8 FIRDA 21 PL 1 1 1 1
9 RIKI 3 AL 1 1 1 1
10 RIZKY A 5 BL LT 1 1 1 1
11 KARIH 7 LT 1 1 1 1
12 RASYATI 30 LT 1 1 1 1
JUMLAH 2 0 0 0 0 10 0 0 11 1 11 1 11 0 1 0 1 1
02-11-2019 1 SUTARI 43 AL 1 1 1 1
2 MISEM 69 AL 1 1 1 1
3 KASINIH 60 PL 1 1 1 1
4 CASINGKEM 54 PL 1 1 1 1
5 WASTIREM 58 AL 1 1 1 1
6 AISA 2,5 PL 1 1 1 1
7 KENAN 66 PL 1 1 1 1
8 ENDANG 12 LT 1 1 1 1
9 SYIFA 5,5 PK 1 1 1 1
JUMLAH 0 0 0 0 0 9 0 0 9 0 9 0 8 0 1 0 0 0
04-11-2019 1 RAJA 3,5 PL 1 1 1 1
2 SOPIYAH 13 PK 0000471226599 1 1 1 1 1
3 KADMI 45 PECUK 1 1 1 1
4 GIO FEBRIAN 6 PL 1 1 1 1
5 KURNEWI 57 PL 1 1 1 1
6 NINING 54 AL 1 1 1 1
7 MASGUNAH 56 AL 1 1 1 1
8 CARMEN 64 PK 1 1 1 1
JUMLAH 1 0 0 0 0 7 0 0 8 0 8 0 7 0 1 0 0 1
05-11-2019 1 DENIS 8 LT 1 1 1 1
2 KARNAWI 54 LT 0000471153554 1 1 1 1 1
3 DASIM 59 AL 1 1 1 1
4 DEDEN 18 LT 1 1 1 1
5 ANISA 3 RAMBATAN 1 1 1 1
6 YANTO 56 PL 1 1 1 1
JUMLAH 1 0 0 0 0 5 0 0 6 0 6 0 5 0 1 0 0 1
06-11-2019 1 SUKENAH 53 AL 1 1 1 1
2 SURWIYATNI 68 PL 1 1 1 1
3 KARMAJA 57 PL 1 1 1 1
4 ROKINIH 59 LT 0000471007225 1 1 1 1 1
5 NURHAENI 51 PL 0000471094402 1 1 1 1 1
6 SHERLY S 14 PL 0000471094446 1 1 1 1 1
7 KARSINAH 65 LT 1 1 1 1
8 DARWANTO 7 LT 0000611604496 1 1 1 1 1
9 TURSINAH 67 PK 1 1 1 1
10 DANUGIN 62 PK 0001009052302 1 1 1 1 1
11 WAWI 35 LT 0000471109072 1 1 1 1 1
JUMLAH 6 0 0 0 0 5 0 0 11 0 11 0 11 0 0 0 0 6
07-11-2019 1 YUHAN 5 LT 1 1 1 1
2 NOVA 2 LT 1 1 1 1
4 UTIM 40 AL 1 1 1 1
5 RAJA 3,5 PL 1 1 1 1
6 TARISEM 28 AL 1 1 1 1
7 DASEMPEN 50 LT 1 1 1 1
8 DASONA 33 AL 1 1 1 1
9 SATRIAWAN 2 LT 1 1 1 1
JUMLAH 0 0 0 0 0 9 0 0 9 0 9 0 5 0 4 0 0 0
08-11-2019 1 KADIR 50 PK 1 1 1 1
2 DASOPAH 55 PL 0000471267066 1 1 1 1 1
3 KADIRI 54 LT 1 1 1 1
4 TARIH 61 LT 1 1 1 1
5 YANTO 39 AL 1 1 1 1
6 DAWINAH 40 PL 1 1 1 1
7 SUTIYAH 33 PL 1 1 1 1
8 MASRIAH 64 LT 0000471162486 1 1 1 1 1
9
JUMLAH 2 0 0 0 0 6 0 0 8 0 8 0 8 0 0 0 0 2
11-11-2019 1 KARTIJAH 70 AL 1 1 1 1
2 DAIROH 14 PL 0000472267967 1 1 1 1 1
3 DENDI 9 PL 0000472268676 1 1 1 1 1
4 AMSIYAH 41 AL 1 1 1 1
5 DASIM 59 AL 1 1 1 1
6 SARNINGKEM 54 PL 000047115187 1 1 1 1 1
7 DARSINIH 43 AL 1 1 1 1
8 TIAR 2 PECUK 1 1 1 1
9 DARSIWAN 46 PECUK 1 1 1 1
10 ARI P 4 PL 1 1 1 1
JUMLAH 0 0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0
12-11-2019 1 BASARI 61 PL 0000471267178 1 1 1 1 1
2 TARSINIH 54 AL 1 1 1 1
3 KADARI 62 LT 1 1 1 1
4 KASEM 61 AL 1 1 1 1
5 CASMINIH 19 AL 1 1 1 1
6 RAHAYU N 12 AL 1 1 1 1
7 DARTI 51 PK 0000470949759 1 1 1 1 1
8 ARIPAH 35 PK 1 1 1 1
9 DASMI 47 PK 1 1 1 1
JUMLAH 2 0 0 0 0 7 0 0 9 0 9 0 9 0 0 0 0 2
13-11-2019 1 TABAROHIM 40 PL 0000471179722 1 1 1 1 1
4 JUJU 61 LT 0000471962946 1 1 1 1 1
5 SUPRIYATNO 11 PK 1 1 1 1
6 DWIYANTI 1 PL 1 1 1 1
JUMLAH 2 0 0 0 0 4 0 0 5 1 5 1 5 0 1 0 0 2
14-11-2019 1 AQILA 18 PL 1 1 1 1
2 LINDA 25 PK 1 1 1 1
3 KIKI 9 LT 1 1 1 1
4 ROKINIH 60 LT 1 1 1 1
5 TUMI 39 PK 1 1 1 1
6 ABI SAPUTRA 7 BOJONG 1 1 1 1
7 RASTINI 60 AL 1 1 1 1
8 NURSIAH 65 PL 1 1 1 1
9 ULFAIRA 5 PL 1 1 1 1
JUMLAH 0 0 0 0 0 9 0 0 9 0 9 0 8 0 1 0 0 0
15-11-2019 1 KARYADI 57 LT 1 1 1 1
2 RUSJAN 50 PL 1 1 1 1
3 ELI ROHAYATI 34 PL 1 1 1 1
4 MASDINAH 64 LT 1 1 1 1
5 CASYATI 54 PL 1 1 1 1
6 RUENAH 55 PL 1 1 1 1
7 CARSINIH 56 AL 1 1 1 1
8 WASTONAH 60 PL 1 1 1 1
9 KADNAWI 41 PK 1 1 1 1
10 CARNITI 43 LT 1 1 1 1
11 EDI ROSANDI 29 PK 1 1 1 1
12 NAGITA 12 PL 1 1 1 1
13
JUMLAH 0 0 0 0 0 12 0 0 12 0 12 0 12 0 0 0 0 0
16-11-2019 1 VALENTINO 7 PK 1 1 1 1
2 CARTINIH 51 PK 1 1 1 1
3 FAEDAH 4 PL 1 1 1 1
4 DEDEN RW 23 LT 1 1 1 1
5 TASWIH 70 PL 1 1 1 1
JUMLAH 0 0 0 0 0 5 0 0 5 0 5 0 4 0 1 0 0 0
18-11-2019 1 WINDA 14 PK 1 1 1 1
2 NARIMPEN 53 AL 1 1 1 1
3 DARINIH 63 AL 1 1 1 1
4 WARNITI 60 AL 1 1 1 1
5 KARNAWI 54 LT 0000471153554 1 1 1 1 1
6 ROKINIH 60 LT 0000471007225 1 1 1 1 1
7 ALIFAH RAYA 2 AL 1 1 1 1
8 TOIPAH 52 LT 1 1 1 1
9 WASLIYAH 46 LT 1 1 1 1
10 CARNITI 45 PK 1 1 1 1
JUMLAH 2 0 0 0 0 8 0 0 10 0 10 0 10 0 0 0 0 2
19-11-2019 1 DASNITA 53 AL 1 1 1 1
2 ROHMANDI 14 AL 1 1 1 1
3 ROHAENI 28 PL 1 1 1 1
4 TAMEN 33 PL 1 1 1 1
5 TASKEM 60 PL 1 1 1 1
6 WIRADINATA 3 PL 1 1 1 1
7 KENAH 56 PL 1 1 1 1
8 DARNIYAH 46 LT 1 1 1 1
9 TARKADI 45 LT 1 1 1 1
JUMLAH 0 0 0 0 0 9 0 0 9 0 9 0 8 0 1 0 0 0
20-11-2019 1 SUTARI 42 AL 1 1 1 1
2 PUTRI ANISA 12 PECUK 1 1 1 1
3 TARIH 37 AL 1 1 1 1
4 KORIYAH 36 LT 1 1 1 1
5 AHMAD FARHAN 2 LT 1 1 1 1
6 WARTA KUSUMA 41 AL 0001780844916 1 1 1 1 1
7 NANI BINTI WARYA 50 LT 1 1 1 1
8 BUNGA 8 BL LT 1 1 1 1
9 ELI ROHAYATI 35 PL 1 1 1 1
10 KATIYAH 34 PK 0000470775813 1 1 1 1 1
11 TASLIYAH 34 PK 1 1 1 1
12 CASINIH 23 LT 1 1 1 1
13 AINA FITRI 1.5 LT 1 1 1 1
14 NENTI 28 PK 1 1 1 1
15 SULASTRI 21 LT 1 1 1 1
16 ROPIAH 44 PL 0001780868283 1 1 1 1 1
17 ADI MULYANA 3 PL 1 1 1 1
18 KONAAH 39 PK 1 1 1 1
JUMLAH 3 0 0 0 0 15 0 0 18 0 18 0 14 0 4 0 0 3
21-11-2019 1 RASITEM 58 PL 1 1 1 1
2 TARSIYAH 60 PK 1 1 1 1
3 TIA 8 PL 1 1 1 1
4 DIYANTO 8 PL 1 1 1 1
JUMLAH 4 0 0 4 0 4 0 4 0 0 0 0 0
22-11-2019 1 ELPIYAH 39 PL 0001295412715 1 1 1 1 1
2 AHMAD FADLI 3 PL 0002072780763 1 1 1 1 1
3 AHMAD FARIDI 38 PL 0000472412608 1 1 1 1 1
4 KADIR 56 PECUK 1 1 1 1
5 ETI 36 LT 1 1 1 1
6 DIKRON 45 PK 1 1 1 1
7 SUHARSONO 57 PK 1 1 1 1
8 SURTINIH 36 LT 1 1 1 1
9 DARSIH 34 PL 1 1 1 1
10 SATINIH 70 PL 1 1 1 1
JUMLAH 3 0 0 0 0 7 0 0 10 0 10 0 9 0 1 0 0 3
23-11-2019 1 SUTANG 40 LT 1 1 1 1
2 DARSINIH 34 PL 1 1 1 1
3 WARTINIH 56 PL 1 1 1 1
JUMLAH 0 0 0 0 0 3 0 0 3 0 3 0 3 0 0 0 0 0
27-11-2019 1 KUSEN 52 LT 1 1 1 1
2 KORIYAH 56 LT 1 1 1 1
3 DARKINIH 29 LT 1 1 1 1
4 MULYATI 49 PL 1 1 1 1
5 TIAR REHAN A 4 PK 1 1 1 1
JUMLAH 0 0 0 0 0 5 0 0 5 0 5 0 4 0 1 0 0 0
28-11-2019 1 RASWA 60 LT 1 1 1 1
2 RIRI 6.9 LT 1 1 1 1
3 RASMEN 64 PL 1 1 1 1
4 RAYHAN 3 PL 1 1 1 1
5 SOLIHA 37 PL 0002622776916 1 1 1 1 1
6 SILVIA 6 PK 1 1 1 1
JUMLAH 1 0 0 0 0 5 0 0 6 0 6 0 5 0 1 0 0 1
29-11-2019 1 AHMAD KHAIRIL 2 PL 1 1 1 1
2 HILMAN MAULANA 5 PL 1 1 1 1
3 SLAMET J 35 AL 1 1 1 1
4 ETI S 41 PK 1 1 1 1
5 SUMINI 35 PL 1 1 1 1
6 ADI MULYANA 3 PL 1 1 1 1
7 ABBIYAN 3 PL 1 1 1 1
8 CARYATI 54 PL 1 1 1 1
9 RUSMAN 48 LT 1 1 1 1
10 KADMIRAH 67 PL 1 1 1 1
JUMLAH 0 0 0 0 0 10 0 0 10 0 10 0 6 0 4 0 0 0
30-11-2019 1 RASWEN 48 PL 1 1 1 1
2 WASTONAH 60 PL 1 1 1 1
4 KASNITI 67 AL 1 1 1 1
5 CHELSEA 3.5 PL 1 1 1 1
7
8
JUMLAH 0 0 0 0 0 6 0 0 6 0 6 0 5 0 1 0 0 0
29-10-2019 1
2
3
4
5
6
7
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30-10-2019 1
2
3
4
5
6
7
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31-10-2019 1
2
3
4
5
JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
REGISTER HARIAN PENDAFTARAN PUSKESMAS PEMBANTU
JKN DAN UMUM,KASEP
PUSTU : PANYINGKIRAN LOR
UMUR STATUS JKN KASEP
TANGGAL NO NAMA ALAMAT NOMOR JKN UMUM
L P A B C D E JML
01-11-2019 1 RASMEN 0 60 PL 0 0 0 0 0 0 1 0
2 DARSIH 0 34 PL 0000472274796 1 0 0 0 0 0 0
3 DARSONO 28 0 PL 0 0 0 0 0 0 1 0
4 YANTO 49 0 PL 0 0 0 0 0 0 1 0
5 KARNOTO 36 0 LT 0 0 0 0 0 0 1 0
6 KUNA 0 60 LT 0 0 0 0 0 0 1 0
7 TUBINEM 0 56 SINDANG 0000068392719 1 0 0 0 0 0 0
8 FIRDA 0 21 PL 0 0 0 0 0 0 1 0
9 RIKI 3 0 AL 0 0 0 0 0 0 1 0
10 RIZKY A 5 BL 0 LT 0 0 0 0 0 0 1 0
11 KARIH 0 7 LT 0 0 0 0 0 0 1 0
12 RASYATI 0 30 LT 0 0 0 0 0 0 1 0
JUMLAH 2 0 0 0 0 10 0
02-11-2019 1 SUTARI 0 43 AL 0 0 0 0 0 0 1 0
2 MISEM 0 69 AL 0 0 0 0 0 0 1 0
3 KASINIH 0 60 PL 0 0 0 0 0 0 1 0
4 CASINGKEM 0 54 PL 0 0 0 0 0 0 1 0
5 WASTIREM 0 58 AL 0 0 0 0 0 0 1 0
6 AISA 0 2,5 PL 0 0 0 0 0 0 1 0
7 KENAN 0 66 PL 0 0 0 0 0 1 0
8 ENDANG 0 12 LT 0 0 0 0 0 0 1 0
9 SYIFA 0 5,5 PK 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 9 0
04-11-2019 1 RAJA 3,5 0 PL 0 0 0 0 0 0 1 0
2 SOPIYAH 0 13 PK 0000471226599 1 0 0 0 0 0 0
3 KADMI 0 45 PECUK 0 0 0 0 0 0 1 0
4 GIO FEBRIAN 6 0 PL 0 0 0 0 0 0 1 0
5 KURNEWI 0 57 PL 0 0 0 0 0 0 1 0
6 NINING 0 54 AL 0 0 0 0 0 0 1 0
7 MASGUNAH 56 0 AL 0 0 0 0 0 0 1 0
8 CARMEN 0 64 PK 0 0 0 0 0 0 1 0
JUMLAH 1 0 0 0 0 7 0
05-11-2019 1 DENIS 8 0 LT 0 0 0 0 0 0 1 0
2 KARNAWI 54 0 LT 0000471153554 1 0 0 0 0 0 0
3 DASIM 59 0 AL 0 0 0 0 0 0 1 0
4 DEDEN 18 0 LT 0 0 0 0 0 0 1 0
5 ANISA 0 3 RAMBATAN 0 0 0 0 0 0 1 0
6 YANTO 56 0 PL 0 0 0 0 0 0 1 0
JUMLAH 1 0 0 0 0 5 0
06-11-2019 1 SUKENAH 0 53 AL 0 0 0 0 0 0 1 0
2 SURWIYATNI 0 68 PL 0 0 0 0 0 0 1 0
3 KARMAJA 0 57 PL 0 0 0 0 0 0 1 0
4 ROKINIH 0 59 LT 0000471007225 1 0 0 0 0 0 0
5 NURHAENI 0 51 PL 0000471094402 1 0 0 0 0 0 0
6 SHERLY S 0 14 PL 0000471094446 1 0 0 0 0 0 0
7 KARSINAH 0 65 LT 0 0 0 0 0 0 1 0
8 DARWANTO 7 0 LT 0000611604496 1 0 0 0 0 0 0
9 TURSINAH 0 67 PK 0 0 0 0 0 0 1 0
10 DANUGIN 62 0 PK 0001009052302 1 0 0 0 0 0 0
11 WAWI 35 0 LT 0000471109072 1 0 0 0 0 0 0
JUMLAH 6 0 0 0 0 5 0
07-11-2019 1 YUHAN 5 0 LT 0 0 0 0 0 0 1 0
2 NOVA 0 2 LT 0 0 0 0 0 0 1 0
3 MASGUNAH 55 0 AL 0 0 0 0 0 0 1 0
4 UTIM 0 40 AL 0 0 0 0 0 0 1 0
5 RAJA 3,5 0 PL 0 0 0 0 0 0 1 0
6 TARISEM 0 28 AL 0 0 0 0 0 0 1 0
7 DASEMPEN 0 50 LT 0 0 0 0 0 0 1 0
8 DASONA 0 33 AL 0 0 0 0 0 0 1 0
9 SATRIAWAN 2 0 LT 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 9 0
08-11-2019 1 KADIR 50 0 PK 0 0 0 0 0 0 1 0
2 DASOPAH 55 0 PL 0000471267066 1 0 0 0 0 0 0
3 KADIRI 0 54 LT 0 0 0 0 0 0 1 0
4 TARIH 61 0 LT 0 0 0 0 0 0 1 0
5 YANTO 0 39 AL 0 0 0 0 0 0 1 0
6 DAWINAH 0 40 PL 0 0 0 0 0 0 1 0
7 SUTIYAH 0 33 PL 0 0 0 0 0 0 1 0
8 MASRIAH 0 64 LT 0000471162486 1 0 0 0 0 0 0
JUMLAH 2 0 0 0 0 6 0
11-11-2019 1 KARTIJAH 70 0 AL 0 0 0 0 0 0 1 0
2 DAIROH 0 14 PL 0000472267967 1 0 0 0 0 0 0
3 DENDI 9 0 PL 0000472268676 1 0 0 0 0 0 0
4 AMSIYAH 0 41 AL 0 0 0 0 0 0 1 0
5 DASIM 59 0 AL 0 0 0 0 0 0 1 0
6 SARNINGKEM 0 54 PL 000047115187 1 0 0 0 0 0 0
7 DARSINIH 0 43 AL 0 0 0 0 0 0 1 0
8 TIAR 0 2 PECUK 0 0 0 0 0 0 1 0
9 DARSIWAN 0 46 PECUK 0 0 0 0 0 0 1 0
10 ARI P 4 0 PL 0 0 0 0 0 0 1 0
JUMLAH 3 0 0 0 0 7 0
12-11-2019 1 BASARI 61 0 PL 0000471267178 1 0 0 0 0 0 0
2 TARSINIH 0 54 AL 0 0 0 0 0 0 1 0
3 KADARI 62 0 LT 0 0 0 0 0 0 1 0
4 KASEM 0 61 AL 0 0 0 0 0 0 1 0
5 CASMINIH 0 19 AL 0 0 0 0 0 0 1 0
6 RAHAYU N 0 12 AL 0 0 0 0 0 0 1 0
7 DARTI 0 51 PK 0000470949759 1 0 0 0 0 0 0
8 ARIPAH 0 35 PK 0 0 0 0 0 0 1 0
9 DASMI 0 47 PK 0 0 0 0 0 0 1 0
JUMLAH 2 0 0 0 0 7 0
13-11-2019 1 TABAROHIM 40 0 PL 0000471179722 1 0 0 0 0 0 0
2 MASGUNAH 51 0 AL 0 0 0 0 0 0 1 0
3 TURSINAH 0 68 PK 0 0 0 0 0 0 1 0
4 JUJU 0 61 LT 0000471962946 1 0 0 0 0 0 0
5 SUPRIYATNO 11 0 PK 0 0 0 0 0 0 1 0
6 DWIYANTI 0 1 PL 0 0 0 0 0 0 1 0
JUMLAH 2 0 0 0 0 4 0
14-11-2019 1 AQILA 0 18 PL 0 0 0 0 0 0 1 0
2 LINDA 0 25 PK 0 0 0 0 0 0 1 0
3 KIKI 9 0 LT 0 0 0 0 0 0 1 0
4 ROKINIH 0 60 LT 0 0 0 0 0 0 1 0
5 TUMI 0 39 PK 0 0 0 0 0 0 1 0
6 ABI SAPUTRA 7 0 BOJONG 0 0 0 0 0 0 1 0
7 RASTINI 0 60 AL 0 0 0 0 0 0 1 0
8 NURSIAH 0 65 PL 0 0 0 0 0 0 1 0
9 ULFAIRA 0 5 PL 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 9 0
15-11-2019 1 KARYADI 57 0 LT 0 0 0 0 0 0 1 0
2 RUSJAN 50 0 PL 0 0 0 0 0 0 1 0
3 ELI ROHAYATI 0 34 PL 0 0 0 0 0 0 1 0
4 MASDINAH 64 0 LT 0 0 0 0 0 0 1 0
5 CASYATI 0 54 PL 0 0 0 0 0 0 1 0
6 RUENAH 0 55 PL 0 0 0 0 0 0 1 0
7 CARSINIH 0 56 AL 0 0 0 0 0 0 1 0
8 WASTONAH 0 60 PL 0 0 0 0 0 0 1 0
9 KADNAWI 41 0 PK 0 0 0 0 0 0 1 0
10 CARNITI 0 43 LT 0 0 0 0 0 0 1 0
11 EDI ROSANDI 29 0 PK 0 0 0 0 0 0 1 0
12 NAGITA 0 12 PL 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 12 0
16-11-2019 1 VALENTINO 7 0 PK 0 0 0 0 0 0 1 0
2 CARTINIH 0 51 PK 0 0 0 0 0 0 1 0
3 FAEDAH 0 4 PL 0 0 0 0 0 0 1 0
4 DEDEN RW 23 0 LT 0 0 0 0 0 0 1 0
5 TASWIH 70 0 PL 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 5 0
18-11-2019 1 WINDA 0 14 PK 0 0 0 0 0 0 1 0
2 NARIMPEN 0 53 AL 0 0 0 0 0 0 1 0
3 DARINIH 0 63 AL 0 0 0 0 0 0 1 0
4 WARNITI 0 60 AL 0 0 0 0 0 0 1 0
5 KARNAWI 54 0 LT 0000471153554 1 0 0 0 0 0 0
6 ROKINIH 0 60 LT 0000471007225 1 0 0 0 0 0 0
7 ALIFAH RAYA 0 2 AL 0 0 0 0 0 0 1 0
8 TOIPAH 0 52 LT 0 0 0 0 0 0 1 0
9 WASLIYAH 0 46 LT 0 0 0 0 0 0 1 0
10 CARNITI 0 45 PK 0 0 0 0 0 0 1 0
JUMLAH 2 0 0 0 0 8 0
19-11-2019 1 DASNITA 0 53 AL 0 0 0 0 0 0 1 0
2 ROHMANDI 14 0 AL 0 0 0 0 0 0 1 0
3 ROHAENI 0 28 PL 0 0 0 0 0 0 1 0
4 TAMEN 0 33 PL 0 0 0 0 0 0 1 0
5 TASKEM 0 60 PL 0 0 0 0 0 0 1 0
6 WIRADINATA 3 0 PL 0 0 0 0 0 0 1 0
7 KENAH 0 56 PL 0 0 0 0 0 0 1 0
8 DARNIYAH 0 46 LT 0 0 0 0 0 0 1 0
9 TARKADI 45 0 LT 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 9 0
20-11-2019 1 SUTARI 0 42 AL 0 0 0 0 0 0 1 0
2 PUTRI ANISA 0 12 PECUK 0 0 0 0 0 0 1 0
3 TARIH 0 37 AL 0 0 0 0 0 0 1 0
4 KORIYAH 0 36 LT 0 0 0 0 0 0 1 0
5 AHMAD FARHAN 2 0 LT 0 0 0 0 0 0 1 0
6 WARTA KUSUMA 41 0 AL 0001780844916 1 0 0 0 0 0 0
7 NANI BINTI WARYA 0 50 LT 0 0 0 0 0 0 1 0
8 BUNGA 0 8 BL LT 0 0 0 0 0 0 1 0
9 ELI ROHAYATI 0 35 PL 0 0 0 0 0 0 1 0
10 KATIYAH 0 34 PK 0000470775813 1 0 0 0 0 0 0
11 TASLIYAH 0 34 PK 0 0 0 0 0 0 1 0
12 CASINIH 0 23 LT 0 0 0 0 0 0 1 0
13 AINA FITRI 0 1.5 LT 0 0 0 0 0 0 1 0
14 NENTI 0 28 PK 0 0 0 0 0 0 1 0
15 SULASTRI 0 21 LT 0 0 0 0 0 0 1 0
16 ROPIAH 0 44 PL 0001780868283 1 0 0 0 0 0 0
17 ADI MULYANA 3 0 PL 0 0 0 0 0 0 1 0
18 KONAAH 0 39 PK 0 0 0 0 0 0 1 0
3 0 0 0 0 15 0
21-11-2019 1 RASITEM 0 58 PL 0 0 0 0 0 0 1 0
2 TARSIYAH 0 60 PK 0 0 0 0 0 0 1 0
3 TIA 0 8 PL 0 0 0 0 0 0 1 0
4 DIYANTO 0 8 PL 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 0 4 0
22-11-2019 1 ELPIYAH 0 39 PL 0001295412715 1 0 0 0 0 0 0
2 AHMAD FADLI 3 0 PL 0002072780763 1 0 0 0 0 0 0
3 AHMAD FARIDI 38 0 PL 0000472412608 1 0 0 0 0 0 0
4 KADIR 56 0 PECUK 0 0 0 0 0 0 1 0
5 ETI 0 36 LT 0 0 0 0 0 0 1 0
6 DIKRON 45 0 PK 0 0 0 0 0 0 1 0
7 SUHARSONO 57 0 PK 0 0 0 0 0 0 1 0
8 SURTINIH 0 36 LT 0 0 0 0 0 0 1 0
9 DARSIH 0 34 PL 0 0 0 0 0 0 1 0
10 SATINIH 0 70 PL 0 0 0 0 0 0 1 0
JUMLAH 3 0 0 0 0 7 0
23-11-2019 1 SUTANG 0 40 LT 0 0 0 0 0 0 1 0
2 DARSINIH 0 34 PL 0 0 0 0 0 0 1 0
3 WARTINIH 0 56 PL 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 3 0
27-11-2019 1 KUSEN 52 0 LT 0 0 0 0 0 0 1 0
2 KORIYAH 0 56 LT 0 0 0 0 0 0 1 0
3 DARKINIH 0 29 LT 0 0 0 0 0 0 1 0
4 MULYATI 0 49 PL 0 0 0 0 0 0 1 0
5 TIAR REHAN A 4 0 PK 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 5 0
28-11-2019 1 RASWA 60 0 LT 0 0 0 0 0 0 1 0
2 RIRI 0 6.9 LT 0 0 0 0 0 0 1 0
3 RASMEN 0 64 PL 0 0 0 0 0 0 1 0
4 RAYHAN 3 0 PL 0 0 0 0 0 0 1 0
5 SOLIHA 0 37 PL 0002622776916 1 0 0 0 0 0 0
6 SILVIA 0 6 PK 0 0 0 0 0 0 1 0
JUMLAH 1 0 0 0 0 5 0
29-11-2019 1 AHMAD KHAIRIL 2 0 PL 0 0 0 0 0 0 1 0
2 HILMAN MAULANA 5 0 PL 0 0 0 0 0 0 1 0
3 SLAMET J 0 35 AL 0 0 0 0 0 0 1 0
4 ETI S 0 41 PK 0 0 0 0 0 0 1 0
5 SUMINI 0 35 PL 0 0 0 0 0 0 1 0
6 ADI MULYANA 3 0 PL 0 0 0 0 0 0 1 0
7 ABBIYAN 3 0 PL 0 0 0 0 0 0 1 0
8 CARYATI 0 54 PL 0 0 0 0 0 0 1 0
9 RUSMAN 0 48 LT 0 0 0 0 0 0 1 0
10 KADMIRAH 67 0 PL 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 10 0
30-11-2019 1 RASWEN 0 48 PL 0 0 0 0 0 0 1 0
2 WASTONAH 0 60 PL 0 0 0 0 0 0 1 0
3 TURSINAH 0 68 PK 0 0 0 0 0 0 1 0
4 KASNITI 0 67 AL 0 0 0 0 0 0 1 0
5 CHELSEA 0 3.5 PL 0 0 0 0 0 0 1 0
6 MASGUNAH 56 0 AL 0 0 0 0 0 0 1 0
JUMLAH 0 0 0 0 0 6 0
PENDAFTARAN PUSKESMAS PEMBANTU
KN DAN UMUM,KASEP
PENGUNJUNG
KASEP (NO.RM)
KUNJUNGAN TUJUAN (JUMLAH)
BP
NOMOR LAMA BARU LAMA BARU
UMUM
BP GIGI KIA KB
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 0 1 0 1 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 11 1 11 1 11 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 9 0 9 0 8 0 1 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 8 0 8 0 7 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 6 0 6 0 5 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 11 0 11 0 11 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 9 0 9 0 5 0 4 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 8 0 8 0 8 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 10 0 10 0 8 0 2 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 9 0 9 0 9 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 0 1 0 1 0 0 1 0
0 5 1 5 1 5 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 9 0 9 0 8 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 12 0 12 0 12 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 5 0 5 0 4 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 10 0 10 0 10 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 9 0 9 0 8 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 18 0 18 0 14 0 4 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 4 0 4 0 4 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 10 0 10 0 9 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 3 0 3 0 3 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 5 0 5 0 4 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 6 0 6 0 5 0 1 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 10 0 10 0 6 0 4 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 1 0 0 0
0 1 0 1 0 0 0 1 0
0 1 0 1 0 1 0 0 0
0 6 0 6 0 5 0 1 0
REKAP BULANAN KUNJUNGAN PASIEN PUSTU PANYINGKIR
JKN-UMUM DAN KASEP
BULAN NOVEMBER TAHUN 2019
STATUS JKN
NO TANGGAL JUMLAH JKN UMUM KASEP JML TOTAL
(NOMOR) KUNJ. PASIEN
A B C D E
1 01-11-2019 2 0 0 0 0 2 10 0 12
2 02-11-2019 0 0 0 0 0 0 9 0 9
3 04-11-2019 1 0 0 0 0 1 7 0 8
4 05-11-2019 1 0 0 0 0 1 5 0 6
5 06-11-2019 6 0 0 0 0 6 5 0 11
6 07-11-2019 0 0 0 0 0 0 9 0 9
7 08-11-2019 2 0 0 0 0 2 6 0 8
8 11-11-2019 3 0 0 0 0 3 7 0 10
9 12-11-2019 2 0 0 0 0 2 7 0 9
10 13-11-2019 2 0 0 0 0 2 4 0 6
11 14-11-2019 0 0 0 0 0 0 9 0 9
12 15-11-2019 0 0 0 0 0 0 12 0 12
13 16-11-2019 0 0 0 0 0 0 5 0 5
14 18-11-2019 2 0 0 0 0 2 8 0 10
15 19-11-2019 0 0 0 0 0 0 9 0 9
16 20-11-2019 3 0 0 0 0 3 15 0 18
17 21-11-2019 0 0 0 0 0 0 4 0 4
18 22-11-2019 0 0 0 0 0 0 9 0 9
19 23-11-2019 0 0 0 0 0 0 3 0 3
20 27-11-2019 0 0 0 0 0 0 5 0 5
21 28-11-2019 1 0 0 0 0 1 5 0 6
22 29-11-2019 0 0 0 0 0 0 10 0 10
23 30-11-2019 0 0 0 0 0 0 6 0 6
JUMLAH 25 0 0 0 0 25 169 0 194
Mengetahui
Kepala FKTP UPTD Puskesmas Cantigi
H. WARNO, SKM
NIP. 19791229 200701 1 002
NJUNGAN PASIEN PUSTU PANYINGKIRAN LOR
JKN-UMUM DAN KASEP
AN NOVEMBER TAHUN 2019
PENGUNJUNG (NO.RM) KUNJUNGAN TUJUAN
LAMA BARU LAMA BARU BP UMUM BP GIGI KIA KB
11 1 11 1 11 0 1 0
9 0 9 0 8 0 1 0
8 0 8 0 7 0 1 0
6 0 6 0 5 0 1 0
11 0 11 0 11 0 0 0
9 0 9 0 5 0 4 0
8 0 8 0 8 0 0 0
10 0 10 0 8 0 2 0
9 0 9 0 9 0 0 0
5 1 5 1 5 0 1 0
9 0 9 0 8 0 1 0
12 0 12 0 12 0 0 0
5 0 5 0 4 0 1 0
10 0 10 0 10 0 0 0
9 0 9 0 8 0 1 0
18 0 18 0 14 0 4 0
4 0 4 0 4 0 0 0
9 0 9 0 8 0 1 0
3 0 3 0 3 0 0 0
5 0 5 0 4 0 1 0
6 0 6 0 5 0 1 0
10 0 10 0 6 0 4 0
6 0 6 0 5 0 1 0
192 2 192 2 168 0 26 0
Indramayu, 30 November 2019

Pengelola Laporan
TITIN PRIHATIN,S.Kep, Ners

NIP. 19760807 200801 2 009
REKAP BULANAN LAPORAN PELAYANAN
RAWAT JALAN TNGKAT PERTAMA (RJTP)
BULAN MARET TAHUN 2016
FASKES : PUSKESMAS ANTIGI / PUSTU PANYNGKIRAN LOR
Alamat : JLln. Raya Cantigi Kulon Kecamatan Cantigi Kabupaen Indramayu
STATUS JKN
NO. KARTU FASKES RUJUKAN TANDA
NO TANGGAL (JUMLAH) NAMA PESERTA DIAGNOSA
PESERTA TANGAN
A B C D E LUAR DALAM YA TIDAK
1 01-11-2019 Err:509 ### ### ### ### ### Err:509 Err:509 Err:509 Err:509
2 0 Err:509 ### ### ### ### ### Err:509 Err:509 Err:509 Err:509
Err:509 Err:509 Err:509 ### ### ### ### ### Err:509 Err:509 Err:509 Err:509
0 JUMLAH Err:509 ### ### ### ### ### Err:509 Err:509 Err:509 Err:509
Err:509 Err:509 ### ### ### ### ### Err:509 Err:509 Err:509 Err:509
Err:509 ### ### ### ### ### Err:509 Err:509 Err:509 Err:509
KETERANGAN
A PBI/ Ex Jamkesas
B Ex ASKES
C Ex TNI & POLR
D Ex JAMSOSTEK
E JKN MANDIRI
REKAP BULANAN LAPORAN PELAYANAN
RAWAT JALAN TNGKAT PERTAMA (RJTP)
BULAN MARET TAHUN 2016
FASKES : PUSKESMAS ANTIGI / PUSTU PANYNGKIRAN LOR
Alamat : JLln. Raya Cantigi Kulon Kecamatan Cantigi Kabupaen Indramayu
PESERTA JKN ( JUMLAH ) FASKES DI RUJUK JUMLAH

NO TANGGAL
TOTAL
A B C D E LUAR DALAM YA TIDAK
1 01-11-2019
2 02-11-2019
3 04-11-2019
4 05-11-2019
5 06-11-2019
6 07-11-2019
7 08-11-2019
8 11-11-2019
9 12-11-2019
10 13-11-2019
11 14-11-2019
12 16-11-2019
13 18-11-2019
14 19-11-2019
15 Err:509
16 20-11-2019
17 21-11-2019
18 22-11-2019
19 Err:509
20 Err:509
21 Err:509
22 Err:509
23 Err:509
24 Err:509
JUMLAH 0 0 0 0 0 0 0 0 0 0
Total Jumlah Peserta yang berkunjung : 48 Indramay 31 Maret 2016 KETERANGAN

Total Peserta yang di rujuk :0 Yang Melaporkan A PBI/ Ex Jamkesas
Total Peserta Faskes Luar :0 B Ex ASKES
Total Peserta Faskes Dalam : 48 C Ex TNI & POLR
dr H. NURHENDI D Ex JAMSOSTEK
NIP. 19681028 200701 1 005 E JKN MANDIRI
LAPORAN BULANAN PROGRAM JKN
KEPESERTAAN DAN PEMANFAATAN PELAYANAN KESEHATAN DI PUSKESMAS
DI UPTD PUSKESMAS CANTIGI (DALAM GEDUNG)
================================================================================
PUSKESMAS : CANTIGI
BULAN : MARET TAHUN 2016
JUMLAH
NO VARIABEL UTILITY RATE KETERANGAN
PESERTA KUNJUNGAN
1 2 3 4 5 6
A. KEPESERTAAN
1 PBI (JAMKESMAS) 15149
2 ASKES PNS 195
3 TNI 0
4 POLRI 27
5 JAMSOSEK 0
6 MANDIRI 320
JUMLAH 15691 0 0
JML NON
B. PEMANFAATAN JML PBI PBI
KUNJUNGAN BP UMUM (TEMASUK
1 MTBS,LANSIA,UGD,REMAJA) 472 417 55
2 KUNJUNGAN BP GIGI 0 0 0
3 KUNJUNGAN LABORATORIUM 19 18 1
4 KUNJUNGAN KIA
- ANC 36 29 7
- PNC 2 2 0
- PARTUS 1 1 0
- NIFAS 1 1 0
- NEONATUS 1 1 0
- BAYI 6 2 4
- KB 17 17 0
5 KUNJUNGAN LAIN-LAIN (KONSELING,KIR 0 0 0

SEHAT)
6 KUNJUNGAN PUSTU 60 60 0
7 JUMLAH TOTAL PERSALINAN 1 1 0
8 JUMLAH PASIEN RAWAT INAP 0 0 0
9 RUJUKAN 81 63 18
JUMLAH 697 612 85
Indramau, 31 Maret 2016

Mengetahui, Kepala Tata Uaha
Kepala UPTD Puskesmas Cantigi UPTD Puskesmas Cantigi
dr. H. NURHENDI BAMBAG EDIYANTO,SKM

NIP. 19681028 200701 1 005 NIP. 1919821210 200801 1 005

Kunjungan Pustu Pany. Lor November 2019 Puskesmas Cantigi

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Kunjungan Pustu Pany. Lor November 2019 Puskesmas Cantigi

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REGISTER HARIAN PENDAFTARAN PUSKESMAS PEMBANTU

LAMA BARU LAMA BARU BP UMUM BP GIGI KIA KB

Indramayu, 30 November 2019

TITIN PRIHATIN,S.Kep, Ners

PESERTA JKN ( JUMLAH ) FASKES DI RUJUK JUMLAH

Total Jumlah Peserta yang berkunjung : 48 Indramay 31 Maret 2016 KETERANGAN

2 ASKES PNS 195

5 KUNJUNGAN LAIN-LAIN (KONSELING,KIR 0 0 0

7 JUMLAH TOTAL PERSALINAN 1 1 0

8 JUMLAH PASIEN RAWAT INAP 0 0 0

JUMLAH 697 612 85

Indramau, 31 Maret 2016

dr. H. NURHENDI BAMBAG EDIYANTO,SKM

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