Jenis

Umur
No No Specimen Nama* NIK Kelamin
(thn/bln)*
(P/W)
1 C.3800003479 Estin Nafidah 3328065301800004 40 Th W
2 C.3800003483 Wasiatur Rohmah A 3328106512710003 48 Th W
3 C.3800003472 Indri Listiani 26 Th W
4 C.3800003487 M. Irham Maulana 3328130303900003 30 Th P
5 C.3800003480 Agus Mulyadi 3329092207720003 48 Th p
6 C.3800003478 Andi Khumaizi Fuadilah 3328181205960003 24 Th P
7 Sugeng Prasetyo 3328120303810008 P
8 Slamet Subagyo 3328131204720003 P
9 Zaenal Faizin 3328181008750001
10 Ika Yulianto 3326132607740061 46 Th W
11 Afti Dwi Priyati 3328114412830005 W
12 Muslikun 332813205720004 48 Th P
13 Sofianti 3328134107780136 42 Th P
14 Budi Harto 3175030404710013 49 Th P
15 Lori Fitrotul Ulpa 3328035504910006 W
16 Endah Setiarini 3328104107960008 24 Th W
17 Dwi Nurul Absor 3328090503940004 26 Th P
18 Misyati 3328106812690004 W
19 Wasri 3328117001550003 W
20 Rohayatun 3328096210900004 W
21 Perihati 3328036603900002 W
22 Sakira 13 Th W
23 C.3800003490 Dasuki 3328042008850010 36 Th P
24 Muspidah 3328065303770003 W
25 C.3800003375 Eko Sri Munginggar 3328114106760011 W
26 C.3800003489 Ekamurti Indah Lestari 3328114109710007 W
27 Konilah 3328045212820017 W
28 Rina Annisa 3328114203920005 W
29 Wahyatul Jannah 3328127009890005 W
30 Linda Ernawati 3328116906860002 W
31 Sri Yuliana 3328045907970001 W
32 C.3800003374 Bariyah 3328045108630001 W
33 C.3800003372 Nur Hayati 3328074107650495 W
34 Muayanah 3328065804610001 W
35 C.3800003371 Kristiyaningtyas 3327084801810043 W
36 Mariyah 3328127010680004 W
37 C.3800003370 Siti Maripatun 3328094208840001 W
38 C.3800003378 Suprapti 3328105909550006 W
39 Rahyono 3328100209630001 W
40 Nur Khojariyah 3328104605710001 W
41 Katmuji 3328100502610002 W
42 Ike Nurjanah 3328096909910004 W
43 M. Kelvin Sembiring P
44 C.3800003379 Harjono P
45 Rosidin 3328050501610001 P
46 C.3800003392 Kartubi 3328180105710001 P
47 Siti Nurjanah 3328184507960002 W
48 Kodri 3328061510450004 P
49 Budiyanto 3328051606830007 P
50 Sarjono 3328091405640003 P
51 Nur Khojariyah 332810460710001 W
52 Nur Janah 3328065205780012 W
53 Ratna Nopiana 3328135611890001 W
54 Ali Fitrianto 3328082107820835 P
55 Wahyatul Jannah, BY 3328127011200001 W
56 Siti Marifah, BYNY W
57 Sri Defi, BY W
58 Siti Nurjanah BY W
59 Sri Yanti BY W
60 Dr. Wahyu Rosharjanto 337601204610004 W
61 Danti Fadilah Amaelia 3328145005010006 W
62 C.3800003380 Ibnu Setyo Y 3328141306950001 P
63 C.3800003377 Toriah 3328184108580003 P
64 C.3800003389 Nurokhman S.Pd 3328010402670001 P
65 C.3800003386 Karso 3328181508740001 46 Th P
66 C.3800003396 Nadirun 3328041208570002 63 Th P
67 C.3800003393 Suparjan 3328101506640006 P
68 C.3800003391 Suparti 3328046703640001 W
69 C.3800003394 Rokhman 33280119650003 55 Th P
70 C.3800003381 Datiah 3328066006720004 48 Th W
71 C.3800003384 Sujilah 3328065706720001 48 Th W
72 Wiaedah 3329084107610183 W
73 C.3800003385 Suhanah 3328114409530003 W
74 C.3800003390 Sunarti 3328184208790002 42 Th W
75 C.3800003385 Mujiati 3328065607750010 W
76 C.3800003395 Ropiah 332814521069002 51 Th W
77 C.3800003388 Akhmad Aries 54 Th P
78 Titi Budi Setia Utami 32 Th W
79 Eni Suryani 3328064808690005 W
 80 Yudho Kuncoro Alam 3328021905900002 30 Th P
81 Fatchu Rizik 332811704990001 30 Th P
82 Slamet Nur Azam 3328111708680004 52 Th P
83 Faizal Hamzah 3328110406790004 59 Th P
84 C.3800003471 Cahyatun 3328094505720007 48 Th W
85 C.3800003475 Mohamad Noval 45 Th P
86 Dian Ayu Lestari 3328044310910009 29 Th P
87 C.3800003481 Andri Permana 3328120501890001 31 Th P
88 C.3800003476 Isti Cipti Widyasri 3329094702920014 28 Th W
89 C.3800003485 Ariyanti 3329045708790004 41 Th W
90 C.3800003474 Budi Mulyono 3328110904870002 33 Th P
91 C.3800003488 Indah Kurniasih 3328045803850002 35 Th W
92 C.380000382 Dewi Yuniarsih 3328184606900004 30 Th W
93 Maestik Ulfalasifah 3328015108990003 W
94 Ida Farkhati 3328136803960001 W
95 Yuli Antika Fitriyani 3328095507000005 W
96 Dwi Sangita 3328157011990001 W
97 Paramita 3328044101870002 W
98
99
100
101
102
103
104
105
106
107
108 M BILYAKHSI KHARIS 3328120409100001 10 th P
109 M AKHTAR SYAMIL KHRIS 3328121008140001 6 th P
110 ISTIROFAH 3328125006690003 51 th W
111 IRAWAN SUSANTO 3328090403760002 44 th P
112 SISDARNINGIH 332802408690007 51 W

113 HERIN WILDAN NUR FAISAL 3328021808950004 25 P

114 FAUZI ABDULLOH 3329082004920013 28 P

115 JUNINGSIH 3328026108760002 44 W
116 ARIEF DJAELANI 3328020408710001 49 P
117 SRI SUTAMTOMO 332823001710001 49 P
118 NURHIDAYATI 3328024404760001 44 W
119 KUSMIATI 3328024402730001 47 W
120 A.MAULANA 3328021005830018 37 P
121 NAKHDUDIN 3328022205670001 53 P
122 FAIZA ZULFIA SEPTIA SARI 3328025609980005 22 W
123 NURIDIN 3328021603680004 52 P
124 3328024701740001 46 W
INAYATI
125
126
127 Akhmad Wahyu Ginanjar 3328102410920003 28 th P
128 Demi 3328104808660003 54 th W
129 Dwi Ady Prastowo 3328110105820008 38 th P
130 Dwi Ady Prastowo 3328110105820008 38 th P
131 Indah Triana Mayasari 3671114405750007 45 th W
132 Indah Triana Mayasari 3671114405750007 45 th W
133 Indrayani Setyaningsih 3328136012720003 47 th W
134 Indrayani Setyaningsih 3328136012720003 47 th W
135 Jamaludin 3328142407810003 39 th P
136 Jamilah 3329094310630001 58 th W
137 Jumino A 3671110910680003 52 th P
138 Jumino A 3671110910680003 52 th P

139 Kamilah 3328067112680035 52 th W

140 Malikha 3328114104620004 58 th W
141 Malikha 3328114104620004 58 th W
142 Masfuri 3328070807730002 47 th P
143 Masfuri 3328070807730002 47 th P
144 M. Faizar 3329071809190001 1 th P
145 Rakwat 3328053112400001 79 th P
146 Rakwat 3328053112400001 79 th P
147 Sudarno 3328041202580001 62 th P
148 Sudarno 3328041202580001 62 th P
149 Tri Hardiyanti 3328115112610004 59 th W
150 Tri Hardiyanti 3328115112610004 59 th W
151 Wamah 3175086711660003 52 th W
152 Wamah 3175086711660003 52 th W
153 Waryono 3328090611750002 45 th P
154 Waryono 3328090611750002 45 th P
155 Indrayani setyaningsih 3328136012720003 47 th P
156 Indrayani setyaningsih 3328136012720003 47 th P
157
158 Abdullah (MD) 3328152105620001 58 Th P

159 Mardjugi 3328151802620003 58 Th P

160 Marsiyam 3376025704620001 58 Th W

161 Marsiyam 3376025704620001 58 Th W

162 Elisabet Suharni 3376025203530001 67 Th W

163 Elisabet Suharni 3376025203530001 67 Th W

164 Warid 3328150102610005 59 Th P

165 Warid 3328150102610005 59 Th P

166 Ali Sodikin 3328140306720008 48 Th P

167 Ali Sodikin 3328140306720008 48 Th P

168 Permata Amaliya 3328085304050003 15 Th W
169 Jumaedi 3328150705930002 27 Th P

170 Jumaedi 3328150705930002 27 Th P

171 Mohamad Andri 33760206940001 26 Th P

172 Tri Nur Cahyo (Ulang) 3328152805670002 53 Th P

173 Syamsul Ma'arif

174 Charles Albert Alim 3376020603910001 29 Th P

175 Hj. Lele Rani Ika Dinanti 3328176112750007 45 Th W

176 Hj. Lele Rani Ika Dinanti 3328176112750007 45 Th W

177 Ustiati
178 Mustofa 3328133112600121 60 Th P

179 Mustofa 3328133112600121 60 Th P

180 Siti Azizah 3376035011650001 55 Th W

181 Taryuni

182 Sucipto 3376022408480001 72 Th P

183 Sucipto 3376022408480001 72 Th P

184 Hari Supriyono 3328130905730001 47 Th P

185 Hari Supriyono 3328130905730001 47 Th P

186 Nena Febrianty Nurhidayati 3204104502960006 24 Th W

187 Multazam Ahmad Zulfikar 3375022004960004 24 Th P

188 Clara Angelia Potoro 3376015111960001 24 Th W

189 Tomy Resky Sandriya 3328042503960000 24 Th P

190 UMI KULSUM '3328156807610003 59 W

191 UMI KULSUM '3328156807610003 59 W

192 SOHIRUN '9933281403569003 51 P
193 SOHIRUN '9933281403569003 51 P
194 NURKHOLIS '3328040107580089 63 P
195 KHOLIPAH '3328167112600139 59 W
196 KHOLIPAH '3328167112600139 59 W
197 JULL WULANDARI '3376014507710002 49 W
198 JULL WULANDARI '3376014507710002 49 W

NURIMAH '3328144105720007 48 W

NURIMAH '3328144105720007 48 W

KADRAWI '3578162106690002 51 P

KADRAWI '3578162106690002 51 P

BY NY UMILAH FEBRIANI '9999999999999432 0 W

BY NY UMILAH FEBRIANI '9999999999999432 0 W

BY NY LENI LISDIANA '9999999999999325 0 P

BY NY LENI LISDIANA '9999999999999325 0 P
JAETUN '3328184210630001 57 W
JAETUN '3328184210630001 57 W
LENI LISDIANA '3328124905870004 33 W
LENI LISDIANA '3328124905870004 33 W
SITI HIDAYATI '9332815680960003 51 W
SITI HIDAYATI '9332815680960003 51 W
SITI RATMINAH '3328154704970002 23 W
SITI RATMINAH '3328154704970002 23 W
DEDE ABDU SHUBUR '3376032108940003 26 P
DEDE ABDU SHUBUR '3376032108940003 26 P
SUTINAH '3376014410500001 70 W
SUTINAH '3376014410500001 70 W
KARYAD '3328171210690005 51 P
KARYAD '3328171210690005 51 P
KHASANUDIN '3328030107670037 53 P
KHASANUDIN '3328030107670037 53 P
AWALUDIN '3328162503790004 39 P
AWALUDIN '3328162503790004 39 P

RESTU MIARTI '3328155801010001 19 W

RESTU MIARTI '3328155801010001 19 W

Diah Putri Puspitarini 33281063049700001 23 Th W

Wina Puji Pangesti 3328015303970009 23 Th W
Dyah Ayu Lestari 3328114411930003 27 Th W
Uut Kurniasih 3328095008960001 24 Th W
Iqbal Mufti 3328090904890001 31 Th P
Poniman 3328060601680002 52 Th P
M. Irfani Syahdan P.P 3328041711980001 22 Th P
Catur Buana Zanbika 3328140808830008 36 Th P
Wasbun Jauhara Khalim 3328170208800004 40 Th P
Bakhrun 3328160705770004 43 Th P
Lina Agustina 3328124808760005 44 Th W
Rizqo Wildan Aguinaldo 3328020804930004 27 Th P
Samsuri 3328050402630001 57 Th P
Miftachudin 3328152112820010 38 Th P
Taryana, SKM, M.KES '3328180505680002 52 Th P
Bayu Senjaya, AMK '3329132102930002 27 Th P
Addin Widi Wicaksono '3327080211870125 33 Th P
Mustika Tri Utami Lestari Pribadi '3328104610890002 31 Th W
Alvi Nurul Hidayah, S.KEP.,NS '3328104402920001 28 Th W
Anggraini Kusumawardani, SKM '3328184104940002 26 Th W
Dian Pertiwi, S.SI.APT '3327086003870002 33 Th W
Bhecik Roza Islamiyah '3328105607850004 35 Th W
Kuniati, SST '3328094512760001 43 Th W
Kusweni '3328096112620001 57 Th W
Devi Riskiya
Tri Nurjanah
 DATA PASIEN VTM Lab RSUD dr SOESELO SLAWI
DINAS KESEHATAN KABUPATEN TEGAL
TANGGAL 1 DESEMBER 2020

No.Rekam
Institut Pengirim
Medis

198036 RSUD dr Soeselo

381789 RSUD dr Soeselo
653692 RSUD dr Soeselo
653723 RSUD dr Soeselo
653722 RSUD dr Soeselo
653698 RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
653706 RSUD dr Soeselo
RSUD dr Soeselo
442719 RSUD dr Soeselo
395847 RSUD dr Soeselo
338736 RSUD dr Soeselo
RSUD dr Soeselo
594985 RSUD dr Soeselo
606046 RSUD dr Soeselo
653237 RSUD dr Soeselo
653752 RSUD dr Soeselo
653736 RSUD dr Soeselo
653739 RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
653465 RSUD dr Soeselo
651276 RSUD dr Soeselo
653605 RSUD dr Soeselo
653582 RSUD dr Soeselo
610766 RSUD dr Soeselo
503657 RSUD dr Soeselo
311272 RSUD dr Soeselo
634254 RSUD dr Soeselo
425577 RSUD dr Soeselo
649594 RSUD dr Soeselo
545588 RSUD dr Soeselo
403946 RSUD dr Soeselo
653606 RSUD dr Soeselo
245274 RSUD dr Soeselo
653442 RSUD dr Soeselo
653644 RSUD dr Soeselo
653590 RSUD dr Soeselo
579084 RSUD dr Soeselo
653420 RSUD dr Soeselo
653626 RSUD dr Soeselo
653618 RSUD dr Soeselo
379554 RSUD dr Soeselo
563005 RSUD dr Soeselo
653606 RSUD dr Soeselo
202351 RSUD dr Soeselo
339708 RSUD dr Soeselo
652952 RSUD dr Soeselo
653666 RSUD dr Soeselo
653551 RSUD dr Soeselo
653534 RSUD dr Soeselo
653628 RSUD dr Soeselo
653588 RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
1646436 RSUD dr Soeselo
350574 RSUD dr Soeselo
544924 RSUD dr Soeselo
653654 RSUD dr Soeselo
653166 RSUD dr Soeselo
652852 RSUD dr Soeselo
653655 RSUD dr Soeselo
RSUD dr Soeselo
652828 RSUD dr Soeselo
652853 RSUD dr Soeselo
587916 RSUD dr Soeselo
RSUD dr Soeselo
652660 RSUD dr Soeselo
653006 RSUD dr Soeselo
382858 RSUD dr Soeselo
506204 RSUD dr Soeselo
625282 RSUD dr Soeselo
 RSUD dr Soeselo
RSUD dr Soeselo
653684 RSUD dr Soeselo
653683 RSUD dr Soeselo
341748 RSUD dr Soeselo
653685 RSUD dr Soeselo
583370 RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
494750 RSUD dr Soeselo
454668 RSUD dr Soeselo
461236 RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo
RSUD dr Soeselo

Puskesmas Talang
Puskesmas Talang
Puskesmas Talang
Puskesmas Talang
PUSKESMAS BUMIJAWA

PUSKESMAS BUMIJAWA

PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA
 PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA
PUSKESMAS BUMIJAWA

02.84.86 RSI PKU Muhammadiyah Tegal

18.85.10 RSI PKU Muhammadiyah Tegal
18.82.85 RSI PKU Muhammadiyah Tegal
18.82.85 RSI PKU Muhammadiyah Tegal
03.80.90 RSI PKU Muhammadiyah Tegal
03.80.90 RSI PKU Muhammadiyah Tegal
18.85.01 RSI PKU Muhammadiyah Tegal
18.85.01 RSI PKU Muhammadiyah Tegal
00.18.01 RSI PKU Muhammadiyah Tegal
18.85.06 RSI PKU Muhammadiyah Tegal
18.85.29 RSI PKU Muhammadiyah Tegal

18.85.29 RSI PKU Muhammadiyah Tegal

18.73.67 RSI PKU Muhammadiyah Tegal

18.85.93 RSI PKU Muhammadiyah Tegal
18.85.93 RSI PKU Muhammadiyah Tegal
18.85.70 RSI PKU Muhammadiyah Tegal
18.85.70 RSI PKU Muhammadiyah Tegal
17.23.92 RSI PKU Muhammadiyah Tegal
18.85.65 RSI PKU Muhammadiyah Tegal
18.85.65 RSI PKU Muhammadiyah Tegal
18.82.08 RSI PKU Muhammadiyah Tegal
18.82.08 RSI PKU Muhammadiyah Tegal
18.84.81 RSI PKU Muhammadiyah Tegal
18.84.81 RSI PKU Muhammadiyah Tegal
18.25.36 RSI PKU Muhammadiyah Tegal
18.25.36 RSI PKU Muhammadiyah Tegal
18.86.05 RSI PKU Muhammadiyah Tegal
18.86.05 RSI PKU Muhammadiyah Tegal
18.85.01 RSI PKU Muhammadiyah Tegal
18.85.01 RSI PKU Muhammadiyah Tegal
245683 RS. Mitra Siaga

245424 RS. Mitra Siaga

243217 RS. Mitra Siaga

243217 RS. Mitra Siaga

228941 RS. Mitra Siaga

228941 RS. Mitra Siaga

245190 RS. Mitra Siaga

245190 RS. Mitra Siaga

245041 RS. Mitra Siaga

245041 RS. Mitra Siaga

245549 RS. Mitra Siaga

RS. Mitra Siaga

RS. Mitra Siaga

245179 RS. Mitra Siaga

113484 RS. Mitra Siaga

245435 RS. Mitra Siaga

245338 RS. Mitra Siaga

245663 RS. Mitra Siaga

245663 RS. Mitra Siaga

245408 RS. Mitra Siaga

245531 RS. Mitra Siaga

245531 RS. Mitra Siaga

245406 RS. Mitra Siaga

185078 RS. Mitra Siaga

245653 RS. Mitra Siaga

245653 RS. Mitra Siaga

245439 RS. Mitra Siaga

245439 RS. Mitra Siaga

RS. Mitra Siaga

RS. Mitra Siaga

RS. Mitra Siaga

RS. Mitra Siaga

RSUD Suradadi

RSUD Suradadi

RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi

RSUD Suradadi

RSUD Suradadi

RSUD Suradadi

RSUD Suradadi

RSUD Suradadi

RSUD Suradadi

RSUD Suradadi

RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi
RSUD Suradadi

RSUD Suradadi

RSUD Suradadi

RS Hawari Essa
RS Hawari Essa
RS Hawari Essa
RS Hawari Essa
RS Hawari Essa
RS Hawari Essa
RS Hawari Essa
DPRD
DPRD
DPRD
DPRD
DPRD
DPRD
DPRD
PKM Penusupan
PKM Penusupan
PKM Penusupan
PKM Penusupan
PKM Penusupan
PKM Penusupan
PKM Penusupan
PKM Penusupan
PKM Penusupan
PKM Penusupan
PKM Talang
PKM Talang
PKM Talang
Labkesda
Labkesda
BUMIL
BUMIL
 Lab RSUD dr SOESELO SLAWI
TAN KABUPATEN TEGAL
L 1 DESEMBER 2020

Alamat* Kabupaten* No.HP

Balaradin RT 06/05 Lebaksiu Tegal 085842076955

Kota Baru III No 6 Brebes 089625730898
Lebaksiu Lor RT 01/03 Tegal 087825304474
Pekauman Lor RT 02/03 Tegal 085642875789
Randusanga Kulon RT 03/03 Tegal 081807099595
Gumayun RT 04/02 Dukuhwaru Tegal 082328858665
Kalidawa RT 08/02, Talang Tegal
Pagongan RT 03/02 Dukuhturi Tegal
Rancawuluh RT 03/01 Bulakamba Tegal
Pekajangan RT 28/10 Kedungwuni Tegal
Adiwerna RT 30/03 Tegal
Sidapurna RT 28/04 Dukuhturi Tegal 081548126736
Mejasem Barat RT 02/19 Kramat Tegal
Slawi Kulon RT 06/05 Tegal
Bojong RT 07/03 Tegal
Dukuhringin RT 03/03 Slawi Tegal 085201379916
Slawi Wetan RT 20/07 Tegal 085786375755
Slawi Wetan RT 10/06 Slawi Tegal
Pagiyanten RT 23/06 Adiwerna Tegal
Dermasandi RT 01/01 Pangkah Tegal
Pucang Luwuk RT 01/03 Bojong Tegal
Tegal
Dukuh Jatigaras RT 01/03 Balapulang Tegal
Slarang Kidul RT 02/02 Lebaksiu Tegal
Kaliwadas RT 01/01 Adiwerna Tegal 085216676671
Harjosari Kidul RT 23/06 Adiwerna Tegal 085219692756
Selapura RT 01/03 Dukuhwaru Tegal 083107556889
Kemantran RT 04/04 Tegal
Pekiringan RT 09/02 Tegal
Kalimati RT 17/03 Adiwerna Tegal
Danawarih RT 05/15 Tegal
Balapulang RT 02/02 Tegal
Jatinegara RT 21/13 Tegal
Kambangan RT 15/02 Lebaksiu Tegal
Kagok RT 04/03 Slawi Tegal
Pesayangan RT 05/01 Talang Tegal
 Bogares Kidul RT 15/03 Tegal
Slawi Kulon RT 04/05 Tegal
Pakembaran RT 04/03 Slawi Tegal
Slawi Wetan RT 16/06 Slawi Tegal
Slawi Kulon RT 04/05 Slawi Tegal
Randusari RT 04/06 Pagerbarang Tegal
Dukuh RT 01/06 Kramat Jati Jakarta
Petunjungan RT 04./01 Bulakamba Brebes
Karamg Anyar RT 01/05 Pagerbarang Tegal
Blubuk RT 03/02 Dukuhwaru Tegal
Sindang RT 04/03 Dukuhwaru Tegal
Dukuhdamu RT 05/01 Lebaksiu Tegal
Mulyoharjo RT 03/02 Pagerbarang Tegal
Depok RT 02/03 Pangkah Tegal
Slawi Wetan RT 16/06 Slawi Tegal
Slarang Kidul RT 01/03 Tegal
Randasari RT 09/02 Dukuhturi Tegal
Bogares Kidul RT 13/02 Tegal
Pekirigan RT 09/02 Talang Tegal
Slarang Lor RT 01/01 Tegal
Dukuhjati Kidul Tegal
Sindang RT 03/01 Tegal
Dukuhjati Kidul RT 01/04 Tegal
Perum Permata Gahari II Tegal
Tarub RT 11/05 Tegal
Mindaka RT 01/03 Tarub Tegal 0823143255021
Gumayun RT 17/06 Dukuhwaru Tegal 0895302731531
Jembayat RT 02/05 Margasari Tegal 083817466145
Gumayun RT 01/01 Dukuhwaru Tegal
Cilongok RT 03/20, Balapulang Tegal 082324738173
Slawi Kulon RT 04/07 Slawi Tegal
Balapulang Wetan RT 05/01 Balapulang Tegal 085747932359
Margasari RT 01/03 Tegal 082359160821
Dukuhdamu RT 04/04 Lebaksiu Tegal
Timbang Reja RT 02/07 Tegal
Glonggong RT 04/02 Wanasari Tegal 089649059551
Kalimati RT 09/01 Adiwerna Tegal 085227538881
Blubuk RT 04/05 Dukuhwaru Tegal
Lebaksiu Lor RT 02/01 Lebaksiu Tegal 083145107377
Mangun Saren RT 07/02 Tarub Tegal
Grobog Kulon RT 04/04 Tegal
Blubuk RT 02/03 Dukuhwaru Tegal
Kajen RT 03/06 Lebaksiu Tegal
 Bumijawa RT 06/03 Tegal 083839023738
Adiwerna RT 34/04 Tegal 085228273339
Harjosari Lor Tegal
Adiwerna RT 01/05 Tegal
Dukuhjati Kidul RT 01/01 Pangkah Tegal
Adiwerna RT 05/01 Tegal
Batuagung RT 09/02 Balapulang Tegal 083113406940
Gumayun RT 11/04 Tegal 087830434566
Gumayun RT 11/04 Tegal 087830434566
Dk Krajan RT 01/01 Tegal
Pagedangan RT 10/02 Tegal 085290784868
Kendalserut RT 03/03 Pangkah Tegal 081809541456
Bulakpacing RT 04/07 Dukuhwaru Tegal 082134789929
MargaayuRT 04/02 Margasari Tegal
Kademangaran RT 07/01 Dukuhturi Tegal
Bogares Kidul RT 07/01 Pangkah Tegal
Dk. Larangan RT 02/03 Kramat Tegal
Lebakiu Lor RT 03/06 Lebaksiu Tegal

Kebasen Rt03/Rw01 Tegal

Kebasen Rt03/Rw01 Tegal
Kebasen Rt03/Rw01 Tegal
Balamoa Rt01/Rw06 Tegal
BUMIJAWA 1/6 Tegal

BUMIJAWA 1/6 Tegal

BUMIJAWA 1/6 Tegal

BATUMIRAH 4/3 Tegal
BATUMIRAH 4/3 Tegal
BUMIJAWA 6/2 Tegal
BUMIJAWA 6/2 Tegal
 BUMIJAWA 4/1 Tegal
MUNCANGLARANG 8/2 Tegal
BUMIJAWA 2/2 Tegal
BUMIJAWA 2/2 Tegal
BUMJAWA 1/6 Tegal
BUMIJAWA 4/2 Tegal

Pagiyanten 9/5 Adiwerna Tegal

Trayeman 02/04 Slawi Tegal
Tembok Luwung 28/06 Adiwerna Tegal
Tembok Luwung 28/06 Adiwerna Tegal
Kabunan 1/5 Dukuhwaru Tegal
Kabunan 1/5 Dukuhwaru Tegal
Pangkah 01/02 Pangkah Tegal
Pangkah 01/02 Pangkah Tegal
Setu 3/2 Tarub Tegal
Banjaranyar 03/05 Banjaranyar Brebes
Kabunan 01/05 Dukuhwaru Tegal

Kabunan 01/05 Dukuhwaru Tegal

Lebaksiu Kidul 002/003 Lebaksiu Tegal

Ujungrusi 23/03 Adiwerna Tegal
Ujungrusi 23/03 Adiwerna Tegal
Kedungwungu 10/03 Jatinegara Tegal
Kedungwungu 10/03 Jatinegara Tegal
Kertasinduyasa 4/1 Jatibarang Tegal
Surokidul 002/008 Pagerbarang Tegal
Surokidul 002/008 Pagerbarang Tegal
Balapulang Wetan 2/8 Balapulang Tegal
Balapulang Wetan 2/8 Balapulang Tegal
Adiwerna 32/03 Adiwerna Tegal
Adiwerna 32/03 Adiwerna Tegal
Pamengger 3/4 Jatibarang Brebes
Pamengger 3/4 Jatibarang Brebes
Bogares Kidul 26/04 Pangkah Tegal
Bogares Kidul 26/04 Pangkah Tegal
pangkah 1/2 pangkah Tegal
pangkah 1/2 pangkah Tegal
 Mejasem Timur RT 3/5 Kramat - Kab. Tegal Tegal

Jl. Pala Barat 2 No. 1121 RT 2/14 Kramat, Dampyak - Kab. Tegal Tegal

Jl. Sumbodro No. 21 RT 3/4 Slerok. Tegal Timur - Kota Tegal Kota Tegal

Jl. Sumbodro No. 21 RT 3/4 Slerok. Tegal Timur - Kota Tegal Kota Tegal

Jl. Poso Gg. 17 No. 58 RT 13/7 Panggung, Tegal Timur - Kota Tegal Kota Tegal 085229475439

Jl. Poso Gg. 17 No. 58 RT 13/7 Panggung, Tegal Timur - Kota Tegal Kota Tegal 085229475439

Bongkok RT 6/3 Kramat - Kab. Tegal Kota Tegal

Bongkok RT 6/3 Kramat - Kab. Tegal Kota Tegal

Tarub RT 11/5 Tarub - Kab. Tegal Tegal 085105107782

Tarub RT 11/5 Tarub - Kab. Tegal Tegal 085105107782

Semedo RT 11/4 Kedungbanteng - Kab. Tegal Tegal 085741852224

Padaharja RT 3/1 Kramat - Kab. Tegal Tegal

Padaharja RT 3/1 Kramat - Kab. Tegal Tegal

 Kejambon RT 6/3 Tegal Timur - Kota Tegal Kota Tegal

Jl. Hasanudin 12 RT 3/16 Mejasem Barat, Kramat - Kab. Tegal Tegal

Jl. P. Diponegoro RT 1/3 Mangkukusuman, Tegal Timur - Kota Tegal Kota Tegal 08151811611

Sigentong RT 1/3 Warureja - Kab. Tegal Tegal 0818388518

Sigentong RT 1/3 Warureja - Kab. Tegal Tegal 0818388518

Bandasari RT 3/1 Dukuhturi - Kab. Tegal Tegal

Bandasari RT 3/1 Dukuhturi - Kab. Tegal Tegal

Jl. Merpati Gg. Elang No. 42 RT 6/1 Randugunting, Tegal Selatan - Kota
Kota Tegal
Tegal

Jl. Flores Gg. 1 No. 28 RT 8/9 Panggung, Tegal Timur - Kota Tegal Kota Tegal 0895703406059

Jl. Flores Gg. 1 No. 28 RT 8/9 Panggung, Tegal Timur - Kota Tegal Kota Tegal 0895703406059

Randugunting RT 1/7 Tegal Selatan - Kota Tegal Kota Tegal

Randugunting RT 1/7 Tegal Selatan - Kota Tegal Kota Tegal

Perumahan Green Teksin Jl. Gaharu 2 Blok B2 No. 2 Mejasem, Kramat -

Tegal 0851157278851
Kab. Tegal

Perum Puri Sebayu No. B4 Pekauman, Tegal Barat - Kota Tegal Kota Tegal 082138574441
Perumahan Citra Bahari Blok A.3 Debong Lor, Tegal Barat - Kota Tegal Kota Tegal 081803981110

Harjawinangun Rt 4/1 Balapulang - Kab. Tegal Tegal 085282883964

PANGGUNG RT 03 RW 06 KEC TEGAL TIMUR Kota Tegal

PANGGUNG RT 03 RW 06 KEC TEGAL TIMUR Kota Tegal

KESADIKAN RT 02 RW 01 KEC. TARUB Tegal

KESADIKAN RT 02 RW 01 KEC. TARUB Tegal
BALAPULANG WETAN 3/7, BALAPULANG, TEGAL Tegal
SURADADI RT.03 RW.01 Tegal
SURADADI RT.03 RW.01 Tegal
JL.BATAM RT.02 RW.13 PANGUNG, TEGAL TIMUR Kota Tegal

JL.BATAM RT.02 RW.13 PANGUNG, TEGAL TIMUR Kota Tegal

KESADIKAN RT.02 RW.01 KEC.TARUB KAB.TEGAL Tegal

KESADIKAN RT.02 RW.01 KEC.TARUB KAB.TEGAL Tegal

DESA UJUNG RT.11 RW.16 KEC.SEMAMPIR KAB.SURABAYA

Surabaya
PROV.JAWA TIMUR
DESA UJUNG RT.11 RW.16 KEC.SEMAMPIR KAB.SURABAYA
Surabaya
PROV.JAWA TIMUR
PERUM MAHARDIKA NO 15 RT4/RW7, PAKEMBARAN, SLAWI,
Tegal
TEGAL
PERUM MAHARDIKA NO 15 RT4/RW7, PAKEMBARAN, SLAWI,
Tegal
TEGAL
GETASKEREP RT.20 RW.04 TALANG, TEGAL Tegal
GETASKEREP RT.20 RW.04 TALANG, TEGAL Tegal
PEDAGANGAN 1/7 Tegal
PEDAGANGAN 1/7 Tegal
GETASKUREP RT.20 RW.04 TALANG, TEGAL Tegal
GETASKUREP RT.20 RW.04 TALANG, TEGAL Tegal
DESA BABAKAN RT 01 RW 04 KEC. KRAMAT KAB. TEGAL Tegal
DESA BABAKAN RT 01 RW 04 KEC. KRAMAT KAB. TEGAL Tegal
KEPUNDUHAN RT.04 RW.02 KRAMAT, TEGAL Tegal
KEPUNDUHAN RT.04 RW.02 KRAMAT, TEGAL Tegal
DEBONG KULON RT 03 RW 11 TEGAL SELATAN Kota Tegal
DEBONG KULON RT 03 RW 11 TEGAL SELATAN Kota Tegal
DESA KRATON RT.07 RW.04 KEC.TEGAL BARAT, TEGAL Tegal
DESA KRATON RT.07 RW.04 KEC.TEGAL BARAT, TEGAL Tegal
KREMAN RT/05 RW/04 KEC. WARUREJA Tegal
 KREMAN RT/05 RW/04 KEC. WARUREJA Tegal
DESA GUNUNG JATI RT.05 RW.01 KEC.BOJONG Tegal
DESA GUNUNG JATI RT.05 RW.01 KEC.BOJONG Tegal
KERTASARI RT 02 RW 02 KEC. SURADADI Tegal
KERTASARI RT 02 RW 02 KEC. SURADADI Tegal
JATILAWANG RT.01 RW.02 KEC KRAMAT KAB.TEGAL , JAWA
Tegal
TENGAH
JATILAWANG RT.01 RW.02 KEC KRAMAT KAB.TEGAL , JAWA
Tegal
TENGAH
Jl Wader No 14 RT 004/004 Tegal
Wanasari Rt 001/001 Tegal
Tembok Luwung rt 021/005 Tegal
Grobog Kulon RT 001/005 Tegal
Dukuhwringin RT 002/003 Tegal
Dusun Sempu Maja Rt 003/001 Tegal
balapulang Wetan Rt 004/010 Tegal
Karangjati 003/002 Tarub Tegal
Banjaragung 006/003 Warureja Tegal
Sidaharja 026/001 Tegal
Tegalwangi 020/006 Talang Tegal
Slawi Kulon 006/006 Slawi Tegal
Pagerbarang 005/002 Pagerbarang Tegal
Kemuning 001/003 Kramat Tegal
Pedagangan 2/7, Dukuhwaru Tegal
Pangkah 7/1, Pangkah Tegal
JL. ENGGANO I NO 14 RT 4 / RW 17, KEL. BOJONGBATA Pemalang
Pakembaran 2/7 Tegal
Dukuhsalam 3/5, Slawi Tegal
Pedagangan 2/7, Dukuhwaru Tegal
JL. ENGGANO I NO 14 RT 4 / RW 17, KEL. BOJONGBATA Tegal
Kendal Serut Rt 03/04, Pangkah Tegal
Depok 4/1, Pangkah Tegal
Penusupan 3/3, Pangkah Tegal
Tegal
Tegal
Tegal
 Tgl spesimen
Jenis Spesimen Ket
diperiksa*

OTG
OTG
OTG
OTG
OTG
OTG
OTG
OTG
OTG
OTG
Nakes
OTG
OTG
OTG
Nakes
OTG
OTG
OTG
OTG
OTG
OTG
OTG
OTG
OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I PDP
Swab NF I PDP
Swab NF I OTG
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I OTG
Swab NF I MD
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I OTG
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
Swab NF I PDP
 Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I Nakes
Swab NF I Nakes
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I OTG
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I

Swab NF I/II Anak Nakes

Swab NF I/II Anak Nakes
Swab NF I/II Nakes
Swab NF I/II Nakes
Swab NF I KONTAK
NURIDIN
Swab NF I KONTAK
NURIDIN
Swab NF I OB PUSKESMAS
Swab NF I NAKES
Swab NF I SUAMI NAKES
Swab NF I GURU
Swab NF I GURU
 Swab NF I NURIDIN
Swab NF I NURIDIN
Swab NF I SUSPECT
Swab NF I SUSPECT
Swab NF I ANGGOTA DPR
Swab NF I KONTAK
NURIDIN

Swab NF I 01-Dec-20 Nakes

Swab NF I 01-Dec-20 PDP/+
Swab NF I 01-Dec-20 PDP
Swab NF II 01-Dec-20 PDP
Swab NF I 01-Dec-20 PDP
Swab NF II 01-Dec-20 PDP
Swab NF I 01-Dec-20 PDP
Swab NF II 01-Dec-20 PDP
Swab NF I 01-Dec-20 Nakes
Swab NF I 01-Dec-20 PDP/+
Swab NF I 01-Dec-20 PDP
Swab NF II 01-Dec-20 PDP
Swab NF III 01-Dec-20 PDP(swab evaluasi)

Swab NF I 01-Dec-20 PDP

Swab NF II 01-Dec-20 PDP
Swab NF I 01-Dec-20 PDP
Swab NF II 01-Dec-20 PDP
Swab NF I 01-Dec-20 PDP
Swab NF I 01-Dec-20 PDP
Swab NF I 01-Dec-20 PDP
Swab NF I 01-Dec-20 PDP
Swab NF II 01-Dec-20 PDP
Swab NF I 12/1/2020 PDP
Swab NF II 12/1/2020 PDP
Swab NF I 12/1/2020 PDP
Swab NF II 12/1/2020 PDP
Swab NF I 12/1/2020 PDP
Swab NF II 12/1/2020 PDP
Swab NF I 12/1/2020 PDP
Swab NF II 12/1/2020
Swab NF/OF I

Swab NF/OF I

Swab NF/OF I

Swab NF/OF II

Swab NF/OF I

Swab NF/OF II

Swab NF/OF I

Swab NF/OF II

Swab NF/OF I

Swab NF/OF II
Swab NF/OF I

Swab NF/OF I

Swab NF/OF II
Swab NF/OF I

Swab NF/OF III

Swab NF/OF I

Swab NF/OF I

Swab NF/OF II

Swab NF/OF I

Swab NF/OF II

Swab NF/OF I

Swab NF/OF I

Swab NF/OF II

Swab NF/OF I

Swab NF/OF II

Swab NF/OF I

Swab NF/OF I
Swab NF/OF I

Swab NF/OF I

Swab NF I

Swab NF II

Swab NF I
Swab NF II
Swab NF II
Swab NF I
Swab NF II
Swab NF I

Swab NF II

Swab NF I

Swab NF II

Swab NF I

Swab NF II

Swab NF I

Swab NF II

Swab NF I
Swab NF II
Swab NF I
Swab NF II
Swab NF I
Swab NF II
Swab NF I
Swab NF II
Swab NF I
Swab NF II
Swab NF I
Swab NF II
Swab NF I
Swab NF II
Swab NF I
Swab NF II
Swab NF I
Swab NF II
Swab NF I
Swab NF II

Swab NF I

Swab NF II

Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
Swab NF I
 Jenis
Umur
No No Specimen Nama* NIK Kelamin
(thn/bln)*
(P/W)

1 C.3800003479 Estin Nafidah 3328065301800004 40 Th W

2 C.3800003483 Wasiatur Rohmah A 3328106512710003 48 Th W

3 C.3800003472 Indri Listiani 26 Th W

4 C.3800003487 M. Irham Maulana 3328130303900003 30 Th P

5 C.3800003480 Agus Mulyadi 3329092207720003 48 Th p

6 C.3800003478 Andi Khumaizi Fuadilah 3328181205960003 24 Th P

7 Sugeng Prasetyo 3328120303810008 P

8 Slamet Subagyo 3328131204720003 P

9 Zaenal Faizin 3328181008750001

10 Ika Yulianto 3326132607740061 46 Th W

11 Afti Dwi Priyati 3328114412830005 W

12 Muslikun 332813205720004 48 Th P

13 Sofianti 3328134107780136 42 Th P

14 Budi Harto 3175030404710013 49 Th P

15 Lori Fitrotul Ulpa 3328035504910006 W

16 Endah Setiarini 3328104107960008 24 Th W

17 Dwi Nurul Absor 3328090503940004 26 Th P

18 Misyati 3328106812690004 W
19 Wasri 3328117001550003 W

20 Rohayatun 3328096210900004 W

21 Perihati 3328036603900002 W

22 Sakira 13 Th W
 DATA PASIEN VTM Lab RSUD dr SOESELO SLAWI
DINAS KESEHATAN KABUPATEN TEGAL
TANGGAL 20 November 2020

No.Rekam Medis Institut Pengirim Alamat* Kabupaten*

198036 RSUD dr Soeselo Balaradin RT 06/05 Lebaksiu Tegal

381789 RSUD dr Soeselo Kota Baru III No 6 Brebes

653692 RSUD dr Soeselo Lebaksiu Lor RT 01/03 Tegal

653723 RSUD dr Soeselo Pekauman Lor RT 02/03 Tegal

653722 RSUD dr Soeselo Randusanga Kulon RT 03/03 Tegal

653698 RSUD dr Soeselo Gumayun RT 04/02 Dukuhwaru Tegal

RSUD dr Soeselo Kalidawa RT 08/02, Talang Tegal

RSUD dr Soeselo Pagongan RT 03/02 Dukuhturi Tegal

RSUD dr Soeselo Rancawuluh RT 03/01 Bulakamba Tegal

653706 RSUD dr Soeselo Pekajangan RT 28/10 Kedungwuni Tegal

RSUD dr Soeselo Adiwerna RT 30/03 Tegal

442719 RSUD dr Soeselo Sidapurna RT 28/04 Dukuhturi Tegal

395847 RSUD dr Soeselo Mejasem Barat RT 02/19 Kramat Tegal

338736 RSUD dr Soeselo Slawi Kulon RT 06/05 Tegal

RSUD dr Soeselo Bojong RT 07/03 Tegal

594985 RSUD dr Soeselo Dukuhringin RT 03/03 Slawi Tegal

606046 RSUD dr Soeselo Slawi Wetan RT 20/07 Tegal

653237 RSUD dr Soeselo Slawi Wetan RT 10/06 Slawi Tegal

653752 RSUD dr Soeselo Pagiyanten RT 23/06 Adiwerna Tegal

653736 RSUD dr Soeselo Dermasandi RT 01/01 Pangkah Tegal

653739 RSUD dr Soeselo Pucang Luwuk RT 01/03 Bojong Tegal

RSUD dr Soeselo Tegal

 Tgl spesimen
No.HP Jenis Spesimen
diperiksa*

085842076955

089625730898

087825304474

085642875789

081807099595

082328858665

081548126736

085201379916

085786375755