LAPORAN BULANAN PELAYANAN KESEHATAN RUJUKAN

PUSKESMAS TANJUNG AGUNG

BULAN : Desember 2021

Jenis Jumlah yang di rujuk
No Nama Pasien Umur Alamat Diagnosa/Alasan rujukan Di rujuk ke Jamkesd Jamkes ket
Kelamin Umum BPJS SKTM
a mas
1 SAFA ATUN 32 P TJ.AGUNG CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.OBGYN √
2 HERMILIZA 40 P TJ.AGUNG POLYNEUROPATHY.UNSPECIFIED P.SARAF √
3 LATISHA WELLA 6 BLN P S.JAYA CHRONIC SEROUS OTITIS MEDIA THT √
4 ROGAYAH 65 P BPJ OTHER AND UNSPECIFIED OVARIAN CYSTS P.OBGYN √
5 ROHANA 57 P TJ.AGUNG CYST OF BARTHOLIN'S GLAND P.OBGYN √
6 SYARIFUDDIN 70 L S.JAYA HYPERTENSIVE HEART DISEASE P.PENYAKIT DALAM √
7 KHAIRUL ANWAR 56 L M.JAYO OTHER SPECIFIED CHRONIC OBSTRUCTIVE PULMONARY DISEASE P.PARU √
8 ISMAIL 27 L TJ.AGUNG TUBERCULOSIS OF NERVOUS SYSTEM P.PARU √
9 ROGAYAH 65 P BPJ GASTROJEJUNAL ULER,UNSPECIFIED AS ACUTE OR CHRONIC P.PENYAKIT DALAM √
10 MARZUKI 65 L BEDARO GASTROJEJUNAL ULER,UNSPECIFIED AS ACUTE OR CHRONIC P.PENYAKIT DALAM √
11 RINI ROSDIANA 30 P TJ.AGUNG LOCALIZED SWELLING,MASS AND LUMP LOWER LIMB P.BEDAH √
12 M.ISA 62 L P.JUM'AT CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.BEDAH √
13 HUZAIRI 46 P T.TINGGI SCHIZOPHRENIA P.JIWA √
14 HADIJAH 67 P DATAR CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.OBGYN √
15 ROIDA 19 P T.TINGGI CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.BEDAH √
16 ISMAIL 58 L BEDARO SEGUELAE OF STROKE,NOT SPECIFIED AS HEAMORRHAGE P.SARAF √
17 ABD.SOMAD 59 L TEBAT DISLOCATION P.SARAF √
18 ANDA RUSSETIAWAN 47 L S.JAYA CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.JANTUNG √
19 AGUSMAN 60 L TJ.AGUNG CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.BEDAH √
20 CECEP IRWANDA 27 L TJ.AGUNG EPILEPSY,UNSPECIFIED P.SARAF √
21 MASTUROH 42 P TJ.AGUNG PRENSENCE OF SPECTACLES AND CONTACT LENSES P.MATA √
22 SITI KHADIJAH 54 P TEBAT PRENSENCE OF SPECTACLES AND CONTACT LENSES P.MATA √
23 ZAITAH 58 P BEDARO OS SUDAH DIRUMAH SAKIT DENGAN KELUHAN BADAN SEBELAH KIRI SUSAH DIGERAK IGD √
24 HADIJAH 30 P M.JAYO CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.PARU √
25 ANDA RUSSETIAWAN 47 L M.JAYO CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.JANTUNG √
26 ARINKA WELLA P 2 P S.JAYA CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.BEDAH √
27 NULELA 59 P M.JAYO CONVALESCENCE FOLLOWING UNSPECIFLED TREATMENT P.SARAF √
28 CEVY ANGGIA 26 P DATAR COMPLICATED CATARACT P.MATA √
29 JUWAIRIAH 51 P BPJ PRENSENCE OF SPECTACLES AND CONTACT LENSES P.MATA √
30 ROGAYAH 65 P BPJ OTHER AND UNSPECIFIED OVARIAN CYSTS P.OBGYN √
31 LINDAWATI 31 P TJ.AGUNG LOW BACK PAIN P.SARAF √
32 RATNA WILIS 32 P BPJ SINGLES DELIVERY BY CEASAREAN SECTION P.OBGYN √
33 A.MANAF 48 L TJ.AGUNG INFLAMMATION OF EYELID,UNSPECIFIED P.MATA √
34 KHAIRIL NIKMAT 14 L TJ.AGUNG XANTHELASMA OF EYELID P.MATA √
35 M.ARIEF.N 62 L TJ.AGUNG PRENSENCE OF SPECTACLES AND CONTACT LENSES P.JANTUNG √

Mengetahui : Tanjung Agung, 03 Januari 2022

UPT Puskesmas Tanjung Agung Petugas Poli Umum

H.Ulil Amri, S.Kep Hj. Nurkasmiati. Am,Kep

Nip. 196805261990031005 Nip. 196805011988032004
 LAPORAN BULANAN KESEHATAN RUJUKAN
PUSKESMAS TANJUNG AGUNG

Bulan : 2013
Jenis Di rujuk Jumlah yang di rujuk
No Nama Pasien Umur Alamat Alasan di rujuk ket
Kelamin ke Umum Askes Jampersal Jamkesmas Jamkesda
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

Mengetahui :
Kepala Puskesmas Tanjung Agung Bides

Hj. Nita Afriyanti, SKM ………………………………………

Nip. 19670402 198903 2002