Simpus PTM

<h2>DATA DIAGNOSIS PASIEN PUSKESMAS</h2>
Periode : 01-02-2022 s/d 28-02-2022<br>

<table class='grid' border='1'>
<tr>
<th>Kode Penyakit</th>
<th>Nama Diagnosis</th>
<th>ICDX</th>
<th>Keluhan</th>
<th>No.<br>Registrasi</th>
<th>No.Index</th>
<th>Tanggal</th>
<th>Nama</th>
<th>NamaKK</th>
<th>Pekerjaan</th>
<th>Alamat</th>
<th>Dusun</th>
<th>Desa</th>
<th>Tempat Periksa</th>
<th>Petugas Medis</th>
<th>Perawat Bidan</th>
<th>JK</th>
<th>Kelompok<br>Umur</th>
<th>Pengirim</th>
<th>Kunjungan</th>
<th>Jenis<br>Pasien</th>
<th>Tindak<br>Lanjut</th>
<th>Hari</th>
<th>Bulan</th>
<th>Tahun</th>
<th>Unit</th>
<th>Poli Rujuk</th>
<th>Rumah Sakit</th>
<th>Wilayah</th>
<th>Kartu Sehat</th>
<th>NIK</th>
<th>Systole</th>
<th>Diastole</th>
<th>Denyut Jantung</th>
<th>Suhu Badan</th>
<th>Respiration Rate</th>
<th>Tinggi</th>
<th>Berat</th>
<th>Gol Darah</th>
</tr><tr><td align='right'>Z00</td><td>General examination
and investigation of persons without complaint and reported
diagnosis</td><td></td><td>swab manten</td><td align='right'>85679</td><td
align='right'>021658004</td><td>02-02-2022</td><td>ADI WIBOWO</td><td>AGUS
WIDODO</td><td></td><td>TEGUHAN RT 02</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td> - </td><td>L</td><td>20-44
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rajal</td><td
align='right'>5</td><td align='right'>5</td><td align='right'>33</td><td>BP.
Umum</td><td></td><td></td><td>Dalam
Wilayah</td><td>'</td><td>'</td><td>120</td><td>80</td><td>88</td><td>36</
td><td>24</td><td>156</td><td>56</td><td></td></tr><tr><td
align='right'>Z00</td><td>General examination and investigation of persons without
complaint and reported diagnosis</td><td></td><td>swab manten</td><td
align='right'>85676</td><td align='right'>021658000</td><td>02-02-2022</td><td>AGUS
WIDODO</td><td>AGUS WIDODO</td><td></td><td>TEGUHAN RT
02</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>J02</td><td>Acute pharyngitis</td><td></td><td>nyeri telan krn
kemasukan benda</td><td align='right'>85648</td><td
align='right'>01435302</td><td>02-02-2022</td><td>AHMAD
HALIBI</td><td>SUNARNO</td><td></td><td>GLUGU RT
12</td><td>Glugu</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
PBI</td><td>Rajal</td><td align='right'>21</td><td align='right'>7</td><td
align='right'>7</td><td>BP. Umum</td><td></td><td></td><td>Dalam
Wilayah</td><td>'0002165713885</td><td>'</td><td>120</td><td>80</td><td>88</
td><td>36</td><td>24</td><td>156</td><td>56</td><td></td></tr><tr><td
align='right'>85671</td><td align='right'>081657600</td><td>02-02-2022</td><td>ALBU
YAYIP ALDI</td><td>ALBU YAYIP ALDI</td><td></td><td>CRANGGANG RT
25</td><td></td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>15-19
align='right'>85672</td><td align='right'>081657603</td><td>02-02-2022</td><td>ALI
MUNTAHA</td><td>ALBU YAYIP ALDI</td><td></td><td>CRANGGANG RT
H</td><td> - </td><td>L</td><td>15-19
Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rajal</td><td
complaint and reported diagnosis</td><td></td><td>kir kerja</td><td
align='right'>85669</td><td align='right'>0414758</td><td>02-02-2022</td><td>ANJAR
WATIK</td><td>TUKIRAN</td><td></td><td>PELEM REJO RT
24</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>P</td><td>15-19
align='right'>K00.7</td><td>Teething syndrome</td><td></td><td></td><td
align='right'>85656</td><td
align='right'>061463003</td><td>02-02-2022</td><td>APRILIA</td><td>SUKARDI</
td><td></td><td>KALIDORO RT 29</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
INDUK</td><td>DRG. BAMBANG HERI</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>5-
9 Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rajal</td><td
Gigi</td><td></td><td></td><td>Dalam
align='right'>J06.9</td><td>Acute upper respiratory infection,
unspecified</td><td></td><td>demam bapil</td><td align='right'>85624</td><td
align='right'>07159402</td><td>02-02-2022</td><td>ASKA</td><td>RUDIYANTO</
td><td></td><td>KUNIRAN RT 20</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td> - </td><td>P</td><td>10-14
align='right'>85687</td><td align='right'>01040618</td><td>02-02-2022</td><td>BAGAS
DESFIAN</td><td>WASIS YULIANTO</td><td></td><td>JETIS RT
06</td><td>Jetis</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>15-19
align='right'>B36.0</td><td>Pityriasis versicolor</td><td></td><td>gatal gatal di
lengan</td><td align='right'>85684</td><td align='right'>09223403</td><td>02-02-
2022</td><td>DAKA ROMDANI PRADANA</td><td>LASMO</td><td></td><td>BRUJULAN RT
01</td><td>Brujulan</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td> - </td><td>P</td><td>10-14
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td></td><td
align='right'>09259601</td><td>02-02-2022</td><td>DARWANTI</td><td>JEMIKUN</
td><td></td><td>DUWET RT 15</td><td>Duwet</td><td>SUMBERREJO</td><td>PUSKESMAS
INDUK</td><td>DRG. BAMBANG HERI</td><td>TRI ARDI HASTUTI,
AMKG</td><td>P</td><td>20-44
align='right'>85678</td><td align='right'>02165803</td><td>02-02-2022</td><td>DEDI
DORES SAPUTRA</td><td>AGUS WIDODO</td><td></td><td>TEGUHAN RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>85650</td><td align='right'>03951502</td><td>02-02-2022</td><td>EKO
SAPUTRO</td><td>KHOIRIL</td><td></td><td>PONDOK BARAT</td><td>Pondok
Barat</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>L</td><td>15-19
align='right'>K05.3</td><td>Chronic periodontitis</td><td></td><td></td><td
align='right'>06061903</td><td>02-02-2022</td><td>ERWIN</td><td>TUGIYONO</
td><td></td><td>NGELO RT 23</td><td>Ngelo</td><td>KEDAWUNG</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>15-
19 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>Z00</td><td>General examination
and investigation of persons without complaint and reported
diagnosis</td><td></td><td>swab manten</td><td align='right'>85677</td><td
align='right'>021658002</td><td>02-02-2022</td><td>GITO DIKROMO GIMIN</td><td>AGUS
WIDODO</td><td></td><td>TEGUHAN RT 02</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td> - </td><td>L</td><td>>70
unspecified</td><td></td><td>bapil </td><td align='right'>85662</td><td
align='right'>06858401</td><td>02-02-2022</td><td>HANDAYANI
PRIHATININGSIH</td><td>JOKO</td><td></td><td>KALIGUNTING RT
04</td><td>Kaligunting</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
Wilayah</td><td>'</td><td>'2171111004811001</td><td>120</td><td>80</td><td>88</
td><td>36</td><td>24</td><td>156</td><td>56</td><td>Tdk Th</td></tr><tr><td
align='right'>Z34.8</td><td>Supervision of other normal
pregnancy</td><td></td><td>G4P1A2 Hamil 13+5mg Periksa hamil</td><td
align='right'>081297701</td><td>02-02-2022</td><td>HESTI RIYANI</td><td>JOKO
SUSILO</td><td></td><td>KENTENG RT 19</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>HERMIN JUNIATI, AMD Keb</td><td>P</td><td>20-
align='right'></td><td align='right'>11</td><td
align='right'>27</td><td>KIA</td><td></td><td></td><td>Dalam
align='right'>Z48.8</td><td>Other specified surgical follow-up
care</td><td></td><td>Medikasi Post SC Hari ke-21</td><td
align='right'>85626</td><td align='right'>05799601</td><td>02-02-2022</td><td>IDA
ROYANI</td><td>YANTO</td><td></td><td>KLAYU RT
04</td><td>Klayu</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>TRI SURYANTI, AMD
Keb</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>20-44
align='right'>26</td><td align='right'></td><td
td><td>22</td><td>136</td><td>80</td><td>O</td></tr><tr><td
align='right'>Z23.5</td><td>Need for immunization against tetanus
alone</td><td></td><td>Imunisasi TD Calon Penganten</td><td
align='right'>85612</td><td align='right'>031558401</td><td>02-02-2022</td><td>IDA
TRI MULYANI</td><td>MUSLIM</td><td></td><td>BENDOREJO RT
17</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td>HERMIN JUNIATI, AMD Keb</td><td>P</td><td>20-44
align='right'>13</td><td align='right'>6</td><td
align='right'>K30</td><td>Dyspepsia</td><td></td><td>nyeri perut</td><td
align='right'>061626402</td><td>02-02-2022</td><td>ILHAM</td><td>TUKIYO</td><td></
td><td>SUKOHARSO RT 13</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
td><td>24</td><td>156</td><td>56</td><td>Tdk Th</td></tr><tr><td
alone</td><td></td><td>Imunisasi TD I Calon Penganten</td><td
align='right'>85640</td><td align='right'>081658701</td><td>02-02-2022</td><td>IMAS
PUTRI MARTASARI</td><td>ARIANTO</td><td></td><td>KENTENG RT
alone</td><td></td><td>Imunisasi TD I Calon Penganten</td><td
align='right'>081658501</td><td>02-02-2022</td><td>INDAH SARI</td><td>ANDDRIYANTO
AKTAVIANUS </td><td></td><td>SIDODAI RT
align='right'>081657604</td><td>02-02-2022</td><td>JUMADI</td><td>ALBU YAYIP
ALDI</td><td></td><td>CRANGGANG RT 25</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>08762703</td><td>02-02-2022</td><td>JUWITA NUR FAIZAH</td><td>EKO
WIDODO</td><td></td><td>BEKU RT 10</td><td>Beku</td><td>GEMANTAR</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>TRI ARDI HASTUTI, AMKG</td><td>P</td><td>5-9
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON PBI</td><td>Rajal</td><td
align='right'>2</td><td align='right'></td><td align='right'>8</td><td>BP.
align='right'>D69.3</td><td>Idiopathic thrombocytopenic
purpura</td><td></td><td>lemes</td><td align='right'>85654</td><td
align='right'>09324201</td><td>02-02-2022</td><td>KARMI</td><td>HARTANTO</
align='right'>K04.1</td><td>Necrosis of pulp</td><td></td><td></td><td
align='right'>111658802</td><td>02-02-2022</td><td>KHOTIMAH</td><td>SHOLEH
MUJAIDIN</td><td></td><td>BANGLE RT 12</td><td></td><td>TANON</td><td>PUSKESMAS
INDUK</td><td>dr. ANANG ABDUL WAKHID</td><td>TRI ARDI HASTUTI,
Gigi</td><td></td><td></td><td>Luar
unspecified</td><td></td><td>bapil 1 hari</td><td align='right'>85627</td><td
align='right'>05005802</td><td>02-02-2022</td><td>KUMAIRA NUR
AINI</td><td>DARWANTO</td><td>BELUM/TIDAK BEKERJA</td><td>BALANG RT
14</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>
- </td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
Wilayah</td><td>'0002252211186</td><td>'3314167011140001</td><td>120</td><td>80</
td><td>88</td><td>36</td><td>24</td><td>156</td><td>56</td><td>Tdk
Th</td></tr><tr><td align='right'>Z00</td><td>General examination and investigation
of persons without complaint and reported diagnosis</td><td></td><td>kir
kerja</td><td align='right'>85667</td><td align='right'>04070802</td><td>02-02-
2022</td><td>KUMALA SARI</td><td>PANDU</td><td></td><td>PELEMAN RT
24</td><td>Peleman</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>15-19
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>85621</td><td align='right'>041612705</td><td>02-02-2022</td><td>MUH
AHYEM FAIZ</td><td>SUTRIS</td><td></td><td>PELEMREJO
RT</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
WAKHID</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>5-9
align='right'>T79.3</td><td>Post-traumatic wound infection, not elsewhere
classified</td><td></td><td>KONTTROL JAHITAN</td><td align='right'>85638</td><td
align='right'>08006100</td><td>02-02-2022</td><td>MUH AMIN CHOZAIN S</td><td>MUH
AMIN CHOZAIN S</td><td>PETANI/PEKEBUN</td><td>KUKUNREJO RT
21</td><td>Gemantar</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>45-54
unspecified</td><td></td><td>bapil demam</td><td align='right'>85611</td><td
align='right'>05728202</td><td>02-02-2022</td><td>MUZZAKHI
FHATUROHMAN</td><td>SUWANTO</td><td>BELUM/TIDAK BEKERJA</td><td>KLAYU RT
05</td><td>Klayu</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
PBI</td><td>Rajal</td><td align='right'>7</td><td align='right'></td><td
Th</td></tr><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
unspecified</td><td></td><td>KONTROL BAPIL</td><td align='right'>85642</td><td
align='right'>02074601</td><td>02-02-2022</td><td>NANIK
SURATNI</td><td>TUGIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>TEMPELREJO RT
H</td><td> - </td><td>P</td><td>60-69
td><td>88</td><td>36</td><td>24</td><td>156</td><td>56</td><td>O+</td></tr><tr><td
align='right'>K00.6</td><td>Disturbances in tooth
eruption</td><td></td><td></td><td align='right'>85643</td><td
align='right'>08373803</td><td>02-02-2022</td><td>NAVAN</td><td>GIYATNO</td><td></
td><td>BULU RT 13</td><td>Bulu</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td>TRI ARDI HASTUTI, AMKG</td><td>P</td><td>5-9
align='right'>M79.1</td><td>Myalgia</td><td></td><td>JIMPE JIIMPE</td><td
align='right'>03412800</td><td>02-02-2022</td><td>NGALIMIN</td><td>NGALIMIN</
td><td></td><td>KADISONO RT 26</td><td>Kadisono</td><td>TROMBOL</td><td>PUSKESMAS
align='right'>K30</td><td>Dyspepsia</td><td></td><td>pinggang pegel embus
belakang</td><td align='right'>85605</td><td align='right'>06411700</td><td>02-02-
2022</td><td>NGATIYEM</td><td>NGATIYEM</td><td></td><td>DEPOK
RT24</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>>70
of persons without complaint and reported diagnosis</td><td></td><td>cek
rujukan</td><td align='right'>85660</td><td align='right'>06827201</td><td>02-02-
2022</td><td>PAINEM</td><td>SUPARNO HADI SUCIPTO</td><td>PEDAGANG</td><td>KALIDORO
RT 27</td><td>Kalidawung</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
Th</td></tr><tr><td align='right'>Z30.9</td><td>Contraceptive management,
unspecified</td><td></td><td>Akseptor KB Suntik 3 Bulanan</td><td
align='right'>051178901</td><td>02-02-2022</td><td>PARMI</td><td>KUSTIAWAN</
td><td></td><td>SIDOMULYO RT 23</td><td>Sidomulyo</td><td>JEKANI</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>HERMIN JUNIATI, AMD Keb</td><td>P</td><td>45-
align='right'>L08.0</td><td>Pyoderma</td><td></td><td>GATAL GATAL</td><td
align='right'>03412801</td><td>02-02-2022</td><td>PARTINI</td><td>NGALIMIN</
td><td></td><td>KADISONO RT 26</td><td></td><td>TROMBOL</td><td>PUSKESMAS
td><td>88</td><td>36</td><td>24</td><td>156</td><td>54</td><td></td></tr><tr><td
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td>gatal
gatal</td><td align='right'>85632</td><td align='right'>06199401</td><td>02-02-
2022</td><td>PARWINI</td><td>JIMAN</td><td></td><td>DEPOK RT
24</td><td>Depok</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>M13</td><td>Other arthritis</td><td></td><td>nyeri lutut</td><td
align='right'>03440304</td><td>02-02-2022</td><td>PONEM</td><td>WITARSO</td><td></
td><td>TROMBOL RT 23</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>05433700</td><td>02-02-2022</td><td>ROMDANI</td><td>ROMDANI</
td><td></td><td>GARUT RT 25</td><td></td><td>JEKANI</td><td>PUSKESMAS
INDUK</td><td>dr. ANANG ABDUL WAKHID</td><td>TRI ARDI HASTUTI,
AMKG</td><td>L</td><td>45-54
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>pandangan mata
kabur</td><td align='right'>85655</td><td align='right'>071084201</td><td>02-02-
2022</td><td>SARTINI</td><td>TUMIN</td><td></td><td>JETIS RT
08</td><td>Jetis</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>Z20.1</td><td>Contact with and exposure to
tuberculosis</td><td></td><td>Pembacaan hasil tes Mantoux</td><td
align='right'>10365802</td><td>02-02-2022</td><td>SEMESTA BRANA</td><td>BANU
EKO WARDOYO</td><td></td><td>BALIHARJO RT
04</td><td></td><td>SUKODONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td>HERMIN JUNIATI, AMD Keb</td><td>L</td><td>1-4
align='right'>1</td><td>KIA</td><td></td><td></td><td>Luar
align='right'>05172201</td><td>02-02-2022</td><td>SEMIYATI</td><td>DARMIN</
INDUK</td><td>DR. ANGGANISA H</td><td>TRI ARDI HASTUTI, AMKG</td><td>P</td><td>45-
54 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>85670</td><td align='right'>0816576</td><td>02-02-2022</td><td>SEPTIA
SARI</td><td>ALBU YAYIP ALDI</td><td></td><td>CRANGGANG RT
H</td><td> - </td><td>P</td><td>15-19
align='right'>85623</td><td align='right'>071572401</td><td>02-02-2022</td><td>SITI
KUMARVOH</td><td>RANGGA AJI NUGROHO</td><td></td><td>JETIS RT
MUYASAROH</td><td>JAROT YUSRIL FAHRON</td><td></td><td>TEGUHAN RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut panas</td><td
align='right'>85630</td><td align='right'>08331401</td><td>02-02-2022</td><td>SRI
KARYANTI</td><td>SUGIMAN</td><td></td><td>GULI RT
H</td><td> - </td><td>P</td><td>60-69
align='right'>R51</td><td>Headache</td><td></td><td>pusing cengeng</td><td
KUSNIATI</td><td>SURADI</td><td></td><td>KADISONO RT
H</td><td> - </td><td>P</td><td>20-44
align='right'></td><td align='right'>10</td><td align='right'>41</td><td>BP.
unspecified</td><td></td><td>bapil 1 mgg</td><td align='right'>85668</td><td
align='right'>06804501</td><td>02-02-2022</td><td>SUDARTI</td><td>SUGIYONO</
td><td></td><td>TLEBUK RT 02</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td> - </td><td>P</td><td>>70
Th</td></tr><tr><td align='right'>K05.2</td><td>Acute
periodontitis</td><td></td><td></td><td align='right'>85653</td><td
align='right'>06170200</td><td>02-02-2022</td><td>SUKIPTO</td><td>SUKIPTO</
td><td></td><td>SUKOHARSO RT 14</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>R50.9</td><td>Fever,
unspecified</td><td></td><td>demam 4 hari</td><td align='right'>85631</td><td
align='right'>02826001</td><td>02-02-2022</td><td>SULASTRI</td><td>JOVI
RIYANTO</td><td></td><td>TEMPEL RT 09</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>I11</td><td>Hypertensive heart disease</td><td></td><td>pusing sudah
berkurang</td><td align='right'>85617</td><td align='right'>06024301</td><td>02-02-
2022</td><td>SUMARTI</td><td>WIDODO</td><td>PEDAGANG</td><td>KALIGUNTING RT
06</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>E14</td><td>Unspecified diabetes
mellitus</td><td></td><td>kontrol obat habis</td><td align='right'>85682</td><td
align='right'>061637301</td><td>02-02-2022</td><td>SUNARNI</td><td>SUNARNI</
td><td></td><td>KEDAWUNG 12</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
unspecified</td><td></td><td>bapil</td><td align='right'>85657</td><td
align='right'>04337001</td><td>02-02-2022</td><td>SURANI</td><td>PAIDI</
td><td>PETANI/PEKEBUN</td><td>GANI RT 2</td><td>Pare</td><td>PARE</td><td>PUSKESMAS
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td>Rajal</td><td
Th</td></tr><tr><td align='right'>I69</td><td>Sequelae of cerebrovascular
disease</td><td></td><td>anggota gerak kanan lemes</td><td
align='right'>04163900</td><td>02-02-2022</td><td>SUWARTO</td><td>SUWARTO</
td><td></td><td>SAMBIROTO RT 7 </td><td></td><td>PARE</td><td>PUSKESMAS
Thn.</td><td>Keluarga</td><td>Lama</td><td>JAMKESDA</td><td>Rajal</td><td
Wilayah</td><td>'3314160005089067</td><td>'3314160005089067</td><td>120</
td><td>80</td><td>88</td><td>36</td><td>24</td><td>156</td><td>56</td><td></td></
tr><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
unspecified</td><td></td><td>bapil 2 minggu</td><td align='right'>85614</td><td
align='right'>081407300</td><td>02-02-2022</td><td>SUWONDO</td><td>SUWONDO</
td><td></td><td>SIDODADI RT23</td><td>Sidodadi</td><td>GEMANTAR</td><td>PUSKESMAS
INDUK</td><td>DR.
ANGGANISA H</td><td> - </td><td>L</td><td>55-59
align='right'>Z30.9</td><td>Contraceptive management,
unspecified</td><td></td><td>Akseptor KB Suntik 3 BUlanan</td><td
align='right'>85625</td><td align='right'>05898201</td><td>02-02-2022</td><td>TRI
WAHYUNI</td><td>DIDIK SETIAWAN</td><td></td><td>SIDOMULYO RT
16</td><td>Sidomulyo</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
unspecified</td><td></td><td>BAPIL 2 HARI</td><td align='right'>85646</td><td
align='right'>02074600</td><td>02-02-2022</td><td>TUGIMIN</td><td>TUGIMIN</
td><td>PENSIUNAN</td><td>TEMPELREJO RT
H</td><td> - </td><td>L</td><td>60-69
Th</td></tr><tr><td align='right'>A15</td><td>Respiratory tuberculosis,
bacteriologically and histologically confirmed</td><td></td><td>kontrol tb</td><td
align='right'>08207301</td><td>02-02-2022</td><td>WAGINEM</td><td>JASMIN</
td><td>MENGURUS RUMAH TANGGA</td><td>SAMBIREMBYUNG RT
3</td><td>Gemantar</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
Thn.</td><td>Keluarga</td><td>Lama</td><td>Gratis</td><td>Rajal</td><td
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut senep</td><td
align='right'>09818300</td><td>02-02-2022</td><td>WARTO</td><td>WARTO</
td><td>PERANGKAT DESA</td><td>KOWANG RT
10</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>60-69
Thn.</td><td>Keluarga</td><td>Baru</td><td>Gratis</td><td>Rajal</td><td
align='right'>08066200</td><td>02-02-2022</td><td>WINARKO</td><td>WINARKO</
td><td></td><td>GULI RT 06</td><td>Guli</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>02924004</td><td>02-02-2022</td><td>ZAHRA</td><td>MURIMIN</td><td></
td><td>TEGUHAN RT 02</td><td>Teguhan</td><td>TEMPELREJO</td><td>PUSKESMAS
INDUK</td><td>DRG. BAMBANG HERI</td><td>TRI ARDI HASTUTI, AMKG</td><td>P</td><td>5-
unspecified</td><td></td><td>batuk pilek panas</td><td align='right'>85690</td><td
align='right'>0311822</td><td>03-02-2022</td><td>ABIL DAFA</td><td>AHMAD AGUS
SUMANTRI</td><td></td><td>JATIREJO RT 08</td><td></td><td>TROMBOL</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SRI ANIK H, AMD Keb</td><td>L</td><td>1-4
complaint and reported diagnosis</td><td></td><td>kir keerja</td><td
align='right'>05718003</td><td>03-02-2022</td><td>ADITYA
SAPUTRA</td><td>TUGIMAN</td><td></td><td>SIDOMULYO RT
- </td><td>L</td><td>15-19
complaint and reported diagnosis</td><td></td><td>konsultasi</td><td
SUGIYONO</td><td>RATNO</td><td></td><td>TROMBOL RT
23</td><td>Trombol</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>L30.8</td><td>Other specified dermatitis</td><td></td><td>telinga dan
kaki gatal</td><td align='right'>85716</td><td align='right'>09185403</td><td>03-
02-2022</td><td>ALDELEO SAPUTRA</td><td>SUTAR</td><td></td><td>JATI RT
08</td><td>Jati</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td>SRI ANIK H, AMD Keb</td><td>L</td><td>1-4
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>mata merah</td><td
align='right'>85704</td><td align='right'>03169303</td><td>03-02-2022</td><td>ALI
QOMAINI</td><td>SHOLIKIN</td><td></td><td>KADISONO RT
H</td><td> - </td><td>L</td><td>15-19
unspecified</td><td></td><td>batuk pilek</td><td align='right'>85710</td><td
align='right'>054499303</td><td>03-02-2022</td><td>ALZIAN</td><td>DWI RAHARJO
</td><td></td><td>BENDOREJO RT 17</td><td></td><td>JEKANI</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>1-4
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel</td><td
align='right'>85720</td><td align='right'>08309501</td><td>03-02-2022</td><td>ANI
PUTRI N</td><td>FREDIYANTO</td><td></td><td>KUKUNREJO RT
18</td><td>Kukunrejo</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
2022</td><td>ANTON WAHYUDI</td><td>ANTON WAHYUDI</td><td></td><td>KADISONO RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>07991702</td><td>03-02-2022</td><td>AQILA</td><td>EDI
SUPRIYONO</td><td></td><td>PLOSOREJO RT
01</td><td>Plosorejo</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
HERI</td><td>TRI ARDI HASTUTI, AMKG</td><td>P</td><td>5-9
align='right'>051164302</td><td>03-02-2022</td><td>AUFA</td><td>SRI
SUTRISNO</td><td></td><td>SIDOREJO RT
20</td><td>Sidorejo</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>1-4
align='right'>Z71.0</td><td>Person consulting on behalf of another
person</td><td></td><td>konsultasi</td><td align='right'>85723</td><td
align='right'>06384803</td><td>03-02-2022</td><td>BINTANG
ISTIQARI</td><td>MARDIANTO</td><td></td><td>SUKOHARSO RT
17</td><td>Sukoharso</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>10-14
tuberculosis</td><td></td><td>batuk</td><td align='right'>85715</td><td
align='right'>10365803</td><td>03-02-2022</td><td>BRAHMANA BRAGA</td><td>BANU EKO
WARDOYO</td><td></td><td>BALIHARJO RT
classified</td><td></td><td>kontrol luka</td><td align='right'>85696</td><td
align='right'>061357102</td><td>03-02-2022</td><td>DEWAN
GUNADI</td><td>GIYATNO</td><td></td><td>GROGOL RT
16</td><td>Grogol</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>K04.0</td><td>Pulpitis</td><td></td><td>gigi lubang sakit</td><td
align='right'>85693</td><td align='right'>101632301</td><td>03-02-2022</td><td>DEWI
ARISTA</td><td>RONI MASRUR</td><td></td><td>HARJOSARI RT
1</td><td></td><td>SUKODONO</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>081620802</td><td>03-02-2022</td><td>FIKAYLA OLIVIA
ANGGRAINI</td><td>AGUS SUSILO</td><td></td><td>SIDODADI RT
align='right'>Z01.9</td><td>Special examination,
unspecified</td><td></td><td>konsultasi</td><td align='right'>85708</td><td
align='right'>06156403</td><td>03-02-2022</td><td>FITRIA RATU
RAMADHANI</td><td>MUGIHARJO</td><td></td><td>KUTOREJO RT
20</td><td>Kutorejo</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>15-19
align='right'>041099400</td><td>03-02-2022</td><td>HARNO</td><td>HARNO</td><td></
td><td>PULEREJO RT 21</td><td>Pulerejo</td><td>PARE</td><td>PUSKESMAS
alone</td><td></td><td>capeng</td><td align='right'>85699</td><td
align='right'>061659001</td><td>03-02-2022</td><td>INDAH WIDYANINGSIH</td><td>AGUNG
ROHMAD</td><td></td><td>GROGOL RT 16</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi sebelah kiri
atasa bawah sakit</td><td align='right'>85700</td><td
align='right'>011416800</td><td>03-02-2022</td><td>IRVAN MANGSUR</td><td>IRVAN
MANGSUR</td><td></td><td>SONO RT18</td><td></td><td>SONO</td><td>PUSKESMAS
unspecified</td><td></td><td>batuk pilek pilek</td><td align='right'>85717</td><td
align='right'>051637502</td><td>03-02-2022</td><td>IZZA FANAN P</td><td>AGUS
SETIYONO</td><td></td><td>KLAYU RT 03</td><td></td><td>JEKANI</td><td>PUSKESMAS
align='right'>J44</td><td>Other chronic obstructive pulmonary
disease</td><td></td><td>batuk lama</td><td align='right'>85714</td><td
align='right'>03874203</td><td>03-02-2022</td><td>KOMSATUN</td><td>GIMIN</
td><td></td><td>TROMBOL RT25</td><td>Trombol</td><td>TROMBOL</td><td>PUSKESMAS
align='right'>K00.7</td><td>Teething syndrome</td><td></td><td>gigi sakit</td><td
align='right'>061105702</td><td>03-02-2022</td><td>MUHAMAD
ZAINURI</td><td>SURATNO</td><td></td><td>KALIGUNTING RT
ANGGANISA H</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>5-9
td><td>76</td><td>36</td><td>22</td><td>120</td><td>21</td><t
d>Tdk Th</td></tr><tr><td align='right'>K00.7</td><td>Teething
syndrome</td><td></td><td></td><td align='right'>85724</td><td
align='right'>1016595</td><td>03-02-2022</td><td>PIKA</td><td>BAYU</td><td></
td><td>BENDO RT 11</td><td></td><td>SUKODONO</td><td>PUSKESMAS INDUK</td><td>DRG.
BAMBANG HERI</td><td>TRI ARDI HASTUTI, AMKG</td><td>P</td><td>1-4
align='right'>L29</td><td>Pruritus</td><td></td><td>gatal gatal</td><td
align='right'>85701</td><td align='right'>021063800</td><td>03-02-2022</td><td>REBO
PARTONO</td><td>REBO PARTONO</td><td></td><td>NGRUNGKAP RT
H</td><td> - </td><td>L</td><td>60-69
Th</td></tr><tr><td align='right'>Z71.0</td><td>Person consulting on behalf of
another person</td><td></td><td></td><td align='right'>85718</td><td
align='right'>08485201</td><td>03-02-2022</td><td>RINI APRIYANI</td><td>AGUS
TRIYONO</td><td></td><td>GULI RT 02</td><td>Guli</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>nyeri
perut</td><td align='right'>85698</td><td align='right'>031565103</td><td>03-02-
2022</td><td>SEPTIAN</td><td>SUROTO</td><td></td><td>BRINGIN RT
</td><td>P</td><td>15-19
align='right'>091659402</td><td>03-02-2022</td><td>SETIO ADI
NUGROHO</td><td>HARDI</td><td></td><td>KENDAL RTN
H</td><td> - </td><td>L</td><td>15-19
align='right'>E14</td><td>Unspecified diabetes mellitus</td><td></td><td>nyeri di
badan</td><td align='right'>85689</td><td align='right'>061637301</td><td>03-02-
2022</td><td>SUNARNI</td><td>SUNARNI</td><td></td><td>KEDAWUNG
H</td><td> - </td><td>P</td><td>60-69
align='right'>L02.9</td><td>Cutaneous abscess, furuncle and carbuncle,
unspecified</td><td></td><td>nyeri di tangan</td><td align='right'>85719</td><td
align='right'>03125201</td><td>03-02-2022</td><td>SUPARNI</td><td>SUNARDI</
td><td>PETANI/PEKEBUN</td><td>NGUNUT RT
H</td><td> - </td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>Z23.5</td><td>Need for immunization against
tetanus alone</td><td></td><td>imunisasi td 2</td><td align='right'>85702</td><td
align='right'>071647001</td><td>03-02-2022</td><td>SUTARMI</td><td>ROMANI</
td><td></td><td>JUWANGI RT 19</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>L50</td><td>Urticaria</td><td></td><td>gatal gatal</td><td
align='right'>091022301</td><td>03-02-2022</td><td>TAMSIH</td><td>WIDOYATNO</
td><td></td><td>DUWET RT 06</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
pregnancy</td><td></td><td>hamil dengan g3p2a0 uk23mg</td><td
align='right'>85709</td><td align='right'>01114401</td><td>03-02-2022</td><td>TATIK
ANIYATI</td><td>SOBIRIN</td><td>PETANI/PEKEBUN</td><td>SONO RT
13</td><td></td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>N20.1</td><td>Calculus of ureter</td><td></td><td>nyeri
pinggang</td><td align='right'>85705</td><td align='right'>05333601</td><td>03-02-
2022</td><td>WIWIK SUPARNI</td><td>MUHAMMAD ANANTO</td><td></td><td>SENDANGREJO RT
29</td><td>Sendangrejo</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>45-54
align='right'>I11</td><td>Hypertensive heart
disease</td><td></td><td>PUSING</td><td align='right'>85726</td><td
align='right'>03060200</td><td>04-02-2022</td><td>ACHMAD</td><td>ACHMAD</td><td></
ANGGANISA H</td><td> - </td><td>L</td><td>>70
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>DEMEAM NYERI
PERUT</td><td align='right'>85727</td><td align='right'>04125802</td><td>04-02-
2022</td><td>AGUNG REZKI</td><td>SAKIMIN</td><td></td><td>BRINGIN RT
14</td><td>Bringin</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>85770</td><td align='right'>06954603</td><td>04-02-2022</td><td>AHMAD
NAHROWI</td><td>WARDI</td><td></td><td>DEPOK RT
25</td><td>Depok</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
complaint and reported diagnosis</td><td></td><td>kir</td><td
align='right'>031163802</td><td>04-02-2022</td><td>AKHMAD
THOHIR</td><td>TARBIYAH</td><td></td><td>PONDOK
TIMUR RT 20</td><td>Pondok Timur</td><td>TROMBOL</td><td>PUSKESMAS
align='right'>85757</td><td align='right'>051187302</td><td>04-02-2022</td><td>AYU
PUTRI LESTARI</td><td>YUSTIYANTO</td><td></td><td>SIDOREJO RT
20</td><td>Sidorejo</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>15-19
align='right'>021515004</td><td>04-02-2022</td><td>AZIZAH VIA
RAMADANI</td><td>WANTO</td><td></td><td>BRINGINAN</td><td></td><td>TEMPELREJO</
td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG HERI</td><td>TRI ARDI HASTUTI,
align='right'>85774</td><td align='right'>141289601</td><td>04-02-2022</td><td>DR
ANGGANISA HARISMANDA</td><td>GALIH MAHENDRA UTAMA</td><td></td><td>SAMBIREJO RT
24</td><td></td><td>LUAR WILAYAH DALAM KAB.</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>20-44
align='right'>L50</td><td>Urticaria</td><td></td><td>GATAL GATAL DI TANGN</td><td
align='right'>061106302</td><td>04-02-2022</td><td>FADILAH</td><td>PARJO</
td><td></td><td>KALIGUNTING</td><td>Kaligunting</td><td>KEDAWUNG</td><td>PUSKESMAS
unspecified</td><td></td><td>bapil 1 mgg</td><td align='right'>85761</td><td
align='right'>05097303</td><td>04-02-2022</td><td>FAJAR ATHIKA TIARA
INTAN</td><td>SUTIMAN</td><td></td><td>PURWOREJO
RT13</td><td>Jekani</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>85765</td><td align='right'>06340202</td><td>04-02-2022</td><td>FIGIH
MAHENDRA
BL</td><td>SUYANTO</td><td></td><td>SIDOMULYO</td><td>Sidomulyo</td><td>KEDAWUNG</
td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> - </td><td>L</td><td>20-44
align='right'>051631502</td><td>04-02-2022</td><td>GIBRAN RAFIF A</td><td>NANANG
SULISTYO UTOMO</td><td></td><td>SIDOMULYO RT
16</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
classified</td><td></td><td>kaki kena kaca</td><td align='right'>85752</td><td
align='right'>081121603</td><td>04-02-2022</td><td>HANIFA</td><td>JOKO
SUYONO</td><td></td><td>KENTENG RT
14</td><td>Kenteng</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>5-9
pregnancy</td><td></td><td></td><td align='right'>85756</td><td
align='right'>05155701</td><td>04-02-2022</td><td>JARWATIK</td><td>MUH
JAMAL</td><td></td><td>MONDOKAN
RT18</td><td>Mondokan</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>D69</td><td>Purpura and other haemorrhagic
conditions</td><td></td><td>lems</td><td align='right'>85734</td><td
align='right'>09324201</td><td>04-02-2022</td><td>KARMI</td><td>HARTANTO</
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PUSING</td><td
align='right'>05744401</td><td>04-02-2022</td><td>KARMINI</td><td>SUMARDI</
td><td></td><td>BALANG RT 12</td><td></td><td>JEKANI</td><td>PUSKESMAS
td><td>88</td><td>36</td><td>24</td><td>156</td><td>56</td><td>AB+</td></tr><tr><td
align='right'>091012302</td><td>04-02-2022</td><td>KENKEN
PRASTYO</td><td>WAGIMIN</td><td></td><td>JATI</td><td>Jati</td><td>SUMBERREJO</
person</td><td></td><td></td><td align='right'>85735</td><td
align='right'>04213402</td><td>04-02-2022</td><td>LINDA
ANTIKA</td><td>JOHAN</td><td></td><td>BUNTIT RT
27</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>061577502</td><td>04-02-2022</td><td>LUCKY ARI</td><td>AGUS
RIYANTO</td><td></td><td>SIDOMULYO RT
17</td><td>Sidomulyo</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>K04.0</td><td>Pulpitis</td><td></td><td>gigi kiri bawah lubang sudah
pernah ditambal, kanan atas lubang ngilu</td><td align='right'>85748</td><td
align='right'>06162604</td><td>04-02-2022</td><td>LUTFI OKTAVIANI
WULANDARI</td><td>WARSONO</td><td></td><td>TLEBUK RT
H</td><td>TRI ARDI HASTUTI, AMKG</td><td>P</td><td>20-44
align='right'>101577402</td><td>04-02-2022</td><td>MOHAMAD
IRVANSYAH</td><td>PAIMIN</td><td></td><td></td><td></td><td>SUKODONO</
Umum</td><td></td><td></td><td>Luar
align='right'>06343601</td><td>04-02-2022</td><td>MULYANI</td><td>IWAN
GUNAWAN</td><td></td><td>SUKOCIPTO RT
17</td><td>Sukocipto</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>06343601</td><td>04-02-2022</td><td>MULYANI</td><td>IWAN
GUNAWAN</td><td></td><td>SUKOCIPTO RT
align='right'>E45</td><td>Retarded development following protein-energy
malnutrition</td><td></td><td></td><td align='right'>85773</td><td
align='right'>01212805</td><td>04-02-2022</td><td>NATASYA ALINDA
PUTRI</td><td>PAIDI</td><td></td><td>BURAS RT
01</td><td>Buras</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rujuk</td><td
align='right'>1</td><td>KIA</td><td></td><td>RSUD DR. SOERATNO
GEMOLONG</td><td>Dalam
align='right'>031659701</td><td>04-02-2022</td><td>NGATINAH</td><td>NGATINAH</
td><td></td><td>KADISONO RT28</td><td></td><td>TROMBOL</td><td>PUSKESMAS
align='right'>N94.6</td><td>Dysmenorrhoea, unspecified</td><td></td><td>NYERI
2022</td><td>PADIYEM</td><td>YAHMIN</td><td></td><td>BUNTIT RT
27</td><td>Buntit</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td>GATAL
GATAL BERKURANG</td><td align='right'>85742</td><td
align='right'>06199401</td><td>04-02-2022</td><td>PARWINI</td><td>JIMAN</td><td></
td><td>DEPOK RT 24</td><td>Depok</td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>08140603</td><td>04-02-2022</td><td>PONI</td><td>FAJAR
ARYANTO</td><td></td><td>SIDODADI RT
24</td><td>Sidodadi</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>60-69
pregnancy</td><td></td><td>hamil dengan g1p0a0 uk 36mg</td><td
align='right'>85736</td><td align='right'>051636401</td><td>04-02-2022</td><td>POPI
DWI LESTARI</td><td>SUPRIYANTO</td><td></td><td>SIDOMULYO RT
unspecified</td><td></td><td>nyeri telan bapil</td><td align='right'>85758</td><td
align='right'>091168301</td><td>04-02-2022</td><td>PUJI ASTUTI</td><td>ARIF
SUYONO</td><td></td><td>KENDAL RT 04</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>061608702</td><td>04-02-2022</td><td>RIAN</td><td>WARSENO</td><td></
td><td>NGELO RT 23</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td>SRI ANIK H, AMD Keb</td><td>L</td><td>1-4
align='right'>021515003</td><td>04-02-2022</td><td>RIZQI</td><td>WANTO</td><td></
td><td>BRINGINAN</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DRG.
BAMBANG HERI</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>5-9
classified</td><td></td><td>post jahit kepala</td><td align='right'>85755</td><td
align='right'>05130503</td><td>04-02-2022</td><td>RUDI
SETIYAWAN</td><td>SRIYONO</td><td></td><td>KLAYURT
H</td><td> - </td><td>L</td><td>20-44
align='right'>041024301</td><td>04-02-2022</td><td>RUJIYEM</td><td>WASITONO</
td><td></td><td>PULEREJO</td><td>Pulerejo</td><td>PARE</td><td>PUSKESMAS
align='right'>081015301</td><td>04-02-2022</td><td>SAMIYATI</td><td>GIYONO</
td><td></td><td>SIDODADI RT 23</td><td>Sidodadi</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>NYERI LEHER</td><td
MULYANI</td><td>WAGIMIN</td><td></td><td>NGRUNGKAP RT
05</td><td>Tempelrejo</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>081611802</td><td>04-02-2022</td><td>SRI SETYO PAMUJI</td><td>SLAMET
PUJIYANTO</td><td></td><td>SIDODADI RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>04871800</td><td>04-02-2022</td><td>SUWARNO</td><td>SUWARNO</
td><td></td><td>KEDUNGNONGKO RT
04</td><td>Kedungnongko</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>55-59
unspecified</td><td></td><td>panas batuk pilek</td><td align='right'>85741</td><td
align='right'>06199407</td><td>04-02-2022</td><td>TOFAN ARIL
MUSTAKIM</td><td>JIMAN</td><td></td><td>DEPOK RT
align='right'>H61.2</td><td>Impacted cerumen</td><td></td><td>pendengaran
2022</td><td>TOTO SUHARTO</td><td>KAMIDI</td><td></td><td>KADISONO RT
H</td><td> - </td><td>L</td><td>>70
align='right'>04170401</td><td>04-02-2022</td><td>TUMIYEM</td><td>SUKADI</
td><td>MENGURUS RUMAH TANGGA</td><td>PELEMREJO RT
25</td><td>Pare</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>L30.8</td><td>Other specified
dermatitis</td><td></td><td>gatal2</td><td align='right'>85743</td><td
align='right'>081406102</td><td>04-02-2022</td><td>UBAIDILLAH</td><td>FAJAR
ARYANTO</td><td></td><td>SIDODADI RT
align='right'>05783602</td><td>04-02-2022</td><td>VINO ALFIAN SURYA
PUTRA</td><td>SURYANTO</td><td></td><td>BALANG RT
14</td><td>Jekani</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
unspecified</td><td></td><td>BAPIL</td><td align='right'>85740</td><td
align='right'>02101002</td><td>04-02-2022</td><td>VITA
DEWI</td><td>SAMINGAN</td><td></td><td>TEGUHAN RT
H</td><td> - </td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>L30.8</td><td>Other specified dermatitis</td><td></td><td>gatal2
seluruh badan</td><td align='right'>85730</td><td
align='right'>131659802</td><td>04-02-2022</td><td>VIVI NOVITASARI</td><td>M
SIROJUDIN</td><td></td><td>TAPEN 05</td><td></td><td>PURWODAADI</td><td>PUSKESMAS
align='right'>061431901</td><td>04-02-2022</td><td>WENY RETNO ASIH</td><td>VANDRA
ANDRIYANTO</td><td></td><td>DEPOK RT 26</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
pregnancy</td><td></td><td>G2P1A0 Hamil 13mg Periksa hamil</td><td
align='right'>041659901</td><td>05-02-2022</td><td>AFRIYANI</td><td>JARWO</
td><td></td><td>PELEMAN RT 3</td><td></td><td>PARE</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SRI SUPADMI, AMD Keb</td><td>P</td><td>20-44
td><td>24</td><td>156</td><td>50</
td><td></td></tr><tr><td align='right'>Z23.5</td><td>Need for immunization against
tetanus alone</td><td></td><td>Imunisasi TD I Calon Penganten</td><td
align='right'>85816</td><td align='right'>041660101</td><td>05-02-2022</td><td>ARIS
SATITI</td><td>CATUR YOGA MAHFIUDIN</td><td></td><td>GANI RT
H</td><td>SRI SUPADMI, AMD Keb</td><td>P</td><td>20-44
disease</td><td></td><td>PROLANIS</td><td align='right'>85805</td><td
align='right'>02354100</td><td>05-02-2022</td><td>BAMBANG WIDODO</td><td>BAMBANG
WIDODO</td><td>PERANGKAT DESA</td><td>NGULINGAN RT
H</td><td>ENDAH ISMI H, SKP, Ns</td><td>L</td><td>60-69
tuberculosis</td><td></td><td>Pembacaan Test Mantoux</td><td
align='right'>10365803</td><td>05-02-2022</td><td>BRAHMANA BRAGA</td><td>BANU EKO
WARDOYO</td><td></td><td>BALIHARJO RT
align='right'>E14.8</td><td>Unspecified diabetes mellitus with unspecified
complications</td><td></td><td>PROLANIS</td><td align='right'>85813</td><td
align='right'>01098800</td><td>05-02-2022</td><td>DIKDO SUWARNO</td><td>DIKDO
SUWARNO</td><td></td><td>JETIS</td><td></td><td>SONO</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>ENDAH ISMI H, SKP, Ns</td><td>L</td><td>60-69
Th</td></tr><tr><td align='right'>E14.8</td><td>Unspecified diabetes mellitus with
unspecified complications</td><td></td><td>PROLANIS</td><td
align='right'>09149501</td><td>05-02-2022</td><td>ENDANG</td><td>GIMAN</td><td></
td><td>GEBANG RT 09</td><td>Sumberrejo</td><td>SUMBERREJO</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>ENDAH ISMI H, SKP, Ns</td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>I11</td><td>Hypertensive heart
align='right'>02149401</td><td>05-02-2022</td><td>ENDANG
SULASTRI</td><td>KEMIS</td><td></td><td>TEMPELREJO RT
H</td><td>ENDAH ISMI H, SKP, Ns</td><td>P</td><td>55-59
align='right'>08050502</td><td>05-02-2022</td><td>ENDANG
SURYANI</td><td>GUSMAN</td><td></td><td>KUKUNREJO RT
align='right'>06190301</td><td>05-02-2022</td><td>GINAH</td><td>SUGIMAN</td><td></
td><td>KUTOREJO RT 19</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td>ENDAH ISMI H, SKP, Ns</td><td>P</td><td>60-69
td><td>36</td><td>20</td><td>155</td><td>52</td><td>O</td></tr><tr><td
td><td>PULEREJO RT 21</td><td>Pulerejo</td><td>PARE</td><td>PUSKESMAS
align='right'>031405101</td><td>05-02-2022</td><td>HARTI</td><td>SADIMIN</
td><td></td><td>PONDOK BARAT RT 20</td><td></td><td>TROMBOL</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>ENDAH ISMI H, SKP, Ns</td><td>P</td><td>>70
align='right'>05227701</td><td>05-02-2022</td><td>IIK
ALFIAH</td><td>HARI</td><td></td><td>SUMBERAGUNG</td><td></td><td>JEKANI</
td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>ENDAH ISMI H, SKP,
Ns</td><td>P</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>05077705</td><td>05-02-2022</td><td>INTARTI</td><td>SURATMIN</
td><td>PEDAGANG</td><td>KLAYU RT 05</td><td></td><td>JEKANI</td><td>PUSKESMAS
align='right'>05479301</td><td>05-02-2022</td><td>KALIMAH</td><td>KALIMAH</
td><td>PENSIUNAN</td><td>GARUTR RT 08</td><td></td><td>JEKANI</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>ENDAH ISMI H, SKP, Ns</td><td>P</td><td>>70
align='right'>02139501</td><td>05-02-2022</td><td>KARSINI</td><td>WARNO</td><td></
td><td>NGRUNGKAP RT 04</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>061307801</td><td>05-02-2022</td><td>KOES INDRIWATI</td><td>KOES
INDRIWATI</td><td></td><td>KEDAWUNG RT
disease</td><td></td><td>batuk,sesek</td><td align='right'>85809</td><td
align='right'>06781800</td><td>05-02-2022</td><td>MARTO SEMITO</td><td>MARTO
SEMITO</td><td></td><td>TLEBUK RT 05</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>I64</td><td>Stroke, not specified as haemorrhage
or infarction</td><td></td><td>lemes </td><td align='right'>85837</td><td
align='right'>07815501</td><td>05-02-2022</td><td>MIYEM</td><td>SUROTO</td><td></
td><td>SABIROTO RT13</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>06338401</td><td>05-02-2022</td><td>MULYANI</td><td>WAGIMAN</
td><td></td><td>KALIGUNTING</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>N39</td><td>Other disorders of urinary system</td><td></td><td>nyeri
bak</td><td align='right'>85824</td><td align='right'>04901500</td><td>05-02-
2022</td><td>MULYONO</td><td>MULYONO</td><td></td><td>BRINGIN RT
</td><td>L</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>02032901</td><td>05-02-2022</td><td>NAIMATUN</td><td>NAIMATUN</
td><td></td><td>TEMPELREJO RT 07</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>091657801</td><td>05-02-2022</td><td>NANDA DEWI</td><td>TRI
OTASARI</td><td></td><td>DUWET RT 05</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
td><td>24</td><td>156</td><td>56</td><td>B+</td></tr><tr><td
align='right'>02074601</td><td>05-02-2022</td><td>NANIK
SURATNI</td><td>TUGIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>TEMPELREJO RT
td><td>80</td><td>36</td><td>20</td><td>157</td><td>58</td><td>O+</td></tr><tr><td
align='right'>06045501</td><td>05-02-2022</td><td>NGATINAH</td><td>PARJO</
of persons without complaint and reported diagnosis</td><td></td><td>swab
manten</td><td align='right'>85833</td><td align='right'>091657803</td><td>05-02-
2022</td><td>NOTO JAMBUL</td><td>TRI OTASARI</td><td></td><td>DUWET RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>85821</td><td align='right'>0916602</td><td>05-02-2022</td><td>NUR
HARYANTI</td><td>MUHAMMAD SHOLIKIN</td><td></td><td>DUWET RT
align='right'>091657802</td><td>05-02-2022</td><td>PALIYO</td><td>TRI
OTASARI</td><td></td><td>DUWET RT 05</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>091076601</td><td>05-02-2022</td><td>PANEM</td><td>NGADIMIN</
td><td></td><td>DUWET</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>03053501</td><td>05-02-2022</td><td>PARIYEM</td><td>SUTARZAN</
td><td></td><td>NGUNUT</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>6</td><td align='right'>46</td><td>BP.
align='right'>01419001</td><td>05-02-2022</td><td>PARNI</td><td>WAGINO</td><td></
td><td>JURANG</td><td></td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>01240901</td><td>05-02-2022</td><td>PARTI</td><td>PARTI</td><td></
td><td>JURANG RT 07</td><td></td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>02002101</td><td>05-02-2022</td><td>PARTI</td><td>SUWANDI</
td><td>MENGURUS RUMAH TANGGA</td><td>TEGUHAN RT
tetanus alone</td><td></td><td>Imunisasi TD Calon Penganten</td><td
align='right'>061660301</td><td>05-02-2022</td><td>PARWANTI</td><td>WAWAN</
td><td></td><td>DEPOK RT 24</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>02354101</td><td>05-02-2022</td><td>REBIYANTI</td><td>BAMBANG
WIDODO</td><td></td><td>NGULINGAN RT
align='right'>K04.0</td><td>Pulpitis</td><td></td><td>gigi lubang ngilu</td><td
align='right'>85780</td><td align='right'>101660001</td><td>05-02-2022</td><td>RICA
SASMITA</td><td>DARYADI</td><td></td><td>KARANG BALE
RT06</td><td></td><td>SUKODONO</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>08099601</td><td>05-02-2022</td><td>SAJEM</td><td>SUGI</
td><td>PETANI/PEKEBUN</td><td>BEKU RT
td><td>80</td><td>36</td><td>20</td><td>158</td><td>54</td><td>B</td></tr><tr><td
align='right'>09190700</td><td>05-02-2022</td><td>SIRADNO</td><td>SIRADNO</
td><td></td><td>NGROTO RT 16</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
BAROKATI</td><td>JUNADI</td><td>PETANI/PEKEBUN</td><td>PONDOK RT
FATIMAH</td><td>SULIS MARWANTO</td><td>MENGURUS RUMAH TANGGA</td><td>WATUGONG RT
11</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td>ENDAH ISMI H, SKP, Ns</td><td>P</td><td>>70
NURYANI</td><td>SUKIPTO</td><td></td><td>SUKOHARSO RT
NURYATI</td><td>WAGIYO</td><td></td><td>SIDOMULYO RT
align='right'>I11</td><td>Hypertensive heart disease</td><td></td><td>pegel
jimpe</td><td align='right'>85776</td><td align='right'>05976401</td><td>05-02-
2022</td><td>SUKIYEM</td><td>SUKIYEM</td><td></td><td>TLEBUK RT
19</td><td>Tlebuk</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
NON PBI</td><td>Rajal</td><td align='right'>10</td><td align='right'>11</td><td
Th</td></tr><tr><td align='right'>T79.3</td><td>Post-traumatic wound infection, not
elsewhere classified</td><td></td><td>kontrol luka</td><td
align='right'>081511900</td><td>05-02-2022</td><td>SULAR</td><td>SULAR</td><td></
td><td>BEKU
RT 09</td><td>Beku</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>45-54
align='right'>06984401</td><td>05-02-2022</td><td>SULASIH</td><td>TUGIMAN</
td><td></td><td>KALIGUNTING TR 07</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>041570201</td><td>05-02-2022</td><td>SULASMI</td><td>TJARONO</
td><td></td><td>KEDUNGNONGKO RT 4</td><td></td><td>PARE</td><td>PUSKESMAS
of persons without complaint and reported diagnosis</td><td></td><td>rujukan masih
berlaku</td><td align='right'>85795</td><td align='right'>01166901</td><td>05-02-
2022</td><td>SULASTRI</td><td>GIMIN</td><td>PETANI/PEKEBUN</td><td>JURANG RT
07</td><td></td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>P</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>02166302</td><td>05-02-2022</td><td>SULISTYONINGSIH</
td><td>WANDOKO</td><td>MENGURUS RUMAH TANGGA</td><td>BENDOREJO RT
15</td><td>Bendorejo</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>06024301</td><td>05-02-2022</td><td>SUMARTI</td><td>WIDODO</
td><td>PEDAGANG</td><td>KALIGUNTING RT
align='right'>051163101</td><td>05-02-2022</td><td>SUMIYATI</td><td>BALYANG
UMAR</td><td></td><td>PURWOREJO RT 13</td><td></td><td>JEKANI</td><td>PUSKESMAS
align='right'>09023801</td><td>05-02-2022</td><td>SUMIYEM</td><td>SUKIMAN</
td><td>MENGURUS RUMAH TANGGA</td><td>SUMBEREJO RT
H</td><td>ENDAH ISMI H, SKP, Ns</td><td>L</td><td>60-69
align='right'>09262501</td><td>05-02-2022</td><td>SUPARTI</td><td>SUKIMIN</
td><td></td><td>KARABAN RT 12</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>05425001</td><td>05-02-2022</td><td>SURATI</td><td>GIYO</td><td></
td><td>KLAYU RT 04</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>03135201</td><td>05-02-2022</td><td>SURATI</td><td>MARIMIN</
td><td></td><td>JATIREJO RT 09</td><td></td><td>TROMBOL</td><td>PUSKESMAS
align='right'>081231000</td><td>05-02-2022</td><td>SUYONO</td><td>SUYONO</
td><td></td><td>CRANGGANG RT 28</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>07452701</td><td>05-02-2022</td><td>SYAMSIAH</td><td>SYAMSIAH</
td><td>MENGURUS RUMAH
TANGGA</td><td>SEMPUREJO13</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>03026803</td><td>05-02-2022</td><td>TITIK NUR
H</td><td>SUKADIS</td><td>PEGAWAI NEGERI SIPIL</td><td>KADISONO RT
td><td>80</td><td>36</td><td>20</td><td>158</
td><td>60</td><td>Tdk Th</td></tr><tr><td
align='right'>R51</td><td>Headache</td><td></td><td>pusing</td><td
H</td><td> - </td><td>L</td><td>60-69
Th</td></tr><tr><td align='right'>Z34.8</td><td>Supervision of other normal
align='right'>081658901</td><td>05-02-2022</td><td>UNTARI</td><td>ROHMAD
HIDAYAT</td><td></td><td>JURANG NONGO RT
align='right'>06096100</td><td>05-02-2022</td><td>WADI
SISWO</td><td>WADI</td><td></td><td>KALIGUNTING</td><td></td><td>KEDAWUNG</
td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>ENDAH ISMI H, SKP,
Ns</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>091332601</td><td>05-02-2022</td><td>WULAN NINGRUM</td><td>EKO PUJI
SETIAWAN</td><td></td><td>NGROTO RT </td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>J00</td><td>Acute nasopharyngitis [common
cold]</td><td></td><td>pilek</td><td align='right'>85849</td><td
align='right'>03060200</td><td>07-02-2022</td><td>ACHMAD</td><td>ACHMAD</td><td></
align='right'>Z34.0</td><td>Supervision of normal first
align='right'>85854</td><td align='right'>031623301</td><td>07-02-2022</td><td>ANIK
NUR ANDAYANI</td><td>ICUK SETYOBUDI</td><td></td><td>NGUNUT RT
align='right'>011322101</td><td>07-02-2022</td><td>ANJAR ROKHANI</td><td>ROYDIN
NAINGGOLAN</td><td></td><td>GLUGU RT 12</td><td></td><td>SONO</td><td>PUSKESMAS
align='right'>K07.0</td><td>Major anomalies of jaw size</td><td></td><td></td><td
align='right'>04402803</td><td>07-02-2022</td><td>ASHIFA NUR
AVIFAH</td><td>HARNO</td><td></td><td>SAMBIROTO RT
07</td><td>Sambiroto</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>K04.0</td><td>Pulpitis</td><td></td><td></td><td
align='right'>85844</td><td align='right'>01090504</td><td>07-02-2022</td><td>FEBI
PRAKOSO</td><td>TARDI</td><td></td><td>BURAS RT
04</td><td>Buras</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>85878</td><td align='right'>091411602</td><td>07-02-2022</td><td>GIAN
ROHMAT SHOLIKHIN</td><td>PAIMIN</td><td>MENGURUS RUMAH TANGGA</td><td>NGIJO RT
of persons without complaint and reported diagnosis</td><td></td><td>rujukanmsh
berlaku</td><td align='right'>85840</td><td align='right'>09753401</td><td>07-02-
2022</td><td>JAYEM</td><td>UDAD SUHENDRA</td><td>MENGURUS RUMAH
TANGGA</td><td>DUWET RT15</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel
pgel</td><td align='right'>85848</td><td align='right'>03121701</td><td>07-02-
2022</td><td>KARNI</td><td>SHOLIKIN</td><td></td><td>BENDOREJO RT
H</td><td> - </td><td>P</td><td>45-54
mellitus</td><td></td><td>lemes</td><td align='right'>85846</td><td
align='right'>081012900</td><td>07-02-2022</td><td>MADI</td><td>MADI</td><td></
td><td>WARENG RT 35</td><td>Gemantar</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>111614700</td><td>07-02-2022</td><td>NAFI' NUR KHOLID</td><td>NUR
SYAIFUDIN</td><td></td><td>PADAS RT 10</td><td></td><td>TANON</td><td>PUSKESMAS
9 Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>Rajal</td><td
align='right'>08054403</td><td>07-02-2022</td><td>PARMIYATI</td><td>YANTO</
align='right'>J02</td><td>Acute pharyngitis</td><td></td><td>tenggorokan
nyeri</td><td align='right'>85851</td><td align='right'>03347701</td><td>07-02-
2022</td><td>PIPIT PUSPITOWATI</td><td>EDI BAHARUDIN</td><td></td><td>KADISONO RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>demam bapil</td><td
align='right'>05464101</td><td>07-02-2022</td><td>PONIYATI</td><td>WARSITO</
align='right'>091660401</td><td>07-02-2022</td><td>RETNO
UTAMI</td><td>WARSITO</td><td></td><td>DUWET RT
align='right'>08095502</td><td>07-02-2022</td><td>SABAR</td><td>MARIMIN</
td><td>BELUM/TIDAK BEKERJA</td><td>BEKU RT
12</td><td>Beku</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
unspecified</td><td></td><td>demam 2 hari</td><td align='right'>85857</td><td
align='right'>14037701</td><td>07-02-2022</td><td>SITI
MAESAROH</td><td>MULYONO</td><td>WIRASWASTA</td><td>KALUTAN RT
pregnancy</td><td></td><td>G3P1A0 Hmail 34+5mg Periksa hamil</td><td
ASTUTI WIDIYANINGSIH</td><td>HARYANTO</td><td></td><td>PARE RT
align='right'>A15</td><td>Respiratory tuberculosis, bacteriologically and
histologically confirmed</td><td></td><td>pusing cekot cekot</td><td
align='right'>031187500</td><td>07-02-2022</td><td>SUCIPTO</td><td>SUCIPTO</
td><td></td><td>BENDOREJO RT 17</td><td>Bendorejo</td><td>TROMBOL</td><td>PUSKESMAS
align='right'>D50</td><td>Iron deficiency anaemia</td><td></td><td>anemia</td><td
align='right'>01341501</td><td>07-02-2022</td><td>SUGINAH</td><td>SUGINAH</
td><td>PETANI/PEKEBUN</td><td>JURANG RT 09</td><td></td><td>SONO</td><td>PUSKESMAS
complaint and reported diagnosis</td><td></td><td>kontrol luka</td><td
align='right'>081511900</td><td>07-02-2022</td><td>SULAR</td><td>SULAR</td><td></
td><td>BEKU RT 09</td><td>Beku</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>05146800</td><td>07-02-2022</td><td>SUPADI</td><td>SUPADI</td><td></
td><td>GARUT RT 24</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>05448205</td><td>07-02-2022</td><td>SYERIL</td><td>SURANTO</
td><td></td><td>SUMBERAGUNG</td><td>Sumberagung</td><td>JEKANI</td><td>PUSKESMAS
align='right'>07068401</td><td>07-02-2022</td><td>TRIYANTI</td><td>TUGIYO</
td><td></td><td>SAMBIDENOK RT
06</td><td>Sambidenok</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DRG.
BAMBANG HERI</td><td>TRI ARDI HASTUTI, AMKG</td><td>P</td><td>20-44
align='right'>K04.0</td><td>Pulpitis</td><td></td><td></td><td
align='right'>85865</td><td align='right'>06178300</td><td>07-02-2022</td><td>WILIS
WINANTO</td><td>WILIS WINANTO</td><td></td><td>SIDOMULYO RT
H</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>45-54
align='right'>051296803</td><td>07-02-2022</td><td>ZIBAN</td><td>AGUS
SUKAMTO</td><td></td><td>GARUT RT 25</td><td>Garut</td><td>JEKANI</td><td>PUSKESMAS
INDUK</td><td>DRG.
BAMBANG HERI</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td><1
align='right'>K04.0</td><td>Pulpitis</td><td></td><td>gigi sdh ditambal
ngilu</td><td align='right'>85904</td><td align='right'>101169303</td><td>08-02-
2022</td><td>ADI NUGROHO</td><td>SUMARJI</td><td></td><td>MARGOREJO RT
HERI</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>15-19
unspecified</td><td></td><td>Panas, Batuk, Pilek sejak semalam</td><td
align='right'>081018503</td><td>08-02-2022</td><td>ALFINO HAFIZ S</td><td>EKO
SAPUTRO</td><td></td><td>KUKUNREJO</td><td>Kukunrejo</td><td>GEMANTAR</
td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>SRI ANIK H, AMD
Keb</td><td>L</td><td>1-4
align='right'>H27.9</td><td>Disorder of lens, unspecified</td><td></td><td>mata
2022</td><td>ANIS
ZULAIKHO</td><td>JAWADI</td><td></td><td>JATIREJO</td><td>Jatirejo</
td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON
align='right'>L66.2</td><td>Folliculitis decalvans</td><td></td><td>gatal di
kaki</td><td align='right'>85873</td><td align='right'>051651602</td><td>08-02-
2022</td><td>APIB BURHAN</td><td>SUGIMIN</td><td></td><td>BALANG RT
- </td><td>L</td><td>20-44
align='right'>K30</td><td>Dyspepsia</td><td></td><td>sebah</td><td
align='right'>85875</td><td align='right'>07836002</td><td>08-02-2022</td><td>AROB
AMARUDIN</td><td>WAKIDI</td><td>PELAJAR/MAHASISWA</td><td>KUNIRAN RT
19</td><td>Jambangan</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR.
Th</td></tr><tr><td align='right'>K07.0</td><td>Major anomalies of jaw
size</td><td></td><td>gigi atas sisa akar, ulcus decubitus</td><td
align='right'>85906</td><td align='right'>08475403</td><td>08-02-2022</td><td>DAFIN
SAPUTRO</td><td>SUGIYANTO</td><td></td><td>CRANGGANG RT
26</td><td>Cranggang</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>R33</td><td>Retention of urine</td><td></td><td>tidak bisa
2022</td><td>DIRO UTOMO</td><td>DIRO UTOMO</td><td></td><td>SIDOMOLYO RT
17</td><td>Sidomulyo</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>85900</td><td align='right'>041643501</td><td>08-02-2022</td><td>DWI
SETYOWATI</td><td>SUNARTO</td><td></td><td>PELEMREJO RT
align='right'>J45</td><td>Asthma</td><td></td><td>sesek</td><td
YANI</td><td>PAIDI</td><td></td><td>KADISONO RT
11</td><td>Kadisono</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>K04.0</td><td>Pulpitis</td><td></td><td>gigi lubang sakit</td><td
align='right'>01235403</td><td>08-02-2022</td><td>ERIKE</td><td>WAHYONO</td><td></
td><td>JETIS RT 05</td><td>Jetis</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DRG.
align='right'>071138000</td><td>08-02-2022</td><td>GINEM</td><td>GINEM</td><td></
td><td>CENGKLIK RT 15</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>panas 1
hari</td><td align='right'>85874</td><td align='right'>0211335</td><td>08-02-
2022</td><td>IMAM BUDIONO</td><td>IMAM BUDIONO</td><td></td><td>TEGUHAN RT
03</td><td>Teguhan</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>05274803</td><td>08-02-2022</td><td>ISTIQOMAH</td><td>SUWARNO</
td><td></td><td>GARUT</td><td>Garut</td><td>JEKANI</td><td>PUSKESMAS
align='right'>05080202</td><td>08-02-2022</td><td>MAYA PERMATASARI
HUTAGAOL</td><td>GUMANTI</td><td>PELAJAR/MAHASISWA</td><td>KLAYU
TR04</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>15-19
pregnancy</td><td></td><td>G1P0A0 Hamil 21 mg Periksa hamil</td><td
align='right'>85912</td><td align='right'>051592501</td><td>08-02-2022</td><td>MAYA
PERMATASARI HUTAGAUL</td><td>ANDIKA ADQHA SAPUTRA</td><td></td><td>KLAYU RT
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi sakit, gusi
bengkak</td><td align='right'>85899</td><td align='right'>031075302</td><td>08-02-
2022</td><td>MUHAMMAD MUKHTAR DWI PUTRA</td><td>BAMBANG</td><td></td><td>JATIREJO
RT 09</td><td>Jatirejo</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>1-4
unspecified</td><td></td><td>batuk,pilek</td><td align='right'>85896</td><td
align='right'>04863402</td><td>08-02-2022</td><td>MUHAMMAD NAZALIL
ABRORI</td><td>PRIYONO</td><td></td><td>BULAKREJO
RT17</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>
- </td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>demam 5
2022</td><td>PANEM</td><td>PARNYO</td><td></td><td>SAMBIROTO RT
align='right'>K04.1</td><td>Necrosis of pulp</td><td></td><td>gigi lubang kadang
sakit</td><td align='right'>85897</td><td align='right'>04863400</td><td>08-02-
2022</td><td>PRIYONO</td><td>PRIYONO</td><td></td><td>BULAKREJO RT
17</td><td>Bulakrejo</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
pregnancy</td><td></td><td>G2P1A0 hamil 31+2mg Periksa hamil</td><td
align='right'>081643701</td><td>08-02-2022</td><td>PUJIYANTI</td><td>SUPARDI</
td><td></td><td>SABIREMBYUNG RT30</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>Z71.8</td><td>Other specified counselling</td><td></td><td>Konsultasi
Rujukan</td><td align='right'>85895</td><td align='right'>091354201</td><td>08-02-
2022</td><td>RIKA</td><td>MARDI</td><td></td><td>KARABAN RT
12</td><td>Karaban</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>85886</td><td align='right'>05017805</td><td>08-02-2022</td><td>RINI
WAHYUNINGSIH</td><td>MARYONO</td><td></td><td>KLAYU</td><td></td><td>JEKANI</
td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>SRI SUPADMI, AMD
Keb</td><td>P</td><td>20-44
align='right'>K07.0</td><td>Major anomalies of jaw size</td><td></td><td>gigi
goyang</td><td align='right'>85887</td><td align='right'>0310187</td><td>08-02-
2022</td><td>SHAKILA</td><td>IMAM ZAINAL
ALFANDI</td><td></td><td>PONDOK</td><td></td><td>TROMBOL</td><td>PUSKESMAS
NUR KHOLIFAH</td><td>TRIYANTO</td><td></td><td>KLAYU RT
pregnancy</td><td></td><td>G2P1A0 Hamil 12+1mg periksa kehamilan</td><td
LESTARI</td><td>KUSLIN</td><td></td><td>SIDOMULYO RTR
Thn.</td><td>Keluarga</td><td>Baru</td><td>JAMKESDA</td><td>Rajal</td><td
align='right'>051651600</td><td>08-02-2022</td><td>SUGIMIN</td><td>SUGIMIN</
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>demam</td><td
align='right'>081209100</td><td>08-02-2022</td><td>SUGIYARTONO</td><td>SUGIYARTONO<
/td><td></td><td>SAMBIREMBYUNG RT
32</td><td>Sambirembyung</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR.
disease</td><td></td><td>pusing</td><td align='right'>85868</td><td
align='right'>06159200</td><td>08-02-2022</td><td>SUKARDI</td><td>SUKARDI</
td><td></td><td>KALIDAWUNG RT
10</td><td>Kalidawung</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>D21.9</td><td>Other benign neoplasm of connective and other soft
tissue,
unspecified</td><td></td><td>benjolan di tangan</td><td
align='right'>031410700</td><td>08-02-2022</td><td>SUKIYANTO</td><td>TARI
KUSUMAWATI</td><td></td><td>TROMBOL16</td><td></td><td>TROMBOL</td><td>PUSKESMAS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel pegel</td><td
align='right'>06024301</td><td>08-02-2022</td><td>SUMARTI</td><td>WIDODO</
td><td>PEDAGANG</td><td>KALIGUNTING RT
H</td><td> - </td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>Z34.0</td><td>Supervision of normal first
align='right'>85893</td><td align='right'>041660802</td><td>08-02-2022</td><td>TATA
WITA INTAN</td><td>SEPIYAN</td><td></td><td>KEDUNGNONGKO RT
2</td><td>Kedungnongko</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>85882</td><td align='right'>06494703</td><td>08-02-2022</td><td>TEGAR
SAPUTRA</td><td>SUNARNO</td><td></td><td>KALIGUNTING RT
align='right'>85903</td><td align='right'>041645001</td><td>08-02-2022</td><td>UMI
FADILA</td><td>TUNGGUL CAHYONO</td><td></td><td>PELEMREJO RT
align='right'>I11</td><td>Hypertensive heart disease</td><td></td><td>demam
</td><td align='right'>85884</td><td
align='right'>04067401</td><td>08-02-2022</td><td>WAGIYEM</td><td>MULYANTO</
td><td>PEDAGANG</td><td>SABIROTO RT
H</td><td> - </td><td>P</td><td>60-69
align='right'>02767601</td><td>08-02-2022</td><td>WIJIATI</td><td>SARJONO</
td><td>MENGURUS RUMAH TANGGA</td><td>BRINGINAN RT
H</td><td> - </td><td>L</td><td>45-54
Th</td></tr><tr><td align='right'>Z30.4</td><td>Surveillance of contraceptive
drugs</td><td></td><td>Akseptor KB Pil Kombinasi</td><td
align='right'>051197801</td><td>08-02-2022</td><td>YATMINI</td><td>IRFAN
HIDAYAT</td><td></td><td>KLAYU RT 05</td><td>Klayu</td><td>JEKANI</td><td>PUSKESMAS
align='right'>A77.8</td><td>Other spotted fevers</td><td></td><td>Panas sejak
semalam</td><td align='right'>85966</td><td align='right'>03949203</td><td>09-02-
2022</td><td>ADAM FAIZ</td><td>SUGIYANTO</td><td></td><td>PONDOK BARAT RT
21</td><td>Pondok Barat</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
ABDUL WAKHID</td><td>SRI SUPADMI, AMD Keb</td><td>L</td><td>1-4
align='right'>R10.4</td><td>Other and unspecified abdominal
pain</td><td></td><td>Perut kembung sudah 3 hari yang lalu</td><td
PATIH</td><td>AHMAD
SYAFEI</td><td></td><td>SEMPUREJO</td><td>Sempurejo</td><td>JAMBANGAN</
td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL WAKHID</td><td>SRI SUPADMI, AMD
hari</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rujuk</td><td
align='right'>0</td><td>KIA</td><td>Poli Anak</td><td>RSUD SOERATNO</td><td>Dalam
td><td>22</td><td>46</td><td>2.5</td><td></td></tr><tr><td
align='right'>R33</td><td>Retention of urine</td><td></td><td>bak nyeri
panas</td><td align='right'>85951</td><td align='right'>03066804</td><td>09-02-
2022</td><td>AINDA</td><td>PAIDI</td><td></td><td>KADISONO RT
H</td><td> - </td><td>P</td><td>15-19
align='right'>L29</td><td>Pruritus</td><td></td><td>gatal gatal</td><td
align='right'>85936</td><td align='right'>06320401</td><td>09-02-2022</td><td>ANIK
PARTINI</td><td>PIUT </td><td></td><td>KALIGUNTING RT
H</td><td> - </td><td>P</td><td>45-54
tetanus alone</td><td></td><td>capeng</td><td align='right'>85992</td><td
align='right'>051661301</td><td>09-02-2022</td><td>ANITA AMBAR
SARI</td><td>SRIYANTO</td><td></td><td>SENDANG REJO RT
unspecified</td><td></td><td>panassejak kemaren</td><td align='right'>85923</td><td
align='right'>06015005</td><td>09-02-2022</td><td>ASTONY NAOMY NONIK
FANZIYAH</td><td>KASTA</td><td></td><td>GROGOL</td><td>Grogol</td><td>KEDAWUNG</
td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> - </td><td>P</td><td>10-14
unspecified</td><td></td><td>batuk,pilek demam</td><td
align='right'>05035105</td><td>09-02-2022</td><td>DORATUS
SAADAH</td><td>JUMINAH</td><td></td><td>SENDANGREJO RT
H</td><td> - </td><td>P</td><td>15-19
align='right'>Z30.9</td><td>Contraceptive management,
unspecified</td><td></td><td>Akseptror KB Suntik 3 Bulanan</td><td
align='right'>85918</td><td align='right'>07202201</td><td>09-02-2022</td><td>ENI
ISTRIYANI</td><td>RUBIYANYO</td><td>MENGURUS RUMAH TANGGA</td><td>PLOSOREJO RT
01</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
WAKHID</td><td>SRI SUPADMI, AMD Keb</td><td>P</td><td>20-44
unspecified</td><td></td><td>Panas, Batuk, Pilek sejak k3 hari yang lalu</td><td
align='right'>03336603</td><td>09-02-2022</td><td>ERINKA
SUCI</td><td>SUKIYANTO</td><td></td><td>NGUNUT
RT02</td><td>Ngunut</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>A77.8</td><td>Other spotted fevers</td><td></td><td>Panas, Batuk,
Pilek sejak k3 hari yang lalu</td><td align='right'>85971</td><td
align='right'>03336603</td><td>09-02-2022</td><td>ERINKA
SUCI</td><td>SUKIYANTO</td><td></td><td>NGUNUT
RT02</td><td>Ngunut</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>101144905</td><td>09-02-2022</td><td>FAHREZA</td><td>SUPARMIN</
td><td></td><td>BALIHARJO RT 34</td><td></td><td>SUKODONO</td><td>PUSKESMAS
unspecified</td><td></td><td>Demam, Batuk, Pilek sejak kemaren</td><td
align='right'>051648303</td><td>09-02-2022</td><td>FAHRUL ASNAM</td><td>AGUNG
</td><td></td><td>JEKANI 20</td><td></td><td>JEKANI</td><td>PUSKESMAS
INDUK</td><td>dr. ANANG ABDUL WAKHID</td><td>HERMIN JUNIATI, AMD
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>RUJUK INTERNAL</td><td
align='right'>Z71.8</td><td>Other specified counselling</td><td></td><td>Demam,
Batuk, Pilek sejak kemaren</td><td align='right'>85928</td><td
align='right'>051648303</td><td>09-02-2022</td><td>FAHRUL ASNAM</td><td>AGUNG
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>RUJUK INTERNAL</td><td
align='right'>H27</td><td>Other disorders of lens</td><td></td><td>gg visus</td><td
align='right'>09251301</td><td>09-02-2022</td><td>GHONIN
HAMIDAH</td><td>MARYONO</td><td></td><td>NGOROTO RT
14</td><td>Ngoroto</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>45-54
align='right'>K11.2</td><td>Sialoadenitis</td><td></td><td>Demam, Bengkak pada
dagu/ leher kiri</td><td align='right'>85930</td><td
align='right'>051648302</td><td>09-02-2022</td><td>GIBRAN MAULANA</td><td>AGUNG
align='right'>T15</td><td>Foreign body on external eye</td><td></td><td>mata kena
kayu</td><td align='right'>85961</td><td align='right'>07910301</td><td>09-02-
2022</td><td>GINEM</td><td>KUSMAN</td><td></td><td>JETIS</td><td></
td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
align='right'>06013603</td><td>09-02-2022</td><td>HARJO
SUWITO</td><td>DAYAT</td><td></td><td>KALIGUNTING RT
unspecified</td><td></td><td>Batuk, Pilek sejak 2 hari yang lalu</td><td
align='right'>02412902</td><td>09-02-2022</td><td>HELENA CASSANDRA W
A</td><td>HARTONO</td><td></td><td>BRINGIN
RT16</td><td>Bringin</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>85920</td><td align='right'>01176201</td><td>09-02-2022</td><td>INE
SAPUTRI</td><td>DANI</td><td></td><td>JURANG
RT08</td><td>Jurang</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>061222801</td><td>09-02-2022</td><td>JAMILAH</td><td>WARSITO</
td><td></td><td>SUKOHARSO RT
14</td><td>Sukoharso</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
ABDUL WAKHID</td><td>SRI SUPADMI, AMD Keb</td><td>P</td><td>20-44
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>pusing </td><td
align='right'>04070802</td><td>09-02-2022</td><td>KUMALA
SARI</td><td>PANDU</td><td></td><td>PELEMAN RT
24</td><td>Peleman</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>15-19
align='right'>08245101</td><td>09-02-2022</td><td>KUSTIMAH</td><td>RIYANTO</
td><td></td><td>SAMBIREMBYUNG</td><td>Sambirembyung</td><td>GEMANTAR</
align='right'>H27</td><td>Other disorders of lens</td><td></td><td>mata
2022</td><td>LAMI</td><td>RADIYO</td><td></td><td>SUMBERAGUNG RT
- </td><td>P</td><td>60-69
align='right'>M79.1</td><td>Myalgia</td><td></td><td>greges</td><td
align='right'>85914</td><td align='right'>042202</td><td>09-02-2022</td><td>MITRO
SUJUD</td><td>MITRO SUJUD</td><td></td><td>PARE RT
</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>E14</td><td>Unspecified diabetes
mellitus</td><td></td><td>lemes</td><td align='right'>85935</td><td
align='right'>06133001</td><td>09-02-2022</td><td>MURNIATI</td><td>JUMADI</
td><td>MENGURUS RUMAH TANGGA</td><td>SUKOHARSO RT
H</td><td> - </td><td>P</td><td>60-69
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>nyeri
2022</td><td>MURTINI</td><td>SUNARDI</td><td></td><td>SEMPUREJO RT
11</td><td>Sempurejo</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR.
complaint and reported diagnosis</td><td></td><td>konsul</td><td
align='right'>05028100</td><td>09-02-2022</td><td>NGATIMIN</td><td>NGATIMIN</
td><td>BURUH HARIAN LEPAS</td><td>SENDANGREJO RT
H</td><td> - </td><td>L</td><td>60-69
pregnancy</td><td></td><td>G2P1A0 Hamil 21+5mg periksa hamil</td><td
align='right'>09492304</td><td>09-02-2022</td><td>NIKEN</td><td>JONI
ISKANDAR</td><td></td><td>NGOROTO</td><td>Ngoroto</td><td>SUMBERREJO</
unspecified</td><td></td><td>Batuk, pilek sejak kemaren</td><td
align='right'>85973</td><td align='right'>061140203</td><td>09-02-2022</td><td>NUR
YULINI</td><td>WARYADI</td><td></td><td>GROGOL RT
16</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>R42</td><td>Dizziness and giddiness</td><td></td><td>pusing
berputar</td><td align='right'>85941</td><td align='right'>03774501</td><td>09-02-
2022</td><td>PARINAH</td><td>TUKIMAN</td><td></td><td>NGUNUT RT
H</td><td> - </td><td>P</td><td>60-69
complaint and reported diagnosis</td><td></td><td>cek lab</td><td
align='right'>0116610</td><td>09-02-2022</td><td>PARNO</td><td>PARNO</td><td></
td><td>JETIS RT 05</td><td></td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR.
2022</td><td>SILO NUR AINI</td><td>SUJOKO</td><td></td><td>MOJOREJO RT
17</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
HERI</td><td>SURATMI, AMD Keb</td><td>P</td><td>5-9
histologically confirmed</td><td></td><td>sesek</td><td align='right'>85917</td><td
LESTARI</td><td>MARYANTO</td><td></td><td>SAMBIROTO RT
H</td><td> - </td><td>P</td><td>20-44
MUNAWAROH</td><td>GIYATNO</td><td>KARYAWAN SWASTA</td><td>TEGUHAN RT
H</td><td> - </td><td>P</td><td>20-44
td><td>88</td><td>36</td><td>24</td><td>156</td><td>56</td><td>A+</td></tr><tr><td
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>demam 2
2022</td><td>SUJIYEM</td><td>SUNARTO</td><td></td><td>SUMBERAGUNG RT
- </td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>101149900</td><td>09-02-2022</td><td>SUPARMIN</td><td>SUPARMIN</
td><td></td><td>NGARINGAN RT 34</td><td></td><td>SUKODONO</td><td>PUSKESMAS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri tangan</td><td
align='right'>081661400</td><td>09-02-2022</td><td>SUTOYO</td><td>SUTOYO</
td><td></td><td>GULI RT 06</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
classified</td><td></td><td>kaki kena kayu</td><td align='right'>85959</td><td
align='right'>05935600</td><td>09-02-2022</td><td>SUTRIS</td><td>SUTRIS</td><td></
td><td>KLAYU RT 01</td><td>Klayu</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>H52.2</td><td>Astigmatism</td><td></td><td>rujukan kacamata</td><td
align='right'>091577000</td><td>09-02-2022</td><td>TARDI</td><td>TARDI</td><td></
td><td>GEBANG RT 09</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>S43.0</td><td>Dislocation of shoulder joint</td><td></td><td>nyeri di
pundak</td><td align='right'>85943</td><td align='right'>051292101</td><td>09-02-
2022</td><td>TARIYEM</td><td>MINTO WIJOYO</td><td></td><td>SENDANGREJO RT
H</td><td> - </td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>K30</td><td>Dyspepsia</td><td></td><td>greges kepala pusing</td><td
WIDAYATI</td><td>SUWANTO</td><td></td><td>PURWOREJO RT
13</td><td>Purworejo</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>R42</td><td>Dizziness and
giddiness</td><td></td><td>pusing berputar</td><td align='right'>85942</td><td
align='right'>03774500</td><td>09-02-2022</td><td>TUKIMAN HADI
TRIYANTO</td><td>TUKIMAN HADI TRIYANTO</td><td></td><td>NGUNUT
RT01</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>60-69
complaint and reported diagnosis</td><td></td><td>kir krja</td><td
align='right'>061661102</td><td>09-02-2022</td><td>VINKI
WIDIATMOKO</td><td>SARDI</td><td></td><td>KALIGUNTING
RT07</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
unspecified</td><td></td><td>Panas, Batuk, Pilek sejak kemaren</td><td
align='right'>85963</td><td align='right'>05783602</td><td>09-02-2022</td><td>VINO
ALFIAN SURYA PUTRA</td><td>SURYANTO</td><td></td><td>BALANG RT
H</td><td>SRI SUPADMI, AMD Keb</td><td>L</td><td>1-4
unspecified</td><td></td><td>batuk ngikil</td><td align='right'>85913</td><td
align='right'>06011601</td><td>09-02-2022</td><td>WARSITI</td><td>WARSITI</
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi sakit</td><td
align='right'>85924</td><td align='right'>05709102</td><td>09-02-2022</td><td>YUDHI
RIYATMOKO</td><td>PANIDI</td><td></td><td>SUMBERAGUNG RT
H</td><td>SURATMI, AMD Keb</td><td>L</td><td>20-44
alone</td><td></td><td>Imunisasi TD Calon penganten</td><td
align='right'>051661501</td><td>09-02-2022</td><td>YUYUN YUNIZAR ZULMI</td><td>ARI
SETIAWAN</td><td></td><td>SUMBER AGUNG RT
22</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
classified</td><td></td><td>luka di jempol kaki</td><td align='right'>85991</td><td
align='right'>04710906</td><td>10-02-2022</td><td>ABDUL
ROHMAN</td><td>SUYADI</td><td></td><td>BULAKREJO RT
17</td><td>Bulakrejo</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>5-9
align='right'>F20</td><td>Schizophrenia</td><td></td><td>rujukan jiwa</td><td
SRIYANTO</td><td>SUGENG</td><td></td><td>GULI RT
H</td><td> - </td><td>L</td><td>20-44
Thn.</td><td>Keluarga</td><td>Lama</td><td>JAMKESDA</td><td>Rujuk</td><td
Umum</td><td>Poli Jiwa</td><td>RSJD SURAKARTA</td><td>Dalam
Wilayah</td><td>'3314160008067420</td><td>'3314160008067420</td><td>120</
td><td>80</td><td>88</td><td>36</td><td>24</td><td>156</td><td>56</td><td>Tdk
unspecified</td><td></td><td>panas 1 hari</td><td align='right'>85990</td><td
align='right'>09308803</td><td>10-02-2022</td><td>ALI FATUN
M</td><td>SUTIMIN</td><td></td><td>BRUJULAN RT
H</td><td> - </td><td>L</td><td>15-19
classified</td><td></td><td>post kll</td><td align='right'>86002</td><td
align='right'>09242504</td><td>10-02-2022</td><td>ALIV
VUDIN</td><td>JUMADI</td><td></td><td>BRUJULAN RT
tuberculosis</td><td></td><td></td><td align='right'>85998</td><td
align='right'>031321702</td><td>10-02-2022</td><td>AMILA</td><td>CHOIRI
MEGA</td><td></td><td>TROMBOL RT
align='right'>B01.9</td><td>Varicella without complication</td><td></td><td>gatal
berair</td><td align='right'>85978</td><td align='right'>07362104</td><td>10-02-
2022</td><td>ANIQ JULIANTO</td><td>SUWARDI</td><td></td><td>SAMBIDENOK RT
06</td><td>Sambidenok</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR.
unspecified</td><td></td><td>nyeri bapil</td><td align='right'>85989</td><td
align='right'>05378802</td><td>10-02-2022</td><td>ATIK
SETYANINGSIH</td><td>RIWAHYUDI</td><td></td><td>TLEBUK
RT19</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>15-19
align='right'>03388301</td><td>10-02-2022</td><td>ENI
BAROKAH</td><td>PARTONO</td><td></td><td>PONDOK
BARAT</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>45-54
2022</td><td>GONDAMI</td><td>SARMAN</td><td></td><td>NGELO RT
23</td><td>Ngelo</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>06947101</td><td>10-02-2022</td><td>INDRIYANI</td><td>EDI</td><td></
td><td>KALIDAWUNG RT12</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>081553101</td><td>10-02-2022</td><td>ISTIKOMAH</td><td>JOKO
TRIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>WARENG RT
align='right'>D69.6</td><td>Thrombocytopenia, unspecified</td><td></td><td>demam 3
2022</td><td>KAMALUDIN HIDAYAT FHARUQ</td><td>SUPARNO</td><td>BELUM/TIDAK
BEKERJA</td><td>SIDOREJO RT 20</td><td>Jekani</td><td>JEKANI</td><td>PUSKESMAS
align='right'>86004</td><td align='right'>031621801</td><td>10-02-2022</td><td>LIA
UTAMI</td><td>PURWANTO</td><td></td><td>KADISONO RT
align='right'>06947104</td><td>10-02-2022</td><td>MAVIDA ANGGUN
PUTRI</td><td>EDI</td><td></td><td>KALIDAWUNG RT
H</td><td> - </td><td>P</td><td>10-14
align='right'>011628002</td><td>10-02-2022</td><td>MULYONO </td><td>MULYONO
</td><td></td><td>GLUGU RT 12</td><td></td><td>SONO</td><td>PUSKESMAS
align='right'>09242501</td><td>10-02-2022</td><td>MURNI</td><td>JUMADI</td><td></
td><td>BRUJULAN RT 01</td><td>Brujulan</td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>K30</td><td>Dyspepsia</td><td></td><td>pusing mual</td><td
align='right'>071436701</td><td>10-02-2022</td><td>NGADIYEM</td><td>DARSONO</
td><td></td><td>CENGKLIK RT 15</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pusing pegel</td><td
align='right'>85982</td><td align='right'>06012800</td><td>10-02-2022</td><td>NYONO
HARI</td><td>NYONO HARI</td><td>PEGAWAI NEGERI SIPIL</td><td>SUKOHARSO RT
H</td><td> - </td><td>L</td><td>60-69
align='right'>04471600</td><td>10-02-2022</td><td>PARMAN</td><td>PARMAN</
td><td>PETANI/PEKEBUN</td><td>SAMBIROTO RT
H</td><td> - </td><td>L</td><td>60-69
align='right'>J02</td><td>Acute pharyngitis</td><td></td><td>nyeri
tenggorokan</td><td align='right'>85988</td><td align='right'>05097301</td><td>10-
02-2022</td><td>RUKINI</td><td>SUTIMAN</td><td>KARYAWAN SWASTA</td><td>PURWOREJO RT
td><td>88</td><td>36</td><td>24</td><td>156</td><td>66</td><td>O</td></tr><tr><td
align='right'>061661601</td><td>10-02-2022</td><td>SRI CHOIRU NISA</td><td>YUDI
KRISTANTO</td><td></td><td>GROGOL RT 16</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
pregnancy</td><td></td><td>hamil dengan g4p2a1 33mg</td><td
align='right'>08426901</td><td>10-02-2022</td><td>SUPARMI</td><td>IRAWANTO</
td><td></td><td>BULU RT 13</td><td>Bulu</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>M13</td><td>Other arthritis</td><td></td><td>jempol kaki
2022</td><td>SUWONDO</td><td>SUWONDO</td><td></td><td>SIDODADI
RT23</td><td>Sidodadi</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>H52.2</td><td>Astigmatism</td><td></td><td>rujukan kacamta</td><td
align='right'>091577000</td><td>10-02-2022</td><td>TARDI</td><td>TARDI</td><td></
td><td>GEBANG RT 09</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>N39</td><td>Other disorders of urinary system</td><td></td><td>bak
2022</td><td>TUMINEM</td><td>SUMARTO</td><td></td><td>SONO RT
</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
periodontitis</td><td></td><td>gigi kanan atas sakit</td><td
align='right'>06091903</td><td>10-02-2022</td><td>WARSITO</td><td>TUKIJO</
td><td></td><td>KALIDAWUNG RT 09</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SURATMI, AMD Keb</td><td>L</td><td>20-44
unspecified</td><td></td><td>batuk pilek panas hari ke 4</td><td
align='right'>05762003</td><td>11-02-2022</td><td>ADRENA
UMAIRA</td><td>GIYARNO</td><td></td><td>KLAYU RT
01</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
WAKHID</td><td>HERMIN JUNIATI, AMD Keb</td><td>L</td><td>1-4
complaint and reported diagnosis</td><td></td><td>SWAB MANTTEN</td><td
align='right'>061659000</td><td>11-02-2022</td><td>AGUNG ROHMAD</td><td>AGUNG
align='right'>I86.1</td><td>Scrotal varices</td><td></td><td>RUJUKAN</td><td
align='right'>86044</td><td align='right'>06143203</td><td>11-02-2022</td><td>AGUNG
SEPTIAN HIDAYAT</td><td>HARYONO</td><td></td><td>SUKOHARSO RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>021284702</td><td>11-02-2022</td><td>ALFERA</td><td>SLAMET BUDI
CAHYONO</td><td></td><td>NGASEM</td><td>Ngasem</td><td>TEMPELREJO</td><td>PUSKESMAS
INDUK</td><td>dr. ANANG ABDUL WAKHID</td><td>SRI ANIK H, AMD
align='right'>04496003</td><td>11-02-2022</td><td>ANANDA NUR
KHAONAH</td><td>MULYANTO</td><td></td><td>PARE RT
td><td>36</td><td>22</td><td>99</td><td>14.5</td><td></td></tr><tr><td
align='right'>05710702</td><td>11-02-2022</td><td>AURELYA PUTRI
TRIYONO</td><td>SLAMET TRIYONO</td><td>BELUM/TIDAK BEKERJA</td><td>JEKANI RT
of persons without complaint and reported diagnosis</td><td></td><td>KIR
KERJA</td><td align='right'>86025</td><td align='right'>05350802</td><td>11-02-
2022</td><td>BA'ANANDA NUR RIZON</td><td>SETU RIYANTO</td><td></td><td>MONDOKAN RT
- </td><td>L</td><td>15-19
Thn.</td><td>Keluarga</td><td>Baru</td><td>Sekolah</td><td>Rajal</td><td
align='right'>H27.9</td><td>Disorder of lens, unspecified</td><td></td><td>gg
visus</td><td align='right'>86008</td><td align='right'>02354100</td><td>11-02-
2022</td><td>BAMBANG WIDODO</td><td>BAMBANG WIDODO</td><td>PERANGKAT
DESA</td><td>NGULINGAN RT 09</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>K30</td><td>Dyspepsia</td><td></td><td>pusinmual</td><td
align='right'>091220200</td><td>11-02-2022</td><td>BUDIYANTO</td><td>BUDIYANTO</
td><td></td><td>KENDAL RT
04</td><td>Sumberrejo</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR.
complaint and reported diagnosis</td><td></td><td>SWAB MANTEN</td><td
align='right'>091660404</td><td>11-02-2022</td><td>DANANG
SULARNO</td><td>WARSITO</td><td></td><td>DUWET RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>06160701</td><td>11-02-2022</td><td>DEWI
MANDASARI</td><td>GIYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>NGELO RT
H</td><td> - </td><td>P</td><td>20-44
classified</td><td></td><td>KONTROL</td><td align='right'>86040</td><td
align='right'>06160703</td><td>11-02-2022</td><td>DITO
AKBARIA</td><td>GIYANTO</td><td>BELUM/TIDAK BEKERJA</td><td>NGELO RT
H</td><td> - </td><td>L</td><td>10-14
unspecified</td><td></td><td>DEMAM</td><td align='right'>86042</td><td
align='right'>050100</td><td>11-02-2022</td><td>DWI
LISTIYANI</td><td>GINO</td><td></td><td>SUMBERAGUNG RT
align='right'>86046</td><td align='right'>091662001</td><td>11-02-2022</td><td>ERSA
APRILIA</td><td>WAHYU KRISTANTO</td><td></td><td>KARABAN RT
12</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
WAKHID</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>20-44
align='right'>061659001</td><td>11-02-2022</td><td>INDAH WIDYANINGSIH</td><td>AGUNG
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>DEMAM NYERI
2022</td><td>JUMIYANTI</td><td>YONO</td><td></td><td>JETIS RT
H</td><td> - </td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>L40</td><td>Psoriasis</td><td></td><td>GATAL
GATAL</td><td align='right'>86032</td><td align='right'>011122000</td><td>11-02-
2022</td><td>KUSMANTO</td><td>KUSMANTO</td><td></td><td>BURAS RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>041661701</td><td>11-02-2022</td><td>LUSIANA </td><td>ARYA
ERVANDA</td><td></td><td>NGLOMBOK RT 06</td><td></td><td>PARE</td><td>PUSKESMAS
align='right'>K04.7</td><td>Periapical abscess without sinus</td><td></td><td>gusi
2022</td><td>MILA</td><td>HARYANTO</td><td></td><td>SEMPUREJO
13</td><td>Sempurejo</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>5</td><td>BP. Gigi</td><td></td><td></td><td>Dalam
kesundulan</td><td align='right'>86028</td><td align='right'>07856902</td><td>11-
02-2022</td><td>MILA</td><td>HARYANTO</td><td></td><td>SEMPUREJO
13</td><td>Sempurejo</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>T79.0</td><td>Air embolism (traumatic)</td><td></td><td>Luka pasca
terjatuh bengkak dan bernanah</td><td align='right'>86023</td><td
align='right'>097071</td><td>11-02-2022</td><td>MUH RIDWAN
HARIS</td><td>SUTRISNO</td><td></td><td>DUWET
06</td><td>Duwet</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
YUSUP</td><td>TUGIYO</td><td></td><td>SUKOHARSO
RT14</td><td>Sukoharso</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
ABDUL WAKHID</td><td>SRI ANIK H, AMD Keb</td><td>L</td><td><1
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>DEMAM</td><td
align='right'>03410303</td><td>11-02-2022</td><td>NAUFAL
MUMTAZ</td><td>WARDOYO</td><td></td><td>TROMBOL RT
H</td><td> - </td><td>L</td><td>10-14
unspecified</td><td></td><td>batuk pilek </td><td align='right'>86030</td><td
align='right'>041661802</td><td>11-02-2022</td><td>NIDA</td><td>LOSO
</td><td></td><td>PARE RT 10</td><td></td><td>TROMBOL</td><td>PUSKESMAS
align='right'>86037</td><td align='right'>091660403</td><td>11-02-2022</td><td>NOTO
JAMBUL</td><td>WARSITO</td><td></td><td>DUWET RT
H</td><td> - </td><td>L</td><td>20-44
classified</td><td></td><td>KONTROL LUKA KEPALA</td><td align='right'>86052</td><td
align='right'>08312702</td><td>11-02-2022</td><td>REHAN</td><td>PORJIYO</td><td></
td><td>WARENG RT 34</td><td>Wareng</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>K30</td><td>Dyspepsia</td><td></td><td>NYERI PERUT</td><td
align='right'>86026</td><td align='right'>04496002</td><td>11-02-2022</td><td>RENI
RAHAYU</td><td>MULYANTO</td><td></td><td>PARE
RT11</td><td>Pare</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
UTAMI</td><td>WARSITO</td><td></td><td>DUWET RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>061659002</td><td>11-02-2022</td><td>RIYANTO</td><td>AGUNG
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGEL
PEGEL</td><td align='right'>86041</td><td align='right'>031662202</td><td>11-02-
2022</td><td>SIHWANTI</td><td>TUGIMIN</td><td></td><td>TROMBOL RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>061659003</td><td>11-02-2022</td><td>SLAMET </td><td>AGUNG
classified</td><td></td><td>KONTROL LKA</td><td align='right'>86033</td><td
align='right'>01379701</td><td>11-02-2022</td><td>SRIYATI</td><td>SUWANDI</
td><td>MENGURUS RUMAH TANGGA</td><td>SONO RT
Th</td></tr><tr><td align='right'>Z00</td><td>General examination and
investigation of persons without complaint and reported
diagnosis</td><td></td><td>SWAB MANTEN</td><td align='right'>86049</td><td
align='right'>0616590</td><td>11-02-2022</td><td>SUDARNO</td><td>AGUNG
align='right'>091660402</td><td>11-02-2022</td><td>SUKASTO</td><td>WARSITO</
align='right'>I11</td><td>Hypertensive heart disease</td><td></td><td>panas 3
2022</td><td>SUNARTO</td><td>SUNARTO</td><td>PETANI/PEKEBUN</td><td>SUMBERAGUNG RT
22</td><td>Sumberagung</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>60-69
align='right'>06839700</td><td>11-02-2022</td><td>SUPONO</td><td>SUPONO</td><td></
td><td>KALIDAWUNG RT 29</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
mellitus</td><td></td><td>LEMES</td><td align='right'>86011</td><td
align='right'>03257503</td><td>11-02-2022</td><td>SURAYEM</td><td>SUYANTO</
td><td>MENGURUS RUMAH TANGGA</td><td>PONDOK BARAT RT
H</td><td> - </td><td>P</td><td>60-69
align='right'>08200200</td><td>11-02-2022</td><td>SUSANTO</td><td>SUSANTO</
align='right'>K05.3</td><td>Chronic periodontitis</td><td></td><td>gigi patah
pengen dicabut</td><td align='right'>86012</td><td
align='right'>03257500</td><td>11-02-2022</td><td>SUYANTO</td><td>SUYANTO</
td><td></td><td>PONDOK BARAT RT 22</td><td></td><td>TROMBOL</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>TRI ARDI HASTUTI, AMKG</td><td>L</td><td>>70
Th</td></tr><tr><td align='right'>J44</td><td>Other chronic obstructive pulmonary
disease</td><td></td><td>BATUK,SESEK</td><td align='right'>86043</td><td
H</td><td> - </td><td>L</td><td>60-69
Th</td></tr><tr><td align='right'>Z00.0</td><td>General medical
examination</td><td></td><td>CEK LAB</td><td align='right'>86029</td><td
align='right'>04475800</td><td>11-02-2022</td><td>WAGIMIN</td><td>WAGIMIN</
td><td></td><td>PARE RT 12</td><td>Pare</td><td>PARE</td><td>PUSKESMAS
align='right'>08095501</td><td>11-02-2022</td><td>WALINI</td><td>MARIMIN</
td><td></td><td>BEKU RT 12</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>091660400</td><td>11-02-2022</td><td>WARSITO</td><td>WARSITO</
align='right'>021628802</td><td>12-02-2022</td><td>ADIB AULIA</td><td>SLAMET
RIYADI</td><td></td><td>TEGUHAN RT 02</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SRI WIDIASTUTI</td><td>P</td><td>1-4
align='right'>A77.8</td><td>Other spotted fevers</td><td></td><td>Panas dari
kemaren</td><td align='right'>86057</td><td align='right'>06225304</td><td>12-02-
2022</td><td>AHMAD BADRUDIN</td><td>DALIMIN</td><td></td><td>KALIGUNTING RT
ANGGANISA H</td><td>SRI ANIK H, AMD Keb</td><td>L</td><td>1-4
alone</td><td></td><td>Imunisasi TD II Ulang</td><td align='right'>86088</td><td
align='right'>091650501</td><td>12-02-2022</td><td>ALI FATUN M</td><td>HERI
LAKSONO</td><td></td><td>BRUJULAN RT
align='right'>Z00.0</td><td>General medical examination</td><td></td><td>mencari
skd</td><td align='right'>86090</td><td align='right'>08237905</td><td>12-02-
2022</td><td>ANI SANTIKA</td><td>SUNARDI</td><td></td><td>BEKU
RT12</td><td></td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td>JUNITA, AMK</td><td>P</td><td>20-44
align='right'>Z11.5</td><td>Special screening examination for other viral
diseases</td><td></td><td>swab manten</td><td align='right'>86073</td><td
align='right'>051661500</td><td>12-02-2022</td><td>ARI SETIAWAN</td><td>ARI
H</td><td>JUNITA, AMK</td><td>L</td><td>20-44
align='right'>021628903</td><td>12-02-2022</td><td>AYUDYA INARA</td><td>AMIR
ZUMARUDIN</td><td></td><td>TEGUHAN 02
</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td>SRI WIDIASTUTI</td><td>P</td><td>1-4
align='right'>H52.0</td><td>Hypermetropia</td><td></td><td>legalisasi optik</td><td
align='right'>02354100</td><td>12-02-2022</td><td>BAMBANG WIDODO</td><td>BAMBANG
WIDODO</td><td>PERANGKAT DESA</td><td>NGULINGAN RT
unspecified</td><td></td><td>adem panas, batuk pilek</td><td
align='right'>86089</td><td align='right'>05051002</td><td>12-02-2022</td><td>DEVA
DRAJAT SAMUDRA</td><td>UMAR FATAH</td><td></td><td>GARUT RT
08</td><td>Garut</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
td><td>36</td><td>20</td><td>155</td><td>55</td><td>O</td></tr><tr><td
align='right'>86079</td><td align='right'>081361401</td><td>12-02-2022</td><td>DEVI
PUTRI WULANDARI</td><td>SUPARJO</td><td></td><td>BEKU RT
pregnancy</td><td></td><td>G3P2A0 Hamil 17mg periksa hamil</td><td
HANDAYANI</td><td>SAWIJI</td><td></td><td>SAMBIREMBYUNG RT
30</td><td>Sambirembyung</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>20-44
align='right'>081656500</td><td>12-02-2022</td><td>FAJAR</td><td>FAJAR</td><td></
td><td>GULI RT 03</td><td></td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td>JUNITA, AMK</td><td>L</td><td>20-44
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>lemes, badan
greges</td><td align='right'>86056</td><td align='right'>111662300</td><td>12-02-
2022</td><td>IMAN DIKROMO</td><td>IMAN DIKROMO</td><td></td><td>SENDANG WULUH RT
29</td><td></td><td>TANON</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td>JUNITA, AMK</td><td>L</td><td>>70
align='right'>86064</td><td align='right'>08280805</td><td>12-02-2022</td><td>ISWO
ROWATI</td><td>GIYATNO</td><td></td><td>BEKU RT
align='right'>080102102</td><td>12-02-2022</td><td>JULITA
</td><td>SUTARDI</td><td></td><td>BEKU RT
10</td><td>Jekani</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>0216288</td><td>12-02-2022</td><td>KAMILATUL KHOIRIYAH</td><td>SLAMET
WAHYUDI</td><td></td><td>TEGUHAN RT 2</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>021400802</td><td>12-02-2022</td><td>KHOUFAH IZZATUL'AIN</td><td>MUH
ARIFIN</td><td></td><td>NGRUNGKAP04</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>081656502</td><td>12-02-2022</td><td>LAMBANG</td><td>FAJAR</
td><td></td><td>GULI RT 03</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>JUNITA, AMK</td><td>L</td><td>20-44
align='right'>J44.0</td><td>Chronic obstructive pulmonary disease with acute lower
respiratory infection</td><td></td><td>batuk, sesak</td><td
align='right'>86053</td><td align='right'>06781800</td><td>12-02-2022</td><td>MARTO
SEMITO</td><td>MARTO SEMITO</td><td></td><td>TLEBUK RT
H</td><td>JUNITA, AMK</td><td>L</td><td>>70
Th</td></tr><tr><td align='right'>K00.7</td><td>Teething
syndrome</td><td></td><td></td><td align='right'>86094</td><td
align='right'>051613002</td><td>12-02-2022</td><td>MUHAMMAD HAFIZ</td><td>SLAMET
RIYADI</td><td></td><td>BENDOREJO RT 17</td><td></td><td>JEKANI</td><td>PUSKESMAS
align='right'>K12.1</td><td>Other forms of stomatitis</td><td></td><td>batuk 1
bulan, sariawan</td><td align='right'>86084</td><td
align='right'>05207901</td><td>12-02-2022</td><td>NARTI</td><td>SETU</td><td>BURUH
HARIAN LEPAS</td><td>GARUT RT 25</td><td>Garut</td><td>JEKANI</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>JUNITA, AMK</td><td>P</td><td>55-59
Th</td></tr><tr><td align='right'>M79.0</td><td>Rheumatism,
unspecified</td><td></td><td>pegel pegel, badan linu</td><td
align='right'>05074300</td><td>12-02-2022</td><td>NGADIYO</td><td>NGADIYO</
td><td>WIRASWASTA</td><td>SIDOMULYO RT
align='right'>081237301</td><td>12-02-2022</td><td>NOFITASARI</td><td>SUYANTO</
td><td></td><td>SAMBIDUYUNG RT 30</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>081656503</td><td>12-02-2022</td><td>PARIYO</td><td>FAJAR</td><td></
ANGGANISA H</td><td>JUNITA, AMK</td><td>L</td><td>20-44
align='right'>051661503</td><td>12-02-2022</td><td>PARMIN</td><td>ARI
unspecified</td><td></td><td>pusing, panas, batuk pilek</td><td
align='right'>021553500</td><td>12-02-2022</td><td>PENDI SAPUTRO</td><td>PENDI
SAPUTRO</td><td></td><td>NGRUNGKAP
RT05</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>J06</td><td>Acute upper respiratory infections of multiple and
unspecified sites</td><td></td><td>adem panas, batuk pilek</td><td
align='right'>04863400</td><td>12-02-2022</td><td>PRIYONO</td><td>PRIYONO</
td><td></td><td>BULAKREJO RT 17</td><td>Bulakrejo</td><td>PARE</td><td>PUSKESMAS
of persons without complaint and reported diagnosis</td><td></td><td>surat
2022</td><td>PUTRI SETYO UTAMI</td><td>DANI SUSILO</td><td></td><td>BONTIT RT
pregnancy</td><td></td><td>G1P0A0 hamil 29mg Periksa hamil</td><td
align='right'>86060</td><td align='right'>081560803</td><td>12-02-2022</td><td>RINA
NUR ISNAINI</td><td>DARYANTO</td><td></td><td>SAMBIREMBUYUNG RT
align='right'>081656501</td><td>12-02-2022</td><td>SANJA
MAHARANI</td><td>FAJAR</td><td></td><td>GULI RT
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>mata merah, berkabut,
terasa pegal</td><td align='right'>86066</td><td align='right'>0710842</td><td>12-
02-2022</td><td>SARTINI</td><td>TUMIN</td><td></td><td>JETIS RT
align='right'>H92.0</td><td>Otalgia</td><td></td><td>telinga nyeru kumat
kumatan</td><td align='right'>86078</td><td
align='right'>07208102</td><td>12-02-2022</td><td>SASTRO
MINARNO</td><td>SASTRO</td><td></td><td>WATUGONG RT
ANGGANISA H</td><td>JUNITA, AMK</td><td>L</td><td>>70
unspecified</td><td></td><td>batuk, pilek, panas 1 hari</td><td
align='right'>06004601</td><td>12-02-2022</td><td>SIYEM</td><td>REBO</
td><td>PETANI/PEKEBUN</td><td>SIDOMULYO RT
Th</td></tr><tr><td align='right'>Z11.5</td><td>Special screening examination for
other viral diseases</td><td></td><td>swab manten</td><td
align='right'>051661502</td><td>12-02-2022</td><td>SLAMET RIYADI</td><td>ARI
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut senep, cengeng, nyeri
tulang </td><td align='right'>86095</td><td align='right'>051613001</td><td>12-02-
2022</td><td>SRI LESTARI</td><td>SLAMET RIYADI</td><td></td><td>BENDOREJO RT
align='right'>051661504</td><td>12-02-2022</td><td>SUDARMADI</td><td>ARI
pregnancy</td><td></td><td>G2P1A0 hamil 31mg Periksa hamil</td><td
align='right'>091617501</td><td>12-02-2022</td><td>SUGIYARTI</td><td>MUHAMMAD
NUGROHO</td><td></td><td>DUWET RT 08</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>J44.9</td><td>Chronic obstructive pulmonary disease,
unspecified</td><td></td><td>memperbarui rujukan</td><td
align='right'>03303301</td><td>12-02-2022</td><td>SUKARTI</td><td>ABDUL</
td><td>MENGURUS RUMAH TANGGA</td><td>TROMBOL RT
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rujuk</td><td
Umum</td><td></td><td>RSUD DR. SOERATNO GEMOLONG</td><td>Dalam
of persons without complaint and reported diagnosis</td><td></td><td>mencari
2022</td><td>SUNYOTO</td><td>SUNYOTO</td><td></td><td>PARE
RT10</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>08281101</td><td>12-02-2022</td><td>SURYANI</td><td>SUPRIYANTO</
td><td></td><td>SAMBIREMBYUNG RT 30</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>081656504</td><td>12-02-2022</td><td>TIDI
SUPRAPTO</td><td>FAJAR</td><td></td><td>GULI RT
INDUK</td><td>DR. ANGGANISA H</td><td>JUNITA, AMK</td><td>L</td><td>>70
align='right'>04053401</td><td>12-02-2022</td><td>WAGIYEM</td><td>SUWANDI</
td><td></td><td>PARE RT08</td><td>Pare</td><td>PARE</td><td>PUSKESMAS
align='right'>E11.9</td><td>Non-insulin-dependent diabetes mellitus without
complications</td><td></td><td>memperbarui rujukan</td><td
align='right'>041024300</td><td>12-02-2022</td><td>WASITONO</td><td>WASITONO</
td><td></td><td>PULEREJO RT 21</td><td></td><td>PARE</td><td>PUSKESMAS
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td>Rujuk</td><td
align='right'>07810901</td><td>12-02-2022</td><td>WIDYAWATI</td><td>JATMIKO</
td><td>MENGURUS RUMAH TANGGA</td><td>JETIS RT
align='right'>Z11.5</td><td>Special screening
examination for other viral diseases</td><td></td><td>swab manten</td><td
align='right'>051661501</td><td>12-02-2022</td><td>YUYUN YUNIZAR ZULMI</td><td>ARI
align='right'>06039604</td><td>14-02-2022</td><td>ABIMANYU</td><td>GONO</td><td></
td><td>KALIDAWUNG RT04</td><td>Kalidawung</td><td>KEDAWUNG</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SRI WIDIASTUTI</td><td>L</td><td>1-4
align='right'>07451603</td><td>14-02-2022</td><td>ABINARA</td><td>PAINO</td><td></
td><td>TIRIP RT 02</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DRG.
align='right'>02209104</td><td>14-02-2022</td><td>ADITYA DWI
JAH</td><td>SETYAWAN</td><td></td><td>GRASAK RT
11</td><td>Grasak</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>I86.1</td><td>Scrotal varices</td><td></td><td>medikasi post
op</td><td align='right'>86134</td><td align='right'>061499800</td><td>14-02-
2022</td><td>AGUNG SEPTIAN HIDAYAT</td><td>AGUNG SEPTIAN
HIDAYAT</td><td></td><td>SUKOHARSO RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>101662702</td><td>14-02-2022</td><td>AINAYA</td><td>EDI
SAPUTRA</td><td></td><td>BALEHARJO 10</td><td></td><td>SUKODONO</td><td>PUSKESMAS
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>demam </td><td
align='right'>071203202</td><td>14-02-2022</td><td>AKMAL</td><td>SARWANTO</
td><td></td><td>JETIS</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>041115601</td><td>14-02-2022</td><td>AMINEM</td><td>AMINEM</
td><td></td><td>BRINGIN RT 13</td><td>Pare</td><td>PARE</td><td>PUSKESMAS
size</td><td></td><td></td><td align='right'>86161</td><td
align='right'>04716503</td><td>14-02-2022</td><td>AMRUL MALRUF
HASAN</td><td>SUPARNO</td><td></td><td>BRINGIN
RT15</td><td>Bringin</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>061165602</td><td>14-02-2022</td><td>ARSSEN</td><td>FAISOL
AMIN</td><td></td><td>DEPOK RT 24</td><td>Depok</td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>03088303</td><td>14-02-2022</td><td>BRANTARA ABIMAYU R</td><td>ARI
JATMIKO</td><td></td><td>TROMBOL RT
H</td><td>SRI WIDIASTUTI</td><td>L</td><td>1-4
align='right'>86157</td><td align='right'>041274502</td><td>14-02-2022</td><td>DENY
AL FIAN</td><td>SUGIYANTO</td><td></td><td>BUNTIT RT
26</td><td>Buntit</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
pregnancy</td><td></td><td>hamil dengan g1p0a0 20mg</td><td
align='right'>021582801</td><td>14-02-2022</td><td>FATONAH</td><td>MUHSIN KHOUIRUL
ARDIYANTO</td><td></td><td>TEGUHAN RT
align='right'>121608102</td><td>14-02-2022</td><td>FEBI</td><td>SUYATMAN</
td><td></td><td>PUCANG PAGAK RT19</td><td></td><td>SUMBER LAWANG</td><td>PUSKESMAS
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>demam bapil</td><td
align='right'>86101</td><td align='right'>06458304</td><td>14-02-2022</td><td>FEBRI
AYUNINGSIH</td><td>PARMIN</td><td></td><td>TLEBUK RT
H</td><td> - </td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
PBI</td><td>Rajal</td><td
unspecified</td><td></td><td>demam bapil</td><td align='right'>86159</td><td
align='right'>031044902</td><td>14-02-2022</td><td>HANIF HIDAYATU
RAHMAH</td><td>SUMADI</td><td></td><td>KADISONO RT
H</td><td> - </td><td>P</td><td>15-19
unspecified</td><td></td><td></td><td align='right'>86160</td><td
align='right'>02412903</td><td>14-02-2022</td><td>HAYUNDA</td><td>HARTONO</
td><td></td><td>BRINGIN RT16</td><td>Bringin</td><td>PARE</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SRI WIDIASTUTI</td><td>P</td><td><1
align='right'>N89.4</td><td>Leukoplakia of
vagina</td><td></td><td>keputihan</td><td align='right'>86107</td><td
align='right'>07153600</td><td>14-02-2022</td><td>JUWARIYAH</td><td>JUWARIYAH</
td><td></td><td>ORO ORO OMBO RT 25</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>I63</td><td>Cerebral infarction</td><td></td><td>mulut mencos ke
kanan sejak 3 hari yll</td><td align='right'>86141</td><td
align='right'>061662800</td><td>14-02-2022</td><td>KASIYEM</td><td>KASIYEM</
pregnancy</td><td></td><td>anc</td><td align='right'>86155</td><td
align='right'>021556201</td><td>14-02-2022</td><td>LAILA AISIYAH</td><td>MAHBUB
CHAIDAR</td><td></td><td>BENDOREJO RT
align='right'>A77.8</td><td>Other spotted fevers</td><td></td><td>panas
pilek</td><td align='right'>86139</td><td align='right'>04067408</td><td>14-02-
2022</td><td>LAILATUL MUBAROKAH</td><td>MULYANTO</td><td></td><td>SAMBIROTO RT
H</td><td>SRI WIDIASTUTI</td><td>P</td><td><1
align='right'></td><td>KIA</td><td></td><td></td><td>Dalam
align='right'>Z09.9</td><td>Follow-up examination after unspecified treatment for
other conditions</td><td></td><td>rujukan</td><td align='right'>86166</td><td
align='right'>09967602</td><td>14-02-2022</td><td>LINTANG ADI PRATAMA</td><td>ALI
MUHTAR</td><td></td><td>KENDAL RT
04</td><td>Kendal</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>10-14
align='right'>05803203</td><td>14-02-2022</td><td>MEIZA</td><td>AGUS
PRASETYO</td><td></td><td>BALANG RT 14</td><td></td><td>JEKANI</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SRI WIDIASTUTI</td><td>P</td><td><1
classified</td><td></td><td>kontrol jahitan</td><td align='right'>86152</td><td
align='right'>08982703</td><td>14-02-2022</td><td>MELINDA ANASTASYA
PUTRI</td><td>TUGIMIN</td><td></td><td>KENTENG RT
align='right'>616629010</td><td>14-02-2022</td><td>MENIK AMBARWATI</td><td>SISKA
ANDRIYANTO</td><td></td><td>KALIDORO RT
Thn.</td><td>Keluarga</td><td></td><td>Umum</td><td>Rajal</td><td
align='right'>01717902</td><td>14-02-2022</td><td>MOCHAMMAD RISKI
ANDRIYANTO</td><td>SUYANTO</td><td>PELAJAR/MAHASISWA</td><td>SONO RT
19</td><td>Sono</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>15-19
align='right'>04767702</td><td>14-02-2022</td><td>MUH DWI NUR
FAUZI</td><td>SUWAJI</td><td></td><td>PELEMREJO RT
24</td><td>Pelemrejo</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
FAHMI SALIM</td><td>AGUS ISMANTO</td><td></td><td>GEBANG
align='right'>07748201</td><td>14-02-2022</td><td>MURTINI</td><td>SUNARDI</
td><td></td><td>SEMPUREJO RT
align='right'>Z34.8</td><td>Supervision
of other normal pregnancy</td><td></td><td>anc</td><td align='right'>86126</td><td
align='right'>011583601</td><td>14-02-2022</td><td>MUSTOFARIA</td><td>BAYU
SETIYAWAN</td><td></td><td>TEGALREJO RT 20</td><td></td><td>SONO</td><td>PUSKESMAS
align='right'>05207901</td><td>14-02-2022</td><td>NARTI</td><td>SETU</td><td>BURUH
HARIAN LEPAS</td><td>GARUT RT 25</td><td>Garut</td><td>JEKANI</td><td>PUSKESMAS
2022</td><td>NGADIYO</td><td>NGADIYO</td><td>WIRASWASTA</td><td>SIDOMULYO RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>121254101</td><td>14-02-2022</td><td>NGATINAH</td><td>SARWIDI</
td><td></td><td>BLIMBING RT 05</td><td></td><td>SUMBER LAWANG</td><td>PUSKESMAS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri lulut</td><td
align='right'>06459801</td><td>14-02-2022</td><td>NGATINI</td><td>SUPONO</
td><td>WIRASWASTA</td><td>KALIDAWUNG</td><td>Kalidawung</td><td>KEDAWUNG</
align='right'>C50</td><td>Malignant neoplasm of breast</td><td></td><td>benjolan di
payudara</td><td align='right'>86112</td><td align='right'>02086501</td><td>14-02-
2022</td><td>NUR HIDAYATI</td><td>DARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>TEGUHAN RT 01</td><td>Teguhan</td><td>TEMPELREJO</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>K02.1</td><td>Caries of
dentine</td><td></td><td></td><td align='right'>86150</td><td
align='right'>031287201</td><td>14-02-2022</td><td>PARTINI</td><td>ROHMAT
RIYADI</td><td></td><td>KADISONO RT
14</td><td>Kadisono</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>061038900</td><td>14-02-2022</td><td>REBO</td><td>REBO</td><td></
td><td>NGELO RT 23</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>061010203</td><td>14-02-2022</td><td>REFAN SURYA
PRAJA</td><td>SUPROJO</td><td></td><td>SIDOMULYO RT
H</td><td> - </td><td>L</td><td>10-14
align='right'>86103</td><td align='right'>02942202</td><td>14-02-2022</td><td>RIKO
PRASETYO</td><td>GIYANTO</td><td></td><td>NGASEM</td><td>Ngasem</td><td>TEMPELREJO<
/td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> - </td><td>L</td><td>20-44
align='right'>L50</td><td>Urticaria</td><td></td><td>bengkak gatal</td><td
align='right'>03986302</td><td>14-02-2022</td><td>SEPTIANA DEWI S</td><td>DYAH
SUSILOWATI</td><td></td><td>TROMBOL RT
H</td><td> - </td><td>P</td><td>15-19
align='right'>B34.2</td><td>Coronavirus infection,
unspecified</td><td></td><td>demam pusing</td><td align='right'>86113</td><td
align='right'>031101201</td><td>14-02-2022</td><td>SOFIA NUR
AFIFAH</td><td>HIDAYAD</td><td></td><td>PONDOK
BARAT</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
MULYANI</td><td>SUKARNO</td><td></td><td>GRASAK RT
align='right'>06039605</td><td>14-02-2022</td><td>SRI SUKARTINI</td><td>GONO
DARSO</td><td></td><td>KALIDAWUNG RT
align='right'>051176801</td><td>14-02-2022</td><td>SRI
SULASTRI</td><td>SUNARDI</td><td></td><td>BALANG RT
13</td><td>Balang</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>45-54
align='right'>K30</td><td>Dyspepsia</td><td></td><td>sebah nyeri pereut</td><td
align='right'>06169401</td><td>14-02-2022</td><td>SUCIATI</td><td>RUSTANTO</
td><td>MENGURUS RUMAH TANGGA</td><td>SIDOMULYO RT
H</td><td> - </td><td>P</td><td>55-59
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut sebah senep</td><td
align='right'>05976401</td><td>14-02-2022</td><td>SUKIYEM</td><td>SUKIYEM</
td><td></td><td>TLEBUK RT 19</td><td>Tlebuk</td><td>JEKANI</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>A01.0</td><td>Typhoid
fever</td><td></td><td>pusing nyeri tulang mual</td><td align='right'>86131</td><td
align='right'>01758201</td><td>14-02-2022</td><td>SULIYEM</td><td>LAMIN</td><td></
td><td></td><td></td><td>PURWODAADI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>55-59
align='right'>I11</td><td>Hypertensive heart disease</td><td></td><td>keluhan
2022</td><td>SUNARTO</td><td>SUNARTO</td><td>PETANI/PEKEBUN</td><td>SUMBERAGUNG RT
H</td><td> - </td><td>L</td><td>60-69
align='right'>051077600</td><td>14-02-2022</td><td>SUPARNO</td><td>SUPARNO</
td><td></td><td>SUMBERAGUNG RT 22</td><td></td><td>JEKANI</td><td>PUSKESMAS
align='right'>M43.6</td><td>Torticollis</td><td></td><td>tengeng, perut
senep</td><td align='right'>86147</td><td align='right'>06408001</td><td>14-02-
2022</td><td>SURATMI</td><td>SLAMET DARJATMO</td><td></td><td>KALIDAWUNG RT
H</td><td> - </td><td>P</td><td>60-69
Th</td></tr><tr><td align='right'>T15.0</td><td>Foreign body in
cornea</td><td></td><td>mata kena benda</td><td align='right'>86119</td><td
align='right'>08168900</td><td>14-02-2022</td><td>SUTRISNO MUSTOFA</td><td>SUTRISNO
MUSTOFA</td><td></td><td>BEKU RT 09</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
IRIASTUTI</td><td>PARJONO</td><td></td><td>KEDUNGNONGKO RT
Th</td></tr><tr><td align='right'>I50</td><td>Heart failure</td><td></td><td>prb
jantung
amlodipin 5mg 1x1 23
lisinopril 5mg 1x1 23</td><td align='right'>86105</td><td
align='right'>05098401</td><td>14-02-2022</td><td>TUGIYEM</td><td>TUGIYEM</
td><td></td><td>BENDOREJO RT 17</td><td></td><td>JEKANI</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>I50.0</td><td>Congestive heart
failure</td><td></td><td>batuk,sesek kaki oedem</td><td align='right'>86106</td><td
align='right'>K30</td><td>Dyspepsia</td><td></td><td>senep mual</td><td
align='right'>04067401</td><td>14-02-2022</td><td>WAGIYEM</td><td>MULYANTO</
td><td>PEDAGANG</td><td>SABIROTO RT
H</td><td> - </td><td>P</td><td>60-69
align='right'>06204601</td><td>14-02-2022</td><td>WAHYULIATI</td><td>TRI
ANGGORO</td><td>PERDAGANGAN</td><td>KALIGUNTING RT
bacteriologically and histologically confirmed</td><td></td><td>batuk</td><td
align='right'>05911300</td><td>14-02-2022</td><td>WAKIJO</td><td>WAKIJO</td><td></
td><td>SIDOMULYO 16</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR.
unspecified</td><td></td><td>batuk pusing</td><td align='right'>86153</td><td
align='right'>06703101</td><td>14-02-2022</td><td>WAKINEM</td><td>JATNO</
td><td>PETANI/PEKEBUN</td><td>SUKOCIPTO RT
align='right'>010336</td><td>14-02-2022</td><td>YENI NUR
WIJAYANTI</td><td>IRFAN</td><td></td><td>SONO RT
align='right'>021064504</td><td>15-02-2022</td><td>ABDUL AZIZ A</td><td>ABDUL
ROKIM</td><td></td><td>TEGUHAN RT
03</td><td>Teguhan</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
ABDUL WAKHID</td><td>TRI SURYANTI, AMD Keb</td><td>L</td><td>1-4
align='right'>092381</td><td>15-02-2022</td><td>ALIFA
ROHMANINA</td><td>YANTO</td><td>BELUM/TIDAK BEKERJA</td><td>NGOROTO RT
WAKHID</td><td>TRI SURYANTI, AMD Keb</td><td>P</td><td>5-9
align='right'>G40</td><td>Epilepsy</td><td></td><td></td><td
align='right'>09751603</td><td>15-02-2022</td><td>ALVINO ALDI
SAPUTRA</td><td>KARNO</td><td></td><td>KARABAN RT
WAKHID</td><td>TRI SURYANTI, AMD Keb</td><td>L</td><td>1-4
align='right'>L50</td><td>Urticaria</td><td></td><td>gatal gatal ditangan</td><td
align='right'>021064502</td><td>15-02-2022</td><td>ASNIYATI NIDA</td><td>ABDUL
ROHIM</td><td></td><td>TEGUHAN RT 03</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
alone</td><td></td><td></td><td align='right'>86193</td><td
align='right'>041663401</td><td>15-02-2022</td><td>DWI MARDANINGSIH</td><td>AHAD
ALWY MISNI</td><td></td><td>PELEMREJO RT 24</td><td></td><td>PARE</td><td>PUSKESMAS
INDUK</td><td>dr. ANANG ABDUL WAKHID</td><td>TRI SURYANTI, AMD
align='right'>86192</td><td align='right'>04312001</td><td>15-02-2022</td><td>ENI
MINTASIH</td><td>CAPLIN</td><td></td><td>JATIREJO RT
07</td><td>Jatirejo</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>031663301</td><td>15-02-2022</td><td>IKA
SARIMINIKA</td><td>GIYANTO</td><td></td><td>TROMBOL RT
25</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>141553601</td><td>15-02-2022</td><td>INDAH PUSPITA WIDIAR
NINGRUM</td><td>ASHARI BANI </td><td></td><td>TARAMAN RT 13</td><td></td><td>LUAR
WILAYAH DALAM KAB.</td><td>PUSKESMAS
align='right'>04270401</td><td>15-02-2022</td><td>JULIANA</td><td>HERMAWAN</
td><td></td><td>BULAKREJO RT18</td><td>Bulakrejo</td><td>PARE</td><td>PUSKESMAS
align='right'>06040101</td><td>15-02-2022</td><td>JUNITA</td><td>SUGIYANTO</
td><td>PEGAWAI NEGERI SIPIL</td><td>KALIDAWUNG RT
H</td><td> - </td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>H66.9</td><td>Otitis media,
unspecified</td><td></td><td>nyeri di telinga</td><td align='right'>86175</td><td
align='right'>03082200</td><td>15-02-2022</td><td>KAMDI</td><td>KAMDI</td><td></
td><td>SUMBERAGUNG RT 22</td><td></td><td>JEKANI</td><td>PUSKESMAS
align='right'>Z01.7</td><td>Laboratory examination</td><td></td><td>swab
2022</td><td>KAMSIDI</td><td>YUDI KRISTANTO</td><td></td><td>GROGOL RT
H</td><td> - </td><td>L</td><td>60-69
align='right'>04863401</td><td>15-02-2022</td><td>KARTINI</td><td>PRIYONO</
td><td></td><td>BULAKREJO RT 17</td><td></td><td>PARE</td><td>PUSKESMAS
alone</td><td></td><td>calon pengantin</td><td align='right'>86207</td><td
align='right'>071663601</td><td>15-02-2022</td><td>LALA FEBIOLA</td><td>HENGKY
KURNIAWAN</td><td></td><td>SAMBIDENOK RT
2022</td><td>LASIYO</td><td>YUDI KRISTANTO</td><td></td><td>GROGOL RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>05155700</td><td>15-02-2022</td><td>MUH JAMALUDIN</td><td>MUH
JAMALUDIN</td><td></td><td>MONDOKAN RT
18</td><td>Mondokan</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>09238103</td><td>15-02-2022</td><td>NINO</td><td>YANTO</td><td></
td><td>NGOROTO RT 16</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
Keb</td><td>L</td><td>1-4 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON
td><td>36</td><td>22</td><td>72</td><td>8.5</td><td></td></tr><tr><td
unspecified</td><td></td><td>lutut bengkak</td><td align='right'>86197</td><td
align='right'>03463301</td><td>15-02-2022</td><td>NUGROHO
PRIYANTO</td><td>TUGIMIN</td><td></td><td>JATIREJO RT
10</td><td>Jatirejo</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
2022</td><td>NUR SYAIFUDIN</td><td>YUDI KRISTANTO</td><td></td><td>GROGOL RT
H</td><td> - </td><td>L</td><td>20-44
other conditions</td><td></td><td>kontrol post op</td><td
align='right'>101663200</td><td>15-02-2022</td><td>PODO</td><td>PODO</td><td></
td><td>BALIHARJO RT 33</td><td></td><td>SUKODONO</td><td>PUSKESMAS
align='right'>N80</td><td>Endometriosis</td><td></td><td></td><td
align='right'>07231701</td><td>15-02-2022</td><td>PURYATI</td><td>SUKIMAN</
td><td>MENGURUS RUMAH TANGGA</td><td>SAMBIDENOK RT
align='right'>061614001</td><td>15-02-2022</td><td>PUTRI ERNAWATI</td><td>ANDI
JATMIKO</td><td></td><td>GROGOL RT 16</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>08841700</td><td>15-02-2022</td><td>RAMADAN</td><td></td><td></
td><td>KUKUN REJO RT 22</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
9 Thn.</td><td>Keluarga</td><td></td><td>Umum</td><td>Rajal</td><td
align='right'>Z01.7</td><td>Laboratory examination</td><td></td><td>cek lab</td><td
align='right'>071572400</td><td>15-02-2022</td><td>RANGGA AJI
NUGROHO</td><td>RANGGA AJI NUGROHO</td><td></td><td>JETIS RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>061608701</td><td>15-02-2022</td><td>ROFIAH</td><td>WARSENO</
td><td></td><td>NGELO RT 23</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
histologically confirmed</td><td></td><td>lemes</td><td align='right'>86182</td><td
align='right'>02026105</td><td>15-02-2022</td><td>SAPARNO</td><td>SAPARNO</
td><td></td><td>TEGUHAN RT 02</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>02478001</td><td>15-02-2022</td><td>SENEN</td><td>SENEN</td><td></
td><td>TEGUHAN RT 03</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>071572401</td><td>15-02-2022</td><td>SITI KUMARVOH</td><td>RANGGA AJI
NUGROHO</td><td></td><td>JETIS RT
7</td><td>Jetis</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
2022</td><td>SRI CHOIRU NISA</td><td>YUDI KRISTANTO</td><td></td><td>GROGOL RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>061663101</td><td>15-02-2022</td><td>SRI MARYATI</td><td>SARUJI
SUGIYONO</td><td></td><td>KALIGUNTING RT
05</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>J00</td><td>Acute nasopharyngitis [common
cold]</td><td></td><td>pilek</td><td align='right'>86184</td><td
align='right'>09362500</td><td>15-02-2022</td><td>SUGIYANTO</td><td>SUGIYANTO</
td><td></td><td>KARABAN 12</td><td>Karaban</td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>0416136</td><td>15-02-2022</td><td>SUKMA
SURGAWATI</td><td></td><td></td><td>PELEMREJO RT 4
</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>A30</td><td>Leprosy [Hansen disease]</td><td></td><td>cekot
cekot</td><td align='right'>86199</td><td align='right'>071663501</td><td>15-02-
2022</td><td>SUTINEM</td><td>SUKIMAN</td><td></td><td>KUNIRAN RT
H</td><td> - </td><td>P</td><td>45-54
align='right'>01454000</td><td>15-02-2022</td><td>SUTOYO</td><td>SUTOYO</td><td></
td><td>BURAS RT 03</td><td>Buras</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR.
bacteriologically and histologically confirmed</td><td></td><td>mual</td><td
align='right'>02308201</td><td>15-02-2022</td><td>USWATUN
KHASANAH</td><td>MAKRUF</td><td>MENGURUS RUMAH TANGGA</td><td>TEGUHAN RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>06187301</td><td>15-02-2022</td><td>YANTI
GARMINI</td><td>SUPARDI</td><td></td><td>KEDAWUNG RT
29</td><td>Kalidawung</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
ABDUL WAKHID</td><td>TRI SURYANTI, AMD Keb</td><td>P</td><td>20-44
align='right'>05468204</td><td>15-02-2022</td><td>YASIFA</td><td>FUAD
ATOKUROHMAN</td><td>BELUM/TIDAK BEKERJA</td><td>SIDOMULYO RT
2022</td><td>YUDI KRISTANTO</td><td>YUDI KRISTANTO</td><td></td><td>GROGOL RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>031282001</td><td>16-02-2022</td><td>AFIFATUL ULYA</td><td>NUR
CHOLIS</td><td></td><td>CRANGGANG RT
28</td><td>Cranggang</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
ABDUL WAKHID</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>20-44
align='right'>86216</td><td align='right'>131663701</td><td>16-02-2022</td><td>ANIS
MUSYARAFAH</td><td>MARJOKO</td><td></td><td>PULUHAN RT
06</td><td></td><td>PURWODAADI</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>08476002</td><td>16-02-2022</td><td>AZKA</td><td>CIKO
ARIYANTO</td><td></td><td>CRANGGANG RT
27</td><td>Cranggang</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
align='right'>131663901</td><td>16-02-2022</td><td>BATI</td><td>WAGIYO</td><td></
td><td>JIMBAR RT 05</td><td></td><td>SUKODONO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>A77.8</td><td>Other spotted fevers</td><td></td><td>panas hari ke 6
rujuk rs mardi lestari</td><td align='right'>86220</td><td
align='right'>021380003</td><td>16-02-2022</td><td>DELISA AZIZAH</td><td>DWI
YANTO</td><td></td><td>NGASEM RT
12</td><td>Ngasem</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
unspecified</td><td></td><td>batuk [pilek panas 6 hari</td><td
align='right'>091284102</td><td>16-02-2022</td><td>DELVIN</td><td>ANDIYANTO</
HANDAYANI</td><td>SISWADI</td><td></td><td>GEMANTAR RT
19</td><td>Gemantar</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
align='right'>060111201</td><td>16-02-2022</td><td>FITRIYANI</td><td>WARDI</
align='right'>03260003</td><td>16-02-2022</td><td>INE PUTRI
SETYANINGRUM</td><td>JOKO TUGIYARTO</td><td>PELAJAR/MAHASISWA</td><td>PONDOK BARAT
RT 20</td><td>Trombol</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>05155701</td><td>16-02-2022</td><td>JARWATIK</td><td>MUH
JAMAL</td><td></td><td>MONDOKAN
RT18</td><td>Mondokan</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
align='right'>M25.54</td><td>Pain in joint, hand</td><td></td><td>pegel di
tangan</td><td align='right'>86229</td><td align='right'>02268501</td><td>16-02-
2022</td><td>JUMIATI</td><td>SUYONO</td><td></td><td>TEGUHAN RT
H</td><td> - </td><td>P</td><td>45-54
align='right'>07748001</td><td>16-02-2022</td><td>JUMIYANTI</td><td>YONO</
td><td></td><td>JETIS RT 7</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
Th</td></tr><tr><td
align='right'>02268101</td><td>16-02-2022</td><td>JUNIATI</td><td>SUYONO</
td><td></td><td>TEGUHAN RT 03</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>04938802</td><td>16-02-2022</td><td>MONDI</td><td>JOKO
SANTOSO</td><td></td><td>GANI RT 20</td><td></td><td>PARE</td><td>PUSKESMAS
align='right'>061663801</td><td>16-02-2022</td><td>MULYANI</td><td>SUPARMAN</
align='right'>081331500</td><td>16-02-2022</td><td>PARTO SEMITO LOSO</td><td>PARTO
SEMITO LOSO</td><td></td><td>GAJIHAN RT
16</td><td>Sumberrejo</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>A77.8</td><td>Other spotted fevers</td><td></td><td></td><td
align='right'>041402002</td><td>16-02-2022</td><td>RAFA</td><td>SUTOMO</td><td></
td><td>PELEMREJO RT 25</td><td>Pelemrejo</td><td>PARE</td><td>PUSKESMAS
Keb</td><td>L</td><td><1
align='right'></td><td>KIA</td><td></td><td></td><td>Dalam
align='right'>86268</td><td align='right'>05082403</td><td>16-02-2022</td><td>RASTI
ADHITIA PERMADANI</td><td>SUYATMAN</td><td></td><td>SENDANGREJO RT
align='right'>05918202</td><td>16-02-2022</td><td>ROMADHON
TAQWA</td><td>JUWAHIR</td><td></td><td>GARUT RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>86269</td><td align='right'>05082402</td><td>16-02-2022</td><td>ROSSI
ADITIA PERMADANI</td><td>SUYATMAN</td><td>BELUM/TIDAK BEKERJA</td><td>SENDANGREJO
RT 29</td><td>Jekani</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>05097301</td><td>16-02-2022</td><td>RUKINI</td><td>SUTIMAN</
td><td>KARYAWAN SWASTA</td><td>PURWOREJO RT
- </td><td>P</td><td>55-59 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
PURYANI</td><td>SUTOMO</td><td></td><td>PELEMREJO RT
25</td><td>Pelemrejo</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>04938801</td><td>16-02-2022</td><td>SUGIYANTI</td><td>JOKO
SANTOSO</td><td></td><td>GANI RT 20</td><td></td><td>PARE</td><td>PUSKESMAS
align='right'>021617901</td><td>16-02-2022</td><td>SUMIYATI</td><td>DWI
ANGGORO</td><td></td><td>NGULINGAN RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>bapil</td><td
align='right'>021617901</td><td>16-02-2022</td><td>SUMIYATI</td><td>DWI
ANGGORO</td><td></td><td>NGULINGAN RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>02386000</td><td>16-02-2022</td><td>SUNARNO</td><td>SUNARNO</
td><td></td><td>TEGUHAN RT 03</td><td>Teguhan</td><td>TEMPELREJO</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>B34.2</td><td>Coronavirus infection,
align='right'>09119501</td><td>16-02-2022</td><td>SUNARTI</td><td>WARTONO</
td><td></td><td>BRUJULAN RT
align='right'>A01.0</td><td>Typhoid fever</td><td></td><td>demam</td><td
align='right'>0512150101</td><td>16-02-2022</td><td>TRI
WIDAYATI</td><td>SUWANTO</td><td></td><td>PURWOREJO RT
13</td><td>Purworejo</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
Th</td></tr><tr><td
align='right'>060111201</td><td>16-02-2022</td><td>VITRIYANI</td><td>WARDI</
align='right'>M79.1</td><td>Myalgia</td><td></td><td>lemes pusing</td><td
align='right'>041643502</td><td>16-02-2022</td><td>WARSITI</td><td>SUNARTO</
td><td></td><td>PELEMREJO RT 25</td><td></td><td>PARE</td><td>PUSKESMAS
align='right'>B20</td><td>Human immunodeficiency virus [HIV] disease resulting in
infectious and parasitic diseases</td><td></td><td>lemes pusing</td><td
align='right'>B20</td><td>Human immunodeficiency virus [HIV] disease resulting in
infectious and parasitic diseases</td><td></td><td>lemes</td><td
align='right'>02767601</td><td>16-02-2022</td><td>WIJIATI</td><td>SARJONO</
td><td>MENGURUS RUMAH TANGGA</td><td>BRINGINAN RT
H</td><td> - </td><td>L</td><td>45-54
Th</td></tr><tr><td align='right'>G50.0</td><td>Trigeminal
neuralgia</td><td></td><td>batuk lemes</td><td align='right'>86212</td><td
align='right'>06077201</td><td>16-02-2022</td><td>YATI</td><td>SAMAN</td><td></
td><td>SUKOHARSO RT 14</td><td>Sukoharso</td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>101662702</td><td>17-02-2022</td><td>AINAYA</td><td>EDI
align='right'>101662703</td><td>17-02-2022</td><td>AINUHA</td><td>EDI
align='right'>06953903</td><td>17-02-2022</td><td>AMANDA</td><td>ERIK</td><td></
td><td>SIDOMULYO RT 17</td><td>Sidomulyo</td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>021542002</td><td>17-02-2022</td><td>AMELIA</td><td>RAKIDI</
td><td></td><td>TEMPELREJO RT 07</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>031664101</td><td>17-02-2022</td><td>ASTRI
YULIANTI</td><td>ARIS</td><td></td><td>PONDOK RT
22</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
WAKHID</td><td>SRI WIDIASTUTI</td><td>P</td><td>20-44
align='right'>051613401</td><td>17-02-2022</td><td>DARWANTI</td><td>YUSUF</
td><td></td><td>SIDOMULYO RT 26 </td><td></td><td>JEKANI</td><td>PUSKESMAS
Keb</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>081657000</td><td>17-02-2022</td><td>DARYONO</td><td>DARYONO</
td><td></td><td>BEKU RT10</td><td></td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>061231901</td><td>17-02-2022</td><td>DIAH WAHYU
SAPUTRI</td><td>SUNARIYO</td><td></td><td>KALIGUNTING
H</td><td> - </td><td>P</td><td>20-44
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
2022</td><td>ERIKA RAHAYU</td><td>SUKASNO</td><td></td><td>KUTOREJO RT
19</td><td>Kutorejo</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>Z30.8</td><td>Other contraceptive management</td><td></td><td>kontrol
inplant</td><td align='right'>86252</td><td align='right'>031056203</td><td>17-02-
2022</td><td>ERNA ZARDATUN
HIDAYAT</td><td>SUGIYONO</td><td></td><td>KADISONO</td><td></td><td>TROMBOL</
td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL WAKHID</td><td>SRI ANIK H, AMD
align='right'>D50.9</td><td>Iron deficiency anaemia,
unspecified</td><td></td><td>lemes gliyer</td><td align='right'>86283</td><td
align='right'>05251206</td><td>17-02-2022</td><td>FIA
LEHURIIN</td><td>NGADINO</td><td></td><td>JEKANI RT
H</td><td> - </td><td>P</td><td>15-19
align='right'>L50</td><td>Urticaria</td><td></td><td>gatal gatal di perut</td><td
align='right'>071442001</td><td>17-02-2022</td><td>GIYANTI</td><td>SUWARNO</
td><td></td><td>TIRIP RT 02</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>R51</td><td>Headache</td><td></td><td>pusing gembreges</td><td
align='right'>05129000</td><td>17-02-2022</td><td>GIYATNO</td><td>GIYATNO</
td><td>KARYAWAN SWASTA</td><td>TLEBUK RT
- </td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
2022</td><td>HADADIO</td><td>DARYONO</td><td></td><td>BEKU
H</td><td> - </td><td>L</td><td>20-44
align='right'>031056201</td><td>17-02-2022</td><td>LASMININGSIH</td><td>SUGIYONO</
td><td></td><td>KADISONO</td><td></td><td>TROMBOL</td><td>PUSKESMAS
align='right'>081653602</td><td>17-02-2022</td><td>LIA
ROMADANI</td><td>SUYOT</td><td></td><td>GULI RT
H</td><td> - </td><td>P</td><td>10-14
align='right'>08095500</td><td>17-02-2022</td><td>MARIMIN</td><td>MARIMIN</
td><td></td><td>BEKU RT 12</td><td>Beku</td><td>GEMANTAR</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>dada
nyeeri sebah ampeg</td><td align='right'>86259</td><td
align='right'>03165501</td><td>17-02-2022</td><td>MARTINI</td><td>SUKIMIN</
td><td></td><td>JATIREJO RT 09</td><td></td><td>TROMBOL</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>K05.3</td><td>Chronic
align='right'>121254101</td><td>17-02-2022</td><td>NGATINAH</td><td>SARWIDI</
td><td></td><td>BLIMBING RT 05</td><td></td><td>SUMBER LAWANG</td><td>PUSKESMAS
align='right'>14332410</td><td>17-02-2022</td><td>OBBI
SAHITA</td><td>MIRANTO</td><td></td><td>PUCUK RT13</td><td></td><td>LUAR WILAYAH
DALAM KAB.</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>L</td><td>15-19
align='right'>D50.9</td><td>Iron deficiency anaemia,
unspecified</td><td></td><td>nyeri perut</td><td align='right'>86233</td><td
align='right'>08358701</td><td>17-02-2022</td><td>PAINEM</td><td>PARWOREJO</
align='right'>M25.27</td><td>Flail joint, ankle and foot</td><td></td><td>nyeri
lutut</td><td align='right'>86262</td><td align='right'>06322601</td><td>17-02-
2022</td><td>PURYANI</td><td>SUKAJI</td><td>PETANI/PEKEBUN</td><td>GROGOL RT
H</td><td> - </td><td>P</td><td>55-59
align='right'>86275</td><td align='right'>08892501</td><td>17-02-2022</td><td>RATNA
PURNAMASARI</td><td>JARNO</td><td></td><td>BEKU RT
10</td><td>Beku</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
align='right'>051654802</td><td>17-02-2022</td><td>RIFEDI</td><td>RIKO
WIDAYANTO</td><td></td><td>PURWOREJO RT
- </td><td>L</td><td>20-44
align='right'>86238</td><td align='right'>051654800</td><td>17-02-2022</td><td>RIKO
WIDAYANTO</td><td>RIKO WIDAYANTO</td><td></td><td>PURWOREJO RT
- </td><td>L</td><td>20-44
2022</td><td>RISKA PUTRI NUR'AINI</td><td>TUGIYO</td><td></td><td>BURAS RT
size</td><td></td><td></td><td align='right'>86281</td><td
align='right'>05818916</td><td>17-02-2022</td><td>SINAR </td><td>TOTOK
SURANTO</td><td></td><td>SUMBERAGUNG RT
align='right'>Z48</td><td>Other surgical follow-up
care</td><td></td><td>rujukan</td><td align='right'>86243</td><td
LESTARI</td><td>MULYONO</td><td>MENGURUS RUMAH TANGGA</td><td>JANGGLENGAN RT
unspecified</td><td></td><td>batuk,pilek panas dingin</td><td
MURTINI</td><td>KEMIS</td><td></td><td>JETIS RT
2022</td><td>SUKAR</td><td>DARYONO</td><td></td><td>BEKU
align='right'>051654803</td><td>17-02-2022</td><td>SULIMIN</td><td>RIKO
WIDAYANTO</td><td></td><td>PURWOREJO RT
- </td><td>L</td><td>20-44
align='right'>081657003</td><td>17-02-2022</td><td>SUPARDI</td><td>DARYONO</
align='right'>M75.9</td><td>Shoulder lesion, unspecified</td><td></td><td>nyeri
bahu</td><td align='right'>86288</td><td align='right'>09029001</td><td>17-02-
2022</td><td>SUPARWATI</td><td>HERI</td><td></td><td>DUWET RT
15</td><td>Duwet</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>45-54
align='right'>081657001</td><td>17-02-2022</td><td>SUSANTI</td><td>DARYONO</
align='right'>021594400</td><td>17-02-2022</td><td>SUTIKNO</td><td>SUTIKNO</
td><td></td><td>BRINGINAN RT
18</td><td>Bringinan</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>K04.7</td><td>Periapical abscess without
sinus</td><td></td><td></td><td align='right'>86255</td><td
align='right'>1016640</td><td>17-02-2022</td><td>TUKIMIN</td><td>TUKIMIN</
td><td></td><td></td><td></td><td>SUKODONO</td><td>PUSKESMAS INDUK</td><td>DRG.
align='right'>K59.0</td><td>Constipation</td><td></td><td>bak sulit</td><td
align='right'>01314201</td><td>17-02-2022</td><td>TUMINEM</td><td>SUMARTO</
td><td></td><td>SONO RT 15</td><td></td><td>SONO</td><td>PUSKESMAS
align='right'>011346103</td><td>17-02-2022</td><td>VANESA AMANDA
P</td><td>JAYUS</td><td></td><td>BURAS RT
H</td><td> - </td><td>P</td><td>15-19
align='right'>06886802</td><td>17-02-2022</td><td>VICKY</td><td>PARNO</td><td></
td><td>NGELO RT23</td><td>Ngelo</td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>post jatuh</td><td
align='right'>86270</td><td align='right'>051532702</td><td>17-02-2022</td><td>VINA
WIDAYATI</td><td>PARNO</td><td></td><td>BALANG RT
- </td><td>P</td><td>20-44
align='right'>J06</td><td>Acute upper respiratory infections of multiple and
unspecified sites</td><td></td><td>bapil</td><td align='right'>86257</td><td
align='right'>07249304</td><td>17-02-2022</td><td>WAGINEM</td><td>SUWARDI</
td><td></td><td>WATUGONG RT 11</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>K02.1</td><td>Caries of dentine</td><td></td><td></td><td
align='right'>061076300</td><td>17-02-2022</td><td>WAHYU WIDODO</td><td>WAHYU
WIDODO</td><td></td><td>TLEBUK RT 02</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td>Rajal</td><td
align='right'>L60.9</td><td>Nail disorder, unspecified</td><td></td><td>kuku
2022</td><td>WAHYUDI</td><td>WAHYUDI</td><td></td><td>BRUJULAN RT
align='right'>K30</td><td>Dyspepsia</td><td></td><td>sebah</td><td
2022</td><td>WANDA WIDYANTI</td><td>RIKO WIDAYANTO</td><td></td><td>PURWOREJO RT
- </td><td>P</td><td>20-44
align='right'>H66.9</td><td>Otitis media, unspecified</td><td></td><td>telinga
2022</td><td>WINARSIH</td><td>SLAMET</td><td></td><td>KUKUNREJO RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>148702</td><td>18-02-2022</td><td>AFFAN</td><td>SUKAMTO</td><td></
td><td></td><td></td><td>LUAR WILAYAH DALAM KAB.</td><td>PUSKESMAS
align='right'>A75</td><td>Typhus fever</td><td></td><td>post ranap</td><td
align='right'>071203202</td><td>18-02-2022</td><td>AKMAL
ABDULAH</td><td>SARWANTO</td><td></td><td>JETIS RT
H</td><td> - </td><td>L</td><td>5-9
align='right'>86334</td><td align='right'>041660101</td><td>18-02-2022</td><td>ARIS
SATITI</td><td>CATUR YOGA MAHFIUDIN</td><td></td><td>GANI RT
</td><td>P</td><td>20-44
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td>gatal
2022</td><td>AZZAKRA DURATUL N</td><td>HARSI</td><td></td><td>NGEMPLAK RT
align='right'>041660100</td><td>18-02-2022</td><td>CATUR YOGA</td><td>CATUR YOGA
MAHFIUDIN</td><td></td><td>GANI RT 19</td><td></td><td>PARE</td><td>PUSKESMAS
INDUK</td><td>DR.
disease</td><td></td><td>rujukan masih berlaku</td><td align='right'>86331</td><td
align='right'>08198900</td><td>18-02-2022</td><td>DIYANTO</td><td>DIYANTO</
align='right'>L40</td><td>Psoriasis</td><td></td><td>gatal gatal di paha</td><td
align='right'>07132201</td><td>18-02-2022</td><td>GIYANTI</td><td>NURUL
AMIN</td><td>PETANI/PEKEBUN</td><td>JATITAMPAR RT
H</td><td> - </td><td>P</td><td>20-44
of persons without complaint and reported diagnosis</td><td></td><td>minta stempel
pkm untuk ambil obat ke rs</td><td align='right'>86347</td><td
align='right'>06176700</td><td>18-02-2022</td><td>GUSMU BAGUS
MUHAMMAD</td><td>GUSMU BAGUS MUHAMMAD</td><td></td><td>KALIGUNTING RT
align='right'>071663600</td><td>18-02-2022</td><td>HENGKI KURNIAWAN</td><td>HENGKY
H</td><td> - </td><td>L</td><td>15-19
align='right'>86328</td><td align='right'>071663601</td><td>18-02-2022</td><td>LALA
FEBIOLA</td><td>HENGKY KURNIAWAN</td><td></td><td>SAMBIDENOK RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>14870201</td><td>18-02-2022</td><td>LILIS
WULAN</td><td>SUKAMTO</td><td></td><td></td><td></td><td>LUAR WILAYAH DALAM
KAB.</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON
align='right'>41</td><td>BP. Umum</td><td></td><td></td><td>Luar
other conditions</td><td></td><td>mengubah rujukan</td><td
align='right'>09967602</td><td>18-02-2022</td><td>LINTANG ADI PRATAMA</td><td>ALI
MUHTAR</td><td></td><td>KENDAL RT
04</td><td>Kendal</td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>10-14
2022</td><td>PARDI</td><td>CATUR YOGA MAHFIUDIN</td><td></td><td>GANI RT
</td><td>L</td><td>45-54
align='right'>K52.9</td><td>Noninfective gastroenteritis and colitis,
unspecified</td><td></td><td>bab cair</td><td align='right'>86343</td><td
align='right'>081664401</td><td>18-02-2022</td><td>PARTI</td><td>PARTI</td><td></
ANGGANISA H</td><td> - </td><td>P</td><td>>70
align='right'>K30</td><td>Dyspepsia</td><td></td><td>sebah </td><td
align='right'>07000401</td><td>18-02-2022</td><td>PARYATI</td><td>WIDODO</
td><td></td><td>JATITAMPAR RT 16</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>071663602</td><td>18-02-2022</td><td>PRASETYO</td><td>HENGKY
H</td><td> - </td><td>L</td><td>20-44
unspecified</td><td></td><td>pusing demam 1 haribapil</td><td
align='right'>86346</td><td align='right'>05190602</td><td>18-02-2022</td><td>PUTRI
ISTIQOMAH</td><td>WALIDI</td><td></td><td>MONDOKAN RT
PBI</td><td>Rajal</td><td align='right'></td><td align='right'>1</td><td
align='right'>041664301</td><td>18-02-2022</td><td>RDIMIYATUN</td><td>SAMINO</
td><td></td><td>GANI RT 19</td><td></td><td>PARE</td><td>PUSKESMAS
align='right'>04873701</td><td>18-02-2022</td><td>RINI</td><td>MISRON</td><td></
td><td>PARE
RT 06</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
MUNAWAROH</td><td>GIYATNO</td><td>KARYAWAN SWASTA</td><td>TEGUHAN RT
H</td><td> - </td><td>P</td><td>20-44
td><td>88</td><td>37</td><td>22</td><td>166</td><td>65</td><td>A+</td></tr><tr><td
align='right'>H27</td><td>Other disorders of lens</td><td></td><td>gantni
kacamata</td><td align='right'>86349</td><td align='right'>06004601</td><td>18-02-
2022</td><td>SIYEM</td><td>REBO</td><td>PETANI/PEKEBUN</td><td>SIDOMULYO RT
H</td><td> - </td><td>P</td><td>55-59
Th</td></tr><tr><td align='right'>Z09.9</td><td>Follow-up examination after
unspecified treatment for other conditions</td><td></td><td>kontrol luka</td><td
LESTARI</td><td>MULYONO</td><td>MENGURUS RUMAH TANGGA</td><td>JANGGLENGAN RT
Th</td></tr><tr><td align='right'>B34.2</td><td>Coronavirus infection,
unspecified</td><td></td><td>pusing</td><td align='right'>86327</td><td
align='right'>06820901</td><td>18-02-2022</td><td>SRI WAHYUNINGSIH</td><td>BAYU
HARYANTO</td><td>MENGURUS RUMAH TANGGA</td><td>TLEBUK RT
03</td><td>Tlebuk</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
unspecified</td><td></td><td>bapil lemes</td><td align='right'>86341</td><td
align='right'>031034001</td><td>18-02-2022</td><td>SRI WAHYUNINGSIH</td><td>MUH
MUSLEM</td><td></td><td>JATIREJO RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>021389902</td><td>18-02-2022</td><td>SUGINI</td><td>SUPARMAN</
td><td></td><td>NGASEM RT 14</td><td>Ngasem</td><td>TEMPELREJO</td><td>PUSKESMAS
Keb</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>071663604</td><td>18-02-2022</td><td>SUGIYARTO</td><td>HENGKY
H</td><td> - </td><td>L</td><td>20-44
align='right'>I11</td><td>Hypertensive heart disease</td><td></td><td>sesek
pusing</td><td align='right'>86318</td><td align='right'>05976401</td><td>18-02-
2022</td><td>SUKIYEM</td><td>SUKIYEM</td><td></td><td>TLEBUK RT
H</td><td> - </td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2022</td><td>SUMARDI</td><td>HENGKY KURNIAWAN</td><td></td><td>SAMBIDENOK RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>041660102</td><td>18-02-2022</td><td>SUMARDI</td><td>CATUR YOGA
MAHFIUDIN</td><td></td><td>GANI RT 19</td><td></td><td>PARE</td><td>PUSKESMAS
align='right'>0601030</td><td>18-02-2022</td><td>SUPARNI</td><td>PARMIN</td><td></
td><td>TLEBUK RT 03</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri di tangan</td><td
align='right'>141569500</td><td>18-02-2022</td><td>SUSILO RAHARTO</td><td>SUSILO
RAHARTO</td><td></td><td>KARANG</td><td></td><td>LUAR WILAYAH DALAM
KAB.</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>L</td><td>55-59
align='right'>04323300</td><td>18-02-2022</td><td>SUWARLAN</td><td>SUWARLAN</
align='right'>Z00.0</td><td>General medical examination</td><td></td><td>cek
lab</td><td align='right'>86348</td><td align='right'>07310002</td><td>18-02-
2022</td><td>VIONA
RASYD</td><td>DWI JOKO</td><td>PELAJAR/MAHASISWA</td><td>SEMPUREJO RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>86377</td><td align='right'>04727603</td><td>19-02-2022</td><td>ADIT
SETYAWAN</td><td>REBIN</td><td></td><td>BUNTIT</td><td>Buntit</td><td>PARE</
unspecified</td><td></td><td>panas batuk 1 hari</td><td
ALWI SIHAAB</td><td>NGADIONO</td><td></td><td>KALIDORO RT
29</td><td>Kalidawung</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>dr. ANANG
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>pegel di
2022</td><td>ANIK PARTINI</td><td>PIUT SAPUTRA</td><td></td><td>KALIGUNTING RT
H</td><td> - </td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>L50</td><td>Urticaria</td><td></td><td>gatal
2022</td><td>ASIH NURMIATI</td><td>PARDI</td><td></td><td>JURANG RT
07</td><td>Jurang</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
complaint and reported diagnosis</td><td></td><td>kir kerej</td><td
align='right'>051139702</td><td>19-02-2022</td><td>HERMA SEPTA
ARDIYANTO</td><td>SARWANI</td><td></td><td>MONDOKAN</td><td>Mondokan</
td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>L</td><td>20-44
td><td>22</td><td>165</td><td>65</td><td>A</td></tr><tr><td
align='right'>T78.4</td><td>Allergy, unspecified</td><td></td><td>gatal2di seluruh
tubuh</td><td align='right'>86376</td><td align='right'>019701</td><td>19-02-
2022</td><td>ILHAM</td><td>PARDI</td><td></td><td>JURANG RT
07</td><td>Jurang</td><td>SONO</td><td>PUSKESMAS INDUK</td><td>dr. ANANG ABDUL
WAKHID</td><td>SRI ANIK H, AMD Keb</td><td>L</td><td>1-4
align='right'>05710701</td><td>19-02-2022</td><td>JATMINI</td><td>SLAMET
TRIYONO</td><td></td><td>JEKANI RT
H</td><td> - </td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>J02</td><td>Acute
pharyngitis</td><td></td><td>ttenggorokan nyeri</td><td align='right'>86368</td><td
align='right'>04911502</td><td>19-02-2022</td><td>LUKMAN
HAKIM</td><td>LOSO</td><td></td><td>PARE RT
</td><td>L</td><td>10-14 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>08095500</td><td>19-02-2022</td><td>MARIMIN</td><td>MARIMIN</
align='right'>071369502</td><td>19-02-2022</td><td>NUR ASYFA MUTIARA
A</td><td>IWAN</td><td></td><td>MOJOREJO RT
17</td><td>Mojorejo</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>10-14
align='right'>R42</td><td>Dizziness and giddiness</td><td></td><td>pusing</td><td
align='right'>08358700</td><td>19-02-2022</td><td>PARWOREJO</td><td>PARWOREJO</
align='right'>H27</td><td>Other disorders of lens</td><td></td><td>mata sering
2022</td><td>SABAR</td><td>MARIMIN</td><td>BELUM/TIDAK BEKERJA</td><td>BEKU RT
Th</td></tr><tr><td align='right'>D50</td><td>Iron deficiency
anaemia</td><td></td><td>ousing</td><td align='right'>86378</td><td
align='right'>05207900</td><td>19-02-2022</td><td>SETU</td><td>SETU</
td><td>PETANI/PEKEBUN</td><td>GARUT RT
H</td><td> - </td><td>L</td><td>60-69
FATIMAH</td><td>SUWANDO</td><td></td><td>SIDODADI
RT23</td><td>Sidodadi</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR.
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
complaint and reported diagnosis</td><td></td><td>konsul</td><td
MUNTAMAH</td><td>SURATNO</td><td>PEGAWAI NEGERI SIPIL</td><td>NGRUNGKAP RT
08</td><td>Ngrungkap</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR.
REJEKI</td><td>MAHDI</td><td>MENGURUS RUMAH TANGGA</td><td>SUKOHARSO RT
H</td><td> - </td><td>P</td><td>45-54
td><td>88</td><td>37</td><td>25</td><td>166</td><td>76</td><td>A</td></tr><tr><td
WARNI</td><td>ABDI GUNAWAN</td><td></td><td>CENGKLIK RT
align='right'>081093901</td><td>19-02-2022</td><td>SRINI</td><td>MASLIKIN</
align='right'>089355</td><td>19-02-2022</td><td>SUJIYO</td><td>PARDI</td><td></
align='right'>M54.5</td><td>Low back pain</td><td></td><td>nyeri pinggang</td><td
align='right'>08093501</td><td>19-02-2022</td><td>SULASIH</td><td>SUKARNO</
td><td>MENGURUS RUMAH TANGGA</td><td>SIDODADI RT
H</td><td> - </td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>pusing
cengeng</td><td align='right'>86355</td><td align='right'>05208701</td><td>19-02-
2022</td><td>SURINI</td><td>BIBIT PRAMONO</td><td></td><td>KLAYU RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>081407300</td><td>19-02-2022</td><td>SUWONDO</td><td>SUWONDO</
td><td></td><td>SIDODADI RT23</td><td>Sidodadi</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>demam lemes</td><td
align='right'>08128001</td><td>19-02-2022</td><td>TUGIYEM</td><td>GATOT
SRIYONO</td><td></td><td>SAMBIREMBYUNG RT
H</td><td> - </td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>N20.9</td><td>Urinary calculus,
unspecified</td><td></td><td>nyeri bak</td><td align='right'>86371</td><td
align='right'>07249304</td><td>19-02-2022</td><td>WAGINEM</td><td>SUWARDI</
td><td></td><td>WATUGONG RT 11</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>K01.1</td><td>Impacted
teeth</td><td></td><td>gigi sakit</td><td align='right'>86410</td><td
align='right'>02990701</td><td>21-02-2022</td><td>AFITRI
SUNARTI</td><td>SUWOKO</td><td></td><td>TEGUHAN</td><td>Teguhan</td><td>TEMPELREJO<
/td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG HERI</td><td>TRI ARDI HASTUTI,
02-2022</td><td>AINUHA</td><td>EDI SAPUTRA</td><td></td><td>BALEHARJO
align='right'>B01.9</td><td>Varicella without complication</td><td></td><td>gatal
di badan </td><td align='right'>86448</td><td align='right'>021542002</td><td>21-
02-2022</td><td>AMELIA</td><td>RAKIDI</td><td></td><td>TEMPELREJO RT
H</td><td> - </td><td>P</td><td>10-14
td><td>37</td><td>22</td><td>1
55</td><td>67</td><td>Tdk Th</td></tr><tr><td
align='right'>B37</td><td>Candidiasis</td><td></td><td>gatal gatal di
ketiak</td><td align='right'>86420</td><td align='right'>06082005</td><td>21-02-
2022</td><td>ANGGA DANI PRASTYO</td><td>DANU SARI</td><td></td><td>TLEBUK RT
01</td><td>Tlebuk</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>07228309</td><td>21-02-2022</td><td>ASNA</td><td>HERI</td><td></
td><td>SEMPUREJO</td><td>Sempurejo</td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>091665001</td><td>21-02-2022</td><td>CATUR SAPUTRA</td><td>CATUR
SAPUTRI</td><td></td><td>NGIJO RT 03</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>K04.0</td><td>Pulpitis</td><td></td><td>gigi pecah ok trauma</td><td
align='right'>86422</td><td align='right'>0516648</td><td>21-02-2022</td><td>DESI
IRAWATI</td><td>SARIFUDIN</td><td></td><td>BALANG RT
12</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
RATNA SARI</td><td>SUKISNO</td><td></td><td>SIDOMULYO</td><td>Sidomulyo</
td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>SRI SUPADMI,
AMD Keb</td><td>P</td><td>20-44
align='right'>06180903</td><td>21-02-2022</td><td>DIAN AYU
LARASATI</td><td>SARIYUN</td><td></td><td>KALIGUNTING
H</td><td> - </td><td>P</td><td>20-44
size</td><td></td><td>gigi kesundulan goyang</td><td align='right'>86446</td><td
align='right'>04798203</td><td>21-02-2022</td><td>ERLITA</td><td>KAMDI</td><td></
td><td>BULAKREJO RT 17</td><td>Pare</td><td>PARE</td><td>PUSKESMAS
unspecified</td><td></td><td>nyeri ada benjolan di kaki</td><td
td><td>GANI RT 21</td><td>Gani</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>091611700</td><td>21-02-2022</td><td>JAROT WIJAYANTO</td><td>JAROT
WIJAYANTO</td><td></td><td>NGROTO 13</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>nyeri perut
sebah</td><td align='right'>86391</td><td align='right'>07153600</td><td>21-02-
2022</td><td>JUWARIYAH</td><td>JUWARIYAH</td><td></td><td>ORO ORO OMBO RT
H</td><td> - </td><td>P</td><td>45-54
align='right'>N40</td><td>Hyperplasia of prostate</td><td></td><td>tidak bisa
2022</td><td>KLIWON SUTO DIKROMO</td><td>KLIWON SUTO DIKROMO</td><td></td><td>GULI
RT 03</td><td></td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>M79.1</td><td>Myalgia</td><td></td><td>post jatuh nyeri
tangan</td><td align='right'>86439</td><td align='right'>06150300</td><td>21-02-
2022</td><td>MAHDI</td><td>MAHDI</td><td></td><td>SUKOHARSO
RT13</td><td>Sukoharso</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
classified</td><td></td><td>kontrol luka jahit di kepala</td><td
align='right'>05192003</td><td>21-02-2022</td><td>MUHAMAAD FATHAN
ALFARIZKI</td><td>MUHAMMAD RODI</td><td></td><td>BENDOREJO RT
17</td><td>Bendorejo</td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
unspecified</td><td></td><td>pusing bapil</td><td align='right'>86408</td><td
align='right'>06133001</td><td>21-02-2022</td><td>MURNIATI</td><td>JUMADI</
td><td>MENGURUS RUMAH TANGGA</td><td>SUKOHARSO RT
H</td><td> - </td><td>P</td><td>60-69
unspecified</td><td></td><td>bapil</td><td
align='right'>05005601</td><td>21-02-2022</td><td>NARTI</td><td>ADE
HARTONO</td><td></td><td>SIDOMULYO RT
H</td><td> - </td><td>P</td><td>45-54
unspecified</td><td></td><td>Batuk, pilek sejak kemaren</td><td
align='right'>0116647</td><td>21-02-2022</td><td>NOVAL</td><td>NUR
DAIM</td><td></td><td>JURANG RT 10</td><td></td><td>SONO</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>HERMIN JUNIATI, AMD Keb</td><td>L</td><td>1-4
pregnancy</td><td></td><td>G2P1A0 Hamil35+3mg Periksa hamil</td><td
align='right'>86442</td><td align='right'>05919001</td><td>21-02-2022</td><td>NY
HENI RETNOWATI</td><td>ENDRI</td><td></td><td>SENDANGREJO RT
td><td>24</td><td>152</td><td>77.8</td><td></td></tr><tr><td
align='right'>J02</td><td>Acute pharyngitis</td><td></td><td>bapil</td><td
align='right'>86390</td><td align='right'>072283100</td><td>21-02-2022</td><td>NY
ZONA</td><td>HERI</td><td></td><td>SEMPUREJO RT
align='right'>M79.1</td><td>Myalgia</td><td></td><td>kaki keju kemeng</td><td
align='right'>021284800</td><td>21-02-2022</td><td>PAIMAN</td><td>PAIMAN</
td><td></td><td>NGULINGAN RT
09</td><td>Ngulingan</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>K05.3</td><td>Chronic periodontitis</td><td></td><td>gigi sisa akar
align='right'>08202905</td><td>21-02-2022</td><td>PAINI</td><td>ROHMANTO</
td><td></td><td>CRANGGANG RT
26</td><td>Cranggang</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>04983201</td><td>21-02-2022</td><td>PARIYEM</td><td>PAIMAN</
td><td></td><td>PELEMREJO</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>04331101</td><td>21-02-2022</td><td>PARNI</td><td>PARNI</td><td></
td><td>PARE</td><td>Pare</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>011664701</td><td>21-02-2022</td><td>PUJI LESTARI</td><td>NUR
DAIM</td><td></td><td>JURANG RT 10</td><td></td><td>SONO</td><td>PUSKESMAS
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi atas paing
belakang sakit</td><td align='right'>86399</td><td
align='right'>0115416</td><td>21-02-2022</td><td>PURWANTI</td><td>JAMJURI</
td><td></td><td>SONO RT 13</td><td>Sono</td><td>SONO</td><td>PUSKESMAS
unspecified</td><td></td><td>gembreges pusing</td><td align='right'>86421</td><td
align='right'>04821601</td><td>21-02-2022</td><td>RITA</td><td>PARWOKO</td><td></
td><td>BRINGIN RT13</td><td>Bringin</td><td>PARE</td><td>PUSKESMAS
unspecified</td><td></td><td>keluhan sudah berkurang</td><td
align='right'>05918202</td><td>21-02-2022</td><td>ROMADHON
TAQWA</td><td>JUWAHIR</td><td></td><td>GARUT RT
H</td><td> - </td><td>L</td><td>20-44
unspecified</td><td></td><td>bapil keju kemeng</td><td align='right'>86437</td><td
align='right'>05146801</td><td>21-02-2022</td><td>RUBINEM</td><td>SUPADI</
td><td></td><td>GARUT RT 24</td><td></td><td>JEKANI</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>B37.3</td><td>Candidiasis of vulva and
vagina</td><td></td><td>gata gatal di kelamin</td><td align='right'>86431</td><td
align='right'>081015301</td><td>21-02-2022</td><td>SAMIYATI</td><td>GIYONO</
td><td></td><td>SIDODADI RT 23</td><td>Sidodadi</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi bawah kiri
sakit, lubang</td><td align='right'>86414</td><td
align='right'>08058601</td><td>21-02-2022</td><td>SANI</td><td>RIWAHYUDI</
tetanus alone</td><td></td><td>Imunisasi TD Calon Penganten</td><td
align='right'>051665201</td><td>21-02-2022</td><td>SINDI ANILASARI</td><td>RIAN DWI
PRASETYO</td><td></td><td>PELMREJO RT 25</td><td></td><td>PARE</td><td>PUSKESMAS
align='right'>072283116</td><td>21-02-2022</td><td>SISKA</td><td>HERI</td><td></
td><td>SEMPUREJO RT 14</td><td>Sempurejo</td><td>JAMBANGAN</td><td>PUSKESMAS
LESTARI</td><td>EKO SUPRAYITNO</td><td></td><td>SONO RT
pregnancy</td><td></td><td>G6P4A1 Hamil 8mg ANC rutin</td><td
SARWIYATI</td><td>MASRURI</td><td>WIRASWASTA</td><td>PONDOK
TIMUR</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
td><td>80</td><td>36</td><td>24</td><td>153</td><td>67.9</td><td></td></tr><tr><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri lutut</td><td
align='right'>06930601</td><td>21-02-2022</td><td>SUNARNI</td><td>GIMIN</td><td></
td><td>KALIGUNTING RT 07</td><td>Kaligunting</td><td>KEDAWUNG</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>keju
kemeng</td><td align='right'>86433</td><td align='right'>03440301</td><td>21-02-
2022</td><td>SUPAMI</td><td>WITARSO</td><td>MENGURUS RUMAH TANGGA</td><td>TROMBOL
RT 23</td><td>Trombol</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri di kaki</td><td
align='right'>02014901</td><td>21-02-2022</td><td>SUPARMI</td><td>SUHARNO</
td><td>PEDAGANG</td><td>TEGUHAN RT 01</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
2022</td><td>SUYATNO</td><td>SUYATNO</td><td></td><td>SUKOCIPTO RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>H52.1</td><td>Myopia</td><td></td><td>mata pegel dan pandangan
2022</td><td>SYIFA</td><td>ADI PRAYITNO</td><td></td><td>JATIREJO RT
H</td><td> - </td><td>P</td><td>10-14
align='right'>A01.0</td><td>Typhoid fever</td><td></td><td>panas lemes</td><td
align='right'>021182700</td><td>21-02-2022</td><td>TUKIMIN</td><td>TUKIMIN</
td><td></td><td>NGRUNGKAP RT
04</td><td>Ngrungkap</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR.
unspecified</td><td></td><td>tenggorokan nyeri</td><td align='right'>86444</td><td
align='right'>06040103</td><td>21-02-2022</td><td>VONNADARA NUVIL
AININSI</td><td>SUGIYANTO</td><td></td><td>KALIDAWUNG RT
H</td><td> - </td><td>P</td><td>15-19
classified</td><td></td><td>kontrol post negel</td><td align='right'>86416</td><td
align='right'>091231900</td><td>21-02-2022</td><td>WAHYUDI</td><td>WAHYUDI</
pregnancy</td><td></td><td>G2P1A0 Hamil 37mg Periksa hamil</td><td
align='right'>07389501</td><td>21-02-2022</td><td>WAHYUNI</td><td>ANDY</
td><td>KARYAWAN SWASTA</td><td>CENGKLIK RT
15</td><td>Cengklik</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>051075601</td><td>21-02-2022</td><td>WIDIYAWATI</td><td>SUWARNO</
td><td></td><td>SUMBERAGUNG</td><td>Sumberagung</td><td>JEKANI</td><td>PUSKESMAS
td><td>24</td><td>150</td><td>54.4</td><td>Tdk Th</td></tr><tr><td
align='right'>D50</td><td>Iron deficiency anaemia</td><td></td><td>lemes</td><td
align='right'>08182000</td><td>21-02-2022</td><td>YITNO</td><td>YITNO</
td><td>PETANI/PEKEBUN</td><td>BEKU RT
td><td>80</td><td>37</td><td>22</td><td>155</td><td>50</td><td>AB+</td></tr><tr><td
align='right'>02164303</td><td>22-02-2022</td><td>ALDO</td><td>RATO</td><td></
td><td>BENDOREJO RT 15</td><td>Bendorejo</td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>07836002</td><td>22-02-2022</td><td>AROB
Th</td></tr><tr><td align='right'>I25.9</td><td>Chronic ischaemic heart disease,
unspecified</td><td></td><td>prb jantung
bisoprolol 2,5 mg
furo
spironolacton</td><td align='right'>86460</td><td
align='right'>0289070101</td><td>22-02-2022</td><td>DARMINI</td><td>SUGENG</
td><td></td><td>BRINGINAN RT 19</td><td></td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>06399901</td><td>22-02-2022</td><td>DWIPUJIATI</td><td>MAWAN</
td><td></td><td>KUTOREJO RT 19</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi sakit</td><td
align='right'>03196401</td><td>22-02-2022</td><td>DWIYANTI</td><td>TUKIYO</
td><td>KARYAWAN SWASTA</td><td>KADISONO RT
11</td><td>Kadisono</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
unspecified</td><td></td><td>pusing menggigil</td><td align='right'>86469</td><td
align='right'>08058602</td><td>22-02-2022</td><td>ERIYANA</td><td>RIWAHYUDI</
td><td>PELAJAR/MAHASISWA</td><td>GULI RT
H</td><td> - </td><td>P</td><td>20-44
align='right'>86455</td><td align='right'>091662001</td><td>22-02-2022</td><td>ERSA
APRILIA</td><td>WAHYU KRISTANTO</td><td></td><td>KARABAN RT
H</td><td> - </td><td>P</td><td>20-44
unspecified</td><td></td><td>bapil gembreges</td><td align='right'>86466</td><td
align='right'>061046801</td><td>22-02-2022</td><td>HARIYATI</td><td>DARTO WIYONO
REJO</td><td></td><td>KEDAWUNG RT 09</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>011656803</td><td>22-02-2022</td><td>KASMO</td><td>SUMIDI</td><td></
td><td>JURANG RT07</td><td></td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>011656804</td><td>22-02-2022</td><td>KUSNADI</td><td>SUMIDI</
td><td></td><td>JURANG RT07</td><td></td><td>SONO</td><td>PUSKESMAS
02-2022</td><td>LUSIANIDA RISKA PERMATA</td><td>GIYANTO</td><td></td><td>NGELO RT
21</td><td>Ngelo</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
align='right'>091662004</td><td>22-02-2022</td><td>MARDI</td><td>WAHYU
KRISTANTO</td><td></td><td>KARABAN RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>06776701</td><td>22-02-2022</td><td>MULYANI</td><td>DWI ARI
WIBOWO</td><td>MENGURUS RUMAH TANGGA</td><td>SIDOMULYO RT
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td>Rujuk</td><td
align='right'>29</td><td>KIA</td><td></td><td>RSU ASSALAM GEMOLONG
SRAGEN</td><td>Dalam
align='right'>G81.9</td><td>Hemiplegia, unspecified</td><td></td><td>masih
jimpe</td><td align='right'>86472</td><td align='right'>03412800</td><td>22-02-
2022</td><td>NGALIMIN</td><td>NGALIMIN</td><td></td><td>KADISONO RT
H</td><td> - </td><td>L</td><td>55-59
unspecified</td><td></td><td>bapil nyeri telan</td><td align='right'>86464</td><td
align='right'>151665301</td><td>22-02-2022</td><td>NUNUNG DEWI
KURNIATI</td><td>NUNUNG</td><td></td><td>KANIGORO</td><td></td><td>LUAR WILAYAH
LUAR KAB.</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td> -
</td><td>P</td><td>20-44
Wilayah</td><td>'08033</td><td>'</td><td>120</td><td>80</td><td>88</td><td>37</
pregnancy</td><td></td><td>anc</td><td align='right'>86449</td><td
align='right'>041506202</td><td>22-02-2022</td><td>NURUL
AINI</td><td>MUKLISIN</td><td></td><td>PELEMREJO RT
complaint and
reported diagnosis</td><td></td><td>swab manten</td><td
align='right'>011656801</td><td>22-02-2022</td><td>NURUL TRI
MULYANI</td><td>SUMIDI</td><td></td><td>JURANG
RT07</td><td></td><td>SONO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>
- </td><td>P</td><td>20-44
align='right'>01165682</td><td>22-02-2022</td><td>NURYANTO</td><td>SUMIDI</
td><td></td><td>JURANG RT07</td><td></td><td>SONO</td><td>PUSKESMAS
align='right'>N39</td><td>Other disorders of urinary system</td><td></td><td>nyeri
2022</td><td>NY RITA ERPIANA</td><td>MIRANTO</td><td></td><td>PENGKOK
RT01</td><td></td><td>LUAR WILAYAH DALAM KAB.</td><td>PUSKESMAS INDUK</td><td>DR.
unspecified</td><td></td><td>bapil pusing</td><td align='right'>86463</td><td
align='right'>081421901</td><td>22-02-2022</td><td>PARMI</td><td>PARMI</td><td></
align='right'>091662003</td><td>22-02-2022</td><td>PARYANTO</td><td>WAHYU
H</td><td> - </td><td>L</td><td>20-44
align='right'>N39</td><td>Other disorders of urinary system</td><td></td><td>bak
sulit panas</td><td align='right'>86468</td><td align='right'>03768900</td><td>22-
02-2022</td><td>PURWANTO</td><td>PURWANTO</td><td></td><td>KADISONO RT
H</td><td> - </td><td>L</td><td>45-54
align='right'>0883901</td><td>22-02-2022</td><td>RISKA FEBRIANI</td><td>EKO
RUMEKSO</td><td></td><td>GEMANTAR RT
</td><td>Gemantar</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi lubang
2022</td><td>ROSILIYANA</td><td>SUPRATMAN</td><td></td><td>SIDOREJO RT
20</td><td></td><td>SUMBER LAWANG</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
SARWIYATI</td><td>MASRURI</td><td>WIRASWASTA</td><td>PONDOK
TIMUR</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>44</td><td>KIA</td><td></td><td>RSU ASSALAM GEMOLONG
SRAGEN</td><td>Dalam
align='right'>M54.5</td><td>Low back pain</td><td></td><td>pegel punggung</td><td
align='right'>08093501</td><td>22-02-2022</td><td>SULASIH</td><td>SUKARNO</
td><td>MENGURUS RUMAH TANGGA</td><td>SIDODADI RT
H</td><td> - </td><td>P</td><td>45-54
2022</td><td>SUMIDI</td><td>SUMIDI</td><td></td><td>JURANG
- </td><td>L</td><td>20-44
align='right'>I84</td><td>Haemorrhoids</td><td></td><td>nyeri saat bab</td><td
align='right'>06171301</td><td>22-02-2022</td><td>TUKIYEM</td><td>PARNO
TRIANTO</td><td></td><td>NGELO RT
H</td><td> - </td><td>P</td><td>45-54
align='right'>091662000</td><td>22-02-2022</td><td>WAHYU KRISTANTO</td><td>WAHYU
H</td><td> - </td><td>L</td><td>20-44
align='right'>091662002</td><td>22-02-2022</td><td>YANTO</td><td>WAHYU
H</td><td> - </td><td>L</td><td>60-69
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>demam</td><td
align='right'>86504</td><td align='right'>05776302</td><td>23-02-2022</td><td>ARI
WIBOWO</td><td>SETU</td><td>KARYAWAN
SWASTA</td><td>GARUT RT 07</td><td>Garut</td><td>JEKANI</td><td>PUSKESMAS
align='right'>08773901</td><td>23-02-2022</td><td>ATIN DWI
LESTARI</td><td>SURATNO</td><td>MENGURUS RUMAH
TANGGA</td><td>SAMBIREMBYUNG</td><td>Sambirembyung</td><td>GEMANTAR</
td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA H</td><td>SRI SUPADMI, AMD
align='right'>081376701</td><td>23-02-2022</td><td>ATUN</td><td>SUKIR</td><td></
td><td>BEKU RT 10</td><td>Beku</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>DR.
ANGGANISA H</td><td>SRI SUPADMI, AMD Keb</td><td>P</td><td>20-44
align='right'>T79</td><td>Certain early complications of trauma, not elsewhere
classified</td><td></td><td>post jatuh kaki nyeri</td><td
align='right'>86495</td><td align='right'>04405402</td><td>23-02-2022</td><td>FAJAR
KRIS SETIAWAN</td><td>SUNARDI</td><td></td><td>PARE RT
</td><td>L</td><td>20-44
align='right'>F20</td><td>Schizophrenia</td><td></td><td>rujukan jiwa</td><td
align='right'>86497</td><td align='right'>061088103</td><td>23-02-2022</td><td>IWAN
KRIS WAHYUDI</td><td>MARDI</td><td></td><td>KALIGUNTING RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>2</td><td align='right'>8</td><td align='right'>29</td><td>Poli
Spesialis</td><td></td><td></td><td>Dalam
align='right'>081409801</td><td>23-02-2022</td><td>KAMTI</td><td>WARSO</td><td></
td><td>CRANGGANG RT 27</td><td>Cranggang</td><td>GEMANTAR</td><td>PUSKESMAS
align='right'>Z09.0</td><td>Follow-up examination after surgery for other
conditions</td><td></td><td>rujukan post orif</td><td align='right'>86508</td><td
align='right'>07211201</td><td>23-02-2022</td><td>KARTIYEM</td><td>KARTIYEM</
td><td></td><td>SEMPUREJO
RT13</td><td>Sempurejo</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>B86</td><td>Scabies</td><td></td><td>gatal gatal</td><td
align='right'>0722834001</td><td>23-02-2022</td><td>KLARA</td><td>HERI</td><td></
align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri tangan</td><td
align='right'>06150300</td><td>23-02-2022</td><td>MAHDI</td><td>MAHDI</td><td></
td><td>SUKOHARSO RT13</td><td>Sukoharso</td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>061088100</td><td>23-02-2022</td><td>MARDI</td><td>MARDI</td><td></
td><td>KALIGUNTING RT 01</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
td><td>37</td><td>22</td><td>167</td><td>67</td><td>A</td></tr><tr><td
align='right'>061663803</td><td>23-02-2022</td><td>MARIMIN</td><td>SUPARMAN</
classified</td><td></td><td>kontrol jahitan</td><td align='right'>86501</td><td
align='right'>D69.3</td><td>Idiopathic thrombocytopenic
purpura</td><td></td><td>rujukan</td><td align='right'>86505</td><td
align='right'>02094704</td><td>23-02-2022</td><td>MUHAMMAD ULIL
A</td><td>SUNARDI</td><td></td><td>TEGUHAN RT
H</td><td> - </td><td>L</td><td>10-14
align='right'>061663801</td><td>23-02-2022</td><td>MULYANI</td><td>SUPARMAN</
align='right'>K07.0</td><td>Major anomalies of jaw size</td><td></td><td>gigi depan
bawah kesundulan, goyang</td><td align='right'>86511</td><td
align='right'>021390602</td><td>23-02-2022</td><td>NOVALIA</td><td>JARWANTO</
td><td></td><td>NGASEM RT 12</td><td>Ngasem</td><td>TEMPELREJO</td><td>PUSKESMAS
align='right'>072283400</td><td>23-02-2022</td><td>NOVITA</td><td>HERI</td><td></
complaint and reported diagnosis</td><td></td><td>sab manten</td><td
align='right'>061663804</td><td>23-02-2022</td><td>NURHUDA</td><td>SUPARMAN</
align='right'>08291001</td><td>23-02-2022</td><td>NURMA YUNITA</td><td>AGUNG
SANTOSO</td><td>KARYAWAN SWASTA</td><td>BEKU RT
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi kiri bawah
lubang sering sakit</td><td align='right'>86485</td><td
align='right'>131479101</td><td>23-02-2022</td><td>RISQI ROMADHONI
SHOLEKAH</td><td>RIYAN</td><td></td><td>SIWALAN RT 13</td><td></td><td>LUAR WILAYAH
DALAM KAB.</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG HERI</td><td>TRI ARDI
HASTUTI, AMKG</td><td>P</td><td>20-44
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>lemes batuk</td><td
align='right'>02497001</td><td>23-02-2022</td><td>SAMIYATUN</td><td>TIMAN</
td><td>MENGURUS RUMAH TANGGA</td><td>PINGKOLREJO RT
16</td><td>Pingkolrejo</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>pusing mata gatal</td><td
MAESAROH</td><td>MULYONO</td><td>WIRASWASTA</td><td>KALUTAN RT
REJEKI</td><td>MAHDI</td><td>MENGURUS RUMAH TANGGA</td><td>SUKOHARSO RT
H</td><td> - </td><td>P</td><td>45-54
td><td>88</td><td>36</td><td>24</td><td>165</td><td>66</td><td>A</td></tr><tr><td
align='right'>061663800</td><td>23-02-2022</td><td>SUPARMAN</td><td>SUPARMAN</
align='right'>K30</td><td>Dyspepsia</td><td></td><td>senep</td><td
align='right'>06755701</td><td>23-02-2022</td><td>SUPARMI</td><td>BONO</
td><td>PETANI/PEKEBUN</td><td>KALIGUNTING RT
H</td><td> - </td><td>P</td><td>45-54
td><td>24</td><td>166</td><td>65</td><td>O</td></tr><tr><td
align='right'>061663802</td><td>23-02-2022</td><td>SUWANTO</td><td>SUPARMAN</
align='right'>H27</td><td>Other disorders of lens</td><td></td><td>pandangan amata
2022</td><td>SYIFA KHAIRUMAISYA</td><td>ADI PRAYITNO</td><td></td><td>JATIREJO RT
H</td><td> - </td><td>P</td><td>10-14
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>mata merah</td><td
align='right'>08877601</td><td>23-02-2022</td><td>WARSINI</td><td>TUGIMAN</
unspecified</td><td></td><td>batuk, 2 hari</td><td align='right'>86489</td><td
complaint and reported diagnosis</td><td></td><td>kir sekolah</td><td
align='right'>071666115</td><td>24-02-2022</td><td>ADHWA FAJRI
ANNADA</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>86559</td><td align='right'>02458400</td><td>24-02-2022</td><td>ALEK
BINTORO</td><td>ALEK BINTORO</td><td></td><td>NGULINGAN RT
complaint and reported diagnosis</td><td></td><td>kir sekola</td><td
align='right'>071666113</td><td>24-02-2022</td><td>ALFINA</td><td>DARMADI</
td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>05011101</td><td>24-02-2022</td><td>ANANDA</td><td>BUDIYANTO</
align='right'>071666117</td><td>24-02-2022</td><td>ASHIFA ZAHRA
A</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>071666118</td><td>24-02-2022</td><td>ATHAYA AMBAR
A</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>071666106</td><td>24-02-2022</td><td>AZIZAH
LUTFIANA</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>08746704</td><td>24-02-2022</td><td>AZRIL
ALFARID</td><td>KLIWON</td><td></td><td>KENTENG RT
15</td><td>Kenteng</td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>SRI SUPADMI,
AMD Keb</td><td>SRI ANIK H, AMD Keb</td><td>L</td><td>1-4
align='right'>071666100</td><td>24-02-2022</td><td>DARMADI</td><td>DARMADI</
unspecified</td><td></td><td>pusing panas nyeri sendi</td><td
align='right'>021213002</td><td>24-02-2022</td><td>DARMINI</td><td>SUGIMAN</
td><td></td><td>BRINGINAN
RT17</td><td>Bringinan</td><td>TEMPELREJO</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>071666104</td><td>24-02-2022</td><td>DHERY ROHMSD
SETIANTO</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>071666111</td><td>24-02-2022</td><td>DZAKI
IMAN</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>J02.9</td><td>Acute pharyngitis, unspecified</td><td></td><td>adem
panas nyeri telan</td><td align='right'>86536</td><td
align='right'>01728303</td><td>24-02-2022</td><td>FAERANO RISKI
PUTRA</td><td>SURATNO</td><td></td><td>BURAS RT
H</td><td> - </td><td>L</td><td>10-14
align='right'>071666119</td><td>24-02-2022</td><td>KHANZ AULIA
D</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>J02.9</td><td>Acute pharyngitis, unspecified</td><td></td><td>nyeri
telan demam pusing</td><td align='right'>86535</td><td
align='right'>06458303</td><td>24-02-2022</td><td>KUMALA TRI
HAPSARI</td><td>PARMIN</td><td>PELAJAR/MAHASISWA</td><td>TLEBUK RT
H</td><td> - </td><td>P</td><td>15-19
align='right'>M54.5</td><td>Low back pain</td><td></td><td>nyeri pinggang</td><td
align='right'>051660500</td><td>24-02-2022</td><td>MARIJO</td><td>MARIJO</
complaint and reported diagnosis</td><td></td><td>kier sekolah</td><td
align='right'>071666102</td><td>24-02-2022</td><td>MUHAMMAD BIMA
SENO</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>071666106</td><td>24-02-2022</td><td>MUHAMMAD
NIZAM</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>051539503</td><td>24-02-2022</td><td>MULYATI</td><td>RUMADI</
td><td></td><td>GARUT RT 24 </td><td></td><td>JEKANI</td><td>PUSKESMAS
align='right'>071666114</td><td>24-02-2022</td><td>NAZILA
KHOIRIAH</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
unspecified</td><td></td><td>sering batuk </td><td align='right'>86542</td><td
align='right'>09179403</td><td>24-02-2022</td><td>PARMI</td><td>SUNARNO</td><td></
td><td>SUMBERREJO RT 15</td><td>Sumberrejo</td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>061660301</td><td>24-02-2022</td><td>PARWANTI</td><td>WAWAN</
align='right'>071666109</td><td>24-02-2022</td><td>RAFIK</td><td>DARMADI</
align='right'>071666103</td><td>24-02-2022</td><td>REFKA ANGGA
SAPUTRA</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>061660304</td><td>24-02-2022</td><td>SAKIMIN</td><td>WAWAN</
FATIMAH</td><td>MUJIYANTO</td><td></td><td>BURAS
unspecified</td><td></td><td>batuk</td><td align='right'>86523</td><td
LESTARI</td><td>MARYANTO</td><td></td><td>SAMBIROTO RT
H</td><td> - </td><td>P</td><td>20-44
MULYATI</td><td>SALIMUN</td><td></td><td>TLIBUK RT
01</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>SRI SUPADMI, AMD
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut senep</td><td
align='right'>06804501</td><td>24-02-2022</td><td>SUDARTI</td><td>SUGIYONO</
td><td></td><td>TLEBUK RT 02</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>M79.22</td><td>Neuralgia and neuritis,
unspecified, upper arm</td><td></td><td>tangan jimpe keju kemeng</td><td
align='right'>06267301</td><td>24-02-2022</td><td>SUJIYEM</td><td>SUYONO</
td><td></td><td>DEPOK RT 26</td><td>Depok</td><td>KEDAWUNG</td><td>PUSKESMAS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>telapak kaki terasa tebal
pusing lemes</td><td align='right'>86525</td><td
align='right'>061665801</td><td>24-02-2022</td><td>SUKINEM</td><td>MULMARDI</
align='right'>061660302</td><td>24-02-2022</td><td>SUMARNO</td><td>WAWAN</
align='right'>R51</td><td>Headache</td><td></td><td>sering pusing</td><td
align='right'>02014901</td><td>24-02-2022</td><td>SUPARMI ALS
SUPARMI</td><td>SUHARNO</td><td>PEDAGANG</td><td>TEGUHAN RT
H</td><td> - </td><td>P</td><td>45-54
sekolah</td><td align='right'>86571</td><td align='right'>071666116</td><td>24-02-
2022</td><td>TSANIA NUR
H</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>061660305</td><td>24-02-2022</td><td>USMAN
KHOIRUDIN</td><td>WAWAN</td><td></td><td>DEPOK RT
H</td><td> - </td><td>L</td><td>20-44
classified</td><td></td><td>kontrol post cabut kuku</td><td
align='right'>091231900</td><td>24-02-2022</td><td>WAHYUDI</td><td>WAHYUDI</
align='right'>061660303</td><td>24-02-2022</td><td>WARTO</td><td>WAWAN</td><td></
td><td>DEPOK RT 24</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>061660300</td><td>24-02-2022</td><td>WAWAN</td><td>WAWAN</td><td></
td><td>DEPOK RT 24</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>D63.8</td><td>Anaemia in other chronic diseases classified
elsewhere</td><td></td><td>lemes gliyer</td><td align='right'>86538</td><td
align='right'>05262401</td><td>24-02-2022</td><td>YANI</td><td>SUPRAPTO</td><td></
td><td>BALANG RT 13</td><td></td><td>JEKANI</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>081665701</td><td>24-02-2022</td><td>YUGIANAWATI</td><td>MULYADI</
td><td></td><td>BURAS RT 01</td><td></td><td>SONO</td><td>PUSKESMAS
INDUK</td><td>SRI SUPADMI, AMD Keb</td><td>SRI ANIK H, AMD
align='right'>071666105</td><td>24-02-2022</td><td>YUSUF ADITTYA
LESMANA</td><td>DARMADI</td><td></td><td>JAMBANGAN</td><td></td><td>JAMBANGAN</
align='right'>K07.0</td><td>Major anomalies of jaw size</td><td></td><td>gigi bawah
02-2022</td><td>AISYAH</td><td>SATIMIN</td><td></td><td>BALEHARJO
person</td><td></td><td>post partum dengan keluhan mbeseseg badan terasa
lemes</td><td align='right'>86609</td><td align='right'>081487301</td><td>25-02-
2022</td><td>ALFI ISTIKOMAH</td><td>SALIM</td><td></td><td>CRANGGANG RT
27</td><td></td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>SRI SUPADMI, AMD
Th</td></tr><tr><td align='right'>Z20.1</td><td>Contact
with and exposure to tuberculosis</td><td></td><td></td><td
align='right'>031321702</td><td>25-02-2022</td><td>AMILA</td><td>CHOIRI
MEGA</td><td></td><td>TROMBOL RT
19</td><td>Trombol</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>SRI SUPADMI, AMD
align='right'>07836002</td><td>25-02-2022</td><td>AROB
Th</td></tr><tr><td align='right'>Z71.0</td><td>Person consulting on behalf of
another person</td><td></td><td></td><td align='right'>86593</td><td
align='right'>061595702</td><td>25-02-2022</td><td>AROFAH NUR QURAINI</td><td>EDI
DITARNO</td><td></td><td>KALIGUNTING RT
5</td><td>Kaligunting</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>SRI SUPADMI,
AMD Keb</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>15-19
align='right'>01959603</td><td>25-02-2022</td><td>ARSYILA</td><td>ENDRO</td><td></
td><td>SONO RT18</td><td></td><td>SONO</td><td>PUSKESMAS INDUK</td><td>SRI SUPADMI,
AMD Keb</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td>1-4
CANDRAWATI</td><td>WARSITO</td><td></td><td>PELEMAN RT
3</td><td></td><td>PARE</td><td>PUSKESMAS INDUK</td><td>SRI SUPADMI, AMD
align='right'>86589</td><td align='right'>081658503</td><td>25-02-2022</td><td>DOTO
</td><td>ANDDRIYANTO AKTAVIANUS </td><td></td><td>SIDODAI RT
H</td><td> - </td><td>L</td><td>45-54
align='right'>L50</td><td>Urticaria</td><td></td><td>gatal gatal bila
dingin</td><td align='right'>86611</td><td align='right'>051080502</td><td>25-02-
2022</td><td>FITRI
HALIMATU</td><td>SUYANTO</td><td></td><td>BALANG</td><td></td><td>JEKANI</
unspecified</td><td></td><td>meriang bapil 3 hari</td><td
align='right'>04435201</td><td>25-02-2022</td><td>GINEM</td><td>WAGINEM</
td><td>PETANI/PEKEBUN</td><td>PARE RT 12</td><td></td><td>PARE</td><td>PUSKESMAS
size</td><td></td><td>GIGI ATAS GOYANG</td><td align='right'>86612</td><td
align='right'>07965002</td><td>25-02-2022</td><td>GIRALD</td><td>SAIDI</td><td></
td><td>TIRIP RT 01</td><td>Jambangan</td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>06059301</td><td>25-02-2022</td><td>GIYANTI</td><td>YONO</td><td></
td><td>SUKOHARSO RT 13</td><td>Sukoharso</td><td>KEDAWUNG</td><td>PUSKESMAS
2022</td><td>INDAH SARI</td><td>ANDDRIYANTO AKTAVIANUS </td><td></td><td>SIDODAI RT
H</td><td> - </td><td>P</td><td>20-44
unspecified</td><td></td><td>meriang bapil</td><td align='right'>86586</td><td
align='right'>03107001</td><td>25-02-2022</td><td>JUMARNI</td><td>SUPARMAN</
td><td>MENGURUS RUMAH TANGGA</td><td>KADISONO
RT11</td><td>Kadisono</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri kaki
post jatuh</td><td align='right'>86598</td><td align='right'>06150300</td><td>25-
02-2022</td><td>MAHDI</td><td>MAHDI</td><td></td><td>SUKOHARSO
RT13</td><td>Sukoharso</td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>01959601</td><td>25-02-2022</td><td>MUALIMAH</td><td>ENDRO</
td><td></td><td>SONO RT 18</td><td>Sono</td><td>SONO</td><td>PUSKESMAS
align='right'>K30</td><td>Dyspepsia</td><td></td><td>nyeri
2022</td><td>MUH BAGUS</td><td>AGUS SULAIMAN</td><td></td><td>PELEMREJO ET
H</td><td> - </td><td>L</td><td>10-14
align='right'>H00</td><td>Hordeolum and chalazion</td><td></td><td>benjolan di
mata</td><td align='right'>86602</td><td align='right'>0416666</td><td>25-02-
2022</td><td>NANA SEPTIANINGSIH</td><td>SURADI</td><td></td><td>GANI
</td><td>P</td><td>15-19
align='right'>K07.0</td><td>Major anomalies of jaw size</td><td></td><td>gigi bawah
02-2022</td><td>NAURA AZZAHRA</td><td>ISWANTO</td><td></td><td>MAJENANG
align='right'>E14</td><td>Unspecified diabetes mellitus</td><td></td><td>lemes
meriang</td><td align='right'>86580</td><td align='right'>01135501</td><td>25-02-
2022</td><td>NGATEMI</td><td>SUPRAPTO</td><td></td><td>JETIS RT
td><td>36</td><td>22</td><td>166</td><td>67</td><td>A+</td></tr><tr><td
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>post vaksin
demam</td><td align='right'>86613</td><td align='right'>03892103</td><td>25-02-
2022</td><td>NURUL ROBI'AH</td><td>TUKIRAN</td><td></td><td>TROMBOL
RT10</td><td></td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
H</td><td> - </td><td>L</td><td>20-44
align='right'>M79.1</td><td>Myalgia</td><td></td><td>keju kemeng </td><td
align='right'>021284800</td><td>25-02-2022</td><td>PAIMAN</td><td>PAIMAN</
td><td></td><td>NGULINGAN RT
align='right'>K05.3</td><td>Chronic periodontitis</td><td></td><td>gigi goyang
align='right'>1316663</td><td>25-02-2022</td><td>RAKA</td><td>RAKA</td><td></
td><td>PULUHAN 03 NGRANDU</td><td></td><td>PURWODAADI</td><td>PUSKESMAS
AMKG</td><td>L</td><td>>70
align='right'>041615601</td><td>25-02-2022</td><td>SETIO WANTI</td><td>RIDUTA ADI
SAPUTRA</td><td></td><td>PELEMREJO RT 25</td><td></td><td>PARE</td><td>PUSKESMAS
INDUK</td><td>SRI SUPADMI, AMD Keb</td><td>SRI ANIK H, AMD
unspecified</td><td></td><td>pusing nyeri tenggorokan</td><td
SANDANI</td><td>SLAMET</td><td>MENGURUS RUMAH TANGGA</td><td>PARE RT
H</td><td> - </td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>K05.3</td><td>Chronic
periodontitis</td><td></td><td>gigi goyang</td><td align='right'>86581</td><td
align='right'>071666200</td><td>25-02-2022</td><td>SUMANTO</td><td>SUMANTO</
td><td></td><td>SAMBIDENOK RT 05</td><td></td><td>JAMBANGAN</td><td>PUSKESMAS
align='right'>081658502</td><td>25-02-2022</td><td>SUSIYANTO</td><td>ANDDRIYANTO
AKTAVIANUS </td><td></td><td>SIDODAI RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>H52.2</td><td>Astigmatism</td><td></td><td>kacamata
legalisasi</td><td align='right'>86575</td><td align='right'>03145004</td><td>25-
02-2022</td><td>SYIFA KHAIRUMAISYA</td><td>ADI PRAYITNO</td><td></td><td>JATIREJO
RT 07</td><td>Jatirejo</td><td>TROMBOL</td><td>PUSKESMAS INDUK</td><td>DR.
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi yang ditambal
2022</td><td>WAHYU WIDODO</td><td>WAHYU WIDODO</td><td></td><td>TLEBUK RT
02</td><td></td><td>KEDAWUNG</td><td>PUSKESMAS INDUK</td><td>DRG. BAMBANG
unspecified</td><td></td><td>panas bapil</td><td align='right'>86578</td><td
align='right'>091577001</td><td>25-02-2022</td><td>WARTINI</td><td>TARDI</
td><td></td><td>GEBANG RT 09</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>081239002</td><td>25-02-2022</td><td>ZAHROTUSYITA
ALMAIRA</td><td>SUTIMIN</td><td></td><td>BEKU RT
09</td><td></td><td>GEMANTAR</td><td>PUSKESMAS INDUK</td><td>SRI SUPADMI, AMD
align='right'>04496003</td><td>26-02-2022</td><td>ANANDA NUR
KHAONAH</td><td>MULYANTO</td><td></td><td>PARE RT
11</td><td>Pare</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>HERMIN JUNIATI, AMD
Keb</td><td>TRI SURYANTI, AMD Keb</td><td>L</td><td>1-4
complaint and reported diagnosis</td><td></td><td>sab manten</td><td
align='right'>86633</td><td align='right'>05166524</td><td>26-02-2022</td><td>ANGGA
SETYAWAN</td><td>RIAN DWI PRASETYO</td><td></td><td>PELMREJO RT
</td><td>L</td><td>20-44
align='right'>041568502</td><td>26-02-2022</td><td>AUREL</td><td>NGATONO</
td><td></td><td>PULEREJO RT 21</td><td></td><td>PARE</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>SRI ANIK H, AMD Keb</td><td>P</td><td><1
align='right'>Z35</td><td>Supervision of high-risk
pregnancy</td><td></td><td>G3P2A0 Hamil 9mg keluar darah dari jalan lahir sejak 7
hari yang lalu</td><td align='right'>86622</td><td
align='right'>021242900</td><td>26-02-2022</td><td>CANDRA
DEWI</td><td>RUJITO</td><td></td><td>NGULINGAN RT
ANGGANISA H</td><td>SRI SUPADMI, AMD Keb</td><td>P</td><td>20-44
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>Rujuk</td><td
align='right'>36</td><td>KIA</td><td>Poli Kandungan</td><td>RSUD DR. SOEHADI
PRIJONEGORO</td><td>Dalam
align='right'>091665001</td><td>26-02-2022</td><td>CATUR
SAPUTRI</td><td>SETYAWAN</td><td></td><td>NGIJO RT
align='right'>06180903</td><td>26-02-2022</td><td>DIAN AYU
LARASATI</td><td>SARIYUN</td><td></td><td>KALIGUNTING
align='right'>06839702</td><td>26-02-2022</td><td>IVANDRA HADRIAN
ADINATA</td><td>SUPONO</td><td></td><td>KALIDORO RT
2022</td><td>KISMANTO</td><td>SETYAWAN</td><td></td><td>NGIJO RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>N89.8</td><td>Other specified noninflammatory disorders of
vagina</td><td></td><td>Keputihan sejak seminggu yang lalu, Batuk, pilek dan
meriang</td><td align='right'>86617</td><td align='right'>03165501</td><td>26-02-
2022</td><td>MARTINI</td><td>SUKIMIN</td><td></td><td>JATIREJO RT
Th</td></tr><tr><td align='right'>T79</td><td>Certain early complications of
trauma, not elsewhere classified</td><td></td><td>lepas jahitan</td><td
align='right'>051539503</td><td>26-02-2022</td><td>MULYATI</td><td>RUMADI</
td><td></td><td>GARUT RT 24 </td><td></td><td>JEKANI</td><td>PUSKESMAS
align='right'>051665203</td><td>26-02-2022</td><td>NGATIMIN</td><td>RIAN DWI
align='right'>051665202</td><td>26-02-2022</td><td>REDUTA ADI SAPUTRA</td><td>RIAN
DWI PRASETYO</td><td></td><td>PELMREJO RT
</td><td>L</td><td>20-44
align='right'>04496002</td><td>26-02-2022</td><td>RENI
RAHAYU</td><td>MULYANTO</td><td></td><td>PARE
RT11</td><td>Pare</td><td>PARE</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
SARI</td><td>KOMARUDIN</td><td></td><td>BRUJULAN
RT01</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
align='right'>86630</td><td align='right'>041665200</td><td>26-02-2022</td><td>RIAN
DWI PRASETYO</td><td>RIAN DWI PRASETYO</td><td></td><td>PELMREJO RT
</td><td>L</td><td>20-44
align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td>Gatal-gatal
diseluruh tubuh, tangan dan kaki</td><td align='right'>86634</td><td
align='right'>041412802</td><td>26-02-2022</td><td>RUMAISHA KAILA K</td><td>RIDWAN
DANI</td><td></td><td>PULEREJO RT 21</td><td></td><td>PARE</td><td>PUSKESMAS
INDUK</td><td>DR. ANGGANISA H</td><td>HERMIN JUNIATI, AMD Keb</td><td>P</td><td>1-4
align='right'>091665000</td><td>26-02-2022</td><td>SETYAWAN</td><td>SETYAWAN</
td><td></td><td>NGIJO RT 03</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>041665201</td><td>26-02-2022</td><td>SINDI ANILASARI</td><td>RIAN DWI
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>nyeri
2022</td><td>SITI AMINAH</td><td>IWAN</td><td>KARYAWAN SWASTA</td><td>MOJOREJO RT
17</td><td>Mojorejo</td><td>JAMBANGAN</td><td>PUSKESMAS INDUK</td><td>DR. ANGGANISA
KUMARVOH</td><td>RANGGA AJI NUGROHO</td><td></td><td>JETIS RT
HANDOKO</td><td>SETYAWAN</td><td></td><td>NGIJO RT
H</td><td> - </td><td>L</td><td>20-44
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>panas
pusing</td><td align='right'>86619</td><td align='right'>06839700</td><td>26-02-
2022</td><td>SUPONO</td><td>SUPONO</td><td></td><td>KALIDAWUNG RT
H</td><td>SRI SUPADMI, AMD Keb</td><td>L</td><td>20-44
unspecified</td><td></td><td>Batuk, Pilek sejak semalam</td><td
align='right'>04770903</td><td>26-02-2022</td><td>TAUFIK BAGUS
SULISTIYO</td><td>SUTOMO</td><td></td><td>PULEREJO RT
align='right'>091665003</td><td>26-02-2022</td><td>WIDIANTORO</td><td>SETYAWAN</
td><td></td><td>NGIJO RT 03</td><td></td><td>SUMBERREJO</td><td>PUSKESMAS
align='right'>06257603</td><td>26-02-2022</td><td>ZIDAN</td><td>INDIYANTO</
td><td></td><td>KALIGUNTING RT
ANGGANISA H</td><td>SRI ANIK H, AMD Keb</td><td>L</td><td><1
td><td>24</td><td>72</td><td>10</td><td></td></tr></table>

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<h2>DATA DIAGNOSIS PASIEN PUSKESMAS</h2>

Periode : 01-02-2022 s/d 28-02-2022<br>

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