REGISTER PASIEN TB 03 PUSKESMAS LUBUK KILANGAN 2021

TB TB TANGGAL
NO. NAMA L/P tgl lahir UMUR TB ALAMAT RT/RW 2 bulan target 5 bulan
03 kota MULAI
1 1 Rian Hadi kusuma L 20 TB batu gadang 12/28/2020 2/21/2021 5/16/2021
2 2 Andrayanti P 55 TB koto lalang 12/31/2020 2/24/2021 5/19/2021
3 3 Rosmiati P 56 TB koto lalang 1/8/2021 3/4/2021 5/27/2021
4 4 Fatmawati L 41 TB bandar buat 1/15/2021 3/11/2021 6/3/2021
5 5 Susilawati L 38 TB bandar buat 1/19/2021 3/15/2021 6/7/2021
6 6 TITIK SAFITRIANI P 37 TB BANDAR BUAT 2/4/2021 3/31/2021 6/23/2021
7 7 TRI SISKA A P 18 TB KOTO LALANG 2/7/2021 4/3/2021 6/26/2021
8 8 Hendri adri P L 40 TB TARANTANG 2/15/2021 4/11/2021 7/4/2021
9 9 ANASRIL L 49 TB PADANG BESI 2/18/2021 4/14/2021 7/7/2021
10 10 ERTATI P 48 TB PADANG BESI 2/24/2021 4/20/2021 7/13/2021
11 11 IRMA P 47 TK TARANTANG 2/12/2021 4/8/2021 7/1/2021
12 12 FENDRI HUSNI P 54 TB koto lalang 3/4/2021 4/28/2021 7/21/2021
13 13 JUMADI L 34 TK PADANG BESI 3/7/2021 5/1/2021 7/24/2021
14 14 AWAL L 57 TB BANDAR BUAT 3/10/2021 5/4/2021 7/27/2021
15 15 YULIANI P 26 TB INDARUNG 3/10/2021 5/4/2021 7/27/2021
16 16 DASRIL L 58 TB PADANG BESI 3/13/2021 5/7/2021 7/30/2021
17 17 WARNIATI P 70 TB PAUH 3/25/2021 5/19/2021 8/11/2021
18 18 Revand m. rezky lk 12 TK padang besi 4/1/2021 5/26/2021 8/18/2021
19 19 NAZAR LK 73 TB KOTO LALANG 4/13/2021 6/7/2021 8/30/2021
20 20 Putri Jasril pr 18 TB batu gadang 4/1/2021 5/26/2021 8/18/2021
21 21 Okta dyandra syakeel lk 7 TK MAindarung 5/9/2021 7/3/2021 9/25/2021
22 22 nadhie syakiel lk 1 TK MAindarung 5/9/2021 7/3/2021 9/25/2021
23 23 AFRI YENI PR 49 TK ROPAUH 5/13/2021 7/7/2021 9/29/2021
24 24 GUSNAWATI PR 60 TB BTAPADANG BESI 5/22/2021 7/16/2021 10/8/2021
25 25 DEVRIAL LK 33 TB BTAKOTO LALANG 5/26/2021 7/20/2021 10/12/2021
26 26 MEGAWATI PR 29 TB BTAKOTO LALANG 6/12/2021 8/6/2021 10/29/2021
27 27 NOVIARMAN LK 34 TB BTAKOTO LALANG 5/28/2021 7/22/2021 10/14/2021
28 28 ADZAN MUBAROK LK 2 TB ANKOTO LALANG 6/11/2021 8/5/2021 10/28/2021
29 29 ANTAR BILAL JANAEROLK 4 TB ANKOTO LALANG 6/12/2021 8/6/2021 10/29/2021
30 30 DINA SAHIRA PUTRI PR 1 TB ANPADANG BESI 6/18/2021 8/12/2021 11/4/2021
31 31 USRIL LK 40 TB BTAKOTO LALANG 6/13/2021 8/7/2021 10/30/2021
32 32 ASARUDDIN LK 56 TB BTABATU GADANG 6/12/2021 8/6/2021 10/29/2021
33 33 KASMON LK 56 TB BTABATU GADANG 6/14/2021 8/8/2021 10/31/2021
34 34 NOFRIZAL LK 37 TB BTAKOTO LALANG 6/14/2021 8/8/2021 10/31/2021
35 35 syafril LK 62 TB BTAPADANG BESI 6/7/2021 8/30/2021 10/24/2021
36 36 2/23/1900 5/18/1900
37 37 2/24/2022 4/20/2022 7/13/2022
38 38 1/15/2021 3/11/2021 6/3/2021
39 39 11/10/2020 1/4/2021 3/29/2021
40 40 3/5/2022 4/29/2022 7/22/2022
41 41 2/4/2022 3/31/2022 6/23/2022
42 42 2/23/1900 5/18/1900
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
59 59
60 60 .
61 61
62 62
63 63
64 64
65 65
66 66
NGAN 2021

target 6
kat no.hp no.RM ket
BULAN
rujukan
6/13/2021 1 FAUZANA RST
9/8/2021 1 DM NUSA INDAH NAILI
6/24/2021 1 LB.ALUNG
7/1/2021 1 LB.ALUNG
7/5/2021 1 MENINGGAL
7/21/2021 1
7/24/2021 1
9/28/2021 2
8/4/2021 1
8/10/2021 1 LB.ALUNG
7/29/2021 1 AISYIAH
8/18/2021 1
8/21/2021 1 RST
11/17/2021 1
8/24/2021 1
11/20/2021 1
11/5/2021 2 HANIFAH SPH
9/15/2021 1
9/27/2021 1
9/15/2021 1
10/23/2021 anak
10/23/2021 anak
10/27/2021 1
11/5/2021 1
11/9/2021 1
11/26/2021 1
11/11/2021 1
11/25/2021 anak
11/26/2021 anak
12/2/2021 anak
11/27/2021 1 yos
11/26/2021 1 rst
11/28/2021 1
11/28/2021 1
1/18/2022 2
6/15/1900
8/10/2022
7/1/2021
3/29/2022
8/19/2022
7/21/2022
6/15/1900
6/15/1900
ANAK :
KAT.1
KAT.2
 REGISTER PASIEN TB 03 PUSKESMAS LUBUK KILANGAN 2020

TB TB TANGGAL
NO. NAMA L/P tgl lahir UMUR TB ALAMAT RT/RW 2 bulan target 5 bulan
03 kota MULAI
1 1 SYAFRIZAL L 7/1/1958 61 TK Koto Lalang 12/22/2019 2/15/2020 5/9/2020
2 2 MANSUR L 1/10/1956 63 TK Koto Lalang 1/5/2020 2/29/2020 5/23/2020
3 3 Beni Warisman L 19/03/1989 30 TK Bandar Buat 1/15/2020 4/7/2020 6/2/2020
4 4 Indra Gusti L 17/08/1971 48 TB Indarung 1/21/2020 3/16/2020 6/8/2020
5 5 Aqila Misha P 4/5/2018 1,9 TK Koto Lalang 1/23/2020 3/18/2020 6/10/2020
6 6 Wendra Febrianto L 2/10/1993 26 TB Indarung 1/24/2020 3/19/2020 6/11/2020
7 7 Rusli L 27/06/1953 69 TK Baringin 12/28/2019 2/21/2020 5/15/2020
8 8 Dedi Putra L 4/12/1983 36 TB tarantang 1/22/2020 3/17/2020 6/9/2020
9 9 ghustia rahmad P 19/08/1997 22 TB Padang Besi 2/2/2020 3/28/2020 6/20/2020
10 Rhaline okto rahayu P 24/04/2013 6 TK Koto Lalang 9/25/2019 11/19/2019 2/11/2020
11 10 Pebri saputra L 2/7/1997 22 TK Indarung 2/4/2020 3/30/2020 6/22/2020
12 11 Hendri Adri P L 3/7/1980 40 TB tarantang 2/4/2020 3/30/2020 6/22/2020
13 12 Sudirman Umar L 10/10/1955 64 TB Bandar Buat 2/5/2020 4/28/2020 6/23/2020
14 13 Reflina P 24/09/1983 36 TB Batu Gadang 2/6/2020 4/1/2020 6/24/2020
15 14 maya ratna sari p 5/11/1985 34 TB Padang Besi 2/7/2020 4/2/2020 6/25/2020
16 15 AFRIYAN SUSRI P 12/10/1976 43 TB Bandar Buat 2/9/2020 4/4/2020 6/27/2020
17 16 TIO FEBRIAN PUTRA L 2/21/1994 26 TB Padang Besi 2/9/2020 4/4/2020 6/27/2020
18 17 NAZAR HEINCE L 3/12/1942 77 TB Indarung 2/7/2020 4/2/2020 6/25/2020
19 18 DEA ZALIKA PUTRI P 1/11/2005 15 TB Padang Besi 2/13/2020 4/8/2020 7/1/2020
20 19 MARNIS MAIN L 12/10/1947 72 TK R PAUH 2/14/2020 4/9/2020 7/2/2020
21 20 FANI FEBRIANA P 2/20/2011 9 TK L tarantang 2/18/2020 4/13/2020 7/6/2020
22 21 MAINIS P 7/1/1972 48 TK L tarantang 2/22/2020 4/17/2020 7/10/2020
23 22 LINDA WATI P 2/13/1970 49 TB DMKoto Lalang 2/22/2020 4/17/2020 7/10/2020
24 23 Zainal Oyong L 1/19/1957 63 TB Koto Lalang 2/20/2020 5/13/2020 7/8/2020
25 24 yurmaini P 7/18/1967 52 TB Batu Gadang 01 //03 2/11/2020 4/7/2020 6/29/2020
26 25 QUTHBIE EL SIRAJ L 9/13/2014 5 TK PAUH 05//03 3/17/2020 5/11/2020 8/3/2020
27 26 GADZHI EL SIRAJ L 1/5/2019 1 TK PAUH 05//04 3/17/2020 5/11/2020 8/3/2020
28 27 SUHARDIMAN S L 4/5/1976 43 TK Padang Besi 02//01 3/27/2020 5/21/2020 8/13/2020
29 28 VERONICA EKA P 1/6/1991 29 EP LIMIndarung 02//09 4/5/2020 5/30/2020 8/22/2020
30 29 ARIF BUDIMAN L 4/21/1983 36 TB Koto Lalang 4/8/2020 6/2/2020 8/25/2020
31 30 Siska Maria P 5/11/1984 35 TB PAUH 01//02 4/10/2020 6/4/2020 8/27/2020
32 31 Laura frossa P 12/29/1996 23 TK Padang Besi 01//02 5/7/2020 7/1/2020 9/23/2020
33 32 Ahmad dhani L 18 TB Padang Besi 2/12/2020 4/7/2020 6/30/2020
34 33 Fitria anico P 40 TEP Padang Besi 6/13/2020 8/7/2020 10/30/2020
35 34 RINI SARTIKA P 31 TEP LIMIndarung 6/19/2020 8/13/2020 11/5/2020
36 35 RAHMAD ALIF L 18 TB Indarung 6/20/2020 8/14/2020 11/6/2020
37 36 ASNIMAR P 65 TB Batu Gadang 6/26/2020 8/20/2020 11/12/2020
38 37 RONI RINALDO L 21 TK PAUH 7/5/2020 8/29/2020 11/21/2020
39 38 ADMIRAL L 50 TEP TULIndarung 6/9/2020 8/3/2020 10/26/2020
40 39 RIDWAN L 52 TK Indarung 7/9/2020 9/2/2020 11/25/2020
41 40 ZULHARLI L 50 TK Bandar Buat 7/21/2020 9/14/2020 12/7/2020
42 41 BENNY SUKMA JAAS L 34 TB Koto Lalang 7/22/2020 9/15/2020 12/8/2020
43 42 ZAL SANDY L 45 TB Koto Lalang 7/22/2020 9/15/2020 12/8/2020
44 43 AL MUKRI L 57 TK Koto Lalang 7/25/2020 9/18/2020 12/11/2020
45 44 DEFITRAWATI P 39 TB Koto Lalang 7/26/2020 9/19/2020 12/12/2020
46 45 RANDI KURNIA L 26 TB Indarung 8/4/2020 9/28/2020 12/21/2020
47 46 DEREN AL FAHLEVI L 5 TB Padang Besi 8/25/2020 10/19/2020 1/11/2021
48 47 MICHELIA ANNISA P 26 TB Padang Besi 8/26/2020 10/20/2020 1/12/2021
49 48 YUSRA L 58 TB Koto Lalang 8/27/2020 10/21/2020 1/13/2021
50 49 Jeri Fernando L 22 TB Batu Gadang 8/29/2020 10/23/2020 1/15/2021
51 50 NETRIDA P 49 TK Koto Lalang 9/1/2020 10/26/2020 1/18/2021
52 51 AGUSMAN PERI L 36 TB Padang Besi 9/2/2020 10/27/2020 1/19/2021
53 52 MARTALIUS PUTRA L 41 TB Padang Besi 9/12/2020 11/6/2020 1/29/2021
54 53 ABDUL RAHIM L 12 TEP Koto Lalang 9/25/2020 11/19/2020 2/11/2021
55 54 ARNITA P 44 TK Bandar Buat 10/16/2020 12/10/2020 3/4/2021
56 55 ZALIDARNI P 47 TK Bandar Buat 10/9/2020 12/3/2020 2/25/2021
57 56 ILHAM FAUZI L 20 TEP Padang Besi 11/3/2020 12/28/2020 3/22/2021
58 57 HASAN BASRI L 47 TB Batu Gadang 11/8/2020 1/2/2021 3/27/2021
59 58 NELLI SUSANTI P 32 TK Bandar Buat 11/14/2020 1/8/2021 4/2/2021
60 59 M. TAUFIQ L 19 TEP Bandar Buat 11/27/2020 1/21/2021 4/15/2021
61 60 GIVI RAHMADANIS P 47 TB Indarung 12/3/2020 1/27/2021 4/21/2021
62 61 EFRENDY L 34 TB Bandar Buat 12/6/2020 1/30/2021 4/24/2021
63 62 ANDRI FEBRIAN L 34 TB Padang Besi 12/6/2020 1/30/2021 4/24/2021
64 63 SUARDI SAPUTRA L 24 TB Padang Besi 12/10/2020 2/3/2021 4/28/2021
65 64 ALIYAH P 11 TB Indarung 12/10/2020 2/3/2021 4/28/2021
66 65 SYAHRIAL L 47 TK Bandar Buat 12/8/2020 2/1/2021 4/26/2021
12/9/2020 2/2/2021 4/27/2021
12/10/2020 2/3/2021 4/28/2021
12/11/2020 2/4/2021 4/29/2021
12/12/2020 2/5/2021 4/30/2021
NGAN 2020

target 6
kat no.hp no.RM ket
BULAN
rujukan
6/6/2020 1 81365406296 RST
9/12/2020 1 82302765441 9 bln RST
8/25/2020 2 81290115232 hanifah ibnu sina
7/6/2020 1 81370522264 hanifah
9/30/2020 Anak 82386996464 9 bln BMC
7/9/2020 1 81378973926
6/12/2020 1 85321204810 RSUP
7/7/2020 1 85364955171
7/18/2020 1 81210606424 NUSA INDAH
3/10/2020 Anak 85374122264 RSUP
7/20/2020 1 83164632838 meninggal RST
7/20/2020 1 82392176927
9/15/2020 2 81266663233 fauzana UNAND
7/22/2020 1 87895976332 HANIFAH
7/23/2020 1 85274597857 HANIFAH
7/25/2020 1 81277351119
7/25/2020 1 85274781667
7/23/2020 1 8126702732 SEMEN PADANG BMC
7/29/2020 1 82283455277 NUSA INDAH
10/22/2020 1 85363374197 9 bln RST
10/26/2020 Anak 82392176927 9 bln RST
10/30/2020 1 81371850675 9 BLN RST
10/30/2020 1 82170057004 9 BLN LB.ALUNG
9/30/2020 2 82387430084 UNAND
7/27/2020 1 895603742611 BMC
8/31/2020 Anak MANTUK
8/31/2020 Anak MANTUK
12/3/2020 1 82171738618 9 BLN RST
9/19/2020 1 83180059083 BMC
9/22/2020 1 87818689815
9/24/2020 1 85374722686 do
1/13/2021 1 82385871920 9 bln RST
7/28/2020 1 81363151666 HANIFAH RST
11/27/2020 1 82388217298 HANIFAH YOS
1/29/2021 2 81266284384 KIMIA FARMA YOS
12/4/2020 1 82175750878
12/10/2020 2 82288788915 MNGGL RST
12/19/2020 1 82286559970 HANIFAH RST
11/23/2020 1 85363718018 HANIFAH RSUP
12/23/2020 1 81371845879 NUSA INDAH RST
3/29/2021 1 85264978686 RST
3/30/2021 1 85363022701 DR DESSY
3/30/2021 1 82382425704
1/8/2021 1 85375067489 LB.ALUNG
4/3/2021 1 85374255771 LB.ALUNG
1/18/2021 1 82232559097 SPH
2/8/2021 ANAK 82171824462 P.PASIR
2/9/2021 1 85265222803
5/5/2021 1 81267916262 LB.ALUNG
2/12/2021 1 85263879357
2/15/2021 1 81364629047 LB.ALUNG
4/14/2021 2 81372799992 UNAND
5/21/2021 1 82268727945 NUSA INDAH
3/11/2021 1 81363344383 FAUZANA RST
4/1/2021 1 81363454775 YOS
3/25/2021 1 82388391502 RST
4/19/2021 1 82287575995 ROPANA
7/17/2021 1 89524126763 RST
4/30/2021 1 85288576763 RST
5/13/2021 1 82388503664 ROPANA
5/19/2021 1 81363689199
5/22/2021 1 82360182053
5/22/2021 1 82283723296
5/26/2021 1 meninggal RST
5/26/2021 1 81363689199
5/24/2021 2 82172468221 RSUP
5/25/2021 1
5/26/2021 1
5/27/2021
5/28/2021

ANAK :
KAT.1
KAT.2
 register PASIEN TB PUSKESMAS LUBUK KILANGAN 2019

TANGGAL target 6
NO. TB 03 TB KOTA NAMA L/P kat UMUR ALAMAT 2 bulan kat
MULAI BULAN
1 ERMAWATI P TB 59 BANDAR BUAT 1/12/2019 3/9/2019 6/29/2019 1
3 RONI VEGA L TB 33 KOTO LALANG 1/26/2019 3/23/2019 7/13/2019 1
4 RUSPAWATI P TB 40 INDARUNG 1/29/2019 3/26/2019 7/16/2019 1
5 MEGA SILVIA P TB 26 KOTO LALANG 2/1/2019 3/29/2019 7/19/2019 1

1
7 DENI ANWAR L TB 34 BANDAR BUAT 2/9/2019 4/6/2019 7/27/2019
8 TOMI HENDRA L TB 34 BANDAR BUAT 2/14/2019 4/11/2019 8/1/2019 1
9 NURLIS P TB 60 BARINGIN 2/15/2019 4/12/2019 8/2/2019 1

1
10 ADAM PRATAMA L TB 25 BANDAR BUAT 2/16/2019 4/13/2019 8/3/2019
1
13 ARIF BUDIMAN L TB 36 KOTO LALANG 3/6/2019 5/1/2019 8/21/2019
14 SUARDI SAPUTRA L TB 22 PADANG BESI 3/13/2019 5/8/2019 8/28/2019 1
15 SYAMSUDIN L TB 60 KOTO LALANG 3/15/2019 5/10/2019 8/30/2019 1
16 AMARINI EFENDI P TB 27 TARANTANG 3/25/2029 5/20/2029 9/9/2029 1
17 NGATIYEM P TB 66 BATU GADANG 3/26/2019 5/21/2019 9/10/2019 1
18 INDRA GUSMAN L TB 51 KOTO LALANG 3/27/2019 5/22/2019 9/11/2019 1
19 NURTINI P TB 52 KOTO LALANG 3/30/2019 5/25/2019 9/14/2019 1
22 SYAFRIL YUSUF L TB 65 INDARUNG 4/16/2019 6/11/2019 11/26/2019 2
24 ZAINUDIN L TB 66 BANDAR BUAT 5/4/2019 6/29/2019 10/19/2019 1
27 DODY FIRMAN L TB 36 KOTO LALANG 5/17/2019 7/12/2019 11/1/2019 1
28 CANDRA L TB 23 INDARUNG 5/3/2019 6/28/2019 10/18/2019 1
29 KAIDIR L TB 69 PADANG BESI 6/14/2019 8/9/2019 11/29/2019 1
30 MIRAYANTI P TB 42 PADANG BESI 6/24/2019 8/19/2019 12/9/2019 1
31 NURJANIS P TB 62 BANDAR BUAT 6/27/2019 8/22/2019 12/12/2019 1
32 AIDISION L TB 61 BANDAR BUAT 6/28/2019 8/23/2019 2/7/2020 2
34 YESI YULIARITA P TB 44 PADANG BESI 7/3/2019 8/28/2019 12/18/2019 1
41 EPIZAL L TB 57 INDARUNG 8/10/2019 10/5/2019 1/25/2020 1
42 MARDALENI P TB 49 BATU GADANG 8/20/2019 10/15/2019 2/4/2020 1
46 FAUZIAH P TB 52 BANDAR BUAT 9/13/2019 11/8/2019 2/28/2020 1
49 AFRIDAYETI P TB 63 INDARUNG 7/17/2019 9/11/2019 1/1/2020 1
53 SUHATSYAH L TB 71 BANDAR BUAT 9/25/2019 11/20/2019 3/11/2020 1
56 MEGA SILVIA P TB 30 KOTO LALANG 9/26/2019 12/19/2019 5/7/2020 2
57 ERMIDA P TB 50 BATU GADANG 10/12/2019 12/7/2019 3/28/2020 1
58 USMAN L TB 42 BANDAR BUAT 10/23/2019 1/15/2020 6/3/2020 2
59 iswandi L TB 42 BANDAR BUAT 10/16/2019 12/11/2019 4/1/2020 1
60 jefrianto L TB 17 BANDAR BUAT 10/19/2019 12/14/2019 4/4/2020 1
61 hendra anwar L TB 28 BANDAR BUAT 11/8/2019 1/3/2020 4/24/2020 1
62 gusnayanti P TB 48 PAUH 11/7/2019 1/2/2020 4/23/2020 1
64 dinda adelia P TB 19 BANDAR BUAT 11/9/2019 1/4/2020 4/25/2020 1
67 syamsul bahri L TB 71 KOTO LALANG 11/30/2019 1/25/2020 5/16/2020 1
68 ega wulandari P TB 20 KOTO LALANG 11/23/2019 1/18/2020 5/9/2020 1
72 benny januardi L TB 30 LUBEG 12/14/2019 2/8/2020 5/30/2020 1
74 m.rizam L TB 18 PAUH 12/20/2019 2/14/2020 6/5/2020 1
75 asaruddin L TB 54 BATU GADANG 12/24/2019 2/18/2020 6/9/2020 1
77 abdul muthalib L TB 74 BANDAR BUAT 12/25/2019 2/19/2020 6/10/2020 1

ANAK : 14
KAT.1 67
KAT.2 4
85
JUMLAH PASIEN TB PERKELURAHAN YANG BEROBAT DI

NO KELURAHAN L P JUMLAH

Padang Besi
2 5 5 10
3 Indarung 7 6 13
4 Koto Lalang 8 7 15

Batu Gadang
5 4 59

Luar Wilayah
8 2 24
9 PUSKESMAS 44 33 77
 register PASIEN TB PUSKESMAS LUBUK KILANGAN 2019

TANGGAL target 2 target 5 target 6

NO. TB 03 TB KOTA NAMA L/P UMUR ALAMAT kat
MULAI bulan bulan BULAN
1 ERMAWATI P 59 BANDAR BUAT 1/12/2019 3/8/2019 5/31/2019 6/28/2019 1
2 ERIZAL L 47 BANDAR BUAT 1/16/2019 3/12/2019 6/4/2019 7/2/2019 1
3 RONI VEGA L 33 KOTO LALANG 1/26/2019 3/22/2019 6/14/2019 7/12/2019 1
4 RUSPAWATI P 40 INDARUNG 1/29/2019 3/25/2019 6/17/2019 7/15/2019 1
5 MEGA SILVIA P 26 KOTO LALANG 2/1/2019 3/28/2019 6/20/2019 7/18/2019 1
6 DASRUL HASAN L 60 PADANG BESI 10/26/2018 12/20/2018 3/14/2019 4/11/2019 1
7 DENI ANWAR L 34 BANDAR BUAT 2/9/2019 4/5/2019 6/28/2019 7/26/2019 1
8 TOMI HENDRA L 34 BANDAR BUAT 2/14/2019 4/10/2019 7/3/2019 7/31/2019 1
9 NURLIS P 60 BARINGIN 2/15/2019 4/11/2019 7/4/2019 8/1/2019 1
10 ADAM PRATAMA L 25 BANDAR BUAT 2/16/2019 4/12/2019 7/5/2019 8/2/2019 1
11 RINI SARTIKA P 29 INDARUNG 1/15/2019 3/11/2019 6/3/2019 7/1/2019 1
12 DAVID HR L 42 KOTO LALANG 2/26/2019 4/22/2019 7/15/2019 8/12/2019 1
13 HAWARIAH P 31 BANDAR BUAT 11/3/2018 12/28/2018 3/22/2019 4/19/2019 1
14 ARIF BUDIMAN L 36 KOTO LALANG 3/6/2019 4/30/2019 7/23/2019 8/20/2019 1
15 SUARDI SAPUTRA L 22 PADANG BESI 3/13/2019 5/7/2019 7/30/2019 8/27/2019 1
16 SYAMSUDIN L 60 KOTO LALANG 3/15/2019 5/9/2019 8/1/2019 8/29/2019 1
17 AMARINI EFENDI P 27 TARANTANG 3/25/2029 5/19/2029 8/11/2029 9/8/2029 1
18 NGATIYEM P 66 BATU GADANG 3/26/2019 5/20/2019 8/12/2019 9/9/2019 1
19 INDRA GUSMAN L 51 KOTO LALANG 3/27/2019 5/21/2019 8/13/2019 9/10/2019 1
20 NURTINI P 52 KOTO LALANG 3/30/2019 5/24/2019 8/16/2019 9/13/2019 1
21 NOVIARDI L 32 INDARUNG 3/27/2019 5/21/2019 8/13/2019 9/10/2019 1
22 SUSILAWATI P 52 INDARUNG 4/9/2019 6/3/2019 8/26/2019 9/23/2019 1
23 SYAFRIL YUSUF L 65 INDARUNG 4/16/2019 7/8/2019 9/2/2019 11/25/2019 2
24 DEA TRI YOLANDA P 16 PADANG BESI 4/19/2019 6/13/2019 9/5/2019 10/3/2019 1
25 ZAINUDIN L 66 BANDAR BUAT 5/4/2019 6/28/2019 9/20/2019 10/18/2019 1
26 SABARUDDIN L 70 BATU GADANG 5/1/2019 6/25/2019 9/17/2019 10/15/2019 1
27 MUSRIPUL L 54 BANDAR BUAT 5/16/2019 7/10/2019 10/2/2019 10/30/2019 1
28 DODY FIRMAN L 36 KOTO LALANG 5/17/2019 7/11/2019 10/3/2019 10/31/2019 1
29 CANDRA L 23 INDARUNG 5/3/2019 6/27/2019 9/19/2019 10/17/2019 1
30 KAIDIR L 69 PADANG BESI 6/14/2019 8/8/2019 10/31/2019 11/28/2019 1
31 ZAKY JAYA KUSUMA L 16 KOTO LALANG 5/1/2019 6/25/2019 9/17/2019 10/15/2019 1
32 MIRAYANTI P 42 PADANG BESI 6/24/2019 8/18/2019 11/10/2019 12/8/2019 1
33 NURJANIS P 62 BANDAR BUAT 6/27/2019 8/21/2019 11/13/2019 12/11/2019 1
34 AIDISION L 61 BANDAR BUAT 6/28/2019 9/19/2019 11/14/2019 2/6/2020 2
35 ROSTINA P 36 TARANTANG 6/13/2019 8/7/2019 10/30/2019 11/27/2019 1
36 YESI YULIARITA P 44 PADANG BESI 7/3/2019 8/27/2019 11/19/2019 12/17/2019 1
37 RENI SUPIANTI P 34 BANDAR BUAT 7/15/2019 9/8/2019 12/1/2019 12/29/2019 1
38 SYAFRIDA P 51 BATU GADANG 7/28/2019 9/21/2019 12/14/2019 1/11/2020 1
39 ASMARINI P 34 INDARUNG 8/27/2019 10/21/2019 1/13/2020 2/10/2020 1
40 EMIZAR P 58 PADANG BESI 8/6/2019 9/30/2019 12/23/2019 1/20/2020 1
41 ZII AZURA P 7 INDARUNG 8/16/2019 10/10/2019 1/2/2020 1/30/2020 anak
42 ANASRUL L 58 BARINGIN 8/10/2019 10/4/2019 12/27/2019 4/17/2020 1
43 EPIZAL L 57 INDARUNG 8/10/2019 10/4/2019 12/27/2019 1/24/2020 1
44 MARDALENI P 49 BATU GADANG 8/20/2019 10/14/2019 1/6/2020 2/3/2020 1
45 RAFIFAH HAPSARI P 1 PADANG BESI 8/21/2019 10/15/2019 1/7/2020 2/4/2020 anak
46 HABIB AGUSTIAN L 1 BANDAR BUAT 9/4/2019 10/29/2019 1/21/2020 2/18/2020 anak
47 ZULRAHTUL MARDIAH P 24 KOTO LALANG 9/12/2019 11/6/2019 1/29/2020 2/26/2020 1
48 FAUZIAH P 52 BANDAR BUAT 9/13/2019 11/7/2019 1/30/2020 2/27/2020 1
49 GREEN LIFE L 9 KOTO LALANG 9/11/2019 11/5/2019 1/28/2020 5/19/2020 anak
50 DHANI IRFAN L 30 BANDAR BUAT 7/20/2019 9/13/2019 12/6/2019 1/3/2020 1
51 AZAM MAULANA L 4 BANDAR BUAT 9/20/2019 11/14/2019 2/6/2020 3/5/2020 anak
52 AFRIDAYETI P 63 INDARUNG 9/17/2019 11/11/2019 2/3/2020 3/2/2020 1
53 YUSNELLY P 37 BATU GADANG 7/8/2019 9/1/2019 11/24/2019 12/22/2019 1
54 ATIKAH P 27 KOTO LALANG 9/18/2019 11/12/2019 2/4/2020 3/3/2020 1
55 M.NABIGH L 6 INDARUNG 9/21/2019 11/15/2019 2/7/2020 5/29/2020 anak
56 SUHATSYAH L 71 BANDAR BUAT 9/25/2019 11/19/2019 2/11/2020 3/10/2020 1
57 KHALIF L 1.5 INDARUNG 9/9/2019 11/3/2019 1/26/2020 2/23/2020 anak
58 NAYLA P 6 KOTO LALANG 9/25/2019 11/19/2019 2/11/2020 3/10/2020 anak
59 MEGA SILVIA P 30 KOTO LALANG 9/26/2019 12/19/2019 2/12/2020 5/6/2020 2
60 ERMIDA P 50 BATU GADANG 10/12/2019 12/6/2019 2/28/2020 3/27/2020 1
61 USMAN L 42 BANDAR BUAT 10/23/2019 1/15/2020 3/10/2020 6/2/2020 2
62 iswandi L 42 BANDAR BUAT 10/16/2019 12/10/2019 3/3/2020 3/31/2020 1
63 jefrianto L 17 BANDAR BUAT 10/19/2019 12/13/2019 3/6/2020 4/3/2020 1
64 syahril k. L 60 BANDAR BUAT 9/22/2019 11/16/2019 2/8/2020 3/7/2020 1
65 hendra anwar L 28 BANDAR BUAT 11/8/2019 1/2/2020 3/26/2020 4/23/2020 1
66 MAK DUNIR L 83 BANDAR BUAT 10/30/2019 12/24/2019 3/17/2020 4/14/2020 1
67 gusnayanti P 48 PAUH 11/7/2019 1/1/2020 3/25/2020 4/22/2020 1
68 FIRDAWATI P 61 TARANTANG 7/6/2019 8/30/2019 11/22/2019 3/13/2020 1
69 ziyo pratama L 8 INDARUNG 10/5/2019 11/29/2019 2/21/2020 3/20/2020 anak
70 GUSTI JUMADIL L 1 TARANTANG 7/12/2019 9/5/2019 11/28/2019 12/26/2019 anak
71 ABDUL RAUF L 27 BANDAR BUAT 9/11/2019 11/5/2019 1/28/2020 2/25/2020 1
72 dinda adelia P 19 BANDAR BUAT 11/9/2019 1/3/2020 3/27/2020 4/24/2020 1
73 kamirun L 74 BATU GADANG 11/26/2019 1/20/2020 4/13/2020 5/11/2020 1
74 m. rafid hawan L 9 TARANTANG 11/29/2019 1/23/2020 4/16/2020 5/14/2020 anak
75 syamsul bahri L 71 KOTO LALANG 11/30/2019 1/24/2020 4/17/2020 5/15/2020 1
76 ega wulandari P 20 KOTO LALANG 11/23/2019 1/17/2020 4/10/2020 5/8/2020 1
77 m. jundi a L 8 BATU GADANG 12/1/2019 1/25/2020 4/18/2020 5/16/2020 anak
78 vivi edriani P 31 LUBEG 12/8/2019 2/1/2020 4/25/2020 5/23/2020 1
79 alif ferlian L 7 PADANG BESI 12/12/2019 2/5/2020 4/29/2020 5/27/2020 anak
80 benny januardi L 30 LUBEG 12/14/2019 2/7/2020 5/1/2020 5/29/2020 1
81 benny isnandar L 42 PADANG BESI 10/17/2019 12/11/2019 3/4/2020 6/24/2020 1
82 m.rizam L 18 PAUH 12/20/2019 2/13/2020 5/7/2020 6/4/2020 1
83 asaruddin L 54 BATU GADANG 12/24/2019 2/17/2020 5/11/2020 6/8/2020 1
84 m.arsya L 1 TARANTANG 12/25/2019 2/18/2020 5/12/2020 6/9/2020 anak
85 abdul muthalib L 74 BANDAR BUAT 12/25/2019 2/18/2020 5/12/2020 6/9/2020 1

ANAK : 14
KAT.1 67
KAT.2 4
85
no.hp no.RM ket.
 JUMLAH PASIEN TB PERKELURAHAN YANG BEROBAT D

NO KELURAHAL P JUMLAH
Fauzana 1 Bandar B 19 6 25
2 Padang 5 5 10
3 Besi
Indarun 7 6 13
4gKoto Lal 9 7 16
5 Batu 4 59
Gadang
6 Baringin 1 12
Fauzana 7 Tarangta 3 36
8 Luar 2 24
Fauzana 9 Wilayah
PUSKESMA50 35 85

kl. hanifah
DO
DO

Hanifah
 kl. Hanifah

kl. Fitria
Fauzana
Nusa Indah
Fauzana

ANAK : 14
KAT.1 67
KAT.2 4
85
HABIB AGUSTIAN L 1 BANDAR BUAT 9/4/2019 10/30/2019 2/19/2020 anak

AZAM MAULANA L 4 BANDAR BUAT 9/20/2019 11/15/2019 3/6/2020 anak L

m. jundi a L 8 BATU GADANG 12/1/2019 1/26/2020 5/17/2020 anak Bandar Buat 1
ZII AZURA P 7 INDARUNG 8/16/2019 10/11/2019 1/31/2020 anak Padang Besi 1
M.NABIGH L 6 INDARUNG 9/21/2019 11/16/2019 3/7/2020 anak Indarung 2
KHALIF L 1.5 INDARUNG 9/9/2019 11/4/2019 2/24/2020 anak Koto Lalang 1
GREEN LIFE L 9 KOTO LALANG 9/11/2019 11/6/2019 2/26/2020 anak Batu Gadang 1
NAYLA P 6 KOTO LALANG 9/25/2019 11/20/2019 3/11/2020 anak Baringin
RAFIFAH HAPSARI P 1 PADANG BESI 8/21/2019 10/16/2019 2/5/2020 anak Tarangtang 2
alif ferlian L 7 PADANG BESI 12/12/2019 2/6/2020 5/28/2020 anak Luar Wilayah
m. rafid hawan L 9 TARANTANG 11/29/2019 1/24/2020 5/15/2020 anak PUSKESMAS
m.arsya L 1 TARANTANG 12/25/2019 2/19/2020 6/10/2020 anak

aghniajolandaputri@ymail.com
P
12
12
13
12
1
0
2
0
12
KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : ERMIDA

UMUR : 50
ALAMAT : BATU GADANG
KATEGORI : 1

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
10/12/2019 12/6/2019 2/28/2020 3/27/2020

CATATAN :
1 MINGGU SEBELUM BULAN KE 2 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 5 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 6 PERIKSA DAHAK

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : USMAN

UMUR : 42
ALAMAT : BANDAR BUAT
KATEGORI : 2

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
10/23/2019 1/15/2020 3/10/2020 6/2/2020

CATATAN :
1 MINGGU SEBELUM BULAN KE 2 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 5 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 6 PERIKSA DAHAK

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : jefrianto

UMUR : 17
ALAMAT : BANDAR BUAT
KATEGORI : 1

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
10/19/2019 12/13/2019 3/6/2020 4/3/2020

CATATAN :
1 MINGGU SEBELUM BULAN KE 2 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 5 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 6 PERIKSA DAHAK

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : ega wulandari

UMUR : 20
ALAMAT : KOTO LALANG
KATEGORI : 1
 MULAI TARGET 2 TARGET 5 TARGET 6
BEROBAT BULAN BULAN BULAN
11/23/2019 1/17/2020 4/10/2020 5/8/2020

CATATAN :
1 MINGGU SEBELUM BULAN KE 2 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 5 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 6 PERIKSA DAHAK

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : vivi edriani

UMUR : 31
ALAMAT : LUBEG
KATEGORI : 1

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
12/8/2019 12/30/1899 12/30/1899 12/30/1899

CATATAN :
1 MINGGU SEBELUM BULAN KE 2 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 5 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 6 PERIKSA DAHAK

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : m.rizam

UMUR : 18
ALAMAT : PAUH
KATEGORI : 1

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
12/20/2019 2/13/2020 5/7/2020 6/4/2020

CATATAN :
1 MINGGU SEBELUM BULAN KE 2 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 5 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 6 PERIKSA DAHAK

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : asaruddin

UMUR : 54
ALAMAT : BATU GADANG
KATEGORI : 1

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
12/24/2019 2/17/2020 5/11/2020 6/8/2020

CATATAN :
1 MINGGU SEBELUM BULAN KE 2 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 5 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 6 PERIKSA DAHAK

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : m.arsya

UMUR : 1
ALAMAT : TARANTANG
KATEGORI : anak

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
12/25/2019 2/18/2020 5/12/2020 6/9/2020

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : benny januardi

UMUR : 30
ALAMAT : LUBEG
KATEGORI : 1

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
12/14/2019 12/30/1899 5/1/2020 5/29/2020

CATATAN :
1 MINGGU SEBELUM BULAN KE 2 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 5 PERIKSA DAHAK
1 MINGGU SEBELUM BULAN KE 6 PERIKSA DAHAK

NO.HP PETUGAS : 082385601800

KARTU TTS TB (TAU TANGGAL SEMBUH)

NAMA PASIEN : alif ferlian

UMUR : 7
ALAMAT : PADANG BESI
KATEGORI : anak

MULAI TARGET 2 TARGET 5 TARGET 6

BEROBAT BULAN BULAN BULAN
12/12/2019 2/5/2020 4/29/2020 5/27/2020

CATATAN :
2 MINGGU SEBELUM BULAN KE 6 PERIKSAKAN KESEHATAN

NO.HP PETUGAS : 082385601800

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