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  • Rekap 3e Februari2022

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    Ria Titin
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    1. The document is a form for registering pregnant women who undergo triple elimination (HIV, syphilis, and hepatitis) screening in February 2022. 2. It contains fields to collect information such as screening dates, patient identification, demographics, pregnancy status, screening results, birth details, and infant follow-up details. 3. The form has columns for over 50 data points to thoroughly document each patient's screening and care.

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    Rekap_3e_Februari2022

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    1. The document is a form for registering pregnant women who undergo triple elimination (HIV, syphilis, and hepatitis) screening in February 2022. 2. It contains fields to collect information such as screening dates, patient identification, demographics, pregnancy status, screening results, birth details, and infant follow-up details. 3. The form has columns for over 50 data points to thoroughly document each patient's screening and care.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as txt, pdf, or txt
    18 views27 pages

    Rekap 3e Februari2022

    Uploaded by

    Ria Titin
    1. The document is a form for registering pregnant women who undergo triple elimination (HIV, syphilis, and hepatitis) screening in February 2022. 2. It contains fields to collect information such as screening dates, patient identification, demographics, pregnancy status, screening results, birth details, and infant follow-up details. 3. The form has columns for over 50 data points to thoroughly document each patient's screening and care.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as txt, pdf, or txt
    of 27

    <link media="all" type="text/css" rel="stylesheet"

    href="http://sihepi.kemkes.go.id/assets/css/report_excel.css">

    <h1>FORMULIR REGISTRASI IBU HAMIL YANG MELAKUKAN TRIPLE ELIMINASI (HIV,SIFILIS,DAN


    HEPATITIS)</h1>
    <table>
    <tr>
    <td><h3><b>Tahun</b> : 2022<h3></td>
    <td><h3><b>Bulan</b> : Februari<h3></td>
    </tr>
    </table><br/><br/>
    <body>
    <table width="100%" class="content_table">
    <tr class="content_header">

    <td class="head-one" rowspan="4" valign="middle">No</td>


    <td class="head-one" colspan="3" valign="middle">Tanggal Screening</td>
    <td class="head-one" rowspan="4" valign="middle">NIK</td>
    <td class="head-one" rowspan="4" valign="middle">Nama</td>
    <td class="head-one" rowspan="4" valign="middle">Umur</td>
    <td class="head-one" rowspan="4" valign="middle">No Kontak
    (HP/telpon)</td>
    <td class="head-one" rowspan="4" valign="middle">Desa</td>
    <td class="head-one" rowspan="4" valign="middle">Wilayah</td>
    <td class="head-one" rowspan="4" valign="middle">Jenis
    Pekerjaan</td>
    <td class="head-one" colspan="3" valign="middle">Status
    Kehamilan</td>
    <td class="head-one" colspan="3" valign="middle"
    style="width:180px" nowrap>Hasil Pemeriksaan (PKM)</td>
    <td class="head-one" colspan="5" rowspan='2'
    valign="middle">Bumil Ditandatangani/dirujuk <br/>(Y/T)</td>
    <td class="head-one" rowspan="4" valign="middle">Faskes Rujukan
    TTL</td>
    <td class="head-one" rowspan="4" valign="middle">Pasangan Ibu HIV
    Mengetahui Status HIVnya? (Y/T)</td>
    <td class="head-one" rowspan="4" valign="middle">Pasangan
    diperiksa SIFILIS? (Y/T)</td>
    <td class="head-one" colspan="3" valign="middle">Persalinan</td>
    <td class="head-one" colspan="9" valign="middle">Pemantaun Bayi
    dari Ibu HIV</td>
    <td class="head-one" colspan="3" valign="middle">Pemantaun Bayi
    dari Ibu SIFILIS</td>
    <td class="head-one" colspan="9" valign="middle">Pemantauan Bayi
    Hepatitis (0-12 bulan)</td>
    <td class="head-one" rowspan="4" valign="middle">Keterangan</td>
    </tr>
    <tr class="content_header">
    <td class="head-two" rowspan="3" valign="middle"> HBsAg</td>
    <td class="head-two" rowspan="3" valign="middle"> HIV</td>
    <td class="head-two" rowspan="3" valign="middle"> Sifilis</td>
    <td class="head-two" rowspan="3" valign="middle"> Status GPA</td>
    <td class="head-two" rowspan="3" valign="middle"> Umur Kehamilan</td>
    <td class="head-two" rowspan="3" valign="middle"> Taksiran Partus</td>
    <td class="head-two" valign="middle"> HIV</td>
    <td class="head-two" valign="middle"> Sifilis</td>
    <td class="head-two" valign="middle"> HBsAG</td>
    <td class="head-two" rowspan="3"> Jumlah Anak dilahirkan</td>
    <td class="head-two" rowspan="3"> Tempat</td>
    <td class="head-two" rowspan="3"> Tanggal</td>
    <td class="head-two" rowspan="3"> Profilaksis ARV (Tanggal)</td>
    <td class="head-two" colspan="2" rowspan="2"> DBS EID pada usia 6 -8
    mgg (Tanggal)</td>
    <td class="head-two" colspan="2" rowspan="2"> Konfirmasi EID dlm 12
    bln (Tanggal)</td>
    <td class="head-two" colspan="2" rowspan="2"> anak balita yang
    dideteksi serologis HIV usia > 9 bln (Tanggal)</td>
    <td class="head-two" rowspan="3"> balita + dirawat di PDP
    (Tanggal)</td>
    <td class="head-two" rowspan="3"> balita + mendapat ARV
    (Tanggal)</td>
    <td class="head-two" rowspan="3"> bayi ditangani/ dirujuk (Y/T)</td>
    <td class="head-two" colspan="2" rowspan="2"> Usia < 2 thn diperiksa
    sifilis</td>
    <td class="head-two" colspan="2"> Tgl/ Jam Imunisasi</td>
    <td class="head-two" colspan="3"> Tgl Imunisasi</td>
    <td class="head-two" colspan="4"> Hasil Pemeriksaan Bayi (9-12
    Bln)</td>
    </tr>
    <tr class="content_header">
    <td class="head-two" rowspan="2" valign="middle"> R/NR</td>
    <td class="head-two" rowspan="2" valign="middle"> R/NR</td>
    <td class="head-two" rowspan="2" valign="middle"> R/NR</td>
    <td class="head-two" colspan="2" valign="middle"> HIV</td>
    <td class="head-two" colspan="2" valign="middle"> SIFILIS</td>
    <td class="head-two" rowspan="2" valign="middle"> HEP B</td>
    <td class="head-two" rowspan="2" valign="middle"
    style="width:300px;white-space:nowrap"> HB 0</td>
    <td class="head-two" rowspan="2" valign="middle"
    style="width:300px;white-space:nowrap"> HBIg</td>
    <td class="head-two" rowspan="2" valign="middle"
    style="width:300px;white-space:nowrap"> DPT/HB 1</td>
    <td class="head-two" rowspan="2" valign="middle"
    style="width:300px;white-space:nowrap"> DPT/HB 2</td>
    <td class="head-two" rowspan="2" valign="middle"
    style="width:300px;white-space:nowrap"> DPT/HB 3</td>
    <td class="head-two" colspan="2"valign="middle"> HBsAg</td>
    <td class="head-two" colspan="2" valign="middle"> Anti HBs</td>
    </tr>
    <tr class="content_header">
    <td class="head-two" valign="middle"> Tgl Masuk PDP</td>
    <td class="head-two" valign="middle"> Tgl Mendapat/ Memulai ARV</td>
    <td class="head-two" valign="middle"> Ditangani</td>
    <td class="head-two" valign="middle"> Diobati adequat</td>
    <td class="head-two" valign="middle"> Tanggal</td>
    <td class="head-two" valign="middle"> Hasil</td>
    <td class="head-two" valign="middle"> Tanggal</td>
    <td class="head-two" valign="middle"> Hasil</td>
    <td class="head-two" valign="middle"> Tanggal</td>
    <td class="head-two" valign="middle"> Hasil</td>
    <td class="head-two" valign="middle"> Tanggal</td>
    <td class="head-two" valign="middle"> Hasil</td>
    <td class="head-two" valign="middle"> Tanggal</td>
    <td class="head-two" valign="middle"> Hasil</td>
    <td class="head-two" valign="middle"> Tgl</td>
    <td class="head-two" valign="middle"> Hasil</td>
    </tr>
    <tbody style="text-align:left">
    <tr align="left">
    <td>1</td>
    <td nowrap>02 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 11 05 650595 0003</td>
    <td nowrap>Tria Urandari</td>
    <td nowrap>
    26 </td>
    <td nowrap></td>
    <td nowrap>MABU&#039;UN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_0',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");
    selectopt('#mst_kelurahan_id_0',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>2</td>
    <td nowrap>02 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 72 06 440697 0001</td>
    <td nowrap>Dhe Yuni I.</td>
    <td nowrap>
    24 </td>
    <td nowrap></td>
    <td nowrap>SULINGAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_1',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_1',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>3</td>
    <td nowrap>08 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 06 551294 0004</td>
    <td nowrap>Desy Afrida</td>
    <td nowrap>
    27 </td>
    <td nowrap></td>
    <td nowrap>PEMBATAAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>
    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_2',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_2',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>4</td>
    <td nowrap>08 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 06 600593 0005</td>
    <td nowrap>Risnawati</td>
    <td nowrap>
    28 </td>
    <td nowrap></td>
    <td nowrap>SULINGAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_3',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_3',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>5</td>
    <td nowrap>09 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 71 02 590482 0009</td>
    <td nowrap>Mariati</td>
    <td nowrap>
    39 </td>
    <td nowrap></td>
    <td nowrap>PEMBATAAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_4',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_4',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>6</td>
    <td nowrap>10 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 06 710794 0003</td>
    <td nowrap>Norsulia</td>
    <td nowrap>
    27 </td>
    <td nowrap></td>
    <td nowrap>PEMBATAAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_5',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_5',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>7</td>
    <td nowrap>12 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 08 46 460288 0001</td>
    <td nowrap>Patriati</td>
    <td nowrap>
    34 </td>
    <td nowrap></td>
    <td nowrap>PEMBATAAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_6',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_6',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>8</td>
    <td nowrap>14 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>62 02 05 510803 0001</td>
    <td nowrap>Nurika Aulia P.</td>
    <td nowrap>
    18 </td>
    <td nowrap></td>
    <td nowrap>MABU&#039;UN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>R</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_7',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_7',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>9</td>
    <td nowrap>14 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 11 04 471297 0001</td>
    <td nowrap>Muflisah</td>
    <td nowrap>
    24 </td>
    <td nowrap></td>
    <td nowrap>PEMBATAAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_8',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_8',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>10</td>
    <td nowrap>15 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>33 08 03 631192 0002</td>
    <td nowrap>Melina</td>
    <td nowrap>
    29 </td>
    <td nowrap></td>
    <td nowrap>PEMBATAAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_9',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_9',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>11</td>
    <td nowrap>15 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 04 500580 0003</td>
    <td nowrap>Andalika</td>
    <td nowrap>
    41 </td>
    <td nowrap></td>
    <td nowrap>MABU&#039;UN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_10',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_10',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>12</td>
    <td nowrap>16 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 11 640200 0001</td>
    <td nowrap>Susilawati</td>
    <td nowrap>
    22 </td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>
    Dalam Kota </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_11',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_11',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>13</td>
    <td nowrap>16 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 07 04 490692 0001</td>
    <td nowrap>Rabiatul</td>
    <td nowrap>
    29 </td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>
    Dalam Kota </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_12',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_12',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>14</td>
    <td nowrap>16 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>73 71 12 671188 0008</td>
    <td nowrap>Nurdiani</td>
    <td nowrap>
    33 </td>
    <td nowrap></td>
    <td nowrap>MABURAI</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_13',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_13',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>15</td>
    <td nowrap>16 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 03 540501 0005</td>
    <td nowrap>Mimi Salamah</td>
    <td nowrap>
    20 </td>
    <td nowrap></td>
    <td nowrap>MABU&#039;UN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_14',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_14',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>16</td>
    <td nowrap>17 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 06 541093 0001</td>
    <td nowrap>Siti Munawarah</td>
    <td nowrap>
    28 </td>
    <td nowrap></td>
    <td nowrap>MABU&#039;UN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_15',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_15',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>17</td>
    <td nowrap>19 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 71 04 680293 0004</td>
    <td nowrap>Siti Zaleha</td>
    <td nowrap>
    29 </td>
    <td nowrap></td>
    <td nowrap>MABU&#039;UN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_16',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_16',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>18</td>
    <td nowrap>21 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 07 11 660493 0003</td>
    <td nowrap>Norlatifah</td>
    <td nowrap>
    28 </td>
    <td nowrap></td>
    <td nowrap>KASIAU</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_17',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_17',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>19</td>
    <td nowrap>21 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 07 640490 0005</td>
    <td nowrap>Muslikah</td>
    <td nowrap>
    31 </td>
    <td nowrap></td>
    <td nowrap>PEMBATAAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_18',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_18',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>20</td>
    <td nowrap>22 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>62 13 07 451096 0002</td>
    <td nowrap>Lismawati</td>
    <td nowrap>
    25 </td>
    <td nowrap></td>
    <td nowrap>PEMBATAAN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_19',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_19',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>21</td>
    <td nowrap>23 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 04 600700 0002</td>
    <td nowrap>Chairunisa</td>
    <td nowrap>
    21 </td>
    <td nowrap></td>
    <td nowrap>MABURAI</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_20',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");
    selectopt('#mst_kelurahan_id_20',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>22</td>
    <td nowrap>23 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>63 09 06 510981 0003</td>
    <td nowrap>Karya Milawati</td>
    <td nowrap>
    40 </td>
    <td nowrap></td>
    <td nowrap>MABU&#039;UN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_21',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_21',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    <tr align="left">
    <td>23</td>
    <td nowrap>24 Februari 2022</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>33 20 14 610691 0001</td>
    <td nowrap>Rizkha R.</td>
    <td nowrap>
    30 </td>
    <td nowrap></td>
    <td nowrap>MABU&#039;UN</td>
    <td nowrap>
    Dalam Wilayah </td>
    <td nowrap></td>
    <td nowrap>-</td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>NR</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap>0</td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td style="width:100px !important;" nowrap></td>
    <td></td>

    </tr>
    <script>
    selectopt('#mst_kelompok_risiko_id_22',"Kelompok
    Risiko","http://sihepi.kemkes.go.id/ajax/kelompok_risiko");

    selectopt('#mst_kelurahan_id_22',"Kelurahan","http://sihepi.kemkes.go.id/
    ajax/list_kelurahan_by_fasyankes");
    </script>
    </tbody>
    </table>
    </body>

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