Excel

<h2>DATA DIAGNOSIS PASIEN PUSKESMAS</h2>
Periode : 01-11-2022 s/d 30-11-2022<br>Kode Penyakit = m79<br>

<table class='grid' border='1'>
<tr>
<th>Kode Penyakit</th>
<th>Nama Diagnosis</th>
<th>Nama</th>
<th>NamaKK</th>
<th>ICDX</th>
<th>No.<br>Registrasi</th>
<th>No.Index</th>
<th>Tanggal</th>
<th>Kode Obat</th>
<th>Nama Obat</th>
<th>Dosis</th>
<th>Jumlah</th>
<th>Pekerjaan</th>
<th>Dusun</th>
<th>Desa</th><th>Tempat Periksa</th>
<th>Petugas</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>Kepesertaan</th>
</tr><tr><td align='right'>M79</td><td>Other soft tissue
disorders, not elsewhere classified</td><td>SIWI PURNO, TN</td><td>SIWI PURNO,
TN</td><td></td><td align='right'>275642</td><td align='right'>x0203300</td><td>01-
11-2022</td><td>G006</td><td>Glimepirid Tab 2
mg</td><td>1x1</td><td>30</td><td>PEGAWAI NEGERI SIPIL</td><td></td><td>LUAR
KOTA</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A. S</td><td>L</td><td>45-
54 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non PBI</td><td>RAJAL</td><td
align='right'>8</td><td align='right'>11</td><td align='right'>46</td><td>BP.
Umum</td><td></td><td></td><td>Luar
Wilayah</td><td>'0000091381397</td><td></td></tr><tr><td
align='right'></td><td></td><td></td><td></td><td></td><td align='right'></td><td
align='right'></td><td></td><td>K002</td><td>Kalium Diklofenak tablet 50
mg</td><td>2x1</td><td>10</td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td align='right'></td><td
align='right'></td><td align='right'></td><td></td><td></td><td></td><td>Luar
align='right'></td><td></td><td>M016</td><td>CEBEVIT
MULTIVITAMIN</td><td>1x1</td><td>10</td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td align='right'></td><td
align='right'></td><td></td><td>N008</td><td>Erladerm</td><td>3x1ue</td><td>1</
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td align='right'></td><td align='right'></td><td
align='right'></td><td></td><td></td><td></td><td>Luar
align='right'>M79</td><td>Other soft tissue disorders, not elsewhere
classified</td><td>ERNAWATI, NY</td><td>ERNAWATI, NY</td><td></td><td
align='right'>275699</td><td
align='right'>90108202</td><td>01-11-2022</td><td>M004</td><td>Metilprednisolon Tab
4 mg</td><td>2x1</td><td>6</td><td>MENGURUS RUMAH TANGGA</td><td>RW 01</td><td>LUAR
WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A.
S</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
PBI</td><td>RAJAL</td><td align='right'>29</td><td align='right'>7</td><td
align='right'>39</td><td>BP. Umum</td><td></td><td></td><td>Luar
align='right'></td><td></td><td>N002</td><td>Natrium Diklofenac 25
align='right'></td><td></td><td>V004</td><td>Vitamin B Kompleks
tablet</td><td>2x1</td><td>6</td><td></td><td></td><td></td><td></td><td></
classified</td><td>SULASTRININGSIH, NY</td><td>AGUS SUGIARTO,TN</td><td></td><td
align='right'>30027201</td><td>01-11-2022</td><td>K002</td><td>Kalium Diklofenak
tablet 50 mg</td><td>2x1</td><td>6</td><td>MENGURUS RUMAH TANGGA</td><td>RW
07</td><td>KETELAN</td><td>PUSKESMAS INDUK</td><td>dr. Nuri Sakina
Suharto</td><td>P</td><td>55-59 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
align='right'>59</td><td>BP. Umum</td><td></td><td></td><td>Dalam
align='right'></td><td></td><td>M004</td><td>Metilprednisolon Tab 4
align='right'></td><td align='right'></td><td></td><td></td><td></td><td>Dalam
classified</td><td>SRI WINDAYANI, NY</td><td>SRI WINDAYANI, NY</td><td></td><td
align='right'>10112100</td><td>01-11-2022</td><td>A009</td><td>Amlodipin tablet 5
mg</td><td>1x1</td><td>8</td><td>MENGURUS RUMAH
TANGGA</td><td></td><td>SETABELAN</td><td>PUSLING SETABELAN</td><td>dr. Desrina
Pungky A. S</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
align='right'></td><td></td><td>K003</td><td>Kalsium Laktat (Kalk) tablet 500
align='right'></td><td></td><td>S012</td><td>Sianokobalamin (Vitamin B12) tablet 50
mcg</td><td>2x1</td><td>10</td><td></td><td></td><td></td><td></td><td></td><td></
classified</td><td>IDA WIDAYANTI, SE, NY</td><td>HENDRA, TN</td><td></td><td
align='right'>x0101004</td><td>01-11-2022</td><td>K002</td><td>Kalium Diklofenak
tablet 50 mg</td><td>2x1</td><td>6</td><td>MENGURUS RUMAH
TANGGA</td><td></td><td>LUAR KOTA</td><td>PUSKESMAS INDUK</td><td>dr. Desrina
Pungky A. S</td><td>P</td><td>45-54
Thn.</td><td>Keluarga</td><td>Baru</td><td>Umum</td><td>RAJAL</td><td
Umum</td><td></td><td></td><td>Luar Wilayah</td><td></td><td></td></tr><tr><td
Wilayah</td><td></td><td></td></tr><tr><td
Wilayah</td><td></td><td></td></tr><tr><td align='right'>M79</td><td>Other soft
tissue disorders, not elsewhere classified</td><td>TRI HARJANI SUPARMI,
NY</td><td>DANIEL SAPARDI, TN</td><td></td><td align='right'>275689</td><td
align='right'>90240701</td><td>01-11-2022</td><td>D003</td><td>Deksametason tablet
0,5 mg</td><td>2x1</td><td>6</td><td>KARYAWAN SWASTA</td><td></td><td>LUAR
S</td><td>P</td><td>45-54
tissue disorders, not elsewhere classified</td><td>SULASTRI, NY</td><td>SULASTRI,
NY</td><td></td><td align='right'>275867</td><td align='right'>10007700</td><td>02-
11-2022</td><td>A009</td><td>Amlodipin
05</td><td>SETABELAN</td><td>PUSKESMAS INDUK</td><td>dr.
Yuswanto</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
PBI</td><td>RAJAL</td><td align='right'>27</td><td align='right'></td><td
align='right'></td><td></td><td>A024</td><td>Asam Mefenamat kaplet 500
align='right'></td><td></td><td>K020</td><td>Klorfeniramina Malaet (CTM) tablet 4
classified</td><td>NURUL QOMARIYAH, NY</td><td>HERU SETIAWAN, TN</td><td></td><td
tablet 50 mg</td><td>2x1</td><td>6</td><td>WIRASWASTA</td><td>RW
03</td><td>TIMURAN</td><td>PUSKESMAS INDUK</td><td>dr.
Yuswanto</td><td>P</td><td>20-44
Umum</td><td></td><td></td><td>Dalam Wilayah</td><td></td><td></td></tr><tr><td
tissue disorders, not elsewhere classified</td><td>SRINYOTO, TN</td><td>SRINYOTO,
TN</td><td></td><td align='right'>275791</td><td align='right'>90135302</td><td>02-
11-2022</td><td>G007</td><td>Gliseril Guaiakolat tablet 100
mg</td><td>3x1</td><td>10</td><td>BURUH HARIAN LEPAS</td><td></td><td>LUAR
WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Yuswanto</td><td>L</td><td>60-69
Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN PBI</td><td>RAJAL</td><td
align='right'></td><td></td><td>P006</td><td>Paracetamol Tab
500mg</td><td>3x1</td><td>6</td><td></td><td></td><td></td><td></td><td></
classified</td><td>NUR WIDIASTUTI,NY</td><td>JAJAR,TN</td><td></td><td
tablet 50 mg</td><td>2X1</td><td>10</td><td>MENGURUS RUMAH TANGGA</td><td>RW
02</td><td>TIMURAN</td><td>PUSTU TIMURAN</td><td>dr. Yuswanto</td><td>P</td><td>20-
44 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN PBI</td><td>RAJAL</td><td
Umum</td><td></td><td></td><td>Dalam
mg</td><td>2X1</td><td>10</td><td></td><td></td><td></td><td></td><td></td><td></
classified</td><td>HERIYANTO, TN</td><td>HERIYANTO, TN</td><td></td><td
align='right'>30058004</td><td>02-11-2022</td><td>G007</td><td>Gliseril Guaiakolat
tablet 100 mg</td><td>3x1</td><td>10</td><td>WIRASWASTA</td><td>RW
09</td><td>KETELAN</td><td>PUSKESMAS INDUK</td><td>dr.
Yuswanto</td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>HERU ISKANDAR RAHYUDIANTO, TN</td><td>NASARUDIN,
11-2022</td><td>A013</td><td>Antasida DOEN I tablet
kunyah</td><td>3X1</td><td>10</td><td>PEDAGANG</td><td></td><td>LUAR
WILAYAH</td><td>PUSTU TIMURAN</td><td>dr. Yuswanto</td><td>L</td><td>45-54
align='right'></td><td></td><td>K005</td><td>Kaptopril Tab 12,5
classified</td><td>JUDIA NANIK SUNARNI,NY</td><td>JUDIA NANIK
SUNARNI,NY</td><td></td><td align='right'>275829</td><td
02</td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr.
Yuswanto</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
td><td></td><td></td><td></td><td></td><td></td><td
align='right'></td><td align='right'></td><td
classified</td><td>TUGIYEM,NY</td><td>TUGIYEM,NY</td><td></td><td
mg</td><td>1x1</td><td>10</td><td>MENGURUS RUMAH TANGGA</td><td>RW 04</td><td>LUAR
WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Yuswanto</td><td>P</td><td>60-69
align='right'></td><td></td><td>F010</td><td>Furosemid tablet 40
tissue disorders, not elsewhere classified</td><td>SUERNI SETYAWATI,
NY</td><td>HARTOYO, TN</td><td></td><td align='right'>275988</td><td
align='right'>30087501</td><td>03-11-2022</td><td>K020</td><td>Klorfeniramina
Malaet (CTM) tablet 4 mg</td><td>3x1</td><td>9</td><td>MENGURUS RUMAH
TANGGA</td><td>RW 03</td><td>KETELAN</td><td>PUSKESMAS INDUK</td><td>dr. Desrina
Thn.</td><td>Keluarga</td><td>Lama</td><td>Umum</td><td>RAJAL</td><td
align='right'></td><td></td><td>T003</td><td>Thiamin 50 mg
Tablet</td><td>2x1</td><td>6</td><td></td><td></td><td></td><td></td><td></
tissue disorders, not elsewhere classified</td><td>KASNI, NY</td><td>KASNI, NY/ UKK
PASAR LEGI</td><td></td><td align='right'>276002</td><td
align='right'>x0094407</td><td>03-11-2022</td><td>A009</td><td>Amlodipin tablet 5
mg</td><td>1X1</td><td>8</td><td>PEDAGANG</td><td></td><td>LUAR KOTA</td><td>UKK
PASAR LEGI</td><td>dr. Nuri Sakina Suharto</td><td>P</td><td>60-69
align='right'></td><td></td><td>A013</td><td>Antasida DOEN I tablet
kunyah</td><td>3X1</td><td>10</td><td></td><td></td><td></td><td></td><td></
mcg</td><td>2X1</td><td>10</td><td></td><td></td><td></td><td></td><td></td><td></
tissue disorders, not elsewhere classified</td><td>SRI HANDAYANI, NY</td><td>RUDI
SUPARTI, TN</td><td></td><td align='right'>276017</td><td
mg</td><td>1x1</td><td>10</td><td>MENGURUS RUMAH TANGGA</td><td>RW
classified</td><td>YOSEBA KARTINI, NY</td><td>SLAMET PRAYITNO, TN</td><td></td><td
align='right'>10131801</td><td>03-11-2022</td><td>K003</td><td>Kalsium Laktat
(Kalk) tablet 500 mg</td><td>1x1</td><td>10</td><td>MENGURUS RUMAH
TANGGA</td><td>RW 04</td><td>SETABELAN</td><td>PUSKESMAS INDUK</td><td>dr. Desrina
Pungky A. S</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
align='right'></td><td
align='right'></td><td></td><td></td><td></td><td>Dalam
classified</td><td>NUNUK HANDAYANI , NY</td><td>TRUBUS AL SUKAMTO,
kunyah</td><td>3x1</td><td>10</td><td>KARYAWAN SWASTA</td><td></td><td>LUAR
WILAYAH</td><td>UKK PASAR LEGI</td><td>dr. Nuri Sakina
Suharto</td><td>P</td><td>55-59
tissue disorders, not elsewhere classified</td><td>SUPRAPTI, NY</td><td>SUPRAPTI,
NY /UKK PASAR LEGI</td><td></td><td align='right'>275968</td><td
align='right'>X0094405</td><td>03-11-2022</td><td>C003</td><td>Cetirizine tablet 10
mg</td><td>2x1</td><td>10</td><td>PEDAGANG</td><td>RW 02</td><td>LUAR
KOTA</td><td>UKK PASAR LEGI</td><td>dr. Nuri Sakina Suharto</td><td>P</td><td>20-44
tissue disorders, not elsewhere classified</td><td>CYPRIANA ROSIYAH ,
NY</td><td>SUGIH P, TN</td><td></td><td align='right'>276152</td><td
TANGGA</td><td>RW 02</td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Nuri
Sakina Suharto</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
Non PBI</td><td>RAJAL</td><td align='right'>27</td><td align='right'>11</td><td
classified</td><td>SRI TAWANGSIH, NY</td><td>SRI TAWANGSIH, NY</td><td></td><td
WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Nuri Sakina
classified</td><td>MUNDIATI, NY</td><td>JOKO SISWOKO, TN</td><td></td><td
mg</td><td>1x1</td><td>10</td><td>KARYAWAN SWASTA</td><td>RW 02</td><td>LUAR
S</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>ABRAHAM IWAN SETIAWAN, TN</td><td>ABRAHAM IWAN SETIAWAN,
11-2022</td><td>A009</td><td>Amlodipin
tablet 5 mg</td><td>1x1</td><td>10</td><td>BELUM/TIDAK
BEKERJA</td><td></td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Desrina
Pungky A. S</td><td>P</td><td>>70
tissue disorders, not elsewhere classified</td><td>ROKHIMAH, NY</td><td>RIYADI,
11-2022</td><td>K003</td><td>Kalsium Laktat (Kalk) tablet 500
04</td><td>KEPRABON</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A.
classified</td><td>SUYATI NURCAHYANINGSIH, NY</td><td>SAHRUDIN, TN</td><td></td><td
0,5 mg</td><td>2x1</td><td>8</td><td>MENGURUS RUMAH TANGGA</td><td>RW
05</td><td>SETABELAN</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A.
S</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>SRI SETYANINGSIH, NY</td><td>SUPARNO, TN</td><td></td><td
0,5 mg</td><td>2x1</td><td>8</td><td>KARYAWAN SWASTA</td><td>RW 01</td><td>LUAR
PBI</td><td>RAJAL</td><td align='right'></td><td align='right'>7</td><td
classified</td><td>LESTARI,NY</td><td>LESTARI,NY</td><td></td><td
classified</td><td>TRI WIDIYANTI, NY</td><td>AGUS SURYONO, TN</td><td></td><td
tablet 50 mg</td><td>2x1</td><td>8</td><td>KARYAWAN SWASTA</td><td>RW
02</td><td>TIMURAN</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A.
classified</td><td>MURNIYATI, NY</td><td>SUNARTO, TN</td><td></td><td
mg</td><td>1x1</td><td>10</td><td>MENGURUS RUMAH TANGGA</td><td></td><td>LUAR
td><td></td><td></td><
td></td><td></td><td></td><td align='right'></td><td align='right'></td><td
tissue disorders, not elsewhere classified</td><td>KASMI, NY</td><td>KASMI,
11-2022</td><td>A009</td><td>Amlodipin tablet 5
classified</td><td>TUMINAH, NY</td><td>KARNO ,TN</td><td></td><td
07</td><td>SETABELAN</td><td>PUSLING KEPRABON</td><td>dr.
classified</td><td>LAURENTIUS RUDY SUVANTO, TN</td><td>LAURENTIUS RUDY SUVANTO,
11-2022</td><td>C003</td><td>Cetirizine tablet 10
mg</td><td>1x1</td><td>4</td><td>WIRASWASTA</td><td>RW
08</td><td>SETABELAN</td><td>PUSLING SETABELAN</td><td>dr.
Yuswanto</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>TRISTIANA BASUKI, NY</td><td>SUGINAH, NY</td><td></td><td
align='right'>10085500</td><td>08-11-2022</td><td>F008</td><td>Flumin</
td><td>3x1</td><td>10</td><td>LAINNYA</td><td>RW
classified</td><td>HARTINI, NY</td><td>HARTINI, NY</td><td></td><td
align='right'>40045000</td><td>08-11-2022</td><td>P006</td><td>Paracetamol Tab
500mg</td><td>3x1</td><td>8</td><td>PENSIUNAN</td><td>RW
Yuswanto</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>MARSONO, TN</td><td>MARSONO, TN</td><td></td><td
mg</td><td>1x1</td><td>8</td><td>BURUH HARIAN LEPAS</td><td>RW
classified</td><td>WIWIN SRI HARJANTI, NY</td><td>DOLLY, TN</td><td></td><td
(Kalk) tablet 500 mg</td><td>1x1</td><td>6</td><td>MENGURUS RUMAH TANGGA</td><td>RW
classified</td><td>SRI SUKAMDANI, NY</td><td>SUNARNO, TN</td><td></td><td
Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non PBI</td><td>RAJAL</td><td
classified</td><td>YUNIANTI, NY</td><td>ELAN KAELANI, TN</td><td></td><td
Yuswanto</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>SRI MARDIATI, NY</td><td>SUDARMINTO ,TN</td><td></td><td
(Kalk) tablet 500 mg</td><td>2x1</td><td>8</td><td>LAINNYA</td><td></td><td>LUAR
classified</td><td>SUTARNI, NY</td><td>SIRENG, TN</td><td></td><td
align='right'>10128000</td><td>08-11-2022</td><td>N002</td><td>Natrium Diklofenac
25 mg</td><td>3x1</td><td>10</td><td>WIRASWASTA</td><td>RW
classified</td><td>ISMI, NY</td><td>MARJOKO, TN</td><td></td><td
align='right'>90243500</td><td>08-11-2022</td><td>A024</td><td>Asam Mefenamat
kaplet 500 mg</td><td>3x1</td><td>8</td><td>MENGURUS RUMAH
TANGGA</td><td></td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr.
tissue disorders, not elsewhere classified</td><td>SARANTO, TN</td><td>SARANTO,
11-2022</td><td>K002</td><td>Kalium Diklofenak tablet 50
mg</td><td>2x1</td><td>8</td><td>KARYAWAN SWASTA</td><td>RW
05</td><td>SETABELAN</td><td>PUSKESMAS INDUK</td><td>dr. Nuri Sakina
Suharto</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN
classified</td><td>SURYANTINAH, NY</td><td>WARSITO, TN</td><td></td><td
TANGGA</td><td>RW 04</td><td>TIMURAN</td><td>PUSTU TIMURAN</td><td>dr.
classified</td><td>YULI SETYAWATI, NY</td><td>YULI SETYAWATI, NY</td><td></td><td
align='right'>90440503</td><td>08-11-2022</td><td>A013</td><td>Antasida DOEN I
tablet kunyah</td><td>3x1</td><td>20</td><td>KARYAWAN SWASTA</td><td>RW
02</td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Nuri Sakina
align='right'></td><td align='right'>4</td><td align='right'>48</td><td>BP.
tissue disorders, not elsewhere classified</td><td>MARLAH, NY</td><td>MARLAH,
11-2022</td><td>A024</td><td>Asam Mefenamat kaplet 500
align='right'></td><td></td><td>D003</td><td>Deksametason tablet 0,5
tissue disorders, not elsewhere classified</td><td>ANIK HARSANTI, NY</td><td>TRI
PRIYO WIRANTO, TN</td><td></td><td align='right'>276546</td><td
tissue disorders, not elsewhere classified</td><td>ARIF WIBAWA,TN</td><td>ARIF
WIBAWA,TN</td><td></td><td align='right'>276575</td><td
(Kalk) tablet 500 mg</td><td>2x1</td><td>6</td><td>KARYAWAN
SWASTA</td><td></td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr.
classified</td><td>YANIK RIANI NARYATI, NY</td><td>SULARSO,TN</td><td></td><td
align='right'>90074100</td><td>09-11-2022</td><td>A001</td><td>Ailin</
td><td>2x1tetes</td><td>1</td><td>PEGAWAI NEGERI SIPIL</td><td></td><td>LUAR
align='right'></td><td></td><td>R001</td><td>Ranitidin tablet 150
classified</td><td>SARNI, NY</td><td>SARNI, NY</td><td></td><td
align='right'>20063003</td><td>09-11-2022</td><td>A004</td><td>Allopurinol Tab
100mg</td><td>1x1</td><td>10</td><td>MENGURUS RUMAH TANGGA</td><td>RW
04</td><td>KEPRABON</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'></td><td></td><td>A009</td><td>Amlodipin tablet 5
align='right'></td><td></td><td>S013</td><td>Simvastatin tablet 10
classified</td><td>NATALINA NUGRAHENI,NY</td><td>HERI SETIAWAN,TN</td><td></td><td
align='right'>x0093106</td><td>09-11-2022</td><td>A013</td><td>Antasida DOEN I
tablet kunyah</td><td>2x1</td><td>20</td><td>KARYAWAN SWASTA</td><td></td><td>LUAR
KOTA</td><td>PUSKESMAS INDUK</td><td>dr. Yuswanto</td><td>P</td><td>45-54
align='right'></td><td></td><td>A034</td><td>Attapulgit</td><td>3x1</td><td>8</
align='right'></td><td></td><td>G001</td><td>Garam
Oralit</td><td>1x1</td><td>5</td><td></td><td></td><td></td><td></td><td></
tissue disorders, not elsewhere classified</td><td>FITRI ERTINA, NY</td><td>BUDI
SANTOSO, TN</td><td></td><td align='right'>276791</td><td
align='right'>90909001</td><td>10-11-2022</td><td>A018</td><td>Antihemoroid
Supp</td><td>1x1</td><td>10</td><td>PEGAWAI NEGERI SIPIL</td><td>RW 05</td><td>LUAR
align='right'>27</td><td align='right'>1</td><td
align='right'>44</td><td>UGD</td><td></td><td></td><td>Luar
classified</td><td>SUPRIHATIN, NY</td><td>SUPRIHATIN, NY</td><td></td><td
01</td><td>KEPRABON</td><td>PUSKESMAS INDUK</td><td>dr. Nuri Sakina
Suharto</td><td>P</td><td>>70
tissue disorders, not elsewhere classified</td><td>MARYATI, NY</td><td>SADORO
WIDODO, TN</td><td></td><td align='right'>276692</td><td
(Kalk) tablet 500 mg</td><td>2x1</td><td>6</td><td>MENGURUS RUMAH TANGGA</td><td>RW
classified</td><td>ISNAINI HARYANTI, NY</td><td>SONI DARWIN, TN</td><td></td><td
align='right'></td><td></td><td>S004</td><td>Salysil Bedak
2%</td><td>3x1ue</td><td>1</td><td></td><td></td><td></td><td></td><td></td><td></
classified</td><td>SETIONO, TN</td><td>SETIONO, TN</td><td></td><td
kaplet 500 mg</td><td>3x1</td><td>8</td><td>KARYAWAN SWASTA</td><td></td><td>LUAR
Suharto</td><td>L</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>SITI ROHMANI, NY</td><td>BUDI JAYA PURNAMA, TN</td><td></td><td
01</td><td>KEPRABON</td><td>PUSKESMAS INDUK</td><td>dr. Nuri Sakina
classified</td><td>WARSINI, NY</td><td>RACHMAD WIDIATMOKO, TN</td><td></td><td
kaplet 500 mg</td><td>3x1</td><td>8</td><td>WIRASWASTA</td><td>RW
tissue disorders, not elsewhere classified</td><td>SRIYATUN, NY</td><td>SRIYATUN,
kunyah</td><td>3x1</td><td>20</td><td>KARYAWAN SWASTA</td><td>RW
classified</td><td>RATNA WIDAWATI, NY</td><td>MUSLIH, TN</td><td></td><td
mg</td><td>1x1</td><td>10</td><td>PEDAGANG</td><td>RW
align='right'></td><td></td><td>P014</td><td>Piridoksin (Vitamin B6) tablet 10 mg
(HCL)</td><td>1x1</td><td>10</td><td></td><td></td><td></td><td></td><td></
classified</td><td>ERVINA NUR SANJAYA ,AN</td><td>SUROTO ARYANTO
,TN</td><td></td><td align='right'>276956</td><td
align='right'>30088100</td><td>12-11-2022</td><td>K003</td><td>Kalsium
Laktat (Kalk) tablet 500
mg</td><td>1X1</td><td>10</td><td>PELAJAR/MAHASISWA</td><td>RW
02</td><td>KETELAN</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A.
S</td><td>P</td><td>10-14 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN
Tablet</td><td>2X1</td><td>10</td><td></td><td></td><td></td><td></td><td></
classified</td><td>RETNO KUSTINI YULIA SUKMAWATI, NY</td><td>ASEP SYAMSUDIN,
tablet</td><td>2X1</td><td>10</td><td></td><td></td><td></td><td></td><td></
classified</td><td>RETNO DEWANI, NY</td><td>RETNO DEWANI, NY</td><td></td><td
(Kalk) tablet 500 mg</td><td>1x1</td><td>10</td><td>KARYAWAN
SWASTA</td><td></td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Desrina
tissue disorders, not elsewhere classified</td><td> HERU RUS SRIYANTO,
TN</td><td>SUJIYEM, NY</td><td></td><td align='right'>276967</td><td
align='right'>90245304</td><td>13-11-2022</td><td>D012</td><td>Domperidon tablet
100 mg</td><td>3x1</td><td>8</td><td>WIRASWASTA</td><td></td><td>LUAR
S</td><td>L</td><td>20-44
tissue disorders, not elsewhere classified</td><td>CYPRIANA ROSIYAH ,
NY</td><td>SUGIH P, TN</td><td></td><td align='right'>277054</td><td
kaplet 500 mg</td><td>3X1</td><td>10</td><td>MENGURUS RUMAH TANGGA</td><td>RW
Yuswanto</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>TRI WINARNI, NY</td><td>HARTONO, TN</td><td></td><td
kaplet 500 mg</td><td>2x1</td><td>8</td><td>PEDAGANG</td><td>RW
classified</td><td>MONFIATUN, NY</td><td>PUJANTO, TN</td><td></td><td
500mg</td><td>3x1</td><td>10</td><td>BURUH HARIAN LEPAS</td><td>RW 07</td><td>LUAR
classified</td><td>SRI SETYANINGSIH, NY</td><td>SUPARNO, TN</td><td></td><td
(Kalk) tablet 500 mg</td><td>1x1</td><td>10</td><td>KARYAWAN SWASTA</td><td>RW
align='right'></td><td></td><td>M008</td><td>Mikonazole Krim 2%
(Nitrat)</td><td>3x1ue</td><td>1</td><td></td><td></td><td></td><td></td><td></
classified</td><td>SUMINAH, NY</td><td>SUMINAH SULAMI ,NY</td><td></td><td
classified</td><td>ANY TRI SETYANI. NY</td><td>ANY TRI SETYANI. NY</td><td></td><td
mg</td><td>1x1</td><td>6</td><td>WIRASWASTA</td><td></td><td>LUAR
tissue disorders, not elsewhere classified</td><td>SUDI HARTATI, NY</td><td>DIAN
NUGRAHA, TN</td><td></td><td align='right'>277021</td><td
tablet 50 mg</td><td>2X1</td><td>6</td><td>MENGURUS RUMAH TANGGA</td><td>RW
04</td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Nuri Sakina
tissue disorders, not elsewhere classified</td><td>TANEM, NY</td><td>DARNO DIKROMO,
TN</td><td></td><td align='right'>277032</td><td align='right'>X0002412</td><td>14-
mg</td><td>1X1</td><td>10</td><td>PETANI/PEKEBUN</td><td></td><td>LUAR
KOTA</td><td>PUSKESMAS INDUK</td><td>dr. Yuswanto</td><td>P</td><td>>70
classified</td><td>ANIK RUFAIDAH, NY</td><td>ARI SUBIANTO, TN</td><td></td><td
align='right'>90224501</td><td>15-11-2022</td><td>K002</td><td>Kalium
Diklofenak tablet 50 mg</td><td>2x1</td><td>8</td><td>PEGAWAI NEGERI
SIPIL</td><td></td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Desrina
classified</td><td>MUCHAROM, TN</td><td>MUCHAROM, TN</td><td></td><td
classified</td><td>MUNDIANITA ROSITA, NY</td><td>JOKO SISWOKO, TN</td><td></td><td
mg</td><td>1x1</td><td>10</td><td>KARYAWAN SWASTA</td><td></td><td>LUAR
classified</td><td>SUKARNO, TN</td><td>SUKARNO, TN</td><td></td><td
tablet 100 mg</td><td>3x1</td><td>10</td><td>BURUH HARIAN LEPAS</td><td>RW
Yuswanto</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>SARMI,NY</td><td>SABARDI,TN</td><td></td><td
classified</td><td>WIRANTO, TN</td><td>WIRANTO, TN</td><td></td><td
tablet kunyah</td><td>3x1</td><td>10</td><td>KARYAWAN SWASTA</td><td>RW
classified</td><td>NINIK SUWARTINI, NY</td><td>MUCHAROM, TN</td><td></td><td
tablet kunyah</td><td>3x1</td><td>10</td><td>MENGURUS RUMAH TANGGA</td><td>RW
align='right'></td><td></td><td>G007</td><td>Gliseril Guaiakolat
tablet 100
classified</td><td>YUNIANTI, NY</td><td>ELAN KAELANI, TN</td><td></td><td
align='right'>10043700</td><td>15-11-2022</td><td>A022</td><td>Asam Askorbat
(Vitamin C) tablet 50 mg</td><td>3x1</td><td>10</td><td>MENGURUS RUMAH
TANGGA</td><td>RW 08</td><td>SETABELAN</td><td>PUSLING SETABELAN</td><td>dr.
classified</td><td>C. SURIPNI, NY</td><td>SRIYONO, TN</td><td></td><td
align='right'>20012102</td><td>15-11-2022</td><td>A006</td><td>Ambroxol tablet 30
S</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
align='right'></td><td></td><td>D008</td><td>Dimenhidrinat tablet 50
(Nitrat)</td><td>2X1
ue</td><td>1</td><td></td><td></td><td></td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td align='right'></td><td
classified</td><td>SRI MUKTI WIDANARTI, NY</td><td>SUNARTI, NY</td><td></td><td
mg</td><td>1x2</td><td>20</td><td>PENSIUNAN</td><td>RW
classified</td><td>LAURENTIUS RUDY SUVANTO, TN</td><td>LAURENTIUS RUDY SUVANTO,
11-2022</td><td>C003</td><td>Cetirizine tablet 10
Yuswanto</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>YUNI SETYOWATI, NY</td><td>VENDI SISWANTO, TN</td><td></td><td
TANGGA</td><td>RW 02</td><td>KETELAN</td><td>PUSKESMAS INDUK</td><td>dr. Nuri
Sakina Suharto</td><td>P</td><td>45-54
classified</td><td>SARANTO, TN</td><td>SARANTO, TN</td><td></td><td
0,5 mg</td><td>3x1</td><td>10</td><td>KARYAWAN SWASTA</td><td>RW
Suharto</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
align='right'></td><td></td><td>F008</td><td>Flumin</td><td>3x1</td><td>10</
align='right'></td><td></td><td>G007</td><td>Gliseril Guaiakolat tablet 100
classified</td><td>SUMIYATI, NY</td><td>UKK PASAR LEGI</td><td></td><td
align='right'>x0094442</td><td>17-11-2022</td><td>N002</td><td>Natrium Diklofenac
25 mg</td><td>2x1</td><td>6</td><td>PEDAGANG</td><td></td><td>LUAR KOTA</td><td>UKK
PASAR LEGI</td><td>dr. Desrina Pungky A. S</td><td>P</td><td>>70
tissue disorders, not elsewhere classified</td><td>TINI, NY</td><td>UKK PASAR
LEGI</td><td></td><td align='right'>277521</td><td
align='right'>x0094438</td><td>17-11-2022</td><td>A024</td><td>Asam Mefenamat
kaplet 500 mg</td><td>2x1</td><td>8</td><td>PEDAGANG</td><td></td><td>LUAR
KOTA</td><td>UKK PASAR LEGI</td><td>dr. Desrina Pungky A. S</td><td>P</td><td>45-54
align='right'></td><td></td><td>V006</td><td>VITAMIN C TABLET
500MG</td><td>2x1</td><td>10</td><td></td><td></td><td></td><td></td><td></
tissue disorders, not elsewhere classified</td><td>WALUYO, TN</td><td>WALUYO,
S</td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN
classified</td><td>TUMIYEM, NY</td><td>UKK PASAR LEGI</td><td></td><td
align='right'>x0094439</td><td>17-11-2022</td><td>N002</td><td>Natrium Diklofenac
25 mg</td><td>2x1</td><td>6</td><td>PEDAGANG</td><td></td><td>LUAR KOTA</td><td>UKK
PASAR LEGI</td><td>dr. Desrina Pungky A. S</td><td>P</td><td>60-69
tissue disorders, not elsewhere classified</td><td>SUWARNI, NY</td><td>SLAMET
MARIO, TN</td><td></td><td align='right'>277399</td><td
classified</td><td>KASNI, NY</td><td>KASNI, NY/ UKK PASAR LEGI</td><td></td><td
align='right'>x0094407</td><td>17-11-2022</td><td>G003</td><td>Gentamisin Sulfat
tetes mata 0,3
%</td><td>3x2ttsmata</td><td>1</td><td>PEDAGANG</td><td></td><td>LUAR
KOTA</td><td>UKK PASAR LEGI</td><td>dr. Desrina Pungky A. S</td><td>P</td><td>60-69
align='right'></td><td></td><td>G007</td><td>Gliseril
Guaiakolat tablet 100
tissue disorders, not elsewhere classified</td><td>WAGINEM, NY</td><td>UKK PASAR
align='right'>x0094440</td><td>17-11-2022</td><td>A004</td><td>Allopurinol Tab
100mg</td><td>1x1</td><td>5</td><td>PEDAGANG</td><td></td><td>LUAR KOTA</td><td>UKK
PASAR LEGI</td><td>dr. Desrina Pungky A. S</td><td>P</td><td>45-54
tissue disorders, not elsewhere classified</td><td>C. SURIPNI, NY</td><td>SRIYONO,
11-2022</td><td>A022</td><td>Asam Askorbat (Vitamin C) tablet 50
classified</td><td>NGADINAH, NY</td><td>UKK PASAR LEGI</td><td></td><td
25 mg</td><td>2x1</td><td>8</td><td>PEDAGANG</td><td></td><td>LUAR
WILAYAH</td><td>UKK PASAR LEGI</td><td>dr. Desrina Pungky A.
tissue disorders, not elsewhere classified</td><td>TAWARTI, NY</td><td>SABAR
WALUYO, TN</td><td></td><td align='right'>277508</td><td
04</td><td>TIMURAN</td><td>PUSTU TIMURAN</td><td>dr. Yuswanto</td><td>P</td><td>45-
54 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN PBI</td><td>RAJAL</td><td
classified</td><td>ELA NUR, NY</td><td>UKK PASAR LEGI</td><td></td><td
500mg</td><td>3x1</td><td>10</td><td>PEDAGANG</td><td></td><td>LUAR
tissue disorders, not elsewhere classified</td><td>SITI KOTIJAH, NY</td><td>SITI
KOTIJAH, NY/ PASAR LEGI</td><td></td><td align='right'>277520</td><td
mg</td><td>1x1</td><td>6</td><td>PEDAGANG</td><td>RW 02</td><td>LUAR
align='right'></td><td></td><td>M016</td><td>CEBEVIT
MULTIVITAMIN</td><td>1x1</td><td>6</td><td></td><td></td><td></td><td></td><td></
tissue disorders, not elsewhere
classified</td><td>GIYATMO, TN</td><td>GIYATMO, TN</td><td></td><td
0,5 mg</td><td>2x1</td><td>6</td><td>BURUH HARIAN LEPAS</td><td></td><td>LUAR
classified</td><td>ENDANG SUDJINI, BA, NY</td><td>JOKO
SUJIYANTO,TN</td><td></td><td align='right'>277611</td><td
(Nitrat)</td><td>2X1
classified</td><td>SRI DJUWARNI, NY</td><td>SRI DJUWARNI, NY</td><td></td><td
TANGGA</td><td></td><td>KETELAN</td><td>PUSLING KETELAN</td><td>dr. Desrina Pungky
A. S</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>BAGUS CHAHYO PUTRO, SDR</td><td>SUKASDI, TN</td><td></td><td
align='right'>90036701</td><td>19-11-2022</td><td></td><td></td><td></td><td></
td><td>PELAJAR/MAHASISWA</td><td></td><td>LUAR WILAYAH</td><td>PUSKESMAS
INDUK</td><td>dr. Nuri Sakina Suharto</td><td>L</td><td>15-19
classified</td><td>PRASETYO UTOMO, SDR</td><td>HARTONO, TN</td><td></td><td
kaplet 500 mg</td><td>3x1</td><td>10</td><td>KARYAWAN SWASTA</td><td>RW
classified</td><td>DHITA AYU MEIRA, NY</td><td>NOOR HARDIYANTO NUGROHO,
classified</td><td>R AY HENDRAGINI, NY</td><td>SUHARSONO, TN</td><td></td><td
02</td><td>KETELAN</td><td>PUSLING KETELAN</td><td>dr. Desrina Pungky A.
align='right'></td><td></td><td>S002</td><td>Salep 2-4 , kombinasi : Asam Salisilat
2% + Belerang endap
4%</td><td>2x1</td><td>1</td><td></td><td></td><td></td><td></td><td></td><td></
classified</td><td>FX. KARYOTO, TN</td><td>FX. KARYOTO, TN</td><td></td><td
Malaet (CTM) tablet 4 mg</td><td>3x1</td><td>10</td><td>BURUH HARIAN
LEPAS</td><td>RW 06</td><td>SETABELAN</td><td>PUSKESMAS INDUK</td><td>dr.
Yuswanto</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>SUWARSIH, NY</td><td>SUKIDI, TN</td><td></td><td
tissue disorders, not elsewhere classified</td><td>SUWARNI,NY</td><td>SUMARI
PRAWIRA ATMAJA , TN</td><td></td><td align='right'>277826</td><td
mg</td><td>1X2</td><td>20</td><td>MENGURUS RUMAH TANGGA</td><td></td><td>LUAR
WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Yuswanto</td><td>P</td><td>>70
Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN Non PBI</td><td>RAJAL</td><td
classified</td><td>ENDANG TRI W, NY</td><td>SUPRIYANTO,TN</td><td></td><td
Yuswanto</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN
classified</td><td>SRI LESTARI, NY</td><td>SRI LESTARI, NY</td><td></td><td
tissue disorders, not elsewhere classified</td><td>RINI PRIYANTI,
NY</td><td>MARIYO, TN</td><td></td><td align='right'>277787</td><td
tablet kunyah</td><td>2x1</td><td>20</td><td>MENGURUS RUMAH TANGGA</td><td>RW
classified</td><td>SUPARNI, NY</td><td>ARIS MUH HIDAYAT, TN</td><td></td><td
kaplet 500 mg</td><td>2x1</td><td>6</td><td>MENGURUS RUMAH TANGGA</td><td>RW
align='right'></td><td></td><td>G003</td><td>Gentamisin Sulfat tetes mata 0,3
%</td><td>3x2tts</td><td>1</td><td></td><td></td><td></td><td></td><td></td><td></
classified</td><td>SARINO, TN</td><td>SARINO, TN</td><td></td><td
align='right'>10001904</td><td>21-11-2022</td><td>S012</td><td>Sianokobalamin
(Vitamin B12) tablet 50 mcg</td><td>1x1</td><td>10</td><td>PERDAGANGAN</td><td>RW
classified</td><td>SRI HANDAYANI, NY</td><td>RUDI SUPARTI, TN</td><td></td><td
classified</td><td>BAHDAD MAALIKUL MULKI, AN</td><td>ANDRI SUSILO,
11-2022</td><td>D003</td><td>Deksametason tablet 0,5
mg</td><td>3x1</td><td>8</td><td>PELAJAR/MAHASISWA</td><td></td><td>LUAR
tissue disorders, not elsewhere classified</td><td>NANI ENDI HARTATI,
NY</td><td>LILIK, TN</td><td></td><td align='right'>277796</td><td
25 mg</td><td>2x1</td><td>10</td><td>MENGURUS RUMAH TANGGA</td><td>RW
classified</td><td>SRI MUKTI WIDANARTI, NY</td><td>SUNARTI, NY</td><td></td><td
align='right'>10085600</td><td>22-11-2022</td><td>A037</td><td>Amlodipine tab 10
08</td><td>SETABELAN</td><td>PUSLING SETABELAN</td><td>dr. Nuri Sakina
Suharto</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>ENI INDIARTI, NY</td><td>RIYANTO, TN</td><td></td><td
align='right'>10018602</td><td>22-11-2022</td><td>A037</td><td>Amlodipine tab 10
classified</td><td>ST GUAL BERTUS KARNO, TN</td><td>ST GUAL BERTUS KARNO,
11-2022</td><td>N002</td><td>Natrium Diklofenac 25
mg</td><td>3x1</td><td>10</td><td>BURUH HARIAN LEPAS</td><td>RW
Suharto</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>TRI SUKARTI, NY</td><td>AHMAD MARWANI, TN</td><td></td><td
mg</td><td>1x1</td><td>10</td><td>PEGAWAI NEGERI SIPIL</td><td>RW
05</td><td>KEPRABON</td><td>PUSTU TIMURAN</td><td>dr.
Yuswanto</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN Non
classified</td><td>NUR HADIATI, NY</td><td>FX DONY TRI JOKO,TN</td><td></td><td
TANGGA</td><td></td><td>SETABELAN</td><td>PUSLING SETABELAN</td><td>dr. Nuri Sakina
Suharto</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>HERU KUSTANTO, TN</td><td>HERU KUSTANTO, TN</td><td></td><td
kaplet 500 mg</td><td>3x1</td><td>8</td><td>KARYAWAN SWASTA</td><td></td><td>LUAR
S</td><td>L</td><td>20-44
tissue disorders, not elsewhere classified</td><td>WIDJI, NY</td><td>GIMAN,
11-2022</td><td>D003</td><td>Deksametason tablet 0,5
align='right'></td><td></td><td>F008</td><td>Flumin</td><td>3x1</td><td>10</
td><td></td><td></td><td
classified</td><td>SITI ROHMANI, NY</td><td>BUDI JAYA PURNAMA, TN</td><td></td><td
classified</td><td>YULIANTI, NY</td><td>EKO SULISTYO, TN</td><td></td><td
06</td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A.
classified</td><td>SUPARNI, NY</td><td>UKK PASAR LEGI</td><td></td><td
align='right'>X0094445</td><td>24-11-2022</td><td>A024</td><td>Asam Mefenamat
kaplet 500 mg</td><td>3x1</td><td>8</td><td>PEDAGANG</td><td></td><td>LUAR
KOTA</td><td>UKK PASAR LEGI</td><td>dr. Yuswanto</td><td>P</td><td>55-59
tissue disorders, not elsewhere classified</td><td>SRI SUGIYANTI,
NY</td><td>BUDIYONO, TN</td><td></td><td align='right'>278233</td><td
(Kalk) tablet 500 mg</td><td>1x1</td><td>10</td><td>KARYAWAN SWASTA</td><td>RW
classified</td><td>WIDANARTI, TN</td><td>UKK PASAR LEGI</td><td></td><td
25 mg</td><td>2X1</td><td>8</td><td>PEDAGANG</td><td></td><td>LUAR
WILAYAH</td><td>UKK PASAR LEGI</td><td>dr. Yuswanto</td><td>P</td><td>45-54
tissue disorders, not elsewhere classified</td><td>SULIMAH, NY</td><td>SULIMAH,
NY/UKK PASAR LEGI</td><td></td><td align='right'>278283</td><td
align='right'>90827342</td><td>24-11-2022</td><td>A004</td><td>Allopurinol Tab
100mg</td><td>1x1</td><td>5</td><td>PEDAGANG</td><td></td><td>LUAR
align='right'></td><td align='right'></td><td align='right'>55</td><td>BP.
align='right'></td><td></td><td>K002</td><td>Kalium
Diklofenak tablet 50
tissue disorders, not elsewhere classified</td><td>WAGIYEM, NY</td><td>UKK PASAR
(Kalk) tablet 500 mg</td><td>1x1</td><td>6</td><td>PEDAGANG</td><td></td><td>LUAR
tissue disorders, not elsewhere classified</td><td>SARTINI, NY</td><td>SAMTO
BUDIYONO, TN</td><td></td><td align='right'>278286</td><td
TANGGA</td><td>RW 03</td><td>TIMURAN</td><td>PUSKESMAS INDUK</td><td>dr. Desrina
classified</td><td>SATIM KARTO MULYONO, TN</td><td>SATIM KARTO MULYONO,
06</td><td>KETELAN</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A.
S</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>TANEM, NY</td><td>UKK PASAR LEGI</td><td></td><td
align='right'>X0094447</td><td>24-11-2022</td><td>A009</td><td>Amlodipin tablet 5
mg</td><td>2x1</td><td>6</td><td>PEDAGANG</td><td></td><td>LUAR KOTA</td><td>UKK
PASAR LEGI</td><td>dr. Yuswanto</td><td>P</td><td>60-69
tissue disorders, not elsewhere classified</td><td>ELA NUR, NY</td><td>UKK PASAR
Malaet (CTM) tablet 4
mg</td><td>2x1</td><td>6</td><td>PEDAGANG</td><td></td><td>LUAR WILAYAH</td><td>UKK
PASAR LEGI</td><td>dr. Yuswanto</td><td>P</td><td>45-54
tissue disorders, not elsewhere classified</td><td>SUNARYO, TN</td><td>SUNARYO,
S</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
align='right'></td><td></td><td></td><td></td><td></td><td
align='right'></td><td align='right'></td><td></td><td>T003</td><td>Thiamin 50 mg
classified</td><td>SRIKATIN, TN</td><td>UKK PASAR LEGI</td><td></td><td
tablet 50 mg</td><td>2x1</td><td>6</td><td>PEDAGANG</td><td></td><td>LUAR
tissue disorders, not elsewhere classified</td><td>S. RIVAI WIBOWO AJI,
TN</td><td>S. RIVAI WIBOWO AJI, TN/UKK PASAR LEGI</td><td></td><td
align='right'>x0094443</td><td>24-11-2022</td><td>P006</td><td>Paracetamol Tab
500mg</td><td>3X1</td><td>8</td><td>PENSIUNAN</td><td></td><td>LUAR
KOTA</td><td>UKK PASAR LEGI</td><td>dr. Yuswanto</td><td>L</td><td>>70
tissue disorders, not elsewhere classified</td><td>KIOK NIO AL SRI HARJATI,
NY</td><td>KIOK NIO AL SRI HARJATI, NY</td><td></td><td
Suharto</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN
classified</td><td>FX. KARYOTO, TN</td><td>FX. KARYOTO, TN</td><td></td><td
tablet 50 mg</td><td>2x1</td><td>8</td><td>BURUH HARIAN LEPAS</td><td>RW
Suharto</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>SILVIA CHRISTIE, NN</td><td>DWI YULIANTO, TN</td><td></td><td
0,5 mg</td><td>2x1</td><td>8</td><td>PELAJAR/MAHASISWA</td><td>RW 08</td><td>LUAR
classified</td><td>SUTARMI, NY</td><td>SUTARMI, NY</td><td></td><td
classified</td><td>SRI SUYATI, NY</td><td>SRI SUYATI, NY</td><td></td><td
kaplet 500 mg</td><td>2x1</td><td>8</td><td>MENGURUS RUMAH
TANGGA</td><td></td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Nuri
Sakina Suharto</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>SRI HARTATI PRAPTININGSIH, NY</td><td>SUBANDI,
11-2022</td><td>N002</td><td>Natrium Diklofenac 25
Suharto</td><td>P</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN
classified</td><td>RINIATI, NY</td><td>RINIATI, NY</td><td></td><td
Suharto</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>Lain-
lain</td><td>RAJAL</td><td align='right'>20</td><td align='right'>6</td><td
align='right'></td><td></td><td>A013</td><td>Antasida DOEN I tablet
kunyah</td><td>3x1</td><td>20</td><td></td><td></td><td></td><td></td><td></
tissue disorders, not elsewhere classified</td><td>TRININGSIH, NY</td><td>JUMANTO,
classified</td><td>AGNES YOSEPHINE ERNA MARDIYANTI</td><td>ANTONIUS SARYANTO,
mg</td><td>3x1</td><td>10</td><td>WIRASWASTA</td><td></td><td>KETELAN</
td><td>PUSKESMAS INDUK</td><td>dr. Yuswanto</td><td>P</td><td>60-69
tissue disorders, not elsewhere classified</td><td>MURWATI, NY</td><td>MURWATI,
mg</td><td>1x1</td><td>8</td><td>KARYAWAN
SWASTA</td><td>RW 01</td><td>KETELAN</td><td>PUSLING KETELAN</td><td>THERESIA
NINDA OKTAVIANA, Amd.Kep</td><td>P</td><td>>70
classified</td><td>WARSINI, NY</td><td>RACHMAD WIDIATMOKO, TN</td><td></td><td
kaplet 500 mg</td><td>3x1</td><td>8</td><td>WIRASWASTA</td><td>RW
tissue disorders, not elsewhere classified</td><td>KARMINI, NY</td><td>SOEDARMAN,
classified</td><td>MULYANI, NY</td><td>PRAPTO, TN </td><td></td><td
classified</td><td>YOHANES ILLYAS NUGROHO, TN</td><td>YOHANES ILLYAS NUGROHO,
S</td><td>L</td><td>55-59 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN
classified</td><td>TRIMAN TRISNO MIHARJO, DRS, TN</td><td>TRIMAN TRISNO MIHARJO,
DRS, TN</td><td></td><td align='right'>278612</td><td
mg</td><td>1x1</td><td>10</td><td>PEGAWAI NEGERI SIPIL</td><td>RW 06</td><td>LUAR
S</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
align='right'></td><td></td><td>R001</td><td>Ranitidin tablet 150
classified</td><td>SRI RAHAYU, NY</td><td>RAHMADI, TN</td><td></td><td
mg</td><td>1x1</td><td>10</td><td>TUKANG JAHIT</td><td>RW
classified</td><td>SRI MULYONO, TN</td><td>SRI MULYONO, TN</td><td></td><td
0,5 mg</td><td>3x1</td><td>10</td><td>KARYAWAN SWASTA</td><td>RW
02</td><td>TIMURAN</td><td>PUSKESMAS INDUK</td><td>dr. Desrina Pungky A.
S</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>JKN
align='right'></td><td></td><td>H007</td><td>Hydrocortison Krim 2,5 %</td><td>2X1
align='right'></td><td></td><td>S014</td><td>Siprofloxasin 500 mg
Tab</td><td>2x1</td><td>6</td><td></td><td></td><td></td><td></td><td></td><td></
classified</td><td>SUWARNI,NY</td><td>SUMARI PRAWIRA ATMAJA , TN</td><td></td><td
classified</td><td>DWI MURWANTO,TN</td><td>SUNARTI,NY</td><td></td><td
align='right'>45</td><td>UGD</td><td></td><td></td><td>Dalam
classified</td><td>MURTININGSIH, NY</td><td>SUPRIYANTO ,TN</td><td></td><td
04</td><td>KEPRABON</td><td>PUSLING KEPRABON</td><td>dr. Desrina Pungky A.
classified</td><td>SUDARMI, NY</td><td>INDRO, TN</td><td></td><td
TANGGA</td><td>RW 05</td><td>SETABELAN</td><td>PUSKESMAS INDUK</td><td>dr.
classified</td><td>AQILA PRAMUDITA,AN</td><td>EDY PRANOTO, TN</td><td></td><td
align='right'>X1005107</td><td>28-11-2022</td><td>K002</td><td>Kalium Diklofenak
tablet 50 mg</td><td>2x1</td><td>10</td><td>PELAJAR/MAHASISWA</td><td>RW
02</td><td>SETABELAN</td><td>PUSTU TIMURAN</td><td>dr.
Yuswanto</td><td>L</td><td>15-19 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
align='right'></td><td></td><td>O007</td><td>Omeprazole Kapsul 20
classified</td><td>ISBANDRIYATI, NY</td><td>ISBANDRIYATI, NY</td><td></td><td
0,5 mg</td><td>3x1</td><td>6</td><td>KARYAWAN SWASTA</td><td></td><td>LUAR
align='right'>11</td><td align='right'></td><td align='right'>59</td><td>Poli
Khusus</td><td></td><td></td><td>Luar
classified</td><td>SUNARDI, TN</td><td>SUNARDI, TN</td><td></td><td
(Kalk) tablet 500 mg</td><td>1x1</td><td>6</td><td>WIRASWASTA</td><td>RW
08</td><td>SETABELAN</td><td>PUSLING SETABELAN</td><td>dr. Desrina Pungky A.
S</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN Non
classified</td><td>JUMIDAH, NY</td><td>SUPARYANTO, TN</td><td></td><td
classified</td><td>WURYANI, NY</td><td>WURYANI, NY</td><td></td><td
0,5 mg</td><td>2x1</td><td>6</td><td>PEDAGANG</td><td></td><td>LUAR
align='right'></td><td></td><td></td><td></td><td></td><td
align='right'></td><td align='right'></td><td></td><td>V004</td><td>Vitamin B
Kompleks tablet</td><td>2x1</td><td>6</td><td></td><td></td><td></td><td></
td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td
tissue disorders, not elsewhere classified</td><td>HANI TIANASWATI,
NY</td><td>SUGIYANTO,TN</td><td></td><td align='right'>278778</td><td
kaplet 500 mg</td><td>2x1</td><td>6</td><td>PEGAWAI NEGERI
SIPIL</td><td></td><td>LUAR WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr.
classified</td><td>SUMARSIH, NY</td><td>AGUS TRIANTO, TN</td><td></td><td
04</td><td>KETELAN</td><td>PUSTU TIMURAN</td><td>dr. Yuswanto</td><td>P</td><td>45-
54 Thn.</td><td>Keluarga</td><td>Lama</td><td>JKN PBI</td><td>RAJAL</td><td
classified</td><td>ENI PUJIASTUTI PRAYITNO, NY</td><td>ENI PUJIASTUTI PRAYITNO,
Suharto</td><td>P</td><td>>70
tissue disorders, not elsewhere classified</td><td>SRI
LESTARI,NY</td><td>HARYONO,TN</td><td></td><td align='right'>278944</td><td
01</td><td>KETELAN</td><td>PUSKESMAS INDUK</td><td>dr. Nuri Sakina
classified</td><td>MINGKI ANDJAR SETIJADI, TN</td><td>MINGKI ANDJAR SETIJADI,
mg</td><td>1x1</td><td>10</td><td>WIRASWASTA</td><td>RW 01</td><td>LUAR
classified</td><td>SUKIDI, TN</td><td>SUKIDI, TN</td><td></td><td
mg</td><td>1X1</td><td>10</td><td>WIRASWASTA</td><td>RW 02</td><td>LUAR
WILAYAH</td><td>PUSKESMAS INDUK</td><td>dr. Yuswanto</td><td>L</td><td>>70
align='right'>28</td><td align='right'>0</td><td align='right'>70</td><td>Poli
Khusus</td><td></td><td></td><td>Luar
classified</td><td>TRININGSIH, NY</td><td>JUMANTO, TN</td><td></td><td
align='right'>40038301</td><td>30-11-2022</td><td>K003</td><td>Kalsium
Laktat (Kalk) tablet 500 mg</td><td>1x1</td><td>10</td><td>MENGURUS RUMAH
TANGGA</td><td>RW 03</td><td>TIMURAN</td><td>PUSKESMAS INDUK</td><td>dr. Nuri
Sakina Suharto</td><td>P</td><td>20-44
Wilayah</td><td>'0002042488607</td><td></td></tr></table>

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<h2>DATA DIAGNOSIS PASIEN PUSKESMAS</h2>

Periode : 01-11-2022 s/d 30-11-2022<br>Kode Penyakit = m79<br>

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