Pemeriksaan HIV

DATE RANGE: 01-01-2022 TO 31-01-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 03-01-2022 220103019 16001945 INDAH OKTANTI C HAIRUN NISA 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
2 04-01-2022 220104056 22000124 YANTI PURWATI 19Y F VK dr. Putri Intan Nurrahma NON REAC TIVE
3 05-01-2022 220105020 22000154 DR EZZY PRISTINI 33Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
4 06-01-2022 220106043 22000221 TOPIK ABDULLAH 27Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
5 06-01-2022 220106060 22000235 AHMAD HARIS 24Y M IGD dr. Anisa Tri Astuti NON REAC TIVE
6 07-01-2022 220107031 21001178 AURORA MEGA 29Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
7 08-01-2022 220108044 22000260 FAISAL IQBAR 25Y M IGD dr. Annisa Sekar S. NON REAC TIVE
8 10-01-2022 220110018 22000217 LILY SUNDARI 58Y F Poliklinik Penyakit Dalam dr. M. Trihatmowijoyo Bundjali, SpPD NON REAC TIVE
9 10-01-2022 220110060 20003980 NINA APRILIANA 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
10 11-01-2022 220111041 22000399 ALOYSIUS TRI SEPTIANTO 32Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
11 13-01-2022 220113026 22000483 ILHAMSYAH FIKY 23Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
12 14-01-2022 220114049 19002504 IIN SARTIKA 19Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
13 15-01-2022 220115020 22000567 MARLINA ASTARINA 23Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
14 15-01-2022 220115027 17005301 ZUHROTULLAILA 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
15 15-01-2022 220115034 19013800 BELLA EDYNAR 25Y F VK dr. C itra Dewi, SpOG NON REAC TIVE
16 17-01-2022 220117041 22000620 RUNI YULIANTI 44Y F Poliklinik Penyakit Dalam dr. Manuel Lamberto Willem Mboeik, SpPD NON REAC TIVE
17 17-01-2022 220117045 18017255 ARI AMBARWATI 41Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
18 18-01-2022 220118043 21009225 SALWA AGATHA PUSPITA 19Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
19 20-01-2022 220120027 22000743 YOKI KONDANG 26Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
20 20-01-2022 220120033 22000749 M. AROF S 56Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
21 20-01-2022 220120039 21003569 C ANTIKA AVRIANE 21Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
22 20-01-2022 220120044 19010322 DERTI PANAHA 46Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
23 20-01-2022 220120045 21008206 DIAN KUSUMANINGSIH 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
24 24-01-2022 220124011 22000628 YULIAWATI 41Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
25 24-01-2022 220124023 22000883 ELIN 37Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
26 25-01-2022 220125017 22000950 LA ODE ALIMIN 27Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
27 26-01-2022 220126046 17021955 C HOIRIYAH YULIANA 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
28 27-01-2022 220127045 18008467 IRMA WIJAYANTI 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
29 27-01-2022 220127046 17005468 ANGGUN ROSNITA 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-02-2022 TO 28-02-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 02-02-2022 220202035 22001262 EVI 26Y F IGD dr. Anisa Tri Astuti NON REAC TIVE
2 02-02-2022 220202062 18015471 TOPAN HERI 32Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
3 02-02-2022 220202076 21008305 NUNUNG NURDIN 43Y M Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
4 02-02-2022 220202077 22000067 RATNA SULISTIANI 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
5 04-02-2022 220204007 22001340 NURDIN UMAR DARISE 50Y M TERUMBU 2 dr. Manuel Lamberto Willem Mboeik, SpPD NON REAC TIVE
6 04-02-2022 220204049 20013821 RINA MARTHINA 30Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
7 05-02-2022 220205057 22001397 C YNTHIA ANDINI 20Y F IGD dr. Titus Lesmana NON REAC TIVE
8 07-02-2022 220207068 22001439 LENA A HERDIYANTI 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
9 08-02-2022 220208033 16004804 DISKA NARULITA 30Y F Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
10 08-02-2022 220208047 22001432 FRISTIA IGA 27Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
11 09-02-2022 220209033 18022649 DIAN FAPRIYANI 27Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
12 11-02-2022 220211021 22001496 ISKANDAR ANDI ANGGA 59Y M TERUMBU 2 dr. Manuel Lamberto Willem Mboeik, SpPD NON REAC TIVE
13 11-02-2022 220211054 22000574 PANDI 73Y M Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
14 16-02-2022 220216041 22000980 SINTA PURNAMASARI 31Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
15 18-02-2022 220218002 18005183 TARSIMAH IPIT 59Y F MUTIARA 2 dr. Handoyo Dharma Tjipto NON REAC TIVE
16 20-02-2022 220220021 22001823 IWA KARTIWA 26Y M IGD dr. Annisa Sekar S. NON REAC TIVE
17 21-02-2022 220221060 18014829 EVA ANDRIYANI 39Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
18 23-02-2022 220223031 20013409 SEPTRIYANI 27Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
19 23-02-2022 220223038 16000603 ERIKA SEPTIVIC TIAS 30Y F PONEK dr. Annisa Sekar S. NON REAC TIVE
20 24-02-2022 220224032 20010567 AZHAR NUGROHO 21Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
21 25-02-2022 220225018 18011244 MUHAMMAD NASHER 22Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
22 25-02-2022 220225019 22001912 MIRNA YUNITA 28Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
23 25-02-2022 220225023 22001911 RAC HMAT MUWARDI 26Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
24 25-02-2022 220225024 20009511 INTAN NURHALIZA 12Y F Poliklinik Anak DR. DIAN NON REAC TIVE
25 25-02-2022 220225043 21005292 MUHAMMAD SYAIFUDIN 30Y M Poliklinik Penyakit Dalam dr. M. Trihatmowijoyo Bundjali, SpPD NON REAC TIVE
26 25-02-2022 220225047 22001920 GUSTI SURYANDARI 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-03-2022 TO 31-03-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 01-03-2022 220301047 16002046 IKA SAFITRI 31Y F Poliklinik Lavender dr. Rani Septiani NON REAC TIVE
2 01-03-2022 220301060 22001665 DEVI ROMADHONI 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
3 01-03-2022 220301066 16011079 SUSY JANI 48Y F IGD dr. C itra Dewi, SpOG NON REAC TIVE
4 06-03-2022 220306024 22002124 C HANDRA MULYANA 23Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
5 07-03-2022 220307067 22002170 ADYSTI NABILA PUTRI 20Y F IGD dr. Annisa Sekar S. NON REAC TIVE
6 08-03-2022 220308060 22002210 AGUS TRIYANTO 27Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
7 09-03-2022 220309040 22001886 SITI NUR MUHIMAH 29Y F MUTIARA 2 dr. C itra Dewi, SpOG NON REAC TIVE
8 10-03-2022 220310041 22002151 DWI SEPTIANY 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
9 11-03-2022 220311068 22002066 AMELINDA TRISNA PUTRI 17Y F MUTIARA 2 dr. Nevy Oktavia A. NON REAC TIVE
10 12-03-2022 220312038 22002204 NURAINI 20Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
11 12-03-2022 220312044 16000720 WIDIANTO RAMADHAN 21Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
12 14-03-2022 220314055 17016247 IDA FAULIDA 30Y F PONEK dr. Nevy Oktavia A. NON REAC TIVE
13 16-03-2022 220316047 21008919 FARHAN IBRAHIM 17Y M Poliklinik Anak DR. DIAN REAC TIVE
14 17-03-2022 220317009 22000019 SANDY PRASETYO 35Y M MANGROVE 2 dr. Rani Septiani REAC TIVE
15 18-03-2022 220318056 21000644 EDITH MUTIA 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
16 18-03-2022 220318077 18001526 RIANTI SIREGAR 33Y F MUTIARA 2 dr. C itra Dewi, SpOG NON REAC TIVE
17 19-03-2022 220319025 22002534 ULYA LATHIFAH 26Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
18 19-03-2022 220319037 17015307 AYU EKA SAPUTRI 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
19 19-03-2022 220319038 18003598 IIN SUTINAH 37Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
20 19-03-2022 220319041 21010071 KHOBIBAH OLIVIA 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
21 23-03-2022 220323055 16003346 MULYANI 39Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
22 23-03-2022 220323062 19009593 PRASETYA LAKSONO 25Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
23 24-03-2022 220324008 21000817 HARSITI 42Y F PONEK dr. Nugraha Akbar C . NON REAC TIVE
24 25-03-2022 220325027 22001615 MILDA IRMAWANTI 27Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
25 25-03-2022 220325053 22002715 NIA KURNIA 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
26 26-03-2022 220326041 16006350 ASSYIFA AWALIA 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
27 28-03-2022 220328026 21002381 LOURA VISTA 24Y F IGD dr. Rani Septiani NON REAC TIVE
28 28-03-2022 220328036 22002788 ELIZA GRAC IA 31Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
29 28-03-2022 220328038 17014618 DIAN MERIAWATI 34Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
30 28-03-2022 220328073 22002735 MOHAMAD TAUFIK 18Y M NYIUR 2 dr. Putri Intan Nurrahma NON REAC TIVE
31 29-03-2022 220329023 20004745 YOGI SURYONO 48Y M Poliklinik Penyakit Dalam 073 REAC TIVE
32 29-03-2022 220329058 22002431 TAYIBU TAHIR 29Y M Poliklinik Penyakit Dalam dr. M. Trihatmowijoyo Bundjali, SpPD REAC TIVE
33 30-03-2022 220330051 22002737 BERLIANA RUTH YUNITA 27Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
34 30-03-2022 220330053 17011595 TRI HASTUTI 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
35 30-03-2022 220330057 21007797 YULIA RAHAYU 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
36 31-03-2022 220331042 18016973 ROSMIATY PURBA 44Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-04-2022 TO 30-04-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 01-04-2022 220401069 20015697 DINI AYU APRILIANTI 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
2 01-04-2022 220401070 19016252 SEPTI WIDIANTINI 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
3 04-04-2022 220404047 19003071 YANE SUSANTI 38Y F PONEK dr. Rani Septiani NON REAC TIVE
4 04-04-2022 220404076 19006898 YOVITA ARIANI 25Y F Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
5 04-04-2022 220404077 17000083 DENA NUR INDAH SARI 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
6 04-04-2022 220404083 21006996 LAILATUL QODRIYAH 28Y F MUTIARA 2 dr. C itra Dewi, SpOG NON REAC TIVE
7 05-04-2022 220405028 22002471 WIWI LESTIOWATI 30Y F PONEK dr. Rani Septiani NON REAC TIVE
8 05-04-2022 220405054 16000260 NURHAYATI 78Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
9 05-04-2022 220405055 22002394 YENY C ANIA 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
10 05-04-2022 220405063 22003082 RIN SETIYANGSIH 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
11 06-04-2022 220406049 21006846 HERI HARYONO 38Y M Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
12 06-04-2022 220406053 21011232 FERA LUSIANA 56Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
13 06-04-2022 220406063 18020765 PINA INDRAYANI 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
14 06-04-2022 220406064 22003160 SULKIPLI 26Y M Poliklinik Lavender dr. Anisa Tri Astuti REAC TIVE
15 06-04-2022 220406065 21010306 RIZKI AMDIKA 26Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
16 06-04-2022 220406071 20007765 OMI 34Y F PONEK dr. Masrida R. Ritonga NON REAC TIVE
17 07-04-2022 220407067 22003225 RIZKY ARIANI 26Y F PONEK dr. Nugraha Akbar C . NON REAC TIVE
18 08-04-2022 220408051 22003015 DJOKO PURNOMO 57Y M Poliklinik Penyakit Dalam dr. M. Trihatmowijoyo Bundjali, SpPD NON REAC TIVE
19 08-04-2022 220408055 21008511 DIAH C HAERANI 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
20 09-04-2022 220409066 20007049 RENO PUJI 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
21 11-04-2022 220411044 21004319 IIS ISTIHAROH 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
22 11-04-2022 220411052 22002461 ABRISHAM EL BARRA 2Y M Poliklinik Anak dr. Dwi Nurani Diningsih NON REAC TIVE
23 12-04-2022 220412045 17022788 TYAS YUNISTIA 31Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
24 12-04-2022 220412050 22002030 SERANIYAH MEGA 20Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
25 12-04-2022 220412053 16007042 SEPRI WANI 31Y F Poliklinik MC U dr. Rani Septiani NON REAC TIVE
26 12-04-2022 220412054 19015993 ARI DWI 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
27 12-04-2022 220412095 22003417 AGUSTRIO WAHYUDI 22Y M IGD dr. Dedek Arman NON REAC TIVE
28 13-04-2022 220413053 22003435 SEPTIANI NAWANGWULAN 28Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
29 13-04-2022 220413083 22003456 OKTAVIANDI GERALDO 18Y M IGD dr. Manuel Lamberto Willem Mboeik, SpPD NON REAC TIVE
30 15-04-2022 220415038 22003509 VEGA FEBRIANSYAH 21Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
31 16-04-2022 220416036 22003058 DEWI SAWITRI 35Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
32 16-04-2022 220416037 22003472 HERGIA LUPITA 27Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
33 17-04-2022 220417031 22003564 MUHAMMAD RIZKY FATTAN 22Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
34 18-04-2022 220418031 21011641 ANNISA AYU 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
35 18-04-2022 220418066 21009630 WARMI 62Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
36 18-04-2022 220418067 20014768 RIRI MARYATI 35Y F PONEK dr. C itra Dewi, SpOG NON REAC TIVE
37 18-04-2022 220418071 17007905 JESSIC A EKA PUTRI 26Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
38 19-04-2022 220419040 20000388 RANI SEPTIANI 29Y F Poliklinik Lavender dr. Dedek Arman NON REAC TIVE
39 19-04-2022 220419053 22003616 DEVI LIANAH 21Y F VK dr. Dedek Arman NON REAC TIVE
40 19-04-2022 220419055 17007525 LINA ISMAYA 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
41 19-04-2022 220419090 22003642 NUR AINA 17Y F IGD dr. Anisa Tri Astuti NON REAC TIVE
42 20-04-2022 220420051 22003296 VIC A LOVE AURELIA A 21Y F Poliklinik MC U dr. Galuh Indah Sari NON REAC TIVE
43 20-04-2022 220420054 20006972 RAHMAWATI 34Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
44 20-04-2022 220420060 22003668 MANSYUR ALAMSYAH 51Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
45 21-04-2022 220421053 22003554 SIELVY MARIA 50Y F NYIUR 1 dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
46 22-04-2022 220422052 19000023 MAI FATMAWATI 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
47 22-04-2022 220422053 17016290 DAFFA ARIYANSA 13Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
48 23-04-2022 220423043 18015182 DEWI FITRIYANTI 27Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
49 23-04-2022 220423072 19014623 REZA FAHLEPY 32Y M IGD dr. Annisa Sekar S. NON REAC TIVE
50 25-04-2022 220425062 22003572 TRI OKTAVIANI 21Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
51 25-04-2022 220425063 16005647 SAFIRA AZMI 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
52 25-04-2022 220425067 22003859 SONIA GABRILLIA 19Y F Poliklinik MC U dr. Galuh Indah Sari NON REAC TIVE
53 26-04-2022 220426053 22001883 RAHMAWATI 20Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
54 27-04-2022 220427050 19005572 MUHAMMAD FARID 6Y M Poliklinik Anak dr. Dwi Nurani Diningsih NON REAC TIVE
55 29-04-2022 220429030 16011179 SULAEHA 50Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
56 29-04-2022 220429038 18020930 MUHAMMAD RAYEES 3Y M Poliklinik Anak dr. Dwi Nurani Diningsih NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-05-2022 TO 31-05-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 02-05-2022 220502017 17000704 FIKA HERMAYANI 33Y F PONEK dr. Dedek Arman NON REAC TIVE
2 04-05-2022 220504078 22004104 NURYATI 45Y F IGD dr. M. Afriadi Hamdan, SpPD REAC TIVE
3 06-05-2022 220506022 22003608 ERNA TRIYANA 37Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
4 06-05-2022 220506036 21011534 JEANE JEQUELINE 40Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
5 08-05-2022 220508009 22004195 NUR AINI 57Y F NYIUR 1 dr. Samiaji Abbas Ras NON REAC TIVE
6 08-05-2022 220508037 22004219 ASEP ARIFIN 33Y M IGD dr. Titus Lesmana NON REAC TIVE
7 09-05-2022 220509009 17013127 SINDI PRATIWI 27Y F Poliklinik Obgyn dr. Jimmy T. Sitorus, SpOG NON REAC TIVE
8 09-05-2022 220509057 21010793 ATTA SYARIF 1Y M Poliklinik Anak dr. Dwi Nurani Diningsih NON REAC TIVE
9 10-05-2022 220510060 22004263 FIRDHA GANEFIA 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
10 10-05-2022 220510061 17021201 NIRYATI 39Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
11 11-05-2022 220511054 16002383 MAYLANI BUDIMAN 28Y F IGD dr. C itra Dewi, SpOG NON REAC TIVE
12 12-05-2022 220512007 22004267 OKA INDRIANI 27Y F NYIUR 1 dr. Dedek Arman NON REAC TIVE
13 12-05-2022 220512200 22051220 C HAIRUL ANWAR 36Y M Rawat Jalan/Luar N/A NON REAC TIVE
14 12-05-2022 220512074 22004391 LUC KY MARC OLIE 20Y M IGD dr. Masrida R. Ritonga NON REAC TIVE
15 13-05-2022 220513032 22004376 RIZKA AFRILYANI 27Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
16 14-05-2022 220514053 22004414 SYAFIRA YASMIN AL BAHRI 20Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
17 17-05-2022 220517006 17014745 TEMMY JANUARISA 35Y F VK dr. Randy Anindito REAC TIVE
18 17-05-2022 220517078 19017787 DINE ROHAENI 22Y F PONEK dr. Handoyo Dharma Tjipto NON REAC TIVE
19 18-05-2022 220518052 16010312 MASNI 78Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
20 19-05-2022 220519010 21001855 ADITIA NATAPRAWIRA 24Y M TERUMBU dr. Nugraha Akbar C . NON REAC TIVE
21 19-05-2022 220519056 22004615 MARLINA 43Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
22 19-05-2022 220519083 22001835 INDAH SOLEHA 21Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
23 19-05-2022 220519084 22004638 HERDIAN NURC AHYO 27Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
24 20-05-2022 220520030 22004656 BONAZZOLI SINAMBELA 35Y M Poliklinik Penyakit Dalam dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
25 20-05-2022 220520059 22003572 TRI OKTAVIANI 21Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
26 20-05-2022 220520073 22003896 TRIYONO SETIAWAN 20Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
27 21-05-2022 220521048 18019582 WIDIYA ASTUTI 36Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
28 23-05-2022 220523068 21010487 WAODE ELEYNA TIERA 7Y F Poliklinik Anak dr. Sansan Suhelda, Sp.A NON REAC TIVE
29 25-05-2022 220525070 18000495 SARNAH 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
30 25-05-2022 220525075 22004603 ATIKAH SUWANDI 19Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
31 27-05-2022 220527066 19018638 ASRIED APRILIA 25Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
32 27-05-2022 220527073 22004879 UJANG PRIBADI 55Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
33 27-05-2022 220527097 20015417 NUR LINAWATI 44Y F Poliklinik Obgyn dr. Masrida R. Ritonga NON REAC TIVE
34 28-05-2022 220528051 19012206 LAELATUL BADRIAH 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
35 30-05-2022 220530050 16007244 SOPARUDIN 33Y M Poliklinik Penyakit Dalam dr. Manuel Lamberto Willem Mboeik, SpPD NON REAC TIVE
36 31-05-2022 220531009 22004825 HENI ANGRAENI 43Y F TERUMBU 1 dr. Manuel Lamberto Willem Mboeik, SpPD NON REAC TIVE
37 31-05-2022 220531041 17007475 MERRY NATALIA SULING 36Y F Poliklinik Penyakit Dalam dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
38 31-05-2022 220531055 19022901 NUR AFNI 37Y F Poliklinik Penyakit Dalam dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
39 31-05-2022 220531057 16001879 AYU FEBRIYANTI 32Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-06-2022 TO 30-06-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 04-06-2022 220604004 19003355 HALIM TATONTOS 55Y M MANGROVE 2 dr. Nugraha Akbar C . NON REAC TIVE
2 05-06-2022 220605021 21002146 PUTRI INTAN NURRAHMA 28Y F Laboratorium dr. Putri Intan Nurrahma NON REAC TIVE
3 06-06-2022 220606033 20012058 SUBIYATI 40Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
4 06-06-2022 220606051 18024132 WINDA AYU F 34Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
5 06-06-2022 220606053 22005276 FATMA YULIANTI 23Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
6 07-06-2022 220607056 22005324 SUTRISNO 20Y M Poliklinik MC U dr. Supanto Kustriyono REAC TIVE
7 08-06-2022 220608013 19017759 dr. C ITRA DEWI, Sp.OG 36Y F Poliklinik MC U dr. C itra Dewi, SpOG NON REAC TIVE
8 09-06-2022 220609049 22005401 ELFRIEDA KERIDUTI SITORUS 53Y F Poliklinik Bedah dr. Endra Purnawan, Sp.B NON REAC TIVE
9 13-06-2022 220613044 22005537 INDAH WIDIYANTI 21Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
10 13-06-2022 220613057 22004175 ANDI INTAN DITYA 15Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
11 13-06-2022 220613063 22005541 ARDI 24Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
12 13-06-2022 220613068 17016801 OKTALIYANI 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
13 14-06-2022 220614044 22005256 HUROTUL AENI 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
14 14-06-2022 220614046 22006228 SUC I ASTUTI 39Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
15 14-06-2022 220614051 22004360 ANGGIE SAFITRI 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
16 15-06-2022 220615022 22006274 DARIENT YOHANES 23Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
17 15-06-2022 220615030 22006281 MOHAMAD LOMRI 32Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
18 15-06-2022 220615045 21009884 SENOPATI RAHADI M. 6Y M Poliklinik Anak dr. Sansan Suhelda, Sp.A NON REAC TIVE
19 15-06-2022 220615046 22006230 IRMA 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
20 16-06-2022 220616065 22005106 RINA SEPTIANI 30Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
21 17-06-2022 220617020 22006354 DONI ROSDIANTO PUTRA 24Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
22 20-06-2022 220620064 21009949 ESTY HANNA PASARIBU 26Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
23 20-06-2022 220620067 16004999 ATIK PURWANTI 47Y F Poliklinik Obgyn dr. Jimmy T. Sitorus, SpOG NON REAC TIVE
24 22-06-2022 220622048 21009001 NETI ERNAWATI 53Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
25 23-06-2022 220623046 17017376 KARLAWATY LUKMAN 38Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
26 24-06-2022 220624006 2206640 KARTIKA OKTAVIAH 34Y F PONEK dr. Randy Anindito NON REAC TIVE
27 24-06-2022 220624034 21002381 LOURA VISTA 24Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
28 24-06-2022 220624045 22006661 KANAYA RENATHA BESARE 21Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
29 24-06-2022 220624067 22004358 SULTANA HASAN SALIM 25Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
30 25-06-2022 220625036 22006722 SITI WARDANI 26Y F PONEK dr. Annisa Sekar S. NON REAC TIVE
31 27-06-2022 220627080 18014085 PARTA LUBIS 27Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
32 30-06-2022 220630009 20001272 HANA PERTIWI 29Y F PONEK dr. Randy Anindito NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-07-2022 TO 31-07-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 01-07-2022 220701045 16002410 SITI MARDIAH 34Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
2 01-07-2022 220701072 19006724 YUSTIA NINGSIH 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
3 04-07-2022 220704070 22006780 REFALISA DUWILA 15Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
4 04-07-2022 220704078 22006237 INDRA LESMANA 41Y M Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
5 04-07-2022 220704082 22007124 MELA NOVI SAFITRI 17Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
6 04-07-2022 220704084 22006945 TRI UTAMI 21Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
7 04-07-2022 220704085 18014722 ANITA 41Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
8 04-07-2022 220704098 22004630 YULI ANITASARI 31Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
9 04-07-2022 220704101 21009389 SUMI HARTINI 36Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
10 05-07-2022 220705035 22004597 RIYANTI 29Y F Poliklinik Obgyn dr. Jimmy T. Sitorus, SpOG NON REAC TIVE
11 05-07-2022 220705052 22004906 ERNAWATI 32Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
12 05-07-2022 220705058 22007130 DESY NATALIA 32Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
13 05-07-2022 220705066 20002394 C AHYONO 25Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
14 05-07-2022 220705068 17006160 DEDEH MARYATI 37Y F Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
15 06-07-2022 220706060 22007217 YOLANDA FITRIA 17Y F PONEK dr. Dedek Arman NON REAC TIVE
16 07-07-2022 220707063 18005516 SARAH ANNISA 23Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
17 07-07-2022 220707068 17010475 ISNI KARLINA 30Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
18 08-07-2022 220708048 18024407 MELINDA WATI 42Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
19 08-07-2022 220708052 22002966 ADI SURYA 45Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
20 08-07-2022 220708057 19020410 DINNI ZAHARINI 43Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
21 08-07-2022 220708066 22004119 NURHAYATI 49Y F Poliklinik Penyakit Dalam dr. Yosepha Dwiyana, SpPK NON REAC TIVE
22 08-07-2022 220708073 16006521 VIC RI RAJIEV 33Y M IGD dr. Dedek Arman NON REAC TIVE
23 11-07-2022 220711022 22007388 IKE MAWARTI 30Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
24 11-07-2022 220711065 22003211 TRIWIJI ASIH 27Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
25 11-07-2022 220711066 18016973 ROSMIATY PURBA 44Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
26 12-07-2022 220712010 22007348 ABED NEGO 25Y M TERUMBU dr. Manuel Lamberto Willem Mboeik, SpPD NON REAC TIVE
27 12-07-2022 220712115 22007499 PERDANA ING NEGARA 37Y M IGD dr. Dedek Arman REAC TIVE
28 13-07-2022 220713040 22007518 INDAH PERMATASARI 29Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
29 13-07-2022 220713082 22007148 DIAN PERMATA PUTRI 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
30 14-07-2022 220714090 18015267 PUJI LESTARI 34Y F Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
31 14-07-2022 220714101 22005066 SUGENG RIYADI 25Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
32 15-07-2022 220715040 18015887 SITI AYSAH 40Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
33 15-07-2022 220715066 18016529 NARIYAH SRI 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
34 15-07-2022 220715080 17002267 SYAREEFA RAZANI 6Y F Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
35 15-07-2022 220715081 22007621 RAZKA ZIYAD 3Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
36 16-07-2022 220716048 19009801 OSVALDO VIC TOR 26Y M Poliklinik MC U dr. Supanto Kustriyono REAC TIVE
37 17-07-2022 220717020 22007671 AGUS PERMANA 22Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
38 18-07-2022 220718068 22006321 DELI YANA DARIM 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
39 20-07-2022 220720047 22007823 EDI MARTONO 36Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
40 20-07-2022 220720048 18020044 SAPTIYAH 54Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
41 20-07-2022 220720007 22007812 NAOMY PANJAITAN 24Y F VK dr. Annisa Sekar S. NON REAC TIVE
42 22-07-2022 220722060 17014874 MUHAMAD ODI 20Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
43 23-07-2022 220723061 20016497 OLVANKA IVANA 22Y F MUTIARA 2 dr. C itra Dewi, SpOG NON REAC TIVE
44 26-07-2022 220726067 22008107 DIFA ARIEF PRATAMA 23Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
45 27-07-2022 220727052 22007971 DINA SALSABILA 20Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
46 27-07-2022 220727063 21007225 SUGIYEM 44Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
47 27-07-2022 220727080 22008161 AILIA ZAHRA 5Y F Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
48 28-07-2022 220728043 22008205 C HRISTOVEL JOEL 23Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
49 28-07-2022 220728044 22008204 SYERREN C INDY FREDERIKE 19Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
50 29-07-2022 220729028 16001861 NURHAYATI 32Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
51 29-07-2022 220729057 19016150 YULIA EMAWATI 34Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
52 29-07-2022 220729065 17003107 DESI KOMALASARI 24Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
53 31-07-2022 220731018 16000720 WIDIANTO RAMADHAN 21Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-08-2022 TO 31-08-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 01-08-2022 220801048 19019032 NUR ISMIYATI 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
2 01-08-2022 220801051 22008203 ASYVA KHOIRIYAH 11Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
3 03-08-2022 220803042 22008478 MUJO KUSUMO 46Y M IGD dr. Rani Septiani NON REAC TIVE
4 03-08-2022 220803055 21007097 SITI NURJANAH 38Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
5 03-08-2022 220803056 18018057 WARSUNI 49Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
6 05-08-2022 220805030 17021787 ABDUL NASSER 52Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
7 05-08-2022 220805031 22008555 ANDINI IMALATUN NISA 12Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
8 05-08-2022 220805040 22005299 SAMSUDIN 57Y M Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
9 05-08-2022 220805045 22000700 HESTI JUNIARTI 35Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
10 05-08-2022 220805049 18007661 SRI SUSIATUN 41Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
11 06-08-2022 220806047 21007487 REVA DIAN 22Y F MANGROVE 2 dr. Manuel Lamberto Willem Mboeik, SpPD NON REAC TIVE
12 08-08-2022 220808028 21004500 INDAH WULAN S 34Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
13 08-08-2022 220808060 20009786 WIDYA WULANDARI 29Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
14 10-08-2022 220810027 22002254 ODY T 55Y M Poliklinik Penyakit Dalam dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
15 10-08-2022 220810031 22005092 RODIAH 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
16 10-08-2022 220810052 22000487 SUPATMI 58Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
17 10-08-2022 220810053 19004163 SUMIYATI 73Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
18 10-08-2022 220810054 22008781 DASIR 42Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
19 10-08-2022 220810055 20007596 KENZO ARGA 2Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
20 10-08-2022 220810080 22008785 RIDO'I 39Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
21 10-08-2022 220810091 22008811 RIKA WAHYUNIA 27Y F PONEK dr. Anisa Tri Astuti NON REAC TIVE
22 11-08-2022 220811031 22008826 ANDINA SISWAN LUC KY 25Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
23 12-08-2022 220812006 20004858 AQLAN HARITH 2Y M ALGAE 1 dr. Dian Rosita Devy, Sp.A NON REAC TIVE
24 12-08-2022 220812052 16008847 LISA TIARA AGUSTIN 30Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
25 15-08-2022 220815059 17005258 EVA NURLIA 36Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
26 16-08-2022 220816022 22009042 HAMIDAH 36Y F PONEK dr. Nevy Oktavia A. NON REAC TIVE
27 16-08-2022 220816068 17000081 DARMANTO 37Y M Poliklinik Penyakit Dalam dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
28 18-08-2022 220818041 22009130 ATIKA PURNAMA SARI 33Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
29 19-08-2022 220819048 22009167 YENI ROSYATUN 35Y F Poliklinik Penyakit Dalam dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
30 19-08-2022 220819054 22008676 EVITA OKTAVIANA 22Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
31 19-08-2022 220819055 17003372 PUJI IRAWATI 42Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
32 19-08-2022 220819056 22009066 SAIFUL IMRON 54Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
33 19-08-2022 220819065 22008896 PUTRI INDAH HAYATI 33Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
34 19-08-2022 220819066 22009116 SRI MULYANI 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
35 20-08-2022 220820012 18016509 NURMELI 33Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
36 20-08-2022 220820050 22002917 SITI SUMYATI 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
37 22-08-2022 220822031 22009169 RINI PURWATI 27Y F PONEK dr. Rani Septiani NON REAC TIVE
38 22-08-2022 220822050 22009261 FITRI HANDAYANI 26Y F VK dr. Nevy Oktavia A. NON REAC TIVE
39 22-08-2022 220822052 19008972 OONG SUMARNA 54Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
40 22-08-2022 220822059 22009290 NUR LITA 17Y F PONEK dr. Masrida R. Ritonga NON REAC TIVE
41 22-08-2022 220822061 22008384 JUWITA MARLENA 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
42 24-08-2022 220824048 22006237 INDRA LESMANA 41Y M Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
43 24-08-2022 220824049 22007384 RAKHMAWATI NURUL 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
44 26-08-2022 220826051 22002529 ROSO PURWANTO 51Y M Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
45 26-08-2022 220826058 22007674 KUSUMAWATI 34Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
46 27-08-2022 220827039 22008215 ANGGUN PERTIWI 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
47 27-08-2022 220827069 22009476 JENI FLORIDA 33Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
48 27-08-2022 220827084 16006904 MARBORAS SIMARMATA 16Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
49 28-08-2022 220828045 19013824 EDI SISWANTO 50Y M IGD dr. Anisa Tri Astuti NON REAC TIVE
50 30-08-2022 220830037 22009588 DESTI DIAH 24Y F MUTIARA 2 dr. Nevy Oktavia A. NON REAC TIVE
51 30-08-2022 220830046 22009466 ALIF FIRDAUS 25Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
52 30-08-2022 220830062 18011975 MUHAMMAD IHSAN 24Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-09-2022 TO 30-09-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 01-09-2022 220901079 16003100 LISBET GALINGGING 34Y F IGD dr. Anisa Tri Astuti NON REAC TIVE
2 02-09-2022 220902024 18001576 NUR ANNISAH 26Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
3 02-09-2022 220902031 22008362 MELLIA NITRANINGRUM 23Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
4 02-09-2022 220902048 20001352 MUHAMMAD RAMADHAN ZULFI 24Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
5 02-09-2022 220902049 19005273 ALVIAN NUR RIZKY 24Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
6 02-09-2022 220902052 20001473 RIZQILLAH HASNAA' RAMADHANI 21Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
7 02-09-2022 220902053 20001472 MEYRINA RINDA FAHIRA 23Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
8 03-09-2022 220903037 22009800 SYIFA NUR AZIZAH 22Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
9 03-09-2022 220903038 22009799 GILANG REKSA RIMONDA 21Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
10 04-09-2022 220904012 22009822 ROC HMAN 46Y M IC U dr. Putri Intan Nurrahma NON REAC TIVE
11 06-09-2022 220906064 22009566 HENDENI LESTARI 35Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
12 07-09-2022 220907044 22009211 DARMINI 46Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
13 07-09-2022 220907046 21006560 IVAN ALEXANDER 33Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
14 08-09-2022 220908051 22009975 ARI TRIYANTO 25Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
15 09-09-2022 220909047 18016111 ETI SURYATI 41Y F VK dr. C itra Dewi, SpOG NON REAC TIVE
16 12-09-2022 220912019 22006449 AZHARI 52Y M Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
17 12-09-2022 220912056 22010194 SEPTIAN RUSYADI 25Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
18 14-09-2022 220914004 22010224 FAISAL RAMADHAN 21Y M MANGROVE 1 dr. Putri Intan Nurrahma NON REAC TIVE
19 14-09-2022 220914009 19011682 RUTH MANUPUTTY 46Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
20 14-09-2022 220914064 22001819 NADIA FITRIANI 21Y F MUTIARA 2 dr. Anisa Tri Astuti NON REAC TIVE
21 15-09-2022 220915025 22010284 MUHAMMAD RIDWAN KURNIAWAN 24Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
22 15-09-2022 220915047 19002610 EGI MAWADRIS 25Y F PONEK dr. C itra Dewi, SpOG NON REAC TIVE
23 16-09-2022 220916052 22009749 RIZKI HAERANI 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
24 16-09-2022 220916057 22009350 MARYANI 32Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
25 16-09-2022 220916060 17015866 SITI JULAYHA 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
26 20-09-2022 220920077 22010558 KHOLIPAH 22Y F PONEK dr. Anisa Tri Astuti NON REAC TIVE
27 22-09-2022 220922014 22010517 TAUFIK HIDAYAT 42Y M MANGROVE 1 dr. Dwi Nurani Diningsih NON REAC TIVE
28 22-09-2022 220922023 18009235 YURISA DESVILIA 41Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
29 22-09-2022 220922051 18023832 LISTIA NENGSIH 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
30 22-09-2022 220922052 18009051 WYDIA ASTUTI 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
31 23-09-2022 220923028 18008559 HELMINA 35Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
32 23-09-2022 220923054 22003577 PUTRI OKTAVIYANI 26Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
33 24-09-2022 220924031 22007134 NINA ANDINI 44Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
34 26-09-2022 220926061 21004717 HIZAN ASANDI 1Y M Poliklinik Anak dr. Dwi Nurani Diningsih NON REAC TIVE
35 26-09-2022 220926068 20008939 MUHAMMAD MUKHLAS PERMADI 26Y M Poliklinik Lavender dr. Anisa Tri Astuti NON REAC TIVE
36 27-09-2022 220927059 22000756 ROZY MEILIANI 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
37 27-09-2022 220927067 22010870 MUHAMAD AJIB 20Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
38 28-09-2022 220928024 21002381 LOURA VISTA 25Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
39 28-09-2022 220928043 22010473 POOZA HUSINAN 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
40 28-09-2022 220928048 17000420 DELA PUTRI AMALIA 21Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
41 29-09-2022 220929005 17009043 HASAN JUPRI 42Y M TERUMBU dr. Samiaji Abbas Ras NON REAC TIVE
42 30-09-2022 220930037 18006046 RUBI NOVITA 27Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
43 30-09-2022 220930053 22009731 LUVIA MEILTASARI 24Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
44 30-09-2022 220930066 22010957 TRI RAHAYU 19Y F PONEK dr. C itra Dewi, SpOG NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-10-2022 TO 31-10-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 01-10-2022 221001015 22010529 DIANTY 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
2 01-10-2022 221001024 22010784 TEGOWATI 39Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
3 02-10-2022 221002013 22011084 HARNI 52Y F NYIUR 1 dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
4 03-10-2022 221003021 22006293 SURIPAH 42Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
5 03-10-2022 221003041 22011149 FAJRI AMANDA 33Y M Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
6 05-10-2022 221005048 22011233 ANWARI 49Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
7 05-10-2022 221005049 21009454 RAC HMAT BASUKI 45Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
8 05-10-2022 221005050 22011239 JARIS MUNTAHA 12Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
9 08-10-2022 221008029 17003144 ADITYA ARFIANTO 23Y M Poliklinik Lavender dr. Supanto Kustriyono NON REAC TIVE
10 10-10-2022 221010014 21010678 KIKI NURFALLAH 29Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
11 10-10-2022 221010047 18012535 FELIA ELZARIANI 23Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
12 11-10-2022 221011081 19006192 HASYTA F 31Y F PONEK dr. Dedek Arman NON REAC TIVE
13 12-10-2022 221012011 22011558 ROHANAH 29Y F PONEK dr. Dedek Arman NON REAC TIVE
14 13-10-2022 221013037 22011624 BUNGA ANASTHASYA 19Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
15 14-10-2022 221014030 19016993 HOLIPAH 56Y F Poliklinik Penyakit Dalam dr. Dwi Nurani Diningsih NON REAC TIVE
16 14-10-2022 221014045 22009742 AINI SEPTIANI 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
17 14-10-2022 221014053 22010815 ERLIN ZULVANAVISA 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
18 17-10-2022 221017074 17011537 ANISYA ZAKIAH 33Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
19 20-10-2022 221020007 17016111 SYIFA ARSY SOFANNY 24Y F PONEK dr. Randy Anindito NON REAC TIVE
20 21-10-2022 221021011 22011516 SHERLY RAHAYU 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
21 22-10-2022 221022056 22012018 ELA HAYATI 38Y F Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
22 24-10-2022 221024024 22012110 MURNI S. 26Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
23 24-10-2022 221024054 18010880 KHAYATUN KHAIRUNISA 33Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
24 25-10-2022 221025038 16004732 ITA FATIMA 27Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
25 25-10-2022 221025055 20012889 ADE SHINTYA 25Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
26 26-10-2022 221026051 22010207 NATANAEL HUTABARAT 30Y M IGD dr. Rani Septiani NON REAC TIVE
27 27-10-2022 221027061 22012187 SITI NURJANAH 21Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
28 28-10-2022 221028041 19021825 ROYANI DEWI 32Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
29 31-10-2022 221031056 22012384 MAHAWIRA AL KAHFI 4D M Poliklinik Anak dr. Sansan Suhelda, Sp.A NON REAC TIVE
30 31-10-2022 221031064 22004919 ADINI ARAHMAH 27Y F MUTIARA 2 dr. Randy Anindito NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-11-2022 TO 30-11-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 01-11-2022 221101012 22012033 SAMI SUMARTI 55Y F Poliklinik Penyakit Dalam dr. M. Afriadi Hamdan, SpPD NON REAC TIVE
2 02-11-2022 221102066 22009406 RARA MARYANI 18Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
3 04-11-2022 221104026 22011879 WILDA WILLYARNI 28Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
4 04-11-2022 221104030 220002941 ELIS STIANINGSIH 26Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
5 04-11-2022 221104051 18011607 YUNIAR ROSIDI 21Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
6 04-11-2022 221104073 22012424 RIZKY YULI TRIAJI 32Y M MANGROVE 1 dr. M. Trihatmowijoyo Bundjali, SpPD NON REAC TIVE
7 07-11-2022 221107029 20011154 JUNI NOVIYANTI 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
8 07-11-2022 221107062 22006629 MIRA ADINDAH 19Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
9 07-11-2022 221107071 22012753 ANNISA KHUMAYROH 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
10 07-11-2022 221107079 20006706 GATOT SUHERMAN 40Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
11 08-11-2022 221108055 17003076 SUNENGSIH 40Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
12 08-11-2022 221108061 20010651 ADE YULIANTI 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
13 11-11-2022 221111036 18015811 ENNY PRAMITA 39Y F Poliklinik Penyakit Dalam dr. C itra Dewi, SpOG NON REAC TIVE
14 11-11-2022 221111071 22012972 MOHAMAD NUR 33Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
15 11-11-2022 221111072 22012976 HALIMAH 61Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
16 11-11-2022 221111073 16004319 NANIK SUKARNI 55Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
17 14-11-2022 221114057 21002709 NURHIDAYATI 21Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
18 16-11-2022 221116024 17023031 RIDWAN 30Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
19 17-11-2022 221117063 18010146 RIA RAHMA 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
20 18-11-2022 221118039 22012786 ERNI MELITA 34Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
22 21-11-2022 221121038 22012430 DEMALINA 35Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
23 23-11-2022 221123039 20004097 NIMAYAH 30Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
24 23-11-2022 221123042 19019539 LENNY 41Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
26 24-11-2022 221124049 17022577 NUR HASANAH 30Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
27 24-11-2022 221124050 22013541 SITI WATIYAH 27Y F MUTIARA 2 dr. C itra Dewi, SpOG NON REAC TIVE
28 26-11-2022 221126049 16008022 ADIT 24Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
29 28-11-2022 221128016 19017533 DIAN TRI 28Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
 Pemeriksaan HIV

DATE RANGE: 01-12-2022 TO 31-12-2022

NO. DATE LAB NO. PID NAME AGE SEX SOURCE CLINICIAN RESULT
1 01-12-2022 221201089 17010683 NURUL AFIYAH 20Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
2 03-12-2022 221203013 22012939 VINNI OKTAVIA 30Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
3 05-12-2022 221205065 22013139 NOVELIA ANGELITA 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
4 06-12-2022 221206013 22013872 MELISA SIREGAR 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
5 06-12-2022 221206038 20002735 ANJAR RAHMAWATI 23Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
6 06-12-2022 221206065 22013628 C HOIRUN NISA 25Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
7 06-12-2022 221206078 22014065 ANITA INDRIYANI 29Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
8 07-12-2022 221207020 22012935 TUROKHAMIYAH 23Y F MUTIARA 2 dr. Nevy Oktavia A. NON REAC TIVE
9 07-12-2022 221207065 21008541 ALIYAH AZHAR 23Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
10 07-12-2022 221207067 22014096 KAMSUDIN 60Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
11 07-12-2022 221207068 20001751 WIMAR LUMBAN RAJA 8Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
12 08-12-2022 221208057 18012147 SITI HASANAH 30Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
13 08-12-2022 221208121 22014226 PUTRI ANGGRAENI 24Y F PONEK dr. Nevy Oktavia A. NON REAC TIVE
14 09-12-2022 221209174 18016385 NASRUDIN 51Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
15 10-12-2022 221210060 22013152 JUMIATUN 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
16 12-12-2022 221212023 22011340 WATIAH 33Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
17 12-12-2022 221212078 17007296 MULYA 63Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
18 12-12-2022 221212079 22010900 MUMUH 55Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
19 12-12-2022 221212083 17009574 RAFI ARRIZQI H 19Y M Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
20 12-12-2022 221212084 20009741 TARNI 46Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
21 13-12-2022 221213071 18019287 RISA VARAC H 17Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
22 15-12-2022 221215038 22001938 MARIA 32Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
23 15-12-2022 221215074 21009982 PUTRI KHAERUNISA 31Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
24 16-12-2022 221216075 21004543 JUNAIDI ABDULAH 41Y M MANGROVE 1 dr. Samiaji Abbas Ras NON REAC TIVE
25 19-12-2022 221219034 17018240 YANAH ROSDIYANAH 32Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
26 19-12-2022 221219060 17022704 SURFALINA BIBRA 57Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
27 19-12-2022 221219066 22014642 ROSDIANA 52Y F Poliklinik Bedah dr. Tiko Wijayantya, SpB NON REAC TIVE
28 19-12-2022 221219072 19007370 RIA FITRIANA 29Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
29 20-12-2022 221220067 18008239 ROLAWATI YULIANI 30Y F Poliklinik MC U dr. Supanto Kustriyono NON REAC TIVE
30 23-12-2022 221223056 16003544 MUNAWAROH 34Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
31 23-12-2022 221223058 18018450 EVI ROHAYATI 26Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
32 25-12-2022 221225024 21005129 PUDIN 36Y M Poliklinik Lavender dr. Annisa Sekar S. NON REAC TIVE
33 26-12-2022 221226009 22014857 ANDREA OKTAVIANI LAILASARI 22Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
34 26-12-2022 221226018 22015129 RIZAL ABDULLAH 29Y M Poliklinik MC U dr. Galuh Indah Sari NON REAC TIVE
35 30-12-2022 221230423 20010983 C HERLIE ASTIANA 34Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE
36 30-12-2022 221230455 17004827 TURAYA 34Y F Poliklinik Obgyn dr. J. Panji Wirawan, SpOG NON REAC TIVE
37 30-12-2022 221230475 20000112 KESIH 40Y F Poliklinik Obgyn dr. C itra Dewi, SpOG NON REAC TIVE