Data Dukung RHK TT

SUKORAME
Puskesmas :
Tanggal : : 01-01-2023 s/d 31-12-2023
Jenis
No Tanggal No Reg No BPJS NIK
Pasien
9277 13-04-2023 0034869 BPJS 0000755733328 3524016803840001

11038 08-05-2023 0046462 UMUM 3524016912900001
13420 05-06-2023 0036967 UMUM 3524014309040001
13421 05-06-2023 0046900 BPJS 0000743711411 3524014905020002
13572 06-06-2023 0047132 BPJS 0000755261728 3524016705990001
14323 12-06-2023 0052373 BPJS 0002158716622 3524034412990004
14327 12-06-2023 0047619 UMUM 3524015208060001
14844 15-06-2023 0052405 UMUM 3524015609010001
15215 19-06-2023 0046996 BPJS 0000755444856 3524014903040002
17207 11-07-2023 0052499 BPJS 0000756110395 3524014110830001
17480 13-07-2023 0052516 UMUM 3524014709830002
20027 09-08-2023 0038498 UMUM 3524014107020004
23212 12-09-2023 0036481 BPJS 0002162314708 3524014405040004
23221 12-09-2023 0035853 BPJS 0000755754287 3524015603030001
23328 13-09-2023 0046706 BPJS 0001164437379 3524015607000001
23621 18-09-2023 0052759 BPJS 0000764634238 3526164107760331
24008 26-09-2023 0052793 UMUM 3524017001980001
24243 29-09-2023 0052806 UMUM 3524016009040001
24244 29-09-2023 0045188 BPJS 0000755527983 3524014601040001
24247 29-09-2023 0051555 UMUM 3524015111940001
24920 09-10-2023 0052834 BPJS 0000754798386 3524015607990001
24921 09-10-2023 0035944 BPJS 0000755764007 3524015003030001
26301 19-10-2023 0043106 BPJS 0000755719288 3524016407040001
26658 23-10-2023 0039094 BPJS 0000756009718 3524015110840001
26892 25-10-2023 0040774 UMUM 3524014101630008
28626 14-11-2023 0013882 BPJS 0002162315946
32165 18-12-2023 0053159 UMUM 3524011706040001
32637 22-12-2023 0053182 UMUM 3524015309890001
33073 03-01-2023 0051662 UMUM 3524014711000001
33137 12-01-2023 0044464 BPJS 0000755509623 3524015005020001
33217 30-01-2023 0051768 UMUM 3524016709910002
33457 13-03-2023 0051932 UMUM 3524014104010003
33492 20-03-2023 0051960 BPJS 0002162316407 3524015312980001
33552 30-03-2023 0052022 UMUM 3524015611980002
33553 30-03-2023 0052023 BPJS 0000755201338 3524014909030001
33562 31-03-2023 0052025 UMUM 3524014807040001
33567 03-04-2023 0052030 UMUM 3524015202950001
33597 06-04-2023 0052057 UMUM 3524016309040002
33603 10-04-2023 0036270 BPJS 0000754741877 3524017112010001
33605 10-04-2023 0052073 UMUM 3524014101820008
33606 10-04-2023 0047667 BPJS 0002645115783 3524014609020001
33607 10-04-2023 0044297 BPJS 0000756133468 3524015002040001
33609 10-04-2023 0052077 UMUM 3524015307030001
23621 18-09-2023 0052759 BPJS 0000764634238 3526164107760331
Laporan Periodik Diagnosa Pasien
Nama Pasien L/P Alamat Desa Tgl Lahir Usia
SUSPRIANIK P SAMBIROTO RT 24 SUKORAME 28-03-1984 39 Thn 0 Bln

ROKHISHOTIN BARIROH P SUKORAME/RT08/RW01 SUKORAME 29-12-1990 32 Thn 4 Bln
YENY S P SERUT RT 009 SUKORAME 08-04-2004 19 Thn 1 Bln
HANI RAHAYU P BALONGREJO RT 012 SUKORAME 09-05-2002 21 Thn 0 Bln
MEI SHAROH LAILATUL P BALONGREJO RT 012 27-05-1999 24 Thn 0 B
KHUSNUL . P NGENTAK/RT0016/RW002 SUKORAME 04-12-1999 23 Thn 6 B
TINUK EGGY AURYA P SUKORAME RT 07/01 SUKORAME 01-08-2006 16 Thn 10 Bln
NURICHA WAHYU HANIFP NGROWO 19/03 SUKORAME 16-09-2001 21 Thn 8 B
LITA WAHYUNI P BALONGREJO RT 012 SUKORAME 09-03-2004 19 Thn 3 Bln
SUMARSIH P SAMBIROTO 24/03 SUKORAME 01-10-1983 39 Thn 9 B
HANAFITA SEPTYANTI P MOJO/RT21/RW003 SUKORAME 07-09-1983 39 Thn 10
NINA YULIA A P SUKORAME RT 6 SUKORAME 03-07-2002 21 Thn 1 Bln
KHRISTIA FIRNANDA P BANCANG RT 23 SUKORAME 04-05-2004 19 Thn 4 Bln
INTAN LESTARI P SUKORAME RT 8 SUKORAME 16-03-2003 20 Thn 5 B
RISMA AGUSTINA P SUKORAME RT 004 SUKORAME 16-07-2000 23 Thn 1 Bln
SUPARMI DWI NORITA P SUKORAME/RT001/RW001 SUKORAME 01-07-1976 47 Thn 2 B
IRSA NINGFITRIANI, P NGRAPAH SUKORAME 30-01-1998 25 Thn 7 B
MELLY P PUTUK 18/03 SUKORAME 20-09-2004 19 Thn 0 B
YANTI P SUKOREJO RT 013 06-01-2003 20 Thn 8 B
NDUK AYU P GEBANG SUKORAME 11-11-1994 28 Thn 10 Bln
EKA JULIA RAHMAWATI P SUKOREJO 13/02 SUKORAME 16-07-1999 24 Thn 2 B
TIYA WAHYUNI P SUKOREJO/RT015/RW02 SUKORAME 10-03-2003 20 Thn 6 B
LILIS NURDIANINGSIH P DUSUN GEBANG RT 22 SUKORAME 24-07-2004 19 Thn 2 Bln
AMINI P NGENTAK RT 16 SUKORAME 11-10-1984 39 Thn 0 Bln
SATUN RAHEL P SUKORAME RT007/001 SUKORAME 01-01-1963 60 Thn 9 B
WIDIYA ARIMBI P SUKOARAME/RT003/RW001 SUKORAME 11-06-2001 22 Thn 5 Bln
SELVIANA JUNIATI P NGROWO/RT019/RW002 SUKORAME 17-06-2004 19 Thn 6 B
FITRIA PURNAMAWATI P MOJO/RT21/RW0003 SUKORAME 13-09-1989 34 Thn 3 B
ULFA UMAROH P SUKORAME/RT004. SUKORAME 07-11-2000 22 Thn 1 B
RISKA NURAINI P PUTUK RT 17 SUKORAME 10-05-2002 20 Thn 8 Bln
YATEMI P SUKOREJO 14/02 SUKORAME 27-09-1991 31 Thn 4 B
ANITA DAMAYANTI P JATENAN/RT20/RW003 SUKORAME 01-04-2001 21 Thn 11
RISKA WARDANY P NGROWO/RT0019 13-12-1998 24 Thn 3 B
BELA AUDIA YUDANTIKA P SUKORAME 04/01 SUKORAME 16-11-1998 24 Thn 4 Bln
ENIS J P GEBANG/RT22 SUKORAME 01-04-2008 14 Thn 11
SUYANTI P NGENTAK RT 016 RW 002 08-07-2004 18 Thn 8 Bln
LULUK DIANA LAILI P SUKORAME 06/01 SUKORAME 12-01-1995 28 Thn 2 Bln
WIDYA P SERUT RT009 SUKORAME 23-09-2004 18 Thn 6 Bln
SABELA TIARA ANDINI P GEBANG/RT002/RW003 SUKORAME 31-12-2001 21 Thn 3 B
RIRIN P SUKOREJO SUKORAME 10-04-1982 41 Thn 0 Bln
ALIALIVATUL CHASANAHP SUKORAME RT 07 SUKORAME 06-09-2002 20 Thn 7 Bln
FINA FEBRIANI P DUSUN PUTUK RT 17 SUKORAME 10-02-2004 19 Thn 2 Bln
JENY P SAMBIROTO/RT024 SUKORAME 13-07-2003 19 Thn 8 Bln
SUPARMI DWI NORITA P SUKORAME/RT001/RW001 SUKORAME 01-07-1976 47 Thn 2 B
a Pasien
RUANGA
No HP Tensi Kode DX
N
39 Thn 0 Bln 130/80 KIA Z27.1 (Baru)

32 Thn 4 Bln 120/80 KIA Z27.1 (Baru)
19 Thn 1 Bln 120/80 KIA Z27.1 (Baru)
21 Thn 0 Bln 130/80 KIA Z27.1 (Baru)
120/80 KIA Z27.1 (Baru)
085706352100/60 KIA Z27.1 (Baru)
16 Thn 10 Bln 100/60 KIA Z27.1 (Baru)
082330128120/80 KIA Z27.1 (Baru)
19 Thn 3 Bln 120/80 KIA Z27.1 (Baru)
081283657160/80 KIA Z27.1 (Baru)
081333619100/60 KIA Z27.1 (Baru)
21 Thn 1 Bln 100/60 KIA Z27.1 (Lama)
19 Thn 4 Bln 110/70 KIA Z27.1 (Lama)
120/80 KIA Z27.1 (Lama)
23 Thn 1 Bln 110/70 KIA Z27.1 (Baru)
081359910150/80 KIA Z27.1 (Baru)
081319986100/60 KIA Z27.1 (Baru)
085600819100/70 KIA Z27.1 (Baru)
085784745100/60 KIA Z27.1 (Baru)
28 Thn 10 Bln 120/80 KIA Z27.1 (Baru)
085649217100/60 KIA Z27.1 (Baru)
110/60 KIA Z27.1 (Baru)
19 Thn 2 Bln 100/60 KIA Z27.1 (Baru)
39 Thn 0 Bln 128/80 KIA Z27.1 (Baru)
085748924130/80 KIA Z27.1 (Baru)
22 Thn 5 Bln 120/80 KIA Z27.1 (Baru)
085784436120/80 KIA Z27.1 (Baru)
081529077100/60 KIA Z27.1 (Baru)
120/80 KIA Z27.1 (Baru)
20 Thn 8 Bln 110/70 KIA Z27.1 (Baru)
081553626110/70 KIA Z27.1 (Baru)
081222222100/60 KIA Z27.1 (Baru)
085745623100/60 KIA Z27.1 (Baru)
24 Thn 4 Bln 100/60 KIA Z27.1 (Baru)
085733804100/60 KIA Z27.1 (Baru)
18 Thn 8 Bln 120/80 KIA Z27.1 (Baru)
28 Thn 2 Bln 100/60 KIA Z27.1 (Baru)
18 Thn 6 Bln 110/70 KIA Z27.1 (Baru)
90/60 KIA Z27.1 (Baru)
41 Thn 0 Bln 110/70 KIA Z27.1 (Baru)
20 Thn 7 Bln 130/60 KIA Z27.1 (Baru)
19 Thn 2 Bln 90/60 KIA Z27.1 (Baru)
19 Thn 8 Bln 120/80 KIA Z27.1 (Baru)
081359910150/80 KIA Z27.1 (Baru)
Diagnosa Lokasi Pelayanan
Need for immunization against diphtheria-tetanus-pertussis, combined [DTP] PUSKESMAS

Nama Petugas

Data Dukung RHK TT

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SUKORAME

9277 13-04-2023 0034869 BPJS 0000755733328 3524016803840001

Nama Pasien L/P Alamat Desa Tgl Lahir Usia

SUSPRIANIK P SAMBIROTO RT 24 SUKORAME 28-03-1984 39 Thn 0 Bln

39 Thn 0 Bln 130/80 KIA Z27.1 (Baru)

Need for immunization against diphtheria-tetanus-pertussis, combined [DTP] PUSKESMAS

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