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Laporan PTM BLN April 2018 TGL 13
Laporan PTM BLN April 2018 TGL 13
Laporan PTM BLN April 2018 TGL 13
IDENTITAS
No Tanggal
Pemeriksaan * No Rekam Jenis
Medis No KTP * Nama Pasien Kelamin
Arus
Gula Darah Gula Darah Kolesterol Puncak Kadar
Diastol Sewaktu Puasa Total Trigliserida LDL HDL Ekspirasi Alkohol
(APE) Pernafasan
80
80 98
80 103
90 99
90
80
100
110
80
80
90
80 100
90
80 102
90 102
70 99
90 103
90
100 91
70
90
80
80 91
70 83
70 94
80 113
80 94
90
90 106
70
100
90 88
80 94
80 105
80 94
80
100 105
90
70
80 98
90 100
80
80 111
100 94
90
90
100
80
90
90
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DIAGNOSA
Hipertensi
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Hipertensi
Hipertensi Diabates Militus Tipe 2
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Diabates Militus Tipe 2
Hipertensi
Hipertensi
Hipertensi
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Hipertensi Diabates Militus Tipe 2
Hipertensi
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Hipertensi
Diabates Militus Tipe 2
Hipertensi
Hipertensi
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DIAGNOSA Pemeriksaan Penunjang
Urin Rutin
Darah &
Diagnosa 3 Diagnosa 4 Diagnosa 5 EKG Radiologi Lengkap Mikroskop
ik
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Dirujuk
xxx
tgl_periksa rekam_medis nik nama tgl_lahir alamat
2018-04-13 010338 3204464603420002 Edah Djubaedah 1942-03-06 Katapang Rt 03/09
2018-11-11 7585M 3204114603570001 Enok Rustini 1957-03-06 Gandasari Rt 05/03
2018-11-11 8043 3204111606510001 Rukman 1951-06-16 Katapang Rt 02/01
2018-11-11 6199 3310194111550001 St Mariah 1955-11-01 Gandasari Rt 05/03
2018-04-13 660554 3204114407760006 Ika Siti 1976-07-04 Katapang RT 02/04
2018-04-13 17211 3204111704790001 Yuyun 1979-04-17 Gandasari Rt 01/14
2018-04-13 15-01-18 3204115501800004 Enah 1980-01-15 Pangauban RT 03/10
2018-04-13 15-01-004 3204114506530002 Ai Endah 1953-06-05 Katapang RT 01/11
2018-04-13 15-01-032 3204114507750002 Kokom Komariah 1975-07-05 Cilampeni RT 01/19
2018-04-13 15-01-032 3204116312500002 Lasmini 1950-12-23 Cilampeni RT 02/09
2018-04-13 15-01-023 3204115001550006 Entay 1955-01-10 Pangauban RT 03/10
2018-11-11 10.572 3204115009540005 Ijun Juhaeni 1954-09-01 Cilampeni RT 02/06
2018-04-13 15-01-18 3204115104620001 Nani 1966-01-01 Pangauban RT 02/10
2018-11-11 660552 3204116712730004 Ema S 1973-12-27 Pangauban Rt 01/09
2018-04-13 122 3204116908400001 Asoh 1941-01-01 Katapang Rt 02/01
2018-11-11 8538 3204116302390001 Anisyah 1939-02-23 Cilampeni Rt 03/09
2018-11-11 130 1016321010430001 Een Maryadi 1943-10-10 Katapang Rt 02/14
2018-04-13 1753 3204110102430009 Dayat 1943-02-01 Cilampeni Rt 01/21
2018-11-11 15-01-045 3204114101450008 Siti Maryam 1945-01-01 Katapang RT 02/07
2018-04-13 11307 3204114105530001 Yayah 1953-05-01 Katapang rt 04/02
2018-04-13 9469 3204116212490002 Epon 1949-12-22 Pangauban Rt 01/11
2018-04-13 010336 3204115002030021 Uwat 1940-02-10 Pangauban Rt 05/6
2018-11-11 7397 3204115509460001 Sukiah 1946-09-15 Katapang Rt 02/01
2018-11-11 7397 3204110502410001 Apun 1941-02-05 Katapang Rt 02/01
2018-11-11 15-01-065 3204115211630002 Itoh Masitoh 1963-11-12 Katapang Rt 02/15
2018-11-11 17211 3204115704740002 Yuyun Yuningsih 1974-04-17 Gandasari Rt 01/14
2018-11-11 15-01-053 3204115508450003 Tohiroh 1945-08-15 Katapang Rt 02/15
2018-04-13 9470 3204111204520002 Oteng 1952-04-12 Cilampeni Rt 06/022
2018-11-11 15-01-020 3204114607540004 Engkom Komariah 1954-07-06 Cilampeni rt 02/13
2018-04-13 9975 3204112604720002 Haryati 1972-04-26 Katapang Rt 05/11
2018-04-13 6313M 3204111204520002 Dahri 1954-11-09 Katapang Rt 03/02
2018-11-11 7228 3204116707650007 Dedeh 1965-07-15 Pangauban Rt 02/11
2018-11-11 8156 3204116002500001 Tati S 1950-02-20 Cilampeni Rt 05/21
2018-11-11 14/160 3204110404390002 Rimun 1939-04-04 Katapang Rt 02/02
2018-11-11 9467 3204114101460012 Nonoh 1946-01-01 Katapang Rt t02/02
2018-04-13 1985 3204114101460069 Empat 1946-01-01 Pangauban Rt 01/10
2018-11-11 15-01-010 3204114112640016 Cicih Juariah 1964-12-01 Katapang Rt 02/15
2018-04-13 15-01-016 3204115210780006 Sri Mulyasari 1978-10-12 Pangauban Rt 03/10
2018-04-13 660553 3204117005660004 Titin Rohaniah 1966-05-30 Cilampeni Rt 01/09
2018-11-11 15-01-039 3204115604350001 Osah Hopsah 1935-04-16 Katapang Rt 02/01
2018-11-11 15-01-048 3204114101590124 Sumarsih 1959-01-01 Katapang Rt 02/01
2018-04-13 5574M 3204116505490001 Iyah 1949-05-25 Pangauban Rt 02/11
2018-11-11 7856 3204145211550001 Widayah 1955-11-12 Bojongkunci Rt 07/11
2018-11-11 15-01-063 3204117010860008 Astri Sulastri 1986-10-30 Katapang Rt 02/01
2018-04-13 20.274 3204115602640001 Igar 1964-02-16 Cilampeni RT 01/19
2018-04-13 260.97 3204114101590005 Wiwi Juwita 1959-01-01 Katapang RT 01/19
2018-04-20 19198 3204112512500025 Waliya 1950-12-25 Ds. Katapang RT 04/14
2018-04-20 26742 3204111506550015 Dahlan 1955-06-15 Ds. Katapang RT 01/03