PEMERINTAH DAERAH KOTA CIREBON

DINAS KESEHATAN
UPT PUSKESMAS GUNUNGSARI
Jalan Tentara Pelajar No. 75  207154 Cirebon 45131

BUKTI RESUME MEDIS PASIEN

No Nama No. RM Tgl Diagno Poli Resume

. Kunjunga sis Tujuan &
n (ICD10) RS
1. Atinah 01079848 2 Jan 2024 I 25 Poli Jantug Kontrol,
RS Sumber TD 149/49 mmHg
Kasih Nadi 90x/’, RR 18x/’
2. Alimah 00680695 2 Jan 2024 H52.5 Poli Mata Mata buram
Klinik Eye TD 153/97 mmHg
Centre Nadi 80x/’ , RR 20x/’
3. Soleha 00649657 2 Jan 2024 G51.0 Poli Saraf Kontrol
RS Sumber TD 117/64 mmHg
Kasih Nadi 80x/’ , RR 16 x/’
4. Rani N 00633672 2 Jan 2024 N20 Poli Urologi Sakit Pinggang
RS Sumber TD 142/90mmHg
Kasih Nadi 89x/’ , RR 17x/’
5. Dwi 00676831 2 Jan 2024 H52.5 Poli Mata Kontrol ulang
Firmansyah Klinik Eye TD 100/50 mmHg
Centre Nadi 80 x/’ , RR 24 x/’
6. Atu 00699306 2 Jan 2024 C34.9 Poli Paru Kontrol ulang
Suhendra RS TD 117/70 mmHg
Pelabuhan Nadi 80 x/’ , RR 20x/’
7. Ruhyana 00640712 9 Jan 2024 H52.5 Poli Mata Mata Buram
Kliik Indera TD 110/70 mmHg
Nadi 80x/’ , RR 20x/’
8. Rohanda 00652590 10 Jan H90 Poli THT Telinga kurang mendengar
2024 RS Sumber TD 127/84 mmHg
Kasih Nadi 82x/’ , RR 16 x/’
9. Kuraesin E. 00651754 18 Jan I63 Poli Saraf Kontrol ulang
2024 RS Sumber TD 112/70 mmHg
Kasih Nadi 80x/’ , RR 20x/’
10. Taryana 00635849 20 Jan H52.5 Poli Mata Mata buram
2024 Klinik Eye TD 110/70mmHg
Centre Nadi 90x/’ , RR 20 x/’

11. Kaspiyah 00535850 20 Jan H52.5 Poli Mata Mata buram

Noveali 2024 Klinik Eye TD 110/60 mmHg
Centre Nadi 90x/’ , RR 18 x/’

12. Warguna 00644382 20 Jan H52.5 Poli Mata Mata buram

2024 Kliik Indera TD 110/70mmHg
Nadi 80x/’ , RR20 x/’
 13. Ruhati 10959119 23 Jan H52.5 Poli Mata Mata buram
2024 Klinik Eye TD 127/67 mmHg
Centre Nadi 80x/’ , RR 20x/’

14. Rina 00667876 23 Jan H72 Poli THT Telinga keluar cairan
Rizqiana 2024 RS TD 121/101 mmHg
Medimas Nadi 87x/’ , RR 20x/’

15. Tayong Wati 00659195 25 Jan H52.5 Poli Mata Mata buram
Karwati 2024 Kliik Indera TD 144/78mmHg
Nadi 80x/’ , RR 20 x/’

16. Wasis 00648699 25 Jan H52.5 Poli Mata Mata buram

Purnomo 2024 Kliik Indera TD 110/90 mmHg
Nadi 90x/’ , RR 21x/’

17. Lisa Pudjiati 00693104 29 Jan H25.9 Poli Mata Sakit mata
Hadiprawoto 2024 Klinik Eye TD 122/70mmHg
Centre Nadi 80x/’ , RR 29 x/’

18. Lia Yuniar 00633355 30 Jan H52.5 Poli Mata Pandagan berkurang
2024 Kliik Indera TD 111/79mmHg
Nadi 80x/’ , RR 20x/’

Mengetahui, Cirebon, 18 April 2024

Kepala UPT Puskesmas Gunungsari, Dokter Puskesmas Gunung Sari,

dr. Hj. Wasilah Dinijati, MH dr. Hj. Sri Wulandari __

NIP. 19710724 200604 2 011 NIP. 19810119 201001 2 008