<table class="tblInput" style="width: 100%" border="1">

<thead>
<tr>
<th><h3>REGISTER PASIEN MALARIA</h3></th>
</tr>
<tr>
<th>

<table class="tblInput" style="width: 400px" border="1">

<thead>
<tr>
<th>Tahun</th>
<th>: 2018 </tr>
<tr>
<th>Propinsi</th>
<th>: KEP. RIAU</th>
</tr>

<tr>
<th>Kabupaten/Kota</th>
<th>: LINGGA</th>
</tr>

<tr>
<th style="vertical-align: top">Fasyankes</th>
<th><ul><li>PUSKESMAS DABO LAMA</ul></th>
</tr>
</thead>
</table>

</th>

</tr>
<tr>
<th>

<table class="tblListData" style="width: 3300px" border="1">

<thead>
<tr>
<th rowspan="3" style="width: 10px">No</th>
<th rowspan="3" style="width: 150px">Propinsi</th>
<th rowspan="3" style="width:
150px">Kabupaten</th>
<th rowspan="3" style="width: 150px">Fasyankes</th>
<th rowspan="3" style="width: 150px">Nik</th>
<th rowspan="3" style="width: 150px">No. KK</th>
<th rowspan="3" style="width: 50px">Jenis Penemuan</th>
<th rowspan="3" style="width: 150px">Nama Pasien</th>
<th colspan="2" style="width: 100px">Umur</th>
<th rowspan="3" style="width: 50px">Jenis </br>
Kelamin</th>
<th rowspan="3" style="width: 50px">Hamil </br>

/Tidak</th>
 <th colspan="2" style="width: 300px">alamat</th>
<th rowspan="3" style="width: 50px">Bulan
Kunjungan</th>
<th rowspan="3" style="width: 50px">Tgl Kunjungan</th>
<th rowspan="3" style="width: 100px">Pekerjaan</th>
<th rowspan="3" style="width: 100px">Konfirmasi
Lab</th>
<th rowspan="3" style="width: 50px">Jenis Parasit</th>
<th rowspan="3" style="width: 100px">Derajat Penyakit
Malaria</th>
<th colspan="8" style="width: 200px">Pengobatan (Jumlah
Diterima)</th>
<th rowspan="3" style="width: 70px">Pasien RJ/RI</th>
<th rowspan="3" style="width: 70px">Faskes yg
Menemukan</th>
<th rowspan="3" style="width: 100px">Dirujuk Ke</th>
<th colspan="7" style="width: 300px">Penyelidikan
Epidemiologi</th>
<th colspan="4" style="width: 200px">Pemantauan
Pengobatan</th>
<th rowspan="3" style="width: 100px">Kematian Akibat
Malaria</th>
</tr>
<tr>
<th rowspan="2" style="width: 50px">Angka</th>
<th rowspan="2" style="width: 50px">Bulan/ Tahun</th>
<th rowspan="2" style="width: 200px">Dusun</th>
<th rowspan="2" style="width: 100px">Desa/
Kelurahan</th>
<th rowspan="2" style="width: 25px">DHP</th>
<th rowspan="2" style="width: 25px">Primaquin</th>
<th rowspan="2" style="width: 25px">Kina</th>
<th rowspan="2" style="width: 25px">Artesunat</th>
<th rowspan="2" style="width: 50px">Artemeter
(inj)</th>
<th rowspan="2" style="width: 25px">Kina (inj)</th>
<th rowspan="2" style="width: 25px">Non Program</th>
<th rowspan="2" style="width: 25px">Pengobatan
Standar</th>
<th rowspan="2" style="width: 70px">Tgl PE</th>
<th rowspan="2" style="width: 50px">Baru/
Relaps</th>
<th rowspan="2" style="width: 50px">Klasifikasi
Penularan</th>
<th colspan="2" style="width: 200px">Tempat
Penularan</th>
<th colspan="2" style="width: 200px">Titik Koordinat
Tempat Penularan</th>

<th rowspan="2" style="width: 25px">Hari ke 3</th>

<th rowspan="2" style="width: 25px">Hari ke 14</th>
<th rowspan="2" style="width: 25px">Hari Ke 28</th>
<th rowspan="2" style="width: 25px">Pengobatan
Primaquin 14 hari</th>

</tr>
<tr>
<th style="width: 100px">Desa</th>
<th style="width: 200px">Rt,Rw, Dusun, Kab,
Provinsi</th>
<th style="width: 100px">Lintang</th>
<th style="width: 100px">Bujur</th>
</tr>
</thead>

<tbody id="dataregmal">
<tr>
<td>1</td>
<td>KEP. RIAU</td>
<td>LINGGA</td>
<td>PUSKESMAS DABO LAMA</td>
<td></td>
<td></td>
<td>PCD</td>
<td>ARDIAN</td>
<td>11</td>
<td>Tahun</td>
<td>L</td>
<td></td>
<td>SEKOP DARAT</td>
<td>DABO</td>
<td>9</td>
<td>01/09/2018</td>
<td>Pelajar</td>
<td>Mikroskop</td>
<td>PV</td>
<td>1</td>

<td>12.00</td>
<td>3.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td></td>
<td>V</td>

<td>RJ</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>

<td></td>
<td></td>

<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>

<tr>
<td>2</td>
 <td>KEP. RIAU</td>
<td>LINGGA</td>
<td>PUSKESMAS DABO LAMA</td>
<td></td>
<td></td>
<td>PCD</td>
<td>ERWIN</td>
<td>7</td>
<td>Tahun</td>
<td>L</td>
<td></td>
<td>LANUT</td>
<td>Luar Wilayah Puskesmas</td>
<td>3</td>
<td>09/03/2018</td>
<td>Pelajar</td>
<td>Mikroskop</td>
<td>PF</td>
<td>1</td>

<td>4.50</td>
<td>1.50</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td></td>
<td>V</td>

<td>RJ</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>

<td></td>
<td></td>

<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tidak</td>
</tr>

<tr>
<td>3</td>
<td>KEP. RIAU</td>
<td>LINGGA</td>
<td>PUSKESMAS DABO LAMA</td>
<td></td>
<td></td>
<td>PCD</td>
<td>FADHIL L</td>
<td>8</td>
<td>Tahun</td>
 <td>L</td>
<td></td>
<td>GANG AULA, DABO</td>
<td>DABO</td>
<td>11</td>
<td>19/11/2018</td>
<td>Pelajar</td>
<td>Mikroskop</td>
<td>PV</td>
<td>1</td>

<td>3.50</td>
<td>7.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td></td>
<td>V</td>

<td>RJ</td>
<td>3</td>
<td></td>
<td></td>
<td></td>
<td></td>

<td></td>
<td></td>

<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>

<tr>
<td>4</td>
<td>KEP. RIAU</td>
<td>LINGGA</td>
<td>PUSKESMAS DABO LAMA</td>
<td></td>
<td></td>
<td>PCD</td>
<td>FERDI BASTIAN</td>
<td>17</td>
<td>Tahun</td>
<td>L</td>
<td></td>
<td>BUKIT ABUN</td>
<td>DABO LAMA</td>
<td>7</td>
<td>24/07/2018</td>
<td>Pelajar</td>
<td>Mikroskop</td>
<td>PF</td>
 <td>1</td>

<td>12.00</td>
<td>3.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td></td>
<td>V</td>

<td>RJ</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>

<td></td>
<td></td>

<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tidak</td>
</tr>

<tr>
<td>5</td>
<td>KEP. RIAU</td>
<td>LINGGA</td>
<td>PUSKESMAS DABO LAMA</td>
<td></td>
<td></td>
<td>PCD</td>
<td>FITRIANDI</td>
<td>24</td>
<td>Tahun</td>
<td>L</td>
<td></td>
<td>LORONG FAJAR</td>
<td>DABO</td>
<td>4</td>
<td>26/04/2018</td>
<td>TakBekerja</td>
<td>Mikroskop</td>
<td>PV</td>
<td>1</td>

<td>12.00</td>
<td>14.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td></td>
 <td>V</td>

<td>RJ</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>

<td></td>
<td></td>

<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tidak</td>
</tr>

<tr>
<td>6</td>
<td>KEP. RIAU</td>
<td>LINGGA</td>
<td>PUSKESMAS DABO LAMA</td>
<td></td>
<td></td>
<td>PCD</td>
<td>FRANSISKA</td>
<td>5</td>
<td>Tahun</td>
<td>P</td>
<td>TH</td>
<td>KAMPUNG BOYAN</td>
<td>BATU BERDAUN</td>
<td>4</td>
<td>24/04/2018</td>
<td>TakBekerja</td>
<td>Mikroskop</td>
<td>PV</td>
<td>1</td>

<td>4.50</td>
<td>7.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td></td>
<td>V</td>

<td>RJ</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
 <td></td>
<td></td>

<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tidak</td>
</tr>

<tr>
<td>7</td>
<td>KEP. RIAU</td>
<td>LINGGA</td>
<td>PUSKESMAS DABO LAMA</td>
<td></td>
<td></td>
<td>PCD</td>
<td>LAILA SARI</td>
<td>40</td>
<td>Tahun</td>
<td>P</td>
<td>TH</td>
<td>BAKONG</td>
<td>Luar Wilayah Puskesmas</td>
<td>7</td>
<td>20/07/2018</td>
<td>Pelajar</td>
<td>Mikroskop</td>
<td>Pf</td>
<td>1</td>

<td>12.00</td>
<td>3.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td></td>
<td>V</td>

<td>RI</td>
<td>1</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>Tidak</td>
</tr>

<tr>
<td>8</td>
<td>KEP. RIAU</td>
<td>LINGGA</td>
<td>PUSKESMAS DABO LAMA</td>
<td></td>
<td></td>
<td>PCD</td>
<td>M. RAFAI</td>
<td>9</td>
<td>Tahun</td>
<td>L</td>
<td></td>
<td>JL. TELEK</td>
<td>TANJUNG HARAPAN</td>
<td>5</td>
<td>28/05/2018</td>
<td>Pelajar</td>
<td>Mikroskop</td>
<td>PV</td>
<td>1</td>

<td>4.50</td>
<td>1.50</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td>0.00</td>
<td></td>
<td>V</td>

<td>RJ</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>

<td></td>
<td></td>

<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
<td>Tidak</td>
</tr>

</tbody>
</table>

</th>
 </tr>
</thead>
</table>