Offline_posbindu 18 Oktober 2015

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Data Ofine Surveilans PTM berbasis POSBINDU

No

Identitas Peserta Posbindu

No KTP Nama Pasien

1 18 November 2015 7305072203740001 S .DG. NGEMPO

2 18 November 2015 7305075211760001 MARIATI

3 18 November 2015 7305077112550029 C. DG. NGANNE

4 18 November 2015 7305077180170001 . DG. N!ARRANG

5 18 November 2015 7305074107500125 S. DG. MINNE

6 18 November 2015 7305070508500004 . DG. SI""I

7 18 November 2015 7305075608770001 . DG. TE#NE

8 18 November 2015 0000000000000001 . DG. $AR%NG

9 18 November 2015 0000000000000002 $. DG. NGA&ING

10 18 November 2015 7305070107720004 '. DG. GA$ANG

11 18 November 2015 7305075608600001 $. DG. 'A$I

12 18 November 2015 7305074107350017 . DG. SA!%

13 18 November 2015 7305074107750075 S. DG. 'O((O

14 18 November 2015 7305070107990164 S. DG. 'ANI

15 18 November 2015 7305070107700155 M. DG. 'ETA

16 18 November 2015 7305074707620006 R. DG. TACO

17 18 November 2015 7305076609650001 T. DG. (A$%

18 18 November 2015 7305074503740005 )AIN%DDIN

19 18 November 2015 7305021047900006 %. DG. GASSING

20 18 November 2015 7305074503740005 D. DG. TARRING

21

22

23

24

25

26

27

28

2930

31

32

33

34

35

36

37

38

3940

41

TanggalPemeriksaan


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42

43

44

45

46

47

48

49

50

*** *** *** ***

*** *** *** ***


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*** *** ****** *** *** ***


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lamat No Tel"# $P Pendidikan Terakhir

TA(A 085299171709 S(TA

TA(A 085298705388 S(TA

TA(A 085242755930 SDS(TP

TA(A 085395957487 S(TA

TA(A SDS(TP

TA(A 085298205388 SDS(TP

TA(A SDS(TP

TA(A 085395957487 SDS(TP

TA(A 085347531880 S(TA

TA(A S(TA

TA(A 085145192636 S(TA

TA(A T+ Seo/+-

TA(A SDS(TP

TA(A SDS(TP

TA(A SDS(TP

TA(A SDS(TP

TA(A SDS(TP

TA(A 085145192636 S(TA

TA(A 085260939233 S(TA

TA(A 085260939233 S(TA


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*** ***

*** *** ***


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Peker%aan Status

(++ Me+-

(++ Me+-

IRTT+ 'eer:+ $++D+

Pe++ Me+-

Pe++ Me+-

Pe+ $++D+

Pe++ 'e/m

IRTT+ 'eer:+ $++D+

IRTT+ 'eer:+ $++D+

(++ 'e/m

Pe++ Me+-

IRTT+ 'eer:+ $++D+

IRTT+ 'eer:+ Me+-

Pe++ Me+-

(++ Me+-

IRTT+ 'eer:+ Me+-

IRTT+ 'eer:+ $++D+

(++ Me+-

Pe++ Me+-

Pe++ Me+-

&olonganDarah


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*** ***


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'i(a)at Pen)akit Tidak Menular Pada Keluarga

eMail

!+

!+

!+

!+

!+

!+

!+

Pen)akitDiabetes

Pen)akit$i"ertensi

Pen)akit !antung

Pen)akitStroke

Pen)akitsma


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*** ****** ***


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'i(a)at Pen)akit Tidak Menular Pada Diri Sendiri

!+

!+

!+

!+

!+

!+

Pen)akitKanker

KolesterolTinggi

Pen)akitDiabetes

Pen)akit$i"ertensi

Pen)akit !antung

Pen)akitStroke

Pen)akitsma


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*** ***


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**N+' Tekana

Merokok Sistol

!+ 140

120

!+ 100

110

130

!+ !+ 120

100

!+ 90

!+ 90

!+ 90

100

100

100

!+ 90

100

90

!+ 100

120

!+ 130

140

Pen)akitKanker

KolesterolTinggi

Kurangktivitas

,isik

KurangSa)ur dan

Buah

Konsumsilkohol


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*** *** *** ***

*** *** *** *** *** ***


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Darah IMT Pemerik

Diastol &ula Kolesterol

90 170 75 83

80 164 58 73

70 60 52 75

80 170 73 79

90 157 76 73

80 160 58 70

70 160 80 72

70 170 65 78

70 171 70 80

70 162 71 81

80 164 65 80

70 152 45 75

70 155 70 77

70 170 55 71

80 160 70 70

70 155 65 68

80 157 40 79

80 180 65 81

90 177 75 75

90 160 79 73

LingkarPerut

Pengukuran,ungsi ParuTinggi

BadanBeratBadan


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aan Lab-

I.Trigliserida

Kadarlkohol

Perna/asan

Tesm/etamin

UrinBen%olanPa)udara

Pen)uluhanI. 0 +B1


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*** *** *** *** *** ***

*** *** *** *** *** ***


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*** ***

*** ***


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+/;emer o; +m+;++m+;+ ++/;/+ ;e/+m ++m+

2015


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+/+m+ o;e/ +;er+ eer:++ + /o+;+r em+/

TA(A 085299171709 S(TA (++ Me+-

TA(A 085298705388 S(TA (++ Me+-

TA(A 085242755930 SDS(TP IRTT+ 'eer:+ $++D+

TA(A 085395957487 S(TA Pe++ Me+-

TA(A SDS(TP Pe++ Me+-

TA(A 085298205388 SDS(TP Pe+ $++D+

TA(A SDS(TP Pe++ 'e/m

TA(A 085395957487 SDS(TP IRTT+ 'eer:+ $++D+

TA(A 085347531880 S(TA IRTT+ 'eer:+ $++D+

TA(A S(TA (++ 'e/m

TA(A 085145192636 S(TA Pe++ Me+-

TA(A T+ Seo/+- IRTT+ 'eer:+ $++D+

TA(A SDS(TP IRTT+ 'eer:+ Me+-

TA(A SDS(TP Pe++ Me+-

TA(A SDS(TP (++ Me+-

TA(A SDS(TP IRTT+ 'eer:+ Me+-

TA(A SDS(TP IRTT+ 'eer:+ $++D+

TA(A 085145192636 S(TA (++ Me+-

TA(A 085260939233 S(TA Pe++ Me+-

TA(A 085260939233 S(TA Pe++ Me+-


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+;+b +;-er +;:+ +;ro +;+ +;+ eero/;

1

1

1 1

1

1

1

1

1

1 1


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+;+b +;-er +;:+ +;ro+;+ +;+ eero/; meroo

1

1

1

1

1

1

1

1

1

1

1


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+;+vr+;+ m;+/ o/ +o/ ;b+ ber+;b+ /+r;e

140 90 170 75 83

120 80 164 58 73

100 70 60 52 75

110 80 170 73 79

130 90 157 76 73

1 120 80 160 58 70100 70 160 80 72

90 70 170 65 78

90 70 171 70 80

90 70 162 71 81

100 80 164 65 80

100 70 152 45 75

100 70 155 70 77

90 70 170 55 71

100 80 160 70 70

90 70 155 65 68

100 80 157 40 79

120 80 180 65 81

130 90 177 75 75

140 90 160 79 73


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er+/+ o/eero/ r/er+be:o/+;v+ ++r;+/oe;+m=e


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1 ob

Offline_posbindu 18 Oktober 2015

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