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DAFTAR KUNJUNGAN PASIEN PUSKESMAS CIPONDOH

LAYANAN POLI UMUM

SELURUH STATUS

No Tanggal NamaUmur

L P1

2

3

4

5

6

29-06-2015 APRISANTI/13935 - 40 Thn 3 Bln 14 Hari

29-06-2015 TASRIAH/26366 - 53 Thn 0 Bln 15 Hari

29-06-2015 FITRI/17629 - 27 Thn 5 Bln 0 Hari

29-06-2015 YANA MULYANA/8446 - 38 Thn 4 Bln 9 Hari

29-06-2015 PURWATI/11321 - 23 Thn 1 Bln 29 Hari

29-06-2015 SANTI R/6341 - 35 Thn 4 Bln 17 Hari

6

7

8

9

10

11

12

13

14

29-06-2015 SANTI R/6341 - 35 Thn 4 Bln 17 Hari

29-06-2015 NENGSIH/110 - 40 Thn 2 Bln 17 Hari

29-06-2015 SYIFA HAYATI/5185 - 15 Thn 2 Bln 28 Hari

29-06-2015 M RAFI/8128 12 Thn 0 Bln 15 Hari -

29-06-2015 R YULIA/8128 - 40 Thn 0 Bln 15 Hari

29-06-2015 SUSI KARLINA/38112 - 25 Thn 5 Bln 13 Hari

29-06-2015 SUDRAJAT FIKRI/7144 45 Thn 4 Bln 26 Hari -

29-06-2015 BANDI/511 37 Thn 5 Bln 10 Hari -

29-06-2015 YUSNIAH J/9066 - 30 Thn 5 Bln 12 Hari

14

15

16

17

18

19

20

21

22

23

24

29-06-2015 YUSNIAH J/9066 - 30 Thn 5 Bln 12 Hari

29-06-2015 NADIA KHO/5995 - 16 Thn 0 Bln 15 Hari

29-06-2015 RUSTI RUSANTI/36113 - 38 Thn 9 Bln 23 Hari

29-06-2015 JONATHAN/32255 6 Thn 4 Bln 24 Hari -

29-06-2015 SRI MULYANI/26341 - 31 Thn 1 Bln 12 Hari

29-06-2015 RICKHUL H/3397 24 Thn 2 Bln 3 Hari -

29-06-2015 SARJONO/5383 44 Thn 4 Bln 27 Hari -

29-06-2015 ARIYANE/3213 - 14 Thn 2 Bln 7 Hari

29-06-2015 SUBENO/7568 42 Thn 3 Bln 12 Hari -

29-06-2015 MICHAELLEE S/8719 12 Thn 0 Bln 21 Hari -

29-06-2015 NIATI S/10928 - 30 Thn 0 Bln 26 Hari

24

25

26

27

28

29

30

31

29-06-2015 NIATI S/10928 - 30 Thn 0 Bln 26 Hari

29-06-2015 ANNA ANDRIANA/8988 - 48 Thn 1 Bln 12 Hari


29-06-2015 A YUDHA/16433 11 Thn 1 Bln 2 Hari -

29-06-2015 RANDA DWI/8334 6 Thn 0 Bln 15 Hari -

29-06-2015 UMAENA/138 - 42 Thn 3 Bln 12 Hari

29-06-2015 AULIA DWI/71311 - 13 Thn 8 Bln 27 Hari

29-06-2015 FAISAL ROMADHAN/5379 9 Thn 2 Bln 15 Hari -

31

32

33

34

35

36

37

38

29-06-2015 FAISAL ROMADHAN/5379 9 Thn 2 Bln 15 Hari -

29-06-2015 RATNA SEKAR/2763 - 16 Thn 8 Bln 25 Hari

29-06-2015 SULTAN/6436 9 Thn 7 Bln 28 Hari -

29-06-2015 DETIYANTI/21842 - 7 Thn 0 Bln 25 Hari

29-06-2015 SHELLY N/1537 - 22 Thn 4 Bln 20 Hari

29-06-2015 SENDI SAEPUL/1537 20 Thn 0 Bln 15 Hari -

29-06-2015 SULASTRI/1959 - 46 Thn 5 Bln 7 Hari

29-06-2015 INOGATI/8720 - 40 Thn 0 Bln 13 Hari

39

40

41

42

43

44

45

46

47

29-06-2015 WINDI N/5427 - 36 Thn 0 Bln 15 Hari

29-06-2015 ZILVAN KHOIRIUL/5305 7 Thn 5 Bln 0 Hari -

29-06-2015 YESSY MARIE/6614 - 11 Thn 5 Bln 23 Hari

29-06-2015 NURUL HIDAYAH/71312 - 43 Thn 2 Bln 24 Hari

29-06-2015 DIAN NURHAYATI/3012 - 13 Thn 0 Bln 21 Hari

29-06-2015 WAHYUDI/7367 29 Thn 4 Bln 3 Hari -

29-06-2015 M MULLYA/8722 32 Thn 1 Bln 6 Hari -

29-06-2015 MARNIH/19138 - 51 Thn 0 Bln 9 Hari

29-06-2015 NASRULLOH/29282 6 Thn 0 Bln 15 Hari -

47

48

49

50

51

52

53

54

55

56

57

29-06-2015 NASRULLOH/29282 6 Thn 0 Bln 15 Hari -

29-06-2015 TAUPAN RIZKY/8794 48 Thn 5 Bln 3 Hari -

29-06-2015 AGUSTIN SRI/8723 - 19 Thn 10 Bln 16 Hari

29-06-2015 ELIAS JULIUS/603 40 Thn 7 Bln 22 Hari -

29-06-2015 NASIYEM/6250 - 48 Thn 2 Bln 21 Hari

29-06-2015 ARMAH/5354 - 42 Thn 4 Bln 24 Hari

29-06-2015 SYAIFUL/5354 23 Thn 0 Bln 15 Hari -

29-06-2015 AHMAD ARIFIN/37101 20 Thn 1 Bln 23 Hari -

29-06-2015 FIKRI JAJULI 23 Thn 11 Bln 22 Hari -

29-06-2015 REZA IRZAL KARIM 21 Thn 7 Bln 8 Hari -

29-06-2015 ASSYIFA R/8341 - 7 Thn 3 Bln 6 Hari

57

58

59

60

61

62

63

64

29-06-2015 ASSYIFA R/8341 - 7 Thn 3 Bln 6 Hari

29-06-2015 DIANA/8729 - 34 Thn 0 Bln 15 Hari

29-06-2015 ESTER/36642 - 26 Thn 4 Bln 12 Hari

29-06-2015 ABDULLAH/ 30645 78 Thn 5 Bln 11 Hari -

30-06-2015 NIA NUR R/6659 9 Thn 3 Bln 26 Hari -

30-06-2015 ERIL LUKI/1782 34 Thn 4 Bln 27 Hari -

30-06-2015 ERDHO POLIN/1782 42 Thn 4 Bln 21 Hari -

30-06-2015 PAHRI M M/27725 5 Thn 1 Bln 3 Hari -

65

66

67

68

69

70

71

72

73

74

30-06-2015 MUNIROH/3899 - 41 Thn 2 Bln 26 Hari

30-06-2015 BAMBANG SIHONO/162 43 Thn 5 Bln 12 Hari -

30-06-2015 SITI MASFUFAH/8730 - 19 Thn 1 Bln 21 Hari

30-06-2015 WAGIYAH/37712 - 46 Thn 5 Bln 7 Hari

30-06-2015 DEA LUSIA/37712 - 11 Thn 8 Bln 10 Hari


30-06-2015 ENI SAENAH/23445 - 33 Thn 3 Bln 14 Hari

30-06-2015 ANISAH/23445 - 8 Thn 3 Bln 3 Hari

30-06-2015 FIRMAN/7042 32 Thn 4 Bln 8 Hari -

30-06-2015 SRI SUBARDINI/3844 - 47 Thn 5 Bln 11 Hari

74

75

76

77

78

79

80

81

82

83

30-06-2015 SRI SUBARDINI/3844 - 47 Thn 5 Bln 11 Hari

30-06-2015 SARPIYAH/4966 - 43 Thn 5 Bln 12 Hari

30-06-2015 WILAHANAH/7535 - 30 Thn 3 Bln 14 Hari

30-06-2015 FAJAR AMARULLOH/3803 24 Thn 5 Bln 7 Hari -

30-06-2015 MIA MEILIANDA/3149 - 16 Thn 5 Bln 11 Hari

30-06-2015 SAIFUL ARIF/5734 39 Thn 0 Bln 14 Hari -

30-06-2015 SABILA A/16593 - 8 Thn 2 Bln 7 Hari

30-06-2015 KHANSA A J/11109 - 6 Thn 0 Bln 14 Hari

30-06-2015 RIAN GUHYA S M/19257 15 Thn 0 Bln 14 Hari -

30-06-2015 AMELIA/3020 - 33 Thn 5 Bln 2 Hari

83

84

85

86

87

88

89

90

91

30-06-2015 AMELIA/3020 - 33 Thn 5 Bln 2 Hari

30-06-2015 NUFUS LUTH/3926 - 17 Thn 0 Bln 14 Hari

30-06-2015 SANIA SALMA/14705 - 7 Thn 5 Bln 5 Hari

30-06-2015 UUN KURNIASIH/14705 - 37 Thn 5 Bln 1 Hari

30-06-2015 ROBIATUL KHO/5928 - 20 Thn 2 Bln 28 Hari

30-06-2015 MEYSA /3527 - 6 Thn 4 Bln 11 Hari

30-06-2015 JULIA PUTRI/18166 - 15 Thn 3 Bln 20 Hari

30-06-2015 RUMYATI/18166 - 37 Thn 2 Bln 9 Hari

30-06-2015 SURYA HADI W/5903 37 Thn 0 Bln 18 Hari -

92

93

94

95

96

97

98

99

100

101

30-06-2015 SHOHIFAH/1727 - 38 Thn 5 Bln 5 Hari

30-06-2015 HEINCHE JUNIAR/6718 43 Thn 4 Bln 23 Hari -

30-06-2015 BERNAD S S/6266 43 Thn 0 Bln 14 Hari -

30-06-2015 EMMY ARIEF/33238 - 26 Thn 7 Bln 14 Hari

30-06-2015 YASMIN ADONIA/31014 - 5 Thn 4 Bln 28 Hari

30-06-2015 RATNA TAMBUNAN/5288 - 50 Thn 1 Bln 18 Hari

30-06-2015 YANAH/33861 - 45 Thn 5 Bln 0 Hari

30-06-2015 FIRMANSYAH/6040 31 Thn 5 Bln 1 Hari -

30-06-2015 FITRI SUPRIYATI/6040 - 26 Thn 5 Bln 1 Hari

30-06-2015 ROHANI/3126 - 37 Thn 5 Bln 10 Hari

101

102

103

104

105

106

107

108

30-06-2015 ROHANI/3126 - 37 Thn 5 Bln 10 Hari

30-06-2015 SIDKI ALI/3126 4 Thn 5 Bln 10 Hari -

30-06-2015 DIANA AULIA/9450 - 14 Thn 3 Bln 0 Hari

30-06-2015 INDAR MURTIANA/9450 - 44 Thn 3 Bln 0 Hari

30-06-2015 ALIYAH/17764 - 32 Thn 1 Bln 25 Hari

30-06-2015 NEKHA YULIANI/6831 - 15 Thn 0 Bln 14 Hari

30-06-2015 ATIKA/005 - 41 Thn 3 Bln 25 Hari

30-06-2015 ANTON SUDARSO/1059 35 Thn 5 Bln 8 Hari -

109

110

111

112

113

114

115

116

30-06-2015 SANDRA TAVIPA/1411 - 49 Thn 5 Bln 10 Hari

30-06-2015 LINDA/7904 - 35 Thn 2 Bln 27 Hari

30-06-2015 MUNASIH/1836 - 34 Thn 3 Bln 12 Hari

30-06-2015 ALDA OKTAVIANI/4812 - 15 Thn 5 Bln 8 Hari

01-07-2015 LILIS SURYANI/11158 - 41 Thn 0 Bln 13 Hari

01-07-2015 DARWIN/23976 48 Thn 3 Bln 1 Hari -

01-07-2015 M EDI S/6059 35 Thn 4 Bln 24 Hari -

01-07-2015 WAHYUNI/8219 - 38 Thn 1 Bln 23 Hari

117

118

119

120

121

122

123

124

125

01-07-2015 LILIS/5044 - 43 Thn 1 Bln 4 Hari

01-07-2015 VITA AMALIA/8739 - 13 Thn 3 Bln 5 Hari

01-07-2015 AUDYA L/13278 - 12 Thn 0 Bln 13 Hari

01-07-2015 EVI SOPIAH/8484 - 40 Thn 1 Bln 9 Hari

01-07-2015 NIZAM FAJAR/8740 - 5 Thn 0 Bln 14 Hari

01-07-2015 HERLINA/2139 - 31 Thn 0 Bln 10 Hari

01-07-2015 ELAWATI/26581 - 32 Thn 4 Bln 7 Hari

01-07-2015 YUNITA/2220 - 25 Thn 3 Bln 8 Hari

01-07-2015 HENNY KEWATI/4380 - 42 Thn 0 Bln 13 Hari

125

126

127

128

129

130

131

132

133

01-07-2015 HENNY KEWATI/4380 - 42 Thn 0 Bln 13 Hari

01-07-2015 M ALFAZRI/22978 6 Thn 8 Bln 26 Hari -

01-07-2015 HAIATUL H/11324 - 5 Thn 5 Bln 3 Hari

01-07-2015 SUPADMI/11084 - 48 Thn 4 Bln 24 Hari

01-07-2015 TUSIRIN/2563 38 Thn 5 Bln 4 Hari -

01-07-2015 SAANAH /2563 - 36 Thn 5 Bln 2 Hari


01-07-2015 ABDUL ROZI/2906 45 Thn 4 Bln 7 Hari -

01-07-2015 FAUZAN AMIR/71315 26 Thn 3 Bln 9 Hari -

133

134

135

136

137

138

139

140

141

142

01-07-2015 FAUZAN AMIR/71315 26 Thn 3 Bln 9 Hari -

01-07-2015 NI WAYAN/8600 - 43 Thn 9 Bln 1 Hari

01-07-2015 SULIYAH/7669 - 48 Thn 3 Bln 27 Hari

01-07-2015 SELLYA/3567 - 38 Thn 0 Bln 28 Hari

01-07-2015 MARWATI/3657 - 38 Thn 3 Bln 1 Hari

01-07-2015 VERA MUTIARA/5055 - 25 Thn 3 Bln 24 Hari

01-07-2015 INOGATI/8720 - 40 Thn 0 Bln 13 Hari

01-07-2015 TITIN MARTINI/32951 - 39 Thn 6 Bln 6 Hari

01-07-2015 VONY FOURTUNA/6750 - 15 Thn 5 Bln 12 Hari

01-07-2015 BUDI A/5493 33 Thn 4 Bln 18 Hari -

143

144

145

146

147

148

149

150

151

152

153

01-07-2015 FREDERICK/8742 16 Thn 5 Bln 6 Hari -

01-07-2015 TIARA FAIRUZ/26157 - 9 Thn 2 Bln 27 Hari


01-07-2015 ZAHWA ARUM/6827 - 12 Thn 5 Bln 3 Hari

01-07-2015 SUNARTI/14206 - 37 Thn 3 Bln 0 Hari

01-07-2015 WIDA LESTARI/7556 - 27 Thn 3 Bln 13 Hari

01-07-2015 IGO DZANLY/14978 20 Thn 0 Bln 13 Hari -

01-07-2015 IVAN/8743 30 Thn 10 Bln 21 Hari -

01-07-2015 DENNY/7366 19 Thn 0 Bln 13 Hari -

01-07-2015 YUSSY LESTARI/8743 - 34 Thn 6 Bln 22 Hari

01-07-2015 ALHABSY/71321 13 Thn 9 Bln 1 Hari -

153

154

155

156

157

158

159

160

161

162

01-07-2015 ALHABSY/71321 13 Thn 9 Bln 1 Hari -

01-07-2015 ANDRIYANA/8710 29 Thn 9 Bln 16 Hari -

01-07-2015 SRI LESTARI/71322 - 34 Thn 0 Bln 13 Hari

01-07-2015 YOSE RIZAL/3351 46 Thn 5 Bln 10 Hari -

01-07-2015 TRI YUDHA/71323 19 Thn 8 Bln 5 Hari -

01-07-2015 MELLY T/7080 - 20 Thn 2 Bln 16 Hari

01-07-2015 HENDHI ROSSI/8744 21 Thn 11 Bln 6 Hari -

02-07-2015 RISNAYATY/8746 - 25 Thn 0 Bln 11 Hari

02-07-2015 ROJALIH/043 41 Thn 6 Bln 12 Hari -

02-07-2015 WAGINA/6779 - 39 Thn 4 Bln 20 Hari

162

163

164

165

166

167

168

169

02-07-2015 WAGINA/6779 - 39 Thn 4 Bln 20 Hari

02-07-2015 RINI SUNARNI/5348 - 37 Thn 3 Bln 24 Hari

02-07-2015 ROSMITA/2353 - 11 Thn 4 Bln 19 Hari

02-07-2015 YULIANTI NAS/2353 - 45 Thn 2 Bln 3 Hari

02-07-2015 M PIKRI/2353 7 Thn 0 Bln 12 Hari -

02-07-2015 KHORIZ RAHMI/5429 19 Thn 0 Bln 12 Hari -

02-07-2015 HERYATI/18021 - 46 Thn 0 Bln 12 Hari

02-07-2015 AULIA BUNGA/71327 - 6 Thn 9 Bln 21 Hari

170

171

172

173

174

175

176

177

02-07-2015 MARDI WIDODO/6206 51 Thn 2 Bln 9 Hari -

02-07-2015 AULIA RIZKI/12003 - 15 Thn 0 Bln 12 Hari

02-07-2015 NARISAH/15298 - 35 Thn 0 Bln 13 Hari

02-07-2015 BUSTAREN/8689 39 Thn 0 Bln 20 Hari -

02-07-2015 LUTFIA IMELDA/6827 - 15 Thn 2 Bln 3 Hari


02-07-2015 ROSE HERYANI/4877 - 45 Thn 5 Bln 3 Hari

02-07-2015 MEGA CITRA/4877 - 19 Thn 5 Bln 3 Hari

178

179

180

181

182

183

184

185

186

187

188

189

02-07-2015 M FATIH/8437 6 Thn 4 Bln 11 Hari -

02-07-2015 DEDEH S/2183 - 48 Thn 5 Bln 12 Hari

02-07-2015 DIAH PURNAMA S/2183 - 20 Thn 0 Bln 12 Hari

02-07-2015 NOVITA SARI/8663 - 23 Thn 0 Bln 22 Hari


02-07-2015 NUNUNG NURMA/71331 - 31 Thn 9 Bln 26 Hari

02-07-2015 NIKESYA FARAH/10139 - 5 Thn 0 Bln 12 Hari

02-07-2015 DIMAS RACHMAT/71332 27 Thn 0 Bln 12 Hari -

02-07-2015 SRI HANDAYANI/71334 - 43 Thn 0 Bln 12 Hari

02-07-2015 HENDHI ROSSI/8744 21 Thn 11 Bln 6 Hari -

02-07-2015 SAIFUL BAHRI/8609 32 Thn 0 Bln 27 Hari -

02-07-2015 VIRDHIAN AULIA/35534 - 23 Thn 0 Bln 12 Hari

189

190

191

192

193

194

195

196

197

02-07-2015 VIRDHIAN AULIA/35534 - 23 Thn 0 Bln 12 Hari

02-07-2015 INTAN R A/21222 - 19 Thn 0 Bln 12 Hari

02-07-2015 MURSAN/3718 29 Thn 0 Bln 28 Hari -

02-07-2015 DIAH AYU/35076 - 33 Thn 5 Bln 8 Hari

02-07-2015 FITRIYANI RAHMA/7240 - 7 Thn 8 Bln 25 Hari

02-07-2015 YETI RAWATI/8615 - 46 Thn 4 Bln 23 Hari

02-07-2015 IIS CITRA/8615 - 13 Thn 5 Bln 29 Hari

02-07-2015 RARA RUSMIATI/1662 - 25 Thn 0 Bln 12 Hari

02-07-2015 RIRIN FEBRIANI/35058 - 8 Thn 5 Bln 11 Hari

198

199

200

201

202

203

204

02-07-2015 WANDI/6837 33 Thn 5 Bln 3 Hari -

02-07-2015 RIKA MAWARDIKA/31550 - 22 Thn 0 Bln 12 Hari

02-07-2015 FERANITA/30987 - 31 Thn 4 Bln 5 Hari

03-07-2015 RIDWAN FEBRIAN/2649 13 Thn 0 Bln 18 Hari -

03-07-2015 ARIP PADILAH/36378 11 Thn 1 Bln 8 Hari -

03-07-2015 SILPI YANTI/36378 - 6 Thn 6 Bln 24 Hari

03-07-2015 BEKTI RAHMAWATI/3289 - 25 Thn 0 Bln 11 Hari

204

205

206

207

208

209

210

211

212

213

03-07-2015 BEKTI RAHMAWATI/3289 - 25 Thn 0 Bln 11 Hari

03-07-2015 SAEPUL BAHRI/4405 25 Thn 4 Bln 24 Hari -

03-07-2015 SUPINI/6640 - 49 Thn 0 Bln 11 Hari

03-07-2015 DEDE SUPRIATNA/71336 45 Thn 0 Bln 11 Hari -

03-07-2015 MAHFUD SIDDIQ/5585 45 Thn 5 Bln 8 Hari -

03-07-2015 ABD ROSID/4589 21 Thn 0 Bln 11 Hari -

03-07-2015 SITI MAHMUDAH/71337 - 19 Thn 8 Bln 24 Hari

03-07-2015 LUKMAN/11852 7 Thn 0 Bln 11 Hari -


03-07-2015 PIETOYO S/8496 32 Thn 1 Bln 6 Hari -

213

214

215

216

217

218

219

220

221

03-07-2015 PIETOYO S/8496 32 Thn 1 Bln 6 Hari -

03-07-2015 NINING SAPUTRI/8757 - 21 Thn 8 Bln 16 Hari

03-07-2015 M FADIL W/6795 22 Thn 5 Bln 8 Hari -

03-07-2015 SITI NURHALISA/2906 - 12 Thn 4 Bln 7 Hari

03-07-2015 MUNAROH/1972 - 48 Thn 4 Bln 12 Hari

03-07-2015 RUDI ALEXANDER/5015 7 Thn 5 Bln 12 Hari -

03-07-2015 SITI LAILA/7374 - 31 Thn 0 Bln 11 Hari

03-07-2015 IDA FARIDA/6065 - 32 Thn 5 Bln 8 Hari

03-07-2015 NAUFAL A/2674 7 Thn 1 Bln 9 Hari -

221

222

223

224

225

226

227

03-07-2015 NAUFAL A/2674 7 Thn 1 Bln 9 Hari -


03-07-2015 SITI BADARIYAH/765 - 25 Thn 5 Bln 12 Hari

03-07-2015 DWI FEBRIYANTI/11579 - 23 Thn 0 Bln 26 Hari

03-07-2015 MARNAH/4863 - 43 Thn 1 Bln 24 Hari

03-07-2015 RARA AULIA/4863 - 6 Thn 1 Bln 10 Hari

03-07-2015 SATRI LIANTI/16133 - 42 Thn 5 Bln 7 Hari

228

229

230

231

232

233

234

03-07-2015 NUR ABDUL/7419 12 Thn 0 Bln 21 Hari -

03-07-2015 ZAHROTU NAZWA/41 - 9 Thn 3 Bln 1 Hari

03-07-2015 NUR ELANG/7419 9 Thn 0 Bln 19 Hari -

03-07-2015 SAHABAT NAINGGO/5400 44 Thn 5 Bln 7 Hari -

03-07-2015 FEBY FRISILIA/5400 - 8 Thn 3 Bln 18 Hari

03-07-2015 SUMARTINI/16148 - 41 Thn 2 Bln 3 Hari

03-07-2015 NURLELA/494 - 47 Thn 3 Bln 14 Hari

234

235

236

237

238

239

240

241

242

243

244

03-07-2015 NURLELA/494 - 47 Thn 3 Bln 14 Hari

03-07-2015 SRI H/4247 - 49 Thn 0 Bln 11 Hari

04-07-2015 AISYAH/16301 - 47 Thn 2 Bln 3 Hari

04-07-2015 SARI NOPTASITA/8254 36 Thn 5 Bln 10 Hari -

04-07-2015 ARITO SENAPALA/2162 39 Thn 10 Bln 21 Hari -

04-07-2015 DYLON M ISA 23 Thn 1 Bln 28 Hari -

04-07-2015 FIKRI JAJULI 23 Thn 11 Bln 22 Hari -

04-07-2015 DEA ANGGRAENI/30241 - 23 Thn 5 Bln 19 Hari

04-07-2015 NINA HERLINA/1707 - 38 Thn 5 Bln 9 Hari

04-07-2015 KIBLAT RAMADHAN/1707 11 Thn 4 Bln 12 Hari -

04-07-2015 NURDIANSYAH/32062 28 Thn 6 Bln 8 Hari -

244

245

246

247

248

249

250

251

252

04-07-2015 NURDIANSYAH/32062 28 Thn 6 Bln 8 Hari -

04-07-2015 SITI MASYITOH/15371 - 30 Thn 1 Bln 19 Hari

04-07-2015 RATU SITI/3513 - 5 Thn 3 Bln 25 Hari

04-07-2015 WATI DARWATI/3513 - 36 Thn 3 Bln 25 Hari

04-07-2015 ANNISA DWI/3513 - 9 Thn 0 Bln 10 Hari


04-07-2015 RIDWAN/30272 30 Thn 3 Bln 29 Hari -

04-07-2015 M NASHIHUDDIN/8761 26 Thn 0 Bln 7 Hari -

04-07-2015 NASSELA OC/1139 - 9 Thn 2 Bln 29 Hari

252

253

254

255

256

257

258

04-07-2015 NASSELA OC/1139 - 9 Thn 2 Bln 29 Hari

04-07-2015 IKE WULAN/6359 - 25 Thn 0 Bln 10 Hari

04-07-2015 TAUPIK NURROHIM/7271 18 Thn 4 Bln 12 Hari -

04-07-2015 LARAS ATIKA/26847 - 16 Thn 4 Bln 19 Hari

04-07-2015 DARSI /6134 40 Thn 5 Bln 8 Hari -

04-07-2015 GUNTUR IBEL/16542 8 Thn 0 Bln 10 Hari -

04-07-2015 ROYANIH/3178 44 Thn 5 Bln 11 Hari -

258

259

260

261

262

263

264

265

266

04-07-2015 ROYANIH/3178 44 Thn 5 Bln 11 Hari -

04-07-2015 MAY ITA N /16994 - 48 Thn 4 Bln 21 Hari

04-07-2015 SITI MUNIROH/3695 - 46 Thn 5 Bln 9 Hari

04-07-2015 A BAIHAQI/3695 15 Thn 5 Bln 9 Hari -

04-07-2015 TARIDA/4482 - 7 Thn 0 Bln 17 Hari

04-07-2015 SUKAESIH/2284 - 38 Thn 4 Bln 2 Hari

04-07-2015 ISNAWATI/535 - 28 Thn 3 Bln 6 Hari

04-07-2015 M ADRIYANTO/2524 18 Thn 5 Bln 11 Hari -


266

267

268

269

270

271

272

273

274

275


04-07-2015 NURLAILA T/30654 - 42 Thn 10 Bln 16 Hari

04-07-2015 SARJONO/5383 44 Thn 4 Bln 27 Hari -


04-07-2015 TATU IIN/32979 - 32 Thn 5 Bln 0 Hari

04-07-2015 MUKTAMAN/1576 49 Thn 4 Bln 20 Hari -

04-07-2015 SITI FAUZIAH/1576 - 20 Thn 0 Bln 24 Hari

04-07-2015 LILIS SURYANIH/8451 - 30 Thn 0 Bln 10 Hari

04-07-2015 SARWIYAH/171 - 35 Thn 1 Bln 25 Hari

04-07-2015 WAHIDIN NUR/2267 7 Thn 0 Bln 21 Hari -

275

276

277

04-07-2015 WAHIDIN NUR/2267 7 Thn 0 Bln 21 Hari -

04-07-2015 LAELATUL FITRI/2183 - 19 Thn 5 Bln 12 Hari



LAYANAN POLI UMUM

SELURUH STATUS

KK AlamatBAMBANG/13935 GANG PARIT 3/10

TASRIAH/26366 PORIS CIPONDOH

SARWIN JAYA/17629 KP DONGKAL RT 02/09

YANA MULYANA/8446 KENANGA 04/01

ARSYAD/11321 CIPONDOH MAKMUR RT 01 RW 09

MASA FREDY/6341 TAMANJAYA 03/11

MASA FREDY/6341 TAMANJAYA 03/11

DANI PURWANTO/110 CIPONDOH MAKMUR 02/03

NAIMAN/5185 CIPONDOH MAKMUR RT 03 RW 03

HERMANSYAH/8128 RT 02/08

HERMANSYAH/8128 RT 02/08

SARIPUDIN/38112 CIPONDOH KAV DPR 01/02

DIANA/7144 CIPONDOH RT 01/01

BANDI/511 JL ANGGREK CIPONDOH MAKMUR RT 04 RW 02

ENDANG/9066 KENANGA 02/04

ENDANG/9066 KENANGA 02/04

ZAINUDIN/5995 CIPONDOH 0303

ROBI MESAK/36113 KENANGA RT 02 RW 01

AFFONG/32255 PORIS INDAH BLOK F 7/30 RT 013 RW 01 CIPONDOH INDAH

SUTARNO/26341 KENANGA RT 03 RW 02

ASROFI /3397 GAGNG SADAR 01/02

SARJONO/5383 RT 03/04

AGUS HERMAWAN/3213

SUBENO/7568 KENANGA RT 04 RW 03

DJOKO SUKMANA/8719 JL KH HASYIM ASHARI KAV DPR BLOK C NO.01 RT 02 RW 01

ACHMAT TAROJI/10928 CIPONDOH RT 02 RW 01

ACHMAT TAROJI/10928 CIPONDOH RT 02 RW 01

SARBINI MS/8988 CIPONDOH RT 02 RW 01

JONATHAN/5617 CIPONDOH 02/08

AHMAD SADELIH/16433 KP GUNUNG CIPONDOH RT 01 RW 04

KUSDIAN/8334 CIPONDOH 01/01

ABDUL HALIM/138 CIPONDOH RT 06/10

AULIA DWI/71311 KP KETAPANG RT 05 RW 06

AHMAD AKIB/5379 KENANGA 5/4

AHMAD AKIB/5379 KENANGA 5/4

SRI SUMARSISW/2763 CIPONDOH

ROKIB/6436 CIPONDOH MAKMUR RT 01 RW 03

DIDIK HARI/21842 KP DONGKAL RT 03 RW 09

ENJANG SUHENDAR/1537 KP GUNUNG RT 02/01

ENJANG SUHENDAR/1537 KP GUNUNG RT 02/01

JASAN/1959 KP GUNUNG 2/1

EKO JULIANTO/8720 KOMP PINANG INDAH JL SENTOSA BLOK A.100B NO.16 RT 07 RW 02

BADRUL MUNIR/5427 PORIS PLAWAD 01/05

SEPY AGUS H /5305 CIPONDOH 01/02

MARKUS LAIJ SAK/6614 JL MAULANA HASANUDIN NO 57 RT 02/03

NURUL HIDAYAH/71312 GRIYA KOSAMBI ASRI BLOK A 12 RT 01 RW 01

KOHARUDIN/3012 KENANGA 04/02

OEY KIAN NIO/7367 CIPONDOH MAKMUR RT 09 RW 08

M MULLYA/8722 JL MAULANA HASANUDIN RT 02 RW 02

ALI/19138 KP GUNUNG RT 01 RW 03

M BEHRI/29282 CIPONDOH RT 01 RW 010

M BEHRI/29282 CIPONDOH RT 01 RW 010

TAUPAN RIZKY/8794 KP GUNUNG JL KERONCONG UJUNG NO 58 RT 01/03

P BAHRUN/8723 JL KH MUSTOFA RT 02 RW 04

ELIAS JULIUS/603 KP PORIS RT 03 RW 09

LATIP/6250 PINANG GRIYA 01/06

RUSLAN/5354 KENANGA RT 04/03

RUSLAN/5354 KENANGA RT 04/03

ABDUL GOFAR/37101 CIPONDOH RT 02 RW 01

FIKRI JAJULI

REZA IRZAL KARIM JL H RIMPANG NO 09 RT 05 RW 09

HASAN RAHMAT/8341 SIPON 3/3

HASAN RAHMAT/8341 SIPON 3/3

WARSONO/8729 GG IMPRES 2 RT 04 RW 02

ROLAN/36642 CIPONDOH RT 05 RW 06

ABDULLAH/ 30645 DONGKAL 06/03

ACHMAD Y/6659 CIPONDOH 01/01

KARYA BAKTI 01/02

EDDYSONA/1782 JL KARYA BAKTI RT 01/02

M MAMAN/27725 KP GUNUNG RT 01 RW 03

ABDUL SALAM/3899 JL KARYA BAKTI RT 01/02

BAMBANG SIHONO/162 KP GUNUNG 3/4

MARYANIH/8730 KENNGA RT 05 RW 01

K SOLIHIN/37712 CIPONDOH MAKMUR 6/5

K SOLIHIN/37712 CIPONDOH MAKMUR 6/5


ALI AHMADI/23445 CIPONDOH RT 02 RW 01

ALI AHMADI/23445 CIPONDOH RT 02 RW 01

FIRMAN/7042 PORIS AL HIKMAH RT 03 RW 09

SRI SUBARDINI/3844 KP PORIS 3/9 CIPONDOH MAKMUR

SRI SUBARDINI/3844 KP PORIS 3/9 CIPONDOH MAKMUR

SARDI/4966 CIPONDOH 02/03

AHMAD ZAJULI/7535 KP GUNUNG NO.33 RT 01 RW 09

FAJAR AMARULLOH/3803 KENANGA RT 01 RW 04

SOFIAN/3149 CIPONDOH 1/1

SAIFUL ARIF/5734 KENANGA02/02

HERMANSYAH/16593 CIPONDOH RT 03 RW 012

JON HENDRI/11109 CIPONDOH MAKMUR 5/12

JURIANTA/19257 JLN GUNUNG KAWIRI BLOK K 37/7 RT06/12

M ABDUL GANI/3020 CIPONDOH GG PARIT RT 05 RW 010

M ABDUL GANI/3020 CIPONDOH GG PARIT RT 05 RW 010

NIMMI PUJIANTI/3926 CIPONDOH 03/03

WADIS/14705 KP GUNUNG 1/3

WADIS/14705 KP GUNUNG 1/3

H SAUKANI S/5928 PETIR 05/02

MAIJO S/3527 GARUDA 02/03

BAGUS PERMANA/18166 CIPONDOH RT 02 RW 010

BAGUS PERMANA/18166 CIPONDOH RT 02 RW 010

SURYA HADI W/5903 PPI

SUAIB/1727 KP GUNUNG 3/3

HEINCHE JUNIAR/6718 CIPONDOH MAKMUR BLOK E 10/8 RT 06 RW 05 CIPONDOH MAKMUR

BERNAD S S/6266 PORISOLAWAD

SANTIKA/33238 KENANGA RT 03 RW 01

KENANGA 02/02

RATNA TAMBUNAN/5288 CIPONDOH MAKMUR 05/06

YANAH/33861 CIPONDOH RT 01/01

FIRMANSYAH/6040 KOMP PDK RT 01/10

FIRMANSYAH/6040 KOMP PDK RT 01/10

ROHANI/3126 CIPONDOH

ROHANI/3126 CIPONDOH

M RAPIK/3126 KENANGA N0 42 RT 05 RW 02

MULYONO/9450 KENANGA RT 07 RW 02

MULYONO/9450 KENANGA RT 07 RW 02

JONI/17764 KENANGA 02/04

AAN/6831 CIPONDOH RT 02/08

MURSAN ILYAS/005 GG JAMBU KENANGA NO.33 RT 04 RW 03

ANTON SUDARSO/1059 KENANGA RT 03 RW 02

M NASIR / 1411 CIPONDOH 04/07

YOHANES/7904 CIPONDOH MAKMUR C.II/23 RT 06 RW 04

AWIN/1836 CIPONDOH RT 04 RW 03

SUMARDI/4812 CIPONDOH RT 01 RW 08

LILIS SURYANI/11158 CIPONDOH MAKMUR

DARWIN/23976 JL TUGU KARYA I RT 03 RW 012 CIPONDOH

M EDI S/6059 CIPONDOH RT 04 RW 01

AZIS MUSLIM/8219 JL PERDAMAIAN NO.71 RT 01 RW 03

TN MANSUR/5044 CIPONDOH RT 010 RW 05

EDY ANWAR/8739 JL TUGU KARYA I NO.48 RT 04 RW 10

MARSALI/13278 CIPONDOH

SAIFUL ANWAR/8484 KP PORIS RT 05 RW 10

DIDIN SOLEH/8740 CIPONDOH RT 02 RW 08

SYAEFUL ANWAR/2139 PORIS CIPONDOH RT 05 RW 03

ABDUL RASYID/26581 JL MAULANA HASANUDIN NO.22 RT 01 RW 03

H A APENDIH/2220 KP GUNUNG RT 01 RW 04

SURYANA/4380 ALAM INDAH 03/07

SURYANA/4380 ALAM INDAH 03/07

RONNIH/22978 KP GUNUNG RT 02 RW 01

UBAIDILLAH/11324 KP GUNUNG NO 29 CIPONDOH RT 03 RW 04

HARWANTO/11084 CIPONDOH NO 63 RT 01/08

TUSIRIN/2563 KP GUNUNG RT 02 RW 01 CIPONDOH

TUSIRIN/2563 KP GUNUNG RT 02 RW 01 CIPONDOH


ABDUL ROZI/2906 GG PARIT RT 02 RW 08

FAUZAN AMIR/71315 KP PULO RT 04 RW 04

FAUZAN AMIR/71315 KP PULO RT 04 RW 04

YONDRA/8600 JL KH HASYIM ASHARI RT 01 RW 08

NAFIAN/7417 CIPONDOH RT 03 RW 03

SACA ARTALAM/3657 JL KARYA BAKTI RT 01 RW 02 CIPONDOH MAKMUR

SACA ARTALAM/3657 JL KARYA BAKTI RT 01 RW 02 CIPONDOH MAKMUR

ROBBY KRISTIANTO CIPONDOH RT 03 RW 02

EKO JULIANTO/8720 KOMP PINANG INDAH JL SENTOSA BLOK A.100B NO.16 RT 07 RW 02

ABDUL GANI/32951 KENANGA RT 04 RW 02

NURHALIM/6750 RT 04/02

RUDI /5493 CIPONDOH MAKMUR 01/07

ANTONIO TJHIN/8742 GRAND PORIS BLOK AB.9/5 RT 09 RW 09

TOPIK/26157 PERUM PURI PERMATA BLOK E2-6 RT 04 RW 12


BASUNI/6827 KENANGA RT 04/04

ARSAD ROSADI14206 CIPONDOH MAKMUR 08/06

ABDUL PAQIH/7556 JL KH AMSIR KENANGA NO.36 RT 02 RW 04

MURSALLY/14978 CIPONDOH RT 03/02

IVAN/8743 JL IMAM BONJOL KP SAWAH RT 02 RW 06

DJALAL TAUFIK/7366 PORIS INDAH RT 01 RW 07

IVAN/8743 JL IMAM BONJOL KP SAWAH RT 02 RW 06

NURLAELAH/71321 KUNCIRAN

NURLAELAH/71321 KUNCIRAN

ANDRIYANA/8710 CIPONDOH MAKMUR BLOK M II NO.14 RT 04 RW 08

SRI LESTARI/71322 KP GUNUNG RT 05 RW 03

YOSE RIZAL/3351 JL TUGU KARYA I NO 04 RT 02 RW 010

TRI YUDHA/71323 CIPONDOH MAKMUR RT 010 RW 08

NOORKHAN/7080 CIPONDOH MAKMUR M.V/24 RT 06 RW 08

PT SURYA TOTO/8744 JL MH THAMRIN KM.7 SERPONG

ALI/8746 JL KH HASYIM ASHARI GG KEMUNING RT 01 RW 05

ROJALIH/043 CIPONDOH RT 03 RW 03

MARDJONO/6779 KENANGA 1/1

MARDJONO/6779 KENANGA 1/1

RINI SUNARNI/5348

SAPRI /2353 KP GUNUNG 01/03



H MUHIDIN/5429 CIPONDOH RT 03 RW 01

ANHAR/18021 RT 01/07

AULIA BUNGA/71327 SIPON RT 05 RW 010

MARDI WIDODO/6206 BUANG PERMAI 02/09

AGUS SALIM/12003 CIPONDOH MAKMUR RT 02 RW 02

AGUS SUBAR/15298 CIPONDOH MAKMUR BLOK F.IV/32 RT 02 RW 08

BUSTAREN/8689 PORIS PLAWAD UTARA RT 03 RW 02

BASUNI/6827 KENANGA RT 04/04


M MUHAS/4877 TAMAN PERMATA BLOK H/3 RT 05 RW 07

M MUHAS/4877 TAMAN PERMATA BLOK H/3 RT 05 RW 07

FAUZI/8437 JL MAULANA HASANUDIN RT 02 RW 02

DRS ARSUDIN/2183 KENANGA 02/02


JEMINGIN/8663 JL MAULANA HASANUDIN NO.108 RT 02 RW 08


NUNUNG NURMA/71331 CIPONDOH NO 53 RT 01 RW 01

ADI WITOKO/10139 CIPONDOH RT 01 RW 01

DIMAS RACHMAT/71332 ALAM INDAH BLOK I 1/3 RT 02 RW 06

SRI HANDAYANI/71334 JL PULAU BURU GG MOROSENENG

PT SURYA TOTO/8744 JL MH THAMRIN KM.7 SERPONG

SAIFUL BAHRI/8609 JL H BAAN RT 02 RW 04

DINUL HABIBI/35534 CIPONDOH NO.30 RT 04 RW 01

DINUL HABIBI/35534 CIPONDOH NO.30 RT 04 RW 01

ADE BURHANUDIN/21222 CIPONDOH

RININ/3718 KENANGA RT 05 RW 02

ARI SUBAGYO CIPONDOH 01/01

SAHIBUL RAHMAT/7240 KENANGA NO 11 RT 01 RW 04

DAHRI OSNANDAR/8615 CIPONDOH RT 02/02

DAHRI OSNANDAR/8615 CIPONDOH RT 02/02

SYAIFUL ANWAR/1662 JL MAULANA HASANUDIN RT 02 RW 02

JL ANGGREK N0 100 RT 04 RW 02

WANDI/6837 ALAM INDAH BLOK B2/8 RT 03/05

NASRIL NAWI/31550 CIPONDOH MAKMUR/09/04

DARYOTO/30987 JL H MANSYUR NO 132 RT 03 RW 03 GONDRONG

SARIYO/2649 KP KEBALEN 01/03

SAMSUL BAHRI/36378 CIPONDOH MAKMUR RT 02 RW 09

SAMSUL BAHRI/36378 CIPONDOH MAKMUR RT 02 RW 09

SULASTRI/3289 CIPONDOH MAKMUR

SULASTRI/3289 CIPONDOH MAKMUR

SAEPUL BAHRI/4405 KUNCIRAN JAYA

SRIYONO/6640 CIPONDOH RT 02/02

DEDE SUPRIATNA/71336

M SYAUQONI/5585 JL KAYU GEDE 2 RT 06 RW 04 SERPONG UTARA

EDI SAIDI /4589 DONGKAL 03/03

SUKIRYANTO/71337 IRIGASI KENANGA RT 05 RW 03

ININ/11852 GG MASJID NO 27 RT 01 RW 02 KENANGA


PIETOYO S/8496 PURI PERMATA BLOK C5 N0 8 RT 02 RW 12

PIETOYO S/8496 PURI PERMATA BLOK C5 N0 8 RT 02 RW 12

RIO TAMPATY/8757 JL KH HASYIM ASHARI GG DAMAI RT 02 RW 02

M FADIL W/6795 CIPONDOH RT 01 RW 01

ABDUL ROZI/2906 GG PARIT RT 02 RW 08

MUNAROH/1972 KP GUNUNG RT 01 RW 03

HELDI ALI/5015 KP GUNUNG RT 02/01

ERI ZONAL/7374 GONDRONG RT 03 RW 02

RAIS/6065 KP GUNUNG 2/1

SUHENDI/2674 KENANGA RT 07 RW 04

SUHENDI/2674 KENANGA RT 07 RW 04


M SUBUR/765 KP GUNUNG 4/3

M SAHRIR/11579 CIPONDOH MAKMUR RT 03 RW 06

ROHMAN/4863 CIPONDOH RT 03 RW 10

ROHMAN/4863 CIPONDOH RT 03 RW 10

HANAFI/16133 PURI PERMATA BLOK E3-23 RT 04 RW 012 CIPONDOH MAKMUR

ACHMAD TRY/7419 CIPONDOH RT 05 RW 02

JUMAN/41 KP GUNUNG CIPONDOH RT 03 RW 01

ACHMAD TRY/7419 CIPONDOH RT 05 RW 02

SAHABAT NAINGGO/5400 JL TUGU KARYA 1 RT 03 RW 012 CIPONDOH

SAHABAT NAINGGO/5400 JL TUGU KARYA 1 RT 03 RW 012 CIPONDOH

DWI RINTO PUR/16148 CIPONDOH RT 03 RW 02

ANDITAJAYA/494 CIPONDOH MAKMUR RT 01 RW 09

ANDITAJAYA/494 CIPONDOH MAKMUR RT 01 RW 09

SRI H/4247 PORIS PLAWAD INDAH

AISYAH/16301 PORIS INDAH BLOK C NO 461 RT 03 RW 06 CIPONDOH INDAH

GUSNADI/8254 KOMP PDK CIPONDOH RT 01 RW 05

ARITO SENAPALA/2162 BANJAR WIJAYA BLOK B.28 RT 03 RW 06 NO.27

DYLON M ISA TAMAN PERMATA CIPONDOH

FIKRI JAJULI

ENDANG DURAHIM/30241 KOMP CIPONDOH INDAH JL CEMPAKA NO.229 RT 04 RW 05

MULYADI/1707 CIPONDOH RT 03 RW 010

MULYADI/1707 CIPONDOH RT 03 RW 010

NURDIANSYAH/32062 PORIS CIPONDOH MAKMUR RT 05 RW 03

NURDIANSYAH/32062 PORIS CIPONDOH MAKMUR RT 05 RW 03

ADE ASEP DJUNAEDI GG ANNUR II RT 04 RW 01 PORIS PLAWAD UTARA

RUDI KRISNANDAR/3513 JL UTAA UJUNG NO.230 RT 05 RW 05



TATANG S/193 CIPONDOH 4/1

VILOMINA/30272 CIPONDOH RT 01 RW 01

HJ UMMI KULSUM/8761 GG AMBON RT 04 RW 01

JUNAIDIN/1139 CIPONDOH MAKMUR 04/06

JUNAIDIN/1139 CIPONDOH MAKMUR 04/06

SANDI JAIDAN/6359 GG MASJID KENANGA RT 03 RW 02

SUPARJAN/7271 JL BAITUSSALAM RT 04/03

EDI SURYA/26847 GG ERETAN 2/2 CIPONDOH

DODI RISWANTO/6134 ALAM INDAH 2/08

GAMAL ABDUL/16542 TAMAN PERMATA BLOK E 5 RT 04 RW 07

ROYANIH/3178 KP GUNUNG 04/03

ROYANIH/3178 KP GUNUNG 04/03

BURHAN/16994 H MAULANA HASANUDIN 02/03

ARIFIN/3695 PORIS CIP MAK 6/3

ARIFIN/3695 PORIS CIP MAK 6/3

ARWANI/4482 KP PORIS CIPONDOH MAKMUR RT 07 RW 03

SUPRIYATNO/2284 CIPONDOH 01/01

M RACHMAN/535 CIPONDOH MAKMUR RT 04 RW 010

M ZANI/2524 CIPONDOH 5/10



M RIDWAN /30654 CIPONDOH 01/01

SARJONO/5383 RT 03/04

AFFONG/32255 PORIS INDAH BLOK F 7/30 RT 013 RW 01 CIPONDOH INDAH

TATU IIN/32979 CIPONDOH MAKMUR BLOK M.IX/4 RT 04/07

MUKTAMAN/1576 JL H UDIN 01/04

MUKTAMAN/1576 JL H UDIN 01/04

KOSASIH/8451 KENANGA RT 06 RW 02

SUGANDA/171 CIPONDOH RT 05 RW 02

SAPEIH FEDRIK/2267 KENANGA NO.35 RT 02 RW 02

SAPEIH FEDRIK/2267 KENANGA NO.35 RT 02 RW 02


NURHANI/1234 KP GUNUNG RT 01/04


LAYANAN POLI UMUM

SELURUH STATUS

Diagnosa Kode PenyakitKasusB L

Hipertensi primer/essensial I10

Acute pharyngitis J02

J06

Tuberculous peripheral lymphadenopathy A18.2

Other dermatitis L30

A09

v

v

v

Acute upper respiratory infections of multiple and unspecifi

v

v

v

Diarrhoea and gastroenteritis of presumed infectious origin

Asma J45

Hordeolum and chalazion H00

L98

Keputihan / Vulvovaginal Candidiasis N77.1*

Tumor ganas pada payudara C50

J06

Influenza, virus not identified J11

Asma J45

v

v

v

Gangguan lain pada kulit dan jaringan sub kutan

v

v

v


v

v

v

Asma J45

L02

A16

Gejala dan tanda umum lainnya R68


Artritis lainnya M13

Chronic renal failure N18

Candidal stomatitis B37.0

Sistitis N20.9


Sakit kepala R51

v

Cutaneous abscess, furuncle and carbuncle

v

Respiratory tuberculosis, not confirmed bacteriologically or

v

v

v

v

v

v

v

v

v

Sakit kepala R51


Gastroduodenitis, tidak spesifik K29.9

L02


Sakit kepala R51

Sakit kepala R51

Impetigo L01

v

v

v

Cutaneous abscess, furuncle and carbuncle

v

v

v

v

v

Impetigo L01

Gastritis and duodenitis K29


Dental caries, unspecified K02.9



Diabetes melitus, tidak spesifik E14Hipertensi primer/essensial I10

Acute appendicitis K35

v

v

v

v

v

v

v

v


Dispepsia K30


Conjunctivitis H10J06

Sakit kepala R51Gastritis and duodenitis K29

Cystitis N30

Demam Tifoid dan Paratifoid A01

B20


Herpes zoster B02


v

v Acute upper respiratory infections of multiple and unspecifi

v

v

v

Human immunodeficiency virus [HIV] disease resulting in infe

v

v

v

v


Hipertensi primer/essensial I10Gangguan refraksi dan akomodasi H52

Gastritis and duodenitis K29Sakit kepala R51

Acute myocardial infarction I21

Diabetes melitus, tidak spesifik E14



Dispepsia K30


Asma J45

v

v

v

v

v

v

v

v

v

v

v

J06

Schizophrenia F20

Schizophrenia F20


v

v

v

v


v

v

v

v

Batuk R05A09


Kusta I/T (MB) A30.0

Polyarthrosis, unspecified M15.9

Sakit kepala R51Dispepsia K30


Conjunctivitis H10

A15.3

Nonspecific lymphadenitis I88

v Diarrhoea and gastroenteritis of presumed infectious origin

v

v

v

v

v

v

v

Tuberculosis of lung, confirmed by unspecified means

v

v


Other cerebrovascular diseases I67

Z35

A16



Acute tonsillitis J03

Polyarthrosis, unspecified M15.9

Sakit kepala R51Dispepsia K30

v

v

Pengawasan terhadap kehamilan resiko tinggi

v

Respiratory tuberculosis, not confirmed bacteriologically or

v

v

v

v

v

v

v


J06

Candidal stomatitis B37.0Dispepsia K30


L98


Cholesteatoma of middle ear H71

Calculus of kidney and ureter N20

v

v


v

v

v


v

v

v

v



Hypermetropia H52.0

Tinea corporis B35.4

Speech therapy Z50.5

Diabetes melitus, tidak spesifik E14C49

K21.9



v

v

v

v

v

v Malignant neoplasm of other connective and soft tissue

v

Gastro-oesophageal reflux disease without oesophagitis

v

v

v


Batuk R05


Artritis lainnya M13


Batuk R05

Conjunctivitis H10


v

v

v

v

v

v

v

v

Pelvic and perineal pain R10.2




Myalgia M79.1

Hipertensi primer/essensial I10Sakit kepala R51


Myalgia M79.1

v

v

v

v

v

v

v

v

Hipertensi primer/essensial I10Myalgia M79.1

Nyeri Haid, tidak spesifik N94.6

Nonspecific lymphadenitis I88Acute tonsillitis J03

C50.9

Impetigo L01


Sakit kepala R51J06


Systemic lupus erythematosus M32

Myalgia M79.1


v

v

v

Tumor ganas pada payudara, tidak spesifik

v

v


v

v

v


Campak B05

Influenza, virus not identified J11Dizziness and giddiness R42

Dispepsia K30Influenza, virus not identified J11

A15.3

Myalgia M79.1Tinea cruris B35.6


v

v

v

v

v

v


v

v

v


Anemia, tidak spesifik D64.9

Other chest pain R07.3


Allergic rhinitis, unspecified J30.4

Nontoxic goitre, unspecified E04.9


Constipation K59.0

Schizophrenia F20

v

v

v

v

v

v

v

v

v

v

Dispepsia K30


Chest pain, unspecified R07.4Gastritis and duodenitis K29

Suppurative and unspecified otitis media H66

N92.1

Dispepsia K30

B20

Impacted cerumen H61.2

B20

Other superficial mycoses B36

v

v

v

v

v

Excessive and frequent menstruation with irregular cycle

v

v


v

v


v

v

Other superficial mycoses B36


Kusta I/T B/L (PB) A30.5

Sakit kepala R51J06



N92.1

Other peripheral vertigo H81.3Sakit kepala R51

Acute appendicitis K35

K21.9


v

v

v


v

Excessive and frequent menstruation with irregular cycle

v

v

v

Gastro-oesophageal reflux disease without oesophagitis

v

v


B37.3+

Tonsilitis akut, tidak spesifik J03.9

Tinea corporis B35.4Sakit kepala R51

Keratoconjunctivitis H16.2

Influenza, virus not identified J11Gastritis and duodenitis K29

J06

Epilepsi G40

v

Keputihan / Candidiasis of vulva and vagina (N77.1*)

v

v

v

v

v


v

v

Schizophrenia F20


J06

Fever, unspecified R50.9

Miliaria, unspecified L74.3Dispepsia K30

Impetigo L01

v

v


v

v

v

v

v

v


Hipertensi primer/essensial I10Sakit kepala R51

Allergic rhinitis, unspecified J30.4

F32.2

Pneumonia, tidak spesifik J18.9

Nyeri Haid, tidak spesifik N94.6



Other peripheral vertigo H81.3Benign paroxysmal vertigo H81.1

Sakit kepala R51

Herpesviral vesicular dermatitis B00.1Fever, unspecified R50.9

Demam yang tidak diketahui sebabnya R50

v

v

v

Severe depressive episode without psychotic symptoms

v

v

v

v

v

v

v

v

v

Demam yang tidak diketahui sebabnya R50

N93.8

Batuk R05

J06


Acute bronchitis J20

J06

Batuk R05

v

Other specified abnormal uterine and vaginal bleeding

v

v

v


v

v

v


v

v


Acute maxillary sinusitis J01.0

J06

Myopia H52.1





v

v


v

v

v

v

v

Kusta I/T (MB) A30.0


J06

Schizophrenia F20

Benign lipomatous neoplasm D17

J06

Demam berdarah / DBD A91

A15

Sakit kepala R51

v

v

v


v

v

v


v

v

Respiratory tuberculosis, bacteriologically and histological

v

v

Sakit kepala R51

Impacted cerumen H61.2


J06

Supraventricular tachycardia I47.1


M51.2


A09

v

v

v


v

v

v

Other specified intervertebral disc displacement

v

v


v

A09

Herpesviral [herpes simplex] infections B00

A09


J06

Dispepsia K30


v

v

v


v

v


v

v


L98




Influenza, virus not identified J11Hipertensi primer/essensial I10

Gastritis and duodenitis K29Influenza, virus not identified J11

v


v

v

v

v

v

v

Other dermatitis L30Myalgia M79.1

Faringitis akut, tidak spesifik J02.9

Myalgia M79.1Influenza, virus not identified J11

Sleep disorders G47

B37.3+




v

v

v

v

v

v

v

Keputihan / Candidiasis of vulva and vagina (N77.1*)

v

v

v

v



J06

Faringitis akut, tidak spesifik J02.9Dispepsia K30


Asma J45Hipertensi primer/essensial I10



Acute suppurative otitis media H66.0

v

v


v

v

v

v

v

v

v

Acute suppurative otitis media H66.0


A15



Acute tonsillitis J03J06

Gastritis and duodenitis K29Hipertensi primer/essensial I10

v

v

Respiratory tuberculosis, bacteriologically and histological

v

v

v


v

Sakit kepala R51

A09

Acute tonsillitis J03Sariawan / Recurrent oral aphthae K12.0Dispepsia K30


Conjunctivitis H10

J06


A15.3

v

v


v

v

v

v


v

v


v

A15.3

D22.3


Bronkopneumonia, tidak spesifik J18.0


Batuk R05Gastritis and duodenitis K29


Migraine, unspecified G43.9Dispepsia K30




v

Melanocytic naevi of other and unspecified parts of face

v

v

v

v

v

v

v

v

v


Batuk R05


Sakit kepala R51Influenza, virus not identified J11

v

v

v


LAYANAN POLI UMUM

SELURUH STATUS

Therapy No Medrec Status Pasien-Parasetamol tablet 500 mg-Kaptopril tablet 25 mg -1629165971-Hidroklortiazid (HCT) tablet 25 mg

-Metformin HCl tablet 500 mg()

()

-Klorfeniramin maleat (CTM) tablet 4 mg

-Amoksilin kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg -814706537

-Asam Askorbat (Vitamin C) tablet 50 mg

()

()

-Ranitidin tablet 150 mg

P367102015207409 BPJS - UMUM

P367102015212478 JAMKESDA

-Deksametason tablet 0,5 mg / MOLACORT

P367102015212479 JAMKESDA

-Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

P367102015205272 JAMKESMAS


P367102015210494 JAMKESDA

-Betametason Krim 0.1 % (sebagai valerat) - 5 gr

P367102015204569 JAMKESDA

-Antidiare tablet (Kaolin 550 mg + Pectin 20 mg ) /

-1463079699

-Kloramfenikol salep mata 1% - 5 gr-Asam Mefenamat kaplet 500 mg ()

()


-Vitamin B Kompleks tablet ()-Nistatin vaginal tablet 100.000 IU/g

-1421568044


()

-Amoksilin kaplet 500 mg

-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg ()

-Gliseril Guaiakolat tablet 100 mg


-Salbutamol tablet 2 mg (sebagai sulfat) -1457953863

P367102015204569

-Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfamet

P367102015209525 BPJS - UMUM

P367102015210895 JAMKESDA

P367102015112482 JAMKESDA

P367102015212483 JAMKESDA

P367102015200040 BPJS - UMUM

P367102015103143 JAMKESDA



P367102015100573 JAMKESDA

P367102015200096 BPJS - UMUM



-Amoksilin kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg -49313237

-Salisil Bedak 2 % - 50 gr

()

()


-Asam Askorbat (Vitamin C) tablet 50 mg ()

-Ibuprofen tablet 400 mg()

-Vitamin B Kompleks tablet

()

-Asam Askorbat (Vitamin C) tablet 50 mg()

-815178183


-Hidrokortison krim 2,5 % - 5 gr -1369593426

-Parasetamol tablet 500 mg

P367102015200096

P367102015212485 BPJS - ASKES


P367102015212391 JAMKESDA

P367102015103236 JAMKESDA

P367102015211337 JAMKESDA


P367102015110271 JAMKESDA -Deksametason tablet 0,5 mg / MOLACORT

P367102015102896 JAMKESDA

P367102015210111 JAMKESDA

P367102015107717 JAMKESMAS

P367102115100630 BPJS - UMUM

P367102015212500 JAMKESDA

()

-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Parasetamol tablet 500 mg-Kaptopril tablet 25 mg ()-Vitamin B Kompleks tablet

-Ranitidin tablet 150 mg()


()


-Gliseril Guaiakolat tablet 100 mg ()-Parasetamol sirup 120 mg / 5ml - 60 ml

-Parasetamol tablet 500 mg-Vitamin B Kompleks tablet ()

-Vitamin B Kompleks tablet-Parasetamol tablet 500 mg ()

-Gentamycin salep kulit 0,1% - 5 gr-Parasetamol tablet 500 mg ()-Amoksilin kaplet 500 mg

P367102015212500 -Antasida DOEN I tablet kunyah, kombinasi : Alumini

P367102015211401 JAMKESDA

P367102015105869 JAMKESDA -Antasida DOEN I tablet kunyah, kombinasi : Alumini

-Obat Pencernaan tablet (Diastase 200 mg, Pankreati


P367102015111875 JAMKESDA



P367102015112501 JAMKESDA

P367102015212504 JAMKESDA

P367102015212505 JAMKESDA

P367102015109629 JAMKESDA


-Parasetamol tablet 500 mg-Ranitidin tablet 150 mg ()-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

-Klorfeniramin maleat (CTM) tablet 4 mg ()



-Amoksilin kaplet 500 mg ()-Parasetamol tablet 500 mg

-Asam Mefenamat kaplet 500 mg-Ranitidin tablet 150 mg ()-Gliseril Guaiakolat tablet 100 mg

-Amoksilin kaplet 500 mg-Asam Mefenamat kaplet 500 mg ()

-Metformin HCl tablet 500 mg-Kaptopril tablet 25 mg ()-Multivit Tablet / PEHAVRAL

-1443268989

P367102015109629

P367102015212506 JAMKESDA


P367102015112507 JAMKESDA

P367102015212151 JAMKESDA

P367102015203869 JAMKESDA

P367102015112509 JAMKESDA

-Antasida DOEN I tablet kunyah, kombinasi : Alumini


P367102015201374 JAMKESDA

P367102115200632 BPJS - UMUM


-1147505567

-Kloramfenikol salep mata 1% - 5 gr-Parasetamol tablet 500 mg -1385007682

-Gliseril Guaiakolat tablet 100 mg-Klorfeniramin maleat (CTM) tablet 4 mg


-Parasetamol tablet 500 mg()

-Piridoksin (Vitamin B6) tablet 10 mg (HCl)

()

-1063987423

()


-Parasetamol tablet 500 mg -1150348702

-Parasetamol tablet 500 mg-Gliseril Guaiakolat tablet 100 mg ()-Asiklovir tablet 400 mg


P367102015212512 BPJS - UMUM



P367102015102402 BPJS - UMUM


-Siprofloksasin tablet 500 mg (sebagai HCl)

P367102015212516 JAMKESDA

P367102015212301 JAMKESMAS

P367102015106005 JAMKESDA

P367102015112518 BPJS - UMUM


P367102015212520 JAMKESDA

P367102015112521 JAMKESDA

()


-Kaptopril tablet 25 mg-1605885693


()

-Parasetamol tablet 500 mg-Metformin HCl tablet 500 mg -1440780118

-Kaptopril tablet 25 mg-Ranitidin tablet 150 mg ()-Parasetamol tablet 500 mg

-Asam Mefenamat kaplet 500 mg-Gentamycin salep kulit 0,1% - 5 gr ()

-Ranitidin tablet 150 mg ()-Parasetamol tablet 500 mg

()

()


P367102015112521 -Deksametason tablet 0,5 mg / MOLACORT

P367102015101856 BPJS - UMUM

P367102015212523 JAMKESDA

P367102015112524 JAMKESDA

P367102115200476 BPJS - UMUM

-Sianokobalamin (vitamin B12) tablet 50 mcg

P367102015203352 JAMKESDA

P367102015112527 JAMKESDA


P367102015110882 JAMKESDA

P367102015112529 BPJS - ASKES

P367102115100609 BPJS - ASKES

P367102015208213 JAMKESDA



-Parasetamol tablet 500 mg-1452211108


-Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg ()-Gliseril Guaiakolat tablet 100 mg-Kalsium laktat (Kalk) tablet 500 mg

()-Asam Askorbat (Vitamin C) tablet 50 mg

-Klorfeniramin maleat (CTM) tablet 4 mg -1378002418

-Amoksilin kaplet 500 mg-Kloramfenikol tetes mata 0,5 % - 5 ml

()

()

-Parasetamol tablet 500 mg -813235656-Amoksilin kaplet 500 mg-Kloramfenikol tetes telinga 3 % - 5 ml

P367102015208213


P367102115200634 BPJS - UMUM -Antasida DOEN I tablet kunyah, kombinasi : Alumini

P367102015204917 JAMKESDA

P367102015100414

P367102015106559 BPJS - UMUM


P367102015102770 JAMKESDA

P367102015103551 JAMKESDA


P367102015111845 JAMKESMAS

-Gliseril Guaiakolat tablet 100 mg()

-Amlodipin tablet 5 mg ()

()

-Ranitidin tablet 150 mg-Parasetamol tablet 500 mg ()

-Metampiron (Antalgin) tablet 500 mg()


()




-Kloramfenikol tetes mata 0,5 % - 5 ml ()

-1324444105


P367102015208930 JAMKESDA -Garam Oralit I serbuk, kombinasi : Natrium 0,52 g,




P367102015100165 JAMKESDA

P367102015212535 JAMKESDA

P367102015201228 JAMKESDA


P367102015212391 JAMKESDA


P367102015207421 JAMKESDA

P367102015208413 JAMKESDA

P367102015105420 BPJS - UMUM

P367102015200497 JAMKESDA

-Ibuprofen tablet 400 mg ()

-1259719479

()

()



-Hidrokortison krim 2,5 % - 5 gr-Klorfeniramin maleat (CTM) tablet 4 mg -1134997817


-Parasetamol sirup 120 mg / 5ml - 60 ml ()

-1258839797-Asam Mefenamat kaplet 500 mg-Ranitidin tablet 150 mg -194467544

-Ranitidin tablet 150 mg-Metampiron (Antalgin) tablet 500 mg ()


P367102015200497

P367102015200145 BPJS - UMUM

P367102015207457 JAMKESDA

P367102015101256 JAMKESDA

P367102015200382 JAMKESDA


P367102015112551 BPJS - UMUM

P367102015210113 JAMKESDA

P367102015212557 BPJS - UMUM

P367102115100636 BPJS - ASKES


P367102015202082 JAMKESDA


-Asam Askorbat (Vitamin C) tablet 50 mg -49417727



-Parasetamol sirup 120 mg / 5ml - 60 ml ()


-Ranitidin tablet 150 mg-Parasetamol tablet 500 mg ()

-Ranitidin tablet 150 mg -1642028556-Piridoksin (Vitamin B6) tablet 10 mg (HCl)


-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr ()

-Asam Askorbat (Vitamin C) tablet 50 mg()

()

-1423164025

P367102015202082


P367102015212561 BPJS - ASKES

P367102015201498 JAMKESDA


P367102015202211 JAMKESDA



P320106015200002 BPJS - UMUM

P367102015205017 JAMKESDA

P367102015206991 JAMKESDA

P367102015212565 JAMKESDA

P367102015112428 BPJS - UMUM

-Amoksilin kaplet 500 mg-Gentamycin salep kulit 0,1% - 5 gr ()-Asam Mefenamat kaplet 500 mg

-Kaptopril tablet 25 mg-Hidroklortiazid (HCT) tablet 25 mg ()-Parasetamol tablet 500 mg-Gemfibrozil 300 mg kapsul

-1821738914

-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr


-195935196

-1259243976

-Ranitidin tablet 150 mg-Piroksikam tablet 10 mg ()-Vitamin B Kompleks tablet

-1471081037



-Kaptopril tablet 25 mg-Vitamin B Kompleks tablet -169816678

P367102015201412 JAMKESDA

P367102015103464 JAMKESDA

P367102015112572 BPJS - UMUM

P367102015212573 JAMKESDA

P367102015202596 BPJS - ASKES

P367102015211151 BPJS - UMUM

P367102015202505 JAMKESDA


P367102015102323 BPJS - UMUM

P367102015202325 BPJS - UMUM

P367102015200754 BPJS - ASKES







-Piroksikam tablet 10 mg

-1282314047

-Amoksilin kaplet 500 mg-Gliseril Guaiakolat tablet 100 mg ()


-Kloramfenikol tetes mata 0,5 % - 5 ml-Asam Mefenamat kaplet 500 mg ()



P367102015200754

P367102015100646 JAMKESDA


P367102015208655 JAMKESDA


P367102015208656 JAMKESDA

P367102015210754 BPJS - UMUM

P367102015212580 JAMKESDA


P367102015206744 JAMKESDA


-Piroksikam tablet 10 mg-Amoksilin kaplet 500 mg -48982138

-Parasetamol tablet 500 mg-Asam Askorbat (Vitamin C) tablet 50 mg ()



-Gliseril Guaiakolat tablet 100 mg ()-Parasetamol tablet 500 mg

()

-Asam Mefenamat kaplet 500 mg ()

-Kaptopril tablet 25 mg()

-Asam Mefenamat kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-1271199429

-Asam Mefenamat kaplet 500 mg-1374952814


P367102015200728 BPJS - ASKES


P367102015208917 JAMKESDA


P367102015207637 JAMKESDA

P367102015201124


P367102015212581 JAMKESDA

P367102015108580 JAMKESDA -Obat batuk Hitam (OBH) Cairan -100 ml non Alkohol

P367102015103223 BPJS - UMUM

P367102015210847 BPJS - UMUM -Sianokobalamin (vitamin B12) tablet 50 mcg

-Parasetamol tablet 500 mg-Kaptopril tablet 25 mg ()-Hidroklortiazid (HCT) tablet 25 mg

-Parasetamol tablet 500 mg ()-Multivit Tablet / PEHAVRAL

-Amoksilin kaplet 500 mg-Ibuprofen tablet 400 mg ()

()

()


-Amoksilin kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg ()

-Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg

()

()


-Piroksikam tablet 10 mg -1311768281-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr

P367102015211721 JAMKESDA

-Besi II Sulfat 200 mg + Asam Folat 0,25 mg (tablet

P367102015212583 JAMKESDA

P367102015212584 JAMKESDA


P367102015211558 JAMKESDA


P367102015212585 JAMKESDA

-Antiinfeksi Topikal dengan Kortikosteroid krim

P367102015212586 JAMKESDA

P367102015205513 JAMKESDA

P367102015208018 JAMKESDA

P367102015212590 BPJS - UMUM

-Gliseril Guaiakolat tablet 100 mg-Asam Askorbat (Vitamin C) tablet 50 mg ()


-Kloramfenikol salep mata 1% - 5 gr-Parasetamol sirup 120 mg / 5ml - 60 ml ()

-1303661744-Gliseril Guaiakolat tablet 100 mg

()

-Asam Mefenamat kaplet 500 mg

-Ranitidin tablet 150 mg-Parasetamol tablet 500 mg ()-Gliseril Guaiakolat tablet 100 mg

()

-Ibuprofen tablet 400 mg-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr ()




P367102015212590


P367102015112593 JAMKESDA

P367102015201740 JAMKESDA

P367102015203258 BPJS - UMUM


P367102015202141 JAMKESDA


P367102015212391 JAMKESDA

P367102015105508 JAMKESDA



()

()






()

-1443268989-Gliseril Guaiakolat tablet 100 mg-Asam Askorbat (Vitamin C) tablet 50 mg ()


-1082265309

()

P367102015112594

-Besi II Sulfat 200 mg + Asam Folat 0,25 mg (tablet

P367102015212595 JAMKESDA


P367102015206477 JAMKESDA


P367102015212598 JAMKESDA

P367102015208572 JAMKESDA

P367102015206841 JAMKESDA

P367102115200632 BPJS - UMUM

P367102015212600 JAMKESDA

P367102015200338 BPJS - ASKES

P367102015104255 JAMKESDA

-1449978366






()

()-Asam Mefenamat kaplet 500 mg

()



-1257372808

-Fenol Gliserol tetes telinga 10 % - 5 ml

-Asam Mefenamat kaplet 500 mg -1463219267

-1257371897


P367102015112606 BPJS - UMUM

P367102015208876 BPJS - UMUM


P367102015201785 JAMKESDA

P367102015208675 JAMKESDA

P367102015207597 JAMKESDA -Fitomenadion(Vit. K1) tablet salut gula 10 mg

P367102015112613 BPJS - UMUM -Antasida DOEN I tablet kunyah, kombinasi : Alumini

P367103115100011 BPJS - UMUM

P367102015112616 BPJS - UMUM

P367103115200012 BPJS - UMUM

P367102115100640 JAMKESDA


()

-Piridoksin (Vitamin B6) tablet 10 mg (HCl)()

-Gliseril Guaiakolat tablet 100 mg-Klorfeniramin maleat (CTM) tablet 4 mg ()

-Amoksilin kaplet 500 mg-Kaptopril tablet 25 mg-Parasetamol tablet 500 mg

-Kloramfenikol salep mata 1% - 5 gr-Asam Mefenamat kaplet 500 mg ()

-1469903714

-Asam Mefenamat kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg -1144913624

-1271447774

-Ranitidin tablet 150 mg ()-Parasetamol tablet 500 mg


-Gliseril Guaiakolat tablet 100 mg ()-Asam Askorbat (Vitamin C) tablet 50 mg

P367102115100640

-Salep 2-4 kombinasi : Asam Salisilat 2 % + Beleran

P367102015112433 JAMKESDA

P367102015212618 JAMKESDA

P367102015100640 JAMKESDA

P367102015112619 JAMKESDA

P367102015209616 BPJS - UMUM

P367407015100007 BPJS - UMUM

P367102115200644 BPJS - UMUM


P367102015112623 JAMKESDA

P367102015203879 JAMKESDA

-Nistatin vaginal tablet 100.000 IU/g-Metronidazol tablet 500 mg -48870437

-Gliseril Guaiakolat tablet 100 mg-Parasetamol tablet 500 mg -814302865



-Parasetamol tablet 500 mg-Mikonazol krim/ salep 2 % (Nitrat) - 10 gr -814299974


-Kloramfenikol salep mata 1% - 5 gr()


-Parasetamol tablet 500 mg-Domperidon tablet 10 mg ()



-Gliseril Guaiakolat tablet 100 mg ()-Parasetamol tablet 500 mg-Amoksilin kaplet 500 mg

()

P367102015203879

P367102015206768 BPJS - ASKES

P367102015204106 JAMKESMAS


P367102015210317 JAMKESMAS


P367102015112627 JAMKESDA


P367102015212628 JAMKESDA

P367102015212629 JAMKESDA

-1786208229

-Gliseril Guaiakolat tablet 100 mg-Klorfeniramin maleat (CTM) tablet 4 mg ()


-Kaptopril tablet 25 mg-Parasetamol tablet 500 mg

()



-Parasetamol tablet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg -1466733486

()

()-Ranitidin tablet 150 mg-Klorfeniramin maleat (CTM) tablet 4 mg ()

-Salisil Bedak 2 % - 50 gr


()

P367102015109952 BPJS - UMUM

P367102015212631 JAMKESDA


P367102015212633 JAMKESDA

-Siprofloksasin tablet 500 mg (sebagai HCl)

P367102015112359 BPJS - UMUM


P367102015210275 JAMKESDA

P367102015212391 JAMKESDA

P367102015201911 JAMKESDA


P367102015201913 JAMKESDA

-Salep 2-4 kombinasi : Asam Salisilat 2 % + Beleran

-Asam Mefenamat kaplet 500 mg-Kloramfenikol salep mata 1% - 5 gr ()

-Parasetamol tablet 500 mg-Amlodipin tablet 5 mg -49312721

-49309198

()

()

-Vitamin B Kompleks tablet-Asam Mefenamat kaplet 500 mg ()

-Parasetamol sirup 120 mg / 5ml - 60 ml



()-Asam Mefenamat kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg ()

-Parasetamol tablet 500 mg-Asiklovir tablet 400 mg -1396655662

()

P367102015112640 JAMKESDA

P367102015200105 BPJS - ASKES

P367102015212645 BPJS - ASKES

P367102015212260 JAMKESDA

P367102015212506 JAMKESDA

P367102015212650 JAMKESDA

P367102015212652 JAMKESDA

-Amoksilin sirup kering 125 mg/ 5 ml - 60 ml

P367102015112655 JAMKESDA

P187109015200001 JAMKESDA

P367407015100007

P367102015111906 BPJS - UMUM

P367102015212657 JAMKESDA

-48952866

()

-Amoksilin kaplet 500 mg -140274819


-Parasetamol tablet 500 mg ()-Amoksilin kaplet 500 mg

-Kaptopril tablet 25 mg-Vitamin B Kompleks tablet ()


-Amoksilin kaplet 500 mg ()-Gliseril Guaiakolat tablet 100 mg-Asam Askorbat (Vitamin C) tablet 50 mg



-Amoksilin kaplet 500 mg-Gliseril Guaiakolat tablet 100 mg


P367102015212657

P367102015212658 BPJS - UMUM

P367102015112659 JAMKESDA


P367102015201086 BPJS - ASKES

P367102015212661 JAMKESDA


P367102015203522 JAMKESDA

P367102015212662 JAMKESDA




-1465704178


-1293372314


-Kalsium laktat (Kalk) tablet 500 mg -48964926-Amoksilin kaplet 500 mg

-Multivit Tablet / PEHAVRAL-Ambroksol tablet 30 mg

-1446968968






()


P367102015101929 BPJS - UMUM



P367102015212666 BPJS - UMUM

P367102015205747 BPJS - ASKES


P367102115100628 BPJS - UMUM

P367102015112670 JAMKESDA


P367102015212671 JAMKESDA


P367102015212672 JAMKESDA



-1096306751

-Parasetamol tablet 500 mg-Amlodipin tablet 5 mg ()

-Ambroksol tablet 30 mg-Asam Askorbat (Vitamin C) tablet 50 mg ()

-Amoksilin kaplet 500 mg-Klorfeniramin maleat (CTM) tablet 4 mg

-Klorpromazin tablet salut 100 mg (HCl)

-Haloperidol tablet 1,5 mg ()

-Salisil Bedak 2 % - 50 gr-Klorfeniramin maleat (CTM) tablet 4 mg ()



-Ambroksol tablet 30 mg-Asam Askorbat (Vitamin C) tablet 50 mg

()

()

-Asam Mefenamat kaplet 500 mg-Multivit Tablet / PEHAVRAL -1821010959

P367102015212672

P367102115100150 BPJS - UMUM

P367102015212673 JAMKESDA

P367105015100093 JAMKESDA

P367407015100002 JAMKESDA

P367102015112675 JAMKESDA

P367102015212677 JAMKESDA

P367102015112680 JAMKESDA

P367102015212391 JAMKESDA

P367102015111611 BPJS - UMUM

-Fenol Gliserol tetes telinga 10 % - 5 ml

-Vitamin B Kompleks tablet ()-Parasetamol tablet 500 mg

-Multivit Tablet / PEHAVRAL ()


-Parasetamol tablet 500 mg ()-Ambroksol tablet 30 mg

-Multivit Tablet / PEHAVRAL-Amoksilin kaplet 500 mg

()




-1461449766


-Ambroksol tablet 30 mg ()-Klorfeniramin maleat (CTM) tablet 4 mg

-Zinc tablet 20 mg ()

P367102015111611

P367102015212683 JAMKESDA


P367102015101029 JAMKESDA

P367102015205509 JAMKESDA


P367102015212689 JAMKESDA

P367102015100186 JAMKESDA

P367102015212690 BPJS - UMUM

P367102015201166 JAMKESDA

-Kotrimoksazol DOEN II (pedriatik) kombinasi : Sulf

P367102015111524 JAMKESDA


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-Simvastatin tablet 10 mg


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