Excel

<h2>DATA DIAGNOSIS PASIEN PUSKESMAS</h2>
Periode : 01-09-2019 s/d 30-09-2019<br>

<table class='grid' border='1'>
<tr>
<th>Kode Penyakit</th>
<th>Nama Diagnosis</th>
<th>ICDX</th>
<th>Keluhan</th>
<th>No.<br>Registrasi</th>
<th>No.Index</th>
<th>Tanggal</th>
<th>Nama</th>
<th>NamaKK</th>
<th>Pekerjaan</th>
<th>Alamat</th>
<th>Dusun</th>
<th>Desa</th>
<th>Tempat Periksa</th>
<th>Petugas Medis</th>
<th>Perawat Bidan</th>
<th>JK</th>
<th>Kelompok<br>Umur</th>
<th>Pengirim</th>
<th>Kunjungan</th>
<th>Jenis<br>Pasien</th>
<th>Tindak<br>Lanjut</th>
<th>Hari</th>
<th>Bulan</th>
<th>Tahun</th>
<th>Unit</th>
<th>Poli Rujuk</th>
<th>Rumah Sakit</th>
<th>Wilayah</th>
<th>Kartu Sehat</th>
<th>NIK</th>
<th>Systole</th>
<th>Diastole</th>
<th>Denyut Jantung</th>
<th>Suhu Badan</th>
<th>Respiration Rate</th>
<th>Tinggi</th>
<th>Berat</th>
<th>Gol Darah</th>
</tr><tr><td align='right'>I10</td><td>Essential (primary)
hypertension</td><td></td><td>badan pegel</td><td align='right'>56960</td><td
align='right'>1801207101</td><td>01-09-
2019</td><td>SUKINAH</td><td>SUKINAH</td><td></td><td>TLOGOHARUM</td><td>2/1</td><t
d>TLOGOHARUM</td><td>PKD TLOGOHARUM</td><td>dr. NANCY INDRIARTI</td><td>Siti
Fatimah</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
PBI</td><td>Rajal</td><td align='right'>14</td><td align='right'>5</td><td
align='right'>66</td><td>BP. Umum</td><td></td><td></td><td>Dalam
Wilayah</td><td>'0000588601192</td><td>'</td><td>170</td><td>100</td><td>80</td><td
>36</td><td>24</td><td>150</td><td>40</td><td></td></tr><tr><td
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>GIGI NYERI</td><td
align='right'>55250</td><td align='right'>1400007304</td><td>02-09-
2019</td><td>ABRISAM TEGAR A</td><td>LASMINTO</td><td>BELUM/TIDAK
BEKERJA</td><td>4/2</td><td>4/2</td><td>PAGERHARJO</td><td>PUSKESMAS
INDUK</td><td>Suharti</td><td>Suharti</td><td>L</td><td>5-9
Thn.</td><td>Keluarga</td><td>Lama</td><td>Jamkesda</td><td>Rajal</td><td
align='right'>29</td><td align='right'>5</td><td align='right'>5</td><td>BP.
Gigi</td><td></td><td></td><td>Dalam
Wilayah</td><td>'</td><td>'3318150403140001</td><td>90</td><td>60</td><td>88</td><t
d>36</td><td>24</td><td>120</td><td>30</td><td>Tdk Th</td></tr><tr><td
align='right'>J06.9</td><td>Acute upper respiratory infection,
unspecified</td><td></td><td>BAPIL</td><td align='right'>57150</td><td
align='right'>0600006004</td><td>02-09-2019</td><td>AKHMAD MUSTA'IN
YANI</td><td>TASMIN</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>2/2</td><td>BANGS
ALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
KHOMSAH</td><td>L</td><td>15-19 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
Wilayah</td><td>'0000588157749</td><td>'</td><td>110</td><td>70</td><td>80</td><td>
36</td><td>20</td><td>162</td><td>40</td><td></td></tr><tr><td
unspecified</td><td></td><td>BATUK,PANAS,</td><td align='right'>55222</td><td
align='right'>1400043804</td><td>02-09-2019</td><td>ALGIFARI ARSYA P</td><td>SLAMET
MULYONO</td><td>BELUM/TIDAK
BEKERJA</td><td>1/3</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>KHURNIATI</td><td>L</td><td>1-4
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>21</td><td align='right'>10</td><td
align='right'>1</td><td>KIA</td><td></td><td></td><td>Dalam
Wilayah</td><td>'0002320450727</td><td>'3318151210170002</td><td>90</td><td>80</td>
<td>88</td><td>38</td><td>22</td><td>58</td><td>10</td><td>Tdk Th</td></tr><tr><td
unspecified</td><td></td><td>batuk pilek</td><td align='right'>57266</td><td
align='right'>1400024403</td><td>02-09-2019</td><td>ALVINA A</td><td>NUR
SALIM</td><td>BELUM/TIDAK
BEKERJA</td><td>1/2</td><td>1/2</td><td>PAGERHARJO</td><td>PKD
PAGERHARJO</td><td>dr. NANCY INDRIARTI</td><td>HENDRI
MURGIYATI</td><td>P</td><td>1-4
Thn.</td><td>Keluarga</td><td>Baru</td><td>Jamkesda</td><td>Rajal</td><td
Umum</td><td></td><td></td><td>Dalam
d>37</td><td>23</td><td>70</td><td>7</td><td></td></tr><tr><td
align='right'>Z36.9</td><td>Antenatal screening,
unspecified</td><td></td><td>PUNGGUG SAKIT</td><td align='right'>55254</td><td
align='right'>0700027702</td><td>02-09-2019</td><td>ANA MARA'TUS
S</td><td>SURI</td><td>PELAJAR/MAHASISWA</td><td>5/2</td><td>5/2</td><td>TLUWUK</td
><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>KHURNIATI</td><td>P</td><td>20-44
Wilayah</td><td>'</td><td>'3318154402950001</td><td>120</td><td>80</td><td>80</td><
td>36</td><td>22</td><td>154</td><td>46</td><td>Tdk Th</td></tr><tr><td
unspecified</td><td></td><td>BATUK, PILEK, PUSING</td><td
align='right'>55264</td><td align='right'>1800009802</td><td>02-09-2019</td><td>ANA
ROSITA HATI</td><td>TEGUH PRIBADI</td><td>KARYAWAN
SWASTA</td><td>2/2</td><td>2/2</td><td>TLOGOHARUM</td><td>PUSKESMAS
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI SURYANINGTIYAS,
Amd</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td>GATAL-GATAL DI
SELURUH TUBUH</td><td align='right'>55228</td><td
align='right'>0900035802</td><td>02-09-2019</td><td>ANIS
ULFA</td><td>RUBIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>7/3</td><td>7/3</td><td>NGURENREJO</td><td>PUSKESMAS
Wilayah</td><td>'0001024992505</td><td>'3318156805900001</td><td>110</td><td>70</td
><td>88</td><td>36</td><td>24</td><td>154</td><td>62</td><td>Tdk
Th</td></tr><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
unspecified</td><td></td><td>BATUK,PILEK</td><td align='right'>55268</td><td
align='right'>0900001203</td><td>02-09-2019</td><td>ARETA FELICIA
ARDANI</td><td>EKO YULIANTO</td><td>BELUM/TIDAK
BEKERJA</td><td>6/3</td><td>6/3</td><td>NGURENREJO</td><td>PUSKESMAS
INDUK</td><td>Dr. Umi Fitriyah</td><td>KHURNIATI</td><td>L</td><td>1-4
Thn.</td><td>Keluarga</td><td>Lama</td><td>BAYAR</td><td>Rajal</td><td
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>SENEB</td><td
2019</td><td>ASMI</td><td>SHOLEH</td><td>MENGURUS RUMAH
TANGGA</td><td>6/1</td><td>6/1</td><td>BANGSALREJO</td><td>PKD
BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
KHOMSAH</td><td>P</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>0802305503</td><td>02-09-2019</td><td>AVEL ROOFIQUL
ASY'AD</td><td>SUYOTO</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td>3/2</td><td>SID
OHARJO</td><td>PKD SIDOHARJO</td><td>dr. NANCY INDRIARTI</td><td>DJUM
ELIYA</td><td>L</td><td>10-14
Wilayah</td><td>'0002348634778</td><td>'</td><td>0</td><td>0</td><td>0</td><td>36</
td><td>0</td><td>0</td><td>0</td><td></td></tr><tr><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>TANGAN KECEPET MESIN</td><td
2019</td><td>DANU
PRAYOGA</td><td>SUKADI</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>NG
URENREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>Muawaroh</td><td>L</td><td>20-44
align='right'>20</td><td>UGD</td><td></td><td></td><td>Dalam
align='right'>0600004702</td><td>02-09-
2019</td><td>DARMINI</td><td>KARNOTO</td><td>MENGURUS RUMAH
align='right'>M19</td><td>Other arthrosis</td><td></td><td>MATA KAKI
BENGKAK</td><td align='right'>55229</td><td align='right'>1700002802</td><td>02-09-
2019</td><td>DARSIH</td><td>KARSIDI</td><td>MENGURUS RUMAH
TANGGA</td><td>4/2</td><td></td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>dr.
Rabi'atul Adawiyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>55-59
Th</td></tr><tr><td align='right'>Z36.9</td><td>Antenatal screening,
unspecified</td><td></td><td></td><td align='right'>55257</td><td
align='right'>0900008402</td><td>02-09-2019</td><td>DEVI NUR
MAYASARI</td><td>RUBAWI</td><td>MENGURUS RUMAH
INDUK</td><td>Dr. Umi Fitriyah</td><td>KHURNIATI</td><td>P</td><td>20-44
Th</td></tr><tr><td
align='right'>R51</td><td>Headache</td><td></td><td>PUSING</td><td
2019</td><td>DJAMIRAH</td><td>SUTOPO</td><td>MENGURUS RUMAH
TANGGA</td><td>2/2</td><td>2/2</td><td>PAGERHARJO</td><td>PUSKESMAS
align='right'>0602603703</td><td>02-09-2019</td><td>DWI
ISNAWATI</td><td>SUKADI</td><td>PELAJAR/MAHASISWA</td><td>6/2</td><td>6/2</td><td>B
ANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
RAHMAWATI</td><td>UDIK</td><td>MENGURUS RUMAH
TANGGA</td><td>1/2</td><td>1/2</td><td>SIDOHARJO</td><td>PKD SIDOHARJO</td><td>dr.
NANCY INDRIARTI</td><td>DJUM ELIYA</td><td>P</td><td>20-44
Wilayah</td><td>'0002348633531</td><td>'</td><td>110</td><td>70</td><td>0</td><td>0
</td><td>0</td><td>0</td><td>0</td><td></td></tr><tr><td
align='right'>B35.4</td><td>Tinea corporis</td><td></td><td>GATAL DI
SELANGKANGAN</td><td align='right'>55227</td><td
align='right'>1400033401</td><td>02-09-2019</td><td>EDY WIBOWO</td><td>EDY
WIBOWO</td><td>KARYAWAN
SWASTA</td><td>1/4</td><td>1/4</td><td>PAGERHARJO</td><td>PUSKESMAS
Amd</td><td>L</td><td>20-44
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>SAKIT GIGI</td><td
align='right'>57143</td><td align='right'>0601504501</td><td>02-09-2019</td><td>EKO
PUJIANTO</td><td>EKO
PUJIANTO</td><td>PETANI/PEKEBUN</td><td>5/1</td><td>5/1</td><td>BANGSALREJO</td><td
>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
align='right'>0601406603</td><td>02-09-2019</td><td>EMILDA PUNGKI
ANJASTUTI</td><td>JASMAN</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>
BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
unspecified</td><td></td><td>BATUK, PILEK, TENGGOROKAN KERING, MUAL</td><td
2019</td><td>ENDANG FITRI
UMAROH</td><td>PURWANTO</td><td>PELAJAR/MAHASISWA</td><td>1/4</td><td></td><td>LANG
GENHARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
SURYANINGTIYAS, Amd</td><td>P</td><td>20-44
Umum</td><td></td><td></td><td>Luar
unspecified</td><td></td><td>NAFSU MAKAN BERKURANG,PANAS,BATUK</td><td
2019</td><td>FATIMAH AZZAHRA</td><td>ZAENURI</td><td>BELUM/TIDAK
BEKERJA</td><td>1/2</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>KHURNIATI</td><td>P</td><td>1-4
align='right'>I10</td><td>Essential (primary)
hypertension</td><td></td><td>PUSING</td><td align='right'>57161</td><td
align='right'>0600003301</td><td>02-09-2019</td><td>HADI WINARNO</td><td>HADI
WINARNO</td><td>PETANI/PEKEBUN</td><td>1/1</td><td>1/1</td><td>BANGSALREJO</td><td>
PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
KHOMSAH</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
unspecified</td><td></td><td>pilek</td><td align='right'>57269</td><td
align='right'>1400002402</td><td>02-09-2019</td><td>HANI
MAESAROH</td><td>SOLIKIN</td><td>MENGURUS RUMAH
TANGGA</td><td>3/1</td><td>3/1</td><td>PAGERHARJO</td><td>PKD
td>36</td><td>23</td><td>155</td><td>50</td><td></td></tr><tr><td
align='right'>0600008001</td><td>02-09-
2019</td><td>HARSONO</td><td>HARSONO</td><td>PETANI/PEKEBUN</td><td>4/1</td><td>4/1
</td><td>BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY
INDRIARTI</td><td>SITI NUR KHOMSAH</td><td>L</td><td>20-44
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>T14.1</td><td>Open wound of unspecified body
region</td><td></td><td>POST JATUH </td><td align='right'>55276</td><td
align='right'>1800011205</td><td>02-09-2019</td><td>INDAH PUJI
SAFIM</td><td>KARNAWI</td><td>PELAJAR/MAHASISWA</td><td>6/2</td><td>6/2</td><td>TLO
GOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Aliyatul
Fitriyah</td><td>P</td><td>15-19
Wilayah</td><td>'</td><td>'</td><td>110</td><td>60</td><td>80</td><td>36</td><td>20
</td><td>155</td><td>45</td><td>Tdk Th</td></tr><tr><td
2019</td><td>IQBAL MUHAMMAD ILYAS</td><td>MUSYAFAK
</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>BANGSALREJO</td><td>PKD
BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI
NUR KHOMSAH</td><td>L</td><td>20-44
36</td><td>20</td><td>160</td><td>50</td><td>Tdk Th</td></tr><tr><td
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>MATA MERAH</td><td
2019</td><td>JAMA'ATI</td><td>SUKAHAR</td><td>MENGURUS RUMAH
TANGGA</td><td>5/2</td><td>5/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr.
Th</td></tr><tr><td align='right'>G56.0</td><td>Carpal tunnel
syndrome</td><td></td><td>TANGAN PEGAL, PUSING</td><td align='right'>55261</td><td
align='right'>1400048402</td><td>02-09-
2019</td><td>JASMINAH</td><td>RAJI</td><td>MENGURUS RUMAH
TANGGA</td><td>2/4</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr.
unspecified</td><td></td><td>BATUK, PUSING, GEMETAR, MERIANG</td><td
2019</td><td>JUMADI</td><td>JUMADI</td><td>KARYAWAN
SWASTA</td><td>3/2</td><td>3/2</td><td>SIDOHARJO</td><td>PUSKESMAS
Amd</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>J00</td><td>Acute nasopharyngitis [common
cold]</td><td></td><td>batuk dan pilek</td><td align='right'>56871</td><td
align='right'>1600022103</td><td>02-09-2019</td><td>KAMID AHMAD</td><td>MOHAMMAD
RIYADI</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>JETAK</td><td>PKD
JETAK</td><td>dr. NANCY INDRIARTI</td><td>Nurjanah</td><td>L</td><td>10-14
2019</td><td>KAMISIH</td><td>KAMISIH</td><td>MENGURUS RUMAH
KHOMSAH</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGEL</td><td
2019</td><td>KASIPAH</td><td>KASMURI</td><td>MENGURUS RUMAH
TANGGA</td><td>2/2</td><td>2/2</td><td>NGURENREJO</td><td>PKD
NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG SISWATI</td><td>P</td><td>60-
69 Thn.</td><td>Keluarga</td><td>Lama</td><td>Jamkesda</td><td>Rajal</td><td
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>SENEP</td><td
2019</td><td>KASMITO</td><td>KASMITO</td><td>BELUM/TIDAK
BEKERJA</td><td>1/1</td><td>1/1</td><td>NGURENREJO</td><td>PKD
NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG SISWATI</td><td>L</td><td>>70
unspecified</td><td></td><td>JARI KENA PAKU,MRIANG,PILEK</td><td
2019</td><td>KAUTSAR ALFIAN
HIKMAT</td><td>SUKOYO</td><td></td><td>1/3</td><td>1/3</td><td>PAGERHARJO</td><td>P
USKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>KHURNIATI</td><td>L</td><td>1-4
unspecified</td><td></td><td>BATUK,PILEK,MRIANG</td><td align='right'>55225</td><td
align='right'>1700022403</td><td>02-09-2019</td><td>KHANZA VIONITA
ATTALENTA</td><td>NUR AL'AMIN</td><td>BELUM/TIDAK
BEKERJA</td><td>3/2</td><td>3/2</td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>KHURNIATI</td><td>P</td><td><1
align='right'>0700021704</td><td>02-09-2019</td><td>KHASNA AULIA
R</td><td>SUNARDI</td><td>BELUM/TIDAK
BEKERJA</td><td>4/2</td><td>4/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>KHURNIATI</td><td>P</td><td>1-4
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel</td><td
2019</td><td>KHOIRIYAH</td><td>SUYUTI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk</td><td align='right'>57270</td><td
align='right'>1400025801</td><td>02-09-
align='right'>L20.9</td><td>Atopic dermatitis,
unspecified</td><td></td><td>gatal</td><td align='right'>57276</td><td
align='right'>1400025801</td><td>02-09-
align='right'>Z00</td><td>General examination and investigation of persons without
complaint and reported diagnosis</td><td></td><td></td><td
2019</td><td>KIRANI ALISA MAHARANI</td><td>ARIS
GALUH
N</td><td>PELAJAR/MAHASISWA</td><td>1/2</td><td>1/2</td><td>JATIMULYO</td><td>PUSKE
SMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI SURYANINGTIYAS,
Amd</td><td>P</td><td>10-14
Thn.</td><td>Keluarga</td><td>Baru</td><td>BAYAR</td><td>Rajal</td><td
Wilayah</td><td>'</td><td>'</td><td>90</td><td>60</td><td>80</td><td>36</td><td>22<
/td><td>155</td><td>50</td><td></td></tr><tr><td align='right'>K05.2</td><td>Acute
periodontitis</td><td></td><td>GIGI NYERI</td><td align='right'>55245</td><td
align='right'>0600012502</td><td>02-09-
2019</td><td>KUNTARI</td><td>SUPADI</td><td>MENGURUS RUMAH
TANGGA</td><td>3/2</td><td>3/2</td><td>BANGSALREJO</td><td>PUSKESMAS
INDUK</td><td>Suharti</td><td>Suharti</td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>I10</td><td>Essential (primary)
align='right'>0601300302</td><td>02-09-
2019</td><td>LASMI</td><td>SUPAR</td><td>MENGURUS RUMAH
KHOMSAH</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2019</td><td>LEGINAH</td><td>HARMANI</td><td>MENGURUS RUMAH
align='right'>G44</td><td>Other headache syndromes</td><td></td><td>MUAL, PUSING,
BELUM HAID 1 BULAN</td><td align='right'>54907</td><td
align='right'>2100005003</td><td>02-09-2019</td><td>LINA ANGGRAINI</td><td>ABDUL
ROHIM</td><td>KARYAWAN SWASTA</td><td>LANGGENHARJO
9/2</td><td></td><td>JUWANA</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>20-44
unspecified</td><td></td><td>MUAL,MUNTAH,PUSING</td><td align='right'>55259</td><td
align='right'>2200006302</td><td>02-09-2019</td><td>LINAWATI</td><td>ALI
SHOFYAN</td><td>MENGURUS RUMAH TANGGA</td><td>TAMBAHARJO
1/3</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
align='right'>27</td><td>KIA</td><td></td><td></td><td>Luar
region</td><td></td><td>POST KLL</td><td align='right'>55275</td><td
align='right'>0900020003</td><td>02-09-2019</td><td>M AFTAB
A</td><td>KARYADI</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>2/2</td><td>JETAK</
td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Aliyatul
Fitriyah</td><td>L</td><td>5-9
2019</td><td>MARSIPAN</td><td>MARSIPAN</td><td>PETANI/PEKEBUN</td><td>4/1</td><td>4
/1</td><td>BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY
align='right'>E11</td><td>Non-insulin-dependent diabetes
mellitus</td><td></td><td>BADAN PEGAL-PEGAL</td><td align='right'>55246</td><td
align='right'>0600003201</td><td>02-09-
2019</td><td>MARWI</td><td>MARWI</td><td>PETANI/PEKEBUN</td><td>5/1</td><td></td><t
d>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>60-69
align='right'>1800009803</td><td>02-09-2019</td><td>MAULIDYA KHAIRA
LUBNA</td><td>TEGUH PRIBADI</td><td>BELUM/TIDAK
BEKERJA</td><td>2/2</td><td>2/2</td><td>TLOGOHARUM</td><td>PUSKESMAS
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>MATA MERAH,</td><td
align='right'>55251</td><td align='right'>0700017504</td><td>02-09-2019</td><td>MOH
ZAKY ARROFI'</td><td>AHMAD SADI</td><td>BELUM/TIDAK
2019</td><td>MUDRIK</td><td>MUDRIK</td><td>PETANI/PEKEBUN</td><td>1/2</td><td>1/2</
td><td>SIDOHARJO</td><td>PKD SIDOHARJO</td><td>dr. NANCY INDRIARTI</td><td>DJUM
ELIYA</td><td>L</td><td>60-69
align='right'>F32</td><td>Depressive episode</td><td></td><td>KONTROL</td><td
2019</td><td>MUKTIAH</td><td>MUKTIAH</td><td>MENGURUS RUMAH
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rujuk</td><td
Umum</td><td></td><td>RS KELUARGA SEHAT</td><td>Dalam
align='right'>0601401401</td><td>02-09-
2019</td><td>MUNARSIH</td><td>SARBINI</td><td>MENGURUS RUMAH
align='right'>1800030704</td><td>02-09-2019</td><td>NADIA
HILLAAUFA SAFITRI</td><td>AGUS SULISTIYO</td><td></td><td>TLOGOHARUM
3/I</td><td>3/1</td><td>TLOGOHARUM</td><td>PKD TLOGOHARUM</td><td>dr. NANCY
INDRIARTI</td><td>Siti Fatimah</td><td>P</td><td>1-4
align='right'>M79.1</td><td>Myalgia</td><td></td><td>BADAN LINU</td><td
2019</td><td>NGASRI</td><td>NGASRI</td><td>PETANI/PEKEBUN</td><td>3/2</td><td>3/2</
td><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
align='right'>O33.9</td><td>Maternal care for disproportion,
unspecified</td><td></td><td>DATANG BULAN TELAT, MUAL , PUSING</td><td
align='right'>55260</td><td align='right'>1500025002</td><td>02-09-2019</td><td>NUR
CHAYATI</td><td>DEBI SETIAWAN</td><td>MENGURUS RUMAH
TANGGA</td><td>7/1</td><td>7/1</td><td>JATIMULYO</td><td>PUSKESMAS
Amd</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
><td>88</td><td>36</td><td>24</td><td>150</td><td>65</td><td></td></tr><tr><td
unspecified</td><td></td><td>GATAL</td><td align='right'>57148</td><td
align='right'>0600004703</td><td>02-09-2019</td><td>NUR EKO
PRASETYO</td><td>KARNOTO</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>
BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
align='right'>0602501302</td><td>02-09-
2019</td><td>RASINI</td><td>JASMADI</td><td>MENGURUS RUMAH
2019</td><td>RASPIYAH</td><td>MUNAWAR </td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk 1 minggu</td><td align='right'>56982</td><td
align='right'>1800030702</td><td>02-09-2019</td><td>RESTI EKOWATI</td><td>AGUS
SULISTIYO</td><td></td><td>TLOGOHARUM
<td>80</td><td>36</td><td>24</td><td>150</td><td>50</td><td></td></tr><tr><td
align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td>GATAL SEPERTI
LUKA BAKAR DI KAKI DAN TANGAN</td><td align='right'>55220</td><td
align='right'>0700016602</td><td>02-09-
2019</td><td>RUKAYAT</td><td>KASHARTO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>RUMISIH</td><td>SUKIMAN</td><td>MENGURUS RUMAH
2019</td><td>RUMISIH</td><td>-</td><td>MENGURUS RUMAH
44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>K25.9</td><td>Gastric ulcer, unspecified as acute or chronic, without
haemorrhage or perforation</td><td></td><td>DIARE,MUAL,MUNTAH</td><td
2019</td><td>SAFIRA ALIA RAMADHANI</td><td>JUMADI</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>Aliyatul Fitriyah</td><td>P</td><td>1-4
2019</td><td>SAKINI</td><td>SAKINI</td><td>MENGURUS RUMAH
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td>GATAL-
GATAL</td><td align='right'>57298</td><td align='right'>1601203801</td><td>02-09-
2019</td><td>SAMIJAN</td><td>SAMIJAN</td><td>BURUH
TANI/PERKEBUNAN</td><td>2/1</td><td>2/1</td><td>JETAK</td><td>PKD JETAK</td><td>dr.
NANCY INDRIARTI</td><td>Nurjanah</td><td>L</td><td>>70
2019</td><td>SARINAH</td><td>JARWI</td><td>MENGURUS RUMAH
44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>J06.9</td><td>Acute
upper respiratory infection, unspecified</td><td></td><td>BATUK, PILEK</td><td
2019</td><td>SHOLIKATUN</td><td>SUGIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>4/2</td><td>4/2</td><td>TLOGOHARUM</td><td>PUSKESMAS
Th</td></tr><tr><td
align='right'>I84</td><td>Haemorrhoids</td><td></td><td>AMBEYEN</td><td
2019</td><td>SILVIA AGUSTIN</td><td>AHMAD ZUHDI</td><td>MENGURUS RUMAH
align='right'>J45</td><td>Asthma</td><td></td><td>SESAK NAFAS</td><td
2019</td><td>SISWATI</td><td>SUKANTO</td><td>MENGURUS RUMAH TANGGA</td><td>SUWADUK
5/2</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>Aliyatul Fitriyah</td><td>P</td><td>20-44
align='right'>30</td><td>UGD</td><td></td><td></td><td>Luar
0</td><td>154</td><td>45</td><td>Tdk Th</td></tr><tr><td
2019</td><td>SITI SOVIAH</td><td>SITI SOVIAH</td><td>KARYAWAN
SWASTA</td><td>8/3</td><td>8/3</td><td>NGURENREJO</td><td>PKD
unspecified</td><td></td><td>BATUK, PILEK</td><td align='right'>55266</td><td
align='right'>1700009502</td><td>02-09-2019</td><td>SRI
SULISTYANINGSIH</td><td>KARYADI</td><td>MENGURUS RUMAH
TANGGA</td><td>4/2</td><td>4/2</td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>G44</td><td>Other headache syndromes</td><td></td><td>PUSING,
MERIANG</td><td align='right'>55267</td><td align='right'>1500016601</td><td>02-09-
2019</td><td>SUCI HARTINI</td><td>SUCI HARTINI</td><td>MENGURUS RUMAH
PBI</td><td>Rajal</td><td align='right'>27</td><td align='right'></td><td
Th</td></tr><tr><td align='right'>K05.2</td><td>Acute
periodontitis</td><td></td><td>SAKIT GIGI</td><td align='right'>57149</td><td
align='right'>0602401202</td><td>02-09-
2019</td><td>SUJAMI</td><td>SUWAJI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>BATUK, PILEK, MERIANG 3 HARI</td><td
2019</td><td>SUKAHAR</td><td>SUKAHAR</td><td>PETANI/PEKEBUN</td><td>5/2</td><td></t
d><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
SURYANINGTIYAS, Amd</td><td>L</td><td>55-59
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>GIGI NYERI</td><td
2019</td><td>SULASI SITI ROHMAH</td><td>SULASI SITI ROHMAH</td><td>BELUM/TIDAK
BEKERJA</td><td>4/1</td><td>4/1</td><td>JETAK</td><td>PUSKESMAS
unspecified</td><td></td><td>PUSING,BATUK</td><td align='right'>55253</td><td
align='right'>1400033402</td><td>02-09-2019</td><td>SULASTRI</td><td>EDY
WIBOWO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>T14.1</td><td>Open wound of unspecified body
region</td><td></td><td>POST JATUH DARI MOTOR</td><td align='right'>55271</td><td
align='right'>1800046902</td><td>02-09-2019</td><td>SULIS
KALISWORO</td><td>MUNDOFIR</td><td>PEGAWAI NEGERI
SIPIL</td><td>8/2</td><td>8/2</td><td>TLOGOHARUM</td><td>PUSKESMAS
INDUK</td><td>Dr. Umi Fitriyah</td><td>Aliyatul Fitriyah</td><td>P</td><td>45-54
2019</td><td>SULIYAM</td><td>HARYANTO</td><td>MENGURUS RUMAH
align='right'>0601201602</td><td>02-09-
2019</td><td>SUMIYATI</td><td>KARMANI</td><td>MENGURUS RUMAH
align='right'>G44</td><td>Other headache syndromes</td><td></td><td>KEPALA PUSING,
GATAL-GATALDI BADAN</td><td align='right'>54904</td><td
align='right'>2000001202</td><td>02-09-
2019</td><td>SUNARTI</td><td>SAMSURI</td><td>MENGURUS RUMAH
TANGGA</td><td>ASEMPAPAN 2/3</td><td></td><td>TRANGKIL</td><td>PUSKESMAS
align='right'>K40.9</td><td>Unilateral or unspecified inguinal hernia, without
obstruction or gangrene</td><td></td><td>HERNIA</td><td align='right'>55215</td><td
align='right'>1400016701</td><td>02-09-
2019</td><td>SUNDOYO</td><td>SUNDOYO</td><td>KARYAWAN
Amd</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
PBI</td><td>Rujuk</td><td align='right'>1</td><td align='right'>2</td><td
align='right'>71</td><td>BP. Umum</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Dalam
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>LAMBUNG,
LUTUT PEGAL</td><td align='right'>54909</td><td
align='right'>1500003101</td><td>02-09-
2019</td><td>SUPARMI</td><td>SUPARMI</td><td>MENGURUS RUMAH
Amd</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
Th</td></tr><tr><td
2019</td><td>SUPARNI</td><td>SUKODO</td><td>MENGURUS RUMAH
align='right'>1701101402</td><td>02-09-
2019</td><td>SURINI</td><td>PURWADI</td><td>MENGURUS RUMAH
TANGGA</td><td>1/1</td><td>1/1</td><td>KEPOH</td><td>PUSLING</td><td>dr. NANCY
INDRIARTI</td><td>Rahayu Widyastuti</td><td>P</td><td>45-54
align='right'>1400026002</td><td>02-09-
2019</td><td>SUTARMI</td><td>SUKRAM</td><td>MENGURUS RUMAH
2019</td><td>SUTARMI</td><td>SUKRAM</td><td>MENGURUS RUMAH
2019</td><td>SUTRISMI</td><td>HERU</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGEL LINU</td><td
2019</td><td>SUWATI</td><td></td><td>MENGURUS RUMAH
TANGGA</td><td>KEPOH</td><td>1/2</td><td>KEPOH</td><td>PUSLING</td><td>dr. NANCY
INDRIARTI</td><td>Rahayu Widyastuti</td><td>P</td><td>>70
align='right'>0601601402</td><td>02-09-
2019</td><td>SUWATI</td><td>RAHADI</td><td>MENGURUS RUMAH
align='right'>1400025801</td><td>02-09-
2019</td><td>SUYUTI</td><td>SUYUTI</td><td>PETANI/PEKEBUN</td><td>1/3</td><td>1/3</
td><td>PAGERHARJO</td><td>PKD PAGERHARJO</td><td>dr. NANCY INDRIARTI</td><td>HENDRI
MURGIYATI</td><td>L</td><td>60-69
align='right'>0803305801</td><td>02-09-2019</td><td>TASMINI REBI </td><td>TASMINI
REBI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>BATUK, PUSING</td><td align='right'>55256</td><td
align='right'>1500003302</td><td>02-09-
2019</td><td>TUGINAH</td><td>KARNOTO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>WARKINI</td><td>WONO</td><td>MENGURUS RUMAH
align='right'>0802104002</td><td>02-09-2019</td><td>WARNITI</td><td>PARMIN
</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel, semutan</td><td
2019</td><td>WARSINI</td><td>RAJI</td><td>MENGURUS RUMAH
align='right'>E14</td><td>Unspecified diabetes
mellitus</td><td></td><td>PUSING</td><td align='right'>55263</td><td
align='right'>0800039102</td><td>02-09-
2019</td><td>WASIRAH</td><td>JUMADI</td><td>MENGURUS RUMAH
TANGGA</td><td>3/2</td><td>3/2</td><td>SIDOHARJO</td><td>PUSKESMAS
Th</td></tr><tr><td
align='right'>F20</td><td>Schizophrenia</td><td></td><td>KONTROL</td><td
2019</td><td>WINARTI</td><td>MARWI</td><td>BELUM/TIDAK
BEKERJA</td><td>5/1</td><td></td><td>BANGSALREJO</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>K29.7</td><td>Gastritis,
unspecified</td><td></td><td>SENEB</td><td align='right'>57131</td><td
align='right'>0803103002</td><td>02-09-2019</td><td>YENNI KURNIATI</td><td>YENNI
KURNIATI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk pilek 3 hari</td><td align='right'>56983</td><td
align='right'>1800030703</td><td>02-09-2019</td><td>ZILDA DISTRIA
SAFITRI</td><td>AGUS SULISTIYO</td><td></td><td>TLOGOHARUM
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td></td><td
2019</td><td>AGUS BUDI SANTOSO</td><td>AGUS BUDI SANTOSO</td><td>KARYAWAN
align='right'>16</td><td align='right'></td><td align='right'>29</td><td>BP.
unspecified</td><td></td><td>PANAS 5 HARI</td><td align='right'>55434</td><td
align='right'>2100011703</td><td>03-09-2019</td><td>AHMAD
SHOLIHIN</td><td>BAINI</td><td>KARYAWAN SWASTA</td><td>MARGOMULYO
7/3</td><td></td><td>JUWANA</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>RATIH BUDI WINARMI, S.kep</td><td>L</td><td>20-44
align='right'>1400001903</td><td>03-09-2019</td><td>ALBY
ARRAFIF</td><td>SOLEH</td><td>BELUM/TIDAK
MURGIYATI</td><td>L</td><td>5-9
align='right'>E05.9</td><td>Thyrotoxicosis, unspecified</td><td></td><td>MATA
MELOTOT,DEDEGAN</td><td align='right'>55422</td><td
align='right'>0700027903</td><td>03-09-2019</td><td>AYUDYANA AZIZATUL
MUHAROMAH</td><td>AHMADI</td><td>KARYAWAN
SWASTA</td><td>2/2</td><td>2/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>20-44
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS PBI</td><td>Rujuk</td><td
Umum</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Dalam
unspecified</td><td></td><td>PEGEL,BATUK,</td><td align='right'>55286</td><td
align='right'>1500004401</td><td>03-09-
2019</td><td>BIYANTI</td><td>BIYANTI</td><td>PETANI/PEKEBUN</td><td>4/2</td><td></t
d><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH
BUDI WINARMI, S.kep</td><td>L</td><td>60-69
Th</td></tr><tr><td align='right'>M06.9</td><td>Rheumatoid arthritis,
unspecified</td><td></td><td>nyeri lengan</td><td align='right'>56986</td><td
align='right'>1802100202</td><td>03-09-
2019</td><td>DARMINI</td><td>KASMIRAN</td><td></td><td>TLOGOHARUM</td><td>1/2</td><
td>TLOGOHARUM</td><td>PKD TLOGOHARUM</td><td>dr. NANCY INDRIARTI</td><td>Siti
unspecified</td><td></td><td>BATUK,PILEK,</td><td align='right'>55428</td><td
align='right'>1400057602</td><td>03-09-2019</td><td>ISTIANAH</td><td>M KHOIRUL
ANWAR</td><td>MENGURUS RUMAH
INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
align='right'>z30.7</td><td>kb implant</td><td></td><td>pasang kb implant</td><td
2019</td><td>JUMIATI</td><td>MULYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>5/2</td><td></td><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr.
Rabi'atul Adawiyah</td><td>HENI KURNIASIH</td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>M79.2</td><td>Neuralgia and neuritis,
unspecified</td><td></td><td>KESEMUTAN</td><td align='right'>55438</td><td
align='right'>0600003102</td><td>03-09-
2019</td><td>JUMIATI</td><td>SUHARI</td><td>MENGURUS RUMAH
INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
S.kep</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
unspecified</td><td></td><td>panas,batuk,pilek,</td><td align='right'>55439</td><td
align='right'>0600003103</td><td>03-09-2019</td><td>KAHLA
AULIA</td><td>SUHARI</td><td>BELUM/TIDAK
BEKERJA</td><td>3/1</td><td>3/1</td><td>BANGSALREJO</td><td>PUSKESMAS
INDUK</td><td>Dr. Umi Fitriyah</td><td>HENI KURNIASIH</td><td>P</td><td>1-4
/td><td>65</td><td>16</td><td>Tdk Th</td></tr><tr><td
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>PERUT
SENEB</td><td align='right'>55418</td><td align='right'>0800018602</td><td>03-09-
2019</td><td>KARSILAH</td><td>SUMARNO</td><td>MENGURUS RUMAH
TANGGA</td><td>4/1</td><td></td><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr.
unspecified</td><td></td><td>batuk,pilek,panas.</td><td align='right'>55284</td><td
align='right'>2100011603</td><td>03-09-2019</td><td>KEYLA VERONI
ANASTASYA</td><td>ABDUL AZIZ</td><td>BELUM/TIDAK BEKERJA</td><td>DUKUTALIT
Adawiyah</td><td>HENI KURNIASIH</td><td>P</td><td>1-4
unspecified</td><td></td><td>PEGEL LINU, PUSING, PILEK </td><td
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>P</td><td>60-69
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>KEPALA
PUSING</td><td align='right'>55417</td><td align='right'>0800015602</td><td>03-09-
2019</td><td>MARYAMAH</td><td>AHMADI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>K52.9</td><td>Noninfective gastroenteritis and
colitis, unspecified</td><td></td><td>BAB 2 x,muntah</td><td
2019</td><td>MAULANA SIDIQ IBRAHIM</td><td>SODIKUN</td><td>BELUM/TIDAK
BEKERJA</td><td>3/2</td><td>3/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr.
Rabi'atul Adawiyah</td><td>HENI KURNIASIH</td><td>L</td><td>1-4
unspecified</td><td></td><td>batuk,pilek 2 hari</td><td align='right'>55281</td><td
align='right'>0700001403</td><td>03-09-2019</td><td>MUH REFVAN
ADITYA</td><td>ISMAIL</td><td>MENGURUS RUMAH
align='right'>K52.9</td><td>Noninfective gastroenteritis and colitis,
unspecified</td><td></td><td>BATUK,PILEK,MENCRET</td><td
align='right'>55289</td><td align='right'>0800020103</td><td>03-09-2019</td><td>MUH
ZIDAN ALVARO</td><td>JUPRI</td><td>BELUM/TIDAK
BEKERJA</td><td>4/1</td><td>4/1</td><td>SIDOHARJO</td><td>PUSKESMAS
S.kep</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
unspecified</td><td></td><td>BATUK,PILEK,MUNTAH</td><td align='right'>55429</td><td
align='right'>1400057603</td><td>03-09-2019</td><td>NAZWA KHOIRUN ANWAR</td><td>M
KHOIRUL
ANWAR</td><td>PELAJAR/MAHASISWA</td><td>4/3</td><td>4/3</td><td>PAGERHARJO</td><td>
PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
align='right'>E14.9</td><td>Unspecified diabetes mellitus without
complications</td><td></td><td>BADAN TERASA DINGIN</td><td
2019</td><td>NGASINI</td><td>BIYANTI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
align='right'>R51</td><td>Headache</td><td></td><td>konsultasi</td><td
2019</td><td>NURHADI</td><td>NURHADI</td><td>KARYAWAN
SWASTA</td><td>1/2</td><td>1/2</td><td>JATIMULYO</td><td>PUSKESMAS
INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH, Amd</td><td>L</td><td>20-44
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td>Rajal</td><td
unspecified</td><td></td><td>BATUK,PILEK,PANAS</td><td align='right'>55427</td><td
align='right'>1500001302</td><td>03-09-
2019</td><td>PARISAH</td><td>SUMANTRI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>A15.0</td><td>Tuberculosis of lung, confirmed by
sputum microscopy with or without culture</td><td></td><td>KONTROL</td><td
2019</td><td>RAMINI</td><td>RAMINI</td><td>BELUM/TIDAK
colitis, unspecified</td><td></td><td>muntah,sakit perut</td><td
2019</td><td>REGA NICO KURNIAWAN</td><td>BAMBANG EKO CAHYONO</td><td>BELUM/TIDAK
BEKERJA</td><td>ASEMPAPAN 3/3</td><td></td><td>TRANGKIL</td><td>PUSKESMAS
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI KURNIASIH</td><td>L</td><td>1-4
unspecified</td><td></td><td>CACAR</td><td align='right'>55425</td><td
align='right'>1400057503</td><td>03-09-2019</td><td>REIZNIA NATISAH
ANASTASYA</td><td>MAT
MUKIDI</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>PAGERHARJO</td><td
>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td>perut
sakit</td><td align='right'>55420</td><td align='right'>0600020902</td><td>03-09-
2019</td><td>RINA ASMAWATI</td><td>KISWANTO</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>POST JATUH DARI SEPEDA MOTOR
</td><td align='right'>55282</td><td align='right'>0700021201</td><td>03-09-
2019</td><td>SARIJAN</td><td>SARIJAN</td><td>PETANI/PEKEBUN</td><td>9/1</td><td>9/1
</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH
unspecified</td><td></td><td>batuk,pilek,mriang</td><td align='right'>55436</td><td
align='right'>0800047604</td><td>03-09-2019</td><td>SHYRIN SABYLA
ROSYAD</td><td>WAGIRIN</td><td>BELUM/TIDAK
align='right'>N89.8</td><td>Other specified noninflammatory disorders of
vagina</td><td></td><td>KEPUTIHAN GATAL </td><td align='right'>55493</td><td
align='right'>0900034202</td><td>03-09-
2019</td><td>SIOMI</td><td>PARDIMAN</td><td>KARYAWAN
SWASTA</td><td>6/3</td><td>6/3</td><td>NGURENREJO</td><td>PUSKESMAS
unspecified</td><td></td><td>PEGEL,LUTUT KAKU</td><td align='right'>55435</td><td
align='right'>08033067</td><td>03-09-2019</td><td>SITI
AMINAH</td><td>WARSONO</td><td></td><td>3/3</td><td>3/3</td><td>SIDOHARJO</td><td>P
USKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
unspecified</td><td></td><td>PUSING, MUNTAH</td><td align='right'>55490</td><td
MUCHOLIFAH</td><td>SUYONO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
align='right'>R51</td><td>Headache</td><td></td><td>pusing,mual</td><td
align='right'>55442</td><td align='right'>1900015802</td><td>03-09-2019</td><td>SRI
WARDANI</td><td>SUBANDI</td><td>MENGURUS RUMAH TANGGA</td><td>TAWANGHARJO
4/1</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>JAZILAH, Amd</td><td>P</td><td>20-44
align='right'>1802804602</td><td>03-09-2019</td><td>SRI WARTINI</td><td>AH
SOLEKAH</td><td>MENGURUS RUMAH
TANGGA</td><td>8/2</td><td>8/2</td><td>TLOGOHARUM</td><td>PKD
TLOGOHARUM</td><td>dr. NANCY INDRIARTI</td><td>Siti Fatimah</td><td>P</td><td>20-44
align='right'>1800046101</td><td>03-09-
2019</td><td>SUJUD</td><td>SUJUD</td><td>PETANI/PEKEBUN</td><td>3/2</td><td>3/2</td
><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>M79.2</td><td>Neuralgia and neuritis,
unspecified</td><td></td><td>LEHER UNTUK NOLEH SAKIT</td><td
2019</td><td>SUKARDI</td><td>SUKARDI</td><td>WIRASWASTA</td><td>1/2</td><td>1/2</td
><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH
region</td><td></td><td>KONTROL LUKA</td><td align='right'>55426</td><td
align='right'>0700019901</td><td>03-09-
2019</td><td>SUKAWI</td><td>SUKAWI</td><td>PETANI/PEKEBUN</td><td>7/1</td><td>7/1</
td><td>TLUWUK</td><td>PUSKESMAS
unspecified</td><td></td><td>SERAK,SUARA BINDENG</td><td
2019</td><td>SUMARMI</td><td>NUR KHOLIS</td><td>MENGURUS RUMAH
align='right'>Z00.0</td><td>General medical
examination</td><td></td><td>KONSULTASI</td><td align='right'>55416</td><td
align='right'>1600020102</td><td>03-09-
2019</td><td>SUSIWI</td><td>FATHONI</td><td>PEGAWAI NEGERI
SIPIL</td><td>4/1</td><td>4/1</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr.
unspecified</td><td></td><td>PEGEL LINU</td><td align='right'>55437</td><td
align='right'>0700028002</td><td>03-09-
2019</td><td>SUYATMI</td><td>RUSDI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>BATUK</td><td align='right'>55433</td><td
align='right'>1800041502</td><td>03-09-
2019</td><td>TASMINI</td><td>KARSITO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>meriang</td><td align='right'>57278</td><td
align='right'>1400027001</td><td>03-09-
2019</td><td>TAWARMI</td><td>TAWARMI</td><td>MENGURUS RUMAH
MURGIYATI</td><td>P</td><td>>70
unspecified</td><td></td><td>MUNTAH,DIARE</td><td align='right'>55424</td><td
align='right'>0800046401</td><td>03-09-2019</td><td>TITIK KUSMIATI</td><td>TITIK
KUSMIATI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>PANAS,BATUK,PILEK</td><td align='right'>55283</td><td
align='right'>0700001405</td><td>03-09-2019</td><td>YUNITA ERNA
SARI</td><td>ISMAIL</td><td>PELAJAR/MAHASISWA</td><td>8/2</td><td>8/2</td><td>TLUWU
K</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
S.kep</td><td>P</td><td>10-14 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
unspecified</td><td></td><td>batuk, pilek, punggung nyeri </td><td
2019</td><td>AGUS TRIYONO SAKTI</td><td>AGUS TRIYONO SAKTI</td><td>KARYAWAN
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>20-44
Th</td></tr><tr><td align='right'>D56.9</td><td>Thalassaemia,
align='right'>0600002903</td><td>04-09-2019</td><td>AHMAD RAFIF
PRATAMA</td><td>DENI
WIJANARKO</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td></td><td>BANGSALREJO</td><t
d>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
hypertension</td><td></td><td></td><td align='right'>55469</td><td
align='right'>2000006901</td><td>04-09-2019</td><td>ALI ROKIB</td><td>ALI
ROKIB</td><td>WIRASWASTA</td><td>3/1</td><td></td><td>ASEMPAPAN</td><td>PUSKESMAS
Wilayah</td><td>'0002448064181</td><td>'3318210606620001</td><td>160</td><td>100</t
d><td>80</td><td>36</td><td>24</td><td>160</td><td>45</td><td>Tdk
Th</td></tr><tr><td align='right'>J00</td><td>Acute nasopharyngitis [common
cold]</td><td></td><td>bapil</td><td align='right'>55456</td><td
align='right'>1400015003</td><td>04-09-2019</td><td>ALIYA
KANZA</td><td>SARJI</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>P</td><td>1-4
Wilayah</td><td>'</td><td>'3318156712150001</td><td>0</td><td>0</td><td>90</td><td>
37</td><td>30</td><td>80</td><td>12.7</td><td>Tdk Th</td></tr><tr><td
unspecified</td><td></td><td>batuk,pilek</td><td align='right'>56930</td><td
align='right'>18020336</td><td>04-09-2019</td><td>AMORA
FITOLOCA</td><td>SUTAJI</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>TLOGOHARUM<
/td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
S.kep</td><td>P</td><td>>70
unspecified</td><td></td><td>RADANG TENGGOROKAN, BATUK, PILEK , PANAS</td><td
2019</td><td>ANITA SETIAWATI</td><td>SUTRISNO</td><td>MENGURUS RUMAH
align='right'>Z34.0</td><td>Supervision of normal first
pregnancy</td><td></td><td>batuk</td><td align='right'>55461</td><td
align='right'>1800015602</td><td>04-09-2019</td><td>AWALIA NUR
UJIATUN</td><td>FAJAR SETIAWAN</td><td>MENGURUS RUMAH
align='right'>Z23.5</td><td>Need for immunization against tetanus
alone</td><td></td><td></td><td align='right'>55502</td><td
align='right'>2300003703</td><td>04-09-2019</td><td>AZIS
PRASOJO</td><td>SUTARNO</td><td>KARYAWAN SWASTA</td><td>PANDEAN 5/8, TASIKMADU,
KARANGANYAR</td><td></td><td>LUAR KOTA PATI</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>L</td><td>20-44
</td><td>160</td><td>70</td><td></td></tr><tr><td align='right'>J06.9</td><td>Acute
upper respiratory infection, unspecified</td><td></td><td>BATUK,PILEK,SESAK</td><td
2019</td><td>DAKILAH</td><td>SOLIKIN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>BADAN
LESU, NGANTUK, LEMES</td><td align='right'>55484</td><td
HARTYANTININGRUM</td><td>MOH
SHOLEH</td><td>PELAJAR/MAHASISWA</td><td>1/1</td><td>1/1</td><td>PAGERHARJO</td><td
>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
cold]</td><td></td><td>batuk pilek</td><td align='right'>56883</td><td
align='right'>0701831703</td><td>04-09-2019</td><td>FAFIL
JANAH</td><td>KAMID</td><td></td><td>DESA TLUWUK RT 8/1
WEDARIJAKSA</td><td>8/1</td><td>TLUWUK</td><td>PKD TLUWUK</td><td>HENI
KURNIASIH</td><td>HENI KURNIASIH</td><td>L</td><td>5-9
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>PEGEL
LINU, KAKI KAKU</td><td align='right'>55452</td><td
align='right'>2100006001</td><td>04-09-
2019</td><td>GIRI</td><td>GIRI</td><td>KARYAWAN SWASTA</td><td>LANGGENHARJO
INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>>70
align='right'>Z20.9</td><td>Contact with and exposure to unspecified communicable
disease</td><td></td><td></td><td align='right'>55467</td><td
align='right'>2000016403</td><td>04-09-2019</td><td>GWENA SYARIFA PUTRI
ASHA</td><td>AGUS SAJIWO</td><td>BELUM/TIDAK BEKERJA</td><td>MOJOAGUNG
4/1</td><td></td><td>TRANGKIL</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>PUJI RAHAYU</td><td>P</td><td><1
2019</td><td>HARIATI</td><td>SUCIPTO</td><td>MENGURUS RUMAH
TANGGA</td><td>4/2</td><td></td><td>JETAK</td><td>PUSKESMAS
colitis, unspecified</td><td></td><td>BATUK, PILEK, PERUT SAKIT, MUAL</td><td
2019</td><td>JASMI</td><td>PONCO SURONO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>pegel linu</td><td align='right'>56882</td><td
align='right'>070274905</td><td>04-09-
2019</td><td>JURIAH</td><td>SARDI</td><td>PETERNAK</td><td>DESA TLUWUK RT 7/2
KURNIASIH</td><td>HENI KURNIASIH</td><td>P</td><td>>70
unspecified</td><td></td><td>TENGGOROKAN SAKIT, PANAS, PUSING </td><td
2019</td><td>KAMIRAH</td><td>KARDIMAN</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></
td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
unspecified</td><td></td><td>PUSING, TENGGOROKAN PANAS, PERUT SAKIT, SESAK
NAFAS</td><td align='right'>55451</td><td align='right'>1600018402</td><td>04-09-
2019</td><td>KARMINI</td><td>NYOTO</td><td>MENGURUS RUMAH
TANGGA</td><td>2/1</td><td>2/1</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>P</td><td>45-54
align='right'>18020344</td><td>04-09-
2019</td><td>KARSIH</td><td>KARSIH</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>
TLOGOHARUM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
S.kep</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
unspecified</td><td></td><td>batuk,pilek,meriang</td><td
2019</td><td>KARSIYATI</td><td>
</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>TLOGOHARUM</td><td>PUSLING</td><td
>Dr.
Umi Fitriyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>20-44
unspecified</td><td></td><td>BATUK, PILEK, MUNTAH 2X, PERUT SAKIT, DEMAM</td><td
2019</td><td>KASWATI</td><td>JASMIRAH</td><td>BELUM/TIDAK
Th</td></tr><tr><td align='right'>Z00</td><td>General examination and investigation
of persons without complaint and reported diagnosis</td><td></td><td></td><td
2019</td><td>KASWATI</td><td>JAIDUN</td><td>KARYAWAN
align='right'>H81</td><td>Disorders of vestibular function</td><td></td><td>PERUT
SENEB, TENGGOROKAN SAKIT, PUSING</td><td align='right'>55487</td><td
align='right'>0900024501</td><td>04-09-
2019</td><td>LANDUNG</td><td>LANDUNG</td><td>KARYAWAN
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGEL
LINU</td><td align='right'>55495</td><td align='right'>0900036102</td><td>04-09-
2019</td><td>LASNI</td><td>SRI WULAN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>Z20.9</td><td>Contact with and exposure to
unspecified communicable disease</td><td></td><td></td><td
2019</td><td>LIANA SYAUQILLA SALSABILA</td><td>LANANG JULIANTO</td><td>BELUM/TIDAK
Wilayah</td><td>'0002495063687</td><td>'3318156208180002</td><td>0</td><td>0</td><t
d>90</td><td>36</td><td>30</td><td>80</td><td>8.2</td><td>Tdk Th</td></tr><tr><td
unspecified</td><td></td><td>PANAS 3 HARI, BATUK, PILEK, TIDAK MAU MAKAN </td><td
align='right'>55486</td><td align='right'>2000016503</td><td>04-09-2019</td><td>M
ADITHIYA</td><td>JURI YANTO</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>5-9
align='right'>1400057904</td><td>04-09-2019</td><td>M RAFA AZKA
PUTRA</td><td>RAWIJAN</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>L</td><td><1
align='right'>M79.1</td><td>Myalgia</td><td></td><td>LUTUT NYERI JIKA DIBUAT
JALAN,PEGEL LINU, MERIANG </td><td align='right'>55473</td><td
align='right'>0700028302</td><td>04-09-2019</td><td>MAHMUDAH
SUWONDO</td><td>SUWONDO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>gatl2</td><td align='right'>55482</td><td
align='right'>0600021103</td><td>04-09-2019</td><td>MARFEL OKTA S</td><td>IKE
FEBRIANTI</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>L</td><td>1-4
align='right'></td><td align='right'>11</td><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PINGGANG SAKIT, PUSING, PEGEL
LINU </td><td align='right'>55446</td><td align='right'>0600020701</td><td>04-09-
/1</td><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
unspecified</td><td></td><td>PUSING, PERUT SAKIT, DEMAM 1 MINGGU </td><td
NAJIB UBAIDILLAH</td><td>EDI SUSANTO</td><td>KARYAWAN
unspecified</td><td></td><td>BADAN GEMETER, MUNTAH,PERUT SAKIT, MERIANG </td><td
2019</td><td>MOHAMMAD KHOIRUN NI'AM</td><td>MOHAMMAD KHOIRUN NI'AM</td><td>KARYAWAN
SWASTA</td><td>KERTOMULYO 1/2</td><td></td><td>TRANGKIL</td><td>PUSKESMAS
unspecified</td><td></td><td>diare</td><td align='right'>55470</td><td
align='right'>1400058003</td><td>04-09-2019</td><td>MUFIDA NUR
MAULIDA</td><td>SALIH FADHOLI</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>P</td><td><1
cold]</td><td></td><td>pilek</td><td align='right'>55485</td><td
align='right'>2100003503</td><td>04-09-2019</td><td>MUHAMMAD NASHIRUDDIN
AKMAL</td><td>NUR HASAN</td><td>BELUM/TIDAK BEKERJA</td><td>AGUNGMULYO
INDRIARTI</td><td>PUJI RAHAYU</td><td>L</td><td><1
d>90</td><td>36</td><td>30</td><td>80</td><td>7</td><td>Tdk Th</td></tr><tr><td
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut sakit</td><td
2019</td><td>MUNDOFAR</td><td></td><td></td><td>TLOGOHARUM</td><td>4/2</td><td>TLOG
OHARUM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
S.kep</td><td>L</td><td>>70
hypertension</td><td></td><td>pusing,pegel linu</td><td align='right'>56918</td><td
align='right'>18020326</td><td>04-09-
2019</td><td>MUSYAYIN</td><td>KASMIRAH</td><td></td><td>TLOGOHARUM</td><td>3/2</td>
<td>TLOGOHARUM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
Wilayah</td><td>'0000588750952</td><td>'</td><td>15090</td><td>88</td><td>80</td><t
align='right'>1400048003</td><td>04-09-2019</td><td>NAURA
Z</td><td>SUSI</td><td>BELUM/TIDAK
haemorrhage or perforation</td><td></td><td>perut sakit</td><td
2019</td><td>NGARINI</td><td>NGARINI</td><td></td><td>3/2</td><td>3/2</td><td>TLOGO
HARUM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PUSING, PEGEL LINU </td><td
2019</td><td>NGATEMI</td><td>SUDIYONO</td><td>MENGURUS RUMAH
alone</td><td></td><td></td><td align='right'>55501</td><td
align='right'>0700019704</td><td>04-09-2019</td><td>NISWATUN
NAFIAH</td><td>SUPARNO</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td></td><td>TLUWU
K</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>PUJI
RAHAYU</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
><td>80</td><td>36</td><td>20</td><td>150</td><td>57.6</td><td></td></tr><tr><td
ARIFIN</td><td>SAMUJI</td><td>PELAJAR/MAHASISWA</td><td>2/4</td><td>2/4</td><td>PAG
ERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
cold]</td><td></td><td>BATUK DAN PILEK</td><td align='right'>57299</td><td
align='right'>1601106101</td><td>04-09-2019</td><td>NUR ASIYAH</td><td>NUR
ASIYAH</td><td>MENGURUS RUMAH
TANGGA</td><td>1/1</td><td>1/1</td><td>JETAK</td><td>PKD JETAK</td><td>dr. NANCY
INDRIARTI</td><td>Nurjanah</td><td>P</td><td>20-44
hypertension</td><td></td><td>pusing,pegel linu,perut sakit</td><td
2019</td><td>NYAMI</td><td>NYAMI</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>TL
OGOHARUM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
hypertension</td><td></td><td>pusing,riwayat hipertensi</td><td
2019</td><td>PAINAH</td><td>DARSUKI</td><td></td><td>TLOGOHARUM</td><td>1/2</td><td
>TLOGOHARUM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>MUAL, PERUT
SAKIT, KAKI TERASA KAKU </td><td align='right'>55496</td><td
align='right'>1800015002</td><td>04-09-
2019</td><td>PANGATI</td><td>RUKANI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>L20.9</td><td>Atopic dermatitis,
align='right'>18021004</td><td>04-09-
2019</td><td>PANGATI</td><td>SUKARDI</td><td></td><td>2/1</td><td></td><td>TLOGOHAR
UM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
S.kep</td><td>P</td><td>55-59
align='right'>M79.1</td><td>Myalgia</td><td></td><td>KAKI SAKIT</td><td
2019</td><td>PARSINI</td><td>SUKARDI</td><td>MENGURUS RUMAH
><td>80</td><td>36</td><td>24</td><td>159</td><td>43</td><td>T
dk Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan
kesemutan </td><td align='right'>55474</td><td align='right'>0600002102</td><td>04-
09-2019</td><td>PONISIH</td><td>SUKARMAN</td><td>MENGURUS RUMAH
haemorrhage or perforation</td><td></td><td>perut sakit</td><td
2019</td><td>RAKINI</td><td>RAKINI</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>
align='right'>F29</td><td>Unspecified nonorganic psychosis</td><td></td><td>KOTROL
2019</td><td>RASDI</td><td>RASDI</td><td>WIRASWASTA</td><td>2/2</td><td>2/2</td><td
>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
align='right'>18020368</td><td>04-09-
2019</td><td>RUKASIH</td><td>RUKASIH</td><td></td><td>TLOGOHARUM</td><td>3/2</td><t
d>TLOGOHARUM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
align='right'>0900009303</td><td>04-09-2019</td><td>SALMA ARSYILA</td><td>AGUS
TRIYONO SAKTI</td><td>BELUM/TIDAK
d>90</td><td>36</td><td>30</td><td>80</td><td>5.8</td><td></td></tr><tr><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel linu</td><td
2019</td><td>SARI</td><td>SARI</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>TLOG
OHARUM</td><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
2019</td><td>SARIAH</td><td>SARIAH</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>
2019</td><td>SARINI</td><td>SARINI</td><td>NELAYAN/PERIKANAN</td><td>TLOGOHARUM
3/II</td><td>3/2</td><td>TLOGOHARUM</td><td>PUSLING</td><td>Dr. Umi
Fitriyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>60-69
unspecified</td><td></td><td>BATUK, PILEK, MERIANG </td><td
2019</td><td>SARJI</td><td>SARJI</td><td>KARYAWAN
align='right'>K29.0</td><td>Acute haemorrhagic gastritis</td><td></td><td>PERUT
PERIH</td><td align='right'>56881</td><td align='right'>070264001</td><td>04-09-
2019</td><td>SARMI</td><td>SARMI</td><td>PETERNAK</td><td>DESA TLUWUK RT 6/2
KURNIASIH</td><td>HENI KURNIASIH</td><td>P</td><td>45-54
unspecified</td><td></td><td>PUSING, PILEK, BATUK </td><td
2019</td><td>SAYUTI</td><td>SUWAJI</td><td>MENGURUS RUMAH
TANGGA</td><td>5/4</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>M79.1</td><td>Myalgia</td><td></td><td>HABIS JATUH DARI
SEPEDA</td><td align='right'>55462</td><td align='right'>1400003303</td><td>04-09-
2019</td><td>SETIYO GUNAWAN</td><td>PALAL</td><td>KARYAWAN
align='right'>56926</td><td align='right'>18021006</td><td>04-09-2019</td><td>SITI
KOPSAH</td><td>SITI
KOPSAH</td><td></td><td>1/2</td><td>1/2</td><td>TLOGOHARUM</td><td>PUSLING</td><td>
Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>>70
align='right'>Z34.0</td><td>Supervision of normal first
pregnancy</td><td></td><td></td><td align='right'>55503</td><td
align='right'>1600020302</td><td>04-09-2019</td><td>SITI MUAMAROH</td><td>ULIN
NIAM</td><td>MENGURUS RUMAH
TANGGA</td><td>1/2</td><td></td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>PUJI RAHAYU</td><td>P</td><td>20-44
align='right'>M79.1</td><td>Myalgia</td><td></td><td>TANGAN
KESEMUTAN, MUAL, PERUT SAKIT</td><td align='right'>55494</td><td
MUNZAYANAH</td><td>SLAMET</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>Z34.9</td><td>Supervision of normal pregnancy,
unspecified</td><td></td><td>tak</td><td align='right'>55478</td><td
SOLIKAH</td><td>SUTASNO</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>Z34.0</td><td>Supervision of normal first
align='right'>2200000302</td><td>04-09-2019</td><td>SRI WAHYU
NINGSIH</td><td>KARTOYO</td><td>MENGURUS RUMAH TANGGA</td><td>KERTOMULYO 3/1,
MARGOYOSO</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
align='right'>M79.1</td><td>Myalgia</td><td></td><td>TANGAN KESEMUTAN, KAKU</td><td
2019</td><td>SUKARMI</td><td>SULARNO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>BATUK, PEGEL LINU</td><td align='right'>55448</td><td
align='right'>0900036002</td><td>04-09-
2019</td><td>SUKATI</td><td>TARWOTO</td><td>MENGURUS RUMAH
align='right'>T14.0</td><td>Superficial injury of unspecified body
align='right'>1800046902</td><td>04-09-2019</td><td>SULIS
KALISWORO</td><td>MUNDOFIR</td><td>PEGAWAI NEGERI
SIPIL</td><td>8/2</td><td>8/2</td><td>TLOGOHARUM</td><td>PUSKESMAS
unspecified</td><td></td><td>tenggorokan sakit</td><td align='right'>57280</td><td
align='right'>1400048102</td><td>04-09-
2019</td><td>SUMILAH</td><td>IRKAM</td><td>MENGURUS RUMAH
MURGIYATI</td><td>P</td><td>>70
align='right'>R51</td><td>Headache</td><td></td><td>KEPALA SAKIT</td><td
2019</td><td>SUMINAH</td><td>SULAIMAN</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut sakit,mual,pegel
linu</td><td align='right'>56933</td><td align='right'>18020413</td><td>04-09-
2019</td><td>SUNDARI</td><td>SUNDARI</td><td></td><td>TLOGOHARUM
4/II</td><td>4/2</td><td>TLOGOHARUM</td><td>PUSLING</td><td>Dr. Umi
Fitriyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>>70
region</td><td></td><td>JATUH DARI SEPEDA MONTOR</td><td
2019</td><td>SUNTARI</td><td>DARSONO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut
sakit,pegel linu</td><td align='right'>56931</td><td
align='right'>18020341</td><td>04-09-
2019</td><td>SURIPAH</td><td>SUTAJI</td><td></td><td>TLOGOHARUM 3/
II</td><td></td><td>TLOGOHARUM</td><td>PUSLING</td><td>Dr. Umi
2019</td><td>SUWARSI</td><td>SAMUDI</td><td></td><td>TLOGOHARUM 3/
II</td><td>3/2</td><td>TLOGOHARUM</td><td>PUSLING</td><td>Dr. Umi
cold]</td><td></td><td>BATUK</td><td align='right'>57356</td><td
align='right'>1600008002</td><td>04-09-
2019</td><td>SUWARTI</td><td>PALAL</td><td>MENGURUS RUMAH
2019</td><td>TITIK</td><td></td><td></td><td>2/3</td><td>3/2</td><td>TLOGOHARUM</td
><td>PUSLING</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan
kesemutan, kaki cekot2</td><td align='right'>55459</td><td
align='right'>0600005102</td><td>04-09-
2019</td><td>TUMIYATI</td><td>SUHADI</td><td>KARYAWAN
SWASTA</td><td>6/1</td><td></td><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr.
Th</td></tr><tr><td align='right'>H66.1</td><td>Chronic tubotympanic suppurative
otitis media</td><td></td><td></td><td align='right'>55483</td><td
align='right'>1700009602</td><td>04-09-2019</td><td>WAHYU
PANGESTUTI</td><td>MUKRI</td><td>KARYAWAN
SWASTA</td><td>2/1</td><td></td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>Nurma Mulyani</td><td>P</td><td>20-44
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON PBI</td><td>Rujuk</td><td
Umum</td><td></td><td>RS AS-SUYUTHIYYAH</td><td>Dalam
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>MATA
KABUR, PEGEL, MERIANG </td><td align='right'>55450</td><td
align='right'>0700004001</td><td>04-09-
2019</td><td>YASIR</td><td>YASIR</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>>70
unspecified</td><td></td><td>PANAS,TENGGOROKAN SAKIT</td><td
align='right'>55510</td><td align='right'>0800026904</td><td>05-09-2019</td><td>ADI
ASMARA
R</td><td>KARBANI</td><td>PELAJAR/MAHASISWA</td><td>1/2</td><td></td><td>SIDOHARJO<
/td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
Amd</td><td>L</td><td>15-19 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
Th</td></tr><tr><td align='right'>H10</td><td>Conjunctivitis</td><td></td><td>MATA
MERAH</td><td align='right'>55536</td><td align='right'>16022016</td><td>05-09-
2019</td><td>AFID
WIDODO</td><td>SUKARNO</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td></td><td>JETAK
</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
align='right'>55544</td><td align='right'>0700005405</td><td>05-09-2019</td><td>ALI
HAMDAN</td><td>BADRUN</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>JAZILAH, Amd</td><td>L</td><td>20-44
align='right'>0601500802</td><td>05-09-2019</td><td>ARUM
NINGSIH</td><td>SUWONO</td><td>MENGURUS RUMAH
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td>gatal
gatal</td><td align='right'>55523</td><td align='right'>1600020504</td><td>05-09-
2019</td><td>ARVINO NAZRIL R</td><td>SUWITO</td><td>BELUM/TIDAK
BEKERJA</td><td>2/2</td><td></td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr.
SAKIT,MUAL</td><td align='right'>55512</td><td align='right'>1400011203</td><td>05-
09-2019</td><td>BAGUS
PORNOMO</td><td>SUMARDI</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>P
AGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
2019</td><td>BERIL HALDIS
ARDHANI</td><td>NURSAM</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td>5/1</td><td>SI
DOHARJO</td><td>PKD SIDOHARJO</td><td>dr. NANCY INDRIARTI</td><td>DJUM
ELIYA</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>0601102603</td><td>05-09-2019</td><td>ELISA YUNIANTIKA
SARI</td><td>NANANG</td><td>PELAJAR/MAHASISWA</td><td>1/1</td><td>1/1</td><td>BANGS
haemorrhage or perforation</td><td></td><td>mual,muntah,pusing</td><td
align='right'>55546</td><td align='right'>1700020602</td><td>05-09-2019</td><td>ENY
SRI WAHYUNI</td><td>ARIS
SOFWAN</td><td></td><td>1/1</td><td>1/1</td><td>KEPOH</td><td>PUSKESMAS
INDUK</td><td>Dr. Umi Fitriyah</td><td>Arif prasetyo utomo</td><td>P</td><td>20-44
align='right'>20</td><td align='right'></td><td
unspecified</td><td></td><td>PILEK,MNYERI TELAN</td><td align='right'>55538</td><td
align='right'>1700012704</td><td>05-09-2019</td><td>ERDIN
WAHYU</td><td>SUGENG</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>3/1</td><td>KEPO
H</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
region</td><td></td><td>post jatuh</td><td align='right'>55549</td><td
align='right'>2000016803</td><td>05-09-2019</td><td>FATONI ANWAR</td><td>ABDUL
FATAH</td><td>KARYAWAN SWASTA</td><td>ASEMPAPAN
2/4</td><td></td><td>TRANGKIL</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>Arif prasetyo utomo</td><td>L</td><td>20-44
</td><td>155</td><td>54</td><td></td></tr><tr><td
align='right'>1602404201</td><td>05-09-
2019</td><td>HARIATI</td><td>HARIATI</td><td>MENGURUS RUMAH
align='right'>0601503201</td><td>05-09-
2019</td><td>HARNOTO</td><td>HARNOTO</td><td>PETANI/PEKEBUN</td><td>5/1</td><td>5/1
unspecified</td><td></td><td>mual,muntah</td><td align='right'>55535</td><td
align='right'>1800047102</td><td>05-09-2019</td><td>ISNA ISMAYANTI</td><td>ALI
AKHWAN</td><td>KARYAWAN
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI KURNIASIH</td><td>P</td><td>15-19
hypertension</td><td></td><td>LEMES</td><td align='right'>55529</td><td
align='right'>1800020201</td><td>05-09-
2019</td><td>JAMILATUN</td><td>JAMILATUN</td><td>MENGURUS RUMAH
TANGGA</td><td>5/1</td><td></td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>JAZILAH, Amd</td><td>P</td><td>55-59
unspecified</td><td></td><td>NYERI TANGAN</td><td align='right'>55532</td><td
align='right'>1400048402</td><td>05-09-
align='right'>0601600302</td><td>05-09-
2019</td><td>KAMISIH</td><td>SUNARDI</td><td>MENGURUS RUMAH
KHOMSAH</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2019</td><td>KARTI</td><td>KARTI</td><td>BELUM/TIDAK
NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG SISWATI</td><td>P</td><td>>70
2019</td><td>KASMIRAH</td><td>KASMIRAH</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>demam 4 hari,batuk,pilek,muntah</td><td
2019</td><td>KENZO ADHITAMA</td><td>SUAMBAT</td><td>BELUM/TIDAK
BEKERJA</td><td>4/2</td><td>4/2</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>2200005403</td><td>05-09-2019</td><td>LILIS HARIYANTI</td><td>EKO
SUPRIYADI</td><td>KARYAWAN SWASTA</td><td>PURI
1/3</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
unspecified</td><td></td><td>meriang,batuk,pilek</td><td
2019</td><td>LINTANG ADI MAS
AGUNG</td><td>MAMI</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td></td><td>KEPOH</td
><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Arif prasetyo
utomo</td><td>L</td><td>10-14 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>M54.3</td><td>Sciatica</td><td></td><td>KONTROL</td><td
2019</td><td>MAESAROH</td><td>SARMANI</td><td>MENGURUS RUMAH
INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH, Amd</td><td>P</td><td>45-54
unspecified</td><td></td><td>SENEP</td><td align='right'>57212</td><td
align='right'>0900012401</td><td>05-09-
2019</td><td>MARMI</td><td>MARMI</td><td>MENGURUS RUMAH
align='right'>0601501503</td><td>05-09-2019</td><td>MAULANA DICKI
NUGRAHA</td><td>MARSUDI</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td>5/1</td><td>B
align='right'>Z02.2</td><td>Examination for admission to residential
institutions</td><td></td><td>MNTA SURAT KETERANGAN DOKTER</td><td
2019</td><td>MEIRNA WAHYU
P</td><td>MUKRI</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td></td><td>KEPOH</td><t
d>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
Thn.</td><td>Keluarga</td><td>Lama</td><td>ASKES</td><td>Rajal</td><td
colitis, unspecified</td><td></td><td>diare 5x,</td><td align='right'>55517</td><td
align='right'>0700028403</td><td>05-09-2019</td><td>MOH ALLBERT
ADHYYASTA</td><td>MOH HASANUDDIN</td><td>BELUM/TIDAK
BEKERJA</td><td>7/2</td><td></td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>1800007304</td><td>05-09-2019</td><td>MOH NAJIB
UBAIDILLAH</td><td>EDI SUSANTO</td><td>KARYAWAN
unspecified</td><td></td><td>BATUK PILEK</td><td align='right'>57207</td><td
align='right'>0900002501</td><td>05-09-
2019</td><td>MUHADI</td><td>MUHADI</td><td>BELUM/TIDAK
unspecified</td><td></td><td>PANAS,DIARE,PERUT SAKIT</td><td
2019</td><td>MUHAMMAD NAUFAL KURNIAWAN</td><td>PAIJAN</td><td>BELUM/TIDAK
align='right'>0800003502</td><td>05-09-
2019</td><td>MUNINGGAR</td><td>NURSAM</td><td>MENGURUS RUMAH
2019</td><td>MUNTIANAH</td><td>SUPARWI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>DIARE PERUT SENEB</td><td align='right'>55541</td><td
align='right'>1600020602</td><td>05-09-
2019</td><td>NGAPINI</td><td>SUTOYO</td><td>KARYAWAN
SWASTA</td><td>3/1</td><td>3/1</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr.
unspecified</td><td></td><td>BATUK,PILEK,BADAN GEMETER</td><td
2019</td><td>NGARNI</td><td>DARIM</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>GATAL,BATUK,PILEK</td><td align='right'>55537</td><td
align='right'>0700028502</td><td>05-09-2019</td><td>NIA
ARIYANTI</td><td>SUWIGNYO</td><td>MENGURUS RUMAH
align='right'>0600010702</td><td>05-09-2019</td><td>NINIK
INDRAWATI</td><td>YONIK</td><td>MENGURUS RUMAH
align='right'>J45</td><td>Asthma</td><td></td><td>sesak nafas</td><td
SETIANI</td><td>SUPARNO</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td>3/2</td><td>J
ETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Arif prasetyo
utomo</td><td>P</td><td>15-19 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
unspecified</td><td></td><td>BATUK,DADA SAKIT</td><td align='right'>55513</td><td
align='right'>0800058201</td><td>05-09-
2019</td><td>PAEMAN</td><td>PAEMAN</td><td>BELUM/TIDAK
BEKERJA</td><td>4/2</td><td></td><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>JAZILAH, Amd</td><td>L</td><td>>70
unspecified</td><td></td><td>meriang,pilek,batuk</td><td
2019</td><td>PIPIT AINA S</td><td>RAMBIYO</td><td>BELUM/TIDAK
unspecified</td><td></td><td>KENCENG KENCENG</td><td align='right'>55543</td><td
align='right'>1700016702</td><td>05-09-2019</td><td>PURWATI</td><td>M
SYAIFUL</td><td>KARYAWAN
SWASTA</td><td>1/1</td><td>1/1</td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>dr.
unspecified</td><td></td><td>batuk,pilek,sakit mata,panas</td><td
2019</td><td>RAFLI DAVID ANGGARA</td><td>SUPRIYADI</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>HENI KURNIASIH</td><td>L</td><td><1
align='right'></td><td>KIA</td><td></td><td></td><td>Dalam
align='right'>0900008001</td><td>05-09-
2019</td><td>RASMI</td><td>RASMI</td><td>MENGURUS RUMAH
align='right'>A09</td><td>Diarrhoea and gastroenteritis of presumed infectious
origin</td><td></td><td>diare</td><td align='right'>57137</td><td
align='right'>0801103802</td><td>05-09-
2019</td><td>RATMI</td><td>SUTADJI</td><td>MENGURUS RUMAH
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>PEGEL</td><td
2019</td><td>SA'ADAH</td><td>SA'ADAH</td><td>MENGURUS RUMAH
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>LUTUT
SAKIT,PEGEL LINU</td><td align='right'>55522</td><td
align='right'>1800024701</td><td>05-09-
2019</td><td>SAMINI</td><td>SAMINI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>SANUJI</td><td>SANUJI</td><td>PETANI/PEKEBUN</td><td>6/1</td><td>6/1</
td><td>BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI
NUR KHOMSAH</td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>0700004301</td><td>05-09-
2019</td><td>SAPARI</td><td>SAPARI</td><td>PETANI/PEKEBUN</td><td>4/1</td><td>4/1</
td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
unspecified</td><td></td><td>NYERI LUKA </td><td align='right'>55506</td><td
align='right'>1700001001</td><td>05-09-
2019</td><td>SARAH</td><td>SARAH</td><td>KARYAWAN
NANCY INDRIARTI</td><td>JAZILAH, Amd</td><td>L</td><td>>70
align='right'>0601401402</td><td>05-09-
2019</td><td>SARBINI</td><td>SARBINI</td><td>PETANI/PEKEBUN</td><td>4/1</td><td>4/1
align='right'>0600014502</td><td>05-09-
2019</td><td>SARISIH</td><td>SUTABAH</td><td>MENGURUS RUMAH
2019</td><td>SARPAN</td><td>SARPAN</td><td>PETANI/PEKEBUN</td><td>3/3</td><td>3/3</
td><td>NGURENREJO</td><td>PKD NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG
SISWATI</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>NATA GATAL</td><td
2019</td><td>SITI MUFTI ULUL AZMI</td><td>JASMI</td><td>BELUM/TIDAK
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>J45</td><td>Asthma</td><td></td><td>sesak nafas kencing ada
darahnya</td><td align='right'>55550</td><td align='right'>0700002502</td><td>05-
09-2019</td><td>SITI NURASIH</td><td>JARI</td><td>MENGURUS RUMAH
TANGGA</td><td>5/2</td><td></td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>Arif prasetyo utomo</td><td>P</td><td>20-44
unspecified</td><td></td><td>perut seneb,nyeri ulu hati</td><td
2019</td><td>SLAMET</td><td>SLAMET</td><td>PETANI/PEKEBUN</td><td>6/3</td><td>6/3</
td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Arif
prasetyo utomo</td><td>L</td><td>60-69
align='right'>G40.9</td><td>Epilepsy, unspecified</td><td></td><td>KONTROL</td><td
2019</td><td>SLAMET
ARYANTO</td><td>SAMINI</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>TL
OGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
align='right'>18</td><td>BP. Umum</td><td></td><td>RSI PATI</td><td>Dalam
Th</td></tr><tr><td align='right'>F23</td><td>Acute and transient psychotic
disorders</td><td></td><td>KONTROL</td><td align='right'>55515</td><td
DARWATI</td><td>HARNOMO</td><td>MENGURUS RUMAH
TANGGA</td><td>4/1</td><td></td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
Umum</td><td></td><td>RSUD RAA SOEWONDO PATI</td><td>Dalam
Th</td></tr><tr><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>4PEGEL</td><td
HARMI</td><td>KARBANI</td><td>MENGURUS RUMAH
><td>80</td><td>36</td><td>20</td><td>155</td><td>5</td><td>Tdk Th</td></tr><tr><td
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>GIGI SAKIT</td><td
LESTARI</td><td>SUPRIYADI</td><td>MENGURUS RUMAH
TANGGA</td><td>3/1</td><td>3/1</td><td>JETAK</td><td>PUSKESMAS
INDUK</td><td>Suharti</td><td> - </td><td>P</td><td>20-44
periodontitis</td><td></td><td>sakit gigi</td><td align='right'>57141</td><td
MULYATI</td><td>SUMARNO</td><td>MENGURUS RUMAH
WINARSIH</td><td>SUYATMIN</td><td>MENGURUS RUMAH
haemorrhage or perforation</td><td></td><td>PUSING,PEGEL LINU,DIARE</td><td
2019</td><td>SUJINAH</td><td>SUJINAH</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>JAZILAH, Amd</td><td>P</td><td>>70
2019</td><td>SUKANAH</td><td>M. RIFAI</td><td>MENGURUS RUMAH
align='right'>1602401702</td><td>05-09-
2019</td><td>SULASI</td><td>SUKOYO</td><td>MENGURUS RUMAH
align='right'>1602305302</td><td>05-09-
2019</td><td>SULASTRI</td><td>DULHADI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>pusing</td><td align='right'>55514</td><td
align='right'>1400001802</td><td>05-09-
2019</td><td>SULIPAH</td><td>SUHARNO</td><td>KARYAWAN
><td>88</td><td>36</td><td>22</td><td>150</td><td>59</td><td>O+</td></tr><tr><td
align='right'>E11.8</td><td>Non-insulin-dependent diabetes mellitus with
unspecified complications</td><td></td><td>NYERI LUKA</td><td
2019</td><td>SUMI</td><td>TOHA</td><td></td><td>2/4</td><td></td><td>ASEMPAPAN</td>
<td>PUSKESMAS INDUK</td><td>dr.
Umum</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Luar
align='right'>B00</td><td>Herpesviral [herpes simplex]
infections</td><td></td><td>GATAL DI LEHER,TERASA PANAS</td><td
2019</td><td>SUNIK</td><td>JASWADI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>Z00.0</td><td>General medical
examination</td><td></td><td>KUNJUNGAN SEHAT</td><td align='right'>55534</td><td
align='right'>1500005301</td><td>05-09-
2019</td><td>SUPADI</td><td>SUPADI</td><td>PETANI/PEKEBUN</td><td>7/2</td><td>7/2</
td><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>JAZILAH, Amd</td><td>L</td><td>60-69
align='right'>0601302703</td><td>05-09-2019</td><td>SURYA
ADI</td><td>HARYANTO</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>BANG
SALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
2019</td><td>SUWARTI</td><td>PARYONO</td><td>MENGURUS RUMAH
2019</td><td>SUWATI</td><td>MASTURI</td><td>MENGURUS RUMAH
2019</td><td>SUWINI</td><td>SUNOTO</td><td>MENGURUS RUMAH
2019</td><td>WARSITO</td><td>WARSITO</td><td>PETANI/PEKEBUN</td><td>5/1</td><td>5/1
INDRIARTI</td><td>SITI NUR KHOMSAH</td><td></td><td>20-44
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>sakit gigi</td><td
2019</td><td>YAZID RAMA
S</td><td>HARNOTO</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td>5/2</td><td>BANGSAL
REJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
KHOMSAH</td><td>L</td><td>10-14 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>1600010102</td><td>05-09-
2019</td><td>ZUBAIDAH</td><td>BAKIR</td><td>PERDAGANGAN</td><td>4/1</td><td></td><t
d>JETAK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
unspecified</td><td></td><td>PANAS</td><td align='right'>55508</td><td
align='right'>0800017603</td><td>05-09-2019</td><td>ZUKHAL LAILA ALI</td><td>M ALI
SUBCHAN</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>SIDOHARJO</td><td
>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
unspecified</td><td></td><td>PEGEL </td><td align='right'>56939</td><td
align='right'>17012059</td><td>06-09-
2019</td><td></td><td>KADAR</td><td></td><td>1/2</td><td>2/1</td><td>KEPOH</td><td>
PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>45-54
align='right'>0600002503</td><td>06-09-2019</td><td>ADEEVA
HANUM</td><td>CIPTO</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DJUM ELIYA</td><td>L</td><td>1-4
unspecified</td><td></td><td>panas </td><td align='right'>55573</td><td
align='right'>1600011204</td><td>06-09-2019</td><td>ADITYA NAUFAL
ABIMANYU</td><td>SUGIYANTO</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>L</td><td><1
align='right'>0900036304</td><td>06-09-2019</td><td>AHDAN
ARDIANSYAH</td><td>KARYANTO</td><td>PELAJAR/MAHASISWA</td><td>2/3</td><td>2/3</td><
td>NGURENREJO</td><td>PUSKESMAS
2019</td><td>AHMAD YANTO RIFA'I</td><td>AHMAD YANTO
RIFA'I</td><td>WIRASWASTA</td><td>4/3</td><td>4/3</td><td>WEDARIJAKSA</td><td>PUSKE
SMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>20-
align='right'>N40</td><td>Hyperplasia of prostate</td><td></td><td>KONTROL</td><td
2019</td><td>ALI</td><td>ALI</td><td>KARYAWAN
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>>70
of persons without complaint and reported
diagnosis</td><td></td><td>KONTROL</td><td align='right'>55594</td><td
align='right'>1700005502</td><td>06-09-2019</td><td>ARIS SRI
MULYANI</td><td>SUDARTONO</td><td>KARYAWAN
SAKIT</td><td align='right'>55596</td><td align='right'>1500025501</td><td>06-09-
2019</td><td>DJOJO PITONO</td><td>DJOJO PITONO</td><td>BELUM/TIDAK
BEKERJA</td><td>6/1</td><td>6/1</td><td>JATIMULYO</td><td>PUSKESMAS
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>>70
align='right'>R51</td><td>Headache</td><td></td><td></td><td
2019</td><td>DYAH AYU NUR SOLIKHAH</td><td>TEGUH WAHYUDI</td><td>BELUM/TIDAK
2019</td><td>ERLIN NAWATI</td><td>PAIDI</td><td>BELUM/TIDAK
align='right'>1601401504</td><td>06-09-2019</td><td>FADL
RAMADHANA</td><td>FARID</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>J
ETAK</td><td>PKD JETAK</td><td>dr. NANCY
INDRIARTI</td><td>Nurjanah</td><td>L</td><td>5-9
cold]</td><td></td><td>KONTROL</td><td align='right'>55577</td><td
align='right'>2300003803</td><td>06-09-2019</td><td>FAYYADH AHMAD</td><td>AHMAD
NUR</td><td>PELAJAR/MAHASISWA</td><td>SETU, BEKASI</td><td></td><td>LUAR KOTA
PATI</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>L</td><td>5-9
/td><td>120</td><td>17</td><td></td></tr><tr><td
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>senep</td><td
2019</td><td>HANI MAESAROH</td><td>SOLIKIN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>mriang,pilek,batuk</td><td align='right'>55580</td><td
align='right'>0600001104</td><td>06-09-2019</td><td>HANUNG ATMA
SONYA</td><td>JUNOPO</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>L</td><td>1-
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>MATA KANAN KABUR</td><td
2019</td><td>ISMAIL</td><td>ISMAIL</td><td>PETANI/PEKEBUN</td><td>8/2</td><td></td>
<td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
unspecified</td><td></td><td>BADAN PANAS, BADAN GEMETAR, REMATIK, PUSING</td><td
2019</td><td>JASMANI</td><td>JASMANI</td><td>SOPIR</td><td>1/2</td><td></td><td>TLO
GOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
unspecified</td><td></td><td>panas,pilek,batuk</td><td align='right'>55555</td><td
align='right'>0800028204</td><td>06-09-2019</td><td>JONATHAN BRYAN
ANGGARA</td><td>PILIHNO</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DJUM ELIYA</td><td>L</td><td>1-4
align='right'>Z30.0</td><td>General counselling and advice on
contraception</td><td></td><td>konseling Kb</td><td align='right'>55552</td><td
align='right'>1500012102</td><td>06-09-
2019</td><td>JUMIATI</td><td>MULYONO</td><td>MENGURUS
RUMAH TANGGA</td><td>5/2</td><td></td><td>JATIMULYO</td><td>PUSKESMAS
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DJUM ELIYA</td><td>P</td><td>20-44
align='right'>26</td><td>KB</td><td></td><td></td><td>Dalam
align='right'>17011043</td><td>06-09-2019</td><td>KAMIRAH
</td><td></td><td></td><td>1/1</td><td>1/1</td><td>KEPOH</td><td>PUSLING</td><td>dr
. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
unspecified</td><td></td><td>pegel </td><td align='right'>56944</td><td
align='right'>17012044</td><td>06-09-2019</td><td>KAMISAH
</td><td>SUMADI</td><td></td><td>1/2</td><td>2/1</td><td>KEPOH</td><td>PUSLING</td>
<td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>20-44
unspecified</td><td></td><td>BATUK KELUAR DARAH 3 HARI, SESAK NAFAS</td><td
2019</td><td>KARDIMAN</td><td>KARDIMAN</td><td>PETANI/PEKEBUN</td><td>MARGOMULYO
INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>>70
align='right'>0900036301</td><td>06-09-
2019</td><td>KARYANTO</td><td>KARYANTO</td><td>KARYAWAN
unspecified</td><td></td><td>kaki oedema</td><td align='right'>55565</td><td
align='right'>0900004502</td><td>06-09-
2019</td><td>KUNTARI</td><td>HENDRI</td><td>MENGURUS RUMAH
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI
SUTRININGSIH</td><td>P</td><td>20-44
cold]</td><td></td><td>BATUK, PILEK </td><td align='right'>55588</td><td
align='right'>1900000705</td><td>06-09-2019</td><td>MAHYA AZIZA A</td><td>AHMAD
YANTO</td><td>PELAJAR/MAHASISWA</td><td>4/3</td><td></td><td>WEDARIJAKSA</td><td>PU
SKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>P</td><td>5-9
align='right'>K12</td><td>Stomatitis and related lesions</td><td></td><td>BIBIR
PECAH-PECAH DAN KERING</td><td align='right'>55581</td><td
align='right'>1800047302</td><td>06-09-
2019</td><td>MARHAMAH</td><td>SUHARSO</td><td>MENGURUS RUMAH
align='right'>1602401703</td><td>06-09-2019</td><td>MELYNDA
SUSANTI</td><td>SUKOYO</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4/2</td><td>JE
TAK</td><td>PKD JETAK</td><td>dr. NANCY
unspecified</td><td></td><td>pilek,tenggorokan sakit</td><td
2019</td><td>MINASAROH</td><td>EDI WINARTO</td><td>MENGURUS RUMAH
align='right'>I50.9</td><td>Heart failure,
unspecified</td><td></td><td>KONTROL</td><td align='right'>55576</td><td
align='right'>1800004201</td><td>06-09-
2019</td><td>MURI</td><td>MURI</td><td>KARYAWAN
Umum</td><td></td><td>RSI PATI</td><td>Dalam
GATAL, PUSING</td><td align='right'>55563</td><td
align='right'>1800005202</td><td>06-09-
2019</td><td>MUYASAROH</td><td>KARSONO</td><td>MENGURUS RUMAH
align='right'>1400002403</td><td>06-09-2019</td><td>NADHINO
MARDLATILAH</td><td>SOLIKIN</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><
td>PAGERHARJO</td><td>PKD PAGERHARJO</td><td>dr. NANCY INDRIARTI</td><td>HENDRI
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>PANAS, MUAL,
MUNTAH, PERUT SAKIT</td><td align='right'>55568</td><td
align='right'>1400001309</td><td>06-09-2019</td><td>NINA AJI
S</td><td>SUPARDI</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td></td><td>PAGERHARJO
</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
align='right'>17012039</td><td>06-09-2019</td><td>NURSIKAH
. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>60-69
align='right'>O06.9</td><td>Unspecified abortion, complete or unspecified, without
complication</td><td></td><td>flek- flek</td><td align='right'>55566</td><td
align='right'>0700028602</td><td>06-09-2019</td><td>NURUL
KHOIRIYAH</td><td>SAPARI</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>
TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI
align='right'>20</td><td>KIA</td><td></td><td>RS AS-SUYUTHIYYAH</td><td>Dalam
hypertension</td><td></td><td>LUTUT NYERI, PEGAL LINU</td><td
2019</td><td>RASMI</td><td>KAMIM</td><td>MENGURUS RUMAH
INDRIARTI</td><td>Nurma Mulyani</td><td>P</td><td>>70
align='right'>1400026801</td><td>06-09-
2019</td><td>SAMAT</td><td>SAMAT</td><td>PETANI/PEKEBUN</td><td>1/4</td><td>1/4</td
><td>PAGERHARJO</td><td>PKD PAGERHARJO</td><td>dr. NANCY INDRIARTI</td><td>HENDRI
MURGIYATI</td><td>L</td><td>>70
align='right'>1400004702</td><td>06-09-
2019</td><td>SAWILAH</td><td>MUNADI</td><td>MENGURUS RUMAH
2019</td><td>SIBIN JULITASARI</td><td>SUKARDI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>TANGAN KAKU</td><td align='right'>55569</td><td
align='right'>0800048002</td><td>06-09-
2019</td><td>SINAH</td><td>SUWARDI</td><td>MENGURUS RUMAH
align='right'>1400044802</td><td>06-09-2019</td><td>SITI MUFAWAZAH</td><td>KHAFID
ANTONI</td><td>MENGURUS RUMAH
align='right'>E06</td><td>Thyroiditis</td><td></td><td>KONTROL</td><td
AYEM</td><td>ABDULLAH</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>mual</td><td align='right'>55554</td><td
align='right'>2000016902</td><td>06-09-2019</td><td>SRI FITRI
HARNINGSIH</td><td>EDY PURNOMO</td><td>MENGURUS RUMAH TANGGA</td><td>ASEMPAPAN
1/3</td><td></td><td>TRANGKIL</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>HENI SUTRININGSIH</td><td>P</td><td>20-44
align='right'>17011038</td><td>06-09-2019</td><td>SUDIMAH
. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td></td><td>60-69
align='right'>T14</td><td>Injury of unspecified body
align='right'>0700019901</td><td>06-09-
td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>1600019901</td><td>06-09-2019</td><td>SULASI SITI
ROHMAH</td><td>SULASI SITI ROHMAH</td><td>BELUM/TIDAK
BEKERJA</td><td>4/1</td><td>4/1</td><td>JETAK</td><td>PUSKESMAS
hypertension</td><td></td><td>pusing </td><td align='right'>56945</td><td
align='right'>17014081</td><td>06-09-2019</td><td>SULASTRI </td><td>WALUTO
</td><td></td><td>1/4</td><td>4/1</td><td>KEPOH</td><td>PUSLING</td><td>dr. NANCY
INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>55-59
hypertension</td><td></td><td>pusing</td><td align='right'>56936</td><td
align='right'>17011051</td><td>06-09-
2019</td><td>SULISTININGSIH</td><td>SUWANO</td><td></td><td>1/1</td><td>1/1</td><td
>KEPOH</td><td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>pusing
2019</td><td>SUMARWI</td><td>SUMARWI</td><td></td><td>2/1</td><td>2/1</td><td>KEPOH
</td><td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
S.kep</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>L91.0</td><td>Keloid scar</td><td></td><td>GATAL DI LUTUT</td><td
2019</td><td>SUNARSIH</td><td>BASIR</td><td></td><td>5/2</td><td>5/2</td><td>TLUWUK
</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
align='right'>1600020902</td><td>06-09-
2019</td><td>SUPANGATI</td><td>MUAMAR</td><td>MENGURUS RUMAH
unspecified complications</td><td></td><td>KONTROL</td><td
2019</td><td>SUPARMI</td><td>SAKIBAN</td><td>MENGURUS RUMAH
align='right'>17011018</td><td>06-09-2019</td><td>SUPIJAH
</td><td></td><td></td><td>1/1</td><td></td><td>KEPOH</td><td>PUSLING</td><td>dr.
NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>60-69
unspecified</td><td></td><td>PEGAL LINU, BATU, GATAL</td><td
2019</td><td>SURATI</td><td>SULEMAN</td><td>MENGURUS RUMAH
align='right'>2200006502</td><td>06-09-
2019</td><td>SUSANTI</td><td>SARDI</td><td>MENGURUS RUMAH TANGGA</td><td>MARGOTUHU
KIDUL 2/2, MARGOYOSO</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr.
Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>P</td><td>20-44
align='right'>1900016002</td><td>06-09-2019</td><td>SUSI ANGGRAENI</td><td>DWI
SATYO A</td><td>MENGURUS RUMAH TANGGA</td><td>NGURENSITI
1/3</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>HENI SUTRININGSIH</td><td>P</td><td>20-44
unspecified</td><td></td><td>PUSING, DADA NYERI, BATUK, PEGAL LINU</td><td
2019</td><td>SUTI</td><td>KARYANTO</td><td>MENGURUS RUMAH
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>P</td><td>>70
Th</td></tr><tr><td align='right'>N89</td><td>Other noninflammatory disorders of
vagina</td><td></td><td>KEPUTIHAN, GATAL</td><td align='right'>55564</td><td
align='right'>1800047202</td><td>06-09-
2019</td><td>SUTIK</td><td>SUDIMAN</td><td>MENGURUS RUMAH
align='right'>Z09.9</td><td>Follow-up examination after unspecified treatment for
other conditions</td><td></td><td>KONTROL</td><td align='right'>55575</td><td
align='right'>0600016501</td><td>06-09-
2019</td><td>SUTIYONO</td><td>SUTIYONO</td><td>PETANI/PEKEBUN</td><td>1/2</td><td>1
unspecified</td><td></td><td>BATUK BERDARAH</td><td align='right'>55560</td><td
align='right'>1800044501</td><td>06-09-
2019</td><td>SUTOLO</td><td>SUTOLO</td><td></td><td>6/1</td><td>6/1</td><td>TLOGOHA
RUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
unspecified</td><td></td><td>BATUK, SESAK NAFAS, PEGAL LINU</td><td
2019</td><td>TASNI</td><td>TASNI</td><td>MENGURUS RUMAH
align='right'>0800032005</td><td>06-09-2019</td><td>TRI
WIJAYANTI</td><td>ABDULLAH</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td></td><td>S
IDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>P</td><td>15-19 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
unspecified</td><td></td><td>muntah,sakit,perut,mriang</td><td
align='right'>55567</td><td align='right'>1700023304</td><td>06-09-2019</td><td>VAN
RIAN PANJI SETIAWAN</td><td>RUDI SANTOSO</td><td>BELUM/TIDAK
BEKERJA</td><td>1/2</td><td>1/2</td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>dr.
Rabi'atul Adawiyah</td><td>DJUM ELIYA</td><td>L</td><td>1-4
unspecified</td><td></td><td>batuk 3 hari</td><td align='right'>56987</td><td
align='right'>1801504602</td><td>06-09-2019</td><td>ZUMROTUS S</td><td>ADI
MAFTUHI</td><td>MENGURUS RUMAH
TANGGA</td><td>TLOGOHARUM</td><td>5/1</td><td>TLOGOHARUM</td><td>PKD
unspecified</td><td></td><td>BATUK PILEK </td><td align='right'>55600</td><td
align='right'>1800011302</td><td>07-09-2019</td><td>ACHMAD
SUPRIYADI</td><td>SOLEHAH</td><td>KARYAWAN
SWASTA</td><td>3/1</td><td></td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>20-44
unspecified</td><td></td><td>DEMAM BATUK PILEK</td><td align='right'>55606</td><td
align='right'>1400058405</td><td>07-09-2019</td><td>AFRIDA AZKIA
FAKHRIYATIN</td><td>SUTAJI</td><td>BELUM/TIDAK
2019</td><td>AGUS BUDI SANTOSO</td><td>AGUS BUDI SANTOSO</td><td>KARYAWAN
unspecified</td><td></td><td>batuk,pilek 2 hr</td><td align='right'>55637</td><td
align='right'>1800009203</td><td>07-09-2019</td><td>AH AFLAH
SHOBIBURROHMAN</td><td>YUSUF</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
unspecified</td><td></td><td>pilek,batuk,telinga kanan sakit</td><td
2019</td><td>ALFA MAHFUDHOTUN N</td><td>AFFANDI</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>P</td><td>1-4
unspecified</td><td></td><td>batuk,pilek,meriang,diare selama 2 hr</td><td
2019</td><td>ANINDITA QAIRREN A</td><td>TURKANI</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>P</td><td>1-4
unspecified</td><td></td><td>pilek,batuk 1 hr</td><td align='right'>55620</td><td
unspecified</td><td></td><td>BATUK, PILEK </td><td align='right'>55631</td><td
align='right'>1700005803</td><td>07-09-2019</td><td>DWI MEI
S</td><td>SAKIBAN</td><td>BELUM/TIDAK
BEKERJA</td><td>4/1</td><td></td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>20-44
unspecified</td><td></td><td>MUTAH 1X, BERAK CAIR 3X</td><td
2019</td><td>FALA SATYA ABDI KAHFI</td><td>SUTIYONO</td><td>BELUM/TIDAK
Amd</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
align='right'>M79.1</td><td>Myalgia</td><td></td><td>LUTUT LINU, TANGAN KESEMUTAN
2019</td><td>MAINAH</td><td>SUKARDO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>J06.9</td><td>Acute
upper respiratory infection, unspecified</td><td></td><td>pilek,demam,batuk
2019</td><td>NADINE RIZQIANNISA</td><td>MUKHLIS MAKSUM</td><td>BELUM/TIDAK
align='right'>1600008503</td><td>07-09-2019</td><td>NAUFAL TEGAR
P</td><td>SUTRISNO</td><td>BELUM/TIDAK
align='right'>1600016904</td><td>07-09-2019</td><td>NAURA ANINDA
FARZANA</td><td>JUMADI</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>P</td><td><1
<td>88</td><td>36</td><td>22</td><td>53</td><td>6.5</td><td></td></tr><tr><td
align='right'>1800014401</td><td>07-09-
2019</td><td>NGADIMAN</td><td>NGADIMAN</td><td>BELUM/TIDAK
BEKERJA</td><td>7/2</td><td></td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>>70
Th</td></tr><tr><td align='right'>A15</td><td>Respiratory tuberculosis,
bacteriologically and histologically confirmed</td><td></td><td></td><td
2019</td><td>NGARNI</td><td>DARIM</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>KESEMUTAN
2019</td><td>NUR
ANISAH</td><td></td><td></td><td>2/2</td><td>2/2</td><td>BANGSALREJO</td><td>PUSKES
MAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
unspecified</td><td></td><td>pusing,gigi sakit </td><td align='right'>55621</td><td
align='right'>0700016402</td><td>07-09-2019</td><td>NUR VADILA</td><td>AH NUR
SAHID</td><td>MENGURUS RUMAH
2019</td><td>PARSINI</td><td>KARTONANO</td><td>MENGURUS RUMAH
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>NYERI PERUT,
BATUK</td><td align='right'>55630</td><td align='right'>1400005702</td><td>07-09-
2019</td><td>RASI</td><td>RADIMAN</td><td>MENGURUS RUMAH
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td>GATAL
DI TELAPAK TANGAN </td><td align='right'>55617</td><td
align='right'>1400011402</td><td>07-09-
2019</td><td>RUKAYANI</td><td>MUCHKAYAT</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk,pilek,diare,muntah 2hr</td><td
2019</td><td>SAFFANA NASHA</td><td>SYAIFUL UMAM</td><td>BELUM/TIDAK
BEKERJA</td><td>2/3</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>M79.1</td><td>Myalgia</td><td></td><td>DADA SAKIT HABIS JATUH DARI
MOTOR</td><td align='right'>55616</td><td align='right'>0700021201</td><td>07-09-
</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
region</td><td></td><td>KENA KAWAT</td><td align='right'>55645</td><td
align='right'>0800058501</td><td>07-09-2019</td><td>SARYANI HADI G</td><td>SARYANI
HADI G</td><td>KARYAWAN
INDUK</td><td>dr.
align='right'></td><td align='right'>8</td><td align='right'>42</td><td>BP.
upper respiratory infection, unspecified</td><td></td><td>BATUK PILEK</td><td
2019</td><td>SETIYANINGSIH</td><td>DUMADI</td><td>PETANI/PEKEBUN</td><td>8/2</td><t
d>8/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>60-69
Th</td></tr><tr><td align='right'>H52.1</td><td>Myopia</td><td></td><td>MATA TIDAK
BISA MELIHAT JAUH </td><td align='right'>55622</td><td
align='right'>0700028904</td><td>07-09-2019</td><td>SIFA ALMA
IZATI</td><td>JUMADI</td><td>PELAJAR/MAHASISWA</td><td>8/1</td><td>8/1</td><td>TLUW
UK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
2019</td><td>SITI MUKAYATI</td><td>HISAM ALI</td><td>MENGURUS RUMAH
align='right'>1400058302</td><td>07-09-
2019</td><td>SUGIYATI</td><td>HARNO</td><td></td><td>5/3</td><td>5/3</td><td>PAGERH
ARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
unspecified</td><td></td><td>BATUK, MULUT PAHIT, DEMAM </td><td
2019</td><td>SUJIMAN</td><td>SUJIMAN</td><td>PETANI/PEKEBUN</td><td>4/1</td><td>4/1
</td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>45-54
cold]</td><td></td><td>SARIAWAN, DEMAM, BADAN CAPEK </td><td
2019</td><td>SUKAWI</td><td>SUKAWI</td><td></td><td>4/1</td><td>4/1</td><td>JATIMUL
YO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
2019</td><td>SUKISWATI</td><td>MUKLIS
</td><td></td><td>5/2</td><td></td><td>JATIMULYO</td><td>PUSKESMAS
unspecified</td><td></td><td>mual,batuk,pusing</td><td align='right'>55634</td><td
align='right'>0800033202</td><td>07-09-
2019</td><td>SULISTIYANI</td><td>NGARIMIN</td><td>BELUM/TIDAK
colitis, unspecified</td><td></td><td>NYERI ULUHATI, PUNGGUNG SAKIT, MENCRET, BATUK
2019</td><td>SUMIATUN</td><td>MAT
KASAN</td><td>PETANI/PEKEBUN</td><td>2/1</td><td>2/1</td><td>SIDOHARJO</td><td>PUSK
ESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
Th</td></tr><tr><td align='right'>E11.8</td><td>Non-insulin-dependent diabetes
mellitus with unspecified complications</td><td></td><td></td><td
2019</td><td>SUMINAH</td><td>SUNARDI</td><td>MENGURUS RUMAH
align='right'>66</td><td>BP. Umum</td><td></td><td>RS AS-SUYUTHIYYAH</td><td>Dalam
2019</td><td>SUMIRAH</td><td>SUMIRAH</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>>70
Th</td></tr><tr><td align='right'>D32.9</td><td>Benign neoplasm of meninges,
align='right'>1800018402</td><td>07-09-
2019</td><td>SUMIYATI</td><td>SANTOSO</td><td>MENGURUS RUMAH
region</td><td></td><td>KONTROL </td><td align='right'>55619</td><td
align='right'>1400001402</td><td>07-09-
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>DADA
JANAN BAWAH SAKIT</td><td align='right'>55612</td><td
align='right'>0600021201</td><td>07-09-
2019</td><td>SUPARMAN</td><td>SUPARMAN</td><td>PETANI/PEKEBUN</td><td>6/1</td><td>6
periodontitis</td><td></td><td></td><td align='right'>55629</td><td
align='right'>0800046701</td><td>07-09-
2019</td><td>SURIPTO</td><td>SURIPTO</td><td>BELUM/TIDAK
INDUK</td><td>Suharti</td><td>Suharti</td><td>L</td><td>>70
unspecified</td><td></td><td>GEMETER, BATUK </td><td align='right'>55628</td><td
align='right'>1400057802</td><td>07-09-
2019</td><td>SUWARNI</td><td>JASRI</td><td>MENGURUS RUMAH
Amd</td><td>P</td><td>55-59 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGEL LINU</td><td
2019</td><td>SUWARNI</td><td>SUWARNI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>BATUK , PILEK, PUSING </td><td
2019</td><td>SYAHRUL
ALFIANSYAH</td><td>SARIYADI</td><td>PELAJAR/MAHASISWA</td><td>2/4</td><td>2/4</td><
td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>0800058302</td><td>07-09-
2019</td><td>YULIANA</td><td>SUNARDI</td><td>MENGURUS RUMAH
align='right'>0800045503</td><td>09-09-2019</td><td>AHMAD ARKAN</td><td>ACEP
ABAS</td><td>BELUM/TIDAK
BEKERJA</td><td>1/3</td><td></td><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
align='right'>S06.1</td><td>Traumatic cerebral oedema</td><td></td><td>oedem
kepala</td><td align='right'>55656</td><td align='right'>0600001704</td><td>09-09-
2019</td><td>AHMAD LIKATUKHOIR AL GHONI</td><td>SUWITO</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>L</td><td><1
align='right'>0</td><td>KIA</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Dalam
align='right'>0800054705</td><td>09-09-2019</td><td>ALBI KHIAR
ARDANI</td><td>KASIWAN</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
unspecified</td><td></td><td>panas,pilek.</td><td align='right'>55697</td><td
align='right'>1600008403</td><td>09-09-2019</td><td>ALLIYYA MIRATUL K</td><td>ALI
MURTANDO</td><td>BELUM/TIDAK
BEKERJA</td><td>4/1</td><td>4/1</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>P</td><td>1-4
align='right'>1500025902</td><td>09-09-2019</td><td>ANA ARISKA</td><td>FAJAR
APRILIANTO</td><td>MENGURUS RUMAH
INDUK</td><td>Dr. Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>P</td><td>20-44
2019</td><td>ANIK PUJI LESTARI</td><td>KARYONO</td><td>MENGURUS RUMAH
origin</td><td></td><td>perut mules,perih</td><td align='right'>55664</td><td
align='right'>1400004504</td><td>09-09-2019</td><td>ANIK
RISMAWATI</td><td>SUMARNO</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI, S.kep</td><td>P</td><td>20-44
align='right'>J18.0</td><td>Bronchopneumonia, unspecified</td><td></td><td>panas 1
mg,punya riwayat infeksi paru.</td><td align='right'>55661</td><td
align='right'>0800025204</td><td>09-09-2019</td><td>BAGUS
RINANGKU</td><td>SUPRIYO</td><td>BELUM/TIDAK
Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>L</td><td><1
align='right'></td><td>KIA</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Dalam
cold]</td><td></td><td>batuk,pilek,panas</td><td align='right'>55700</td><td
align='right'>0800054704</td><td>09-09-2019</td><td>BILQIS PUTRA
AYRNATA</td><td>KASIWAN</td><td>BELUM/TIDAK
Umi Fitriyah</td><td>YUSMIATI, S.kep</td><td>L</td><td>5-9
align='right'>R51</td><td>Headache</td><td></td><td>pusing</td><td
unspecified</td><td></td><td>muntah</td><td align='right'>55662</td><td
align='right'>1700019602</td><td>09-09-2019</td><td>EKA WIDIYANTI</td><td>YONO
WIBOWO</td><td>PELAJAR/MAHASISWA</td><td>1/2</td><td>1/2</td><td>KEPOH</td><td>PUSK
ESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>Z30.4</td><td>Surveillance of contraceptive
drugs</td><td></td><td>suntik kb</td><td align='right'>55691</td><td
align='right'>1600014202</td><td>09-09-2019</td><td>ENI
MA'RUFAH</td><td>SUTIYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>2/2</td><td>2/2</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr.
align='right'>1800047702</td><td>09-09-2019</td><td>ENING RAHMA
WIDHIANINGSIH</td><td>DWI SARMUJI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk,pilek,mriang,muntah</td><td
2019</td><td>ERLANGGA</td><td>SUTIKNO</td><td>BELUM/TIDAK
align='right'>0600019102</td><td>09-09-
2019</td><td>ERNAWATI</td><td>SUPRIYO</td><td>MENGURUS RUMAH
cold]</td><td></td><td>batuk,pilek,</td><td align='right'>55706</td><td
align='right'>2200000303</td><td>09-09-2019</td><td>EVAN RIZKY
P</td><td>KARTOYO</td><td>BELUM/TIDAK BEKERJA</td><td>KERTOMULYO 3/1,MARGOYOSO
</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>YUSMIATI, S.kep</td><td>L</td><td>5-9
align='right'>0601400404</td><td>09-09-2019</td><td>FAHRUL ZAENAL
ABIDIN</td><td>CHOERI</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>BAN
GSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
unspecified</td><td></td><td>panas,tenggorokan sakit,batuk,pilek</td><td
2019</td><td>FATMAURA QUEENSYA AZZAHRA</td><td>DYAS PRASETYO</td><td>BELUM/TIDAK
BEKERJA</td><td>9/2</td><td></td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr.
align='right'>Z00.0</td><td>General medical examination</td><td></td><td>kunjungan
sehat</td><td align='right'>55693</td><td align='right'>0900010402</td><td>09-09-
2019</td><td>HARMISIH</td><td>KARSONO</td><td>MENGURUS RUMAH
TANGGA</td><td>5/2</td><td></td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>YUSMIATI, S.kep</td><td>P</td><td>45-54
periodontitis</td><td></td><td>gigi sakit</td><td align='right'>55694</td><td
align='right'>0800053102</td><td>09-09-2019</td><td>ICE RILLIA
SUSANTI</td><td>AHMAD
SUWITO</td><td>GURU</td><td>2/3</td><td>2/3</td><td>SIDOHARJO</td><td>PUSKESMAS
unspecified</td><td></td><td>panas,diare 2x</td><td align='right'>55677</td><td
align='right'>0800046504</td><td>09-09-2019</td><td>IRDINA NUR
HAFIZAH</td><td>ALFAN ROSIDI</td><td>BELUM/TIDAK
origin</td><td></td><td>mules,diare</td><td
2019</td><td>ISTI'ANAH</td><td>ROHMAD</td><td>MENGURUS RUMAH
align='right'>M19</td><td>Other arthrosis</td><td></td><td>tangan nyeri</td><td
TANGGA</td><td>2/4</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>Dr.
periodontitis</td><td></td><td>gigi sakit</td><td align='right'>55698</td><td
align='right'>1500016901</td><td>09-09-
2019</td><td>JASWADI</td><td>JASWADI</td><td>KARYAWAN
INDUK</td><td>Suharti</td><td> - </td><td>L</td><td>45-54
Th</td></tr><tr><td align='right'>N18</td><td>Chronic kidney
disease</td><td></td><td>kontrol</td><td align='right'>55681</td><td
align='right'>07028054</td><td>09-09-
2019</td><td>JUMINAH</td><td>SUMINO</td><td></td><td>8/2</td><td>8/2</td><td>TLUWUK
</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
complications</td><td></td><td>kaki kesemutan</td><td align='right'>55685</td><td
align='right'>0700004602</td><td>09-09-
2019</td><td>JUMINI</td><td>ERMIN</td><td>MENGURUS RUMAH
TANGGA</td><td>7/2</td><td>7/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr.
Th</td></tr><tr><td
2019</td><td>JURI</td><td>JURI</td><td>PETANI/PEKEBUN</td><td>1/1</td><td>1/1</td><
td>BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
align='right'>N39</td><td>Other disorders of urinary system</td><td></td><td>nyeri
pinggang,batuk</td><td align='right'>55699</td><td
align='right'>0600021402</td><td>09-09-2019</td><td>MARIA
ULFA</td><td>RIDWAN</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri punggung</td><td
2019</td><td>MARJONO</td><td>MARJONO</td><td>PETANI/PEKEBUN</td><td>8/2</td><td></t
d><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>0601500202</td><td>09-09-
2019</td><td>MARTINI</td><td>WISI</td><td>BELUM/TIDAK
BEKERJA</td><td>5/1</td><td>5/1</td><td>BANGSALREJO</td><td>PKD
unspecified</td><td></td><td>batuk,pilek,sesak</td><td align='right'>55686</td><td
align='right'>1800034501</td><td>09-09-
2019</td><td>MASRUKIN</td><td>MASRUKIN</td><td>KARYAWAN
INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI, S.kep</td><td>L</td><td>45-54
align='right'>0602203802</td><td>09-09-
2019</td><td>MIRYATI</td><td>TARMIN</td><td>MENGURUS RUMAH
align='right'>H61.2</td><td>Impacted cerumen</td><td></td><td>telinga sakit</td><td
MIFTAHUL HUDA</td><td>MOH
SAID</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>PAGERHARJO</td><td>P
USKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
S.kep</td><td>L</td><td>5-9
align='right'>1600008004</td><td>09-09-2019</td><td>MUH ALI
SUBHAN</td><td>PALAL</td><td>BELUM/TIDAK
BEKERJA</td><td>2/1</td><td></td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
align='right'>L40</td><td>Psoriasis</td><td></td><td>kontrol</td><td
NIAM</td><td>MUH
NIAM</td><td>WIRASWASTA</td><td>3/2</td><td></td><td>KEPOH</td><td>PUSKESMAS
periodontitis</td><td></td><td>SAKIT GIGI</td><td
2019</td><td>MUHAMMAD AGUNG
SATRIO</td><td>SUTOWO</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>BAN
align='right'>0600021302</td><td>09-09-2019</td><td>MUNARSIH</td><td>SARIP
HIDAYAT</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk,pilek,panas</td><td align='right'>55670</td><td
align='right'>1500025803</td><td>09-09-2019</td><td>NANANG
PRATAMA</td><td>WARSAN</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>2/2</td><td>JA
TIMULYO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
S.kep</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>cek
tensi</td><td align='right'>56988</td><td align='right'>1800045902</td><td>09-09-
2019</td><td>NGAMISIH</td><td>SUHADI</td><td></td><td>TLOGOHARUM
2/2</td><td>2/2</td><td>TLOGOHARUM</td><td>PKD TLOGOHARUM</td><td>dr. NANCY
d><td>80</td><td>36</td><td>24</td><td>145</td><td>60</td><td></td></tr><tr><td
unspecified</td><td></td><td>pilek,nyeri pada tenggorokan</td><td
2019</td><td>PEBRIAN PUTRA A</td><td>DANANG TRI A</td><td></td><td>TAMBAKROMO
Fitriyah</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
complications</td><td></td><td>pusing,kesemutan</td><td align='right'>55680</td><td
align='right'>1600009502</td><td>09-09-
2019</td><td>PURYANTI</td><td>PARNEN</td><td></td><td>2/2</td><td>2/2</td><td>JETAK
align='right'>R51</td><td>Headache</td><td></td><td>batuk,nyeri kepala</td><td
2019</td><td>RASIMAH</td><td>SUGAWI</td><td>MENGURUS RUMAH
align='right'>0600014002</td><td>09-09-
2019</td><td>RESMIATI</td><td>LAPIN</td><td>MENGURUS RUMAH
align='right'>H52.7</td><td>Disorder of refraction,
unspecified</td><td></td><td>kontrol</td><td align='right'>55690</td><td
align='right'>2000001102</td><td>09-09-
2019</td><td>RUKESI</td><td>AS'ADI</td><td>MENGURUS RUMAH TANGGA</td><td>REJOAGUNG
Fitriyah</td><td>YUSMIATI, S.kep</td><td>P</td><td>45-54
Thn.</td><td>Keluarga</td><td>Lama</td><td>ASKES</td><td>Rujuk</td><td
Umum</td><td></td><td>RS KELUARGA SEHAT</td><td>Luar
drugs</td><td></td><td>mau suntik kb</td><td align='right'>55666</td><td
align='right'>0800039802</td><td>09-09-
2019</td><td>RUSYATI</td><td>WIJO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>K40</td><td>Inguinal
hernia</td><td></td><td>nyeri post hernia</td><td align='right'>55646</td><td
align='right'>1700001001</td><td>09-09-
SWASTA</td><td>4/2</td><td>4/2</td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>YUSMIATI, S.kep</td><td>L</td><td>>70
align='right'>I25</td><td>Chronic ischaemic heart
align='right'>1400011601</td><td>09-09-
2019</td><td>SARMANI</td><td>SARMANI</td><td>PETANI/PEKEBUN</td><td>2/4</td><td></t
d><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>60</td><td>BP. Umum</td><td></td><td>RS KELUARGA SEHAT</td><td>Dalam
Th</td></tr><tr><td
2019</td><td>SARMIDI</td><td>SARMIDI</td><td>PETANI/PEKEBUN</td><td>4/2</td><td></t
align='right'>0900035301</td><td>09-09-
2019</td><td>SATI</td><td>SATI</td><td>MENGURUS RUMAH
origin</td><td></td><td>MUNTAH, DIARE, PILEK</td><td align='right'>55710</td><td
align='right'>1800035205</td><td>09-09-2019</td><td>SHEZAN KINTA
YAMUNA</td><td>KARYONO</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Arif prasetyo
utomo</td><td>P</td><td>1-4
align='right'>1700023402</td><td>09-09-
2019</td><td>SHOFIA</td><td>DEDE</td><td>KARYAWAN
SWASTA</td><td>1/2</td><td></td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>DWI NURCHAYATI</td><td>P</td><td>15-19
cold]</td><td></td><td>batuk,pilek,pegel</td><td align='right'>55695</td><td
align='right'>1400000801</td><td>09-09-2019</td><td>SHOLEHAN ARIF</td><td>SHOLEHAN
ARIF</td><td>KARYAWAN
unspecified</td><td></td><td>muntah,pusing,batuk,</td><td
2019</td><td>SITI NUR
AISYAH</td><td>SUTIYONO</td><td>PELAJAR/MAHASISWA</td><td>1/1</td><td>1/1</td><td>J
ETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
NURKHAYATI</td><td>MARLAN</td><td>MENGURUS RUMAH
align='right'>R51</td><td>Headache</td><td></td><td>konnsultasi</td><td
2019</td><td>SITI SUDARMISEH</td><td>SUDARMAN</td><td>BELUM/TIDAK
align='right'>J45</td><td>Asthma</td><td></td><td>sesak,mual</td><td
2019</td><td>SITI WAHYUNI</td><td>SUPRIYANTO</td><td>MENGURUS RUMAH
TANGGA</td><td>2/2</td><td>2/2</td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr.
NINGSIH</td><td>SUNARSO</td><td>MENGURUS RUMAH
PANGESTUTI</td><td>SULISTIYO</td><td>MENGURUS RUMAH
align='right'>0601405901</td><td>09-09-
2019</td><td>SUDARNI</td><td>SUDARNI</td><td>MENGURUS RUMAH
2019</td><td>SUGIYONO</td><td>SUNOTO</td><td>PELAJAR/MAHASISWA</td><td>6/1</td><td>
6/1</td><td>BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY
align='right'>0601107601</td><td>09-09-
2019</td><td>SUHARNO</td><td>SUHARNO</td><td>PETANI/PEKEBUN</td><td>1/1</td><td>1/1
cold]</td><td></td><td>nyeri dda,batuk,pegel</td><td align='right'>55650</td><td
align='right'>1800001302</td><td>09-09-
2019</td><td>SUKAEBAH</td><td>SENEN</td><td>MENGURUS RUMAH
TANGGA</td><td>3/2</td><td></td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
><td>88</td><td>36</td><td
>25</td><td>160</td><td>45</td><td>Tdk Th</td></tr><tr><td
region</td><td></td><td>kontrol luka</td><td align='right'>55674</td><td
align='right'>0700019901</td><td>09-09-
td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>0602301002</td><td>09-09-
2019</td><td>SUKINI</td><td>WARSIDI</td><td>MENGURUS RUMAH
align='right'>A28</td><td>Other zoonotic bacterial diseases, not elsewhere
classified</td><td></td><td>konsultasi</td><td align='right'>55654</td><td
align='right'>0700014601</td><td>09-09-
2019</td><td>SUKIR</td><td>SUKIR</td><td>BELUM/TIDAK
Th</td></tr><tr><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel,pilek</td><td
2019</td><td>SULASTRI</td><td>SHOLEHAN ARIF</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>seneb</td><td align='right'>57194</td><td
align='right'>0601301002</td><td>09-09-
2019</td><td>SUMARNI</td><td>LEGIMAN</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut sebah,mata
gelap,batuk</td><td align='right'>55651</td><td align='right'>09012030</td><td>09-
09-
2019</td><td>SUMINI</td><td>SUMINI</td><td></td><td>2/1</td><td></td><td>NGURENREJO
align='right'>K30</td><td>Dyspepsia</td><td></td><td>mual,pusimg,gemeter</td><td
2019</td><td>SUNDARI</td><td>HARKITO</td><td>MENGURUS RUMAH
align='right'>R51</td><td>Headache</td><td></td><td>nyeri lutut,pusing</td><td
INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri
tangan</td><td align='right'>55684</td><td align='right'>1800047602</td><td>09-09-
2019</td><td>SUPRIYANTI</td><td>SUBAIDI</td><td>MENGURUS RUMAH
2019</td><td>SURATMI</td><td>SURATMI</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>kesemuatan</td><td
2019</td><td>SUTAMI</td><td>MUSTAJAB</td><td>MENGURUS RUMAH
align='right'>Z30.4</td><td>Surveillance of contraceptive
drugs</td><td></td><td>mau suntik kb</td><td align='right'>55663</td><td
align='right'>1700003902</td><td>09-09-
2019</td><td>SUTAMI</td><td>RASMAN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>F03</td><td>Unspecified
dementia</td><td></td><td>kesemutan</td><td align='right'>55658</td><td
align='right'>2000011303</td><td>09-09-
2019</td><td>SUTARMI</td><td>MUSTAJAB</td><td>MENGURUS RUMAH
align='right'>R33</td><td>Retention of urine</td><td></td><td>kontrol</td><td
2019</td><td>SUTIYONO</td><td>SUTIYONO</td><td>PETANI/PEKEBUN</td><td>1/2</td><td>1
/2</td><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
unspecified</td><td></td><td>batuk,pilek,</td><td align='right'>55648</td><td
align='right'>1400005402</td><td>09-09-
2019</td><td>SUWARTI</td><td>SUKIMAN</td><td>MENGURUS RUMAH
align='right'>I63.9</td><td>Cerebral infarction,
unspecified</td><td></td><td>kontrol</td><td align='right'>55708</td><td
align='right'>2200002001</td><td>09-09-
2019</td><td>SYIBROWI</td><td>SYIBROWI</td><td>PEGAWAI NEGERI SIPIL</td><td>TAYU
Th</td></tr><tr><td
2019</td><td>TARNI</td><td>NURIYANTO</td><td>MENGURUS RUMAH
align='right'>J02.9</td><td>Acute pharyngitis, unspecified</td><td></td><td>nyeri
tenggorokan,</td><td align='right'>55660</td><td
align='right'>1600010102</td><td>09-09-
2019</td><td>ZUBAIDAH</td><td>BAKIR</td><td>PERDAGANGAN</td><td>4/1</td><td></td><t
d>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
unspecified</td><td></td><td>perut seneb </td><td align='right'>55742</td><td
align='right'>1800010501</td><td>10-09-2019</td><td>ABDUL MUID</td><td>ABDUL
MUID</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>Nurma Mulyani</td><td>L</td><td>60-69
region</td><td></td><td>EKSTANSI KUKU PADA TANGAN KIRI JARI TENGAH</td><td
2019</td><td>ADINTA KHAIRINA AZZAHRA</td><td>ADIB CHOIRONI</td><td>BELUM/TIDAK
utomo</td><td>P</td><td>1-4 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2019</td><td>AFROHUL
QONITA</td><td>SALAMUN</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>TL
OGOHARUM</td><td>PUSKESMAS
unspecified</td><td></td><td>panas 3 hari,batuk</td><td align='right'>55750</td><td
align='right'>2000013004</td><td>10-09-2019</td><td>ANINDITA KEISYA
Z</td><td>SULKAN</td><td></td><td>1/4</td><td></td><td>ASEMPAPAN</td><td>PUSKESMAS
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI KURNIASIH</td><td>P</td><td>1-4
align='right'>N34.3</td><td>Urethral syndrome,
unspecified</td><td></td><td>pinggang nyeri, BAK sakit</td><td
2019</td><td>ANIS SOPIYAH</td><td>AHMAD SYAFI'I</td><td>MENGURUS RUMAH
align='right'>J45.9</td><td>Asthma, unspecified</td><td></td><td>SESAK NAFAS,
RIWAYAT ASMA</td><td align='right'>55726</td><td
align='right'>2200006702</td><td>10-09-2019</td><td>ANITA WAHYUNINGSIH</td><td>TRI
HADI WINDARTO</td><td>MENGURUS RUMAH TANGGA</td><td>TONDOKERTO
3/1,JAKENAN</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>Arif prasetyo utomo</td><td>P</td><td>20-44
align='right'>1400040305</td><td>10-09-2019</td><td>AZALIA KHOLIQO
DZAHIN</td><td>TARMIDI</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI KURNIASIH</td><td>P</td><td><1
unspecified</td><td></td><td>sesak nafas,batuk,mriang,pilek</td><td
2019</td><td>AZIFA HUSNA AL A'LA</td><td>MUH
MUSLIM</td><td></td><td>5/1</td><td>5/1</td><td>TLOGOHARUM</td><td>PUSKESMAS
align='right'>0700018805</td><td>10-09-2019</td><td>BAROKATIN
NIKMAH</td><td>MUJIMAN</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>HENI KURNIASIH</td><td>P</td><td>1-4
origin</td><td></td><td>MUNTAH, DIARE, PERUT KEMBUNG</td><td
2019</td><td>DANISWARA BINTANG A</td><td>SHON HAJI</td><td>BELUM/TIDAK
utomo</td><td>L</td><td>1-4 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
2019</td><td>DEWI LESTARI</td><td>YAKUB MAKARYA</td><td>MENGURUS RUMAH
TANGGA</td><td>6/1</td><td></td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>1700013703</td><td>10-09-2019</td><td>DIRAYA
SAKTI</td><td>SUPRIYANTO</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>HENI KURNIASIH</td><td>L</td><td>1-4
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan kesemutan </td><td
2019</td><td>FITRIANA NOVITA</td><td>MUH MUSLIM</td><td>MENGURUS RUMAH
upper respiratory infection, unspecified</td><td></td><td>panas,batuk,pilek</td><td
2019</td><td>INTAN DWI ASTUTI</td><td>NGATONO</td><td>BELUM/TIDAK
align='right'>2000029102</td><td>10-09-2019</td><td>ISTIANA</td><td>ABDUL
AZIZ</td><td>MENGURUS RUMAH
align='right'>z30.7</td><td>kb implant</td><td></td><td>bongkar implant</td><td
2019</td><td>ISWIYANAH</td><td>KHOLIS</td><td>MENGURUS RUMAH TANGGA</td><td>TLUTUP
INDRIARTI</td><td>HENI KURNIASIH</td><td>P</td><td>20-44
align='right'>29</td><td>KB</td><td></td><td></td><td>Luar
unspecified</td><td></td><td>tenggorokan sakit, meriang, ulu hati sakit</td><td
2019</td><td>KARSINI</td><td>SUWARDI</td><td>KARYAWAN
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>kepala
pusing, mata gatal, susah tidur</td><td align='right'>55714</td><td
align='right'>0800015602</td><td>10-09-
unspecified</td><td></td><td>batuk,pilek,panas tadi malem</td><td
HELMY AFRIZAL</td><td>SISWANTO</td><td>BELUM/TIDAK
align='right'>J21.9</td><td>Acute bronchiolitis,
align='right'>0600012002</td><td>10-09-2019</td><td>NADIYA FITRIYANI</td><td>MUH
MA'SHUM</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>BANGSALREJO</td><
td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Th</td></tr><tr><td align='right'>I25</td><td>Chronic ischaemic heart
align='right'>1600012601</td><td>10-09-
2019</td><td>PARWI</td><td>PARWI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></td><t
d>JETAK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
align='right'>69</td><td>BP. Umum</td><td></td><td>RSUD RAA SOEWONDO
PATI</td><td>Dalam
cold]</td><td></td><td>batuk</td><td align='right'>56876</td><td
align='right'>1602406502</td><td>10-09-2019</td><td>PUJI MULYATI
</td><td>SISWANTO</td><td>MENGURUS RUMAH
align='right'>55747</td><td
align='right'>1800032803</td><td>10-09-2019</td><td>QONITA IHZA
AULIA</td><td>WACHID</td><td>BELUM/TIDAK
unspecified complications</td><td></td><td></td><td align='right'>55741</td><td
align='right'>2000001102</td><td>10-09-
2019</td><td>RUKESI</td><td>AS'ADI</td><td>MENGURUS RUMAH TANGGA</td><td>REJOAGUNG
unspecified</td><td></td><td>batuk, pilek, meriang </td><td
2019</td><td>SALWA RATOMI</td><td>BUSTOMI</td><td>BELUM/TIDAK
align='right'>I25</td><td>Chronic ischaemic heart disease</td><td></td><td></td><td
2019</td><td>SARMANI</td><td>SARMANI</td><td>PETANI/PEKEBUN</td><td>2/4</td><td></t
d><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
complications</td><td></td><td>pusing cekot2, pegel linu </td><td
2019</td><td>SARPI</td><td>GIYARNO</td><td>PETANI/PEKEBUN</td><td>2/2</td><td>2/2</
td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
unspecified</td><td></td><td>sakit mata,pilek,batuk</td><td
2019</td><td>SAYMA AFDHILA</td><td>MAT ALI</td><td>BELUM/TIDAK
2019</td><td>SITI FATIMAH</td><td>SUKISMAN</td><td>MENGURUS RUMAH
TANGGA</td><td>2/2</td><td>2/2</td><td>KEPOH</td><td>PUSKESMAS
MUNZARO'AH</td><td>PASIRIN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk </td><td align='right'>55729</td><td
SAROH</td><td>YANTO</td><td>MENGURUS RUMAH
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td></td><td
ASTUTI</td><td>NGATONO</td><td>BELUM/TIDAK
Th</td></tr><tr><td align='right'>L02.4</td><td>Cutaneous abscess, furuncle and
carbuncle of limb</td><td></td><td></td><td align='right'>55758</td><td
align='right'>1500026001</td><td>10-09-
2019</td><td>SUHARTO</td><td>SUHARTO</td><td>SOPIR</td><td>4/2</td><td>4/2</td><td>
JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Mulyani</td><td>L</td><td>55-59
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>BAK
masih sakit, pusing, susah tidur </td><td align='right'>55712</td><td
align='right'>0800043801</td><td>10-09-
2019</td><td>SUHUD</td><td>SUHUD</td><td>PETANI/PEKEBUN</td><td>2/3</td><td></td><t
d>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>pusing,
pegel linu </td><td align='right'>55730</td><td
align='right'>1500005102</td><td>10-09-
2019</td><td>SUKAYATI</td><td>SUYIKNO</td><td>KARYAWAN
SWASTA</td><td>2/2</td><td></td><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr.
Th</td></tr><tr><td align='right'>z30.7</td><td>kb implant</td><td></td><td>bongkar
implant</td><td align='right'>55727</td><td align='right'>1400059002</td><td>10-09-
2019</td><td>SUKISMIASIH</td><td>DARWI</td><td>MENGURUS RUMAH
td>36</td><td>22</td><td>150</td><td>47</td><td>Tdk
Th</td></tr><tr><td align='right'>D48.1</td><td>Neoplasm of uncertain or unknown
behavior of connective and other soft tissue</td><td></td><td>benjolan air di
tangan kiri</td><td align='right'>55725</td><td
align='right'>1400058902</td><td>10-09-
2019</td><td>SULASIH</td><td>KUNARDI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>kepala pusing, batuk, pilek </td><td
2019</td><td>SULASMI</td><td>KARLAN</td><td>MENGURUS RUMAH
align='right'>0700029202</td><td>10-09-
2019</td><td>SULASTRI</td><td>LASMIN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk, meriang </td><td align='right'>55728</td><td
align='right'>0800035301</td><td>10-09-
2019</td><td>SULAWI</td><td>SULAWI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td>2/2</
td><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
unspecified</td><td></td><td>muntah,sesak nafas</td><td align='right'>55749</td><td
align='right'>2000013002</td><td>10-09-
2019</td><td>SUNARTI</td><td>SULKAN</td><td>MENGURUS RUMAH
TANGGA</td><td>1/4</td><td></td><td>ASEMPAPAN</td><td>PUSKESMAS INDUK</td><td>dr.
region</td><td></td><td>lutut nyeri, nyeri luka , meriang </td><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>lutut terasa cumpleng,
gemeter</td><td align='right'>55735</td><td align='right'>1700011202</td><td>10-09-
2019</td><td>SUPARMI</td><td>SUMITO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>gatal2</td><td align='right'>55752</td><td
align='right'>1900016302</td><td>10-09-
2019</td><td>SUPARMI</td><td>PUNAWI</td><td>KARYAWAN
SWASTA</td><td>3/4</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>z30.7</td><td>kb implant</td><td></td><td>pasang implant</td><td
2019</td><td>SUWARMIYANTI</td><td>SUKARNO</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>lutut kesemutan, pegel
2019</td><td>SUYATMI</td><td>RUSDI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>pilek,batuk,</td><td align='right'>55722</td><td
align='right'>1600014703</td><td>10-09-2019</td><td>SYAHREZA
MAHARDIKA</td><td>WAHYU HARTANTO</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>HENI KURNIASIH</td><td>L</td><td><1
align='right'>Z09.0</td><td>Follow-up examination after surgery for other
conditions</td><td></td><td></td><td align='right'>55751</td><td
align='right'>0700014201</td><td>10-09-
2019</td><td>WARNO</td><td>WARNO</td><td>PETANI/PEKEBUN</td><td>7/2</td><td></td><t
d>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
2019</td><td>ABDUL ADHIM</td><td>ABDUL
ADHIM</td><td>WIRASWASTA</td><td>6/1</td><td>6/1</td><td>TLUWUK</td><td>PUSKESMAS
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma Mulyani</td><td>L</td><td>20-44
align='right'>0600006603</td><td>11-09-2019</td><td>ADINTA KHAIRINA
AZZAHRA</td><td>ADIB CHOIRONI</td><td>BELUM/TIDAK
BEKERJA</td><td>1/2</td><td>1/2</td><td>BANGSALREJO</td><td></td><td>dr.
Rabi'atul Adawiyah</td><td>PUJI RAHAYU</td><td>P</td><td>1-4
Thn.</td><td></td><td></td><td>BPJS PBI</td><td>Rajal</td><td
align='right'>1500005903</td><td>11-09-2019</td><td>ADZKIYA HUURIN
HAFIYYA</td><td>AH SYARIFUDIN</td><td>BELUM/TIDAK
BEKERJA</td><td>5/1</td><td>5/1</td><td>JATIMULYO</td><td></td><td>dr. Rabi'atul
Adawiyah</td><td>PUJI RAHAYU</td><td>P</td><td><1
Thn.</td><td></td><td></td><td>Jamkesda</td><td>Rajal</td><td
align='right'>2200006804</td><td>11-09-2019</td><td>ALIFA ZULFANIA</td><td>MUH
MUSTAQIM</td><td>BELUM/TIDAK BEKERJA</td><td>PONDOWAN 1/1,
TAYU</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
36</td><td>30</td><td>80</td><td>7.6</td><td></td></tr><tr><td
align='right'>1400059203</td><td>11-09-2019</td><td>ALIZA ZELINE
HUMAIRA</td><td>ALI</td><td>BELUM/TIDAK
align='right'>0700029704</td><td>11-09-2019</td><td>ANDI AZKA
WAHYUDI</td><td>HUMAIDI</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>L</td><td><1
Thn.</td><td>Keluarga</td><td>Baru</td><td>Gratis</td><td>Rajal</td><td
cold]</td><td></td><td>kontrol luka</td><td align='right'>55784</td><td
BEKERJA</td><td>6/3</td><td>6/3</td><td>NGURENREJO</td><td></td><td>dr. Rabi'atul
Adawiyah</td><td>PUJI RAHAYU</td><td>L</td><td>1-4
Thn.</td><td></td><td></td><td>BAYAR</td><td>Rajal</td><td align='right'>19</td><td
align='right'>5</td><td align='right'>4</td><td>KIA</td><td></td><td></td><td>Dalam
align='right'>K04.7</td><td>Periapical abscess without sinus</td><td></td><td>GIGI
2019</td><td>ARUM DWI
S</td><td>JASMADI</td><td></td><td>5/2</td><td>5/2</td><td>BANGSALREJO</td><td></td
><td>Suharti</td><td>Suharti</td><td>P</td><td>5-9
2019</td><td>ATIK MAFTUHAH</td><td>ABDUL
ADHIM</td><td>GURU</td><td>6/1</td><td>6/1</td><td>TLUWUK</td><td>PUSKESMAS
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma Mulyani</td><td>P</td><td>20-44
align='right'>I39.0</td><td>Mitral valve disorders in diseases classified
elsewhere</td><td></td><td></td><td align='right'>55767</td><td
align='right'>0700001803</td><td>11-09-2019</td><td>AZRIEL MAUZA AZAKHI</td><td>EKA
SENA</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>PUJI RAHAYU</td><td>L</td><td><1
Thn.</td><td>Keluarga</td><td>Lama</td><td>Jamkesda</td><td>Rujuk</td><td
align='right'>0</td><td>KIA</td><td>Poli TumBang</td><td>RSUD RAA SOEWONDO
PATI</td><td>Dalam
Wilayah</td><td>'</td><td>'3318151404190001</td><td>0</td><td>0</td><td>140</td><td
align='right'>K04.0</td><td>Pulpitis</td><td></td><td>KONTROL</td><td
2019</td><td>BUDI PRAYOGA</td><td>BUDI
PRAYOGA</td><td>PENSIUNAN</td><td>3/1</td><td></td><td>SUKOHARJO</td><td>PUSKESMAS
Gigi</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Luar
unspecified</td><td></td><td>BATUK, PILEK, MERIANG</td><td
2019</td><td>DIAH AYU LISTANTI</td><td>M KARIS</td><td>MENGURUS RUMAH
TANGGA</td><td>1/3</td><td></td><td>Panggungroyom</td><td></td><td>dr. Rabi'atul
Adawiyah</td><td>Nurma Mulyani</td><td>P</td><td>20-44
align='right'>1800048003</td><td>11-09-2019</td><td>DZIFA ASHALINA
AISYAH</td><td>DWI IRAWAN SURYO U</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>P</td><td>1-4
align='right'>2100011903</td><td>11-09-2019</td><td>FARIKHA
KAMILATUNNUHA</td><td>ULIN NUHA</td><td>BELUM/TIDAK BEKERJA</td><td>LANGGENHARJO
Adawiyah</td><td>PUJI RAHAYU</td><td>P</td><td><1
Wilayah</td><td>'</td><td>'</td><td>0</td><td>0</td><td>90</td><td>36</td><td>30</t
d><td>80</td><td>11</td><td></td></tr><tr><td align='right'>Z20.9</td><td>Contact
with and exposure to unspecified communicable disease</td><td></td><td></td><td
2019</td><td>FEBIAN
DEVANO ANNABIL</td><td>SHON HAJI</td><td>BELUM/TIDAK
align='right'>1700023704</td><td>11-09-2019</td><td>FRENDA ALEA PRILLY
ANDIRA</td><td>JOYO SANTOSO</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>P</td><td><1
unspecified</td><td></td><td>DADA SESAK, KEPALA PUSING, PILEK</td><td
2019</td><td>HARTINI</td><td>SUPRIYO</td><td>MENGURUS RUMAH
align='right'>Z34.9</td><td>Supervision of normal pregnancy,
unspecified</td><td></td><td>tak</td><td align='right'>55814</td><td
align='right'>1700016602</td><td>11-09-2019</td><td>IDA NURHAYATI</td><td>NYAMAT
SOFII</td><td>MENGURUS RUMAH
TANGGA</td><td>1/2</td><td></td><td>KEPOH</td><td></td><td>dr. Rabi'atul
Adawiyah</td><td>PUJI RAHAYU</td><td>P</td><td>20-44
<td>80</td><td>36</td><td>20</td><td>155</td><td>56.3</td><td>Tdk
Th</td></tr><tr><td align='right'>Z34.0</td><td>Supervision of normal first
pregnancy</td><td></td><td>muntah</td><td align='right'>55805</td><td
align='right'>1700020902</td><td>11-09-2019</td><td>INDAH MUSYAROFAH</td><td>ZAENAL
ABIDIN</td><td></td><td>4/1</td><td>4/1</td><td>KEPOH</td><td></td><td>dr.
Rabi'atul Adawiyah</td><td>PUJI RAHAYU</td><td>P</td><td>15-19
align='right'>070137203</td><td>11-09-2019</td><td>IWAN
FARID</td><td>SUHADI</td><td></td><td>DESA TLUWUK RT 3/1 WEDARIJAKSA
</td><td>3/1</td><td>TLUWUK</td><td>PKD TLUWUK</td><td>HENI KURNIASIH</td><td>HENI
KURNIASIH</td><td>L</td><td>5-9
align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td>GATAL, DADA
SAKIT, PUSING</td><td align='right'>55765</td><td
align='right'>0600011502</td><td>11-09-
2019</td><td>KAMISIH</td><td>SUNARDI</td><td>MENGURUS RUMAH
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma Mulyani</td><td>P</td><td>>70
colitis, unspecified</td><td></td><td>muntah</td><td align='right'>55800</td><td
align='right'>1800021603</td><td>11-09-2019</td><td>KANAYA SIFA ALMAIRA</td><td>AH
SANTOSA</td><td>BELUM/TIDAK
BEKERJA</td><td>6/1</td><td>6/1</td><td>TLOGOHARUM</td><td></td><td>dr. Rabi'atul
Adawiyah</td><td>PUJI RAHAYU</td><td>P</td><td>1-4
align='right'>K30</td><td>Dyspepsia</td><td></td><td>DADA SAKIT, PUSING</td><td
Rabi'atul Adawiyah</td><td>Nurma Mulyani</td><td>P</td><td>55-59
unspecified</td><td></td><td>BATUK, PERUT SAKIT</td><td align='right'>55795</td><td
align='right'>1700023801</td><td>11-09-
2019</td><td>KARYUMI</td><td>KARYUMI</td><td>MENGURUS RUMAH
TANGGA</td><td>2/2</td><td>2/2</td><td>KEPOH</td><td></td><td>dr. Rabi'atul
Adawiyah</td><td>Nurma Mulyani</td><td>L</td><td>60-69
align='right'>M19</td><td>Other arthrosis</td><td></td><td>minta rujukan</td><td
2019</td><td>KASMI</td><td>KASMI</td><td>MENGURUS RUMAH
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH, Amd</td><td>P</td><td>>70
align='right'>1602403702</td><td>11-09-
2019</td><td>LEGI</td><td>KASRI</td><td>MENGURUS RUMAH
align='right'>1900016403</td><td>11-09-2019</td><td>MEECA ARKA DEWI
UTOMO</td><td>WAHYU N UTOMO</td><td>BELUM/TIDAK BEKERJA</td><td>TAWANGHARJO
d><td>80</td><td>7.8</td><td></td></tr><tr><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGAL-PEGAL</td><td
2019</td><td>MELAS</td><td>MELAS</td><td>BURUH
NANCY INDRIARTI</td><td>Nurjanah</td><td>P</td><td>>70
2019</td><td>MIA
INDRIANA
</td><td>SUKARNO</td><td>PELAJAR/MAHASISWA</td><td>2/4</td><td>2/4</td><td>PAGERHAR
JO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
align='right'>0700029504</td><td>11-09-2019</td><td>MOH ASRORI ALFARUQ</td><td>MOH
ARWANI</td><td>BELUM/TIDAK
cold]</td><td></td><td>BATUK, PILEK, PANAS</td><td align='right'>55806</td><td
align='right'>1800002104</td><td>11-09-2019</td><td>MOH REZA
ALVARO</td><td>BASRI</td><td>BELUM/TIDAK
align='right'>1400058003</td><td>11-09-2019</td><td>MUFIDA NUR
MAULIDA</td><td>SALIH FADHOLI</td><td>BELUM/TIDAK
Thn.</td><td>Keluarga</td><td>Lama</td><td>Gratis</td><td>Rajal</td><td
cold]</td><td></td><td>panas, bapil</td><td align='right'>55793</td><td
align='right'>1900005304</td><td>11-09-2019</td><td>MUH MELVIANO YURISTA
RAFARDHAN</td><td>M KARIS</td><td>BELUM/TIDAK BEKERJA</td><td>PANGGUNGROYOM
Adawiyah</td><td>PUJI RAHAYU</td><td>L</td><td><1
align='right'></td><td>KIA</td><td></td><td></td><td>Luar
align='right'>1600009603</td><td>11-09-2019</td><td>MUHAMMAD AZKHA
JULIANTO</td><td>ISKANDAR</td><td>BELUM/TIDAK
BEKERJA</td><td>4/1</td><td>4/1</td><td>JETAK</td><td></td><td>dr. Rabi'atul
Adawiyah</td><td>PUJI RAHAYU</td><td>L</td><td>1-4
cold]</td><td></td><td>panas</td><td align='right'>55809</td><td
align='right'>1700021003</td><td>11-09-2019</td><td>MUHAMMAD FAQIH AL
FATIH</td><td>SUWONDO</td><td>BELUM/TIDAK
BEKERJA</td><td>4/2</td><td>4/2</td><td>KEPOH</td><td></td><td>dr. Rabi'atul
Adawiyah</td><td>PUJI RAHAYU</td><td>L</td><td><1
align='right'>K30</td><td>Dyspepsia</td><td></td><td>MERIANG, PUSING, MUAL, PERUT
2019</td><td>MUNJIANA</td><td>JASNO</td><td>MENGURUS RUMAH
TANGGA</td><td>1/1</td><td>1/1</td><td>BANGSALREJO</td><td></td><td>dr. Rabi'atul
align='right'>H52.1</td><td>Myopia</td><td></td><td>MATA KABUR</td><td
2019</td><td>NAURA ZAHRA PUTRI</td><td>SUKAMTI PUTRI
L</td><td>PELAJAR/MAHASISWA</td><td>1/4</td><td>1/4</td><td>PAGERHARJO</td><td>PUSK
ESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
align='right'>R51</td><td>Headache</td><td></td><td>KEPALA PUSING, PEGAL
2019</td><td>NGATEMI</td><td>SUDIYONO</td><td>MENGURUS RUMAH
ANISA</td><td>WASILAN</td><td>BELUM/TIDAK
2019</td><td>PAINI</td><td>PAINI</td><td>MENGURUS RUMAH
INDRIARTI</td><td>Nurjanah</td><td>P</td><td>>70
2019</td><td>PAWI</td><td>ASTRO PAWI</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>BADAN PEGAL-PEGAL</td><td
2019</td><td>RASINI</td><td>RASINI</td><td>BURUH
NANCY INDRIARTI</td><td>Nurjanah</td><td>P</td><td>>70
2019</td><td>REZA
DION GUSWANTORO</td><td>SUKARTI</td><td>KARYAWAN
align='right'>H01.0</td><td>Blepharitis</td><td></td><td>MATA GATAL, NYERI</td><td
2019</td><td>RUSWATI</td><td>SUBAJI</td><td>MENGURUS RUMAH
TANGGA</td><td>4/3</td><td>4/3</td><td>SIDOHARJO</td><td></td><td>dr. Rabi'atul
unspecified</td><td></td><td>GATAL-GATAL, BATUK</td><td align='right'>55764</td><td
align='right'>0600000601</td><td>11-09-
2019</td><td>SARBI</td><td>SARBI</td><td>PETANI/PEKEBUN</td><td>1/1</td><td>1/1</td
><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Th</td></tr><tr><td align='right'>N39.0</td><td>Urinary tract infection, site not
specified</td><td></td><td>BUANG AIR KECIL SAKIT, PEGEL LINU, PUSING</td><td
2019</td><td>SARBI</td><td>SARBI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></td><t
d>TLUWUK</td><td></td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
Mulyani</td><td>L</td><td>60-69 Thn.</td><td></td><td></td><td>BPJS
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGEL-
PEGEL</td><td align='right'>57307</td><td align='right'>1602305302</td><td>11-09-
2019</td><td>SAWINAH</td><td>A.TOHARI</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>KEPALA PUSING, PERUT SENEB,
MUAL</td><td align='right'>55803</td><td align='right'>1400046702</td><td>11-09-
2019</td><td>SITI MAESAROH</td><td>ALI SOFI'I</td><td>MENGURUS RUMAH
align='right'>N20.1</td><td>Calculus of ureter</td><td></td><td></td><td
</td><td>JETAK</td><td></td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
Mulyani</td><td>L</td><td>45-54 Thn.</td><td></td><td></td><td>BPJS
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>badan
pegal</td><td align='right'>56872</td><td align='right'>1600022201</td><td>11-09-
2019</td><td>SULASI SITI ROHMAH</td><td>SULASI SITI ROHMAH</td><td>MENGURUS RUMAH
align='right'>M19</td><td>Other arthrosis</td><td></td><td>LUTUT SAKIT</td><td
2019</td><td>SULASTRI</td><td>SULASTRI</td><td></td><td>4/1</td><td>4/1</td><td>TLU
WUK</td><td></td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
Mulyani</td><td>P</td><td>60-69 Thn.</td><td></td><td></td><td>BPJS
origin</td><td></td><td>DIARE LEBIH DARI 5 KALI, MUNTAH, PERUT SAKIT</td><td
2019</td><td>SULISTIYANINGSIH</td><td>SUWADI</td><td>KARYAWAN
SWASTA</td><td>2/3</td><td></td><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr.
Rabi'atul Adawiyah</td><td>Arif prasetyo utomo</td><td>P</td><td>20-44
align='right'>E11.6</td><td>Non-insulin-dependent diabetes mellitus with other
specified complications</td><td></td><td>KPNTROL</td><td
<td></td><td>dr. Rabi'atul Adawiyah</td><td>Nurma Mulyani</td><td>P</td><td>45-54
Thn.</td><td></td><td></td><td>BPJS NON PBI</td><td>Rujuk</td><td
Umum</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Luar
unspecified</td><td></td><td>BATUK, BADAN LEMAS</td><td align='right'>55779</td><td
align='right'>0700013102</td><td>11-09-
2019</td><td>SUNARTI</td><td>PURYADI</td><td>MENGURUS RUMAH
2019</td><td>SUTINAH</td><td>SUTINAH</td><td>MENGURUS RUMAH
2019</td><td>SUWARNI</td><td>DARMONO</td><td>MENGURUS RUMAH
unspecified complications</td><td></td><td>KONTROL</td><td
2019</td><td>SUWARTI</td><td>SUKIMAN</td><td>MENGURUS
RUMAH TANGGA</td><td>3/4</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>I49.3</td><td>Ventricular premature
depolarization</td><td></td><td>KONTROL</td><td align='right'>55771</td><td
align='right'>0700029302</td><td>11-09-
2019</td><td>TUMINAH</td><td>SUPADI</td><td></td><td>5/2</td><td>5/2</td><td>TLUWUK
</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
2019</td><td>TUMINAH</td><td>TUMINAH</td><td>MENGURUS RUMAH
align='right'>F23</td><td>Acute and transient psychotic
disorders</td><td></td><td>KONTROL</td><td align='right'>55786</td><td
align='right'>1500005702</td><td>11-09-
2019</td><td>TURYADI</td><td>RUMIYATI</td><td>BELUM/TIDAK
BEKERJA</td><td>2/1</td><td>2/1</td><td>JATIMULYO</td><td></td><td>dr. Rabi'atul
2019</td><td>VIDA ATIYAH</td><td>SUWAJI</td><td>BELUM/TIDAK
align='right'>H81.4</td><td>Verti of central origin</td><td></td><td>KEPALA PUSING,
VERTIGO, SUSAH TIDUR</td><td align='right'>55766</td><td
align='right'>1900002502</td><td>11-09-
2019</td><td>YUMIATUN</td><td>SURADI</td><td>MENGURUS RUMAH
cold]</td><td></td><td>TEGGOROKAN SAKIT, PANAS 1 HARI</td><td
2019</td><td>YUSUF
ASRORI</td><td>SODIQ</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td>5/1</td><td>SIDO
HARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Arif prasetyo
utomo</td><td>L</td><td>10-14 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>L20</td><td>Atopic dermatitis</td><td></td><td>sehabis mandi keluar
bentol2</td><td align='right'>55850</td><td align='right'>0800008403</td><td>12-09-
2019</td><td>AHMAD
SULISTIYO</td><td>KARNO</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>S
IDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma
Mulyani</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>sakit
kepala</td><td align='right'>55855</td><td align='right'>0700030301</td><td>12-09-
2019</td><td>AHMAD ZAINUDDIN</td><td>AHMAD ZAINUDDIN</td><td>KARYAWAN
SWASTA</td><td>8/2</td><td>8/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>Nurma Mulyani</td><td>L</td><td>20-44
cold]</td><td></td><td>pusing pilek </td><td align='right'>55828</td><td
align='right'>1400053802</td><td>12-09-2019</td><td>ASTRI NURHIDAYAH</td><td>MUH
ULIN NUHA</td><td>MENGURUS RUMAH
INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma Mulyani</td><td>P</td><td>20-44
unspecified</td><td></td><td>batuk 1 minggu</td><td align='right'>55837</td><td
align='right'>2000017101</td><td>12-09-
2019</td><td>DARSIMAN</td><td>DARSIMAN</td><td>KARYAWAN SWASTA</td><td>ASEMPAPAN
Fitriyah</td><td>Nurma Mulyani</td><td>P</td><td>55-59
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan kaku, leher
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>nyeri
kepala, pusing 3 hari</td><td align='right'>55852</td><td
align='right'>0600004501</td><td>12-09-2019</td><td>EDI WALUYO</td><td>EDI
WALUYO</td><td>KARYAWAN
SWASTA</td><td>2/2</td><td>2/2</td><td>BANGSALREJO</td><td>PUSKESMAS
INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma Mulyani</td><td>L</td><td>20-44
align='right'>0800058702</td><td>12-09-2019</td><td>EKA NOVIA
PUSPAWARDANI</td><td>ARIS SETYAWAN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>J06.9</td><td>Acute upper
respiratory infection, unspecified</td><td></td><td>DEMAM</td><td
2019</td><td>ELVANO KENZO</td><td>-</td><td>BELUM/TIDAK
NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG SISWATI</td><td>L</td><td><1
align='right'>H66.1</td><td>Chronic tubotympanic suppurative otitis
media</td><td></td><td></td><td align='right'>55835</td><td
align='right'>1400059302</td><td>12-09-2019</td><td>ENDANG SRIYATI</td><td>AHMAD
SIDIQ</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>perut nyeri bagian bawah</td><td
align='right'>55825</td><td align='right'>0900023402</td><td>12-09-2019</td><td>EVA
MAEMONAH</td><td>DANANG</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>L20</td><td>Atopic
dermatitis</td><td></td><td>gatal2 ditangan kiri</td><td
align='right'>55858</td><td align='right'>1600003504</td><td>12-09-2019</td><td>IDA
ULFIANTI</td><td>KURDI</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>JE
TAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma
unspecified</td><td></td><td>panas,batuk,pilek</td><td align='right'>55834</td><td
align='right'>0700030004</td><td>12-09-2019</td><td>IMDAD
HAKIM</td><td>SUMILAN</td><td>BELUM/TIDAK
Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
align='right'>M15</td><td>Polyarthrosis</td><td></td><td>tangan nyeri</td><td
Umi Fitriyah</td><td>Nurma Mulyani</td><td>P</td><td>45-54
Th</td></tr><tr><td align='right'>S82</td><td>Fracture of lower leg, including
ankle</td><td></td><td></td><td align='right'>55830</td><td
align='right'>0800058601</td><td>12-09-
2019</td><td>KAHAD</td><td>KAHAD</td><td>KARYAWAN
Thn.</td><td>Keluarga</td><td>Baru</td><td>Jamkesda</td><td>Rujuk</td><td
Umum</td><td>Poli Ortopedi</td><td>RSUD RAA SOEWONDO PATI</td><td>Dalam
align='right'>M54.5</td><td>Low back pain</td><td></td><td>pusing, punggung
2019</td><td>KAINI</td><td>SAMIJAN</td><td>MENGURUS RUMAH
INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma Mulyani</td><td>P</td><td>>70
Th</td></tr><tr><td align='right'>E10</td><td>Insulin-dependent diabetes
mellitus</td><td></td><td>gatal2 di kepala, riwayat gula</td><td
2019</td><td>KARWATI</td><td>JASMANI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>K12.2</td><td>Cellulitis and abscess of
mouth</td><td></td><td></td><td align='right'>55824</td><td
align='right'>0600003201</td><td>12-09-
d>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma
unspecified</td><td></td><td>batuk,pilek,pilek</td><td align='right'>55851</td><td
align='right'>0700030203</td><td>12-09-2019</td><td>MOH DELVIN
ATTAR</td><td>SULISTIYANTO</td><td>BELUM/TIDAK
Umi Fitriyah</td><td>DWI NURCHAYATI</td><td>L</td><td><1
align='right'>J32.9</td><td>Chronic sinusitis, unspecified</td><td></td><td>dengkul
dan punggung sakit</td><td align='right'>55854</td><td
align='right'>1700008302</td><td>12-09-
2019</td><td>MUSRIDAH</td><td>SUKARNO</td><td>MENGURUS RUMAH
region</td><td></td><td></td><td align='right'>55857</td><td
align='right'>1500026204</td><td>12-09-2019</td><td>NAILA
TRI</td><td>SUNARYO</td><td>BELUM/TIDAK
disorders</td><td></td><td></td><td align='right'>55840</td><td
align='right'>1800009603</td><td>12-09-
2019</td><td>NGARIMAN</td><td>SAHURI</td><td>BELUM/TIDAK
><td>80</td><td>36</td><td>24</td><td>165</td>
<td>48</td><td>Tdk Th</td></tr><tr><td
align='right'>M79.1</td><td>Myalgia</td><td></td><td>linu
unspecified</td><td></td><td>gatal gatal,panas</td><td align='right'>55860</td><td
align='right'>0800045103</td><td>12-09-2019</td><td>PIPIT AINA
S</td><td>RAMBIYO</td><td>BELUM/TIDAK
align='right'>K30</td><td>Dyspepsia</td><td></td><td></td><td
2019</td><td>RASIH</td><td>DARMIN</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>muntah, pusing, mual </td><td
2019</td><td>SATI</td><td>SUKARDI</td><td>MENGURUS RUMAH
align='right'>H26</td><td>Other cataract</td><td></td><td></td><td
2019</td><td>SATINI</td><td>SATINI</td><td>MENGURUS RUMAH
masih gemetar</td><td align='right'>55827</td><td
align='right'>1400004702</td><td>12-09-
seneb, batuk, kaki sakit</td><td align='right'>55817</td><td
align='right'>0700028101</td><td>12-09-
2019</td><td>SETIYANINGSIH</td><td>DUMADI</td><td>PETANI/PEKEBUN</td><td>8/2</td><t
d>8/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma
Th</td></tr><tr><td align='right'>H10</td><td>Conjunctivitis</td><td></td><td>mata
keluar air</td><td align='right'>55829</td><td align='right'>0700029902</td><td>12-
09-2019</td><td>SITI FATIMAH</td><td>MUKADAR</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>pusing,
kaki kesemutan </td><td align='right'>55823</td><td
KHONIAH</td><td>WARSITO</td><td>MENGURUS RUMAH
drugs</td><td></td><td>kb suntik </td><td align='right'>55856</td><td
ZULAIKAH</td><td>WAGIRIN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>C34</td><td>Malignant neoplasm of bronchus and
lung</td><td></td><td></td><td align='right'>55836</td><td
align='right'>0700019901</td><td>12-09-
td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>pusing,
2019</td><td>SUKAWI</td><td>SUKAWI</td><td>WIRASWASTA</td><td>3/2</td><td>3/2</td><
td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma
Th</td></tr><tr><td align='right'>E10</td><td>Insulin-dependent diabetes
mellitus</td><td></td><td>lutut terasa kaku dan nyeri </td><td
2019</td><td>SULASTRI</td><td>SUKADI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>K01.1</td><td>Impacted
teeth</td><td></td><td></td><td align='right'>55826</td><td
align='right'>1600005303</td><td>12-09-2019</td><td>SULAWI</td><td>AHMAD
TOHARI</td><td>MENGURUS RUMAH
Umi Fitriyah</td><td>Suharti</td><td>P</td><td>20-44
Gigi</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Dalam
align='right'>R51</td><td>Headache</td><td></td><td>pusing
2019</td><td>SULISTIYANI</td><td>SUTARJO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk pilek </td><td align='right'>55833</td><td
align='right'>0700030001</td><td>12-09-
2019</td><td>SUMILAN</td><td>SUMILAN</td><td>KARYAWAN
Umi Fitriyah</td><td>Nurma Mulyani</td><td>L</td><td>20-44
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>punggung
2019</td><td>SUNARTI</td><td>SAMSURI</td><td>MENGURUS RUMAH
align='right'>1600020902</td><td>12-09-
2019</td><td>SUPANGATI</td><td>MUAMAR</td><td>MENGURUS RUMAH
align='right'>A15.0</td><td>Tuberculosis of lung, confirmed by sputum microscopy
with or without culture</td><td></td><td>punggung cekot2</td><td
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri
sendi, pusing, susah tidur</td><td align='right'>55842</td><td
align='right'>0800054202</td><td>12-09-
2019</td><td>SUTARMI</td><td>JIMIN</td><td>PERDAGANGAN</td><td>2/3</td><td></td><td
>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Nurma
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>batuk,
pusing, punggung sakit</td><td align='right'>55819</td><td
align='right'>1400049702</td><td>12-09-
2019</td><td>UMBARWATI</td><td>TUWI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>nyeri perut</td><td align='right'>55861</td><td
align='right'>1800020104</td><td>12-09-2019</td><td>UMI
SA'ADAH</td><td>PAHADI</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>DWI NURCHAYATI</td><td>P</td><td>20-44
2019</td><td>WARMIJAH/PARMIJAH</td><td>KHAERUN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>panas</td><td align='right'>57296</td><td
align='right'>1400040403</td><td>13-09-2019</td><td>ABDUL LATHIF B</td><td>HERI
HARTANTO</td><td>BELUM/TIDAK
MURGIYATI</td><td>L</td><td><1 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>I50.0</td><td>Congestive heart failure</td><td></td><td></td><td
2019</td><td>ACHMAD ALFI GOZALI</td><td>SARJU
WIJAYA</td><td>PELAJAR/MAHASISWA</td><td>1/1</td><td></td><td>JETAK</td><td>PUSKESM
AS INDUK</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
S.kep</td><td>L</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
2019</td><td>AHMAD FAUZI</td><td>AHMAD FAUZI</td><td>KARYAWAN
align='right'>2000000902</td><td>13-09-2019</td><td>AIMATUR
ROFIDAH</td><td>MULYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>1/1</td><td></td><td>ASEMPAPAN</td><td>PUSKESMAS INDUK</td><td>dr.
NANCY INDRIARTI</td><td>Sri lestari</td><td>P</td><td>20-44
2019</td><td>ALFIA ZAKIYATUS
ZAHRA</td><td>MISBAHUDDIN</td><td>PELAJAR/MAHASISWA</td><td>RAMES,
SUKOHARJO</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
unspecified</td><td></td><td>keputihan</td><td align='right'>55906</td><td
align='right'>1700018602</td><td>13-09-2019</td><td>ANA
ALFIANA</td><td>SUYANTO</td><td>KARYAWAN
NANCY INDRIARTI</td><td>HENI SUTRININGSIH</td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>pusing
mual</td><td align='right'>55870</td><td align='right'>0800042901</td><td>13-09-
2019</td><td>BAKINAH</td><td>BAKINAH</td><td>MENGURUS RUMAH
INDUK</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
2019</td><td>CHOIROCLHAM</td><td>JALI</td><td>PELAJAR/MAHASISWA</td><td>SUKOHARJO
/td><td>145</td><td>40</td><td></td></tr><tr><td align='right'>J06.9</td><td>Acute
upper respiratory infection,
align='right'>1400016104</td><td>13-09-2019</td><td>COKRO
AMINOTO</td><td>JASMURI</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>HENI SUTRININGSIH</td><td>L</td><td>1-4
align='right'>B20</td><td>Human immunodeficiency virus [HIV] disease resulting in
infectious and parasitic diseases</td><td></td><td></td><td
2019</td><td>DEWI ISNAWATI</td><td>IMAM A</td><td>MENGURUS RUMAH
PATI</td><td>Dalam
align='right'>0600011302</td><td>13-09-2019</td><td>DICHA NOVI
ANA</td><td>WAHYUDI</td><td></td><td>6/1</td><td>6/1</td><td>BANGSALREJO</td><td>PU
SKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
unspecified</td><td></td><td>panas, pusing, perut sakit </td><td
align='right'>55886</td><td align='right'>15015001</td><td>13-09-2019</td><td>ENIK
PUJI
ASTUTI</td><td>RUSTAM</td><td></td><td>5/1</td><td></td><td>JATIMULYO</td><td>PUSKE
SMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
cold]</td><td></td><td>pegel linu</td><td align='right'>56888</td><td
2019</td><td>FATIMAH</td><td>FATIMAH</td><td>PETANI/PEKEBUN</td><td>2/1</td><td></t
d><td>PAGERHARJO</td><td>PKD PAGERHARJO</td><td>dr. NANCY INDRIARTI</td><td>HENDRI
MURGIYATI</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2019</td><td>FERDY BAGUS S</td><td>ARIS
SURATNO</td><td>PELAJAR/MAHASISWA</td><td>RAMES,
SUKOHARJO</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
/td><td>142</td><td>40</td><td></td></tr><tr><td align='right'>Z00</td><td>General
examination and investigation of persons without complaint and reported
diagnosis</td><td></td><td></td><td align='right'>55922</td><td
align='right'>1900016703</td><td>13-09-2019</td><td>FIKRI
MUSTOFA</td><td>SUPARNO</td><td>PELAJAR/MAHASISWA</td><td>PANGGUNGROYOM</td><td></t
d><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
/td><td>147</td><td>45</td><td></td></tr><tr><td align='right'>T14.1</td><td>Open
wound of unspecified body region</td><td></td><td>NYERI DI JARI KAKI</td><td
2019</td><td>GUNARSO</td><td>GUNARSO</td><td>KARYAWAN SWASTA</td><td>NGURENSITI
2019</td><td>HARSO</td><td>HARSO</td><td>PEGAWAI NEGERI
SIPIL</td><td>1/2</td><td>1/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr.
unspecified</td><td></td><td>capek </td><td align='right'>56949</td><td
align='right'>17022003</td><td>13-09-
2019</td><td>INAROH</td><td>INAROH</td><td></td><td>2/2</td><td>2/2</td><td>KEPOH</
td><td>PUSLING</td><td>dr.
NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
align='right'>2100012102</td><td>13-09-
2019</td><td>KUNARI</td><td>PRIYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>4/1</td><td></td><td>BAKARAN WETAN</td><td>PUSKESMAS
align='right'>0900003901</td><td>13-09-
2019</td><td>LAKSONO</td><td>LAKSONO</td><td>TUKANG
KAYU</td><td>8/3</td><td></td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr.
unspecified</td><td></td><td>batuk,pilek,panas</td><td align='right'>55913</td><td
align='right'>2000017203</td><td>13-09-2019</td><td>LEIYA CALLIA NUR
FEBRINA</td><td>AJI PURNOMO</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
INDRIARTI</td><td>HENI SUTRININGSIH</td><td>P</td><td><1
cold]</td><td></td><td>BATUK, PILEK</td><td align='right'>55915</td><td
align='right'>0900003905</td><td>13-09-2019</td><td>LEJAR KUKUH
NARIMO</td><td>LAKSONO</td><td>PELAJAR/MAHASISWA</td><td>8/3</td><td>8/3</td><td>NG
URENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
Amd</td><td>L</td><td>10-14 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut sakit, pegel</td><td
2019</td><td>MASLURI</td><td>MASLURI</td><td></td><td>5/1</td><td>5/1</td><td>SIDOH
ARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
align='right'>1400035603</td><td>13-09-
2019</td><td>MOHTADI</td><td>SARJU</td><td>PELAJAR/MAHASISWA</td><td>5/3</td><td>5/
3</td><td>PAGERHARJO</td><td>PKD PAGERHARJO</td><td>dr. NANCY
INDRIARTI</td><td>HENDRI MURGIYATI</td><td>L</td><td>20-44
unspecified</td><td></td><td>batuk, pilek , sesak</td><td
AKHSAN</td><td>KUSNIN</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>KEP
OH</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
align='right'>1800000503</td><td>13-09-2019</td><td>MUH AMRIZAL
M</td><td>MUSAFAK</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td>3/2</td><td>TLOGOHA
RUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
align='right'>2000013504</td><td>13-09-2019</td><td>MUH SUBHAN NUR
YASIN</td><td>MOH BASASIN</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
INDRIARTI</td><td>HENI SUTRININGSIH</td><td>L</td><td>1-4
unspecified</td><td></td><td>batuk,pilek,demam</td><td align='right'>55910</td><td
align='right'>2000013503</td><td>13-09-2019</td><td>MUHAMMAD FAZA RIZQI</td><td>MOH
BASASIN</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
INDRIARTI</td><td>HENI SUTRININGSIH</td><td>L</td><td><1
unspecified</td><td></td><td>muntah 2 x,diare,panas</td><td
2019</td><td>NEVANDRIAS ARGANTARA</td><td>ABDUL AZIZ</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI SUTRININGSIH</td><td>L</td><td>1-4
upper respiratory infection, unspecified</td><td></td><td>batuk, gatal di
leher</td><td align='right'>55895</td><td align='right'>1500000603</td><td>13-09-
2019</td><td>NUR FAJAR
PURNOMO</td><td>PURNO</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>2/2</td><td>JAT
IMULYO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI WINARMI,
align='right'>1400059502</td><td>13-09-2019</td><td>NUR
KHOLIFAH</td><td>SUWONDO</td><td>MENGURUS RUMAH
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI SUTRININGSIH</td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>I10</td><td>Essential
(primary) hypertension</td><td></td><td>kepala pusing</td><td
2019</td><td>PANGATI</td><td>SUKARDI</td><td></td><td>TLOGOHARUM
1/II</td><td>1/2</td><td>TLOGOHARUM</td><td>PKD TLOGOHARUM</td><td>dr. NANCY
Th</td></tr><tr><td
2019</td><td>PARSINAH</td><td>SUKIMAN</td><td>MENGURUS RUMAH
MURGIYATI</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
2019</td><td>RA'IF AL FATIH</td><td>RAHMAD
SOLEH</td><td></td><td>2/3</td><td>2/3</td><td>PAGERHARJO</td><td>PUSKESMAS
2019</td><td>ROBITAN GILDA</td><td>RUNOTO</td><td>KARYAWAN SWASTA</td><td>BAKARAN
KULON 1/1</td><td></td><td>JUWANA</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>HENI SUTRININGSIH</td><td>L</td><td>20-44
unspecified</td><td></td><td>CAPEK </td><td align='right'>56942</td><td
align='right'>17013005</td><td>13-09-
2019</td><td>RUKESI</td><td></td><td></td><td>1/3</td><td>3/1</td><td>KEPOH</td><td
>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>60-
align='right'>17013002</td><td>13-09-2019</td><td>SAMIRAH
2019</td><td>SARDJU WIDJAYA</td><td>SARDJU WIDJAYA</td><td>PEGAWAI NEGERI
SIPIL</td><td>1/1</td><td>1/1</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>L</td><td>60-69
align='right'>M79.1</td><td>Myalgia</td><td></td><td>lengan atas nyeri </td><td
</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>RATIH BUDI
WINARMI, S.kep</td><td>L</td><td>60-69
align='right'>070264001</td><td>13-09-
2019</td><td>SARMI</td><td>SARMI</td><td>PETERNAK</td><td>DESA TLUWUK RT 6/2
cold]</td><td></td><td>batuk, pilek, kaki nyeri, meriang </td><td
2019</td><td>SARMINI </td><td>SURI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk, pilek, meriang </td><td
2019</td><td>SHOLIHIN</td><td>SHOLIHIN</td><td>KARYAWAN
Th</td></tr><tr><td
2019</td><td>SITI ALIMAH</td><td>KUSWANTO</td><td>MENGURUS RUMAH
MURGIYATI</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
FATIMAH</td><td>MUKADAR</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td></td><td
2019</td><td>SITI MAEMUNAH</td><td>SUTRIYONO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>PEGAL,
BATUK</td><td align='right'>55907</td><td align='right'>1400014302</td><td>13-09-
2019</td><td>SITI ZULAIKAH</td><td>DWI SASMITO</td><td>MENGURUS RUMAH
mellitus</td><td></td><td></td><td align='right'>55862</td><td
align='right'>1900007702</td><td>13-09-
2019</td><td>SOLICHAH</td><td>SUKARJAN</td><td>MENGURUS RUMAH
TANGGA</td><td>2/3</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>Dr.
align='right'>M06.9</td><td>Rheumatoid arthritis,
unspecified</td><td></td><td>batuk pilek,pegellinu</td><td
2019</td><td>SOLIKATI</td><td>SUHADI</td><td></td><td>DESA TLUWUK RT 8/1
2019</td><td>SUDARNI</td><td>SUTOYO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>SUGIT</td><td>SUGIT</td><td>KARYAWAN
align='right'>0700030801</td><td>13-09-
2019</td><td>SUGIYANTO</td><td>SUGIYANTO</td><td>KARYAWAN
align='right'>1400027301</td><td>13-09-
2019</td><td>SUHARNI</td><td>SUHARNI</td><td>MENGURUS RUMAH
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>perut sakit
2019</td><td>SUHARTI</td><td></td><td></td><td>1/5</td><td>5/1</td><td>KEPOH</td><t
d>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>45-
origin</td><td></td><td>GEMETAR, BERAK CAIR</td><td align='right'>55898</td><td
align='right'>0600008701</td><td>13-09-
2019</td><td>SUJANI</td><td>SUJANI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></td>
<td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
unspecified</td><td></td><td>LEMAS, PANAS</td><td align='right'>55925</td><td
align='right'>1800046101</td><td>13-09-
2019</td><td>SUJUD</td><td>SUJUD</td><td>PETANI/PEKEBUN</td><td>3/2</td><td>3/2</td
><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
Th</td></tr><tr><td align='right'>A09</td><td>Diarrhoea and gastroenteritis of
presumed infectious origin</td><td></td><td>BERAK CAIR</td><td
2019</td><td>SUKAMAT</td><td>SUKAMAT</td><td>WIRASWASTA</td><td>1/3</td><td></td><t
d>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
align='right'>17015010</td><td>13-09-
2019</td><td>SUKAR</td><td>SIRIN</td><td></td><td>RT 5 RW
1</td><td>5/1</td><td>KEPOH</td><td>PUSLING</td><td>dr. NANCY
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>kepala
pusing</td><td align='right'>56989</td><td align='right'>1802102601</td><td>13-09-
2019</td><td>SUKARDI</td><td>SUKARDI</td><td></td><td>TLOGOHARUM
INDRIARTI</td><td>Siti Fatimah</td><td>L</td><td>60-69
align='right'>H25</td><td>Senile cataract</td><td></td><td>mata bruwet </td><td
2019</td><td>SULASAH</td><td>SUTRISNO</td><td>MENGURUS RUMAH
TANGGA</td><td>4/2</td><td></td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Th</td></tr><tr><td align='right'>I25.6</td><td>Silent myocardial
ischaemia</td><td></td><td>KONTROL</td><td
2019</td><td>SUMARI</td><td>SUMARI</td><td>KARYAWAN
align='right'>J45</td><td>Asthma</td><td></td><td>dada sesak </td><td
2019</td><td>SUMI</td><td>SUPARDI</td><td>MENGURUS RUMAH
region</td><td></td><td>NYERI LUKA</td><td align='right'>55901</td><td
align='right'>1400001402</td><td>13-09-
align='right'>070232601</td><td>13-09-
2019</td><td>SUPARDI</td><td>SUPARDI</td><td>PETERNAK</td><td>DESA TLUWUK RT 3/2
WEDARIJAKSA </td><td>3/2</td><td>TLUWUK</td><td>PKD TLUWUK</td><td>HENI
KURNIASIH</td><td>HENI KURNIASIH</td><td>L</td><td>>70
2019</td><td>SUPARJI</td><td>SUPARJI</td><td>PEGAWAI NEGERI
SIPIL</td><td>4/2</td><td>4/2</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
align='right'>R51</td><td>Headache</td><td></td><td>punggung nyeri, pusing </td><td
2019</td><td>SUPARMAN</td><td>SUPARMAN</td><td>PETANI/PEKEBUN</td><td>2/2</td><td>2
/2</td><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
2019</td><td>SUPARTI</td><td>SUPARTI</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>kaki kesemutan </td><td
2019</td><td>SUPIYAH</td><td>DAROJAK</td><td>MENGURUS RUMAH
2019</td><td>SUTAMI</td><td>SUTAMI</td><td>MENGURUS RUMAH
TANGGA</td><td>PANGGUNGROYOM 5/1</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON PBI</td><td>Rajal</td><td
origin</td><td></td><td>bab lendir, </td><td align='right'>55869</td><td
align='right'>1800009302</td><td>13-09-
2019</td><td>SUTARNI</td><td>SUKARMIN</td><td>MENGURUS RUMAH
align='right'>1400035602</td><td>13-09-
2019</td><td>SUTARNI</td><td>SARJU</td><td>MENGURUS RUMAH
align='right'>N89.8</td><td>Other specified noninflammatory disorders of
vagina</td><td></td><td>sakit perut, gatal</td><td align='right'>55884</td><td
align='right'>1800047202</td><td>13-09-
2019</td><td>SUTIK</td><td>SUDIMAN</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>perut senep, pilek, pusing
2019</td><td>SUTINI</td><td>SAMIJAN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>SUTOYO</td><td>SUTOYO</td><td>PETANI/PEKEBUN</td><td>4/3</td><td>4/3</
MURGIYATI</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>L20.9</td><td>Atopic
dermatitis, unspecified</td><td></td><td>gatal</td><td align='right'>57297</td><td
align='right'>1400009401</td><td>13-09-
MURGIYATI</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>1600021202</td><td>13-09-2019</td><td>SUTRIYANI</td><td>AHMAD
KUNDORI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>SUWARMIYANTI</td><td>SUKARNO</td><td>MENGURUS RUMAH
align='right'>0900021602</td><td>13-09-
2019</td><td>SUWARSI</td><td>SUMADI</td><td>MENGURUS RUMAH
align='right'>1400046102</td><td>13-09-
2019</td><td>SUWATI</td><td>SUNARDI</td><td>MENGURUS RUMAH
2019</td><td>SUWITO</td><td>SUWITO</td><td>PETANI/PEKEBUN</td><td>2/2</td><td>2/2</
MURGIYATI</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>K12.1</td><td>Other forms of
stomatitis</td><td></td><td>sariawan</td><td align='right'>55916</td><td
align='right'>0800046605</td><td>13-09-2019</td><td>TIKA
FATIKHA</td><td>SUKADI</td><td>BELUM/TIDAK
unspecified</td><td></td><td>NYERI TELAPAK KAKI</td><td align='right'>55888</td><td
align='right'>0600005102</td><td>13-09-
2019</td><td>TUMIYATI</td><td>SUHADI</td><td>KARYAWAN
Th</td></tr><tr><td align='right'>M17</td><td>narthrosis [arthrosis of
knee]</td><td></td><td>dengkul sakit, pusing </td><td align='right'>55865</td><td
align='right'>1500021601</td><td>13-09-
2019</td><td>TUMIYEM</td><td>TUMIYEM</td><td>MENGURUS RUMAH
TANGGA</td><td>2/1</td><td></td><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>Dr.
align='right'>R51</td><td>Headache</td><td></td><td>punggung nyeri, cekot2, pusing
2019</td><td>YATINI</td><td>SUTARWI</td><td>MENGURUS RUMAH
alone</td><td></td><td>imunisasi calon pengantin</td><td
2019</td><td>YUNITA</td><td>SUWAR</td><td>KARYAWAN
2019</td><td>ZAINAL ARIFIN</td><td>ZAINAL ARIFIN</td><td>KARYAWAN
Th</td></tr><tr><td
2019</td><td>ABDUL QOHAR</td><td>LEGIMAH</td><td>BELUM/TIDAK
Umi Fitriyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>20-44
Umum</td><td>Poli Jiwa</td><td>RSUD RAA SOEWONDO PATI</td><td>Dalam
align='right'>Z01.3</td><td>Examination of blood
pressure</td><td></td><td>pemeriksaan tanda vital</td><td
2019</td><td>ABDUL ROHMAN ASSAID</td><td>ABDULLAH</td><td>BELUM/TIDAK
BEKERJA</td><td>3/2</td><td>3/2</td><td>JETAK</td><td>PKD JETAK</td><td>dr. NANCY
>36</td><td>24</td><td>120</td><td>20</td><td>Tdk Th</td></tr><tr><td
unspecified</td><td></td><td>demam,batuk,pilek,sariawan</td><td
2019</td><td>ADELEO ARSENO FOUR ANDIKA</td><td>SUNARDI</td><td>BELUM/TIDAK
2019</td><td>ADEVA.A</td><td>A.ABDUL</td><td>BELUM/TIDAK
align='right'>R51</td><td>Headache</td><td></td><td>SAKIT KEPALA</td><td
2019</td><td>AHMAD MUARIF</td><td>AHMAD MUARIF</td><td>KARYAWAN
SWASTA</td><td>KADILANGU 4/1</td><td></td><td>TRANGKIL</td><td>PUSKESMAS
align='right'>2000017503</td><td>14-09-2019</td><td>AHMAD NAQIYA ASY
SYARIF</td><td>KARTUBI</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
Fitriyah</td><td>KHURNIATI</td><td>L</td><td>1-4
align='right'>0800039804</td><td>14-09-2019</td><td>AHMAD NUR
RIDWAN</td><td>WIJO</td><td>PELAJAR/MAHASISWA</td><td>2/3</td><td>2/3</td><td>SIDOH
ARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
2019</td><td>AINUL NURUL</td><td>KOMEDI</td><td>BELUM/TIDAK
align='right'>1800048404</td><td>14-09-2019</td><td>ALIYA ZAKIYATUL
MUFIDAH</td><td>SARNI</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>SUWARTI SURYANINGTIYAS,
complaint and reported diagnosis</td><td></td><td>kontrol post opnam dgn febris
thypoid di puskesmas</td><td align='right'>55959</td><td
align='right'>1400058603</td><td>14-09-2019</td><td>ALVIANO QHALIM
KURNIAWAN</td><td>YUDHA KURNIAWAN</td><td>BELUM/TIDAK
unspecified</td><td></td><td>pusing,pilek,</td><td align='right'>55983</td><td
align='right'>1800042002</td><td>14-09-2019</td><td>ANIN NADLIFAH</td><td>DEDI
PURNOMO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>Z01.3</td><td>Examination of blood
2019</td><td>ANINDIA.F</td><td>SUSANTO</td><td>BELUM/TIDAK
align='right'>2200006903</td><td>14-09-2019</td><td>ARINDA OKTAVIA
AZ'ZAHRA</td><td>SIROT ABDUL ROCHMAN</td><td>BELUM/TIDAK BEKERJA</td><td>WATUROYO
2/5'MARGOYOSO</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
unspecified</td><td></td><td>BAB cair 2x</td><td align='right'>55972</td><td
align='right'>2000017404</td><td>14-09-2019</td><td>ASNA
MALIHAH</td><td>MASTURI</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
Fitriyah</td><td>DWI NURCHAYATI</td><td>P</td><td>1-4
2019</td><td>ATIKA BILQIS</td><td>M.SURYANI</td><td>BELUM/TIDAK
align='right'>T14</td><td>Injury of unspecified body region</td><td></td><td>NYERI
KAKI HABIS JATUH</td><td align='right'>55982</td><td
align='right'>0800023303</td><td>14-09-2019</td><td>AULIA PUTRI
N</td><td>SODIQ</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td></td><td>SIDOHARJO</t
d><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>SUWARTI SURYANINGTIYAS,
Th</td></tr><tr><td
2019</td><td>DENY
OKTAVIAWAN</td><td>LEGIMAN</td><td>PELAJAR/MAHASISWA</td><td>5/2</td><td>5/2</td><t
d>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
S.kep</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
Th</td></tr><tr><td align='right'>B35.4</td><td>Tinea
corporis</td><td></td><td>KULIT GATAL, BAHU LINU</td><td
align='right'>55953</td><td align='right'>1400031703</td><td>14-09-2019</td><td>EDI
SUPRIYANTO</td><td>KARMAIN</td><td></td><td>4/2</td><td>4/2</td><td>PAGERHARJO</td>
<td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>SUWARTI SURYANINGTIYAS,
align='right'>55984</td><td align='right'>0900037402</td><td>14-09-2019</td><td>EKA
AGUSTINA</td><td>SUMARNO</td><td>MENGURUS RUMAH
pressure</td><td></td><td>periksaan tandsa vital</td><td
2019</td><td>EMBUN QUEENA</td><td>FIRMAN.S</td><td>BELUM/TIDAK
align='right'>57425</td><td align='right'>1602207103</td><td>14-09-2019</td><td>EXI
ARISKA</td><td>YOYOK.S</td><td>BELUM/TIDAK
2019</td><td>HAIKAL.A</td><td>SARMANI</td><td>BELUM/TIDAK
2019</td><td>HASSAN KHOIRUL</td><td>BUDI</td><td>BELUM/TIDAK
2019</td><td>INDA HAUNA</td><td>NANANG</td><td>BELUM/TIDAK
align='right'>Z00.0</td><td>General medical examination</td><td></td><td></td><td
2019</td><td>IRVAN ARDIYANTO</td><td>SUPARNO</td><td>KARYAWAN
SWASTA</td><td>BOYOLALI</td><td></td><td>LUAR KOTA PATI</td><td>PUSKESMAS
region</td><td></td><td>KONTROL </td><td align='right'>55941</td><td
align='right'>0800008601</td><td>14-09-
td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
Th</td></tr><tr><td align='right'>M19.9</td><td>Arthrosis,
align='right'>1800040101</td><td>14-09-2019</td><td>KABUL SYARONI</td><td>KABUL
SYARONI</td><td>PETANI/PEKEBUN</td><td>8/2</td><td></td><td>TLOGOHARUM</td><td>PUSK
ESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>SUWARTI SURYANINGTIYAS,
2019</td><td>KANAYA</td><td>ULIN NI'AM</td><td>BELUM/TIDAK
align='right'>R51</td><td>Headache</td><td></td><td>MATA TERASA NYERI, KEPALA
SAKIT, MUAL</td><td align='right'>55936</td><td
align='right'>1700013102</td><td>14-09-
2019</td><td>KASMINI</td><td>KAMID</td><td>MENGURUS RUMAH
Umi Fitriyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>10-14
align='right'>K30</td><td>Dyspepsia</td><td></td><td>NYERI PERUT DAN
PINGGANG</td><td align='right'>55960</td><td align='right'>1800046702</td><td>14-
09-2019</td><td>KASNI</td><td>KASMANI</td><td>MENGURUS RUMAH
2019</td><td>LANAL AMNU</td><td>M.MISBAH</td><td>BELUM/TIDAK
align='right'>M79.1</td><td>Myalgia</td><td></td><td>TANGAN KESEMUTAN </td><td
2019</td><td>LASMI</td><td>WAGITO</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>BADAN CAPEK, NAFSU MAKAN
KURANG</td><td align='right'>55986</td><td align='right'>0900037601</td><td>14-09-
2019</td><td>LEGIMAN</td><td>LEGIMAN</td><td>KARYAWAN
2019</td><td>M.ALI SUBHAN</td><td>PALAL</td><td>BELUM/TIDAK
2019</td><td>M.NAFI</td><td>M.RIYADI</td><td>BELUM/TIDAK
2019</td><td>M.QIOVANI</td><td>SIAMTO</td><td>BELUM/TIDAK
2019</td><td>M.VALEN A</td><td>SUWANDI</td><td>BELUM/TIDAK
align='right'>R51</td><td>Headache</td><td></td><td>SERING PUSING</td><td
2019</td><td>MARIANA</td><td>SOPO WARNI</td><td>MENGURUS RUMAH
align='right'>Z01.3</td><td>Examination of blood pressure</td><td></td><td>periksa
tanda vital</td><td align='right'>56878</td><td
align='right'>1604108005</td><td>14-09-
2019</td><td>MAULIDA.S</td><td>SUDARDI</td><td>BELUM/TIDAK
align='right'>R51</td><td>Headache</td><td></td><td>SAKIT KEPALA</td><td
SYAMSUL ARIFIN</td><td>DARSUKI</td><td>BELUM/TIDAK
BEKERJA</td><td>1/1</td><td></td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>20-44
origin</td><td></td><td>PUSING, SAKIT, PERUT MULES</td><td
2019</td><td>MU'AYYANAH</td><td>AHMADUN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>panas, batuk,pilek</td><td align='right'>55958</td><td
align='right'>1800020404</td><td>14-09-2019</td><td>MUH DAVID AULI
RAHMAN</td><td>ALI RIDWAN</td><td>BELUM/TIDAK
unspecified</td><td></td><td>sakit mata,batuk pilek</td><td
2019</td><td>NAURA HASNA ANIDA</td><td>NGATEMAN</td><td>BELUM/TIDAK
unspecified</td><td></td><td>pilek,batuk</td><td align='right'>55987</td><td
align='right'>1500006804</td><td>14-09-2019</td><td>NAYLA MAULIDA
AZZAHRA</td><td>MOH IMRON</td><td>BELUM/TIDAK
align='right'>J44.1</td><td>Chronic obstructive pulmonary disease with acute
exacerbation, unspecified</td><td></td><td></td><td align='right'>55976</td><td
align='right'>1700024001</td><td>14-09-
2019</td><td>NGASIPIN</td><td>NGASIPIN</td><td>PETANI/PEKEBUN</td><td>4/2</td><td><
/td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>SUWARTI
2019</td><td>NIKHESA HANUM</td><td>SUPRIYANTO</td><td>BELUM/TIDAK
align='right'>K30</td><td>Dyspepsia</td><td></td><td>PUSING SEBELAH, MUAL,
2019</td><td>NING SETYANINGSIH</td><td>MOH IMRON</td><td>MENGURUS RUMAH
HIDAYAH</td><td>WAGIMAN</td><td>MENGURUS RUMAH
align='right'>25</td><td>BP. Gigi</td><td></td><td></td><td>Dalam
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>NYERI DADA
DAN KAKI</td><td align='right'>55961</td><td align='right'>0900037201</td><td>14-
09-2019</td><td>PAING</td><td>PAING</td><td>KARYAWAN
align='right'>H81.4</td><td>Verti of central origin</td><td></td><td>NYERI KEPALA
SEBELAH</td><td align='right'>55966</td><td align='right'>1500005502</td><td>14-09-
2019</td><td>PARYATI</td><td>JUWARI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>MUNTAH
MENGELUARKAN DARAH</td><td align='right'>55932</td><td
align='right'>1400018603</td><td>14-09-
2019</td><td>PRASETYO</td><td>WARMAN</td><td>PELAJAR/MAHASISWA</td><td>2/4</td><td>
2/4</td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>15-19
2019</td><td>RAFISQI ARFADIA</td><td>AGUS.M</td><td>BELUM/TIDAK
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PANAS, PEGAL</td><td
2019</td><td>RASI</td><td>RADIMAN</td><td>MENGURUS
RUMAH TANGGA</td><td>4/2</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS
2019</td><td>REVANNA PUTRI</td><td>A.KHOLIT</td><td>BELUM/TIDAK
align='right'>M51.9</td><td>Intervertebral disc disorder,
align='right'>1400027702</td><td>14-09-
2019</td><td>RUKINI</td><td>RISMADI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>T14</td><td>Injury of unspecified body
region</td><td></td><td>HABIS JATUH</td><td align='right'>55979</td><td
align='right'>0800044602</td><td>14-09-2019</td><td>RUKIYAT YUDI
ASTUTI</td><td>SODIQ</td><td>MENGURUS RUMAH
TANGGA</td><td>5/1</td><td></td><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr.
align='right'>0800039802</td><td>14-09-
2019</td><td>RUSYATI</td><td>WIJO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>PUSING,
LEMAS</td><td align='right'>55968</td><td align='right'>1400002501</td><td>14-09-
2019</td><td>SARMIJAN</td><td>SARMIJAN</td><td>KARYAWAN
SWASTA</td><td>1/3</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>60-69
unspecified</td><td></td><td>BATUK, PILEK, NYERI PUNGGUNG</td><td
2019</td><td>SAROJO</td><td>SAROJO</td><td>KARYAWAN
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>PUSING,
GEMETAR,GATAL</td><td align='right'>55926</td><td
align='right'>0600018202</td><td>14-09-
2019</td><td>SARPI</td><td>NGATAWI</td><td>MENGURUS RUMAH
align='right'>M50</td><td>Cervical disc disorders</td><td></td><td></td><td
2019</td><td>SARPIYAH</td><td>SARPIYAH</td><td>MENGURUS RUMAH
TANGGA</td><td>2/2</td><td></td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>60-69
Th</td></tr><tr><td align='right'>H25</td><td>Senile cataract</td><td></td><td>MATA
KIRI SEPERTI BAYANGAN HITAM BERJALAN</td><td align='right'>55956</td><td
align='right'>0700002101</td><td>14-09-
2019</td><td>SATIAH</td><td>SATIAH</td><td>MENGURUS RUMAH
2019</td><td>SELIVIA</td><td>SUMINO</td><td>BELUM/TIDAK
cold]</td><td></td><td>PILEK, MERIANG</td><td align='right'>55989</td><td
align='right'>0800039803</td><td>14-09-2019</td><td>SHINTA NOVITA
S</td><td>WIJO</td><td>PELAJAR/MAHASISWA</td><td>2/3</td><td></td><td>SIDOHARJO</td
><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
2019</td><td>SHOFA.S</td><td>A.SISWANTO</td><td>BELUM/TIDAK
align='right'>0800047604</td><td>14-09-2019</td><td>SHYRIN SABYLA
ROSYAD</td><td>WAGIRIN</td><td>BELUM/TIDAK
td>37</td><td>22</td><td>65</td><td>11</td><td>Tdk
Th</td></tr><tr><td align='right'>E11</td><td>Non-insulin-dependent diabetes
mellitus</td><td></td><td>SERING MENGANTUK</td><td align='right'>55975</td><td
KOJIATI</td><td>SUHARYONO</td><td>MENGURUS RUMAH
alone</td><td></td><td>mau imunisasi calon pengantine</td><td
2019</td><td>SITI
ZULIYANTI</td><td>SUHARTO</td><td>PENSIUNAN</td><td>4/1</td><td>4/1</td><td>TLOGOHA
RUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
align='right'>I63</td><td>Cerebral infarction</td><td></td><td>KONTROL</td><td
2019</td><td>SUHARTI</td><td>SUHARTI</td><td>MENGURUS RUMAH
TANGGA</td><td>KERTOMULYO 1/3</td><td></td><td>TRANGKIL</td><td>PUSKESMAS
Amd</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS NON
align='right'>66</td><td>BP. Umum</td><td></td><td>RS KELUARGA SEHAT</td><td>Luar
align='right'>K30</td><td>Dyspepsia</td><td></td><td>MULES TAPI TIDAK BAB</td><td
2019</td><td>SUHARTI</td><td>JUMADI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>kenceng-kenceng</td><td align='right'>55974</td><td
align='right'>1400001802</td><td>14-09-
mellitus</td><td></td><td>KONTROL</td><td align='right'>55935</td><td
align='right'>0800047002</td><td>14-09-
2019</td><td>SUMILAH</td><td>SUPENO</td><td>BELUM/TIDAK
disease</td><td></td><td>KONTROL</td><td align='right'>55950</td><td
align='right'>1500000101</td><td>14-09-
2019</td><td>SUPARDI</td><td>SUPARDI</td><td>KARYAWAN
align='right'>0601403502</td><td>14-09-
2019</td><td>SUTI'AH</td><td>HARSONO</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>PEGAL-PEGAL DAN MUAL</td><td
2019</td><td>TAWINI</td><td>TAWINI</td><td>PERDAGANGAN</td><td>6/2</td><td></td><td
>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>SUWARTI
unspecified</td><td></td><td>DEMAM, BATUK, PILEK</td><td
2019</td><td>TOMI ADI SUWITO</td><td>TOMI ADI SUWITO</td><td>KARYAWAN
cold]</td><td></td><td>panas, batuk, pilek</td><td align='right'>55991</td><td
align='right'>1800028603</td><td>14-09-2019</td><td>TSALITSA FITRIN
M</td><td>SYAIFULLAH</td><td>PELAJAR/MAHASISWA</td><td>6/1</td><td>6/1</td><td>TLOG
OHARUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
2019</td><td>VANIA CANTIKA</td><td>DARIYONO</td><td>BELUM/TIDAK
BEKERJA</td><td>4/2</td><td></td><td>JETAK</td><td>PKD JETAK</td><td>dr. NANCY
2019</td><td>VERLIN LOIS</td><td>WAHYONO.S</td><td>BELUM/TIDAK
align='right'>1800020402</td><td>14-09-2019</td><td>WARSIYANI</td><td>ALI
RIDWAN</td><td>KARYAWAN
SWASTA</td><td>5/1</td><td></td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr.
Th</td></tr><tr><td align='right'>H52.0</td><td>Hypermetropia</td><td></td><td>MATA
KABUR</td><td align='right'>55946</td><td align='right'>0900037102</td><td>14-09-
2019</td><td>YARMISIH</td><td>SUMADI</td><td>MENGURUS RUMAH
align='right'>L70.0</td><td>Acne vulgaris</td><td></td><td>GATAL-GATAL</td><td
2019</td><td>YATMIATI</td><td>SURONO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>YENNI KURNIATI</td><td>EDY SANTOSA</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>H81.4</td><td>Verti of central
origin</td><td></td><td>PUSING</td><td align='right'>55928</td><td
align='right'>1900002502</td><td>14-09-
2019</td><td>YUMIATUN</td><td>SURADI</td><td>MENGURUS RUMAH
TANGGA</td><td>1/3</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS INDUK</td><td>Dr.
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td></td><td
2019</td><td>ZUKHAL LAILA ALI</td><td>M ALI
SUBCHAN</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>SIDOHARJO</td><td
>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>SUWARTI SURYANINGTIYAS,
disorders</td><td></td><td>kontrol</td><td align='right'>56063</td><td
align='right'>0800046902</td><td>16-09-2019</td><td>AANG AGUS
C</td><td>SUMIRAH</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>L</td><td>20-44
Th</td></tr><tr><td align='right'>K05</td><td>Gingivitis and periodontal
diseases</td><td></td><td>GIGI DEPAN BENGKAK</td><td align='right'>56045</td><td
align='right'>2000017704</td><td>16-09-2019</td><td>ACHMAD AZZAM
HAIKAL</td><td>MULYONO</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
3/1</td><td></td><td>TRANGKIL</td><td>PUSKESMAS INDUK</td><td>Suharti</td><td> -
</td><td>L</td><td>1-4
Gigi</td><td></td><td></td><td>Luar
align='right'>1700012103</td><td>16-09-2019</td><td>AHNA FRADANA RAJASWARA
J</td><td>AGUS JUWARTO</td><td>BELUM/TIDAK
unspecified</td><td></td><td>panas 3hari,batuk pilek</td><td
2019</td><td>AQILLA THALITA SEPTIANA</td><td>SUSANTO</td><td>MENGURUS RUMAH
INDUK</td><td>dr. NANCY INDRIARTI</td><td>KHURNIATI</td><td>P</td><td><1
align='right'>0601606202</td><td>16-09-
align='right'>L08.0</td><td>Pyoderma</td><td></td><td>telapak kaki kiri
terluka</td><td align='right'>56062</td><td align='right'>2300004004</td><td>16-09-
2019</td><td>ATIKAH RAHMAH</td><td>ALI
MASHURI</td><td>PELAJAR/MAHASISWA</td><td>GROBOGAN</td><td></td><td>LUAR KOTA
PATI</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI
WINARMI, S.kep</td><td>P</td><td>15-19
unspecified</td><td></td><td>DEMAM</td><td align='right'>57205</td><td
align='right'>0900029003</td><td>16-09-2019</td><td>AULIYAN
ROHMAN</td><td>AMIN</td><td>BELUM/TIDAK
NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG SISWATI</td><td>P</td><td>1-4
2019</td><td>DARIM</td><td>DARIM</td><td>BELUM/TIDAK
align='right'>0900011401</td><td>16-09-
2019</td><td>DARMINAH</td><td>DARMINAH</td><td>MENGURUS
RUMAH TANGGA</td><td>3/3</td><td>3/3</td><td>NGURENREJO</td><td>PKD
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan nyeri</td><td
2019</td><td>DARMINI</td><td>KASMIRAN</td><td>MENGURUS RUMAH
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI,
align='right'>0900011601</td><td>16-09-
2019</td><td>DARSINI</td><td>DARSINI</td><td>MENGURUS RUMAH
examination</td><td></td><td>konsultasi</td><td align='right'>56016</td><td
align='right'>1400006202</td><td>16-09-
ISNAWATI</td><td>SUKADI</td><td>PELAJAR/MAHASISWA</td><td>6/2</td><td>6/2</td><td>B
align='right'>0601102603</td><td>16-09-2019</td><td>ELISA YUNIANTIKA
SARI</td><td>NANANG</td><td>PELAJAR/MAHASISWA</td><td>1/1</td><td>1/1</td><td>BANGS
unspecified</td><td></td><td>radang tadi malam,panas</td><td
2019</td><td>FALUKY OKTA
NUGRAHA</td><td>MASLURI</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td></td><td>SIDO
HARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI
align='right'>R06.0</td><td>Dyspnoea</td><td></td><td>SESAK NAFAS</td><td
2019</td><td>HADI WINARNO</td><td>HADI
KHOMSAH</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>0700016101</td><td>16-09-
2019</td><td>HARSO</td><td>HARSO</td><td>PEGAWAI NEGERI
SIPIL</td><td>1/2</td><td>1/2</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>1700010002</td><td>16-09-2019</td><td>IKA
ARIYANTI</td><td>SUNARWI</td><td>MENGURUS RUMAH
Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>20-44
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td>sakit
gigi</td><td align='right'>56021</td><td align='right'>1400034302</td><td>16-09-
2019</td><td>IKA YULIANA</td><td>SHOFI'I</td><td>KARYAWAN
INDUK</td><td>dr. NANCY INDRIARTI</td><td>KHURNIATI</td><td>P</td><td>20-44
td>36</td><td>22</td><td>152</td><td>48</td><td>O+</td></tr><tr><td
unspecified</td><td></td><td>digigit lebah</td><td align='right'>56053</td><td
align='right'>2000017903</td><td>16-09-2019</td><td>INNA DYAH
ASTUTI</td><td>SUMANTO</td><td>PELAJAR/MAHASISWA</td><td>TRANGKIL</td><td></td><td>
TRANGKIL</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI
align='right'>M79</td><td>Other soft tissue disorders, not elsewhere
classified</td><td></td><td>tangan kiri agak teremor</td><td
2019</td><td>JASMANI</td><td>JASMANI</td><td>SOPIR</td><td>1/2</td><td></td><td>TLO
GOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI
Th</td></tr><tr><td align='right'>M15</td><td>Polyarthrosis</td><td></td><td>tangan
kesemutan</td><td align='right'>56054</td><td align='right'>1400048402</td><td>16-
09-2019</td><td>JASMINAH</td><td>RAJI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>JUMIATI</td><td>NGADI</td><td>MENGURUS RUMAH
2019</td><td>JUMINI</td><td>JUMINI</td><td>MENGURUS RUMAH
36</td><td>23</td><td>145</td><td>47</td><td>O+</td></tr><tr><td
align='right'>0900002801</td><td>16-09-
2019</td><td>JUWATI</td><td>JUWATI</td><td>MENGURUS RUMAH
align='right'>M54.5</td><td>Low back pain</td><td></td><td>pinggang nyeri</td><td
2019</td><td>KAMBALI</td><td>AB KHAMID</td><td>KARYAWAN
2019</td><td>KAMINI</td><td>KAMINI</td><td>MENGURUS RUMAH
align='right'>0900002901</td><td>16-09-
align='right'>1500005104</td><td>16-09-2019</td><td>KHOIRUL
NIZAM</td><td>SUYIKNO</td><td>BELUM/TIDAK
unspecified</td><td></td><td>panas,diare 3x</td><td align='right'>55992</td><td
align='right'>1800022904</td><td>16-09-2019</td><td>KHUMAYRA DWI ADAFI</td><td>AGUS
WANTO</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>KHURNIATI</td><td>P</td><td><1
2019</td><td>KUWATI</td><td>KUWATI</td><td>MENGURUS RUMAH
align='right'>0602208102</td><td>16-09-
2019</td><td>LASMI</td><td>MUHADI</td><td>MENGURUS RUMAH
align='right'>0800058801</td><td>16-09-2019</td><td>LILIK HINDARYOKO</td><td>LILIK
HINDARYOKO</td><td>KARYAWAN
align='right'>0900003203</td><td>16-09-2019</td><td>MARCELIA SYAFA'
ARIYATUN</td><td>HARYONO</td><td>PELAJAR/MAHASISWA</td><td>6/2</td><td>6/2</td><td>
NGURENREJO</td><td>PKD NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG
SISWATI</td><td>P</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>H52.1</td><td>Myopia</td><td></td><td>mta kanan min 6</td><td
2019</td><td>MARLINDA ROSITA SARI</td><td>RADIXHA</td><td>MENGURUS RUMAH
align='right'>0601403301</td><td>16-09-
align='right'>0802206802</td><td>16-09-2019</td><td>MEGA DWI
SUSANTI</td><td>SUPRIYO</td><td>MENGURUS RUMAH
gatal,batuk</td><td align='right'>56012</td><td
align='right'>0800042404</td><td>16-09-2019</td><td>MIFTAHUL IBAD
RAMADHAN</td><td>MASLURI</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>KHURNIATI</td><td>L</td><td><1
align='right'>0900002501</td><td>16-09-
2019</td><td>MUHADI</td><td>MUHADI</td><td>BELUM/TIDAK
origin</td><td></td><td>diare cair</td><td align='right'>56031</td><td
align='right'>1500005003</td><td>16-09-2019</td><td>MUHAMMAD HAIKAL ADLI
MIQDAM</td><td>MOH
TAUFIQ</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>JATIMULYO</td><td>
PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI,
align='right'>1500005004</td><td>16-09-2019</td><td>MUHAMMAD SYAUQI AFFAN
FAQIHUDDIN</td><td>MOH TAUFIQ</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>KHURNIATI</td><td>L</td><td>1-4
align='right'>Z30.4</td><td>Surveillance of contraceptive drugs</td><td></td><td>kb
suntik</td><td align='right'>56011</td><td align='right'>0700017502</td><td>16-09-
2019</td><td>MUHASANAH</td><td>AHMAD
SADI</td><td></td><td>2/2</td><td>2/2</td><td>TLUWUK</td><td>PUSKESMAS
Th</td></tr><tr><td
2019</td><td>MUSLIKATUN</td><td>SUNAR</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>bahu tangan sakit</td><td
2019</td><td>MUYASAROH</td><td>KARSONO</td><td>MENGURUS RUMAH
Wilayah</td><td>'0001025011574</td><td>'331815417770191</td><td>90</td><td>60</td><
td>80</td><td>36</td><td>20</td><td>155</td><td>54</td><td>Tdk Th</td></tr><tr><td
region</td><td></td><td>kontrol luka ganti perban</td><td
2019</td><td>NAILA TRI</td><td>SUNARYO</td><td>BELUM/TIDAK
align='right'>H25</td><td>Senile cataract</td><td></td><td>KONTROL</td><td
2019</td><td>NARSIH</td><td>GIMAN</td><td>MENGURUS RUMAH
Umum</td><td></td><td>RSI PATI</td><td>Dalam
align='right'>1600001204</td><td>16-09-2019</td><td>NAYLA AZZAHRA
PUTRI</td><td>JAENAL ARIFIN</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>KHURNIATI</td><td>P</td><td>1-4
unspecified</td><td></td><td>batuk,pile,muntah</td><td align='right'>56038</td><td
align='right'>1400034103</td><td>16-09-2019</td><td>NAZWA
RATOMI</td><td>BUSTOMI</td><td>PELAJAR/MAHASISWA</td><td>2/3</td><td>2/3</td><td>PA
GERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI
align='right'>M79.1</td><td>Myalgia</td><td></td><td>kesemutan</td><td
2019</td><td>NGADI</td><td>NGADI</td><td>PETANI/PEKEBUN</td><td>4/2</td><td>4/2</td
><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>L</td><td>60-69
align='right'>L30.9</td><td>Dermatitis, unspecified</td><td></td><td>gatal</td><td
Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>L</td><td>>70
dermatitis</td><td></td><td>gatal</td><td align='right'>56049</td><td
align='right'>1500011602</td><td>16-09-
2019</td><td>NGASIRAH</td><td>SUNARTO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>tangan
kesemutan</td><td align='right'>56058</td><td align='right'>1700006602</td><td>16-
09-2019</td><td>NGATEMI</td><td>JUMADI</td><td>MENGURUS RUMAH
align='right'>K27</td><td>Peptic ulcer, site
align='right'>0800037102</td><td>16-09-
2019</td><td>NGATMI</td><td>SUTAR</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>baatuk,pilek 2 hari</td><td
align='right'>56014</td><td align='right'>0800045704</td><td>16-09-2019</td><td>NIA
QALESYA MAULIDA</td><td>WALUYO</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>KHURNIATI</td><td>P</td><td><1
align='right'>0600010702</td><td>16-09-2019</td><td>NINIK
INDRAWATI</td><td>YONIK</td><td>MENGURUS RUMAH
align='right'>0800058802</td><td>16-09-2019</td><td>NUR HASANAH</td><td>LILIK
HINDARYOKO</td><td>GURU</td><td>5/1</td><td>5/1</td><td>SIDOHARJO</td><td>PUSKESMAS
2019</td><td>NYAMI</td><td>KASTURI</td><td>MENGURUS RUMAH
align='right'>0900037803</td><td>16-09-
2019</td><td>OKMIYATI</td><td>NGADI</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4
/2</td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>20-44
unspecified</td><td></td><td>nyeri dada,batuk</td><td align='right'>56000</td><td
align='right'>0800058201</td><td>16-09-
2019</td><td>PAEMAN</td><td>PAEMAN</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>L</td><td>>70
Th</td></tr><tr><td
2019</td><td>PAERAH</td><td>PAERAH</td><td>BELUM/TIDAK
2019</td><td>PARSINI</td><td>PARSINI</td><td>MENGURUS RUMAH
NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG
SISWATI</td><td>P</td><td>55-59 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>0900037901</td><td>16-09-
2019</td><td>RAJI</td><td>RAJI</td><td>KARYAWAN
2019</td><td>RAKINI</td><td>RAKINI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>PUNGGUNG NYERI,PANASA,BATUKL</td><td
2019</td><td>RALIM</td><td>RALIM</td><td>PETANI/PEKEBUN</td><td>2/2</td><td>2/2</td
><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Th</td></tr><tr><td
2019</td><td>REBI</td><td>REBI</td><td>MENGURUS RUMAH
align='right'>L40</td><td>Psoriasis</td><td></td><td>GATAL DI LEHER</td><td
2019</td><td>RUKANAH</td><td>RUKANAH</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>RUKATI</td><td>RUKATI</td><td>MENGURUS RUMAH
2019</td><td>RUMINAH</td><td>RAHADI</td><td>MENGURUS RUMAH
TANGGA</td><td>2/3</td><td></td><td>NGURENREJO</td><td>PKD NGURENREJO</td><td>dr.
NANCY INDRIARTI</td><td>ENDANG SISWATI</td><td>P</td><td>>70
2019</td><td>SAMIRAH</td><td>SAMIRAH</td><td>MENGURUS RUMAH
align='right'>0600004001</td><td>16-09-
2019</td><td>SANUJI</td><td>SANUJI</td><td>PETANI/PEKEBUN</td><td>6/1</td><td>6/1</
NUR KHOMSAH</td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>K29.5</td><td>Chronic gastritis, unspecified</td><td></td><td>nyeri
perut</td><td align='right'>56017</td><td align='right'>1500011802</td><td>16-09-
2019</td><td>SARTI</td><td>KARMAN</td><td></td><td>2/2</td><td></td><td>JATIMULYO</
td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI,
align='right'>0903603301</td><td>16-09-
2019</td><td>SARTI</td><td>SARTI</td><td>MENGURUS RUMAH
2019</td><td>SATI</td><td>SATI</td><td>MENGURUS RUMAH
complications</td><td></td><td>pusing,dada gemeter</td><td
2019</td><td>SAWI</td><td>KASBI</td><td>MENGURUS RUMAH
Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>0900020101</td><td>16-09-
2019</td><td>SAWINI</td><td>SAWINI</td><td>MENGURUS RUMAH
align='right'>2000017802</td><td>16-09-2019</td><td>SITI AFIFAH</td><td>NUR
FADLI</td><td>MENGURUS RUMAH TANGGA</td><td>ASEMPAPAN
INDRIARTI</td><td>KHURNIATI</td><td>P</td><td>20-44
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan kanan kram</td><td
2019</td><td>SITI ASIYAH</td><td>JAENAL ARIFIN</td><td>MENGURUS RUMAH
TANGGA</td><td>3/1</td><td></td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>K30</td><td>Dyspepsia</td><td></td><td>LEHER NYERI,KAKU,PERUT
SENEB</td><td align='right'>55995</td><td align='right'>1500017301</td><td>16-09-
2019</td><td>SITI MASINI</td><td>SITI MASINI</td><td>BELUM/TIDAK
BEKERJA</td><td>3/1</td><td></td><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>2000016201</td><td>16-09-2019</td><td>SRI HARTINI</td><td>SRI
HARTINI</td><td>MENGURUS RUMAH TANGGA</td><td>KAJAR
Adawiyah</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>60-69
Umum</td><td></td><td>RS AS-SUYUTHIYYAH</td><td>Luar
kenceng</td><td align='right'>56036</td><td align='right'>0900037902</td><td>16-09-
2019</td><td>SRI HARTINI</td><td>RAJI</td><td>MENGURUS RUMAH
MULYATI</td><td>SUMARMO</td><td>MENGURUS RUMAH
align='right'>K05</td><td>Gingivitis and periodontal diseases</td><td></td><td>GIGI
NYERI</td><td align='right'>56040</td><td align='right'>2000001502</td><td>16-09-
2019</td><td>SRI MURDIYANTI</td><td>JOKO
RAHARJO</td><td>DOKTER</td><td>5/1</td><td></td><td>TRANGKIL</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>J45</td><td>Asthma</td><td></td><td>sesak</td><td
WAHYUNI</td><td>SRI WAHYUNI</td><td>MENGURUS RUMAH
WAHYUNI</td><td>SELAMET</td><td>WIRASWASTA</td><td>5/2</td><td>5/2</td><td>TLUWUK</
td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI,
align='right'>0601107601</td><td>16-09-
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>SENEB </td><td
2019</td><td>SUKANAN</td><td>SUKANAN</td><td>PETANI/PEKEBUN</td><td>3/1</td><td>3/1
</td><td>SIDOHARJO</td><td>PKD SIDOHARJO</td><td>dr. NANCY INDRIARTI</td><td>DJUM
ELIYA</td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>R51</td><td>Headache</td><td></td><td>pusing,pegel</td><td
align='right'>0800041302</td><td>16-09-
2019</td><td>SULASTRI</td><td>KAMTO</td><td>MENGURUS RUMAH
align='right'>0900027502</td><td>16-09-
2019</td><td>SULIPAH</td><td>SULIPAH</td><td>MENGURUS RUMAH
disorders</td><td></td><td>KONTROL </td><td align='right'>55997</td><td
align='right'>1500009902</td><td>16-09-
2019</td><td>SULISTIYANI</td><td>RIYANTO</td><td>KARYAWAN
Umum</td><td>Poli Jiwa</td><td>RSUD RAA SOEWONDO PATI</td><td>Dalam
origin</td><td></td><td>diare,</td><td align='right'>56039</td><td
align='right'>1400042802</td><td>16-09-
2019</td><td>SULISTYAWATI</td><td>SUSANTO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>SULIYAM</td><td>HARYANTO</td><td>MENGURUS RUMAH
align='right'>0903053902</td><td>16-09-
2019</td><td>SUMARTI</td><td>SURAHMAD</td><td>MENGURUS RUMAH
align='right'>K12</td><td>Stomatitis and related lesions</td><td></td><td>leher
macel</td><td align='right'>56061</td><td align='right'>1700006702</td><td>16-09-
2019</td><td>SUMINAH</td><td>SOWO</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>nggliyer,mual</td><td align='right'>56046</td><td
align='right'>0900022002</td><td>16-09-
2019</td><td>SUMIYATI</td><td>SUWARKO</td><td>MENGURUS RUMAH
align='right'>0601201602</td><td>16-09-
2019</td><td>SUNARTO</td><td>SUNARTO</td><td>PETANI/PEKEBUN</td><td>3/3</td><td>3/3
</td><td>NGURENREJO</td><td>PKD NGURENREJO</td><td>dr. NANCY
INDRIARTI</td><td>ENDANG SISWATI</td><td>L</td><td>45-54
align='right'>K63.2</td><td>Fistula of intestine</td><td></td><td>kontrol</td><td
2019</td><td>SUNDOYO</td><td>SUNDOYO</td><td>KARYAWAN
unspecified</td><td></td><td>4batuk,pusing</td><td align='right'>56001</td><td
align='right'>1700017102</td><td>16-09-
2019</td><td>SUPAMI</td><td>SUKARMAN</td><td>MENGURUS RUMAH
align='right'>R51</td><td>Headache</td><td></td><td>SESEK,PEGEL,PUSING</td><td
Th</td></tr><tr><td
2019</td><td>SUPARNI</td><td>SUKODO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>BATUK PILEK</td><td
2019</td><td>SUPARTI</td><td>SUPARTI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>mual,muntah</td><td align='right'>56028</td><td
align='right'>1600017102</td><td>16-09-
2019</td><td>SURENI</td><td>SUTANTO</td><td>MENGURUS RUMAH
Rabi'atul Adawiyah</td><td>KHURNIATI</td><td>P</td><td>20-44
align='right'>M79.1</td><td>Myalgia</td><td></td><td>kaki nyeri,mata bruwet</td><td
2019</td><td>SUTI</td><td>SUPAJI</td><td></td><td>4/3</td><td></td><td>SIDOHARJO</t
d><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>RATIH BUDI WINARMI,
align='right'>0600016601</td><td>16-09-
2019</td><td>SUTOWO</td><td>SUTOWO</td><td>PETANI/PEKEBUN</td><td>4/1</td><td>4/1</
NUR KHOMSAH</td><td>L</td><td>45-54 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>M79.1</td><td>Myalgia</td><td></td><td>kaki kanan kiri nyeri</td><td
2019</td><td>SUWADI</td><td>SUWADI</td><td>KARYAWAN SWASTA</td><td>REJOAGUNG
complications</td><td></td><td>gliyeng</td><td align='right'>55998</td><td
align='right'>0900007502</td><td>16-09-
2019</td><td>SUWARNI</td><td>SUNARTO</td><td>MENGURUS RUMAH
2019</td><td>SUWATI</td><td>KASMITO</td><td>MENGURUS RUMAH
align='right'>0601604402</td><td>16-09-
2019</td><td>SUYATI</td><td>JOKO WALUYO</td><td>KARYAWAN
SWASTA</td><td>2/1</td><td></td><td>NGURENREJO</td><td>PKD NGURENREJO</td><td>dr.
NANCY INDRIARTI</td><td>ENDANG SISWATI</td><td>P</td><td>20-44
align='right'>K92.1</td><td>Melaena</td><td></td><td>KONTROL</td><td
2019</td><td>TARJO SUTOYO</td><td>TARJO SUTOYO</td><td>KARYAWAN
Th</td></tr><tr><td align='right'>M54.5</td><td>Low back
pain</td><td></td><td>punggung nyeri</td><td align='right'>56034</td><td
align='right'>1800048701</td><td>16-09-2019</td><td>TONI FERIYANTO</td><td>TONI
FERIYANTO</td><td>KARYAWAN
align='right'>1800048602</td><td>16-09-2019</td><td>TRI
WIDIAYATI</td><td>SUGIHARNO</td><td>MENGURUS RUMAH
align='right'>O32.1</td><td>Maternal care for breech
presentation</td><td></td><td>g2 p 1 a0 hamil 39 mg dg letak sungsang</td><td
align='right'>56004</td><td align='right'>1500024502</td><td>16-09-2019</td><td>UMI
ROMLAH</td><td>SUYONO</td><td>MENGURUS RUMAH
align='right'>33</td><td>KIA</td><td></td><td>RS AS-SUYUTHIYYAH</td><td>Dalam
align='right'>0900013502</td><td>16-09-
2019</td><td>UTIK</td><td>TEGUH</td><td>PERDAGANGAN</td><td>8/3</td><td>8/3</td><td
>NGURENREJO</td><td>PKD NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG
SISWATI</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>K04.5</td><td>Chronic apical periodontitis</td><td></td><td>GIGI
NYERI</td><td align='right'>56052</td><td align='right'>1800005702</td><td>16-09-
2019</td><td>VITA ELITA NUR HIKMAH</td><td>MUH ASRORI</td><td>MENGURUS RUMAH
2019</td><td>WAGIMAH</td><td>WAGIMAH</td><td>BELUM/TIDAK
2019</td><td>WAGINI</td><td>WAGINI</td><td>MENGURUS RUMAH
align='right'>0903031502</td><td>16-09-2019</td><td>WARNI</td><td>-
</td><td>MENGURUS RUMAH
align='right'>F20</td><td>Schizophrenia</td><td></td><td>kadang bicara
sendiri</td><td align='right'>56055</td><td align='right'>0700012801</td><td>16-09-
2019</td><td>WARSONO</td><td>WARSONO</td><td>KARYAWAN
align='right'>F20</td><td>Schizophrenia</td><td></td><td>kontrol</td><td
2019</td><td>ABDUL QOHAR</td><td>LEGIMAH</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>20-44
unspecified</td><td></td><td>panas,pilek,batuk,</td><td align='right'>56067</td><td
align='right'>0600002503</td><td>17-09-2019</td><td>ADEEVA
HANUM</td><td>CIPTO</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>HENDRI MURGIYATI</td><td>L</td><td>1-4
align='right'>0700031101</td><td>17-09-2019</td><td>ADIB SUTARYADI</td><td>ADIB
SUTARYADI</td><td>GURU</td><td>5/2</td><td>5/2</td><td>TLUWUK</td><td>PUSKESMAS
2019</td><td>AHMAD ARKA WIRATAMA</td><td>AHMAD ZAENURI</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>HENDRI MURGIYATI</td><td>L</td><td><1
align='right'>0700025901</td><td>17-09-2019</td><td>ALI SUBHAN</td><td>ALI
SUBHAN</td><td>WIRASWASTA</td><td>1/1</td><td>1/1</td><td>TLUWUK</td><td>PUSKESMAS
align='right'>1800000204</td><td>17-09-2019</td><td>ALULA FARZANA
A</td><td>KASRIANTO</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>HENDRI MURGIYATI</td><td>P</td><td>1-4
2019</td><td>DASIYAH</td><td>BUDIONO</td><td>BELUM/TIDAK
align='right'>0700031301</td><td>17-09-2019</td><td>EKO SUPRIYADI</td><td>EKO
SUPRIYADI</td><td>KARYAWAN
align='right'>1500003902</td><td>17-09-2019</td><td>ERA LESTIYANI</td><td>NUR
ALWAN</td><td>MENGURUS RUMAH
d>36</td><td>22</td><td>150</td><td>68</td><td>Tdk
unspecified</td><td></td><td>gatal di badan</td><td align='right'>56115</td><td
align='right'>0800002803</td><td>17-09-2019</td><td>EVA NUR
OKSENADIA</td><td>RAMIN</td><td>PELAJAR/MAHASISWA</td><td>1/1</td><td>1/1</td><td>S
IDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
align='right'>56107</td><td align='right'>1400048502</td><td>17-09-2019</td><td>EVI
FITRI ASTUTI</td><td>HERMAWAN</td><td>MENGURUS RUMAH
origin</td><td></td><td>demam,batuk,perut sakit</td><td align='right'>56087</td><td
align='right'>1500025604</td><td>17-09-2019</td><td>FARIKHA AMMIYATUN
NAZAH</td><td>SUKAWI</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>JATI
MULYO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
2019</td><td>ISTIQOMAH</td><td>SUKARDI</td><td></td><td>1/1</td><td>1/1</td><td>KEP
OH</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
unspecified</td><td></td><td>batuk,pusing</td><td align='right'>56070</td><td
align='right'>2000018102</td><td>17-09-
2019</td><td>JUMIAH</td><td>NASIPAN</td><td>PETANI/PEKEBUN</td><td>ASEMPAPAN
Adawiyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>45-54
unspecified</td><td></td><td>pusing,batuk,tenggorokan sakit</td><td
2019</td><td>KOMSATUN</td><td>ASMURI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>nyeri perut</td><td align='right'>56108</td><td
align='right'>1600021402</td><td>17-09-2019</td><td>KRISTIN YULIANA</td><td>MOH ABI
ROZAQ</td><td>MENGURUS RUMAH
Umi Fitriyah</td><td>HENDRI MURGIYATI</td><td>P</td><td>20-44
align='right'>N39.0</td><td>Urinary tract infection, site not
specified</td><td></td><td>kencing terasa kuning</td><td
2019</td><td>KUWATI</td><td>JASWADI</td><td>MENGURUS RUMAH
pegel,tangan kesemutan</td><td align='right'>56066</td><td
align='right'>1700006302</td><td>17-09-
2019</td><td>MAINAH</td><td>SUKARDO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>K04.7</td><td>Periapical abscess without
sinus</td><td></td><td>abses</td><td align='right'>56075</td><td
align='right'>0600003201</td><td>17-09-
d>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
unspecified</td><td></td><td>meriang,pusing,batuk</td><td
JUWENI</td><td>NASIPAN</td><td>KARYAWAN SWASTA</td><td>ASEMPAPAN
2019</td><td>MUH AL HAM SYARIFUDDIN</td><td>SUMARDI</td><td>BELUM/TIDAK
Umi Fitriyah</td><td>HENDRI MURGIYATI</td><td>L</td><td>1-4
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td>batuk
1 mg,mual</td><td align='right'>56117</td><td align='right'>0700031202</td><td>17-
09-2019</td><td>MUNA REZA WIDYASTUTI</td><td>TEGUH SUNARTO</td><td>MENGURUS RUMAH
Umi Fitriyah</td><td>HENDRI MURGIYATI</td><td>P</td><td>20-44
align='right'>1400044101</td><td>17-09-
2019</td><td>NGARDI</td><td>NGARDI</td><td></td><td>5/3</td><td>5/3</td><td>PAGERHA
RJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
unspecified</td><td></td><td>batuk,pilek,dada sakit</td><td
2019</td><td>PARSINI</td><td>KARTONANO</td><td>MENGURUS RUMAH
align='right'>1400059701</td><td>17-09-
2019</td><td>SAMINO</td><td>SAMINO</td><td>PETANI/PEKEBUN</td><td>5/2</td><td></td>
<td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
align='right'>H82</td><td>Vertiginous syndromes in diseases classified
elsewhere</td><td></td><td>pusing,mual,nyeri uluhati</td><td
2019</td><td>SAMIRAH</td><td>SAMIRAH</td><td>MENGURUS RUMAH
align='right'>1900004102</td><td>17-09-
2019</td><td>SAYUTI</td><td>SUWAJI</td><td>MENGURUS RUMAH
align='right'>2300004102</td><td>17-09-2019</td><td>SEPTIANA</td><td>BAYU
SUKMO</td><td>MENGURUS RUMAH TANGGA</td><td>TANJUNG PAL 2,
KETAPANG</td><td></td><td>LUAR KOTA PATI</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>HENDRI MURGIYATI</td><td>P</td><td>20-44
align='right'>K30</td><td>Dyspepsia</td><td></td><td>sakit perut,mulas</td><td
2019</td><td>SHOLIKATUN</td><td>SUGIYANTO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk,badan gemeter</td><td
2019</td><td>SIAMAH</td><td>WAGIMUN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>pilek,batuk,punggung sakit</td><td
LASMINI</td><td>SRI LASMINI</td><td>MENGURUS RUMAH
presumed infectious origin</td><td></td><td>pusing,mencret,mual</td><td
WAHYUNINGSIH</td><td>DINO EKO
P</td><td></td><td>3/1</td><td>3/1</td><td>BANGSALREJO</td><td>PUSKESMAS
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi sakit</td><td
WIJAYANTI</td><td>HARYANTO</td><td></td><td>2/2</td><td>2/2</td><td>TLOGOHARUM</td>
<td>PUSKESMAS INDUK</td><td>Suharti</td><td> - </td><td>P</td><td>20-44
align='right'>O33.9</td><td>Maternal care for disproportion,
unspecified</td><td></td><td>pinggang pegel pegel</td><td
WULANDARI</td><td>KHABIB
RUDIYANTO</td><td></td><td>4/2</td><td>4/2</td><td>JATIMULYO</td><td>PUSKESMAS
unspecified</td><td></td><td>batuk,meriang</td><td align='right'>56084</td><td
align='right'>0700003401</td><td>17-09-
2019</td><td>SUGENG</td><td>SUGENG</td><td>WIRASWASTA</td><td>6/1</td><td>6/1</td><
td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
pain</td><td></td><td>punggung sakit</td><td align='right'>56104</td><td
align='right'>1700000902</td><td>17-09-
2019</td><td>SUGIATI</td><td>WARSITO</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>pegel linu,meriang,batuk</td><td
2019</td><td>SUKINAH</td><td>SUKINAH</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>meriang,batuk</td><td align='right'>56114</td><td
align='right'>1800049001</td><td>17-09-
2019</td><td>SUKONO</td><td>SUKONO</td><td>KARYAWAN
align='right'>0700030401</td><td>17-09-
2019</td><td>SUMARI</td><td>SUMARI</td><td>KARYAWAN
Rabi'atul Adawiyah</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>55-59
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>mata terasa perih</td><td
2019</td><td>SUPA'ATI</td><td>SUPARTO</td><td>MENGURUS RUMAH
align='right'>0700007401</td><td>17-09-
2019</td><td>SUTADI</td><td>SUTADI</td><td>KARYAWAN
align='right'>0700031401</td><td>17-09-
2019</td><td>SUTAJI</td><td>SUTAJI</td><td>KARYAWAN
hypertension</td><td></td><td>konsultasi</td><td align='right'>56091</td><td
align='right'>14012038</td><td>17-09-
2019</td><td>SUTINI</td><td>JAEMAN</td><td></td><td>2/1</td><td>2/1</td><td>PAGERHA
RJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan kanan terasa
2019</td><td>SUTINI</td><td>PAEMAN</td><td>KARYAWAN
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>kaki
kesemuatan,pegel linu</td><td align='right'>56120</td><td
align='right'>0900038001</td><td>17-09-
2019</td><td>SUWARDI</td><td>SUWARDI</td><td>PETANI/PEKEBUN</td><td>4/2</td><td>4/2
</td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
unspecified</td><td></td><td>lutut nyeri</td><td align='right'>56109</td><td
align='right'>0900022001</td><td>17-09-
2019</td><td>SUWARKO</td><td>SUWARKO</td><td>PETANI/PEKEBUN</td><td>4/2</td><td>4/2
Th</td></tr><tr><td
2019</td><td>SUWARNI</td><td>HARYONO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan
kanan sakit</td><td align='right'>56097</td><td
align='right'>1700005301</td><td>17-09-
2019</td><td>SUWARSI</td><td>SUWARSI</td><td>MENGURUS RUMAH
align='right'>0700021702</td><td>17-09-
2019</td><td>SUWITIN</td><td>SUNARDI</td><td>MENGURUS RUMAH
align='right'>0900022602</td><td>17-09-
2019</td><td>TARMINI</td><td>JASFADI</td><td>MENGURUS RUMAH
><td>80</td><td>3
unspecified</td><td></td><td>pusing,batuk,pilek,meriang</td><td
align='right'>56116</td><td align='right'>1400033603</td><td>17-09-2019</td><td>VIA
ALFIYATUS
S</td><td>ZANURI</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4/2</td><td>PAGERHAR
JO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Nurma
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>badan
terasa capek,nyeri tenmgkuk</td><td align='right'>56096</td><td
align='right'>0900009202</td><td>17-09-
2019</td><td>WAGINI</td><td>RADIMAN</td><td></td><td>3/3</td><td>3/3</td><td>NGUREN
REJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
Th</td></tr><tr><td
Th</td></tr><tr><td
2019</td><td>YARMISIH</td><td>SUMADI</td><td>MENGURUS RUMAH
align='right'>0800059004</td><td>17-09-2019</td><td>YASMIN ALMEIKA
RAMADHANI</td><td>SUPA'AT</td><td>BELUM/TIDAK
align='right'>0800038004</td><td>17-09-2019</td><td>YONAF NUR RISKI</td><td>AGUS
SUWITO</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>HENDRI MURGIYATI</td><td>L</td><td>1-4
disease</td><td></td><td>INGIN IMUNISASI</td><td align='right'>56155</td><td
align='right'>1700015403</td><td>18-09-2019</td><td>ADYTAMA NARENDRA
DIBTA</td><td>HERU MUTAMASIKIN</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>HENI SUTRININGSIH</td><td>L</td><td><1
td>37</td><td>30</td><td>60</td><td>7.8</td><td>Tdk Th</td></tr><tr><td
align='right'>F20</td><td>Schizophrenia</td><td></td><td></td><td
2019</td><td>AGUS
SUPRIYADI</td><td>SARMIJAN</td><td>PELAJAR/MAHASISWA</td><td>5/2</td><td>5/2</td><t
d>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
unspecified</td><td></td><td>badan terasa dingin , meriang </td><td
2019</td><td>AHMAD TOHARI</td><td>AHMAD
TOHARI</td><td>PERDAGANGAN</td><td>3/2</td><td>3/2</td><td>JETAK</td><td>PUSKESMAS
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>GIGI SAKIT</td><td
2019</td><td>AHMAD ZAFRAN
A</td><td>MUJIONO</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4/2</td><td>JETAK</
td><td>PUSKESMAS INDUK</td><td>Suharti</td><td> - </td><td>L</td><td>1-4
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>kalau
jalan kaki sakit, badan gemetar </td><td align='right'>56139</td><td
align='right'>1600006901</td><td>18-09-2019</td><td>ALI AHMADI</td><td>ALI
AHMADI</td><td>KARYAWAN
Rabi'atul Adawiyah</td><td>Nurma Mulyani</td><td>L</td><td>60-69
align='right'>G44</td><td>Other headache syndromes</td><td></td><td>pusing</td><td
2019</td><td>ANDIKA MAHARANI</td><td>SURATNO</td><td>BELUM/TIDAK
align='right'>0800048405</td><td>18-09-2019</td><td>ANGGA ARDI NOR
ROHMAN</td><td>SUDI</td><td>BELUM/TIDAK
region</td><td></td><td>kontrol luka jahitan di kaki kiri</td><td
2019</td><td>ANIS WIDODO</td><td>ANIS WIDODO</td><td>KARYAWAN
NANCY INDRIARTI</td><td>Maya lusiana maulini</td><td>L</td><td>20-44
align='right'>0700007503</td><td>18-09-2019</td><td>APRILIO JAKA
PRATAMA</td><td>MOH RIDWAN</td><td>BELUM/TIDAK
2/5'MARGOYOSO</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
disease</td><td></td><td>imuisasi ipv</td><td align='right'>56135</td><td
align='right'>0600022305</td><td>18-09-2019</td><td>AULIA ULJANATIN
NAIMAH</td><td>PRIYANTO</td><td>BELUM/TIDAK
INDUK</td><td>Dr. Umi Fitriyah</td><td>Puji riyanti</td><td>P</td><td>1-4
region</td><td></td><td>dengkul kaki kiri terkena pecahan kaca</td><td
2019</td><td>AUNUR
ROFIKAH</td><td>KARSONO</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>T
LOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Arif prasetyo
utomo</td><td>P</td><td>10-14
align='right'>1800049403</td><td>18-09-2019</td><td>AZRIL MAULANA RIZKI</td><td>DWI
KISSWANTO</td><td>BELUM/TIDAK
unspecified</td><td></td><td>pusing, batuk, tenggorokan sakit</td><td
2019</td><td>DANDUNG
SETYAWAN</td><td>KARNADI</td><td>PELAJAR/MAHASISWA</td><td>3/3</td><td>3/3</td><td>
NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
align='right'>G44</td><td>Other headache syndromes</td><td></td><td>badan gemeter,
pusing, dada sakit</td><td align='right'>56124</td><td
align='right'>1500015202</td><td>18-09-
2019</td><td>DARMINAH</td><td>BASIMAN</td><td>MENGURUS RUMAH
2019</td><td>ELVINA ALETA QUENBY</td><td>ISMAIL</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>PUJI RAHAYU</td><td>P</td><td><1
d>90</td><td>36</td><td>30</td><td>80</td><td>6</td><td></td></tr><tr><td
align='right'>K30</td><td>Dyspepsia</td><td></td><td>gigi sakit, tenggorokan,
pusing, nyeri uluhati</td><td align='right'>56181</td><td
align='right'>1400059302</td><td>18-09-2019</td><td>ENDANG SRIYATI</td><td>AHMAD
SIDIK</td><td>MENGURUS RUMAH
cold]</td><td></td><td>batuk dan pilek</td><td align='right'>56192</td><td
align='right'>1800041704</td><td>18-09-2019</td><td>FADHIL IKMAL
FAHRAZZAN</td><td>DYAS
PRASETYO</td><td>PELAJAR/MAHASISWA</td><td>9/2</td><td>9/2</td><td>TLOGOHARUM</td><
td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Maya lusiana
maulini</td><td>L</td><td>5-9 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS NON
unspecified</td><td></td><td>batuk, pilek, gatal2</td><td
2019</td><td>FADILAH
DEVIANTI</td><td>SUMARDI</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td>3/2</td><td>
JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
contraception</td><td></td><td>konsultasi kb</td><td align='right'>56130</td><td
align='right'>1800006502</td><td>18-09-
2019</td><td>GAIMAH</td><td>WAGIMAN</td><td>MENGURUS RUMAH
Umi Fitriyah</td><td>ENDANG SISWATI</td><td>P</td><td>45-54
align='right'>K29.6</td><td>Other gastritis</td><td></td><td>muntah 3x,perut
sakit,kembung</td><td align='right'>56194</td><td
align='right'>0700031503</td><td>18-09-2019</td><td>HABIB
R</td><td>PURNOMO</td><td>PELAJAR/MAHASISWA</td><td>6/1</td><td>6/1</td><td>TLUWUK<
/td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Maya lusiana
maulini</td><td>L</td><td>5-9
upper respiratory infection, unspecified</td><td></td><td>batuk,
pilek, </td><td align='right'>56175</td><td align='right'>1900017202</td><td>18-
09-2019</td><td>HALIMAH</td><td>RUDI
SANTOSA</td><td>PELAJAR/MAHASISWA</td><td>8/4</td><td></td><td>WEDARIJAKSA</td><td>
PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
align='right'>1500023004</td><td>18-09-2019</td><td>ILHAM MAULANA YUSUF</td><td>NUR
SANTOSO</td><td>BELUM/TIDAK
unspecified</td><td></td><td>TAK</td><td align='right'>56164</td><td
align='right'>1400007502</td><td>18-09-
2019</td><td>JUMIARTI</td><td>SAFI'I</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>sakit
pinggang, sakit kaki</td><td align='right'>56163</td><td
align='right'>2000006502</td><td>18-09-
2019</td><td>JUMISEH</td><td>SUCIPTO</td><td>MENGURUS RUMAH TANGGA</td><td>KAJAR
align='right'>J44.1</td><td>Chronic obstructive pulmonary disease with acute
exacerbation, unspecified</td><td></td><td>dada sesak, badan gemetar, batuk
td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
Th</td></tr><tr><td align='right'>S82</td><td>Fracture of lower leg, including
ankle</td><td></td><td></td><td align='right'>56153</td><td
align='right'>0800058601</td><td>18-09-
Umum</td><td>Poli Ortopedi</td><td>RSUD RAA SOEWONDO PATI</td><td>Dalam
disease</td><td></td><td>imuisasi</td><td align='right'>56152</td><td
align='right'>2200007003</td><td>18-09-2019</td><td>KANABI HAFIYYA</td><td>FATHUL
ARIFIN</td><td>BELUM/TIDAK BEKERJA</td><td>TANJUNGSARI 2/6,
TLOGOWUNGU</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>HENI SUTRININGSIH</td><td>L</td><td><1
align='right'>G90.0</td><td>Idiopathic peripheral autonomic
neuropathy</td><td></td><td>kaki kesemutan, lutut sakit</td><td
2019</td><td>KARDINAH</td><td>KARDINAH</td><td>MENGURUS RUMAH
TANGGA</td><td>NGURENSITI 7/3</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS
align='right'>K30</td><td>Dyspepsia</td><td></td><td>pusing, perut mual</td><td
2019</td><td>KARMINI</td><td>SUKARMAN</td><td>MENGURUS RUMAH
of persons without complaint and reported diagnosis</td><td></td><td>-</td><td
2019</td><td>KAYLA NADHIFA A</td><td>MULYONO</td><td>BELUM/TIDAK
align='right'>0800011503</td><td>18-09-2019</td><td>KEANA NURI
MALIKHATIN</td><td>SUTIYONO</td><td>BELUM/TIDAK
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td>gatel
pada tangan dan kaki</td><td align='right'>56189</td><td
align='right'>0800042101</td><td>18-09-
2019</td><td>KENI</td><td>KENI</td><td>MENGURUS RUMAH
Rabi'atul Adawiyah</td><td>Arif prasetyo utomo</td><td>P</td><td>60-69
2019</td><td>KENZO DILAN AJI SAPUTRO</td><td>ANDI WAHYUDI</td><td>BELUM/TIDAK
disease</td><td></td><td>imuNISASI</td><td align='right'>56151</td><td
align='right'>1400060003</td><td>18-09-2019</td><td>KHILDA RAHMA
AZKIYA</td><td>MASHUDI</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI SUTRININGSIH</td><td>P</td><td><1
align='right'>L20.8</td><td>Other atopic dermatitis</td><td></td><td>gatal</td><td
2019</td><td>LISSA'ATUN</td><td>M.SUAEB</td><td>MENGURUS RUMAH
cold]</td><td></td><td>batuk</td><td align='right'>56873</td><td
align='right'>1600007205</td><td>18-09-2019</td><td>M KHOIRUL
UMAM</td><td>SUMADI</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td>3/2</td><td>JETAK
</td><td>PKD JETAK</td><td>dr. NANCY
align='right'>K29.6</td><td>Other gastritis</td><td></td><td>muntah 1x,perut
2019</td><td>MOH ANNAQIYUL A'LA</td><td>MOH MIFTAHUL HUDA</td><td>BELUM/TIDAK
BEKERJA</td><td>6/5</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Aliyatul Fitriyah</td><td>L</td><td>1-
cold]</td><td></td><td>batuk, pilek</td><td align='right'>56133</td><td
align='right'>0900003204</td><td>18-09-2019</td><td>NABILAH AZAHWA
MAULIDA</td><td>HARYONO</td><td>BELUM/TIDAK
><td>80</td><td>37</td><td>28</td><td>60</td><td>9.5</td><td></td></tr><tr><td
align='right'>1400010204</td><td>18-09-2019</td><td>NAFIZA
MUFARRIKHAH</td><td>IDRIS</td><td>BELUM/TIDAK
align='right'>1800049304</td><td>18-09-2019</td><td>NAILY DWI
ARYANTI</td><td>ISMAIL</td><td>BELUM/TIDAK
cold]</td><td></td><td>pipis jarang</td><td align='right'>56138</td><td
align='right'>1400014203</td><td>18-09-2019</td><td>NAUFAL ABID
PRATAMA</td><td>DIAN ADITIYA P</td><td>BELUM/TIDAK
unspecified</td><td></td><td>panas, batuk, pilek</td><td
2019</td><td>NISA BELA SETYARINI</td><td>SURATNO</td><td>BELUM/TIDAK
Th</td></tr><tr><td align='right'>K30</td><td>Dyspepsia</td><td></td><td>nyeri
perut </td><td align='right'>56183</td><td align='right'>0900038403</td><td>18-09-
2019</td><td>NOVANTINO A</td><td>JONI
HERMANTO</td><td></td><td>6/1</td><td>6/1</td><td>NGURENREJO</td><td>PUSKESMAS
cold]</td><td></td><td>Batuk pilek panas</td><td align='right'>56128</td><td
align='right'>0900000505</td><td>18-09-2019</td><td>NUR WAFI
ARROFI</td><td>SLAMET</td><td>BELUM/TIDAK
BEKERJA</td><td>7/3</td><td></td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr.
td>37</td><td>28</td><td>70</td><td>8.9</td><td>Tdk Th</td></tr><tr><td
align='right'>G44</td><td>Other headache syndromes</td><td></td><td>badan sakit,
pusing, badan gemeter, susah tidur</td><td align='right'>56129</td><td
align='right'>1400059802</td><td>18-09-
2019</td><td>PUSARWATI</td><td>SUDADI</td><td>MENGURUS RUMAH
align='right'>F25</td><td>Schizoaffective disorders</td><td></td><td></td><td
2019</td><td>RASMAN</td><td>RASMAN</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma Mulyani</td><td>L</td><td>>70
unspecified</td><td></td><td>gigi sakit, batuk pilek , poanas 2 hari</td><td
2019</td><td>RISCHA NOOR VIANA</td><td>MUJIONO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk
2 minggu, dahak ada darahnya, mata kedutan </td><td align='right'>56140</td><td
align='right'>0900031802</td><td>18-09-
2019</td><td>RUMINI</td><td>SUPADI</td><td>MENGURUS RUMAH
align='right'>1800049103</td><td>18-09-2019</td><td>SAKA ARTANABIL AL
FARIQ</td><td>SELAMET RIYADI</td><td>BELUM/TIDAK
cold]</td><td></td><td>meriang,batuk dan pilek,muntah 1x</td><td
2019</td><td>SANDY</td><td>UDIN</td><td>PELAJAR/MAHASISWA</td><td>9/2</td><td>9/2</
td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>Muawaroh</td><td>L</td><td>15-19
2019</td><td>SARI</td><td>SARI</td><td></td><td>3/2</td><td>3/2</td><td>TLOGOHARUM<
/td><td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
align='right'>G90.0</td><td>Idiopathic peripheral autonomic
neuropathy</td><td></td><td></td><td align='right'>56172</td><td
align='right'>1500016701</td><td>18-09-
2019</td><td>SAWITRI</td><td>SAWITRI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk, pilek</td><td align='right'>56179</td><td
ALFIAH</td><td>SUKARMAN</td><td>PELAJAR/MAHASISWA</td><td>1/2</td><td>1/2</td><td>T
LOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
Th</td></tr><tr><td align='right'>Z34</td><td>Supervision of normal
pregnancy</td><td></td><td>HAMIL</td><td align='right'>56154</td><td
ZUBAIDAH</td><td>SUSANTO</td><td>MENGURUS RUMAH
align='right'>O24</td><td>Diabetes mellitus in pregnancy</td><td></td><td></td><td
FAJAR LESTARI</td><td>SUMARLAN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>G93.6</td><td>Cerebral
oedema</td><td></td><td></td><td align='right'>56166</td><td
SUKATI</td><td>KARYADI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk, pilek, pusing, gatal </td><td
2019</td><td>SUGIYATI</td><td>SUMARDI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>I50.9</td><td>Heart failure,
align='right'>1800004901</td><td>18-09-
2019</td><td>SUKARMAN</td><td>SUKARMAN</td><td>KARYAWAN
colitis, unspecified</td><td></td><td>diare lebih dari 10 kali</td><td
2019</td><td>SUKARNI</td><td>SLAMET</td><td>MENGURUS RUMAH
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Maya lusiana
maulini</td><td>P</td><td>20-44
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>mata terasa ganjel,
berair
2019</td><td>SUMARNI</td><td>KHAMDUN</td><td>MENGURUS RUMAH
TANGGA</td><td>5/2</td><td></td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr.
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td></td><td
2019</td><td>SUMARNI</td><td>SUNARDI</td><td>MENGURUS RUMAH
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>tidak
bisa tidur,gemeter,pegal-pegal</td><td align='right'>56195</td><td
align='right'>0600022401</td><td>18-09-
2019</td><td>SUMIRAH</td><td>SUMIRAH</td><td>MENGURUS RUMAH
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Yunia aldo nanda
p</td><td>P</td><td>60-69
2</td><td>158</td><td>58</td><td></td></tr><tr><td align='right'>L20</td><td>Atopic
dermatitis</td><td></td><td>gatal2</td><td align='right'>56149</td><td
align='right'>1500021901</td><td>18-09-
2019</td><td>SUPINAH</td><td>SUPINAH</td><td>MENGURUS RUMAH
pain</td><td></td><td>pinggang sakit
2019</td><td>SURATMI</td><td>KARNADI</td><td>MENGURUS RUMAH
cold]</td><td></td><td>BATUK </td><td align='right'>56934</td><td
align='right'>18023047</td><td>18-09-
2019</td><td>SURIPAH</td><td>SUTAJI</td><td></td><td>3/2</td><td>3/2</td><td>TLOGOH
ARUM</td><td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
align='right'>Z34</td><td>Supervision of normal
pregnancy</td><td></td><td>hamil</td><td align='right'>56131</td><td
align='right'>0600022202</td><td>18-09-
2019</td><td>SUSIANA</td><td>KARMANI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>D34</td><td>Benign neoplasm of thyroid
gland</td><td></td><td>konsultasi</td><td align='right'>56132</td><td
align='right'>2000003602</td><td>18-09-
2019</td><td>SUTARMINAH</td><td>DANURI</td><td>MENGURUS RUMAH
region</td><td></td><td>dahi lecet</td><td align='right'>56137</td><td
align='right'>1400059902</td><td>18-09-
2019</td><td>SUTIANI</td><td>SURAHMAT</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>badan pegel linu, perut
seneb</td><td align='right'>56145</td><td align='right'>0900015402</td><td>18-09-
2019</td><td>SUTIPAH</td><td>JARWI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>J03.9</td><td>Acute tonsillitis,
unspecified</td><td></td><td>tenggorokan sakit, meriang</td><td
2019</td><td>SUTISIH</td><td>SUGIARTO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>L73.0</td><td>Acne
keloid</td><td></td><td>benjolan bawah payudara dan gatal</td><td
2019</td><td>SUWARNI</td><td>NGASMIN</td><td>PETANI/PEKEBUN</td><td>2/1</td><td>2/1
</td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
dermatitis</td><td></td><td>gatal-gatal</td><td align='right'>56173</td><td
align='right'>1400014801</td><td>18-09-
2019</td><td>TARMIDI</td><td>TARMIDI</td><td>PETANI/PEKEBUN</td><td>3/2</td><td>3/2
</td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
align='right'>G44</td><td>Other headache syndromes</td><td></td><td></td><td
2019</td><td>TUTIK SETYASIH</td><td>SUHARIYADI</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>badan pegal</td><td
2019</td><td>YULI ASTUTI</td><td>SUTRISNO</td><td>MENGURUS RUMAH
align='right'>0900015302</td><td>18-09-2019</td><td>YUNI SETYANINGSIH</td><td>AJI
K</td><td>MENGURUS RUMAH
align='right'>P39.4</td><td>Neonatal skin infection</td><td></td><td>talipusat blm
kering</td><td align='right'>56147</td><td align='right'>1900010703</td><td>18-09-
2019</td><td>ZAKY AKBAR ABDILLAH</td><td>MOH JUMARI</td><td>BELUM/TIDAK
BEKERJA</td><td>NGURENSITI 7/3</td><td></td><td>WEDARIJAKSA</td><td>PUSKESMAS
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI SUTRININGSIH</td><td>L</td><td><1
</td><td>50</td><td>4.3</td><td></td></tr><tr><td
align='right'>B01</td><td>Varicella [chickenpox]</td><td></td><td>cacar air di
seluruh tubuh</td><td align='right'>56203</td><td
align='right'>0900005403</td><td>19-09-2019</td><td>AGUS
RIYANTO</td><td>SUKAR</td><td>PELAJAR/MAHASISWA</td><td>7/3</td><td>7/3</td><td>NGU
RENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
<td>88</td><td>36</td><td>24</td><td>160</td><td>37</td><td>Tdk
pain</td><td></td><td>NYERI KAKI</td><td align='right'>56226</td><td
align='right'>1500018601</td><td>19-09-2019</td><td>AHMAD SHOLEH</td><td>AHMAD
SHOLEH</td><td>WIRASWASTA</td><td>4/1</td><td>4/1</td><td>JATIMULYO</td><td>PUSKESM
AS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma Mulyani</td><td>L</td><td>20-
align='right'>0602202003</td><td>19-09-2019</td><td>ANIK PUJI
LESTARI</td><td>KARYONO</td><td>MENGURUS RUMAH
align='right'>S42.0</td><td>Fracture of clavicle</td><td></td><td>kontrol </td><td
2019</td><td>ARIF ABDUL
SOLEH</td><td>SUTIYONO</td><td>PELAJAR/MAHASISWA</td><td>5/2</td><td>5/2</td><td>PA
GERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
PATI</td><td>Dalam
unspecified</td><td></td><td>PILEK,MUAL,MUNTYAH</td><td align='right'>56241</td><td
align='right'>2200007203</td><td>19-09-2019</td><td>ARIKA LAILATUL
BAQI</td><td>TAHAN SARKAWI</td><td>PELAJAR/MAHASISWA</td><td>SENDANG SOKO 1/2,
JAKENAN</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td>sesak
napas,batuk,pilek</td><td align='right'>56232</td><td
align='right'>0700021102</td><td>19-09-2019</td><td>DWI INDAH SUSI
SUSANTI</td><td>WAHONO</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td></td><td>TLUWU
K</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>HENI
KURNIASIH</td><td>P</td><td>20-44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
Th</td></tr><tr><td align='right'>Z30.0</td><td>General counselling and advice on
align='right'>1600006302</td><td>19-09-2019</td><td>DWI RISKOWATI</td><td>SISWO
MULYONO</td><td>MENGURUS RUMAH
TANGGA</td><td>1/2</td><td>1/2</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>DWI
NURCHAYATI</td><td>HENI KURNIASIH</td><td>P</td><td>20-44
Th</td></tr><tr><td
2019</td><td>ERNAWATI</td><td>SUPRIYO</td><td>MENGURUS RUMAH
align='right'>0601400404</td><td>19-09-2019</td><td>FAHRUL ZAENAL
ABIDIN</td><td>CHOERI</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>BAN
align='right'>M15</td><td>Polyarthrosis</td><td></td><td>tangan kesemutan</td><td
Th</td></tr><tr><td align='right'>K00.6</td><td>Disturbances in tooth
eruption</td><td></td><td>GIGI SAKIT</td><td align='right'>56223</td><td
align='right'>0600022503</td><td>19-09-2019</td><td>JESSICA MAULYANA DWI
S</td><td>YULIWATI</td><td>PELAJAR/MAHASISWA</td><td>6/2</td><td>6/2</td><td>BANGSA
LREJO</td><td>PUSKESMAS INDUK</td><td>Suharti</td><td> - </td><td>P</td><td>5-9
origin</td><td></td><td>MUNTAH,DIARE</td><td align='right'>56235</td><td
align='right'>1900000502</td><td>19-09-
2019</td><td>JUMIATI</td><td>KASDIRAN</td><td>MENGURUS RUMAH
td>BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY INDRIARTI</td><td>SITI NUR
align='right'>H60</td><td>Otitis externa</td><td></td><td>telinga
sakit,gatal</td><td align='right'>56210</td><td
align='right'>1700018204</td><td>19-09-2019</td><td>KAKA BUDI
IRAWAN</td><td>NYOTO</td><td>BELUM/TIDAK
Thn.</td><td>Keluarga</td><td>Lama</td><td>Jamkesda</td><td></td><td
align='right'>K30</td><td>Dyspepsia</td><td></td><td>DADA SAKIT,SESAK NAFAS,PEGEL
td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
align='right'>0700009602</td><td>19-09-2019</td><td>KARMINAH</td><td>NUR
KAMID</td><td>MENGURUS RUMAH
Umi Fitriyah</td><td>HENI KURNIASIH</td><td>P</td><td>20-44
cold]</td><td></td><td>batuk, badan pegel</td><td align='right'>56996</td><td
align='right'>1802308102</td><td>19-09-
2019</td><td>KARSIH</td><td>ISMAIL</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>
TLOGOHARUM</td><td>PKD TLOGOHARUM</td><td>dr. NANCY INDRIARTI</td><td>Siti
Fatimah</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>0700028202</td><td>19-09-
2019</td><td>KASWATI</td><td>JAIDUN</td><td>KARYAWAN
align='right'>M79.1</td><td>Myalgia</td><td></td><td>jari" tangan kaku,pegel
inu</td><td align='right'>56212</td><td align='right'>1500015302</td><td>19-09-
2019</td><td>KOPSAH</td><td>SOLIKIN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>SESAK,BATUK,PUSING</td><td align='right'>56242</td><td
align='right'>2000010103</td><td>19-09-2019</td><td>MA'RUFAH</td><td>ERI
MUSLIKUN</td><td>WIRASWASTA</td><td>SAMBILAWANG
align='right'>0601403301</td><td>19-09-
hypertension</td><td></td><td>cek tensi</td><td align='right'>56998</td><td
align='right'>1801106801</td><td>19-09-
2019</td><td>MAUNAH</td><td>MAUNAH</td><td></td><td>TLOGOHARUM</td><td>1/1</td><td>
2019</td><td>MIRYATI</td><td>TARMIN</td><td>MENGURUS RUMAH
align='right'>K05.3</td><td>Chronic
periodontitis</td><td></td><td>GIGINYERI</td><td align='right'>56199</td><td
align='right'>1700016504</td><td>19-09-2019</td><td>MOH HABIB ASSANI</td><td>EDI
SUTRISNO</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>KEPOH</td><td>PU
SKESMAS INDUK</td><td>Suharti</td><td> - </td><td>L</td><td>15-19
Gigi</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Dalam
align='right'>0600016603</td><td>19-09-2019</td><td>MUHAMMAD AGUNG
SATRIO</td><td>SUTOWO</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>BAN
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>GIGI
LUBANG</td><td align='right'>56238</td><td align='right'>0600022601</td><td>19-09-
2019</td><td>MUHAMMAD SUHARJO</td><td>MUHAMMAD SUHARJO</td><td>MENGURUS RUMAH
INDUK</td><td>Suharti</td><td> - </td><td>L</td><td>20-44
unspecified</td><td></td><td>BATUK,PILEK,</td><td align='right'>56221</td><td
align='right'>1500016003</td><td>19-09-2019</td><td>MUHAMMAD TEGAR</td><td>AGUS
SAEROJI</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>JATIMULYO</td><td
>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
align='right'>0601401401</td><td>19-09-
2019</td><td>MUNARSIH</td><td>SARBINI</td><td>MENGURUS RUMAH
align='right'>23</td><td>BP.
align='right'>1800026904</td><td>19-09-2019</td><td>NADINE
RIZQIANNISA</td><td>MUKHLIS MAKSUM</td><td>BELUM/TIDAK
align='right'>K00.6</td><td>Disturbances in tooth eruption</td><td></td><td>GIGI
2019</td><td>NAVIKA ZAURA LEOVITA</td><td>MOH SYAIFUL
HUDA</td><td>PELAJAR/MAHASISWA</td><td>8/2</td><td>8/2</td><td>TLUWUK</td><td>PUSKE
SMAS INDUK</td><td>Suharti</td><td> - </td><td>P</td><td>5-9
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>cek
tensi</td><td align='right'>57008</td><td align='right'>1800045902</td><td>19-09-
2019</td><td>NGAMISIH</td><td>SUHADI</td><td></td><td>TLOGOHARUM
unspecified</td><td></td><td>badan pegel</td><td align='right'>56991</td><td
align='right'>1802300201</td><td>19-09-
2019</td><td>NGARINI</td><td>NGARINI</td><td></td><td>TLOGOHARUM</td><td>3/2</td><t
align='right'>J44.8</td><td>Other specified chronic obstructive pulmonary
disease</td><td></td><td>sesak nafas</td><td align='right'>56215</td><td
align='right'>1700024001</td><td>19-09-
2019</td><td>NGASIPIN</td><td>NGASIPIN</td><td>PETANI/PEKEBUN</td><td>4/2</td><td><
/td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
sinus</td><td></td><td>ABC</td><td align='right'>56217</td><td
align='right'>1500014602</td><td>19-09-
2019</td><td>NGATIWI</td><td>SAMUJI</td><td></td><td>2/1</td><td></td><td>JATIMULYO
</td><td>PUSKESMAS INDUK</td><td>Suharti</td><td> - </td><td>P</td><td>20-44
align='right'>1600008703</td><td>19-09-2019</td><td>NICO NAUFAL
ALFARIH</td><td>SUDADI</td><td>BELUM/TIDAK
align='right'>K02.1</td><td>Caries of dentine</td><td></td><td>GIGI SAKIT</td><td
HIDAYAH</td><td>SUTRISNO</td><td>MENGURUS RUMAH
TANGGA</td><td>2/1</td><td>2/1</td><td>KEPOH</td><td>PUSKESMAS
Gigi</td><td></td><td>RS AS-SUYUTHIYYAH</td><td>Dalam
LAYLIMAROH</td><td>NGATENO</td><td>PELAJAR/MAHASISWA</td><td>4/3</td><td>4/3</td><t
d>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Suharti</td><td> -
</td><td>P</td><td>5-9
align='right'>1800031901</td><td>19-09-
2019</td><td>NYAMI</td><td>NYAMI</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>TL
OGOHARUM</td><td>PKD TLOGOHARUM</td><td>dr. NANCY INDRIARTI</td><td>Siti
align='right'>L03</td><td>Cellulitis</td><td></td><td>KAKI NYERI,BENGKAK</td><td
2019</td><td>PARSINI</td><td>SUTOMO</td><td>MENGURUS RUMAH
align='right'>K29.6</td><td>Other gastritis</td><td></td><td>perut perih</td><td
2019</td><td>RAKINI</td><td>RAKINI</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>
align='right'>1802201101</td><td>19-09-
2019</td><td>RAMINAH</td><td>RAMINAH</td><td></td><td>TLOGOHARUM</td><td>2/2</td><t
align='right'>0602501302</td><td>19-09-
align='right'>43</td><td>BP.
2019</td><td>RINAYANTI</td><td>AHMAD HUSAIN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>gatal gatal ditangan</td><td
2019</td><td>RUBIAH</td><td>MUH SHOFI'I</td><td>MENGURUS RUMAH
origin</td><td></td><td>diare </td><td align='right'>56213</td><td
align='right'>1900006002</td><td>19-09-
2019</td><td>RUSMIYATI</td><td>SUNARYO</td><td>MENGURUS RUMAH
align='right'>N39.0</td><td>Urinary tract infection, site not
specified</td><td></td><td>NYERI BAK</td><td align='right'>56240</td><td
align='right'>0700013701</td><td>19-09-
2019</td><td>SARBI</td><td>SARBI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></td><t
d>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
hypertension</td><td></td><td>kepala pusing</td><td align='right'>57007</td><td
align='right'>1802309101</td><td>19-09-
2019</td><td>SARIAH</td><td>SARIAH</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>
align='right'>0900017002</td><td>19-09-
2019</td><td>SARINAH</td><td>JIMAN</td><td></td><td>2/1</td><td>2/1</td><td>NGURENR
EJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
align='right'>1802301201</td><td>19-09-
2019</td><td>SARINI</td><td>SARINI</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan kesemutan,pegel
2019</td><td>SARNI</td><td>WAGIMAN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
align='right'>R51</td><td>Headache</td><td></td><td>PILEK,PUSING</td><td
2019</td><td>SETYO WARNI</td><td>KARNADI</td><td>MENGURUS RUMAH
align='right'>0700031702</td><td>19-09-
2019</td><td>SHOLIHATI</td><td>HAMID</td><td>MENGURUS RUMAH
Fitriyah</td><td>HENI KURNIASIH</td><td>P</td><td>20-44
align='right'>N92.1</td><td>Excessive and frequent menstruation with irregular
cycle</td><td></td><td>mens tidak teratur</td><td align='right'>56233</td><td
ALFIAH</td><td>SUKARMAN</td><td>PELAJAR/MAHASISWA</td><td>1/2</td><td>1/2</td><td>T
LOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
Th</td></tr><tr><td align='right'>L50.9</td><td>Urticaria,
unspecified</td><td></td><td>gatal-gatal</td><td align='right'>56993</td><td
NURHAYATI</td><td>SUJUD</td><td>MENGURUS RUMAH
NINGSIH</td><td>SUNARSO</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan terasa kaku</td><td
SUNARTI</td><td>MUKHLIS MAKSUM</td><td>MENGURUS RUMAH
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>Nurma
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>seneb</td><td
2019</td><td>SUDARNI</td><td>SUDARNI</td><td>MENGURUS RUMAH
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>GIGI
LUBANG</td><td align='right'>56225</td><td align='right'>2100012202</td><td>19-09-
2019</td><td>SUGI HARUMI</td><td>BUDIANI</td><td>MENGURUS RUMAH
TANGGA</td><td>MARGOMULYO 5/2</td><td></td><td>JUWANA</td><td>PUSKESMAS
2019</td><td>SUGIYONO</td><td>SUNOTO</td><td>PELAJAR/MAHASISWA</td><td>6/1</td><td>
6/1</td><td>BANGSALREJO</td><td>PKD BANGSALREJO</td><td>dr. NANCY
align='right'>0601107601</td><td>19-09-
unspecified</td><td></td><td>badan pegel </td><td align='right'>57004</td><td
align='right'>1800028902</td><td>19-09-
2019</td><td>SUHARSI</td><td>SELAMET</td><td>MENGURUS RUMAH
TANGGA</td><td>TLOGOHARUM 5/I</td><td>5/1</td><td>TLOGOHARUM</td><td>PKD
align='right'>1800010202</td><td>19-09-
2019</td><td>SUKARTINI</td><td>SOFWAN</td><td>MENGURUS RUMAH
TANGGA</td><td>1/1</td><td></td><td>TLOGOHARUM</td><td>PKD TLOGOHARUM</td><td>dr.
NANCY INDRIARTI</td><td>Siti Fatimah</td><td>P</td><td>>70
align='right'>1801207101</td><td>19-09-
2019</td><td>SUKINAH</td><td>SUKINAH</td><td></td><td>TLOGOHARUM</td><td>2/1</td><t
2019</td><td>SUKINI</td><td>WARSIDI</td><td>MENGURUS RUMAH
align='right'>0700009002</td><td>19-09-
2019</td><td>SULASTRI</td><td>MULYADI</td><td>MENGURUS RUMAH
align='right'>0601301002</td><td>19-09-
2019</td><td>SUMARNI</td><td>LEGIMAN</td><td>MENGURUS RUMAH
align='right'>1802300102</td><td>19-09-2019</td><td>SUPAH</td><td>ABDUL
WAKHID</td><td></td><td>TLOGOHARUM</td><td>3/2</td><td>TLOGOHARUM</td><td>PKD
align='right'>K30</td><td>Dyspepsia</td><td></td><td>pegel linu,telapak kaki
gatal,perut senrb</td><td align='right'>56222</td><td
align='right'>2000011801</td><td>19-09-
2019</td><td>SUPARTI</td><td>SUPARTI</td><td>PERDAGANGAN</td><td>ASEMPAPAN
align='right'>0601405201</td><td>19-09-
2019</td><td>SURATMI</td><td>SURATMI</td><td>MENGURUS RUMAH
BANGSALREJO</td><td>dr. NANCY
INDRIARTI</td><td>SITI NUR KHOMSAH</td><td>P</td><td>60-69
unspecified</td><td></td><td>batuk,pilek,meriang,pusing,</td><td
2019</td><td>SURINAH</td><td>SUWAJI</td><td>MENGURUS RUMAH
align='right'>1802303901</td><td>19-09-
2019</td><td>SURIPAH</td><td>SURIPAH</td><td></td><td>TLOGOHARUM</td><td>3/2</td><t
Wilayah</td><td>'</td><td>'3318154107550449</td><td>160</td><td>100</td><td>80</td>
<td>36</td><td>22</td><td>140</td><td>31</td><td></td></tr><tr><td
align='right'>G47.0</td><td>Disorders of initiating and maintaining sleep
[insomnias]</td><td></td><td>sulit tidur</td><td align='right'>56220</td><td
align='right'>2000011303</td><td>19-09-
2019</td><td>SUTARMI</td><td>MUSTAJAB</td><td>MENGURUS RUMAH
align='right'>0601403502</td><td>19-09-
2019</td><td>SUTI'AH</td><td>HARSONO</td><td>MENGURUS RUMAH
unspecified complications</td><td></td><td>kontrol</td><td
2019</td><td>SUWARNI</td><td>LANDUNG</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
align='right'>K00.6</td><td>Disturbances in tooth eruption</td><td></td><td>GIGI
2019</td><td>SYAFANIA HAURA QOTHRUNNADA</td><td>ALI
CHOMSIN</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td>3/2</td><td>NGURENREJO</td><t
d>PUSKESMAS INDUK</td><td>Suharti</td><td> - </td><td>P</td><td>5-9
d>0.36</td><td>20</td><td>130</td><td>15</td><td>Tdk Th</td></tr><tr><td
align='right'>J03</td><td>Acute tonsillitis</td><td></td><td>NYERI TELINGA</td><td
2019</td><td>TALKIS</td><td>KARTINI</td><td>KARYAWAN
align='right'>1800031601</td><td>19-09-
2019</td><td>TASMI</td><td>TASMI</td><td></td><td>TLOGOHARUM</td><td>1/1</td><td>TL
align='right'>1802200201</td><td>19-09-
2019</td><td>TASNI</td><td>TASNI</td><td></td><td>TLOGOHARUM</td><td>2/2</td><td>TL
unspecified</td><td></td><td>batuk,pilek,pusing,meriang</td><td
2019</td><td>ZUMROTUS S</td><td>ADI MAFTUHI</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>SARIAWAN</td><td align='right'>56327</td><td
align='right'>1800010501</td><td>20-09-2019</td><td>ABDUL MUID</td><td>ABDUL
MUID</td><td>BELUM/TIDAK
hypertension</td><td></td><td></td><td align='right'>56294</td><td
align='right'>1400003601</td><td>20-09-2019</td><td>ACHMAD ROSIDI</td><td>ACHMAD
ROSIDI</td><td>PETANI/PEKEBUN</td><td>4/4</td><td></td><td>PAGERHARJO</td><td>PUSKE
SMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI, S.kep</td><td>L</td><td>>70
unspecified</td><td></td><td>bab
cair 3 x,anas,pilek</td><td align='right'>56255</td><td
align='right'>0600017404</td><td>20-09-2019</td><td>ADIB NUR RAHMAN
SYAHIR</td><td>SISWANTO</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>L</td><td><1
unspecified</td><td></td><td>batuk,pilek,mriang 3 hari</td><td
2019</td><td>AFIFA NAHDA</td><td>SETIYONO</td><td>BELUM/TIDAK
BEKERJA</td><td>4/2</td><td></td><td>MARGOMULYO</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>K30</td><td>Dyspepsia</td><td></td><td>MUNTAH, NYERI PERUT</td><td
2019</td><td>AFIKA NUR
A</td><td>SUKARDI</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>TLOGOHA
RUM</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH,
2019</td><td>AHMAD DANI HARDIYANTO</td><td>SOWO</td><td>KARYAWAN
SWASTA</td><td>BENDAR 2/1</td><td></td><td>JUWANA</td><td>PUSKESMAS
INDUK</td><td>Dr. Umi Fitriyah</td><td>HENI SUTRININGSIH</td><td>L</td><td>20-44
align='right'>0800046305</td><td>20-09-2019</td><td>ANINDITA QAIRREN
A</td><td>TURKANI</td><td>BELUM/TIDAK
align='right'>0900004903</td><td>20-09-2019</td><td>ANISA NURUL
KHUSNA</td><td>AHMAD
HIDAYAT</td><td>PELAJAR/MAHASISWA</td><td>3/3</td><td>3/3</td><td>NGURENREJO</td><t
d>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH,
unspecified</td><td></td><td>panas,batuk,pilek,gatal gatal</td><td
2019</td><td>ARGA REZA R</td><td>EDI WALUYO</td><td>BELUM/TIDAK
align='right'>R50.9</td><td>Fever, unspecified</td><td></td><td>PANAS 2 HARI,
TENGGOROKAN SAKIT</td><td align='right'>56293</td><td
align='right'>1500014504</td><td>20-09-2019</td><td>ARI KURNIAWAN</td><td>ABING
DARSONO</td><td>PELAJAR/MAHASISWA</td><td>3/1</td><td>3/1</td><td>JATIMULYO</td><td
>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH,
complications</td><td></td><td>sendi sendi pegel, tidak bisa tdur malam
hari</td><td align='right'>56313</td><td align='right'>1400003401</td><td>20-09-
2019</td><td>AYUMI</td><td>AYUMI</td><td>MENGURUS RUMAH
complications</td><td></td><td>pusing,pegel</td><td align='right'>56345</td><td
align='right'>0800042901</td><td>20-09-
align='right'>0900004902</td><td>20-09-2019</td><td>BUDI WATI</td><td>AHMAD
HIDAYAT</td><td>MENGURUS RUMAH
INDUK</td><td>Dr. Umi Fitriyah</td><td>HENI SUTRININGSIH</td><td>P</td><td>20-44
Th</td></tr><tr><td align='right'>G56.0</td><td>Carpal tunnel
syndrome</td><td></td><td>KESEMUTAN, NYERI PADA TANGAN</td><td
2019</td><td>DARTIK</td><td>SUDARI</td><td>KARYAWAN
Rabi'atul Adawiyah</td><td>JAZILAH, Amd</td><td>P</td><td>20-44
align='right'>N60.2</td><td>Fibroadenosis of
breast</td><td></td><td>KONTROL</td><td align='right'>56260</td><td
align='right'>0600013902</td><td>20-09-2019</td><td>DEWI ISNAWATI</td><td>IMAM
A</td><td>MENGURUS RUMAH
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH, Amd</td><td>P</td><td>20-44
hypertension</td><td></td><td>GATAL GATAL</td><td align='right'>56300</td><td
align='right'>1800010701</td><td>20-09-
2019</td><td>DURI</td><td>DURI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></td><td>
TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
PBI</td><td>Rajal</td><td align='right'>19</td><td
align='right'>2</td><td align='right'>75</td><td>BP.
complications</td><td></td><td>KAKI KAKU</td><td align='right'>56329</td><td
align='right'>1400004201</td><td>20-09-
2019</td><td>FATIMAH</td><td>FATIMAH</td><td>PETANI/PEKEBUN</td><td>2/1</td><td></t
alone</td><td></td><td>imunisasi calon pengantine</td><td
2019</td><td>FETY OCTAVIANI</td><td>ASPURI</td><td>KARYAWAN
Th</td></tr><tr><td align='right'>E14.9</td><td>Unspecified diabetes mellitus
without complications</td><td></td><td>KAKAI PANAS</td><td
2019</td><td>HARMISIH</td><td>JASWI</td><td>PERDAGANGAN</td><td>1/2</td><td></td><t
d>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
2019</td><td>HARNOTO</td><td>HARNOTO</td><td>PETANI/PEKEBUN</td><td>5/1</td><td></t
d><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>JAZILAH, Amd</td><td>L</td><td>20-44
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>TANGAN
KESEMUTAN DAN NYERI</td><td align='right'>56284</td><td
align='right'>0700013802</td><td>20-09-
2019</td><td>ISTAROH</td><td>DARIMIN</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>kontrol</td><td align='right'>56311</td><td
align='right'>0600004101</td><td>20-09-
2019</td><td>JASMIRAH</td><td>JASMIRAH</td><td>MENGURUS RUMAH
TANGGA</td><td>2/2</td><td></td><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>Dr.
align='right'>L50.9</td><td>Urticaria, unspecified</td><td></td><td>gatal-
2019</td><td>JULAIKAH</td><td>SELAMET</td><td>MENGURUS RUMAH
align='right'>0900007801</td><td>20-09-
2019</td><td>JUMINI</td><td>JUMINI</td><td>MENGURUS RUMAH
36</td><td>22</td><td>155</td><td>45</td><td>O+</td></tr><tr><td
complications</td><td></td><td>cepat capek,ada bisul di lipat paha</td><td
2019</td><td>KALIMAH</td><td>KALIMAH</td><td>PETANI/PEKEBUN</td><td>3/1</td><td>3/1
</td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
pain</td><td></td><td>PINGGANG NYERI</td><td align='right'>56287</td><td
align='right'>1800048903</td><td>20-09-2019</td><td>KAMBALI</td><td>AB
KHAMID</td><td>KARYAWAN
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH, Amd</td><td>L</td><td>20-44
unspecified</td><td></td><td>cape </td><td align='right'>56952</td><td
align='right'>17024015</td><td>20-09-
2019</td><td>KARMI</td><td>KARMI</td><td></td><td>4/2</td><td>4/2</td><td>KEPOH</td
><td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
align='right'>0800043302</td><td>20-09-
2019</td><td>KASIH</td><td>SABAR</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>KAKI SAKIT</td><td align='right'>56301</td><td
align='right'>0800044502</td><td>20-09-
2019</td><td>KASMI</td><td>LASJAN</td><td>PETANI/PEKEBUN</td><td>4/3</td><td></td><
td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>0800041801</td><td>20-09-
2019</td><td>KASMINAH</td><td>KASMINAH</td><td>PERDAGANGAN</td><td>4/1</td><td></td
><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>0900022901</td><td>20-09-
2019</td><td>KASMITO</td><td>KASMITO</td><td>PETANI/PEKEBUN</td><td>5/1</td><td></t
d><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>0600004502</td><td>20-09-2019</td><td>KASMIYATI</td><td>EDI
WALUYO</td><td>MENGURUS RUMAH
align='right'>1800010402</td><td>20-09-
2019</td><td>KASRIAH</td><td>KASRIAH</td><td>PERDAGANGAN</td><td>4/2</td><td></td><
td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td></td><td
2019</td><td>KHOIRIYAH</td><td>DWI
TEGUH</td><td>WIRASWASTA</td><td>2/3</td><td>2/3</td><td>PAGERHARJO</td><td>PUSKESM
AS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH, Amd</td><td>P</td><td>20-
44 Thn.</td><td>Keluarga</td><td>Lama</td><td>BAYAR</td><td>Rajal</td><td
complications</td><td></td><td>kontrol</td><td align='right'>56320</td><td
align='right'>0600004002</td><td>20-09-
2019</td><td>MARNI</td><td>SANUJI</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>PUSING,PEGEL-PEGEL</td><td
2019</td><td>MASINI</td><td>GIMAN</td><td>MENGURUS RUMAH
cold]</td><td></td><td>BATUK, PILEK, PANAS 1 HARI</td><td
NANA KURNIA</td><td>MUHAMMAD</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
2019</td><td>MUSLIMATUN</td><td>SUGIYONO</td><td>MENGURUS RUMAH
without complications</td><td></td><td>leher cengeng</td><td
2019</td><td>NADIROH</td><td>SAPARI</td><td>MENGURUS RUMAH
Fitriyah</td><td>YUSMIATI, S.kep</td><td>P</td><td>45-54
align='right'>1800006505</td><td>20-09-2019</td><td>NAUFAL
AFKAR</td><td>WAGIMAN</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH, Amd</td><td>L</td><td>1-4
align='right'>0900007902</td><td>20-09-
2019</td><td>PAERAH</td><td>LEGIMAN</td><td>MENGURUS RUMAH
complications</td><td></td><td>BATUK</td><td align='right'>56296</td><td
align='right'>1400003801</td><td>20-09-
2019</td><td>PAIJAN</td><td>PAIJAN</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></td>
<td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>0600003902</td><td>20-09-
2019</td><td>PAINAH</td><td>SUGENG</td><td></td><td>3/2</td><td></td><td>BANGSALREJ
O</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>1400003902</td><td>20-09-
2019</td><td>PAISAH</td><td>WAGIYO</td><td>MENGURUS RUMAH
INDUK</td><td>Dr.
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>SAKIT GIGI
BEBERAPA HARI</td><td align='right'>56259</td><td
align='right'>0800055401</td><td>20-09-
2019</td><td>PARJU</td><td>PARJU</td><td>KARYAWAN
align='right'>1700006402</td><td>20-09-
2019</td><td>RASMI</td><td>KAMIM</td><td>MENGURUS RUMAH
TANGGA</td><td>4/1</td><td></td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
hypertension</td><td></td><td>BATUK</td><td align='right'>56336</td><td
align='right'>0900008001</td><td>20-09-
2019</td><td>RASMI</td><td>RASMI</td><td>PETANI/PEKEBUN</td><td>4/1</td><td></td><t
d>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>1800016002</td><td>20-09-
2019</td><td>RUFIATI</td><td>NURHAMID</td><td>MENGURUS RUMAH
without complications</td><td></td><td>pegel</td><td align='right'>56321</td><td
align='right'>1400003502</td><td>20-09-
2019</td><td>RUKASIH</td><td>KARIM</td><td>MENGURUS RUMAH
complications</td><td></td><td>jari jari tangan tidak bisa untuk
menggenggam</td><td align='right'>56342</td><td
align='right'>1800029902</td><td>20-09-2019</td><td>RUKAYAH</td><td>SIRIN
ALIYAS</td><td>MENGURUS RUMAH
without complications</td><td></td><td>kontrol</td><td align='right'>56341</td><td
align='right'>0800044602</td><td>20-09-2019</td><td>RUKIYAT YUDI
ASTUTI</td><td>SODIQ</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>G44</td><td>Other headache
syndromes</td><td></td><td>PUSING, TIDAK NAFSU MAKAN, NYERI ULU HATI</td><td
2019</td><td>RUMIAH</td><td>BISONO</td><td>MENGURUS RUMAH
2019</td><td>RUMINAH</td><td>RAHADI</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGAL LINU, KESEMUTAN</td><td
2019</td><td>RUSLAN</td><td>RUSLAN</td><td>PETANI/PEKEBUN</td><td>8/1</td><td></td>
<td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH,
align='right'>0600004302</td><td>20-09-
2019</td><td>RUSMI</td><td>KARLAN</td><td>MENGURUS RUMAH
align='right'>M19.9</td><td>Arthrosis, unspecified</td><td></td><td>KESEMUTAN,
BADAN PEGAL</td><td align='right'>56269</td><td
align='right'>0900028102</td><td>20-09-
2019</td><td>RUSTINI</td><td>SUWARTO</td><td>MENGURUS RUMAH
align='right'>17022012</td><td>20-09-2019</td><td>SAMINI
</td><td>SAMINI</td><td></td><td>2/2</td><td>2/2</td><td>KEPOH</td><td>PUSLING</td>
<td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>BIDUREN
DIPANTAT, MATA BRUWET</td><td align='right'>56339</td><td
align='right'>1600005901</td><td>20-09-
2019</td><td>SAMURI</td><td>SAMURI</td><td>BELUM/TIDAK
BEKERJA</td><td>3/1</td><td></td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>YUSMIATI, S.kep</td><td>L</td><td>>70
align='right'>0900007602</td><td>20-09-
2019</td><td>SARPI</td><td>SUTRISNO</td><td>PETANI/PEKEBUN</td><td>7/2</td><td></td
><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>1400004702</td><td>20-09-
Th</td></tr><tr><td align='right'>I63.9</td><td>Cerebral infarction,
align='right'>1800013702</td><td>20-09-
2019</td><td>SAWIRAH</td><td>ISMAN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>R50.9</td><td>Fever,
unspecified</td><td></td><td>PANAS 2 HARI, PUSING</td><td
2019</td><td>SETYA GADING
F</td><td>SUMARDI</td><td>PELAJAR/MAHASISWA</td><td>5/2</td><td>5/2</td><td>TLUWUK<
/td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH,
align='right'>M10.9</td><td>ut, unspecified</td><td></td><td>GEMETAR</td><td
2019</td><td>SITI FATIMAH</td><td>MUKADAR</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>Z34</td><td>Supervision of normal
pregnancy</td><td></td><td>periksa hamil
2019</td><td>SITI MASRUHAH</td><td>MUSTOFA</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>pegel pegel</td><td align='right'>56258</td><td
align='right'>0800004802</td><td>20-09-2019</td><td>SITI MUNAWAROH</td><td>ARI
ARDANI</td><td>MENGURUS RUMAH
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>LEHER
KAKU</td><td align='right'>56330</td><td align='right'>1800010602</td><td>20-09-
2019</td><td>SITI ROHMAH</td><td>SUHADI</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>PEGEL=PEGEL</td><td align='right'>56338</td><td
HARMI</td><td>KARBANI</td><td>MENGURUS RUMAH
without complications</td><td></td><td>batuk</td><td align='right'>56299</td><td
SUKARWASTINAH</td><td>SUSANTO</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>PUSING,PERUT PERIH</td><td
2019</td><td>SUDARMI</td><td>SARDI</td><td>MENGURUS RUMAH
align='right'>1500005401</td><td>20-09-
2019</td><td>SUGENG</td><td>SUGENG</td><td>PETANI/PEKEBUN</td><td>4/2</td><td></td>
<td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>R51</td><td>Headache</td><td></td><td>PEGAL, PUSING</td><td
2019</td><td>SUHARNI</td><td>RUSLAN</td><td>MENGURUS RUMAH
without complications</td><td></td><td>kaki senut-senut</td><td
2019</td><td>SUKARTINI</td><td>SOFWAN</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel </td><td
2019</td><td>SUKEMI
align='right'>B35.6</td><td>Tinea cruris</td><td></td><td>GATAL</td><td
2019</td><td>SULASIH</td><td>SUBIYANTO</td><td>MENGURUS RUMAH
complications</td><td></td><td>KAKU KAKU, PUSING</td><td
2019</td><td>SULASIH</td><td>SULASIH</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>PUSING, PILEK</td><td align='right'>56268</td><td
align='right'>1900002202</td><td>20-09-2019</td><td>SULASTRI</td><td>AGUS
SULISTYANTO</td><td>MENGURUS RUMAH
align='right'>1600013602</td><td>20-09-
2019</td><td>SUMARNI</td><td>SUTARLAN</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>dengkul linu,cumpleng</td><td
2019</td><td>SUMINI</td><td>SUMARNO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>M79.1</td><td>Myalgia</td><td></td><td>pegel
2019</td><td>SUMIYATI
2019</td><td>SUNARTI</td><td>SUWALIM</td><td></td><td>5/2</td><td>5/2</td><td>NGURE
NREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH,
align='right'>1500002702</td><td>20-09-
2019</td><td>SUNARTI</td><td>SUPARMAN</td><td>MENGURUS RUMAH
align='right'>17021009</td><td>20-09-
2019</td><td>SUNI</td><td>SUNI</td><td></td><td>1/2</td><td>1/2</td><td>KEPOH</td><
td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
hypertension</td><td></td><td>cumpleng</td><td align='right'>56333</td><td
align='right'>1400004002</td><td>20-09-
2019</td><td>SUNTARI</td><td>SUMARNO</td><td>MENGURUS RUMAH
complications</td><td></td><td>pegel</td><td align='right'>56328</td><td
align='right'>1400003101</td><td>20-09-
2019</td><td>SUPAMI</td><td>SUPAMI</td><td>MENGURUS RUMAH
align='right'>0600004202</td><td>20-09-
2019</td><td>SUPARTI</td><td>PANDI</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td></td><td
2019</td><td>SURATI</td><td>SULEMAN</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>I63.9</td><td>Cerebral infarction,
align='right'>1600013601</td><td>20-09-
2019</td><td>SUTARLAN</td><td>SUTARLAN</td><td>PETANI/PEKEBUN</td><td>2/1</td><td><
/td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Th</td></tr><tr><td align='right'>H10.1</td><td>Acute atopic
conjunctivitis</td><td></td><td>sakit mata</td><td align='right'>57011</td><td
align='right'>1800048901</td><td>20-09-
2019</td><td>SUTIAH</td><td>SUTIAH</td><td></td><td>TLOGOHARUM
INDRIARTI</td><td>Siti Fatimah</td><td>P</td><td>>70
align='right'>1400004102</td><td>20-09-
2019</td><td>SUTINI</td><td>JAEMAN</td><td>MENGURUS RUMAH
without complications</td><td></td><td>BAK perih, gemeter</td><td
2019</td><td>SUWAJI</td><td>SUWAJI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></td>
<td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
Th</td></tr><tr><td align='right'>E14.9</td><td>Unspecified
diabetes mellitus without complications</td><td></td><td>BADAN CAPEK</td><td
2019</td><td>SUWARNI</td><td>RUBAI</td><td>MENGURUS RUMAH
complications</td><td></td><td>PUNGGUNG NYERI</td><td align='right'>56297</td><td
align='right'>0800027102</td><td>20-09-
2019</td><td>TARMI</td><td>JAMARI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>L50.9</td><td>Urticaria,
unspecified</td><td></td><td>gatal-gatal</td><td align='right'>57010</td><td
align='right'>1800023702</td><td>20-09-2019</td><td>TITIK
RISNAWATI</td><td>PARIJAN</td><td></td><td>TLOGOHARUM
complications</td><td></td><td>pusing</td><td align='right'>56322</td><td
align='right'>1400003702</td><td>20-09-
2019</td><td>WARSI</td><td>PARNAWI</td><td>MENGURUS RUMAH
complications</td><td></td><td>pegel linu</td><td align='right'>56332</td><td
align='right'>0900007702</td><td>20-09-
2019</td><td>WARSIAH</td><td>MITRO</td><td>BELUM/TIDAK
BEKERJA</td><td>2/1</td><td></td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>Dr.
cold]</td><td></td><td>nafas sesak</td><td align='right'>57009</td><td
align='right'>1801504001</td><td>20-09-
2019</td><td>WARSINI</td><td>WARSINI</td><td></td><td>TLOGOHARUM
complications</td><td></td><td></td><td align='right'>56343</td><td
align='right'>1800010801</td><td>20-09-
2019</td><td>WARSO</td><td>WARSO</td><td></td><td>5/1</td><td></td><td>TLOGOHARUM</
td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
complications</td><td></td><td>MATA BLAWUR, TIDAK BAB 5 HARI</td><td
2019</td><td>WARTONO</td><td>WARTONO</td><td>PETANI/PEKEBUN</td><td>5/2</td><td></t
d><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>YUSMIATI,
align='right'>17032005</td><td>20-09-
2019</td><td>YASEMI</td><td></td><td></td><td>3/2</td><td>3/2</td><td>KEPOH</td><td
>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>60-
unspecified</td><td></td><td>BATUK, PILEK, BADAN PEGAL</td><td
2019</td><td>YATINI</td><td>SUTARWI</td><td>MENGURUS RUMAH
NYERI, BATUK</td><td align='right'>56254</td><td
align='right'>1400006004</td><td>20-09-2019</td><td>ZAHRA SYAIFAUL M</td><td>ALI
FATONI</td><td>PELAJAR/MAHASISWA</td><td>3/3</td><td>3/3</td><td>PAGERHARJO</td><td
>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>JAZILAH,
align='right'>0800034904</td><td>21-09-2019</td><td>AFIF MUZAYYEIN
A</td><td>MUTASIR</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
align='right'>N18</td><td>Chronic kidney disease</td><td></td><td></td><td
2019</td><td>AHMAD</td><td>AHMAD</td><td>PERDAGANGAN</td><td>4/2</td><td>4/2</td><t
d>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
WINARMI, S.kep</td><td>L</td><td>>70
Th</td></tr><tr><td align='right'>I21.3</td><td>Acute transmural myocardial
infarction of unspecified site</td><td></td><td></td><td
2019</td><td>AHMAD KASNAWIANTO</td><td>AHMAD
KASNAWIANTO</td><td>PETANI/PEKEBUN</td><td>2/3</td><td></td><td>NGURENREJO</td><td>
PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
align='right'>53</td><td>BP. Umum</td><td></td><td>RSU
FASTABIQ SEHAT</td><td>Dalam
unspecified</td><td></td><td>MELUDAH TERUS</td><td align='right'>56388</td><td
align='right'>1400052803</td><td>21-09-2019</td><td>AHMAD SHOLIHUL
HASAN</td><td>KUSASI</td><td>PELAJAR/MAHASISWA</td><td>4/3</td><td>4/3</td><td>PAGE
RHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
align='right'>K05.1</td><td>Chronic gingivitis</td><td></td><td>SAKIT GIGI</td><td
2019</td><td>ARIK ISMIYATI</td><td>ARIK ISMIYATI</td><td>KARYAWAN
SWASTA</td><td>4/2</td><td>4/2</td><td>SIDOHARJO</td><td>PKD SIDOHARJO</td><td>dr.
align='right'>0800019803</td><td>21-09-2019</td><td>ASIFA NUR
INAYAH</td><td>ALIMIN</td><td>BELUM/TIDAK
BEKERJA</td><td>3/1</td><td>3/1</td><td>SIDOHARJO</td><td>PKD SIDOHARJO</td><td>dr.
NANCY INDRIARTI</td><td>DJUM ELIYA</td><td>P</td><td><1
align='right'>15000094</td><td>21-09-2019</td><td>ASTRO AMIR</td><td>ASTRO
AMIR</td><td></td><td>DESA JATIMULYO RT 04 RW
02</td><td>4/2</td><td>JATIMULYO</td><td>PKD
JATIMULYO</td><td>RISNAWATI</td><td>RISNAWATI</td><td>L</td><td>60-69
align='right'>H66</td><td>Suppurative and unspecified otitis
media</td><td></td><td></td><td align='right'>56396</td><td
align='right'>1800022503</td><td>21-09-2019</td><td>AZKIA
FARHAN</td><td>AMIN</td><td>PELAJAR/MAHASISWA</td><td>8/2</td><td>8/2</td><td>TLOGO
HARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
align='right'>J18.9</td><td>Pneumonia, unspecified</td><td></td><td></td><td
2019</td><td>AZRIEL MAUZA AZAKHI</td><td>EKA SENA</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>L</td><td><1
align='right'>0</td><td>KIA</td><td>Poli TumBang</td><td>RSUD RAA SOEWONDO
PATI</td><td>Dalam
align='right'>1500025703</td><td>21-09-2019</td><td>CLAIRINA
FITRIYAH</td><td>MUKHLIS</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>DWI NURCHAYATI</td><td>P</td><td>1-4
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>gigi sakit</td><td
2019</td><td>DARMI</td><td>MUNAJI</td><td>MENGURUS RUMAH
TANGGA</td><td>9/1</td><td>9/1</td><td>TLUWUK</td><td>PUSKESMAS
2019</td><td>DEWI</td><td>RAIS SUWITO</td><td>MENGURUS RUMAH
colitis, unspecified</td><td></td><td>BATUK,PILEK,MUNTAH,MENCRET</td><td
2019</td><td>ENGELA GILSA</td><td>SISWANTO</td><td>BELUM/TIDAK
align='right'>M79.1</td><td>Myalgia</td><td></td><td>nyeri saat menstruasi</td><td
2019</td><td>ERINA DWI
A</td><td>LASMIN</td><td>PELAJAR/MAHASISWA</td><td>4/3</td><td>4/3</td><td>SIDOHARJ
O</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGAL</td><td
2019</td><td>ERNA SUSANTI</td><td>EWA BAYU</td><td>MENGURUS RUMAH
align='right'>1501101801</td><td>21-09-
2019</td><td>ERWANTO</td><td>ERWANTO</td><td></td><td>DESA JATIMULYO RT 01 RW
align='right'>M79.1</td><td>Myalgia</td><td></td><td>linu </td><td
2019</td><td>HARSI</td><td>HARSI</td><td>MENGURUS RUMAH
INDRIARTI</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>45-54
align='right'>K29.0</td><td>Acute haemorrhagic gastritis</td><td></td><td>NYERI ULU
HATI</td><td align='right'>56910</td><td align='right'>15000093</td><td>21-09-
2019</td><td>HARTINAH</td><td>HARTINAH</td><td></td><td>DESA JATIMULYO RT 07 RW
JATIMULYO</td><td>RISNAWATI</td><td>RISNAWATI</td><td>P</td><td>45-54
align='right'>1501204302</td><td>21-09-
2019</td><td>HARTINI</td><td>SUWITO</td><td></td><td>DESA JATIMULYO RT 02 RW
align='right'>M79.1</td><td>Myalgia</td><td></td><td>kesemutan </td><td
align='right'>56399</td><td align='right'>1400016202</td><td>21-09-2019</td><td>IMA
HALIMATUS SA'DIYAH</td><td>DIHAR</td><td>MENGURUS RUMAH
region</td><td></td><td>habis jatuh disawal </td><td align='right'>56409</td><td
align='right'>0700031803</td><td>21-09-2019</td><td>IMAM
ZULFERI</td><td>FAUZAN</td><td>KARYAWAN
NANCY INDRIARTI</td><td>Arif prasetyo utomo</td><td>L</td><td>20-44
align='right'>M54.3</td><td>Sciatica</td><td></td><td></td><td
2019</td><td>KARTINI</td><td>PARDONO</td><td></td><td>6/1</td><td></td><td>BANGSALR
EJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
align='right'>0900039103</td><td>21-09-2019</td><td>KARUNIA
RAMADHANI</td><td>SOPYAN</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4/2</td><td>
NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
align='right'>K29.0</td><td>Acute haemorrhagic gastritis</td><td></td><td>gatal dan
nyeri ulu hati</td><td align='right'>56894</td><td
align='right'>1501202401</td><td>21-09-
2019</td><td>KARWATI</td><td>KARWATI</td><td></td><td>DESA JATIMULYO RT 02 RW
align='right'>1501401101</td><td>21-09-
2019</td><td>KASBI</td><td>KASBI</td><td></td><td>DESA JATIMULYO RT 04 RW
unspecified</td><td></td><td>PANAS,BATUK</td><td align='right'>56400</td><td
align='right'>0503332704</td><td>21-09-2019</td><td>KAYLLA AZZAHRO
PUTRI</td><td>SUMADI</td><td>BELUM/TIDAK
BEKERJA</td><td>3/3</td><td></td><td>ASEMPAPAN</td><td>PUSKESMAS INDUK</td><td>dr.
2019</td><td>LAMIJAN</td><td>PASI</td><td></td><td>DESA JATIMULYO RT 05 RW
2019</td><td>LASIJAN</td><td>LASIJAN</td><td>KARYAWAN
2019</td><td>LOVELYN GHEA AGATHA</td><td>NUR SALIM</td><td>BELUM/TIDAK
unspecified</td><td></td><td>gatal2</td><td align='right'>56376</td><td
align='right'>1400060202</td><td>21-09-
2019</td><td>MASRI'AH</td><td>SUYANTO</td><td>MENGURUS RUMAH
align='right'>0800042404</td><td>21-09-2019</td><td>MIFTAHUL IBAD
RAMADHAN</td><td>MASLIN</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>DJUM ELIYA</td><td>L</td><td><1
align='right'>G40</td><td>Epilepsy</td><td></td><td>EPILEPSI</td><td
DAVID Z</td><td>MOH SOLEH </td><td>BELUM/TIDAK
align='right'>2</td><td>KIA</td><td>Poli Anak</td><td>RSUD RAA SOEWONDO
PATI</td><td>Dalam
align='right'>L20.9</td><td>Atopic dermatitis, unspecified</td><td></td><td>biduren
malam hari</td><td align='right'>56401</td><td align='right'>1800002104</td><td>21-
09-2019</td><td>MOH REZA ALVARO</td><td>BASRI</td><td>BELUM/TIDAK
align='right'>K29.0</td><td>Acute haemorrhagic gastritis</td><td></td><td>NYERI ULU
HATI</td><td align='right'>56911</td><td align='right'>1501101803</td><td>21-09-
2019</td><td>MOHAMMAD NUR ARIF</td><td>ERWANTO</td><td></td><td>DESA JATIMULYO RT
01 RW 01</td><td>1/1</td><td>JATIMULYO</td><td>PKD
align='right'>1800042903</td><td>21-09-2019</td><td>MUHAMMAD ILHAM
SAPUTRA</td><td>ARFENDI</td><td>BELUM/TIDAK
align='right'>2100003503</td><td>21-09-2019</td><td>MUHAMMAD NASHIRUDDIN
AKMAL</td><td>MUHAMMAD NASHIRUDDIN AKMAL</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>DJUM ELIYA</td><td>L</td><td><1
2019</td><td>MUKTIAH</td><td>MUKTIAH</td><td>MENGURUS RUMAH
TANGGA</td><td>3/2</td><td></td><td>KEPOH</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>E14.8</td><td>Unspecified diabetes mellitus with
align='right'>1400060602</td><td>21-09-2019</td><td>MUSLIMATUN</td><td>MOH ALI
MAHMUDI</td><td>MENGURUS RUMAH
align='right'>0900003204</td><td>21-09-2019</td><td>NABILAH AZAHWA
MAULIDA</td><td>HARYONO</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>DWI NURCHAYATI</td><td>P</td><td><1
align='right'>0800040604</td><td>21-09-2019</td><td>NADIRA KIRANI
ALMAHERA</td><td>MUSTABIR S</td><td>BELUM/TIDAK
NANCY INDRIARTI</td><td>DJUM ELIYA</td><td>P</td><td><1
align='right'>150220101</td><td>21-09-
2019</td><td>NGADIPAH</td><td>NGADIPAH</td><td></td><td>DESA JATIMULYO RT 02 RW
AISHA</td><td>HARYANTO</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>DWI NURCHAYATI</td><td>P</td><td><1
2019</td><td>NURHADI</td><td>NURHADI</td><td>KARYAWAN
align='right'>J06</td><td>Acute upper respiratory infections of multiple and
unspecified sites</td><td></td><td>-</td><td align='right'>56398</td><td
FURQON</td><td>DIHAR</td><td></td><td>2/2</td><td>2/2</td><td>PAGERHARJO</td><td>PU
SKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DWI
NURCHAYATI</td><td>L</td><td>1-4
align='right'>M79.1</td><td>Myalgia</td><td></td><td>batuk, leher sakit</td><td
2019</td><td>NYAIN AISAH</td><td>SUKOYO</td><td>MENGURUS RUMAH
align='right'>1502404101</td><td>21-09-
2019</td><td>PARINAH</td><td>PARINAH</td><td></td><td>DESA JATIMULYO RT 4 RW
align='right'>0900017202</td><td>21-09-
2019</td><td>PARSINI</td><td>WARGONO</td><td></td><td>3/1</td><td>3/1</td><td>NGURE
NREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
align='right'>0900039201</td><td>21-09-
2019</td><td>RAKIBAN</td><td>RAKIBAN</td><td>KARYAWAN
align='right'>K29.0</td><td>Acute haemorrhagic gastritis</td><td></td><td>nyeri ulu
hati</td><td align='right'>56900</td><td align='right'>1502204702</td><td>21-09-
2019</td><td>RASMI</td><td>BAI</td><td></td><td>DESA JATIMULYO RT 02 RW
align='right'>0900031702</td><td>21-09-2019</td><td>RIANA PERWITASARI</td><td>LUTFI
LISTIYONO</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>post hernia </td><td
2019</td><td>RUKADI</td><td>RUKADI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td>2/2</
td><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH
sinus</td><td></td><td>gusi sakit</td><td align='right'>56378</td><td
align='right'>1400060303</td><td>21-09-2019</td><td>RUMIAH</td><td>MAD
JAWI</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td>5/1</td><td>PAGERHARJO</td><td>P
USKESMAS INDUK</td><td>Suharti</td><td>Suharti</td><td>L</td><td>20-44
unspecified</td><td></td><td>batuk dada sesak </td><td align='right'>56364</td><td
align='right'>0900031802</td><td>21-09-
2019</td><td>RUMINI</td><td>SUPADI</td><td>MENGURUS RUMAH
align='right'>1501101802</td><td>21-09-
2019</td><td>RUMIYATI</td><td>ERWANTO</td><td></td><td>DESA JATIMULYO RT 01 RW
align='right'>K40.9</td><td>Unilateral or unspecified inguinal hernia, without
obstruction or gangrene</td><td></td><td></td><td align='right'>56368</td><td
align='right'>0900038801</td><td>21-09-
2019</td><td>SAKIYO</td><td>SAKIYO</td><td>BELUM/TIDAK
Thn.</td><td>Keluarga</td><td>Baru</td><td>Jamkesda</td><td>Rujuk</td><td
Umum</td><td>Poli Bedah</td><td>RSUD RAA SOEWONDO PATI</td><td>Dalam
align='right'>1400059701</td><td>21-09-
<td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH
align='right'>L29.0</td><td>Pruritus ani</td><td></td><td>gatal</td><td
2019</td><td>SAMIRAH</td><td>SUWARDI</td><td></td><td>DESA JATIMULYO RT 03 RW
align='right'>1501501501</td><td>21-09-
2019</td><td>SANAH</td><td>SANAH</td><td></td><td>DESA JATIMULYO RT 05 RW
align='right'>150230701</td><td>21-09-
2019</td><td>SARIYATI</td><td>SARIYATI</td><td></td><td>DESA
JATIMULYO RT 03 RW 02</td><td>3/2</td><td>JATIMULYO</td><td>PKD
align='right'>K02.9</td><td>Dental caries, unspecified</td><td></td><td>sakit
gigi</td><td align='right'>56351</td><td align='right'>1400008901</td><td>21-09-
2019</td><td>SARMIDI</td><td>SARMIDI</td><td>PETANI/PEKEBUN</td><td>4/2</td><td></t
d><td>PAGERHARJO</td><td>PUSKESMAS
Th</td></tr><tr><td align='right'>K29.0</td><td>Acute haemorrhagic
gastritis</td><td></td><td>nyeri ulu hati</td><td align='right'>56898</td><td
align='right'>1501201302</td><td>21-09-
2019</td><td>SENENG</td><td>SUKARDI</td><td></td><td>DESA JATIMULYO RT 02 RW
align='right'>M79.1</td><td>Myalgia</td><td></td><td>leher sakit , pusing</td><td
2019</td><td>SISCA AVITA
</td><td>SUWARKO</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4/2</td><td>NGURENRE
JO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
align='right'>K08.9</td><td>Disorder of teeth and supporting structures,
unspecified</td><td></td><td>gusi linu</td><td align='right'>56397</td><td
align='right'>0600022902</td><td>21-09-2019</td><td>SITI AMINAH NURULITA
HANUM</td><td>PASIRIN</td><td>MENGURUS RUMAH
align='right'>1501604101</td><td>21-09-2019</td><td>SITI NORYAM</td><td>SITI
NORYAM</td><td></td><td>DESA JATIMULYO RT 06 RW
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>mata ngganjel</td><td
2019</td><td>SOPYAN</td><td>SOPYAN</td><td>KARYAWAN
2019</td><td>SRI EKA AYUNINGTYAS</td><td>MUH JAMIL</td><td>BELUM/TIDAK
align='right'>1501305202</td><td>21-09-
2019</td><td>SUBIRAH</td><td>BASIR</td><td></td><td>DESA JATIMULYO RT 03 RW
align='right'>1501204501</td><td>21-09-
2019</td><td>SUBUR</td><td>SUBUR</td><td></td><td>DESA JATIMULYO RT 02 RW
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pusing, muntah, </td><td
2019</td><td>SUCI RAHAYU</td><td>SUCI RAHAYU</td><td>MENGURUS RUMAH
2019</td><td>SUJIYAH</td><td>SUJIYAH</td><td>MENGURUS RUMAH
2019</td><td>SUKARDI</td><td>SUKARDI</td><td>KARYAWAN
NANCY INDRIARTI</td><td>RATIH BUDI WINARMI, S.kep</td><td>L</td><td>60-69
2019</td><td>SUKARSIH</td><td>SUWITO</td><td>MENGURUS RUMAH
region</td><td></td><td>ganti balut</td><td align='right'>56384</td><td
align='right'>0700019901</td><td>21-09-
td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH
BUDI WINARMI, S.kep</td><td>L</td><td>>70
unspecified</td><td></td><td>batuk, pusing </td><td align='right'>56369</td><td
align='right'>0800040202</td><td>21-09-
2019</td><td>SUKESI</td><td>KARMANI</td><td>MENGURUS RUMAH
align='right'>1501303501</td><td>21-09-
2019</td><td>SUKI</td><td>SUKI</td><td></td><td>DESA JATIMULYO RT 03 RW
align='right'>M79.1</td><td>Myalgia</td><td></td><td>dengkul sakit, untuk berdiri
susah, pusing, perut sakit, tidak nafsu makan </td><td align='right'>56374</td><td
align='right'>1400005401</td><td>21-09-
2019</td><td>SUKIMAN</td><td>SUKIMAN</td><td>PETANI/PEKEBUN</td><td>3/4</td><td>3/4
</td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>RATIH BUDI WINARMI, S.kep</td><td>L</td><td>60-69
unspecified</td><td></td><td>KENCENG KENCENG,TAPI BLOM ADA PEMBUKAAN</td><td
contraception</td><td></td><td>KONSELING KB</td><td align='right'>56395</td><td
align='right'>1600021502</td><td>21-09-
2019</td><td>SULISTIYOWATI</td><td>SUWITO</td><td>MENGURUS RUMAH
align='right'>0900022002</td><td>21-09-
2019</td><td>SUMIYATI</td><td>SUWARKO</td><td>MENGURUS RUMAH
align='right'>15000090</td><td>21-09-
2019</td><td>SURINAH</td><td>SURINAH</td><td></td><td>DESA JATIMULYO RT 03 RW
align='right'>M79.1</td><td>Myalgia</td><td></td><td>tangan kaku, kesemutan
2019</td><td>SUTARSIH</td><td>SARYANI</td><td>MENGURUS RUMAH
align='right'>1600013803</td><td>21-09-
2019</td><td>SUTI'AH</td><td>SUTARMI</td><td>BELUM/TIDAK
periodontitis</td><td></td><td>gusi bengkak
2019</td><td>SUWARI</td><td>SUWARI</td><td>PERDAGANGAN</td><td>4/2</td><td>4/2</td>
<td>JETAK</td><td>PUSKESMAS
align='right'>150120601</td><td>21-09-
2019</td><td>UMBAR</td><td>UMBAR</td><td></td><td>DESA JATIMULYO RT 02 RW
unspecified</td><td></td><td>MUAL</td><td align='right'>56375</td><td
align='right'>1500024402</td><td>21-09-2019</td><td>VIVI SINDI
SUNDARI</td><td>ALFIAN NUR ELIZA
S.W</td><td>PELAJAR/MAHASISWA</td><td>7/1</td><td>7/1</td><td>JATIMULYO</td><td>PUS
KESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DWI
NURCHAYATI</td><td>P</td><td>15-19 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
Th</td></tr><tr><td
2019</td><td>WARSINI</td><td>NURHADI</td><td></td><td>3/1</td><td></td><td>NGURENRE
JO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
align='right'>1500009402</td><td>21-09-2019</td><td>YASMI</td><td>ASTRO
AMIR</td><td>NELAYAN/PERIKANAN</td><td>DESA JATIMULYO RT 04 RW
JATIMULYO</td><td>RISNAWATI</td><td>RISNAWATI</td><td>L</td><td>>70
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>dada
sakit </td><td align='right'>56477</td><td align='right'>2200007301</td><td>23-09-
2019</td><td>AH.SHODIQ</td><td>AH.SHODIQ</td><td>PEGAWAI NEGERI
SIPIL</td><td>NGEMPLAK LOR 2/1</td><td></td><td>pati</td><td>PUSKESMAS
INDUK</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>L</td><td>55-59
origin</td><td></td><td>DIARE </td><td align='right'>56438</td><td
align='right'>0802102703</td><td>23-09-2019</td><td>AHMAD
RISKIYANTO</td><td>KAWANTO</td><td>MENGURUS RUMAH
2019</td><td>AKHMAD MUSTA'IN
YANI</td><td>TASMIN</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>2/2</td><td>BANGS
align='right'>1900004003</td><td>23-09-2019</td><td>AKSA NAFI ANUGRAH</td><td>YUMA
ANUGRAH</td><td>BELUM/TIDAK BEKERJA</td><td>JONTRO
Adawiyah</td><td>DWI NURCHAYATI</td><td>L</td><td><1
align='right'></td><td>KIA</td><td></td><td></td><td>Luar
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>KAKI
SAKIT </td><td align='right'>56439</td><td align='right'>1600006901</td><td>23-09-
2019</td><td>ALI AHMADI</td><td>ALI AHMADI</td><td>KARYAWAN
align='right'>E14.8</td><td>Unspecified diabetes mellitus with unspecified
complications</td><td></td><td>SESAK NAFAS CEK GULA </td><td
2019</td><td>AMIN</td><td>AMIN</td><td>PETANI/PEKEBUN</td><td>4/1</td><td>4/1</td><
td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
Th</td></tr><tr><td align='right'>F20</td><td>Schizophrenia</td><td></td><td>PUSING
2019</td><td>ANAND DWI RARASTO</td><td>SHOLEHAN ARIF</td><td>BELUM/TIDAK
periodontitis</td><td></td><td>SAKIT GIGI </td><td align='right'>56458</td><td
align='right'>06011024</td><td>23-09-2019</td><td>ANTIK
RUKAYATI</td><td>NANANG</td><td></td><td>1/1</td><td>1/1</td><td>BANGSALREJO</td><t
d>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>Suharti</td><td>P</td><td>20-
align='right'>L20</td><td>Atopic dermatitis</td><td></td><td>TELAPAK TANGAN GATAL
2019</td><td>ARIK ISMIYATI</td><td>NUR HASAN</td><td>MENGURUS RUMAH
TANGGA</td><td>AGUNGMULYO 2/2</td><td></td><td>JUWANA</td><td>PUSKESMAS
align='right'>21</td><td>BP. Umum</td><td></td><td></td><td>Luar
region</td><td></td><td>kontrol luka jahitan</td><td align='right'>56425</td><td
2/5'MARGOYOSO</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>DWI NURCHAYATI</td><td>P</td><td>1-4
unspecified</td><td></td><td>panas 2 hari,batuk,pilek</td><td
2019</td><td>ARSAKA FRIRENDA</td><td>M SAIFUL AZIZ</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
align='right'>0601606202</td><td>23-09-
region</td><td></td><td>KONTROL LUKA </td><td align='right'>56419</td><td
align='right'>1800018303</td><td>23-09-2019</td><td>AUNUR
ROFIQOH</td><td>WARSONO</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>T
LOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>1600016903</td><td>23-09-2019</td><td>DAFFA PAHLEVI JUNA
PRATAMA</td><td>JUMADI</td><td>BELUM/TIDAK
align='right'>0600004702</td><td>23-09-
2019</td><td>DARMINI</td><td>KARNOTO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>TANGAN KAKU </td><td align='right'>56444</td><td
align='right'>1400006202</td><td>23-09-
align='right'>1400002104</td><td>23-09-2019</td><td>GHANI YAZID
K</td><td>SUBADI</td><td>BELUM/TIDAK
align='right'>R06.0</td><td>Dyspnoea</td><td></td><td>SESAK NAFAS</td><td
2019</td><td>HADI WINARNO</td><td>HADI
KHOMSAH</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>L20</td><td>Atopic dermatitis</td><td></td><td>GATAL </td><td
align='right'>56440</td><td align='right'>2100012502</td><td>23-09-2019</td><td>IDA
TRI ASTUTI</td><td>SUPATNO</td><td>MENGURUS RUMAH TANGGA</td><td>MARGOMULYO
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>BATUK
PILEK MERIANG PUSING </td><td align='right'>56430</td><td
align='right'>1800016901</td><td>23-09-
2019</td><td>JASMI</td><td>JASMI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>NYERI PERUT MUNTAH PUSING </td><td
2019</td><td>JUNIATI EKA SARI</td><td>MOH RIF'AN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>DADA SAKIT NYERI PERUT </td><td
td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
Th</td></tr><tr><td
2019</td><td>KARMIJAN</td><td>KARMIJAN</td><td>PETANI/PEKEBUN</td><td>4/1</td><td>4
/1</td><td>NGURENREJO</td><td>PKD NGURENREJO</td><td>dr. NANCY
INDRIARTI</td><td>ENDANG SISWATI</td><td>L</td><td>>70
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>0900034802</td><td>23-09-
2019</td><td>KASMINAH</td><td>KUSRIN</td><td>MENGURUS RUMAH
PATI</td><td>Dalam
align='right'>0800011503</td><td>23-09-2019</td><td>KEANA NURI
MALIKHATIN</td><td>SUTIYONO</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>P</td><td><1
align='right'>0602208102</td><td>23-09-
2019</td><td>LASMI</td><td>MUHADI</td><td>MENGURUS RUMAH
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>GIGI SAKIT
2019</td><td>LASMINI</td><td>SARPIN</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>Suharti</td><td>P</td><td>60-69
align='right'>0601302202</td><td>23-09-
align='right'>0601500202</td><td>23-09-
unspecified</td><td></td><td>mriang,batuk,gondongen</td><td
2019</td><td>MARVEL IQRA BRAHMANTA</td><td>SUNARDI</td><td>BELUM/TIDAK
align='right'>R51</td><td>Headache</td><td></td><td>PUSING MERIANG </td><td
align='right'>56435</td><td align='right'>1500006301</td><td>23-09-2019</td><td>MAT
YASMAN</td><td>MAT YASMAN</td><td>KARYAWAN
align='right'>2100008203</td><td>23-09-2019</td><td>MOHAMMAD ARKAN SYIHABBUDIN
FAHMI</td><td>MASTOKAN</td><td>BELUM/TIDAK BEKERJA</td><td>PEKUWON
Adawiyah</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
align='right'>R51</td><td>Headache</td><td></td><td>PUSING PEGEL </td><td
2019</td><td>MUBAYANAH</td><td>M SHOLIKUN</td><td>MENGURUS RUMAH
align='right'>090004001</td><td>23-09-
2019</td><td>MUHADI</td><td>MUHADI</td><td>PETANI/PEKEBUN</td><td>2/3</td><td>2/3</
SISWATI</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>0800059502</td><td>23-09-
2019</td><td>MUNAWAROH</td><td>KASMIRAH</td><td>KARYAWAN
align='right'>0601103702</td><td>23-09-
2019</td><td>MUSLIKATUN</td><td>SUNAR</td><td>MENGURUS
RUMAH TANGGA</td><td>1/1</td><td>1/1</td><td>BANGSALREJO</td><td>PKD
align='right'>1600016904</td><td>23-09-2019</td><td>NAURA ANINDA
FARZANA</td><td>JUMADI</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>P</td><td><1
align='right'>1400022601</td><td>23-09-
2019</td><td>NGATEMI</td><td>NGATEMI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>H25</td><td>Senile
cataract</td><td></td><td></td><td align='right'>56454</td><td
align='right'>0700031901</td><td>23-09-
2019</td><td>NGUSMAN</td><td>NGUSMAN</td><td>KARYAWAN
2019</td><td>NINIK INDRAWATI</td><td>YONIK</td><td>MENGURUS RUMAH
cold]</td><td></td><td>PILEK SESAK NAFAS </td><td align='right'>56432</td><td
align='right'>1900017402</td><td>23-09-2019</td><td>NUR AINI</td><td>ABDUL
ROHMAN</td><td>MENGURUS RUMAH
2019</td><td>NURDIN ARDIANSYAH</td><td>SURIP</td><td>BELUM/TIDAK
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>PERUT SENEB
KAKI SAKIT PUSING </td><td align='right'>56421</td><td
align='right'>0900034402</td><td>23-09-
2019</td><td>PAINI</td><td>NGAEMAN</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/
1</td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
align='right'>R51</td><td>Headache</td><td></td><td>KEPALA PUSING </td><td
2019</td><td>PARJU</td><td>PARJU</td><td>KARYAWAN
align='right'>0900003301</td><td>23-09-
2019</td><td>PARMIN</td><td>PARMIN</td><td>PETANI/PEKEBUN</td><td>4/2</td><td>4/2</
SISWATI</td><td>L</td><td>>70 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
region</td><td></td><td>kaki luka </td><td align='right'>56476</td><td
align='right'>2300004201</td><td>23-09-2019</td><td>POPO WARDOYO</td><td>POPO
WARDOYO</td><td>PENSIUNAN</td><td>SERPONG UTARA, TANGERANG</td><td></td><td>LUAR
KOTA PATI</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
unspecified</td><td></td><td>KEPALA PUSING SAKIT PERUT </td><td
align='right'>56426</td><td align='right'>1700024202</td><td>23-09-2019</td><td>PUK
ATI</td><td>SUWARNO</td><td>MENGURUS RUMAH
align='right'>H62.4</td><td>Otitis externa in other diseases classified
elsewhere</td><td></td><td>TELINGA SAKIT PEGEL </td><td align='right'>56429</td><td
align='right'>1600014901</td><td>23-09-
2019</td><td>RASMI</td><td>RASMI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>RASPIYAH</td><td>MUNAWAR </td><td>MENGURUS RUMAH
36</td><td>20</td><td>160</td><td>50</td><td></td></
tr><tr><td align='right'>J06.9</td><td>Acute upper respiratory infection,
align='right'>0600014002</td><td>23-09-
2019</td><td>SAINI</td><td>SAINI</td><td>MENGURUS RUMAH
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>sakit bgigi
2019</td><td>SAMAWA ELASTARIKA</td><td>SUKANTO</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Suharti</td><td>P</td><td>5-9
unspecified</td><td></td><td>PEGEL PERUT SENEB </td><td align='right'>56410</td><td
align='right'>1700001001</td><td>23-09-
cold]</td><td></td><td>BATUK PILEK </td><td align='right'>56420</td><td
align='right'>0900017002</td><td>23-09-
2019</td><td>SARINAH</td><td>JIMAN</td><td></td><td>2/1</td><td>2/1</td><td>NGURENR
EJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>SAKIT GIGI
2019</td><td>SAWI</td><td>RADI</td><td>MENGURUS RUMAH
align='right'>R51</td><td>Headache</td><td></td><td>KEPALA PUSING MATA BRUWET
2019</td><td>SAWINAH</td><td>TOHARI</td><td>MENGURUS RUMAH
INDRIARTI</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>P</td><td>>70
Th</td></tr><tr><td align='right'>H11.0</td><td>Pterygium</td><td></td><td>MATA ADA
BENJOLAN </td><td align='right'>56446</td><td align='right'>1800049902</td><td>23-
09-2019</td><td>SITI AISYAH NUR ROHMAN</td><td>BUDI PRASETYO</td><td>MENGURUS RUMAH
align='right'>D21.9</td><td>Other benign neoplasm of connective and other soft
tissue, unspecified</td><td></td><td></td><td align='right'>56448</td><td
AMINAH</td><td>KALIMI</td><td>MENGURUS RUMAH
align='right'>P52</td><td>Intracranial nontraumatic haemorrhage of fetus and
newborn</td><td></td><td></td><td align='right'>56472</td><td
FATIMAH</td><td>MUKADAR</td><td>MENGURUS RUMAH
align='right'>0800012902</td><td>23-09-2019</td><td>SITI KHASANAH</td><td>AGUS
SETYO</td><td>MENGURUS RUMAH
NURKHAYATI</td><td>MARLAN</td><td>MENGURUS RUMAH
kadang kemeng</td><td align='right'>56468</td><td
MURNI</td><td>TARNI</td><td></td><td>4/2</td><td>4/2</td><td>SIDOHARJO</td><td>PUSK
ESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DWI
SUKARWASTINAH</td><td>SUSANTO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
unspecified</td><td></td><td>LUTUT SAKIT </td><td align='right'>56427</td><td
align='right'>0700019301</td><td>23-09-
2019</td><td>SUHARTI</td><td>NGASMIN</td><td>MENGURUS RUMAH
align='right'>0602401202</td><td>23-09-
2019</td><td>SUJAMI</td><td>SUWAJI</td><td>MENGURUS RUMAH
2019</td><td>SUKAR</td><td>SUKAR</td><td>PETANI/PEKEBUN</td><td>5/2</td><td>5/2</td
><td>NGURENREJO</td><td>PKD NGURENREJO</td><td>dr. NANCY INDRIARTI</td><td>ENDANG
SISWATI</td><td>L</td><td>60-69 Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
cold]</td><td></td><td>BATUK PILEK TENGGOROKAN SAKIT </td><td
2019</td><td>SUKARNI</td><td>DIRAN</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>NYERI ULU HATI PERUT NYERI
2019</td><td>SULASI</td><td>SUPAR</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>PUSING LUTUT NYERI</td><td align='right'>56449</td><td
align='right'>0700029801</td><td>23-09-
2019</td><td>SULASTRI</td><td>SULASTRI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>I50.0</td><td>Congestive heart
failure</td><td></td><td></td><td align='right'>56463</td><td
align='right'>0700015801</td><td>23-09-
2019</td><td>SULHADI</td><td>SULHADI</td><td>MENGURUS RUMAH
align='right'>0601201602</td><td>23-09-
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>PERUT NYERI
SUSAH TIDUR LUTUT SAKIT </td><td align='right'>56434</td><td
align='right'>0900031801</td><td>23-09-
2019</td><td>SUPADI</td><td>SUPADI</td><td>PETANI/PEKEBUN</td><td>6/2</td><td></td>
<td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
2019</td><td>SURATMI</td><td>SURATNO</td><td>MENGURUS RUMAH
cold]</td><td></td><td>PANAS SUSAH MAKAN BATUK </td><td align='right'>56441</td><td
align='right'>1500001801</td><td>23-09-
2019</td><td>SURIP</td><td>SURIP</td><td>PETANI/PEKEBUN</td><td>5/2</td><td>5/2</td
><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
SURYANINGTIYAS, Amd</td><td>L</td><td>>70
JARI HABIS DIGIGIT TIKUS </td><td align='right'>56443</td><td
align='right'>1700024302</td><td>23-09-
2019</td><td>SURIPAH</td><td>SUKADI</td><td>MENGURUS RUMAH
periodontitis</td><td></td><td>GUSI BENGKAK </td><td align='right'>56471</td><td
align='right'>0800046701</td><td>23-09-
2019</td><td>SURIPTO</td><td>SURIPTO</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Suharti</td><td>L</td><td>>70
2019</td><td>SUTAMI</td><td>SUWARNO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>PEGEL PUNGGUNG NYERI </td><td
2019</td><td>SUWARNI</td><td>AFNAN</td><td>KARYAWAN
align='right'>R51</td><td>Headache</td><td></td><td>pusing </td><td
2019</td><td>SUWARNI</td><td>ABDUL KARIM</td><td>MENGURUS RUMAH
2019</td><td>SUWATI</td><td>MASTURI</td><td>MENGURUS RUMAH
align='right'>1600008804</td><td>23-09-2019</td><td>TANIA
PUTRI</td><td>RONO</td><td>BELUM/TIDAK
2019</td><td>TARNI</td><td>NURIYANTO</td><td>MENGURUS RUMAH
align='right'>R51</td><td>Headache</td><td></td><td>KEPALA SAKIT BADAN LEMES
2019</td><td>TRI SULISTIANI</td><td>AJIB</td><td>MENGURUS RUMAH
complications</td><td></td><td>NYERI PERUT PEGEL PUSING </td><td
2019</td><td>TUGINAH</td><td>KARNOTO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>Z39.2</td><td>Routine postpartum follow-
up</td><td></td><td>kontrol nifas</td><td align='right'>56474</td><td
align='right'>2100012602</td><td>23-09-2019</td><td>TUNGGAL
ASIH</td><td>KASWI</td><td>MENGURUS RUMAH TANGGA</td><td>GENENGMULYO
Adawiyah</td><td>DWI NURCHAYATI</td><td>P</td><td>20-44
align='right'>0800045402</td><td>23-09-2019</td><td>UNTARI</td><td>MOH
DHOFIR</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>demam,bapil,</td><td align='right'>56424</td><td
align='right'>0800038004</td><td>23-09-2019</td><td>YONAF NUR RISKI</td><td>AGUS
SUWITO</td><td>BELUM/TIDAK
unspecified</td><td></td><td>batuk,pilek,mriang</td><td
2019</td><td>ZAFIRA AHSANUL ARSYIFA</td><td>SUPRIYANTO</td><td>BELUM/TIDAK
cold]</td><td></td><td>batuk punggung sakit </td><td align='right'>56497</td><td
align='right'>0900039303</td><td>24-09-2019</td><td>AHMAD KHOSIM</td><td>ALI
MASHUDI</td><td>PETANI/PEKEBUN</td><td>1/3</td><td></td><td>NGURENREJO</td><td>PUSK
ESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
PBI</td><td>Rajal</td><td align='right'></td><td align='right'>6</td><td
colitis, unspecified</td><td></td><td>BAB CAIR 2X,</td><td
2019</td><td>AHMAD NUR HASAN</td><td>SUPARNO</td><td>BELUM/TIDAK
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>sakit gigi
2019</td><td>ALIKA NAYLA PUTRI</td><td>SUTRISNO</td><td>BELUM/TIDAK
align='right'>1800042604</td><td>24-09-2019</td><td>ARYA GILANG
PRATAMA</td><td>BUDIONO</td><td></td><td>TLOGOHARUM
INDRIARTI</td><td>Siti Fatimah</td><td>L</td><td><1
align='right'>1800042603</td><td>24-09-2019</td><td>ARYA GILANG
PRATAMA</td><td>BUDIONO</td><td></td><td>TLOGOHARUM
INDRIARTI</td><td>Siti Fatimah</td><td>L</td><td>5-9
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>sakitb gigi
2019</td><td>AS'ADI</td><td>AS'ADI</td><td>PETANI/PEKEBUN</td><td>4/1</td><td></td>
<td>REJO AGUNG</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>pusing
2019</td><td>DARIYATI KHOIRIN NISWATIN</td><td>JASMAN</td><td>MENGURUS RUMAH
INDUK</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>20-44
align='right'>0900039402</td><td>24-09-2019</td><td>DIAH YESIA INTAN
SEFRIDA</td><td>RIBUT KARMIDI</td><td>KARYAWAN
align='right'>2000018303</td><td>24-09-2019</td><td>DIKA DWI
SAPUTRA</td><td>MUNARSO</td><td>PELAJAR/MAHASISWA</td><td>ASEMPAPAN
INDRIARTI</td><td>YUSMIATI, S.kep</td><td>L</td><td>20-44
align='right'>56517</td><td align='right'>2200004702</td><td>24-09-2019</td><td>DWI
SAPUTRI</td><td>EKO SAPUTRO</td><td>MENGURUS RUMAH TANGGA</td><td>PANJUNAN
23/3</td><td></td><td>pati</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul
Adawiyah</td><td>HENI KURNIASIH</td><td>P</td><td>15-19
align='right'>F20</td><td>Schizophrenia</td><td></td><td></td><td
align='right'>56484</td><td align='right'>0900025703</td><td>24-09-2019</td><td>EKO
LASONO</td><td>SUMIYATI</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td>5/1</td><td>N
GURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
PATI</td><td>Dalam
align='right'>1400047803</td><td>24-09-2019</td><td>FAUZAN AL
KHOLIS</td><td>SELAMET RIYANTO</td><td>BELUM/TIDAK
unspecified</td><td></td><td>pusing tangan kanan sakit </td><td
unspecified</td><td></td><td>batuk,muntah</td><td align='right'>56530</td><td
align='right'>0600023203</td><td>24-09-2019</td><td>JEVANYA HANDIYAN
PUTRA</td><td>HANDOYO</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>BAN
GSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
/td><td>155</td><td>23</td><td></td></tr><tr><td align='right'>F23</td><td>Acute
and transient psychotic disorders</td><td></td><td></td><td
2019</td><td>JUMIATI</td><td>NGARIPAN</td><td>BELUM/TIDAK
unspecified</td><td></td><td>punggung sakit </td><td align='right'>56511</td><td
align='right'>1800048903</td><td>24-09-2019</td><td>KAMBALI</td><td>AB
KHAMID</td><td>KARYAWAN
cold]</td><td></td><td>batuk pilek pegel </td><td align='right'>56503</td><td
align='right'>1400014902</td><td>24-09-
2019</td><td>KAMISIH</td><td>SUYADI</td><td>MENGURUS RUMAH
align='right'>0900025801</td><td>24-09-
2019</td><td>KASMURI</td><td>KASMURI</td><td>BELUM/TIDAK
align='right'>1700010204</td><td>24-09-2019</td><td>KEISYA ARIQA
HANUNA</td><td>KUSNAN</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>HENI KURNIASIH</td><td>P</td><td><1
region</td><td></td><td>kaki luka </td><td align='right'>56521</td><td
align='right'>1400061202</td><td>24-09-
2019</td><td>KISWATI</td><td>SUDIRMAN</td><td>MENGURUS RUMAH
align='right'>0900029502</td><td>24-09-2019</td><td>KRISWATI</td><td>MAT
SHOLEH</td><td>MENGURUS RUMAH
align='right'>1500000903</td><td>24-09-
2019</td><td>KUSNO</td><td>SAMIJAN</td><td>KARYAWAN
NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>L</td><td>20-44
hypertension</td><td></td><td>pusing mual </td><td align='right'>56505</td><td
align='right'>0900024501</td><td>24-09-
2019</td><td>LANDUNG</td><td>LANDUNG</td><td>KARYAWAN
align='right'>0601302202</td><td>24-09-
unspecified</td><td></td><td>kesemutan </td><td align='right'>56487</td><td
align='right'>1800003001</td><td>24-09-
2019</td><td>MARJONO</td><td>MARJONO</td><td>PETANI/PEKEBUN</td><td>8/2</td><td></t
d><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
cold]</td><td></td><td>BATUK PILEK MERIANG </td><td align='right'>56486</td><td
align='right'>0800020103</td><td>24-09-2019</td><td>MUH ZIDAN
ALVARO</td><td>JUPRI</td><td>BELUM/TIDAK
contraception</td><td></td><td>konseling kb</td><td align='right'>56528</td><td
align='right'>1800050102</td><td>24-09-
2019</td><td>MUTI'AH</td><td>SUKIJAN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>batuk,pilek,sakit mata</td><td
2019</td><td>NAZA ZAHIRA DHIVANIA</td><td>SULIKUL HADI</td><td>BELUM/TIDAK
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td>nyeri
perut bag bawah,nyeri punggung,nyeri pada kemaluan</td><td
ISTIANA</td><td>SUSANTO</td><td>MENGURUS RUMAH
2019</td><td>NURUL KHOLIFAH</td><td>SUTANTO</td><td>MENGURUS RUMAH
cold]</td><td></td><td>pusing batuk sesek </td><td align='right'>56494</td><td
align='right'>0600023102</td><td>24-09-
cold]</td><td></td><td>batuk pilek </td><td align='right'>56493</td><td
align='right'>1400036203</td><td>24-09-2019</td><td>RICKY RADITYA
AFANDI</td><td>YUSUF AFANDI</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>L</td><td><1
align='right'></td><td align='right'>11</td><td align='right'></td><td>BP.
2019</td><td>RISCA ADI KURNIAWAN</td><td>SUTRISNO</td><td>KARYAWAN
SWASTA</td><td>WANGUREJO 1/2,MARGOREJO</td><td></td><td>pati</td><td>PUSKESMAS
region</td><td></td><td>nyeri</td><td align='right'>56529</td><td
align='right'>1900017501</td><td>24-09-
2019</td><td>RISMANI</td><td>RISMANI</td><td>KARYAWAN SWASTA</td><td>SUKOHARJO
2019</td><td>RUBI AGUSTIN</td><td>SELAMET RIYANTO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>mriang,batuk,mata bintitan</td><td
2019</td><td>SALMAN MUBAROK</td><td>MUNAWAR</td><td>BELUM/TIDAK
align='right'>I50.0</td><td>Congestive heart failure</td><td></td><td></td><td
2019</td><td>SAMINI</td><td>SAMINI</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
cold]</td><td></td><td>batuk </td><td align='right'>56495</td><td
align='right'>1700006502</td><td>24-09-
2019</td><td>SHOLIKAH</td><td>HARTONO</td><td>MENGURUS RUMAH
align='right'>O64.0</td><td>Obstructed labour due to incomplete rotation of fetal
head</td><td></td><td>post control sc dg riwayat partus macet</td><td
2019</td><td>SITI SUKENI</td><td>JUNAEDI</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>pusing nyeri lutut </td><td
2019</td><td>SOPINAH</td><td>NASRUN</td><td>MENGURUS RUMAH
2019</td><td>SRI ASTUTI</td><td>AHMAD SURI</td><td>MENGURUS RUMAH
align='right'>1400060902</td><td>24-09-2019</td><td>SRI AYEM</td><td>HADI
PURWANTO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>lutut sakit </td><td align='right'>56522</td><td
align='right'>1400061201</td><td>24-09-
2019</td><td>SUDIRMAN</td><td>SUDIRMAN</td><td>KARYAWAN
cold]</td><td></td><td>nyeri dada </td><td align='right'>56518</td><td
align='right'>14011007</td><td>24-09-
2019</td><td>SUJASMI</td><td>LASIMAN</td><td></td><td>1/1</td><td>1/1</td><td>PAGER
HARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
align='right'>2000002001</td><td>24-09-
2019</td><td>SUKARNITI</td><td>SUKARNITI</td><td>MENGURUS RUMAH
TANGGA</td><td>KERTOMULYO 2/4</td><td></td><td>TRANGKIL</td><td>PUSKESMAS
align='right'>0900008201</td><td>24-09-
2019</td><td>SUKATI</td><td>SUKATI</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>YUSMIATI, S.kep</td><td>P</td><td>>70
align='right'>0900025901</td><td>24-09-
2019</td><td>SUKEMI</td><td>SUKEMI</td><td>BELUM/TIDAK
2019</td><td>SUKISMIASIH</td><td>DARWI</td><td>MENGURUS RUMAH
2019</td><td>SULASTRI</td><td>MUNAWAR</td><td>MENGURUS RUMAH
cold]</td><td></td><td>PILEK BATUK MERIANG </td><td align='right'>56488</td><td
align='right'>0600011501</td><td>24-09-
2019</td><td>SUNARDI</td><td>SUNARDI</td><td>PETANI/PEKEBUN</td><td>6/1</td><td></t
d><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
align='right'>0900006201</td><td>24-09-
2019</td><td>SUNARTO</td><td>SUNARTO</td><td>PETANI/PEKEBUN</td><td>3/3</td><td>3/3
align='right'>1700007102</td><td>24-09-
2019</td><td>SUTISIH</td><td>SUGIARTO</td><td>MENGURUS RUMAH
contraception</td><td></td><td>konseling kb</td><td align='right'>56523</td><td
align='right'>0900039502</td><td>24-09-
2019</td><td>UMIYATI</td><td>SUCIPTO</td><td>MENGURUS RUMAH
unspecified complications</td><td></td><td>pegel </td><td
2019</td><td>WAKINI</td><td>KARYADI</td><td>MENGURUS RUMAH
align='right'>1700010403</td><td>25-09-2019</td><td>AFFANDI AHMAD
F</td><td>JUPRI</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>L</td><td>1-4
align='right'>1600003404</td><td>25-09-2019</td><td>AHMAD AFFANA
NAJIH</td><td>LASITO</td><td>BELUM/TIDAK
align='right'>2000018503</td><td>25-09-2019</td><td>ALZHEA MISHALL
SAMAIRA</td><td>WAHYU DENI S</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
Adawiyah</td><td>HENI SUTRININGSIH</td><td>P</td><td><1
d><td>80</td><td>6</td><td>Tdk Th</td></tr><tr><td
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>muntah</td><td
2019</td><td>ARFAN FAKHRUN N</td><td>JOKO PRAMONO</td><td>BELUM/TIDAK
BEKERJA</td><td>1/2</td><td></td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr.
Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>L</td><td>1-4
align='right'>1800050203</td><td>25-09-2019</td><td>ARSYILA NAZAFARIN ALMAHYRA
PUTRI</td><td>EDI PRATOMO</td><td>BELUM/TIDAK
Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>P</td><td><1
align='right'>0700025504</td><td>25-09-2019</td><td>ARSYILA SHEZAN
BANAFSHA</td><td>MOH LUTFI</td><td>BELUM/TIDAK
align='right'>H62.4</td><td>Otitis externa in other diseases classified
elsewhere</td><td></td><td>telinga sakit </td><td align='right'>56542</td><td
align='right'>0800046403</td><td>25-09-2019</td><td>ARZEFI VALENTICA
M</td><td>TITIK
KUSMIATI</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4/2</td><td>SIDOHARJO</td><t
d>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
2019</td><td>BAINAH</td><td>BAINAH</td><td>MENGURUS RUMAH
2019</td><td>CHASANAH</td><td>CHASANAH</td><td>TUKANG
JAHIT</td><td>1/1</td><td>1/1</td><td>TLOGOHARUM</td><td>PUSKESMAS
periodontitis</td><td></td><td></td><td align='right'>56535</td><td
align='right'>0700026202</td><td>25-09-
2019</td><td>DARMI</td><td>MUNAJI</td><td>MENGURUS RUMAH
Gigi</td><td></td><td>RS AS-SUYUTHIYYAH</td><td>Dalam
cold]</td><td></td><td>batuk pilek panas </td><td align='right'>56555</td><td
align='right'>2100012703</td><td>25-09-2019</td><td>EKA PUTRI APRILIA</td><td>EKO
RUDIYANTO</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td></td><td>KETIP</td><td>PUSK
ESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH, Amd</td><td>P</td><td>5-9
align='right'>2300004304</td><td>25-09-2019</td><td>HANS NAGASWARA</td><td>SUPRI
IRYANTO</td><td>BELUM/TIDAK BEKERJA</td><td>RANDUSARI, KLATEN</td><td></td><td>LUAR
KOTA PATI</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI
SUTRININGSIH</td><td>L</td><td><1
align='right'>Z34.8</td><td>Supervision of other normal
align='right'>0900039602</td><td>25-09-2019</td><td>JUWATI</td><td>AHMAD JUMA
S</td><td>MENGURUS RUMAH
region</td><td></td><td>kontrol </td><td align='right'>56548</td><td
align='right'>0800058601</td><td>25-09-
align='right'>0900039703</td><td>25-09-2019</td><td>KARIM
UBAIDILLAH</td><td>KARDI</td><td>BELUM/TIDAK
d>90</td><td>36</td><td>30</td><td>80</td><td>8</td><td></td></tr><tr><td
cold]</td><td></td><td>batuk pusing pilek </td><td align='right'>56959</td><td
align='right'>18023044</td><td>25-09-
2019</td><td>KARSIH</td><td>KARSIH</td><td></td><td>3/2</td><td>3/2</td><td>TLOGOHA
RUM</td><td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
align='right'>0800018602</td><td>25-09-
cold]</td><td></td><td>kepala nggliyeng</td><td align='right'>57014</td><td
align='right'>1802308202</td><td>25-09-
2019</td><td>KARSINAH</td><td>SUNARDI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>KASIPAH</td><td>KASIPAH</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>DJUM ELIYA</td><td>P</td><td>>70
2019</td><td>KASMI</td><td>LASJAN</td><td>PETANI/PEKEBUN</td><td>4/3</td><td>4/3</t
d><td>SIDOHARJO</td><td>PKD SIDOHARJO</td><td>dr. NANCY INDRIARTI</td><td>DJUM
ELIYA</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
2019</td><td>KASMINAH</td><td>KASMINAH</td><td>PERDAGANGAN</td><td>4/1</td><td>4/1<
/td><td>SIDOHARJO</td><td>PKD SIDOHARJO</td><td>dr. NANCY INDRIARTI</td><td>DJUM
ELIYA</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
Th</td></tr><tr><td
2019</td><td>KASMIRAH</td><td>KASMIRAH</td><td>MENGURUS RUMAH
align='right'>D45</td><td>Polycythaemia vera</td><td></td><td></td><td
2019</td><td>KASMITO</td><td>KASMITO</td><td>KARYAWAN
align='right'>1600009404</td><td>25-09-2019</td><td>KAYLA DWI PUTRI
P</td><td>PAIJAN</td><td>BELUM/TIDAK
align='right'>1400061603</td><td>25-09-2019</td><td>KAYLA NAHDA
RAFANDA</td><td>JOKO UMBARWAJI</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>P</td><td><1
2019</td><td>KENI</td><td>KENI</td><td>MENGURUS RUMAH
2019</td><td>KIRANA AYDA AZZAHRA</td><td>MAHBUB MAS'UDI</td><td>BELUM/TIDAK
SUTRININGSIH</td><td>P</td><td><1
align='right'>1800050401</td><td>25-09-
2019</td><td>KUDASI</td><td>KUDASI</td><td>PETANI/PEKEBUN</td><td>2/1</td><td>2/1</
2019</td><td>KUSMINI</td><td>KARSIPAN</td><td>MENGURUS RUMAH
periodontitis</td><td></td><td>sakit gigi </td><td align='right'>56560</td><td
align='right'>1600021902</td><td>25-09-
2019</td><td>MAHMUDAH</td><td>WIDARSO</td><td>PEDAGANG</td><td>1/1</td><td>1/1</td>
<td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
mata sepet lutut nyeri </td><td align='right'>56536</td><td
align='right'>0800015602</td><td>25-09-
cold]</td><td></td><td>batuk pilek meriasng </td><td align='right'>56549</td><td
align='right'>0600023303</td><td>25-09-2019</td><td>MINANUR
RAHMAN</td><td>SALAMUN</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4/2</td><td>BA
NGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
2019</td><td>MUNASRI</td><td>MARKIJAN</td><td>MENGURUS RUMAH
align='right'>0800040604</td><td>25-09-2019</td><td>NADIRA KIRANI
ALMAHERA</td><td>MUSTADIRIN</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>P</td><td><1
cold]</td><td></td><td>diare</td><td align='right'>56550</td><td
align='right'>0900000904</td><td>25-09-2019</td><td>NELLA SHERLY
K</td><td>SUKARDI</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>HENI SUTRININGSIH</td><td>P</td><td>1-
cold]</td><td></td><td>batuk gatal </td><td align='right'>56572</td><td
align='right'>1500010701</td><td>25-09-
2019</td><td>NGADIPAH</td><td>NGADIPAH</td><td>PERDAGANGAN</td><td>2/2</td><td></td
><td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
align='right'>0900000506</td><td>25-09-2019</td><td>NUR WAFA
ANNAFI</td><td>SLAMET</td><td>BELUM/TIDAK
2019</td><td>PAINAH</td><td>DARSUKI</td><td></td><td>1/2</td><td>1/2</td><td>TLOGOH
ARUM</td><td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
pegel </td><td align='right'>56552</td><td align='right'>0900037201</td><td>25-09-
2019</td><td>PAING</td><td>PAING</td><td>KARYAWAN
2019</td><td>PUJIATI</td><td>SUPRIYONO</td><td>MENGURUS RUMAH
2019</td><td>RESKY
JOFIAN ARRAFIQ</td><td>JOKO LEKSONO</td><td>BELUM/TIDAK
align='right'>18021068</td><td>25-09-
2019</td><td>RUKASIH</td><td>RUKASIH</td><td></td><td>1/2</td><td>1/2</td><td>TLOGO
HARUM</td><td>PUSLING</td><td>dr. NANCY INDRIARTI</td><td>YUSMIATI,
2019</td><td>SAKIMI</td><td>SAKIMI</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>DJUM ELIYA</td><td>P</td><td>>70
align='right'>0800044401</td><td>25-09-
2019</td><td>SAMINI</td><td>SAMINI</td><td>MENGURUS RUMAH
NANCY INDRIARTI</td><td>DJUM ELIYA</td><td>L</td><td>>70
2019</td><td>SARMINI</td><td>TAREMAN</td><td>PERDAGANGAN</td><td>1/2</td><td>1/2</t
ELIYA</td><td>P</td><td>60-69 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
cold]</td><td></td><td>batuk pegel </td><td align='right'>56551</td><td
align='right'>0900037301</td><td>25-09-
2019</td><td>SAROJO</td><td>SAROJO</td><td>KARYAWAN
cold]</td><td></td><td>bapil,panas</td><td align='right'>56538</td><td
align='right'>1700005604</td><td>25-09-2019</td><td>SHEZA SAFIRA
KIANA</td><td>WARSITO</td><td>BELUM/TIDAK
36.5</td><td>30</td><td>80</td><td>7.8</td><td>Tdk Th</td></tr><tr><td
cold]</td><td></td><td>panas batk pilek pegel </td><td align='right'>56564</td><td
NURASIH</td><td>JARI</td><td>MENGURUS RUMAH
2019</td><td>SUCI RAHAYU</td><td>SUCI RAHAYU</td><td>MENGURUS RUMAH
Thn.</td><td>Keluarga</td><td>Baru</td><td>ASKES</td><td>Rajal</td><td
2019</td><td>SUKESI</td><td>KARSO</td><td>MENGURUS RUMAH
complications</td><td></td><td>kaki kaku </td><td align='right'>56533</td><td
align='right'>1800019202</td><td>25-09-
2019</td><td>SULASTRI</td><td>SUKADI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>kaki nyeri </td><td align='right'>56562</td><td
align='right'>1800049202</td><td>25-09-
2019</td><td>SUMARNI</td><td>SUNARDI</td><td>MENGURUS RUMAH
align='right'>0800053202</td><td>25-09-
2019</td><td>SUMARNI</td><td>SUMARNI</td><td>MENGURUS RUMAH
align='right'>1800001002</td><td>25-09-
2019</td><td>SUMINAH</td><td>SUNARDI</td><td>MENGURUS
RUMAH TANGGA</td><td>1/1</td><td>1/1</td><td>TLOGOHARUM</td><td>PUSKESMAS
Th</td></tr><tr><td
2019</td><td>SUMIRAH</td><td>SUMIRAH</td><td>PERDAGANGAN</td><td>1/3</td><td>1/3</t
ELIYA</td><td>P</td><td>>70 Thn.</td><td>Keluarga</td><td>Lama</td><td>BPJS
align='right'>0800051702</td><td>25-09-
2019</td><td>SUPARMI</td><td>SARDI</td><td>MENGURUS RUMAH
2019</td><td>SUWARI</td><td>SUWARI</td><td>PERDAGANGAN</td><td>4/2</td><td>4/2</td>
<td>JETAK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>JAZILAH,
2019</td><td>SUWARSIH</td><td>TUGIMAN</td><td>MENGURUS RUMAH
2019</td><td>SUWARTI</td><td>SUMAIDI</td><td>MENGURUS RUMAH
cold]</td><td></td><td>panas</td><td align='right'>56543</td><td
align='right'>1600008804</td><td>25-09-2019</td><td>TANIA
PUTRI</td><td>RONO</td><td>BELUM/TIDAK
complications</td><td></td><td>pusing </td><td align='right'>56566</td><td
align='right'>1400061402</td><td>25-09-2019</td><td>UMI
MUNIRAH</td><td>JASMANI</td><td>MENGURUS RUMAH
2019</td><td>AGUS
SUNARTO</td><td>SUCIPTO</td><td>PELAJAR/MAHASISWA</td><td>1/4</td><td>1/4</td><td>P
AGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
unspecified</td><td></td><td>diare 5 x,batuk,pilek</td><td
align='right'>56629</td><td align='right'>2100012804</td><td>26-09-2019</td><td>AL
WHILDAN DEWANANDA</td><td>AGUS WIDODO</td><td>BELUM/TIDAK BEKERJA</td><td>KINCIR
KULON 5/1</td><td></td><td>JUWANA</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>HENI KURNIASIH</td><td>L</td><td><1
align='right'>1800015903</td><td>26-09-2019</td><td>ANA
HIDAYATI</td><td>KASMIRAH</td><td>BELUM/TIDAK
unspecified</td><td></td><td>panas,diare</td><td align='right'>56578</td><td
align='right'>0800048405</td><td>26-09-2019</td><td>ANGGA ARDI NOR
ROHMAN</td><td>SUDI</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI KURNIASIH</td><td>L</td><td><1
2019</td><td>ANINDA SULISTIA WATI</td><td>AZIZ ERIYANTO</td><td>MENGURUS RUMAH
align='right'>2000004702</td><td>26-09-
2019</td><td>ANISAH</td><td>SHOLEH</td><td>MENGURUS RUMAH TANGGA</td><td>ASEMPAPAN
periodontitis</td><td></td><td>gigi sakit </td><td align='right'>56622</td><td
align='right'>1400061804</td><td>26-09-2019</td><td>ARMILA
ZAHBI
IKRIMA</td><td>HARTO</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>PAGE
RHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>Suharti</td><td>P</td><td>5-9
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>sakit gigi</td><td
align='right'>56610</td><td align='right'>0800047903</td><td>26-09-2019</td><td>EDY
GUNAWAN</td><td>SUGIYONO</td><td>BELUM/TIDAK
INDUK</td><td>dr. NANCY INDRIARTI</td><td>Suharti</td><td>L</td><td>1-4
cold]</td><td></td><td>meriang batuk </td><td align='right'>56614</td><td
align='right'>0900032903</td><td>26-09-2019</td><td>ELANITA
KEVIANA</td><td>SUNARDI</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>N
GURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
align='right'>0900023402</td><td>26-09-2019</td><td>EVA
MAEMONAH</td><td>DANANG</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>meriang
pusing </td><td align='right'>56613</td><td align='right'>0900033003</td><td>26-09-
2019</td><td>FITRIANI
LESTARI</td><td>NGASMIN</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>N
GURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
align='right'>2000018703</td><td>26-09-2019</td><td>FRANS ALI</td><td>ALI
IMRON</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
2019</td><td>GUNAWI</td><td>GUNAWI</td><td>KARYAWAN
NANCY INDRIARTI</td><td>Suharti</td><td>L</td><td>60-69
2019</td><td>JAMILAH</td><td>JAMILAH</td><td>MENGURUS RUMAH
2019</td><td>JAMILAH</td><td>JAMILAH</td><td>MENGURUS RUMAH
align='right'>M79.1</td><td>Myalgia</td><td></td><td>PEGEL DAN GATEL</td><td
2019</td><td>KARMINI</td><td>SUPARMIN</td><td>MENGURUS RUMAH
region</td><td></td><td>pegel tangan ada luka </td><td align='right'>56582</td><td
align='right'>0800059601</td><td>26-09-
2019</td><td>KARSO</td><td>KARSO</td><td>PETANI/PEKEBUN</td><td>4/3</td><td>4/3</td
><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>0900003002</td><td>26-09-
2019</td><td>KASIPAH</td><td>KASMURI</td><td>MENGURUS RUMAH
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>perut perih
gemeter </td><td align='right'>56575</td><td align='right'>1400006402</td><td>26-
09-2019</td><td>MARMI</td><td>SUMITO</td><td>MENGURUS RUMAH
align='right'>0600012704</td><td>26-09-2019</td><td>MELYSA NUR
RAHMA</td><td>JASNO</td><td>PELAJAR/MAHASISWA</td><td>1/1</td><td>1/1</td><td>BANGS
ALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
cold]</td><td></td><td>batuk pusing pilek
panas </td><td align='right'>56584</td><td align='right'>2000016305</td><td>26-09-
2019</td><td>MOH AZRIL KHOIRUL KHOTAMI</td><td>UMAR
FARUQ</td><td>PELAJAR/MAHASISWA</td><td>ASEMPAPAN
align='right'>G40.9</td><td>Epilepsy, unspecified</td><td></td><td>epilepsi</td><td
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI KURNIASIH</td><td>L</td><td>1-4
PATI</td><td>Dalam
origin</td><td></td><td>diare batuk pilek </td><td align='right'>56604</td><td
align='right'>1800050803</td><td>26-09-2019</td><td>MOH SANDIRA RAKA
A</td><td>KADARI</td><td>BELUM/TIDAK
2019</td><td>MUH AL HAM SYARIFUDDIN</td><td>SUMARDI</td><td>BELUM/TIDAK
align='right'>0600005104</td><td>26-09-2019</td><td>MUH KHOIRUL
ANAM</td><td>SUHADI</td><td>PELAJAR/MAHASISWA</td><td>6/1</td><td>6/1</td><td>BANGS
ALREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>SUWARTI
align='right'>2000006003</td><td>26-09-2019</td><td>MUH MIFTAKHUL
IBAD</td><td>SUMARI</td><td>BELUM/TIDAK BEKERJA</td><td>REJOAGUNG
INDRIARTI</td><td>HENI KURNIASIH</td><td>L</td><td>1-4
unspecified</td><td></td><td>batuk,pilek,3 hari</td><td align='right'>56603</td><td
align='right'>1600015403</td><td>26-09-2019</td><td>MUHAMAD DIRGA SAPUTRA</td><td>M
MUKLIS</td><td>BELUM/TIDAK
Thn.</td><td>Keluarga</td><td>Lama</td><td>Gratis</td><td>Rajal</td><td
align='right'>N34.3</td><td>Urethral syndrome, unspecified</td><td></td><td>bak
2019</td><td>MUHAMAD SUYUDI</td><td>MUHAMAD SUYUDI</td><td>KARYAWAN
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>senepm pusing
mual </td><td align='right'>56596</td><td align='right'>0600012702</td><td>26-09-
2019</td><td>MUNJIANA</td><td>JASNO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>J06</td><td>Acute upper respiratory infections of
multiple and unspecified sites</td><td></td><td>batuk,pilek,mriang</td><td
2019</td><td>NABILLA SYAKIRA</td><td>SLAMET JONI</td><td>BELUM/TIDAK
unspecified</td><td></td><td>badan sakit </td><td align='right'>56602</td><td
align='right'>1600001302</td><td>26-09-
2019</td><td>NGATINI</td><td>SUWAR</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>lemes pusing tidak bisa tidur </td><td
2019</td><td>NINIK NASWATI</td><td>SUPARMAN</td><td>KARYAWAN
SWASTA</td><td>ASEMPAPAN 1/4</td><td></td><td>TRANGKIL</td><td>PUSKESMAS
KHASANAH</td><td>RUSMANTO</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>jalan gemeter mata kabur </td><td
2019</td><td>PARMIN</td><td>PARMIN</td><td>KARYAWAN SWASTA</td><td>SAMBILAWANG
INDRIARTI</td><td>SUWARTI
unspecified</td><td></td><td>diare,muntah</td><td align='right'>56620</td><td
align='right'>1600016704</td><td>26-09-2019</td><td>REVALINA PUTRI E</td><td>AHMAD
KHOLID</td><td>BELUM/TIDAK
align='right'>H60</td><td>Otitis externa</td><td></td><td>telinga sakit </td><td
2019</td><td>RISA ZULYANTI
NIKMAH</td><td>SUPRIYANTO</td><td>PELAJAR/MAHASISWA</td><td>2/3</td><td>2/3</td><td
>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
cold]</td><td></td><td>batuk pilek punggung sakit </td><td
2019</td><td>SAEMURI</td><td>SAEMURI</td><td>PETANI/PEKEBUN</td><td>2/2</td><td></t
d><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>SUWARTI SURYANINGTIYAS, Amd</td><td>L</td><td>>70
align='right'>1800030302</td><td>26-09-
2019</td><td>SAKDI</td><td>NASIJAH</td><td>PETANI/PEKEBUN</td><td>6/2</td><td>6/2</
align='right'>0900040101</td><td>26-09-
unspecified</td><td></td><td>badan sakit </td><td align='right'>56577</td><td
align='right'>0700021201</td><td>26-09-
</td><td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
periodontitis</td><td></td><td>sakity gigi </td><td align='right'>56588</td><td
align='right'>1800017904</td><td>26-09-2019</td><td>SAYYIDATUL KHAFSOH
</td><td>ZAENAL</td><td>PELAJAR/MAHASISWA</td><td>1/1</td><td>1/1</td><td>TLOGOHARU
M</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
unspecified</td><td></td><td>leher kaku </td><td align='right'>56579</td><td
align='right'>1500017301</td><td>26-09-2019</td><td>SITI MASINI</td><td>SITI
MASINI</td><td>BELUM/TIDAK
MASRI'AH</td><td>SUYADI</td><td></td><td>3/3</td><td>3/3</td><td>SIDOHARJO</td><td>
PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI
KURNIASIH</td><td>P</td><td>20-44
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td>mual
muntah,pusing</td><td align='right'>56616</td><td
UMAEROH</td><td>SULAWI</td><td>MENGURUS RUMAH TANGGA</td><td>BAKARAN KULON
align='right'>0900022702</td><td>26-09-2019</td><td>SRI FAJAR
LESTARI</td><td>SUMARLAN</td><td>MENGURUS RUMAH
WINARSIH</td><td>SUNARTO</td><td></td><td>5/1</td><td>5/1</td><td>BANGSALREJO</td><
td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
align='right'>M79.1</td><td>Myalgia</td><td></td><td>pinggang sakit kaki kesemutan
2019</td><td>SUDARMINI</td><td>LASIJAN</td><td>MENGURUS RUMAH
TANGGA</td><td>5/1</td><td></td><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr.
align='right'>1800035402</td><td>26-09-
2019</td><td>SUDATI</td><td>MARJONO</td><td>MENGURUS
RUMAH TANGGA</td><td>4/2</td><td>4/2</td><td>TLOGOHARUM</td><td>PUSKESMAS
unspecified</td><td></td><td>pusing punggung sakit </td><td
2019</td><td>SUGIARTI</td><td>BAMBANG EKO</td><td>MENGURUS RUMAH
region</td><td></td><td>kontrol jahitan </td><td align='right'>56593</td><td
align='right'>0900039901</td><td>26-09-
2019</td><td>SUGITO</td><td>SUGITO</td><td>PETANI/PEKEBUN</td><td>6/3</td><td>6/3</
td><td>NGURENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
align='right'>0700032001</td><td>26-09-
2019</td><td>SUKARWI</td><td>SUKARWI</td><td>KARYAWAN
Th</td></tr><tr><td align='right'>L28.0</td><td>Lichen simplex
chronicus</td><td></td><td></td><td align='right'>56590</td><td
align='right'>0900001302</td><td>26-09-
2019</td><td>SULASNI</td><td>SUWITO</td><td>MENGURUS RUMAH
PATI</td><td>Dalam
cold]</td><td></td><td>batuk pilek leher sakit </td><td align='right'>56606</td><td
align='right'>1800034502</td><td>26-09-
2019</td><td>SUMARNI</td><td>MASRUKIN</td><td>MENGURUS RUMAH
region</td><td></td><td>kaki sakit kena duri </td><td align='right'>56594</td><td
align='right'>1400001402</td><td>26-09-
Th</td></tr><tr><td align='right'>G44</td><td>Other headache
syndromes</td><td></td><td>tidak bisa tidur cemas mual pusing </td><td
2019</td><td>SUPANTI</td><td>SULIKAN </td><td>MENGURUS RUMAH
lutut sakit </td><td align='right'>56580</td><td
align='right'>1500003101</td><td>26-09-
align='right'>0901042101</td><td>26-09-
2019</td><td>TARSINAH</td><td>TARSINAH</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>mules bab cair </td><td
2019</td><td>TASNI</td><td>PAIJAN</td><td>MENGURUS RUMAH
align='right'>0600023503</td><td>26-09-2019</td><td>UBAIDILLAH LABIB
B</td><td>SELAMET
SUTARJO</td><td>PELAJAR/MAHASISWA</td><td>5/2</td><td>5/2</td><td>BANGSALREJO</td><
td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
/td><td>150</td><td>34</td><td></td></tr><tr><td align='right'>J00</td><td>Acute
nasopharyngitis [common cold]</td><td></td><td>batuk pilek demam </td><td
align='right'>56591</td><td align='right'>0800030401</td><td>26-09-2019</td><td>UDI
SUDARMANTO</td><td>UDI SUDARMANTO</td><td>KARYAWAN
mual </td><td align='right'>56583</td><td align='right'>1500026502</td><td>26-09-
2019</td><td>UMBARWATI</td><td>JUMADI</td><td>KARYAWAN
alone</td><td></td><td>imunisasi calon pengantin</td><td
2019</td><td>WAHYU NOVITA</td><td>SUTAWI</td><td>KARYAWAN
2019</td><td>WATININGSIH</td><td>SUNOTO</td><td>MENGURUS RUMAH
2019</td><td>WATININGSIH</td><td>SUNOTO</td><td>MENGURUS RUMAH
2019</td><td>WIRATNO SURAHMAT</td><td>SADIKUN</td><td>KARYAWAN
SWASTA</td><td>SULANG, REMBANG</td><td></td><td>LUAR KOTA PATI</td><td>PUSKESMAS
INDUK</td><td>dr. NANCY INDRIARTI</td><td>HENI KURNIASIH</td><td>L</td><td>20-44
unspecified</td><td></td><td>tangan kiri nyeri </td><td align='right'>56642</td><td
align='right'>0600023602</td><td>27-09-2019</td><td>ALFIN AL GHIFARI</td><td>SITI
MUJIYAH</td><td>PELAJAR/MAHASISWA</td><td>5/2</td><td>5/2</td><td>BANGSALREJO</td><
td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
cold]</td><td></td><td>BATUK TENGGOROKAN SAKIT </td><td align='right'>56676</td><td
align='right'>1400047304</td><td>27-09-2019</td><td>APRO
ARIANSYAH</td><td>SUCIPTO</td><td></td><td>1/4</td><td>1/4</td><td>PAGERHARJO</td><
td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
unspecified</td><td></td><td>batuk,pilek,telinga sakit</td><td
2019</td><td>DAFFA ALFAREZ ZAEDAN</td><td>EKO
PRASETYO</td><td></td><td>2/2</td><td>2/2</td><td>PAGERHARJO</td><td>PUSKESMAS
cold]</td><td></td><td>BATUK PILEK PANAS </td><td align='right'>56673</td><td
align='right'>0900005503</td><td>27-09-2019</td><td>DEA RIZKY
ANANDA</td><td>WIYONO</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>NGU
RENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
Th</td></tr><tr><td align='right'>R51</td><td>Headache</td><td></td><td>PUSING
2019</td><td>DWI DANIATUN NIFA</td><td>AGUS RIYANTO</td><td>MENGURUS RUMAH
align='right'>0600019302</td><td>27-09-2019</td><td>ENDAH WULAN SARI</td><td>NUR
KOLIS</td><td>KARYAWAN
align='right'>0600001104</td><td>27-09-2019</td><td>HANUNG ATMA
SONYA</td><td>JUNOPO</td><td>BELUM/TIDAK
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td>dada
berdebar debar</td><td align='right'>56659</td><td
align='right'>1800047102</td><td>27-09-2019</td><td>ISNA ISMAYANTI</td><td>ALI
AKHWAN</td><td>KARYAWAN
unspecified</td><td></td><td>nyeri sendi </td><td align='right'>56643</td><td
align='right'>0600013102</td><td>27-09-
2019</td><td>JEMI</td><td>UNTUNG</td><td>MENGURUS RUMAH
align='right'>N83</td><td>Noninflammatory disorders of ovary, fallopian tube and
broad ligament</td><td></td><td></td><td align='right'>56679</td><td
align='right'>1400062001</td><td>27-09-
2019</td><td>KARTI</td><td>KARTI</td><td>MENGURUS RUMAH
region</td><td></td><td>kontrol kena paku</td><td align='right'>56672</td><td
align='right'>0600021103</td><td>27-09-2019</td><td>MARFEL OKTA S</td><td>IKE
FEBRIANTI</td><td>BELUM/TIDAK
align='right'>0700031704</td><td>27-09-2019</td><td>MUH ARZUQO
BILHAQ</td><td>HAMID</td><td>BELUM/TIDAK
2019</td><td>MUH HELMY AFRIZAL</td><td>SISWANTO</td><td>BELUM/TIDAK
2019</td><td>MUHADI</td><td>MUHADI</td><td>WIRASWASTA</td><td>5/2</td><td>5/2</td><
td>JATIMULYO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
unspecified</td><td></td><td>KESEMUTAN BADAN CAPEK </td><td
2019</td><td>MUNARTI</td><td>MUSTARI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>KAKI SAKIT </td><td align='right'>56669</td><td
align='right'>1800051103</td><td>27-09-2019</td><td>MURNI
FITRIANI</td><td>MUNJID</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>T
LOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
align='right'>R51</td><td>Headache</td><td></td><td>PUSING </td><td
2019</td><td>MUSTAJAB SAIFUL ABIDIN</td><td>MUSTAJAB SAIFUL ABIDIN</td><td>KARYAWAN
align='right'>1400018802</td><td>27-09-
2019</td><td>NGADINAH</td><td>RUBAWI</td><td>MENGURUS RUMAH
align='right'>R33</td><td>Retention of urine</td><td></td><td></td><td
2019</td><td>NGARDI</td><td>NGARDI</td><td></td><td>5/3</td><td>5/3</td><td>PAGERHA
RJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI WINARMI,
Th</td></tr><tr><td align='right'>F25</td><td>Schizoaffective
AISYAH</td><td>PARTONO</td><td>MENGURUS RUMAH
cold]</td><td></td><td>BATUK TENGGOROKAN SAKIT </td><td align='right'>56663</td><td
align='right'>0600001103</td><td>27-09-2019</td><td>RADHIT
RAMADHANY</td><td>JUNOPO</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td>5/1</td><td>
BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH BUDI
cold]</td><td></td><td>PUSING BATUK PILEK </td><td align='right'>56647</td><td
align='right'>1500007602</td><td>27-09-
2019</td><td>RASMI</td><td>SUBAI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>TANGAN NYERI LEHER MACEL </td><td
2019</td><td>RUBIAH</td><td>SARJI</td><td>KARYAWAN
<td>80</td><td>36</td><td>20</td><td>155</td><td>52</td><td>Tdk
unspecified</td><td></td><td>KONTROL POS OP</td><td align='right'>56644</td><td
align='right'>0800050102</td><td>27-09-
2019</td><td>RUSUDARTI</td><td>RADI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>K40</td><td>Inguinal
hernia</td><td></td><td></td><td align='right'>56665</td><td
align='right'>0900038801</td><td>27-09-
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>PERUT SENEB
2019</td><td>SAWINAH</td><td>NGUSMAN</td><td>PERDAGANGAN</td><td>2/3</td><td>2/3</t
d><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH
BUDI WINARMI, S.kep</td><td>P</td><td>55-59
AMINAH</td><td>SUPENO</td><td>MENGURUS RUMAH TANGGA</td><td>ASEMPAPAN
INDRIARTI</td><td>RATIH BUDI WINARMI, S.kep</td><td>P</td><td>20-44
align='right'>0700026302</td><td>27-09-2019</td><td>SITI RUKOYYAH</td><td>PENDI
SETYAWAN</td><td>MENGURUS RUMAH
ASTUTI</td><td>BARI</td><td>KARYAWAN
LESTARI</td><td>JASMANI</td><td>MENGURUS RUMAH
Th</td></tr><tr><td align='right'>G40</td><td>Epilepsy</td><td></td><td></td><td
RUBIYANTI</td><td>SANTOSO</td><td>BELUM/TIDAK
><td>80</td><td>36</td><td>20</td><td>150</td><td>45</td><td>B</td></tr><tr><td
SUHARTI</td><td>SODIK</td><td>MENGURUS RUMAH
align='right'>R51</td><td>Headache</td><td></td><td>PUSING </td><td
2019</td><td>SUDIYANI</td><td>KARYONO</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>TANGAN IRI NYERI </td><td align='right'>56635</td><td
align='right'>1400009502</td><td>27-09-
2019</td><td>SUKANAH</td><td>SULKAN</td><td>KARYAWAN
SWASTA</td><td>4/3</td><td></td><td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr.
neurological complications</td><td></td><td></td><td align='right'>56655</td><td
align='right'>0700003302</td><td>27-09-
2019</td><td>SUKARNI</td><td>PARNO</td><td>MENGURUS RUMAH
without complications</td><td></td><td>BADAN CAPEK PUSING </td><td
align='right'>0700023302</td><td>27-09-
2019</td><td>SUMINAH</td><td>SUKAMTO</td><td>MENGURUS RUMAH
Thn.</td><td>Keluarga</td><td>Baru</td><td>BPJS
align='right'>1400047302</td><td>27-09-
2019</td><td>SUNARTI</td><td>SUCIPTO</td><td>MENGURUS RUMAH
complications</td><td></td><td>PUNGGUNG NYERI </td><td align='right'>56657</td><td
align='right'>1700005802</td><td>27-09-
align='right'>0700006802</td><td>27-09-
2019</td><td>SUPIAH</td><td>HARYANTO</td><td>MENGURUS RUMAH
align='right'>0700032101</td><td>27-09-
2019</td><td>SUWARNI</td><td>SUWARNI</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>DADA NYERI PUNGGUNG SAKIT </td><td
2019</td><td>SUWARNI</td><td>JASRI</td><td>MENGURUS RUMAH
align='right'>0600023702</td><td>27-09-2019</td><td>SYAFA'ATIN</td><td>SELAMET
PUJIONO</td><td>MENGURUS RUMAH
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>PERUT PERIH
2019</td><td>TEGUH MULYONO</td><td>TEGUH
MULYONO</td><td>WIRASWASTA</td><td>2/1</td><td>2/1</td><td>KEPOH</td><td>PUSKESMAS
align='right'>0600003001</td><td>27-09-
2019</td><td>TRIMO</td><td>TRIMO</td><td>PETANI/PEKEBUN</td><td>1/1</td><td>1/1</td
><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>RATIH
colitis, unspecified</td><td></td><td>diare,mriang</td><td
2019</td><td>ABIMANYU AMMAR AL FIRDAUS</td><td>KUNTOYO</td><td>BELUM/TIDAK
INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DWI NURCHAYATI</td><td>L</td><td><1
cold]</td><td></td><td>batuk pilek demam </td><td align='right'>56708</td><td
align='right'>1400022503</td><td>28-09-2019</td><td>ADELIA MEISYA</td><td>ABDUL
ROHMAD</td><td>BELUM/TIDAK
region</td><td></td><td>bawah mata sakit </td><td align='right'>56683</td><td
align='right'>0800049704</td><td>28-09-2019</td><td>AHMAD MUKLIS
F</td><td>RUSTAMI</td><td>PELAJAR/MAHASISWA</td><td>2/3</td><td>2/3</td><td>SIDOHAR
JO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
region</td><td></td><td>kontrol luka </td><td align='right'>56711</td><td
align='right'>1800018303</td><td>28-09-2019</td><td>AUNUR
ROFIQOH</td><td>WARSONO</td><td>PELAJAR/MAHASISWA</td><td>2/1</td><td>2/1</td><td>T
LOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
2019</td><td>BADRI</td><td>BADRI</td><td>PEGAWAI NEGERI
SIPIL</td><td>1/2</td><td>1/2</td><td>BANGSALREJO</td><td>PUSKESMAS
align='right'>M79.2</td><td>Neuralgia and
neuritis, unspecified</td><td></td><td>pegel kesemutan </td><td
2019</td><td>DARSIH</td><td>KARSIDI</td><td>MENGURUS RUMAH
align='right'>1600012402</td><td>28-09-2019</td><td>ENY
LISTIYOWATI</td><td>SUTOPO</td><td>MENGURUS RUMAH
align='right'>1400008703</td><td>28-09-2019</td><td>FITRIA AZZAHRA
ALFATHUNNISA</td><td>MOH SODIKIN</td><td>BELUM/TIDAK
unspecified</td><td></td><td>batuk,pilek,mriang,gatal</td><td
2019</td><td>HUSNA NAJWA
AZZAHRA</td><td>SUWAJI</td><td>PELAJAR/MAHASISWA</td><td>4/1</td><td>4/1</td><td>NG
URENREJO</td><td>PUSKESMAS INDUK</td><td>dr. Rabi'atul Adawiyah</td><td>DWI
unspecified</td><td></td><td>kenceng kenceng</td><td align='right'>56718</td><td
align='right'>1700016602</td><td>28-09-2019</td><td>IDA NURHAYATI</td><td>NYAMAT
SOFII</td><td>MENGURUS RUMAH
region</td><td></td><td>habis jatuh dari sepeda </td><td
2019</td><td>IMAN ISLA SAPUTRA</td><td>MIS
ALKOMAH</td><td>PELAJAR/MAHASISWA</td><td>7/2</td><td>7/2</td><td>JATIMULYO</td><td
>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
unspecified</td><td></td><td>pusing punggung sakit </td><td
2019</td><td>JUWADI</td><td>JUWADI</td><td>PETANI/PEKEBUN</td><td>4/3</td><td>4/3</
colitis, unspecified</td><td></td><td>diare 3 xmriang</td><td
2019</td><td>KAYLA PUTRI MAHARDIKA</td><td>DARMONO</td><td>BELUM/TIDAK
BEKERJA</td><td>SARIREJO 9/2</td><td></td><td>pati</td><td>PUSKESMAS
cold]</td><td></td><td>pusing pilek </td><td align='right'>56690</td><td
align='right'>0600006203</td><td>28-09-2019</td><td>KHURIN NUR
F</td><td>MASKURI</td><td>PELAJAR/MAHASISWA</td><td>6/1</td><td>6/1</td><td>BANGSAL
REJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
d>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>Suharti</td><td>L</td><td>60-69
colitis, unspecified</td><td></td><td>diare,panas</td><td
MAULIDUL FAJRI</td><td>SUPARDI</td><td>BELUM/TIDAK
unspecified</td><td></td><td>pegel gatal </td><td align='right'>56688</td><td
align='right'>1800014401</td><td>28-09-
align='right'>0600004701</td><td>28-09-
2019</td><td>NGASRI</td><td>NGASRI</td><td>PETANI/PEKEBUN</td><td>3/2</td><td>3/2</
td><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
unspecified</td><td></td><td>kaki sakit pegel </td><td align='right'>56686</td><td
align='right'>0900016802</td><td>28-09-
2019</td><td>NGATMI</td><td>JUWADI</td><td>MENGURUS RUMAH
INDUK</td><td>dr.
Th</td></tr><tr><td align='right'>N34.3</td><td>Urethral syndrome,
unspecified</td><td></td><td>bak sakit </td><td align='right'>56689</td><td
align='right'>0600006202</td><td>28-09-2019</td><td>NOVA ANGGRAENI
S</td><td>MASKURI</td><td>KARYAWAN
ngiyer </td><td align='right'>56713</td><td align='right'>0600010402</td><td>28-09-
2019</td><td>NURHAYATI</td><td>ROHMAD</td><td>MENGURUS RUMAH
align='right'>K29.7</td><td>Gastritis, unspecified</td><td></td><td>mual pusing
2019</td><td>PRADIKA
ARDIANTO</td><td>JUNAEDI</td><td>PELAJAR/MAHASISWA</td><td>3/2</td><td>3/2</td><td>
JETAK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>1400018302</td><td>28-09-
2019</td><td>RASINI</td><td>KARMAIN</td><td>MENGURUS RUMAH
cold]</td><td></td><td>pusing batuk </td><td align='right'>56723</td><td
align='right'>1400010404</td><td>28-09-2019</td><td>RISTI AMELIA
P</td><td>SUWONO</td><td>PELAJAR/MAHASISWA</td><td>1/3</td><td></td><td>PAGERHARJO<
/td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
lutut sakit </td><td align='right'>56685</td><td
align='right'>0800039502</td><td>28-09-
2019</td><td>RUKATI</td><td>SIMIN</td><td>BELUM/TIDAK
align='right'>1400059701</td><td>28-09-
<td>PAGERHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
2019</td><td>SEKAR
HARMIN</td><td>WINOTO</td><td>PELAJAR/MAHASISWA</td><td>3/3</td><td>3/3</td><td>SID
OHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>D48.5</td><td>Neoplasm of uncertain or unknown behavior of
skin</td><td></td><td>mata ada benjolan </td><td align='right'>56684</td><td
align='right'>0700007603</td><td>28-09-2019</td><td>SELVANIA
ORCHIVIANI</td><td>SUTRISNO</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>2/2</td><
td>TLUWUK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>H10</td><td>Conjunctivitis</td><td></td><td>mata perih </td><td
2019</td><td>SHOFIA
IMAROTUL</td><td>SUTOPO</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>2/2</td><td>J
ETAK</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
align='right'>I10</td><td>Essential (primary) hypertension</td><td></td><td>kontrol
2019</td><td>SITI FATIMAH</td><td>MUKADAR</td><td>MENGURUS RUMAH
align='right'>1400053902</td><td>28-09-2019</td><td>SITI HALIMATUS
SA'DIYAH</td><td>NURJIANTO</td><td>MENGURUS RUMAH
/td><td>156</td><td>56</td><td></td></tr><tr><td align='right'>J00</td><td>Acute
nasopharyngitis [common cold]</td><td></td><td>pusing batuk </td><td
2019</td><td>SITI SUSANTI</td><td>SUBUR</td><td>KARYAWAN
unspecified</td><td></td><td>tangan kesemutan pegel </td><td
NGATINI</td><td>BAMBANG PUJITO</td><td>MENGURUS RUMAH
cold]</td><td></td><td>tenggorokan sakit batuk p[ilek </td><td
SUKATI</td><td>KARYADI</td><td>MENGURUS RUMAH
presumed infectious origin</td><td></td><td>demam diare</td><td
2019</td><td>SUCI SULISTYANING
FITRI</td><td>JUWADI</td><td>PELAJAR/MAHASISWA</td><td>4/3</td><td>4/3</td><td>NGUR
ENREJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
region</td><td></td><td>kontro luka </td><td align='right'>56716</td><td
align='right'>0900039901</td><td>28-09-
2019</td><td>SUGITO</td><td>SUGITO</td><td>PETANI/PEKEBUN</td><td>6/3</td><td>6/3</
unspecified</td><td></td><td>bak nyeri </td><td align='right'>56724</td><td
align='right'>0800043801</td><td>28-09-
2019</td><td>SUHUD</td><td>SUHUD</td><td>PETANI/PEKEBUN</td><td>2/3</td><td></td><t
d>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
cold]</td><td></td><td>batuk susah tidur </td><td align='right'>56682</td><td
align='right'>1800013501</td><td>28-09-
2019</td><td>SUKAWI</td><td>SUKAWI</td><td>WIRASWASTA</td><td>3/2</td><td>3/2</td><
td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI
region</td><td></td><td>ounggung sakit abses dibelakang telinga </td><td
2019</td><td>SUKILAH</td><td>SURANTO</td><td>MENGURUS RUMAH
hypertension</td><td></td><td>pegel gemeter susah tidur </td><td
2019</td><td>SUKIMAN</td><td>SUKIMAN</td><td>BELUM/TIDAK
mellitus with other specified complications</td><td></td><td></td><td
<td>PUSKESMAS INDUK</td><td>dr. NANCY INDRIARTI</td><td>SUWARTI SURYANINGTIYAS,
align='right'>53</td><td>BP. Umum</td><td></td><td>RSU FASTABIQ SEHAT</td><td>Luar
cold]</td><td></td><td>gemeter batuk panas </td><td align='right'>56720</td><td
align='right'>0800057002</td><td>28-09-
2019</td><td>SUPARMI</td><td>SUWONO</td><td>MENGURUS RUMAH
disorders</td><td></td><td>pusing </td><td align='right'>56680</td><td
align='right'>0600003203</td><td>28-09-
mellitus without complications</td><td></td><td>pegel </td><td
2019</td><td>WINARTI</td><td>SUHARNO</td><td>MENGURUS RUMAH
cold]</td><td></td><td>batuk pilek gatal </td><td align='right'>56747</td><td
align='right'>1800011302</td><td>30-09-2019</td><td>ACHMAD
SUPRIYADI</td><td>SOLEHAH</td><td>KARYAWAN
SWASTA</td><td>3/1</td><td></td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>JAZILAH, Amd</td><td>L</td><td>20-44
Th</td></tr><tr><td align='right'>K00.6</td><td>Disturbances in tooth
eruption</td><td></td><td>gigi sakit </td><td
2019</td><td>AHMAD NURUL FATIR</td><td>M
SUNTARI</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td>5/1</td><td>KEPOH</td><td>PUS
KESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>Suharti</td><td>L</td><td>5-9
cold]</td><td></td><td>kontrol </td><td align='right'>56761</td><td
align='right'>1500000401</td><td>30-09-
2019</td><td>AHMADI</td><td>AHMADI</td><td>KARYAWAN
INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH, Amd</td><td>L</td><td>20-44
presumed infectious origin</td><td></td><td>diare </td><td
2019</td><td>ANDIKA ALFIAN
RIZQI</td><td>MARSONO</td><td>PELAJAR/MAHASISWA</td><td>6/2</td><td>6/2</td><td>TLU
WUK</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
align='right'>1700024602</td><td>30-09-2019</td><td>ANI DESTRIYANI</td><td>SITI
SA'ADAH</td><td></td><td>2/2</td><td>2/2</td><td>KEPOH</td><td>PUSKESMAS
INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH, Amd</td><td>P</td><td>5-9
align='right'>1600000204</td><td>30-09-2019</td><td>ANINDYA FAUZIAH
R</td><td>SUSANTO</td><td>MENGURUS RUMAH
align='right'>1700024502</td><td>30-09-2019</td><td>ANIS
LARASATI</td><td>PAIJAN</td><td>KARYAWAN
align='right'>H52.7</td><td>Disorder of refraction,
unspecified</td><td></td><td>matya kabur </td><td align='right'>56748</td><td
align='right'>0800005503</td><td>30-09-2019</td><td>ARIS
SUPRIYANTO</td><td>WARTONO</td><td>KARYAWAN
align='right'>K12</td><td>Stomatitis and related lesions</td><td></td><td>sariawan
2019</td><td>AS'ADI</td><td>AS'ADI</td><td>PETANI/PEKEBUN</td><td>4/1</td><td></td>
<td>REJO AGUNG</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
unspecified</td><td></td><td>kaki sakit </td><td align='right'>56750</td><td
align='right'>0800023303</td><td>30-09-2019</td><td>AULIA PUTRI
N</td><td>SODIQ</td><td>PELAJAR/MAHASISWA</td><td>5/1</td><td></td><td>SIDOHARJO</t
d><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
unspecified</td><td></td><td>keputihan</td><td align='right'>56784</td><td
align='right'>0800053802</td><td>30-09-2019</td><td>AYU PUJI SASTUTIK</td><td>ARIF
JUANTO</td><td></td><td>3/3</td><td></td><td>SIDOHARJO</td><td>PUSKESMAS
unspecified</td><td></td><td>tangan nyeri </td><td align='right'>56753</td><td
align='right'>1400006202</td><td>30-09-
align='right'>1500000302</td><td>30-09-2019</td><td>EKA APRILIYANTI</td><td>UNTUNG
WAHYUDI</td><td>MENGURUS RUMAH
align='right'>Z36.9</td><td>Antenatal screening, unspecified</td><td></td><td>nyeri
punggung</td><td align='right'>56779</td><td align='right'>0800059902</td><td>30-
09-2019</td><td>EKA FITRI ARIANI</td><td>BAYU SETIAWAN</td><td>KARYAWAN
align='right'>56744</td><td align='right'>1500022302</td><td>30-09-2019</td><td>ERI
INDRIANI</td><td>AFIF NUR DANI A</td><td>MENGURUS RUMAH
d>36</td><td>20</td><td>156</td><td>50</td><td>Tdk
unspecified</td><td></td><td>panas 3 hari,batuk,pilek</td><td
2019</td><td>ERIKA LUQYANA S</td><td>CAHYO BASKORO</td><td>BELUM/TIDAK
BEKERJA</td><td>1/1</td><td>1/1</td><td>JETAK</td><td>PUSKESMAS INDUK</td><td>Dr.
unspecified</td><td></td><td>batuk,mual</td><td align='right'>56781</td><td
align='right'>1500001102</td><td>30-09-2019</td><td>FAIZATUL
MUNAWAROH</td><td>FAISAL
ANAN</td><td>PELAJAR/MAHASISWA</td><td>2/2</td><td>2/2</td><td>JATIMULYO</td><td>PU
SKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>HENI KURNIASIH</td><td>P</td><td>15-
align='right'>1700011101</td><td>30-09-
2019</td><td>GUNAWI</td><td>GUNAWI</td><td>KARYAWAN
SWASTA</td><td>2/1</td><td>2/1</td><td>KEPOH</td><td>PUSKESMAS INDUK</td><td>Dr.
Umi Fitriyah</td><td>Suharti</td><td>L</td><td>60-69
align='right'>0800000501</td><td>30-09-
2019</td><td>HARNOTO</td><td>HARNOTO</td><td>PETANI/PEKEBUN</td><td>1/1</td><td>1/1
</td><td>SIDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi
Fitriyah</td><td>JAZILAH, Amd</td><td>L</td><td>60-69
align='right'>1500004802</td><td>30-09-2019</td><td>IMAN ISLA SAPUTRA</td><td>MIS
ALKOMAH</td><td>PELAJAR/MAHASISWA</td><td>7/2</td><td>7/2</td><td>JATIMULYO</td><td
>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH, Amd</td><td>L</td><td>5-
alone</td><td></td><td>imunisasi calom pengantin</td><td
2019</td><td>INTAN INDIARTI</td><td>MUSRIN</td><td>KARYAWAN
colitis, unspecified</td><td></td><td>muntah,diare</td><td
2019</td><td>IZZUL HANIF</td><td>DARSUPIK</td><td>BELUM/TIDAK
align='right'>0800045802</td><td>30-09-
2019</td><td>JASMI</td><td>SUPARDI</td><td>MENGURUS RUMAH
Umi Fitriyah</td><td>JAZILAH, Amd</td><td>P</td><td>55-59
Th</td></tr><tr><td
2019</td><td>KAENAH</td><td>KAENAH</td><td>MENGURUS RUMAH
align='right'>0900004001</td><td>30-09-
2019</td><td>KARTI</td><td>KARTI</td><td>BELUM/TIDAK
cold]</td><td></td><td>pusing nyeri telan </td><td align='right'>56734</td><td
align='right'>16023015</td><td>30-09-2019</td><td>LINA
OKTAVIA</td><td>SUWAR</td><td></td><td>3/2</td><td>3/2</td><td>JETAK</td><td>PUSKES
MAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH, Amd</td><td>P</td><td>15-19
cold]</td><td></td><td>muntah panas </td><td align='right'>56751</td><td
align='right'>1800034205</td><td>30-09-2019</td><td>M NAUFAL
HABIBURROHMAN</td><td>ZULMI
DZIKRON</td><td>PELAJAR/MAHASISWA</td><td>4/2</td><td>4/2</td><td>TLOGOHARUM</td><t
d>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
cold]</td><td></td><td>pusing nyeri telan </td><td align='right'>56769</td><td
align='right'>2000010103</td><td>30-09-2019</td><td>MA'RUFAH</td><td>ERI
MUSLIKUN</td><td>WIRASWASTA</td><td>SAMBILAWANG
Fitriyah</td><td>JAZILAH, Amd</td><td>P</td><td>20-44
unspecified</td><td></td><td>MUNTAH,DIARE</td><td align='right'>56733</td><td
align='right'>1400006703</td><td>30-09-2019</td><td>MIFA AYUDIA CLARA
BELLA</td><td>RUDY BASAROH</td><td>BELUM/TIDAK
align='right'>1801506604</td><td>30-09-2019</td><td>MOCH
RAFFASYA</td><td>SUNOTO</td><td>BELUM/TIDAK
BEKERJA</td><td>5/1</td><td>5/1</td><td>TLOGOHARUM</td><td>PKD
TLOGOHARUM</td><td>dr. NANCY INDRIARTI</td><td>Siti Fatimah</td><td>L</td><td>1-4
align='right'>G40.9</td><td>Epilepsy, unspecified</td><td></td><td>epilepsi</td><td
PATI</td><td>Dalam
align='right'>0700004803</td><td>30-09-2019</td><td>MUH FARIS
RAMADHANI</td><td>HISAM
ALI</td><td>PELAJAR/MAHASISWA</td><td>8/2</td><td></td><td>TLUWUK</td><td>PUSKESMAS
disorders</td><td></td><td>pusing </td><td align='right'>56763</td><td
align='right'>1800009603</td><td>30-09-
2019</td><td>NGARIMAN</td><td>SAHURI</td><td>BELUM/TIDAK
unspecified</td><td></td><td>GATAL GATAL</td><td align='right'>56731</td><td
align='right'>2000019104</td><td>30-09-2019</td><td>NUR ROHMAN
HIDAYAH</td><td>SUKAERI</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
INDRIARTI</td><td>DWI NURCHAYATI</td><td>L</td><td>1-4
/td><td>65</td><td>10</td><td></td></tr><tr><td
2019</td><td>PUJIWATI</td><td>SURYANTO KUSRIN</td><td>MENGURUS RUMAH
region</td><td></td><td>tertimpa kayu </td><td align='right'>56741</td><td
align='right'>0700032201</td><td>30-09-
2019</td><td>RADIMAN</td><td>RADIMAN</td><td>KARYAWAN
2019</td><td>RAKINI</td><td>MUIN</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>mual pusing </td><td
2019</td><td>RIKA
WIJAYANTI</td><td>SISWANTO</td><td>WIRASWASTA</td><td>2/4</td><td></td><td>PAGERHAR
JO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
dermatitis</td><td></td><td>gatal </td><td align='right'>56743</td><td
align='right'>2000018203</td><td>30-09-2019</td><td>RISKY FAHRELY K</td><td>BUDI
SETIAWAN</td><td>BELUM/TIDAK BEKERJA</td><td>ASEMPAPAN
Fitriyah</td><td>JAZILAH, Amd</td><td>P</td><td>5-9
2019</td><td>RUMISIH</td><td>WINARKO</td><td>MENGURUS RUMAH
2019</td><td>SAKINAH</td><td>WARSAN</td><td>MENGURUS RUMAH
align='right'>K40</td><td>Inguinal hernia</td><td></td><td></td><td
INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH, Amd</td><td>L</td><td>>70
unspecified</td><td></td><td>pegel pusing </td><td align='right'>56760</td><td
align='right'>0800039602</td><td>30-09-
align='right'>1400000801</td><td>30-09-2019</td><td>SHOLEHAN ARIF</td><td>SHOLEHAN
ARIF</td><td>KARYAWAN
align='right'>0700004802</td><td>30-09-2019</td><td>SITI MUKAYATI</td><td>HISAM
ALI</td><td>MENGURUS RUMAH
cold]</td><td></td><td>pilek</td><td align='right'>57016</td><td
align='right'>1801406802</td><td>30-09-2019</td><td>SITI PAERAH</td><td>AGUS
S</td><td>KARYAWAN SWASTA</td><td>4/1</td><td>4/1</td><td>TLOGOHARUM</td><td>PKD
align='right'>1700024601</td><td>30-09-2019</td><td>SITI SA'ADAH</td><td>SITI
SA'ADAH</td><td>MENGURUS RUMAH
periodontitis</td><td></td><td>gigi sakit </td><td align='right'>56759</td><td
ZULAIHAH</td><td>AHMADUN</td><td>MENGURUS RUMAH
INDUK</td><td>Dr. Umi Fitriyah</td><td>Suharti</td><td>P</td><td>45-54
cold]</td><td></td><td>pusing batuk </td><td align='right'>56776</td><td
AMINAH</td><td>SUWARSO</td><td>MENGURUS RUMAH
PANGESTUTI</td><td>SULISTIYO</td><td>MENGURUS RUMAH
align='right'>0900008901</td><td>30-09-
2019</td><td>SUGIYONO</td><td>SUGIYONO</td><td>KARYAWAN
2019</td><td>SULASNI</td><td>SUDADI</td><td>MENGURUS RUMAH
2019</td><td>SULASTRI</td><td>SOFYAN</td><td>MENGURUS RUMAH
align='right'>1400033402</td><td>30-09-2019</td><td>SULASTRI</td><td>EDY
WIBOWO</td><td>MENGURUS RUMAH
2019</td><td>SULIS</td><td>NGUSMAN</td><td>KARYAWAN
align='right'>0700019001</td><td>30-09-2019</td><td>SULISTYO ADIK
TEGUH</td><td>SULISTYO ADIK TEGUH</td><td>KARYAWAN
cold]</td><td></td><td>batuk pusing meriang </td><td align='right'>56772</td><td
align='right'>0600011501</td><td>30-09-
2019</td><td>SUNARDI</td><td>SUNARDI</td><td>PETANI/PEKEBUN</td><td>6/1</td><td></t
d><td>BANGSALREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
PBI</td><td>Rajal</td><td align='right'>18</td><td
align='right'>3</td><td align='right'>39</td><td>BP.
2019</td><td>SUNARKO</td><td>SUNARKO</td><td>KARYAWAN
sakit mual </td><td align='right'>56739</td><td
align='right'>0800060002</td><td>30-09-2019</td><td>SUNARNI NURUL
AENI</td><td>SUTARJI</td><td>MENGURUS RUMAH
align='right'>K30</td><td>Dyspepsia</td><td></td><td>pusing mual </td><td
2019</td><td>SUNARTI</td><td>UUN HARYANTO</td><td>MENGURUS RUMAH
Th</td></tr><tr><td
2019</td><td>SUNARTI</td><td>JUWADI</td><td>MENGURUS RUMAH
align='right'>Z00.0</td><td>General medical examination</td><td></td><td></td><td
2019</td><td>SUNARTO</td><td>MUKARTO</td><td>KARYAWAN SWASTA</td><td>LASEM,
REMBANG</td><td></td><td>LUAR KOTA PATI</td><td>PUSKESMAS INDUK</td><td>dr. NANCY
INDRIARTI</td><td>DWI NURCHAYATI</td><td>L</td><td>20-44
align='right'>1700016902</td><td>30-09-
2019</td><td>SUPIYAH</td><td>DAROJAK</td><td>MENGURUS RUMAH
align='right'>K05.2</td><td>Acute periodontitis</td><td></td><td>batuk sakit gigi
td><td>TLOGOHARUM</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
align='right'>0900018702</td><td>30-09-
2019</td><td>SUYATI</td><td>SUDIRMAN</td><td>MENGURUS RUMAH
unspecified</td><td></td><td>pinggang sakit</td><td align='right'>56981</td><td
align='right'>1800046801</td><td>30-09-2019</td><td>TITIK YULIANI</td><td>TITIK
YULIANI</td><td></td><td>TLOGOHARUM 3/II</td><td>3/2</td><td>TLOGOHARUM</td><td>PKD
align='right'>H60</td><td>Otitis externa</td><td></td><td>kontrol </td><td
2019</td><td>ULFA HIDAYATUN
NI'MAH</td><td>SUPARLAN</td><td>PELAJAR/MAHASISWA</td><td>6/1</td><td>6/1</td><td>B
ANGSALREJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
unspecified</td><td></td><td>kesemutan </td><td align='right'>56752</td><td
align='right'>0600009001</td><td>30-09-
2019</td><td>WARNO</td><td>WARNO</td><td>KARYAWAN
align='right'>0800039801</td><td>30-09-
2019</td><td>WIJO</td><td>WIJO</td><td>WIRASWASTA</td><td>2/3</td><td>2/3</td><td>S
IDOHARJO</td><td>PUSKESMAS INDUK</td><td>Dr. Umi Fitriyah</td><td>JAZILAH,
Th</td></tr></table>

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<h2>DATA DIAGNOSIS PASIEN PUSKESMAS</h2>

Periode : 01-09-2019 s/d 30-09-2019<br>

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