Karbol Jan 19.xlsx

Data Offline Surveilans PTM berbasis POSBINDU Identitas Peserta Posbindu No

Tanggal Pemeriksaan

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41

11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019

No KTP 3601050107600001 3601054107690001 3601050108850008 3601054702890001 3601050103840006 3601054104860002 3601050205750001 3601054608820001 3601050804870002 3601054107920237 3601050108860001 3601055408760001 3601052802730002 3601055002820009 3601054702990004 3601050504820004 3601055102720001 3601052103630001 3601056411720001 3601051201970001 3601050512620001 3601056701660002 3601056301000004 3601056909800002 3601055907960002 3601050607710001 3601054904780001 3601051007820002 3601054107870187 3601052501700002 3601056705720001 3601050702000001 3601050605870003 3601054203920002 3601051512710001 3601055510820001 3601050409980001 3601054204020004 3601050511730001 3601055301750001 3601055407940001

Nama Pasien MUSTIPA INAH IYAN HERDIANA SARNAMAH WASTA MISNAH SUHANDA RAMAH USUP JUJUN SANTA SURYANAH TARDI ELAH SOPIA DEWI YANTI SANA SADIAH INAR NAETI NARIMAN JURTA WARSIH HERNA SADIAH SAWIAH EMPUD URIAH AGUS SUASNTO ANI MISNEN KASNATI ADNA HASAN BASRI IIS YUSRI AZHARI SAWI YUMLI SAHRONI SITI AZLAH ASAN ASTINI MISNAH

Nama Panggilan MUSTOPA INAH IYAN NAMAH WASTA MISNAH SUHANDA RAMAH USUP JUJUN SANTA YANAH TARDI ELAH DEWI SANA DIAH INAR ETI IMAN JURTA WARSIH HERNA DIAH WIAH EMPUD URIAH AGUS ANI INEN NATI ADNA HASAN IIS YUSRI SAWI YUMLI AZLAH ASAN TINI MISNAH

42 43 44 45 46 47 48 49 50

11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019 11 February 2019

3601054302030001 3601050505840004 3601054704890003 3601051801700001 3601055102730001 3601051702670001 3601052007960002 3601050107940118 3601056109990002

SITI ROJIAH SARMAN RASTI SARDA SANITI JAERAN ROHIM RUSLI ANDI ANENGSIH

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

SITI SARMAN RASTI SARDA NITI ERAN ROHIM RUSLI NENGSIH

xxx

Tanggal Lahir 05 October 1966

27 June 1972 01 August 1985 07 February 1989

01 March 1984 01 April 1986 02 May 1975 06 August 1982 08 April 1987 01 July 1992 01 August 1986 14 August 1976 28 February 1973 10 February 1982 07 February 1999

05 April 1982 11 February 1972

21 March 1963 24 November 1972 19 September 1996

05 December 1962

27 January 1966 23 January 2000 29 September 1980

19 July 1996 06 July 1971 09 April 1978 19 January 1978 01 July 1987 25 January 1970 27 May 1972 15 September 2000

06 May 1987 02 March 1992 15 December 1971

15 October 1982 04 September 1998

02 April 2002 05 November 1973

13 January 1975 21 December 1995

Jenis Kelamin L P L P L P L P L P L P L P P L P L P L L P P P P L P L P L P L L P L P L P L P P

Agama Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam Islam

Alamat KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA

No Telp/ HP

P L P L P L L L P

12 September 2002

05 May 1984 07 April 1989 18 January 1970 11 February 1973 17 February 1967

20 July 1996 01 July 1994 21 September 1996

Islam Islam Islam Islam Islam Islam Islam Islam Islam

KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

Pendidikan Terakhir SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SLTA

Pekerjaan

Status

Golongan Darah

SLTA SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SLTA SLTA

xxx xxx

xxx

xxx

xxx

Riwayat Penyakit Tidak Menular Pada Keluarga

eMail

Penyakit Penyakit Diabetes Hipertensi

Penyakit Jantung

Penyakit Stroke

Penyakit Asma

Penyakit Kanker

Kolesterol Tinggi

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

Riwayat Penyakit Tidak Menular Pada Diri Sendiri Penyakit Penyakit Diabetes Hipertensi

Penyakit Jantung

Penyakit Stroke

WAWANCARA Penyakit Asma

Penyakit Kanker

Kolesterol Tinggi

Merokok

Kurang Aktivitas Fisik

xxx xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

WAWANCARA Kurang Sayur dan Konsumsi Alkohol Buah

Tekanan Darah

Sistol

Diastol

IMT Tinggi Badan

Pemeriksaan La Berat Badan

Lingkar Perut

Pengukuran Fungsi Paru

Gula

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

Pemeriksaan Lab.

Kolesterol

Trigliserida

Penyuluhan Benjolan Payudara

IVA

Kadar Alkohol Pernafasan

Tes Amfetamin Urin

Penyuluhan Penyuluhan IVA & CBE Rokok

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

xxx

Penyuluhan Penyuluhan Potensi Cedera

xxx xxx

tanggal_pemeriksaanno_ktp 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11 2019-02-11

3601050107600001 3601054107690001 3601050108850008 3601054702890001 3601050103840006 3601054104860002 3601050205750001 3601054608820001 3601050804870002 3601054107920237 3601050108860001 3601055408760001 3601052802730002 3601055002820009 3601054702990004 3601050504820004 3601055102720001 3601052103630001 3601056411720001 3601051201970001 3601050512620001 3601056701660002 3601056301000004 3601056909800002 3601055907960002 3601050607710001 3601054904780001 3601051007820002 3601054107870187 3601052501700002 3601056705720001 3601050702000001 3601050605870003 3601054203920002 3601051512710001 3601055510820001 3601050409980001 3601054204020004 3601050511730001 3601055301750001 3601055407940001 3601054302030001 3601050505840004 3601054704890003 3601051801700001 3601055102730001 3601051702670001

nama_pasinama_pangtanggal_lah jenis_kelaminagama MUSTIPA MUSTOPA 1966-10-05 L Islam INAH INAH P Islam 1972-06-27 L Islam 1985-08-01 IYAN HERDIANA IYAN P Islam SARNAMAH NAMAH 1989-02-07 WASTA WASTA 1984-03-01 L Islam MISNAH MISNAH 1986-04-01 P Islam SUHANDA SUHANDA 1975-05-02 L Islam RAMAH RAMAH 1982-08-06 P Islam USUP USUP L Islam 1987-04-08 JUJUN JUJUN P Islam 1992-07-01 SANTA SANTA L Islam 1986-08-01 P Islam SURYANAH YANAH 1976-08-14 TARDI TARDI L Islam 1973-02-28 ELAH ELAH P Islam 1982-02-10 P Islam 1999-02-07 SOPIA DEWI YANTI DEWI SANA SANA L Islam 1982-04-05 SADIAH DIAH P Islam 1972-02-11 INAR INAR L Islam 1963-03-21 NAETI ETI P Islam 1972-11-24 NARIMAN IMAN L Islam 1996-09-19 JURTA JURTA L Islam 1962-12-05 WARSIH WARSIH 1966-01-27 P Islam HERNA HERNA 2000-01-23 P Islam SADIAH DIAH P Islam 1980-09-29 SAWIAH WIAH P Islam 1996-07-19 EMPUD EMPUD 1971-07-06 L Islam URIAH URIAH P Islam 1978-04-09 L Islam 1978-01-19 AGUS SUASNTO AGUS ANI ANI P Islam 1987-07-01 MISNEN INEN L Islam 1970-01-25 KASNATI NATI P Islam 1972-05-27 ADNA ADNA L Islam 2000-09-15 L Islam 1987-05-06 HASAN BASRI HASAN IIS IIS P Islam 1992-03-02 L Islam 1971-12-15 YUSRI AZHARI YUSRI SAWI SAWI P Islam 1982-10-15 L Islam 1998-09-04 YUMLI SAHRONI YUMLI P Islam SITI AZLAH AZLAH 2002-04-02 ASAN ASAN L Islam 1973-11-05 ASTINI TINI P Islam 1975-01-13 MISNAH MISNAH 1995-12-21 P Islam P Islam SITI ROJIAH SITI 2002-09-12 SARMAN SARMAN 1984-05-05 L Islam RASTI RASTI P Islam 1989-04-07 SARDA SARDA L Islam 1970-01-18 SANITI NITI P Islam 1973-02-11 JAERAN ERAN L Islam 1967-02-17

alamat KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA

no_telp

2019-02-11 2019-02-11 2019-02-11

3601052007960002 3601050107940118 3601056109990002

ROHIM

ROHIM 1996-07-20 RUSLI ANDI RUSLI 1994-07-01 ANENGSIH NENGSIH 1996-09-21

L L P

Islam Islam Islam

KP PAMATANG KUPA KP PAMATANG KUPA KP PAMATANG KUPA

pendidikan_terakhir pekerjaan SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP SLTA SLTA SD/SLTP SD/SLTP SD/SLTP SD/SLTP SD/SLTP

statusgolongan_darah emailpenyakit_diabetes penyakit_hipertensi penyakit_jantung penyakit_stroke

SD/SLTP SLTA SLTA

penyakit_asma penyakit_kanker kolesterol_tinggi penyakit_diabetes penyakit_hipertensi penyakit_jantung penyakit_stroke penyakit_asma penyakit_kanker kolesterol_tinggi

merokok kurang_aktivitas kurang_sayur konsumsi_alkoholsistol

diastol

tinggi_badberat_bad lingkar_pepengukura

gula

kolesterol trigliseridabenjolan_ iva

kadar_alkotes_amfet penyuluhapenyuluhapenyuluhan_cedera

penyuluhan_cedera

1

posbindu