Rm Masuk.xls
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No 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
Nama Pasien TN. SAMSUDIN KALIKY NN. VIRJI A/ NURAJIJAH TN. M YASIN A/DAFFA HAFIDZ ABRAR A/ FITRIANI NY. NURLAILA KAIMUDIN NY. SRI M MADIN A/ FAHRUL JIDAN A/ FAHRI R KAIMUDIN NN. JIHAN FARADILA A/ GUFRON A/ SYAHRANI A/ FAHMI NY. IDA A/ APRIL NN. ARYANI NY RANI A/ RISALDI NY. NONA BUGIS NY. ANISA MUKADAR NY. SARIMUNA NY. EMANIA USMAN A/ FITRI A/ FAUZIAH TN. FAHRI WATIANAN TN. ILHAM MUGES NN. ROSE DINA TN. BASIR TEHUAYO
NO RM S-354 H-169 S-519 M-281 M-362 L-309 N-094 H-197 H-197 H-197 U-019 U-019 U-014 A-315 R-066 R-066 Z-014 R-167 R-167 A.096 R-303 Z-001 A-646 D-098 D-098 F-104 J-112 B-101
L/P L P P L L P P P L L P L P L P P P P L P P P P P P L L P L
0-5Thn
Umur 5-25Thn 26-55Thn <55Thn 56 17THN
5BLN 52THN 1THN 7THN 47THN 29THN 7BLN 7THN 19THN 4BLN 6THN 10THN 43THN 7THN 12THN 25THN 1THN 45THN 50THN 83THN 46 9THN 25THN 39THN 23THN 20THN 53THN
Alamat LORONG PUTRI JL BARU STAIN ARBES ARBES WARA KEB. CENGKE WARA WARA WARA WARA BT. TAGEPE BT. TAGEPE ARBES AIR KUNING
WARA WARA WARA ARBES TANTUI ARBES WARA STAIN. KAHENA STAIN. KAHENA THR II STAIN AIR KUNING
Pekerjaan
Diagnosa
PETANI MAHASISWA
ABSES,PEDIS
WIRASWASTA
PPOK MILIARIA ISPA, FARINGITIS HT GRADE I, GASTRITIS AKUT ISPA ISPA TONSILITIS AKUT, ISPA ISPA
LSM IRT
MAHASISWA
ISPA, TONSILITIS AKUT BAKTERIAN INT, PEDIS ASMA BRONCHIAL
PNS GURU
HONORER
PNS
ISPA ISPA ISPA DM TIPE II, NEURITIS CEFALGIAL, ISPA HT GRADE II, GASTRITIS CEFALGIAL, TELP CHOLESTEROL TB PARU RUJUK RST FRAKTUR OTITIS MEDIA DKA HT GRADE II
ICD-10
Tindakan
L02.91
TD 90/80
J44.1 L74.3 J06.9 112.9 J06.9 J06.9 J03.90 J06.9 J03.90 A49.9 J45-901 J06.9 J06.9 J06.9 E13 G44.009 I15.2 G44.009 A15.9 H66.90 E10.10 I15.2
CAPTOPRIL, AMBDIPIN, CAVIPLEX, BETAHISTIN
160/70
TB
BB
Ket
No 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
Nama Pasien TN. M ABUBAKAR A/ DARMANDUR TUASIKAL A/ ADE SAM AFRIZAL NY. NURHAYATI R A/ FADILA TN. JURUA TN. HASBI SELAYAR NN. FITRIA LAPELE NY. IRMAYANTI NY. FATIMA WAILISA NY. HAWA KAREPESINA NY. MURSITA NN. SALSA NY. RUSMINAH PONIGORO NY. ANTI A/ ALI RAHMAN KALIKI A/ ASKAR PATTIIHA A/ MUONI MALAYU A/MAHIRA MANSUR TN. ABDULLAH LATUAPO NN. MEGA MAWARNI NY. MULYANI LA AMBO NY. KARYATI NY. HALIMA SIAUTA A/ MULIA A/ NUR MAULIDYA TN. AMIRUDIN KELIWOW NN. MAWARDA NY. MARYAM TEHUAYO NY. SOSNITA SANAKY A/ FAHSAR NY. WA HALIMA
NO RM M-123 L-391 W-072 N-096 R-217 M-285 H-026 F-081 A-706
R-246 R-246 A-544 B-093 I-206 J-139 M-433 M-434 A-705 J-058 R-049 K-009 H-193 D-008 R-008 A-285 A-107 Z-010 A-027 B-069
L/P L P L P P P L P P P P P P P P L L P P L P P P P P P L P P P L P
0-5Thn
Umur 5-25Thn 26-55Thn <55Thn 30THN 7THN 14THN 43THN
5THN 53THN 25THN 27THN 31THN 67THN 68THN 34THN 14THN 54THN 24THN 2THN 2THN 3THN 2BLN 60THN 22THN 31THN 36THN 54THN 4THN 3THN 67THN 18THN 58THN 32THN 8THN 80THN
Alamat AMALATU ARBES WARA BT TAGEPE STAIN LRG PUTRI STAIN LRG PUTRI LRG PUTRI STAIN STAIN THR II THR II STAIN KAHENA ARBES WARA ARBES KEB CENGKEH STAIN LRG PUTRI STAIN ARBES GN MALINTANG ARBES KEB CENGKEH AMANTELU BT TAGEPE STAIN AMALATU WARA AMANTELU
Pekerjaan
Diagnosa
ICD-10
WIRASWASTA
IRT
MAHASISWA IRT
IRT
PNS IRT IRT PNS
PENSIUNAN PNS IRT IRT PETANI
TONSILITIS AKUT, ISPA TONSILOFARINGITIS ISPA, LBP CEPHALGIA, COMON COLD,OBS FEBRIS DYSPNEA, BRONKITIS AKUT SUSPEK MALARIA, ISPA ISPA CONJUNCTIVITIS AKUT HT GRADE II, PRESBYOPIA ARTHRALGIA, HYPERMETROPIA DM TIPE
J03.90 J03.90 J06.9 G44.009 R06.00 B53.8 J06.9 H10.33 I15.2 M25.50 E10.9
HYPERCHOLESTEROLEMIA TINEA CORPORIS ISPA COMBUSTIO, PEDIS DEXTRA, ISPA COMON COLD, OBS FEBRIS ISPA, ALERGI SUSU DISLOKASI SPATULA SCABIES KELOID TINEA CORPORIS GASTRITIS AKUT, ISPA TONSILITIS AKUT, ISPA, LIMFADENITIS FURUNKULOSIS PTERIGIUM DERAJAT 3 ISPA ARTHRALGIA TONSILITIS AKUT ISPA
E78.0 B35.4 J06.9 T30.0 J00 J06.9 T14.3 B86 L91.0 B35.4 K29.70 J03.90 L02.92 H11.0 J06.9 M26.62 J03.90 J06.9
Tindakan
TD 110/70
AMOXCILIN, PARACETAMOL, GG, CTM, VIT C,DEXAMETASONE DEXAMETASONE, PARACETAMOL, VIT C,AMOXCILIN DEXAMETASONE, ANATON, DICLOFENAT, VIT B COM PARACETAMOL, DOMPERIDONE, GG, CTM, VIT C, DEXAMETASONE SALBUTAMOL, METHYLPREDNISOLON,AMBROXOL,AMOXCILIN ANATON, RANITIDINE, ANTASIDA, DOMPERIDONE ANATON, VIT B COM OXYTETRACYCLINE, CAPTOPRIL NA DICLOFENAK, DEXAMETASONE, VIT B COM, GLEBENCLAMIDE, METFORMIN, VIT B1, VIT B6 DEXAMETASONE CAVIPLEX, SIMVASTATIN MICONAZOL, DEXAMETASONE, VIT B COM PARACETAMOL, GG, CTM, VIT C, DEXAMETASONE PARACETAMOL, GG, CTM, VIT C, DEXAMETASONE,AMOXCILIN,SLP KULIT LK BAKAR, PARACETAMOL, CTM, VIT C, GG SALICYL TALK, BABY COUGH SALP, DEXAMETASONE DEXAMETASONE, MICONAZOLE RANITIDINE, ANTASIDA, AMBROXOL, GG, CAVIPLEX AMOXCILIN, PARACETAMOL, GG, CTM, VIT C,DEXAMETASONE CTM, DEXAMETASONE, VIT C, GENTAMICIN SALP ANATON, VIT B COM NA DICLOFENAT, DEXAMETASON, CAVIPLEX, PIROXICAM PARACETAMOL, VIT C, DEXAMETASON, AMOXCILIN PARACETAMOL, GG, CTM, VIT C, DEXAMETASON
110/70 100/60 100/70 80/60 80/60 160/90 110/70 90/60 110/70 80/60
110/70 90/70 100/70 100/70 90/60
120/80 90/60 120/80 80/60 100/60
TB
BB 160
158
150
Ket 50 15 32 61 15
51 50 75 40 55
165
166 135
10 14 10 3.7 75
43 12 11 75 41 60
KIS
BPJS
BPJS KTP BPJS BPJS BPJS BPJS BPJS
BPJS BPJS BPJS KTP BPJS
BPJS BPJS BPJS
27 KTP
No 1 2 3 4 5 6 7 8 9 10 11 12 13 14
Nama Pasien A/ SAHWIA DANO A/ ZULFIKAR A/ NENA KIBAS NY. WA HALIDJA A/ GIBRAN NN. NOVIA ERNIWATI NY. SITI SAMSIA NN. DWI PUTRI NY WAHALIMA TN. RASID AHMAD NY. TYAS TIKA A/ NURLAILA NY. WA DJENA
NO RM A-701 I-165 A-707 L-078
M-435 R-304 R-273 T-064 M-361 H-236
L/P P L P P L P P P P L P P P
0-5Thn 2THN
Umur 5-25Thn 26-55Thn <55Thn 6THN
9BLN 58THN 2THN 26THN 48THN 15THN 70THN 55THN 27THN 7THN 75THN
Alamat AIR KUNING LRG PUTRI WARA LRG PUTRI WARA WARA AIR KUNING WARA AMANTELU GUN MALINTANG STAIN STAIN BT TAGEPE
Pekerjaan
IRT
Diagnosa
ICD-10
ASMA BRONCHIAL ISPA ISPA HT GRADE II VARICELLA TONSILITIS AKUT, ISPA HT GRADE II, ISPA ISPA
J45.901 J06.9 J06.9 I15.2 B01.9 J03.90 I15.2 J06.9
HYPERCHOLESTEROLEMIA DERMATITIS CONTACT ALERGI STOMATITIS, ISPA HYPERCHOLESTEROLEMIA
E78.0 L24.5 K12.1 E78.0
Tindakan PARACETAMOL, GG, CTM, VIT C, DEXAMETASONE, SALBUTAMOL PARACETAMOL, GG, CTM, VIT C, DEXAMETASONE BABY COUGH CAPTOPRIL, AMLODIPINE, VIT B COM, ASIKLOVIR, ASIKLOVIR SALP, PARACETAMOL AMOXCILIN, PARACETAMOL, AMBROXOL, TREMENZA AMLODIPINE, AMBROXOL, DEXAMETASONE, VIT B COM, ANATON, VIT C PEMBERIAN POT DAHAK VIT B COM, CAVIPLEX, SIMVASTATIN DEXAMETASON, HYDROKORTISON, SALSILK, CAVIPLEX ANATON, VIT C, GENTIAN VIOLET SIMVASTATIN, NA DICLOFENAT, DEXAMETASON
TD
TB
BB 11 20 8.3
120/90 10 160/100 45 100/70 100/70 90/70 16 120/70
Ket
BPJS BPJS
BPJS
BPJS
Nama Pasien TN. SAMSUDIN KALIKY NN. VIRJI A/ NURAJIJAH TN. M YASIN A/DAFFA HAFIDZ ABRAR A/ FITRIANI NY. NURLAILA KAIMUDIN NY. SRI M MADIN A/ FAHRUL JIDAN A/ FAHRI R KAIMUDIN NN. JIHAN FARADILA A/ GUFRON A/ SYAHRANI A/ FAHMI NY. IDA A/ APRIL NN. ARYANI NY RANI A/ RISALDI NY. NONA BUGIS NY. ANISA MUKADAR NY. SARIMUNA NY. EMANIA USMAN A/ FITRI A/ FAUZIAH TN. FAHRI WATIANAN TN. ILHAM MUGES NN. ROSE DINA TN. BASIR TEHUAYO
NO RM S-354 H-169 S-519 M-281 M-362 L-309 N-094 H-197 H-197 H-197 U-019 U-019 U-014 A-315 R-066 R-066 Z-014 R-167 R-167 A.096 R-303 Z-001 A-646 D-098 D-098 F-104 J-112 B-101
L/P L P P L L P P P L L P L P L P P P P L P P P P P P L L P L
0-5Thn
Umur 5-25Thn 26-55Thn <55Thn 56 17THN
5BLN 52THN 1THN 7THN 47THN 29THN 7BLN 7THN 19THN 4BLN 6THN 10THN 43THN 7THN 12THN 25THN 1THN 45THN 50THN 83THN 46 9THN 25THN 39THN 23THN 20THN 53THN
Alamat LORONG PUTRI JL BARU STAIN ARBES ARBES WARA KEB. CENGKE WARA WARA WARA WARA BT. TAGEPE BT. TAGEPE ARBES AIR KUNING
WARA WARA WARA ARBES TANTUI ARBES WARA STAIN. KAHENA STAIN. KAHENA THR II STAIN AIR KUNING
Pekerjaan
Diagnosa
PETANI MAHASISWA
ABSES,PEDIS
WIRASWASTA
PPOK MILIARIA ISPA, FARINGITIS HT GRADE I, GASTRITIS AKUT ISPA ISPA TONSILITIS AKUT, ISPA ISPA
LSM IRT
MAHASISWA
ISPA, TONSILITIS AKUT BAKTERIAN INT, PEDIS ASMA BRONCHIAL
PNS GURU
HONORER
PNS
ISPA ISPA ISPA DM TIPE II, NEURITIS CEFALGIAL, ISPA HT GRADE II, GASTRITIS CEFALGIAL, TELP CHOLESTEROL TB PARU RUJUK RST FRAKTUR OTITIS MEDIA DKA HT GRADE II
ICD-10
Tindakan
L02.91
TD 90/80
J44.1 L74.3 J06.9 112.9 J06.9 J06.9 J03.90 J06.9 J03.90 A49.9 J45-901 J06.9 J06.9 J06.9 E13 G44.009 I15.2 G44.009 A15.9 H66.90 E10.10 I15.2
CAPTOPRIL, AMBDIPIN, CAVIPLEX, BETAHISTIN
160/70
TB
BB
Ket
No 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
Nama Pasien TN. M ABUBAKAR A/ DARMANDUR TUASIKAL A/ ADE SAM AFRIZAL NY. NURHAYATI R A/ FADILA TN. JURUA TN. HASBI SELAYAR NN. FITRIA LAPELE NY. IRMAYANTI NY. FATIMA WAILISA NY. HAWA KAREPESINA NY. MURSITA NN. SALSA NY. RUSMINAH PONIGORO NY. ANTI A/ ALI RAHMAN KALIKI A/ ASKAR PATTIIHA A/ MUONI MALAYU A/MAHIRA MANSUR TN. ABDULLAH LATUAPO NN. MEGA MAWARNI NY. MULYANI LA AMBO NY. KARYATI NY. HALIMA SIAUTA A/ MULIA A/ NUR MAULIDYA TN. AMIRUDIN KELIWOW NN. MAWARDA NY. MARYAM TEHUAYO NY. SOSNITA SANAKY A/ FAHSAR NY. WA HALIMA
NO RM M-123 L-391 W-072 N-096 R-217 M-285 H-026 F-081 A-706
R-246 R-246 A-544 B-093 I-206 J-139 M-433 M-434 A-705 J-058 R-049 K-009 H-193 D-008 R-008 A-285 A-107 Z-010 A-027 B-069
L/P L P L P P P L P P P P P P P P L L P P L P P P P P P L P P P L P
0-5Thn
Umur 5-25Thn 26-55Thn <55Thn 30THN 7THN 14THN 43THN
5THN 53THN 25THN 27THN 31THN 67THN 68THN 34THN 14THN 54THN 24THN 2THN 2THN 3THN 2BLN 60THN 22THN 31THN 36THN 54THN 4THN 3THN 67THN 18THN 58THN 32THN 8THN 80THN
Alamat AMALATU ARBES WARA BT TAGEPE STAIN LRG PUTRI STAIN LRG PUTRI LRG PUTRI STAIN STAIN THR II THR II STAIN KAHENA ARBES WARA ARBES KEB CENGKEH STAIN LRG PUTRI STAIN ARBES GN MALINTANG ARBES KEB CENGKEH AMANTELU BT TAGEPE STAIN AMALATU WARA AMANTELU
Pekerjaan
Diagnosa
ICD-10
WIRASWASTA
IRT
MAHASISWA IRT
IRT
PNS IRT IRT PNS
PENSIUNAN PNS IRT IRT PETANI
TONSILITIS AKUT, ISPA TONSILOFARINGITIS ISPA, LBP CEPHALGIA, COMON COLD,OBS FEBRIS DYSPNEA, BRONKITIS AKUT SUSPEK MALARIA, ISPA ISPA CONJUNCTIVITIS AKUT HT GRADE II, PRESBYOPIA ARTHRALGIA, HYPERMETROPIA DM TIPE
J03.90 J03.90 J06.9 G44.009 R06.00 B53.8 J06.9 H10.33 I15.2 M25.50 E10.9
HYPERCHOLESTEROLEMIA TINEA CORPORIS ISPA COMBUSTIO, PEDIS DEXTRA, ISPA COMON COLD, OBS FEBRIS ISPA, ALERGI SUSU DISLOKASI SPATULA SCABIES KELOID TINEA CORPORIS GASTRITIS AKUT, ISPA TONSILITIS AKUT, ISPA, LIMFADENITIS FURUNKULOSIS PTERIGIUM DERAJAT 3 ISPA ARTHRALGIA TONSILITIS AKUT ISPA
E78.0 B35.4 J06.9 T30.0 J00 J06.9 T14.3 B86 L91.0 B35.4 K29.70 J03.90 L02.92 H11.0 J06.9 M26.62 J03.90 J06.9
Tindakan
TD 110/70
AMOXCILIN, PARACETAMOL, GG, CTM, VIT C,DEXAMETASONE DEXAMETASONE, PARACETAMOL, VIT C,AMOXCILIN DEXAMETASONE, ANATON, DICLOFENAT, VIT B COM PARACETAMOL, DOMPERIDONE, GG, CTM, VIT C, DEXAMETASONE SALBUTAMOL, METHYLPREDNISOLON,AMBROXOL,AMOXCILIN ANATON, RANITIDINE, ANTASIDA, DOMPERIDONE ANATON, VIT B COM OXYTETRACYCLINE, CAPTOPRIL NA DICLOFENAK, DEXAMETASONE, VIT B COM, GLEBENCLAMIDE, METFORMIN, VIT B1, VIT B6 DEXAMETASONE CAVIPLEX, SIMVASTATIN MICONAZOL, DEXAMETASONE, VIT B COM PARACETAMOL, GG, CTM, VIT C, DEXAMETASONE PARACETAMOL, GG, CTM, VIT C, DEXAMETASONE,AMOXCILIN,SLP KULIT LK BAKAR, PARACETAMOL, CTM, VIT C, GG SALICYL TALK, BABY COUGH SALP, DEXAMETASONE DEXAMETASONE, MICONAZOLE RANITIDINE, ANTASIDA, AMBROXOL, GG, CAVIPLEX AMOXCILIN, PARACETAMOL, GG, CTM, VIT C,DEXAMETASONE CTM, DEXAMETASONE, VIT C, GENTAMICIN SALP ANATON, VIT B COM NA DICLOFENAT, DEXAMETASON, CAVIPLEX, PIROXICAM PARACETAMOL, VIT C, DEXAMETASON, AMOXCILIN PARACETAMOL, GG, CTM, VIT C, DEXAMETASON
110/70 100/60 100/70 80/60 80/60 160/90 110/70 90/60 110/70 80/60
110/70 90/70 100/70 100/70 90/60
120/80 90/60 120/80 80/60 100/60
TB
BB 160
158
150
Ket 50 15 32 61 15
51 50 75 40 55
165
166 135
10 14 10 3.7 75
43 12 11 75 41 60
KIS
BPJS
BPJS KTP BPJS BPJS BPJS BPJS BPJS
BPJS BPJS BPJS KTP BPJS
BPJS BPJS BPJS
27 KTP
No 1 2 3 4 5 6 7 8 9 10 11 12 13 14
Nama Pasien A/ SAHWIA DANO A/ ZULFIKAR A/ NENA KIBAS NY. WA HALIDJA A/ GIBRAN NN. NOVIA ERNIWATI NY. SITI SAMSIA NN. DWI PUTRI NY WAHALIMA TN. RASID AHMAD NY. TYAS TIKA A/ NURLAILA NY. WA DJENA
NO RM A-701 I-165 A-707 L-078
M-435 R-304 R-273 T-064 M-361 H-236
L/P P L P P L P P P P L P P P
0-5Thn 2THN
Umur 5-25Thn 26-55Thn <55Thn 6THN
9BLN 58THN 2THN 26THN 48THN 15THN 70THN 55THN 27THN 7THN 75THN
Alamat AIR KUNING LRG PUTRI WARA LRG PUTRI WARA WARA AIR KUNING WARA AMANTELU GUN MALINTANG STAIN STAIN BT TAGEPE
Pekerjaan
IRT
Diagnosa
ICD-10
ASMA BRONCHIAL ISPA ISPA HT GRADE II VARICELLA TONSILITIS AKUT, ISPA HT GRADE II, ISPA ISPA
J45.901 J06.9 J06.9 I15.2 B01.9 J03.90 I15.2 J06.9
HYPERCHOLESTEROLEMIA DERMATITIS CONTACT ALERGI STOMATITIS, ISPA HYPERCHOLESTEROLEMIA
E78.0 L24.5 K12.1 E78.0
Tindakan PARACETAMOL, GG, CTM, VIT C, DEXAMETASONE, SALBUTAMOL PARACETAMOL, GG, CTM, VIT C, DEXAMETASONE BABY COUGH CAPTOPRIL, AMLODIPINE, VIT B COM, ASIKLOVIR, ASIKLOVIR SALP, PARACETAMOL AMOXCILIN, PARACETAMOL, AMBROXOL, TREMENZA AMLODIPINE, AMBROXOL, DEXAMETASONE, VIT B COM, ANATON, VIT C PEMBERIAN POT DAHAK VIT B COM, CAVIPLEX, SIMVASTATIN DEXAMETASON, HYDROKORTISON, SALSILK, CAVIPLEX ANATON, VIT C, GENTIAN VIOLET SIMVASTATIN, NA DICLOFENAT, DEXAMETASON
TD
TB
BB 11 20 8.3
120/90 10 160/100 45 100/70 100/70 90/70 16 120/70
Ket
BPJS BPJS
BPJS
BPJS
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