Lap Bpjs Kopi

FormatREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : JANUARIDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI130 Desember 2013Misni40 th0000771915036S. Gigi, T : 110/70S. Gigi0Amox 500 mg, Asmet, Dexa, Inj. Dypen25 Januari 2014Sariyah45 th0000771572891S. Gigi, T : 120/70S. Gigi0Amox 500 mg, Asmet, Dexa, Inj. Dypen313 Januari 2014Salina40 th0000771420609S. Gigi, T : 1110/80S. Gigi0Amox 500 mg, Asmet, Dexa, Inj. Dypen413 Januari 2014Buama39 th0000770835418Panas, Batuk, S : 37,5 C, T : 120/70 ISPAJ111Amox 500 mg, Pamol, GG, Inj. Dypen513 Januari 2014Misni41 th0000771915036Panas, Batuk, Pilek, S : 38 C, T : 120/80 ISPAJ111Amox 500 mg, Pamol, GG, Vitamin C, Inj. Dypen614 Januari 2014Buriyah40 th0000771838514Mencret, T : 120/70Diare A09Antasida, Tetra, Inj. Dypen716 Januari 2014Lamsia44 th0000771424784Mencret, T : 90/50Diare + HypotensiA09 / G448Antasida, Tetra, Inj. Dypen816 Januari 2014Satina50 th0000772013496Panas, Batuk, S : 38,3 C, T : 110/80 ISPAJ111Amox 500 mg, Pamol, GG, Inj. Dypen916 Januari 2014Sali37 th0000771417033Gatal2, T : 110/70DermatitisL249Griseofulvin, CTM, Inj. Dypen1017 Januari 2014Sariyah45 th0000771572891S. Gigi, T : 90/50S. Gigi + Hypotensi0 / G448Amox 500 mg, Asmet, Inj. Dypen1117 Januari 2014Maimuna Saroh29 th0000771420093S. Gigi, T : 100/60S. Gigi + Hypotensi0 / G448Amox 500 mg, Asmet, Inj. Dypen

Jrengik, 20 Januari 2014Ponkesdes Jrengik

Debbie Lidya M. I, Amd. Kep

REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : PEBRUARIDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI124 Januari 2014Maimuna Saroh29 th0000771420093Panas, Batuk, S : 37,8 C, T : 100/50ISPA + Hypotensi0 / G448Amox 500 mg, Pamol, GG, Inj. Dypen228 Januari 2014Nima36 th0000772061332Panas, Batuk, S : 38,1 C, T : 110/70ISPAJ111Cotrim, Pamol, Dextro, Inj. Dypen330 Januari 2014Nurtiyah57 th0000771378309Linu2, T : 160/90RA + HTM100 / I109Ibuprofen, Vitamin B1, Captopril 12,5 mg430 Januari 2014Masriah59 th0000772045436Batuk, T : 100/60Batuk + Hypotensi0 / G448GG, Asmet, Vitamin BC, Inj. Dypen51 Pebruari 2014Sunab43 th0000772727488Panas, Batuk, S. Gigi, S : 38 C, T : 100/50ISPA + S. GigiJ111 / 0Amox 500 mg, Asmet, Inj Dypen 66 Pebruari 2014Rahmatillah40 th0000771695515Gatal2, T : 180/90Dermatitis + HTL249 / I109Griseofulvin, CTM, Captopril 25 mg. Inj. Dypen76 Pebruari 2014Sofiatun13 th0000772178488Nyeri tenggorokanNyeri Tenggorokan0Amox 250 mg, Pamol, Vitamin C89 Pebruari 2014Waidi17 th0000771421577Panas, Batuk, S : 38 C, T : 100/60 ISPAJ111Amox 250 mg, Pamol, Inj Dypen910 Pebruari 2014Siti Diyah20 th0000772412343Luka kena pakuLuka Kena Paku0Amox 500 mg, Asmet1013 Pebruari 2014Buama39 th0000770835418Linu2, T : 130/80RAM100Ibuprofen, Prednison, Vitamin B11118 Pebruari 2014Sali37 th0000771417033Gatal2, T : 110/70Dermatitis + HypotensiL249 / G448Asmet, Griseofulvin, CTM, Inj. Dypen1218 Pebruari 2014Missuroh34 th0000771417865Gatal2, T : 120/70DermatitisL249Griseofulvin, CTM, Zelf. Hydrocortison, Inj. Dypen1318 Pebruari 2014Sapia59 th0000771876134Linu2, T : 120/80RAM100Ibuprofen, Prednison, Vitamin B1, Inj. Dypen1418 Pebruari 2014Satina50 th0000772013496Panas, Batuk, S : 37,8 C, T : 100/60ISPA + Hypotensi0 / G448Amox 500 mg, Pamol, GG, Inj. Dypen1518 Pebruari 2014Astiyah59 th0000772461112Batuk, T : 110/80Batuk0Amox 500 mg, Pamol, GG, Inj. Dypen1618 Pebruari 2014Noe66 th0000772396716Linu2, T : 150/80RA + HTM100 / I109Ibuprofen, Prednison, Vitamin B1, Captopril 12,5 mg

Jrengik, 20 Pebruari 2014Ponkesdes Jrengik



BULAN : MARETDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI121 Pebruari 2014Muksin11 th0000770836263Panas, S : 38,1 CObs. FebrisR509Amox 250 mg, Pamol221 Pebruari 2014Sayidan40 th0000770835003Nyeri Perut, T : 110/80GastritisK297Antasida, Cimetidine325 Pebruari 2014Misni62 th0000771915036S. Gigi, T : 110/80S. Gigi0Amox 500 mg, Asmet425 Pebruari 2014Suti'ah34 th0000772654432S. Gigi, T : 100/60S. Gigi0Amox 500 mg, Asmet525 Pebruari 2014Nardi32 th0000771456194Pusing, T : 90/50HypotensiG448Antalgin, Prenatin67 Maret 2014Nurtiyah57 th0000771378309Pusing, Nyeri perut, T : 170/100HT + GastritisI109 / K297Captopril 25 mg, Antasida, Cimetidine713 Maret 2014Misni62 th0000771915036Panas, Batuk, S : 38 C, T : 100/50ISPAJ111Amox 500 mg, Pamol, GG, Inj. Dypen813 Maret 2014Siipah12 th0000771999974Panas, Batuk, S : 37,5 CISPAJ111Amox 500 mg, Pamol, GG913 Maret 2014Satina50 th0000772013496Linu2, T : 100/60RAM100Ibuprofen, Prednison, Vitamin B11014 Maret 2014Buama39 th0000770835418Linu2, T : 130/80RAM100Ibuprofen, Prednison, Vitamin B11114 Maret 2014Salimah52 th0000771450107Linu2, T : 130/70RAM100Ibuprofen, Prednison, Vitamin B11215 Maret 2014Nurtiyah57 th0000771378309Pusing, Linu2 T : 170/100HT + RAI109 / M100Captopril 25 mg, Ibuprofen, Prednison, Vitamin B11318 Maret 2014Sunab43 th0000772727488S. Gigi, T : 110/80S. Gigi0Amox 500 mg, Asmet

Jrengik, 21 Maret 2014Ponkesdes Jrengik



BULAN : APRILDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI126 Maret 2014Buama39 th0000770835418Linu2, T : 110/70RAM100Ibuprofen, Prednison, Vitamin B1228 Maret 2014Nurtiyah57 th0000771378309Linu2, T : 180/100HT + RAI109 / M100Captopril 25 mg, Ibuprofen, Vitamin B1328 Maret 2014Misni62 th0000771915036S. Gigi, T : 120/70S. Gigi0Amox 500 mg, Asmet, Dexa45 April 2014Maimunah Saroh29 th0000771420093Gatal2, T : 110/70DermatitisL249Zalf Hydo, CTM, Griseofulfin55 April 2014Rahmatillah40 th0000771695515Pusing, T : 170/90HTI109 Captopril 25 mg69 April 2014Sariyah45 th0000771572891Linu2, T : 130/80RAM100Ibuprofen, Prednison, Vitamin B1710 April 2014Sunab43 th0000772727488S. Gigi, T : 120/70S. Gigi0Amox 500 mg, Asmet 810 April 2014Buriyah40 th0000771838514Linu2 , T : 120/80RA M100 Ibuprofen, Prednison, Vitamin B1915 April 2014Lamsia44 th0000771424784Linu2 dan pusing, T : 100/60RA + HypotensiM100 / K297Ibuprofen, Prednison, Multivitamin1016 April 2014Nurtiyah57 th0000771378309Linu2, T : 140/90RAM100Ibuprofen, Prednison, Vitamin B11116 April 2014Masri'a59 th0000771204543Linu2, T : 110/70RAM100Ibuprofen, Prednison, Vitamin B11217 April 2014Misni62 th0000771915036Pusing, T : 100/60HypotensiK297Antalgin, Multivitamin

Jrengik, 21 April 2014Ponkesdes Jrengik



BULAN : MEIDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI128 April 2014Mugeh84 th0000771927603Mencret, Mules 1 hr, T : 120/70DiareA09Tetra 500 mg, Antasida, Oralit, Inj Dypen230 April 2014Faisom Massum65 th0000772248971Linu2, T : 180/100RAM100Ibuprofen, Vitamin B1, Prednison, Dypen330 April 2014Sumar Sumhari44 th0000771457757Linu2, T : 180/100RAM100Ibuprofen, Vitamin B1, Prednison, Dypen42 Mei 2014Subaidah24 th0000772443415Panas, batuk, Influenza, T : 100/50, S : 38 CISPAJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della57 Mei 2014Maniyah17 th0000772728276Panas, T : 100/50, S : 37,5 CObs. FebrisR509Amox 500 mg, Pamol, Inj Xylo : Della66 Mei 2014Rahmatillah40 th0000771695515Pusing, T : 170/90HTI109 Captopril 25 mg79 Mei 2014Nurtiyah57 th0000771378309Linu2, T : 180/100HT + RAI109 / M100Captopril 25 mg, Ibuprofen, Vitamin B189 Mei 2014Masriah59 th0000772045436Pusing, T : 100/50HypotensiG448Asmet, Vitamin BC, Inj. Dypen913 Mei 2014Sayidan40 th0000770835003Linu2, T : 180/100RAM100Ibuprofen, Vitamin B1, Prednison, Dypen1013 Mei 2014Muksin11 th0000770836263Panas, batuk, Influenza, S : 38 CISPAJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della1114 Mei 2014Suti'ah34 th0000772654432GastritisK297Antasida, cimetidine

Jrengik, 28 Mei 2014Ponkesdes Jrengik


Januari '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : JANUARIDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI130 Desember 2013Misni40 th0000771915036S. Gigi, T : 110/70S. Gigi0Amox 500 mg, Asmet, Dexa, Inj. Dypen25 Januari 2014Sariyah45 th0000771572891S. Gigi, T : 120/70S. Gigi0Amox 500 mg, Asmet, Dexa, Inj. Dypen313 Januari 2014Salina40 th0000771420609S. Gigi, T : 1110/80S. Gigi0Amox 500 mg, Asmet, Dexa, Inj. Dypen413 Januari 2014Buama39 th0000770835418Panas, Batuk, S : 37,5 C, T : 120/70 ISPAJ111Amox 500 mg, Pamol, GG, Inj. Dypen513 Januari 2014Misni41 th0000771915036Panas, Batuk, Pilek, S : 38 C, T : 120/80 ISPAJ111Amox 500 mg, Pamol, GG, Vitamin C, Inj. Dypen614 Januari 2014Buriyah40 th0000771838514Mencret, T : 120/70Diare A09Antasida, Tetra, Inj. Dypen716 Januari 2014Lamsia44 th0000771424784Mencret, T : 90/50Diare + HypotensiA09 / G448Antasida, Tetra, Inj. Dypen816 Januari 2014Satina50 th0000772013496Panas, Batuk, S : 38,3 C, T : 110/80 ISPAJ111Amox 500 mg, Pamol, GG, Inj. Dypen916 Januari 2014Sali37 th0000771417033Gatal2, T : 110/70DermatitisL249Griseofulvin, CTM, Inj. Dypen1017 Januari 2014Sariyah45 th0000771572891S. Gigi, T : 90/50S. Gigi + Hypotensi0 / G448Amox 500 mg, Asmet, Inj. Dypen1117 Januari 2014Maimuna Saroh29 th0000771420093S. Gigi, T : 100/60S. Gigi + Hypotensi0 / G448Amox 500 mg, Asmet, Inj. Dypen

Jrengik, 20 Januari 2014Ponkesdes Jrengik


Pebruari '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : PEBRUARIDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI124 Januari 2014Maimuna Saroh29 th0000771420093Panas, Batuk, S : 37,8 C, T : 100/50ISPA + Hypotensi0 / G448Amox 500 mg, Pamol, GG, Inj. Dypen228 Januari 2014Nima36 th0000772061332Panas, Batuk, S : 38,1 C, T : 110/70ISPAJ111Cotrim, Pamol, Dextro, Inj. Dypen330 Januari 2014Nurtiyah57 th0000771378309Linu2, T : 160/90RA + HTM100 / I109Ibuprofen, Vitamin B1, Captopril 12,5 mg430 Januari 2014Masriah59 th0000772045436Batuk, T : 100/60Batuk + Hypotensi0 / G448GG, Asmet, Vitamin BC, Inj. Dypen51 Pebruari 2014Sunab43 th0000772727488Panas, Batuk, S. Gigi, S : 38 C, T : 100/50ISPA + S. GigiJ111 / 0Amox 500 mg, Asmet, Inj Dypen 66 Pebruari 2014Rahmatillah40 th0000771695515Gatal2, T : 180/90Dermatitis + HTL249 / I109Griseofulvin, CTM, Captopril 25 mg. Inj. Dypen76 Pebruari 2014Sofiatun13 th0000772178488Nyeri tenggorokanNyeri Tenggorokan0Amox 250 mg, Pamol, Vitamin C89 Pebruari 2014Waidi17 th0000771421577Panas, Batuk, S : 38 C, T : 100/60 ISPAJ111Amox 250 mg, Pamol, Inj Dypen910 Pebruari 2014Siti Diyah20 th0000772412343Luka kena pakuLuka Kena Paku0Amox 500 mg, Asmet1013 Pebruari 2014Buama39 th0000770835418Linu2, T : 130/80RAM100Ibuprofen, Prednison, Vitamin B11118 Pebruari 2014Sali37 th0000771417033Gatal2, T : 110/70Dermatitis + HypotensiL249 / G448Asmet, Griseofulvin, CTM, Inj. Dypen1218 Pebruari 2014Missuroh34 th0000771417865Gatal2, T : 120/70DermatitisL249Griseofulvin, CTM, Zelf. Hydrocortison, Inj. Dypen1318 Pebruari 2014Sapia59 th0000771876134Linu2, T : 120/80RAM100Ibuprofen, Prednison, Vitamin B1, Inj. Dypen1418 Pebruari 2014Satina50 th0000772013496Panas, Batuk, S : 37,8 C, T : 100/60ISPA + Hypotensi0 / G448Amox 500 mg, Pamol, GG, Inj. Dypen1518 Pebruari 2014Astiyah59 th0000772461112Batuk, T : 110/80Batuk0Amox 500 mg, Pamol, GG, Inj. Dypen1618 Pebruari 2014Noe66 th0000772396716Linu2, T : 150/80RA + HTM100 / I109Ibuprofen, Prednison, Vitamin B1, Captopril 12,5 mg

Jrengik, 20 Pebruari 2014Ponkesdes Jrengik


Maret '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : MARETDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI121 Pebruari 2014Muksin11 th0000770836263Panas, S : 38,1 CObs. FebrisR509Amox 250 mg, Pamol221 Pebruari 2014Sayidan40 th0000770835003Nyeri Perut, T : 110/80GastritisK297Antasida, Cimetidine325 Pebruari 2014Misni62 th0000771915036S. Gigi, T : 110/80S. Gigi0Amox 500 mg, Asmet425 Pebruari 2014Suti'ah34 th0000772654432S. Gigi, T : 100/60S. Gigi0Amox 500 mg, Asmet525 Pebruari 2014Nardi32 th0000771456194Pusing, T : 90/50HypotensiG448Antalgin, Prenatin67 Maret 2014Nurtiyah57 th0000771378309Pusing, Nyeri perut, T : 170/100HT + GastritisI109 / K297Captopril 25 mg, Antasida, Cimetidine713 Maret 2014Misni62 th0000771915036Panas, Batuk, S : 38 C, T : 100/50ISPAJ111Amox 500 mg, Pamol, GG, Inj. Dypen813 Maret 2014Siipah12 th0000771999974Panas, Batuk, S : 37,5 CISPAJ111Amox 500 mg, Pamol, GG913 Maret 2014Satina50 th0000772013496Linu2, T : 100/60RAM100Ibuprofen, Prednison, Vitamin B11014 Maret 2014Buama39 th0000770835418Linu2, T : 130/80RAM100Ibuprofen, Prednison, Vitamin B11114 Maret 2014Salimah52 th0000771450107Linu2, T : 130/70RAM100Ibuprofen, Prednison, Vitamin B11215 Maret 2014Nurtiyah57 th0000771378309Pusing, Linu2 T : 170/100HT + RAI109 / M100Captopril 25 mg, Ibuprofen, Prednison, Vitamin B11318 Maret 2014Sunab43 th0000772727488S. Gigi, T : 110/80S. Gigi0Amox 500 mg, Asmet

Jrengik, 21 Maret 2014Ponkesdes Jrengik


April '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : APRILDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI126 Maret 2014Buama39 th0000770835418Linu2, T : 110/70RAM100Ibuprofen, Prednison, Vitamin B1228 Maret 2014Nurtiyah57 th0000771378309Linu2, T : 180/100HT + RAI109 / M100Captopril 25 mg, Ibuprofen, Vitamin B1328 Maret 2014Misni62 th0000771915036S. Gigi, T : 120/70S. Gigi0Amox 500 mg, Asmet, Dexa45 April 2014Maimunah Saroh29 th0000771420093Gatal2, T : 110/70DermatitisL249Zalf Hydo, CTM, Griseofulfin55 April 2014Rahmatillah40 th0000771695515Pusing, T : 170/90HTI109 Captopril 25 mg69 April 2014Sariyah45 th0000771572891Linu2, T : 130/80RAM100Ibuprofen, Prednison, Vitamin B1710 April 2014Sunab43 th0000772727488S. Gigi, T : 120/70S. Gigi0Amox 500 mg, Asmet 810 April 2014Buriyah40 th0000771838514Linu2 , T : 120/80RA M100 Ibuprofen, Prednison, Vitamin B1915 April 2014Lamsia44 th0000771424784Linu2 dan pusing, T : 100/60RA + HypotensiM100 / K297Ibuprofen, Prednison, Multivitamin1016 April 2014Nurtiyah57 th0000771378309Linu2, T : 140/90RAM100Ibuprofen, Prednison, Vitamin B11116 April 2014Masri'a59 th0000771204543Linu2, T : 110/70RAM100Ibuprofen, Prednison, Vitamin B11217 April 2014Misni62 th0000771915036Pusing, T : 100/60HypotensiK297Antalgin, Multivitamin

Jrengik, 21 April 2014Ponkesdes Jrengik


Mei '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : JUNIDESA : BUKER

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDIAGNOSAKODETERAPI128 April 2014Mencret, Mules 1 hr, T : 120/70DiareA09Tetra 500 mg, Antasida, Oralit, Inj Dypen230 April 2014Linu2, T : 180/100RAM100Ibuprofen, Vitamin B1, Prednison, Dypen330 April 2014Linu2, T : 180/100RAM100Ibuprofen, Vitamin B1, Prednison, Dypen42 Mei 2014Panas, batuk, Influenza, T : 100/50, S : 38 CISPAJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della57 Mei 2014Panas, T : 100/50, S : 37,5 CObs. FebrisR509Amox 500 mg, Pamol, Inj Xylo : Della66 Mei 2014Pusing, T : 170/90HTI109 Captopril 25 mg79 Mei 2014Linu2, T : 180/100HT + RAI109 / M100Captopril 25 mg, Ibuprofen, Vitamin B189 Mei 2014Pusing, T : 100/50HypotensiG448Asmet, Vitamin BC, Inj. Dypen

913 Mei 2014Linu2, T : 180/100RAM100Ibuprofen, Vitamin B1, Prednison, Dypen1013 Mei 2014Panas, batuk, Influenza, S : 38 CISPAJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della1114 Mei 2014GastritisK297Antasida, cimetidine

Jrengik, 28 Mei 2014Ponkesdes buker

Wasik,Amd.Kep

Juni '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG


NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI128 April 2014Mencret, Mules 1 hr, T : 120/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen230 April 2014Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen330 April 2014Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen42 Mei 2014Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della57 Mei 2014Panas, T : 100/50, S : 37,5 CR509Amox 500 mg, Pamol, Inj Xylo : Della66 Mei 2014Pusing, T : 170/90I109 Captopril 25 mg79 Mei 2014Linu2, T : 180/100I109 / M100Captopril 25 mg, Ibuprofen, Vitamin B189 Mei 2014Pusing, T : 100/50G448Asmet, Vitamin BC, Inj. Dypen

913 Mei 2014Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen1013 Mei 2014Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della1114 Mei 2014K297Antasida, cimetidine










BULAN : JUNIDESA : PONKESDES BUKER

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI123-06-2014MUNAJI360000 771553102Mencret, Mules 1 hr, T : 120/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen223-06-2014HANIFAH200000 771284261Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della323-06-2014IBADDUDIN190000 772373776Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della424-06-2014SATIMAH650000 771277138Pusing, T : 170/90I109 Captopril 25 mg,antalgin, hct524-06-2014HOTIMAH440000 771020829Panas, T : 100/50, S : 37,5 CR509Amox 500 mg, Pamol, Inj Xylo : Della624-06-2014B JUANI700000 771477928Pusing, T : 170/90I109 Captopril 25 mg725-06-2014SUTIYAH360000 771186396Linu2, T : 180/100I109 / M100Captopril 25 mg, Ibuprofen, Vitamin B1825-06-2014ROFIK330000 770231035Pusing, T : 100/50G448Asmet, Vitamin BC, Inj. Dypen926-06-2014SALE390000 771872027Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen1026-06-2014LIS150000 771225142sakit gigik 040Amox 500 mg, Asmet, Dexa1126-06-2014SOFWAN70000 771179657Mencret, Mules 1 hr, T : 120/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1226-06-2014MAFRUPAH100000 771322364gatal pada sela jariB 86Amox,ctm, pamol,salep bacitrasin1326-06-2014NURAWI570000 772012473Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen1427-06-2014RASIDI420000 770865322Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen1527-06-2014LILIS190000 770871159sakit gigik 040Amox 500 mg, Asmet, Dexa1627-06-2014HOSIBEH300000 771281807gatal gatal seluruh tubuhL249Zalf Hydo, CTM, Griseofulfin1727-06-2014SURADAH180000 771319607nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC1828-06-2014MAISUNAH320000 771173804sakit gigik 040Amox 500 mg, Asmet, Dexa1928-06-2014SULI520000 772414806Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen2028-06-2014AMNA500000 7713277527Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della2128-06-2014UNDA140000 770831436nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC22232425

Jrengik, 30 juni 2014Ponkesdes buker

Wasik,Amd.Kep

Juli '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANGBULAN : JULIDESA : PONKESDES BUKER

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI101-07-2014FARIYATI280000 770209762gatal gatal seluruh tubuhL249CTM, Griseofulfin, ketoconazole salep201-07-2014JAMILA180000 772428824Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della304-07-2014ACHMD JUNAIDI350000 771299826Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della404-07-2014FAIRUS SHOLEH150000 770433952gatal pada sela jariB 86Amox,ctm, pamol,salep bacitrasin504-07-2014SLAMAN660000 771803676Pusing, T : 170/90I109 Captopril 25 mg,antalgin, hct604-07-2014HOFIFAH280000 772005947nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC705-07-2014SULTON100000 770994641Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della805-07-2014HUSNI300000 771333276Pusing, T : 100/50G448Asmet, Vitamin BC, Inj. Dypen905-07-2014ELA60000 772935689Mencret, Mules 1 hr, T : 120/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1005-07-2014SAMAUN300000 770429204sakit gigik 040Amox 500 mg, Asmet, Dexa1107-07-2014MADDEHRI370000 771319844Mencret, Mules 1 hr, T : 120/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1207-07-2014MARIYEH470000 7713332713gatal gatal seluruh tubuhL249Zalf Hydo, CTM, Griseofulfin1307-07-2014HARIS250000 770455207nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC1410-07-2014BASIR120000 771304983gatal pada sela jariB 86Amox,ctm, pamol,salep bacitrasin1510-07-2014ATUN160000 771391135sakit gigik 040Amox 500 mg, Asmet, Dexa1610-07-2014SEHRIYEH180000 772432198gatal gatal seluruh tubuhL249Zalf Hydo, CTM, Griseofulfin1710-07-2014HUSNI220000 771212643nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC1811-07-2014ATIYEH520000 771407728Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen1911-07-2014SATINI430000 130664145Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen2012-07-2014MAHHUR480000 771439588Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen2112-07-2014KAMALIA140000 771087835Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della2212-07-2014ARIFIN350000 772467399Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della232425Jrengik, 14 juli 2014Ponkesdes buker

Wasik,Amd.Kep


BULAN : JULIDESA : JRENGIK DIAGNOSAKODENOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANHypotensiG448TERAPI17 Juli 2014Nardi32 th0000771456194Pusing, T : 100/60RA + HTM100/I109Antalgin, Antasida, Prenatin plus, Inj B12 28 Juli 2014Nurtiyah57 th0000771378309Linu2, Pusing, T ; 160/100RAM100Captopril, Allopurinol, Prednison, Vit B138 Juli 2014Salimah52 th0000771450107Linu2, T : 120/80ISPAIbu profen, Prednison, Vit B1, Inj B1 49 Juli 2014Doni5 th0000772179344Panas, Batuk, S : 38 CISPASyr Amox, Syr Pamol59 Juli 2014Sofiatun13 th0000772178488Panas, Batuk, S : 37,5 CHTI109Amox 250 mg, Pamol, GG610 Juli 2014Mina50 th0000770957583Pusing, T : 150/90RAM100Captopril711 Juli 2014Masniyah36 th0000772549615Linu2, T : 110/80ConjungtivitisH109Allopurinol, Prednison, Vit B1, Inj B1811 Juli 2014Maryam12 th0000772550087S. Mata, T : 100/70RAM100Zalf Oxytetra912 Juli 2014Masri'a59 th0000772045435Linu2, T : 110/700Ibu profen, Prednison, Vit B1, Inj B1 + B12

Jrengik, 14 Juli 2014Ponkesdes Jrengik



BULAN : JUNIDESA : BUKER DIAGNOSAKODENOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANDiareA09TERAPI128 April 2014Mencret, Mules 1 hr, T : 120/70RAM100Tetra 500 mg, Antasida, Oralit, Inj Dypen230 April 2014Linu2, T : 180/100RAM100Ibuprofen, Vitamin B1, Prednison, Dypen330 April 2014Linu2, T : 180/100ISPAJ1111Ibuprofen, Vitamin B1, Prednison, Dypen42 Mei 2014Panas, batuk, Influenza, T : 100/50, S : 38 CObs. FebrisR509Amox 500 mg, Pamol, Dextral, Inj Xylo : Della57 Mei 2014Panas, T : 100/50, S : 37,5 CHTI109 Amox 500 mg, Pamol, Inj Xylo : Della66 Mei 2014Pusing, T : 170/90HT + RAI109 / M100Captopril 25 mg79 Mei 2014Linu2, T : 180/100HypotensiG448Captopril 25 mg, Ibuprofen, Vitamin B189 Mei 2014Pusing, T : 100/50Asmet, Vitamin BC, Inj. Dypen

RAM100913 Mei 2014Linu2, T : 180/100ISPAJ1111Ibuprofen, Vitamin B1, Prednison, Dypen1013 Mei 2014Panas, batuk, Influenza, S : 38 CGastritisK297Amox 500 mg, Pamol, Dextral, Inj Xylo : Della1114 Mei 2014Antasida, cimetidineJrengik, 28 Mei 2014Ponkesdes buker

Wasik,Amd.Kep


BULAN : JULIDIAGNOSAKODEDESA : JRENGIK TERAPI

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHAN

Jrengik, 28 Juli 2014Ponkesdes Jrengik


Agustus '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : AGUSTUSDESA : PONKESDES BUKER

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI104-08-2014MUNARI38000077 1292563Mencret, Mules 1 hr, T : 120/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen204-08-2014HADIRI53000077 1277632Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen305-08-2014ISTIANAH27000077 0423332Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della405-08-2014NUR AINI16000077 1770777gatal gatal seluruh tubuhL249Zalf Hydo, CTM, Griseofulfin506-08-2014KUDROD24000077 1327099Panas, T : 100/50, S : 37,5 CR509Amox 500 mg, Pamol, Inj Xylo : Della606-08-2014RAINAH44000077 1396647Pusing, T : 170/90I109 Captopril 25 mg706-08-2014BDR NAWAWI59000077 0976314Linu2, T : 180/100I109 / M100Captopril 25 mg, Ibuprofen, Vitamin B1807-08-2014MARIAH59000077 1265001Pusing, T : 170/90I109 Captopril 25 mg,antalgin, hct907-08-2014TABIIN42000077 1044949Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen1008-08-2014YIYIN21000077 2496021sakit gigik 040Amox 500 mg, Asmet, Dexa1109-08-2014ITA9000077 1089916Mencret, Mules 1 hr, T : 120/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1209-08-2014SEHMAH13000077 0207589gatal pada sela jariB 86Amox,ctm, pamol,salep bacitrasin1309-08-2014BABUN55000077 0270859Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen

Jrengik, 9 Agustus 2014Ponkesdes buker

Wasik,Amd.Kep


BULAN : AGUSTUSDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI111-08-2014H.DOFIR55000077 0841347Linu2, T : 140/90. BAK lebih 5kali/mlmM100Ibuprofen, Vitamin B1, Prednison, Dypen211-08-2014SUNAH66000077 0421453Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della311-08-2014JUMAYYEH30000077 1419259nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC412-08-2014SUMRIYAH46000077 1337732Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della513-08-2014HJ, HAYATI51000077 1860441Linu2, T : 140/100M100Ibuprofen, Vitamin B1, Prednison, Dypen614-08-2014MAT BEHRI62000077 1143277Mencret, Mules 1 hr, T : 180/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen714-08-2014HAMIDEH62000077 1176158Pusing, T : 170/90I109 Captopril 25 mg,antalgin, hct815-08-2014MAMNU'AH32000077 1497188nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC916-08-2014H,JEMAIN65000077 1421634sakit gigik 040Amox 500 mg, Asmet, Dexa1016-08-2014PIA65000077 1313105Mencret, Mules 1 hr, T : 120/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen

Jrengik, 18 Agustus 2014 Ponkesdes buker

Wasik,Amd.Kep





Wasik,Amd.Kep





Wasik,Amd.Kep



NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI118-08-2014ASNAM53000077 0994707sakit gigik 040Amox 500 mg, Asmet, Dexa218-08-2014GILANG11000077 0995203Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della319-08-2014AAN10000077 1228246Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della419-08-2014YAYAK15000077 1227324Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della519-08-2014RIHANA33000077 1494949nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC620-08-2014NUR HASANAH8000077 0254569Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen721-08-2014MARKIYAH63000077 1226964Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen822-08-2014MARJU49000077 0943486gatal gatal seluruh tubuhL249CTM, Griseofulfin, ketoconazole salep922-08-2014ROBEAH56000077 1284024Linu2, T : 140/90. BAK lebih 5kali/mlmM100Ibuprofen, Vitamin B1, Prednison, Dypen


Wasik,Amd.Kep


BULAN : SeptemberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI101-09-2014H HASAN48000077 1265552sakit gigik 040Amox 500 mg, Asmet, Dexa201-09-2014SUTINA58000077 1285688Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen302-09-2014MUKIYEH53000077 1319697Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della402-09-2014SATURI67000077 1435099Pusing, T : 170/90I109 Captopril 25 mg,antalgin, hct503-09-2014MISKUR63000077 1286667nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC603-09-2014MARLUI68000077 1355629Pusing, T : 170/90I109 Captopril 25 mg,antalgin, hct704-09-2014SUMARDI57000077 1343198Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen804-09-2014BUATI43000077 0420283gatal gatal seluruh tubuhL249CTM, Griseofulfin, ketoconazole salep904-09-2014ATITEH42000077 1890444Linu2, T : 140/90. BAK lebih 5kali/mlmM100Ibuprofen, Vitamin B1, Prednison, Dypen1006-09-2014PENDI25000077 1309674Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1106-09-2014HARIS250000 770455207Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della

Jrengik, 09 september 2014 Ponkesdes buker

Wasik,Amd.Kep



NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI115-09-2014MAT HASIB38000077 1382012sakit gigik 040Amox 500 mg, Asmet, Dexa215-09-2014HODELI56000077 1279592Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della316-09-2014MARSUI63000077 1337438Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen416-09-2014MUNINGRAT58000077 1303339Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della517-09-2014HAMID41000077 1930033nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC618-09-2014SALAM58000077 1304904Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen718-09-2014ASRI50000077 1762368Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen819-09-2014SURATI47000077 0476193gatal gatal seluruh tubuhL249CTM, Griseofulfin, ketoconazole salep920-09-2014ATIYAH53000077 1407728Linu2, T : 140/90. BAK lebih 5kali/mlmM100Ibuprofen, Vitamin B1, Prednison, Dypen1020-09-2014SUFA'AH51000077 0976371Linu2, T : 140/90. BAK lebih 5kali/mlmM100Ibuprofen, Vitamin B1, Prednison, Dypen1120-09-2014DAHURI56000077 1350949nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC

Jrengik, 21 September 2014



NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI122-09-2014KINANAH30000077 1432827sakit gigik 040Amox 500 mg, Asmet, Dexa222-09-2014MUKIYEH53000077 1319697Linu2, T : 150/100M100Ibuprofen, Vitamin B1, Prednison, Dypen323-09-2014SATURI67000077 1435099Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della423-09-2014MISKUR63000077 1286667Panas, T : 160/100, S : 37,5 CR509Amox 500 mg, Pamol, Inj Xylo : Della524-09-2014SARI'A63000077 1289571Pusing, T : 180/90mmhgI109 Captopril 25 mg624-09-2014H MUKSIN61000077 1222532Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen725-09-2014SUDEH43000077 1228292Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen825-09-2014ABD AZIZ26000077 1296062Panas, batuk, Influenza, T : 100/50, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della925-09-2014MARLUI68000077 1355629gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep1025-09-2014SUMARDI57000077 1343198Panas, T : 100/50, S : 37,5 CR509Amox 500 mg, Pamol, Inj Xylo : Della1127-09-2014ARJATI48000077 1355629Pusing, T : 160/90mmhgI109 Captopril 25 mg1227-09-2014AAN10000077 1228246Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen

Jrengik, 28 September 2014 Ponkesdes buker

Wasik,Amd.Kep

September '14REKAPITULASI SKRINING BPJSUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANGBULAN : AgustusDESA : PONKESDES BUKER NOTGL PELAYANANNAMAUMURALAMATNO ID BPJS KES.118-08-2014MARJU49RATAH000077 0943486218-08-2014ROBEAH56TROGAN000077 1284024318-08-2014MISRAN35BRANJANG000077 1876685418-08-2014PATTUKI50BUKER000077 0984987518-08-2014YATMAN43BRANJANG000077 1521444618-08-2014ASBEKI48BUKER000077 1349487718-08-2014SAPTIYEH64BANGOI000077 1529162818-08-2014SUTIMAH47BRANJANG000077 0257225918-08-2014WELI53BUKER000077 14415791018-08-2014SAILAN58RATAH000077 02335661119-08-2014MARUKI 49BANGOI000077 08228531219-08-2014BUSAR58RATAH000077 12288321319-08-2014ATIYAH53TROGAN000077 14077281419-08-2014SALIMAN46BUKER000077 11681371519-08-2014HARIA63RATAH000077 10074541619-08-2014AMSADIN63RATAH000077 08048041719-08-2014HAMID41TROGAN000077 19300331819-08-2014SALAM58RATAH000077 13049041919-08-2014ASRI50BANGOI000077 17623682019-08-2014SURATI47TROGAN000077 04761932120-08-2014MISJATI46BRANJANG000077 14155362220-08-2014MISDIN39RATAH000077 14163132320-08-2014NAIMAH68RATAH000077 14113172420-08-2014B TUPAH61BANGOI000077 18738732520-08-2014SUMRANI68BRANJANG000077 02442192620-08-2014SABIRIN63RATAH000077 09621842720-08-2014SUBHAN P SLAMET40BRANJANG000077 18869452820-08-2014MISTIRAH42RATAH000077 12415332920-08-2014MARHONNA64RATAH000077 23944553020-08-2014H.MUJESSER63BUKER000077 12444573126-08-2014KINANAH30RATAH000077 14328273226-08-2014MUKIYEH53BRANJANG000077 13196973326-08-2014SATURI67BANGOI000077 14350993426-08-2014MISKUR63RATAH000077 12866673526-08-2014SARI'A63RATAH000077 12895713626-08-2014H MUKSIN61BUKER000077 12225323726-08-2014SUDEH43BUKER000077 12282923826-08-2014ABD AZIZ26BUKER000077 12960623926-08-2014SUFA'AH51BRANJANG000077 09763714026-08-2014DAHURI56BUKER000077 13509494126-08-2014SAJI40BUKER000077 18736524227-08-2014RANDIYEH31BANGOI000077 11941474327-08-2014BDR NAWAWI60BANGOI000077 09763144427-08-2014ASBIYA64RATAH000077 10517234527-08-2014FUSIA40BRANJANG000077 13182794627-08-2014BUATI43RATAH000077 04202834727-08-2014ATITEH42BANGOI000077 18904444827-08-2014PENDI25RATAH000077 13096744927-08-2014TABIIN43RATAH000077 10449495027-08-2014HERIYEH31BUKER000077 13486445127-08-2014MAT HASIB38BRANJANG000077 13820125228-08-2014HODELI56BANGOI000077 12795925328-08-2014MARSUI63RATAH000077 13374385428-08-2014MUNINGRAT58BANGOI000077 13033395528-08-2014H HASAN48TROGAN000077 12655525628-08-2014SUTINA58BRANJANG000077 12856885728-08-2014MASNIYEH56BANGOI000077 13727645828-08-2014MARLUI68RATAH000077 13556295928-08-2014SUMARDI57BANGOI000077 13431986028-08-2014ARJATI48BANGOI000077 1355629

REKAPITULASI SKRINING BPJSUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANGBULAN : AgustusDESA : PONKESDES BUKER NOTGL PELAYANANNAMAUMURALAMATNO ID BPJS KES.126-08-2014KINANAH30RATAH000077 1432827226-08-2014MUKIYEH53BRANJANG000077 1319697326-08-2014SATURI67BANGOI000077 1435099426-08-2014MISKUR63RATAH000077 1286667526-08-2014SARI'A63RATAH000077 1289571626-08-2014H MUKSIN61BUKER000077 1222532726-08-2014SUDEH43BUKER000077 1228292826-08-2014ABD AZIZ26BUKER000077 1296062926-08-2014SUFA'AH51BRANJANG000077 09763711026-08-2014DAHURI56BUKER000077 13509491126-08-2014SAJI40BUKER000077 18736521227-08-2014RANDIYEH31BANGOI000077 11941471327-08-2014BDR NAWAWI60BANGOI000077 09763141427-08-2014ASBIYA64RATAH000077 10517231527-08-2014FUSIA40BRANJANG000077 13182791627-08-2014BUATI43RATAH000077 04202831727-08-2014ATITEH42BANGOI000077 18904441827-08-2014PENDI25RATAH000077 13096741927-08-2014TABIIN43RATAH000077 10449492027-08-2014HERIYEH31BUKER000077 13486442127-08-2014MAT HASIB38BRANJANG000077 13820122228-08-2014HODELI56BANGOI000077 12795922328-08-2014MARSUI63RATAH000077 13374382428-08-2014MUNINGRAT58BANGOI000077 13033392528-08-2014H HASAN48TROGAN000077 12655522628-08-2014SUTINA58BRANJANG000077 12856882728-08-2014MASNIYEH56BANGOI000077 13727642828-08-2014MARLUI68RATAH000077 13556292928-08-2014SUMARDI57BANGOI000077 13431983028-08-2014ARJATI48BANGOI000077 1355629

REKAPITULASI SKRINING BPJSUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANGBULAN : SeptemberDESA : PONKESDES BUKER NOTGL PELAYANANNAMAUMURALAMATNO ID BPJS KES.104-09-2014MAULIDI29BRANJANG000077 1926229204-09-2014SUPANDI44BRANJANG000077 1344561304-09-2014SUPARMI46BRANJANG000077 1344289404-09-2014BEHAR60BRANJANG000077 1343593504-09-2014NASIHA25BRANJANG000077 1272583604-09-2014SUHDI68BRANJANG000077 1373282704-09-2014HOIRI62BRANJANG000077 1164515804-09-2014MARYEMAH35BRANJANG000077 1920223904-09-2014HOTIJA60BRANJANG000077 11651231004-09-2014MASTUKI56BRANJANG000077 13733941106-09-2014HOSNIYA45RATAH000077 10075991206-09-2014HIRIYAH54RATAH000077 10077461306-09-2014MUSAYYEROH44RATAH000077 09508661406-09-2014MOH ROSI45RATAH000077 09503371506-09-2014HABIBEH56RATAH000077 18661991606-09-2014MISTURI56RATAH000077 18651871706-09-2014TAJIB40RATAH000077 18940551806-09-2014MUSKIYEH38RATAH000077 18943661906-09-2014MAHHUR54RATAH000077 14358892006-09-2014ROHAH49RATAH000077 14399262106-09-2014SARINI48RATAH000077 12726622206-09-2014SURAH50RATAH000077 12724582306-09-2014MOH IMAM34RATAH000077 13182242406-09-2014ULFATUN HIKMA27RATAH000077 13680952506-09-2014SITI WARDAH56RATAH000077 13679592606-09-2014SUWEWI57RATAH000077 13681412706-09-2014SAYYEROH36RATAH000077 15576022806-09-2014MAT SAI41RATAH000077 13574772906-09-2014ABD ROUF52RATAH000077 24091713006-09-2014SUNAIYEH30RATAH000077 0893885

Oktober '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG

BULAN : OktoberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI129-09-2014SAJI40000077 1873652Panas, T : 100/50, S : 37,5 CR509Amox 500 mg, Pamol, Inj Xylo : Della229-09-2014RANDIYEH31000077 1194147Linu2, T : 150/100M100Ibuprofen, Vitamin B1, Prednison, Dypen330-09-2014BDR NAWAWI60000077 0976314gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep402-10-2014ASBIYA64000077 1051723Pusing, T : 180/90mmhgI109 Captopril 25 mg502-10-2014FUSIA40000077 1318279Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen602-10-2014BUATI43000077 0420283Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen703-10-2014ATITEH42000077 1890444Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen804-10-2014PENDI25000077 1309674sakit gigik 040Amox 500 mg, Asmet, Dexa904-10-2014TABIIN43000077 1044949gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep1004-10-2014HERIYEH31000077 1348644nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC

Jrengik, 6 Oktober 2014 Ponkesdes buker

Wasik,Amd.Kep


BULAN : OktoberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI106-10-2014MISJATI46000077 1415536Panas, T : 100/50, S : 37,5 CR509Amox 500 mg, Pamol, Inj Xylo : Della206-10-2014MISDIN39000077 1416313nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC307-10-2014NAIMAH68000077 1411317Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm407-10-2014B TUPAH61000077 1873873Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm508-10-2014SAMAUN330000 770429204sakit gigik 040Amox 500 mg, Asmet, Dexa608-10-2014NAIMAN380000 771286678Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen708-10-2014SUBHAN P SLAMET40000077 1886945Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen809-10-2014MISTIRAH42000077 1241533sakit gigik 040Amox 500 mg, Asmet, Dexa909-10-2014MARHONNA64000077 2394455gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep1011-10-2014H.MUJESSER63000077 1244457nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC1111-10-2014AMSADIN63000077 0804804Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm


Wasik,Amd.KepREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : OktoberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI110/13/14KUTSIYEH36000077 1878362Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 500 mg, Pamol, GG,CTM 210/13/14H.DOFIR55000077 0841347Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen310/15/14SUNAH66000077 0421453Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm410/15/14JUMAYYEH30000077 1419259nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC510/16/14HAMIDEH62000077 1176158Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen610/16/14MAMNU'AH32000077 1497188Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen710/17/14SUMRIYAH46000077 1337732Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen810/18/14HJ, HAYATI51000077 1860441sakit gigik 040Amox 500 mg, Asmet, Dexa910/18/14MAT BEHRI62000077 1143277gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep


Wasik,Amd.Kep

Nopember '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : NopemoberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI110/27/14MUSLIHATI480000 771274675Panas, batuk,pilek T : 100/70, S : 37,5 Cj 111Amox 500 mg, Pamol, GG,CTM 210/27/14SOFWAN80000 771179657Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen310/27/14MAFRUPAH110000 771322364Panas, batuk,pilek T : 100/80, S : 38 Cj 111Amox 500 mg, Pamol, GG,CTM 410/28/14ACH FAWEID130000 771238245nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC510/28/14NURUL HUDA260000 770813109Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen610/29/14MOH AGLIS160000 771940528Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen710/29/14FATIMA380000 770965907Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen810/30/14MUSA360000 771881264sakit gigik 040Amox 500 mg, Asmet, Dexa910/30/14ASRI450000 771362368gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep1010/31/14AMNA500000 771327527Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen1111/1/14WERISI190000 771916498sakit gigik 040Amox 500 mg, Asmet, Dexa1211/1/14RUMMAH470000 770821232Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen

Jrengik, 03 Nopember 2014 Ponkesdes buker

Wasik,Amd.KepREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : NopemoberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI111/3/14MUSLIMAH390000 771453909Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 500 mg, Pamol, GG,CTM 211/3/14AFANDI330000 771346315Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen311/4/14MUDI660000 771306726Pusing, T : 170/90I109 Captopril 25 mg,antalgin, hct411/4/14HOLILI320000 772473148nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC511/4/14MAT DUS250000 770476487Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen611/5/14SATIMAH650000 771277138Pusing, T : 180/90I109 Captopril 25 mg,antalgin, hct711/5/14MAKMUN380000 771198783Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen811/5/14FITRIYA160000 771273009Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 500 mg, Pamol, GG,CTM 911/6/14MARSUD390000 771529926gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep1011/6/14SOFWAN110000 771179657Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1111/6/14MAINNA410000 770965345Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen1211/7/14MAFRUPAH130000 770322364gatal pada sela jariB 86Amox,ctm, pamol,salep bacitrasin1311/7/14TIAH390000 130660448nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC

Jrengik, 10 Nopember 2014 Ponkesdes Buker


NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI111/9/14SULSIYA440000 772409856Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 500 mg, Pamol, GG,CTM 211/10/14BUSIDIN710000 770848176Pusing, T : 180/90I109 Captopril 25 mg,antalgin, hct311/11/14HOTIMAH420000 771020829Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen411/12/14SAMAUN330000 770429204sakit gigik 040Amox 500 mg, Asmet, Dexa511/12/14NAIMAN380000 771286678Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen611/13/14MUNIMAH470000 772396187Pusing, T : 180/90I109 Captopril 25 mg,antalgin, hct711/13/14SAUDEH570000 771366205gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep811/13/14MAISAROH290000 770205104Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 500 mg, Pamol, GG,CTM 911/14/14FAIRUS SHOLEH150000 770433952gatal pada sela jariB 86Amox,ctm, pamol,salep bacitrasin1011/15/14JUMATI360000 771021933Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1111/15/14MANARAH170000 771339374Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen



NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI111/17/14SARI'A63000077 1289571Pusing, T : 180/90mmhgI109 Captopril 25 mg211/17/14H MUKSIN61000077 1222532Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen311/18/14SUDEH43000077 1228292Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen411/18/14ASRI50000077 1762368Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen511/19/14SURATI47000077 0476193gatal gatal seluruh tubuhL249CTM, Griseofulfin, ketoconazole salep611/19/14ATIYAH53000077 1407728Linu2, T : 140/90. BAK lebih 5kali/mlmM100Ibuprofen, Vitamin B1, Prednison, Dypen711/19/14H HASAN48000077 1265552sakit gigik 040Amox 500 mg, Asmet, Dexa811/19/14SUTINA58000077 1285688Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen911/21/14MUKIYEH53000077 1319697Panas, batuk, Influenza, S : 38 CJ1111Amox 500 mg, Pamol, Dextral, Inj Xylo : Della1011/22/14MARLUI68000077 1355629Pusing, T : 170/90I109 Captopril 25 mg,antalgin, hct1111/22/14SUMARDI57000077 1343198Linu2, T : 180/100M100Ibuprofen, Vitamin B1, Prednison, Dypen


Wasik,Amd.Kep

Desember '14REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : DesemberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI112/1/14MAINNA410000 770965345Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen212/1/14MAFRUPAH130000 770322364sakit gigik 040Amox 500 mg, Asmet, Dexa312/1/14MAISUN30000 771439498Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 500 mg, Pamol, GG,CTM 412/2/14ANANG140000 771432153sakit gigik 040Amox 500 mg, Asmet, Dexa512/2/14MAULANA680000 771421217Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm612/2/14MUSA360000 771881264Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen712/3/14SUUD180000 772033421nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC812/3/14MISKUR410000 771286667Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen912/3/14SITI NURHALIMAH260000 771553056Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm1012/4/14MUSLIMAH390000 771453909nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC1112/4/14AFANDI330000 771346315Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1212/5/14MUDI660000 771306726Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen1312/6/14HOLILI320000 772473148sakit gigik 040Amox 500 mg, Asmet, Dexa1412/6/14MAT DUS250000 770476487gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep

Jrengik, 8 Desember 2014 Ponkesdes Buker

Wasik,Amd.Kep

REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : DesemberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI112/8/14KOYYIMAH390000 770229933Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen212/8/14SITI ROFAYYEH80000 772387018Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 250mg, Pamol, GG,CTM 312/9/14SUMROWI520000 771367882Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 500 mg, Pamol, GG,CTM 412/9/14BUJATI490000 770465902sakit gigik 040Amox 500 mg, Asmet, Dexa512/9/14ASMADI660000 771376869Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm612/9/14SAUDEH570000 771366205Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen712/10/14MAISAROH290000 770205104nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC812/10/14H KARRAM770000 771308008gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep912/11/14WINARTI290000 771382271sakit gigik 040Amox 500 mg, Asmet, Dexa1012/11/14SUHIYEH370000 771403555nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC1112/13/14SLAWE520000 771271301Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen1212/13/14UDAH600000 770942531Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm


Wasik,Amd.KepREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : DesemberDESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI112/15/14MALIYEH420000 770268756Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen212/15/14ROKIYAH400000 771234399Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 250mg, Pamol, GG,CTM 312/16/14NADI200000 770258979sakit gigik 040Amox 500 mg, Asmet, Dexa412/16/14AMINATUS S70000 771410979Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen512/17/14AMNA530000 771188477Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm612/17/14RISKIYAH120000 771904179Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen712/18/14WAHAB270000 771880511nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC812/20/14EFENDI70000 771934702gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep912/20/14ROSIDI440000 771887081Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen


Wasik,Amd.Kep

Januari '15REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Januari 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI11/2/15SOFWAN80000 771179657Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen21/4/15MAFRUPAH110000 771322364Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen31/4/15ACH FAWEID130000 771238245Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 41/4/15FADIL500000 771235896Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen51/5/15MOCH SHOLEH340000 771052094Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm61/5/15HUR HASANAH330000 771318167gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep71/6/15MOHLIS230000 771315478nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC81/6/15SULIMAH410000 770909387Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen91/6/15NUR PA'I340000 770869989Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm101/7/15SAMSUDIN440000 771771407nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC111/7/15SARIFAH460000 771299278Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen121/10/15JEILANI130000 771258644Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 131/10/15HOLIPAH560000 771324513Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm

Jrengik, 12 Januari 2015 Ponkesdes Buker

Wasik,Amd.KepREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Januari 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI11/12/15SUMIATI380000 770961982nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC21/12/15SARIKIN370000 771348429Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen31/14/15ABD JAMI210000 770834968Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 41/14/15ROHAN IBAD70000 771376555Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen51/15/15HUSNUL H400000 771225017Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen61/15/15MANAF190000 770458094gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep71/17/15SLAMAN670000 771803676Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm


Wasik,Amd.KepREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Januari 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI11/19/15MOHLIS230000 771315478nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC21/19/15SULIMAH410000 770909387Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen31/20/15FAJAR FALAH170000 771327325Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 41/20/15ASMADI670000 771376869Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen51/20/15SAUDEH570000 771366205Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen61/21/15MAISAROH300000 770205104gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep71/22/15RIHANA330000 771190503Pusing, T : 180/100mmhgI109 Captopril 25 mg,Atg, ctm81/24/15MARIYAH530000 771277779Linu2, T : 120/80mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen91/24/15MAT BEHRI510000 771894336Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen


Wasik, S.Kep

REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Januari 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI11/26/15SUMIATI380000 770961982nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC21/26/15SARIKIN380000 771348429sakit gigik 040Amox 500 mg, Asmet, ctm31/27/15ABD JAMI210000 770834968Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 41/28/15ROHAN IBAD70000 771376555Mencret, Mules 1 hr, T : 90/70A09Tetra 250 mg, molagit, Oralit, Inj Dypen51/28/15HUSNUL H410000 771225017Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen61/29/15MANAF190000 770458094gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep71/30/15SLAMAN670000 771803676Pusing, T : 180/100mmhgI109 Captopril 25 mg,Atg, ctm

Jrengik, 02 pebruari 2015 Ponkesdes Buker

Wasik, S.Kep

Pebruari 15REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Pebruari 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI12/2/15NIRI580000 772028807Pusing, T : 180/100mmhgI109 Captopril 25 mg,Atg, ctm22/3/15PATLIYEH540000 772002944Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen32/3/15KIROMAH190000 771435808Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 42/4/15MASUDAH300000 770849673Mencret, Mules 1 hr, T : 90/70A09Tetra 250 mg, molagit, Oralit, Inj Dypen52/5/15SOFWAN80000 771179657Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen62/5/15HOLIS150000 771263561sakit gigik 040Amox 500 mg, Asmet, ctm72/7/15SINAL550000 771302079Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 82/7/15SAMATI360000 771881207nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC

Jrengik, 09 Pebruari 2015 Ponkesdes Buker

Wasik, S.KepREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Pebruari 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI12/9/15MUSLIMAH390000 771453909nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC22/9/15MASRUHAH570000 771779316Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen32/10/15ASRI450000 771362368Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 42/10/15SURATI480000 770476193sakit gigik 040Amox 500 mg, Asmet, ctm52/11/15LEHA100000 771404771Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 62/11/15SATTUYA600000 772426945Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen72/13/15SLAMAN670000 771803676Pusing, T : 180/100mmhgI109 Captopril 25 mg,Atg, ctm82/14/15HADROWI420000 772758055nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC92/14/15JAYLANI120000 771320553Mencret, Mules 1 hr, T : 90/70A09Tetra 250 mg, molagit, Oralit, Inj Dypen

Jrengik, 16 pebruari 2015 Ponkesdes Buker


NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI12/16/15SIFAUL FIA100000 770434042Mencret, Mules 1 hr, T : 90/70A09Tetra 250 mg, molagit, Oralit, Inj Dypen22/17/15SURAH560000 771272458Pusing, T : 180/100mmhgI109 Captopril 25 mg,Atg, ctm32/18/15KURYADI440000 770802131Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen42/18/15SUMARDI570000 771343198sakit gigik 040Amox 500 mg, Asmet, ctm52/20/15ITA120000 771089916Panas, batuk,pilek T : 100/50, S : 38,5 Cj 111Amox 500 mg, Pamol, GG,CTM 62/21/15FITRIA200000 771069756nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC



NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI12/23/15SAMAUN330000 770429204sakit gigik 040Amox 500 mg, Asmet, Dexa22/23/15NAIMAN380000 771286678Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen32/24/15SAMAUN330000 770429204sakit gigik 040Amox 500 mg, Asmet, Dexa42/24/15NAIMAN380000 771286678Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen52/25/15FATIMA380000 770965907Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen62/25/15MUSA360000 771881264sakit gigik 040Amox 500 mg, Asmet, Dexa72/27/15ASRI450000 771362368gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep82/28/15AMNA500000 771327527Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen


Wasik, S.Kep

maret 15REKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Maret 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI13/2/15SASKIYA180000 771863141Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 250mg, Pamol, GG,CTM 23/2/15NASUHA660000 771855262Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm33/3/15MUJAHIDIN250000 771849933sakit gigik 040Amox 500 mg, Asmet, Dexa43/4/15JUMAIYAH120000 771861093Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen53/4/15SUTIYAH370000 771186396nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC63/5/15ROFIK340000 770231035gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep73/7/15SALE400000 771872027nyeri ulu hati, mual pusingK297Antasida, cimetidine, pamol.VBC

Jrengik, 09 Maret 2015 Ponkesdes Buker

Wasik,S.KepREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Maret 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI13/9/15NAIMAH68000077 1411317Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm23/10/15B TUPAH61000077 1873873Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm33/10/15SAMAUN330000 770429204sakit gigik 040Amox 500 mg, Asmet, Dexa43/11/15NAIMAN380000 771286678Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen53/12/15SUBHAN P SLAMET40000077 1886945Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen63/13/15MISTIRAH42000077 1241533sakit gigik 040Amox 500 mg, Asmet, Dexa73/14/15MARHONNA64000077 2394455gatal gatal seluruh tubuhL249prednison,CTM, ketoconazole. salep

Jrengik, 16 Maret 2015 Ponkesdes Buker

Wasik,S.KepREKAPITULASI RAWAT JALANUPTD PUSKESMAS JRENGIKKABUPATEN SAMPANG No: 11BULAN : Maret 2015DESA : JRENGIK

NOTGL PELAYANANNAMAUMURNO ID BPJS KES.KELUHANKODETERAPI13/16/15SLAMAN660000 771803676Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm23/16/15MUHIPAH180000 771886629Panas, T : 100/50, S : 37,5 CR509Amox 500 mg, Pamol, Inj Xylo : Della33/16/15ASMA380000 771250443Panas, batuk,pilek T : 100/50, S : 37,5 Cj 111Amox 250mg, Pamol, GG,CTM 43/16/15FAHIR570000 771841304Pusing, T : 180/90mmhgI109 Captopril 25 mg,Atg, ctm53/17/15SAHRAWI450000 770237223Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen63/17/15HAMIDAH180000 770431926Mencret, Mules 1 hr, T : 90/70A09Tetra 500 mg, Antasida, Oralit, Inj Dypen73/18/15SUMMA440000 771867055Linu2, T : 120/90mmhgM100Ibuprofen, Vitamin B1, Prednison, Dypen83/18/15WEKI430000 771378085sakit gigik 040Amox 500

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