Prolanis Maret

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    REKAPITULASI JUMLAH PESERTA TERDAFTAR PPDM TIPE 2

    BULAN : JANUARI - DESEMBER TAHUN : 2016

    NO BULAN NAMA FASKESLama Baru

    1 JANUARI KLINIK LINAWATI JANUARI 6 1

    2 FEBRUARI KLINIK LINAWATI FEBRUARI 3

    3 MARET KLINIK LINAWATI MARET

    4 APRIL KLINIK LINAWATI APRIL

    5 MEI KLINIK LINAWATI MEI

    6 JUNI KLINIK LINAWATI JUNI

    BULANTERDAFTAR

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    JML PESERTA

    Keuar Me!"!##a T$%a Pe&er%a

    7

    3

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     F!"#$ % 10 & I

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    PESERTA TERDAFTAR PPDM TIPE 2

    BULAN : FEBRUARI TAHUN : 2016

    NO KAB / KOTA

    PESERTA

    NAMA NO KARTU PST P / I / S ALAMAT

    1 BANYUWANGI MUHAMMA A!I 000 1"02#$0#67 % ! K&MI'&N BA'A(,&)A K&MI'&N,K&*AMA(AN G!AGA

    2 BANYUWANGI MA'IAM 0000 11+17+ I % !&MA'ANG, &)A K&MI'&N K&*AMA(AN G!AGAH BA

    BANYUWANGI NU' )AM)I 00000 #$#+6+7# % ! W-N-)A'I,&)A (AMAN)U'UH,K&*AMA(AN G!AGA

    #

    +

    6

    7

    "

    $

    10

    JENIS

    KELAMIN

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    FASKES PENGELOLA

    NO TELP/HP NAMA FASKES KODE FASKES ALAMAT

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    0"+ 21 +22 60# K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    Banyuwangi, 07 Februari 2016

    Kepala

    (…………………………)

    NO TELP

    ALTERNATIF

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    LAPORAN JUMLAH PESERTA PPDM TIPE 2 YANG DILAKUKAN PEMERIKSAAN RUTIN BULANAN

    BULAN : MARET TAHUN : 2016

    NO KAB / KOTA NAMA PESERTA NO KARTU P / I / S

    1 BANYUWANGI M-HAMA A!I 0001 "02#$0#67 % ! K!INIK !INAWA(I 01$0U0## .an1+

    2 BANYUWANGI MA'IYAM 0000 11+217+ I % K!INIK !INAWA(I 01$0U0## Feb1+

    BANYUWANGI NU' )AM)I 0000 0#$#+6+7# ! ) K!INIK !INAWA(I 01$0U0## Apr1+

    #

    +

    6

    7

    "$

    10

    11

    12

    1

    1#

    1+

     (-(A!

    KODEKC

     JENISKELAMIN

    NAMA ASKESPRIMER

    KODEASKESPRIMER

    BULANMULAITERDATAR

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    DIAGNOSA

     BULAN MARET 2016

    BB TB GDP GDPP GDS HBA1CTEK. DARAH

    SISTOLE

    %%M +$ 161 22/7 22" 10 70

    %%M 61 1# 0/+ 2 1+0 $0

    %%M 61/# 16# 22/7 #7 1#0 $0

    0 0 0 0 0 0 0 0

    IMT(K!/"2)

     CHOLTOTAL

    CHOLLDL

    CHOLHDL

    TRIGLISERIDA DIASTOLE

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    PESERTA TERDAFTAR PPHT

    BULAN : MARET TAHUN : 2016

    NO KAB / KOTA

    PESERTA

    NAMA NO KARTU PST P / I / S ALAMAT

    1 BANYUWANGI )(&ANU) HA'I .UANG 0000 11+216# % ! (AMAN)U'UH, K&*/ G!AGAH

    2 BANYUWANGI MAHANI 0000 1$6"$22# % % K&MI'&N,K&*/ G!AGAH

    BANYUWANGI NIKMAH 0000 700+20"+$ % % (AMAN)U'UH, K&*/ G!AGAH

    # BANYUWANGI A)NAN 0000 700+2071# % ! (AMAN)U'UH, K&*/ G!AGAH

    + BANYUWANGI A*HYA' )UWA'I 0000 07+2$ % ! AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    6 BANYUWANGI &NANG 0000 701702$# I % (AMAN)U'UH, K&*/ G!AGAH

    7 BANYUWANGI MU)(A.AB 0000 701702#0 % ! (AMAN)U'UH, K&*/ G!AGAH

    " BANYUWANGI UKI' )&NI'I 0000 17010677 % % K&MI'&N,K&*/ G!AGAH

    $ BANYUWANGI )A%IAH 0000 700+6 % % (AMAN)U'UH, K&*/ G!AGAH10 BANYUWANGI (-NY )UHA'(-N- 0000 11+26102$ % ! BAN.A')A'I, K&*/ G!AGAH

    11 BANYUWANGI MI)NAI 0000 70121++0 % ! AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    12 BANYUWANGI MA'KANI 0000 107++666 % ! W-N-)A'I, &)A (AMAN)U'UH, K&*/ G!AGAH

    1 BANYUWANGI .AMIAH 0000 107++677 I % W-N-)A'I, &)A (AMAN)U'UH, K&*/ G!AGAH

    1# BANYUWANGI MI)KANAH 0000 70127226 I % (AMAN)U'UH, K&*/ G!AGAH

    1+ BANYUWANGI A)IH 0000 7012+"1$ I % (AMAN)U'UH, K&*/ G!AGAH

    16 BANYUWANGI A)MUNI 0000 7012+67# % ! (AMAN)U'UH, K&*/ G!AGAH

    17 BANYUWANGI )U)WA(I 000 12#17++01 % % !&MA'ANG, &)A (AMAN)U'UH K&*/ G!AGAH

    1" BANYUWANGI A')- 0000 700612211 % ! -!&H)A'I, K&*/ G!AGAH

    1$ BANYUWANGI )U!I)(I-WA(I 0000 70120"6"+ % % AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH20 BANYUWANGI MUIAH 0001 "1717""#$ I % %-'-NG, &)A B-Y-!ANGU, K&*/ GI'I

    21 BANYUWANGI )UN-(- 0000 701$1$0++ % ! K&MI'&N,K&*/ G!AGAH

    22 BANYUWANGI HANIAH 0000 16++6$1$ p % (AMAN)U'UH, K&*/ G!AGAH

    2 BANYUWANGI HA'I MA)(U(I 0000 11+26102$ % ! BAN.A')A'I, K&*/ G!AGAH

    2# BANYUWANGI M&HA(I 0000 7020""7$+ % % K&MI'&N,K&*/ G!AGAH

    2+ BANYUWANGI UN(UNG 0001 "02#$2"7+ % ! K&MI'&N,K&*/ G!AGAH

    26 BANYUWANGI AIYAH 0000 7012++2#" I % (AMAN)U'UH, K&*/ G!AGAH

    JENIS

    KELAMIN

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    27 BANYUWANGI UN(UNG !I)WA(I 0001 #"02#$++2 % % K&MI'&N,K&*/ G!AGAH

    2" BANYUWANGI WIY-N- 0001 2$700#0$+ % ! BAN.A')A'I, K&*/ G!AGAH

    2$ BANYUWANGI )U'AHMAN 0000 11+2606$ % ! !&MA'ANG, &)A (AMAN)U'UH K&*/ G!AGAH

    0 BANYUWANGI )I(I NAWIYAH 0000 11+2+$$" % % K&MI'&N,K&*/ G!AGAH

    1 BANYUWANGI U)NIYAH 0000 701216#6 % I AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    2 BANYUWANGI )U!A)('I 000 17$#7010+ % I K&MI'&N,K&*/ G!AGAH

    BANYUWANGI )U('I) 000 17$#6+#+" ! % K&MI'&N,K&*/ G!AGAH

    # BANYUWANGI NAH'AWI 0000 107+6#6+ ! % K&MI'&N,K&*/ G!AGAH

    + BANYUWANGI .AMA!AH 0000 7016"06$1 % I K&MI'&N,K&*/ G!AGAH

    6 BANYUWANGI )UI'MAN 000 1""#$2706 ! I BU!U%AYUNG,&)A KAM%UNGANYA', K&*/ G!AG

    7 BANYUWANGI BUHA'I 0000 7016"0#76 ! % K&MI'&N,K&*/ G!AGAH

    " BANYUWANGI )AH'I 0000 701$#$$6 ! % GA-G, &)A (AMAN)U'UH, K&*/ G!AGAH

    $ BANYUWANGI A&NAN 0000 7012++1#7 ! % AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    #0 BANYUWANGI .UMANI 0000 107+#2+$ l p !&MA'ANG, &)A (AMAN)U'UH K&*/ G!AGAH

    #1 BANYUWANGI HA'(A(IK 0000 107+2$## % % !&MA'ANG, &)A (AMAN)U'UH K&*/ G!AGAH

    #2 BANYUWANGI )U!I)(I- NING)IH 0000 11#"#70#2 % I AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    # BANYUWANGI I'IK 0000 701261+#" ! % AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    ## BANYUWANGI .UMHA' 0000 7012"$6 ! % AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    #+ BANYUWANGI )A%(ANI 0000 7012"6## % I AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    #6 BANYUWANGI &WI '&)I )A'I 0001 16"22"$# I % %&'UM/ G!AGAH, K&*/G!AGAH

    #7 BANYUWANGI )U.-N- 0000 701$+6607 % ! AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    #" BANYUWANGI (A)'I%AN 000 1+#12#27# % ! &)A (AMAN)U'UH, K&*/ G!AGAH

    #$ BANYUWANGI )AIYAH 000 1"+6#2#161 I % &)A K&MI'&N, K&*/ G!AGAH

    +0 BANYUWANGI MIYA(IN 000 1+"##71$ I % &)A K&MI'&N, K&*/ G!AGAH

    +1 BANYUWANGI )AH'-NI 000 16117+++ % ! &)A (AMAN)A'I, K&*/ !I*IN

    +2 BANYUWANGI )UY-N- 000 161162" % ! &)A (AMAN)A'I, K&*/ !I*IN+ BANYUWANGI )UKA'M- 000 16116#$7 % ! &)A (AMAN)A'I, K&*/ !I*IN

    +# BANYUWANGI )U)IAN(- 000 1611617 % ! &)A (AMAN)A'I, K&*/ !I*IN

    ++ BANYUWANGI )UKA'MAN 000 1611+#06 % ! U)UN '&.-%U'-, &)A KAM%UNGANYA', K&*/

    +6 BANYUWANGI 'A)I.- 0000 107+700+ % ! U)UN W-N-)A'I, &)A (AMAN)U'UH K&*/ G

    +7 BANYUWANGI A'I%IN 000 1"+6#22$# % ! K&MI'&N,K&*/ G!AGAH

    +" BANYUWANGI BAIYAH 000 1+#12#16$ I % W-N-)UK-, K&* KA!I%U'-

    +$ BANYUWANGI )U'A.I 000 1+#12#162" % ! W-N-)UK-, K&* KA!I%U'-

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    60 BANYUWANGI 'IWAYA( 0000 702#"##+7 I % .AMB&)A'I, K&* GI'I

    61 BANYUWANGI A'IYAH 0000 106$#2"6 I % -!&H)A'I, K&*/ G!AGAH

    62 BANYUWANGI )UMAI 000 161161$# % ! (AMAN)A'I, K&* !I*IN

    6 BANYUWANGI U!FA 0000 11+26070# I % !&MA'ANG, &)A (AMAN)U'UH K&*/ G!AGAH

    6# BANYUWANGI AHMA (A'MII 000 1+#12#0$0" % ! '&MBANG, K&* !I*IN

    6+ BANYUWANGI &I )U'AIA 000 1#$+1"0#" I % K&MI'&N,K&*/ G!AGAH

    66 BANYUWANGI MA')IYA(I 0000 11+2+$0" I % W-N-)A'I, &)A (AMAN)U'UH, K&*/ G!AGAH67 BANYUWANGI MA'.ANI 0000 11+2+$26# % ! W-N-)A'I, &)A (AMAN)U'UH, K&*/ G!AGAH

    6" BANYUWANGI )UMA'(- 000 1#767#20$# % ! K-%&N*UNGKING, K&*/ G!AGAH

    6$ BANYUWANGI '-HMAN 0000 700$+2+# % !

    70 BANYUWANGI )U'I 0000 11#"#"02 % ! AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    71 BANYUWANGI )U)I )U%'IYA(I 000 1#7+02#"7 I % W-N-)A'I, &)A (AMAN)U'UH, K&*/ G!AGAH

    72 BANYUWANGI )-IKIN 0000 701$222" % ! AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    7 BANYUWANGI MA)KANAH 0000 701$2#6+ I % AN-NG, &)A (AMAN)U'UH K&*/ G!AGAH

    7# BANYUWANGI AGU) I'AWAN 000 1#$+1"07 % ! K&MI'&N,K&*/ G!AGAH

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    FASKES PENGELOLA

    NO TELP/HP NAMA FASKES KODE FASKES ALAMAT

    0"1 2+ 6+$ 12 K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    0"1 0 $#1 160 K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    0"+ 21 +22 60# K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAHK!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    0"2 " 12 "6+ K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAHK!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH

    NO TELP

    ALTERNATIF

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    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    0"+ 2 22 +"# K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

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    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH 0

    K!INIK !INAWA(I 01$0U0## U)UN K'A.AN '( 0# 'W 0 , &)A K&MI'&N, K&*/ G!AGAH "

    BANYUWANGI, 06 MA'&( 2016

    Kepala

    (…………………………)

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    REKAPITULASI JUMLAH PESERTA TERDAFTAR PPHT

    BULAN : MARET TAHUN : 2016

    NO BULAN NAMA FASKES BULAN TERDAFTARLama Baru

    1 JANUARI KLINIK LINAWATI 70

    2 FEBRUARI KLINIK LINAWATI 70 3

    3 MARET KLINIK LINAWATI 73 1

    4 APRIL KLINIK LINAWATI

    5 MEI KLINIK LINAWATI

    6 JUNI KLINIK LINAWATI

    7 JULI KLINIK LINAWATI

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    JML PESERTA

    Keuar Me!"!##a T$%a Pe&er%a

    70

    73

    74

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    LAPORAN JUMLAH PESERTA PPHT YANG DILAKUKAN PEMERIKSAAN RUTIN BULANAN

    BULAN : MARET TAHUN : 2016

    NO KAB / KOTA NAMA PESERTA NO KARTU P / I / S D

    1 BANYUWANGI )(&ANU) HA'I .UANG 0000 11+216# % ! K!INIK !INAWA(I 01$0U0## .an1+

    2 BANYUWANGI MAHANI 0000 1$6"$22# % % K!INIK !INAWA(I 01$0U0## .an1+

    BANYUWANGI UKI' )&NI'I 0000 17010677 % % K!INIK !INAWA(I 01$0U0## .an1+

    # BANYUWANGI )A%IAH 0000 700+6 % % K!INIK !INAWA(I 01$0U0## .an1+

    + BANYUWANGI (-NY )UHA'(-N- 0000 11+26102$ % ! K!INIK !INAWA(I 01$0U0## .an1+

    6 BANYUWANGI MI)NAI 0000 70121++0 % ! K!INIK !INAWA(I 01$0U0## .an1+

    7 BANYUWANGI )U)WA(I 000 12#17++01 % % K!INIK !INAWA(I 01$0U0## .an1+

    " BANYUWANGI )UN-(- 0000 701$1$0++ % ! K!INIK !INAWA(I 01$0U0## .an1+

    $ BANYUWANGI HANIAH 0000 16++6$1$ p % K!INIK !INAWA(I 01$0U0## .an1+

    10 BANYUWANGI HA'I MA)(U(I 0000 11+26102$ % ! K!INIK !INAWA(I 01$0U0## .an1+

    11 BANYUWANGI M&HA(I 0000 7020""7$+ % % K!INIK !INAWA(I 01$0U0## .an1+

    12 BANYUWANGI UN(UNG 0001 "02#$2"7+ % ! K!INIK !INAWA(I 01$0U0## .an1+

    1 BANYUWANGI AIYAH 0000 7012++2#" I % K!INIK !INAWA(I 01$0U0## .an1+

    1# BANYUWANGI WIY-N- 0001 2$700#0$+ % ! K!INIK !INAWA(I 01$0U0## .an1+

    1+ BANYUWANGI )I(I NAWIYAH 0000 11+2+$$" % % K!INIK !INAWA(I 01$0U0## .an1+

    16 BANYUWANGI U)NIYAH 0000 701216#6 % I K!INIK !INAWA(I 01$0U0## .an1+

    17 BANYUWANGI )U!A)('I 000 17$#7010+ % I K!INIK !INAWA(I 01$0U0## .an1+

    1" BANYUWANGI )U('I) 000 17$#6+#+" ! % K!INIK !INAWA(I 01$0U0## .an1+1$ BANYUWANGI NAH'AWI 0000 107+6#6+ ! % K!INIK !INAWA(I 01$0U0## .an1+

    20 BANYUWANGI )AH'I 0000 701$#$$6 ! % K!INIK !INAWA(I 01$0U0## .an1+

    21 BANYUWANGI A&NAN 0000 7012++1#7 ! % K!INIK !INAWA(I 01$0U0## .an1+

    22 BANYUWANGI .UMANI 0000 107+#2+$ l p K!INIK !INAWA(I 01$0U0## .an1+

    2 BANYUWANGI NIKMAH 0000 700+20"+$ % % K!INIK !INAWA(I 01$0U0## Feb1+

    2# BANYUWANGI I'IK 0000 701261+#" ! % K!INIK !INAWA(I 01$0U0## Feb1+

    2+ BANYUWANGI .UMHA' 0000 7012"$6 ! % K!INIK !INAWA(I 01$0U0## Feb1+

    KODE

    KC

     JENIS

    KELAMIN

    NAMA ASKES

    PRIMER

    KODEASKES

    PRIMER

    BULANMULAI

    TERDATAR

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    26 BANYUWANGI )A%(ANI 0000 7012"6## % I K!INIK !INAWA(I 01$0U0## Feb1+

    27 BANYUWANGI &WI '&)I )A'I 0001 16"22"$# % % K!INIK !INAWA(I 01$0U0## Feb1+

    2" BANYUWANGI )U.-N- 0000 701$+6607 ! % K!INIK !INAWA(I 01$0U0## Feb1+

    2$ BANYUWANGI A)NAN 0000 700+2071# % ! K!INIK !INAWA(I 01$0U0## Feb1+

    0 BANYUWANGI A*HYA' )UWA'I 0000 07+2$ % ! K!INIK !INAWA(I 01$0U0## Feb1+

    1 BANYUWANGI &NANG 0000 701702$# I % K!INIK !INAWA(I 01$0U0## Feb1+

    2 BANYUWANGI MU)(A.AB 0000 701702#0 % ! K!INIK !INAWA(I 01$0U0## Feb1+ BANYUWANGI MA'KANI 0000 107++666 % ! K!INIK !INAWA(I 01$0U0## Feb1+

    # BANYUWANGI UN(UNG !I)WA(I 0001 #"02#$++2 % % K!INIK !INAWA(I 01$0U0## Feb1+

    + BANYUWANGI HA'(A(IK 0000 107+2$## % % K!INIK !INAWA(I 01$0U0## Feb1+

    6 BANYUWANGI .AMIAH 0000 107++677 I % K!INIK !INAWA(I 01$0U0## Feb1+

    7 BANYUWANGI MI)KANAH 0000 70127226 I % K!INIK !INAWA(I 01$0U0## Mar1+

    " BANYUWANGI A)IH 0000 7012+"1$ I % K!INIK !INAWA(I 01$0U0## Mar1+

    $ BANYUWANGI MUIAH 0001 "1717""#$ I % K!INIK !INAWA(I 01$0U0## Mar1+

    #0 BANYUWANGI A)MUNI 0000 7012+67# % ! K!INIK !INAWA(I 01$0U0## Mar1+

    #1 BANYUWANGI .AMA!AH 0000 7016"06$1 % I K!INIK !INAWA(I 01$0U0## Mar1+

    #2 BANYUWANGI )UI'MAN 000 1""#$2706 ! I K!INIK !INAWA(I 01$0U0## Mar1+

    # BANYUWANGI BUHA'I 0000 7016"0#76 ! % K!INIK !INAWA(I 01$0U0## Mar1+

    ## BANYUWANGI A')- 0000 700612211 % ! K!INIK !INAWA(I 01$0U0## Mar1+

    #+ BANYUWANGI )U!I)(I-WA(I 0000 70120"6"+ % % K!INIK !INAWA(I 01$0U0## Apr1+

    #6 BANYUWANGI )U'AHMAN 0000 11+2606$ % % K!INIK !INAWA(I 01$0U0## Apr1+

    #7 BANYUWANGI )U!I)(I- NING)IH 0000 11#"#70#2 % I K!INIK !INAWA(I 01$0U0## May1+

    #" BANYUWANGI )UMAI 000 161161$# % I K!INIK !INAWA(I 01$0U0## .un1+

    #$ BANYUWANGI U!FA 0000 11+26070# % I K!INIK !INAWA(I 01$0U0## Aug1+

    +0 BANYUWANGI AHMA (A'MII --- 1+#12#0$0" ! % K!INIK !INAWA(I 01$0U0## Aug1+

    +1 BANYUWANGI &I )U'AIA 000 1#$+1"0#" % I K!INIK !INAWA(I 01$0U0## Aug1++2 BANYUWANGI MA')IYA(I 0000 11+2+$0" % I K!INIK !INAWA(I 01$0U0## Aug1+

    + BANYUWANGI MA'.ANI 0000 11+2+$26# ! % K!INIK !INAWA(I 01$0U0## Aug1+

    +# BANYUWANGI )UMA'(- 000 1#767#20$# ! % K!INIK !INAWA(I 01$0U0## Aug1+

    ++ BANYUWANGI '-HMAN 0000 700$+2+# ! % K!INIK !INAWA(I 01$0U0## Aug1+

    +6 BANYUWANGI (A)'I%AN 000 1+#12#27# ! % K!INIK !INAWA(I 01$0U0## )ep1+

    +7 BANYUWANGI )AIYAH 000 1"+6#2#161 % I K!INIK !INAWA(I 01$0U0## )ep1+

    +" BANYUWANGI MIYA(IN 000 1+"##71$ % I K!INIK !INAWA(I 01$0U0## )ep1+

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    +$ BANYUWANGI )AH'-NI 000 16117+++ ! % K!INIK !INAWA(I 01$0U0## )ep1+

    60 BANYUWANGI )UY-N- 000 161162" ! % K!INIK !INAWA(I 01$0U0## )ep1+

    61 BANYUWANGI )UKA'M- 000 16116#$7 ! % K!INIK !INAWA(I 01$0U0## )ep1+

    62 BANYUWANGI )U)IAN(- 000 1611617 ! % K!INIK !INAWA(I 01$0U0## )ep1+

    6 BANYUWANGI )UKA'MAN 000 1611+#06 ! % K!INIK !INAWA(I 01$0U0## )ep1+

    6# BANYUWANGI 'A)I.- 0000 107+700+ ! % K!INIK !INAWA(I 01$0U0## -341+

    6+ BANYUWANGI A'I%IN 000 1"+6#22$# ! % K!INIK !INAWA(I 01$0U0## N051+66 BANYUWANGI BAIYAH 000 1+#12#16$ % I K!INIK !INAWA(I 01$0U0## N051+

    67 BANYUWANGI )U'A.I 000 1+#12#162" ! % K!INIK !INAWA(I 01$0U0## N051+

    6" BANYUWANGI 'IWAYA( 0000 702#"##+7 % I K!INIK !INAWA(I 01$0U0## N051+

    6$ BANYUWANGI A'IYAH 0000 106$#2"6 I % K!INIK !INAWA(I 01$0U0## N051+

    70 BANYUWANGI )U'I 0000 11#"#"02 % ! K!INIK !INAWA(I 01$0U0## .an1+

    71 BANYUWANGI )U)I )U%'IYA(I 000 1#7+02#"7 I % K!INIK !INAWA(I 01$0U0## Feb16

    72 BANYUWANGI )-IKIN 0000 701$222" ! % K!INIK !INAWA(I 01$0U0## Feb16

    7 BANYUWANGI MA)KANAH 0000 701$2#6+ % I K!INIK !INAWA(I 01$0U0## Feb16

    7# BANYUWANGI AGU) I'AWAN 000 1#$+1"07 ! % K!INIK !INAWA(I 01$0U0## Mar16

    7+

    77

     (-(A!

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     BULAN MARET 2016

    GDP GDPP GDS HBA1C

    TEK. DARAH

    SISTOLE

    20/76 17" 1$0 100

     2#/"0

    26/6 11+ 1"0 70

      /00 121 10 "0

     2+/6 17+ 10 $0

     0/1 11+ 1+0 $0

     17/# 16 1+0 "0

    2+/" 12+ 160 70

     20/# 1#7 $0 60

    IMT(K!/"2)

     CHOLTOTAL

    CHOLLDL

    CHOLHDL

    TRIGLISERIDA DIASTOLE

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     20/## 12" 10 "0

     20/10 11" 160 100

     2+/76 $6 170 100

    22/+ 10 10 "0

     2+/+ $+ 10 $0

     27/# 1+6 160 $0

    20/# 1+0 $0

     26/2 167 10 "0

     

    #/+ 12+ 10 70 22/66 12" 10 "0

      22/00 1" 120 "0

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      2/00 12$ 160 "0

     0/# 12$ 10 70

     2"/0$ 126 10 $0

     21/#+ 1#0 120 $0

     1/2+ 1+6 10 $0

     26/0 11 10 "0

    0 0 2# 0 0 0 0 0 2+ 2+

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    LAPORAN IMPLEMENTASI PROLANIS

    HOME VISIT

    S/D BULAN PEMBEBANAN : MARET TAHUN : 2016

    A. Laporan Kantor a!an" #$ D%&%'% R$"%ona(

    N# BULAN

    R$%&'%' A&%% K*+*!%

     J$' P$,%-'

     PPDM PPHT

    1 .ANUA'I

    2 F&B'UA'I

    MA'&(

    # A%'I!

    + M&I

    TOTAL

    K$$%!%: Banyuwangi, 2016

    Kepala

    Kl Ha8il Kun9ungan :ii8i :engan;

    Kn:i8i Bai

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    LAPORAN IMPLEMENTASI PROLANIS

    EDUKASI KLUB RISTI )PEN*ULUHAN RUTIN+

    S/D BULAN PEMBEBANAN : MARET TAHUN : 2016

    A. Laporan Kantor Cabang ke Divisi Regional

    NO KAB / KOTA

    TARGET PPDM TIPE 2

    KLUB REK BIAYA NAMA KLUB MATERI PERTEMUAN

    1 2 # + 6 7 " $

    1 BANYUWANGIK!INIK !INAWA(I 10.an16 K!INIK !INAWA(I

    KANK&' !&H&' 'AHIM

    2 BANYUWANGI K!INIK !INAWA(I 7Feb16 K!INIK !INAWA(I &MAM B&'A'AH ANGU&

    BANYUWANGI K!INIK !INAWA(I 6MA'(2016 K!INIK !INAWA(I

    #

    +

    6

    7

    "

    $

    10

    11

    12

    TOTAL

    TANGGALPELAKSANAA

    N

     TEMPATPELAKSANAAN

    )&HA(

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    PPHT

    NARASUMBER NAMA KLUB MATERI PERTEMUAN NATERDATAR

    10 11 12 1# 1+ 16 17

    :r/ Ni=a Fa>y 7 6K!INIK !INAWA(I 10.an16 K!INIK !INAWA(I

    KANK&' !&H&' 'AHIM :r/ N

    :r/ Ni=a Fa>y 7 K!INIK !INAWA(I 7Feb16 K!INIK !INAWA(I &MAM B&'A'AH &NGU& :r/ N

    ' WI'A I(YA 7 K!INIK !INAWA(I 6Mar16 K!INIK !INAWA(I ' W

      21 12

     JUMLAH ANGGOTAKLUB

    TANGGALPELAKSANAAN

     TEMPATPELAKSANAAN

    HADIRPERTEM

    UAN

     AN )&HA(

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    1$ 20

    70 2+

    7 2$

    7# 27

      215 1

     JUMLAH ANGGOTAKLUB

    TERDATAR

    HADIRPERTEM

    UAN