Migg 52 form1

KESEHATAN DAERAH MILITER IV /DIPONEGORORUMKIT TK .III 04.06.02 BHAKTI WIRA TAMTAMA

LAPORAN MINGGUAN WABAHMINGGU KE : 1 TANGGAL : 29 DESEMBER - 4 JANUARI 2015

RUMAH SAKIT : BHAKTI WIRA TAMTAMA SEMARANG

NO TANGGAL NO RM NAMA UMUR NAMA ORTUMASUK RS PENDERITA LK PR1 2 3 4 5 6 71 01/01/2015 05-87-45 Sdr.Bimo Agil Krisnadi 16 TH - -2 29/12/2014 05-85-86 An.Bagus Wahyu.P 13 TH - -3 29/12/2014 05-85-85 An.Fitriana - 12 TH -4 01/01/2015 058-87-42 Ny.Dwi Mart Sukesi - 47 TH -5 01/01/2015 00-19-69 An.Rezky Adam 4 TH - -6 30/12/2014 05-86-54 Tn.Slamet Susanto 55 TH - -7 01/01/2015 05-87-40 Ny.Soerip - 84 TH -8 02/01/2015 05-15-57 Ny.Ary Hapsari - 36 TH -9 01/01/2015 05-87-37 Tn.Ahmad Zaenuddin 32 TH - -10 30/12/2014 05-85-96 Tn.Iwan Sunarno 29 TH - -11 02/01/2015 03-09-28 Tn.Bambang Sugiarto 56 TH - -12 30/12/2014 05-86-61 Sdr.Chelvin 18 TH - -13 04/01/2015 05-88-01 Sdr.Mohammad Rizal 24 TH - Tn.Kusmini14 04/01/2015 05-88-09 Tn.Welas Sugiyono 57 TH - -15 04/01/2015 05-88-09 Ny.Eni Suyati - 58 TH -16 04/01/2015 05-88-10 An.Aira Zalza - 3 TH -17 29/12/2014 02-95-54 Tn.Eko Yulianto 39 TH -18 29/12/2014 00-45-69 An.Muhammad Faiq 4 TH - -19 29/12/2014 05-85-92 An.Muh Afnan Al.Banna 1 TH - -20 29/12/2014 02-95-38 Sdr.Adi Prasetyo 20 TH - -21 02/01/2015 05-18-59 An.Arshaka Verendra 1 TH - -22 02/01/2015 03-62-81 An.Nicholas 5 TH - -23 01/01/2015 05-87-31 An.Aisya Putri - 1 TH Tn.Supri24 30/12/2014 05-86-11 An.Cahya Ayu Novita - 7 TH Tn.Amir25 02/01/2015 05-87-56 An.Satria Sandi Putra 1 TH - Tn.Ahmad Badowi26 01/01/2015 05-87-30 Tn.Sugeng 63 TH - -

27 04/01/2015 05-88-07 Ny.Martiah - 38 TH -28 03/01/2015 05-87-98 An.Kalista Ramadhani - 5 BLN -29 02/01/2015 05-87-88 Ny.Dwi Kartika .S - 40 TH -30 03/01/2015 05-87-97 An.Agustinus 13 TH - -31 02/01/2015 04-29-19 An.Azzam 1,5 TH - Tn.Bambang.P32 04/01/2015 05-88-02 An.Khadijah Nurhafsah - 1 TH -33 04/01/2015 01-40-00 Ny.Dhanita - 33 TH -34 02/01/2015 00-25-52 An.Rouf 7 TH - Tn.Karnya

LAPORAN MINGGUAN WABAHMINGGU KE : 1 TANGGAL : 29 DESEMBER - 4 JANUARI 2015

ALAMAT LENGKAP DIAGNOSA KET(Jln,RT/RW,Kel,Kec,Kota/Kabupaten)8 9 10

Kagok Rt.2/Rw.5 Wonotingal Candisari SMG THYPOID -JL.Karang Jangkang Rt.5/Rw.4 Ngemplak Simongan SMG BRT THYPOID -JL.Bendungan No.59 Rt.2/Rw.5 SMG SLTN THYPOID -JL.Dewi Sartika Brt Rt.3/Rw.2 Sukorejo Gunung Pati SMG THYPOID -JL.Jangli Krajan Rt.5/Rw.6 Karang Anyar Gunung Candisari SMG THYPOID -JL.Kalialang Baru Rt.4/Rw.7 Sukorejo Gunung Pati SMG THYPOID -JL.Bendungan Rt.5/Rw.5 Barusari SMG SLTN THYPOID -ASR.EX BRIGIF Banyu Manik SMG THYPOID -JL.Pamularsih Brt Rt.5/Rw.9 Bojong Salaman SMG BRT THYPOID -DS.Tumpuk Rt.3/Rw.6 Tambak Selo Wirosari GROBOGAN THYPOID -JL.Bugangan 5/448 Rt.1/Rw.1 SMG THYPOID -JL.Kintelan No.326 Rt.3/Rw.3 Bendungan Gajah Mungkur SMG THYPOID -JL.Srinindito Rt.6/Rw.3 Ngemplak Simongan SMG BRT THYPOID -JL.Sri Rejeki I / No.9 Rt.1/Rw.6 Gisik Drono SMG BRT THYPOID -JL.Bulu Stalan No.345 Rt.1/Rw.2 SMG SLTN THYPOID -JL.Kaliwiru III Rt.2/Rw.2 Candi Sari SMG THYPOID -Gedawang Pesona Asri Rt.11/Rw.4 Banyu Manik SMG DIARE -ASR.YON ARHANUDSE- 15 Jatingaleh Candi Sari SMG DIARE -Banaran Rt.2/Rw.4 Sekaran Gunung Pati SMG DIARE -JL.Karsai Panca Arga Rt.2/Rw.12 Banyu Rojo Mertoyudan MAGELANG DIARE -JL.Banowati Raya Rt.3/Rw.4 Bulu Lor SMG UTARA DIARE -JL.Jati Sari Rt.3/Rw.13 Gisik Drono SMG BRT DIARE -JL.Udowo Timur II Rt.4/Rw.10 Bulu Lor SMG UTARA DIARE -JL.Bamban Kerep Rt.3/Rw.4 Ngaliyan SMG DIARE -JL.Tarupolo Rt.11/Rw.12 Gisik Drono SMG BRT DIARE -JL.Kendeng III /14 Rt.1/Rw.3 Bendan Ngisor Gajah Mungkur SMG DIARE -

JL.Srinindito Sltn Rt.1/Rw.2 Ngemplak Simongan SMG BRT DIARE -JL.Jolotundo II /21 Rt.4/Rw.5 Sambirejo Gayam Sari SMG DIARE -JL.Kendeng III /22 Rt.3/Rw.4 Bendan Ngisor Gajah Mungkur SMG DBD -Perum Dinar Asri Blok T.2 Rt.7/Rw.25 SMG DBD -ASR.YON 400/R Srondol Kulon Banyumanik SMG DIARE -JL.Pati Unus Gg.VI Rt.8/Rw.11 Pandean Lamper GayamSari SMG DIARE -JL.Tinjomoyo Rt.2/Rw.1 Banyumanik SMG DIARE -ASR.YON ARHANUDSE-15 Rt.1/RW.10 Jatingaleh Candisari SMG THYPOID -

Semarang, Januari 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis

SusenoSerma NRP.21000046760578


LAPORAN MINGGUAN WABAHMINGGU KE : 2 TANGGAL : 5-11 JANUARI 2015


NO TANGGAL NO RM NAMA UMUR NAMA ORTUMASUK RS PENDERITA LK PR1 2 3 4 5 6 71 05/01/2015 05-88-35 Sdr.M.Reza Zuhri 27 TH - -2 05/01/2015 01-49-26 Ny.Siti Syamsiyatun - 40 TH -3 05/01/2015 05-88-48 Tn.Sugeng 38 TH - -4 06/01/2015 05-89-19 Ny.Eka Nur Intani - 28 TH -5 05/01/2015 05-88-59 Ny.Sri Murwani - 21 TH -6 09/01/2015 05-90-60 Ny.Sri Winantu - 43 TH -7 08/01/2015 05-90-28 Sdr.Tiko Pujo Ashari 21 TH - -8 06/01/2015 00-69-68 Tn.Kholid Mawardi 36 TH - -9 08/01/2015 05-90-23 Ny.Sumarni - 43 TH -10 06/01/2015 05-32-23 An.Putra 9 BLN - -11 05/01/2014 05-88-47 Tn.Djumiin 61 TH - -12 08/01/2015 05-89-90 An.Rizky Maulana 5 TH - -13 09/01/2015 05-48-84 An.Irfan Naufal 9 BLN - -14 05/01/2015 03-30-88 An.Ksatria M.Nadhif 2 TH - -15 05/01/2015 05-88-55 An.Nunik Tyas - 5 TH -

LAPORAN MINGGUAN WABAHMINGGU KE : 2 TANGGAL : 5-11 JANUARI 2015


Gang Nanas Komplek Rt.12 Lampur Sungai Selan Bangka Tengah THYPOID -JL.HOS Cokroaminoto No.8 Barusari SMG SLTN THYPOID -JL.Candi Pawon XI Rt.12/Rw.3 Kalipancur Ngaliyan SMG THYPOID -JL.Menoreh Brt No.43 Rt.13/Rw.1 Sampangan Gajahmungkur SMG THYPOID -Tegal Sari Jati Barang Rt.4/Rw.2 Mijen SMG THYPOID -Perum Kandri Pesona Asri No.17 Rt.4/Rw.4 Gunung Pati SMG THYPOID -JL.Mess BA Jembawan SMG THYPOID -JL.HOS Cokroaminoto Buntu No.50 Rt.3/Rw.3 Barusari SMG SLTN THYPOID -JL.Iskandar No.48 Rt.7/Rw.2 SMG THYPOID -JL.Anjasmoro Tgh III No.14 Rt.3/Rw.6 Karang Ayu SMG BRT DIARE -JL.Kendeng IV No.8 Rt.2/Rw.3 Bendan Ngisor Gajah Mungkur SMG DIARE -DK.Bamban Kerep Rt.1/Rw.4 Kedung Pani Mijen SMG DIARE -JL.Pusponjolo Dlm Rt.3/Rw.3 Bojong Salaman SMG BRT DIARE -JL.Bulu Stalan 3 B No.331 Barusari SMG SLTN DIARE -JL.Poncowolo Timur I Rt.1/Rw.6 Pendrikan Lor SMG TGH DBD -

Semarang, Januari 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis

SusenoSerka NRP.21000046760578


LAPORAN MINGGUAN WABAHMINGGU KE :3 TANGGAL :12 - 18 JANUARI 2014


NO NO RM NAMA PENDERITA UMURALAMAT LENGKAP (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)LK PR

1 2 3 4 5 6 7 81 13/01/2014 04-44-00 An. M. Raka Faturahman 2 th - - Jl. Srinindito Timur Rt. 1/Rw. 3 No. 29 Ngemplak Simongan S2 14/01/2014 04-44-16 Tn. Suhadi 71 th - - Ds. Bogosari Guntur Demak3 16/01/2014 04-30-48 Ny.Nunung Prastiati 31 th - - Pergiwati III Rt.3/Rw.6 Bulu Lor SMG UTR4 13/01/2014 03-49-74 An.Daffa Rizky 3th - - Asr.Yon Arhanudse-15 Rt.5/Rw.10 Jatingaleh SMG5 16/01/2014 00-95-51 Ny.Saroh - 41th - Bungo Wedung Rt.1/Rw.3 Demak6 16/01/2014 04-44-93 Nn.Desti Jayanti 19th - - Jl.Gondomono Plombokan Panggung Lor SMG7 13/01/2014 12-33-92 Ny.Pretty Nugraheni 26th - - Bukit Kencana Jaya Rt.3/Rw.13 Meteseh SMG8 08/01/2014 02-36-04 Nn.Nugraheni 19th - - Tlogo Weru Guntur Rt.2/Rw.1 Demak9 15/01/2014 02-64-45 An.Gendis Kanahaya 2th - - jl. Sri rejeki dalam VII Rt.8/Rw.3 SMG10 17/01/2014 04-33-76 Ny.Dian Harjanti - 25th - Asr.Yon 400/R Rt.1/Rw5 Banyumanik SMG11 14/01/2014 00-17-62 Tn.Ari Wiyono 38th - - jl.gunung Talang Gajah Mungkur SMG12 15/01/2014 04-44-65 Ny.Eva Setiani - 32th - cibunut Rt.14/Rw6 BEKASI13 16/01/2014 04-45-29 Tn.Mohamad Hasim 46th - - jl.Sapta Marga Rt.3/Rw.1 Jangli Tembalang SMG14 11/01/2014 00-21-17 Nn.Krisna Nilasari - 27th - Bedagan II Rt.7/Rw.2 Sekayu SMG15 15/01/2014 04-44-72 sdr.Yanto 15th - - jl. Dr.cipto 159 SMG16 13/01/2014 04-43-72 An.Fitri - 2th Tn.Choiri Jl. Kumudasmoro Dalam IV Rt.2/Rw.6 Bongsari SMG17 17/01/2014 04-45-53 Ny.Juminah - 51th - Jl.Condro Kusuma Dalam Rt.2/Rw.3 Bongsari SMG



TANGGAL MASUK RS

NAMA ORANG TUA

LAPORAN MINGGUAN WABAHMINGGU KE :3 TANGGAL :12 - 18 JANUARI 2014

DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOIDTHYPOID -DIARE -DIARE -DIARE -DBD -DBD -DBD -CHIKUNGUNYA -




LAPORAN MINGGUAN WABAHMINGGU KE : 4 TANGGAL :19 -25 JANUARI 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAP DIAGNOSA KETMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)1 2 3 4 5 6 7 8 9 101 19/01/2014 02-96-38 Ny. Sari Ediati - 30th - jl.Karangrejo Selatan Rt.4/Rw.3 Tinjomoyo Banyumanik SMG THYPOID -2 22/01/2014 12-35-73 Tn. Djasmadi 75th - - Pager Salam Rt.3/Rw.2 Mangunsari Gunung Pati SMG THYPOID -3 24/01/2014 02-89-19 Ny.Erly Yuliant - 28th - Asr.Yon Arhanudse-15 Rt.4/Rw.X Jatingaleh SMG THYPOID -4 24/01/2014 04-47-14 Tn.Supardi 66th - - Pusponjolo Selatan Rt.6/Rw.3 Bojongsalaman SMG THYPOID -5 25/01/2014 04-47-25 Ny.Sari Susanti - 26th - Wonosari Rt.8/Rw.3 Randusari SMG THYPOID -6 20/01/2014 02-16-71 An.Denis Eriska - 2th - Puri Dinar Asri Meteseh Tembalang THYPOID -7 21/01/2014 04-46-38 Sdr.Rizal Agung 21th - - Asr.Brigif IV Candi Sari Jati Ngaleh SMG THYPOID -8 21/01/2014 04-46-14 Nn.Siska Fauzi - 28th - Bendo Sari Rt.8/Rw.4 Donoyudan SRAGEN THYPOID -9 24/01/2014 03-22-90 Tn.Edy Pranoto 29th - - Jl.Karanganyar IV/10 Rt.3/Rw.4 Gabahan SMG THYPOID -10 20/01/2014 04-46-07 Ny.Warsini - 55th - Lingkungan tukbuntung Rt.2/Rw.8 Cepu Blora THYPOID -11 22/01/2014 04-44-66 Ny.Arti Alias 54th - wonosari lV No.80 Rt.2/Rw.3 SMG THYPOID -12 25/01/2014 02-92-70 An.Armya 6th - - Wologito 8 Rt.9/Rw.1 SMG THYPOID -13 23/01/2014 04-47-00 An.Rama Katon 15th - - Pudak Payung Rt.5/Rw.11 Banyumanik SMG THYPOID -14 22/01/2014 04-46-16 Tn.Muklisin 31th - - Tambak Rejo Sayung Demak DIARE -15 21/01/2014 04-46-15 Nn.Mirda Aprili - 17th - Kemantren Rt.2/Rw.5 Wonosari Ngaliyan SMG DIARE -16 23/01/2014 04-45-72 An.Fathan Alief 2th - - Jangli Sltn Dlm Rt.2/Rw.5 Candisari SMG DBD -17 23/01/2014 04-46-97 An.Dafa Rahly 5th - - Dempel Baru Permata Rt.11/Rw.5 Muktiharjo SMG DBD -18 13/01/2014 03-16-93 An.Herviana - 5th - Perum Kandri Rt.2/Rw.1 Gunung Pati SMG DBD -


Suseno

Serka NRP.21000046760578


LAPORAN MINGGUAN WABAHMINGGU KE : 5 TANGGAL : 26JANUARI-1FEBRUARI 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTUMASUK RS PENDERITA LK PR1 2 3 4 5 6 71 30/01/2014 01-83-11 An.Arva M 4th - -2 26/01/2014 04-47-56 Tn.Tutus Irawan 21th - -3 31/01/2014 04.10.67 Tn.Nana Alviana 32th - -4 31/01/2014 04-48-79 Sdr.Galih Adi P 15th - -5 27/01/2014 05-49-64 Nn.Eka Armadani - 20th -6 27/01/2014 04-47-83 An.ahdan Latief 5bln - -7 27/10/2014 04-47-49 An.Nadia F - 10th -8 29/01/2014 04-49-38 Sdr.Gulit Setiawan 23th -9 01/02/2014 04-48-86 Tn.Mursayid M 48th - -10 29/01/2014 04-48-40 An.Abelana - 6th -11 28/01/2014 04-48-08 An.Prabbu Belva 2th - -12 24/01/2014 04-47-20 An.Yasmin - 2th -

LAPORAN MINGGUAN WABAHMINGGU KE : 5 TANGGAL : 26JANUARI-1FEBRUARI 2014


AsrYon 400/R SMG THYPOID -Jl.Siliwangi no 50G SMG THYPOID -Asr.Penerbad Rt.2/Rw.9 Pudakpayung SMG THYPOID -Karangsari Rt.5/Rw.3 SMG THYPOID -Jomblang perbalan Rt.10/Rw.2 SMG THYPOID -jl.Kesehatan I no 65 Rt.2/Rw.1 DIARE -Lempongsari II Rt.3/Rw.1 G.mungkur SMG DBD -Brambang Rt.7/Rw.2 Krangawen DEMAK DBD -Puri cempaka putih Rt.5/Rw.5 MALANG DBD -Jl.wonoharjo Rt.9/Rw.11 SMG DBD -Kalipancur ringintelu Rt.10/Rw.1 Ngaliyan SMDBD -lLemah Gempal 6B No.1147C Barusari SMG DBD -

Semarang, Februari 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 6 TANGGAL : 2-8FEBRUARI


NO TANGGAL NO RM NAMA UMUR NAMA ORTUMASUK RS PENDERITA LK PR1 2 3 4 5 6 71 03/02/2014 04-49-11 Ny.Tari - 37 TH -2 02/02/2014 04-49-18 NyMasnuah - 21 TH -3 06/02/2014 04-50-37 Tn.Suprno 56 TH - -4 08/02/2014 04-50-85 An.Krisna Mukti 13 TH - -5 06/02/2014 04-50-41 Ny.Titik Wurami - 45 TH -6 06/02/2014 03-56-37 An.Safeti - 6 TH -

LAPORAN MINGGUAN WABAHMINGGU KE : 6 TANGGAL : 2-8FEBRUARI


Menoreh Utara Rt.14/Rw.1 Sampangan SMG THYPOID -Munjul Rt.2/Rw.7 Astana Japuara CIREBON THYPOID -Jl.Wologito Utara Kembang arum SMG THYPOID -Tampomas dlm V Rt./Rw.3 G.mungkur SMG THYPOID -Wonosari IV No 115 Rt.5/Rw.3 Randusari SDIARE -Jl.Kradenan I/23 Rt.1/Rw.3 SMG DIARE -

Semarang,Februari 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE :7 TANGGAL : 9- 15 FEBRUARI 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTUMASUK RS PENDERITA LK PR1 2 3 4 5 6 71 09/02/2014 04-50-95 Nn.Dian Ayu.W - 21th -2 09/02/2014 04-51-01 An.Kevin Resya 8th - -3 13/02/2014 04-52-32 Tn.Mukasi Nurwanto 46th - -4 04/02/2014 01-68-69 An.Marielda Okfirsta - 4th -5 03/02/2014 03-55-11 Ny.Kustiyani - 28th -6 01/02/2014 12-33-69 Tn.Rakim 80th - -7 10/02/2014 04-52-38 Tn.Eko Santoso 41th - -8 01/02/2014 04-48-88 An.Cantik Yurisna - 10th -9 10/02/2014 03-33-29 Ny.Dewi Wulansari - 22th -10 10/02/2014 04-51-25 An.Angela - 1th -

LAPORAN MINGGUAN WABAHMINGGU KE :7 TANGGAL : 9- 15 FEBRUARI 2014


Jl.Rorojonggrang Tmr lX Rt.03/ Rw.10 Manyaran SMGTHYPOID -Jl.Abimanyu V Rt.4/ Rw.4 Pendrikan Lor SMG THYPOID -RanduSari Rt.4/ Rw.1 SMG SLTN THYPOID -Pusponjolo Timur Gg.19 No.20 Rt.1/Rw.2 SMG THYPOID -Jl.Srinindito Brt Rt.10/Rw.1 Ngemplak Simongan SMTHYPOID -Poncowolo Brt.Gg.ll No.625 Rt.8/Rw.2 SMG THYPOID -Jl.Palgunadi Utara No.93 Rt.1/Rw.6 SMG THYPOID -Karang Rejo Sltn Rt.3/Rw.8 Tinjo Mulyo B.Manik SMDBD -Talun Kacang Rt.2/Rw.3 Kandri Gunung Pati SMG DIARE -Bendan Dhuwur Rt.1/Rw.3 Gajah Mungkur SMG DIARE -




LAPORAN MINGGUAN WABAHMINGGU KE : 8 TANGGAL : 16 - 22 FEBRUARI 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTUMASUK RS PENDERITA LK PR1 2 3 4 5 6 71 17/02/2014 04-52-95 An.Raka Piana 7th - -2 18/02/2014 04-53-25 An.Muhammad Ilyas Aditya 7th - -3 18/02/2014 04-53-26 An.Ujang Agung Yulianto 5th - -4 18/02/2014 12-37-04 Tn.Adri Risca 27th - -5 21/02/2014 12-36-86 Tn.Nuri 58th - -6 21/02/2014 04-54-28 Tn.Mariyanto 33th - -7 20/02/2014 00-89-86 Tn.Niko Edman 26th - -8 20/02/2014 01-42-24 Nn.Ismawati Dewi - 21th -9 17/02/2014 04-53-22 Tn.Masyaharinata 41th - -10 21/02/2014 04-54-20 An.Maria Rosa - 13th -11 16/02/2014 04-52-86 Sdr.Subhan Dwi 20th - -12 21/02/2014 04-54-31 Nn.Dwi Widaningsih - 17th -13 22/02/2014 04-54-45 Tn.Hidayat 29th - -14 19/02/2014 04-53-76 Tn.Heri Wardoyo 29th - -

LAPORAN MINGGUAN WABAHMINGGU KE : 8 TANGGAL : 16 - 22 FEBRUARI 2014


Jl.Hos Cokro Aminoto ll Rt.1/Rw.3 Barusari SMG SLTHYPOID -Tawang Rejosari Rt.3/Rw.1 Tawang Mas SMG BRT THYPOID -Bendungan Rt.2/Rw.5 Barusari SMG SLTN THYPOID -Asr.Penerbad Jembawan SMG BRT THYPOID -Jl.Gedung Batu Utara lV No.10 Rt.7/Rw.6 SMG THYPOID -Karang Sawo Brt Rt.3/Rw.2 Bongsari SMG BRT THYPOID -Asr.Penerbad SMG THYPOID -Jl.Pusponjolo Tmr Rt.5/Rw.2 Cabean SMG BRT THYPOID -Mess Batam Rt.4/Rw.5 Langen Sari Ungaran SMG DIARE -Taman Puri Sartika B 118A Rt.4/Xll Sukorejo G.PatDIARE -Jl.Salam Wetan Rt.2/Rw.1 TEMANGGUNG DBD -Jimbaran Rt.4/Rw.1 Bandungan SMG DBD -Jl.Siliwangi 506 SMG DBD -Asr.Lanumad DBD -

Semarang, Februari 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 9 TANGGAL : 23 FEBRUARI - 1 MARET 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTUMASUK RS PENDERITA LK PR1 2 3 4 5 6 71 23/02/2014 11-72-00 Ny.Dewi Kisworowati - 38th -2 28/02/2014 04-56-05 Nn.Lia Puji.A - 26th -3 01/03/2014 02-23-88 Ny.Sri Hidayati - 63th -4 24/02/2014 00-13-89 An.Satya Anugrah - 4th -5 24/02/2014 04-54-97 Tn.Heri Sugianto 27th - -6 24/02/2014 04-54-95 Ny.Suratiningsih - 55th -7 26/02/2014 04-55-59 Ny.Siti Mariyah - 31th -8 25/02/2014 04-55-04 Ny.Lilik Sumiyatun - 65th -9 23/02/2014 04-54-55 An.Bintang Ozora 1th - -10 25/02/2014 01-49-26 Ny. Siti Syamsiyatun - 39th -

LAPORAN MINGGUAN WABAHMINGGU KE : 9 TANGGAL : 23 FEBRUARI - 1 MARET 2014


JL.Taman Srinindito Vl Rt.10/Rw.4 SMG THYPOID -Wonosari V Rt.4/Rw.3 Randusari SMG SLTN THYPOID -JL.Jembawan No.15 Kalibanteng SMG BRT THYPOID -JL.Penataran Rt.7/Rw.3 Kalipancur SMG THYPOID -JL.DR.Ismangil Rt.10/Rw.5 Gisik Drono SMG BTHYPOID -Wonosari lll Rt.1/Rw.3 Randusari SMG SLTN THYPOID -Kerapu Raya No.17 Rt.1/Rw.2 Kuningan SMG UTTHYPOID -JL.Mintojiwo ll No.19 Rt.3/Rw.7 Gisik DronoTHYPOID -JL.Lemah Gempal 4B no.25 SMG DIARE -JL. HOS Cokroaminoto SMG DIARE -


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Serka NRP.21000046760578


LAPORAN MINGGUAN WABAHMINGGU KE : 10 TANGGAL : 2- 8 MARET 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAP DIAGNOSAMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)1 2 3 4 5 6 7 8 91 06/03/2014 02-05-26 Tn.Dian Prihusodo 36TH - - Perum Klipang Blok W ll/14 Rt.11/Rw.3 Tembalang SMTHYPOID2 22/02/2014 01-61-70 Tn.Suyatno 36TH - - JL.Hos Cokroaminoto Rt.1/Rw.3 Barusari SMG SLTN THYPOID3 03/03/2014 04-57-10 An.Asteria Trixie Nadi - 14TH - JL.Kesatrian Rt.8/Rw.7 Jatingaleh Candi Sari SMG THYPOID4 12/02/2014 00-01-91 Tn.Arfianto 27TH - - Asr Penerbad 506 Siliwangi SMG THYPOID5 26/02/2014 00-65-39 Sdr.Redita Wisnu 19TH - - Bukit Leyangan Damai Rt.5/Rw.11 Ungaran SMG THYPOID6 17/02/2014 00-51-64 Tn.Nur Rochim 26TH - - Asr.Yon 400/R Srondol Kulon Banyumanik SMG THYPOID7 28/02/2014 01-42-69 Tn.Henry Purba.K 22TH - - Asr.Penerbad Kembang Arum SMG THYPOID8 18/02/2014 00-85-69 Tn.Wachidin 40TH - - JL Gedung Batu Utara lV No.19 Rt.2/Rw.7 SMG THYPOID9 08/03/2014 00-84-67 An.Lois Princess - 3TH - Asr.Penerbad SMG THYPOID10 23/02/2014 12-37-81 An.Baim Prasetya 5TH - - JL.Rorojonggrang Rt.4/Rw.10 Manyaran SMG BRT THYPOID11 05/03/2014 04-57-49 Ny.Miniyem - 38TH - JL.Klegen Rt.7/Rw.4 Cawas KLATEN THYPOID12 05/03/2014 03-04-37 An.Ghaisan Althaf 17BLN - - JL.Kawi Vll No.1 SMG DIARE13 02/03/2014 03-94-94 An.Shafa - 1TH - Asr.Yon Arhanudse-15 Jatingaleh Candisari SMG DIARE14 08/03/2014 04-58-62 An.Aura Valentin - 2TH - JL.Srinindito Raya Rt.4/Rw.1 Ngemplak Simongan SMDIARE15 19/02/2014 04-53-86 Tn.Victor Teguh 45TH - - JL.DR.Ismangil Rt.2/Rw.4 Bongsari SMG DIARE16 08/03/2014 04-57-79 An.Suryandaru 13TH - - Asr.Pomdam JL.Garuda No.16 SMG DBD17 23/02/2014 12-37-69 An.Muhammad Reza 9TH - - Kebon Harjo Rt.5/Rw.3 Tanjung Mas SMG DBD18 04/03/2014 04-57-38 An.Ardhian 7TH - - JL.Candi Pawon Timur l Rt.6/Rw.7 Manyaran SMG DBD

Semarang, Maret 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis


LAPORAN MINGGUAN WABAHMINGGU KE : 10 TANGGAL : 2- 8 MARET 2014

KET10------------------

Semarang, Maret 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis



LAPORAN MINGGUAN WABAH MINGGU KE : 11 TANGGAL : 9- 15 MARET 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAP DIAGNOSAMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)1 2 3 4 5 6 7 8 91 14/03/2014 03-24-60 Tn.Budiyanto 38TH - - JL.Pamularsih Brt Vll/33 Rt.3/Rw.9 SMG THYPOID2 10/03/2014 04-58-93 Ny.Sri Purmini - 50TH - JL.Taman Kumudasmoro l Rt.9/Rw.8 Bongsari SMG THYPOID3 11/03/2014 04-59-04 Ny.Ngatiyem - 44TH - JL.Menoreh Tgh Xll Rt.8/Rw.4 Gajah Mungkur SMG THYPOID4 11/03/2014 04-59-10 Nn.Yatik Nanda.S - 19TH - JL.Tawang Mas Blok C/15 No.4 SMG THYPOID5 12/03/2014 04-60-09 An.Indrianto 11TH - Tn.Suminto Gang Buntu Rt.4/Rw.5 Kauman SMG THYPOID6 10/03/2014 04-58-85 Tn.Kholidin 42TH - - Aspol Kalisari Blok IV/4 Rt.2/Rw.7 Barusari SMG THYPOID7 14/03/2014 04-60-74 An.Nur Chira Putri - 17BLN - JL.Banowati Sltn IV No.68 SMG THYPOID8 14/03/2014 00-55-57 Tn.Basuki 39TH - - DS.Cerbonan Brt Ungaran SMG THYPOID9 10/03/2014 04-59-00 An.Raya Adi Yatno 3TH - - JL.Taman Srikuncoro Rt.6/Rw.2 Kalibanteng SMG DBD10 10/03/2014 04-58-94 An.Kezia Aurora - 8TH - JL.Timoho Rt.5/Rw.3 Bulusan SMG DBD11 11/03/2014 04-59-47 An.Azrinas - 9TH - JL.Pusponjolo Dlm Rt.1/Rw.1 SMG DBD12 10/03/2014 04-58-87 An.Regieza Azaria 3TH - Tn.Agus Tri JL.Lamper Tgh l No.548A Rt.2/Rw.2 SMG SLTN DBD13 11/03/2014 04-59-16 An.Rafi Maulana 7TH - - JL.Banowati Sltn Rt.2/Rw.11 SMG DBD14 10/03/2014 00-01-05 An.Maria Putri - 14TH - Asr.Penerbad Rt.2/Rw.2 Kembangarum SMG DBD15 11/03/2014 03-84-51 An.Khaira Ramadhani - 14BLN - JL.Dewi Sartika Brt Rt.3/Rw.1 Sukorejo G.Pati SMDIARE

Semarang, Maret 2014Kepala Rekam Medis


LAPORAN MINGGUAN WABAH MINGGU KE : 11 TANGGAL : 9- 15 MARET 2014

KET10---------------

Semarang, Maret 2014Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 12 TANGGAL : 16 - 22 MARET 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAPMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)

1 2 3 4 5 6 7 81 02/03/2014 04-56-57 Ny.Tumisah - 57TH - Jangli Krajan Rt.9/Rw.6 Karang Anyar Gunung Candi Sari SMG2 11/03/2014 04-59-50 An.Naura Husna - 4TH - Poncowolo Tmr I No.412 Rt.1/Rw.6 Pendrikan Lor SMG TGH3 04/03/2014 03-14-80 Tn.I Wayan Putu 33TH - - JL.Gatot Subroto 8/26 Ungaran SMG4 02/03/2014 04-56-55 Tn.Sutarmidi 55TH - - JL.Borobudur Tmr Rt.2/Rw.9 Kembang Arum SMG BRT5 11/03/2014 04-59-06 Ny.Selvi Yuandari - 27TH - JL.Beaver Blok H 54 Rt.5/Rw.2 SMG6 09/03/2014 00-41-30 Sdr.M.Syah Ainur.R 17TH - - JL.Sindoro Bandarjo Ungaran SMG7 10/03/2014 04-58-68 Ny.Ida Puji.A - 25TH - Aspol Kalisari Blok V/3 Rt.3/Rw.7 Barusari SMG SLTN8 02/03/2014 03-65-40 Ny.Sumaryani - 37TH - JL.Gaharu Utara I/40 Rt.1/Rw.2 Srondol Wetan Banyu Manik SMG9 22/03/2014 04-63-50 Nn.Eka Fuji.L - 20TH - DS.Ambokulon Rt.1/Rw.1 Comal PEMALANG10 21/03/2014 04-63-18 Tn.Malyuddin 29TH - - Kebon Tenan III/14 JAKARTA11 06/03/2014 01-33-80 Tn.Supriyadi 46TH - - Perum Bukit Leyangan Damai Rt.5/Rw.11 Ungaran Timur SMG12 07/03/2014' 04-18-17' Tn. Koesnadi 70TH - - Tanggul Mas Barat XII/254 Rt.07/Rw.10 Semarang Utara13 06/03/2014 04-12-86 Sdr.Dani Kurniawan 19TH - - Asr.Penerbad Kembang Arum SMG14 05/03/2014 04-57-79 Ny.Ika Lutfia Ningrum - 27TH - Pandansari Rt.4/Rw.8 Gayamsari SMG15 21/03/2014 04-63-16 An.Nabila Setiyani - 1TH - Tawang Rt.2/Rw.6 Tawangmas SMG BRT16 22/03/2014 11-65-00 Tn.Pardjo 76TH - - JL.Hos Cokroaminoto Rt.1/Rw.3 Barusari SMG SLTN17 13/03/2014 04-60-47 Tn.Rambat Hartono 43TH - - JL.Condrokusumo Baru Rt.12/Rw.3 SMG18 10/03/2014 12-13-54 Tn.Sumanto 55TH - - Perum Wisma Randusari Rt.5/Rw.1 Randu Gunting Bergas SMG19 13/03/2014 04-60-49 Ny.Luly Dwi - 42TH - Asr. Yon Arhanud-se 15 Rt.3/Rw.10 Jatingaleh Candisari SMG20 22/03/2014 04-68-44 Tn.Aris Miftaqul 30TH - - Asr.Yon Arhanud-se Jatingaleh Candisari SMG21 18/03/2014 04-61-63 An.Anisatri - 10TH - Candi Mutiara Timur II Rt.11/Rw.6 Kalipancur Ngaliyan SMG22 18/03/2014 04-62-02 An.Nikita - 2TH - JL.Dworowati VI Rt.7/Rw.8 Krobokan SMG BRT23 08/03/2014 04-57-26 Tn.Munadji 60TH - - KP.Kalilangse Rt.3/Rw.3 Gajah Mungkur SMG24 10/03/2014 04-58-91 An.Lintang Ramadhan 3TH - - Karang Rejo 3/4 Rt.5/Rw.1 Gajah Mungkur SMG25 20/03/2014 04-63-02 Tn.Juari 48TH - - JL.Gajah Timur Dlm Rt.2/Rw.9 Gayamsari SMG26 11/03/2014 04-59-49 An.Ibrahim Ghalib 6TH - - Asr.KODIM 0716 Rt.5/Rw.6 Bintoro DEMAK27 02/03/2014 04-56-23 Sdr.Dani Agus 20TH - - JL.Karang Jangkang Rt.1/Rw.4 Ngemplak Simongan SMG BRT28 03/03/2014 04-57-06 Tn.Sutris Suparsono 39TH - - JL.Taman Borobudur Utara V Rt.4/Rw.X SMG29 19/03/2014 01-16-02 An.Naifa Hanum - 7TH - Kl,ipang Pesona Asri II Rt.1/Rw.28 SMG

Semarang, April 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis


DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -DIARE -DIARE -DIAREDBD -DBD -DBD -DBD -DBD -DBD -DBD -DBD -DBD -


Kepala Rekam Medis





1 2 3 4 5 6 7 81 21/03/2014 04-62-80 Nn.Hasmiridaning Wahyu - 19TH - JL.Mustokoweni Tgh Baru Rt.14/Rw.3 No.42 Plombokan SMG UTR2 29/03/2014 04-66-01 Tn.Hargiyanto 25TH - - JL.Wonosari Rt.9/Rw.3 Randusari SMG SLTN3 24/03/2014 04-64-10 Nn.Evi Kartika - 20TH - JL.Borobudur Timur No.14 Rt.10/Rw.9 Kembang Arum SMG BRT4 27/03/2014 04-64-71 Sdr.Guntoro 19TH - - Kembang Arum Rt.7/Rw.3 Kalipancur Ngaliyan SMG5 27/03/2014 04-65-57 Nn.Ayu Dwi - 19TH - Pakintelan Rt.2/Rw.4 Gunung Pati SMG6 27/03/2014 04-65-54 Nn.Afita Pancarika - 20TH - Candirejo Rt.2/Rw.3 Pringapus SMG7 27/03/2014 04-65-55 Nn.Prema Linawati - 19TH - DS.Purwosari DK.Pangkat BLORA8 23/03/2014 04-63-60 An.M.Syahrul 10TH - - JL.Sunan Kalijaga Raya Rt.6/Rw.1 Penggaron Pedurunagn SMG9 29/03/2014 04-65-98 An.Dewangga Lindu 7TH - - JL.Wonosari 7 Rt.8/Rw.3 Randusari SMG SLTN

Semarang, April 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DBD -DBD -




LAPORAN MINGGUAN WABAHMINGGU KE : 14 TANGGAL : 30 MARET - 5 APRIL 2014



1 2 3 4 5 6 7 81 30/03/2014 04-66-09 Sdr.Yusuf 18TH - - JL.Kradenan Lama Rt.8/Rw.5 Sukorejo Gunung Pati SMG2 31/03/2014 04-66-57 An.Maulana Ikhsan 12TH - - JL.Sentiaki Tengah Rt.4/Rw.7 Bulu Lor SMG UTRA3 31/03/2014 04-66-45 An.Faris Fauzan 10TH - - JL.Sentiaki Tengah Rt.4/Rw.7 Bulu Lor SMG UTRA4 31/03/2014 04-66-55 Ny.Sriatun - 35TH - JL.Borobudur Rt.8/Rw.3 Manyaran SMG BRT5 31/03/2014 02-91-86 An.Kusuma Rini - 21BLN - Tambra Dlm Rt.1/Rw.9 SMG UTARA6 04/04/2014 04-68-13 An.Rezanda Asnawi 11TH - - JL.Brotojoyo Timur Rt.5/Rw.2 SMG7 31/03/2014 04-66-50 Ny.Tika Yuliani - 28TH - JL.Kertanegara Selatan Rt.6/Rw.2 SMG8 04/04/2014 04-68-19 An.Siti Amelia - 6TH Tn.Andri JL.Menoreh Barat IV No.33 Rt.13/Rw.1 Gajahmungkur SMG9 05/04/2014 04-68-44 Nn.Sumitri - 17TH - JL.Lempongsari 301 Rt.2/Rw.4 Gajahmungkur SMG


Kepala Rekam Medis


LAPORAN MINGGUAN WABAHMINGGU KE : 14 TANGGAL : 30 MARET - 5 APRIL 2014

DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DBD -DBD -DBD -


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 15 TANGGAL : 6 - 12 APRIL 2014



1 2 3 4 5 6 7 81 10/04/2014 04-69-77 An.Maulana Risqy 8TH - - KP.Gunung Payung Rt.6/Rw.3 Bamban Kerep Ngaliyan SMG2 06/04/2014 04-00-52 An.M.Danis 10BLN - - JL.Taman Condrokusumo Rt.6/Rw.4 Bongsari SMG3 26/03/2014 01-90-45 An.Reynaldi 15TH - - Asr.EX.Brigif Srondol Kulon Banyu Manik SMG4 11/04/2014 01-03-82 An.Putri Marsmalia - 9TH - Lempong Sari l No.398 Rt.3/Rw.2 Gajah Mungkur SMG5 07/04/2014 04-69-28 Tn.Imam Subekhi 54TH - - JL.Telomoyo Tgh Rt.5/Rw.1 Bandarjo Ungaran Barat SMG6 08/04/2014 04-69-40 An.Gadisa Almalia - 4TH - JL.Puri Anjasmoro Tgh.II No.6 Rt.2/Rw.6 Karang Ayu SMG BRT




DIAGNOSA KET9 10

THYPOID -DIARE -DIARE -DBD -DBD -DBD -







1 2 3 4 5 6 7 81 16/04/2014 04-72-24 Sdr.Agus Amir 16TH - - JL. Wologito Tgh Raya No.35 Gisik Drono SMG2 13/04/2014 02-13-30 An.Maria Kasih - 4TH - Asr.Yon 400/R SMG3 13/04/2014 02-70-27 Nn.Yuni Pramitasari - 21TH - Asr.TNI AD Mrican Jomblang Candisari SMG4 17/04/2014 02-76-52 Nn.Dwi Kumalasari - 16TH - Genuk Sari SMG5 15/04/2014 03-46-90 Ny.Herna Kuswiyaningsih - 42TH - Asr.EX Brigif Rt.3/Rw.3 Banyu Manik SMG6 14/04/2014 04-71-30 Tn.Sarbudi 41TH - - Muteran Rt.1/Rw.3 Pudak Payung Banyu Manik SMG7 17/04/2014 03-04-99 An.Muh Ilham 2TH - - JL.Srinindito Tmr Rt.2/Rw.3 Ngemplak Simongan SMG BRT8 16/04/2014 04-72-17 Ny.Saniyem - 45TH - JL.Anjasmoro 1/4 Rt.3/Rw.1 Randugarut Tugu SMG9 15/04/2014 04-72-08 Ny.Sukirah - 73TH - JL.Mayangsari Rt.1/Rw.2 Kalipancur Ngaliyan SMG10 16/04/2014 04-72-18 Tn.Sudarsono 37TH - - JL.Sendang Elok No.20 Rt.4/Rw.2 Banyu Manik SMG11 15/04/2014 04-72-03 Nn.Januar Putri Puji - 15TH - JL.Kaligarang Atas No.1 Rt.2/Rw.4 Petompon Gajah Mungkur SMG12 14/04/2014 04-71-59 An.Hemalia Kusuma Dewi - 10TH - JL.Menoreh Raya Rt.3/Rw.1 Sampangan Gajah Mungkur SMG13 17/04/2014 04-73-01 Nn.Yuliana - 16TH - Jagalan I/398 Gabahan SMG TGH14 14/04/2014 01-56-35 Ny.Desi Ayuningtyas - 24TH - JL.Gedung Batu Selatan Rt.2/Rw.5 Ngemplak Simongan SMG BRT15 14/04/2014 00-36-08 Tn.Hermawan 26TH - - Asr.Yon 405 Muteran Wangon16 14/04/2014 04-71-56 Tn.Dr.Wijiono 42TH - - Perum Dinar Indah C2 No.1 Meteseh Tembalang SMG17 16/04/2014 04-72-21 Tn.Hermanto 38TH - - Asr.EX Brigif Rt.3/Rw.3 Banyu Manik SMG18 17/04/2014 04-73-04 Sdr.Yuli Narwanto 16TH - - Karang Harjo Rt.8/Rw.8 Pulo Kulon GROBOGAN19 16/04/2014 03-62-94 An.M.Sandi Yuda 9TH - - JL.Lamongan Brt No.27 SMG20 16/04/2014 04-72-55 An.Aryo Danang 11TH - - JL.Srinindito Raya Tmr Rt.1/Rw.3 Ngemplak Simongan SMG BRT21 15/04/2014 03-41-82 An.Cherlynda Anandya - 12TH - Genuk Sari Rt.6/Rw.9 Genuk SMG22 19/04/2014 04-73-35 An.Muh Reza 4TH - - Rusun Bandarharjo Rt.5/Rw.XII SMG UTARA23 19/04/2014 04-73-36 An.Ratih Anggita - 3TH - JL.Candi Prambanan Utara Rt.7/Rw.XI Kalipancur Ngaliyan SMG

Semarang, Mei 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis

Suseno

Serma NRP.21000046760578


DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DBD -DBD -DBD -DBD -DBD -DBD -DBD -DBD -DBD -DBD -DBD -DBD -DBD -


Kepala Rekam Medis

Suseno

Serma NRP.21000046760578


LAPORAN MINGGUAN WABAHMINGGU KE : 17 TANGGAL : 20- 26 APRIL 2014



1 2 3 4 5 6 7 81 25/04/2014 04-76-12 Tn.Anton J.Ishak 42TH - - JL.Pusponjolo Sltn Rt.1/Rw.7 Bojong Salaman SMG BRT2 23/04/2014 04-74-69 Nn.Syifa Azka - 14TH - JL.Pusponjolo Dlm Rt.3/Rw.3 Bojong Salaman SMG BRT3 21/04/2014 03-31-69 An.Bayu 8TH - - Asr.Kesdam IV/DIP Rt.2/Rw.3 SMG4 21/04/2014 04-74-17 Nn.Oninyua Medika - 21TH - JL.Mustokoweni Plombokan No.2 Rt.11/Rw.1 SMG UTARA5 20/04/2014 04-55-17 Tn.Dahuri 74TH - - Asr.KODAM IV/DIP Rt.3/Rw.5 Jatingaleh Candisari SMG6 21/04/2014 04-74-15 An.Satrio 1TH - - Rusun Lantai IV Blok B No.84 Rt.6/Rw.1 Pekunden SMG TGH7 21/04/2014 04-73-82 An.Baharuddin 11TH - - Gabahan 79 Rt.1/Rw.4 SMG TGH8 20/04/2014 04-73-44 An.Abdul Halim 6TH - - JL.Condrokusumo Rt.10/Rw.3 Bongsari SMG BRT9 21/04/2014 04-74-10 An.Latifah - 10TH - JL.Condrokusumo Dlm Rt.9/Rw.2 Bongsari SMG BRT10 25/04/2014 04-76-11 An.Muhammad Satrio 12TH - - Trangkil Rt.1/Rw.2 Ngesrep Banyu Manik SMG

Semarang, Mei 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis


LAPORAN MINGGUAN WABAHMINGGU KE : 17 TANGGAL : 20- 26 APRIL 2014

DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DBD -DBD -DBD -DBD -




LAPORAN MINGGUAN WABAHMINGGU KE : 18 TANGGAL : 27 APRIL - 3 MEI 2014



1 2 3 4 5 6 7 81 03/05/2014 04-79-50 Tn.Imron 51TH - - JL.Tawang Raja Besi Rt.4/Rw.4 SMG2 29/04/2014 03-11-61 Tn.Wisnu Pujo 32TH - - Asr.Yon Zipur 4 Ungaran SMG3 02/05/2014 04-79-23 Sdr.Choirul Ma'ruf 19TH - - Asr.Yon Arhanudse 15 Rt.3/Rw.10 Jatingaleh Candisari S4 26/04/2014 04-76-46 Tn.Djoko Pramono 43TH - - Wiroto III/9 SMG5 03/05/2014 04-79-39 An.Kamela Romadhona - 2TH - Depo Indah Kemijen Rt.5/Rw.3 SMG6 03/05/2014 04-79-53 Ny.Indri Sri Mulyani - 31TH - Gisik Drono Rt.8/Rw.3 SMG7 22/04/2014 04-74-61 Ny.Atmi Naryuti - 42TH - Sadeng Rt.1/Rw.2 Gunung Pati SMG8 02/05/2014 04-79-11 An.Nadhifa - 3TH - Asmil Yon 321 Tenjo Layar Cigasong Majalengka9 01/05/2014 00-88-59 Sdr.Dendy Bagus 17TH - - Asr.Brigif 5 Rt/3/Rw.3 Blok K No.8 Banyu Manik SMG10 03/05/2014 04-07-26 Tn.Sutaryono 52TH - - JL.Pusponjolo XI Rt.1/Rw.1 Cabean SMG11 27/04/2014 01-10-55 An.Andika Rizki 7TH - - JL.Purwosari Perbalan Rt.2/Rw.4 SMG UTARA12 02/05/2014 04-79-15 An.Elsa Nur - 11TH - JL.Parang Barong Rt.2/Rw.9 Tlogosari Kulon Pedurungan 13 01/05/2014 04-78-73 Ny.Peni Sukmani - 33TH - Pucang Argo Barat Sltn No.6 SMG14 30/04/2014 04-78-55 An.Sri Wahyono 12TH - - Prembaen Selatan No.996 Rt.5/Rw.4 SMG TGH15 27/04/2014 04-76-67 An.Khoirul Wafi 1BLN - - JL.Hasanuddin Rt.13/Rw.2 Bandarharjo SMG UTARA16 28/04/2014 04-77-49 An.Lila Aprilia - 5TH - JL.Banowati Tgh II No.46 Rt.5/Rw.8 SMG



LAPORAN MINGGUAN WABAHMINGGU KE : 18 TANGGAL : 27 APRIL - 3 MEI 2014

DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DBD -DBD -DBD -DBD -DBD -DBD -




LAPORAN MINGGUAN WABAHMINGGU KE : 19 TANGGAL : 4 - 10 MEI 2014



1 2 3 4 5 6 7 81 07/05/2014 04-81-57 Sdr.Subanto Yoga 21TH - - Randusari Rt.2/Rw.3 Teras BOYOLALI2 04/05/2014 04-79-59 An.Satrio Wibowo 4TH - - JL.Kintelan Brt Rt.4/Rw.3 Bendungan Gajah Mungkur SMG3 08/05/2014 04-82-28 An.Terry 4TH - - JL.Rorojonggrang Rt.4/Rw.6 Manyaran SMG BRT4 08/05/2014 00-97-17 Sdr.Toni Setiawan 18TH - - Perum Gedawang Permai III B.1 Rt.7/Rw.2 Banyumanik SMG5 10/05/2014 04-82-72 Nn.Sulastri - 23TH - JL.Candi Pawon III Rt.2/Rw.3 Kalipancur Ngaliyan SMG6 04/05/2014 04-83-02 Tn.Yuniarto Anggoro 43TH - - KP.Bergota No.514 Rt.8/Rw.6 Randusari SMG SLTN7 09/05/2014 04-82-53 Sdr.Aldo Luhur 16TH - - JL.Karang Anyar VIII Rt.5/Rw.5 Babakan SMG TGH8 08/05/2014 04-82-23 Sdr.Agung Rezeki 20TH - - Randusari Pos Atas Rt.2/Rw.5 SMG SLTN9 08/05/2014 04-82-18 Nn.Dwinda Hayenda - 10TH - JL.Hasanuddin Gg.Cemara Rt.1/Rw.4 Purwosari SMG UTARA10 05/05/2014 04-79-83 An.Safira Astika - 3TH - Bandung Sari Rt.2/Rw.4 Mijen SMG11 09/05/2014 04-82-64 Tn.Waluyo 38TH - - Menoreh Utara Rt.14/Rw.1 Sampangan Gajah Mungkur SMG12 05/05/2014 04-80-61 An.Yuniar Alkhanantara 1TH - - Jonggring Saloko Rt.8/Rw.12 Krobokan SMG BRT13 09/05/2014 04-82-59 Tn.Sukandar 67TH - - JL.Condrokusumo Rt.2/Rw.3 Bongsari SMG BRT14 07/05/2014 01-45-75 An.Raifant Wijaya Kusuma 8TH - - Genuk Sari Rt.6/Rw.9 SMG15 10/05/2014 04-82-69 An.Zalfa Oktaviani.R - 11TH - KP.Petemesan 162 Rt.4/Rw.3 Purwodinatan SMG TGH16 08/05/2014 01-45-56 An.Yonathan Valerino 9TH - - Perum SPD Pongangan Rt.9/Rw.14 Gunung Pati SMG




DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DBD -DBD -DBD -







1 2 3 4 5 6 7 81 13/05/2014 04-82-64 Tn.Waluyo 38TH - - JL.Menoreh Utara Rt.14/Rw.1 Sampangan Gajah Mungkur SMG2 13/05/2014 04-84-06 Tn.Surip Rusmanto 51TH - - JL.Lemuru Raya Rt.10/Rw.4 Kuningan SMG UTARA3 12/05/2014 04-83-64 Nn.Nurul Fatimah - 18TH - DS.Gondel Kedung Tuban Rt.3/Rw.2 BLORA4 12/05/2014 04-83-61 Ny.Siti Mufidah - 33TH - ASR.TNI AD Kalisari Rt.1/Rw.5 Barusari SMG SLTN5 16/05/2014 04-85-45 An.Desvinata - 12TH - Mugas Dalam VI No.9 Rt.8/Rw.3 Mugasari SMG SLTN6 16/05/2014 04-85-37 An.Sabrina - 11TH - JL.Mustokoweni Tgh Rt.3/Rw.4 Plombokan SMG UTARA7 17/05/2014 02-57-24 An.Muhammad Hasan 4TH - - Bamban Kerep Rt.5/Rw.4 Kedungpane Mijen SMG8 17/05/2014 04-85-32 An.Dwi Siska - 9TH - JL.Mawar Sari Rt.8/Rw.3 Kuningan SMG UTARA9 16/05/2014 04-85-11 Tn.Sarjono Wiyono 57TH - - JL.Tumpang IV Rt.1/Rw.5 Gajah Mungkur SMG10 15/05/2014 04-84-90 An.Fadli Rifajana 7BLN - - JL.Pusponjolo Brt Rt.2/Rw.4 Bojong Salaman SMG BRT11 16/05/2014 04-85-28 An.Farrel Arziki 2TH - - JL.Jati Sari Rt.2/Rw.13 Gisik Drono SMG BRT12 15/05/2014 04-84-99 An.Prihaning Tias - 1TH - JL.Wonosari I No.24 Rt.3/Rw.4 Randu Sari SMG SLTN13 16/05/2014 02-95-99 Tn.Sidiq Santoso 30TH - - Asr.Yon 400/R Srondol Kulon BanyuManik SMG14 12/05/2014 04-45-44 Sdr.Muhammad Dhabit 21TH - - JL.Kendeng VI No.2 Sampangan SMG




DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -DIARE -DBD -


Kepala Rekam Medis






1 2 3 4 5 6 7 81 18/05/2014 04-85-78 An.Ayu Puspita - 6TH - Ds.Tlumplak Rt.3/Rw.8 Tandang Tembalang SMG2 20/05/2014 12-22-67 An.Nurriliya - 7TH - Asr.Kodam Rt.3/Rw.5 Jatingaleh CandiSari SMG3 21/05/2014 04-87-36 Sdr.Nur Sapaat 26TH - - DSN.Brayo Brt Rt.1/Rw.7 Kertosari Singorojo Kendal4 18/05/2014 04-85-74 An.Berlian Putri - 10BLN - JL.Pusponjolo Tmr Rt.2/Rw.3 Bojong Salaman SMG BRT5 15/05/2014 04-84-86 Ny.Yuni Nurnany - 42TH - Bukit Beringin Lestari Rt.8/Rw.10 Gondoriyo Ngaliyan SMG6 16/05/2014 04-85-13 An.Muhammad Ibrahim 1TH - - JL.Pandansari VI Rt.7/Rw.1 SMG TGH7 10/05/2014 04-82-83 Ny.Yahmi - 90TH - JL.Taman Jonggring Saloko No.4 Rt.6/Rw.13 Krobokan SMG BRT8 24/05/2014 04-88-88 Sdr.Doni Kisworo 17TH - - JL.Borobudur IV Rt.3/Rw.12 Kembang Arum SMG BRT

Semarang, Juni 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -DIARE -DIARE -DIARE -DBD -DBD -HEPATITIS -


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 22 TANGGAL : 25- 31 MEI 2014



1 2 3 4 5 6 7 81 31/05/2014 04-49-11 Ny.Tari - 38TH - JL.Menoreh Utara 9 Rt.14/Rw.1 Sampangan Gajah Mungkur SMG2 30/05/2014 04-90-86 Ny.Nita Devita Sari - 28TH - JL.Poncowolo Brt Rt.5/Rw.6 Pendrikan Lor SMG TGH3 30/05/2014 04-91-28 Nn.Lutfiyatun - 23TH - Dukuh Banaran Rt.3/Rw.4 Sekaran Gunung Pati SMG4 31/05/2014 04-91-37 An.Fajar Adrianto 12TH - - Genuk Sari Atas Rt.3/Rw.9 Tegal Sari Candisari SMG5 30/05/2014 00-03-23 An.Kevin Rahmat 9TH - - ASR. Kodam Rt.5/Rw.5 Jatingaleh Candisari SMG6 27/05/2014 04-90-03 An.Faisa Ristri 7TH - JL.Kendeng II Bendan Ngisor SMG7 28/05/2014 01-88-96 Ny.Asri Nina - 26TH - ASR.Barak Kodam Jatingaleh Candisari SMG8 28/05/2014 04-90-32 An.Fahrizal 9TH - - Bedagan Rt.7/Rw.2 Sekayu SMG TGH


Kepala Rekam Medis


LAPORAN MINGGUAN WABAHMINGGU KE : 22 TANGGAL : 25- 31 MEI 2014

DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -DBD -DBD -DBD -DBD -


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 23 TANGGAL : 01 - 07 JUNI 2014



1 2 3 4 5 6 7 81 02/06/2014 04-92-29 Sdr.Alvia Putra 18TH - - JL.Karang Anyar 8 Rt.5/Rw.5 Gabahan SMG TGH2 04/06/2014 04-93-12 An.Arjuna Januar 2TH - - JL.Asri III Banyumanik SMG3 06/06/2014 04-94-72 Ny.Rista Putri - 16TH - Bergota Rt.3/Rw.6 Randusari SMG SLTN4 03/06/2014 04-93-08 An.Muh Zadar 5TH - - JL.Cumi-Cumi Rt.4/Rw.4 SMG5 02/06/2014 04-92-29 An.Arya Bayu 8BLN - - JL.Pringgodani Dalam Rt.2/Rw.11 SMG6 05/06/2014 04-94-30 Ny.Sri Suyatmi - 58TH - JL.Condrokusumo Dalam Rt.10/Rw.3 SMG7 05/06/2014 04-94-25 An.Zulfaa Azkiyaa - 2TH - JL.Srinindito IV Rt.7/Rw.1 Ngemplak Simongan SMG BRT10 01/06/2014 04-91-61 By.Ny Yustina 2BLN - - JL.Srikandi No.265 Rt.3/Rw.2 Plombokan SMG UTARA9 05/06/2014 04-94-27 Nn.Sekar Ayu - 15TH - Jatisari Asri blok C.6 SMG8 01/06/2014 04-91-54 An.Yudha Nuyul 17TH - - ASR.KODAM SMG


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -DBD -DBD -


Kepala Rekam Medis






1 2 3 4 5 6 7 81 08/06/2014 12-26-43 Sdr.Mochammad Syaiful 17TH - - ASR.TNI AD Kalisari Rt.1/Rw.5 Barusari SMG SLTN2 08/06/2014 04-65-29 An.Eunike Ever - 2TH - JL.Wologito 9 Rt.9/Rw.1 Kembang Arum SMG BRT3 08/06/2014 04-95-02 Tn.Alex Sandro Fauzi 28TH - - ASR.YON 400/R Srondol Kulon Banyumanik SMG4 10/06/2014 04-96-11 Tn.Fajar Syafrudin 32TH - - Sang Timur No.63 Rt.2/Rw.4 Kebon Jeruk JKT BRT5 08/06/2014 ;04-94-91 Tn.Sisdi 77TH - - JL.Noroyono Rt.1/Rw.1 Bulu Lor SMG UTARA6 16/06/2014 04-19-35 Ny.Tuginem - 57TH - Bongsari Rt.5/Rw.3 SMG BRT7 14/06/2014 04-97-99 An.Valda Aninya - 2,5TH - JL.Bom Lama Rt.6/Rw.3 Kuningan SMG UTARA8 12/06/2014 04-97-29 An.Bilbina Aurin - 1TH - JL.Jatisari Rt.5/Rw.13 Gisikdrono SMG BRT9 10/06/2014 04-95-97 An.Nawra Nasita - 9TH - JL.Menoreh Utara Rt.3/Rw.1 SMG10 11/06/2014 04-96-97 An.Abyan Alesade 2TH - Ny.Sari Noor JL.Pusponjolo Timur VII No.5 Rt.2/Rw.1 Bojongsalaman SMG BRT11 12/06/2014 04-97-04 An.Aldi Sanjaya 15TH - - Bergota No.509 Rt.5/Rw.6 Randusari SMG SLTN12 10/06/2014 04-96-13 An.Nayla Intan - 7TH - JL.Sadewa V/19 Rt.4/Rw.3 Pendrikan Kidul SMG TGH13 08/06/2014 04-94-87 Sdr.Alvian Sabasta 25TH - - JL.Kagok Rt.5/Rw.6 Wonotingal Candisari14 08/06/2014 04-94-90 An.Afsal Lucky 4TH - - Cempaka Rt.2/Rw.4 Sampangan Gajah Mungkur SMG15 09/06/2014 04-95-65 Tn.Anton Eriawan 27TH - - JL.Menoreh Barat VI Rt.13/Rw.1 Sampangan Gajah Mungkur SMG

Semarang, Juni 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -DIAREDBD -DBD -DBD -DBD -DBD -DBD -DBD -

Semarang, Juni 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis






1 2 3 4 5 6 7 81 16/06/2014 04-98-63 Tn.Amat Sukoco 54TH - - JL.Gedung Songo Rt.9/Rw.1 SMG2 15/06/2014 04-98-14 Tn.Wagimin 56TH - - JL.Gedong Songo Brt Rt.8/Rw.2 Manyaran SMG BRT3 21/06/2014 05-02-17 Ny.Dewi Rahayuningsih 24TH - JL.Taman Condrokusumo VIII Rt.8/Rw.3 Bongsari SMG BRT4 18/06/2014 03-35-32 NY.Megawati - 26TH - JL.HOS Cokroaminoto IIIC Rt.2/Rw.3 Barusari SMG SLTN5 18/06/2014 05-00-13 An.Ananda - 10TH - Pondok Raden Patah Rt.4/Rw.3 Sriwulan Sayung DEMAK6 20/06/2014 05-02-01 Ny.Ayu Dian - 25TH - KP.Bustaman Gedong Rt.3/Rw.3 Purwodinatan SMG TGH7 21/06/2014 05-02-21 An.Luni Aulia - 4TH - JL.Udowo Timur Rt.2/Rw.1 Bulu Lor SMG UTARA8 17/06/2014 00-11-87 Ny.Tyas - 35TH - JL.Lemuru Raya Rt.10/Rw.4 Kuningan SMG UTARA9 16/06/2014 04-98-62 An.Satria 3TH - - JL.Srinindito Timur Rt.36/Rw.3 SMG10 16/06/2014 04-98-65 An.Alencia Nindya - 2TH - JL.Taman Borobudur Rt.4/Rw.10 SMG


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -


Kepala Rekam Medis





NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAP DIAGNOSAMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)1 2 3 4 5 6 7 8 91 25/06/2014 03-98-51 An.Anisa - 6TH - JL.Gedong Songo dlm Rt.8/Rw.1SMG THYPOID2 25/06/2014 01-08-20 Tn.Nur Rudi 32TH - - ASR.YON ARHANUDSE-15 Jatingaleh Candisari SMG THYPOID3 18/06/2014 05-00-15 Tn.Suroso 34TH - - JL.Tambi Rt.4/Rw.8 Karang Roto Genuk SMG THYPOID4 27/06/2014 05-06-44 Sdr.Ahmad Rozik 23TH - - Ngemplak Rt.2/Rw.6 REMBANG THYPOID5 25/06/2014 05-05-20 An.Maria Ulfa - 12TH - JL.Petolongan Dlm 21 Rt.1/Rw.4 Purwodinatan SMG TGH THYPOID6 26/06/2014 05-06-00 An.Batrislia Angel - 4BLN - JL.Poncowolo brt Rt.6/Rw.6 Pendrikan Lor SMG TGH DIARE7 27/06/2014 05-06-48 Ny.Ngatimah - 47TH - JL.Mintojiwo dlm Rt.1/Rw.4 Gisik Drono SMG BRT DIARE8 25/06/2014 05-04-50 An.Salsabila Nur - 4TH - KP.Gedong Mulyo Rt.2/Rw.3 Purwodinatan SMG TGH DBD9 25/06/2014 03-10-11 Tn.Sulistyo 48TH - - DS.Tubun Rt.4/Rw.2 Bandarharjo SMG UTARA CHIKUNGUNYA

Semarang, Agustus 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis



KET10---------


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 27 TANGGAL : 29 JUNI - 5 JULI 2014


NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAP DIAGNOSAMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)1 2 3 4 5 6 7 8 91 05/07/2014 05-10-17 Ny.Badriyah - 45TH - JL.Tambak Rt.5/Rw.12 Tanjung Mas SMG UTARA THYPOID2 30/06/2014 00-51-02 Ny.Nur Hamidah - 36TH - Banyumanik No.29 Rt.5/Rw.4 SMG THYPOID3 31/06/2014 05-06-90 Tn.M.Maskun 56TH - - Wonoharjo Rt.12/Rw.12 Kembangarum SMG BRT THYPOID4 02/07/2014 05-08-99 Tn.Setyo Pramono 62TH - - JL.Talang Sari Raya Rt.1/Rw.1 Bendan Dhuwur Gajah Mungkur SMG DIARE5 04/07/2014 05-10-02 An.Faisal 6BLN - - JL.Poncowolo Brt Rt.9/Rw.6 Pendrikan Lor SMG TGH DIARE6 29/06/20104 04-16-34 An.Amira Caesaria - 9BLN - ASR.KESDAM IV/DIP Barusari SMG SLTN DIARE7 02/07/2014 05-08-52 Ny.Karmini - 84TH - DS.Dukuh Kulon Rt.1/Rw.4 Pitutuh Purworejo DIARE


Kepala Rekam Medis


LAPORAN MINGGUAN WABAHMINGGU KE : 27 TANGGAL : 29 JUNI - 5 JULI 2014

KET10-------


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 28 TANGGAL : 06 - 12 JULI 2014



1 2 3 4 5 6 7 81 12/07/2014 05-13-42 Nn.Agustina Putri.B - 24TH - JL.Taman Candi Mutiara Tmr ll/544 Rt.8/Rw.6 Ngaliyan SMG2 06/07/2014 05-10-38 An.Aqeela Husna - 1TH - JL.Batan Timur IV/Rt.7/Rw.4 Miroto SMG TGH


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -DIARE -


Kepala Rekam Medis






1 2 3 4 5 6 7 81 13/07/2014 02-96-97 An.Lasria Grania - 4TH - ASR PAMEN KESDAM Banyumanik SMG2 16/07/2014 05-14-90 Tn.Suyono 28TH - - Baterman Kecil No.40 Kembang Sari SMG TGH3 14/07/2014 04-08-93 Tn.Djujuk Pudji 63TH - - JL.Pamularsih X/3 Rt.8/Rw.7 Bojong Salaman SMG BRT

Semarang, Agustus 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -


Kepala Rekam Medis






1 2 3 4 5 6 7 81 25/07/2014 05-07-86 Ny.Paniyem - 60TH - Wonosari IV Rt.9/Rw.4 Randusari SMG SLTN2 21/07/2014 05-16-63 Tn.Samsidi 34TH - - Bongsari Rt.1/Rw.1 SMG BRT3 23/07/2014 05-18-08 Tn.Slamet Riyanto 28TH - - ASR.YON ARMED 1/16 Jambe Wangi Secang MAGELANG4 26/07/2014 03-74-86 Tn.Suyanto 32TH - - ASR YON ARHANUD-SE 15 Jatingaleh Candisari SMG


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -DHF -DHF -DHF -

Semarang, Agustus 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 31 TANGGAL : 27 JULI - 2 AGUSTUS 20104



1 2 3 4 5 6 7 81 27/07/2014 5/18/1987 Nn.Dabarniwas Trifalina - 20TH - JL.Aman No.76A LK.III Cinta Damai2 27/07/2014 04-03-57 Nn.Ayu Pitarti - 35TH - JL.Gunung Talang No.40 Rt.2/Rw.2 SMG3 02/08/2014 05-19-99 Sdr.Rizky Eka 18TH - - JL.Borobudur Utara Rt.8/Rw.3 XII SMG4 02/08/2014 05-19-92 Sdr.Ali Fatur 16TH - - JL.Jangli Tlawah Rt.5/Rw.5 Karang Anyar Gunung Candisari SMG5 02/08/2014 05-19-86 An.Alvino Marcelo 8TH - - JL.Puspogiwang Dlm 3 Rt.3/Rw.2 Gisik Drono SMG BRT

Semarang, September 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis


LAPORAN MINGGUAN WABAHMINGGU KE : 31 TANGGAL : 27 JULI - 2 AGUSTUS 20104

DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 32 TANGGAL : 03 - 09 AGUSTUS 2014



1 2 3 4 5 6 7 81 03/08/2014 05-20-21 Ny.Elly Kesuma Dewi - 32TH - JL.Srinindito Rt.9/Rw.1 Ngemplak Simongan SMG BRT2 04/08/2014 05-20-44 Tn.Raden Susilo 36TH - - ASR.DENINTEL SMG3 07/08/2014 05-22-35 Sdr.Rizky Rahma 14TH - - JL.Menoreh Tengah XII Rt.6/Rw.4 Sampangan Gajah Mungkur SMG4 04/08/2014 05-20-74 Nn.Wenes Anurul - 25TH - Wonosari 3/64 SMG5 06/08/2014 05-22-32 An.Amanda Cindy - 6TH - JL.Untung Suropati Rt.7/Rw.3 Kalipancur Ngaliyan SMG6 05/08/2014 05-12-63 Ny.Susanti - 43TH - JL.Kendal Raya Rt.6/Rw.1 Pedurungan Lor SMG7 07/08/2014 04-76-22 Tn.Dodi 20TH - - ASR.PENERBAD8 05/08/2014 05-20-77 Ny.Elisa Sri.H - 41TH - JL.Tmn Gedong Songo Rt.10/Rw.1 Manyaran SMG BRT


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DBD -


Kepala Rekam Medis






1 2 3 4 5 6 7 81 12/08/2014 04-91-95 Ny.Lestiana - 48TH - JL.Mendut Utara III No.73 Rt.3/Rw.5 Manyaran SMG BRT2 11/08/2014 04-76-22 Tn.Dody 20TH - - ASR PENERBAD SMG3 11/08/2014 05-23-92 Tn.Arwan Asrib 47TH - - ASR.WIRATAMA Watugong SMG4 13/08/2014 05-25-44 Tn.Sutarmin 49TH - - JL.GedongSongo Brt I Rt.8/Rw.2 Manyaran SMG BRT5 15/08/2014 02-41-80 Tn.Sudaryanto 42TH - - ASR.YON ZIPUR AMBARAWA SMG6 15/08/2014 02-39-92 An.Fariez 3TH - - Candi Persil Rt.1/Rw.3 Kaliwiru SMG7 10/08/2014 02-23-58 Ny.Siti Chalimah - 42TH - JL.Surtikanthi Rt.9/Rw.1 SMG

Semarang, September 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -






NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAP DIAGNOSAMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)1 2 3 4 5 6 7 8 91 19/08/2014 05-27-88 Ny.Sulastri - 49TH - JL.Dworowati v Rt.2/Rw.4 SMG THYPOID2 17/08/2014 05-26-56 Nn.Eni Aristaningsih - 20TH - JL.Bukit Beringin Sltn X/Blok G.5 Rt.8/Rw.10 Gondorio Ngaliyan SMTHYPOID3 19/08/2014 05-27-43 Tn.Feri Supriyatna 25TH - - Terboyo Wetan Rt.4/Rw.2 SMG THYPOID4 19/08/2014 05-27-36 Sdr. Sandityas Danu 18TH - - JL.Bukit Merpati Rt.1/Rw.10 Ngesrep Banyu Manik SMG THYPOID5 20/08/2014 05-28-20 Ny.Siti Rubinah - 69TH - ASR.KBPT Rt.2/Rw.7 JL.Kesatrian SMG DIARE6 21/08/2014 05-28-80 An.Ayesha Azkiya 2TH - - KP.Baru No.20 Rt.16/Rw.5 Pondok Pinang Jakarta Selatan DIARE7 23/08/2014 05-29-51 An.Aprilia Firdaus Ek - 5TH - JL.Condrokusumo Rt.9/Rw.2 SMG DBD


Kepala Rekam Medis



KET10-------


Kepala Rekam Medis





NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAP DIAGNOSAMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)1 2 3 4 5 6 7 8 91 26/08/2014 04-71-35 An.Muhammad Shamkara 7TH - - JL.Dewi Sartika Brt V Rt.2/Rw.3 Sukorejo Gunung Pati SMG THYPOID2 29/08/20104 05-31-96 An.Aisyah Azzahra - 4TH - JL.Bulu Stalan II No.298 Rt.2/Rw.3 SMG SLTN THYPOID3 27/08/2014 05-30-76 Ny.Sujatmi - 64TH - ASR TNI AD MRICAN Rt.4/.Rw.15 Jomblang Candisari SMG THYPOID4 24/08/2014 00-49-74 Tn.Sutarno 60TH - - JL.Krajan Rt.4/Rw.3 Jangli SMG DIARE5 27/08/2014 05-30-93 Sdr.Arischa Adi Bulaksono 28TH - - Bukit Manyaran Permai Rt.3/Rw.5 SMG BRT DBD


Kepala Rekam Medis



KET10-----


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 36 TANGGAL : 31 AGUSTUS - 6 SEPTEMBER 2014


NO TANGGAL NO RM NAMA UMURMASUK RS PENDERITA LK PR

1 2 3 4 5 61 02/09/2014 05-33-46 Sdr.Denny Tri.P 21TH -2 01/09/2014 05-32-83 Ny.Mujiati - 41TH3 04/09/2014 05-34-59 Tn.Amir Syarifuddin 47TH -4 01-92-58 01-92-58 Nn.Luthfia Vienussia.R - 26TH5 03/09/2014 05-33-73 Ny.Novi Nuraina - 29TH6 01/09/2014 05-32-39 Tn.Kasiyadi 59TH -7 06/09/2014 02-17-22 Ny.Sri Indah Rejeki - 40TH8 01/09/2014 ;05-31-58 Sdr.Dharu .H 21TH -9 ;01/09/2014 05-32-15 An.Satria Tti 11TH -10 05/09/2014 01-37-18 An.Muhammad Aditya 15TH -11 02/09/2014 05-32-95 An.Kenzi Pradipa.W 7BLN -12 04/09/2014 05-34-22 Ny.Sri Suprapti - 32TH13 05/09/2014 05-34-86 An.Amira Jihan Tsabita - 11BLN14 06/09/2014 05-35-15 Tn.Budi Prayitno 54TH -15 06/09/2014 05-35-12 An.Embong 4TH -16 27/08/2014 05-29-17 An.Putra Pavindo 13BLN -17 05/09/2014 00-83-75 An.Aviska - 12TH18 03/09/2014 05-33-81 Tn.Ahmad Mudofir 25TH -


NAMA ORTU ALAMAT LENGKAP(Jln,RT/RW,Kel,Kec,Kota/Kabupaten)

7 8- JL.Lemah Gempal Rt.2/Rw.4 No.VII A Barusari SMG SLTN- Pucung Perbalan Rt.3/Rw.6 Srondol Banyu Manik SMG- ASR.RUMDIS WIRATAMA Watugong Pudak Payung B.Manik SMG- ASPOL Kalisari Flat B.6/LT.2 Rt.8/Rw.7 Barusari SMG SLTN- Tanggung Rejo Rt.3/Rw.6 Tambak Rejo Gayam Sari SMG- JL.Jatisari Rt.2/Rw.13 Gisikdrono SMG- ASR.EX BRIGIF V Rt.5/Rw.6 Ngesrep SMG- JL.Candi Pawon Tmr I Rt.6/Rw.4 Manyaran SMG BRT- Perbalan Purwosari Rt.9/Rw.2 SMG- JL.Kumudasmoro V Rt.2/Rw.1 Bongsari SMG BRT- JL.WR.Supratman No.35 SMG BRT- JL.Lebdosari XII Rt.8/Rw.2 Kalibanteng Kulon SMG BRT- JL.Candi Penataran SLTN III Rt.11/Rw.4 Kalipancur SMG BRT- KP.Bergota 526 D Rt.5/Rw.6 Randusari SMG SLTN- JL.Kebon Harjo Rt.6/Rw.63 Tanjung Mas SMG- JL.Kalialang Baru Rt.4/Rw.7 Sukorejo Gunung Pati SMG- JL.Dinar Mas SLTN IV No.13 Rt.2/Rw.16 Meteseh Tembalang SMG- ASR .HUBDAM Banyu Manik SMG




DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -DIARE -DIARE -DBD -MALARIA -


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 37 TANGGAL : 7 - 13 SEPTEMBER 2014



1 2 3 4 5 61 09/09/2014 05-36-80 Sdr.Slamet Juli 20TH -2 11/09/2014 05-37-88 Nn.Ria Hermitasari - 24TH3 07/09/2014 05-35-27 Ny.Heni Maryam - 33TH4 11/09/2014 03-53-83 An.Rafika Nur Istiqomah - 5TH5 11/09/2014 05-37-92 Nn.Ida Nuraini - 21TH6 07/09/2014 05-35-40 Nn.Uun Nabila - 15TH7 10/09/2014 05-36-87 Tn.Didik Irawan 29TH -8 11/09/2014 05-09-87 Ny.Karyumi - 46TH9 13/09/2014 05-38-50 An.Bima Arif 1TH -10 10/09/2014 03-47-51 An.Fabian Surya 13TH -11 11/09/2014 05-07-83 Ny.Hartini - 55TH12 09/09/2014 05-36-26 Ny.Dewi Setyowati - 60TH13 09/09/2014 05-36-68 An.Faliha Rihadatul - 7TH14 09/09/2014 05-36-73 An.Ivan Randika 8TH -15 11/09/2014 03-31-08 Tn.Heriyadi 29TH -16 08/09/2014 05-36-19 An.Alda Wijaya - 8TH17 07/09/2014 05-35-33 An.Aglis Raesi - 9TH



7 8- JL.Kemantren Rt.4/Rw.2 Kramat TEGAL- DK.Blimbing Rt.2/Rw.1 Sumber Rejo Jaken PATI- ASR.YON 400/R Rt.3/Rw.6 Srondol Kulon Banyumanik SMG- Jl.Mayangsari Rt.12/Rw.2 Kalipancur Ngaliyan SMG- JL.Bamban Kerep Rt.1/Rw.4 Kedung Pane Mijen SMG- JL.Menoreh Utara X/29 Rt.10/Rw.1 SMG- JL.Bima Rt.2/Rw.1 Pendrikan Kidul SMG TGH- JL.Tmn Lebdosari I/26 Rt.5/Rw.6 Kalipancur SMG- JL.Sekayu Brt III/391 C Rt.7/Rw.1 SMG- Perum Penerbad Rt.4/Rw.2 Kembangarum SMG BRT- JL.Rorojonggrang Rt.3/Rw.5 Manyaran SMG BRT- JL.Ringin Telu Rt.5/Rw.1 Kalipancur Ngaliyan SMG BRT

Tn.Sutris Purwanto JL.Mayangsari Rt.7/Rw.2 Kalipancur Ngaliyan SMGJL.Beruang Raya No.8 Rt.1/Rw.2 Gayamsari SMG

- ASR.HUBDAM IV/DIP Ngesrep Banyumanik SMG- ASR.HUBDAM IV/DIP Ngesrep Banyumanik SMG

Ny.Tri Peni JL.Kintelan No.326 Rt.3/Rw.3 Bendungan Gajah Mungkur SMG


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -DBD -DBD -DBD -DBD -


LAPORAN MINGGUAN WABAHMINGGU KE : 38 TANGGAL : 14 - 20 September 2014



1 2 3 4 5 61 17/09/2014 05-40-84 Ny.Cicik Tri Wahyuni - 33TH2 15/09/2014 05-39-65 Tn.Muhammad Shonhaji 44TH -3 18/09/2014 00-11-83 Ny.Rini Indarti - 27TH4 18/09/2014 05-41-70 Tn.Eko Nurhadi 41TH -5 16/09/2014 01-63-41 Nn.Novita Huri - 16TH6 16/09/2014 05-40-19 Nn.Laurentine Avila - 19TH7 15/09/2014 05-39-59 An.Anjani Rohmana - 2TH8 14/09/2014 05-38-78 Tn.Bambang Wagiono 40TH -9 18/09/2014 05-41-54 An.Shavika Kennis.A - 1TH10 15/09/2014 05-39-61 An.Safitri Larasati - 10BLN11 17/09/2014 05-40-68 Tn.Marlan 60TH -12 18/09/2014 05-41-21 An.Natasya Aprilia - 5BLN13 18/09/2014 05-40-59 An.Panji Nur Prastowo 10BLN -14 18/09/2014 05-41-66 An.Ian Danar 8TH -15 16/09/2014 05-40-16 An.Puji Astuti 7TH -16 18/09/2014 05-41-55 An.Rico Chandra.G 13TH -



7 8- JL.Bulu Stalan IV/642 Rt.4/Rw.2 SMG SLTN- JL.Purwomukti II/4 Pedurungan Lor SMG- DS.Klewonan Jati Rejo SURUH SMG- Karang Sari Rt.3/Rw.3 Bongsari SMG BRT- ASR.KODAM IV/DIP JATINGALEH Candi Sari SMG- Pekunden Brt 847 Rt.1/Rw.1 SMG BRT- Tarupolo Raya No.35 Rt.11/Rw.12 Gisik Drono SMG BRT- Tambak Mas IX/89 Rt.2/Rw.5 Panggung Lor SMG UTARA- Tmn Kumudasmoro Rt.9/Rw.8 Bongsari SMG BRT- JL.Srirejeki Rt.6/Rw.6 Gisik Drono SMG BRT- JL.Udowo Tmr Rt.6/Rw.10 Bulu Lor SMG UTARA- JL.Stonen Tmr Rt.6/Rw.9 No.20 Gajah Mungkur SMG- JL.Kaba Raya 41 Rt.11/Rw.11 Tandang Tembalang SMG- JL.Sinarmas III/973 Rt.11/Rw.1 Kedungmundu Tembalang SMG- JL.Menoreh Tgh XII Rt.6/Rw.4 Sampangan Gajahmungkur SMG- Kintelan No.326 Rt.3/Rw.3 Bendungan Gajahmungkur SMG




DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -DIARE -DIARE -DIARE -DBD -DBD -DBD -







1 2 3 4 5 61 26/09/2014 05-44-21 Tn.Dwi Okvianto 32TH -2 23/09/2014 05-43-71 Sdr.Dayu Loganata 18TH -3 23/09/2014 05-43-68 Ny.Sri Wuryani - 50TH4 21/09/2014 00-23-49 Ny.Dwi Nuryati - 36TH5 22/09/2014 05-43-24 Ny.Desi Natalia - 25TH6 21/09/2014 05-42-69 An.Rahma Kamila - 7BLN7 21/09/2014 05-42-52 An.Syafira - 1TH8 26/09/2014 05-45-18 Tn.Ari Pujo Pangestu 35TH -9 25/09/2014 05-14-12 Ny.Sri Dadwati - 68TH10 25/09/2014 05-44-71 Ny.Musiyem - 71TH11 27/09/2014 05-45-29 Tn.Moch Soeleman 87TH -12 25/09/2014 05-44-69 Ny.Suwarti - 53TH13 26/09/2014 05-45-16 An.Dewa Putra 1TH -14 18/09/2014 05-40-90 An.Mahira Hasna - 3,5TH15 21/09/2014 05-42-50 An.Maria Kasih Rosari - 4TH16 24/09/2014 03-23-70 An.Atha 2TH -17 27/09/2014 05-45-31 Sdr.Fajar .H 15TH -


NAMA ORTU ALAMAT LENGKAP DIAGNOSA(Jln,RT/RW,Kel,Kec,Kota/Kabupaten)7 8 9- JL.Tambra X /86 Rt.1/Rw.11 Kuningan SMG UTARA THYPOID- Ds.Sukoharjo Rt.7/Rw.6 Kranggan Harjo Toroh THYPOID- JL.Mustokoweni Rt.3/Rw.1 Plombokan SMG UTARA THYPOID- Jomblang Perbalan Rt.1/Rw.7 Candisari SMG DIARE- Karangrejo Sltn Rt.2/Rw.7 Tinjomoyo Banyumanik SMG DIARE- JL.Madukoro Rt.5/Rw.4 Krobokan SMG BRT DIARE- JL.Condrokusumo Rt.9/Rw.3 Bongsari SMG BRT DIARE- Randusari Pos atas Rt.5/Rw.2 SMG SLTN DIARE- JL.Borobudur Utara III Rt.1/Rw.4 Manyaran SMG BRT DIARE

- JL.Srinindito Sltn Rt.3/Rw.2 Ngemplak Simongan SMG BRT DIARE- JL.Erowati Raya No.24 Rt.6/Rw.2 Bulu Lor SMG DIARE- JL.Srinindito Rt.4/2 Ngemplak Simongan SMG BRT DIARE- Tambak Dlm I/53 Rt.2/Rw.3 Sawah Besar Gayamsari SMG DIARE- Kebon Harjo Rt.1/Rw.2 Tanjung mas SMG UTARA DIARE- Asr.Yon 400/R Srondol Kulon Banyumanik SMG DBD- Asr.Yon Arh.15 Jatingaleh Candisari SMG DBD- JL.Sultan Agung No.145 SMG DBD


Kepala Rekam Medis



KET10-----------------


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 40 TANGGAL : 28 SEPTEMBER - 4 OKTOBER 2014



1 2 3 4 5 61 28/09/2014 05-45-53 Ny.Rochatun - 61TH2 02/10/2014 05-47-88 An.Aira Kinasih - 1Th3 01/10/2014 05-48-19 Tn.Agus Edy.S 22TH -4 28/09/2014 05-45-50 Ny.Darmi - 72TH5 02/10/2014 05-47-59 Tn.M.Fatkurrochman 26TH -6 30/09/2014 05-46-68 Tn.Sukatemin - -7 30/09/2014 05-46-79 Ny.Suyati - 45TH8 01/10/2014 05-47-17 An.Kurniawan Rizki 4TH -9 29/09/2014 04-82-68 An.Maela Chalisa - 4,5 TH10 02/10/2014 05-48-72 Ny.Siti Khomariah - 45TH11 04/10/2014 01-36-18 An.Alfianisya - 11TH12 03/10/2014 05-47-58 Sdr.Arif Dwi Laksana 15TH -13 02/10/2014 05-47-48 Tn.Trijadi 68TH -14 04/10/2014 05-46-87 Ny.Oktavia Candrayani - 33TH15 28/09/20104 03-08-76 An.Vania Salma - 2TH16 30/09/2014 05-46-27 An.Rafa Afis 4BLN -17 04/10/2014 05-48-87 An.Anang Hermansyah 1TH -18 02/10/2014 04-16-42 Ny.Suprapti - 48TH19 02/10/2014 ;05-48-11 An.Flora Olivia - 8TH20 03/10/2014 05-48-22 Tn.Ary Setioko 34Th -21 02/10/2014 05-47-83 An.Guntur Elang 2TH -22 04/10/2014 05-48-81 An.Ahmad Said 5TH -23 28/09/2014 05-45-44 An.Putri Khanifa - 7TH24 01/10/2014 05-47-38 An.M.Zaki Samara 4TH -25 02/10/2014 05-48-09 Sdr.Kapit Segelimar 15TH -26 03/10/2014 05-48-52 An.Natasya Oktavia - 4TH


NAMA ORTU7--------------------------


ALAMAT LENGKAP DIAGNOSA(Jln,RT/RW,Kel,Kec,Kota/Kabupaten)8 9

JL.DR.Ismangil Raya Rt.4/Rw.4 Bongsari SMG BRT THYPOIDJl.Poncowolo Tmr Raya No.472 Rt.7/Rw.6 SMG THYPOIDKP.Wonosari VI/115 Rt.5/Rw.3 Randusari SMG SLTN THYPOIDJL.Wologito Tgh Rt.3/Rw.7 Kembang Arum SMG BRT THYPOIDJL.Krajan Tgh Rt.24/Rw.5 Sidoarjo THYPOIDJL.Dewi Sartika 4 Rt.3/Rw.4 Sukorejo Gunung Pati SMG THYPOIDJL.Srinindito I Rt.9/Rw.1 Ngemplak Simongan SMG BRT THYPOIDJL.Tlogobayem Rt.3/Rw.5 SMG DIAREKendeng II A/10 Rt.4/Rw.3 Bendan Ngisor Gajah Mungkur SMG DIAREWonosari VII Rt.9/Rw.3 Randusari SMG SLTN DIAREJangli Krajan Rt.5/Rw.6 Karanganyar Gunung Candisari SMG DIAREJL.Kebon Batur Utara IV/1 Rt.2/Rw.10 Kebon Batur Mranggen Demak DIARESawah Besar Rt.1/Rw.3 Kaligawe Gayamsari SMG DIAREJL.Gang Kutilang No.47 Rt.4/Rw.8 Bintoto DEMAK DIAREAsr.Yon 400/R Srondol Kulon Banyumanik SMG DIAREJL.Condrokusumo Baru Rt.12/Rw.3 Bongsari SMG BRT DIAREPerum Padepokan Ganesa C.12 Pandean Lamper SMG DIAREJL.Pekunden Utara No.540 Rt.5/Rw.2 SMG TGH DIAREPerum Pasadena Candimas No.161 Rt.3/Rw.7 Ngaliyan SMG DIAREAsr.Yon 400/R Srondol Kulon Banyumanik SMG DIAREMawar Sari Rt.8/Rw.3 Kuningan SMG UTARA DIARESanggung Raya Rt.4/Rw.6 Jatingaleh Candi Sari SMG DIAREJL.Mawar sari Rt.8/Rw.3 Kuningan SMG UTARA DIAREJL.Menoreh Tmr IV/43 Rt.1/Rw.1 Sampangan Gajah mungkur SMG DIAREJL.Candisari Rt.1/Rw.5 Mranggen DEMAK DIAREJL.Dr.Ismail Rt.2/Rw.11 Gisik drono SMG BRT DIARE

Semarang, Oktober 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis



KET10--------------------------

Semarang, Oktober 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 41 TANGGAL : 05 OKTOBER - 11 OKTOBER 2014



1 2 3 4 5 61 08/10/2014 05-50-54 Nn.Shinta Devianti - 16TH2 09/10/2014 05-51-02 Tn.Yogi Adi Surendra 21TH -3 07/10/2014 03-20-59 Tn.Suyono 27TH -4 07/10/2014 05-49-96 Tn.Wawan Hariyanto 27TH -5 05/10/2014 00-19-93 An.Bernandius Bintang 10TH -6 08/10/2014 05-50-50 An.Putri Amalia Salma - 11TH7 07/10/2014 05-49-59 Nn.Etik Destantri - 19TH8 08/10/2014 05-50-30 Tn.Eko Afif .F 21TH -9 10/10/2014 00-30-91 Nn.Nuansa Ramadhani - 15TH10 08/10/2014 03-75-10 Tn.Sujarwo 60TH -11 07/10/2014 02-76-17 An.Deghi Merfi.A 2,5TH -12 09/10/2014 05-51-05 An.Rehan 6BLN -



7 8- JL.Rorojonggrang Dlm I Rt.5/Rw.6 Manyaran SMG BRT- JL.Bamban kerep Rt.5/Rw.4 Mijen SMG- Asr Yon 400/R Srondol Kulon Banyumanik SMG- Asr.Yon Zipur IV Kebonpolo Ungaran SMG- Heliconia C.6/12 Manyaran SMG BRT- Mugas Brt XI/23 A Rt.1/Rw.3 SMG SLTN- Bongsari Rt.4/Rw.3 SMG BRT- Asr Yon 400/R Srondol Kulon Banyumanik SMG- JL.Taman Srirejeki Tmr SMG- Ds.Dukuh Rt.2/Rw.2 Sudimoro Teras Boyolali- JL.Kumudasmoro Dlm Rt.1/Rw.5 Bongsari SMG BRT- Gayam Sari Rt.3/Rw.3 Tlogomulyo Pedurungan SMG


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -DIARE -DIARE -







1 2 3 4 5 61 12/10/20104-71-35 An.Noval Satria 7TH -2 14/10/20105-31-96 An.Azzahra Putri - 4TH3 15/10/20105-30-76 Ny.Sulastri - 64TH4 17/10/20100-49-74 Tn.Sutarko 60TH -5 18/10/20105-30-93 Sdr.Faisal 28TH -6 17/10/20105-64-93 An.Eka Putri.N - 6TH7891011121314151617



7 8- JL.Dewi Sartika Sltn VI Rt.4/Rw.2 Sukorejo Gunung Pati SMG- JL.Bulu Stalan III No.298 Rt.2/Rw.3 SMG SLTN- ASR TNI AD MRICAN Rt.4/.Rw.15 Jomblang Candisari SMG- JL.Krajan Rt.4/Rw.3 Jangli SMG- Bukit Manyaran Permai Rt.3/Rw.5 SMG BRT- Pekunden Tgh No.1100 Rt.9/Rw.2 SMG TGH---


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -DIARE -DBD -DBD -







1 2 3 4 5 61 19/10/2014 04-39-16 An.Cika Nirbaya - 20TH2 21/10/2014 00-43-42 An.Aldiva.M 6TH -3 19/10/2014 02-51-68 Tn.Agus Kurniawan 32TH -4 20/10/2014 05-56-11 An.Deswita Mardiana - 9TH5 20/10/2014 04-36-92 An.Faris.M 2TH -6 20/10/2014 05-50-30 Tn.Eko Afif 21TH -7 21/10/2014 05-56-62 Nn.Krisinta Devi.S 6TH -8 23/10/2014 01-97-12 An.Dewi Sekar Mustika - 6TH91011121314151617


NAMA ORTU ALAMAT LENGKAP DIAGNOSA(Jln,RT/RW,Kel,Kec,Kota/Kabupaten)7 8 9- Asr.Marindal Mahani MEDAN THYPOID- JL.Gergaji Kelapa Rt.8/Rw.6 Mugasari SMG SLTN THYPOID- Asr.Yon Arhanudse-15 Jatingaleh Candisari SMG THYPOID- JL.Puspanjolo Rt.4/Rw.3 Bojongsalaman SMG BRT DIARE- Bongsari Rt.5/Rw.8 SMG BRT DIARE- Asmil Yon 400/R Srondol Kulon Banyumanik SMG DBD- Perbalan Purwosari V/747 SMG DBD- JL.Wiroto 2 SMG DBD-




KET10-----




LAPORAN MINGGUAN WABAHMINGGU KE : 44 TANGGAL : 26 OKTOBER - 01 NOVEMBER 2014



1 2 3 4 5 61 30/10/2014 05-61-53 Tn.Agus Triyanto 40TH -2 28/10/2014 05-59-75 Nn.Anggun Widita - 19TH3 29/10/2014 04-92-33 An.Zerlinda Nada 3TH -4 30/10/2014 05-58-19 Tn.Teguh Imam.S 45 TH -5 26/10/2014 05-58-54 An.Anisa Wangsa Putri - 11 TH6 31/10/2014 05-61-08 Ny.Erni Anggraeni - 24 TH7 31/10/2014 04-33-38 An.Nizam Ahza Elhabiq 10 BLN -8 31/10/2014 05-61-43 An.Amelia - 7 BLN9 01/11/20104 04-16-53 An.Ricky Daffa 10 TH -1011121314151617


NAMA ORTU7------

Tn.Hadi Ismanto--



JL.Puspanjolo Tmr Tgh IV/ II Rt.8/Rw.2 Cabean SMG BRT THYPOIDA.Karim Rt.6/Rw.2 Cadika Rimbo tgh JAMBI THYPOIDJL.Menoreh Tgh X / 3 Rt.5/Rw.7 Sampangan Gajah Mungkur SMG THYPOIDJL.Lamper Tgh No.656 B SMG THYPOIDJL.Lamper Tgh VII Rt.2/Rw.7 SMG SLTN THYPOIDAspol Kalisari Blok III Rt.2 /Rw. 7 Barusari SMG SLTN THYPOIDPekojan Tgh Rt.7 / Rw. 5 Purwodinatan SMG TGH THYPOIDJL.Pamularsih 7 Rt.3/Rw.9 Bongsari SMG BRT DIAREDS.Bendungan Rt.2/Rw.3 Kacangan Ungaran Timur SMG DBD

Semarang, November 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



KET10---------

Semarang, November 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 45 TANGGAL : 02 NOVEMBER - 08 NOVEMBER 2014



1 2 3 4 5 61 02/11/2014 05-61-84 Tn.Sajidoen 69 TH -2 04/11/2014 05-43-30 Ny.Ratih Kusuma - 24 TH3 03/11/2014 05-62-59 Ny.Intan Agustin - 30 TH4 08/11/2014 05-64-81 Nn.Endah Puspitarini - 24 TH5 05/11/2014 05-63-61 An.Catur Eka - 7 BLN6 08/11/2014 05-64-84 An.Sami Ikhsan.P 5 BLN -7 08/11/2014 05-64-71 An.Hafiz Arya 2,5 TH -8 04/11/2014 05-63-07 Ny.Rodhiyah - 38 TH9 04/11/2014 05-62-70 An.Yoela Angel - 9 Th10 03/11/2014 05-65-02 An.Adelia Safitri - 10 TH11121314151617



7 8- JL.Puspowarno Sltn II Rt.3 /Rw.5 Salaman Mloyo SMG BRT- JL.Kaliwiru III /491 Rt.7/Rw.2 Candisari SMG- Patemon Rt.1/Rw.3 Gunung Pati SMG- JL.Kenconowungu V Rt.6/Rw.1 Karangayu SMG BRT- JL.Kalialang Lama Rt.2/Rw.1 Sukorejo Gunungpati SMG

Tn.Suyatno JL.Mintojiwo Dlm V Rt.5/Rw.4 Gisikdrono SMG BRT- Kuripan Karangawen Rt.3/Rw.10 DEMAK- JL.Erowati Sltn Rt.7/Rw.2 Bululor SMG UTARA- JL.Srinindito Rt.1/Rw.2 Ngemplak Simongan SMG BRT- JL.Pergiwati III No.20 Rt.3/Rw.6 Bululor SMG UTARA


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DBD -DBD -DBD -


Kepala Rekam Medis






1 2 3 4 5 61 09/11/2014 04-71-35 An.Muhammad Ilham 7TH -2 11/11/2014 05-31-96 An.Siska Eva - 4TH3 12/11/2014 05-30-76 Ny.Sulasti - 64TH4 13/11/2014 00-49-74 Tn.Sutarko 60TH -5 15/11/2014 05-30-93 Sdr.Faizal 28TH -67891011121314151617



7 8- JL.Dewi Sartika Brt V Rt.2/Rw.3 Sukorejo Gunung Pati SMG- JL.Bulu Stalan II No.298 Rt.2/Rw.3 SMG SLTN- ASR TNI AD MRICAN Rt.4/.Rw.15 Jomblang Candisari SMG- JL.Krajan Rt.4/Rw.3 Jangli SMG- Bukit Manyaran Permai Rt.3/Rw.5 SMG BRT----


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -DIARE -DBD -


Kepala Rekam Medis






1 2 3 4 5 61 16/11/2014 04-71-35 An.Bayu Pratama 7TH -2 17/11/2014 05-31-96 An.Annisa Eva - 4TH3 18/11/2014 05-30-76 Ny.Susana Wati - 64TH4 20/11/2014 00-49-74 Tn.Sony 60TH -5 22/11/2014 05-30-93 Sdr.Ahmad Fahrozi 28TH -67891011121314151617



7 8- JL.Dewi Sartika Brt V Rt.2/Rw.3 Sukorejo Gunung Pati SMG- JL.Bulu Stalan II No.298 Rt.2/Rw.3 SMG SLTN- ASR TNI AD MRICAN Rt.4/.Rw.15 Jomblang Candisari SMG- JL.Krajan Rt.4/Rw.3 Jangli SMG- Bukit Manyaran Permai Rt.3/Rw.5 SMG BRT----




DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -DIARE -DBD -







1 2 3 4 5 61 28/11/2014 05-73-69 Tn.Agung Ariyadi 24 TH -2 29/11/2014 03-34-04 Ny.Desi Nataliya Saputri - 28 TH3 29/11/2014 05-73-99 An.Aulia Sukma - 1 TH4 27/11/2014 03-26-07 An.Mahfud Aji Wira Buana 2 TH -5 28/11/2014 05-73-59 An.Aldi Firmansyah 4 TH -6 28/11/2014 04-84-82 An.Marvel Putra.L 1 TH -



7 8- JL.Dewi Sartika Brt Rt.3/Rw.2 Sukorejo Gunungpati SMG- ASR.YON 400/R Srondol Kulon Banyumanik SMG- Tambak Rejo Utara Tanjung Mas SMG UTARA- ASR.ARHANUDSE-15 Jatungaleh Candisari SMG- JL.Kendeng II Rt.3/Rw.3 Bendan Ngisor Gajahmungkur SMG- Kudu Baru Rt.2/Rw.5 Genuk SMG


Kepala Rekam Medis



DIAGNOSA KET9 10

THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE


Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 49 TANGGAL : 30 NOVEMBER - 06 DESEMBER 2014



1 2 3 4 5 61 01/12/2014 05-74-70 An.Cantiqa Ghaiziya - 1,5 TH2 30/11/2014 00-06-13 An.Andrei Sheva.A 9 TH -3 30/11/2014 05-74-11 An.Abiy Yusilo Zamzhino 7 TH -4 30/11/2014 05-74-10 An.Yuanita Tri Agnes - 1 TH5 04/12/2014 05-76-16 An.Angelina Fitri Kanya - 2 TH6 03/12/2014 05-75-40 Ny.Rumini - 28 TH7 02/12/2014 05-75-20 An.Neelam Keysha - 1 TH8 06/12/2014 05-76-69 An.Fauzan Rafif.A 2 TH -9 01/12/2014 05-58-28 An.Bima Ramadhan 16 BLN -10 02/12/2014 05-75-13 An.Dzikri Kurnia.R 9 TH -11 03/12/2014 05-75-57 An.Ruth Fawnia - 10 TH12 03/12/2014 05-75-30 An.Rama Erita Dhani - 5 TH13 03/12/2014 05-76-17 Tn.Bambang Suprayitno 59 TH -14 07/12/2014 05-76-44 Ny.Nani Kristiani - 30 TH15 03/12/2014 01-24-04 Nn.Kristiana Upi.S - 18 TH16 05/12/2014 05-34-52 An.Adinata Tritama 3 BLN -17 05/12/2014 05-76-44 Ny.Tira Vinka 11 BLN -


NAMA ORTU7

Tn.Toni Daryono----------

------



ASR.YON 400/R Rt.1/Rw.6 Srondol Kulon Banyumanik SMG THYPOIDJL.Jomblang Perbalan Rt.7/Rw.1 Candisari SMG THYPOIDJL.Lempongsari Brt No.561 Rt.3/Rw.5 Gajahmungkur SMG THYPOIDJL.Rorojonggrang Rt.6/Rw.6 Manyaran SMG BRT DIAREJL.Karang Jangkang Rt.10/Rw.4 Ngemplak Simongan SMG BRT DIAREDS.Grawang Rt.6/Rw.1 SUMBER REMBANG DIAREJL.Prembaen 888 Rt.3/Rw.5 Kembangsari SMG DIAREJL.Gedong Songo Rt.9/Rw.1 Manyaran SMG BRT DIAREJL.Mintojiwo Tmr Rt.5/Rw.4 Gisik Drono SMG BRT DIAREJL.Kumudasmoro Tgh Rt.2/Rw.8 Bongsari SMG BRT DIARESadeng Rt.6/Rw.2 Gunung Pati SMG DBDDelik Rejo Rt.1/Rw.11 Tandang Tembalang SMG THYPOIDJL.Flamboyan No.14 Rt.1/Rw.3 Sampangan Gajahmungkur SMG THYPOIDJL.Prembaen Rt.2/Rw.5 Kembang Sari SMG TGH THYPOIDASR.KESDAM IV / DIP Rt.3/Rw.3 Barusari SMG SLTN DIAREJL.Kalitiga Rt.7/Rw.4 Wonotingal Candisari SMG DIAREJL.Kenconowungu Tgh Rt.4/Rw.5 Karangayu SMG BRT DIARE

Semarang, Desember 2014RS:BHAKTI WIRA TAMTAMAKepala Rekam Medis



KET10-----------------

Semarang, Desember 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis



LAPORAN MINGGUAN WABAHMINGGU KE : 50 TANGGAL : 07 DESEMBER - 13 DESEMBER 2014



1 2 3 4 5 61 07/12/2014 02-22-50 An.M.Iqiyya Noor.R 7 TH -2 07/12/2014 02-85-65 Ny.Rusydah - 34 TH3 07/12/2014 05-76-86 Tn. Andi Nunung 34 TH -4 08/12/2014 05-77-02 An.Isti Nur Mukaromah - 8 TH5 08/12/2014 05-77-40 Tn.Sunarto 39 TH -6 07/12/2014 04-77-80 Ny.Nanik Wahyuti - 56 TH7 07/12/2014 05-76-90 An.Farhan Reza 3 TH -8 11/12/2014 05-76-83 An.Fadli Muhammad 3 TH -9 13/12/2014 05-79-62 Ny.Watini - 79 TH10 11/12/2014 05-79-05 Ny.Choiriyah - 61 TH11 09/12/2014 01-32-62 An.Dwi Sinta - 6 TH



7 8- JL.Nusa Indah II/30 Rt.3/Rw.5 Tambak Aji Ngaliyan SMG- JL.Candi Prambanan Rt.3/Rw.10 Manyaran SMG BRT- Perum Sembung Harjo Indah Rt.11/Rw.3 Banget Ayu Wetan SMG- JL.Udowo Tmr I Rt.2/Rw.10 Bulu Lor SMG UTARA- JL.Menoreh Utara Rt.9/Rw.1 Sampangan Gajah Mungkur SMG- JL.Sapta Marga III/223 Rt.1/Rw.9 Ngesrep Banyumanik SMG- JL.Bedagan II/198 E Rt.7/Rw.2 Sekayu SMG TGH- JL.Pekunden Utara No.555 SMG- JL.Sedayu Indah IV/5 Rt.7/Rw.2 Banget Ayu Genuk SMG- JL.Brotojoyo Brt IV Rt.4/Rw.3 Panggung Kidul SMG UTARA- ASR.YON 400/R Srondol Kulon Banyu Manik SMG




DIAGNOSA KET9 10

THYPOID -THYPOID -THYPOID -THYPOID -THYPOID -DIARE -DIARE -DIARE -DIARE -THYPOID -DBD -






NO TANGGAL NO RM NAMA UMURMASUK RS PENDERITA LK

1 2 3 4 51 15/12/2014 03-45-30 Ny.Suminah -2 15/12/2014 05-79-93 Ny.Supani -3 15/12/2014 05-80-38 Ny.Kasmirah -4 14/12/2014 05-79-74 Tn.Bejo 30 TH5 14/12/2014 05-79-87 Ny.Sumiyati -6 14/12/2014 04-84-99 An.Prihaning Tias -7 16/12/2014 05-80-80 Nn.Fitria Nur -8 15/12/2014 05-79-55 An.Alisya Mitha -9 15/12/2014 05-80-31 Ny.Poniasih -


UMUR NAMA ORTUPR6 7

43 TH -52 TH -61 TH -

- -62 TH -17 BLN -26 TH -5 TH -49 TH -



Gunung Talang Rt.2/Rw.4 Gajah Mungkur SMG THYPOIDJL.Tmn Srinindito Rt.5/Rw.4 Ngemplak Simongan SMG BRT THYPOIDJL.Sri Rejeki Dlm 3 Rt.3/Rw.3 Kalibanteng SMG BRT THYPOIDWonosari Rt.5/Rw.4 Randusari SMG SLTN THYPOIDRejosari Rt.1/Rw.1 Tawang Mas SMG BRT DIAREJL.Wonosari I/24 Rt.3/Rw.4 Randusari SMG SLTN DIAREJL.Borobudur Utara III /26 Manyaran SMG BRT DIAREJL.Borobudur Tmr XIV Rt.1/Rw.9 SMG DIAREPurwosari Perbalan Rt.4/Rw.5 SMG DBD

Semarang, Desember 2014RS:BHAKTI WIRA TAMTAMA

Kepala Rekam Medis



KET10---------






NO TANGGAL NO RM NAMA UMUR NAMA ORTU ALAMAT LENGKAP DIAGNOSA KETMASUK RS PENDERITA LK PR (Jln,RT/RW,Kel,Kec,Kota/Kabupaten)1 2 3 4 5 6 7 8 9 101 15/12/2014 03-45-30 Ny.Suminah - 43 TH - Gunung Talang Rt.2/Rw.4 Gajah Mungkur SMG THYPOID -2 16/12/2014 05-80-89 Ny.Pertiwisari - 28 TH - Srondol Kulon Rt.4/Rw.1 Banyumanik SMG THYPOID -3 18/12/2014 01-38-25 Ny.Ida Royani - 40 TH - JL.Dempel Brt Rt.8/Rw.3 Sawah Besar Gayam Sari SMG THYPOID -4 17/12/2014 05-81-33 Nn.Dian Eka Noviani - 20 TH - Tlogo Tunggal Rt.1/Rw.3 Sumber REMBANG THYPOID -5 19/12/2014 01-24-94 An.Havisa - 6 TH - Kalisegoro Rt.4/Rw.2 Gunung Pati SMG THYPOID -6 20/12/2014 04-81-95 An.Hesti Nurvita Sari - 10 TH - JL.Brigjen Katamso Rt.4/Rw.3 No.5A Susukan Ungaran Tmr SMG THYPOID -7 20/12/2014 00-18-87 An.Richi Ilham 15 TH - - JL.Puri Anjasmoro Rt.2/Rw.3 Tanjung Mas SMG BRT THYPOID -8 21/12/2014 05-82-57 Nn.Naura - 19 TH - ASR.TANGSI SALATIGA THYPOID -9 17/12/2014 05-80-92 Sdr.Irwan Adhi Setyawan 21 TH - - JL.Menoreh Raya Rt.6/Rw.1 Sampangan Gajah Mungkur SMG THYPOID -10 17/12/2014 05-80-98 Ny.Sri Tutik - 42 TH - JL.Kebon Harjo Rt.8/Rw.5 Tanjung Mas SMG UTARA THYPOID -11 16/12/2014 05-80-81 An.Nanda Aditya 2 TH - Tn.Ari Pujo Randusari Pos 2 Atas Rt.5/Rw.2 SMG SELATAN THYPOID -12 27/12/2014 05-84-88 Sdr.Muarif 23 TH - - JL.Damar Wulan 2 Rt.8/Rw.4 Karang Ayu SMG BRT THYPOID13 25/12/2014 05-84-74 Tn.Suhartono 40 TH - - JL.Tmn Srinindito Rt.8/Rw.4 Ngemplak Simongan SMG BRT THYPOID -14 21/12/2014 00-15-05 Ny.Ade Irma Suryani - 34 TH - JL.Ketileng Asri Blok F No.36 Sendang Mulyo Tembalang SMG THYPOID -15 21/12/2014 05-82-64 Tn.Bayu Kurniawan 33 TH - - JL.Randusari Pos II Atas Rt.9/Rw.2 SMG SLTN THYPOID -16 26/12/2014 05-84-87 An.Aulia Rosa - 1,5 TH Tn.Aditya JL.Udowo Timur 1 No.2 Rt.7/Rw.10 Bulu Lor SMG UTARA THYPOID -17 28/12/2014 05-85-11 An.Agil Setiawan 12 TH - - JL.Batam Timur 1 Rt.3/Rw.5 Miroto SMG TGH THYPOID -18 21/12/2014 05-03-57 Nn.Ayu Pitarti - 36 TH - JL.Gunung Talang No.40 Rt.2/Rw.2 SMG THYPOID -19 21/12/2014 03-98-07 Tn.Wahyu Dwi Pamungkas 20 TH - - ASR.PENERBAD SMG THYPOID -20 23/12/2014 05-83-70 Tn.Dwi Nurtanto 34 TH - - Gembong Sari Rt.2/Rw.7 Tanjung Rejo Gayam Sari SMG THYPOID -21 26/12/2014 05-56-09 Nn.Nina Tias.W - 23 TH - Sido Luhur XI /30 Rt.3/Rw.6 Muktiharjo Pedurungan SMG THYPOID -22 17/12/2014 05-80-91 An.Rasid 3,5 TH - Tn.Guntur Cahyono JL.Jati Sari Rt.5/Rw.13 Gisik Drono SMG BRT DIARE -23 15/12/2014 05-80-32 An.Muh Rizky 8 BLN - Tn.Muh Ridwan JL.Purwosari Perbalan Gg.1 No.23 Rt.3/Rw.4 SMG DIARE -24 18/12/2014 05-81-88 Tn.Supardi 89 TH - - Candi Persil No.30 Rt.1/Rw.3 Kaliwiru Candi Sari SMG DIARE -25 19/12/2014 04-97-99 An.Valda Aninya - 3 TH - Boom Lama Rt.5/Rw.3 SMG DIARE -26 17/12/2014 05-81-34 An.Arjuna Novianto 1 TH - - JL.Noroyono Rt.1/Rw.2 Bulu Lor SMG UTARA DIARE -27 18/12/2014 05-81-87 An.Faeza Hervi Alfaro 11 BLN - Tn.Heri Kiswanto JL.Kalilangse Rt.4/Rw.5 Gajah Mungkur SMG DIARE -28 24/12/2014 05-84-52 An.Randi Yarjuna 3 TH - - JL.Kalilangse Rt.3/Rw.4 Gajah Mungkur SMG DIARE -29 15/12/2014 05-80-41 An.Restu Gibran.S 1,5 TH - - Wonosari No.4 Rt.3/Rw.3 Randusari SMG SLTN DIARE -30 24/12/2014 05-84-10 An.Avila Aleandra - 2 TH Tn.Tofan Lukito JL.Srinindito VII /55 Rt.4/Rw.1 Ngemplak Simongan SMG BRT DIARE -31 24/12/2014 04-65-70 An.Rahma Mutiara Aida - 2 TH - KP.Wonosari II /31A Rt.4/Rw.4 Randusari SMG SLTN DIARE -32 27/12/2014 05-84-94 An.Frisilia - 7,5 TH Tn.Edi Bongsari Rt.2/Rw.4 Sadeng Gunung Pati SMG DIARE -33 25/12/2014 05-37-89 An.Kenu Kinandara 5 TH - - JL.Garuda No.16 SMG DIARE -34 13/12/2014 01-35-89 An.Aulia Putri .Z - 8 TH Tn.Zaenal Abidin ASR.YON 400/R Srondol Kulon Banyumanik SMG DBD -35 17/12/2014 03-08-76 An.Vania Salma Nur Aulia - 2 TH - ASR.YON 400/R Srondol Kulon Banyumanik SMG DBD -36 28/12/2014 05-85-00 An.Aqila Khanza - 6 TH - ASR.YON 400/R Srondol Kulon Banyumanik SMG DBD -37 24/12/2014 05-83-86 Sdr.Wahyu Zulfikarna 15 TH - - JL.Wilis II Genuk Baru Rt.8/Rw.7 Tegal Sari Candi Sari SMG DBD -38 26/12/2014 02-23-83 An.Sabrina - 9 TH Tn.Rusmanaji JL.Candi Prambanan Rt.3/Rw.10 Kalipancur Ngaliyan SMG DBD -39 22/12/2014 05-83-01 Tn.Nanang Hariyadi 29 TH - - ASR.YON ARH Rt.5/Rw.10 Jatingaleh Candisari SMG DBD -40 25/12/2014 05-84-56 Sdr.Yoga Irsa 15 TH - - JL.Anjasmoro Tgh No.72 Rt.5/Rw.6 Karang Ayu SMG BRT DBD -41 28/12/2014 05-85-06 Tn.Nova Prasetyo 31 TH - - JL.Jati Sari Rt.6/Rw.13 Gisik Drono SMG BRT DBD -42 25/12/2014 02-03-73 Tn.Harjuno Siswoyo 26 TH - - ASR.YON 400/R Srondol Kulon Banyumanik SMG HEPATITIS -



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