LAPORAN PELAYANANRAWAT JALAN TINGKAT PERTAMA (RJTP)BULAN APRIL TAHUN 2014NAMA FASKES :................................ALAMAT : ................................

NOTANGGALNO KARTUPESERTANAMA PESERTADIAGNOSADIRUJUKTANDA TANGANPASIEN

101-04-20140001685846485sitam2100

201-04-20140001685875318Kasmuri1200

301-04-20140000756245485GendukApendik

401-04-20140000103822075Abd hadi samiun4102

501-04-2014001255979463Suwadi2304

601-04-20140001255979643RateningHT

701-04-20140001256563247SutikDC

801-04-201400012565659615SupiyahUMA

901-04-20140000103558871ChundoriPOST CUA

1001-04-201400007560222072Jumari2100

1101-04-20140001270698063PaintenHerniat SH

1201-04-2014000075642348Siti juwariyah2100

1301-04-20140000103661919Tamam2100

1401-04-20140001264024962SokranCML

1501-04-20140000103559308Fatim emmy f2100

1601-04-20140000755395953Kaswati2100

1701-04-20140000755395773Asan22

1801-04-20140000103857164Kardi22

1901-04-201400001047051281Jamiatun1302

2001-04-20140000755862579salim2100

2102-04-20140000103604973Siti choiriyahDM

2202-04-20140000103843989BibitDM

2302-04-20140000103823223KastamiDepi sil

2402-04-201400007537118441JulaikahDM

2502-04-201400001263528415tn suciptoPost CP Molekul

2602-04-2014000010370683Rahmad1504

2702-04-20140000103562073Sabari3804

2802-04-20140000756502075Kusmidah

2902-04-20140000103559646Siti wahluda2101+4102

3002-04-20140000755624125Kuminik Bejuta dian

3103-04-201400001047059741Yatining1600

3203-04-20140000756898626Kasan2100

3303-04-20140000103822738Ichsan3804

3403-04-20140000103455279Widodo adi w0902

3503-04-20140000103600732suwarto66K

3603-04-20140000755898669Suhartini0104

3703-04-20140000756451822Juwariyah 1005

3803-04-20140001685851822Sholeh1403

3903-04-2014000169418327Samining1200

4003-04-20140000757321288a. zainuri0901

4103-04-20140000756959141IswahyudiHermoid

4203-04-20140000103514084Samsuri1200

4303-04-20140000755692301RochmiDeroasi 2100

4403-04-20140000756780827Sami2504

4504-04-20140000756471699Karsudi0803

4604-04-2014000075687874Munawi1200

4704-04-20140000103561143Nadi2101

4804-04-20140000103563178Sukur1200+1403

4904-04-20140000103822097Abdul hadi kolil3303

5004-04-20140000103825124Soejoto2002+2004

5104-04-201400001685870583Kasmadi3804

5204-04-201400001685831894m. lili suryadi0704

5304-04-20140000103823537masidjan1200

5404-04-20140000757091529Srimah3804

5504-04-201400001685826663Sinem2100+4102

5605-04-20140000757667777Tariseh1302

5707-04-20140000755976339TamiHepatitis B

5807-04-20140000757283681Dorsining1302

5907-04-20140000755231264Situm1200

6007-04-20140000756397528Budi sKeratitin

6107-04-20140000756397372TuminiDM

6207-04-20140000756396808KasranNT

6307-04-20140000755717106Sugianto2100

6407-04-20140000206234987Enek miftahul A1306

6507-04-20140000103873588Asir1302

6607-04-20140000103873549Sripuk hidayah1200

6707-04-20140000756289811M. ubaidillahVoncela

6807-04-201400001038226604H. HasyimJraliti

6907-04-20140000103822615Siti ZulfaDM

7007-04-20140000103607493Edy Sulati Drs MaCDA

7107-04-201400001685846485SitamYasini

7207-04-20140000103562436Siti aisyah3304

7307-04-20140000103624582Mulyadi3304

7407-04-20140000756539908Kasmiati2100

7507-04-20140000159493871Waluto, puPost CUA

7607-04-201400001291204844JuyaniGI/6801

7707-04-20140000103559872Novi rizal FPost Or.

7807-04-201400001262731634Hj. Kalimah2100

7908-04-20140001685875318Kasmuri1200

8008-04-201400001283014181Wartono6101

8108-04-20140000756694236Ahmad ali0104

8208-04-2014000044221263Mujiati3303

8308-04-20141306140061441Chundori3303

8408-04-20140000755729098Saminah1200

8508-04-201400001685851852Sholeh1403

8608-04-20140000103641772Sumi3304

8708-04-20141306620221027SiSwati1404

8808-04-20140001685798537Tarmijah4102

8908-04-20140000755588035m. muslikDapotitis

9008-04-201412012036385201M. auky6101

9108-04-2014000010377662Rasipan4102

9208-04-20140000103824459Hj. Rusjani3303

9308-04-20140059105298609Daffa A4102

9408-04-20140000755624125Fadhkltul HSusp C2

9510-04-20140000756045641ZainuriPost op Fr

9610-04-20140000755825117Kasipan1200

9710-04-20140000103559646Siti wadluha3304

9810-04-20140000755803776Poniyem66k

9910-04-201400001273235005h. ali faqih3303

10010-04-20140000755803776Zaid abin1101

10110-04-20140000757205122Riska denes j2100

10210-04-20140000756937978Ruqmiati0902

10310-04-20140000757058758Marotin1302

10410-04-20140000103560535Tasmurin2100

10510-04-20140000165445271Umi kulsum3303

10610-04-20140000755387144Marsini3804

10711-04-20140000755051512IwanEpilepsy

10811-04-201400007556775606AbuSusp BPH

10911-04-20140000757371723Sumiyah1403

11011-04-20140000757354105aBdul wahabSusp lymphoma

11111-04-20140000756653253Jaiseh2101

11211-04-20140000756638627Saleh1403

11311-04-20140000103560715Muaziz HM3304+1200

11411-04-201400001685891474Sukira2100

11511-04-20140000756296493SarniTyroid

11612-04-20140001266057371KriswantoShiropherin

11712-04-20140000755476082SutilahGastritis

11812-04-201400007562291025Yayuk rohmawatiStep Sp

11912-04-20140000757083723Ny tamisihHT

12014-04-20140000755231264Ny. Situm HT

12114-04-2014000010322738Ichsan Bolsan

12214-04-20140000756768666Daseh2200

12314-04-201400001047058345Sukri3804

12414-04-20140000755729098Saminah1200

12514-04-20140000103823188SrianiPutopca hydrid

12614-04-201400001685752907Sumining4102

12714-04-20140000103823188Sriami2100

12814-04-20140000755747223Samini3303+4102

12914-04-20140000755747616Sulkan0104

13014-04-201400001294825432Sumining3303

13114-04-2014Shodik1200

13214-04-20140000755711256Siti khoriyah3804

13314-04-201400001273235003h. ali faqih 2100

13414-04-20140000103825696Ismin6816

13514-04-20140000756775606Abu6816

13614-04-20140000103563134Siti chotimah0801

13714-04-20140000103563145Isnami Judah R0801

13814-04-2014Yunita2100

13914-04-2014Julaekah3303

14014-04-20140000754811054AhmadHuarmoliansad

14114-04-20140000129488049SuliFlour Albus

14215-04-201400001268928303Salwa R.p1302

14315-04-201400001685825076Sumiati4102

14415-04-20140000756566515Wardi1302

14515-04-20140000103559343Sri w4102

14615-04-20141306120035978Supinah1200

14715-04-20140006009445732Simmjuntok2100

14815-04-20140000755395953Kasmiati2100

14915-04-2014000103825888Rasmin2100

15016-04-2014000075637534Nawi 2100

15116-04-20140000103529902Suwarni3304

15216-04-20140000103823335m. kidwan A,Ma0902

15316-04-20140000103825124Suyoto3303

15416-04-20140000756528413Drs. Kuslan RN1404

15516-04-20140000103823291Chusnul C2100

15616-04-20140000103564596Urip N2100

15717-04-20140000103560412Lilik SuhartiKel refraksi

15817-04-20140000756566515WardiSusp kp

15917-04-20140000756091754AlimStromiatu

16017-04-20140000756942118Siti3303

16117-04-20140000756946271KartiniGGA

16217-04-20140000103858468TutikRpn heptikul

16317-04-20140000103858457Rahman3303

16417-04-20140000756719548Sukana1306

16517-04-20140000103561569Nursiyo2003

16617-04-20140000756334473Summi0802

16717-04-20140000757337578mat kohar1404

16817-04-20140000756600041Sukimah1504

16917-04-20140000756152965Siti aminatuszSusp kista

17019-04-20140000154336533Joko WPar CUA

17119-04-20140000756719548Sukana1302

17219-04-20140000756152965Siti aminatuszkista

17319-04-20140000103772823Sujono/sudijonoKista

17421-04-201400001685846485Sitam 1005

17521-04-20140000755231264Situm2100

17621-04-2014000075637534Nawi1200

17721-04-20140000756251965Murma H1200

17821-04-20140000757280463Kholifah 1302

17921-04-201400007578994246An majuatiAnemia

18021-04-2014000075

18121-04-2014000075

18221-04-20140001288204132PakuwonPost cua

18321-04-20140000755395953Kasmiati2100

18421-04-20140001256858335endang winarsih3302

18521-04-20140016009445733Sukiran1302

18621-04-2014000075550584Supijan2100

18721-04-20140001685829846Sumiati1403

18821-04-20140000756251965Nurma ludi1200

18921-04-20140000755550584Supyan2100

19021-04-20140000755729098Saminah22

19121-04-20140000755835175Liak u4102

19221-04-2014Ngateni2100

19321-04-2014Ngadirin1200

19421-04-20140000755550584Supijan2100

19521-04-20140000757870694DamiEpilepsy

19621-04-20140000757114097musriah3303

19721-04-20140000103562943SuhartoTuli konduktor

19821-04-20140000757868793Salemar4102

19921-04-2014Tasmuah4102

20021-04-20140000756591344Tiani2100

20121-04-20140000757130152Shodik1200

20221-04-2014Kastani3304

20321-04-20140000756638627Sholeh1403

20421-04-20140000103640782Siti zumaroh1306

20521-04-20140001297101802Roby A.KaEpilepsy

20621-04-2014000103729307Siti alifah1200

20722-04-20140000756708546IsmiatiEpilepsy

20822-04-20140000755067712SriPost cua 0901

20922-04-2014000010377662Rasipan2100

21022-04-20140000755692301romani2004

21122-04-20140000103562785subagti1003

21222-04-20140000755404536Parijan4102

21322-04-20140000126031484Tarisya R1005

21422-04-2014000075568176Sinta Aprilia2004

21522-04-2014000104705981SumawiLipoma

21622-04-20140000103706471Kalil3804

21722-04-201400001265765106Muhammad A.H0801

21822-04-20140000103609631Dewi M2003/0103

21922-04-20140000756353394 SamiahAbses

22022-04-20140000756275207Pasini1003

22122-04-20140000756094836Habibilah0104

22222-04-20140000103823943Mulyadi3804

22322-04-20140000103559635Imam syafi3304

22422-04-20140000103562482Siti kofiah1404

22522-04-20140000103930885Abdul rohman,S.hutTorticoli

22623-04-20140000103824584Sulasih3303

22723-04-20140000756938114Shofi dayanti0202

22823-04-20140000755991573MusholehStroma

22923-04-20140000103454831M sujarwo1306

23023-04-20140000103672506SupinahCust/0902

23123-04-20140000756706353Abdul ghoni AHiperatif

23223-04-20140000103564901Zainal ArifinDm

23323-04-20140000103564912Sholikhah Gastritis

23424-04-20141306510106838Masijan2002

23524-04-20140000757373657a. syifak 1302

23624-04-2014000075371723Sumiyah2100

23724-04-20140000103825888Tasmin2100

23824-04-20140000756477764Maelani FSusp kp

23924-04-20140000756045641ZainuriPost 005

24024-04-20140000756371193Martini3304

24124-04-20140000756370719Suhadi 3304

24224-04-2014000075747223Samini3303

24324-04-20140000757524431Sujamal3804

24424-04-20140000103595679Kadiri3304

24524-04-2014000010395081Eni wahyu1403

24624-04-201400001297616253TarsanCva

24724-04-201400001265042259RomaniEpusiplasma

24825-04-2014001685870583Kasmadi3804

24925-04-20140000756912251Kasanah1302

25025-04-20140000756457727Sulihan2100

25125-04-2014000168846485Sukri22

25225-04-20140000755746986Gufron 2100

25325-04-20140000103822997Kardono1306

25425-04-20140000103595860kasiban1704

25525-04-201400001035958599Asimun2100

25625-04-20140000103595848Kastija22

25725-04-20140000755433268Suntin22

25826-04-201400001276316649m. musadi4102

25926-04-20140000103559332m. gatot3804

26026-04-20140000121112561Ny. Hellen f4102

26126-04-20140000757414686Ny. Suparti3303

26228-04-20140000755231264Situm1200

26328-04-20140000755885801Rahmad hasir2200

26428-04-20140000103562008Nunuk susilowatiPost cua

26528-04-20140000103563134Siti chotimah4102

26628-04-20140000103896786Supranoto0902

26728-04-20140001283014181Nunik0902

26828-04-20140000757646537Wulan1404

26928-04-20140001283014181Yani4102

27028-04-20140000757621798Witi0802

27128-04-20140000756201756Tuminah 2100

27228-04-20140000755729098Saminah 1200

27328-04-20140000756739157Bukhori2101

27428-04-20140000103560783Nur elida A1003

27528-04-20140000103560772Much Akib1003

27628-04-20140000755902326Sukirno2003

27728-04-20140000756638627Sholeh2100

27828-04-20140001685752907Sumining4102

27928-04-20140000103559141Endah0902

28028-04-20140000103560772Much. AkibKel rekrusi

28128-04-20140000103360783Nur elida AKel rekrusi

28228-04-20140001284219707MunawarDM

28328-04-20140000755747998Miftahul RohmanShiropen

28428-04-20140000757357479Eni2202 +2000

28528-04-20140000757214954SumianiPO katub Jantung

28629-04-20140000103510956Kanan1404

28729-04-20140000103907478Sugiarto3304

28829-04-20140000103548936Sukartik3303

28929-04-20140000756565558Samin1005

29029-04-20140000103823785Indartik3304

29129-04-20140000756227564Sumarlik2100

29229-04-20140000103561569Nursinyo2003

29329-04-20140000756942118Siti4102

29429-04-20140000756478585Marliyah0901

29529-04-20140000755456392Lilik R3804

29629-04-20140000755450919Bayu0901

29729-04-20140000103845385FatkhulrohmmanKel repaksi

29829-04-20140000756457727Sutikno2101

29929-04-20140000103651705Daperi1101

30029-04-20140000103814752Rasmi3303

30129-04-20140000756005062KaspiiMH + Ulem

30230-04-2014000103564372Tohar 0902

30330-04-2014000103564383DjumiratunPost kll

30430-04-20140000756592918Sumari6101

30530-04-20140000755707915Siyan2001

30630-04-20140000756762794Karminah4102

30730-04-20140000756886735tancoku1404

30830-04-20140000103564078Munadhirotul A2101

30930-04-20146743073Alim4102

31030-04-20140000208631654Diana2002/2004

31130-04-20140000755746986Gafroni1200

31230-04-201400003907856Sabari1200

31330-04-20140000103535357Ufiq sukardiyah2101

31430-04-20140000195291077Ulfa choitama lailaShaim

31530-04-20140001262687049SimahCa mamal

31630-04-20140000755825117Kasipah1200

31730-04-20140000755823734Nurlan2100

31830-04-20140000755993485SupriadiAtoz todok

319

TOTAL PESERTA YANG BERKUNJUNG :TOTAL PESERTA YANG DIRUJUK :PIHAK PERTAMABPJS KESEHATANCABANG BOJONEGORO

HARY SOEBIJAKTOMANAJERMENGETAHUIKEPALA PUSKESMASSUGIO

Dr. H. AHMAD SUJIONONIP : 19650916 199703 1 003