REGISTER PASIEN PUSKESMAS MAYONG I

BULAN JANUARI 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Andi Umarsono 12 th L 0000593721639 Bungu 2/1 27-Dec 20
2 Mingsel 60 th P 0000593521132 Bandung 4/2 27-Dec 18
3 Nur Asiyah 40 th P 0000197276591 Pancur 22/4 29-Dec 18
4 Nabila 20 bl P BYR Sukri Bringin 7/3 2-Jan 14
5 Septi 3,5 th P BYR Siti Aminah Pancur 28/5 2-Jan 6
6 Risma Indriyana 15 th P 0000593247317 Datar 1/2 2-Jan 4
7 Siti Romlah 24 th P 0001836143234 Buaran 4/3 3-Jan 16
8 Ana Yuliastutik 16 th P 0000593791334 Ngroto 2/3 3-Jan 8
9 Kevin Fabriano S 5 th L 0000592314614 Ngroto 2/3 3-Jan 10
10 Erik Ardiansyah 3 th L 0000592210844 Buaran 2/2 4-Jan 8
11 Alfiah 51 th P 0000593286243 Pancur 27/5 4-Jan 7
12 21 bl
Siti Eka Fatma Handayani P 0001307571772 Buaran 6/2 6-Jan 18
13 Nurul Aini 15 th P 0001025908713 Bandung 2/2 7-Jan 2
14 Eki Zava Ferdiansyah 5 th L 0000594239815 Pancur 39/8 7-Jan 11
15 Shofiatun Mardiyah 14 th P 0000594245439 Pancur 22/4 7-Jan 10
16 Faqih 30 th L 0000594741532 Pancur 5/1 7-Jan 18
17 Kalimah 50 th P 0000592830583 Pancur 52/10 8-Jan 9
18 Anwar Sadat 16 th L 0000593277164 Rajekwesi 1/3 8-Jan 9
19 Satipah 56 th P 0000594171483 Rajekwesi 3/3 10-Jan 18
20 Khoiriyah 25 th P 0000594246317 Pancur 22/4 10-Jan 20
21 Kumayah 35 th P 0000593895644 Bandung 2/2 10-Jan 19
22 Zahrotul Asfiyail H 12 th P 0001900731734 Ciater,Vila Dago 10-Jan 11
23 Samsul Ma'arif 13 th L 0000593618152 Raguklampitan 6/2 10-Jan 19
24 Khoirul Umam 15 th L 0000594742588 Mindahan 5/3 11-Jan 20
25 Siti Sri Wahyuningsih 15 th P 0000594235912 Pancur 9/2 12-Jan 11
26 Risa Mega 15 th P 0000093885412 Buaran 7/4 12-Jan 10
27 Ismawati 7 th P BYR Norma Raguklampitan13/3 14-Jan 9
28 Siti Rariyati 13 th P 0000594534609 Datar 1/1 14-Jan 19
29 Mustofa 14 th L 0000594203758 Ngasem 3/1 14-Jan 10
30 Askur 60 th L 0000594959826 Buaran 8/1 15-Jan 15
31 Ahmad Rizqi 5 th L 0000593564174 Datar 1/3 16-Jan 9
32 Syamsiah 35 th P 0000594603393 Pancur 46/9 17-Jan 10
33 M. Miftahul 4 th L BYR Ishak Datar 2/3 18-Jan 13
34 Ngaisah 51 th P 0000595878873 Kecapi 20/3 18-Jan 20
35 Abdul Gofu 3 th P BYR Harmani Pule 1/1 19-Jan 9
36 Muhamad Wahib 9 th L 0000595150334 Mindahan Kidul 2/5 19-Jan 2
37 Nur Said 30 th L 0000593775461 Pancur 14/7 19-Jan 17
38 Nurul Fitriyah 9 th P 0000594172451 Buaran 3/3 19-Jan 9
39 Niken Iryani 5 th P 0000595102026 Singorojo 9/1 20-Jan 10
40 Makmun 60 th L 0000594146351 Raguklampitan 21/5 21-Jan 21
41 Silvia Ayu Tri L 9 th P 0000594425182 Pancur 22/4 21-Jan 18
42 Risma Listiani 12 th P 0000594424596 Pancur 22/4 22-Jan 10
43 Ahmad Adi Masura Haryono 9 th L 0000594018988 Buaran 4/3 22-Jan 15
44 Rizqi Saputra 9 th L 0000093885423 Buaran 7/4 25-Jan 10
45 AL Inayah El Ulya 8 th P 0000594225472 Damarjati 3/6 26-Jan 13
46 Masrikah 62 th P 0000593611907 Pancur 27/5 27-Jan 20
47 Uswatun Khasanah 21 th P 0000594380136 Geneng 22/4 27-Jan 12
48 Arga Bintang 9 th L 0000594039969 Somosari 7/1 28-Jan 9
49 Anzalar Robit 5 th L 0000593735264 Pancur 17/3 28-Jan 9

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
REGISTER PASIEN PUSKESMAS MAYONG I
BULAN FEBRUARI 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Putri Wulandari 6 th P 0001790055898 Damarjati 3/3 29-Jan 10
2 Hendrik Kurniawan 13 th L 0000594488878 Ngasem 7/1 29-Jan 20
3 Naila Hikmatul 5 th P 0000593211734 Rajekwesi 2/2 30-Jan 12
4 Ismiati 32 th P 0000594559956 Pancur 2/1 30-Jan 11
5 Aqil Muhamad 12 th L 0001025914694 Pancur 44/9 30-Jan 6
6 Fitrotul 2,5 th P 0001895668536 Raguklampitan 18/4 30-Jan 13
7 M Rizaful Anya 21 th L 0000594810606 Rajekwesi 3/5 31-Jan 8
8 Zahrotul Mawaddah 5 th P 0000594235991 Pancur 5/2 31-Jan 5
9 Kusnin 49 th L 0001611514449 Bungu 5/1 1-Feb 7
10 Sutarni 34 th P 0000594466773 Geneng 7/1 1-Feb 13
11 Salsabila Nadya Putri 4 th P 0001277599061 Buaran 7/4 1-Feb 8
12 Selviana 6 th P BYR Widayanti Datar 1/1 2-Feb 12
13 Ahmad Adi Candra 4 th L BYR Nor Khamim Pancur 49/10 3-Feb 8
14 Muhidin 30 th L BYR Eni Rohmawati Pancur 10/2 3-Feb 11
15 Wisnu Ginanjar 13 th L 0000594396742 Pule 1/1 3-Feb 0
16 Dewi Anggraeni 18 th P BYR sutimah Pancur 23/4 3-Feb 10
17 Keminah 56 th P 0000593972831 Buaran 7/2 3-Feb 14
18 Dul Majid 45 th L 0000593340895 Raguklampitan 26/5 4-Feb 18
19 Masnan 62 th L 0000593789376 Ngroto 3/2 5-Feb 8
20 Khumaidi 31 th L 0000594346983 Ngroto 2/1 6-Feb 21
21 Ahmad Efendi 7 th L BYR Abdus salam Mindahan Kidul 5/4 7-Feb 10
22 Ali Muhamadun 40 th L BYR Sairoh Pancurr 55/11 7-Feb 11
23 Ulin Nuha 20 th L 0000594631811 Mindahan K 7/2 7-Feb 10
24 Ika Nurmala 14 th P 0000593570417 Raguklampitan 13/3 7-Feb 11
25 Amrina 2 th P BYR Nur Muzayin Pancur 45/9 8-Feb 12
26 Sisi Mega Ariyanto 16 th P 0000594053897 Bawu 8/2 8-Feb 12
27 Abdur Rohman 16 th L 0000593930417 Damarjati 1/4 8-Feb 17
28 Evita 14 th P 0000594454421 Pancur 45/9 9-Feb 10
29 Ahmad Fatkul Muis 15 th L 0000593733644 Buaran 7/4 9-Feb 9
30 Shofwatul Mala 7 th P 0000594198303 Raguklampitan 14/3 10-Feb 14
31 Pandu Sujarwo 13 th L 0000593782233 Bungu 2/2 11-Feb 12
32 Linda 16 th P 0000593297853 Rajekwesi 2/4 11-Feb 11
33 Friska Rika 14 th P 0000594563534 Buaran 8/4 11-Feb 16
34 Rifqi Reza 8,5 th P 0000593749091 Buaran 2/4 11-Feb 10
35 Ahmad Naufal 6 th L 0000593579013 Pancur 14/3 12-Feb 14
36 Bukhori 55 th L 0000601431052 Wonorejo 5/2 12-Feb 19
37 Abdul Majid 30 th L 0000594218013 Pancur 8/2 15-Feb 11
38 Titik 27 th P 0001025992495 Somosari 8/2 16-Feb 23
39 Mutmainah 25 th P 0000593330308 Tanjung 18/3 17-Feb 17
40 Niko Ardian 13 th L 0000593568202 Bungu 5/2 17-Feb 9
41 Elfira 3 th P BYR Ahmad Solehan Buaran 4/4 18-Feb 20
42 M Bagus Dwi P 5 th L 0001842260422 Raguklampitan 14/3 19-Feb 11
43 Sunoto 56 th L 00005953543248 Ngasem 12/2 19-Feb 11
44 Ana Sofiana 8 th P 0000592842363 Pendosawalan 15/8 20-Feb 12
45 Wahyu 14 th L 0000593492264 Pancur 5/1 21-Feb 19
46 Muh Feris Setiawan 11 th L 0000593748628 Pancur 51/10 21-Feb 17
47 Sutriman 40 th L 0000593575885 Ngroto 1/2 22-Feb 15
48 Oka Aditya 7 th L 0000593341806 Damarjati 4/4 23-Feb 10
49 Naila Raudlotul J 9 th P 0000593840395 Pancur 18/3 23-Feb 9
50 Ahmad Azam 5 th L 0000594419207 Ngroto 1/2 23-Feb 18

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
REGISTER PASIEN PUSKESMAS MAYONG I
BULAN MARET 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Fila Huraida 12 th P 0000594068139 Pancur 39/7 25-Feb 20
2 Kutori 40 th L 0000593315572 Rajekwesi 6/1 26-Feb 20
3 Nursiyah 50 th P 0000593734419 Rajekwesi 2/3 27-Feb 15
4 Suparkan 40 th L 0000593233029 Datar 3/2 28-Feb 8
5 Kudsiyah 36 th P 0001025899334 Rajekwesi 2/1 29-Feb 1
 6 Nindi Ardilia 5 th P 0000594469754 Damarjati 5/4 1-Mar 9
7 Arif Ulil Albab 12 th L BYR Slamet Nuryanto Damarjati 4/5 1-Mar 19
8 Siti Tadzkiroh 34 th P 0000594586956 Raguklampitan 23/5 2-Mar 18
9 M Soliful Hadi 12 th L 0000594854548 Rajekwesi 2/3 3-Mar 8
10 Khoirul Azam 3 th L BYR Masrukan Rajekwesi 2/1 3-Mar 9
11 Fina Anita Sari 17 th P BYR Masmiatun Pancur 14/3 4-Mar 8
12 Eko Sujono 39 th L BYR Rajekwesi 2/6 4-Mar 8
13 Arif Santoso 17 th L 0000594188076 Raguklampitan 22/5 4-Mar 8
14 Maslikah 40 th P 0000594099145 Rajekwesi 1/6 4-Mar 10
15 Siti Baekah 63 th P 0000593730292 Rajekwesi 2/5 4-Mar 19
16 Suprato 70 th L 0001025907243 Pule 1/3 6-Mar 22
17 Tatik Nur Amalia 16 th P BYR Noraini Buaran 3/5 7-Mar 9
18 Neni Nur Janah 16 th P 0000593485751 Pancur 27/5 8-Mar 9
19 Faiza Nur Kumala 5 th P 0000593725239 Ngroto 5/3 10-Mar 12
20 Tutik Afrida 29 th P 0001529633597 Buaran 2/2 10-Mar 10
21 Ahmad Syarif B 9 th L 0001025915117 Pancur 8/2 10-Mar 11
22 Ahmad Shobirin 21 th L 0001025891752 Buaran 3/2 11-Mar 13
23 Fitriyani 20 th P 0001025965012 Bategede 2/5 12-Mar 21
24 Ahmad Qodli 41 th L 0000593627117 Raguklampitan 23/5 12-Mar 5
25 Busiri 46 th L 0000593732801 Buaran 7/4 13-Mar 17
26 Siti Muhayaroh 38 th P 0000593730562 Pancur 46/9 13-Mar 20
27 M MaulanaYusuf 5 th L 0000593897703 Rajekwesi 1/1 14-Mar 13
28 Muh Agung Wahyudi 15 th L 0000594146586 Pancur 22/4 15-Mar 18
29 Hamdun 42 th L 0000594208923 Pancur 2/2 18-Mar 14
30 Zaki Mubarok 15 th L 0000594193498 Raguklampitan 25/5 19-Mar 21
31 Zunita Firdaus 16 th P 0001025972019 Bategede 1/5 20-Mar 18
32 Thoifin 32 th L 0000593524721 Pancur 14/3 20-Mar 18
33 Ahmad Safik 10 th L 0000594194139 Raguklampitan 25/6 20-Mar 17
34 Elok Eko Prasetyo 9 th L 0000594658899 Buaran 10/1 21-Mar 19
35 Jakirah 60 th P 0000593897556 Bandung 1/2 21-Mar 9
36 Eli Jumiati 19 th P 0000594065439 Jambu 40/8 22-Mar 15
37 Anggi Ramadhan 13 th L 0000593386696 Rajekwesi 2/3 22-Mar 18
38 Ernawati 23 th P 0000593955413 Bandung 2/2 24-Mar 14
39 Zahrotun 6 th P 0001277604549 Bungu 2/2 24-Mar 9
40 Zainudin 26 th L 0000594907435 Pancur 12/2 25-Mar 9
41 Muh Riski 5 th L 0000594160604 Rajekwesi 1/2 26-Mar 9

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
REGISTER PASIEN PUSKESMAS MAYONG I
 BULAN APRIL 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Mariyah 57 th P 0000593658099 Pancur 35/7 28-Mar 9
2 Imam Bukhori 13 th L 0001025911001 Bandung 2/2 29-Mar 17
3 Nadin Afifah 10 bl P 0001692731406 Buaran 7/4 29-Mar 14
4 Sutarmi 49 th P 0000593943322 Pancur 6/2 30-Mar 14
5 Ahmad Tsaqif A 3 th L 0001469009485 Pancur 40/8 31-Mar 10
6 Rumiyanto 43 th L 0000594950051 Pancur 42/8 4-Apr 11
7 Sulistiono 30 th L 0000593721268 Buaran 5/4 5-Apr 9
8 Nur Syafi'i 36 th L 0000594415034 Pancur 22/4 6-Apr 16
9 Sholekan 28 th L 0000594176128 Pancur 4/1 6-Apr 7
10 Harirotur Romdhonah 23 th P 0002038260172 Rajekwesi 2/1 10-Apr 18
11 Putri Alisiana 16 th P 0000593583974 Bungu 3/1 10-Apr 16
12 Anik Fitriyani 15 th P BYR Kumani Ngasem 21/3 11-Apr 13
13 Ngatirah 66 th P BYR Majid Rajekwesi 2/5 12-Apr 9
14 Mashari 19 th L BYR Abdul M Buaran 2/1 12-Apr 10
15 Sera Dwi Arneta 3 th P BYR Sunoto Bungu 2/2 12-Apr 18
16 Maria Zulfa 5 th P BYR Abdul Jalil Pule 2/1 13-Apr 8
17 Putri Mirzatul 7 th P BYR Jayanah Pancur 1/2 13-Apr 9
18 Rima Arum Marisa 3 th P BYR Nurikan Bandung 2/2 13-Apr 9
19 M. Indra Riska 12 th L 0001025793101 Damarjati 3/3 13-Apr 10
20 Dianita Nur Halimah 1,5 th P BYR Ahmad Zamroni Bandung 14-Apr 9
21 Nurul Fadilah 22 th P 0000594111971 Geneng 15/3 14-Apr 3
22 Feri Irawan 15 th L 0000594033197 Buaran 4/2 14-Apr 17
23 Nur Hadi 2 th L 0001284628612 Buaran 2/2 15-Apr 6
24 Fatkhur Rohman 50 tth L 0001025903114 Rajekwesi 2/3 15-Apr 9
25 Kharisma Amalia 9 th P 0000593851329 Pule 1/2 17-Apr 20
26 Jami'ah 32 th P 0001692472937 Bandung 4/2 17-Apr 8
27 Suhadi 42 th L 0000594815051 Rajekwesi 18-Apr 18
28 Eko Ariyanto 22 th L 0001025964821 Gondang 4/10 18-Apr 17
29 Damar Setiawan 5 th L 0000591622064 Rajekwesi 3/3 20-Apr 17
30 Siti Fidikah 30 th P 0000593550797 Buaran 4/2 22-Apr 16
31 Rubiah 45 th P 0000594650529 Pancur 21/4 23-Apr 10
32 Ahmad Jauhar 20 th L 0000594380035 Ngroto 2/2 23-Apr 11
33 Nita Sintia 17 th P 0000595383748 Raguklampitan 23/5 23-Apr 16
34 Sutrimo 61 th L 0001025907535 Pule 1/2 24-Apr 19
35 Parilah 62 th P 0000594204941 Pancur 16/3 24-Apr 1
36 Rukamah 63 th P BYR Apriyanto Bandung 4/2 25-Apr 17
37 Nurjanah 11 bl P BYR Jumaiyah Buaran 2/3 26-Apr 14
38 Suminah 66 th P 0001025909324 Bandung 1/1 26-Apr 18
39 Roikhul Khisma 15 th P 0000593705362 Pule 1/1 27-Apr 20
 Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
REGISTER PASIEN PUSKESMAS MAYONG I
BULAN MEI 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Hartini 61 th P 0001025980749 Raguklampitan 23/5 28-Apr 3
2 Sukinah 32 th P 0001529639515 Sengon Bugel 2/3 29-Apr 9
3 Raihan 2 th L 0001315902036 Ngroto 1/2 30-Apr 11
4 Farid 14 th L 0000582815327 Pancur 45/10 2-May 8
5 Sodakoh 55 th L 0000594515518 Datar 1/3 2-May 9
6 Ah. Irsyadul Ibad 7 th L 0000594052176 Pancur 15/3 4-May 6
7 Siti Fatimah 60 th P 0000593362449 Rajekwesi 2/5 4-May 17
8 Ahmad Aulia Ihsan 12 th L 0001529638233 Bungu1/1 4-May 22
9 Syaifudin 9 th L 0000594945516 Buaran 8/2 4-May 9
10 Anisatul Lutfiana 23 th P 0001025792340 Damarjati 1/2 6-May 22
11 Santoso 10 th L 0000592327484 Buaran 2/5 7-May 9
12 Silviana 8 th P BYR Solihin Rajekwesi 4/3 7-May 22
13 Wiji Ela 27 th P 0000593587315 Buaran 2/4 7-May 20
14 Uhlifah 48 th P 0001025892922 Buaran 8/4 7-May 9
15 Dinda 4 th P BYR Fatkul Mujib Damarjati 1/2 8-May 8
16 Ahmad Hasan 26 th L 0001025900684 Rajekwesi 1/7 9-May 10
17 Tarwiyah 47 th P 0000593071356 Raguklampitan 13/3 9-May 9
18 Karmi 70 th P 0000593651664 Pule 1/2 9-May 9
19 Ghofur Mubarok 3 th L BYR Suharno Buaran 7/2 11-May 8
20 Mashud 40 th L BYR Uswatun Pancur 39/8 11-May 13
21 Hamrin 55 th L 0000594405538 Pancur 21/4 12-May 10
22 Kimroah 45 th P 0000594249129 Bandung 2/2 13-May 10
23 Saiful Anam 35 th L 0000594178479 Rajekwesi 3/2 13-May 11
24 Rohmad 66 th L 0000593981201 Datar 2/3 13-May 11
25 Anisfatun 20 th P 0001534380052 Pule 2/1 13-May 9
26 Bagus Adi Saputra 13 th L 0000593743059 Ngroto 3/2 16-May 10
27 Aisya Khabibatul 4 th P 0001532823129 Bungu1/1 17-May 10
28 Hartini 51 th P 0000594129341 Rajekwesi 8/7 17-May 3
29 Sutipah 43 tth P 0001025910617 Bandung 4/2 19-May 14
30 Yatmi 58 th P 0000594190271 Pancur 30/6 20-May 13
31 Nur Latifatus Saadah 20 th `P 0001900748957 Rajekwesi 1/6 22-May 22
32 Catur Wahyu 21 th P 0000593448039 Rajekwesi 2/3 22-May 8
33 Mulud 32 th L 0001025900019 Rajekwesi 2/3 22-May 15
34 Rofiati 40 th P 0000594200182 Pancur 8/2 23-May 19
35 Salma Ismah 18 th P 0000594702178 Rajekwesi 1/1 23-May 12
36 Rukinah 70 th P 0000594153505 Rajekwesi 3/1 25-May 19

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
REGISTER PASIEN PUSKESMAS MAYONG I
BULAN JUNI 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Sumintra 46 th P 0001025892562 Buaran 3/3 29-May 17
2 Nuril Riwayadi 25 th L 0001293719387 Rajekwesi 1/3 31-May 4
3 Basiroh 65 th P BYR Sukandar Buaran 7/4 1-Jun 23
4 Surotul Hikmah 20 th P 0000593755817 Mindahan kidul 5/1 1-Jun 11
5 Sirat 50 th L BYR Sirat Rajekwesi 2/4 3-Jun 10
6 Aufa Nafis 4 th L BYR Siti Rofiatun Damarjati 1/5 3-Jun 9
7 Alinda 5 th P BYR Nur Hidayati Raguklampitan 16/4 3-Jun 11
8 Muh Galih 5 th L BYR Istiqomah Rajekwesi 2/4 4-Jun 12
9 Dewi Larasati 17 th P BYR Muryanah Rajekwesi 1/3 4-Jun 10
10 Ahmad Andre 11 th L 0000593581678 Buaran 2/5 4-Jun 3
11 Koyimah 31 th P 0000593911945 Bandung 2/2 5-Jun 18
12 M. Yusuf 16 th L 0000593009414 Damarjati 2/4 5-Jun 17
13 Suyatmi 36 th P 0000594878038 Buaran 6/1 6-Jun 4
14 Shofiatun 28 th P 0000593775707 Pancur 3/1 6-Jun 12
15 Galih Rengga 11 th L 0001025994464 Batealit 8/2 6-Jun 4
16 Shodikin 39 th L 0001025994442 Batealit 8/2 6-Jun 6
17 Hendri Gunawan 27 th L 0000594089313 Datar 2/1 8-Jun 19
18 Agus Susilo 32 th L 0000594806747 Rajekwesi 1/5 8-Jun 20
19 Muslikah 30 th P 0001025902258 Rajekwesi 1/7 9-Jun 9
20 Riyanto 9 th L 0000593648469 Bungu 1/2 11-Jun 8
21 Ahmad Jalal 28 th L 0000594857024 Datar 2/2 14-Jun 9
22 Mariska Novia 3,5 th P BYR Aropah Buaran 7/2 15-Jun 10
23 Yatti 51 th P 0000593534665 Buaran 3/2 15-Jun 9
24 Siti Zariah 42 th P 0000594600906 Rajekwesi 2/5 15-Jun 22
25 M. Aditya NH 10 th L 0001025906545 Pule 2/1 15-Jun 11
26 Kasrun 60 th L 0000593550922 Bungu 4/1 16-Jun 8
27 Leni Sri Sulistiowati 32 th P 0000593698781 Rajekwesi1/3 17-Jun 17
28 Nur Salim 56 th L 0000593382879 Pancur 45/9 17-Jun 19
29 Sumintra 46 th P 0001025892562 Buaran 3/3 18-Jun 10
30 Nuryatun 40 th P BYR Sulkan Rajekwesi 3/6 21-Jun 14
31 M. Nurkhan 40 th L 0001278031004 Pancur 22/2 21-Jun 21
32 Bayu Aditya 10 th L 0000594906579 Buaran 12/1 21-Jun 19
33 Muh Amin 49 th L 0000594184138 Pancur 9/2 21-Jun 6
34 Rosyidi 63 th L 0000593479146 Pancur 2/2 22-Jun 19
35 Syafikul Yana 16 th L 0000593701378 Buaran 3/2 25-Jun 9
36 Nur Faidah 17 th P 0001025900695 Rajekwesi 1/7 26-Jun 20
37 Noryati 39 th P 0000592908658 Ngroto 2/3 26-Jun 19
38 Siti Jamilatun 28 th P 0000593382789 Rajekwesi 1/8 29-Jun 20

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
REGISTER PASIEN PUSKESMAS MAYONG I
BULAN JULI 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Joko Setiawan 6 th L BYR Nurun Nikmah Raguklampitan 21/5 29-Jun 9
2 Nina Rosa Ayu 8 th P 0001611519851 Bungu 3/1 29-Jun 7
3 Musami 58 th L 0001025906905 Pule 1/1 30-Jun 8
4 Khoirun 53 th L 0001084112875 Bungu 5/1 30-Jun 13
5 Ahmad Dani 13 th L 0001025892213 Buaran 11/4 1-Jul 11
6 Linda 6,5 th P 0000593626779 Buaran 4/4 1-Jul 10
7 Rubikah 27 th P 0000594707782 Rajekwesi 2/7 1-Jul 20
8 Muhamad Nova 4,5 th L BYR Asrofi Raguklampitan 20/5 4-Jul 8
9 Ani Fitri Sugiharti 29 th P 0001529635443 Rajekwesi 2/3 5-Jul 22
10 Saiful Rijal 20 th L 0001025896961 Ngroto 2/1 6-Jul 7
11 Turipah 54 th P 0001025912463 Pancur 25/5 7-Jul 13
12 Sutami 50 th P 0000594898975 Pancur 6/2 7-Jul 14
13 Ronzikan 44 th L BYR Zaini Bungu 2/2 8-Jul 10
14 Tri Wulan 8 th P 0000593741171 Ngroto 2/1 9-Jul 10
15 Taufik Hidayat 17 th L 0000593741057 Ngroto 2/1 9-Jul 10
16 Taufik Hidayat 17 th L 0000593741057 Ngroto 2/1 9-Jul 10
17 Kasiyah 46 th P 0001025987387 Somosari 8/4 10-Jul 8
18 Nur Hidayah 32 th P 0000594905736 Buaran 12/1 10-Jul 12
19 Azwar 6 th L BYR Solikul hadi Pancur 5/1 11-Jul 11
20 Siti Fatimah 25 th P 0000594004724 Datar 3/1 11-Jul 10
21 Ufida Alfiatun 17 th P 0000593951861 Datar 2/1 15-Jul 11
22 M. Erwin Bagus 8 th L 0001806502667 Ngroto 2/3 15-Jul 15
23 Zumrotun 36 th P 0001025900414 Rajekwesi 1/3 15-Jul 19
24 Khomsin 82 th L 0000593642395 Pancur 13/3 15-Jul 22
25 Sulimah 35 th P 0000593749642 Ngroto 3/3 15-Jul 14
26 Tugiatun 37 th P 0000593750709 Ngroto 1/2 16-Jul 10
27 Ali Rondi 48 th L 0000594738606 Pule 2/2 18-Jul 9
28 Suparwi 36 th L BYR Ngatidonah Pule 2/5 18-Jul 10
29 Sarmijah 71 th P 0000593352674 Damarjati 2/5 18-Jul 17
30 Ahmad Danu M 5 th L BYR Sri Jumiati Buaran 2/1 19-Jul 4
31 Sanuri 60 th L 0000594691907 Pancur 37/7 19-Jul 19
32 Surotun 56 th P 0000593784551 Pancur 41/8 20-Jul 21
33 Mauna 55 th P 0000596277212 Raguklampiitan 20/5 21-Jul 21
34 Siti Rofiatun 26 th P 0001025979006 Raguklampiitan 23/5 22-Jul 18
35 Siti Halimah 20 th P BYR Marsilah Bategede 23-Jul 8
36 Nur Rohman 24 th L 0000591995428 Pancur 2/4 23-Jul 14
37 Sukati 24 th P 0000593981054 Buaran 3/4 23-Jul 18
38 Ainun Sifa 6 th P BYR Mulyono Rajekwesi 25-Jul 13
39 Nur Afida 28 th P 0001025913251 Mayonglor 4/2 25-Jul 16
40 Salsabila 9 th P 0001084563718 Rajekwesi 2/4 26-Jul 8
41 Karmanah 66 th P 0000593722574 Rajekwesi 2/4 26-Jul 17
42 M. Raka Firdaus 9 th L 0000593419566 Buaran 13/1 26-Jul 20
43 Ahmad Sholeh 2 th L BYR Asep Rajekwesi 1/2 27-Jul 10

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
REGISTER PASIEN PUSKESMAS MAYONG I
BULAN AGUSTUS 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Nur Afidah 48 th P 0000594604372 Buaran 28-Jul 10
2 Ahmad Sholeh 37 th L 0001084937242 Pule 29-Jul 17
3 M Sophal Jamil 7 th L 0000594564355 Pancur 14/3 30-Jul 9
4 Ali Mahfuzi 53 th L 0000093655923 Pule 30-Jul 21
5 Khalimatus Sadiyah 24 th P 0001532823827 Rajekwesi 2/7 1-Aug 10
6 Didik Maulana 16 th L BYR Norsan Raguklampitan 26/5 2-Aug 18
7 Ngatijah 71 th P 0000594244023 Pancur 22/4 2-Aug 21
8 Tuni'ah 32 th P 00005944361719 Rajekwesi 2/5 2-Aug 19
9 Rani Sapna Kirani 4 th P BYR M.Amir Buaran 12/1 3-Aug 20
10 Yusrul Hana 23 th L BYR Ali Kafid Pancur 53/11 3-Aug 16
11 Lia Rismawati 12 th P 000059449831 Rajekwesi 1/1 3-Aug 11
12 Mundrifah 18 th P 0000594711358 3-Aug
Rajekwesi 1/7 23
13 Ahmad Ramdani 7 th L BYR Ali Maksum Raguklampitan 23/5 4-Aug 9
14 Suyanah 64 th P 0000593729212 Buaran 8/9 4-Aug 19
15 Mundrikah 47 th P 0001025980514 Raguklampitan 25/5 5-Aug 9
16 Sintia Nuriyah 16 th P 0000594271585 Pancur 14/3 6-Aug 16
17 Rizki Sholihul Irsyad 12 th L 0000594156802 Rajekwesi 2/1 8-Aug 10
18 Linas Zuli 15 th P 0002024060747 Pule 11-Aug 11
19 Musni 83 th P 0000593087916 Raguklamp 12-Aug 23
20 Muh Sutris 22 th L 0000593296492 Rajekwesi 12-Aug 9
21 Mustakimah 28 th P 0001025911383 Bungu 2/1 14-Aug 2
22 Heni Nilasari 28 th P 0001177093721 Pancur 43/9 15-Aug 20
23 Nasiatun 35 th P 0000593996962 Pancur 41/8 15-Aug 11
24 Siti Badriyah 28 th P 0000593333594 Damarjati 1/4 15-Aug 19
25 Supiyah 40 th P 0000594839766 Rajekwesi 21-Aug 9
26 Ribhanul Huda 12 th L 0000593959781 Pancur 6/2 22-Aug 6
27 Salma Ism 19 th P 0000594702178 Rajekwesi 1/1 23-Aug 3
28 Kanza 4 th P BYR Silvia Afriyanti Bakalan 24-Aug 11
29 Ah. Syahrul 6 th L BYR Supaat Pancur 24-Aug 22
30 Zakira 2 th P BYR Cicilia Kusuma Datar 1/1 25-Aug 9
31 Nurikan 54 th L 0001025891188 Buaran 12/1 26-Aug 13
32 Dayat Nor Alamin 9 bl L 0001967052813 Buaran 5/1 27-Aug 11
33 Dinda Ayu Safitri 6 th P 0000592489067 Damarjati1/3 27-Aug 19
34 Asiyah 48 th P 0001025894327 Buaran 11/1 28-Aug 7
35 Ulfatun Nasiroh 27 th P 0001529639752 Bungu 3/1 29-Aug 9

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
REGISTER PASIEN PUSKESMAS MAYONG I
BULAN SEPTEMBER 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Siti Nur aisyah 18 th P 0002065903874 Bandung 2/1 31-Aug 20
2 Muh. Kafa 5 th L 0001694005108 Datar 1/1 1-Sep 9
3 Nisfi Lailiyah 5 th P 0000593249826 Datar 2/1 1-Sep 11
4 Wahyu Alfi 6 th L 0000594774448 Pancur 50/10 1-Sep 10
5 Fahmi 2,5 th P BYR Surono Pule 3/1 3-Sep 17
6 Sigit Efendi 9 th L 0001025900796 Rajekwesi 3/1 5-Sep 10
7 Kusmiati 49 th P 0000592632134 Raguklampitan 23/5 5-Sep 21
 8 Masukah 17 th P BYR Suram Pule 3/1 7-Sep 9
9 Gilang Mah 6.5 th L 000059281391 Damarjati 8-Sep 11
10 Sri Wijayanti 26 th P BYR Nor Rohmad Bungu 5/4 10-Sep 20
11 Temuri 46 th L 0001025909976 Bandung 2/2 13-Sep 6
12 Kasni 62 th P 0000594369786 Rajekwesi 13-Sep 20
13 Ali Rosikin 32 th L 000059345693 Ngroto 5/2 14-Sep 11
14 Alfiyah 46 th P 0000594701943 Rajekwesi 1/1 14-Sep 18
15 Aulia 22 bl P BYR Hasyim Raguklampitan 16/4 16-Sep 2
16 Ahmad Saidul Arofi 12 th L 0000593589137 Buaran 3/4 16-Sep 24
17 Yuni Fitriyani 22 th P 0001025889445 Buaran 16-Sep 10
18 Ahmad Ramadani 9 th L 0001025905882 Pule 18-Sep 10
19 Mar'ah 26 th P 0001694004939 Pancur 42/8 20-Sep 14
20 Siti Khomsiah 33 th P 0001529635296 Buaran 3/3 21-Sep 10
21 Saniatus S 18 th P 0000593589104 Buaran 3/4 22-Sep 10
22 Khozainul Muna 12 th P 0000594920248 Pancur 47/10 23-Sep 9
23 Qurrota Ay 6 th P 0001915802414 Pancur 46/ 23-Sep 11
24 Farkan 44 th L 0000593233029 Datar 3/1 24-Sep 4
25 Teguh Dewan Saputra 10 th L 0001025902697 Rajekwesi 2/3 26-Sep 13
26 Rafky 5.5 th L 0000588274299 Pancur 5/1 26-Sep 11

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0

REGISTER PASIEN PUSKESMAS MAYONG I

BULAN OKTOBER 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Mohari 50 th L 0000593322838 Damarjati 27-Sep 10
2 Laila Fitri Noviana 14 th P 0000593699308 Rajekwesi 1/3 29-Sep 22
3 Supriyanto 21 th L 0000593303804 Damarjati 2-Oct 9
4 Saimatul fadhilah 19 th P 0000592978781 Damarjati 3/3 2-Oct 17
5 Wagisah 55 th P 0000592558525 Raguklampitan 2-Oct 17
6 Ayu Diah Sabila 17 th P 0000594620021 Pancur 4/1 5-Oct 9
7 M. Fatta Ambya 4.5 th L 0002072868603 Bungu 1/1 6-Oct 19
8 Nor Said 30 th L 0000594165126 Batealit 23/5 6-Oct 18
9 Bakri 48 th L 0000594426216 Pancur 47/10 10-Oct 8
10 Nanik Alfiyani M 7 th P 0000593586854 Buaran 2/4 10-Oct 9
11 Siti Mualif 32 th P 0000593304232 Rajekwesi 2/1 11-Oct 9
12 Naila Dwi S 9 bl P 0001970394838 Datar 12-Oct 9
13 Suryati 51 th P 0001025901145 Rajekwesi 13-Oct 16
14 Lutfi Syaifudin 6 th L BYR Abdul Rosyid Rajekwesi 3/3 14-Oct 3
15 Argam Ard 22 bl P BYR marsani Datar 1/3 14-Oct 13
16 Margo 51 th L 0000593910123 Rajekwesi 1/1 16-Oct 18
17 Ika Puspitasari 18 th P 0001025896217 Ngroto 2/3 17-Oct 10
18 M. Ali Sibra M 11 th L 0000593792008 Buaran 7/1 17-Oct 11
19 Karmi 55 th P BYR Zuriyah Bungu 2/4 20-Oct 5
20 Fauzi 4 th L 0001534491911 Bungu 1/1 20-Oct 9
21 Bagus Dwi 5 th L 0001842260422 Raguklampitan 21-Oct 9
22 Riatun Nis 26 th P 0000594947362 Buaran 4/4 21-Oct 22
23 Anizatun I 21 th P 0000593026211 Damarjati 21-Oct 14
24 Sukarti 79 th P 0000594838269 Rajekwesi 3/3 22-Oct 0
25 Siti Asiyah 28 th P 0000594384175 Raguklamp 22-Oct 10
26 M. Sauki 16 th L BYR Rohmah Pancur 4/1 23-Oct 19
27 M. Hendra Irawan 16 th L BYR Siti Sarotun Pancur 27/5 23-Oct 4
28 M.Fikri Prayoga 1 th L BYR Buryanti Ngroto 5/2 25-Oct 18
29 Ali Rodli 62 th L 000059394146 Pancur 35/7 25-Oct 5
30 Ruminah 78 th P 0000593417362 Rajekwesi 2/1 25-Oct 19
31 Sri Faizah 40 th P 0000593899378 Bandung 3/1 27-Oct 22

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0

REGISTER PASIEN PUSKESMAS MAYONG I

BULAN NOPEMBER 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Mariatun 61 th P 0001025892292 Buaran 14/1 30-Oct 15
2 Sutiah 30 th P 0000594335171 Raguklampitan 22/5 31-Oct 14
3 Ardiana Silva 2 th P BYR Dwi Utari Datar 1/3 2-Nov 10
4 M. Afif Maulana 2,5 th L BYR Zulaikah Pancur 4/1 5-Nov 22
5 Kaisa 4 th P BYR Masdi Bungu 2/3 6-Nov 7
6 Siti Muhayatun 32 th P 0000594596507 Rajekwesi 1/3 6-Nov 16
7 Ali Subkha 42 th L 0000593695642 Rajekwesi 6-Nov 14
8 Aqila Khoirotun 17 bl P BYR Nurikan Datar 2/2 7-Nov 8
9 Kheisa Diana 16 bl P BYR Eni Lestari Pancur 13/3 7-Nov 0
10 Muh. Andika Pratama 6 th L 0001529640674 Buaran 3/2 7-Nov 21
11 Darkan 36 th L 0000593591927 Buaran 8-Nov 20
12 Rufa'ah 53 th P 0000582843227 Pancur 53/7 9-Nov 5
13 Sukanan 35 th L 0000593663196 Bungu 3/3 11-Nov 11
14 Zamroni 36 th L 0000593634172 Buaran 11-Nov 14
15 Kholifatun Ni'mah 16 th P 0000594605676 Rajekwesi 3/1 13-Nov 18
16 Dewi Maryam 5 th P 0001692277929 Datar 1/3 13-Nov 20
17 Nina Rosa Ayu Lestari 8 th P 0001611519851 Bungu 3/1 14-Nov 16
18 M. Riky Setiawan 11 th L 0000594446319 Pancur 17/4 15-Nov 19
19 Yuliana Ind 17 th P 0000593478213 Rajekwesi 16-Nov 18
20 Ita Fitria 31 th P 0000582818859 Pancur 4/1 16-Nov 20
21 Muawanah 16 th P 0000592927705 Ngroto 4/2 19-Nov 9
22 Reza Ahmad Ulin Nuha 5 th L 0000584824779 Pancur 50/10 20-Nov 18
23 Faizah Nur 5.5 th P 0000593725239 Ngroto 3/5 21-Nov 6
24 Saripah 51 th P 0000595182868 Ngroto 2/1 22-Nov 7
25 Zuliana 16 th P BYR Kemisih Bungu 1/2 22-Nov 19
26 Hamid Khasanul Huda 12 th L 0000593950803 Bandung 1/2 23-Nov 11
27 Luluk Nur Wahidah 12 th P 0000594355094 Geneng 1/1 23-Nov 12
28 Aina Arsifa Maulina 7 th P 0000594197133 Pule 3/3 23-Nov 9
29 Musriah 36 th P BYR Suprayitno Bategede 5/4 23-Nov 22
30 Imronah 32 th P BYR Maskan Bungu 3/3 26-Nov 9
31 Siti Marlin 20 th P 0001025897973 Ngroto 4/3 26-Nov 20
32 Ismaiyah 40 th P 0000594452474 Pancur 26-Nov 20
33 Kemat 54 th L 0000594333022 Batealit 16/4 26-Nov 19

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0

REGISTER PASIEN PUSKESMAS MAYONG I

BULAN DESEMBER 2016

JNS
NO REG NAMA UMUR STATUS ALAMAT(rt/rw) MASUK JAM
KEL
1 Abdul Gofur 17 th L 0002050621086 Raguklampitan 25-Nov 16
2 Nuriyah 55 th P 0000593848991 Pancur 21/04 27-Nov 14
3 Taslimah 27 th P 0000593654883 Buaran 2/3 28-Nov 18
4 Latifatun Nikmah 20 th P 0000593251165 Pancur 41/9 28-Nov 9
5 Masripah 50 th P BYR Akhris Ngroto 4/3 29-Nov 11
6 M. Azka 2 th L 0001915801727 Kuanyar 5/3 1-Dec 9
7 Ilyasa 2,5 th L BYR Maskuri Buaran 3/5 2-Dec 10
 8 Sabrina 5 th P BYR Maskuri Buaran 3/5 2-Dec 10
9 Gunarto 42 th L 0002072868581 Bungu 1/2 3-Dec 14
10 Yuliana Indriani 17 th p 0000593478213 Rajekwesi 1/5 8-Dec 10
11 Ngadisan 71 th L 0000593486267 Rajekwesi 2/4 10-Dec 6
12 Nurul Isma 11 th P 0001900746854 Rajekwesi 1/6 13-Dec 15
13 Siti Muntafiah 18 th P 0000593709974 Pule 1/3 13-Dec 18
14 Sipan 70 th L 0000593530446 Bungu 5/3 16-Dec 13
15 Nur Sahid 24 th L BYR Basirun Pendosawalan 9/3 17-Dec 20
16 Nur Ardi Pratama 11 bl L BYR Sardi Buaran 7/9 17-Dec 10
17 Sukur 49 th L 0000594621371 Buaran 1/5 17-Dec 8
18 Siti Aminah 41 th P 0000594471521 Damarjati 2/5 18-Dec 18
19 Hitul Roufah 28 th P BYR Jumali Buaran 6/4 19-Dec 12
20 Sukardi 75 th L 0000593244459 Damarjati 19-Dec 8
21 Warkham Setiobudi 39 th L 00001534491898 Bungu 1/1 19-Dec 12
22 Munipah 44 th P 0000593327248 Damarjati 2/3 20-Dec 22
23 Mohammad Fajar Dwi Guntoro 12 th L 0002072868658 Bungu 1/4 24-Dec 10
24 Andi Umarsono 13 th L 0000593721639 Bungu 1/2 27-Dec 20
25 Masrukin 66 th L 0001803773733 Kuanyar 5/1 28-Dec 11

Mengetahui
Kepala Puskesmas Mayon

dr. Hadi Saputro

NIP: 19720908 200604 1 0
GI

PULANG JAM HR RAWAT DIAGNOSA

1-Jan 10 6 Febris
1-Jan 15 6 Febris Trombositopeni

2-Jan 12 5 Febris
4-Jan 14 3 Disentri
4-Jan 14 3 Febris Trombositopeni

4-Jan 15 3 Febris
5-Jan 16 3 Melena
6-Jan 16 4 Febris Thypoid

6-Jan 16 4 Morbili
6-Jan 14 3 GEA
7-Jan 12 4 GEA
9-Jan 12 4 Febris
8-Jan 9 2 Febris
9-Jan 11 3 Febris Trombositopeni

10-Jan 9 4 Febris Trombositopeni

11-Jan 14 5 Febris
11-Jan 14 4 Febris
12-Jan 10 5 Febris Trombositopeni

11-Jan 14 2 Anemia Gravis

14-Jan 8 5 Febris Trombositopeni

14-Jan 13 5 Febris Trombositopeni

15-Jan 11 6 Febris
15-Jan 13 6 Febris
15-Jan 14 5 Febris Trombositopeni

15-Jan 8 4 Febris Thypoid

16-Jan 12 5 Febris Trombositopeni

17-Jan 9 4 Febris Trombositopeni

18-Jan 13 5 Febris Trombositopeni

20-Jan 9 7 Febris Trombositopeni

18-Jan 12 4 GEA
18-Jan 13 3 Febris Trombositopeni

18-Jan 11 2 Febris Trombositopeni

21-Jan 12 4 Febris Thypoid

22-Jan 12 5 Febris
21-Jan 12 3 Febris
21-Jan 14 3 GEA
22-Jan 12 4 Febris Trombositopeni

22-Jan 12 4 Febris Trombositopeni

23-Jan 17 4 Febris
25-Jan 12 5 Febris
26-Jan 9 6 Febris Trombositopeni

26-Jan 8 5 Febris Trombositopeni

 27-Jan 8 6 Febris
28-Jan 9 4 Febris
29-Jan 12 4 GEA
30-Jan 17 4 Demam Thypoid

30-Jan 16 4 Febris Trombositopeni

31-Jan 10 4 Demam Thypoid

31-Jan 12 4 Febris Lekositosis

207

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
GI

PULANG JAM HR RAWAT DIAGNOSA

1-Feb 14 4 Febris
3-Feb 12 6 Febris Trombositopeni

2-Feb 14 4 Febris
2-Feb 16 4 Thypoid
3-Feb 12 5 Febris Trombositopeni

3-Feb 14 5 Febris lekositosis

3-Feb 12 4 Febris Thypoid

3-Feb 12 4 Febris Trombositopeni

4-Feb 14 4 Lekositosis
5-Feb 8 5 Febris
5-Feb 23 5 Febris Trombositopeni

4-Feb 14 3 Febris Trombositopeni

4-Feb 10 2 Febris Trombositopeni

6-Feb 14 4 Febris Trombositopeni

6-Feb 9 4 Febris Trombositopeni

7-Feb 10 5 Febris Trombositopeni

7-Feb 10 5 Febris Trombositopeni

9-Feb 12 6 Febris
9-Feb 12 5 Thypoid
9-Feb 10 4 Febris
10-Feb 17 4 Febris Trombositopeni

10-Feb 13 4 Febris trombositopeni

10-Feb 14 4 Febris Trombositopeni

12-Feb 11 6 Febris Trombositopeni

 10-Feb 17 3 Febris Trombositopeni

10-Feb 12 3 Febris Trombositopeni

12-Feb 8 5 Febris Trombositopeni

10-Feb 12 2 Febris Trombositopeni

14-Feb 14 6 Febris Trombositopeni

14-Feb 18 5 Febris Trombositopeni

12-Feb 17 2 Febris Trombositopeni

14-Feb 14 4 Febris Trombositopeni

15-Feb 14 5 Febris lekositosis

17-Feb 15 7 Febris Trombositopeni

16-Feb 13 5 Febris Trombositopeni

18-Feb 17 7 Febris
19-Feb 12 5 Febris
19-Feb 9 4 GEA
20-Feb 15 4 Febris Trombositopeni

20-Feb 10 4 Febris
22-Feb 12 5 Febris
23-Feb 10 5 Thypoid
23-Feb 11 5 Febris Trombositopeni

24-Feb 11 5 Febris
22-Feb 13 2 Febris Trombositopeni

25-Feb 10 5 Febris Trombositopeni

26-Feb 9 5 Febris Trombositopeni

26-Feb 10 4 Thypoid
27-Feb 18 5 Febris Trombositopeni

29-Feb 12 7 Febris Trombositopeni

225

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
GI

PULANG JAM HR RAWAT DIAGNOSA

2-Mar 17 7 Febris Trombositopeni

1-Mar 12 5 Febris Trombositopeni

1-Mar 12 4 Febris Trombositopeni

2-Mar 10 4 Thypoid
3-Mar 8 4 Hipertensi
 4-Mar 10 4 Febris Trombositopeni

7-Mar 12 7 Febris
8-Mar 16 7 Febris Trombositopeni

6-Mar 21 4 Thypoid
8-Mar 16 6 Febris
6-Mar 12 3 Febris
6-Mar 12 3 Thypoid
7-Mar 15 4 Thypoid
7-Mar 16 4 Febris Lekositosis

8-Mar 17 5 Dysentri
11-Mar 12 6 Febris
9-Mar 12 3 Febris Trombositopeni

12-Mar 12 5 Febris Trombositopeni

13-Mar 16 4 Febris
13-Mar 17 4 Febris Trombositopeni

15-Mar 10 6 Febris Trombositopeni

15-Mar 10 5 Febris Trombositopeni

14-Mar 6 3 Febris
18-Mar 13 7 Thypoid,Trombositopeni

17-Mar 9 5 Febris Trombositopeni

17-Mar 9 5 GEA
20-Mar 9 7 Febris Trombositopeni

20-Mar 18 6 Febris Trombositopeni

23-Mar 9 6 GEA
24-Mar 12 6 Febris Trombositopeni

23-Mar 9 4 Thypoid
23-Mar 10 4 Thypoid Lekositosis

24-Mar 12 5 Febris Trombositopeni

25-Mar 9 5 Febris Lekositosis

25-Mar 9 5 GEA
26-Mar 12 5 Febris
27-Mar 17 6 Febris Trombositopeni

30-Mar 12 7 Febris Trombositopeni

30-Mar 14 7 Febris trombositopeni

28-Mar 13 4 Febris Trombositopeni

29-Mar 11 4 Febris
205

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
GI
PULANG JAM HR RAWAT DIAGNOSA

1-Apr 11 5 Febris
1-Apr 12 4 Febris
2-Apr 11 5 Febris
3-Apr 13 5 Febris Trombositopeni

4-Apr 11 5 Gastroenteritis

8-Apr 12 5 Jantung Kongesti

8-Apr 13 4 Thypoid
9-Apr 17 4 Febris Trombositopeni

9-Apr 17 4 Thypoid
13-Apr 16 4 Febris
14-Apr 9 5 Febris Trombositopeni

14-Apr 12 4 Thypoid
14-Apr 14 3 Thypoid
15-Apr 12 4 Febris
15-Apr 12 4 Febris
15-Apr 8 3 Febris Lekositosis

15-Apr 8 3 Thypoid
15-Apr 11 3 GEA
16-Apr 17 4 Thypoid
17-Apr 12 4 Thypoid
17-Apr 12 4 Gastroenteritis

18-Apr 11 5 Thypoid
17-Apr 10 3 Febris Lekositosis

19-Apr 16 5 Febris trombositopeni

20-Apr 13 4 Febris
21-Apr 14 5 Febris Trombositopeni

22-Apr 11 5 Febris Trombositopeni

22-Apr 8 5 Febris Trombositopeni

23-Apr 16 4 Thypoid
25-Apr 8 4 Vomitus
27-Apr 9 5 Thypoid
27-Apr 9 5 Thypoid
28-Apr 9 6 Febris Trombositopeni

28-Apr 8 5 Thypoid
28-Apr 8 5 Thypoid
27-Apr 10 3 Disentri
28-Apr 13 3 GEA
29-Apr 10 4 Gastroenteritis

30-Apr 14 4 Thypoid
166
 Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
GI

PULANG JAM HR RAWAT DIAGNOSA

1-May 12 4 Disentri
2-May 12 4 Thypoid
3-May 16 4 Febris
5-May 13 4 Febris
7-May 8 6 Thypoid
8-May 8 5 Febris
9-May 10 6 Gastritis Acut
9-May 12 6 Febris
10-May 9 7 Trombositopeni

11-May 16 6 Trombositopeni

11-May 8 5 Febris
11-May 14 5 Febris Lekositosis

12-May 12 6 Febris
13-May 12 7 Vomitus
13-May 12 6 Febris Trombositopeni

12-May 13 4 Febris
13-May 9 5 Febris
13-May 9 5 Febris
14-May 18 4 Febris
14-May 18 4 Febris
16-May 12 5 Thypoid
16-May 9 4 Thypoid
16-May 12 4 Febris
16-May 12 4 Febris
16-May 12 4 Febris
19-May 9 4 Febris
20-May 12 4 Thypoid
20-May 9 4 Trombositopeni

23-May 12 5 Vomitus
24-May 10 5 Febris
25-May 12 4 Thypoid
25-May 14 4 Vomitus
27-May 10 6 Febris
26-May 12 4 Febris
26-May 9 4 Thypoid
 29-May 15 5 Febris
173

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
GI

PULANG JAM HR RAWAT DIAGNOSA

2-Jun 9 5 Thypoid
4-Jun 17 5 Febris
5-Jun 13 5 Febris Trombositopeni

5-Jun 17 5 Thypoid
6-Jun 10 4 Thypoid
6-Jun 8 4 Thypoid
6-Jun 9 4 Febris
7-Jun 8 4 Febris Lekositosis

7-Jun 8 4 Febris Trombositopeni

8-Jun 16 5 Febris
9-Jun 16 5 Thypoid
10-Jun 16 6 Trombositopeni

9-Jun 15 4 Febris
9-Jun 12 4 Vomitus
10-Jun 11 5 Febris
10-Jun 11 5 Febris
11-Jun 18 4 Vomitus
12-Jun 16 5 Febris
12-Jun 13 4 Febris
14-Jun 17 4 Febris
17-Jun 8 4 Thypoid
18-Jun 12 4 Thypoid
18-Jun 12 4 Gastritis akut
18-Jun 12 4 Vomitus
18-Jun 12 4 Febris
20-Jun 12 5 Trombositopeni

21-Jun 19 5 Febris
23-Jun 10 7 Trombositopeni

24-Jun 9 7 Thypoid
22-Jun 14 2 Thypoid
 25-Jun 10 5 Thypoid
25-Jun 14 5 Febris
25-Jun 10 5 Thypoid
25-Jun 10 4 Febris
28-Jun 16 4 Thypoid
30-Jun 14 5 Trombositopeni

30-Jun 12 5 Febris
30-Jun 14 2 Thypoid
172

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
GI

PULANG JAM HR RAWAT DIAGNOSA

3-Jul 17 5 Febris
4-Jul 11 6 Trombositopeni

3-Jul 12 4 Febris
3-Jul 13 4 Febris
4-Jul 13 4 Trombositopeni

5-Jul 14 5 Thypoid
5-Jul 16 5 Trombositopeni

5-Jul 12 2 Febris
8-Jul 11 4 Febris
11-Jul 10 6 Thypoid
11-Jul 6 5 Vomitus
11-Jul 17 5 Thypoid
11-Jul 10 4 Febris
12-Jul 12 4 Thypoid
12-Jul 12 4 Thypoid
12-Jul 12 4 Thypoid
13-Jul 10 4 GEA
13-Jul 17 4 Lekositosis
13-Jul 12 3 Febris lekositosis

15-Jul 12 5 Lekositosis
18-Jul 12 4 Febris
18-Jul 15 4 Vomitus
18-Jul 12 4 GEA
 18-Jul 12 4 Abses Mandibula

19-Jul 9 5 Trombositopeni

19-Jul 15 4 Trombositopeni

21-Jul 8 4 Gastritis akut

21-Jul 12 4 Febris Trombositopeni

21-Jul 14 4 GEA
21-Jul 12 3 Febris Trombositopeni

23-Jul 12 5 Febris
23-Jul 12 4 Lekositosis
25-Jul 15 5 Vomitus
26-Jul 12 5 Trombositopeni

24-Jul 21 2 GEA
26-Jul 8 4 GEA
26-Jul 12 4 GEA
28-Jul 14 4 Thypoid
28-Jul 9 4 Febris
29-Jul 13 4 Thypoid
29-Jul 13 4 GEA
30-Jul 18 5 Trombositopeni

29-Jul 12 3 Febris
180

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
GI

PULANG JAM HR RAWAT DIAGNOSA

1-Aug 10 5 Thypoid
1-Aug 11 4 Thypoid
1-Aug 11 3 Thypoid
3-Aug `17 5 Thypoid
2-Aug 12 2 DHF
3-Aug 12 2 Trombositopeni

5-Aug 17 4 GEA
6-Aug 14 5 Thypoid
5-Aug 16 3 Lekositosis
6-Aug 16 4 Febris
8-Aug 12 6 Trombositopeni
 8-Aug 17 6 DHF
5-Aug 16 2 Febris
7-Aug 15 4 GEA
8-Aug 11 4 Thypoid
11-Aug 9 6 Thypoid
11-Aug 13 4 DHF
15-Aug 14 5 Thypoid
13-Aug 15 2 Anemia Gravis
16-Aug 10 5 DHF
17-Aug 11 4 GEA
17-Aug 12 3 HEG
18-Aug 11 4 obs. Febris
18-Aug 10 4 HEG
24-Aug 12 4 Thypoid
24-Aug 12 3 Thypoid
26-Aug 11 4 Thypoid
29-Aug 10 6 Thypoid
29-Aug 14 6 Febris
29-Aug 14 5 GEA
30-Aug 17 5 Thypoid
30-Aug 13 4 Viral infection
31-Aug 18 5 DHF
31-Aug 17 4 Thypoid
30-Aug 12 2 DHF
144

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
GI

PULANG JAM HR RAWAT DIAGNOSA

1-Sep 14 2 DHF
4-Sep 13 4 Thypoid
5-Sep 17 5 Thypoid
6-Sep 14 6 Thypoid
7-Sep 14 5 Lekositosis
8-Sep 9 4 Thypoid
8-Sep 11 4 GEA
 10-Sep 16 4 Thypoid
10-Sep 15 3 Thypoid+ISPA
13-Sep 14 4 Thypoid
17-Sep 17 5 GEA+Thypoid
18-Sep 13 6 Trombositopeni
17-Sep 18 4 Thypoid
18-Sep 13 5 Obs. Febris
17-Sep 18 2 Lekositosis
20-Sep 19 5 Thypoid
20-Sep 17 5 Thypoid
21-Sep 9 4 Thypoid
23-Sep 13 4 Thypoid
24-Sep 13 4 Thypoid
27-Sep 15 6 DHF
24-Sep 19 2 DHF
27-Sep 17 5 Trombositopeni
27-Sep 17 4 Thypoid
30-Sep 12 5 GEA
30-Sep 12 5 GEA
112

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009

GI

PULANG JAM HR RAWAT DIAGNOSA

3-Oct 10 7 DHF
3-Oct 10 5 Thypoid
4-Oct 17 3 Thypoid
5-Oct 14 4 Obs. Febris
6-Oct 17 5 ISPA
8-Oct 18 4 Thypoid
10-Oct 12 5 Viral infection
10-Oct 10 5 DHF
13-Oct 12 4 GEA
15-Oct 16 6 Thypoid
15-Oct 16 5 Obs. Febris
 15-Oct 16 4 ISPA
17-Oct 10 5 Thypoid
15-Oct 17 2 Thypoid
16-Oct 18 3 Febris
19-Oct 16 4 GEA
20-Oct 15 4 Thypoid
21-Oct 11 5 Thypoid
22-Oct 11 3 GEA
24-Oct 14 5 Thypoid
24-Oct 14 4 Susp. Morbili
24-Oct 14 4 Thypoid
25-Oct 18 5 Thypoid
25-Oct 18 4 Trombositopeni

26-Oct 12 5 Thypoid
26-Oct 15 4 Febris
27-Oct 17 5 Febris
27-Oct 17 3 GEA
28-Oct 17 4 GEA
28-Oct 11 4 GEA
31-Oct 11 5 Gastritis
135

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009

GI

PULANG JAM HR RAWAT DIAGNOSA

2-Nov 16 4 Thypoid
4-Nov 14 5 Dispepsia
5-Nov 18 4 Febris
9-Nov 14 5 susp. Morbili
9-Nov 14 4 susp. Morbili
9-Nov 14 4 Gastritis
10-Nov 14 5 Trombositopeni
10-Nov 14 4 Febris
10-Nov 14 4 Febris
13-Nov 8 7 Demam Dengue
 12-Nov 13 5 Gastritis
12-Nov 17 4 Demam Dengue

14-Nov 16 4 GEA
15-Nov 17 5 Demam Dengue

16-Nov 12 4 Thypoid
17-Nov 10 5 Morbili
17-Nov 12 4 Demam Dengue

18-Nov 12 4 Thypoid
19-Nov 16 4 Demam Dengue
21-Nov 12 6 Demam Dengue

22-Nov 15 4 Thypoid
23-Nov 9 4 Morbili
24-Nov 10 4 KDS
25-Nov 12 4 GEA
28-Nov 12 7 DHF
25-Nov 12 3 Thypoid
25-Nov 11 3 Thypoid
25-Nov 12 3 Thypoid
26-Nov 13 4 GEA
28-Nov 12 3 Thypoid
29-Nov 13 4 Thypoid
30-Nov 15 5 Thypoid
30-Nov 17 5 Obs. Febris
144

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009

GI

PULANG JAM HR RAWAT DIAGNOSA

1-Dec 12 7 DHF
1-Dec 8 5 Obs. Febris
1-Dec 10 4 GEA
2-Dec 11 5 Thypoid
1-Dec 11 3 Thypoid
5-Dec 12 5 Morbili
5-Dec 12 4 Thypoid
 5-Dec 12 4 Febris
6-Dec 17 4 Obs. Febris
12-Dec 9 5 Demam Dengue

15-Dec 17 6 GEA
16-Dec 10 4 Thypoid
17-Dec 10 5 Thypoid
20-Dec 13 5 Demam Dengue

20-Dec 18 4 GEA
20-Dec 18 4 Febris
20-Dec 10 4 Obs. Febris
21-Dec 17 4 Obs. Febris
21-Dec 18 3 susp. Morbili
22-Dec 9 4 Anemia
22-Dec 19 4 Obs. Febris
23-Dec 9 4 Obs. Febris
27-Dec 15 4 Obs. Febris
30-Dec 12 4 Demam Dengue

31-Dec 11 4 Vertigo
109

Mengetahui
Kepala Puskesmas Mayong I

dr. Hadi Saputro

NIP: 19720908 200604 1 009
Januari Febris Trombositopeni 19 Januari Februari
Febris 15 40 Febris 40 44
GEA 5 Thypoid 3 5
Febris Thypoid 3 Trombositopeni 19 31
Demam Thypoid 2
Disentri 1 GEA 5 1
Melena 1
Morbili 1
Anemia Gravis 1 Disentri 1
Febris Lekositosis 1 Melena 1
Morbili 1
Februari Febris Trombositopeni 31 Anemia Gravis 1
Febris 10 44 Lekositosis 1 3
Thypoid 4
Febris lekositosis 2
GEA 1
Febris Thypoid 1
Lekositosis 1

Maret Febris Trombositopeni 19

Febris 7 28
Thypoid 5 7
GEA 3
Febris Lekositosis 2
Hipertensi 1
Dysentri 1
Thypoid,Trombositopeni 1
Thypoid Lekositosis 1

April Thypoid 14
Febris Trombositopeni 8
Febris 6 16
Gastroenteritis 3
Febris Lekositosis 2
GEA 2 5
Jantung Kongesti 1
Vomitus 1
Disentri 1

Mei Febris 19 21
Thypoid 7
Trombositopeni 3 4
Vomitus 3
 Disentri 1
Gastritis Acut 1
Febris Lekositosis 1
Febris Trombositopeni 1

Juni Febris 14 17
Thypoid 13
Trombositopeni 4 6
Vomitus 3
Febris Trombositopeni 2
Febris Lekositosis 1
Gastritis akut 1

Juli Febris 10 13
Thypoid 8
Trombositopeni 7 9
GEA 7
Vomitus 3
Lekositosis 3 4
Febris Trombositopeni 2
Febris lekositosis 1
Abses Mandibula 1
Gastritis akut 1

Agusutus Thypoid 14
DHF 6
GEA 4
Trombositopeni 2 8
Febris 2 3
HEG 2
Lekositosis 1
Anemia Gr 1
obs. Febris 1
Viral infect 1

sept Thypoid 13 15
DHF 3
GEA 3 4
Lekositosis 2
Trombosito 2 5
Thypoid+I 1
GEA+Thypoid 1
Obs. Febris 1
Oktober Thypoid 12
GEA 6 7
Febris 3 5
DHF 2
Obs. Febris 2
ISPA 2
Viral infection 1
Susp. Morbili 1
Trombositopeni 1 3
Gastritis 1

Nop Thypoid 10
Demam Dengue 6
Febris 3 10
GEA 3 5
susp. Morbili 2 4
Gastritis 2
Morbili 2
Dispepsia 1
Trombosito 1 8
KDS 1
DHF 1
Obs. Febris 1

des Obs. Febris 7

Thypoid 5
GEA 3
Demam Dengue 3
Febris 2 12
DHF 1
Morbili 1
susp. Morbili 1 2
Anemia 1
Vertigo 1
Maret April Mei Juni Juli Agustus SeptemberOktober NopemberDesember
28
7
20

3
Desember
no Januari Februari Maret April Mei Juni Juli Agustus
1 Febris 40 44 28 16 21 17 13 3
2 Trombositopeni 19 31 20 8 4 6 9 8
3 Thypoid 3 5 7 14 7 13 8 14
4 GEA 5 1 3 5 1 1 8 4
5 Lekositosis 1 3 3 0 1 1 4 2
6 Vomitus 0 0 0 1 3 3 3 0
7 Susp. Morbili 1 0 0 0 0 0 0 0
8 Disentri 1 0 1 1 1 0 0 0
9 Anemia Gravis 1 0 0 0 0 0 0 1
10 ISPA 0 0 0 0 0 0 0 0
HEG 2
Jantung Kongesti 1
Hipertensi 1 GRAFIK 10 BESAR PENYA
Melena 1
50
Abses Mandibula 1
Dispepsia
45
KDS
Vertigo
40
Morbili

35

30

25

20

15

10

0
Januari Februari Maret April Mei Juni Juli Agustus
 SeptemberOktober NopemberDesember
1 5 10 12 210
5 0 8 3 121
15 12 10 5 113
4 7 5 3 47
2 2 0 0 19
0 0 0 0 10
0 0 4 2 7
0 0 0 0 4
0 0 0 1 3
1 2 0 0 3
2
1
0 BESAR PENYAKIT TAHUN 2016 1
1
1
1 1
1 1
1 1
0

Juli Agustus September Oktober Nopember Desember

NO Januari Februari Maret April Mei Juni Juli Agustus
Nilai BOR 66.77 77.59 66.13 55.33 55.81 57.33 58.06 46.45
Nilai AVLOS 4.2 4.5 5.0 4.3 4.8 4.5 4.2 4.1
Nilai TOI 2.1 1.3 2.6 3.4 3.8 3.4 3.0 4.7
Nilai BTO 20.7 22.5 20.5 16.6 17.3 17.2 18 14.4

HASIL PENCAPAIAN TAHUN 20

90.00
80.00
70.00
60.00
50.00
40.00
30.00
20.00
10.00
-
Januari Februari Maret April Mei Juni Juli Agustus
 SeptemberOktober NopemberDesember Rata Rata
37.33 43.55 48.00 35.16 53.96
4.3 4.4 4.4 4.4 4.42
7.2 5.6 4.7 8.0 4.17
11.2 13.5 14.4 10.9 16.43

APAIAN TAHUN 2016

i Juli Agustus September Oktober Nopember Desember Rata Rata