TANGGAL

PEMERIKSAAN*
NIK NAMA PASIEN*

1/2/2023 3274035504100001 NYIMAS AYU RARA SANTANG

1/2/2023 3274030710840007 MOHAMAD SAEFULLOH

1/2/2023 3274035006660015 ROMLAH

1/3/2023 3209143103950002 JOAN FRANCISCA ANDRIES

1/3/2023 3274035109940010 MUFSHIHATUL KALAMIYAH

1/3/2023 3278085608940015 RIANTY ARYANI PUTRI

1/3/2023 3274036806040001 AMELIANI

1/4/2023 3274035402050007 SAEPIA

1/4/2023 3274056211020006 ISABELL AJHANY PRIHADA

1/4/2023 P327401016103666 GILANG WARDANA

1/6/2023 3209215305910002 TITIN SUNENGSIH

1/6/2023 3274032009600005 NARNO PURWANTO

1/7/2023 3274037103950006 NITA EKA SRIASTUTI

1/7/2023 3274034705970003 NABILLA ENNO MAYLITA

1/9/2023 3209201801130002 MUHAMMAD REZA AMIRUL LATIEF

1/9/2023 3274031001800010 M MUHAEMIN

1/9/2023 3274030606070134 NANDITA PUTRI MAHARANI

1/11/2023 3274032808760008 WILLY BUDIMAN

1/11/2023 3274032602990007 HERI CAHYADI

1/13/2023 3274034301070002 ROFIQOTUL HAYATI

1/13/2023 3274034901860006 ISMIE FADILLAH

1/16/2023 3274035412620012 ASNA

1/16/2023 3274036006960003 SISKA

1/16/2023 3274051009040001 CATUR NUGRAHA

1/18/2023 3212104511570001 KHASANAH

1/18/2023 P327404016102448 MAS BAMBANG TRIKUNTARA

1/18/2023 3274032702720009 ERWAN HERMAWAN

1/20/2023 3274034403730013 ATI MISRATI

1/20/2023 3208136703540007 JURIAH

1/24/2023 3274031307690002 AWLIYA TRIBHUWANA

1/24/2023 3274035504580009 SUTINI

1/26/2023 3209146401710002 NURDJANNAH

1/26/2023 3208226105960001 DIAJENG MAULANY SHOBIROH

1/26/2023 3209207107530003 EUIS SUMARNI

1/26/2023 3274031808760015 SYAHRUDIN

1/27/2023 3274034109890010 VINDI YANI INDAH LESTARI

1/27/2023 3274034402640003 YANI HERDIANI

1/27/2023 3274053005050002 RIZAL HERMAWAN RIZKI

1/27/2023 3209192112000004 ARIA SAGARA HAKIM

1/27/2023 3274036707570009 LASMINA

1/28/2023 P327401016005283 TITIN NINGRUM

1/28/2023 3274031703490001 TOTO SUHARTO

1/28/2023 3274046103630003 SOPIAH

1/28/2023 3274036012800009 EKA HADI ASTUTI

1/28/2023 P320912117000002 UPIT

1/28/2023 3209362010940003 AKHMAD ALIMUDDIN

1/28/2023 3274034810790009 ENA RATNA

1/28/2023 3274032106640001 IWAN SAEFUL ANWAR

1/30/2023 3209156003680014 HASTUTI

1/30/2023 3209204507920009 SRI YULIANI

1/30/2023 3274056512020011 DIVA ELSAVIRA MATURIDIE

1/30/2023 3274032601470005 MUNTAHA

1/30/2023 3274031804590001 MUHAMMAD YUSUP

1/30/2023 3274051810610007 ISNENDAR BINAWIDJAYA

1/30/2023 3274035009720007 MINARSIH

1/30/2023 3274034811710005 TITI SUMIATI

1/30/2023 3274035804640003 SITI HAWA

1/30/2023 3274034104050003 TUTI KAMALATUZZAHRO

1/30/2023 P327401016105030 KHAERUDDIN

1/30/2023 3274035804730003 SRI RATNAWATI

1/30/2023 3208224911570001 YETTY NURHAYATI

1/30/2023 3204104404960001 VIERENZA GRATIA

1/30/2023 3274035012960012 DIANA ROHMATUL SOLEHAH

1/30/2023 3274035306050005 LATHIFA

1/30/2023 3274032602570001 MOHAMAD SOHIP

1/30/2023 3209145501590001 ETI YAYAH

1/30/2023 3274036312990008 MILCHATUL MAULA

1/30/2023 P327401018002272 RITA DEWI

1/30/2023 3274034103620011 RUSINAH ASNA

1/30/2023 P327401019002168 FAIROUZ

1/30/2023 3274031506630063 SALIM

1/30/2023 3274036509860005 ROSSE KURNIASIH

1/30/2023 3274032102840008 FEBI RIAWAN

1/30/2023 P327401016200161 AFININDA SALSABILA

1/30/2023 P327404017100822 ANDHIKA ARDIANSYAH

1/30/2023 3274035707690016 MARFUAH

1/30/2023 3274030810650003 MAJID

1/30/2023 3274052707510008 SOPYAN

1/30/2023 3274036810750019 KUSMIASIH
1/30/2023 3274035507450008 TASI

1/30/2023 3274034511790017 SITI MARYAM

1/30/2023 3274031005790017 RANO

1/30/2023 3208124606910004 RATNA SRI FUSPITA

1/30/2023 3274032403540003 EDDY THOLIB

1/30/2023 3209142707700003 I GEDE RATA

1/30/2023 3209145107760005 NI NYOMAN SUBENI

1/30/2023 3274041401110001 AFRIZA FIRDAUS

1/30/2023 3274035802810003 TITA SUPRIATIN

1/30/2023 3274035503680011 DEDE MAENI

1/30/2023 3274036810740013 LINDA ANENGSIH

1/30/2023 P327401017101359 SUSIANTO

1/30/2023 3274035508450003 TIEN AJETIN

1/30/2023 P327404017100986 MOCH MAMAN SASTRA

1/30/2023 P327401017102368 MOCHAMAD NURHADIANTO

1/30/2023 P320911116001897 SRI MULYATI

1/30/2023 3274035110890012 ROKILAH

1/30/2023 3274031203550005 MARDIYO

1/30/2023 3274034203610005 SARNI

1/30/2023 3274031510510003 SACHWAN KURNIAWAN

1/30/2023 3274036107040002 SITI NAFISAH

1/30/2023 3209145503650002 ADE SAHDIYAH

1/30/2023 3274024504750004 EVIANA

1/30/2023 3274031110040001 MOH WAKHYUDI

3/30/2023 3209156212670003 ATUN ROHAYATUN

1/30/2023 P320916119100014 SINGGIH PRIYOGO PANGESTU

1/30/2023 3209126808980006 NURUL ULFAH

1/30/2023 3274035103770001 UUN UNIRI

1/30/2023 3274055807790009 HEVI ALFIAH

1/30/2023 3274054306020006 SOFIA LABIBAH

1/30/2023 3209140312080002 KEIZA PUTRI NATASHA

1/30/2023 3274030108060005 TITO PRASETYANTO PRAYITNO

1/30/2023 3274035510040011 SITI SARAH

1/30/2023 3274035607060001 LARASHATI MULYA RAHAYU

1/30/2023 3274034602010005 DARIN NAFISAH FUADIYAH

1/30/2023 3274035801030006 ELZSA SARIAHDIYANTI

1/30/2023 3578210104490002 ADHI SUSANTO G

1/30/2023 P327401016200877 RIANTY JUMAEROH

1/30/2023 3274015104090001 ZULFA FEYRUZ MUSHAFFA

1/30/2023 3274051809050004 AKBAR ARANDI PASHA

1/30/2023 P327404016100826 SIARUDIN

1/30/2023 3274035510710006 AISYAH

1/30/2023 3209150101600023 MAS SETIA BUDI

1/30/2023 3209156207630004 WAWA SITI CHAWANIH

1/30/2023 3215012405950008 GILANG WARDHANA

1/30/2023 3209145804930003 RANI NOERBAETI

1/30/2023 3274034704580003 DUROTUN

1/30/2023 3274035506690075 ROKAYAH

1/30/2023 3274035904060002 FINKY NURAJIJAH

1/30/2023 3274034410070001 ELGA MANIK MAYA

1/31/2023 P327401017003833 NURUL ANNISA

1/31/2023 3274034303710011 CICIH SUKAESIH

1/31/2023 3274015702080001 RUMAISYAH DZAKIYYAH

1/31/2023 P327401016107053 KUSNI

1/31/2023 3209385701960001 TITI PURWANTI

1/31/2023 3274034607720008 LILIS CHOLISAH

1/31/2023 3209274905950013 MEILIYANA FAJRIN

1/31/2023 3274032601150001 IBNU RIZKI YANUAR

1/31/2023 3274035003060001 AMELIA INDAH LESTARI

1/31/2023 3209142709130003 MUHAMMAD AZZAM ABHIPRAYA

1/31/2023 P327404016100792 RAYHAN IMANDA ICHWANSYAH

1/31/2023 P327404016001162 AYUNA RIZKY UTAMI R

1/31/2023 P327404017000146 DIVA AYU LESTARI

1/31/2023 3274030705770004 YUNUS

 IDENTITA

PROVINSI ASAL PASIEN (JIKA TIDAK

TANGGAL LAHIR * JENIS DIISI AKAN MENGIKUTI PROVINSI
KELAMIN *
PUSKESMAS)

15-04-2010 Perempuan Jawa_Barat

07-10-1984 Laki-laki Jawa_Barat

10-06-1965 Perempuan Jawa_Barat

31-03-1995 Perempuan Jawa_Barat

11-09-1994 Perempuan Jawa_Barat

CIREBON, 16-08-1994 Perempuan Jawa_Barat

28-06-2004 Perempuan Jawa_Barat

14-02-2005 Perempuan Jawa_Barat

22-11-2002 Laki-laki Jawa_Barat

24-05-1995 Laki-laki Jawa_Barat

16-05-1992 Perempuan Jawa_Barat

20-09-1960 Laki-laki Jawa_Barat

31-03-1995 Perempuan Jawa_Barat

07-05-1997 Perempuan Jawa_Barat

18-01-2013 Laki-laki Jawa_Barat

CIREBON, 10-01-1980 Laki-laki Jawa_Barat

CIREBON, 09-03-2001 Perempuan Jawa_Barat

BREBES, 28-08-1976 Laki-laki Jawa_Barat

26-02-1999 Laki-laki Jawa_Barat

03-11-2007 Perempuan Jawa_Barat

 CIREBON, 09-01-1986 Perempuan Jawa_Barat

14-12-1962 Perempuan Jawa_Barat

20-06-1996 Perempuan Jawa_Barat

10-09-2004 Laki-laki Jawa_Barat

INDRAMAYU, 05-11-1957 Perempuan Jawa_Barat

05-07-1959 Laki-laki Jawa_Barat

27-02-1972 Laki-laki Jawa_Barat

04-03-1973 Perempuan Jawa_Barat

CIREBON, 27-03-1954 Laki-laki Jawa_Barat

13-07-1969 Laki-laki Jawa_Barat

15-04-1958 Perempuan Jawa_Barat

24-01-1971 Perempuan Jawa_Barat

21-05-1996 Perempuan Jawa_Barat

31-07-1953 Perempuan Jawa_Barat

18-08-1976 Laki-laki Jawa_Barat

01-09-1989 Perempuan Jawa_Barat

04-02-1964 Perempuan Jawa_Barat

30-05-2005 Laki-laki Jawa_Barat

CIREBON, 21-12-2000 Laki-laki Jawa_Barat

KOTA CIREBON, 27-07-1957Perempuan Jawa_Barat

24-08-1955 Perempuan Jawa_Barat

17-03-1949 Laki-laki Jawa_Barat

21-03-1963 Perempuan Jawa_Barat

 20-12-1980 Perempuan Jawa_Barat

08-07-1965 Perempuan Jawa_Barat

20-10-1994 Laki-laki Jawa_Barat

06-10-1979 Perempuan Jawa_Barat

21-06-1964 Laki-laki Jawa_Barat

20-03-1968 Perempuan Jawa_Barat

05-07-1992 Perempuan Jawa_Barat

25-12-2002 Perempuan Jawa_Barat

26-01-1947 Laki-laki Jawa_Barat

18-04-1959 Laki-laki Jawa_Barat

KOTA CIREBON, 18-10-1961 Laki-laki Jawa_Barat

10-09-1972 Perempuan Jawa_Barat

08-11-1971 Perempuan Jawa_Barat

18-04-1964 Perempuan Jawa_Barat

01-04-2005 Perempuan Jawa_Barat

14-05-1977 Laki-laki Jawa_Barat

18-04-1973 Perempuan Jawa_Barat

09-11-1957 Perempuan Jawa_Barat

04-04-1996 Perempuan Jawa_Barat

KOTA CIREBON, 10-12-1996Perempuan Jawa_Barat

 13-06-2005 Perempuan Jawa_Barat

26-02-1957 Laki-laki Jawa_Barat

15-01-1953 Perempuan Jawa_Barat

23-12-1999 Perempuan Jawa_Barat

10-04-1988 Perempuan Jawa_Barat

01-03-1962 Perempuan Jawa_Barat

20-11-1987 Perempuan Jawa_Barat

15-06-1963 Laki-laki Jawa_Barat

25-09-1986 Perempuan Jawa_Barat

21-02-1984 Laki-laki Jawa_Barat

20-11-2000 Perempuan Jawa_Barat

29-04-2005 Laki-laki Jawa_Barat

17-07-1969 Perempuan Jawa_Barat

08-10-1965 Laki-laki Jawa_Barat

27-07-1951 Laki-laki Jawa_Barat

28-10-1975 Perempuan Jawa_Barat
KOTA CIREBON, 15-07-1945Perempuan Jawa_Barat

05-11-1979 Perempuan Jawa_Barat

10-05-1979 Laki-laki Jawa_Barat

06-06-1991 Perempuan Jawa_Barat

24-03-1954 Laki-laki Jawa_Barat

27-07-1970 Laki-laki Jawa_Barat

11-07-1976 Perempuan Jawa_Barat

14-01-2011 Laki-laki Jawa_Barat

18-02-1981 Perempuan Jawa_Barat

 15-03-1968 Perempuan Jawa_Barat

28-10-1974 Perempuan Jawa_Barat

01-01-1966 Laki-laki Jawa_Barat

15-08-1945 Perempuan Jawa_Barat

11-09-1953 Laki-laki Jawa_Barat

19-12-1988 Laki-laki Jawa_Barat

01-08-1978 Perempuan Jawa_Barat

11-10-1989 Perempuan Jawa_Barat

12-03-1955 Laki-laki Jawa_Barat

02-03-1961 Perempuan Jawa_Barat

15-10-1951 Laki-laki Jawa_Barat

21-07-2004 Perempuan Jawa_Barat

15-03-1965 Perempuan Jawa_Barat

CIREBON, 05-04-1975 Perempuan Jawa_Barat

11-10-2004 Laki-laki Jawa_Barat

22-12-1967 Perempuan Jawa_Barat

05-10-1994 Laki-laki Jawa_Barat

SUMEDANG, 28-08-1998 Perempuan Jawa_Barat

11-03-1977 Perempuan Jawa_Barat

18-07-1979 Perempuan Jawa_Barat

CIREBON, 03-06-2002 Perempuan Jawa_Barat

CIREBON, 03-12-2008 Laki-laki Jawa_Barat

01-08-2006 Laki-laki Jawa_Barat

 15-10-2004 Perempuan Jawa_Barat

16-07-2006 Perempuan Jawa_Barat

06-02-2001 Perempuan Jawa_Barat

18-01-2003 Perempuan Jawa_Barat

CIREBON, 01-04-1949 Laki-laki Jawa_Barat

01-05-2008 Perempuan Jawa_Barat

11-04-2009 Perempuan Jawa_Barat

18-09-2005 Laki-laki Jawa_Barat

15-08-1967 Laki-laki Jawa_Barat

15-10-1971 Perempuan Jawa_Barat

CIREBON, 01-01-1960 Laki-laki Jawa_Barat

CIREBON, 22-07-1963 Perempuan Jawa_Barat

24-05-1995 Laki-laki Jawa_Barat

18-04-1993 Perempuan Jawa_Barat

07-04-1958 Perempuan Jawa_Barat

15-06-1969 Perempuan Jawa_Barat

19-04-2006 Perempuan Jawa_Barat

04-10-2007 Perempuan Jawa_Barat

CIREBON, 01-03-2002 Perempuan Jawa_Barat

03-03-1971 Perempuan Jawa_Barat

17-02-2008 Perempuan Jawa_Barat

 09-02-1961 Laki-laki Jawa_Barat

KOTA CIREBON, 17-01-1996Perempuan Jawa_Barat

09-11-1973 Perempuan Jawa_Barat

CIREBON, 09-05-1995 Perempuan Jawa_Barat

26-01-2015 Laki-laki Jawa_Barat

10-03-2006 Perempuan Jawa_Barat

CIREBON, 27-09-2013 Laki-laki Jawa_Barat

01-12-2007 Laki-laki Jawa_Barat

01-02-1997 Perempuan Jawa_Barat

10-01-2011 Perempuan Jawa_Barat

CIREBON, 07-05-1977 Laki-laki Jawa_Barat

 IDENTITAS PESERTA PUSKESMAS

KOTA/KAB. ASAL PASIEN (JIKA

TIDAK DIISI AKAN MENGIKUTI
[Link] PUSKESMAS)

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon
Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon
Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon
Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon
Kota Cirebon
Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon
Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon
Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon
Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon

Kota Cirebon
IDENTITAS PESERTA PUSKESMAS

ALAMAT* [Link]/HP

KANGGRAKSAN UTARA RT 005 RW 001

WANACALA RT 002 RW 008

KALITANJUNG TIMUR RT 002 RW 004

ARUMSARI RT 002 RW 010

CIDENG RAYA

TASIKMALAYA

PELANDAKAN RT 004 RW 007

PELANDAKAN RT 004 RW 007

MAJASEM

WANACALA RT 005 RW 008

PELANDAKAN RT 003 RW 007

KATIASA RT 004 RW 009

KALITANJUNG TIMUR RT 003 RW 004

KANGGRAKSAN SELATAN NO 59 RT 005 RW 002

CIDENG

CURUG RT 005 RW 011

larangan

JL. GUNUNG LAWU 3 D IV NO 74 RT 2 RW 6

KP PENYUKEN RT 002 RW 005

PENGGUNG UTARA RT 005 RW 010

[Link] III [Link] NO.129 RT 3 RW 6

LEMAH ABANG RT 004 RW 003

WANACALA RT 005 RW 008

MAJASEM RT 003 RW 014

INDRAMAYU

KARYAMULYA RT 003 RW 014

LEMAH ABANG RT 005 RW 003

GRENJENG RT 001 RW 006

PENGGUNG SELATAN

JL. KANGGRAKSAN NO.167 RT 005 RW 011

CILERES RT 002 RW 008

CIPERNA RT 003 RW 001

PANCALANG

GRIYA MUKTI ASRI KEDUNGDAWA 1/5

P GRENJENG RT 005 RW 006

WANACALA

CIREMAI GIRI

MAJASEM RT 001 RW 015

dawuan

KURANJI RT 003 RW 012

KANGGRAKSAN UTARA RT 003 RW 001

KALITANJUNG BARAT RT 001 RW 013

KALITANJUNG TIMUR RT 003 RW 004

KALITANJUNG BARAT RT 001 RW 013

SINDANGJAWA

KANGGRAKSAN SELATAN RT 002 RW 002

KALITANJUNG BARAT RT 002 RW 013

SUMBER GSI RT 005 RW 004

ARGASUNYA RT 004 RW 002

DRAJAT RT 001 RW 009

P. GRENJENG RT 004 RW 006

GRENJENG RT 004 RW 006

[Link] KALITANJUNG BARAT NO.52 RT 002 RW 013

PENGGUNG UTARA RT 003 RW 010

PENGGGUNG UTARA 3/10

PENGGUNG UTARA RT 003 RW 010

PENGGUNG UTARA RT 003 RW 010

KEDUNG WUNGU RT 001 RW 002

PENGGUNG UTARA RT 003 RW 010

PASANGGRAHAN

TAMAN KOPO INDAH

KALITANJUNG BARAT RT 001 RW 013

KATIASA RT 003 RW 009

GRENJENG RT 003 RW 006

KEPONGPONGAN RT 001 RW 005

PENGGUNG UTARA RT 003 RW 010

PENGGUNG SELATAN RT 005 RW 007

P GRENJENG RT 004 RW 006

JL. GN. AGUNG

PENGGUNG UTARA RT 004 RW 010

KANGGRAKSAN UTARA RT 002 RW 001

PENYUKEN RT 004 RW 005

GSP

PENGGUNG UTARA RT 001 RW 010

PELANDAKAN GG LANGGAR RT 002 RW 007

KALITANJUNG BARAT RT 003 RW 013

KANGGRAKSAN SELATAN NO 17 RT 005 RW 002
JL JENDRAL SUDIRMAN RT 004 RW 008

KANGGRAKSAN UTARA GG RANDU NO 15 RT 005 RW 001

P GRENJENG RT 001 RW 006

KALITANJUNG BARAT RT 003 RW 013

KP PENYUKEN RT 002 RW 005

ARUM SARI

ARUMSARI 02/04

PULASAREN

JL KALI TANJUNG GG KAMBOJA III NO 9 RT 003 RW 003

PENGGUNG UTARA RT 003 RW 010

KALITANJUNG BARAT RT 001 RW 013

KALITANJUNG BARAT RT 001 RW 013

TAMAN SUMBER

KARYAMULYA RT 001 RW 002

TUGU DALAM RT 004 RW 004

ARUM SARI RT 003 RW 007

KANGGRAKSAN UTARA RT 005 RW 001

KURANJI RT 001 RW 012

P. GRENJENG RT 004 RW 006

KALITANJUNG BARAT RT 001 RW 013

PENGGUNG UTARA RT 004 RW 010

ARUM SARI

ARUMSARI RT 006 RW 006

P GRENJENG RT 003 RW 006

BLOK PASAR TENGAH

DAWUAN

PERUM GPP Blok N.5 No.7

KANGGRAKSAN UTARA RT 002 RW 001

GSP RT 001 RW 012

JL DR CIPTO MK NO 6 RT 2 RW 6

cirebon girang

[Link] SELATAN GG. ARYA KEMUNING NO.28 RT 002 RW 002

KANGGRAKSAN UTARA GG RANDU NO 15 RT 005 RW 001

PENGGUNG UTARA RT 003 RW 010

PELANDAKAN RT 003 RW 007

PELANDAKAN RT 005 RW 007

wiyung

GRENJENG RT 04 RW 06

WANACALA RT 004 RW 008

JL KANDANG PRAHU

SICALUNG

P GRENJENG RT 002 RW 006

jl sultan hasanudin no 09

GG LEBU

WANACALA RT 005 RW 008

GRENJENG RT 001RW 006

JL KANGGRAKSAN UTARA RT 003 RW 001

GRENJENG RT 004 RW 006

PELANDAKAN RT 004 RW 007

KATIASA RT 004 RW 009

P UTARA

KANGGRAKSAN SELATAN RT 006 RW 002

WANACALA RT 004 RW 008

PERUM

LEMAH ABANG

LEMAH ABANG RT 02 RW 03

2/3/2001

LEMAH ABANG RT 004 RW 003

P GRENJENG RT 003 RW 006

pelandakan

GSP

NUSA ENDAH RT 005 RW 005

MEGA ENDAH

wanacala
STATUS PENDIDIKAN PEKERJAAN STATUS PERKAWINAN
 GANGGUAN PENGLIHATAN

GOLONGAN DARAH KATARAK

MATA KANAN MATA KIRI RUJUK RS

RS TK III
- Other cataract (H26)
CIREMAI
- Other cataract (H26) KLINIK INDERA
 - Other cataract (H26) KLINIK INDERA

- Other cataract (H26) RS BUDI ASTA

KLINIK CIREBON
- Other cataract (H26)
EYE CENTER

- Other cataract (H26) -

Other surgical follow-up KLINIK CIREBON
EYE CENTER
care (Z48)

- Other cataract (H26) KLINIK INDERA

- Other cataract (H26) KLINIK CIREBON
EYE CENTER

- Other cataract (H26) KLINIK INDERA

KLINIK CIREBON
- Other cataract (H26) EYE CENTER
- Other cataract (H26) KLINIK INDERA

- Other cataract (H26) RS BUDI ASTA

- Other cataract (H26) KLINIK INDERA

RS PERMATA
- Other cataract (H26)
CIREBON

- Other cataract (H26) RS BUDI ASTA

- Other cataract (H26) KLINIK INDERA
- Other cataract (H26) KLINIK INDERA
- Other cataract (H26) RSU MEDIMAS
 KLINIK CIREBON
- Other cataract (H26)
EYE CENTER

- Other cataract (H26) RS BUDI ASTA

KLINIK CIREBON
- Other cataract (H26)
EYE CENTER

KLINIK CIREBON
- Senile cataract (H25)
EYE CENTER

- Other cataract (H26) RS BUDI ASTA

KLINIK CIREBON
- Senile cataract (H25)
EYE CENTER
 KLINIK CIREBON
- Other cataract (H26)
EYE CENTER
 GANGGUA

GANGGUAN PENGLIHATAN

KELAINAN REFRAKSI CURIGA TULI KON

MATA KANAN MATA KIRI RUJUK RS TELINGA KANAN

- Glaucoma (H40) KLINIK INDERA

- Low vision, both eyes

(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

(H54.2) KLINIK INDERA

- Low vision,
both eyes RS BUDI ASTA
(H54.2)
- Low vision, both eyes RS BUDI ASTA
(H54.2)
- Low vision, both eyes
RS BUDI ASTA
(H54.2)
- Low vision, both eyes KLINIK INDERA
(H54.2)
- Low vision, both eyes
RS BUDI ASTA
(H54.2)
- Low vision, both eyes
(H54.2) KLINIK INDERA

- Glaucoma (H40) KLINIK CIREBON EYE CENTER

- Low vision, both eyes
RSU MEDIMAS
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Glaucoma (H40) KLINIK CIREBON EYE CENTER
- Low vision, both eyes RS BUDI ASTA
(H54.2)
- Low vision, both eyes
RS BUDI ASTA
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)

- Low vision, both eyes KLINIK INDERA

(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2)

- Low vision, both eyes

RS BUDI ASTA
(H54.2)
- Low vision, both eyes RSU MEDIMAS
(H54.2)

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes KLINIK INDERA
(H54.2)
- Low vision, both eyes
KLINIK INDERA
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Glaucoma (H40) KLINIK CIREBON EYE CENTER
- Low vision, both eyes
RSUD GUNUNG JATI
(H54.2)
- Low vision, both eyes
(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

(H54.2) RS BUDI ASTA

- Low vision, one eye

KLINIK CIREBON EYE CENTER
(H54.5)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes RS BUDI ASTA
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK INDERA
(H54.2)
- Low vision, both eyes KLINIK INDERA
(H54.2)

- Low vision, both eyes

(H54.2) - Glaucoma RS TK III CIREMAI
suspect (H40.0)

- Low vision, both eyes

(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

KLINIK INDERA
(H54.2)
- Low vision, both eyes
RS TK III CIREMAI
(H54.2)
- Low vision, both eyes
(H54.2) - Presbyopia KLINIK CIREBON EYE CENTER
(H52.4)

- Low vision, both eyes

KLINIK INDERA
(H54.2)

- Low vision, both eyes KLINIK CIREBON EYE CENTER

(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK INDERA
(H54.2)

- Low vision, both eyes

(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2) - Myopia (H52.1)
 - Low vision, both eyes
KLINIK INDERA
(H54.2) - Myopia (H52.1)

- Low vision, one eye

KLINIK CIREBON EYE CENTER
(H54.5)
- Low vision, one eye
KLINIK CIREBON EYE CENTER
(H54.5)
- Low vision, both eyes KLINIK CIREBON EYE CENTER
(H54.2)

- Low vision, both eyes

(H54.2) KLINIK INDERA

- Low vision, both eyes

(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes KLINIK INDERA

(H54.2)

- Low vision, both eyes KLINIK INDERA

(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
RS BUDI ASTA
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK INDERA
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK INDERA
(H54.2)
- Low vision, both eyes KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
(H54.2) RS BUDI ASTA

- Low vision, both eyes

RSU MEDIMAS
(H54.2)
- Low vision, both eyes RS TK III CIREMAI
(H54.2)
- Low vision, both eyes KLINIK INDERA
(H54.2)
- Low vision, both eyes
RS BUDI ASTA
(H54.2)
- Low vision, both eyes RSU MEDIMAS
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
RSU MEDIMAS
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
RSU MEDIMAS
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK INDERA
(H54.2)
- Low vision, both eyes KLINIK INDERA
(H54.2)
- Low vision, both eyes
RS TK III CIREMAI
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)

- Low vision, both eyes

(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, one eye
RSU MEDIMAS
(H54.5)
- Low vision, one eye
RSU MEDIMAS
(H54.5)

- Low vision, both eyes RSU MEDIMAS

(H54.2)
- Low vision, both eyes KLINIK INDERA
(H54.2)
- Low vision, both eyes
RSU MEDIMAS
(H54.2)

- Low vision, both eyes

RS BUDI ASTA
(H54.2)
- Low vision, both eyes
KLINIK INDERA
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
RS PUTERA BAHAGIA
(H54.2)
- Low vision, both eyes KLINIK INDERA
(H54.2)
- Low vision, both eyes
KLINIK INDERA
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes RSU MEDIMAS
(H54.2)
- Low vision, both eyes
RS BUDI ASTA
(H54.2)
- Low vision, both eyes
(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

(H54.2) KLINIK CIREBON EYE CENTER

- Low vision, both eyes

KLINIK CIREBON EYE CENTER
(H54.2)
- Low vision, both eyes
KLINIK CIREBON EYE CENTER
(H54.2)
 GANGGUAN INDERA

GANGGUAN PENDENGARAN

CURIGA TULI KONGENITAL (OMSK/CONGEK)

TELINGA KIRI RUJUK RS TELINGA KANAN TELINGA KIRI

ENGARAN

NGEK) SERUMEN

RUJUK RS TELINGA KANAN TELINGA KIRI RUJUK RS

 2.0
MERIKSAAN*
TANGGAL PE

3/1/2021 [Link]
1/12/2021 [Link]
1/20/2021 [Link]
3/25/2021 [Link]
2/27/2021 [Link]
2/2/2021 [Link]
2/2/2021 [Link]
2/2/2021 [Link]
6/2/2021 [Link]
4/3/2021 [Link]
2/4/2021 [Link]
10/4/2021 [Link]
4/5/2021 [Link]
4/5/2021 [Link]
4/5/2021 [Link]
10/5/2021 [Link]
10/5/2021 [Link]
1/6/2021 [Link]
1/6/2021 [Link]
4/6/2021 [Link]
8/6/2021 [Link]
8/6/2021 [Link]
1/7/2021 [Link]
5/7/2021 [Link]
5/7/2021 [Link]
8/7/2021 [Link]
8/7/2021 [Link]
9/7/2021 [Link]
1/8/2021 [Link]
1/8/2021 [Link]
3/8/2021 [Link]
6/8/2021 [Link]
7/8/2021 [Link]
9/8/2021 [Link]
9/8/2021 [Link]
9/8/2021 [Link]
3/9/2021 [Link]
9/9/2021 [Link]
9/9/2021 [Link]
10/9/2021 [Link]
 2/10/2021 [Link]
3/10/2021 [Link]
1/11/2021 [Link]
1/11/2021 [Link]
1/11/2021 [Link]
6/11/2021 [Link]
9/11/2021 [Link]
9/11/2021 [Link]
9/11/2021 [Link]
10/12/2021 [Link]
8/13/2021 [Link]
9/13/2021 [Link]
8/14/2021 [Link]
1/15/2021 [Link]
2/15/2021 [Link]
6/15/2021 [Link]
10/15/2021 [Link]
10/15/2021 [Link]
10/15/2021 [Link]
10/15/2021 [Link]
1/16/2021 [Link]
1/16/2021 [Link]
8/16/2021 [Link]
9/16/2021 [Link]
9/16/2021 [Link]
5/17/2021 [Link]
6/17/2021 [Link]
7/17/2021 [Link]
9/17/2021 [Link]
5/19/2021 [Link]
6/19/2021 [Link]
10/19/2021 [Link]
3/20/2021 [Link]
8/20/2021 [Link]
9/21/2021 [Link]
9/21/2021 [Link]
10/21/2021 [Link]
7/22/2021 [Link]
1/23/2021 [Link]
1/23/2021 [Link]
2/23/2021 [Link]
6/23/2021 [Link]
8/23/2021 [Link]
2/24/2021 [Link]
6/24/2021 [Link]
 5/25/2021 [Link]
5/25/2021 [Link]
5/25/2021 [Link]
9/25/2021 [Link]
10/25/2021 [Link]
10/25/2021 [Link]
4/26/2021 [Link]
8/26/2021 [Link]
8/26/2021 [Link]
8/26/2021 [Link]
3/27/2021 [Link]
7/27/2021 [Link]
10/27/2021 [Link]
1/28/2021 [Link]
5/28/2021 [Link]
1/29/2021 [Link]
1/29/2021 [Link]
7/29/2021 [Link]
7/29/2021 [Link]
9/29/2021 [Link]
8/30/2021 [Link]
8/30/2021 [Link]
9/30/2021 [Link]
3/31/2021 [Link]
7/31/2021 [Link]
5/6/2021 [Link]
6/2/2021 [Link]
6/4/2021 [Link]
5/17/2021 [Link]
4/3/2021 [Link]
6/7/2021 [Link]
6/7/2021 [Link]
9/23/2021 [Link]
9/23/2021 [Link]
10/2/2021 [Link]
3/3/2021 [Link]
1/4/2021 [Link]
6/4/2021 [Link]
1/5/2021 [Link]
7/7/2021 [Link]
6/10/2021 [Link]
2/11/2021 [Link]
2/11/2021 [Link]
6/12/2021 [Link]
8/13/2021 [Link]
 5/17/2021 [Link]
5/19/2021 [Link]
9/20/2021 [Link]
6/23/2021 [Link]
9/24/2021 [Link]
9/24/2021 [Link]
5/28/2021 [Link]
6/28/2021 [Link]
1/29/2021 [Link]
6/29/2021 [Link]
10/29/2021 [Link]
2/22/2021 [Link]
10/1/2021 [Link]
10/7/2021 [Link]