REGISTER KUNJUNGAN PASIEN RAWAT JALAN 2026

Puskesmas
LAREN
:
Tanggal : 01-01-2026 s/d 31-03-2026

Tensi
Jenis Nama Resp Lingkar Lokasi Terapi
No Tanggal No Reg No BPJS NIK L/P Alamat Tgl Lahir Usia No HP TB BB Sistole Diastole Suhu Nadi Ruangan Kode DX Diagnosa Terapi Obat Nama Petugas Nama Dokter
Pasien Pasien Rate Perut Pelayanan Non Obat

1 09-01-2026 0030859 BPJS 0002635221238 3524085112610002 KARMU P LENGOR 11-12-1961 64 Thn 0 Bln082131250820 155 68 130 80 36 78 20 80 Klaster 3 Lansia H81.4 (Baru) Vertigo of central
PUSKESMAS
origin antasid 3x1, sucralfat syrtidak3x2cthada, amlodipin
RIZA SAFITRI,1x5mg, [Link]
pct 3x1 [Link] PUSPITA SARI
2 09-01-2026 0000530 BPJS 0003551785784 3524084112500002 KASTAUN L GAMPANGSEJATI01-12-1950 75 Thn 1 Bln085735105277 160 55 100 60 36 80 20 80 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS asmet 3x1 , ceterizin 2x1tidak , gentamicin
ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
3 09-01-2026 0025781 BPJS 0000759991364 3524081602640001 SUKIMAN L GENDONG 16-02-1964 61 Thn 10 Bln
085746938873 165 64 120 80 36 80 20 80 Klaster 3 Lansia H25.0 (Baru) Senile incipient PUSKESMAS
cataract rujuk ke kmu tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
4 09-01-2026 0035858 BPJS 0003168426205 3524080203600004 RIDLWAN L GODOG RT 01 RW 02-03-1960
01 65 Thn 10 Bln
08177524444 160 48 90 60 36 80 20 80 Klaster 3 Lansia K29.0 (Baru) Acute haemorrhagic
PUSKESMAS
gastritis rujuk ke sujudi tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
5 09-01-2026 0007704 BPJS 0000759916945 3524080609640001 DULALIM L TAMAN PRIJEK RT06-09-1964
01 RW 01 61 Thn 4 Bln085603339448 155 63 110 70 36 78 20 80 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS pct 3x1, cetirizin 2x1, antasid tidak 3x1ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
6 09-01-2026 0005712 BPJS 0000046130714 3524084412640004 MARTI'AH P SISER 04-12-1964 61 Thn 1 Bln081231519834 160 63 180 100 36 80 20 80 Klaster 3 Lansia E79.0 (Baru) HyperuricaemiaPUSKESMAS
without signs nadik
of inflammatory
2x1 , amlodipin
arthritis
1x`1
tidak
and, diaz
ada
tophaceous
1x1RIZA SAFITRI,
[Link] [Link] PUSPITA SARI
7 09-01-2026 0018257 BPJS 0000759484023 3524080502630003 KASTURI L SISER RT4 RW2 05-02-1963 62 Thn 11 Bln
082139767857 150 49 120 80 36 80 20 80 Klaster 3 Lansia E79.0 (Baru) HyperuricaemiaPUSKESMAS
without signs nadik
of inflammatory
2zx 1, pred arthritis
2x1 , allup[o
laband autophaceous
2x1
8,8 RIZA SAFITRI,
[Link] [Link] PUSPITA SARI
8 09-01-2026 0034788 BPJS 0001047373007 3524081808620002 RESO L BULUTIGO 18-08-1962 63 Thn 4 Bln081336967347 155 56 120 80 36 77 20 70 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS paracetamol 3x1, neurodex tidak1x1,adaantasid
RIZA 3x1SAFITRI, [Link] [Link] PUSPITA SARI
9 10-01-2026 0030729 BPJS 0002245270285 6371012008800008 ARIFIN L CENTINI 20-08-1980 45 Thn 4 Bln082257586520 155 55 90 60 36 78 20 78 Klaster 3 Dewasa I50.9 (Baru) Heart failure, unspecified
PUSKESMAS aspilet 1x1, isdn 3x1, antasid tidak3x1,ada sucralfat
RIZA SAFITRI,
syr 3x2cth
[Link] [Link] PUSPITA SARI
10 10-01-2026 0037552 BPJS 0002811199702 3327034107820337 TITI ROHATI P KARANGWUNGULOR 01-07-1982 43 Thn 6 Bln081703124203 155 60 100 60 36 78 20 70 Klaster 3 Dewasa E11.6 (Baru) Non-insulin-dependent
PUSKESMAS diabetestidak
mellitus
ada with other specified
tidak ada complications
RIZA SAFITRI, [Link] [Link] PUSPITA SARI
11 10-01-2026 0010934 BPJS 0002197144967 3524085711970001 SHOFI AL FITHROH
P PELANGWOT RT 17-11-1997
03 RW 05 28 Thn 1 Bln081515358127 153 49 120 80 34 80 20 45 Klaster 3 Dewasa K29.7 (Baru) Gastritis, unspecified
PUSKESMAS salbutamol 3x1antasid 3x1 tidakdexaada2x1RIZAsucralfat
SAFITRI,
3x2 sdk
[Link] [Link] PUSPITA SARI
12 10-01-2026 0014963 BPJS 0000760879348 3524085205850001 SITI KHOFIYAHP BULUTIGO RT6 RW2
12-05-1985 40 Thn 7 Bln085607262311 155 55 120 80 35 80 20 50 Klaster 3 Dewasa R05 (Baru) Cough PUSKESMAS silabat 3x1ambroxol 3x1tidak vit b komplex
ada RIZA 1x1SAFITRI, [Link] [Link] PUSPITA SARI
13 10-01-2026 0003379 BPJS 0001891168773 3524084801960001 ISMAIDAH KHOIRUNISAA`
P GAMPANG SEJATI08-01-1996 30 Thn 0 Bln082253143347 160 57 120 80 34 80 22 55 Klaster 3 Dewasa G40.0 (Baru) Localization-related
PUSKESMAS
(focal) (partial)
Phenobarbital
idiopathic
30epilepsy
mg Tablet
tidak
and(KIMIA
epileptic
ada FARMA)
RIZA syndromes
SAFITRI,
[Setiap [Link]
with
pagiseizures
1x1Pagi
[Link]
ofhari]
localized
PUSPITA
30 Tablet;
onset
SARI
14 10-01-2026 0009307 BPJS 0001543293415 3524085608770001 TUTIK KHAMIDAH
P LAREN 16-08-1977 48 Thn 4 Bln082234250861 155 60 120 80 36 70 20 80 Klaster 3 Dewasa I50.0 (Baru) Congestive heart PUSKESMAS
failure tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
15 10-01-2026 0023318 BPJS 0002455925714 3524084402760002 MUNAZILAH P LAREN RT1 RW104-02-1975 50 Thn 11 Bln
085234368174 155 50 100 60 36 78 20 70 Klaster 3 Dewasa E11.6 (Baru) Non-insulin-dependent
PUSKESMAS diabetestidak
mellitus
ada with other specified
tidak ada complications
RIZA SAFITRI, [Link] [Link] PUSPITA SARI
16 10-01-2026 0003533 BPJS 0000760411168 3524085303720003 SITI MUSAYADAH
P LAREN 13-03-1972 53 Thn 9 Bln085889686934 155 55 110 70 36 77 20 70 Klaster 3 Dewasa E11.6 (Baru) Non-insulin-dependent
PUSKESMAS diabetestidak
mellitus
ada with other specified
tidak ada complications
RIZA SAFITRI, [Link] [Link] PUSPITA SARI
17 10-01-2026 0016374 BPJS 0002289864159 3524085002710001 NUR HAYATI P GENDONG 10-02-1971 54 Thn 11 Bln
081350361901 155 55 100 60 37 77 20 70 Klaster 3 Dewasa E11.6 (Baru) Non-insulin-dependent
PUSKESMAS diabetestidak
mellitus
ada with other specified
tidak ada complications
RIZA SAFITRI, [Link] [Link] PUSPITA SARI
18 10-01-2026 0027648 BPJS 0000759350722 3524085411860001 ZULMI ANITA P BRANGSI RT 003/001
14-11-1986 39 Thn 1 Bln085857702654 155 50 90 60 36 77 20 70 Klaster 3 Dewasa D24 (Baru) Benign neoplasm PUSKESMAS
of breast tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
19 10-01-2026 0044926 BPJS 0002392954716 3524080501670003 KASDULLAH L JABUNG 05-01-1967 59 Thn 0 Bln082347283167 155 55 100 70 36 78 20 75 Klaster 3 Dewasa I20.9 (Baru) Angina pectoris,PUSKESMAS
unspecified tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
20 10-01-2026 0047479 UMUM 3510202905860002 FAJAR TEGUH WAHYUDI
L CENTINI 29-05-1986 39 Thn 7 Bln 160 59 100 70 35 80 22 55 Klaster 3 Dewasa Z48.8 (Baru) Other specifiedPUSKESMAS
surgical follow-upasamcare
mefenamat 3x1asam tidak mefenamat
ada RIZA3x1 SAFITRI, [Link] [Link] PUSPITA SARI
21 10-01-2026 0043358 BPJS 0003534028885 3524080809610001 MUHAMMAD L GODOG KEC.LAREN08-09-1961 64 Thn 4 Bln085733657969 165 69 170 90 36 77 20 80 Klaster 3 Lansia M47.80 (Baru) Other spondylosis,
PUSKESMAS
multiple sites
tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
22 10-01-2026 0025915 BPJS 0000758933548 3524084702600001 NGATIMAH P MOJOASEM 07-02-1960 65 Thn 11 Bln
085646306970 155 53 110 70 36 78 20 70 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS nadic 2x1, dexa 2x1, antasid tidak3x1 ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
23 10-01-2026 0030007 BPJS 0000758933526 3524080312500002 KEMAT L MOJOASEM 03-12-1950 75 Thn 1 Bln085646306930 155 57 140 80 36 78 20 80 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS simvastatin 1x10mg, amlodipin tidak ada 1x5mg,RIZAnadic
SAFITRI,
3x1, [Link]
dexa 2x1 [Link] PUSPITA SARI
24 10-01-2026 0046108 BPJS 0003484359033 3524085008640003 SRIMONAH P PELANGWOT 10-08-1964 61 Thn 5 Bln 155 55 150 80 36 78 20 75 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS nadic 2x1, dexa 2x1, amlodipin tidak ada 1x5mg RIZA SAFITRI, [Link] [Link] PUSPITA SARI
25 10-01-2026 0022266 BPJS 0000760412237 3524084410650002 MUSYAROFAH P DATENG RT 002/002
04-10-1965 60 Thn 3 Bln081216088666 147 47 100 70 34 80 22 45 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS nadic 2x1antasid 3x1neurodex tidak ada 1x1 RIZA SAFITRI, [Link] [Link] PUSPITA SARI
26 10-01-2026 0006310 UMUM 0001984197148 3524081501590002 DARMAN L DATENG 15-01-1959 66 Thn 11 Bln
081216088666 147 50 110 70 34 80 20 45 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS nadic 2x1dexa 2x1 tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
27 10-01-2026 0018999 BPJS 0000760690822 3524080206420002 ESAN L KARANGTAWAR 02-06-1942 83 Thn 7 Bln 145 45 120 80 34 80 22 40 Klaster 3 Lansia N40 (Baru) Hyperplasia of prostate
PUSKESMAS rujuk rsml rujuk rsml RIZA SAFITRI, [Link] [Link] PUSPITA SARI
28 10-01-2026 0031227 BPJS 0000758991969 3524080408570003 IKHSAN L SISER 04-08-1957 68 Thn 5 Bln081515883834 155 55 110 70 36 77 20 70 Klaster 3 Lansia E11.6 (Baru) Non-insulin-dependent
PUSKESMAS diabetestidak
mellitus
ada with other specified
tidak ada complications
RIZA SAFITRI, [Link] [Link] PUSPITA SARI
29 12-01-2026 0037762 UMUM 3524086909990006 MUTHOHAROTUN P NISA'
LAREN 29-09-1999 26 Thn 3 Bln 150 50 100 60 36 89 24 79 Klaster 3 Dewasa Z00.0 (Baru) General medicalPUSKESMAS
examination tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
30 12-01-2026 0047542 UMUM 3524103005970001 SUDARMAJI L KLAGENSRAMPAT 20-05-1997 28 Thn 7 Bln082220461343 162 72 120 70 36 80 24 89 Klaster 3 Dewasa Z00.0 (Baru) General medicalPUSKESMAS
examination tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
31 12-01-2026 0016092 BPJS 3524085108870001 ALQORI'AH P PELANGWOT RT211-08-1987
RW6 38 Thn 5 Bln082124448026 159 64 120 80 36 89 24 79 Klaster 3 Dewasa Z30.0 (Baru) General counselling
PUSKESMAS
and adviceMedroxyprogesterone
on contraception Acetate
tidak ada 150 RIZA
mg/mL SAFITRI,
Suspensi [Link]
Injeksi (OBAT
[Link]
SUNTIK
PUSPITA
KB 1SARI
TIGA BULANAN CATUR DAKWAH) [Sebulan sekali 1 1X1 Pagi hari] 1 Suspension;
32 12-01-2026 0004449 BPJS 0000760421608 3524081203690004 MUHITH L PELANGWOT 12-03-1969 56 Thn 10 Bln 155 68 110 70 36 70 20 80 Klaster 3 Dewasa L03.9 (Baru) Cellulitis, unspecified
PUSKESMAS metronidazole 3x1, asmef tidak3x1,adagentamycin
RIZA SAFITRI,
salep [Link] [Link] PUSPITA SARI
33 12-01-2026 0038048 BPJS 0000781962524 3529276112020001 URNI ALFI DIANA
P PELANGWOT 21-12-2000 25 Thn 0 Bln081336199117 155 50 120 70 36 80 24 78 Klaster 3 Dewasa Z00.0 (Baru) General medicalPUSKESMAS
examination kb suntik 3 bulan tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
34 12-01-2026 0046998 BPJS 0003474213311 6371016803830012 MARTINI SAFA PTERIANI
CENTINI 28-03-1983 42 Thn 9 Bln 155 78 130 80 36 77 20 80 Klaster 3 Dewasa R05 (Baru) Cough PUSKESMAS ambroxol 3x1, multivitamin tidak1x1,adasalbutamol
RIZA SAFITRI,2x2mg [Link] [Link] PUSPITA SARI
35 12-01-2026 0007057 UMUM 3524081810710001 RIDWAN L GAMPANG SEJATI01-10-1971 54 Thn 3 Bln 155 55 100 60 36 77 20 80 Klaster 3 Dewasa S91.7 (Baru) Multiple open wounds
PUSKESMAS of anklemetronidazole
and foot 3x1, asmef tidak3x1,adagentamycin
RIZA SAFITRI,
2x1 [Link] [Link] PUSPITA SARI
36 12-01-2026 0038791 BPJS 0002595295743 3523170701780005 KHUSAIRI L JABUNG 07-01-1978 48 Thn 0 Bln085602231874 155 56 100 60 36 77 20 80 Klaster 3 Dewasa K29.7 (Baru) Gastritis, unspecified
PUSKESMAS sucralfat syr 3x2cth, omztidak 2x1,ada vit 1x1,
RIZAvit SAFITRI,
c 1x1 [Link] [Link] PUSPITA SARI
37 12-01-2026 0040759 BPJS 0000752763284 3523185409060001 DIKA AYSAH P DS JABUNG 14-09-2006 19 Thn 3 Bln085856187913 155 59 100 60 36 80 24 79 Klaster 3 Dewasa Z00.0 (Baru) General medicalPUSKESMAS
examination tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
38 12-01-2026 0029270 BPJS 0002446172673 3524080605720002 SLAMET L PESANGGRAHAN06-05-1972 53 Thn 8 Bln085812422073 155 62 110 70 36 77 20 80 Klaster 3 Dewasa M79.1 (Baru) Myalgia PUSKESMAS meloxicam 2x1, dexa 2x1, tidakneurodex
ada RIZA 1x1 SAFITRI, [Link] [Link] PUSPITA SARI
39 12-01-2026 0003192 BPJS 0001047373514 3524085009690002 MAREM MARIYATI
P BULUTIGO 10-09-1969 56 Thn 4 Bln 165 63 140 80 36 36 20 80 Klaster 3 Dewasa E79.0 (Baru) HyperuricaemiaPUSKESMAS
without signs meloxicam
of inflammatory
2x1 ,allupo
arthritis
1x1
laband, au
neurodex
tophaceous
8,6 RIZA 1x1SAFITRI,
[Link] [Link] PUSPITA SARI
40 12-01-2026 0047545 UMUM 3524085005950001 AMELIA NURFANI
P BULUBRANGSI 10-05-1995 30 Thn 8 Bln 155 51 120 80 36 80 20 80 Klaster 3 Dewasa L02.1 (Baru) Cutaneous abscess,
PUSKESMAS
furuncle andasmet
carbuncle
3x1 , metro
of neck3x1 , vit
tidak bc ada
1x1 RIZA SAFITRI, [Link] [Link] PUSPITA SARI
41 12-01-2026 0020957 BPJS 0002303625374 3524084312030001 MASITHO RAHMANIA
P GODOG RT2RW203-12-2003 22 Thn 1 Bln081556571532 155 51 100 60 36 80 20 80 Klaster 3 Dewasa L30.9 (Baru) Dermatitis, unspecified
PUSKESMAS cetrizin 3x1 , ctm 3x1 , pred tidak2x1 ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
42 12-01-2026 0009550 BPJS 0000759734098 3524086111720002 SUMAIYAH P TEJOASRI 09-08-1974 51 Thn 5 Bln081232229043 155 55 120 80 36 80 20 80 Klaster 3 Dewasa K81.0 (Baru) Acute cholecystitis
PUSKESMAS rujukke arsy tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
43 12-01-2026 0037609 BPJS 0002198250549 3524086507730001 SITI MAHMUDHOTIN
P BULUTIGO 25-07-1973 52 Thn 5 Bln082144490455 155 55 110 70 36 78 20 70 Klaster 3 Dewasa E10.7 (Baru) Insulin-dependentPUSKESMAS
diabetes mellitus
amlodipin
with1x10mg,
multiple insulin,
complications
tidak glimepirid
ada RIZA 1x3mg,
SAFITRI,
metformin
[Link] 3x1 [Link] PUSPITA SARI
44 12-01-2026 0014722 BPJS 0001047375077 3524082503680002 SUPRAYITNO L GENDONG 25-03-1968 57 Thn 9 Bln082140375410 155 55 110 70 36 77 20 70 Klaster 3 Dewasa I24.9 (Baru) Acute ischaemicPUSKESMAS
heart disease,aspilet
unspecified
1x1, candesartantidak1x8mg, adabisoprolol
RIZA SAFITRI,
1x1 [Link] [Link] PUSPITA SARI
45 12-01-2026 0004923 BPJS 0000759895334 3524082005720001 MIFTAHUL AZIZL GODOG 20-05-1972 53 Thn 7 Bln085707665023 155 55 110 70 36 70 20 70 Klaster 3 Dewasa I61.9 (Baru) Intracerebral haemorrhage,
PUSKESMAS unspecified
candesartan 1x8mg, vit b12 tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
46 12-01-2026 0035908 BPJS 0000759294527 3524081007680004 ILYAS L TAMAN PRIJEK 10-07-1968 57 Thn 6 Bln0881036087033 155 55 110 70 36 77 20 70 Klaster 3 Dewasa I63.9 (Baru) Cerebral infarction,
PUSKESMAS
unspecified asam valproat 2x1, candesartan
tidak ada1x8mg, RIZAasamSAFITRI,asetil
[Link] [Link] PUSPITA SARI
47 12-01-2026 0040314 BPJS 0002877364181 3524085407710004 A`INUL QURRO`ATI
P BULUBRANGSI 14-07-1971 54 Thn 5 Bln085706428317 155 55 130 80 36 78 20 70 Klaster 3 Dewasa I50.9 (Baru) Heart failure, unspecified
PUSKESMAS furosemid 1x40mg, alopurinol tidak ada 1x300mg,
RIZA amlodipin
SAFITRI, [Link]
1x10mg, candesartan
[Link] PUSPITA
1x16mg,
SARIspironolacton 1x125mg
48 12-01-2026 0029426 BPJS 0000103889531 3524201102700004 MULYO ARIEF L PENGANGSALAN11-02-1970 55 Thn 11 Bln
085648397383 155 55 110 70 36 77 20 70 Klaster 3 Dewasa I11.0 (Baru) Hypertensive heart
PUSKESMAS
disease with diltiazam
(congestive)
3x1, candesartan
heart failure
tidak 1x1ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
49 12-01-2026 0040758 BPJS 0002433808991 7271026105060001 ZAIMATUL ALIFA
P ROZWA
DS JABUNG
MUSTOFA 21-06-2006 19 Thn 6 Bln085854318212 155 45 90 60 36 80 20 55 Klaster 3 Dewasa N60.2 (Lama) Fibroadenosis of PUSKESMAS
breast tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
50 12-01-2026 0036935 BPJS 0000759044812 3524085010730001 DASIH AL-WINARSIH
P GAMPANG SEJATI10-10-1973 52 Thn 3 Bln081393297285 155 55 100 60 36 70 20 70 Klaster 3 Dewasa I24.9 (Baru) Acute ischaemicPUSKESMAS
heart disease,bisoprolol
unspecified
1x1, cpg 1x75,tidak
simvas ada1x1,RIZA nitrokaf
SAFITRI,
[Link] [Link] PUSPITA SARI
51 12-01-2026 0046241 BPJS 0002597234545 3524081010750003 JUMADI L JABUNG 10-10-1975 50 Thn 3 Bln085850380932 155 55 110 70 36 77 20 70 Klaster 3 Dewasa I63.9 (Baru) Cerebral infarction,
PUSKESMAS
unspecified spironolacton 2x1 tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
52 12-01-2026 0044141 BPJS 0003466257401 3524085112660001 MUNAFIAH P CENTINI 11-12-1966 59 Thn 1 Bln085773665314 155 55 110 70 36 78 20 70 Klaster 3 Dewasa I50.9 (Lama) Heart failure, unspecified
PUSKESMAS bisoprolol, cpg, furosemid, kontrol
candesartan
rutinRIZAatrovastatin
SAFITRI, [Link]
[Link] PUSPITA SARI
53 12-01-2026 0016016 BPJS 0002811211198 3524084504900005 BAHRIYATUL ULUM
P TEJOASRI 12-08-1994 31 Thn 5 Bln085745134416 155 48 110 70 35 82 20 45 Klaster 3 Dewasa I63.9 (Lama) Cerebral infarction,
PUSKESMAS
unspecified amytripilen 2x1 , ibuprofen tidak 2x1
ada , diazRIZA
1x1,5SAFITRI,
. betahistin
[Link]
2x1histigo
[Link]
3x1domperidon
PUSPITA SARI3x1vit b kom 1x1
54 12-01-2026 0023424 BPJS 0000759000554 3524080707720002 LATAHZAN L BULUBRANGSI 07-07-1972 53 Thn 6 Bln085748380926 165 60 110 70 36 80 20 75 Klaster 3 Dewasa I50.9 (Lama) Heart failure, unspecified
PUSKESMAS cande,spiro tdk ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
55 12-01-2026 0019645 BPJS 0000760392437 3524084808670001 ATUN P GAMPANG SEJATI08-08-1967 58 Thn 5 Bln 155 55 110 70 36 80 20 55 Klaster 3 Dewasa E78.3 (Lama) Hyperchylomicronaemia
PUSKESMAS ibuprofeb, simvastatin, bcholesterol comp RIZA
234 SAFITRI, [Link] [Link] PUSPITA SARI
56 12-01-2026 0047514 BPJS 0000760916248 3524086507700001 SUKARLIK P BULUTIGO 25-07-1970 55 Thn 5 Bln087783184555 155 55 90 70 36 80 20 55 Klaster 3 Dewasa I50.9 (Lama) Heart failure, unspecified
PUSKESMAS tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
57 12-01-2026 0003471 BPJS 0000759075243 3524085009710002 SUKARSIH P GAMPANG SEJATI10-09-1971 54 Thn 4 Bln081359215127 155 70 130 80 36 78 20 80 Klaster 3 Dewasa M79.1 (Baru) Myalgia PUSKESMAS simvastatin 1x10mg, nadic tidak2x1,ada neurodex
RIZA SAFITRI,
1x1, dexa [Link]
2x1 [Link] PUSPITA SARI
58 12-01-2026 0000210 BPJS 0000760282097 3524086201670001 TANIAH P GAMPANG SEJATI22-01-1967 58 Thn 11 Bln
081357308436 155 65 135 80 36 70 20 80 Klaster 3 Dewasa M79.1 (Baru) Myalgia PUSKESMAS allopurinol 1x100mg, meloxicam lab AU 5.9 2x1,
RIZA
dexa SAFITRI,
2x1, neurodex
[Link] 1x1,[Link]
simvastatain
PUSPITA
1x10mg
SARI
59 12-01-2026 0000926 BPJS 0000760526087 3524080507590001 KUSNAN L GAMPANG SEJATI05-07-1959 66 Thn 6 Bln 150 50 120 80 36 80 20 80 Klaster 3 Lansia E78.0 (Baru) Pure hypercholesterolaemia
PUSKESMAS nadik 2x1 , simvastatin 1x`1 tidak, allupo
ada RIZA 1x1, antasida
SAFITRI, [Link]
3x1 [Link] PUSPITA SARI
60 12-01-2026 0003180 BPJS 0000760216792 3524085404570002 NURIYATI P GELAP RT6 RW2 14-04-1957 68 Thn 8 Bln082335343192 155 43 110 70 36 80 20 55 Klaster 3 Lansia H10.9 (Baru) Conjunctivitis, unspecified
PUSKESMAS asmef, tetes mata, dexatidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
61 12-01-2026 0037890 BPJS 0003150065349 3524087006600001 ALIMAH P GAMPANGSEJATI30-06-1960 65 Thn 6 Bln085816425317 155 60 140 90 36 80 20 55 Klaster 3 Lansia K29.7 (Baru) Gastritis, unspecified
PUSKESMAS dysflatyl, melixicam, amlodipin, tidak ada cetrizin
RIZA SAFITRI, [Link] [Link] PUSPITA SARI
62 12-01-2026 0042139 BPJS 0000758985322 3524084507500002 SULASTRI P GAMPANGSEJATI05-07-1950 75 Thn 6 Bln082257517637 150 45 110 75 36 80 20 55 Klaster 3 Lansia K29.0 (Baru) Acute haemorrhagic
PUSKESMAS
gastritis tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
63 12-01-2026 0043838 BPJS 0000759213977 3524080305620001 SAMPURNO L PELANGWOT [Link]
03-05-1962 63 Thn 8 Bln085704724145 155 59 110 70 36 78 20 70 Klaster 3 Lansia M79.1 (Baru) Myalgia PUSKESMAS ketokonazole salep 2x1,tidak cetirizin
ada2x1, RIZA
ibuprofen
SAFITRI,2x1,[Link]
simvastatin
[Link]
1x10mg,
PUSPITA
diaz 2x1/2
SARI
64 12-01-2026 0015927 BPJS 0002619633802 3524081809570001 ARJO L PRIJEK LOR RT7 RW3
18-09-1957 68 Thn 3 Bln085754875557 155 48 120 80 36 78 20 78 Klaster 3 Lansia K29.7 (Baru) Gastritis, unspecified
PUSKESMAS antasid 3x1, omz 2x1, multivitamin tidak ada 1x1, RIZAzincSAFITRI,
1x20mg [Link] [Link] PUSPITA SARI
65 12-01-2026 0037236 BPJS 0000760391515 3524080705620002 KASLI L GAMPANG SEJATI07-05-1962 63 Thn 8 Bln 155 40 120 80 36 80 20 55 Klaster 3 Lansia K29.7 (Lama) Gastritis, unspecified
PUSKESMAS sucralfat, omz, cefixim, bTAK comp ADA RIZA SAFITRI, [Link] [Link] PUSPITA SARI
66 12-01-2026 0027345 BPJS 0000759957243 3524086101590001 NGATEMI P GODOG RT 01/0521-01-1959 66 Thn 11 Bln 155 43 120 80 36 78 20 70 Klaster 3 Lansia B18.8 (Baru) Other chronic viral
PUSKESMAS
hepatitis tidak ada hbasg reaktif RIZA
hb 12.5
SAFITRI, [Link] [Link] PUSPITA SARI
67 12-01-2026 0026386 BPJS 0003168429096 3524085101550004 MURSITI P PESANGGRAHAN11-01-1955 71 Thn 0 Bln 155 55 130 90 36 78 20 70 Klaster 3 Lansia H25.8 (Baru) Other senile cataract
PUSKESMAS tidak ada tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
68 12-01-2026 0039851 BPJS 0003259536423 3524084705590005 TARSI P GODOG 07-05-1959 66 Thn 8 Bln085749575647 155 55 110 70 36 78 20 70 Klaster 3 Lansia E10.7 (Baru) Insulin-dependentPUSKESMAS
diabetes mellitus
acarbose
with3x1,
multiple
glimepirid
complications
tidak
1x1, metformin
ada RIZA SAFITRI,3x1 [Link] [Link] PUSPITA SARI
69 12-01-2026 0042889 BPJS 0003337970229 3524081105650003 ALI SU'UDI L LAREN 11-05-1965 60 Thn 8 Bln085331099490 155 55 110 70 36 77 20 70 Klaster 3 Lansia E10.7 (Baru) Insulin-dependentPUSKESMAS
diabetes mellitus
glime 2with
ml, multiple
b1, diklocomplications
2x1,tidak
insulinada 2 RIZA SAFITRI, [Link] [Link] PUSPITA SARI
70 12-01-2026 0042866 BPJS 0002730962981 3524080406590002 YASKAN L BULUBRANGSI [Link]
04-06-1959 66 Thn 7 Bln081654939161 155 55 110 70 36 77 20 70 Klaster 3 Lansia I50.9 (Baru) Heart failure, unspecified
PUSKESMAS amlodipin 1x1, asetosal tidak 1x1, bisoprolol
ada RIZA1x1 SAFITRI, [Link] [Link] PUSPITA SARI
71 12-01-2026 0035700 BPJS 0003002277453 3524084201640003 KEMISRI P BULUBRANGSI 02-01-1964 62 Thn 0 Bln082244203992 155 55 110 70 36 77 20 70 Klaster 3 Lansia M32.9 (Baru) Systemic lupus erythematosus,
PUSKESMAS amlodipin unspecified
1x1, lisinopril tidak
1x10mg, adamps RIZA
1x4mg,
SAFITRI,
vit [Link]
6 1x10mg [Link] PUSPITA SARI
72 12-01-2026 0006490 BPJS 0000758595317 3524085504640001 TEMU P MOJOASEM RT2 15-04-1954
RW1 71 Thn 8 Bln081230322256 155 55 110 70 36 70 20 70 Klaster 3 Lansia M51.2 (Baru) Other specifiedPUSKESMAS
intervertebral amlodipin
disc displacement
1x10mg, mps tidak
2x8mg ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
73 12-01-2026 0046652 BPJS 0000760053497 3524084804570002 ISMAH P TEJOASRI 08-04-1957 68 Thn 9 Bln085745742476 155 55 110 70 36 78 20 70 Klaster 3 Lansia I63.9 (Baru) Cerebral infarction,
PUSKESMAS
unspecified amitriptilin 1x1, cpg 1x75mgtidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
74 12-01-2026 0039780 BPJS 0002866020647 3524084101650001 KASTI P PESANGGRAHAN01-01-1965 61 Thn 0 Bln082338290350 155 55 110 70 36 77 20 70 Klaster 3 Lansia I25.9 (Baru) Chronic ischaemicPUSKESMAS
heart disease,bisoprolol
unspecified
2x2,5mg, cpg tidak
1x1, simvastatin
ada RIZA SAFITRI,1x20mg [Link] [Link] PUSPITA SARI
75 12-01-2026 0000174 BPJS 0003596762406 3524084201620003 TASROPAH P LAREN 02-01-1962 64 Thn 0 Bln085746084081 155 55 110 70 36 77 20 70 Klaster 3 Lansia I63.9 (Baru) Cerebral infarction,
PUSKESMAS
unspecified glimepirid 1x2mg, amlodipin tidak1x5mg
ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
76 12-01-2026 0047540 BPJS 0001047371545 3524081508570001 KARTO L JABUNG 15-08-1957 68 Thn 4 Bln081357768111 165 55 110 70 36 80 20 80 Klaster 3 Lansia H54.5 (Baru) Low vision, onePUSKESMAS
eye rujukke kmu tidak ada RIZA SAFITRI, [Link] [Link] PUSPITA SARI
77 12-01-2026 0036971 BPJS 0000759812308 3524080910810001 BUDI SANTOSOL KARANGWUNGULOR 09-10-1981 44 Thn 3 Bln081230752303 155 55 110 70 36 70 20 70 Klaster 3 Lansia I63.9 (Baru) Cerebral infarction,
PUSKESMAS
unspecified amlodipin 1x5mg, asa 1x1, tidaknadic
ada1x1RIZA SAFITRI, [Link] [Link] PUSPITA SARI
78 12-01-2026 0022510 BPJS 0000759930546 3524080101570027 ASKAN L GENDONG,LAREN 01-01-1957 69 Thn 0 Bln085847538386 155 55 110 70 36 77 20 70 Klaster 3 Lansia I50.0 (Baru) Congestive heart PUSKESMAS
failure bisoprolol 1x1, gliseril nitril
tidak 1x1,
adacpg RIZA
1x75mg,SAFITRI,
ramipril
[Link]
1x5mg, spironolacton
[Link] PUSPITA 1x25mg
SARI
79 12-01-2026 0000044 BPJS 0002694465134 3524080610550003 ABDUL GHOFAR L DS. LENGOR 06-10-1955 70 Thn 3 Bln08819608535 155 55 110 70 36 70 20 70 Klaster 3 Lansia I50.9 (Baru) Heart failure, unspecified
PUSKESMAS candesartan 1x1, furosemid tidak3x1,adanifedipin
RIZA SAFITRI,
1x1, isdn [Link]
1x1 [Link] PUSPITA SARI

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