Form Lap Thipoid 2015

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  • 7/25/2019 Form Lap Thipoid 2015

    1/18

    o a :ecama an :us esmas :

    No Nama Umu

    Jen!sA"amat Peke#aan

    Ke" Anamnese

    L P Ke" Rt R& No ' ( ) * + , - . /R0Ke" R0Pas!en

    He2at!t!s He2at!t!s DM

    a 1 c 8 e 9 3 $1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    1314

    15

    16

    17

    18

    19

    20

    Peke#aan ' Peke#aan %3 1e$u1un3an 83 a8m!n!stas!kantoan : PNS;UMNKa%a&an s&asta! : !s! ko"om sesua! $as!" 2eme!ksaan m!s s!sto"!k '( ? 8!asto"!k . !s! '(.

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    ORM : '

    D!a3nosaLa1 H;sA3

    an $at! K"!n!s

    476 456 476 456 476

    k "

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    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG 1

    2 JURUMUDI BARU 1

    3 PAJANG 1

    JUMLAH 0 0 0 0 0 0 0 0 1 2 0 0

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG

    2 JURUMUDI BARU

    3 PAJANG 1

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    JUMLAH 0 0 0 0 0 0 0 0 1 0 0 0 1

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P L

    1 BELENDUNG

    2 JURUMUDI BARU 1

    3 PAJANG

    JUMLAH 0 0 0 0 0 0 0 0 1 0 0 0 4

    PUSKESMAS : JURUMUDI BARU

    KLINIS TIFOID

  • 7/25/2019 Form Lap Thipoid 2015

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    NO NAMA PASIEN

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG

    2 JURUMUDI BARU 3 PAJANG

    JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG 1 1

    2 JURUMUDI BARU

    3 PAJANG

  • 7/25/2019 Form Lap Thipoid 2015

    6/18

    JUMLAH 0 0 0 0 0 0 0 0 1 1 0 0

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG 1

    2 JURUMUDI BARU 1

    3 PAJANG

    JUMLAH 0 0 0 0 1 0 0 0 1 0 0 0

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG 1

    2 JURUMUDI BARU

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    3 PAJANG

    JUMLAH 0 0 0 0 0 0 0 0 1 0 0 0 0

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P L

    1 BELENDUNG 2

    2 JURUMUDI BARU

    3 PAJANG

    JUMLAH 0 0 0 0 0 0 0 0 0 0 0 0 2

  • 7/25/2019 Form Lap Thipoid 2015

    8/18

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG 1 2

    2 JURUMUDI BARU 3 PAJANG

    JUMLAH 0 0 0 0 0 0 0 0 1 2 0 0

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG 1 2 JURUMUDI BARU 1

    3 PAJANG 1

  • 7/25/2019 Form Lap Thipoid 2015

    9/18

    JUMLAH 0 0 0 0 0 0 0 0 2 1 0 0 2

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P L

    1 BELENDUNG 1

    2 JURUMUDI BARU 1

    3 PAJANG

    JUMLAH 0 0 0 0 1 0 0 0 1 0 0 0 0

  • 7/25/2019 Form Lap Thipoid 2015

    10/18

    PUSKESMAS : JURUMUDI BARU

    NO NAMA PASIEN

    KLINIS TIFOID

    UMUR

    < 1 Thn 1 - 4 Thn 5 - 14 Thn

    P M P M P M

    L P L P L P L P L P L P

    1 BELENDUNG

    2 JURUMUDI BARU 1

    3 PAJANG

    JUMLAH 0 0 0 0 0 0 0 0 1 0 0 0

  • 7/25/2019 Form Lap Thipoid 2015

    11/18

    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

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    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

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    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

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    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    JUMLAH

    P M

    L P L P

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

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    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

  • 7/25/2019 Form Lap Thipoid 2015

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    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

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    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

  • 7/25/2019 Form Lap Thipoid 2015

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    JUMLAH

    P M

    L P L P

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 00 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0 0 0 0