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Data Offline Surveilans PTM berbasis POSBINDU

Identitas Peserta Posbindu

No Tanggal Pemeriksaan
No KTP Nama Pasien Nama Panggilan

1 04 January 2018 Rahmawat


2 04 January 2018 Sit Aminah
3 08 January 2018 Sabariah
4 08 January 2018 Masitah
5 08 January 2018 Rustam
6 08 January 2018 Solehah
7 08 January 2018 Kasiat
8 08 January 2018 Nabah
9 08 January 2018 Fatmah
10 08 January 2018 Herlina
11 08 January 2018 Dedi
12 08 January 2018 Bainah
13 08 January 2018 Yayuk
14 08 January 2018 Fitrianah
15 08 January 2018 Rafidah
16 08 January 2018 Rfi'i
17 08 January 2018 Bayah
18 08 January 2018 Mariana
19 08 January 2018 Halimatus
20 08 January 2018 Maimunah
21 08 January 2018 Miana Wat
22 08 January 2018 Ninuk.s
23 08 January 2018 Ira
24 08 January 2018 Saniah
25 08 January 2018 Anisah
26 08 January 2018 Mitra
27 08 January 2018 Nursabah
28 09 January 2018 Diana
29 09 January 2018 Norhayat
30 09 January 2018 H. Slamet
31 09 January 2018 Sit
32 09 January 2018 Abdul Wafi
33 09 January 2018 Sarju
34 09 January 2018 Hj. Ist. M
35 09 January 2018 Yasirah
36 09 January 2018 Sulastri
37 09 January 2018 Ari. H
38 09 January 2018 Rahmaniah
39 09 January 2018 Misbah
40 09 January 2018 Lilik
41 09 January 2018 Ida Fitri
42 09 January 2018 Martnah
43 09 January 2018 Kasnah
44 09 January 2018 Fitriat
45 09 January 2018 Saibiah
46 09 January 2018 Riva'atul
47 09 January 2018 Norhayat. H
48 09 January 2018 Asnah
49 09 January 2018 Muslimah
50 09 January 2018 Norma. Y
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Jenis
Tanggal Lahir Agama Alamat No Telp/ HP
Kelamin

Islam Rt 07 AA
Islam Rt 07 AA
Islam Rt 07 SB
Islam Rt 05 SB
Islam Rt 07 SB
Islam Rt 05 SB
Islam Rt 07 SB
Islam Rt 05 SB
Islam Rt 07 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 07 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 07 SB
Islam Rt 05 SB
Islam Rt 05 SB
Islam Rt 09 SB
Islam Rt 09 SB
Islam Rt 08 SB
Islam Rt 08 SB
Islam Rt 09 SB
Islam Rt 08 SB
Islam Rt 08 SB
Islam Rt 09 SB
Islam Rt 08 SB
Islam Rt 10 SB
Islam Rt 08 SB
Islam Rt 09 SB
Islam Rt 09 SB
Islam Rt 08 SB
Islam Rt 09 SB
Islam Rt 09 SB
Islam Rt 09 SB
Islam Rt 09 SB
Islam Rt 09 SB
Islam Rt 09 SB
Islam Rt 08 SB
Islam Rt 09 SB
Islam Rt 09 SB
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Golongan
Pendidikan Terakhir Pekerjaan Status Darah
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xxx

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Riwayat Penyakit Tidak Menular Pada Keluarga

Penyakit Penyakit Penyakit Penyakit Penyakit Penyakit Kolesterol


eMail Diabetes Hipertensi Jantung Stroke Asma Kanker Tinggi
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Riwayat Penyakit Tidak Menular Pada Diri Sendiri WAWANCARA

Kurang
Penyakit Penyakit Penyakit Penyakit Penyakit Penyakit Kolesterol Merokok Aktivitas
Diabetes Hipertensi Jantung Stroke Asma Kanker Tinggi
Fisik
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WAWANCARA Tekanan Darah IMT Pemeriksaan La

Kurang Lingkar Pengukuran


Sayur dan Konsumsi Tinggi Berat Perut Fungsi Paru
Sistol Diastol Gula
Alkohol Badan Badan
Buah

Tidak Tidak 100 70 40 Normal


100 70 59 Normal
200 100 50 Normal
110 80 45 Normal
160 90 48 Normal
160 90 54 Normal
120 80 53 Normal
200 100 61 Normal
200 100 49 Normal
220 100 59 Normal
110 70 62 Normal
140 70 51 Normal
110 70 61 Normal
120 80 57 Normal
140 90 57 Normal
140 80 75 Normal
140 80 59 Normal
120 80 64 Normal
110 70 60 Normal
100 70 56 Normal
110 80 64 Normal
140 90 72 Normal
130 80 57 Normal
100 70 45 Normal
90 70 46 Normal
100 70 43 Normal
90 70 43 Normal
140 90 48 Normal
150 90 57 Normal
160 90 51 Normal
120 80 45 Normal
160 90 59 Normal
110 70 64 Normal
130 80 53 Normal
180 100 52 Normal
120 80 46 Normal
140 90 52 Normal
140 90 64 Normal
140 90 54 Normal
150 90 54 Normal
120 80 47 Normal
140 90 48 Normal
120 80 69 Normal
120 80 55 Normal
130 80 58 Normal
140 90 64 Normal
140 90 82 Normal
90 70 47 Normal
90 70 48 Normal
120 80 80 Normal
xxx xxx 100 xxx xxx xxx xxx xxx xxx
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Pemeriksaan Lab. Penyuluhan
Kadar Tes
Benjolan IVA Alkohol Amfetamin Penyuluhan Penyuluhan
Kolesterol Trigliserida Pernafasan Urin
Payudara IVA & CBE Rokok
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Penyuluhan

Penyuluhan
Potensi
Cedera
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tanggal_pemeriksaanno_ktp nama_pasinama_pangtanggal_lah
jenis_kelaminagama alamat no_telp
2018-01-04 Rahmawat Islam Rt 07 AA
2018-01-04 Sit Aminah Islam Rt 07 AA
2018-01-08 Sabariah Islam Rt 07 SB
2018-01-08 Masitah Islam Rt 05 SB
2018-01-08 Rustam Islam Rt 07 SB
2018-01-08 Solehah Islam Rt 05 SB
2018-01-08 Kasiat Islam Rt 07 SB
2018-01-08 Nabah Islam Rt 05 SB
2018-01-08 Fatmah Islam Rt 07 SB
2018-01-08 Herlina Islam Rt 05 SB
Err:509 Dedi Islam Rt 05 SB
2018-01-08 Bainah Islam Rt 05 SB
2018-01-08 Yayuk Islam Rt 07 SB
2018-01-08 Fitrianah Islam Rt 05 SB
2018-01-08 Rafidah Islam Err:509
2018-01-08 Rfi'i Islam Rt 05 SB
Err:509 Bayah Islam Rt 05 SB
2018-01-08 Mariana Islam Rt 05 SB
2018-01-08 Halimatus Islam Rt 05 SB
2018-01-08 Maimunah Islam Rt 05 SB
2018-01-08 Miana Wat Err:509 Err:509
2018-01-08 Ninuk.s Islam Rt 05 SB
2018-01-08 Ira Islam Rt 05 SB
2018-01-08 Saniah Islam Rt 05 SB
2018-01-08 Anisah Islam Rt 07 SB
2018-01-08 Mitra Islam Rt 05 SB
2018-01-08 Nursabah Islam Rt 05 SB
2018-01-09 Diana Islam Rt 09 SB
2018-01-09 Norhayat Islam Rt 09 SB
2018-01-09 H. Slamet Islam Rt 08 SB
2018-01-09 Sit Islam Rt 08 SB
Err:509 Abdul Wafi Islam Rt 09 SB
2018-01-09 Sarju Islam Rt 08 SB
2018-01-09 Hj. Ist. M Islam Rt 08 SB
2018-01-09 Yasirah Islam Rt 09 SB
2018-01-09 Sulastri Islam Rt 08 SB
2018-01-09 Ari. H Islam Rt 10 SB
2018-01-09 Rahmaniah Islam Rt 08 SB
2018-01-09 Misbah Islam Rt 09 SB
2018-01-09 Lilik Islam Rt 09 SB
2018-01-09 Ida Fitri Islam Rt 08 SB
2018-01-09 Martnah Islam Rt 09 SB
2018-01-09 Kasnah Islam Rt 09 SB
2018-01-09 Fitriat Islam Rt 09 SB
2018-01-09 Saibiah Islam Rt 09 SB
2018-01-09 Riva'atul Islam Rt 09 SB
2018-01-09 Norhayat. H Islam Rt 09 SB
2018-01-09 Asnah Islam Rt 08 SB
2018-01-09 Muslimah Islam Rt 09 SB
2018-01-09 Norma. Y Islam Rt 09 SB
pendidikan_terakhir
pekerjaan statusgolongan_darah emailpenyakit_diabetes
penyakit_hipertensi
penyakit_jantung
penyakit_stroke
penyakit_asma
penyakit_kanker
kolesterol_tnggi
penyakit_diabetes
penyakit_hipertensi
penyakit_jantung
penyakit_stroke
penyakit_asma
penyakit_kanker
kolesterol_tnggi
merokok
kurang_aktvitas
kurang_sayur
konsumsi_alkoholsistol diastol tnggi_badberat_bad lingkar_pepengukura
2 2 100 70 40 2
100 70 59 2
200 100 50 2
110 80 45 2
160 90 48 2
160 90 54 2
120 80 53 2
200 100 61 2
200 100 49 2
220 100 59 2
110 70 62 2
140 70 51 2
110 70 61 2
120 80 57 2
140 90 57 2
140 80 75 2
140 80 59 2
120 80 64 2
110 70 60 2
100 70 56 2
110 80 64 2
140 90 72 2
130 80 57 2
100 70 45 2
90 70 46 2
100 70 43 2
90 70 43 2
140 90 48 2
150 90 57 2
160 90 51 2
120 80 45 2
160 90 59 2
110 70 64 2
130 80 53 2
180 100 52 2
120 80 46 2
140 90 52 2
140 90 64 2
140 90 54 2
150 90 54 2
120 80 47 2
140 90 48 2
120 80 69 2
120 80 55 2
130 80 58 2
140 90 64 2
140 90 82 2
90 70 47 2
90 70 48 2
120 80 80 2
gula kolesterol trigliseridabenjolan_ iva kadar_alkotes_amfet penyuluhapenyuluhapenyuluhan_cedera
penyuluhan_cedera
1 posbindu

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