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    LAPORAN

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    LAPORAN

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    LAPORAN

    Caricato da

    arfian hari bekti
    LAPORAN

    Copyright:

    © All Rights Reserved
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    di 1061

    <table class='tabel' width='90%'>

    <tr class="form">
    <td align="center" colspan="9">
    <big><big><span style="font-weight: bold;">
    LAPORAN UNIVERSAL <br>
    BULAN 01-08-2019 - 31-08-2019 </span></big></big>
    </td>
    </tr>
    </table>
    <table align='center'>
    <tr>
    <td>Total</td>
    <td>:</td>
    <td>2,307</td>
    </tr>
    </table>
    <table align="center" width="98%" border="1">
    <tr class="row1">
    <td width='3%'>No</td>
    <td width='6%'>Tanggal</td>
    <td width='6%'>No RM</td>
    <td width='10%'>Nama</td>
    <td width='6%'>Desa</td>
    <td width='5%'>Kecamatan</td>
    <td width='5%'>Kabupaten</td>
    <td width='6%'>Tgl Lahir</td>
    <td width='6%'>Umur<br>Th</td>
    <td width='2%'>L/P</td>
    <td width='7%'>Pekerjaan</td>
    <td width='7%'>Ruangan</td>
    <td width='7%'>Petugas</td>
    <td width='4%'>Status</td>
    <td>Kasus</td>
    <td>Cara Bayar</td>
    <td>Jenis BPJS</td>
    <td>No BPJS</td>
    <td>Kode Bridging</td>
    <td>ICD-10</td>
    <td>Diagnosa</td>
    </tr>

    <tr align="left" valign="top">


    <td>1</td>
    <td>01-08-2019</td>
    <td>030187</td>
    <td>KARSI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    j11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2</td>
    <td>01-08-2019</td>
    <td>002358</td>
    <td>LAMPI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1974</td>
    <td>45</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    j11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>3</td>
    <td>01-08-2019</td>
    <td>028855</td>
    <td>YENI FARIDA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-06-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J35.0 </td>
    <td align='center'>
    Chronic tonsillitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>4</td>
    <td>01-08-2019</td>
    <td>019578</td>
    <td>ANANDA DIAN FERLISTA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-11-2000</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    r51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>5</td>
    <td>01-08-2019</td>
    <td>030191</td>
    <td>SUPARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-12-1974</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    j11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>
    <tr align="left" valign="top">
    <td>6</td>
    <td>01-08-2019</td>
    <td>003255</td>
    <td>SUPINI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    i10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>7</td>
    <td>01-08-2019</td>
    <td>011463</td>
    <td>GALANG PANDU BEKTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-07-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    s89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>8</td>
    <td>01-08-2019</td>
    <td>030199</td>
    <td>GUNARI</td>
    <td>LABANAN JAYA</td>
    <td>TELUK BAYUR</td>
    <td>BERAU</td>
    <td>16-06-1980</td>
    <td>39</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>9</td>
    <td>01-08-2019</td>
    <td>014735</td>
    <td>NYIMAS NUR AINI RAHMAWATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-03-2014</td>
    <td>5</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H61.2 </td>
    <td align='center'>
    Impacted cerumen </td>

    </tr>

    <tr align="left" valign="top">


    <td>10</td>
    <td>02-08-2019</td>
    <td>030048</td>
    <td>DARMAYANTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-03-1987</td>
    <td>32</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D55.1 </td>
    <td align='center'>
    Anaemia due to other disorders of glutathione metabolism </td>

    </tr>

    <tr align="left" valign="top">


    <td>11</td>
    <td>02-08-2019</td>
    <td>011096</td>
    <td>YENI RAHAYUNINGSIH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-10-1990</td>
    <td>28</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    a09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>12</td>
    <td>02-08-2019</td>
    <td>003631</td>
    <td>ALFI MELINDA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-08-2007</td>
    <td>12</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    j11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>13</td>
    <td>02-08-2019</td>
    <td>003630</td>
    <td>WARSINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    j11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>14</td>
    <td>02-08-2019</td>
    <td>030230</td>
    <td>MUHAIMIN SALIM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-04-1983</td>
    <td>36</td>
    <td>L</td>
    <td>BURUH HARIAN LEPAS</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    a09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>15</td>
    <td>02-08-2019</td>
    <td>030231</td>
    <td>PIPIN PRASETYO</td>
    <td>MANGUNDIKARAN</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>12-02-1986</td>
    <td>33</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06 </td>
    <td align='center'>
    Acute upper respiratory infections of multiple and unspecified sites
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>16</td>
    <td>02-08-2019</td>
    <td>002575</td>
    <td>NIRMA ARUM SARI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-11-2000</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    G40 </td>
    <td align='center'>
    Epilepsy </td>

    </tr>

    <tr align="left" valign="top">


    <td>17</td>
    <td>02-08-2019</td>
    <td>016662</td>
    <td>MEISHA HIRA JACINDA</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-05-2012</td>
    <td>7</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>18</td>
    <td>03-08-2019</td>
    <td>030241</td>
    <td>ANGGIE SEPTIA WATI</td>
    <td>SUKADANA ILIR</td>
    <td>SUKADANA</td>
    <td>LAMPUNG TIMUR</td>
    <td>10-09-1999</td>
    <td>20</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0000345109026</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>19</td>
    <td>03-08-2019</td>
    <td>030242</td>
    <td>TIAS MIHARSIH</td>
    <td>SUKADANA ILIR</td>
    <td>SUKADANA</td>
    <td>LAMPUNG TIMUR</td>
    <td>28-11-1999</td>
    <td>19</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>20</td>
    <td>03-08-2019</td>
    <td>005982</td>
    <td>WISNU NOVIANTO</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-2007</td>
    <td>11</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D56 </td>
    <td align='center'>
    Thalassaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>21</td>
    <td>03-08-2019</td>
    <td>000298</td>
    <td>MAD SIDIK</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1960</td>
    <td>59</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002760439803</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>22</td>
    <td>03-08-2019</td>
    <td>015552</td>
    <td>SUYADI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-09-1988</td>
    <td>30</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H61.2 </td>
    <td align='center'>
    Impacted cerumen </td>

    </tr>

    <tr align="left" valign="top">


    <td>23</td>
    <td>03-08-2019</td>
    <td>002583</td>
    <td>PUPUT SINDU WIYANTI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-07-1989</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>24</td>
    <td>03-08-2019</td>
    <td>002584</td>
    <td>M. DHAVA YUDHA PRATAMA</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-12-2011</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>25</td>
    <td>03-08-2019</td>
    <td>002573</td>
    <td>SUMIATI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-10-1975</td>
    <td>43</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I50.0 </td>
    <td align='center'>
    Congestive heart failure </td>

    </tr>

    <tr align="left" valign="top">


    <td>26</td>
    <td>03-08-2019</td>
    <td>000101</td>
    <td>SUWARNI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1966</td>
    <td>53</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>27</td>
    <td>03-08-2019</td>
    <td>007890</td>
    <td>DJIMIN</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1963</td>
    <td>56</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>28</td>
    <td>03-08-2019</td>
    <td>005649</td>
    <td>TUMIRAH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-04-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>29</td>
    <td>03-08-2019</td>
    <td>030252</td>
    <td>MOHAMAD FAHREZA PUTRA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-03-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H61.2 </td>
    <td align='center'>
    Impacted cerumen </td>
    </tr>

    <tr align="left" valign="top">


    <td>30</td>
    <td>03-08-2019</td>
    <td>030255</td>
    <td>NANDA PRASETYA BUDI. S</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-2001</td>
    <td>17</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>31</td>
    <td>05-08-2019</td>
    <td>030305</td>
    <td>UMI KHOIRIYANA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1996</td>
    <td>23</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>32</td>
    <td>05-08-2019</td>
    <td>030310</td>
    <td>RISHALDY AZIZ SABADILLA</td>
    <td>TANJUNGANOM</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>29-10-1996</td>
    <td>22</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>33</td>
    <td>05-08-2019</td>
    <td>030312</td>
    <td>M FADHLURRAHMAN SADAD</td>
    <td>DUREN SAWIT</td>
    <td>DUREN SAWIT</td>
    <td>JAKARTA TIMUR</td>
    <td>25-07-1997</td>
    <td>22</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>34</td>
    <td>05-08-2019</td>
    <td>025339</td>
    <td>SOVIA PUTRI MAHARANI</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-2012</td>
    <td>7</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>35</td>
    <td>05-08-2019</td>
    <td>030319</td>
    <td>AGUNG EKO F</td>
    <td>TLUWAH</td>
    <td>JUWANA</td>
    <td>PATI</td>
    <td>14-03-1994</td>
    <td>25</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>36</td>
    <td>05-08-2019</td>
    <td>030320</td>
    <td>RUDI NANDA P</td>
    <td>DUKUHMULYO</td>
    <td>JAKENAN</td>
    <td>PATI</td>
    <td>13-08-2001</td>
    <td>18</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001044562825</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>37</td>
    <td>05-08-2019</td>
    <td>030321</td>
    <td>SUPRIYONO</td>
    <td>SUKORUKUN</td>
    <td>JAKEN</td>
    <td>PATI</td>
    <td>27-08-1972</td>
    <td>47</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>38</td>
    <td>05-08-2019</td>
    <td>030322</td>
    <td>WARDI</td>
    <td>SUKORUKUN</td>
    <td>JAKEN</td>
    <td>PATI</td>
    <td>01-07-1970</td>
    <td>49</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>39</td>
    <td>05-08-2019</td>
    <td>030325</td>
    <td>SUHARSIH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-09-1964</td>
    <td>55</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>40</td>
    <td>05-08-2019</td>
    <td>000397</td>
    <td>DIANA WATI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-1985</td>
    <td>33</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J01 </td>
    <td align='center'>
    Acute sinusitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>41</td>
    <td>05-08-2019</td>
    <td>014713</td>
    <td>MITA DYAH FITRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-03-2000</td>
    <td>19</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>42</td>
    <td>05-08-2019</td>
    <td>030330</td>
    <td>DAMUN</td>
    <td>KEBONAGUNG</td>
    <td>SAWAHAN</td>
    <td>NGANJUK</td>
    <td>30-12-1947</td>
    <td>71</td>
    <td>L</td>
    <td>BURUH HARIAN LEPAS</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>
    <tr align="left" valign="top">
    <td>43</td>
    <td>05-08-2019</td>
    <td>016535</td>
    <td>MARSIYEM</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-03-1970</td>
    <td>49</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>44</td>
    <td>05-08-2019</td>
    <td>013330</td>
    <td>SARIYEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1966</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A16 </td>
    <td align='center'>
    Respiratory tuberculosis, not confirmed bacteriologically or
    histologically </td>

    </tr>

    <tr align="left" valign="top">


    <td>45</td>
    <td>06-08-2019</td>
    <td>030347</td>
    <td>RAKIJAH</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-11-1964</td>
    <td>54</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001549161652</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>46</td>
    <td>06-08-2019</td>
    <td>000788</td>
    <td>PURNOMO</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-04-1976</td>
    <td>43</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>47</td>
    <td>06-08-2019</td>
    <td>011807</td>
    <td>LASMIASIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-11-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89.9 </td>
    <td align='center'>
    Unspecified injury of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>48</td>
    <td>06-08-2019</td>
    <td>030354</td>
    <td>AFITROTUL MUZIZAH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-02-2001</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H52.3 </td>
    <td align='center'>
    Anisometropia and aniseikonia </td>

    </tr>

    <tr align="left" valign="top">


    <td>49</td>
    <td>06-08-2019</td>
    <td>017801</td>
    <td>MIFTAKHUR ROHMAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-11-1993</td>
    <td>25</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>50</td>
    <td>06-08-2019</td>
    <td>012362</td>
    <td>SUPRIYANTO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-02-1965</td>
    <td>54</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>51</td>
    <td>06-08-2019</td>
    <td>025130</td>
    <td>MEINEHA PUTRI KISTYAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-05-2003</td>
    <td>16</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H61 </td>
    <td align='center'>
    Other disorders of external ear </td>

    </tr>

    <tr align="left" valign="top">


    <td>52</td>
    <td>06-08-2019</td>
    <td>017373</td>
    <td>SITI NUR MASLAKAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1986</td>
    <td>33</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>53</td>
    <td>06-08-2019</td>
    <td>003630</td>
    <td>WARSINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>
    </tr>

    <tr align="left" valign="top">


    <td>54</td>
    <td>07-08-2019</td>
    <td>030378</td>
    <td>MILA ENDAH PRATIWI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-05-1998</td>
    <td>21</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEGAWAI BUMN</td>
    <td>0001865886118</td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>55</td>
    <td>07-08-2019</td>
    <td>025943</td>
    <td>GUNASRI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1974</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.5 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with peripheral circulatory
    complications </td>

    </tr>
    <tr align="left" valign="top">
    <td>56</td>
    <td>07-08-2019</td>
    <td>030187</td>
    <td>KARSI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>57</td>
    <td>07-08-2019</td>
    <td>005865</td>
    <td>SUTIWIT</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1966</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L81 </td>
    <td align='center'>
    Other disorders of pigmentation </td>

    </tr>

    <tr align="left" valign="top">


    <td>58</td>
    <td>07-08-2019</td>
    <td>021968</td>
    <td>SULASTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>59</td>
    <td>07-08-2019</td>
    <td>022178</td>
    <td>INEKE REKNONINGSIH</td>
    <td>BANARANWETAN</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>28-11-2000</td>
    <td>18</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>60</td>
    <td>08-08-2019</td>
    <td>029804</td>
    <td>DJAERAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.5 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with peripheral circulatory
    complications </td>

    </tr>

    <tr align="left" valign="top">


    <td>61</td>
    <td>08-08-2019</td>
    <td>021968</td>
    <td>SULASTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>62</td>
    <td>08-08-2019</td>
    <td>008765</td>
    <td>PALIDI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1962</td>
    <td>56</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>63</td>
    <td>08-08-2019</td>
    <td>026610</td>
    <td>SUWARDI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-1940</td>
    <td>79</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>64</td>
    <td>08-08-2019</td>
    <td>009492</td>
    <td>SUMIATUN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-09-1971</td>
    <td>48</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J90 </td>
    <td align='center'>
    Pleural effusion, not elsewhere classified </td>

    </tr>

    <tr align="left" valign="top">


    <td>65</td>
    <td>08-08-2019</td>
    <td>018521</td>
    <td>YATEMIN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1960</td>
    <td>58</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>66</td>
    <td>08-08-2019</td>
    <td>024577</td>
    <td>TAMIJAN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1972</td>
    <td>46</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    B20 </td>
    <td align='center'>
    Human immunodeficiency virus [HIV] disease resulting in infectious and
    parasitic diseases </td>

    </tr>

    <tr align="left" valign="top">


    <td>67</td>
    <td>08-08-2019</td>
    <td>030405</td>
    <td>YATINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>68</td>
    <td>08-08-2019</td>
    <td>030406</td>
    <td>GITA FATMA MUNTIAS</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-07-1999</td>
    <td>20</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>
    </tr>

    <tr align="left" valign="top">


    <td>69</td>
    <td>08-08-2019</td>
    <td>030407</td>
    <td>AGUS WINARTO</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-11-1962</td>
    <td>56</td>
    <td>L</td>
    <td>SOPIR</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.5 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with peripheral circulatory
    complications </td>

    </tr>

    <tr align="left" valign="top">


    <td>70</td>
    <td>09-08-2019</td>
    <td>007032</td>
    <td>KRIES MARDIANA LESTARI</td>
    <td>WERUNGOTOK</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>22-03-1994</td>
    <td>25</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R19 </td>
    <td align='center'>
    Other symptoms and signs involving the digestive system and abdomen
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>71</td>
    <td>09-08-2019</td>
    <td>011807</td>
    <td>LASMIASIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-11-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>72</td>
    <td>09-08-2019</td>
    <td>006495</td>
    <td>KIKI PUTRI WIANTO ADE</td>
    <td>KEBONAGUNG</td>
    <td>SAWAHAN</td>
    <td>NGANJUK</td>
    <td>19-02-1993</td>
    <td>26</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>73</td>
    <td>09-08-2019</td>
    <td>030422</td>
    <td>LINGGAWATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-07-1996</td>
    <td>23</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>74</td>
    <td>09-08-2019</td>
    <td>005448</td>
    <td>UDIK PURNIAWAN</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-06-1980</td>
    <td>39</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>75</td>
    <td>09-08-2019</td>
    <td>020181</td>
    <td>FADIL NUR AVANDI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-02-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>76</td>
    <td>10-08-2019</td>
    <td>030432</td>
    <td>JUWANI</td>
    <td>PANDU SANJAYA</td>
    <td>PANGKALAN LADA</td>
    <td>KOTAWARINGIN BARAT</td>
    <td>04-08-1979</td>
    <td>40</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>77</td>
    <td>12-08-2019</td>
    <td>030452</td>
    <td>UMI DAROTIN</td>
    <td>ORO ORO OMBO</td>
    <td>NGETOS</td>
    <td>NGANJUK</td>
    <td>15-07-1960</td>
    <td>59</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0000109314988</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>78</td>
    <td>12-08-2019</td>
    <td>030459</td>
    <td>LIKAH ANUR FITROTIN</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-04-1987</td>
    <td>32</td>
    <td>P</td>
    <td>GURU</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001624718136</td>
    <td></td>
    <td align='center'>
    A16 </td>
    <td align='center'>
    Respiratory tuberculosis, not confirmed bacteriologically or
    histologically </td>

    </tr>

    <tr align="left" valign="top">


    <td>79</td>
    <td>12-08-2019</td>
    <td>000543</td>
    <td>PARIYADI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1964</td>
    <td>55</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.0 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with coma </td>

    </tr>

    <tr align="left" valign="top">


    <td>80</td>
    <td>12-08-2019</td>
    <td>008343</td>
    <td>RENDI FEBRIANTO</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-02-1993</td>
    <td>26</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>81</td>
    <td>12-08-2019</td>
    <td>002575</td>
    <td>NIRMA ARUM SARI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-11-2000</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    G40 </td>
    <td align='center'>
    Epilepsy </td>

    </tr>

    <tr align="left" valign="top">


    <td>82</td>
    <td>12-08-2019</td>
    <td>030461</td>
    <td>IMAM MASDUQI</td>
    <td>NGUDIKAN</td>
    <td>WILANGAN</td>
    <td>NGANJUK</td>
    <td>11-10-1967</td>
    <td>51</td>
    <td>L</td>
    <td>PERDAGANGAN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>83</td>
    <td>12-08-2019</td>
    <td>003661</td>
    <td>YATIDJO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1967</td>
    <td>52</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    N04.9 </td>
    <td align='center'>
    Nephrotic syndrome, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>84</td>
    <td>13-08-2019</td>
    <td>030466</td>
    <td>BINTI NURLAILA ROHMAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-01-1994</td>
    <td>25</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0001804665969</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>85</td>
    <td>13-08-2019</td>
    <td>015552</td>
    <td>SUYADI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-09-1988</td>
    <td>30</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>86</td>
    <td>13-08-2019</td>
    <td>007032</td>
    <td>KRIES MARDIANA LESTARI</td>
    <td>WERUNGOTOK</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>22-03-1994</td>
    <td>25</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>87</td>
    <td>13-08-2019</td>
    <td>002405</td>
    <td>ELIA SELFIANA</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-2012</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>88</td>
    <td>13-08-2019</td>
    <td>003357</td>
    <td>SUMARSIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-07-1972</td>
    <td>47</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>89</td>
    <td>14-08-2019</td>
    <td>030497</td>
    <td>BRYAN JULEO CANIAGO</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-1999</td>
    <td>20</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737223658</td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>90</td>
    <td>14-08-2019</td>
    <td>030485</td>
    <td>WALIDI</td>
    <td>KEBOROMO</td>
    <td>TAYU</td>
    <td>PATI</td>
    <td>01-07-1962</td>
    <td>57</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>91</td>
    <td>14-08-2019</td>
    <td>000125</td>
    <td>SANIATIK</td>
    <td>MUSIR LOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1973</td>
    <td>46</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    D05.9 </td>
    <td align='center'>
    Carcinoma in situ of breast, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>92</td>
    <td>14-08-2019</td>
    <td>009360</td>
    <td>MOCH. ARINAL HAK</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-10-1992</td>
    <td>26</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>93</td>
    <td>14-08-2019</td>
    <td>000101</td>
    <td>SUWARNI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1966</td>
    <td>53</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.5 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with peripheral circulatory
    complications </td>

    </tr>

    <tr align="left" valign="top">


    <td>94</td>
    <td>14-08-2019</td>
    <td>030487</td>
    <td>MUHAMMAD RAFA TRIHANDITO</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-09-2013</td>
    <td>5</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H62 </td>
    <td align='center'>
    Disorders of external ear in diseases classified elsewhere </td>

    </tr>

    <tr align="left" valign="top">


    <td>95</td>
    <td>14-08-2019</td>
    <td>003190</td>
    <td>ILSAMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-03-2014</td>
    <td>5</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>96</td>
    <td>14-08-2019</td>
    <td>007506</td>
    <td>SUJATMIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-04-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>
    <tr align="left" valign="top">
    <td>97</td>
    <td>14-08-2019</td>
    <td>009229</td>
    <td>MURYOTO</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-07-1985</td>
    <td>34</td>
    <td>L</td>
    <td>PEGAWAI NEGERI SIPIL</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0000109382747</td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>98</td>
    <td>14-08-2019</td>
    <td>030491</td>
    <td>RAHAYU ISLAMIYAH</td>
    <td>GROGOL</td>
    <td>GIRI</td>
    <td>BANYUWANGI</td>
    <td>23-05-1998</td>
    <td>21</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>99</td>
    <td>14-08-2019</td>
    <td>030492</td>
    <td>DEVITA LAZUARDINA</td>
    <td>MANYAR SABRANGAN</td>
    <td>MULYOREJO</td>
    <td>KOTA SURABAYA</td>
    <td>03-12-1997</td>
    <td>21</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>100</td>
    <td>14-08-2019</td>
    <td>002248</td>
    <td>DIAH DWI PRATIWI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-06-2001</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0002620298406</td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>101</td>
    <td>14-08-2019</td>
    <td>030493</td>
    <td>SLAMET SUDARSONO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-05-1970</td>
    <td>49</td>
    <td>L</td>
    <td>Pedagang</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>102</td>
    <td>14-08-2019</td>
    <td>026807</td>
    <td>TARMIDI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-07-1964</td>
    <td>55</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D64 </td>
    <td align='center'>
    Other anaemias </td>

    </tr>

    <tr align="left" valign="top">


    <td>103</td>
    <td>14-08-2019</td>
    <td>002315</td>
    <td>SATIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>104</td>
    <td>14-08-2019</td>
    <td>016559</td>
    <td>URIP EFENDI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-1985</td>
    <td>34</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H62 </td>
    <td align='center'>
    Disorders of external ear in diseases classified elsewhere </td>

    </tr>

    <tr align="left" valign="top">


    <td>105</td>
    <td>15-08-2019</td>
    <td>013918</td>
    <td>PASIJEM</td>
    <td>KRONDONAN</td>
    <td>GONDANG</td>
    <td>MADIUN</td>
    <td>06-08-1954</td>
    <td>65</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000102531003</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>106</td>
    <td>15-08-2019</td>
    <td>030507</td>
    <td>M ROZIKIN</td>
    <td>SUKOSEWU</td>
    <td>SUKOSEWU</td>
    <td>BOJONEGORO</td>
    <td>25-07-1996</td>
    <td>23</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>107</td>
    <td>15-08-2019</td>
    <td>000788</td>
    <td>PURNOMO</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-04-1976</td>
    <td>43</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>108</td>
    <td>15-08-2019</td>
    <td>005816</td>
    <td>SUMINEM</td>
    <td>BANARANWETAN</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>16-01-1985</td>
    <td>34</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>109</td>
    <td>15-08-2019</td>
    <td>017844</td>
    <td>JOKO SUSILO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-10-1989</td>
    <td>29</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>
    <tr align="left" valign="top">
    <td>110</td>
    <td>15-08-2019</td>
    <td>030187</td>
    <td>KARSI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>111</td>
    <td>16-08-2019</td>
    <td>030546</td>
    <td>NURUL JAMIKATUN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-10-1980</td>
    <td>38</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002250727547</td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>112</td>
    <td>16-08-2019</td>
    <td>030547</td>
    <td>DARWANTO</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-03-1973</td>
    <td>46</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000357050564</td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>113</td>
    <td>16-08-2019</td>
    <td>022523</td>
    <td>AGUS SUPRIYANTO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-10-1994</td>
    <td>24</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>114</td>
    <td>16-08-2019</td>
    <td>001202</td>
    <td>WAHYU SEPTIANA NAAFI` PUTRI WIJAYANTI</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>23-09-2013</td>
    <td>5</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.5 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with peripheral circulatory
    complications </td>

    </tr>

    <tr align="left" valign="top">


    <td>115</td>
    <td>16-08-2019</td>
    <td>030551</td>
    <td>SUNANDRIE AFDIKA INRA BAYU</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>116</td>
    <td>16-08-2019</td>
    <td>009947</td>
    <td>SUWANTO</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-03-1976</td>
    <td>43</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>117</td>
    <td>16-08-2019</td>
    <td>005983</td>
    <td>PARMINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-07-1982</td>
    <td>37</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>118</td>
    <td>19-08-2019</td>
    <td>030585</td>
    <td>SRIANTO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-03-1984</td>
    <td>35</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002453695075</td>
    <td></td>
    <td align='center'>
    L02 </td>
    <td align='center'>
    Cutaneous abscess, furuncle and carbuncle </td>

    </tr>

    <tr align="left" valign="top">


    <td>119</td>
    <td>19-08-2019</td>
    <td>030562</td>
    <td>YULIANA</td>
    <td>MENDENREJO</td>
    <td>KRADENAN</td>
    <td>BLORA</td>
    <td>12-02-1997</td>
    <td>22</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>120</td>
    <td>19-08-2019</td>
    <td>030564</td>
    <td>JOSSY ARNANDA</td>
    <td>BANARANKULON</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>15-12-1999</td>
    <td>19</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S10 </td>
    <td align='center'>
    Superficial injury of neck </td>

    </tr>

    <tr align="left" valign="top">


    <td>121</td>
    <td>19-08-2019</td>
    <td>030566</td>
    <td>ALVIA MEILIANI</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-05-2000</td>
    <td>19</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>122</td>
    <td>19-08-2019</td>
    <td>030567</td>
    <td>AGUNG</td>
    <td>SUKORUKUN</td>
    <td>JAKEN</td>
    <td>PATI</td>
    <td>10-12-1973</td>
    <td>45</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>123</td>
    <td>19-08-2019</td>
    <td>030569</td>
    <td>JAENURI</td>
    <td>SUKORUKUN</td>
    <td>JAKEN</td>
    <td>PATI</td>
    <td>29-07-1979</td>
    <td>40</td>
    <td></td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>124</td>
    <td>19-08-2019</td>
    <td>029804</td>
    <td>DJAERAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>125</td>
    <td>19-08-2019</td>
    <td>008765</td>
    <td>PALIDI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1962</td>
    <td>56</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>126</td>
    <td>19-08-2019</td>
    <td>019492</td>
    <td>SUWARNI</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I25.0 </td>
    <td align='center'>
    Atherosclerotic cardiovascular disease, so described </td>

    </tr>

    <tr align="left" valign="top">


    <td>127</td>
    <td>19-08-2019</td>
    <td>013330</td>
    <td>SARIYEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1966</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A15 </td>
    <td align='center'>
    Respiratory tuberculosis, bacteriologically and histologically
    confirmed </td>

    </tr>

    <tr align="left" valign="top">


    <td>128</td>
    <td>19-08-2019</td>
    <td>009131</td>
    <td>SRI MURYATI</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-1972</td>
    <td>46</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I50.0 </td>
    <td align='center'>
    Congestive heart failure </td>

    </tr>

    <tr align="left" valign="top">


    <td>129</td>
    <td>19-08-2019</td>
    <td>029681</td>
    <td>SUPARDI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-10-1957</td>
    <td>61</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A16 </td>
    <td align='center'>
    Respiratory tuberculosis, not confirmed bacteriologically or
    histologically </td>

    </tr>

    <tr align="left" valign="top">


    <td>130</td>
    <td>20-08-2019</td>
    <td>028975</td>
    <td>LANTRAH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1947</td>
    <td>72</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S72 </td>
    <td align='center'>
    Fracture of femur </td>

    </tr>

    <tr align="left" valign="top">


    <td>131</td>
    <td>20-08-2019</td>
    <td>002358</td>
    <td>LAMPI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1974</td>
    <td>45</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    i10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>132</td>
    <td>20-08-2019</td>
    <td>030617</td>
    <td>PAIJEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735652506</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>133</td>
    <td>20-08-2019</td>
    <td>002805</td>
    <td>SUJIYEM</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>134</td>
    <td>20-08-2019</td>
    <td>005649</td>
    <td>TUMIRAH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-04-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    r51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>135</td>
    <td>20-08-2019</td>
    <td>007890</td>
    <td>DJIMIN</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1963</td>
    <td>56</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>
    <tr align="left" valign="top">
    <td>136</td>
    <td>21-08-2019</td>
    <td>030653</td>
    <td>PAULUS HARI PURWANTO</td>
    <td>KOPERAPOKA</td>
    <td>MIMIKA BARU</td>
    <td>MIMIKA</td>
    <td>10-06-1974</td>
    <td>45</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>137</td>
    <td>21-08-2019</td>
    <td>015552</td>
    <td>SUYADI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-09-1988</td>
    <td>30</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>138</td>
    <td>21-08-2019</td>
    <td>008500</td>
    <td>MOCH. RIZKI WAHYU PRASTYO</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-03-1997</td>
    <td>22</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>139</td>
    <td>21-08-2019</td>
    <td>024228</td>
    <td>WENNY FITRIANINGSIH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-05-2001</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>140</td>
    <td>21-08-2019</td>
    <td>009215</td>
    <td>LISTIANI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H81 </td>
    <td align='center'>
    Disorders of vestibular function </td>

    </tr>

    <tr align="left" valign="top">


    <td>141</td>
    <td>22-08-2019</td>
    <td>030666</td>
    <td>PRANOTO</td>
    <td>MOJOKERTO</td>
    <td>KRAGAN</td>
    <td>REMBANG</td>
    <td>01-05-2002</td>
    <td>17</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000584899852</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>142</td>
    <td>22-08-2019</td>
    <td>002575</td>
    <td>NIRMA ARUM SARI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-11-2000</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    G40 </td>
    <td align='center'>
    Epilepsy </td>

    </tr>

    <tr align="left" valign="top">


    <td>143</td>
    <td>22-08-2019</td>
    <td>030667</td>
    <td>SAMA`UN</td>
    <td>MOJOKERTO</td>
    <td>KRAGAN</td>
    <td>REMBANG</td>
    <td>06-01-2001</td>
    <td>18</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>144</td>
    <td>22-08-2019</td>
    <td>030668</td>
    <td>ROHMANI</td>
    <td>BOGOSARI</td>
    <td>GUNTUR</td>
    <td>DEMAK</td>
    <td>29-09-1984</td>
    <td>34</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>145</td>
    <td>22-08-2019</td>
    <td>030669</td>
    <td>MAT ZAENURI</td>
    <td>BOGOSARI</td>
    <td>GUNTUR</td>
    <td>DEMAK</td>
    <td>15-09-1976</td>
    <td>42</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>146</td>
    <td>22-08-2019</td>
    <td>020572</td>
    <td>SITI QOMARIAH</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-07-1998</td>
    <td>21</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>
    </tr>

    <tr align="left" valign="top">


    <td>147</td>
    <td>22-08-2019</td>
    <td>010403</td>
    <td>MUHAMMAD FERGIANSYAH MARENDRA ARYANTO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-09-2011</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>148</td>
    <td>22-08-2019</td>
    <td>030682</td>
    <td>GILANG ADITIA WARDANI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-03-2002</td>
    <td>17</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>149</td>
    <td>22-08-2019</td>
    <td>005978</td>
    <td>NYAMINI</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-04-1973</td>
    <td>46</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000641844358</td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>150</td>
    <td>22-08-2019</td>
    <td>030683</td>
    <td>WARNO</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-1964</td>
    <td>55</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>151</td>
    <td>22-08-2019</td>
    <td>029419</td>
    <td>MUHAMMAD RIKHO SETIAWAN</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-2012</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>152</td>
    <td>22-08-2019</td>
    <td>029196</td>
    <td>ALVI ATUS SANGADAH</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-07-1996</td>
    <td>23</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>153</td>
    <td>23-08-2019</td>
    <td>030688</td>
    <td>ALESHA RAHMAH WATI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-10-2012</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.0 </td>
    <td align='center'>
    Fever with chills </td>

    </tr>

    <tr align="left" valign="top">


    <td>154</td>
    <td>23-08-2019</td>
    <td>015556</td>
    <td>KHANZA BALINDA ISTIQOMAH</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-10-2011</td>
    <td>7</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>155</td>
    <td>23-08-2019</td>
    <td>001441</td>
    <td>CHELSI FITRI KHOIRISMA</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-11-2013</td>
    <td>5</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H10 </td>
    <td align='center'>
    Conjunctivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>156</td>
    <td>24-08-2019</td>
    <td>030702</td>
    <td>LAMIJEM</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-06-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>157</td>
    <td>24-08-2019</td>
    <td>030703</td>
    <td>RAHMA DEWI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-12-1991</td>
    <td>27</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>158</td>
    <td>24-08-2019</td>
    <td>030705</td>
    <td>SHINTYA PUSPITARINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-2007</td>
    <td>12</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S09.9 </td>
    <td align='center'>
    Unspecified injury of head </td>

    </tr>

    <tr align="left" valign="top">


    <td>159</td>
    <td>24-08-2019</td>
    <td>030653</td>
    <td>PAULUS HARI PURWANTO</td>
    <td>KOPERAPOKA</td>
    <td>MIMIKA BARU</td>
    <td>MIMIKA</td>
    <td>10-06-1974</td>
    <td>45</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>
    <tr align="left" valign="top">
    <td>160</td>
    <td>24-08-2019</td>
    <td>001615</td>
    <td>SUMIATI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-04-1975</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>161</td>
    <td>24-08-2019</td>
    <td>000101</td>
    <td>SUWARNI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1966</td>
    <td>53</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>162</td>
    <td>24-08-2019</td>
    <td>020072</td>
    <td>EFRIAN KRISTIANA PUTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-08-2002</td>
    <td>17</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>163</td>
    <td>24-08-2019</td>
    <td>013496</td>
    <td>WIWIK SLAMET RAHAYU</td>
    <td>KEBONAGUNG</td>
    <td>SAWAHAN</td>
    <td>NGANJUK</td>
    <td>06-04-1971</td>
    <td>48</td>
    <td>P</td>
    <td>PERANGKAT DESA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PRAJURIT AD</td>
    <td>0001280457459</td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>164</td>
    <td>24-08-2019</td>
    <td>030330</td>
    <td>DAMUN</td>
    <td>KEBONAGUNG</td>
    <td>SAWAHAN</td>
    <td>NGANJUK</td>
    <td>30-12-1947</td>
    <td>71</td>
    <td>L</td>
    <td>BURUH HARIAN LEPAS</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>165</td>
    <td>24-08-2019</td>
    <td>030710</td>
    <td>PUSPITA DEWI PUTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-06-2001</td>
    <td>18</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H10 </td>
    <td align='center'>
    Conjunctivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>166</td>
    <td>24-08-2019</td>
    <td>008522</td>
    <td>SUMARKIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-10-1984</td>
    <td>34</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I84 </td>
    <td align='center'>
    Haemorrhoids </td>

    </tr>

    <tr align="left" valign="top">


    <td>167</td>
    <td>26-08-2019</td>
    <td>000197</td>
    <td>MARTINI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-11-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>168</td>
    <td>26-08-2019</td>
    <td>030729</td>
    <td>MOCH CHABIB CHISBULLAH</td>
    <td>PAYAMAN</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>22-10-1995</td>
    <td>23</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>169</td>
    <td>26-08-2019</td>
    <td>000788</td>
    <td>PURNOMO</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-04-1976</td>
    <td>43</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>170</td>
    <td>26-08-2019</td>
    <td>030734</td>
    <td>JARMININGSIH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-04-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>
    </tr>

    <tr align="left" valign="top">


    <td>171</td>
    <td>26-08-2019</td>
    <td>009421</td>
    <td>SUMIATI</td>
    <td>GONDANGKULON</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>30-12-1964</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809772008</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>172</td>
    <td>26-08-2019</td>
    <td>000238</td>
    <td>WARMI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>173</td>
    <td>26-08-2019</td>
    <td>030740</td>
    <td>SAHLATUL ALFIA</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-12-1979</td>
    <td>39</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>174</td>
    <td>26-08-2019</td>
    <td>020941</td>
    <td>JULIA DWITASARI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-12-2000</td>
    <td>18</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>175</td>
    <td>27-08-2019</td>
    <td>030757</td>
    <td>SHINTA AMINATUN</td>
    <td>KEDUNGREJO</td>
    <td>PLUMPANG</td>
    <td>TUBAN</td>
    <td>01-04-2002</td>
    <td>17</td>
    <td>P</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000752149361</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>176</td>
    <td>27-08-2019</td>
    <td>002575</td>
    <td>NIRMA ARUM SARI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-11-2000</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    G40 </td>
    <td align='center'>
    Epilepsy </td>

    </tr>

    <tr align="left" valign="top">


    <td>177</td>
    <td>27-08-2019</td>
    <td>030753</td>
    <td>MAHATMA ANGGA KUSUMA</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-08-2009</td>
    <td>10</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>178</td>
    <td>27-08-2019</td>
    <td>010458</td>
    <td>SUHARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-06-1991</td>
    <td>28</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>179</td>
    <td>27-08-2019</td>
    <td>000780</td>
    <td>GAMINEM</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-06-1962</td>
    <td>57</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>180</td>
    <td>27-08-2019</td>
    <td>030763</td>
    <td>DAMIJAN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-06-1976</td>
    <td>43</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I84 </td>
    <td align='center'>
    Haemorrhoids </td>

    </tr>

    <tr align="left" valign="top">


    <td>181</td>
    <td>28-08-2019</td>
    <td>030789</td>
    <td>MAS SADI</td>
    <td>MAGUAN</td>
    <td>KALIORI</td>
    <td>REMBANG</td>
    <td>01-03-1986</td>
    <td>33</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000583687743</td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>182</td>
    <td>28-08-2019</td>
    <td>030793</td>
    <td>DARMI ASRI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-12-2001</td>
    <td>17</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737187759</td>
    <td></td>
    <td align='center'>
    j11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>183</td>
    <td>28-08-2019</td>
    <td>008765</td>
    <td>PALIDI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1962</td>
    <td>56</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>
    <tr align="left" valign="top">
    <td>184</td>
    <td>28-08-2019</td>
    <td>030653</td>
    <td>PAULUS HARI PURWANTO</td>
    <td>KOPERAPOKA</td>
    <td>MIMIKA BARU</td>
    <td>MIMIKA</td>
    <td>10-06-1974</td>
    <td>45</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>185</td>
    <td>28-08-2019</td>
    <td>030788</td>
    <td>JUMIATIN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-01-1977</td>
    <td>42</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    s89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>186</td>
    <td>28-08-2019</td>
    <td>015618</td>
    <td>ABD KARIS</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>15-07-1962</td>
    <td>57</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    j44 </td>
    <td align='center'>
    Other chronic obstructive pulmonary disease </td>

    </tr>

    <tr align="left" valign="top">


    <td>187</td>
    <td>28-08-2019</td>
    <td>002627</td>
    <td>MUHAMMAD BALFAN SIFA`ULLOH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-11-2010</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    r50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>188</td>
    <td>28-08-2019</td>
    <td>000887</td>
    <td>SUNARSIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-04-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>189</td>
    <td>29-08-2019</td>
    <td>030834</td>
    <td>LASTRI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-12-1979</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736442897</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>190</td>
    <td>29-08-2019</td>
    <td>029804</td>
    <td>DJAERAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    e11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>191</td>
    <td>29-08-2019</td>
    <td>021968</td>
    <td>SULASTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>192</td>
    <td>29-08-2019</td>
    <td>030764</td>
    <td>YUDI S</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-06-1992</td>
    <td>27</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>193</td>
    <td>29-08-2019</td>
    <td>030852</td>
    <td>SHOLIKHAN</td>
    <td>JAPEREJO</td>
    <td>PAMOTAN</td>
    <td>REMBANG</td>
    <td>12-12-1986</td>
    <td>32</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>194</td>
    <td>29-08-2019</td>
    <td>030853</td>
    <td>WAKIJAN</td>
    <td>KUNIRAN</td>
    <td>BATANGAN</td>
    <td>PATI</td>
    <td>24-04-1976</td>
    <td>43</td>
    <td>L</td>
    <td>-</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>195</td>
    <td>30-08-2019</td>
    <td>013772</td>
    <td>MUHAMMAD HABIBULLOH ANNAIM</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-05-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K12 </td>
    <td align='center'>
    Stomatitis and related lesions </td>

    </tr>

    <tr align="left" valign="top">


    <td>196</td>
    <td>30-08-2019</td>
    <td>000789</td>
    <td>SUPARMIN</td>
    <td>MUSIR LOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-09-1965</td>
    <td>54</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    r51 </td>
    <td align='center'>
    Headache </td>

    </tr>
    <tr align="left" valign="top">
    <td>197</td>
    <td>30-08-2019</td>
    <td>030900</td>
    <td>SUKIMAN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-06-1965</td>
    <td>54</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    i10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>198</td>
    <td>30-08-2019</td>
    <td>023928</td>
    <td>M FATCHU NAJA</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-10-2008</td>
    <td>10</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI UMUM</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    j11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>199</td>
    <td>01-08-2019</td>
    <td>007014</td>
    <td>ALIM TITI NURMAYA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-10-1989</td>
    <td>29</td>
    <td>P</td>
    <td>PERDAGANGAN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>200</td>
    <td>01-08-2019</td>
    <td>030189</td>
    <td>MIFTACHUL FITRIANE</td>
    <td>PUTREN</td>
    <td>SUKOMORO</td>
    <td>NGANJUK</td>
    <td>19-04-1994</td>
    <td>25</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001295780556</td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>201</td>
    <td>01-08-2019</td>
    <td>020857</td>
    <td>NAZILA SHOLICHATUZ ZULFA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-12-2012</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>202</td>
    <td>01-08-2019</td>
    <td>030194</td>
    <td>BANTINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-11-1971</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>203</td>
    <td>01-08-2019</td>
    <td>030201</td>
    <td>FINA KUSUMA WARDANI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-09-2013</td>
    <td>5</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>204</td>
    <td>01-08-2019</td>
    <td>030202</td>
    <td>FANI KUSUMA WATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-09-2013</td>
    <td>5</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>205</td>
    <td>02-08-2019</td>
    <td>030228</td>
    <td>RENATA CHALISTA PUTRI</td>
    <td>WINONGO</td>
    <td>MANGUHARJO</td>
    <td>KOTA MADIUN</td>
    <td>04-05-2014</td>
    <td>5</td>
    <td>P</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001701844648</td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>206</td>
    <td>02-08-2019</td>
    <td>029497</td>
    <td>SISKA EMI LIYANI FITRIYAH</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-03-1991</td>
    <td>28</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735304364</td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>207</td>
    <td>02-08-2019</td>
    <td>026218</td>
    <td>MARWA CHIKA QURROTU`AINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-2012</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>
    </tr>

    <tr align="left" valign="top">


    <td>208</td>
    <td>02-08-2019</td>
    <td>001920</td>
    <td>AISYAH RATNA DEWI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-12-2010</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>209</td>
    <td>03-08-2019</td>
    <td>030240</td>
    <td>TAHAN PRASTIO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-01-1986</td>
    <td>33</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>210</td>
    <td>03-08-2019</td>
    <td>015934</td>
    <td>RAFAEL ADITYA PRATAMA</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-04-2012</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>211</td>
    <td>03-08-2019</td>
    <td>023311</td>
    <td>WHEZKY CHERYL GEISHA EURILLA</td>
    <td>PRAGELAN</td>
    <td>GONDANG</td>
    <td>BOJONEGORO</td>
    <td>27-02-2012</td>
    <td>7</td>
    <td>P</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>212</td>
    <td>03-08-2019</td>
    <td>013336</td>
    <td>KEANDRA RAKHA ADMAJA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-09-2011</td>
    <td>7</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>213</td>
    <td>03-08-2019</td>
    <td>027416</td>
    <td>SISKA PUTRI CAHYANTARI</td>
    <td>PETERONGAN</td>
    <td>PETERONGAN</td>
    <td>JOMBANG</td>
    <td>13-05-2000</td>
    <td>19</td>
    <td>P</td>
    <td>Pelajar / Mahasiswa</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    k05.0 </td>
    <td align='center'>
    Acute gingivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>214</td>
    <td>05-08-2019</td>
    <td>030309</td>
    <td>SUMIATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-11-1953</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>215</td>
    <td>05-08-2019</td>
    <td>006579</td>
    <td>WARSINI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1977</td>
    <td>42</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>216</td>
    <td>05-08-2019</td>
    <td>021971</td>
    <td>REVAN MEILANO PUTRA WIDIANTARA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-05-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>217</td>
    <td>06-08-2019</td>
    <td>030345</td>
    <td>EKO WAHYUDI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1986</td>
    <td>33</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734314645</td>
    <td></td>
    <td align='center'>
    K04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>218</td>
    <td>06-08-2019</td>
    <td>009092</td>
    <td>NYOWAN PURWANTINIK</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-05-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>219</td>
    <td>06-08-2019</td>
    <td>011043</td>
    <td>AGUS WIDODO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-12-1981</td>
    <td>37</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>220</td>
    <td>07-08-2019</td>
    <td>030375</td>
    <td>GAGUK WAHYU WIJANARKO</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-02-1996</td>
    <td>23</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0002681533754</td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>221</td>
    <td>07-08-2019</td>
    <td>024523</td>
    <td>LULUK PUJI LESTARI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1993</td>
    <td>26</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>222</td>
    <td>07-08-2019</td>
    <td>030373</td>
    <td>FAISHAL FAHMI FAJAR</td>
    <td>PAJENG</td>
    <td>GONDANG</td>
    <td>BOJONEGORO</td>
    <td>27-07-2000</td>
    <td>19</td>
    <td>L</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0000102531868</td>
    <td></td>
    <td align='center'>
    k05.0 </td>
    <td align='center'>
    Acute gingivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>223</td>
    <td>07-08-2019</td>
    <td>030374</td>
    <td>EKO SISWANTO</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-03-1992</td>
    <td>27</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>224</td>
    <td>07-08-2019</td>
    <td>030364</td>
    <td>YOSICA NURAETA</td>
    <td>KARTOHARJO</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>12-01-1995</td>
    <td>24</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI BUMN</td>
    <td>0001643064467</td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>225</td>
    <td>07-08-2019</td>
    <td>030369</td>
    <td>ITA ERNAWATI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>226</td>
    <td>07-08-2019</td>
    <td>030377</td>
    <td>LUCKY ELVANO WIDODO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-10-2012</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>227</td>
    <td>07-08-2019</td>
    <td>030371</td>
    <td>DWI PRASTIKA SARI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1997</td>
    <td>22</td>
    <td>P</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>228</td>
    <td>07-08-2019</td>
    <td>030370</td>
    <td>SUSILAWATI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-1982</td>
    <td>36</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>229</td>
    <td>08-08-2019</td>
    <td>030399</td>
    <td>IS DAMAYANTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-1999</td>
    <td>19</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>230</td>
    <td>08-08-2019</td>
    <td>005837</td>
    <td>SUMIATI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-09-1953</td>
    <td>65</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>231</td>
    <td>08-08-2019</td>
    <td>008314</td>
    <td>JAMIRAN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1978</td>
    <td>40</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>
    <tr align="left" valign="top">
    <td>232</td>
    <td>09-08-2019</td>
    <td>010867</td>
    <td>RIMA IKHSANTI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-08-1999</td>
    <td>20</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>233</td>
    <td>09-08-2019</td>
    <td>025340</td>
    <td>ACHMAD HARIYANTO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-05-1994</td>
    <td>25</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k05.0 </td>
    <td align='center'>
    Acute gingivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>234</td>
    <td>10-08-2019</td>
    <td>006668</td>
    <td>NURUS SYARIFAH SYAIF</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-11-2012</td>
    <td>6</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>235</td>
    <td>10-08-2019</td>
    <td>030240</td>
    <td>TAHAN PRASTIO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-01-1986</td>
    <td>33</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>236</td>
    <td>13-08-2019</td>
    <td>015721</td>
    <td>IRFAN NUR RIFKI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-03-2012</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>237</td>
    <td>13-08-2019</td>
    <td>030345</td>
    <td>EKO WAHYUDI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1986</td>
    <td>33</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734314645</td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>238</td>
    <td>13-08-2019</td>
    <td>024523</td>
    <td>LULUK PUJI LESTARI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1993</td>
    <td>26</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>239</td>
    <td>13-08-2019</td>
    <td>030470</td>
    <td>SUMADJI</td>
    <td>SUMBERJO</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>15-06-1964</td>
    <td>55</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>240</td>
    <td>13-08-2019</td>
    <td>030471</td>
    <td>M. AZRIL RANANDIKA ALFARIQ</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-08-2016</td>
    <td>3</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>241</td>
    <td>14-08-2019</td>
    <td>030489</td>
    <td>FARISSA PUTRI LATIFA</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-2010</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>242</td>
    <td>15-08-2019</td>
    <td>021971</td>
    <td>REVAN MEILANO PUTRA WIDIANTARA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-05-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K04.0 </td>
    <td align='center'>
    Pulpitis </td>
    </tr>

    <tr align="left" valign="top">


    <td>243</td>
    <td>15-08-2019</td>
    <td>030009</td>
    <td>HERI PURWANTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-1975</td>
    <td>44</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>244</td>
    <td>15-08-2019</td>
    <td>002829</td>
    <td>WENDHI DWI ARINGGA</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-08-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>245</td>
    <td>15-08-2019</td>
    <td>016412</td>
    <td>YUMIN LATHIFATUL HASNA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-07-2010</td>
    <td>9</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k05.0 </td>
    <td align='center'>
    Acute gingivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>246</td>
    <td>15-08-2019</td>
    <td>030534</td>
    <td>BINTI KHORIJAH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-07-1996</td>
    <td>23</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>247</td>
    <td>16-08-2019</td>
    <td>022265</td>
    <td>GADHINIA DEVI WIDIYANTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-06-1996</td>
    <td>23</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>248</td>
    <td>19-08-2019</td>
    <td>030586</td>
    <td>RETNOWATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-03-1988</td>
    <td>31</td>
    <td></td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002453695762</td>
    <td></td>
    <td align='center'>
    K04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>249</td>
    <td>19-08-2019</td>
    <td>030589</td>
    <td>CHORY NUR RETMANINGRUM</td>
    <td>DEMANGAN</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>05-03-2001</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002750418292</td>
    <td></td>
    <td align='center'>
    K04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>250</td>
    <td>19-08-2019</td>
    <td>030565</td>
    <td>NURUL SUKOTIMAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-10-1991</td>
    <td>27</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>251</td>
    <td>19-08-2019</td>
    <td>027214</td>
    <td>MAULIDINA NUR AZIRA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-07-2012</td>
    <td>7</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>252</td>
    <td>19-08-2019</td>
    <td>007934</td>
    <td>BRIAN FIRMANSYAH</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-10-2011</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>253</td>
    <td>19-08-2019</td>
    <td>030470</td>
    <td>SUMADJI</td>
    <td>SUMBERJO</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>15-06-1964</td>
    <td>55</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>254</td>
    <td>19-08-2019</td>
    <td>030605</td>
    <td>GAGUK BRAMANTIJO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-05-1969</td>
    <td>50</td>
    <td>L</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>255</td>
    <td>20-08-2019</td>
    <td>002106</td>
    <td>YOGA TATA RYANDHIKA</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-01-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>
    <tr align="left" valign="top">
    <td>256</td>
    <td>20-08-2019</td>
    <td>026218</td>
    <td>MARWA CHIKA QURROTU`AINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-2012</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>257</td>
    <td>20-08-2019</td>
    <td>008314</td>
    <td>JAMIRAN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1978</td>
    <td>40</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>258</td>
    <td>22-08-2019</td>
    <td>019768</td>
    <td>RASYIID HAIKAL</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-12-2010</td>
    <td>8</td>
    <td>L</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>259</td>
    <td>22-08-2019</td>
    <td>030672</td>
    <td>ALVIAN DWI JANUAR</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-01-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>260</td>
    <td>22-08-2019</td>
    <td>030664</td>
    <td>WINARSIH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>07-10-1987</td>
    <td>31</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k05.0 </td>
    <td align='center'>
    Acute gingivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>261</td>
    <td>22-08-2019</td>
    <td>014659</td>
    <td>KANAYA SALSABILLA MAHESA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-07-2013</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>262</td>
    <td>23-08-2019</td>
    <td>003378</td>
    <td>ANJANI SALMAI KHOLIDA</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-2013</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>263</td>
    <td>23-08-2019</td>
    <td>017436</td>
    <td>DESTA YUKENNO FABILAH</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-12-2011</td>
    <td>7</td>
    <td>L</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>264</td>
    <td>24-08-2019</td>
    <td>018531</td>
    <td>KHAIRUNNISA` AGUSTIN RAMADHANI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-2012</td>
    <td>7</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>265</td>
    <td>24-08-2019</td>
    <td>021946</td>
    <td>MUHAMMAD ROHIDHUL YAHYA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-06-2012</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>266</td>
    <td>26-08-2019</td>
    <td>030470</td>
    <td>SUMADJI</td>
    <td>SUMBERJO</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>15-06-1964</td>
    <td>55</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>
    </tr>

    <tr align="left" valign="top">


    <td>267</td>
    <td>26-08-2019</td>
    <td>000250</td>
    <td>ELISNA NUR ALIF</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-09-2012</td>
    <td>7</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>268</td>
    <td>26-08-2019</td>
    <td>030742</td>
    <td>NUR SURYANI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-03-1993</td>
    <td>26</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>269</td>
    <td>27-08-2019</td>
    <td>030754</td>
    <td>KHAYANA AURORA AISYAHRANI</td>
    <td>PAKULONAN</td>
    <td>SERPONG UTARA</td>
    <td>KOTA TANGERANG SELATAN</td>
    <td>04-03-2013</td>
    <td>6</td>
    <td>P</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PRAJURIT AD</td>
    <td>0001386894104</td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>270</td>
    <td>27-08-2019</td>
    <td>003681</td>
    <td>JUMINI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-06-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>271</td>
    <td>27-08-2019</td>
    <td>002829</td>
    <td>WENDHI DWI ARINGGA</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-08-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>272</td>
    <td>27-08-2019</td>
    <td>010619</td>
    <td>MOCHAMMAD AIMAN FAKHRI NUHA</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-2012</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>273</td>
    <td>27-08-2019</td>
    <td>029314</td>
    <td>ANDRA ARDIANSYAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-04-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>274</td>
    <td>27-08-2019</td>
    <td>002106</td>
    <td>YOGA TATA RYANDHIKA</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-01-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>275</td>
    <td>28-08-2019</td>
    <td>023022</td>
    <td>CHALISYA ZEEVA F</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-02-2013</td>
    <td>6</td>
    <td>P</td>
    <td>Wiraswasta</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>276</td>
    <td>28-08-2019</td>
    <td>011624</td>
    <td>NIMAS AYU DWITA KHANZYAKILA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-09-2011</td>
    <td>7</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>277</td>
    <td>28-08-2019</td>
    <td>025047</td>
    <td>YULIASTUTI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-1994</td>
    <td>25</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    z01.2 </td>
    <td align='center'>
    Dental examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>278</td>
    <td>28-08-2019</td>
    <td>030790</td>
    <td>DEWI SETIYOWATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-1993</td>
    <td>26</td>
    <td>P</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>279</td>
    <td>29-08-2019</td>
    <td>030605</td>
    <td>GAGUK BRAMANTIJO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-05-1969</td>
    <td>50</td>
    <td>L</td>
    <td>-</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>280</td>
    <td>29-08-2019</td>
    <td>030835</td>
    <td>ZIDAN RIFKI ALDIYAN</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-07-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>281</td>
    <td>29-08-2019</td>
    <td>030842</td>
    <td>MUHAMMAD RIZKI RAFA HABIBIE</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-11-2013</td>
    <td>5</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>282</td>
    <td>29-08-2019</td>
    <td>030849</td>
    <td>ZIVANNA LETIZYA WIDODO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-08-2015</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>283</td>
    <td>29-08-2019</td>
    <td>003752</td>
    <td>MUHAMMAD ARSYAD</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-08-2015</td>
    <td>4</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>284</td>
    <td>29-08-2019</td>
    <td>030847</td>
    <td>SUDARTI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-05-1993</td>
    <td>26</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>285</td>
    <td>30-08-2019</td>
    <td>030898</td>
    <td>AIKO HUMAIRA MAYCHA</td>
    <td>PAYAMAN</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>04-07-2012</td>
    <td>7</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002260259289</td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>286</td>
    <td>30-08-2019</td>
    <td>030901</td>
    <td>DWI FAJAR PRIYANDA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-2005</td>
    <td>13</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002425146704</td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>287</td>
    <td>30-08-2019</td>
    <td>030902</td>
    <td>ACHMAD AKBAR ARBIANTO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-10-2012</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>288</td>
    <td>31-08-2019</td>
    <td>030963</td>
    <td>MUHAMMAD BEKTI ARDIANSYAH</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-2011</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k00.6 </td>
    <td align='center'>
    Disturbances in tooth eruption </td>

    </tr>

    <tr align="left" valign="top">


    <td>289</td>
    <td>31-08-2019</td>
    <td>013986</td>
    <td>UMI ISTATIK</td>
    <td>CEPOKO</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>08-08-1988</td>
    <td>31</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI GIGI</td>
    <td>Akhmad Wildan</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    k04.1 </td>
    <td align='center'>
    Necrosis of pulp </td>

    </tr>

    <tr align="left" valign="top">


    <td>290</td>
    <td>01-08-2019</td>
    <td>030189</td>
    <td>MIFTACHUL FITRIANE</td>
    <td>PUTREN</td>
    <td>SUKOMORO</td>
    <td>NGANJUK</td>
    <td>19-04-1994</td>
    <td>25</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001295780556</td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>
    <tr align="left" valign="top">
    <td>291</td>
    <td>02-08-2019</td>
    <td>007085</td>
    <td>DAMIRAH</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>292</td>
    <td>05-08-2019</td>
    <td>006810</td>
    <td>SARTIKA</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>293</td>
    <td>05-08-2019</td>
    <td>030323</td>
    <td>SUJIATI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-07-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>294</td>
    <td>07-08-2019</td>
    <td>030364</td>
    <td>YOSICA NURAETA</td>
    <td>KARTOHARJO</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>12-01-1995</td>
    <td>24</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI BUMN</td>
    <td>0001643064467</td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>295</td>
    <td>07-08-2019</td>
    <td>030369</td>
    <td>ITA ERNAWATI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>296</td>
    <td>07-08-2019</td>
    <td>030370</td>
    <td>SUSILAWATI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-1982</td>
    <td>36</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z35 </td>
    <td align='center'>
    Supervision of high-risk pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>297</td>
    <td>07-08-2019</td>
    <td>030371</td>
    <td>DWI PRASTIKA SARI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1997</td>
    <td>22</td>
    <td>P</td>
    <td>-</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>298</td>
    <td>08-08-2019</td>
    <td>025865</td>
    <td>SUMARSIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-09-1984</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z35 </td>
    <td align='center'>
    Supervision of high-risk pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>299</td>
    <td>09-08-2019</td>
    <td>017421</td>
    <td>WATI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1985</td>
    <td>34</td>
    <td>P</td>
    <td>-</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>300</td>
    <td>12-08-2019</td>
    <td>025426</td>
    <td>ATIK SUPRIATIN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-11-1988</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>301</td>
    <td>13-08-2019</td>
    <td>024523</td>
    <td>LULUK PUJI LESTARI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1993</td>
    <td>26</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>
    </tr>

    <tr align="left" valign="top">


    <td>302</td>
    <td>15-08-2019</td>
    <td>030534</td>
    <td>BINTI KHORIJAH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-07-1996</td>
    <td>23</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>303</td>
    <td>16-08-2019</td>
    <td>006297</td>
    <td>TUTIK RETNOWATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-10-1986</td>
    <td>32</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z35 </td>
    <td align='center'>
    Supervision of high-risk pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>304</td>
    <td>19-08-2019</td>
    <td>029682</td>
    <td>IKA INDIARTININGSIH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-02-1983</td>
    <td>36</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>305</td>
    <td>19-08-2019</td>
    <td>016256</td>
    <td>ELLI SUMIATIN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-04-1981</td>
    <td>38</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z35 </td>
    <td align='center'>
    Supervision of high-risk pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>306</td>
    <td>20-08-2019</td>
    <td>030614</td>
    <td>AYU KURNIAWATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-10-1994</td>
    <td>24</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>307</td>
    <td>20-08-2019</td>
    <td>030616</td>
    <td>USWATUN KASANAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-10-1990</td>
    <td>28</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>308</td>
    <td>20-08-2019</td>
    <td>030618</td>
    <td>ANIS SWARI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-02-1991</td>
    <td>28</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>309</td>
    <td>21-08-2019</td>
    <td>030654</td>
    <td>DINA YENITA</td>
    <td>PRAGELAN</td>
    <td>GONDANG</td>
    <td>BOJONEGORO</td>
    <td>11-05-1992</td>
    <td>27</td>
    <td>P</td>
    <td>-</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>310</td>
    <td>22-08-2019</td>
    <td>030664</td>
    <td>WINARSIH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>07-10-1987</td>
    <td>31</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>311</td>
    <td>26-08-2019</td>
    <td>026089</td>
    <td>WINARSIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-10-1987</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>312</td>
    <td>26-08-2019</td>
    <td>023242</td>
    <td>WINARSIH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-04-1974</td>
    <td>45</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z35.0 </td>
    <td align='center'>
    Supervision of pregnancy with history of infertility </td>

    </tr>

    <tr align="left" valign="top">


    <td>313</td>
    <td>26-08-2019</td>
    <td>030742</td>
    <td>NUR SURYANI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-03-1993</td>
    <td>26</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>314</td>
    <td>26-08-2019</td>
    <td>022256</td>
    <td>SUGIHARTI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-09-1987</td>
    <td>32</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    O48 </td>
    <td align='center'>
    Prolonged pregnancy </td>

    </tr>
    <tr align="left" valign="top">
    <td>315</td>
    <td>27-08-2019</td>
    <td>024523</td>
    <td>LULUK PUJI LESTARI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1993</td>
    <td>26</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>316</td>
    <td>28-08-2019</td>
    <td>025047</td>
    <td>YULIASTUTI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-1994</td>
    <td>25</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>317</td>
    <td>28-08-2019</td>
    <td>030790</td>
    <td>DEWI SETIYOWATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-1993</td>
    <td>26</td>
    <td>P</td>
    <td>-</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>318</td>
    <td>29-08-2019</td>
    <td>030847</td>
    <td>SUDARTI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-05-1993</td>
    <td>26</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>319</td>
    <td>30-08-2019</td>
    <td>005500</td>
    <td>TITIK MUNTIANI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-07-1994</td>
    <td>25</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>320</td>
    <td>31-08-2019</td>
    <td>013986</td>
    <td>UMI ISTATIK</td>
    <td>CEPOKO</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>08-08-1988</td>
    <td>31</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KIA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>321</td>
    <td>06-08-2019</td>
    <td>011858</td>
    <td>IKE CAHYATI ISNIATIN UMAYAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1996</td>
    <td>23</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>322</td>
    <td>08-08-2019</td>
    <td>003056</td>
    <td>ENDAH SUTARMININGSIH</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-01-1992</td>
    <td>27</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>323</td>
    <td>08-08-2019</td>
    <td>030410</td>
    <td>DENDI PRASETIYO</td>
    <td>WONOSARI</td>
    <td>PAGU</td>
    <td>KEDIRI</td>
    <td>08-10-1993</td>
    <td>25</td>
    <td>L</td>
    <td>-</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>324</td>
    <td>09-08-2019</td>
    <td>030421</td>
    <td>JOKO SUPRIADI</td>
    <td>KALIPUTU</td>
    <td>KUDUS</td>
    <td>KUDUS</td>
    <td>01-09-1992</td>
    <td>27</td>
    <td>L</td>
    <td>-</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001025349737</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>325</td>
    <td>10-08-2019</td>
    <td>001335</td>
    <td>SUDARMIASIH</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>326</td>
    <td>12-08-2019</td>
    <td>022630</td>
    <td>PASRI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-06-1981</td>
    <td>38</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.8 </td>
    <td align='center'>
    Other contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>327</td>
    <td>12-08-2019</td>
    <td>025200</td>
    <td>GALUH INTAN SARI</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-01-1995</td>
    <td>24</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>328</td>
    <td>12-08-2019</td>
    <td>030455</td>
    <td>RANI TSALISA NUR</td>
    <td>KAUMAN</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>01-12-1995</td>
    <td>23</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.1 </td>
    <td align='center'>
    Insertion of (intrauterine) contraceptive device </td>

    </tr>

    <tr align="left" valign="top">


    <td>329</td>
    <td>12-08-2019</td>
    <td>011980</td>
    <td>DARMI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1981</td>
    <td>38</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>330</td>
    <td>14-08-2019</td>
    <td>012491</td>
    <td>RIKA FATMIAWATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-02-1994</td>
    <td>25</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    N76 </td>
    <td align='center'>
    Other inflammation of vagina and vulva </td>

    </tr>

    <tr align="left" valign="top">


    <td>331</td>
    <td>15-08-2019</td>
    <td>030380</td>
    <td>SUNARNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>09-01-1968</td>
    <td>51</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>332</td>
    <td>15-08-2019</td>
    <td>019155</td>
    <td>YUGIATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-04-1981</td>
    <td>38</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>333</td>
    <td>15-08-2019</td>
    <td>030048</td>
    <td>DARMAYANTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-03-1987</td>
    <td>32</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.1 </td>
    <td align='center'>
    Insertion of (intrauterine) contraceptive device </td>

    </tr>

    <tr align="left" valign="top">


    <td>334</td>
    <td>16-08-2019</td>
    <td>005983</td>
    <td>PARMINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-07-1982</td>
    <td>37</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>335</td>
    <td>19-08-2019</td>
    <td>030559</td>
    <td>GITARIA SANJAYA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-04-1993</td>
    <td>26</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>336</td>
    <td>19-08-2019</td>
    <td>030545</td>
    <td>SRI SUYANTI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-06-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.8 </td>
    <td align='center'>
    Other contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>337</td>
    <td>20-08-2019</td>
    <td>030615</td>
    <td>EDY GUNAWAN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-12-1995</td>
    <td>23</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>338</td>
    <td>20-08-2019</td>
    <td>030616</td>
    <td>USWATUN KASANAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-10-1990</td>
    <td>28</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.8 </td>
    <td align='center'>
    Other contraceptive management </td>
    </tr>

    <tr align="left" valign="top">


    <td>339</td>
    <td>22-08-2019</td>
    <td>005572</td>
    <td>DANARTI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI KB</td>
    <td>ALIS SOLIKAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>340</td>
    <td>29-08-2019</td>
    <td>030839</td>
    <td>SUYANTO</td>
    <td>NAMPU</td>
    <td>GEMARANG</td>
    <td>MADIUN</td>
    <td>05-05-1988</td>
    <td>31</td>
    <td>L</td>
    <td>-</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>341</td>
    <td>31-08-2019</td>
    <td>030960</td>
    <td>CANDRA ADI NUGROHO</td>
    <td>GIRIREJO</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>10-02-2000</td>
    <td>19</td>
    <td>L</td>
    <td>-</td>
    <td>POLI KB</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>342</td>
    <td>01-08-2019</td>
    <td>030192</td>
    <td>SUPARNO</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>343</td>
    <td>01-08-2019</td>
    <td>004538</td>
    <td>MARIYANI</td>
    <td>KUTOREJO</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>10-09-1978</td>
    <td>41</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002047704175</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>344</td>
    <td>01-08-2019</td>
    <td>030217</td>
    <td>TUKIMIN</td>
    <td>BANARANKULON</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>01-08-1942</td>
    <td>77</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I50 </td>
    <td align='center'>
    Heart failure </td>

    </tr>

    <tr align="left" valign="top">


    <td>345</td>
    <td>02-08-2019</td>
    <td>030234</td>
    <td>LAMIDI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-08-1949</td>
    <td>70</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J45 </td>
    <td align='center'>
    Asthma </td>

    </tr>

    <tr align="left" valign="top">


    <td>346</td>
    <td>02-08-2019</td>
    <td>030235</td>
    <td>ROSIDI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-08-1974</td>
    <td>45</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>347</td>
    <td>02-08-2019</td>
    <td>030236</td>
    <td>SADIRAN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-10-1952</td>
    <td>66</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045124019</td>
    <td></td>
    <td align='center'>
    I50.9 </td>
    <td align='center'>
    Heart failure, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>348</td>
    <td>04-08-2019</td>
    <td>011807</td>
    <td>LASMIASIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-11-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>349</td>
    <td>04-08-2019</td>
    <td>030283</td>
    <td>RAHADIAN PATUROSA PURWANTO</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-06-1983</td>
    <td>36</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J45 </td>
    <td align='center'>
    Asthma </td>

    </tr>

    <tr align="left" valign="top">


    <td>350</td>
    <td>04-08-2019</td>
    <td>030288</td>
    <td>PODO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-10-1948</td>
    <td>70</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I64 </td>
    <td align='center'>
    Stroke, not specified as haemorrhage or infarction </td>

    </tr>

    <tr align="left" valign="top">


    <td>351</td>
    <td>05-08-2019</td>
    <td>030331</td>
    <td>SANIMAN</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1970</td>
    <td>49</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>
    <tr align="left" valign="top">
    <td>352</td>
    <td>06-08-2019</td>
    <td>006298</td>
    <td>ALIIFAH ZAHRA PUTRI AGUSTIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-10-2010</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>353</td>
    <td>06-08-2019</td>
    <td>030361</td>
    <td>GABRIEL DEVLIN S M</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-03-2003</td>
    <td>16</td>
    <td>L</td>
    <td>Pelajar / Mahasiswa</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A01.0 </td>
    <td align='center'>
    Typhoid fever </td>

    </tr>

    <tr align="left" valign="top">


    <td>354</td>
    <td>06-08-2019</td>
    <td>030362</td>
    <td>SAMAN</td>
    <td>BANARANWETAN</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>30-06-1958</td>
    <td>61</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>355</td>
    <td>06-08-2019</td>
    <td>030363</td>
    <td>SISWO</td>
    <td>DANDER</td>
    <td>DANDER</td>
    <td>BOJONEGORO</td>
    <td>06-08-1964</td>
    <td>55</td>
    <td>L</td>
    <td>TANI</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>356</td>
    <td>07-08-2019</td>
    <td>030380</td>
    <td>SUNARNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>09-01-1968</td>
    <td>51</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>UGD</td>
    <td>YOGI PURNOMO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>357</td>
    <td>07-08-2019</td>
    <td>030387</td>
    <td>SARTI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-1968</td>
    <td>50</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002886200561</td>
    <td></td>
    <td align='center'>
    R10.4 </td>
    <td align='center'>
    Other and unspecified abdominal pain </td>

    </tr>

    <tr align="left" valign="top">


    <td>358</td>
    <td>08-08-2019</td>
    <td>017222</td>
    <td>BIMA SANDI PRATAMA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S09 </td>
    <td align='center'>
    Other and unspecified injuries of head </td>

    </tr>

    <tr align="left" valign="top">


    <td>359</td>
    <td>08-08-2019</td>
    <td>030414</td>
    <td>ROHMAN</td>
    <td>BABAKAN CIAMIS</td>
    <td>SUMUR BANDUNG</td>
    <td>KOTA BANDUNG</td>
    <td>08-08-1980</td>
    <td>39</td>
    <td>L</td>
    <td>Tukang Batu</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A01.0 </td>
    <td align='center'>
    Typhoid fever </td>

    </tr>

    <tr align="left" valign="top">


    <td>360</td>
    <td>09-08-2019</td>
    <td>011807</td>
    <td>LASMIASIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-11-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>361</td>
    <td>09-08-2019</td>
    <td>030555</td>
    <td>SUGENG BIN KAULAN</td>
    <td>PLOSOHARJO</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>16-08-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>362</td>
    <td>09-08-2019</td>
    <td>030425</td>
    <td>ABRESIO SATRIA DIRGANTARA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-08-2018</td>
    <td>1</td>
    <td>L</td>
    <td>belum</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R11 </td>
    <td align='center'>
    Nausea and vomiting </td>
    </tr>

    <tr align="left" valign="top">


    <td>363</td>
    <td>10-08-2019</td>
    <td>030428</td>
    <td>BADI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-05-1974</td>
    <td>45</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735018535</td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>364</td>
    <td>11-08-2019</td>
    <td>030448</td>
    <td>KASIATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1968</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>365</td>
    <td>12-08-2019</td>
    <td>000066</td>
    <td>SARWAN</td>
    <td>GAMPENG</td>
    <td>NGLUYU</td>
    <td>NGANJUK</td>
    <td>12-06-1968</td>
    <td>51</td>
    <td>L</td>
    <td>-</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>366</td>
    <td>13-08-2019</td>
    <td>030481</td>
    <td>YOGA ADITYA PRATAMA </td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-03-2017</td>
    <td>2</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>UGD</td>
    <td>DR. AGUS LUKITO, MPPM</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A01 </td>
    <td align='center'>
    Typhoid and paratyphoid fevers </td>

    </tr>

    <tr align="left" valign="top">


    <td>367</td>
    <td>13-08-2019</td>
    <td>030482</td>
    <td>RASYID AHMAD </td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-2014</td>
    <td>5</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>UGD</td>
    <td>DR. AGUS LUKITO, MPPM</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A01 </td>
    <td align='center'>
    Typhoid and paratyphoid fevers </td>

    </tr>

    <tr align="left" valign="top">


    <td>368</td>
    <td>14-08-2019</td>
    <td>030487</td>
    <td>MUHAMMAD RAFA TRIHANDITO</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-09-2013</td>
    <td>5</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    T16 </td>
    <td align='center'>
    Foreign body in ear </td>

    </tr>

    <tr align="left" valign="top">


    <td>369</td>
    <td>14-08-2019</td>
    <td>030493</td>
    <td>SLAMET SUDARSONO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-05-1970</td>
    <td>49</td>
    <td>L</td>
    <td>Pedagang</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>370</td>
    <td>14-08-2019</td>
    <td>017222</td>
    <td>BIMA SANDI PRATAMA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89.9 </td>
    <td align='center'>
    Unspecified injury of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>371</td>
    <td>15-08-2019</td>
    <td>030498</td>
    <td>PARDI</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-1942</td>
    <td>77</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002883192524</td>
    <td></td>
    <td align='center'>
    R06 </td>
    <td align='center'>
    Abnormalities of breathing </td>

    </tr>

    <tr align="left" valign="top">


    <td>372</td>
    <td>15-08-2019</td>
    <td>030554</td>
    <td>ASTUTIK </td>
    <td>NGADILUWIH</td>
    <td>NGADILUWIH</td>
    <td>KEDIRI</td>
    <td>16-08-1982</td>
    <td>37</td>
    <td>P</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>373</td>
    <td>15-08-2019</td>
    <td>030541</td>
    <td>CHANTIKA BINTANG RAMADHANI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>374</td>
    <td>15-08-2019</td>
    <td>030542</td>
    <td>TASMI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-08-1941</td>
    <td>78</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R06 </td>
    <td align='center'>
    Abnormalities of breathing </td>

    </tr>

    <tr align="left" valign="top">


    <td>375</td>
    <td>16-08-2019</td>
    <td>028226</td>
    <td>YATIN</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1950</td>
    <td>69</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>DR. AGUS LUKITO, MPPM</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R11 </td>
    <td align='center'>
    Nausea and vomiting </td>

    </tr>

    <tr align="left" valign="top">


    <td>376</td>
    <td>17-08-2019</td>
    <td>000780</td>
    <td>GAMINEM</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-06-1962</td>
    <td>57</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R10.0 </td>
    <td align='center'>
    Acute abdomen </td>

    </tr>

    <tr align="left" valign="top">


    <td>377</td>
    <td>17-08-2019</td>
    <td>030611</td>
    <td>ABIB MAULANA </td>
    <td>TANGGUNGKRAMAT</td>
    <td>PLOSO</td>
    <td>JOMBANG</td>
    <td>19-08-1999</td>
    <td>20</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>378</td>
    <td>17-08-2019</td>
    <td>030557</td>
    <td>SUPARNO</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-06-1972</td>
    <td>47</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>379</td>
    <td>20-08-2019</td>
    <td>030498</td>
    <td>PARDI</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-1942</td>
    <td>77</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002883192524</td>
    <td></td>
    <td align='center'>
    R06 </td>
    <td align='center'>
    Abnormalities of breathing </td>

    </tr>

    <tr align="left" valign="top">


    <td>380</td>
    <td>21-08-2019</td>
    <td>023797</td>
    <td>SRI ASRINIK</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-10-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBD)</td>
    <td>0002159114984</td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>381</td>
    <td>21-08-2019</td>
    <td>030493</td>
    <td>SLAMET SUDARSONO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-05-1970</td>
    <td>49</td>
    <td>L</td>
    <td>Pedagang</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>382</td>
    <td>21-08-2019</td>
    <td>030648</td>
    <td>YOYOK ISWANTO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1980</td>
    <td>39</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000728257195</td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>383</td>
    <td>22-08-2019</td>
    <td>030663</td>
    <td>SUDJILAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-02-1959</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>384</td>
    <td>22-08-2019</td>
    <td>030675</td>
    <td>FAZA NUR ROHIM</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-05-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S09 </td>
    <td align='center'>
    Other and unspecified injuries of head </td>

    </tr>

    <tr align="left" valign="top">


    <td>385</td>
    <td>22-08-2019</td>
    <td>030685</td>
    <td>LAMI </td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-1977</td>
    <td>42</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>386</td>
    <td>22-08-2019</td>
    <td>030686</td>
    <td>DESWITA WAHYUNI </td>
    <td>BEGADUNG</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>08-12-2004</td>
    <td>14</td>
    <td>L</td>
    <td>Pelajar / Mahasiswa</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>
    <tr align="left" valign="top">
    <td>387</td>
    <td>22-08-2019</td>
    <td>030687</td>
    <td>MELANI SITI YUSTIKA SARI</td>
    <td>BEGADUNG</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>23-05-2004</td>
    <td>15</td>
    <td>P</td>
    <td>Pelajar / Mahasiswa</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>388</td>
    <td>24-08-2019</td>
    <td>030699</td>
    <td>WARJIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-06-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A15 </td>
    <td align='center'>
    Respiratory tuberculosis, bacteriologically and histologically
    confirmed </td>

    </tr>

    <tr align="left" valign="top">


    <td>389</td>
    <td>24-08-2019</td>
    <td>030700</td>
    <td>VIKA DEWI SUNYAWATI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-08-1999</td>
    <td>20</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R10.0 </td>
    <td align='center'>
    Acute abdomen </td>

    </tr>

    <tr align="left" valign="top">


    <td>390</td>
    <td>24-08-2019</td>
    <td>030701</td>
    <td>JUNIATEN </td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-08-1977</td>
    <td>42</td>
    <td>P</td>
    <td>Buruh Tani / Perkebunan</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    P15 </td>
    <td align='center'>
    Other birth injuries </td>

    </tr>

    <tr align="left" valign="top">


    <td>391</td>
    <td>24-08-2019</td>
    <td>030828</td>
    <td>NAIM </td>
    <td>JOMBANG</td>
    <td>JOMBANG</td>
    <td>JOMBANG</td>
    <td>29-08-1961</td>
    <td>58</td>
    <td>L</td>
    <td>Wiraswasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>392</td>
    <td>24-08-2019</td>
    <td>030717</td>
    <td>SUKADI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1940</td>
    <td>79</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A01.0 </td>
    <td align='center'>
    Typhoid fever </td>

    </tr>

    <tr align="left" valign="top">


    <td>393</td>
    <td>25-08-2019</td>
    <td>030829</td>
    <td>ADI PRANOTO</td>
    <td>PERNING</td>
    <td>JATIKALEN</td>
    <td>NGANJUK</td>
    <td>29-08-1964</td>
    <td>55</td>
    <td>L</td>
    <td>Wiraswasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>394</td>
    <td>25-08-2019</td>
    <td>030724</td>
    <td>SAHWENA KEYZA HALWATUZAHRA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-08-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>395</td>
    <td>25-08-2019</td>
    <td>030725</td>
    <td>DIAN </td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-08-1997</td>
    <td>22</td>
    <td>P</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    P15 </td>
    <td align='center'>
    Other birth injuries </td>

    </tr>

    <tr align="left" valign="top">


    <td>396</td>
    <td>26-08-2019</td>
    <td>030748</td>
    <td>RIZA FAIZATUL FIRDAUS</td>
    <td>SUGIHWARAS</td>
    <td>NGLUYU</td>
    <td>NGANJUK</td>
    <td>30-09-1995</td>
    <td>23</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S42.20 </td>
    <td align='center'>
    Fracture of upper end of humerus, closed </td>

    </tr>

    <tr align="left" valign="top">


    <td>397</td>
    <td>26-08-2019</td>
    <td>030749</td>
    <td>SLAMET ROHMAN TEGUH HERMANTO</td>
    <td>GAMPENG</td>
    <td>NGLUYU</td>
    <td>NGANJUK</td>
    <td>28-05-1993</td>
    <td>26</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    B98.1 </td>
    <td align='center'>
    Vibrio vulnificus as the cause of diseases classified to other chapters
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>398</td>
    <td>26-08-2019</td>
    <td>030685</td>
    <td>LAMI </td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-1977</td>
    <td>42</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>399</td>
    <td>26-08-2019</td>
    <td>030747</td>
    <td>SUPOYO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1966</td>
    <td>53</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>
    <tr align="left" valign="top">
    <td>400</td>
    <td>27-08-2019</td>
    <td>030764</td>
    <td>YUDI S</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-06-1992</td>
    <td>27</td>
    <td>L</td>
    <td>-</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>401</td>
    <td>27-08-2019</td>
    <td>014664</td>
    <td>MIRZA UMAMI RAMADHANI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-07-2014</td>
    <td>5</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>402</td>
    <td>28-08-2019</td>
    <td>030830</td>
    <td>FERI FEBRIANTO</td>
    <td>SUMBERREJO</td>
    <td>SUMBEREJO</td>
    <td>BOJONEGORO</td>
    <td>29-08-1996</td>
    <td>23</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002005647557</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>403</td>
    <td>28-08-2019</td>
    <td>006298</td>
    <td>ALIIFAH ZAHRA PUTRI AGUSTIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-10-2010</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H10.9 </td>
    <td align='center'>
    Conjunctivitis, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>404</td>
    <td>28-08-2019</td>
    <td>030809</td>
    <td>ANGGI SINDIA</td>
    <td>GAMPENG</td>
    <td>NGLUYU</td>
    <td>NGANJUK</td>
    <td>22-06-2001</td>
    <td>18</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>405</td>
    <td>28-08-2019</td>
    <td>030812</td>
    <td>RACHAEL NURUL</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-2003</td>
    <td>16</td>
    <td>P</td>
    <td>Pelajar / Mahasiswa</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>406</td>
    <td>29-08-2019</td>
    <td>031032</td>
    <td>SUDARNO</td>
    <td>WUKIRHARJO</td>
    <td>PARENGAN</td>
    <td>TUBAN</td>
    <td>02-09-1984</td>
    <td>35</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>407</td>
    <td>29-08-2019</td>
    <td>030838</td>
    <td>SUWITO</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-04-1952</td>
    <td>67</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R63.0 </td>
    <td align='center'>
    Anorexia </td>

    </tr>

    <tr align="left" valign="top">


    <td>408</td>
    <td>29-08-2019</td>
    <td>030851</td>
    <td>CHEDEKSTA DIAS</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-2009</td>
    <td>10</td>
    <td>L</td>
    <td>Pelajar / Mahasiswa</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    P10 </td>
    <td align='center'>
    Intracranial laceration and haemorrhage due to birth injury </td>

    </tr>

    <tr align="left" valign="top">


    <td>409</td>
    <td>29-08-2019</td>
    <td>030856</td>
    <td>JIMAT</td>
    <td>KUTOREJO</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>29-08-1999</td>
    <td>20</td>
    <td>L</td>
    <td>Wiraswasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>410</td>
    <td>29-08-2019</td>
    <td>030857</td>
    <td>FATIA AZAHRA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-08-2016</td>
    <td>3</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>
    </tr>

    <tr align="left" valign="top">


    <td>411</td>
    <td>29-08-2019</td>
    <td>030747</td>
    <td>SUPOYO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1966</td>
    <td>53</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z48 </td>
    <td align='center'>
    Other surgical follow-up care </td>

    </tr>

    <tr align="left" valign="top">


    <td>412</td>
    <td>29-08-2019</td>
    <td>030826</td>
    <td>MOH ADI NUR SAPUTRO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-11-1997</td>
    <td>21</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735809635</td>
    <td></td>
    <td align='center'>
    S89 </td>
    <td align='center'>
    Other and unspecified injuries of lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>413</td>
    <td>29-08-2019</td>
    <td>030860</td>
    <td>JENY WIJAYATI</td>
    <td>GONDANGKULON</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>13-07-2000</td>
    <td>19</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>UGD</td>
    <td>DR. AGUS LUKITO, MPPM</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>414</td>
    <td>30-08-2019</td>
    <td>031034</td>
    <td>SULAIMAN </td>
    <td>NGEPEH</td>
    <td>LOCERET</td>
    <td>NGANJUK</td>
    <td>02-09-1992</td>
    <td>27</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>415</td>
    <td>30-08-2019</td>
    <td>030907</td>
    <td>MOHAMMAD IHDA MAULADANI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-03-2010</td>
    <td>9</td>
    <td>L</td>
    <td>Pelajar / Mahasiswa</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>416</td>
    <td>31-08-2019</td>
    <td>031035</td>
    <td>MATFARHAN</td>
    <td>JOGOLOYO</td>
    <td>SUMOBITO</td>
    <td>JOMBANG</td>
    <td>02-09-1971</td>
    <td>48</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>417</td>
    <td>31-08-2019</td>
    <td>031052</td>
    <td>SUPINI</td>
    <td>KALIDAWIR</td>
    <td>KALIDAWIR</td>
    <td>TULUNGAGUNG</td>
    <td>02-09-1959</td>
    <td>60</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>418</td>
    <td>31-08-2019</td>
    <td>001730</td>
    <td>ZAINAL ABIDIN</td>
    <td>TEMAYANG</td>
    <td>TEMAYANG</td>
    <td>BOJONEGORO</td>
    <td>01-01-1985</td>
    <td>34</td>
    <td>P</td>
    <td>-</td>
    <td>UGD</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>419</td>
    <td>01-08-2019</td>
    <td>030217</td>
    <td>TUKIMIN</td>
    <td>BANARANKULON</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>01-08-1942</td>
    <td>77</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J44.9 </td>
    <td align='center'>
    Chronic obstructive pulmonary disease, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>420</td>
    <td>04-08-2019</td>
    <td>030288</td>
    <td>PODO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-10-1948</td>
    <td>70</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>421</td>
    <td>06-08-2019</td>
    <td>030361</td>
    <td>GABRIEL DEVLIN S M</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-03-2003</td>
    <td>16</td>
    <td>L</td>
    <td>Pelajar / Mahasiswa</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    B54 </td>
    <td align='center'>
    Unspecified malaria </td>

    </tr>

    <tr align="left" valign="top">


    <td>422</td>
    <td>07-08-2019</td>
    <td>030387</td>
    <td>SARTI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-1968</td>
    <td>50</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002886200561</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>423</td>
    <td>09-08-2019</td>
    <td>030555</td>
    <td>SUGENG BIN KAULAN</td>
    <td>PLOSOHARJO</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>16-08-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    <tr align="left" valign="top">
    <td>424</td>
    <td>12-08-2019</td>
    <td>000066</td>
    <td>SARWAN</td>
    <td>GAMPENG</td>
    <td>NGLUYU</td>
    <td>NGANJUK</td>
    <td>12-06-1968</td>
    <td>51</td>
    <td>L</td>
    <td>-</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>425</td>
    <td>13-08-2019</td>
    <td>030481</td>
    <td>YOGA ADITYA PRATAMA </td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-03-2017</td>
    <td>2</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>426</td>
    <td>15-08-2019</td>
    <td>030541</td>
    <td>CHANTIKA BINTANG RAMADHANI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R56.0 </td>
    <td align='center'>
    Febrile convulsions </td>

    </tr>

    <tr align="left" valign="top">


    <td>427</td>
    <td>15-08-2019</td>
    <td>030554</td>
    <td>ASTUTIK </td>
    <td>NGADILUWIH</td>
    <td>NGADILUWIH</td>
    <td>KEDIRI</td>
    <td>16-08-1982</td>
    <td>37</td>
    <td>P</td>
    <td>Karyawan Swasta</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>428</td>
    <td>17-08-2019</td>
    <td>000780</td>
    <td>GAMINEM</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-06-1962</td>
    <td>57</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>429</td>
    <td>25-08-2019</td>
    <td>030829</td>
    <td>ADI PRANOTO</td>
    <td>PERNING</td>
    <td>JATIKALEN</td>
    <td>NGANJUK</td>
    <td>29-08-1964</td>
    <td>55</td>
    <td>L</td>
    <td>Wiraswasta</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>430</td>
    <td>30-08-2019</td>
    <td>031034</td>
    <td>SULAIMAN </td>
    <td>NGEPEH</td>
    <td>LOCERET</td>
    <td>NGANJUK</td>
    <td>02-09-1992</td>
    <td>27</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>RUANG INAP</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>431</td>
    <td>02-08-2019</td>
    <td>023634</td>
    <td>PURWATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-07-1984</td>
    <td>35</td>
    <td>P</td>
    <td>-</td>
    <td>PONED</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    O80 </td>
    <td align='center'>
    Single spontaneous delivery </td>

    </tr>

    <tr align="left" valign="top">


    <td>432</td>
    <td>17-08-2019</td>
    <td>029409</td>
    <td>IRAWATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-1986</td>
    <td>33</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>PONED</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    O80 </td>
    <td align='center'>
    Single spontaneous delivery </td>

    </tr>

    <tr align="left" valign="top">


    <td>433</td>
    <td>24-08-2019</td>
    <td>030700</td>
    <td>VIKA DEWI SUNYAWATI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-08-1999</td>
    <td>20</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>PONED</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    O21.0 </td>
    <td align='center'>
    Mild hyperemesis gravidarum </td>

    </tr>

    <tr align="left" valign="top">


    <td>434</td>
    <td>09-08-2019</td>
    <td>029768</td>
    <td>SUYATI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>
    </tr>

    <tr align="left" valign="top">


    <td>435</td>
    <td>09-08-2019</td>
    <td>004518</td>
    <td>SOETOMO</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1944</td>
    <td>75</td>
    <td>L</td>
    <td>PENSIUNAN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000109562523</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>436</td>
    <td>09-08-2019</td>
    <td>028398</td>
    <td>GIMAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-02-1947</td>
    <td>72</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809728865</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>437</td>
    <td>09-08-2019</td>
    <td>026963</td>
    <td>MARIJAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1944</td>
    <td>74</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045143808</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>438</td>
    <td>09-08-2019</td>
    <td>026948</td>
    <td>TEMON</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-07-1933</td>
    <td>86</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001388087919</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>439</td>
    <td>09-08-2019</td>
    <td>031168</td>
    <td>SUPARNI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-04-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736329947</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>440</td>
    <td>09-08-2019</td>
    <td>028391</td>
    <td>SUDARTI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-05-1963</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809735323</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>441</td>
    <td>09-08-2019</td>
    <td>026935</td>
    <td>SUMARSIH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-07-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809729236</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>442</td>
    <td>09-08-2019</td>
    <td>028392</td>
    <td>SARTINI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-10-1964</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002760440139</td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>443</td>
    <td>09-08-2019</td>
    <td>026977</td>
    <td>PUJI ASTUTIK</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>444</td>
    <td>09-08-2019</td>
    <td>011000</td>
    <td>LAMIRAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-07-1950</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736290483</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>445</td>
    <td>09-08-2019</td>
    <td>003795</td>
    <td>MINARTI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1945</td>
    <td>74</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN TNI</td>
    <td>0000109501288</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>446</td>
    <td>09-08-2019</td>
    <td>026945</td>
    <td>SUPARTI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-09-1944</td>
    <td>74</td>
    <td>P</td>
    <td>PERDAGANGAN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809729034</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>447</td>
    <td>09-08-2019</td>
    <td>029772</td>
    <td>SUPARTI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-05-1963</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>448</td>
    <td>09-08-2019</td>
    <td>026955</td>
    <td>SUYATI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-07-1975</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001701597273</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>449</td>
    <td>09-08-2019</td>
    <td>031209</td>
    <td>RATIWI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K12 </td>
    <td align='center'>
    Stomatitis and related lesions </td>

    </tr>

    <tr align="left" valign="top">


    <td>450</td>
    <td>09-08-2019</td>
    <td>026949</td>
    <td>WARTI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-1954</td>
    <td>65</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0002159113487</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>451</td>
    <td>09-08-2019</td>
    <td>031210</td>
    <td>SUTI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-05-1968</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>452</td>
    <td>09-08-2019</td>
    <td>005546</td>
    <td>MURTINI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-05-1957</td>
    <td>62</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045142605</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>453</td>
    <td>09-08-2019</td>
    <td>026927</td>
    <td>MUTIAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-04-1970</td>
    <td>49</td>
    <td>P</td>
    <td>PERDAGANGAN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0002224226452</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>454</td>
    <td>09-08-2019</td>
    <td>026959</td>
    <td>SUKESI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-1956</td>
    <td>63</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809727561</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>455</td>
    <td>09-08-2019</td>
    <td>031175</td>
    <td>MARTINI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1956</td>
    <td>63</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K12 </td>
    <td align='center'>
    Stomatitis and related lesions </td>

    </tr>

    <tr align="left" valign="top">


    <td>456</td>
    <td>09-08-2019</td>
    <td>026953</td>
    <td>CATUR DEDI PRIANTO</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-12-1978</td>
    <td>40</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0002088299463</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>457</td>
    <td>09-08-2019</td>
    <td>031167</td>
    <td>DJAIMAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-1949</td>
    <td>70</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736307458</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>458</td>
    <td>10-08-2019</td>
    <td>005546</td>
    <td>MURTINI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-05-1957</td>
    <td>62</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045142605</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>459</td>
    <td>10-08-2019</td>
    <td>026965</td>
    <td>JAWI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-11-1957</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736597618</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>460</td>
    <td>10-08-2019</td>
    <td>029093</td>
    <td>SUWARIDJAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>09-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001811110792</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>461</td>
    <td>10-08-2019</td>
    <td>021804</td>
    <td>WAHYU KUSUMA KARTINI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-04-1977</td>
    <td>42</td>
    <td>P</td>
    <td>KARYAWAN HONORER</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001321551088</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>462</td>
    <td>10-08-2019</td>
    <td>021804</td>
    <td>WAHYU KUSUMA KARTINI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-04-1977</td>
    <td>42</td>
    <td>P</td>
    <td>KARYAWAN HONORER</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001321551088</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>463</td>
    <td>10-08-2019</td>
    <td>026963</td>
    <td>MARIJAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1944</td>
    <td>74</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045143808</td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>464</td>
    <td>10-08-2019</td>
    <td>031216</td>
    <td>MARTIAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-08-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>465</td>
    <td>10-08-2019</td>
    <td>026974</td>
    <td>PARSI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-09-1945</td>
    <td>73</td>
    <td>L</td>
    <td>PENSIUNAN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000109559226</td>
    <td></td>
    <td align='center'>
    K01 </td>
    <td align='center'>
    Embedded and impacted teeth </td>

    </tr>

    <tr align="left" valign="top">


    <td>466</td>
    <td>10-08-2019</td>
    <td>000497</td>
    <td>SUPI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-02-1949</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736065382</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>467</td>
    <td>10-08-2019</td>
    <td>007995</td>
    <td>PAINEM</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-07-1959</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736061027</td>
    <td></td>
    <td align='center'>
    K01 </td>
    <td align='center'>
    Embedded and impacted teeth </td>

    </tr>

    <tr align="left" valign="top">


    <td>468</td>
    <td>10-08-2019</td>
    <td>028408</td>
    <td>LAMINI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-12-1961</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>469</td>
    <td>10-08-2019</td>
    <td>012247</td>
    <td>SUNARMI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-03-1985</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736346125</td>
    <td></td>
    <td align='center'>
    Z34.9 </td>
    <td align='center'>
    Supervision of normal pregnancy, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>470</td>
    <td>10-08-2019</td>
    <td>029778</td>
    <td>WARMI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-09-1940</td>
    <td>79</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>471</td>
    <td>10-08-2019</td>
    <td>026949</td>
    <td>WARTI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-1954</td>
    <td>65</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0002159113487</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>
    <tr align="left" valign="top">
    <td>472</td>
    <td>10-08-2019</td>
    <td>031168</td>
    <td>SUPARNI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-04-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736329947</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>473</td>
    <td>10-08-2019</td>
    <td>027561</td>
    <td>SUPARMIN</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-01-1955</td>
    <td>64</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001320013517</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>474</td>
    <td>10-08-2019</td>
    <td>026975</td>
    <td>SRI HARTATIK</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-10-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809727469</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>475</td>
    <td>10-08-2019</td>
    <td>026954</td>
    <td>MAMIK SUMARMI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>476</td>
    <td>10-08-2019</td>
    <td>004418</td>
    <td>SUMIATI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-05-1970</td>
    <td>49</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0000109734759</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>477</td>
    <td>10-08-2019</td>
    <td>029781</td>
    <td>KASIH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-03-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K01.1 </td>
    <td align='center'>
    Impacted teeth </td>

    </tr>

    <tr align="left" valign="top">


    <td>478</td>
    <td>10-08-2019</td>
    <td>026977</td>
    <td>PUJI ASTUTIK</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>479</td>
    <td>10-08-2019</td>
    <td>031222</td>
    <td>MAINAH</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1944</td>
    <td>75</td>
    <td>P</td>
    <td>PENSIUNAN</td>
    <td>Polindes BANJAREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736353101</td>
    <td></td>
    <td align='center'>
    K01 </td>
    <td align='center'>
    Embedded and impacted teeth </td>

    </tr>

    <tr align="left" valign="top">


    <td>480</td>
    <td>31-08-2019</td>
    <td>002789</td>
    <td>WARSINEM</td>
    <td>BENDOASRI</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BENDOASRI</td>
    <td>ERNA DWI RAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>481</td>
    <td>31-08-2019</td>
    <td>003457</td>
    <td>BANI</td>
    <td>BENDOASRI</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1962</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BENDOASRI</td>
    <td>ERNA DWI RAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>482</td>
    <td>31-08-2019</td>
    <td>007441</td>
    <td>JAMINEM</td>
    <td>BENDOASRI</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1947</td>
    <td>72</td>
    <td>P</td>
    <td>PEMBANTU RUMAH TANGGA</td>
    <td>Polindes BENDOASRI</td>
    <td>ERNA DWI RAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>
    </tr>

    <tr align="left" valign="top">


    <td>483</td>
    <td>31-08-2019</td>
    <td>011405</td>
    <td>TASMI</td>
    <td>BENDOASRI</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1949</td>
    <td>70</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes BENDOASRI</td>
    <td>ERNA DWI RAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>484</td>
    <td>31-08-2019</td>
    <td>003468</td>
    <td>SULEMI</td>
    <td>BENDOASRI</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-10-1958</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes BENDOASRI</td>
    <td>ERNA DWI RAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>485</td>
    <td>01-08-2019</td>
    <td>010252</td>
    <td>WAINEM</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>486</td>
    <td>01-08-2019</td>
    <td>007341</td>
    <td>MURJAM</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1957</td>
    <td>62</td>
    <td>P</td>
    <td>GURU</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>487</td>
    <td>01-08-2019</td>
    <td>013214</td>
    <td>SISKA LINAWATI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-07-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>488</td>
    <td>01-08-2019</td>
    <td>013215</td>
    <td>PASIRAH</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1969</td>
    <td>49</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>489</td>
    <td>02-08-2019</td>
    <td>007332</td>
    <td>WADINI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1951</td>
    <td>67</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>490</td>
    <td>02-08-2019</td>
    <td>007920</td>
    <td>NGATINEM</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-1973</td>
    <td>46</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>491</td>
    <td>03-08-2019</td>
    <td>019534</td>
    <td>MINTO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1970</td>
    <td>49</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>492</td>
    <td>03-08-2019</td>
    <td>004156</td>
    <td>SAMILAH</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-04-1975</td>
    <td>44</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>493</td>
    <td>05-08-2019</td>
    <td>004020</td>
    <td>TASRI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1946</td>
    <td>72</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>494</td>
    <td>05-08-2019</td>
    <td>000020</td>
    <td>SUPRIYATI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-09-1981</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>495</td>
    <td>05-08-2019</td>
    <td>004140</td>
    <td>SUKATIYEM</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>496</td>
    <td>06-08-2019</td>
    <td>010253</td>
    <td>SUTILAN.</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-05-1976</td>
    <td>43</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>497</td>
    <td>06-08-2019</td>
    <td>031233</td>
    <td>DONI VIDATAMA</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1982</td>
    <td>37</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>498</td>
    <td>07-08-2019</td>
    <td>031235</td>
    <td>SUTRISNO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-07-1974</td>
    <td>45</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>499</td>
    <td>07-08-2019</td>
    <td>013203</td>
    <td>LAMINI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1966</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>500</td>
    <td>07-08-2019</td>
    <td>015114</td>
    <td>JASMIATI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JATIREJO</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>501</td>
    <td>01-08-2019</td>
    <td>023411</td>
    <td>BINTI NUR IKA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-04-1992</td>
    <td>27</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>502</td>
    <td>01-08-2019</td>
    <td>026458</td>
    <td>ANITA PUSPITASARI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-03-1991</td>
    <td>28</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>503</td>
    <td>01-08-2019</td>
    <td>030779</td>
    <td>DWI ASTUTIK</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-03-1980</td>
    <td>39</td>
    <td>P</td>
    <td>KARYAWAN HONORER</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002052608095</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>504</td>
    <td>01-08-2019</td>
    <td>004479</td>
    <td>JAITUN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-01-1977</td>
    <td>42</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>505</td>
    <td>02-08-2019</td>
    <td>030786</td>
    <td>MUSRIANI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-04-1971</td>
    <td>48</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002256342682</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>506</td>
    <td>02-08-2019</td>
    <td>006542</td>
    <td>KANAYA DWI SALSABILA</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-08-2017</td>
    <td>2</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>
    </tr>

    <tr align="left" valign="top">


    <td>507</td>
    <td>02-08-2019</td>
    <td>004477</td>
    <td>NUR JANAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-12-1980</td>
    <td>38</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>508</td>
    <td>02-08-2019</td>
    <td>030443</td>
    <td>WATI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>509</td>
    <td>03-08-2019</td>
    <td>013414</td>
    <td>MARDIANA KUSUMAWATI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-03-1989</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>510</td>
    <td>03-08-2019</td>
    <td>030811</td>
    <td>HENDRI KANTINING</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-11-1987</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>511</td>
    <td>03-08-2019</td>
    <td>012819</td>
    <td>SUTINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>512</td>
    <td>05-08-2019</td>
    <td>030813</td>
    <td>DEMIYAN PUTRA PRATAMA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>513</td>
    <td>05-08-2019</td>
    <td>030815</td>
    <td>YANTI NUR HALIMAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-08-2000</td>
    <td>19</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>514</td>
    <td>06-08-2019</td>
    <td>009362</td>
    <td>YURIKE MAIS MONITA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1998</td>
    <td>21</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>515</td>
    <td>06-08-2019</td>
    <td>019607</td>
    <td>PUSPITANINGSIH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-12-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>516</td>
    <td>06-08-2019</td>
    <td>030816</td>
    <td>KIANO RAFFASYA LIANTO</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>517</td>
    <td>08-08-2019</td>
    <td>030813</td>
    <td>DEMIYAN PUTRA PRATAMA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>518</td>
    <td>09-08-2019</td>
    <td>007357</td>
    <td>DZAKIRA TALITA AZZAHRA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-01-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>519</td>
    <td>09-08-2019</td>
    <td>021360</td>
    <td>M ALI SUGIARTO</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>
    <tr align="left" valign="top">
    <td>520</td>
    <td>09-08-2019</td>
    <td>030859</td>
    <td>PUTRI AYU NUR AZIZAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-03-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>521</td>
    <td>09-08-2019</td>
    <td>024552</td>
    <td>BRILLY DERYANTARA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>522</td>
    <td>09-08-2019</td>
    <td>025249</td>
    <td>AQILA NUR AULIA AZ ZAHRA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-01-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>523</td>
    <td>09-08-2019</td>
    <td>008696</td>
    <td>FEBRIANA RINDU NAFISHA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-04-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>524</td>
    <td>09-08-2019</td>
    <td>024553</td>
    <td>RANGGA SATRIA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>525</td>
    <td>09-08-2019</td>
    <td>024549</td>
    <td>KIANO RAFFASYA LIANTO</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-10-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>526</td>
    <td>09-08-2019</td>
    <td>023007</td>
    <td>KRISNATA AYDIN ABRAHAM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-12-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>527</td>
    <td>09-08-2019</td>
    <td>020238</td>
    <td>ARKA FAHREZA SAPUTRA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-10-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>528</td>
    <td>09-08-2019</td>
    <td>030820</td>
    <td>GHAITZA AQILA Z J</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-01-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>529</td>
    <td>09-08-2019</td>
    <td>029177</td>
    <td>FELINCIA HALMAHYRA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-06-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>530</td>
    <td>09-08-2019</td>
    <td>030861</td>
    <td>BY PUPUT</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.1 </td>
    <td align='center'>
    Routine child health examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>531</td>
    <td>09-08-2019</td>
    <td>030862</td>
    <td>ALTAF AFNAN RAMDHANI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-06-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>532</td>
    <td>09-08-2019</td>
    <td>007349</td>
    <td>DESY OKTAVIA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-10-2018</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>
    </tr>

    <tr align="left" valign="top">


    <td>533</td>
    <td>09-08-2019</td>
    <td>027765</td>
    <td>AISYAH AILA VARIZA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-03-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>534</td>
    <td>09-08-2019</td>
    <td>030825</td>
    <td>BULAN PRADITA WIRATAMA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-06-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>535</td>
    <td>10-08-2019</td>
    <td>030297</td>
    <td>TINARA YULY FITRIAYANTRI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-07-1989</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z39 </td>
    <td align='center'>
    Postpartum care and examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>536</td>
    <td>10-08-2019</td>
    <td>022746</td>
    <td>TRI AGUSTINA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>537</td>
    <td>10-08-2019</td>
    <td>030865</td>
    <td>BALQIS</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-05-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>538</td>
    <td>10-08-2019</td>
    <td>030861</td>
    <td>BY PUPUT</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>539</td>
    <td>12-08-2019</td>
    <td>011110</td>
    <td>LISA ARVIANA</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-05-1992</td>
    <td>27</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>540</td>
    <td>12-08-2019</td>
    <td>017676</td>
    <td>ASMIATUN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-02-1993</td>
    <td>26</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>541</td>
    <td>13-08-2019</td>
    <td>000404</td>
    <td>JEPRIK</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1949</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>542</td>
    <td>13-08-2019</td>
    <td>000536</td>
    <td>HARMINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1967</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735634383</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>543</td>
    <td>13-08-2019</td>
    <td>020949</td>
    <td>SULISTYORINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-10-1985</td>
    <td>33</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>544</td>
    <td>13-08-2019</td>
    <td>021649</td>
    <td>SARTI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-03-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>545</td>
    <td>13-08-2019</td>
    <td>018315</td>
    <td>SUPARMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-01-1977</td>
    <td>42</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>
    </tr>

    <tr align="left" valign="top">


    <td>546</td>
    <td>13-08-2019</td>
    <td>024611</td>
    <td>LASIYEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>547</td>
    <td>13-08-2019</td>
    <td>025428</td>
    <td>BAKRI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-1944</td>
    <td>74</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>548</td>
    <td>13-08-2019</td>
    <td>000488</td>
    <td>DARTI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>549</td>
    <td>13-08-2019</td>
    <td>011692</td>
    <td>RASINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>550</td>
    <td>13-08-2019</td>
    <td>016528</td>
    <td>SRIANG</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-09-1962</td>
    <td>56</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>551</td>
    <td>13-08-2019</td>
    <td>019529</td>
    <td>SLAMET</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1949</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>552</td>
    <td>13-08-2019</td>
    <td>000492</td>
    <td>WARIKEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1950</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>553</td>
    <td>13-08-2019</td>
    <td>005778</td>
    <td>WASRI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1964</td>
    <td>55</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>554</td>
    <td>13-08-2019</td>
    <td>024610</td>
    <td>SUDADI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-12-1946</td>
    <td>72</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06.06 </td>
    <td align='center'>
    Seronegative rheumatoid arthritis, lower leg </td>

    </tr>

    <tr align="left" valign="top">


    <td>555</td>
    <td>13-08-2019</td>
    <td>000487</td>
    <td>JAKINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1938</td>
    <td>80</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>556</td>
    <td>13-08-2019</td>
    <td>005801</td>
    <td>TUMIJEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-06-1946</td>
    <td>73</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>557</td>
    <td>14-08-2019</td>
    <td>031133</td>
    <td>SEMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1942</td>
    <td>77</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735690519</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>558</td>
    <td>14-08-2019</td>
    <td>031134</td>
    <td>TUMIRAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-09-1972</td>
    <td>46</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736264001</td>
    <td></td>
    <td align='center'>
    M06.0 </td>
    <td align='center'>
    Seronegative rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>559</td>
    <td>14-08-2019</td>
    <td>031135</td>
    <td>TUMINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1951</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736189626</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>560</td>
    <td>14-08-2019</td>
    <td>031136</td>
    <td>MUSIKEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-07-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735643618</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>561</td>
    <td>14-08-2019</td>
    <td>031137</td>
    <td>JASMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1956</td>
    <td>63</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045141209</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>562</td>
    <td>14-08-2019</td>
    <td>031138</td>
    <td>MARINTEN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-07-1953</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735279041</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>563</td>
    <td>14-08-2019</td>
    <td>031139</td>
    <td>SURATI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1966</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736287816</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>564</td>
    <td>14-08-2019</td>
    <td>031140</td>
    <td>JAMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-06-1964</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736256395</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>565</td>
    <td>14-08-2019</td>
    <td>031141</td>
    <td>SUKARMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-03-1971</td>
    <td>48</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736428475</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>566</td>
    <td>14-08-2019</td>
    <td>031142</td>
    <td>PARMININGSIH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1968</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736239216</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>567</td>
    <td>14-08-2019</td>
    <td>031143</td>
    <td>SUKANI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1966</td>
    <td>52</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045141389</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>568</td>
    <td>14-08-2019</td>
    <td>031144</td>
    <td>SATIJAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735308875</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>569</td>
    <td>14-08-2019</td>
    <td>031145</td>
    <td>SARMINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001913727688</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>
    <tr align="left" valign="top">
    <td>570</td>
    <td>14-08-2019</td>
    <td>031146</td>
    <td>SRIATUN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1961</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736087296</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>571</td>
    <td>14-08-2019</td>
    <td>031147</td>
    <td>DAMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735678685</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>572</td>
    <td>14-08-2019</td>
    <td>000759</td>
    <td>SARI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>573</td>
    <td>14-08-2019</td>
    <td>000756</td>
    <td>WARIJAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1940</td>
    <td>79</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>574</td>
    <td>14-08-2019</td>
    <td>005835</td>
    <td>TAJEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-07-1971</td>
    <td>48</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735640086</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>575</td>
    <td>14-08-2019</td>
    <td>006376</td>
    <td>LAMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809747866</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>576</td>
    <td>14-08-2019</td>
    <td>000745</td>
    <td>RANTINAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-12-1948</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>577</td>
    <td>14-08-2019</td>
    <td>000752</td>
    <td>WADI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1942</td>
    <td>76</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>578</td>
    <td>14-08-2019</td>
    <td>000741</td>
    <td>SUKARJIYEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809747271</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>579</td>
    <td>14-08-2019</td>
    <td>011927</td>
    <td>PARSI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1957</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809748439</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>580</td>
    <td>14-08-2019</td>
    <td>009783</td>
    <td>SADIYEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-09-1954</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002590356879</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>581</td>
    <td>14-08-2019</td>
    <td>013394</td>
    <td>WARTI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-11-1972</td>
    <td>46</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>582</td>
    <td>14-08-2019</td>
    <td>006375</td>
    <td>PARTUN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-1962</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>TNI ANGKATAN DARAT</td>
    <td>0001384296715</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>583</td>
    <td>14-08-2019</td>
    <td>000766</td>
    <td>SAMINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-07-1945</td>
    <td>74</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001916571519</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>584</td>
    <td>14-08-2019</td>
    <td>010314</td>
    <td>TASMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1957</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>585</td>
    <td>14-08-2019</td>
    <td>000764</td>
    <td>LIDYA JAMIATUN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-07-1957</td>
    <td>62</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809747934</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>586</td>
    <td>14-08-2019</td>
    <td>023328</td>
    <td>SUMINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>587</td>
    <td>14-08-2019</td>
    <td>016232</td>
    <td>PANTES</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736123847</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>588</td>
    <td>14-08-2019</td>
    <td>000749</td>
    <td>SUNARTI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>589</td>
    <td>14-08-2019</td>
    <td>000762</td>
    <td>SUPI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-07-1964</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>590</td>
    <td>14-08-2019</td>
    <td>015295</td>
    <td>SURADI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1954</td>
    <td>64</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>591</td>
    <td>14-08-2019</td>
    <td>009795</td>
    <td>SUHARDI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-11-1953</td>
    <td>65</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045140614</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>592</td>
    <td>14-08-2019</td>
    <td>006554</td>
    <td>SAIMAN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1957</td>
    <td>61</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>593</td>
    <td>14-08-2019</td>
    <td>023329</td>
    <td>WARINTEN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-02-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809740824</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>594</td>
    <td>14-08-2019</td>
    <td>006377</td>
    <td>MUSLAN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-01-1954</td>
    <td>65</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735684412</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>595</td>
    <td>14-08-2019</td>
    <td>000483</td>
    <td>WARINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-04-1946</td>
    <td>73</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735636532</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>596</td>
    <td>14-08-2019</td>
    <td>009742</td>
    <td>AKAD EFENDI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-12-1967</td>
    <td>51</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736124916</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>597</td>
    <td>14-08-2019</td>
    <td>013676</td>
    <td>GAMINGAN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1950</td>
    <td>68</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736441424</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>598</td>
    <td>15-08-2019</td>
    <td>007245</td>
    <td>BINTARTI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-02-1972</td>
    <td>47</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002282217726</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>599</td>
    <td>15-08-2019</td>
    <td>002157</td>
    <td>SIATUN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-08-1969</td>
    <td>50</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002379443872</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>600</td>
    <td>15-08-2019</td>
    <td>007000</td>
    <td>SUTARMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1969</td>
    <td>50</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002248412409</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>601</td>
    <td>15-08-2019</td>
    <td>003261</td>
    <td>SAMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-06-1947</td>
    <td>72</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>602</td>
    <td>15-08-2019</td>
    <td>007242</td>
    <td>LAMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-02-1952</td>
    <td>67</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>603</td>
    <td>15-08-2019</td>
    <td>002875</td>
    <td>MAINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-11-1969</td>
    <td>49</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>604</td>
    <td>15-08-2019</td>
    <td>002507</td>
    <td>JAMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-11-1947</td>
    <td>71</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>
    </tr>

    <tr align="left" valign="top">


    <td>605</td>
    <td>15-08-2019</td>
    <td>014689</td>
    <td>RUSIYEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-05-1962</td>
    <td>57</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>606</td>
    <td>15-08-2019</td>
    <td>012679</td>
    <td>PAIDIK</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-05-1940</td>
    <td>79</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>607</td>
    <td>15-08-2019</td>
    <td>010319</td>
    <td>SATINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809752423</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>608</td>
    <td>15-08-2019</td>
    <td>007241</td>
    <td>DARSITI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-1966</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>609</td>
    <td>15-08-2019</td>
    <td>012969</td>
    <td>WARNI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>610</td>
    <td>15-08-2019</td>
    <td>006999</td>
    <td>PAIDI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-07-1958</td>
    <td>61</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>611</td>
    <td>15-08-2019</td>
    <td>031200</td>
    <td>SUKARNI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1953</td>
    <td>66</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736382935</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>612</td>
    <td>15-08-2019</td>
    <td>031201</td>
    <td>RASI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-11-1952</td>
    <td>66</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045140928</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>613</td>
    <td>15-08-2019</td>
    <td>031202</td>
    <td>RUMIATI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1969</td>
    <td>49</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736419835</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>614</td>
    <td>15-08-2019</td>
    <td>031203</td>
    <td>SATIJEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-03-1967</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735742089</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>615</td>
    <td>15-08-2019</td>
    <td>031204</td>
    <td>TANI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1956</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045116808</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>616</td>
    <td>15-08-2019</td>
    <td>031205</td>
    <td>SUKINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045140592</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>617</td>
    <td>15-08-2019</td>
    <td>031206</td>
    <td>GAMI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-11-1949</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736132487</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>
    <tr align="left" valign="top">
    <td>618</td>
    <td>15-08-2019</td>
    <td>031207</td>
    <td>MARMI AL MAREM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1953</td>
    <td>65</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045141244</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>619</td>
    <td>15-08-2019</td>
    <td>002154</td>
    <td>LADINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1949</td>
    <td>70</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>620</td>
    <td>15-08-2019</td>
    <td>007240</td>
    <td>SUTINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-12-1958</td>
    <td>60</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002627813812</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>621</td>
    <td>15-08-2019</td>
    <td>001004</td>
    <td>SUKIRAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736397313</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>622</td>
    <td>15-08-2019</td>
    <td>025889</td>
    <td>PARTIYEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-10-1973</td>
    <td>45</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>623</td>
    <td>15-08-2019</td>
    <td>031148</td>
    <td>RASMI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-1973</td>
    <td>46</td>
    <td>P</td>
    <td>PERDAGANGAN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002226137872</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>624</td>
    <td>15-08-2019</td>
    <td>031149</td>
    <td>TAMIRAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1956</td>
    <td>63</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736144716</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>625</td>
    <td>15-08-2019</td>
    <td>002160</td>
    <td>KASIYEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>626</td>
    <td>15-08-2019</td>
    <td>031150</td>
    <td>MARIDI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1945</td>
    <td>74</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736359636</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>627</td>
    <td>15-08-2019</td>
    <td>031151</td>
    <td>PARNI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1969</td>
    <td>49</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735294622</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>628</td>
    <td>15-08-2019</td>
    <td>031152</td>
    <td>MAIMAN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-01-1949</td>
    <td>70</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736144345</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>
    </tr>

    <tr align="left" valign="top">


    <td>629</td>
    <td>15-08-2019</td>
    <td>011747</td>
    <td>TAMINAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1971</td>
    <td>48</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002446732067</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>630</td>
    <td>15-08-2019</td>
    <td>002158</td>
    <td>WARNI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1959</td>
    <td>60</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>631</td>
    <td>15-08-2019</td>
    <td>031153</td>
    <td>DASINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1966</td>
    <td>53</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736401486</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>632</td>
    <td>15-08-2019</td>
    <td>002506</td>
    <td>DASI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-03-1962</td>
    <td>57</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002484369549</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>633</td>
    <td>15-08-2019</td>
    <td>031154</td>
    <td>WAKINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-11-1969</td>
    <td>49</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736131598</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>634</td>
    <td>15-08-2019</td>
    <td>007238</td>
    <td>SAKIYEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1945</td>
    <td>74</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>635</td>
    <td>15-08-2019</td>
    <td>031155</td>
    <td>JAMIATI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1964</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736270345</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>636</td>
    <td>15-08-2019</td>
    <td>007237</td>
    <td>WAGINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-02-1967</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809748158</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>637</td>
    <td>15-08-2019</td>
    <td>031156</td>
    <td>MAIDIN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-10-1953</td>
    <td>65</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735620207</td>
    <td></td>
    <td align='center'>
    J46 </td>
    <td align='center'>
    Status asthmaticus </td>

    </tr>

    <tr align="left" valign="top">


    <td>638</td>
    <td>15-08-2019</td>
    <td>029359</td>
    <td>SINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-10-1970</td>
    <td>48</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735281144</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>639</td>
    <td>15-08-2019</td>
    <td>031157</td>
    <td>DASMINEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-01-1946</td>
    <td>73</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735726161</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>640</td>
    <td>15-08-2019</td>
    <td>031158</td>
    <td>JONO</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735608316</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>641</td>
    <td>15-08-2019</td>
    <td>031159</td>
    <td>SUPIYAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1966</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735637386</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>642</td>
    <td>15-08-2019</td>
    <td>031160</td>
    <td>TANIYEM</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-1957</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045140838</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>643</td>
    <td>15-08-2019</td>
    <td>031161</td>
    <td>SUWI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-03-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736425303</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>644</td>
    <td>15-08-2019</td>
    <td>031162</td>
    <td>SAKINI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-04-1969</td>
    <td>50</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736484837</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>645</td>
    <td>15-08-2019</td>
    <td>031163</td>
    <td>SUWARNI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1950</td>
    <td>68</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes JINTEL</td>
    <td>SUPINAH, A.MD.KEB</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736453719</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>646</td>
    <td>01-08-2019</td>
    <td>011536</td>
    <td>WAISAM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1926</td>
    <td>93</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>647</td>
    <td>01-08-2019</td>
    <td>026154</td>
    <td>KAMISAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1935</td>
    <td>83</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>648</td>
    <td>01-08-2019</td>
    <td>016755</td>
    <td>SUMIATI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1970</td>
    <td>49</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>649</td>
    <td>01-08-2019</td>
    <td>009704</td>
    <td>NUR HAYATI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>650</td>
    <td>01-08-2019</td>
    <td>030332</td>
    <td>WIWIK SULESTARI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-01-1988</td>
    <td>31</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>651</td>
    <td>02-08-2019</td>
    <td>026810</td>
    <td>SAMIATI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-06-1977</td>
    <td>42</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>652</td>
    <td>02-08-2019</td>
    <td>013094</td>
    <td>DJUMIRAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-10-1959</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>
    <tr align="left" valign="top">
    <td>653</td>
    <td>02-08-2019</td>
    <td>022372</td>
    <td>WIDYANTARI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-2002</td>
    <td>17</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>654</td>
    <td>03-08-2019</td>
    <td>030334</td>
    <td>PURWANTO</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-11-1982</td>
    <td>36</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>655</td>
    <td>03-08-2019</td>
    <td>030335</td>
    <td>GAGUK SUSANTO</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-08-1986</td>
    <td>33</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>656</td>
    <td>03-08-2019</td>
    <td>026159</td>
    <td>KARNO</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-09-1976</td>
    <td>43</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J00 </td>
    <td align='center'>
    Acute nasopharyngitis [common cold] </td>

    </tr>

    <tr align="left" valign="top">


    <td>657</td>
    <td>03-08-2019</td>
    <td>030337</td>
    <td>SRIATUN</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>658</td>
    <td>05-08-2019</td>
    <td>013094</td>
    <td>DJUMIRAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-10-1959</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25.3 </td>
    <td align='center'>
    Gastric ulcer, acute without haemorrhage or perforation </td>

    </tr>

    <tr align="left" valign="top">


    <td>659</td>
    <td>05-08-2019</td>
    <td>030338</td>
    <td>KAMINEM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1974</td>
    <td>45</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>660</td>
    <td>05-08-2019</td>
    <td>009726</td>
    <td>SUKINI YULIANI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1974</td>
    <td>45</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>661</td>
    <td>05-08-2019</td>
    <td>020549</td>
    <td>SUTIYEM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1968</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>662</td>
    <td>05-08-2019</td>
    <td>011536</td>
    <td>WAISAM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1926</td>
    <td>93</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>663</td>
    <td>05-08-2019</td>
    <td>030339</td>
    <td>FAJAR HIDAYAT</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-11-1988</td>
    <td>30</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>664</td>
    <td>06-08-2019</td>
    <td>030409</td>
    <td>TARIYEM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-1945</td>
    <td>73</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735881084</td>
    <td></td>
    <td align='center'>
    M79.10 </td>
    <td align='center'>
    Myalgia, multiple sites </td>

    </tr>

    <tr align="left" valign="top">


    <td>665</td>
    <td>06-08-2019</td>
    <td>030416</td>
    <td>KUSWININGSIH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-07-1973</td>
    <td>46</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>666</td>
    <td>06-08-2019</td>
    <td>011536</td>
    <td>WAISAM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1926</td>
    <td>93</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>667</td>
    <td>06-08-2019</td>
    <td>013094</td>
    <td>DJUMIRAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-10-1959</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>668</td>
    <td>06-08-2019</td>
    <td>010460</td>
    <td>NURMA DWI LESTARI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-09-1996</td>
    <td>22</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>669</td>
    <td>06-08-2019</td>
    <td>009464</td>
    <td>SURATEMI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1961</td>
    <td>58</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>670</td>
    <td>07-08-2019</td>
    <td>030719</td>
    <td>SUMARTI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-01-1990</td>
    <td>29</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735939483</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>671</td>
    <td>07-08-2019</td>
    <td>030720</td>
    <td>SUMARTI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-01-1990</td>
    <td>29</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735939483</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>672</td>
    <td>07-08-2019</td>
    <td>029221</td>
    <td>KASIMAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1928</td>
    <td>90</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>673</td>
    <td>07-08-2019</td>
    <td>009714</td>
    <td>KAMIRAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-07-1967</td>
    <td>52</td>
    <td>P</td>
    <td>KARYAWAN HONORER</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>674</td>
    <td>08-08-2019</td>
    <td>029222</td>
    <td>DJASMI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>675</td>
    <td>08-08-2019</td>
    <td>024230</td>
    <td>DJASEMAN</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1961</td>
    <td>57</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>676</td>
    <td>08-08-2019</td>
    <td>026154</td>
    <td>KAMISAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1935</td>
    <td>83</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>
    <tr align="left" valign="top">
    <td>677</td>
    <td>08-08-2019</td>
    <td>022065</td>
    <td>JUMIATI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-1980</td>
    <td>39</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>678</td>
    <td>09-08-2019</td>
    <td>016755</td>
    <td>SUMIATI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1970</td>
    <td>49</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>679</td>
    <td>09-08-2019</td>
    <td>022063</td>
    <td>JUMINI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-01-1987</td>
    <td>32</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>680</td>
    <td>09-08-2019</td>
    <td>029222</td>
    <td>DJASMI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>681</td>
    <td>09-08-2019</td>
    <td>029221</td>
    <td>KASIMAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1928</td>
    <td>90</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>682</td>
    <td>09-08-2019</td>
    <td>026155</td>
    <td>KATIMI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-09-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>683</td>
    <td>09-08-2019</td>
    <td>030116</td>
    <td>WAIDJAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-01-1956</td>
    <td>63</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>684</td>
    <td>10-08-2019</td>
    <td>031125</td>
    <td>KASERAN</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-12-1963</td>
    <td>55</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79 </td>
    <td align='center'>
    Other soft tissue disorders, not elsewhere classified </td>

    </tr>

    <tr align="left" valign="top">


    <td>685</td>
    <td>10-08-2019</td>
    <td>026159</td>
    <td>KARNO</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-09-1976</td>
    <td>43</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>686</td>
    <td>12-08-2019</td>
    <td>031184</td>
    <td>WASIS</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1974</td>
    <td>45</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>687</td>
    <td>12-08-2019</td>
    <td>031186</td>
    <td>SUKIJAN</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-08-1955</td>
    <td>64</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>
    </tr>

    <tr align="left" valign="top">


    <td>688</td>
    <td>20-08-2019</td>
    <td>011536</td>
    <td>WAISAM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1926</td>
    <td>93</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>689</td>
    <td>20-08-2019</td>
    <td>031304</td>
    <td>SARIANTO</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-05-1976</td>
    <td>43</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>690</td>
    <td>20-08-2019</td>
    <td>029221</td>
    <td>KASIMAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1928</td>
    <td>90</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>691</td>
    <td>20-08-2019</td>
    <td>013094</td>
    <td>DJUMIRAH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-10-1959</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>692</td>
    <td>21-08-2019</td>
    <td>026159</td>
    <td>KARNO</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-09-1976</td>
    <td>43</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>693</td>
    <td>22-08-2019</td>
    <td>031317</td>
    <td>TARIDJEM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001262237905</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>694</td>
    <td>22-08-2019</td>
    <td>009457</td>
    <td>SULISTYO RAHAYU</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-08-1992</td>
    <td>27</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>695</td>
    <td>22-08-2019</td>
    <td>030339</td>
    <td>FAJAR HIDAYAT</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-11-1988</td>
    <td>30</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>696</td>
    <td>22-08-2019</td>
    <td>002440</td>
    <td>TUMINARSIH</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1966</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.10 </td>
    <td align='center'>
    Myalgia, multiple sites </td>

    </tr>

    <tr align="left" valign="top">


    <td>697</td>
    <td>22-08-2019</td>
    <td>031318</td>
    <td>SALINEM</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-1940</td>
    <td>79</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.10 </td>
    <td align='center'>
    Myalgia, multiple sites </td>

    </tr>

    <tr align="left" valign="top">


    <td>698</td>
    <td>22-08-2019</td>
    <td>031320</td>
    <td>SUROTO</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1967</td>
    <td>51</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes KEDUNG PADANG</td>
    <td>DENNY RETNO OKTAVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.10 </td>
    <td align='center'>
    Myalgia, multiple sites </td>

    </tr>

    <tr align="left" valign="top">


    <td>699</td>
    <td>19-08-2019</td>
    <td>030591</td>
    <td>SUDARMI</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-06-1959</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045112005</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>700</td>
    <td>19-08-2019</td>
    <td>030602</td>
    <td>SITI MAESAROH</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-12-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001185365068</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>701</td>
    <td>19-08-2019</td>
    <td>030570</td>
    <td>LASMIRAN</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1966</td>
    <td>53</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>702</td>
    <td>19-08-2019</td>
    <td>030576</td>
    <td>NYUMINI</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-05-1957</td>
    <td>62</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>703</td>
    <td>19-08-2019</td>
    <td>030582</td>
    <td>SAWI</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>704</td>
    <td>19-08-2019</td>
    <td>017135</td>
    <td>JUMIATUN</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-12-1985</td>
    <td>33</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736124231</td>
    <td></td>
    <td align='center'>
    j06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>705</td>
    <td>19-08-2019</td>
    <td>030588</td>
    <td>H. AMIN</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1935</td>
    <td>84</td>
    <td>L</td>
    <td>PENSIUNAN</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    i10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>706</td>
    <td>19-08-2019</td>
    <td>030590</td>
    <td>LASMI</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-02-1948</td>
    <td>71</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    i10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>707</td>
    <td>19-08-2019</td>
    <td>005822</td>
    <td>SUMIATI</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>708</td>
    <td>19-08-2019</td>
    <td>030593</td>
    <td>RINA RAHMAWATI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-03-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736144457</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>709</td>
    <td>19-08-2019</td>
    <td>000281</td>
    <td>YATINEM</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1964</td>
    <td>55</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUNGKUNG</td>
    <td>TRI SETYONINGSIH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736281437</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>710</td>
    <td>14-08-2019</td>
    <td>003105</td>
    <td>SAMINEM</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-05-1961</td>
    <td>58</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>711</td>
    <td>14-08-2019</td>
    <td>002801</td>
    <td>KASIH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-06-1959</td>
    <td>60</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>
    </tr>

    <tr align="left" valign="top">


    <td>712</td>
    <td>14-08-2019</td>
    <td>021013</td>
    <td>SUMIRAH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-09-1957</td>
    <td>61</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>713</td>
    <td>14-08-2019</td>
    <td>005960</td>
    <td>MARYATI</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-07-1958</td>
    <td>61</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>714</td>
    <td>14-08-2019</td>
    <td>012162</td>
    <td>SITI</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>715</td>
    <td>14-08-2019</td>
    <td>003484</td>
    <td>SAMIRAH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-02-1932</td>
    <td>87</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>716</td>
    <td>14-08-2019</td>
    <td>005957</td>
    <td>SUMINAH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1966</td>
    <td>53</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>717</td>
    <td>14-08-2019</td>
    <td>002802</td>
    <td>SUWARNO</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1940</td>
    <td>79</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>718</td>
    <td>14-08-2019</td>
    <td>005053</td>
    <td>SUPARNO</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-1962</td>
    <td>57</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>719</td>
    <td>14-08-2019</td>
    <td>025902</td>
    <td>SUMARTI</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-03-1963</td>
    <td>56</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>720</td>
    <td>14-08-2019</td>
    <td>016436</td>
    <td>DASAR</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-07-1962</td>
    <td>57</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>721</td>
    <td>14-08-2019</td>
    <td>002807</td>
    <td>SURATI</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-1965</td>
    <td>54</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>722</td>
    <td>14-08-2019</td>
    <td>005050</td>
    <td>SIRAN</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-07-1954</td>
    <td>65</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>723</td>
    <td>14-08-2019</td>
    <td>005051</td>
    <td>SUWANTI</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>724</td>
    <td>14-08-2019</td>
    <td>002141</td>
    <td>WIJI</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-04-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>725</td>
    <td>14-08-2019</td>
    <td>015866</td>
    <td>SAID</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1951</td>
    <td>68</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>726</td>
    <td>14-08-2019</td>
    <td>003104</td>
    <td>SUYATMI</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1965</td>
    <td>54</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>727</td>
    <td>14-08-2019</td>
    <td>011958</td>
    <td>PAERAH</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-04-1963</td>
    <td>56</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes MUSIR KIDUL</td>
    <td>SUMIATUN</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>728</td>
    <td>05-08-2019</td>
    <td>030299</td>
    <td>ELLISIA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1997</td>
    <td>22</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>729</td>
    <td>05-08-2019</td>
    <td>030300</td>
    <td>SUMARSIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1986</td>
    <td>33</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>730</td>
    <td>05-08-2019</td>
    <td>030301</td>
    <td>NIKEN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1994</td>
    <td>25</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>731</td>
    <td>05-08-2019</td>
    <td>030302</td>
    <td>AYU NUR KASANAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1993</td>
    <td>26</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>732</td>
    <td>05-08-2019</td>
    <td>030303</td>
    <td>SITI AMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1986</td>
    <td>33</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>733</td>
    <td>05-08-2019</td>
    <td>030304</td>
    <td>SUKILAH </td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1971</td>
    <td>48</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>734</td>
    <td>07-08-2019</td>
    <td>027192</td>
    <td>SRIATUN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1974</td>
    <td>45</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>735</td>
    <td>07-08-2019</td>
    <td>027182</td>
    <td>SINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1948</td>
    <td>71</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    m.13 </td>
    <td align='center'>
    </td>

    </tr>
    <tr align="left" valign="top">
    <td>736</td>
    <td>07-08-2019</td>
    <td>009810</td>
    <td>SUWARMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-07-1974</td>
    <td>45</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>737</td>
    <td>07-08-2019</td>
    <td>027179</td>
    <td>MADIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>738</td>
    <td>07-08-2019</td>
    <td>029636</td>
    <td>SARWI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1975</td>
    <td>44</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    i10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>739</td>
    <td>07-08-2019</td>
    <td>027216</td>
    <td>PARNI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1964</td>
    <td>55</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>740</td>
    <td>07-08-2019</td>
    <td>027168</td>
    <td>YATIK</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1980</td>
    <td>39</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H10 </td>
    <td align='center'>
    Conjunctivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>741</td>
    <td>07-08-2019</td>
    <td>027355</td>
    <td>LULUK HANDAYANI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-03-1982</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06 </td>
    <td align='center'>
    Acute upper respiratory infections of multiple and unspecified sites
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>742</td>
    <td>07-08-2019</td>
    <td>029635</td>
    <td>DAMINTEN </td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1964</td>
    <td>55</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>743</td>
    <td>07-08-2019</td>
    <td>029634</td>
    <td>DIDIK PRIYANTO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1963</td>
    <td>56</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>744</td>
    <td>07-08-2019</td>
    <td>029638</td>
    <td>SRIYATIN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1970</td>
    <td>49</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06 </td>
    <td align='center'>
    Acute upper respiratory infections of multiple and unspecified sites
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>745</td>
    <td>07-08-2019</td>
    <td>027169</td>
    <td>DARSIMAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>746</td>
    <td>07-08-2019</td>
    <td>002280</td>
    <td>MURYATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-01-1945</td>
    <td>74</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E10 </td>
    <td align='center'>
    Insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>747</td>
    <td>07-08-2019</td>
    <td>027199</td>
    <td>WINARSIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1966</td>
    <td>53</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>748</td>
    <td>08-08-2019</td>
    <td>027430</td>
    <td>SUPARMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>749</td>
    <td>08-08-2019</td>
    <td>027276</td>
    <td>MANIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1950</td>
    <td>69</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I 10 </td>
    <td align='center'>
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>750</td>
    <td>08-08-2019</td>
    <td>027268</td>
    <td>SALEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1933</td>
    <td>86</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M 13 </td>
    <td align='center'>
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>751</td>
    <td>08-08-2019</td>
    <td>027269</td>
    <td>MARIYAM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I 10 </td>
    <td align='center'>
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>752</td>
    <td>08-08-2019</td>
    <td>027270</td>
    <td>DARJI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1964</td>
    <td>55</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>753</td>
    <td>08-08-2019</td>
    <td>028148</td>
    <td>SARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1943</td>
    <td>76</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>754</td>
    <td>08-08-2019</td>
    <td>028151</td>
    <td>MARPI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1956</td>
    <td>63</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M 13 </td>
    <td align='center'>
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>755</td>
    <td>08-08-2019</td>
    <td>030389</td>
    <td>TINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1956</td>
    <td>63</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>756</td>
    <td>08-08-2019</td>
    <td>028146</td>
    <td>SITI KALIMAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1973</td>
    <td>46</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E10 </td>
    <td align='center'>
    Insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>757</td>
    <td>08-08-2019</td>
    <td>030390</td>
    <td>HARTINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1960</td>
    <td>59</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E10 </td>
    <td align='center'>
    Insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>758</td>
    <td>08-08-2019</td>
    <td>027253</td>
    <td>DASI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1967</td>
    <td>52</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K05 </td>
    <td align='center'>
    Gingivitis and periodontal diseases </td>

    </tr>

    <tr align="left" valign="top">


    <td>759</td>
    <td>08-08-2019</td>
    <td>030391</td>
    <td>RASINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1945</td>
    <td>74</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>
    </tr>

    <tr align="left" valign="top">


    <td>760</td>
    <td>08-08-2019</td>
    <td>027272</td>
    <td>SUGENG</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1962</td>
    <td>57</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>761</td>
    <td>08-08-2019</td>
    <td>028149</td>
    <td>TASMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J03 </td>
    <td align='center'>
    Acute tonsillitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>762</td>
    <td>08-08-2019</td>
    <td>030392</td>
    <td>JUMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1959</td>
    <td>60</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>763</td>
    <td>08-08-2019</td>
    <td>027267</td>
    <td>SARMINTEN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1968</td>
    <td>51</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>764</td>
    <td>08-08-2019</td>
    <td>027247</td>
    <td>YATIM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1955</td>
    <td>64</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>765</td>
    <td>08-08-2019</td>
    <td>028153</td>
    <td>YATMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1943</td>
    <td>76</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>766</td>
    <td>08-08-2019</td>
    <td>027241</td>
    <td>SUMINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>767</td>
    <td>08-08-2019</td>
    <td>030393</td>
    <td>SUMARMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1968</td>
    <td>51</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>768</td>
    <td>08-08-2019</td>
    <td>030394</td>
    <td>SUGIASIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1976</td>
    <td>43</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K05 </td>
    <td align='center'>
    Gingivitis and periodontal diseases </td>

    </tr>

    <tr align="left" valign="top">


    <td>769</td>
    <td>08-08-2019</td>
    <td>027238</td>
    <td>MARMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>770</td>
    <td>08-08-2019</td>
    <td>027256</td>
    <td>TATIK</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1968</td>
    <td>51</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J03 </td>
    <td align='center'>
    Acute tonsillitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>771</td>
    <td>08-08-2019</td>
    <td>027252</td>
    <td>MUJI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1947</td>
    <td>72</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    H10 </td>
    <td align='center'>
    Conjunctivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>772</td>
    <td>08-08-2019</td>
    <td>030395</td>
    <td>DARSILAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1963</td>
    <td>56</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>773</td>
    <td>08-08-2019</td>
    <td>027250</td>
    <td>KANTHI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1968</td>
    <td>51</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>774</td>
    <td>08-08-2019</td>
    <td>027239</td>
    <td>MINUK DJIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1966</td>
    <td>53</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>775</td>
    <td>08-08-2019</td>
    <td>027255</td>
    <td>SUHARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1973</td>
    <td>46</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>776</td>
    <td>08-08-2019</td>
    <td>027431</td>
    <td>RATMIATUN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1973</td>
    <td>46</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>777</td>
    <td>08-08-2019</td>
    <td>030396</td>
    <td>JIYO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1954</td>
    <td>65</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K05 </td>
    <td align='center'>
    Gingivitis and periodontal diseases </td>

    </tr>

    <tr align="left" valign="top">


    <td>778</td>
    <td>08-08-2019</td>
    <td>027225</td>
    <td>SUMINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1973</td>
    <td>46</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>779</td>
    <td>08-08-2019</td>
    <td>027432</td>
    <td>NANIK </td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1971</td>
    <td>48</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>780</td>
    <td>08-08-2019</td>
    <td>027280</td>
    <td>KEN SRI UTAMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1957</td>
    <td>62</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>781</td>
    <td>08-08-2019</td>
    <td>027275</td>
    <td>PARMAN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1952</td>
    <td>67</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>782</td>
    <td>08-08-2019</td>
    <td>028140</td>
    <td>LASIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1962</td>
    <td>57</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>783</td>
    <td>08-08-2019</td>
    <td>027246</td>
    <td>KARNI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1948</td>
    <td>71</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>784</td>
    <td>08-08-2019</td>
    <td>027249</td>
    <td>SUPINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1950</td>
    <td>69</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>785</td>
    <td>08-08-2019</td>
    <td>027271</td>
    <td>SISWATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1969</td>
    <td>50</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>786</td>
    <td>08-08-2019</td>
    <td>027404</td>
    <td>PUMIJAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>787</td>
    <td>08-08-2019</td>
    <td>027278</td>
    <td>JONO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1955</td>
    <td>64</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>788</td>
    <td>08-08-2019</td>
    <td>027279</td>
    <td>PARJINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1955</td>
    <td>64</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E10 </td>
    <td align='center'>
    Insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>789</td>
    <td>08-08-2019</td>
    <td>027251</td>
    <td>SILAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1956</td>
    <td>63</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>790</td>
    <td>08-08-2019</td>
    <td>028138</td>
    <td>YATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>791</td>
    <td>08-08-2019</td>
    <td>028144</td>
    <td>SUTIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1968</td>
    <td>51</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>792</td>
    <td>08-08-2019</td>
    <td>027237</td>
    <td>RASINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>793</td>
    <td>08-08-2019</td>
    <td>027273</td>
    <td>TITIK SULISTYONINGSIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1960</td>
    <td>59</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I`10 </td>
    <td align='center'>
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>794</td>
    <td>08-08-2019</td>
    <td>027257</td>
    <td>SURATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1968</td>
    <td>51</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>
    </tr>

    <tr align="left" valign="top">


    <td>795</td>
    <td>08-08-2019</td>
    <td>030397</td>
    <td>SINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1953</td>
    <td>66</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>796</td>
    <td>09-08-2019</td>
    <td>027447</td>
    <td>SUYITNO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1954</td>
    <td>65</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>797</td>
    <td>09-08-2019</td>
    <td>027456</td>
    <td>SUDARMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>798</td>
    <td>09-08-2019</td>
    <td>027437</td>
    <td>SUMASRI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1965</td>
    <td>54</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>799</td>
    <td>09-08-2019</td>
    <td>027476</td>
    <td>DAMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1965</td>
    <td>54</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>800</td>
    <td>09-08-2019</td>
    <td>027467</td>
    <td>DIANA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1945</td>
    <td>74</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>801</td>
    <td>09-08-2019</td>
    <td>027485</td>
    <td>SUPARTINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>802</td>
    <td>09-08-2019</td>
    <td>027470</td>
    <td>KATINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1965</td>
    <td>54</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>803</td>
    <td>09-08-2019</td>
    <td>027495</td>
    <td>WARTINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1940</td>
    <td>79</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>804</td>
    <td>09-08-2019</td>
    <td>027463</td>
    <td>SARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>805</td>
    <td>09-08-2019</td>
    <td>029724</td>
    <td>SUMIATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>806</td>
    <td>09-08-2019</td>
    <td>027477</td>
    <td>SUMITI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>807</td>
    <td>09-08-2019</td>
    <td>029727</td>
    <td>SULIANI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>808</td>
    <td>09-08-2019</td>
    <td>029732</td>
    <td>PANIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>809</td>
    <td>09-08-2019</td>
    <td>027450</td>
    <td>DIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>810</td>
    <td>09-08-2019</td>
    <td>027498</td>
    <td>YOSRI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>811</td>
    <td>09-08-2019</td>
    <td>029723</td>
    <td>NYASRI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-1964</td>
    <td>55</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>812</td>
    <td>09-08-2019</td>
    <td>027464</td>
    <td>PANI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1938</td>
    <td>81</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>813</td>
    <td>09-08-2019</td>
    <td>029730</td>
    <td>SULAMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>814</td>
    <td>09-08-2019</td>
    <td>027465</td>
    <td>JIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>815</td>
    <td>09-08-2019</td>
    <td>027491</td>
    <td>PANIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>816</td>
    <td>09-08-2019</td>
    <td>027472</td>
    <td>JAMIKEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>817</td>
    <td>09-08-2019</td>
    <td>029728</td>
    <td>SUNDARI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-1976</td>
    <td>43</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>818</td>
    <td>09-08-2019</td>
    <td>027454</td>
    <td>TAMPI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>819</td>
    <td>09-08-2019</td>
    <td>027449</td>
    <td>NYATINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1950</td>
    <td>69</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>820</td>
    <td>09-08-2019</td>
    <td>027462</td>
    <td>YATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>821</td>
    <td>09-08-2019</td>
    <td>027461</td>
    <td>KAMIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>822</td>
    <td>09-08-2019</td>
    <td>027486</td>
    <td>WARIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>823</td>
    <td>09-08-2019</td>
    <td>027475</td>
    <td>TINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>824</td>
    <td>09-08-2019</td>
    <td>027451</td>
    <td>WAINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>825</td>
    <td>09-08-2019</td>
    <td>027492</td>
    <td>WARIKEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>826</td>
    <td>10-08-2019</td>
    <td>029843</td>
    <td>GENIS</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>BELUM BEKERJA</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>827</td>
    <td>10-08-2019</td>
    <td>029841</td>
    <td>M.ALBARA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>828</td>
    <td>10-08-2019</td>
    <td>029839</td>
    <td>CHERYL MECGA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>tidak bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>829</td>
    <td>10-08-2019</td>
    <td>029842</td>
    <td>ZELINE</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>830</td>
    <td>10-08-2019</td>
    <td>029847</td>
    <td>M.UMAR</td>
    <td>NGADIBOYO</td>
    <td> REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>831</td>
    <td>10-08-2019</td>
    <td>029855</td>
    <td>CHELSYTA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>832</td>
    <td>10-08-2019</td>
    <td>029869</td>
    <td>M.DYLAN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>833</td>
    <td>10-08-2019</td>
    <td>029878</td>
    <td>GABRIELLA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>
    <tr align="left" valign="top">
    <td>834</td>
    <td>10-08-2019</td>
    <td>029856</td>
    <td>ESTER</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>835</td>
    <td>10-08-2019</td>
    <td>029865</td>
    <td>SATRIA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>836</td>
    <td>10-08-2019</td>
    <td>029867</td>
    <td>MEZHIA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>837</td>
    <td>10-08-2019</td>
    <td>029861</td>
    <td>ALIANDRA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>838</td>
    <td>10-08-2019</td>
    <td>029846</td>
    <td>SHAANA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>839</td>
    <td>10-08-2019</td>
    <td>029875</td>
    <td>ADEEVA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>840</td>
    <td>10-08-2019</td>
    <td>029808</td>
    <td>PINKAYLA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-07-2017</td>
    <td>2</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>841</td>
    <td>10-08-2019</td>
    <td>030444</td>
    <td>RENDI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-08-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>842</td>
    <td>10-08-2019</td>
    <td>030445</td>
    <td>SALSABILA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-08-2017</td>
    <td>2</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>843</td>
    <td>10-08-2019</td>
    <td>029809</td>
    <td>AYU SISKA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-07-2017</td>
    <td>2</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>844</td>
    <td>10-08-2019</td>
    <td>030446</td>
    <td>SYAFIRA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-08-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>845</td>
    <td>10-08-2019</td>
    <td>031287</td>
    <td>JIHAN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>846</td>
    <td>10-08-2019</td>
    <td>031288</td>
    <td>RIZKY</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>847</td>
    <td>10-08-2019</td>
    <td>031289</td>
    <td>ALBARA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>848</td>
    <td>10-08-2019</td>
    <td>031290</td>
    <td>CHERYL</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>
    </tr>

    <tr align="left" valign="top">


    <td>849</td>
    <td>10-08-2019</td>
    <td>031291</td>
    <td>AGATHA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>850</td>
    <td>10-08-2019</td>
    <td>031292</td>
    <td>M.DANISH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>851</td>
    <td>10-08-2019</td>
    <td>031293</td>
    <td>ABIDZAR</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>852</td>
    <td>10-08-2019</td>
    <td>031294</td>
    <td>ZELIN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>853</td>
    <td>10-08-2019</td>
    <td>031295</td>
    <td>ELFATIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>854</td>
    <td>10-08-2019</td>
    <td>030441</td>
    <td>M.ZAHIR PRADANA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-08-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>855</td>
    <td>12-08-2019</td>
    <td>026837</td>
    <td>SUHARMAJI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-05-1939</td>
    <td>80</td>
    <td>L</td>
    <td>Pensiunan</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>856</td>
    <td>12-08-2019</td>
    <td>027676</td>
    <td>MUKTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-05-1955</td>
    <td>64</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>857</td>
    <td>12-08-2019</td>
    <td>027072</td>
    <td>JAINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>858</td>
    <td>12-08-2019</td>
    <td>027576</td>
    <td>PARTINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-05-1951</td>
    <td>68</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>859</td>
    <td>12-08-2019</td>
    <td>026861</td>
    <td>SUMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>860</td>
    <td>12-08-2019</td>
    <td>027079</td>
    <td>SUMIJAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1955</td>
    <td>64</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>861</td>
    <td>12-08-2019</td>
    <td>026872</td>
    <td>KARIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1934</td>
    <td>85</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>862</td>
    <td>12-08-2019</td>
    <td>027061</td>
    <td>TUGIATU</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1947</td>
    <td>72</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>863</td>
    <td>12-08-2019</td>
    <td>027685</td>
    <td>LADIKEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>864</td>
    <td>12-08-2019</td>
    <td>027087</td>
    <td>SARJI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1949</td>
    <td>70</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>865</td>
    <td>12-08-2019</td>
    <td>026842</td>
    <td>WARINRM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>866</td>
    <td>12-08-2019</td>
    <td>026835</td>
    <td>BARUNO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-05-1958</td>
    <td>61</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>867</td>
    <td>12-08-2019</td>
    <td>026846</td>
    <td>SUKINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1941</td>
    <td>78</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>868</td>
    <td>12-08-2019</td>
    <td>026834</td>
    <td>DJAINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>869</td>
    <td>12-08-2019</td>
    <td>026860</td>
    <td>SAMINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1964</td>
    <td>55</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>870</td>
    <td>12-08-2019</td>
    <td>026918</td>
    <td>SUYATMI</td>
    <td>ngadiboyo</td>
    <td>rejoso</td>
    <td>nganjuk</td>
    <td>02-05-1971</td>
    <td>48</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>871</td>
    <td>12-08-2019</td>
    <td>027097</td>
    <td>RAMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1967</td>
    <td>52</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>872</td>
    <td>12-08-2019</td>
    <td>026854</td>
    <td>WAGIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1947</td>
    <td>72</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>873</td>
    <td>12-08-2019</td>
    <td>027678</td>
    <td>SINTO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>874</td>
    <td>12-08-2019</td>
    <td>027573</td>
    <td>SINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>
    <tr align="left" valign="top">
    <td>875</td>
    <td>12-08-2019</td>
    <td>027092</td>
    <td>SUMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1952</td>
    <td>67</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>876</td>
    <td>12-08-2019</td>
    <td>026885</td>
    <td>SUMIJAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>877</td>
    <td>12-08-2019</td>
    <td>026871</td>
    <td>WARSINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1952</td>
    <td>67</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>878</td>
    <td>12-08-2019</td>
    <td>028836</td>
    <td>MENIK</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-06-1977</td>
    <td>42</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>879</td>
    <td>12-08-2019</td>
    <td>027699</td>
    <td>SIWI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-05-1957</td>
    <td>62</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>880</td>
    <td>12-08-2019</td>
    <td>026903</td>
    <td>SARMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>881</td>
    <td>12-08-2019</td>
    <td>027086</td>
    <td>SUTIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>882</td>
    <td>12-08-2019</td>
    <td>026867</td>
    <td>YATEMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.2 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with renal complications
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>883</td>
    <td>12-08-2019</td>
    <td>026870</td>
    <td>SUMIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1950</td>
    <td>69</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>884</td>
    <td>12-08-2019</td>
    <td>026897</td>
    <td>WIJI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>885</td>
    <td>12-08-2019</td>
    <td>026866</td>
    <td>TAMINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>886</td>
    <td>12-08-2019</td>
    <td>027062</td>
    <td>PAINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1945</td>
    <td>74</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>887</td>
    <td>12-08-2019</td>
    <td>007484</td>
    <td>DJAMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-08-1945</td>
    <td>74</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>888</td>
    <td>12-08-2019</td>
    <td>026851</td>
    <td>KARINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1951</td>
    <td>68</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>889</td>
    <td>12-08-2019</td>
    <td>026850</td>
    <td>PASIMIN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1943</td>
    <td>76</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>890</td>
    <td>12-08-2019</td>
    <td>027075</td>
    <td>WARSI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>891</td>
    <td>12-08-2019</td>
    <td>026845</td>
    <td>PANI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>892</td>
    <td>12-08-2019</td>
    <td>028744</td>
    <td>SUYATINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-06-1954</td>
    <td>65</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>893</td>
    <td>12-08-2019</td>
    <td>026862</td>
    <td>SATIJAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1942</td>
    <td>77</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>894</td>
    <td>12-08-2019</td>
    <td>026863</td>
    <td>NYONO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1936</td>
    <td>83</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>895</td>
    <td>12-08-2019</td>
    <td>026904</td>
    <td>PANINTEN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>Anggota DPR-RI</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>896</td>
    <td>12-08-2019</td>
    <td>027059</td>
    <td>LASEMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>897</td>
    <td>12-08-2019</td>
    <td>027070</td>
    <td>SAEKAN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1947</td>
    <td>72</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>898</td>
    <td>12-08-2019</td>
    <td>027801</td>
    <td>WINIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>899</td>
    <td>12-08-2019</td>
    <td>027795</td>
    <td>YATIMAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1952</td>
    <td>67</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>900</td>
    <td>12-08-2019</td>
    <td>027791</td>
    <td>LATINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1957</td>
    <td>62</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>901</td>
    <td>12-08-2019</td>
    <td>027789</td>
    <td>SAMSIAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>902</td>
    <td>12-08-2019</td>
    <td>027057</td>
    <td>DADI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>903</td>
    <td>12-08-2019</td>
    <td>027577</td>
    <td>SATIMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>904</td>
    <td>12-08-2019</td>
    <td>027064</td>
    <td>PANIJAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>905</td>
    <td>12-08-2019</td>
    <td>027790</td>
    <td>SUPARNI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1951</td>
    <td>68</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>906</td>
    <td>12-08-2019</td>
    <td>027090</td>
    <td>DARMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>907</td>
    <td>12-08-2019</td>
    <td>027080</td>
    <td>SUJILAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1955</td>
    <td>64</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>908</td>
    <td>12-08-2019</td>
    <td>027065</td>
    <td>SUKINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1961</td>
    <td>58</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>909</td>
    <td>12-08-2019</td>
    <td>026922</td>
    <td>SUMINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1931</td>
    <td>88</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>910</td>
    <td>12-08-2019</td>
    <td>026921</td>
    <td>JAWI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>911</td>
    <td>12-08-2019</td>
    <td>026887</td>
    <td>LAMIRAN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1956</td>
    <td>63</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>912</td>
    <td>12-08-2019</td>
    <td>027579</td>
    <td>YATINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-05-1936</td>
    <td>83</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>913</td>
    <td>12-08-2019</td>
    <td>027578</td>
    <td>SONAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>
    </tr>

    <tr align="left" valign="top">


    <td>914</td>
    <td>12-08-2019</td>
    <td>026857</td>
    <td>GIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>915</td>
    <td>12-08-2019</td>
    <td>027063</td>
    <td>WARJIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>916</td>
    <td>12-08-2019</td>
    <td>027787</td>
    <td>JAMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>917</td>
    <td>12-08-2019</td>
    <td>026869</td>
    <td>LASIYEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1952</td>
    <td>67</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>918</td>
    <td>12-08-2019</td>
    <td>027574</td>
    <td>SUMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-05-1971</td>
    <td>48</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>919</td>
    <td>12-08-2019</td>
    <td>027078</td>
    <td>SEHA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1965</td>
    <td>54</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>920</td>
    <td>12-08-2019</td>
    <td>027068</td>
    <td>RAJINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>921</td>
    <td>12-08-2019</td>
    <td>004111</td>
    <td>PAIJO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1946</td>
    <td>73</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>922</td>
    <td>12-08-2019</td>
    <td>027690</td>
    <td>SAMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>923</td>
    <td>12-08-2019</td>
    <td>026894</td>
    <td>PAIJAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1956</td>
    <td>63</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>924</td>
    <td>12-08-2019</td>
    <td>028837</td>
    <td>ARIYUDA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-06-1975</td>
    <td>44</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>925</td>
    <td>12-08-2019</td>
    <td>028830</td>
    <td>SUKARJI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-06-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Pensiunan</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>926</td>
    <td>12-08-2019</td>
    <td>026864</td>
    <td>WARISIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>927</td>
    <td>13-08-2019</td>
    <td>030553</td>
    <td>SUMINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-08-1974</td>
    <td>45</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>928</td>
    <td>13-08-2019</td>
    <td>028072</td>
    <td>SRINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1955</td>
    <td>64</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>929</td>
    <td>13-08-2019</td>
    <td>028101</td>
    <td>PANIJEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>930</td>
    <td>13-08-2019</td>
    <td>027855</td>
    <td>MUKIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1948</td>
    <td>71</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>931</td>
    <td>13-08-2019</td>
    <td>027817</td>
    <td>SINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1931</td>
    <td>88</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>932</td>
    <td>13-08-2019</td>
    <td>027834</td>
    <td>RIDI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1930</td>
    <td>89</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>933</td>
    <td>13-08-2019</td>
    <td>028085</td>
    <td>SUYATMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>934</td>
    <td>13-08-2019</td>
    <td>027837</td>
    <td>DAMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1944</td>
    <td>75</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>935</td>
    <td>13-08-2019</td>
    <td>028090</td>
    <td>MASINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>936</td>
    <td>13-08-2019</td>
    <td>029831</td>
    <td>DAMINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-1968</td>
    <td>51</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>937</td>
    <td>13-08-2019</td>
    <td>028104</td>
    <td>WINARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>
    <tr align="left" valign="top">
    <td>938</td>
    <td>13-08-2019</td>
    <td>028071</td>
    <td>SUDARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1969</td>
    <td>50</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>939</td>
    <td>13-08-2019</td>
    <td>027852</td>
    <td>PARTINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>940</td>
    <td>13-08-2019</td>
    <td>028736</td>
    <td>HARIANTO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-06-1944</td>
    <td>75</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>941</td>
    <td>13-08-2019</td>
    <td>027829</td>
    <td>SUMIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>942</td>
    <td>13-08-2019</td>
    <td>028105</td>
    <td>SUPARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>943</td>
    <td>13-08-2019</td>
    <td>028091</td>
    <td>SAKIMAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>944</td>
    <td>13-08-2019</td>
    <td>027824</td>
    <td>MAMIK</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1966</td>
    <td>53</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>945</td>
    <td>13-08-2019</td>
    <td>027833</td>
    <td>MINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>946</td>
    <td>13-08-2019</td>
    <td>028075</td>
    <td>PARTINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>947</td>
    <td>13-08-2019</td>
    <td>027820</td>
    <td>RUSINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1948</td>
    <td>71</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>948</td>
    <td>13-08-2019</td>
    <td>028099</td>
    <td>GAMIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1939</td>
    <td>80</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>
    </tr>

    <tr align="left" valign="top">


    <td>949</td>
    <td>13-08-2019</td>
    <td>027828</td>
    <td>WIYONO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1948</td>
    <td>71</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>950</td>
    <td>13-08-2019</td>
    <td>027859</td>
    <td>DASI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1969</td>
    <td>50</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>951</td>
    <td>13-08-2019</td>
    <td>027841</td>
    <td>TUMIRAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>952</td>
    <td>13-08-2019</td>
    <td>028094</td>
    <td>MURSINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1947</td>
    <td>72</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>953</td>
    <td>13-08-2019</td>
    <td>028078</td>
    <td>TAMINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>954</td>
    <td>13-08-2019</td>
    <td>028082</td>
    <td>RASINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>955</td>
    <td>13-08-2019</td>
    <td>027836</td>
    <td>PARMIN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1954</td>
    <td>65</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>956</td>
    <td>13-08-2019</td>
    <td>027825</td>
    <td>JAWI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>957</td>
    <td>13-08-2019</td>
    <td>027819</td>
    <td>SUTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>958</td>
    <td>13-08-2019</td>
    <td>028070</td>
    <td>PARNI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1952</td>
    <td>67</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>959</td>
    <td>13-08-2019</td>
    <td>028069</td>
    <td>SUPARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1950</td>
    <td>69</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>960</td>
    <td>13-08-2019</td>
    <td>028068</td>
    <td>PARTINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1943</td>
    <td>76</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>961</td>
    <td>13-08-2019</td>
    <td>028103</td>
    <td>WARIJEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1941</td>
    <td>78</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>962</td>
    <td>13-08-2019</td>
    <td>028080</td>
    <td>SAMIDIN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1938</td>
    <td>81</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>963</td>
    <td>13-08-2019</td>
    <td>028067</td>
    <td>MUSINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>964</td>
    <td>13-08-2019</td>
    <td>028093</td>
    <td>BASINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1952</td>
    <td>67</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>965</td>
    <td>13-08-2019</td>
    <td>030552</td>
    <td>SUTIHARSIH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-08-1963</td>
    <td>56</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>966</td>
    <td>16-08-2019</td>
    <td>030637</td>
    <td>LAMIJEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1967</td>
    <td>52</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>967</td>
    <td>16-08-2019</td>
    <td>030638</td>
    <td>KADEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1959</td>
    <td>60</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>968</td>
    <td>16-08-2019</td>
    <td>030639</td>
    <td>KAMINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1969</td>
    <td>50</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>969</td>
    <td>16-08-2019</td>
    <td>030640</td>
    <td>RUMIATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1980</td>
    <td>39</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>970</td>
    <td>16-08-2019</td>
    <td>030641</td>
    <td>SUMARNI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1972</td>
    <td>47</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>971</td>
    <td>16-08-2019</td>
    <td>030642</td>
    <td>IKWANA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1984</td>
    <td>35</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>972</td>
    <td>16-08-2019</td>
    <td>030643</td>
    <td>JUMINTEN</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1950</td>
    <td>69</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>973</td>
    <td>16-08-2019</td>
    <td>030644</td>
    <td>TAMINI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1970</td>
    <td>49</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>974</td>
    <td>16-08-2019</td>
    <td>030645</td>
    <td>MARIATI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1979</td>
    <td>40</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>
    <tr align="left" valign="top">
    <td>975</td>
    <td>16-08-2019</td>
    <td>030646</td>
    <td>SUMINAH</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-1954</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes NGADIBOYO</td>
    <td>INKARNANI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E11.1 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with ketoacidosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>976</td>
    <td>01-08-2019</td>
    <td>030863</td>
    <td>PAINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-1953</td>
    <td>65</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>977</td>
    <td>01-08-2019</td>
    <td>001835</td>
    <td>SUMIJEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1963</td>
    <td>55</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>978</td>
    <td>02-08-2019</td>
    <td>030864</td>
    <td>SAMIJAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-07-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>979</td>
    <td>02-08-2019</td>
    <td>001728</td>
    <td>SURAJI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1956</td>
    <td>62</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>980</td>
    <td>03-08-2019</td>
    <td>016221</td>
    <td>SARIATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-06-1979</td>
    <td>40</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>981</td>
    <td>03-08-2019</td>
    <td>025622</td>
    <td>PUNIRAN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-03-1968</td>
    <td>51</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    S00 </td>
    <td align='center'>
    Superficial injury of head </td>

    </tr>

    <tr align="left" valign="top">


    <td>982</td>
    <td>06-08-2019</td>
    <td>031068</td>
    <td>ZAQI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-05-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>983</td>
    <td>06-08-2019</td>
    <td>031069</td>
    <td>RASINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-01-1945</td>
    <td>74</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>984</td>
    <td>06-08-2019</td>
    <td>022719</td>
    <td>A.Y. ROCHMAWATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PERDAGANGAN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001822202065</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>985</td>
    <td>06-08-2019</td>
    <td>030908</td>
    <td>SUPARMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1964</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>986</td>
    <td>06-08-2019</td>
    <td>012456</td>
    <td>JAZILAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-10-1979</td>
    <td>39</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>987</td>
    <td>06-08-2019</td>
    <td>007676</td>
    <td>JUMINING DIYAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-11-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K02 </td>
    <td align='center'>
    Dental caries </td>
    </tr>

    <tr align="left" valign="top">


    <td>988</td>
    <td>06-08-2019</td>
    <td>016175</td>
    <td>SUNARMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-04-1982</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>989</td>
    <td>06-08-2019</td>
    <td>001329</td>
    <td>KAMIDJEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1949</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809739384</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>990</td>
    <td>06-08-2019</td>
    <td>030909</td>
    <td>MITA KUSRINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-06-1991</td>
    <td>28</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>991</td>
    <td>06-08-2019</td>
    <td>030869</td>
    <td>AHMAD FIGRA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-12-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>992</td>
    <td>06-08-2019</td>
    <td>030870</td>
    <td>LUSIANA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-05-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>993</td>
    <td>06-08-2019</td>
    <td>030871</td>
    <td>ALIF</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>994</td>
    <td>06-08-2019</td>
    <td>030872</td>
    <td>CHAPRIEZA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-01-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>995</td>
    <td>06-08-2019</td>
    <td>030873</td>
    <td>ABIL</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-02-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>996</td>
    <td>06-08-2019</td>
    <td>030874</td>
    <td>RAIZA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-11-2018</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>997</td>
    <td>06-08-2019</td>
    <td>030876</td>
    <td>NONI QUROTAAYUN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-2018</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>998</td>
    <td>06-08-2019</td>
    <td>030877</td>
    <td>MIKAILA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-12-2018</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>999</td>
    <td>06-08-2019</td>
    <td>030880</td>
    <td>SAFIRA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-01-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1000</td>
    <td>06-08-2019</td>
    <td>030881</td>
    <td>M KAFKA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-12-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1001</td>
    <td>06-08-2019</td>
    <td>030882</td>
    <td>REZA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-03-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1002</td>
    <td>06-08-2019</td>
    <td>030884</td>
    <td>SUMIATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-12-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>
    <tr align="left" valign="top">
    <td>1003</td>
    <td>06-08-2019</td>
    <td>030885</td>
    <td>SAWI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-06-1956</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1004</td>
    <td>06-08-2019</td>
    <td>030886</td>
    <td>RASINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-01-1945</td>
    <td>74</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1005</td>
    <td>06-08-2019</td>
    <td>030887</td>
    <td>KARSI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-05-1959</td>
    <td>60</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1006</td>
    <td>06-08-2019</td>
    <td>030888</td>
    <td>SUPARNI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-08-1963</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1007</td>
    <td>06-08-2019</td>
    <td>001323</td>
    <td>SALINAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-09-1937</td>
    <td>82</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1008</td>
    <td>06-08-2019</td>
    <td>030889</td>
    <td>WAKINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1009</td>
    <td>08-08-2019</td>
    <td>030914</td>
    <td>RAMADANI DWI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-05-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1010</td>
    <td>08-08-2019</td>
    <td>030915</td>
    <td>SITI PUTRI AURORA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1011</td>
    <td>08-08-2019</td>
    <td>010279</td>
    <td>ERVINA AYU SINTA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-03-1998</td>
    <td>21</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1012</td>
    <td>08-08-2019</td>
    <td>030916</td>
    <td>TIWI SRI RAHAYU</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-08-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1013</td>
    <td>08-08-2019</td>
    <td>001600</td>
    <td>DWI NURHIDAYAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-10-1997</td>
    <td>21</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1014</td>
    <td>08-08-2019</td>
    <td>025934</td>
    <td>FITRI NUR KHOLIS</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-02-1996</td>
    <td>23</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1015</td>
    <td>08-08-2019</td>
    <td>030929</td>
    <td>SUMARI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-04-1986</td>
    <td>33</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>
    <tr align="left" valign="top">
    <td>1016</td>
    <td>08-08-2019</td>
    <td>001358</td>
    <td>MURTINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1949</td>
    <td>70</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1017</td>
    <td>08-08-2019</td>
    <td>030930</td>
    <td>SAINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1934</td>
    <td>85</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1018</td>
    <td>08-08-2019</td>
    <td>001360</td>
    <td>PARNYI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1942</td>
    <td>77</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1019</td>
    <td>08-08-2019</td>
    <td>025422</td>
    <td>RAMINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-07-1989</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1020</td>
    <td>08-08-2019</td>
    <td>030931</td>
    <td>RIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1945</td>
    <td>74</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1021</td>
    <td>08-08-2019</td>
    <td>030932</td>
    <td>MUJIATUN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-10-1974</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1022</td>
    <td>08-08-2019</td>
    <td>030933</td>
    <td>IMA NUR ISNAINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-02-1985</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1023</td>
    <td>08-08-2019</td>
    <td>023991</td>
    <td>SAMINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1942</td>
    <td>76</td>
    <td>P</td>
    <td>PEMBANTU RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736169286</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1024</td>
    <td>09-08-2019</td>
    <td>030937</td>
    <td>NAZRIL</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-03-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1025</td>
    <td>09-08-2019</td>
    <td>030938</td>
    <td>FIORENTINA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-02-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1026</td>
    <td>09-08-2019</td>
    <td>030939</td>
    <td>BOY RENAND</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1027</td>
    <td>09-08-2019</td>
    <td>030940</td>
    <td>HASYA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1028</td>
    <td>09-08-2019</td>
    <td>030941</td>
    <td>ARSYA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>
    </tr>

    <tr align="left" valign="top">


    <td>1029</td>
    <td>09-08-2019</td>
    <td>030942</td>
    <td>RAISA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1030</td>
    <td>09-08-2019</td>
    <td>030943</td>
    <td>SUPARMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-06-1974</td>
    <td>45</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1031</td>
    <td>09-08-2019</td>
    <td>030944</td>
    <td>LASINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-03-1942</td>
    <td>77</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1032</td>
    <td>09-08-2019</td>
    <td>030945</td>
    <td>SUMINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-02-1962</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1033</td>
    <td>09-08-2019</td>
    <td>030946</td>
    <td>JARI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-02-1942</td>
    <td>77</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1034</td>
    <td>09-08-2019</td>
    <td>016196</td>
    <td>SUPARMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1035</td>
    <td>09-08-2019</td>
    <td>030066</td>
    <td>TASRINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-06-1953</td>
    <td>66</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809750757</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1036</td>
    <td>09-08-2019</td>
    <td>001393</td>
    <td>GEMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1931</td>
    <td>88</td>
    <td>P</td>
    <td>BURUH HARIAN LEPAS</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002628539245</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1037</td>
    <td>09-08-2019</td>
    <td>030948</td>
    <td>RUMINAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-07-1953</td>
    <td>66</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1038</td>
    <td>09-08-2019</td>
    <td>030947</td>
    <td>DARMIATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1981</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736601095</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1039</td>
    <td>09-08-2019</td>
    <td>030934</td>
    <td>KAMAEL</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-04-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1040</td>
    <td>09-08-2019</td>
    <td>030935</td>
    <td>RAFIF</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-04-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1041</td>
    <td>09-08-2019</td>
    <td>030936</td>
    <td>SEKA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-06-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1042</td>
    <td>10-08-2019</td>
    <td>030949</td>
    <td>ZAQI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1043</td>
    <td>10-08-2019</td>
    <td>030950</td>
    <td>ADINDA AURELIA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-11-2017</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>
    <tr align="left" valign="top">
    <td>1044</td>
    <td>10-08-2019</td>
    <td>030951</td>
    <td>DITA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-07-2017</td>
    <td>2</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1045</td>
    <td>10-08-2019</td>
    <td>030952</td>
    <td>ABIL</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-10-2017</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1046</td>
    <td>10-08-2019</td>
    <td>030953</td>
    <td>AZIS</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-11-2017</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1047</td>
    <td>10-08-2019</td>
    <td>030954</td>
    <td>YOLANDA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-11-2018</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1048</td>
    <td>10-08-2019</td>
    <td>030955</td>
    <td>M.ADNAN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1049</td>
    <td>10-08-2019</td>
    <td>030967</td>
    <td>AKMAL</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-12-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1050</td>
    <td>10-08-2019</td>
    <td>030968</td>
    <td>DILAN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-12-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1051</td>
    <td>10-08-2019</td>
    <td>030969</td>
    <td>TISYA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-06-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1052</td>
    <td>10-08-2019</td>
    <td>030970</td>
    <td>KINARA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-10-2018</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1053</td>
    <td>10-08-2019</td>
    <td>030971</td>
    <td>AZAM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1054</td>
    <td>10-08-2019</td>
    <td>030972</td>
    <td>M.RIO</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-05-2017</td>
    <td>2</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1055</td>
    <td>10-08-2019</td>
    <td>030973</td>
    <td>MAHIRA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-07-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1056</td>
    <td>10-08-2019</td>
    <td>030974</td>
    <td>FELI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-09-2017</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>
    <tr align="left" valign="top">
    <td>1057</td>
    <td>10-08-2019</td>
    <td>030975</td>
    <td>HAZIZAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-01-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1058</td>
    <td>10-08-2019</td>
    <td>030976</td>
    <td>IZZAH KAMALIA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-11-2018</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1059</td>
    <td>10-08-2019</td>
    <td>030977</td>
    <td>ESHAL</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-03-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1060</td>
    <td>10-08-2019</td>
    <td>030978</td>
    <td>DITA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1061</td>
    <td>10-08-2019</td>
    <td>030979</td>
    <td>HAFIZ</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-02-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1062</td>
    <td>10-08-2019</td>
    <td>030980</td>
    <td>DIRI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-12-2017</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1063</td>
    <td>10-08-2019</td>
    <td>030981</td>
    <td>HAKIM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-10-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1064</td>
    <td>10-08-2019</td>
    <td>030982</td>
    <td>M.RIYAN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-02-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1065</td>
    <td>10-08-2019</td>
    <td>030983</td>
    <td>NASYA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-11-2018</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1066</td>
    <td>10-08-2019</td>
    <td>030984</td>
    <td>NAYA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-04-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1067</td>
    <td>10-08-2019</td>
    <td>030985</td>
    <td>VIRDAN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-10-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1068</td>
    <td>10-08-2019</td>
    <td>030986</td>
    <td>RISKI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-12-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1069</td>
    <td>10-08-2019</td>
    <td>030987</td>
    <td>HAFED</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>
    </tr>

    <tr align="left" valign="top">


    <td>1070</td>
    <td>10-08-2019</td>
    <td>030846</td>
    <td>SUDARTI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-05-1993</td>
    <td>26</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1071</td>
    <td>12-08-2019</td>
    <td>028863</td>
    <td>SUNARSIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-11-1982</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1072</td>
    <td>12-08-2019</td>
    <td>012645</td>
    <td>SRI RAHAYU WINARSIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-11-1998</td>
    <td>20</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1073</td>
    <td>12-08-2019</td>
    <td>030988</td>
    <td>SUWARSIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1990</td>
    <td>29</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1074</td>
    <td>15-08-2019</td>
    <td>001783</td>
    <td>WAKINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1964</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1075</td>
    <td>15-08-2019</td>
    <td>031065</td>
    <td>SAMIDI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-05-1935</td>
    <td>84</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1076</td>
    <td>15-08-2019</td>
    <td>031066</td>
    <td>SRIASIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-08-1960</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1077</td>
    <td>15-08-2019</td>
    <td>001707</td>
    <td>YATEBI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1078</td>
    <td>15-08-2019</td>
    <td>001608</td>
    <td>WATINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1954</td>
    <td>65</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1079</td>
    <td>15-08-2019</td>
    <td>019152</td>
    <td>BARI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-03-1951</td>
    <td>68</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1080</td>
    <td>15-08-2019</td>
    <td>001639</td>
    <td>DJIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002470227276</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1081</td>
    <td>15-08-2019</td>
    <td>001595</td>
    <td>SUTINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-07-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809751657</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1082</td>
    <td>15-08-2019</td>
    <td>001724</td>
    <td>MAINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-11-1958</td>
    <td>60</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>
    <tr align="left" valign="top">
    <td>1083</td>
    <td>15-08-2019</td>
    <td>031067</td>
    <td>SALIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-08-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1084</td>
    <td>15-08-2019</td>
    <td>024127</td>
    <td>TARSIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1953</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736128505</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1085</td>
    <td>15-08-2019</td>
    <td>001698</td>
    <td>TARMIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0002809728731</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1086</td>
    <td>15-08-2019</td>
    <td>001590</td>
    <td>JAMIRAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-01-1985</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002587783083</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1087</td>
    <td>15-08-2019</td>
    <td>024131</td>
    <td>DARMIASIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-05-1975</td>
    <td>44</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002590356846</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1088</td>
    <td>15-08-2019</td>
    <td>001584</td>
    <td>TAMIRAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1941</td>
    <td>77</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1089</td>
    <td>15-08-2019</td>
    <td>006919</td>
    <td>BASIRAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1938</td>
    <td>80</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1090</td>
    <td>15-08-2019</td>
    <td>030989</td>
    <td>PARTIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-12-1931</td>
    <td>87</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1091</td>
    <td>15-08-2019</td>
    <td>030990</td>
    <td>SUDARMIATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-10-1946</td>
    <td>72</td>
    <td>P</td>
    <td>PENSIUNAN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000107910494</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1092</td>
    <td>15-08-2019</td>
    <td>001728</td>
    <td>SURAJI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1956</td>
    <td>62</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1093</td>
    <td>15-08-2019</td>
    <td>001715</td>
    <td>DJIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1957</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1094</td>
    <td>15-08-2019</td>
    <td>006951</td>
    <td>KATIRAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-01-1940</td>
    <td>79</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1095</td>
    <td>15-08-2019</td>
    <td>001645</td>
    <td>YASIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1930</td>
    <td>89</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002587222451</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>
    <tr align="left" valign="top">
    <td>1096</td>
    <td>15-08-2019</td>
    <td>009434</td>
    <td>JUMINAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-09-1981</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1097</td>
    <td>15-08-2019</td>
    <td>030991</td>
    <td>MUSTAKIM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-10-1949</td>
    <td>69</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1098</td>
    <td>15-08-2019</td>
    <td>001536</td>
    <td>WAINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1951</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1099</td>
    <td>15-08-2019</td>
    <td>030992</td>
    <td>TANIMIN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-07-1959</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1100</td>
    <td>15-08-2019</td>
    <td>001838</td>
    <td>DASINAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-12-1941</td>
    <td>77</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1101</td>
    <td>15-08-2019</td>
    <td>030993</td>
    <td>YAHMAN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-06-1942</td>
    <td>77</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1102</td>
    <td>15-08-2019</td>
    <td>001588</td>
    <td>SUTARMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-07-1959</td>
    <td>60</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1103</td>
    <td>15-08-2019</td>
    <td>030994</td>
    <td>PONI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1941</td>
    <td>77</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1104</td>
    <td>15-08-2019</td>
    <td>030077</td>
    <td>MULYADI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-04-1980</td>
    <td>39</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1105</td>
    <td>15-08-2019</td>
    <td>001684</td>
    <td>DJAMINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1942</td>
    <td>76</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001818334179</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1106</td>
    <td>15-08-2019</td>
    <td>001696</td>
    <td>YUWONO</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1951</td>
    <td>68</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L08 </td>
    <td align='center'>
    Other local infections of skin and subcutaneous tissue </td>

    </tr>

    <tr align="left" valign="top">


    <td>1107</td>
    <td>15-08-2019</td>
    <td>016229</td>
    <td>SUMIRAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-10-1941</td>
    <td>77</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1108</td>
    <td>15-08-2019</td>
    <td>030996</td>
    <td>SAMINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1951</td>
    <td>67</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>1109</td>
    <td>15-08-2019</td>
    <td>006796</td>
    <td>PANIYO</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-03-1959</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002298023471</td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1110</td>
    <td>15-08-2019</td>
    <td>001633</td>
    <td>SUPIRAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-02-1940</td>
    <td>79</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0001045116393</td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1111</td>
    <td>15-08-2019</td>
    <td>001673</td>
    <td>TANIDJAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-03-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002632011715</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1112</td>
    <td>15-08-2019</td>
    <td>001682</td>
    <td>DAMINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-09-1943</td>
    <td>76</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1113</td>
    <td>15-08-2019</td>
    <td>030997</td>
    <td>YAKIN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1953</td>
    <td>66</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1114</td>
    <td>15-08-2019</td>
    <td>030998</td>
    <td>NGATINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1115</td>
    <td>15-08-2019</td>
    <td>030113</td>
    <td>PARNO</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1953</td>
    <td>65</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1116</td>
    <td>15-08-2019</td>
    <td>031001</td>
    <td>SADIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-11-1952</td>
    <td>66</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1117</td>
    <td>15-08-2019</td>
    <td>010807</td>
    <td>YATENI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1950</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1118</td>
    <td>15-08-2019</td>
    <td>031002</td>
    <td>SRI MURYATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-08-1972</td>
    <td>47</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1119</td>
    <td>15-08-2019</td>
    <td>031003</td>
    <td>SUWARNI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1956</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1120</td>
    <td>15-08-2019</td>
    <td>001602</td>
    <td>WAINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-07-1949</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0002809753648</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1121</td>
    <td>15-08-2019</td>
    <td>024128</td>
    <td>GUNARNI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1951</td>
    <td>67</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1122</td>
    <td>15-08-2019</td>
    <td>001635</td>
    <td>HJ. LUWES LINAWATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-1952</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1123</td>
    <td>15-08-2019</td>
    <td>024130</td>
    <td>SADIKUN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1948</td>
    <td>71</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1124</td>
    <td>15-08-2019</td>
    <td>001080</td>
    <td>SITI KOMARIYAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-10-1957</td>
    <td>61</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0001044706869</td>
    <td></td>
    <td align='center'>
    J12.1 </td>
    <td align='center'>
    Respiratory syncytial virus pneumonia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1125</td>
    <td>15-08-2019</td>
    <td>001670</td>
    <td>KATMIRAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1951</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1126</td>
    <td>15-08-2019</td>
    <td>031016</td>
    <td>YATMINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1943</td>
    <td>75</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1127</td>
    <td>15-08-2019</td>
    <td>022774</td>
    <td>JIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-06-1965</td>
    <td>54</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1128</td>
    <td>15-08-2019</td>
    <td>030990</td>
    <td>SUDARMIATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-10-1946</td>
    <td>72</td>
    <td>P</td>
    <td>PENSIUNAN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000107910494</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1129</td>
    <td>15-08-2019</td>
    <td>010807</td>
    <td>YATENI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1950</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1130</td>
    <td>15-08-2019</td>
    <td>016266</td>
    <td>NYAMIDI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-10-1972</td>
    <td>46</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002710675315</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1131</td>
    <td>15-08-2019</td>
    <td>001717</td>
    <td>GIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-1954</td>
    <td>64</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1132</td>
    <td>15-08-2019</td>
    <td>001720</td>
    <td>BASUKI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-1949</td>
    <td>69</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>
    </tr>

    <tr align="left" valign="top">


    <td>1133</td>
    <td>15-08-2019</td>
    <td>011521</td>
    <td>SURADJI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1951</td>
    <td>68</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1134</td>
    <td>15-08-2019</td>
    <td>031019</td>
    <td>DJUMIRAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-08-1931</td>
    <td>88</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1135</td>
    <td>15-08-2019</td>
    <td>006977</td>
    <td>TUMIJEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1950</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1136</td>
    <td>15-08-2019</td>
    <td>001819</td>
    <td>GAMINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1940</td>
    <td>79</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    D50 </td>
    <td align='center'>
    Iron deficiency anaemia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1137</td>
    <td>15-08-2019</td>
    <td>001714</td>
    <td>DAMIASIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1959</td>
    <td>60</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1138</td>
    <td>15-08-2019</td>
    <td>001711</td>
    <td>DJOTO</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-07-1951</td>
    <td>68</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1139</td>
    <td>15-08-2019</td>
    <td>001660</td>
    <td>SUTINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-1962</td>
    <td>56</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1140</td>
    <td>15-08-2019</td>
    <td>031022</td>
    <td>MARTINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1141</td>
    <td>19-08-2019</td>
    <td>031014</td>
    <td>SULISTIANI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-08-1982</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001178209258</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1142</td>
    <td>19-08-2019</td>
    <td>031010</td>
    <td>KASIYEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1143</td>
    <td>19-08-2019</td>
    <td>001701</td>
    <td>GUMIASIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1144</td>
    <td>19-08-2019</td>
    <td>001722</td>
    <td>KASEMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1145</td>
    <td>19-08-2019</td>
    <td>031013</td>
    <td>YUMIATI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>1146</td>
    <td>19-08-2019</td>
    <td>006975</td>
    <td>MUSINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1959</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1147</td>
    <td>19-08-2019</td>
    <td>001724</td>
    <td>MAINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-11-1958</td>
    <td>60</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1148</td>
    <td>19-08-2019</td>
    <td>020277</td>
    <td>YULIATIN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-03-1981</td>
    <td>38</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1149</td>
    <td>19-08-2019</td>
    <td>002211</td>
    <td>YATMIATUN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-05-1976</td>
    <td>43</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1150</td>
    <td>20-08-2019</td>
    <td>021491</td>
    <td>JARMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-09-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1151</td>
    <td>20-08-2019</td>
    <td>014175</td>
    <td>ENNY WULANDARI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-04-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1152</td>
    <td>20-08-2019</td>
    <td>031009</td>
    <td>EKA MEI WIJAYANTI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-05-1987</td>
    <td>32</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1153</td>
    <td>21-08-2019</td>
    <td>031004</td>
    <td>PARNYI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1964</td>
    <td>54</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1154</td>
    <td>21-08-2019</td>
    <td>001835</td>
    <td>SUMIJEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1963</td>
    <td>55</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1155</td>
    <td>22-08-2019</td>
    <td>017811</td>
    <td>JUMARMI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-10-1978</td>
    <td>40</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1156</td>
    <td>22-08-2019</td>
    <td>031006</td>
    <td>RESTANTI WURYANDARI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1157</td>
    <td>22-08-2019</td>
    <td>005296</td>
    <td>JULIANA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-07-1996</td>
    <td>23</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1158</td>
    <td>23-08-2019</td>
    <td>026429</td>
    <td>SUKARNI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-02-1978</td>
    <td>41</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>
    <tr align="left" valign="top">
    <td>1159</td>
    <td>23-08-2019</td>
    <td>021460</td>
    <td>KITRI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-04-1965</td>
    <td>54</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1160</td>
    <td>24-08-2019</td>
    <td>000887</td>
    <td>SUNARSIH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-04-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1161</td>
    <td>24-08-2019</td>
    <td>026389</td>
    <td>PUDJI ASTUTIK</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-04-1995</td>
    <td>24</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1162</td>
    <td>24-08-2019</td>
    <td>025621</td>
    <td>RUSTINI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-05-1977</td>
    <td>42</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes PUHKEREP</td>
    <td>BINTI ISTINSAROH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1163</td>
    <td>10-08-2019</td>
    <td>016267</td>
    <td>SITI ROWIYAH</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-11-1973</td>
    <td>45</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1164</td>
    <td>10-08-2019</td>
    <td>027105</td>
    <td>SULASTRI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-1968</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1165</td>
    <td>10-08-2019</td>
    <td>029202</td>
    <td>MARMI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1957</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1166</td>
    <td>10-08-2019</td>
    <td>003781</td>
    <td>MUSLIMAH</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1946</td>
    <td>72</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1167</td>
    <td>10-08-2019</td>
    <td>017588</td>
    <td>POEDJI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1944</td>
    <td>75</td>
    <td>L</td>
    <td>PENSIUNAN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1168</td>
    <td>10-08-2019</td>
    <td>008556</td>
    <td>SAMIRAH</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-04-1951</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1169</td>
    <td>10-08-2019</td>
    <td>027560</td>
    <td>PARMI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>
    </tr>

    <tr align="left" valign="top">


    <td>1170</td>
    <td>15-08-2019</td>
    <td>016674</td>
    <td>MARMI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1956</td>
    <td>62</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1171</td>
    <td>15-08-2019</td>
    <td>000668</td>
    <td>SUWADJI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-05-1953</td>
    <td>66</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1172</td>
    <td>15-08-2019</td>
    <td>000959</td>
    <td>PARTINAH</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1959</td>
    <td>60</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1173</td>
    <td>15-08-2019</td>
    <td>014088</td>
    <td>SUTINI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-09-1960</td>
    <td>58</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1174</td>
    <td>15-08-2019</td>
    <td>025959</td>
    <td>SUYONO</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1957</td>
    <td>62</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1175</td>
    <td>15-08-2019</td>
    <td>000961</td>
    <td>SUTARMI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1953</td>
    <td>66</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1176</td>
    <td>15-08-2019</td>
    <td>000958</td>
    <td>RIATI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-09-1968</td>
    <td>50</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1177</td>
    <td>15-08-2019</td>
    <td>000961</td>
    <td>SUTARMI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1953</td>
    <td>66</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1178</td>
    <td>15-08-2019</td>
    <td>000673</td>
    <td>SUMINI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-04-1953</td>
    <td>66</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1179</td>
    <td>15-08-2019</td>
    <td>012434</td>
    <td>BASINEM</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-07-1960</td>
    <td>59</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1180</td>
    <td>15-08-2019</td>
    <td>016127</td>
    <td>WARSIDI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-02-1963</td>
    <td>56</td>
    <td>L</td>
    <td>PEDAGANG</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1181</td>
    <td>15-08-2019</td>
    <td>000773</td>
    <td>BEWANTORO</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1965</td>
    <td>54</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1182</td>
    <td>15-08-2019</td>
    <td>002523</td>
    <td>DARMI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>
    <tr align="left" valign="top">
    <td>1183</td>
    <td>15-08-2019</td>
    <td>002527</td>
    <td>DARWI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1961</td>
    <td>58</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1184</td>
    <td>15-08-2019</td>
    <td>000659</td>
    <td>SARIYEM</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1185</td>
    <td>15-08-2019</td>
    <td>000961</td>
    <td>SUTARMI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1953</td>
    <td>66</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1186</td>
    <td>15-08-2019</td>
    <td>000663</td>
    <td>PURWANTI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-04-1965</td>
    <td>54</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1187</td>
    <td>15-08-2019</td>
    <td>000671</td>
    <td>KAMSITI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-1967</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1188</td>
    <td>15-08-2019</td>
    <td>002519</td>
    <td>YADINEM</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1937</td>
    <td>82</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1189</td>
    <td>15-08-2019</td>
    <td>002520</td>
    <td>PARIASIH</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-12-1966</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1190</td>
    <td>15-08-2019</td>
    <td>029888</td>
    <td>SUPONO</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-08-1965</td>
    <td>54</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1191</td>
    <td>15-08-2019</td>
    <td>017825</td>
    <td>SIRANTO</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-09-1942</td>
    <td>77</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1192</td>
    <td>15-08-2019</td>
    <td>025953</td>
    <td>WARSI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes SETREN</td>
    <td>BINTI KHOIRIYATIN</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1193</td>
    <td>05-08-2019</td>
    <td>000435</td>
    <td>SITI ARIFAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-01-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>
    </tr>

    <tr align="left" valign="top">


    <td>1194</td>
    <td>05-08-2019</td>
    <td>016713</td>
    <td>PURWATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-1989</td>
    <td>30</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1195</td>
    <td>05-08-2019</td>
    <td>017547</td>
    <td>MUNASRI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-1974</td>
    <td>45</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1196</td>
    <td>05-08-2019</td>
    <td>000581</td>
    <td>SITI NUR HIDAYAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-03-1986</td>
    <td>33</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1197</td>
    <td>05-08-2019</td>
    <td>013586</td>
    <td>TRIANA AGUSTINA</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-08-1985</td>
    <td>34</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1198</td>
    <td>05-08-2019</td>
    <td>000336</td>
    <td>SUHARTIK</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-03-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1199</td>
    <td>05-08-2019</td>
    <td>030296</td>
    <td>PURNOMOWATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-11-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1200</td>
    <td>05-08-2019</td>
    <td>009766</td>
    <td>SUMIATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1976</td>
    <td>43</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1201</td>
    <td>05-08-2019</td>
    <td>007037</td>
    <td>ALFIAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-10-1969</td>
    <td>49</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0001834462563</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1202</td>
    <td>05-08-2019</td>
    <td>006068</td>
    <td>TRI SIYANIK</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-08-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0000736442763</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1203</td>
    <td>05-08-2019</td>
    <td>022565</td>
    <td>SITI NURKHAYATUN</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-07-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002266210642</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1204</td>
    <td>05-08-2019</td>
    <td>000449</td>
    <td>PARSITI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-11-1974</td>
    <td>44</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736434461</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1205</td>
    <td>05-08-2019</td>
    <td>011754</td>
    <td>SITI SALAMAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-01-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736021181</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1206</td>
    <td>05-08-2019</td>
    <td>007086</td>
    <td>SITI KARMIANITIATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-09-1993</td>
    <td>26</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001820137904</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>
    <tr align="left" valign="top">
    <td>1207</td>
    <td>05-08-2019</td>
    <td>000312</td>
    <td>NURYANAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-02-1989</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1208</td>
    <td>05-08-2019</td>
    <td>023880</td>
    <td>AYU WAHYUNINGTYAS</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI BUMN</td>
    <td>0001173411281</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1209</td>
    <td>05-08-2019</td>
    <td>006105</td>
    <td>ESTI SETIYO RANI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-09-1993</td>
    <td>25</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1210</td>
    <td>05-08-2019</td>
    <td>000344</td>
    <td>SUTARMINI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-09-1978</td>
    <td>40</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045136913</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1211</td>
    <td>05-08-2019</td>
    <td>005454</td>
    <td>PIPIN TRI WINARNI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-03-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002500774593</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1212</td>
    <td>05-08-2019</td>
    <td>000532</td>
    <td>ERLIE ANAWATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-11-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1213</td>
    <td>05-08-2019</td>
    <td>003270</td>
    <td>SITI AMINAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-07-1982</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>1214</td>
    <td>05-08-2019</td>
    <td>018927</td>
    <td>NUR ROCHMAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1985</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>1215</td>
    <td>05-08-2019</td>
    <td>030295</td>
    <td>NUNUNG FANANI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-02-1984</td>
    <td>35</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002880115492</td>
    <td></td>
    <td align='center'>
    Z30.0 </td>
    <td align='center'>
    General counselling and advice on contraception </td>

    </tr>

    <tr align="left" valign="top">


    <td>1216</td>
    <td>08-08-2019</td>
    <td>000642</td>
    <td>SUMARMI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-05-1976</td>
    <td>43</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001174517054</td>
    <td></td>
    <td align='center'>
    Z01.2 </td>
    <td align='center'>
    Dental examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1217</td>
    <td>08-08-2019</td>
    <td>009653</td>
    <td>WIDARTI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-10-1981</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736435179</td>
    <td></td>
    <td align='center'>
    L98 </td>
    <td align='center'>
    Other disorders of skin and subcutaneous tissue, not elsewhere
    classified </td>
    </tr>

    <tr align="left" valign="top">


    <td>1218</td>
    <td>08-08-2019</td>
    <td>029680</td>
    <td>ENDAH RATNA WATI, SE</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1972</td>
    <td>47</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001320608441</td>
    <td></td>
    <td align='center'>
    J45.9 </td>
    <td align='center'>
    Asthma, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1219</td>
    <td>08-08-2019</td>
    <td>006055</td>
    <td>NOFIA GITA RUKMANA</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-1996</td>
    <td>22</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0000736383598</td>
    <td></td>
    <td align='center'>
    Z01.2 </td>
    <td align='center'>
    Dental examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1220</td>
    <td>08-08-2019</td>
    <td>030296</td>
    <td>PURNOMOWATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-11-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.2 </td>
    <td align='center'>
    Dental examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1221</td>
    <td>08-08-2019</td>
    <td>000510</td>
    <td>NGUDAWATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-05-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1222</td>
    <td>08-08-2019</td>
    <td>000526</td>
    <td>YAYUK PUJIATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-07-1977</td>
    <td>42</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0000172162888</td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1223</td>
    <td>08-08-2019</td>
    <td>009583</td>
    <td>NURHAYATI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-11-1974</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.2 </td>
    <td align='center'>
    Dental examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1224</td>
    <td>13-08-2019</td>
    <td>000590</td>
    <td>PARTINI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-04-1990</td>
    <td>29</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.2 </td>
    <td align='center'>
    Dental examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1225</td>
    <td>13-08-2019</td>
    <td>015926</td>
    <td>IKA SRI MUSYAROFAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-10-2001</td>
    <td>17</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.2 </td>
    <td align='center'>
    Dental examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1226</td>
    <td>13-08-2019</td>
    <td>000447</td>
    <td>SUYANTI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-05-1993</td>
    <td>26</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J45.9 </td>
    <td align='center'>
    Asthma, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1227</td>
    <td>13-08-2019</td>
    <td>006883</td>
    <td>AMIUN ULFA</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-09-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1228</td>
    <td>13-08-2019</td>
    <td>000303</td>
    <td>SUNARNI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M13 </td>
    <td align='center'>
    Other arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1229</td>
    <td>13-08-2019</td>
    <td>006082</td>
    <td>JUMINTARTI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-05-1987</td>
    <td>32</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1230</td>
    <td>13-08-2019</td>
    <td>013764</td>
    <td>AZKADINA NADIAH HARNANDA AZZAHRO</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-03-2017</td>
    <td>2</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L98 </td>
    <td align='center'>
    Other disorders of skin and subcutaneous tissue, not elsewhere
    classified </td>

    </tr>
    <tr align="left" valign="top">
    <td>1231</td>
    <td>13-08-2019</td>
    <td>017353</td>
    <td>RUMINAH</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1965</td>
    <td>54</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L98 </td>
    <td align='center'>
    Other disorders of skin and subcutaneous tissue, not elsewhere
    classified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1232</td>
    <td>13-08-2019</td>
    <td>000584</td>
    <td>ANDHITA AYU NULIYON IDA PS</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-08-1990</td>
    <td>29</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L98 </td>
    <td align='center'>
    Other disorders of skin and subcutaneous tissue, not elsewhere
    classified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1233</td>
    <td>13-08-2019</td>
    <td>015929</td>
    <td>MOHAMMAD HAIKAL RIKY WIBOWO</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-10-2011</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1234</td>
    <td>13-08-2019</td>
    <td>006773</td>
    <td>BINTI MASRIATIN</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>1235</td>
    <td>13-08-2019</td>
    <td>017350</td>
    <td>TUTIK NUR INDAHSARI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-06-1991</td>
    <td>28</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1236</td>
    <td>13-08-2019</td>
    <td>013502</td>
    <td>JASMINI</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-06-1979</td>
    <td>40</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TALANG</td>
    <td>TRIANA SIHRAHMAWATI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L98 </td>
    <td align='center'>
    Other disorders of skin and subcutaneous tissue, not elsewhere
    classified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1237</td>
    <td>31-08-2019</td>
    <td>002127</td>
    <td>DINA ASTUTIK</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-03-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1238</td>
    <td>31-08-2019</td>
    <td>002126</td>
    <td>NYAMI ASTUTIK</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-12-1988</td>
    <td>30</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1239</td>
    <td>31-08-2019</td>
    <td>028280</td>
    <td>DINA NOVITASARI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-10-2002</td>
    <td>16</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1240</td>
    <td>31-08-2019</td>
    <td>013867</td>
    <td>REDO MARDHANA ADINATA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-02-2017</td>
    <td>2</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1241</td>
    <td>31-08-2019</td>
    <td>012436</td>
    <td>NYAMIRAH</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-03-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1242</td>
    <td>31-08-2019</td>
    <td>006920</td>
    <td>JAMINTEN</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1243</td>
    <td>31-08-2019</td>
    <td>006920</td>
    <td>JAMINTEN</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>1244</td>
    <td>31-08-2019</td>
    <td>011318</td>
    <td>DELVIA WIDY ALFIANA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-12-1999</td>
    <td>19</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1245</td>
    <td>31-08-2019</td>
    <td>006865</td>
    <td>LISWATI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1970</td>
    <td>49</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1246</td>
    <td>31-08-2019</td>
    <td>006886</td>
    <td>LAMIDI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-01-1980</td>
    <td>39</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1247</td>
    <td>31-08-2019</td>
    <td>011353</td>
    <td>DARSONO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-11-1951</td>
    <td>67</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1248</td>
    <td>31-08-2019</td>
    <td>011353</td>
    <td>DARSONO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-11-1951</td>
    <td>67</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1249</td>
    <td>31-08-2019</td>
    <td>013868</td>
    <td>JUARI ANDIKA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-02-1984</td>
    <td>35</td>
    <td>L</td>
    <td>SOPIR</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1250</td>
    <td>31-08-2019</td>
    <td>001256</td>
    <td>AMAT AMAN SUHERI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1976</td>
    <td>43</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1251</td>
    <td>31-08-2019</td>
    <td>013866</td>
    <td>HERI SUSANTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-07-1998</td>
    <td>21</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1252</td>
    <td>31-08-2019</td>
    <td>024315</td>
    <td>SUMIATININGSIH</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-10-1984</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1253</td>
    <td>31-08-2019</td>
    <td>002144</td>
    <td>HARMINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-08-1975</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1254</td>
    <td>31-08-2019</td>
    <td>001320</td>
    <td>ERNA WATI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1989</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1255</td>
    <td>31-08-2019</td>
    <td>005335</td>
    <td>EDI SUDARMINTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-02-1988</td>
    <td>31</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1256</td>
    <td>31-08-2019</td>
    <td>013879</td>
    <td>DANA AMIN TOYO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-08-1995</td>
    <td>24</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1257</td>
    <td>31-08-2019</td>
    <td>013879</td>
    <td>DANA AMIN TOYO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-08-1995</td>
    <td>24</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1258</td>
    <td>31-08-2019</td>
    <td>011385</td>
    <td>ANIK PURWATI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-03-1985</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06.0 </td>
    <td align='center'>
    Seronegative rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1259</td>
    <td>31-08-2019</td>
    <td>011316</td>
    <td>WAHYU PURNOKO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-08-1994</td>
    <td>25</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1260</td>
    <td>31-08-2019</td>
    <td>001351</td>
    <td>MAMIK PUJIASTUTI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-10-1984</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1261</td>
    <td>31-08-2019</td>
    <td>002132</td>
    <td>AGUNG SUPRAPTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-08-1987</td>
    <td>32</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1262</td>
    <td>31-08-2019</td>
    <td>013860</td>
    <td>AGUNG SUSANTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-08-1996</td>
    <td>23</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1263</td>
    <td>31-08-2019</td>
    <td>011344</td>
    <td>RIZKI AGUNG PRASETYO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-2004</td>
    <td>15</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1264</td>
    <td>31-08-2019</td>
    <td>001325</td>
    <td>MIRA AYU SUSANTI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-03-1989</td>
    <td>30</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1265</td>
    <td>31-08-2019</td>
    <td>012897</td>
    <td>AMANDA FITRI RAHMADANI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-10-2008</td>
    <td>10</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1266</td>
    <td>31-08-2019</td>
    <td>002137</td>
    <td>YULI ASTUTIK</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1992</td>
    <td>26</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1267</td>
    <td>31-08-2019</td>
    <td>012893</td>
    <td>MOCHAMMAD MUSLIM</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-08-1960</td>
    <td>59</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>
    <tr align="left" valign="top">
    <td>1268</td>
    <td>31-08-2019</td>
    <td>001303</td>
    <td>SUPATMI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1976</td>
    <td>43</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1269</td>
    <td>31-08-2019</td>
    <td>005246</td>
    <td>ALFAN DIDAN SEPTIANDRI ARGANDI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-09-2001</td>
    <td>17</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1270</td>
    <td>31-08-2019</td>
    <td>012890</td>
    <td>DELLA REVI MONIKA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-12-2010</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1271</td>
    <td>31-08-2019</td>
    <td>013873</td>
    <td>SEPTIA DELLA FRANCISKA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-09-1997</td>
    <td>22</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1272</td>
    <td>31-08-2019</td>
    <td>012881</td>
    <td>CHUROTUL AYUNI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-03-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1273</td>
    <td>31-08-2019</td>
    <td>012881</td>
    <td>CHUROTUL AYUNI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-03-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1274</td>
    <td>31-08-2019</td>
    <td>012910</td>
    <td>DINDA MAYANG AYU RASTIWI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-2011</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1275</td>
    <td>31-08-2019</td>
    <td>011374</td>
    <td>INTAN AYU JULIYA PERTIWI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-07-2011</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1276</td>
    <td>31-08-2019</td>
    <td>011374</td>
    <td>INTAN AYU JULIYA PERTIWI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-07-2011</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1277</td>
    <td>31-08-2019</td>
    <td>002125</td>
    <td>SINDI ROZILIA HARMANTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-03-2001</td>
    <td>18</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1278</td>
    <td>31-08-2019</td>
    <td>009300</td>
    <td>SULIONO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1966</td>
    <td>53</td>
    <td>L</td>
    <td>SOPIR</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>
    </tr>

    <tr align="left" valign="top">


    <td>1279</td>
    <td>31-08-2019</td>
    <td>009300</td>
    <td>SULIONO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1966</td>
    <td>53</td>
    <td>L</td>
    <td>SOPIR</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1280</td>
    <td>31-08-2019</td>
    <td>009295</td>
    <td>SUMINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-03-1961</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1281</td>
    <td>31-08-2019</td>
    <td>005301</td>
    <td>SUMINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1282</td>
    <td>31-08-2019</td>
    <td>012441</td>
    <td>MARSINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1951</td>
    <td>67</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1283</td>
    <td>31-08-2019</td>
    <td>005319</td>
    <td>BAMBANG YUNANTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-07-1982</td>
    <td>37</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1284</td>
    <td>31-08-2019</td>
    <td>001315</td>
    <td>SITI UMARIYAH</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-03-1983</td>
    <td>36</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1285</td>
    <td>31-08-2019</td>
    <td>005228</td>
    <td>SLAMET WIDODO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-12-1986</td>
    <td>32</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1286</td>
    <td>31-08-2019</td>
    <td>012445</td>
    <td>SUPARNI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1287</td>
    <td>31-08-2019</td>
    <td>012443</td>
    <td>WARSITO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-05-1969</td>
    <td>50</td>
    <td>L</td>
    <td>SOPIR</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1288</td>
    <td>31-08-2019</td>
    <td>012442</td>
    <td>PAIDI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1942</td>
    <td>76</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1289</td>
    <td>31-08-2019</td>
    <td>024309</td>
    <td>GAGUK TRI CAHYANA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-04-1994</td>
    <td>25</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1290</td>
    <td>31-08-2019</td>
    <td>001287</td>
    <td>HARI SUCIATI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-09-1975</td>
    <td>43</td>
    <td>P</td>
    <td>KARYAWAN HONORER</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1291</td>
    <td>31-08-2019</td>
    <td>002144</td>
    <td>HARMINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-08-1975</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>
    <tr align="left" valign="top">
    <td>1292</td>
    <td>31-08-2019</td>
    <td>002131</td>
    <td>LAMIJO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-1950</td>
    <td>69</td>
    <td>L</td>
    <td>PENSIUNAN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1293</td>
    <td>31-08-2019</td>
    <td>006920</td>
    <td>JAMINTEN</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1294</td>
    <td>31-08-2019</td>
    <td>012446</td>
    <td>PRAPTININGSIH</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-08-1994</td>
    <td>25</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1295</td>
    <td>31-08-2019</td>
    <td>014807</td>
    <td>VITA INTIYA AMANDA PUTRI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-10-2004</td>
    <td>14</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1296</td>
    <td>31-08-2019</td>
    <td>001229</td>
    <td>SARMINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-02-1956</td>
    <td>63</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1297</td>
    <td>31-08-2019</td>
    <td>001115</td>
    <td>WASIYEM</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1298</td>
    <td>31-08-2019</td>
    <td>002145</td>
    <td>GAMIJAN</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-05-1976</td>
    <td>43</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1299</td>
    <td>31-08-2019</td>
    <td>013860</td>
    <td>AGUNG SUSANTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-08-1996</td>
    <td>23</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1300</td>
    <td>31-08-2019</td>
    <td>002132</td>
    <td>AGUNG SUPRAPTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-08-1987</td>
    <td>32</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1301</td>
    <td>31-08-2019</td>
    <td>011344</td>
    <td>RIZKI AGUNG PRASETYO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-2004</td>
    <td>15</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1302</td>
    <td>31-08-2019</td>
    <td>001710</td>
    <td>LULUK SRIONO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-08-1983</td>
    <td>36</td>
    <td>L</td>
    <td>SOPIR</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>1303</td>
    <td>31-08-2019</td>
    <td>005321</td>
    <td>PONI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1934</td>
    <td>85</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1304</td>
    <td>31-08-2019</td>
    <td>005294</td>
    <td>JUNARTI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-01-1993</td>
    <td>26</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1305</td>
    <td>31-08-2019</td>
    <td>012448</td>
    <td>LAMINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-1976</td>
    <td>43</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1306</td>
    <td>31-08-2019</td>
    <td>017724</td>
    <td>LAMINI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-07-1985</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1307</td>
    <td>31-08-2019</td>
    <td>005237</td>
    <td>DARYONO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-04-1981</td>
    <td>38</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1308</td>
    <td>31-08-2019</td>
    <td>012879</td>
    <td>SITI UTAMI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-06-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1309</td>
    <td>31-08-2019</td>
    <td>026453</td>
    <td>SITI UMI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-05-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1310</td>
    <td>31-08-2019</td>
    <td>001315</td>
    <td>SITI UMARIYAH</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-03-1983</td>
    <td>36</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1311</td>
    <td>31-08-2019</td>
    <td>006876</td>
    <td>SUPARMAN</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1951</td>
    <td>68</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1312</td>
    <td>31-08-2019</td>
    <td>011350</td>
    <td>GANDIANTO</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-07-1982</td>
    <td>37</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1313</td>
    <td>31-08-2019</td>
    <td>001354</td>
    <td>VERONICA VERAWATI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-11-1987</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1314</td>
    <td>31-08-2019</td>
    <td>022630</td>
    <td>PASRI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-06-1981</td>
    <td>38</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1315</td>
    <td>31-08-2019</td>
    <td>011386</td>
    <td>SRI AGUSTINA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1989</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1316</td>
    <td>31-08-2019</td>
    <td>013864</td>
    <td>LILIS SRI HANDAYANI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-1987</td>
    <td>32</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1317</td>
    <td>31-08-2019</td>
    <td>001287</td>
    <td>HARI SUCIATI</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-09-1975</td>
    <td>43</td>
    <td>P</td>
    <td>KARYAWAN HONORER</td>
    <td>Polindes TRITIK</td>
    <td>SRI WULANDARI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I15 </td>
    <td align='center'>
    Secondary hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1318</td>
    <td>01-08-2019</td>
    <td>000547</td>
    <td>JEPRI NURCAHYONO</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-06-1997</td>
    <td>22</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1319</td>
    <td>01-08-2019</td>
    <td>000587</td>
    <td>SULISTIYOWATI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-03-1975</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1320</td>
    <td>01-08-2019</td>
    <td>000589</td>
    <td>AHMAD THORIQ MUSYADIQ</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-03-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1321</td>
    <td>01-08-2019</td>
    <td>000596</td>
    <td>SUNDARI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-04-1978</td>
    <td>41</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1322</td>
    <td>01-08-2019</td>
    <td>000610</td>
    <td>SITI NUR SUSANTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-11-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1323</td>
    <td>01-08-2019</td>
    <td>000610</td>
    <td>SITI NUR SUSANTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-11-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1324</td>
    <td>01-08-2019</td>
    <td>000617</td>
    <td>PAINI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1962</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1325</td>
    <td>01-08-2019</td>
    <td>000680</td>
    <td>MURTINI DWI ISTIANI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-05-1985</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1326</td>
    <td>01-08-2019</td>
    <td>000684</td>
    <td>AISYAH SALSABILA FIRDAUS</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-09-2014</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>1327</td>
    <td>01-08-2019</td>
    <td>000684</td>
    <td>AISYAH SALSABILA FIRDAUS</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-09-2014</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1328</td>
    <td>01-08-2019</td>
    <td>000687</td>
    <td>RUMILAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-09-1972</td>
    <td>46</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1329</td>
    <td>01-08-2019</td>
    <td>000689</td>
    <td>YASRIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-10-1970</td>
    <td>48</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1330</td>
    <td>01-08-2019</td>
    <td>000690</td>
    <td>ANJILIN</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1980</td>
    <td>39</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1331</td>
    <td>01-08-2019</td>
    <td>000691</td>
    <td>KASIYEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-09-1949</td>
    <td>69</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1332</td>
    <td>01-08-2019</td>
    <td>000693</td>
    <td>SRI SETYOWATI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-07-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1333</td>
    <td>01-08-2019</td>
    <td>000693</td>
    <td>SRI SETYOWATI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-07-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1334</td>
    <td>01-08-2019</td>
    <td>000695</td>
    <td>SAIJAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1943</td>
    <td>76</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1335</td>
    <td>01-08-2019</td>
    <td>000696</td>
    <td>SUDARMIATI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735644676</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1336</td>
    <td>01-08-2019</td>
    <td>000697</td>
    <td>SARTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-08-1956</td>
    <td>63</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1337</td>
    <td>01-08-2019</td>
    <td>000700</td>
    <td>SARTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-10-1944</td>
    <td>74</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>
    </tr>

    <tr align="left" valign="top">


    <td>1338</td>
    <td>01-08-2019</td>
    <td>000701</td>
    <td>NYAMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-08-1953</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045147206</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1339</td>
    <td>02-08-2019</td>
    <td>026576</td>
    <td>WINDA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1990</td>
    <td>29</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1340</td>
    <td>02-08-2019</td>
    <td>026577</td>
    <td>PARTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1966</td>
    <td>53</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1341</td>
    <td>02-08-2019</td>
    <td>026579</td>
    <td>SRI JUARIYAH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>04-09-1985</td>
    <td>34</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1342</td>
    <td>02-08-2019</td>
    <td>026580</td>
    <td>SUNARDI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1961</td>
    <td>58</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1343</td>
    <td>02-08-2019</td>
    <td>026581</td>
    <td>SIKEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1962</td>
    <td>57</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1344</td>
    <td>02-08-2019</td>
    <td>026582</td>
    <td>AHMAD RAFAEL</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1999</td>
    <td>20</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1345</td>
    <td>02-08-2019</td>
    <td>026582</td>
    <td>AHMAD RAFAEL</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1999</td>
    <td>20</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1346</td>
    <td>02-08-2019</td>
    <td>026584</td>
    <td>YATMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1993</td>
    <td>26</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1347</td>
    <td>02-08-2019</td>
    <td>026584</td>
    <td>YATMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1993</td>
    <td>26</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1348</td>
    <td>02-08-2019</td>
    <td>026586</td>
    <td>HERLINA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1989</td>
    <td>30</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1349</td>
    <td>02-08-2019</td>
    <td>026587</td>
    <td>BAYI NY SUARTI</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-04-2019</td>
    <td>0</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1350</td>
    <td>02-08-2019</td>
    <td>002689</td>
    <td>SUPIYAH</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1943</td>
    <td>75</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>1351</td>
    <td>02-08-2019</td>
    <td>026557</td>
    <td>LASEMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1352</td>
    <td>02-08-2019</td>
    <td>026563</td>
    <td>DWI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1983</td>
    <td>36</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1353</td>
    <td>02-08-2019</td>
    <td>026573</td>
    <td>NYAMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1354</td>
    <td>02-08-2019</td>
    <td>026577</td>
    <td>PARTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1966</td>
    <td>53</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1355</td>
    <td>02-08-2019</td>
    <td>026579</td>
    <td>SRI JUARIYAH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>04-09-1985</td>
    <td>34</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1356</td>
    <td>02-08-2019</td>
    <td>026579</td>
    <td>SRI JUARIYAH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>04-09-1985</td>
    <td>34</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1357</td>
    <td>02-08-2019</td>
    <td>026558</td>
    <td>KATEMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1944</td>
    <td>75</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1358</td>
    <td>02-08-2019</td>
    <td>026584</td>
    <td>YATMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1993</td>
    <td>26</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1359</td>
    <td>02-08-2019</td>
    <td>000727</td>
    <td>SITI NUR QOIYAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-10-1985</td>
    <td>33</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1360</td>
    <td>02-08-2019</td>
    <td>005658</td>
    <td>CAHYO DWI SAPUTRA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-05-2016</td>
    <td>3</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J10 </td>
    <td align='center'>
    Influenza due to other identified influenza virus </td>

    </tr>

    <tr align="left" valign="top">


    <td>1361</td>
    <td>02-08-2019</td>
    <td>026526</td>
    <td>ARVINA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2017</td>
    <td>2</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.0 </td>
    <td align='center'>
    Influenza with pneumonia, virus not identified </td>
    </tr>

    <tr align="left" valign="top">


    <td>1362</td>
    <td>02-08-2019</td>
    <td>026547</td>
    <td>SUKIJAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1936</td>
    <td>83</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1363</td>
    <td>02-08-2019</td>
    <td>026548</td>
    <td>SARIMAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1364</td>
    <td>02-08-2019</td>
    <td>026549</td>
    <td>JARIKEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1365</td>
    <td>02-08-2019</td>
    <td>026549</td>
    <td>JARIKEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1366</td>
    <td>02-08-2019</td>
    <td>026650</td>
    <td>SRI UTAMI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1962</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1367</td>
    <td>02-08-2019</td>
    <td>026537</td>
    <td>EKA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2014</td>
    <td>5</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.0 </td>
    <td align='center'>
    Influenza with pneumonia, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1368</td>
    <td>02-08-2019</td>
    <td>026539</td>
    <td>PANIYAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1369</td>
    <td>02-08-2019</td>
    <td>026539</td>
    <td>PANIYAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1370</td>
    <td>02-08-2019</td>
    <td>026541</td>
    <td>SEVINA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1995</td>
    <td>24</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1371</td>
    <td>02-08-2019</td>
    <td>026542</td>
    <td>SUDARMIATI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1964</td>
    <td>55</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1372</td>
    <td>02-08-2019</td>
    <td>026543</td>
    <td>SRI M</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1971</td>
    <td>48</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1373</td>
    <td>02-08-2019</td>
    <td>026544</td>
    <td>AGUS P</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1986</td>
    <td>33</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1374</td>
    <td>02-08-2019</td>
    <td>026543</td>
    <td>SRI M</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1971</td>
    <td>48</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>
    <tr align="left" valign="top">
    <td>1375</td>
    <td>02-08-2019</td>
    <td>026545</td>
    <td>NABILA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2007</td>
    <td>12</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1376</td>
    <td>02-08-2019</td>
    <td>026545</td>
    <td>NABILA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2007</td>
    <td>12</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1377</td>
    <td>02-08-2019</td>
    <td>026546</td>
    <td>WELAS</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1927</td>
    <td>92</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1378</td>
    <td>02-08-2019</td>
    <td>026527</td>
    <td>SUHARMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1983</td>
    <td>36</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1379</td>
    <td>02-08-2019</td>
    <td>026527</td>
    <td>SUHARMI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1983</td>
    <td>36</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1380</td>
    <td>02-08-2019</td>
    <td>026528</td>
    <td>DINDA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2009</td>
    <td>10</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1381</td>
    <td>02-08-2019</td>
    <td>026528</td>
    <td>DINDA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2009</td>
    <td>10</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1382</td>
    <td>02-08-2019</td>
    <td>026530</td>
    <td>M ALBIZAR</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2016</td>
    <td>3</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1383</td>
    <td>02-08-2019</td>
    <td>026531</td>
    <td>JIHAN</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2015</td>
    <td>4</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1384</td>
    <td>02-08-2019</td>
    <td>026531</td>
    <td>JIHAN</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2015</td>
    <td>4</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1385</td>
    <td>02-08-2019</td>
    <td>026532</td>
    <td>DAMINI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1968</td>
    <td>51</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>
    </tr>

    <tr align="left" valign="top">


    <td>1386</td>
    <td>02-08-2019</td>
    <td>026533</td>
    <td>SUKARTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1970</td>
    <td>49</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1387</td>
    <td>02-08-2019</td>
    <td>026533</td>
    <td>SUKARTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1970</td>
    <td>49</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1388</td>
    <td>02-08-2019</td>
    <td>026535</td>
    <td>TUMIJAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1966</td>
    <td>53</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1389</td>
    <td>02-08-2019</td>
    <td>026536</td>
    <td>VINA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1991</td>
    <td>28</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1390</td>
    <td>02-08-2019</td>
    <td>026537</td>
    <td>EKA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2014</td>
    <td>5</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1391</td>
    <td>02-08-2019</td>
    <td>026538</td>
    <td>SUNARDI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1959</td>
    <td>60</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1392</td>
    <td>02-08-2019</td>
    <td>026539</td>
    <td>PANIYAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1393</td>
    <td>02-08-2019</td>
    <td>026539</td>
    <td>PANIYAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1394</td>
    <td>02-08-2019</td>
    <td>026539</td>
    <td>PANIYAH</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1395</td>
    <td>02-08-2019</td>
    <td>026540</td>
    <td>SRI S</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1974</td>
    <td>45</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1396</td>
    <td>02-08-2019</td>
    <td>026542</td>
    <td>SUDARMIATI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1964</td>
    <td>55</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1397</td>
    <td>02-08-2019</td>
    <td>026543</td>
    <td>SRI M</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1971</td>
    <td>48</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1398</td>
    <td>02-08-2019</td>
    <td>026544</td>
    <td>AGUS P</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1986</td>
    <td>33</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>1399</td>
    <td>02-08-2019</td>
    <td>026545</td>
    <td>NABILA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-2007</td>
    <td>12</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1400</td>
    <td>02-08-2019</td>
    <td>026546</td>
    <td>WELAS</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1927</td>
    <td>92</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1401</td>
    <td>02-08-2019</td>
    <td>026549</td>
    <td>JARIKEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KUNJUNGAN KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1402</td>
    <td>02-08-2019</td>
    <td>026549</td>
    <td>JARIKEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1403</td>
    <td>02-08-2019</td>
    <td>026549</td>
    <td>JARIKEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1404</td>
    <td>02-08-2019</td>
    <td>026549</td>
    <td>JARIKEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1405</td>
    <td>02-08-2019</td>
    <td>026550</td>
    <td>MUSINI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1406</td>
    <td>02-08-2019</td>
    <td>026562</td>
    <td>AYU</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1993</td>
    <td>26</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1407</td>
    <td>02-08-2019</td>
    <td>026564</td>
    <td>MUJIYEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1951</td>
    <td>68</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1408</td>
    <td>02-08-2019</td>
    <td>026575</td>
    <td>JUMINI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1965</td>
    <td>54</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1409</td>
    <td>02-08-2019</td>
    <td>026576</td>
    <td>WINDA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1990</td>
    <td>29</td>
    <td>P</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>
    </tr>

    <tr align="left" valign="top">


    <td>1410</td>
    <td>02-08-2019</td>
    <td>026577</td>
    <td>PARTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1966</td>
    <td>53</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1411</td>
    <td>02-08-2019</td>
    <td>026578</td>
    <td>SUWINTO</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1962</td>
    <td>57</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1412</td>
    <td>02-08-2019</td>
    <td>026568</td>
    <td>SARIKEM</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1963</td>
    <td>56</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1413</td>
    <td>02-08-2019</td>
    <td>026567</td>
    <td>JAINI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1964</td>
    <td>55</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1414</td>
    <td>29-08-2019</td>
    <td>030811</td>
    <td>HENDRI KANTINING</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-11-1987</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1415</td>
    <td>29-08-2019</td>
    <td>030371</td>
    <td>DWI PRASTIKA SARI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1997</td>
    <td>22</td>
    <td>P</td>
    <td>-</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1416</td>
    <td>29-08-2019</td>
    <td>030306</td>
    <td>RADINKA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-02-2017</td>
    <td>2</td>
    <td>L</td>
    <td>-</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1417</td>
    <td>29-08-2019</td>
    <td>030139</td>
    <td>VIRYA ANGGRAINI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-04-2013</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1418</td>
    <td>29-08-2019</td>
    <td>026577</td>
    <td>PARTI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1966</td>
    <td>53</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1419</td>
    <td>29-08-2019</td>
    <td>026578</td>
    <td>SUWINTO</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-04-1962</td>
    <td>57</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Polindes WENGKAL</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1420</td>
    <td>01-08-2019</td>
    <td>002239</td>
    <td>SUMINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-10-1978</td>
    <td>40</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737213872</td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>1421</td>
    <td>01-08-2019</td>
    <td>030180</td>
    <td>SEMIANI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-09-1976</td>
    <td>42</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735519701</td>
    <td></td>
    <td align='center'>
    L98 </td>
    <td align='center'>
    Other disorders of skin and subcutaneous tissue, not elsewhere
    classified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1422</td>
    <td>01-08-2019</td>
    <td>000686</td>
    <td>TAMINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1972</td>
    <td>46</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736235357</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>
    <tr align="left" valign="top">
    <td>1423</td>
    <td>05-08-2019</td>
    <td>007045</td>
    <td>SUDARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-03-1971</td>
    <td>48</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737349783</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1424</td>
    <td>05-08-2019</td>
    <td>012015</td>
    <td>RITMA PUJI DEWI</td>
    <td>PANDEAN</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>13-09-1997</td>
    <td>21</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735486524</td>
    <td></td>
    <td align='center'>
    Z30.4 </td>
    <td align='center'>
    Surveillance of contraceptive drugs </td>

    </tr>

    <tr align="left" valign="top">


    <td>1425</td>
    <td>05-08-2019</td>
    <td>011822</td>
    <td>DEVIN MEYJUNA HARJI SAPUTRA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-2014</td>
    <td>5</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809731442</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1426</td>
    <td>06-08-2019</td>
    <td>030803</td>
    <td>BRIAN BAGUS</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-04-2015</td>
    <td>4</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09.0 </td>
    <td align='center'>
    Other and unspecified gastroenteritis and colitis of infectious origin
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1427</td>
    <td>06-08-2019</td>
    <td>030103</td>
    <td>SYAFEA FATIHA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1970</td>
    <td>49</td>
    <td>P</td>
    <td>BELUM BEKERJA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1428</td>
    <td>06-08-2019</td>
    <td>000686</td>
    <td>TAMINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1972</td>
    <td>46</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736235357</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1429</td>
    <td>07-08-2019</td>
    <td>011832</td>
    <td>SITI NURJANAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-11-1992</td>
    <td>26</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736401767</td>
    <td></td>
    <td align='center'>
    Z34.0 </td>
    <td align='center'>
    Supervision of normal first pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1430</td>
    <td>12-08-2019</td>
    <td>015351</td>
    <td>PAINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736853319</td>
    <td></td>
    <td align='center'>
    A09.0 </td>
    <td align='center'>
    Other and unspecified gastroenteritis and colitis of infectious origin
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1431</td>
    <td>12-08-2019</td>
    <td>030804</td>
    <td>REVAN HANIF</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-08-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L98 </td>
    <td align='center'>
    Other disorders of skin and subcutaneous tissue, not elsewhere
    classified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1432</td>
    <td>12-08-2019</td>
    <td>000548</td>
    <td>YULIANA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-09-1983</td>
    <td>35</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z35 </td>
    <td align='center'>
    Supervision of high-risk pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1433</td>
    <td>12-08-2019</td>
    <td>030100</td>
    <td>KHOLISATUL MANAN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-05-2017</td>
    <td>2</td>
    <td>P</td>
    <td>BELUM BEKERJA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06 </td>
    <td align='center'>
    Acute upper respiratory infections of multiple and unspecified sites
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1434</td>
    <td>14-08-2019</td>
    <td>007807</td>
    <td>SUMARNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-03-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PENSIUNAN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000109352373</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1435</td>
    <td>14-08-2019</td>
    <td>030805</td>
    <td>BIMANTARA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-11-2017</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09.0 </td>
    <td align='center'>
    Other and unspecified gastroenteritis and colitis of infectious origin
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1436</td>
    <td>14-08-2019</td>
    <td>030806</td>
    <td>RIFQI AULIAN PRATAMA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-06-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1437</td>
    <td>14-08-2019</td>
    <td>030093</td>
    <td>LUTHFIAN RIZKI ADNAN MAULANA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-2016</td>
    <td>3</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>
    </tr>

    <tr align="left" valign="top">


    <td>1438</td>
    <td>15-08-2019</td>
    <td>002897</td>
    <td>SRI KUNAFSIYAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-08-1953</td>
    <td>66</td>
    <td>P</td>
    <td>PENSIUNAN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0000109351776</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1439</td>
    <td>15-08-2019</td>
    <td>002894</td>
    <td>SIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-01-1950</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1440</td>
    <td>15-08-2019</td>
    <td>015351</td>
    <td>PAINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736853319</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1441</td>
    <td>15-08-2019</td>
    <td>011830</td>
    <td>LAMIDI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-10-1927</td>
    <td>91</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0000736846536</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1442</td>
    <td>15-08-2019</td>
    <td>009809</td>
    <td>MURSINAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737281765</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1443</td>
    <td>15-08-2019</td>
    <td>002735</td>
    <td>WARIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-03-1949</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736200933</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1444</td>
    <td>15-08-2019</td>
    <td>002244</td>
    <td>PANISIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1949</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1445</td>
    <td>15-08-2019</td>
    <td>026211</td>
    <td>SUJATIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1944</td>
    <td>75</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002753422492</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1446</td>
    <td>15-08-2019</td>
    <td>002916</td>
    <td>DJAMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-09-1943</td>
    <td>76</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736824238</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1447</td>
    <td>15-08-2019</td>
    <td>009815</td>
    <td>PAINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1943</td>
    <td>76</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1448</td>
    <td>15-08-2019</td>
    <td>007715</td>
    <td>YADI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-07-1933</td>
    <td>86</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1449</td>
    <td>15-08-2019</td>
    <td>024560</td>
    <td>SUPINAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1938</td>
    <td>80</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1450</td>
    <td>15-08-2019</td>
    <td>002873</td>
    <td>NYAMIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1947</td>
    <td>71</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>
    <tr align="left" valign="top">
    <td>1451</td>
    <td>15-08-2019</td>
    <td>007802</td>
    <td>DJAIMAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-07-1943</td>
    <td>76</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1452</td>
    <td>15-08-2019</td>
    <td>002891</td>
    <td>DJAMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1945</td>
    <td>74</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002605392235</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1453</td>
    <td>16-08-2019</td>
    <td>030807</td>
    <td>KAMIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-01-1940</td>
    <td>79</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736717432</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1454</td>
    <td>16-08-2019</td>
    <td>015094</td>
    <td>SARWI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-08-1953</td>
    <td>66</td>
    <td>P</td>
    <td>Buruh Tani / Perkebunan</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1455</td>
    <td>16-08-2019</td>
    <td>002915</td>
    <td>SARMAN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-04-1949</td>
    <td>70</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1456</td>
    <td>16-08-2019</td>
    <td>025474</td>
    <td>MARKAMAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1940</td>
    <td>78</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1457</td>
    <td>16-08-2019</td>
    <td>002745</td>
    <td>WARIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1964</td>
    <td>55</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1458</td>
    <td>16-08-2019</td>
    <td>002746</td>
    <td>PAERAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>31-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1459</td>
    <td>16-08-2019</td>
    <td>005747</td>
    <td>SITI MUJAYANAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-1968</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002496213077</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1460</td>
    <td>16-08-2019</td>
    <td>002886</td>
    <td>RADIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-10-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0002809730608</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1461</td>
    <td>16-08-2019</td>
    <td>002905</td>
    <td>RINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1942</td>
    <td>77</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1462</td>
    <td>16-08-2019</td>
    <td>002742</td>
    <td>SUKIDJAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1463</td>
    <td>16-08-2019</td>
    <td>001692</td>
    <td>PAINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-07-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1464</td>
    <td>16-08-2019</td>
    <td>002901</td>
    <td>YATMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-07-1945</td>
    <td>74</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1465</td>
    <td>16-08-2019</td>
    <td>003310</td>
    <td>SUKARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1948</td>
    <td>71</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1466</td>
    <td>16-08-2019</td>
    <td>002914</td>
    <td>SUMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1467</td>
    <td>19-08-2019</td>
    <td>003325</td>
    <td>SUKARNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-09-1952</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736720492</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1468</td>
    <td>19-08-2019</td>
    <td>003326</td>
    <td>DJAMAL</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-05-1946</td>
    <td>73</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736720075</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1469</td>
    <td>19-08-2019</td>
    <td>002927</td>
    <td>MILAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-05-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0002809730529</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1470</td>
    <td>19-08-2019</td>
    <td>011809</td>
    <td>SAKUN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-01-1947</td>
    <td>72</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1471</td>
    <td>19-08-2019</td>
    <td>024561</td>
    <td>SUNARWI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-10-1957</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001885428202</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1472</td>
    <td>19-08-2019</td>
    <td>009818</td>
    <td>SUPARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1964</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1473</td>
    <td>19-08-2019</td>
    <td>002923</td>
    <td>SUWARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1952</td>
    <td>67</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1474</td>
    <td>19-08-2019</td>
    <td>002924</td>
    <td>PARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-05-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>
    </tr>

    <tr align="left" valign="top">


    <td>1475</td>
    <td>19-08-2019</td>
    <td>002913</td>
    <td>SRI SUPATMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-10-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1476</td>
    <td>19-08-2019</td>
    <td>002744</td>
    <td>MURTINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1939</td>
    <td>79</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1477</td>
    <td>19-08-2019</td>
    <td>001690</td>
    <td>SULASTRI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-11-1958</td>
    <td>60</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002328611174</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1478</td>
    <td>19-08-2019</td>
    <td>003321</td>
    <td>MURTIDJEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-03-1933</td>
    <td>86</td>
    <td>P</td>
    <td>TIDAK BEKERJA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1479</td>
    <td>19-08-2019</td>
    <td>020244</td>
    <td>SAYANTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-1985</td>
    <td>33</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0002809725805</td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1480</td>
    <td>19-08-2019</td>
    <td>002245</td>
    <td>SAMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L98 </td>
    <td align='center'>
    Other disorders of skin and subcutaneous tissue, not elsewhere
    classified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1481</td>
    <td>19-08-2019</td>
    <td>030817</td>
    <td>YUNI KRISTANTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-11-1976</td>
    <td>42</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1482</td>
    <td>20-08-2019</td>
    <td>003299</td>
    <td>TUMINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-09-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002223118337</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1483</td>
    <td>20-08-2019</td>
    <td>002932</td>
    <td>SUMIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1484</td>
    <td>20-08-2019</td>
    <td>002935</td>
    <td>LAMIDJAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1485</td>
    <td>20-08-2019</td>
    <td>003305</td>
    <td>SURATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-10-1948</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1486</td>
    <td>20-08-2019</td>
    <td>017858</td>
    <td>TASIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1947</td>
    <td>72</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002433609213</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1487</td>
    <td>20-08-2019</td>
    <td>002744</td>
    <td>MURTINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1939</td>
    <td>79</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>
    <tr align="left" valign="top">
    <td>1488</td>
    <td>20-08-2019</td>
    <td>009813</td>
    <td>YASINAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1958</td>
    <td>61</td>
    <td>P</td>
    <td>tani</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1489</td>
    <td>20-08-2019</td>
    <td>003331</td>
    <td>LAMINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737011258</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1490</td>
    <td>20-08-2019</td>
    <td>030119</td>
    <td>LASMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1952</td>
    <td>67</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002430735682</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1491</td>
    <td>20-08-2019</td>
    <td>030120</td>
    <td>RUBIAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1956</td>
    <td>63</td>
    <td>P</td>
    <td>PENSIUNAN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002056495184</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1492</td>
    <td>20-08-2019</td>
    <td>003300</td>
    <td>REBO</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-1943</td>
    <td>76</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1493</td>
    <td>20-08-2019</td>
    <td>000689</td>
    <td>YASRIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-10-1970</td>
    <td>48</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1494</td>
    <td>20-08-2019</td>
    <td>003314</td>
    <td>SUKARDI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-12-1964</td>
    <td>54</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045124515</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1495</td>
    <td>20-08-2019</td>
    <td>003806</td>
    <td>SUDARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-11-1967</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736271763</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1496</td>
    <td>20-08-2019</td>
    <td>002920</td>
    <td>MURSINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-02-1956</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1497</td>
    <td>20-08-2019</td>
    <td>007804</td>
    <td>DAMIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-03-1962</td>
    <td>57</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737266206</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1498</td>
    <td>20-08-2019</td>
    <td>007812</td>
    <td>AYUDYA KEYSHA</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-12-2011</td>
    <td>7</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>
    </tr>

    <tr align="left" valign="top">


    <td>1499</td>
    <td>20-08-2019</td>
    <td>002244</td>
    <td>PANISIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1949</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1500</td>
    <td>20-08-2019</td>
    <td>002242</td>
    <td>SUPARMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736138102</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1501</td>
    <td>21-08-2019</td>
    <td>002911</td>
    <td>SARWI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-01-1959</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737233863</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1502</td>
    <td>21-08-2019</td>
    <td>009817</td>
    <td>DJAMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-02-1960</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1503</td>
    <td>21-08-2019</td>
    <td>011831</td>
    <td>PUJIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-09-1995</td>
    <td>23</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1504</td>
    <td>21-08-2019</td>
    <td>007803</td>
    <td>KATIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-10-1954</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1505</td>
    <td>21-08-2019</td>
    <td>016308</td>
    <td>SUMINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-02-1951</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1506</td>
    <td>21-08-2019</td>
    <td>030133</td>
    <td>SUBARDI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-10-1959</td>
    <td>59</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737205377</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1507</td>
    <td>21-08-2019</td>
    <td>002880</td>
    <td>SARMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1952</td>
    <td>67</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736820109</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1508</td>
    <td>21-08-2019</td>
    <td>002752</td>
    <td>PANIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-01-1943</td>
    <td>76</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001916974225</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1509</td>
    <td>21-08-2019</td>
    <td>003338</td>
    <td>SARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-01-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1510</td>
    <td>21-08-2019</td>
    <td>003339</td>
    <td>SUMARWI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-08-1962</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000827276499</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1511</td>
    <td>21-08-2019</td>
    <td>002922</td>
    <td>DJIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-05-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1512</td>
    <td>21-08-2019</td>
    <td>007808</td>
    <td>TAMPI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1513</td>
    <td>21-08-2019</td>
    <td>002245</td>
    <td>SAMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1514</td>
    <td>21-08-2019</td>
    <td>000686</td>
    <td>TAMINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1972</td>
    <td>46</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736235357</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1515</td>
    <td>21-08-2019</td>
    <td>003303</td>
    <td>SUTIYAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-05-1950</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1516</td>
    <td>21-08-2019</td>
    <td>007807</td>
    <td>SUMARNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-03-1968</td>
    <td>51</td>
    <td>P</td>
    <td>PENSIUNAN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000109352373</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1517</td>
    <td>22-08-2019</td>
    <td>024569</td>
    <td>PARTINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1946</td>
    <td>72</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002473874627</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1518</td>
    <td>22-08-2019</td>
    <td>003504</td>
    <td>SUTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1948</td>
    <td>71</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1519</td>
    <td>22-08-2019</td>
    <td>003815</td>
    <td>SRIATUN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-02-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001811343317</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1520</td>
    <td>22-08-2019</td>
    <td>016321</td>
    <td>SUKIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-05-1969</td>
    <td>50</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1521</td>
    <td>22-08-2019</td>
    <td>007150</td>
    <td>SUMARNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-04-1968</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1522</td>
    <td>22-08-2019</td>
    <td>017862</td>
    <td>DJUMIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-05-1963</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>
    <tr align="left" valign="top">
    <td>1523</td>
    <td>22-08-2019</td>
    <td>003343</td>
    <td>MINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1524</td>
    <td>22-08-2019</td>
    <td>003346</td>
    <td>GEMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1964</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1525</td>
    <td>22-08-2019</td>
    <td>003345</td>
    <td>MALEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1957</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1526</td>
    <td>22-08-2019</td>
    <td>007521</td>
    <td>PARMUN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1950</td>
    <td>68</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1527</td>
    <td>22-08-2019</td>
    <td>003506</td>
    <td>SAMIJAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1958</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1528</td>
    <td>22-08-2019</td>
    <td>025552</td>
    <td>SADIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1937</td>
    <td>81</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1529</td>
    <td>22-08-2019</td>
    <td>024565</td>
    <td>SUPARMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-05-1951</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1530</td>
    <td>22-08-2019</td>
    <td>007809</td>
    <td>KARTIASRI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1531</td>
    <td>23-08-2019</td>
    <td>024565</td>
    <td>SUPARMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-05-1951</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1532</td>
    <td>23-08-2019</td>
    <td>003351</td>
    <td>SUPARMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1942</td>
    <td>77</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000109629887</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1533</td>
    <td>23-08-2019</td>
    <td>026363</td>
    <td>JUMIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-08-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000109630484</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1534</td>
    <td>23-08-2019</td>
    <td>016445</td>
    <td>SATIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-11-1966</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1535</td>
    <td>23-08-2019</td>
    <td>029170</td>
    <td>DITE</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-09-1946</td>
    <td>72</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1536</td>
    <td>23-08-2019</td>
    <td>025503</td>
    <td>SRI WAHYUNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-04-1962</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002882264297</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1537</td>
    <td>23-08-2019</td>
    <td>022963</td>
    <td>SUPARNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-1964</td>
    <td>54</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1538</td>
    <td>23-08-2019</td>
    <td>021279</td>
    <td>KIJAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-02-1964</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1539</td>
    <td>23-08-2019</td>
    <td>029164</td>
    <td>DINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-02-1951</td>
    <td>68</td>
    <td>L</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1540</td>
    <td>23-08-2019</td>
    <td>017863</td>
    <td>YATIMAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1541</td>
    <td>23-08-2019</td>
    <td>003368</td>
    <td>SARINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1938</td>
    <td>80</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1542</td>
    <td>23-08-2019</td>
    <td>018922</td>
    <td>SUPARMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-07-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1543</td>
    <td>23-08-2019</td>
    <td>003505</td>
    <td>PONIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1935</td>
    <td>83</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809752491</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1544</td>
    <td>23-08-2019</td>
    <td>021280</td>
    <td>TUNIYAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1963</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1545</td>
    <td>23-08-2019</td>
    <td>006459</td>
    <td>SRI KUKILOWATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-01-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045123828</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1546</td>
    <td>23-08-2019</td>
    <td>003356</td>
    <td>SARWI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-11-1935</td>
    <td>83</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001917500433</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>
    <tr align="left" valign="top">
    <td>1547</td>
    <td>24-08-2019</td>
    <td>004182</td>
    <td>YAMINEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1548</td>
    <td>24-08-2019</td>
    <td>022967</td>
    <td>SUKIRAN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1945</td>
    <td>73</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002247703389</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1549</td>
    <td>24-08-2019</td>
    <td>000782</td>
    <td>SARIMIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-05-1950</td>
    <td>69</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000728283609</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1550</td>
    <td>24-08-2019</td>
    <td>003361</td>
    <td>DORKAS MUNASRI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1949</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002627340153</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1551</td>
    <td>24-08-2019</td>
    <td>002935</td>
    <td>LAMIDJAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1552</td>
    <td>24-08-2019</td>
    <td>025869</td>
    <td>LASMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-08-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002769373923</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1553</td>
    <td>24-08-2019</td>
    <td>021278</td>
    <td>DJAMIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1944</td>
    <td>75</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002638166343</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1554</td>
    <td>24-08-2019</td>
    <td>003123</td>
    <td>SUPARMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-09-1971</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001702789604</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1555</td>
    <td>24-08-2019</td>
    <td>030855</td>
    <td>PARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1556</td>
    <td>24-08-2019</td>
    <td>005189</td>
    <td>ENY SUDARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-09-1957</td>
    <td>62</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1557</td>
    <td>24-08-2019</td>
    <td>003490</td>
    <td>RUTH SULARSIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-11-1962</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1558</td>
    <td>24-08-2019</td>
    <td>021283</td>
    <td>SUNARWI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-1963</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809747214</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1559</td>
    <td>24-08-2019</td>
    <td>015090</td>
    <td>SUNARWI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1961</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>
    </tr>

    <tr align="left" valign="top">


    <td>1560</td>
    <td>26-08-2019</td>
    <td>020410</td>
    <td>SIAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809746279</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1561</td>
    <td>26-08-2019</td>
    <td>003500</td>
    <td>SUMILAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1562</td>
    <td>26-08-2019</td>
    <td>003508</td>
    <td>SUHERMIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-02-1962</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809731532</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1563</td>
    <td>26-08-2019</td>
    <td>003510</td>
    <td>SUTIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-06-1961</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1564</td>
    <td>26-08-2019</td>
    <td>014505</td>
    <td>LASIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1565</td>
    <td>26-08-2019</td>
    <td>008703</td>
    <td>WIDJIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1950</td>
    <td>68</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809738113</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1566</td>
    <td>26-08-2019</td>
    <td>007136</td>
    <td>SUMINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1950</td>
    <td>68</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1567</td>
    <td>26-08-2019</td>
    <td>025554</td>
    <td>AMINAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-02-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1568</td>
    <td>26-08-2019</td>
    <td>003362</td>
    <td>WARSIH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-04-1950</td>
    <td>69</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1569</td>
    <td>26-08-2019</td>
    <td>017864</td>
    <td>YATRINI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-02-1970</td>
    <td>49</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0002161671355</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1570</td>
    <td>26-08-2019</td>
    <td>030324</td>
    <td>DJIMUN S.</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1944</td>
    <td>75</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1571</td>
    <td>26-08-2019</td>
    <td>003499</td>
    <td>SIPAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1943</td>
    <td>76</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002600953176</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1572</td>
    <td>26-08-2019</td>
    <td>003364</td>
    <td>HARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>PENATA RIAS</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002761268736</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>
    <tr align="left" valign="top">
    <td>1573</td>
    <td>26-08-2019</td>
    <td>003509</td>
    <td>TITIK SUWARNI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-04-1970</td>
    <td>49</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1574</td>
    <td>27-08-2019</td>
    <td>007652</td>
    <td>YULIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-04-1971</td>
    <td>48</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PNS DAERAH</td>
    <td>0000173591864</td>
    <td></td>
    <td align='center'>
    L23.1 </td>
    <td align='center'>
    Allergic contact dermatitis due to adhesives </td>

    </tr>

    <tr align="left" valign="top">


    <td>1575</td>
    <td>27-08-2019</td>
    <td>025545</td>
    <td>SUKIDJAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1963</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736153424</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1576</td>
    <td>27-08-2019</td>
    <td>022948</td>
    <td>TANIKEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-02-1957</td>
    <td>62</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1577</td>
    <td>27-08-2019</td>
    <td>003498</td>
    <td>NGARUPIYAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1578</td>
    <td>27-08-2019</td>
    <td>003048</td>
    <td>HARTATIK</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1579</td>
    <td>27-08-2019</td>
    <td>003502</td>
    <td>SUMIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-04-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000170050803</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1580</td>
    <td>27-08-2019</td>
    <td>028290</td>
    <td>SUKIDJAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-04-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1581</td>
    <td>27-08-2019</td>
    <td>015091</td>
    <td>SUMARMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-08-1959</td>
    <td>60</td>
    <td>P</td>
    <td>Pensiunan</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1582</td>
    <td>27-08-2019</td>
    <td>000087</td>
    <td>SAMINTEN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1583</td>
    <td>27-08-2019</td>
    <td>003852</td>
    <td>TINTRIM SRIATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-12-1971</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0002809746066</td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1584</td>
    <td>27-08-2019</td>
    <td>025556</td>
    <td>YASMIATUN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000100224584</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1585</td>
    <td>27-08-2019</td>
    <td>003496</td>
    <td>SUPRIHATIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-04-1963</td>
    <td>56</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>
    <tr align="left" valign="top">
    <td>1586</td>
    <td>27-08-2019</td>
    <td>003349</td>
    <td>SUYATIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu KLAGEN</td>
    <td>SITI MARKAMAH</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1587</td>
    <td>01-08-2019</td>
    <td>029397</td>
    <td>SRIATUN </td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-07-1995</td>
    <td>24</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1588</td>
    <td>01-08-2019</td>
    <td>031114</td>
    <td>DESTY KAYLA PUTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-09-2025</td>
    <td>-6</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1589</td>
    <td>01-08-2019</td>
    <td>002457</td>
    <td>LAMINAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-01-1982</td>
    <td>37</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1590</td>
    <td>01-08-2019</td>
    <td>002387</td>
    <td>ALFIDA LATIFATUL KHUMAIRA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-04-2016</td>
    <td>3</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002640299692</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1591</td>
    <td>01-08-2019</td>
    <td>009018</td>
    <td>SRI SUYATMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-07-1976</td>
    <td>43</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1592</td>
    <td>03-08-2019</td>
    <td>000121</td>
    <td>MUHAMMAD FAQIH KHOIRU ROHMAN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-05-2014</td>
    <td>5</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1593</td>
    <td>03-08-2019</td>
    <td>008918</td>
    <td>ENDANG</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-01-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1594</td>
    <td>03-08-2019</td>
    <td>031116</td>
    <td>BINTI SUYATMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-03-1980</td>
    <td>39</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1595</td>
    <td>03-08-2019</td>
    <td>013841</td>
    <td>DAMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>01-10-1968</td>
    <td>50</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1596</td>
    <td>05-08-2019</td>
    <td>011600</td>
    <td>HASIM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-04-1938</td>
    <td>81</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>1597</td>
    <td>05-08-2019</td>
    <td>000882</td>
    <td>SURIPAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1598</td>
    <td>05-08-2019</td>
    <td>014655</td>
    <td>NURIL LATIFAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-09-2013</td>
    <td>5</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1599</td>
    <td>05-08-2019</td>
    <td>025719</td>
    <td>SOLIKAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-04-1972</td>
    <td>47</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1600</td>
    <td>05-08-2019</td>
    <td>002315</td>
    <td>SATIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1601</td>
    <td>05-08-2019</td>
    <td>006693</td>
    <td>SRI MURNI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1602</td>
    <td>06-08-2019</td>
    <td>031225</td>
    <td>KAWIT</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1950</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1603</td>
    <td>06-08-2019</td>
    <td>006699</td>
    <td>SUGIASIH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-10-1984</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1604</td>
    <td>06-08-2019</td>
    <td>002296</td>
    <td>DJAYUS</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1943</td>
    <td>75</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1605</td>
    <td>06-08-2019</td>
    <td>008916</td>
    <td>RAMINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1606</td>
    <td>06-08-2019</td>
    <td>014158</td>
    <td>LAMINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1940</td>
    <td>78</td>
    <td>P</td>
    <td>PERDAGANGAN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1607</td>
    <td>06-08-2019</td>
    <td>028359</td>
    <td>MINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-05-1965</td>
    <td>54</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1608</td>
    <td>06-08-2019</td>
    <td>002300</td>
    <td>WATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1609</td>
    <td>06-08-2019</td>
    <td>004192</td>
    <td>YATINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-1952</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>
    <tr align="left" valign="top">
    <td>1610</td>
    <td>06-08-2019</td>
    <td>011199</td>
    <td>PARTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-10-1950</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1611</td>
    <td>06-08-2019</td>
    <td>031226</td>
    <td>MUSRIAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1966</td>
    <td>53</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1612</td>
    <td>06-08-2019</td>
    <td>002304</td>
    <td>SAMINI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1613</td>
    <td>06-08-2019</td>
    <td>002312</td>
    <td>MUJIATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-05-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1614</td>
    <td>06-08-2019</td>
    <td>002299</td>
    <td>SUNIK</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1615</td>
    <td>06-08-2019</td>
    <td>002311</td>
    <td>SUNARI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-11-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1616</td>
    <td>06-08-2019</td>
    <td>002298</td>
    <td>PAINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-1954</td>
    <td>65</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1617</td>
    <td>06-08-2019</td>
    <td>006215</td>
    <td>DARIATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>16-05-1960</td>
    <td>59</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1618</td>
    <td>07-08-2019</td>
    <td>031272</td>
    <td>SUMIATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-02-1965</td>
    <td>54</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001722762178</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1619</td>
    <td>07-08-2019</td>
    <td>002336</td>
    <td>SIMAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1620</td>
    <td>07-08-2019</td>
    <td>002358</td>
    <td>LAMPI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1974</td>
    <td>45</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>
    </tr>

    <tr align="left" valign="top">


    <td>1621</td>
    <td>07-08-2019</td>
    <td>031311</td>
    <td>KAJAR</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-03-1952</td>
    <td>67</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1622</td>
    <td>07-08-2019</td>
    <td>002362</td>
    <td>SARTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-08-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1623</td>
    <td>07-08-2019</td>
    <td>002401</td>
    <td>MUSINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-09-1953</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1624</td>
    <td>07-08-2019</td>
    <td>002357</td>
    <td>MERANAWATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-1973</td>
    <td>46</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1625</td>
    <td>07-08-2019</td>
    <td>011567</td>
    <td>KUSTANTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1964</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1626</td>
    <td>07-08-2019</td>
    <td>002346</td>
    <td>KATIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1627</td>
    <td>07-08-2019</td>
    <td>002363</td>
    <td>SRIATUN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-11-1966</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1628</td>
    <td>07-08-2019</td>
    <td>002343</td>
    <td>SINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1947</td>
    <td>71</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1629</td>
    <td>07-08-2019</td>
    <td>031275</td>
    <td>SRIATUN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1630</td>
    <td>07-08-2019</td>
    <td>031278</td>
    <td>MARTINI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-01-1991</td>
    <td>28</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1631</td>
    <td>07-08-2019</td>
    <td>013884</td>
    <td>LAMIJO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1940</td>
    <td>79</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1632</td>
    <td>07-08-2019</td>
    <td>002334</td>
    <td>MUKINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1953</td>
    <td>66</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1633</td>
    <td>07-08-2019</td>
    <td>002319</td>
    <td>PAINI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-10-1957</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>
    <tr align="left" valign="top">
    <td>1634</td>
    <td>07-08-2019</td>
    <td>031282</td>
    <td>SUTIMAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1942</td>
    <td>77</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1635</td>
    <td>07-08-2019</td>
    <td>020774</td>
    <td>YAINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-07-1942</td>
    <td>77</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1636</td>
    <td>07-08-2019</td>
    <td>002347</td>
    <td>PAMINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-07-1965</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1637</td>
    <td>07-08-2019</td>
    <td>002471</td>
    <td>SUMINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-10-1950</td>
    <td>68</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1638</td>
    <td>07-08-2019</td>
    <td>002332</td>
    <td>SUMINI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-10-1957</td>
    <td>61</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1639</td>
    <td>07-08-2019</td>
    <td>029356</td>
    <td>LAMIATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-07-1940</td>
    <td>79</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1640</td>
    <td>07-08-2019</td>
    <td>025629</td>
    <td>MUDI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1961</td>
    <td>58</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1641</td>
    <td>07-08-2019</td>
    <td>002351</td>
    <td>MINI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1642</td>
    <td>07-08-2019</td>
    <td>006295</td>
    <td>MARINTEN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-10-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1643</td>
    <td>07-08-2019</td>
    <td>031285</td>
    <td>WARSIH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1944</td>
    <td>75</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1644</td>
    <td>07-08-2019</td>
    <td>029358</td>
    <td>DAMIANTO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-07-1968</td>
    <td>51</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>
    </tr>

    <tr align="left" valign="top">


    <td>1645</td>
    <td>07-08-2019</td>
    <td>024479</td>
    <td>TAMINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-03-1956</td>
    <td>63</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1646</td>
    <td>07-08-2019</td>
    <td>024108</td>
    <td>UMIATUN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1647</td>
    <td>07-08-2019</td>
    <td>002330</td>
    <td>KHOIRIYAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-03-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1648</td>
    <td>07-08-2019</td>
    <td>008933</td>
    <td>PARINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-04-1962</td>
    <td>57</td>
    <td>P</td>
    <td>PERDAGANGAN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1649</td>
    <td>07-08-2019</td>
    <td>002342</td>
    <td>SITI BAROKAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-12-1963</td>
    <td>55</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1650</td>
    <td>07-08-2019</td>
    <td>024573</td>
    <td>SUMINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-10-1953</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1651</td>
    <td>07-08-2019</td>
    <td>022160</td>
    <td>KAMILA KHUMAISA TAZKIYAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-05-2005</td>
    <td>14</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1652</td>
    <td>07-08-2019</td>
    <td>028480</td>
    <td>NANIK</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-1989</td>
    <td>30</td>
    <td>L</td>
    <td>Wiraswasta</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1653</td>
    <td>07-08-2019</td>
    <td>011628</td>
    <td>ZAHRA THALITA PUTRI WULANDARI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-10-2017</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1654</td>
    <td>07-08-2019</td>
    <td>031298</td>
    <td>DEMIATUN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1981</td>
    <td>38</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1655</td>
    <td>07-08-2019</td>
    <td>026622</td>
    <td>SUJIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-10-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1656</td>
    <td>07-08-2019</td>
    <td>026624</td>
    <td>GINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-1947</td>
    <td>72</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1657</td>
    <td>07-08-2019</td>
    <td>026627</td>
    <td>PAERAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1950</td>
    <td>69</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1658</td>
    <td>07-08-2019</td>
    <td>026630</td>
    <td>SLAMET</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-07-1945</td>
    <td>74</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1659</td>
    <td>07-08-2019</td>
    <td>031299</td>
    <td>SITI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1939</td>
    <td>80</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1660</td>
    <td>07-08-2019</td>
    <td>011136</td>
    <td>DAMIRAN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-05-1959</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1661</td>
    <td>07-08-2019</td>
    <td>029372</td>
    <td>SRI ASMANI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-1954</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1662</td>
    <td>07-08-2019</td>
    <td>026617</td>
    <td>SUHARTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-10-1951</td>
    <td>67</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1663</td>
    <td>07-08-2019</td>
    <td>026749</td>
    <td>MURTIJAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-04-1976</td>
    <td>43</td>
    <td>L</td>
    <td>Buruh Tani / Perkebunan</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1664</td>
    <td>07-08-2019</td>
    <td>031300</td>
    <td>SUNARMIN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1963</td>
    <td>56</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1665</td>
    <td>07-08-2019</td>
    <td>025694</td>
    <td>NYAMIRAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1963</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1666</td>
    <td>07-08-2019</td>
    <td>031301</td>
    <td>BEJO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1966</td>
    <td>53</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1667</td>
    <td>07-08-2019</td>
    <td>029368</td>
    <td>LASMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1963</td>
    <td>55</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1668</td>
    <td>07-08-2019</td>
    <td>015618</td>
    <td>ABD KARIS</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>15-07-1962</td>
    <td>57</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>
    <tr align="left" valign="top">
    <td>1669</td>
    <td>07-08-2019</td>
    <td>008306</td>
    <td>YADI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1950</td>
    <td>69</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1670</td>
    <td>07-08-2019</td>
    <td>009942</td>
    <td>SARNI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-03-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1671</td>
    <td>07-08-2019</td>
    <td>031305</td>
    <td>PARNO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1952</td>
    <td>67</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1672</td>
    <td>07-08-2019</td>
    <td>031306</td>
    <td>SUKIJAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1955</td>
    <td>64</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1673</td>
    <td>07-08-2019</td>
    <td>028426</td>
    <td>LAMINAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1674</td>
    <td>07-08-2019</td>
    <td>024690</td>
    <td>KATIMAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-11-1948</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1675</td>
    <td>07-08-2019</td>
    <td>018832</td>
    <td>KARNIK</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-08-1981</td>
    <td>38</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1676</td>
    <td>07-08-2019</td>
    <td>031310</td>
    <td>NYOTO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1954</td>
    <td>65</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1677</td>
    <td>07-08-2019</td>
    <td>028425</td>
    <td>TAMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-10-1957</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1678</td>
    <td>07-08-2019</td>
    <td>029370</td>
    <td>DAMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1679</td>
    <td>07-08-2019</td>
    <td>031312</td>
    <td>PAERAH L</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1944</td>
    <td>75</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>
    </tr>

    <tr align="left" valign="top">


    <td>1680</td>
    <td>07-08-2019</td>
    <td>026608</td>
    <td>SIREP</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-08-1940</td>
    <td>79</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1681</td>
    <td>07-08-2019</td>
    <td>020071</td>
    <td>NYOTO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-11-1974</td>
    <td>44</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1682</td>
    <td>07-08-2019</td>
    <td>031313</td>
    <td>KUSNI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-1944</td>
    <td>75</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1683</td>
    <td>07-08-2019</td>
    <td>026610</td>
    <td>SUWARDI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-1940</td>
    <td>79</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1684</td>
    <td>07-08-2019</td>
    <td>028817</td>
    <td>DAMINI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-07-1975</td>
    <td>44</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1685</td>
    <td>07-08-2019</td>
    <td>023270</td>
    <td>JUMINI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-1966</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1686</td>
    <td>07-08-2019</td>
    <td>026615</td>
    <td>YATINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-06-1961</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1687</td>
    <td>07-08-2019</td>
    <td>025691</td>
    <td>SUPARMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-04-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1688</td>
    <td>07-08-2019</td>
    <td>008308</td>
    <td>SRIATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1689</td>
    <td>07-08-2019</td>
    <td>001769</td>
    <td>YAYUK MINARTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-05-1993</td>
    <td>26</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1690</td>
    <td>15-08-2019</td>
    <td>011592</td>
    <td>SUMARNI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1971</td>
    <td>47</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1691</td>
    <td>15-08-2019</td>
    <td>002315</td>
    <td>SATIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1692</td>
    <td>15-08-2019</td>
    <td>027786</td>
    <td>SUNARTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-09-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>
    <tr align="left" valign="top">
    <td>1693</td>
    <td>15-08-2019</td>
    <td>029794</td>
    <td>AHMAD SYIHABUDDIN FAQIH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-06-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1694</td>
    <td>15-08-2019</td>
    <td>024355</td>
    <td>HARI PURWANTO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-12-1978</td>
    <td>40</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1695</td>
    <td>15-08-2019</td>
    <td>026633</td>
    <td>PANIKEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1696</td>
    <td>15-08-2019</td>
    <td>027137</td>
    <td>JIMAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-05-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1697</td>
    <td>15-08-2019</td>
    <td>026636</td>
    <td>SAMINTEN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-04-1969</td>
    <td>50</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1698</td>
    <td>15-08-2019</td>
    <td>011770</td>
    <td>DIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-07-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1699</td>
    <td>15-08-2019</td>
    <td>031328</td>
    <td>WARTIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1963</td>
    <td>56</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1700</td>
    <td>15-08-2019</td>
    <td>025707</td>
    <td>SULASTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-05-1964</td>
    <td>55</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1701</td>
    <td>15-08-2019</td>
    <td>025706</td>
    <td>PAINI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1964</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1702</td>
    <td>15-08-2019</td>
    <td>028452</td>
    <td>YALIK</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-07-1940</td>
    <td>79</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1703</td>
    <td>15-08-2019</td>
    <td>030221</td>
    <td>SUMIATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-08-1948</td>
    <td>71</td>
    <td>L</td>
    <td>Buruh Tani / Perkebunan</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>
    </tr>

    <tr align="left" valign="top">


    <td>1704</td>
    <td>15-08-2019</td>
    <td>016034</td>
    <td>SUPARMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1968</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1705</td>
    <td>15-08-2019</td>
    <td>017770</td>
    <td>SUMAANI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-02-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1706</td>
    <td>15-08-2019</td>
    <td>031329</td>
    <td>SUTOMO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1955</td>
    <td>64</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1707</td>
    <td>15-08-2019</td>
    <td>031330</td>
    <td>SUTOMO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1955</td>
    <td>64</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1708</td>
    <td>15-08-2019</td>
    <td>031331</td>
    <td>SUGIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1958</td>
    <td>61</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1709</td>
    <td>15-08-2019</td>
    <td>030219</td>
    <td>JARWI ASTUTIK</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1964</td>
    <td>54</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1710</td>
    <td>15-08-2019</td>
    <td>028446</td>
    <td>GANDES</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1711</td>
    <td>15-08-2019</td>
    <td>031333</td>
    <td>SULAMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1966</td>
    <td>53</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1712</td>
    <td>15-08-2019</td>
    <td>021934</td>
    <td>DARWATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1970</td>
    <td>48</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1713</td>
    <td>15-08-2019</td>
    <td>031332</td>
    <td>WARTIJAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1948</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1714</td>
    <td>16-08-2019</td>
    <td>025719</td>
    <td>SOLIKAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-04-1972</td>
    <td>47</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1715</td>
    <td>16-08-2019</td>
    <td>000882</td>
    <td>SURIPAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1716</td>
    <td>16-08-2019</td>
    <td>011600</td>
    <td>HASIM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-04-1938</td>
    <td>81</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1717</td>
    <td>16-08-2019</td>
    <td>031335</td>
    <td>WULANDARI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1995</td>
    <td>24</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1718</td>
    <td>16-08-2019</td>
    <td>008918</td>
    <td>ENDANG</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-01-1969</td>
    <td>50</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1719</td>
    <td>16-08-2019</td>
    <td>031116</td>
    <td>BINTI SUYATMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-03-1980</td>
    <td>39</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1720</td>
    <td>16-08-2019</td>
    <td>025651</td>
    <td>MINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1721</td>
    <td>16-08-2019</td>
    <td>026768</td>
    <td>NYAMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1950</td>
    <td>68</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1722</td>
    <td>16-08-2019</td>
    <td>031336</td>
    <td>SUMIATUN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1945</td>
    <td>74</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1723</td>
    <td>16-08-2019</td>
    <td>030263</td>
    <td>WAKIYEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1950</td>
    <td>69</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1724</td>
    <td>16-08-2019</td>
    <td>031338</td>
    <td>LASMIATUN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-07-1967</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1725</td>
    <td>16-08-2019</td>
    <td>025644</td>
    <td>SUPRAPTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-10-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1726</td>
    <td>16-08-2019</td>
    <td>028463</td>
    <td>MIJAN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-06-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1727</td>
    <td>16-08-2019</td>
    <td>024573</td>
    <td>SUMINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-10-1953</td>
    <td>65</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>
    <tr align="left" valign="top">
    <td>1728</td>
    <td>16-08-2019</td>
    <td>028465</td>
    <td>RUMINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1952</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1729</td>
    <td>16-08-2019</td>
    <td>014733</td>
    <td>JINEM</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-10-1940</td>
    <td>78</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1730</td>
    <td>16-08-2019</td>
    <td>002321</td>
    <td>PATEMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1944</td>
    <td>74</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1731</td>
    <td>16-08-2019</td>
    <td>028471</td>
    <td>ASRI JASMANI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-1960</td>
    <td>59</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1732</td>
    <td>16-08-2019</td>
    <td>026649</td>
    <td>RATMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-04-1947</td>
    <td>72</td>
    <td>L</td>
    <td>Buruh Tani / Perkebunan</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1733</td>
    <td>16-08-2019</td>
    <td>031339</td>
    <td>SUWATI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1957</td>
    <td>62</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1734</td>
    <td>16-08-2019</td>
    <td>025664</td>
    <td>SUDARNI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-11-1958</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1735</td>
    <td>16-08-2019</td>
    <td>031340</td>
    <td>TIYAS</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1973</td>
    <td>46</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1736</td>
    <td>16-08-2019</td>
    <td>017835</td>
    <td>TARWI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1942</td>
    <td>77</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1737</td>
    <td>16-08-2019</td>
    <td>025670</td>
    <td>RATEMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-01-1963</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1738</td>
    <td>16-08-2019</td>
    <td>031341</td>
    <td>SITI AISYAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1970</td>
    <td>49</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>
    </tr>

    <tr align="left" valign="top">


    <td>1739</td>
    <td>16-08-2019</td>
    <td>014238</td>
    <td>MUSRIATIN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1740</td>
    <td>16-08-2019</td>
    <td>002235</td>
    <td>DJADI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1959</td>
    <td>59</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1741</td>
    <td>20-08-2019</td>
    <td>016744</td>
    <td>SUTARMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-10-1958</td>
    <td>60</td>
    <td>P</td>
    <td>PEDAGANG</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1742</td>
    <td>20-08-2019</td>
    <td>031342</td>
    <td>DINA RAHAYU</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1743</td>
    <td>20-08-2019</td>
    <td>002397</td>
    <td>FIRDA DWI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-02-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1744</td>
    <td>20-08-2019</td>
    <td>020457</td>
    <td>KATMILATUL RIZQIYA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-01-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1745</td>
    <td>20-08-2019</td>
    <td>016678</td>
    <td>ABID MIZAN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-05-2017</td>
    <td>2</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1746</td>
    <td>20-08-2019</td>
    <td>020455</td>
    <td>ADELINE SALLISTA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-09-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1747</td>
    <td>20-08-2019</td>
    <td>020453</td>
    <td>JELITA ESTEFANI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-09-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1748</td>
    <td>20-08-2019</td>
    <td>031343</td>
    <td>RAFFASYA MALIK AKBAR</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1749</td>
    <td>20-08-2019</td>
    <td>031344</td>
    <td>FARADILA NAZWA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-2025</td>
    <td>-6</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1750</td>
    <td>20-08-2019</td>
    <td>031345</td>
    <td>ELZA SANDI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-08-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1751</td>
    <td>20-08-2019</td>
    <td>021141</td>
    <td>ARSAL RADEYA SETIAJI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-01-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>
    <tr align="left" valign="top">
    <td>1752</td>
    <td>20-08-2019</td>
    <td>021929</td>
    <td>ALBARA VALENTINO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1753</td>
    <td>20-08-2019</td>
    <td>031346</td>
    <td>FAREL ABID</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1754</td>
    <td>20-08-2019</td>
    <td>016684</td>
    <td>ABU SAID</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-05-2017</td>
    <td>2</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1755</td>
    <td>20-08-2019</td>
    <td>024351</td>
    <td>ASFIYA DINDA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1756</td>
    <td>20-08-2019</td>
    <td>025570</td>
    <td>ABIZARD DZIKRA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1757</td>
    <td>20-08-2019</td>
    <td>031347</td>
    <td>IRSYAD HAFIZ</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.0 </td>
    <td align='center'>
    Need for immunization against cholera alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1758</td>
    <td>20-08-2019</td>
    <td>024353</td>
    <td>RAIKAL DZIKRA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1759</td>
    <td>20-08-2019</td>
    <td>019386</td>
    <td>ARKA ERLANDO G</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-10-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1760</td>
    <td>20-08-2019</td>
    <td>025574</td>
    <td>MIRZA AURORA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1761</td>
    <td>20-08-2019</td>
    <td>020459</td>
    <td>ATHAFARIZ ADNAN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-09-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1762</td>
    <td>20-08-2019</td>
    <td>025573</td>
    <td>AFNAN KHOIRUDIN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>
    </tr>

    <tr align="left" valign="top">


    <td>1763</td>
    <td>20-08-2019</td>
    <td>021914</td>
    <td>NIRA AUFA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-10-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1764</td>
    <td>20-08-2019</td>
    <td>019912</td>
    <td>CHALONDRA NAUREENIKA NOVANSA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-11-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1765</td>
    <td>20-08-2019</td>
    <td>011572</td>
    <td>NADANA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-11-2017</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1766</td>
    <td>20-08-2019</td>
    <td>031348</td>
    <td>JAKA SETIA BUDI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-08-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1767</td>
    <td>20-08-2019</td>
    <td>020463</td>
    <td>LAKSMI CANTIKA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-09-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1768</td>
    <td>20-08-2019</td>
    <td>002372</td>
    <td>DAHLIA ANINDITA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-2018</td>
    <td>1</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1769</td>
    <td>20-08-2019</td>
    <td>020462</td>
    <td>ALBI FARDZAN</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-09-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1770</td>
    <td>20-08-2019</td>
    <td>019394</td>
    <td>ALFATIH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-09-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1771</td>
    <td>20-08-2019</td>
    <td>006359</td>
    <td>RAHANDIKA ALFAREZI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-01-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1772</td>
    <td>20-08-2019</td>
    <td>021930</td>
    <td>ALVIN SHAGARA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1773</td>
    <td>20-08-2019</td>
    <td>008995</td>
    <td>FIKA VALENSYA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-04-2015</td>
    <td>4</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1774</td>
    <td>20-08-2019</td>
    <td>023073</td>
    <td>AZRIEL</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-02-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1775</td>
    <td>20-08-2019</td>
    <td>031349</td>
    <td>ULAINA NURLITA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>
    <tr align="left" valign="top">
    <td>1776</td>
    <td>20-08-2019</td>
    <td>031350</td>
    <td>JAGAT FARRAS MAHESWARA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1777</td>
    <td>21-08-2019</td>
    <td>023440</td>
    <td>MUJIONO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-03-1979</td>
    <td>40</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1778</td>
    <td>21-08-2019</td>
    <td>022109</td>
    <td>ISMI MUJI RAHAYUNINGSIH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-05-1970</td>
    <td>49</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1779</td>
    <td>21-08-2019</td>
    <td>014458</td>
    <td>AGNESIA AGITHA NITYA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-01-2015</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1780</td>
    <td>21-08-2019</td>
    <td>012382</td>
    <td>AHMAD FAHMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-02-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1781</td>
    <td>21-08-2019</td>
    <td>003199</td>
    <td>MUHIMATUL HASANA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-12-1965</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1782</td>
    <td>21-08-2019</td>
    <td>021100</td>
    <td>LIDA NUR DIANTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-05-1989</td>
    <td>30</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1783</td>
    <td>21-08-2019</td>
    <td>002353</td>
    <td>DAMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1958</td>
    <td>60</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1784</td>
    <td>21-08-2019</td>
    <td>009030</td>
    <td>NUR ROHMAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-04-1970</td>
    <td>49</td>
    <td>L</td>
    <td>Buruh Tani / Perkebunan</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1785</td>
    <td>21-08-2019</td>
    <td>030185</td>
    <td>WIWIT</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-08-1976</td>
    <td>43</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1786</td>
    <td>23-08-2019</td>
    <td>016034</td>
    <td>SUPARMI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1968</td>
    <td>51</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>
    </tr>

    <tr align="left" valign="top">


    <td>1787</td>
    <td>23-08-2019</td>
    <td>008919</td>
    <td>SITI NUR AZIZAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-06-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1788</td>
    <td>23-08-2019</td>
    <td>014655</td>
    <td>NURIL LATIFAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-09-2013</td>
    <td>5</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1789</td>
    <td>23-08-2019</td>
    <td>013679</td>
    <td>KHUSNUL KHOTIMAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-1987</td>
    <td>32</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1790</td>
    <td>23-08-2019</td>
    <td>024482</td>
    <td>NURUL HASANAH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-12-1979</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1791</td>
    <td>23-08-2019</td>
    <td>031342</td>
    <td>DINA RAHAYU</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MLORAH</td>
    <td>ROSITA NURVIANA</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1792</td>
    <td>01-08-2019</td>
    <td>000067</td>
    <td>KARMI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-08-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1793</td>
    <td>01-08-2019</td>
    <td>000238</td>
    <td>WARMI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1794</td>
    <td>01-08-2019</td>
    <td>000644</td>
    <td>ANIS SISFITANINGSIH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-04-1989</td>
    <td>30</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1795</td>
    <td>01-08-2019</td>
    <td>001086</td>
    <td>RETNO TRIAS OKTAVIA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-10-2016</td>
    <td>2</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1796</td>
    <td>01-08-2019</td>
    <td>002286</td>
    <td>MUHAMMAD WILDAN SAHID</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-11-2014</td>
    <td>4</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1797</td>
    <td>01-08-2019</td>
    <td>002948</td>
    <td>SUPARMI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-1970</td>
    <td>49</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1798</td>
    <td>01-08-2019</td>
    <td>003033</td>
    <td>SUDARTO</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1951</td>
    <td>68</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1799</td>
    <td>01-08-2019</td>
    <td>003666</td>
    <td>SUMINING</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-07-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>1800</td>
    <td>01-08-2019</td>
    <td>003939</td>
    <td>DOTO YOKI NUR OKTAVIAN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-10-1997</td>
    <td>21</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1801</td>
    <td>01-08-2019</td>
    <td>004278</td>
    <td>TAUFIQ QURROHMAN AL IKROM</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-01-2000</td>
    <td>19</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1802</td>
    <td>01-08-2019</td>
    <td>004278</td>
    <td>TAUFIQ QURROHMAN AL IKROM</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-01-2000</td>
    <td>19</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1803</td>
    <td>01-08-2019</td>
    <td>004484</td>
    <td>ENI PURWATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-1990</td>
    <td>29</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1804</td>
    <td>01-08-2019</td>
    <td>005183</td>
    <td>SEPTIAN DIGGO ATHAYYA PUTRA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-04-2016</td>
    <td>3</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1805</td>
    <td>01-08-2019</td>
    <td>005303</td>
    <td>FITRAH YAZID GHUFRONI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-09-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1806</td>
    <td>01-08-2019</td>
    <td>005758</td>
    <td>MICKO RUSDI ANGGARA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-03-1999</td>
    <td>20</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002476244632</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1807</td>
    <td>01-08-2019</td>
    <td>005831</td>
    <td>SITI MEGFIROH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-05-1986</td>
    <td>33</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1808</td>
    <td>01-08-2019</td>
    <td>029918</td>
    <td>RINI SUWARNO</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-11-1984</td>
    <td>34</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1809</td>
    <td>01-08-2019</td>
    <td>006156</td>
    <td>SUMINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-08-1969</td>
    <td>50</td>
    <td>P</td>
    <td>PERDAGANGAN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1810</td>
    <td>01-08-2019</td>
    <td>029742</td>
    <td>YUNI NUR RAHMAH</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-01-1985</td>
    <td>34</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>
    </tr>

    <tr align="left" valign="top">


    <td>1811</td>
    <td>01-08-2019</td>
    <td>006159</td>
    <td>SUMINAH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-05-1963</td>
    <td>56</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PENERIMA PENSIUN PNS</td>
    <td>0000109617603</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1812</td>
    <td>01-08-2019</td>
    <td>006158</td>
    <td>FITRIANI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-04-1990</td>
    <td>29</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1813</td>
    <td>01-08-2019</td>
    <td>006162</td>
    <td>RIRIN NUR A.</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-08-1998</td>
    <td>21</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1814</td>
    <td>01-08-2019</td>
    <td>006165</td>
    <td>SUPRAPTI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-10-1972</td>
    <td>46</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809740521</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1815</td>
    <td>01-08-2019</td>
    <td>006166</td>
    <td>TARMINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-04-1967</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1816</td>
    <td>01-08-2019</td>
    <td>006170</td>
    <td>ENDRIANI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-03-1984</td>
    <td>35</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1817</td>
    <td>01-08-2019</td>
    <td>006200</td>
    <td>YAYUK PRIYANI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-09-1982</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1818</td>
    <td>01-08-2019</td>
    <td>006205</td>
    <td>NYAINEM</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-04-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002778386231</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1819</td>
    <td>01-08-2019</td>
    <td>006208</td>
    <td>PUTRI NURVIKA SARI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-2006</td>
    <td>13</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1820</td>
    <td>01-08-2019</td>
    <td>006220</td>
    <td>BAYU KRISNANDA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-03-2004</td>
    <td>15</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1821</td>
    <td>01-08-2019</td>
    <td>006172</td>
    <td>ULFI ALIF FIANTI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-06-1990</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001161474074</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1822</td>
    <td>01-08-2019</td>
    <td>006191</td>
    <td>MARHENI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1971</td>
    <td>48</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1823</td>
    <td>01-08-2019</td>
    <td>006201</td>
    <td>SRIATUN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>1824</td>
    <td>01-08-2019</td>
    <td>006209</td>
    <td>DINA EKAWATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-02-1989</td>
    <td>30</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1825</td>
    <td>02-08-2019</td>
    <td>029719</td>
    <td>NURMA WIJAYANTI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-12-1989</td>
    <td>29</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1826</td>
    <td>02-08-2019</td>
    <td>029746</td>
    <td>SULASTRI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-07-1979</td>
    <td>40</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1827</td>
    <td>02-08-2019</td>
    <td>029754</td>
    <td>MOHAMMAD FAKHUR ROHMAN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-08-2016</td>
    <td>3</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1828</td>
    <td>02-08-2019</td>
    <td>029473</td>
    <td>FAJAR MAULANA ROZAQI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-06-2012</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1829</td>
    <td>02-08-2019</td>
    <td>029530</td>
    <td>AL FATIH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-07-2015</td>
    <td>4</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1830</td>
    <td>02-08-2019</td>
    <td>029175</td>
    <td>NYOTO</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-01-1969</td>
    <td>50</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1831</td>
    <td>02-08-2019</td>
    <td>029182</td>
    <td>JOHAN DIMAS FERNANDA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-10-2000</td>
    <td>18</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1832</td>
    <td>02-08-2019</td>
    <td>028926</td>
    <td>FEBRY KRISWANTORO</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-02-2000</td>
    <td>19</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1833</td>
    <td>02-08-2019</td>
    <td>028712</td>
    <td>KASRI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-06-1966</td>
    <td>53</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1834</td>
    <td>02-08-2019</td>
    <td>027781</td>
    <td>FAIZ IDRIS BAWAZIR</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-06-2013</td>
    <td>6</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1835</td>
    <td>03-08-2019</td>
    <td>006246</td>
    <td>SUMIDI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-1949</td>
    <td>69</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1836</td>
    <td>03-08-2019</td>
    <td>006332</td>
    <td>MUHAMMAD NIZAM ZULFIKAR</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-01-2012</td>
    <td>7</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1837</td>
    <td>03-08-2019</td>
    <td>006347</td>
    <td>PATIMAH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-05-1957</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1838</td>
    <td>03-08-2019</td>
    <td>006507</td>
    <td>EDI PURYANTO</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-05-1994</td>
    <td>25</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1839</td>
    <td>03-08-2019</td>
    <td>006518</td>
    <td>ABIL YUANDIKA</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-03-2005</td>
    <td>14</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1840</td>
    <td>03-08-2019</td>
    <td>006529</td>
    <td>WARSINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-09-1971</td>
    <td>47</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1841</td>
    <td>03-08-2019</td>
    <td>006529</td>
    <td>WARSINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-09-1971</td>
    <td>47</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1842</td>
    <td>03-08-2019</td>
    <td>006822</td>
    <td>TEGAR AGUNG WICAKSONO</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-05-2011</td>
    <td>8</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1843</td>
    <td>03-08-2019</td>
    <td>006870</td>
    <td>ITA INDARWATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-03-1986</td>
    <td>33</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1844</td>
    <td>03-08-2019</td>
    <td>006870</td>
    <td>ITA INDARWATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-03-1986</td>
    <td>33</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1845</td>
    <td>03-08-2019</td>
    <td>007260</td>
    <td>DAIMUN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-11-1946</td>
    <td>72</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1846</td>
    <td>03-08-2019</td>
    <td>007719</td>
    <td>WASIMAN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-1950</td>
    <td>69</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1847</td>
    <td>03-08-2019</td>
    <td>007718</td>
    <td>SRI MUHARYATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-07-1955</td>
    <td>64</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>
    </tr>

    <tr align="left" valign="top">


    <td>1848</td>
    <td>03-08-2019</td>
    <td>007725</td>
    <td>SATINEM</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1948</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1849</td>
    <td>03-08-2019</td>
    <td>000773</td>
    <td>BEWANTORO</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1965</td>
    <td>54</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1850</td>
    <td>03-08-2019</td>
    <td>007740</td>
    <td>TATIK</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-05-1957</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1851</td>
    <td>03-08-2019</td>
    <td>007747</td>
    <td>0TARNI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-05-1950</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1852</td>
    <td>03-08-2019</td>
    <td>007753</td>
    <td>DWI KARINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-09-1960</td>
    <td>58</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1853</td>
    <td>03-08-2019</td>
    <td>007756</td>
    <td>WARSIYEM</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-05-1975</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1854</td>
    <td>03-08-2019</td>
    <td>007757</td>
    <td>HENI SETIOWATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-06-1997</td>
    <td>22</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1855</td>
    <td>03-08-2019</td>
    <td>007759</td>
    <td>MARIATUN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-01-1972</td>
    <td>47</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1856</td>
    <td>03-08-2019</td>
    <td>007760</td>
    <td>WARSINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1970</td>
    <td>49</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1857</td>
    <td>03-08-2019</td>
    <td>007761</td>
    <td>PAIMIN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-07-1928</td>
    <td>91</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.1 </td>
    <td align='center'>
    Routine child health examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1858</td>
    <td>03-08-2019</td>
    <td>007761</td>
    <td>PAIMIN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-07-1928</td>
    <td>91</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1859</td>
    <td>03-08-2019</td>
    <td>007777</td>
    <td>MADIMIN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-03-1973</td>
    <td>46</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1860</td>
    <td>03-08-2019</td>
    <td>007778</td>
    <td>MURAH</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1961</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>
    <tr align="left" valign="top">
    <td>1861</td>
    <td>03-08-2019</td>
    <td>008405</td>
    <td>DJAMINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1949</td>
    <td>69</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1862</td>
    <td>03-08-2019</td>
    <td>008842</td>
    <td>NYONI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1961</td>
    <td>57</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1863</td>
    <td>03-08-2019</td>
    <td>008949</td>
    <td>JAIMAN</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-09-1950</td>
    <td>69</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1864</td>
    <td>03-08-2019</td>
    <td>009172</td>
    <td>SUMARNI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00 </td>
    <td align='center'>
    General examination and investigation of persons without complaint and
    reported diagnosis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1865</td>
    <td>03-08-2019</td>
    <td>009213</td>
    <td>SRI WIDIATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-08-1988</td>
    <td>31</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu MOJOREMBUN</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>1866</td>
    <td>03-08-2019</td>
    <td>003826</td>
    <td>RADITYA RIFQIQ PUTRA NUGROHO</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-05-2017</td>
    <td>2</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09.0 </td>
    <td align='center'>
    Other and unspecified gastroenteritis and colitis of infectious origin
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1867</td>
    <td>05-08-2019</td>
    <td>007303</td>
    <td>SUPIYAH</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1953</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1868</td>
    <td>05-08-2019</td>
    <td>004843</td>
    <td>SAMPEN</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1953</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1869</td>
    <td>05-08-2019</td>
    <td>004845</td>
    <td>TAMIJAH</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1949</td>
    <td>70</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1870</td>
    <td>05-08-2019</td>
    <td>004866</td>
    <td>SUMI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1871</td>
    <td>05-08-2019</td>
    <td>029449</td>
    <td>YATMI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1957</td>
    <td>62</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1872</td>
    <td>06-08-2019</td>
    <td>030346</td>
    <td>YATI AFRIATI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-07-1969</td>
    <td>50</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1873</td>
    <td>06-08-2019</td>
    <td>005024</td>
    <td>SARIMAH</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1934</td>
    <td>84</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>
    </tr>

    <tr align="left" valign="top">


    <td>1874</td>
    <td>06-08-2019</td>
    <td>030352</td>
    <td>SUNARTI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-1969</td>
    <td>50</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1875</td>
    <td>06-08-2019</td>
    <td>005220</td>
    <td>PARIYEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1946</td>
    <td>72</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1876</td>
    <td>06-08-2019</td>
    <td>024582</td>
    <td>PANIDJAN</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-07-1939</td>
    <td>80</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1877</td>
    <td>06-08-2019</td>
    <td>005224</td>
    <td>SINI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1878</td>
    <td>06-08-2019</td>
    <td>007422</td>
    <td>SLAMET</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1955</td>
    <td>64</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1879</td>
    <td>06-08-2019</td>
    <td>006765</td>
    <td>TINI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1944</td>
    <td>74</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1880</td>
    <td>06-08-2019</td>
    <td>015077</td>
    <td>KASTO</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1949</td>
    <td>70</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1881</td>
    <td>06-08-2019</td>
    <td>007393</td>
    <td>YATIYEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1882</td>
    <td>06-08-2019</td>
    <td>001951</td>
    <td>YATMI</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-10-1966</td>
    <td>52</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1883</td>
    <td>06-08-2019</td>
    <td>007418</td>
    <td>PAIDI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1945</td>
    <td>74</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1884</td>
    <td>06-08-2019</td>
    <td>005041</td>
    <td>MADINEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>01-01-1941</td>
    <td>78</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734979789</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1885</td>
    <td>06-08-2019</td>
    <td>007186</td>
    <td>SAMINEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-07-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1886</td>
    <td>06-08-2019</td>
    <td>005317</td>
    <td>SAIMAN</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-11-1959</td>
    <td>59</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1887</td>
    <td>06-08-2019</td>
    <td>030355</td>
    <td>PAIDJEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1946</td>
    <td>72</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1888</td>
    <td>06-08-2019</td>
    <td>012812</td>
    <td>SAIJAH</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-07-1948</td>
    <td>71</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1889</td>
    <td>06-08-2019</td>
    <td>030356</td>
    <td>NYOTO</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1963</td>
    <td>56</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1890</td>
    <td>06-08-2019</td>
    <td>012805</td>
    <td>TANI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-07-1948</td>
    <td>71</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1891</td>
    <td>06-08-2019</td>
    <td>005199</td>
    <td>DAMINEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1892</td>
    <td>06-08-2019</td>
    <td>005287</td>
    <td>NYAMI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1949</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1893</td>
    <td>06-08-2019</td>
    <td>030358</td>
    <td>SUKIRAH</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1964</td>
    <td>55</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1894</td>
    <td>06-08-2019</td>
    <td>007197</td>
    <td>SRIPAH</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-01-1953</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1895</td>
    <td>06-08-2019</td>
    <td>007419</td>
    <td>SURAJI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-04-1948</td>
    <td>71</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1896</td>
    <td>06-08-2019</td>
    <td>030360</td>
    <td>SUPARMI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-09-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045109799</td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1897</td>
    <td>06-08-2019</td>
    <td>028985</td>
    <td>MURYATI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1967</td>
    <td>52</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>
    <tr align="left" valign="top">
    <td>1898</td>
    <td>07-08-2019</td>
    <td>030384</td>
    <td>SUSANTI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-10-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEGAWAI SWASTA</td>
    <td>0001404014815</td>
    <td></td>
    <td align='center'>
    K04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1899</td>
    <td>07-08-2019</td>
    <td>009172</td>
    <td>SUMARNI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1900</td>
    <td>07-08-2019</td>
    <td>009172</td>
    <td>SUMARNI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1966</td>
    <td>53</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z01.3 </td>
    <td align='center'>
    Examination of blood pressure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1901</td>
    <td>08-08-2019</td>
    <td>008016</td>
    <td>DAFFA ALFIANNO SUBIANTO</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-2014</td>
    <td>4</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1902</td>
    <td>09-08-2019</td>
    <td>030418</td>
    <td>BETAVIA ROSANTI</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-09-2004</td>
    <td>15</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K04.0 </td>
    <td align='center'>
    Pulpitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1903</td>
    <td>10-08-2019</td>
    <td>019694</td>
    <td>FARRIS AHSANI AHMAD</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-10-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1904</td>
    <td>10-08-2019</td>
    <td>015437</td>
    <td>KEISHA NAILA PUTRI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-03-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1905</td>
    <td>10-08-2019</td>
    <td>022146</td>
    <td>ALINA FADIYAH SETIONO PUTRI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z24.4 </td>
    <td align='center'>
    Need for immunization against measles alone </td>

    </tr>

    <tr align="left" valign="top">


    <td>1906</td>
    <td>10-08-2019</td>
    <td>030435</td>
    <td>REYSA SYAFA PUTRI RAHMADHANI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-05-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1907</td>
    <td>10-08-2019</td>
    <td>030437</td>
    <td>AZZAM AULIAN PUTRA SIGIT</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-07-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1908</td>
    <td>10-08-2019</td>
    <td>022141</td>
    <td>MEZZALUNA APRILIA SALSABILA</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-04-2017</td>
    <td>2</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1909</td>
    <td>10-08-2019</td>
    <td>027351</td>
    <td>NAVIGO FADHIL SANTOSO</td>
    <td>GEMENGGENG</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>18-04-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1910</td>
    <td>10-08-2019</td>
    <td>025925</td>
    <td>ARYA PANDU SATRIA</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>
    <tr align="left" valign="top">
    <td>1911</td>
    <td>10-08-2019</td>
    <td>025936</td>
    <td>MU`AD AKBAR PRAKUSO</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-03-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1912</td>
    <td>10-08-2019</td>
    <td>027342</td>
    <td>ASHILLA FARAH KHOIRUNNISA</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-03-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>1913</td>
    <td>15-08-2019</td>
    <td>030744</td>
    <td>PANDU EKA ALIFIANDRA</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-05-2004</td>
    <td>15</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1914</td>
    <td>15-08-2019</td>
    <td>030745</td>
    <td>TEGUH PRIYONO</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-03-1979</td>
    <td>40</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1915</td>
    <td>17-08-2019</td>
    <td>006850</td>
    <td>ALIKA NAILA PUTRI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-03-2014</td>
    <td>5</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H61.2 </td>
    <td align='center'>
    Impacted cerumen </td>

    </tr>

    <tr align="left" valign="top">


    <td>1916</td>
    <td>19-08-2019</td>
    <td>030563</td>
    <td>DAMINI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1950</td>
    <td>69</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1917</td>
    <td>21-08-2019</td>
    <td>012635</td>
    <td>TRIANA LESTARI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-07-1986</td>
    <td>33</td>
    <td>P</td>
    <td>-</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50 </td>
    <td align='center'>
    Fever of other and unknown origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1918</td>
    <td>21-08-2019</td>
    <td>030662</td>
    <td>SUMIATI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-02-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1919</td>
    <td>24-08-2019</td>
    <td>030743</td>
    <td>NATHANIELA QUEEN MALIKA</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-12-2010</td>
    <td>8</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H61.2 </td>
    <td align='center'>
    Impacted cerumen </td>

    </tr>

    <tr align="left" valign="top">


    <td>1920</td>
    <td>26-08-2019</td>
    <td>011188</td>
    <td>BAITUS SHOLICHAH</td>
    <td>GEMENGGENG</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>25-09-1987</td>
    <td>31</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBD)</td>
    <td>0002159093002</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1921</td>
    <td>26-08-2019</td>
    <td>011174</td>
    <td>FRANSISCA YADIRA YASMIN</td>
    <td>GUYANGAN</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>06-05-2013</td>
    <td>6</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809712125</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1922</td>
    <td>26-08-2019</td>
    <td>018042</td>
    <td>INEZ CYNTIA SUWARNO</td>
    <td>KEDUNGDOWO</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>28-06-2015</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu SUKOREJO</td>
    <td>PARMI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09.0 </td>
    <td align='center'>
    Other and unspecified gastroenteritis and colitis of infectious origin
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1923</td>
    <td>01-08-2019</td>
    <td>016353</td>
    <td>YATINUK</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-10-1964</td>
    <td>54</td>
    <td>P</td>
    <td>GURU</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1924</td>
    <td>02-08-2019</td>
    <td>027388</td>
    <td>MADINEM</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-07-1957</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1925</td>
    <td>02-08-2019</td>
    <td>013663</td>
    <td>SAMI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1930</td>
    <td>89</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H10 </td>
    <td align='center'>
    Conjunctivitis </td>

    </tr>
    <tr align="left" valign="top">
    <td>1926</td>
    <td>02-08-2019</td>
    <td>023833</td>
    <td>SUNARJO</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-04-1962</td>
    <td>57</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1927</td>
    <td>03-08-2019</td>
    <td>003390</td>
    <td>HUSNA NAYLA ASYIFA</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-04-2015</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1928</td>
    <td>03-08-2019</td>
    <td>008095</td>
    <td>MARIYATI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1975</td>
    <td>44</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1929</td>
    <td>03-08-2019</td>
    <td>028550</td>
    <td>ANDIKA AMBARWATI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1992</td>
    <td>27</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737106513</td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1930</td>
    <td>05-08-2019</td>
    <td>001336</td>
    <td>ZAZULI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1950</td>
    <td>69</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>1931</td>
    <td>05-08-2019</td>
    <td>016370</td>
    <td>WIWIN TRI RATNAWATI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-01-1985</td>
    <td>34</td>
    <td>P</td>
    <td>GURU</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1932</td>
    <td>06-08-2019</td>
    <td>001147</td>
    <td>LAMSRI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1980</td>
    <td>38</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1933</td>
    <td>07-08-2019</td>
    <td>029898</td>
    <td>ARBIAN ABBI REHANO</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-09-2010</td>
    <td>9</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1934</td>
    <td>07-08-2019</td>
    <td>023829</td>
    <td>SUMINEM</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-01-1955</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H10 </td>
    <td align='center'>
    Conjunctivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1935</td>
    <td>08-08-2019</td>
    <td>016352</td>
    <td>MASHUDI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-02-1962</td>
    <td>57</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1936</td>
    <td>08-08-2019</td>
    <td>007641</td>
    <td>PARMI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-10-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>
    </tr>

    <tr align="left" valign="top">


    <td>1937</td>
    <td>09-08-2019</td>
    <td>018997</td>
    <td>PURWATININGSIH</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-12-1982</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1938</td>
    <td>09-08-2019</td>
    <td>007575</td>
    <td>SUMARSIH</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-10-1976</td>
    <td>42</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1939</td>
    <td>09-08-2019</td>
    <td>028550</td>
    <td>ANDIKA AMBARWATI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1992</td>
    <td>27</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737106513</td>
    <td></td>
    <td align='center'>
    O70 </td>
    <td align='center'>
    Perineal laceration during delivery </td>

    </tr>

    <tr align="left" valign="top">


    <td>1940</td>
    <td>09-08-2019</td>
    <td>016353</td>
    <td>YATINUK</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-10-1964</td>
    <td>54</td>
    <td>P</td>
    <td>GURU</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1941</td>
    <td>09-08-2019</td>
    <td>027396</td>
    <td>SRI RUMINI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-10-1983</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1942</td>
    <td>10-08-2019</td>
    <td>003392</td>
    <td>SUYATMI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-03-1984</td>
    <td>35</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z34 </td>
    <td align='center'>
    Supervision of normal pregnancy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1943</td>
    <td>10-08-2019</td>
    <td>030478</td>
    <td>YATI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-04-1974</td>
    <td>45</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1944</td>
    <td>10-08-2019</td>
    <td>030479</td>
    <td>MUHAMAD NUR CAHYONO</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-09-2007</td>
    <td>12</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H10 </td>
    <td align='center'>
    Conjunctivitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1945</td>
    <td>10-08-2019</td>
    <td>027388</td>
    <td>MADINEM</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-07-1957</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>1946</td>
    <td>10-08-2019</td>
    <td>001147</td>
    <td>LAMSRI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-1980</td>
    <td>38</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z30 </td>
    <td align='center'>
    Contraceptive management </td>

    </tr>

    <tr align="left" valign="top">


    <td>1947</td>
    <td>12-08-2019</td>
    <td>028550</td>
    <td>ANDIKA AMBARWATI</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-07-1992</td>
    <td>27</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>Pustu TALUN</td>
    <td>LINNA WIJAYANTI</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000737106513</td>
    <td></td>
    <td align='center'>
    O70 </td>
    <td align='center'>
    Perineal laceration during delivery </td>

    </tr>

    <tr align="left" valign="top">


    <td>1948</td>
    <td>01-08-2019</td>
    <td>028593</td>
    <td>SURADI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>-</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    j44 </td>
    <td align='center'>
    Other chronic obstructive pulmonary disease </td>

    </tr>

    <tr align="left" valign="top">


    <td>1949</td>
    <td>01-08-2019</td>
    <td>002362</td>
    <td>SARTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-08-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>
    <tr align="left" valign="top">
    <td>1950</td>
    <td>01-08-2019</td>
    <td>008280</td>
    <td>SUKIYO</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-06-1953</td>
    <td>66</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>1951</td>
    <td>01-08-2019</td>
    <td>001034</td>
    <td>MAIMAH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1952</td>
    <td>67</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1952</td>
    <td>02-08-2019</td>
    <td>007276</td>
    <td>WIJI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    j11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1953</td>
    <td>02-08-2019</td>
    <td>000275</td>
    <td>NYAMIRAN</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1959</td>
    <td>60</td>
    <td>L</td>
    <td>PEDAGANG</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    G40 </td>
    <td align='center'>
    Epilepsy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1954</td>
    <td>02-08-2019</td>
    <td>023788</td>
    <td>DARTI</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-12-1957</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    e11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>1955</td>
    <td>05-08-2019</td>
    <td>030326</td>
    <td>SUMARDJI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-05-1955</td>
    <td>64</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002881372588</td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1956</td>
    <td>05-08-2019</td>
    <td>001774</td>
    <td>DARMADI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-1956</td>
    <td>63</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1957</td>
    <td>05-08-2019</td>
    <td>003556</td>
    <td>KARNI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1959</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J44 </td>
    <td align='center'>
    Other chronic obstructive pulmonary disease </td>

    </tr>

    <tr align="left" valign="top">


    <td>1958</td>
    <td>05-08-2019</td>
    <td>008762</td>
    <td>SARTI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.9 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus without complications
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>1959</td>
    <td>05-08-2019</td>
    <td>009926</td>
    <td>NYAMIRAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1936</td>
    <td>83</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1960</td>
    <td>05-08-2019</td>
    <td>023275</td>
    <td>SITI AMINAH</td>
    <td>KLURAHAN</td>
    <td>NGRONGGOT</td>
    <td>NGANJUK</td>
    <td>02-04-1937</td>
    <td>82</td>
    <td>P</td>
    <td>-</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>
    </tr>

    <tr align="left" valign="top">


    <td>1961</td>
    <td>06-08-2019</td>
    <td>005684</td>
    <td>MUSTARI</td>
    <td>GANDU</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>31-12-1947</td>
    <td>71</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1962</td>
    <td>06-08-2019</td>
    <td>022072</td>
    <td>KARDI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1953</td>
    <td>66</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1963</td>
    <td>06-08-2019</td>
    <td>026954</td>
    <td>MAMIK SUMARMI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-06-1958</td>
    <td>61</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>1964</td>
    <td>06-08-2019</td>
    <td>030350</td>
    <td>PARTINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-05-1956</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M51 </td>
    <td align='center'>
    Other intervertebral disc disorders </td>

    </tr>

    <tr align="left" valign="top">


    <td>1965</td>
    <td>06-08-2019</td>
    <td>005191</td>
    <td>SAMIN</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1966</td>
    <td>08-08-2019</td>
    <td>002848</td>
    <td>WANDI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1958</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1967</td>
    <td>08-08-2019</td>
    <td>002600</td>
    <td>SUKIRAN</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1956</td>
    <td>63</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J10 </td>
    <td align='center'>
    Influenza due to other identified influenza virus </td>

    </tr>

    <tr align="left" valign="top">


    <td>1968</td>
    <td>08-08-2019</td>
    <td>014502</td>
    <td>SUPARMIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-1959</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1969</td>
    <td>08-08-2019</td>
    <td>014505</td>
    <td>LASIYEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1959</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11.5 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus with peripheral circulatory
    complications </td>

    </tr>

    <tr align="left" valign="top">


    <td>1970</td>
    <td>08-08-2019</td>
    <td>004036</td>
    <td>YATI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1971</td>
    <td>08-08-2019</td>
    <td>016323</td>
    <td>SRIANI</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-11-1954</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    H11.0 </td>
    <td align='center'>
    Pterygium </td>

    </tr>

    <tr align="left" valign="top">


    <td>1972</td>
    <td>09-08-2019</td>
    <td>003798</td>
    <td>YATINAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-09-1955</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1973</td>
    <td>09-08-2019</td>
    <td>005041</td>
    <td>MADINEM</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>01-01-1941</td>
    <td>78</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734979789</td>
    <td></td>
    <td align='center'>
    A15.0 </td>
    <td align='center'>
    Tuberculosis of lung, confirmed by sputum microscopy with or without
    culture </td>
    </tr>

    <tr align="left" valign="top">


    <td>1974</td>
    <td>09-08-2019</td>
    <td>003345</td>
    <td>MALEM</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1957</td>
    <td>62</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>1975</td>
    <td>12-08-2019</td>
    <td>026119</td>
    <td>YATEMI</td>
    <td>KEDUNGKUMPUL</td>
    <td>SUKORAME</td>
    <td>LAMONGAN</td>
    <td>01-01-1940</td>
    <td>79</td>
    <td>P</td>
    <td>-</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000754301665</td>
    <td></td>
    <td align='center'>
    K25 </td>
    <td align='center'>
    Gastric ulcer </td>

    </tr>

    <tr align="left" valign="top">


    <td>1976</td>
    <td>12-08-2019</td>
    <td>002216</td>
    <td>JUMINEM</td>
    <td>BANARANKULON</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>12-09-1953</td>
    <td>65</td>
    <td>L</td>
    <td>Mengurus Rumah Tangga</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    M06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1977</td>
    <td>13-08-2019</td>
    <td>007276</td>
    <td>WIJI</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>30-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1978</td>
    <td>13-08-2019</td>
    <td>028593</td>
    <td>SURADI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>-</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J44 </td>
    <td align='center'>
    Other chronic obstructive pulmonary disease </td>

    </tr>

    <tr align="left" valign="top">


    <td>1979</td>
    <td>13-08-2019</td>
    <td>001034</td>
    <td>MAIMAH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1952</td>
    <td>67</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1980</td>
    <td>13-08-2019</td>
    <td>001720</td>
    <td>BASUKI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-1949</td>
    <td>69</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>1981</td>
    <td>15-08-2019</td>
    <td>030535</td>
    <td>SIPIK</td>
    <td>SENDANGREJO</td>
    <td>NGIMBANG</td>
    <td>LAMONGAN</td>
    <td>15-08-1949</td>
    <td>70</td>
    <td>P</td>
    <td>-</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1982</td>
    <td>16-08-2019</td>
    <td>007557</td>
    <td>SUKADI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-09-1941</td>
    <td>77</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1983</td>
    <td>16-08-2019</td>
    <td>015334</td>
    <td>MULYONO</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-07-1955</td>
    <td>64</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1984</td>
    <td>19-08-2019</td>
    <td>001774</td>
    <td>DARMADI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>16-07-1956</td>
    <td>63</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I84 </td>
    <td align='center'>
    Haemorrhoids </td>

    </tr>

    <tr align="left" valign="top">


    <td>1985</td>
    <td>19-08-2019</td>
    <td>002848</td>
    <td>WANDI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1958</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1986</td>
    <td>19-08-2019</td>
    <td>007557</td>
    <td>SUKADI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-09-1941</td>
    <td>77</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>1987</td>
    <td>19-08-2019</td>
    <td>023843</td>
    <td>PARTINEM</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-09-1959</td>
    <td>60</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>0002159117166</td>
    <td></td>
    <td align='center'>
    A16 </td>
    <td align='center'>
    Respiratory tuberculosis, not confirmed bacteriologically or
    histologically </td>

    </tr>

    <tr align="left" valign="top">


    <td>1988</td>
    <td>19-08-2019</td>
    <td>000275</td>
    <td>NYAMIRAN</td>
    <td>SETREN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1959</td>
    <td>60</td>
    <td>L</td>
    <td>PEDAGANG</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    G40 </td>
    <td align='center'>
    Epilepsy </td>

    </tr>

    <tr align="left" valign="top">


    <td>1989</td>
    <td>19-08-2019</td>
    <td>006777</td>
    <td>RADJI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-12-1948</td>
    <td>70</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1990</td>
    <td>20-08-2019</td>
    <td>002746</td>
    <td>PAERAH</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>31-12-1945</td>
    <td>73</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1991</td>
    <td>20-08-2019</td>
    <td>004355</td>
    <td>WARSO</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-10-1940</td>
    <td>78</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>1992</td>
    <td>20-08-2019</td>
    <td>001994</td>
    <td>SUPARMI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-04-1954</td>
    <td>65</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    r51 </td>
    <td align='center'>
    Headache </td>

    </tr>

    <tr align="left" valign="top">


    <td>1993</td>
    <td>21-08-2019</td>
    <td>008762</td>
    <td>SARTI</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1954</td>
    <td>64</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>1994</td>
    <td>21-08-2019</td>
    <td>002362</td>
    <td>SARTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-08-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    m06 </td>
    <td align='center'>
    Other rheumatoid arthritis </td>

    </tr>

    <tr align="left" valign="top">


    <td>1995</td>
    <td>21-08-2019</td>
    <td>024567</td>
    <td>SUYATMI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-03-1953</td>
    <td>66</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E11 </td>
    <td align='center'>
    Non-insulin-dependent diabetes mellitus </td>

    </tr>

    <tr align="left" valign="top">


    <td>1996</td>
    <td>21-08-2019</td>
    <td>005189</td>
    <td>ENY SUDARTI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-09-1957</td>
    <td>62</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>1997</td>
    <td>23-08-2019</td>
    <td>028593</td>
    <td>SURADI</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>-</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J44 </td>
    <td align='center'>
    Other chronic obstructive pulmonary disease </td>
    </tr>

    <tr align="left" valign="top">


    <td>1998</td>
    <td>23-08-2019</td>
    <td>030694</td>
    <td>SUPARMAN</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-07-1957</td>
    <td>62</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I50.0 </td>
    <td align='center'>
    Congestive heart failure </td>

    </tr>

    <tr align="left" valign="top">


    <td>1999</td>
    <td>24-08-2019</td>
    <td>001034</td>
    <td>MAIMAH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1952</td>
    <td>67</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J11 </td>
    <td align='center'>
    Influenza, virus not identified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2000</td>
    <td>24-08-2019</td>
    <td>001720</td>
    <td>BASUKI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-1949</td>
    <td>69</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>2001</td>
    <td>26-08-2019</td>
    <td>002362</td>
    <td>SARTI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-08-1955</td>
    <td>64</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>2002</td>
    <td>27-08-2019</td>
    <td>005191</td>
    <td>SAMIN</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2003</td>
    <td>27-08-2019</td>
    <td>015334</td>
    <td>MULYONO</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-07-1955</td>
    <td>64</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2004</td>
    <td>28-08-2019</td>
    <td>002848</td>
    <td>WANDI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1958</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>2005</td>
    <td>28-08-2019</td>
    <td>020832</td>
    <td>JUMINEM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-1954</td>
    <td>65</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    i10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>2006</td>
    <td>29-08-2019</td>
    <td>030833</td>
    <td>SOEHARNO</td>
    <td>KEBAYORAN LAMA SELATAN</td>
    <td>KEBAYORAN LAMA</td>
    <td>JAKARTA SELATAN</td>
    <td>04-08-1943</td>
    <td>76</td>
    <td>L</td>
    <td>-</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>VETERAN</td>
    <td>0000042567761</td>
    <td></td>
    <td align='center'>
    M79.1 </td>
    <td align='center'>
    Myalgia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2007</td>
    <td>31-08-2019</td>
    <td>003556</td>
    <td>KARNI</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-06-1959</td>
    <td>60</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI PKPR</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    I10 </td>
    <td align='center'>
    Essential (primary) hypertension </td>

    </tr>

    <tr align="left" valign="top">


    <td>2008</td>
    <td>01-08-2019</td>
    <td>017161</td>
    <td>MUHAMMAD ALFARI SEPTIANTO</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-09-2017</td>
    <td>2</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2009</td>
    <td>01-08-2019</td>
    <td>008260</td>
    <td>LOVEGA PUTRI N</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-02-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2010</td>
    <td>01-08-2019</td>
    <td>030200</td>
    <td>M FAHRUL O</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-10-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E44.0 </td>
    <td align='center'>
    Moderate protein-energy malnutrition </td>

    </tr>

    <tr align="left" valign="top">


    <td>2011</td>
    <td>01-08-2019</td>
    <td>000247</td>
    <td>DELISA AURYN CLARA BINTANG</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-10-2016</td>
    <td>2</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2012</td>
    <td>02-08-2019</td>
    <td>030229</td>
    <td>ALDERAJAZA RAFAEL PUTRA DEWANTO</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-06-2016</td>
    <td>3</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2013</td>
    <td>02-08-2019</td>
    <td>009094</td>
    <td>AHMAD SIHABUDIN</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-08-2017</td>
    <td>2</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2014</td>
    <td>03-08-2019</td>
    <td>012643</td>
    <td>DANISWARA ARIENDRA</td>
    <td>BALONGPACUL</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>17-04-2017</td>
    <td>2</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2015</td>
    <td>03-08-2019</td>
    <td>017180</td>
    <td>HELMANIA NIKMATUL H</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-08-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2016</td>
    <td>03-08-2019</td>
    <td>004403</td>
    <td>HANIFA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-09-2017</td>
    <td>2</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2017</td>
    <td>05-08-2019</td>
    <td>020958</td>
    <td>RADITYA YODHA PRATAMA</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    B37.0 </td>
    <td align='center'>
    Candidal stomatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2018</td>
    <td>05-08-2019</td>
    <td>030306</td>
    <td>RADINKA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-02-2017</td>
    <td>2</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>2019</td>
    <td>05-08-2019</td>
    <td>006651</td>
    <td>M. ILHAM AL - MAIZA ROMADONY</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-06-2017</td>
    <td>2</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    L23 </td>
    <td align='center'>
    Allergic contact dermatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2020</td>
    <td>06-08-2019</td>
    <td>022334</td>
    <td>MEIZA FAIQAH MUTHIA</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J11.1 </td>
    <td align='center'>
    Influenza with other respiratory manifestations, virus not identified
    </td>

    </tr>

    <tr align="left" valign="top">


    <td>2021</td>
    <td>06-08-2019</td>
    <td>000879</td>
    <td>MU`IDURROZIQ KHUSNI MUBAROK</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-04-2017</td>
    <td>2</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>
    </tr>

    <tr align="left" valign="top">


    <td>2022</td>
    <td>07-08-2019</td>
    <td>023979</td>
    <td>ZAQI MEKA ADIWANGSA</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2023</td>
    <td>08-08-2019</td>
    <td>028096</td>
    <td>ALVIN SHAGARA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>2024</td>
    <td>10-08-2019</td>
    <td>008260</td>
    <td>LOVEGA PUTRI N</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-02-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J18.9 </td>
    <td align='center'>
    Pneumonia, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2025</td>
    <td>12-08-2019</td>
    <td>022822</td>
    <td>RAYYAN DHINAKARA ALFARISQI</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-01-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2026</td>
    <td>13-08-2019</td>
    <td>022600</td>
    <td>STEVEN ANDIAN FERNANDO</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2027</td>
    <td>13-08-2019</td>
    <td>018033</td>
    <td>PUTRA AFKAR MAHARDIKA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-2016</td>
    <td>3</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2028</td>
    <td>13-08-2019</td>
    <td>030473</td>
    <td>AISYAH SALSABILA PUTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-06-2015</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2029</td>
    <td>14-08-2019</td>
    <td>018339</td>
    <td>EXTA ARTHA FADLILLAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-01-2016</td>
    <td>3</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2030</td>
    <td>14-08-2019</td>
    <td>025274</td>
    <td>FANESA</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-07-2016</td>
    <td>3</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E44 </td>
    <td align='center'>
    Protein-energy malnutrition of moderate and mild degree </td>

    </tr>

    <tr align="left" valign="top">


    <td>2031</td>
    <td>14-08-2019</td>
    <td>025277</td>
    <td>MOHAMMAD SATRIA YANUTAMA</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>02-12-2016</td>
    <td>2</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2032</td>
    <td>14-08-2019</td>
    <td>025294</td>
    <td>ARINTHA</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-03-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E44 </td>
    <td align='center'>
    Protein-energy malnutrition of moderate and mild degree </td>

    </tr>

    <tr align="left" valign="top">


    <td>2033</td>
    <td>14-08-2019</td>
    <td>025284</td>
    <td>GIBRAN DWI M</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E44 </td>
    <td align='center'>
    Protein-energy malnutrition of moderate and mild degree </td>

    </tr>

    <tr align="left" valign="top">


    <td>2034</td>
    <td>14-08-2019</td>
    <td>025295</td>
    <td>BASTIAN</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-05-2016</td>
    <td>3</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E44 </td>
    <td align='center'>
    Protein-energy malnutrition of moderate and mild degree </td>

    </tr>

    <tr align="left" valign="top">


    <td>2035</td>
    <td>14-08-2019</td>
    <td>026103</td>
    <td>LOUIS</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-12-2017</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E44.0 </td>
    <td align='center'>
    Moderate protein-energy malnutrition </td>

    </tr>

    <tr align="left" valign="top">


    <td>2036</td>
    <td>14-08-2019</td>
    <td>025296</td>
    <td>M ABDUL JALIL</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-08-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    E44 </td>
    <td align='center'>
    Protein-energy malnutrition of moderate and mild degree </td>

    </tr>
    <tr align="left" valign="top">
    <td>2037</td>
    <td>14-08-2019</td>
    <td>012488</td>
    <td>SALSABELLA JUWITA</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-06-2016</td>
    <td>3</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E44.0 </td>
    <td align='center'>
    Moderate protein-energy malnutrition </td>

    </tr>

    <tr align="left" valign="top">


    <td>2038</td>
    <td>14-08-2019</td>
    <td>001412</td>
    <td>MEDA APIW OLIVIA</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-10-2014</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E44 </td>
    <td align='center'>
    Protein-energy malnutrition of moderate and mild degree </td>

    </tr>

    <tr align="left" valign="top">


    <td>2039</td>
    <td>14-08-2019</td>
    <td>004394</td>
    <td>NAURA PUTRI MAHENDRA</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-06-2015</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    E44.0 </td>
    <td align='center'>
    Moderate protein-energy malnutrition </td>

    </tr>

    <tr align="left" valign="top">


    <td>2040</td>
    <td>14-08-2019</td>
    <td>026182</td>
    <td>AHMAD AIDAN QUANTIN HAMIZAN</td>
    <td>TALUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-03-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2041</td>
    <td>14-08-2019</td>
    <td>015096</td>
    <td>AHMAD FIKRI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-10-2017</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2042</td>
    <td>15-08-2019</td>
    <td>030501</td>
    <td>NABAUN ROHMAN</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-03-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2043</td>
    <td>15-08-2019</td>
    <td>030502</td>
    <td>NADIA ALISA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2044</td>
    <td>15-08-2019</td>
    <td>030503</td>
    <td>RAYYAN S</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2045</td>
    <td>15-08-2019</td>
    <td>030504</td>
    <td>ELMAIRA DILA F</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-05-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2046</td>
    <td>15-08-2019</td>
    <td>030505</td>
    <td>RENDRA MAHESA</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-08-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.4 </td>
    <td align='center'>
    Need for immunization against measles-mumps-rubella [MMR] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2047</td>
    <td>15-08-2019</td>
    <td>030506</td>
    <td>ANJANI SALMA K</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-12-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2048</td>
    <td>15-08-2019</td>
    <td>030508</td>
    <td>FATHIYA NUR R</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-06-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2049</td>
    <td>15-08-2019</td>
    <td>030509</td>
    <td>MAGIKA ATHARRAZ KAKIONO A</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-09-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.4 </td>
    <td align='center'>
    Need for immunization against measles-mumps-rubella [MMR] </td>
    </tr>

    <tr align="left" valign="top">


    <td>2050</td>
    <td>15-08-2019</td>
    <td>030512</td>
    <td>GRACIA PRILY D</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-02-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2051</td>
    <td>15-08-2019</td>
    <td>030514</td>
    <td>AISYA AYUDIA</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-12-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2052</td>
    <td>15-08-2019</td>
    <td>030515</td>
    <td>AIRA JENNA T</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2053</td>
    <td>15-08-2019</td>
    <td>030516</td>
    <td>AISYIFA AQILA</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-02-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2054</td>
    <td>15-08-2019</td>
    <td>030517</td>
    <td>NOVITA QUEENBEN</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-08-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2055</td>
    <td>15-08-2019</td>
    <td>030519</td>
    <td>FATHIYAH JINGGA A</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2056</td>
    <td>15-08-2019</td>
    <td>030520</td>
    <td>RIO GUNTUR M</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.2 </td>
    <td align='center'>
    Examination for period of rapid growth in childhood </td>

    </tr>

    <tr align="left" valign="top">


    <td>2057</td>
    <td>15-08-2019</td>
    <td>030521</td>
    <td>AHMAD ZIAN FAEYZA</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>23-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2058</td>
    <td>15-08-2019</td>
    <td>030522</td>
    <td>SOVIA ALFADILA F</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-02-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2059</td>
    <td>15-08-2019</td>
    <td>030523</td>
    <td>LULUK JIBRILAH HUSNA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2060</td>
    <td>15-08-2019</td>
    <td>030524</td>
    <td>SASINKA TIARA DEWI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-07-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2061</td>
    <td>15-08-2019</td>
    <td>030526</td>
    <td>REVAN FEBRIAN ABIMANYU</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>13-02-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2062</td>
    <td>15-08-2019</td>
    <td>030527</td>
    <td>M REZA A</td>
    <td>MUSIRKIDUL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z23.2 </td>
    <td align='center'>
    Need for immunization against tuberculosis [BCG] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2063</td>
    <td>15-08-2019</td>
    <td>030528</td>
    <td>DAHAYU AHDAN M</td>
    <td>GEMPOL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-11-2017</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.4 </td>
    <td align='center'>
    Need for immunization against measles-mumps-rubella [MMR] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2064</td>
    <td>15-08-2019</td>
    <td>030530</td>
    <td>M ARFAN FAIZA P</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>24-11-2017</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>
    <tr align="left" valign="top">
    <td>2065</td>
    <td>15-08-2019</td>
    <td>030532</td>
    <td>ALYA PUTRI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-01-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.1 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis, combined
    [DTP] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2066</td>
    <td>15-08-2019</td>
    <td>024920</td>
    <td>GUD HAWA ASYAFIA</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>22-11-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z24.0 </td>
    <td align='center'>
    Need for immunization against poliomyelitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2067</td>
    <td>15-08-2019</td>
    <td>020958</td>
    <td>RADITYA YODHA PRATAMA</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2068</td>
    <td>15-08-2019</td>
    <td>018479</td>
    <td>M NAUVAL R</td>
    <td>TALANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-01-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2069</td>
    <td>15-08-2019</td>
    <td>018456</td>
    <td>AJENG YUMNA NADYA A</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-09-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    B37.0 </td>
    <td align='center'>
    Candidal stomatitis </td>

    </tr>

    <tr align="left" valign="top">


    <td>2070</td>
    <td>15-08-2019</td>
    <td>029674</td>
    <td>DHEVANO ETHES ADIJAYA</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-06-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2071</td>
    <td>15-08-2019</td>
    <td>028789</td>
    <td>SATRIA APRILIANDO P</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.3 </td>
    <td align='center'>
    Need for immunization against diphtheria-tetanus-pertussis with
    poliomyelitis [DTP + polio] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2072</td>
    <td>15-08-2019</td>
    <td>022298</td>
    <td>NADIA KHUMAIRA PUTRI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-10-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z27.4 </td>
    <td align='center'>
    Need for immunization against measles-mumps-rubella [MMR] </td>

    </tr>

    <tr align="left" valign="top">


    <td>2073</td>
    <td>15-08-2019</td>
    <td>017046</td>
    <td>KEYSA TABITA</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>03-08-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2074</td>
    <td>16-08-2019</td>
    <td>012978</td>
    <td>SHAKILA REVA ANINGDYA AZZAHRA</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-01-2016</td>
    <td>3</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2075</td>
    <td>16-08-2019</td>
    <td>014675</td>
    <td>LUCY KURNIASARI PUTRI</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-11-2015</td>
    <td>3</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2076</td>
    <td>16-08-2019</td>
    <td>030550</td>
    <td>RAFIF DWI F</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-07-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2077</td>
    <td>16-08-2019</td>
    <td>016056</td>
    <td>GALIH AHNAF FAUZAN FIRJATULLAH</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-12-2014</td>
    <td>4</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>
    </tr>

    <tr align="left" valign="top">


    <td>2078</td>
    <td>19-08-2019</td>
    <td>030610</td>
    <td>ARYA ALVARENDRA SETYA PRATAMA</td>
    <td>POJOKREJO</td>
    <td>KESAMBEN</td>
    <td>JOMBANG</td>
    <td>06-07-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002883836013</td>
    <td></td>
    <td align='center'>
    D21.0 </td>
    <td align='center'>
    Other benign neoplasm of connective and other soft tissue of head, face
    and neck </td>

    </tr>

    <tr align="left" valign="top">


    <td>2079</td>
    <td>19-08-2019</td>
    <td>030524</td>
    <td>SASINKA TIARA DEWI</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-07-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z41.3 </td>
    <td align='center'>
    Ear piercing </td>

    </tr>

    <tr align="left" valign="top">


    <td>2080</td>
    <td>19-08-2019</td>
    <td>018277</td>
    <td>EDO FARREL ELVARO</td>
    <td>MUSIRLOR</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-08-2018</td>
    <td>1</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2081</td>
    <td>19-08-2019</td>
    <td>029581</td>
    <td>MUHAMMAD REVAN AL GHOZALI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-04-2018</td>
    <td>1</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    K40.9 </td>
    <td align='center'>
    Unilateral or unspecified inguinal hernia, without obstruction or
    gangrene </td>

    </tr>

    <tr align="left" valign="top">


    <td>2082</td>
    <td>20-08-2019</td>
    <td>011476</td>
    <td>SUFYAN TAUFIQUL KHAKIM</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-08-2017</td>
    <td>2</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2083</td>
    <td>21-08-2019</td>
    <td>014050</td>
    <td>FAISAL N</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-04-2016</td>
    <td>3</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>2084</td>
    <td>22-08-2019</td>
    <td>030678</td>
    <td>DIVIONA ADANIAR K</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-08-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2085</td>
    <td>22-08-2019</td>
    <td>030680</td>
    <td>ALMAHYRA AULIA WIDODO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-03-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2086</td>
    <td>22-08-2019</td>
    <td>030681</td>
    <td>CHENOA RIZAL </td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-08-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    Z00.0 </td>
    <td align='center'>
    General medical examination </td>

    </tr>

    <tr align="left" valign="top">


    <td>2087</td>
    <td>23-08-2019</td>
    <td>017206</td>
    <td>ASIFA BILQIS MALAIKA</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-08-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2088</td>
    <td>24-08-2019</td>
    <td>030704</td>
    <td>MUHAMMAD ZHAFRAN ALIEF AR RASYID</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-01-2015</td>
    <td>4</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J18.9 </td>
    <td align='center'>
    Pneumonia, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2089</td>
    <td>27-08-2019</td>
    <td>017546</td>
    <td>ASSYIFA DWI A</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-05-2015</td>
    <td>4</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2090</td>
    <td>28-08-2019</td>
    <td>029435</td>
    <td>CLARESTA KLARA DESVIRA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-12-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>
    </tr>

    <tr align="left" valign="top">


    <td>2091</td>
    <td>28-08-2019</td>
    <td>006303</td>
    <td>MOCH. AMMAR ARYAN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-02-2016</td>
    <td>3</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2092</td>
    <td>28-08-2019</td>
    <td>012241</td>
    <td>FADLI AHMAD JULIANSYAH</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-07-2016</td>
    <td>3</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    A09 </td>
    <td align='center'>
    Diarrhoea and gastroenteritis of presumed infectious origin </td>

    </tr>

    <tr align="left" valign="top">


    <td>2093</td>
    <td>28-08-2019</td>
    <td>030519</td>
    <td>FATHIYAH JINGGA A</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-06-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2094</td>
    <td>29-08-2019</td>
    <td>028096</td>
    <td>ALVIN SHAGARA</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>06-11-2018</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2095</td>
    <td>29-08-2019</td>
    <td>002259</td>
    <td>FITRIANA BELIA</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-07-2015</td>
    <td>4</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2096</td>
    <td>30-08-2019</td>
    <td>030903</td>
    <td>IBNU MICKO A</td>
    <td></td>
    <td></td>
    <td></td>
    <td>30-11--0001</td>
    <td>2019</td>
    <td></td>
    <td></td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2097</td>
    <td>30-08-2019</td>
    <td>030904</td>
    <td>M MANSYUR A</td>
    <td>MUNGKUNG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>04-08-2019</td>
    <td>0</td>
    <td>L</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS BARU</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2098</td>
    <td>30-08-2019</td>
    <td>030680</td>
    <td>ALMAHYRA AULIA WIDODO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>14-03-2019</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    J06.9 </td>
    <td align='center'>
    Acute upper respiratory infection, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2099</td>
    <td>31-08-2019</td>
    <td>030961</td>
    <td>ANNASYA MALIKA ARDIANSAH</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>19-03-2018</td>
    <td>1</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2100</td>
    <td>31-08-2019</td>
    <td>022334</td>
    <td>MEIZA FAIQAH MUTHIA</td>
    <td>BANJAREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>07-12-2018</td>
    <td>0</td>
    <td>P</td>
    <td>-</td>
    <td>POLI MTBS</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    R50.9 </td>
    <td align='center'>
    Fever, unspecified </td>

    </tr>

    <tr align="left" valign="top">


    <td>2101</td>
    <td>01-08-2019</td>
    <td>030186</td>
    <td>RATNA PUJIWATI</td>
    <td>KANDAT</td>
    <td>KANDAT</td>
    <td>KEDIRI</td>
    <td>18-04-1980</td>
    <td>39</td>
    <td></td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2102</td>
    <td>01-08-2019</td>
    <td>003604</td>
    <td>SUNARYO</td>
    <td>GETAS</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>24-04-1975</td>
    <td>44</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2103</td>
    <td>01-08-2019</td>
    <td>030193</td>
    <td>BASORI</td>
    <td>KEMANTREN</td>
    <td>GEDEG</td>
    <td>MOJOKERTO</td>
    <td>01-11-1972</td>
    <td>46</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    <tr align="left" valign="top">
    <td>2104</td>
    <td>01-08-2019</td>
    <td>030197</td>
    <td>ARIS SETIAWAN</td>
    <td>MOJOREJO</td>
    <td>MODO</td>
    <td>LAMONGAN</td>
    <td>27-04-1989</td>
    <td>30</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2105</td>
    <td>01-08-2019</td>
    <td>003871</td>
    <td>SUMANTONO</td>
    <td>KEDUNGREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>30-06-1957</td>
    <td>62</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2106</td>
    <td>01-08-2019</td>
    <td>003023</td>
    <td>KUSNUL KOTIMAH</td>
    <td>ROWOMARTO</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>27-12-1974</td>
    <td>44</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734180253</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2107</td>
    <td>01-08-2019</td>
    <td>029439</td>
    <td>DIAH KURNIASARI</td>
    <td>TANJUNGANOM</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>05-07-2002</td>
    <td>17</td>
    <td>P</td>
    <td>Pelajar / Mahasiswa</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2108</td>
    <td>01-08-2019</td>
    <td>002931</td>
    <td>SUMINTEN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-03-1976</td>
    <td>43</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2109</td>
    <td>01-08-2019</td>
    <td>006509</td>
    <td>SRI UTAMI</td>
    <td>NGEPUNG</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>04-05-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0001044889661</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2110</td>
    <td>01-08-2019</td>
    <td>028704</td>
    <td>NISA NURUL AINI</td>
    <td>BANARANWETAN</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>01-05-2012</td>
    <td>7</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2111</td>
    <td>01-08-2019</td>
    <td>000635</td>
    <td>SUMADI</td>
    <td>KLODAN</td>
    <td>NGETOS</td>
    <td>NGANJUK</td>
    <td>20-07-1958</td>
    <td>61</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000731584528</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2112</td>
    <td>02-08-2019</td>
    <td>000028</td>
    <td>SETIADJI, SE</td>
    <td>KETAWANG</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>16-10-1973</td>
    <td>45</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2113</td>
    <td>02-08-2019</td>
    <td>012793</td>
    <td>SETYO WARSONO</td>
    <td>NGLINGGO</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>18-07-1998</td>
    <td>21</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2114</td>
    <td>03-08-2019</td>
    <td>030247</td>
    <td>SAPTO HARSOYO</td>
    <td>NGEPUNG</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>01-01-1966</td>
    <td>53</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001127204649</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>
    </tr>

    <tr align="left" valign="top">


    <td>2115</td>
    <td>03-08-2019</td>
    <td>003285</td>
    <td>SUMILAH</td>
    <td>MUNUNG</td>
    <td>JATIKALEN</td>
    <td>NGANJUK</td>
    <td>10-03-1968</td>
    <td>51</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2116</td>
    <td>03-08-2019</td>
    <td>011196</td>
    <td>SUYONO </td>
    <td>PILANGKENCENG</td>
    <td>PILANGKENCENG</td>
    <td>MADIUN</td>
    <td>30-05-1978</td>
    <td>41</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2117</td>
    <td>03-08-2019</td>
    <td>005638</td>
    <td>SUKOCO</td>
    <td>PILANGKENCENG</td>
    <td>PILANGKENCENG</td>
    <td>MADIUN</td>
    <td>21-03-1990</td>
    <td>29</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2118</td>
    <td>03-08-2019</td>
    <td>003316</td>
    <td>SAMSUL ARIFIN</td>
    <td>LOSARI</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>20-04-1992</td>
    <td>27</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2119</td>
    <td>05-08-2019</td>
    <td>030314</td>
    <td>AGUS RIANTO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>28-03-1985</td>
    <td>34</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002428461707</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2120</td>
    <td>05-08-2019</td>
    <td>003552</td>
    <td>LAMIJAH</td>
    <td>SUMBERURIP</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>31-12-1981</td>
    <td>37</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2121</td>
    <td>05-08-2019</td>
    <td>030307</td>
    <td>YOHANA TRIASTUTIK</td>
    <td>BANARANKULON</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>04-06-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2122</td>
    <td>05-08-2019</td>
    <td>006194</td>
    <td>SUMIATUN</td>
    <td>KEDUNGREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>01-08-1980</td>
    <td>39</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733849176</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2123</td>
    <td>05-08-2019</td>
    <td>002521</td>
    <td>MOHAMAD ANAS</td>
    <td>NGADIREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>19-09-1984</td>
    <td>34</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2124</td>
    <td>05-08-2019</td>
    <td>015330</td>
    <td>GAGUK JULIANTO</td>
    <td>KARANGSEMI</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>09-06-1983</td>
    <td>36</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2125</td>
    <td>05-08-2019</td>
    <td>011215</td>
    <td>HENI ILA YUSWANTI</td>
    <td>WARUJAYENG</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>10-03-1979</td>
    <td>40</td>
    <td>P</td>
    <td>Wiraswasta</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2126</td>
    <td>05-08-2019</td>
    <td>005814</td>
    <td>NURYANTO</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-11-1978</td>
    <td>40</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2127</td>
    <td>05-08-2019</td>
    <td>004437</td>
    <td>SUKADI</td>
    <td>KEMLOKOLEGI</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>15-08-1963</td>
    <td>56</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2128</td>
    <td>06-08-2019</td>
    <td>030343</td>
    <td>SUKIRNO</td>
    <td>SUMBANG</td>
    <td>BOJONEGORO</td>
    <td>BOJONEGORO</td>
    <td>06-08-1973</td>
    <td>46</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2129</td>
    <td>06-08-2019</td>
    <td>002290</td>
    <td>DIAZ S</td>
    <td>bojonegoro</td>
    <td>bojonegoro</td>
    <td>bojonegoro</td>
    <td>06-03-1986</td>
    <td>33</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2130</td>
    <td>06-08-2019</td>
    <td>006011</td>
    <td>ARIS APRILIA PUTRA</td>
    <td>KAMPUNGBARU</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>10-04-1990</td>
    <td>29</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2131</td>
    <td>06-08-2019</td>
    <td>003328</td>
    <td>KADARIONO</td>
    <td>TANJUNGKALANG</td>
    <td>NGRONGGOT</td>
    <td>NGANJUK</td>
    <td>01-01-1978</td>
    <td>41</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2132</td>
    <td>06-08-2019</td>
    <td>002491</td>
    <td>MOHAMAD SUTIKNO</td>
    <td>BALONGGEBANG</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>12-10-1969</td>
    <td>49</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2133</td>
    <td>06-08-2019</td>
    <td>004446</td>
    <td>SUSANTO</td>
    <td>KAUMAN</td>
    <td>TULUNGAGUNG</td>
    <td>TULUNGAGUNG</td>
    <td>03-08-1977</td>
    <td>42</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2134</td>
    <td>06-08-2019</td>
    <td>009103</td>
    <td>YUSMANTO</td>
    <td>TANJUNGREJO</td>
    <td>LOCERET</td>
    <td>NGANJUK</td>
    <td>10-10-1966</td>
    <td>52</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2135</td>
    <td>06-08-2019</td>
    <td>001944</td>
    <td>PUJIANTO</td>
    <td>TANJUNGREJO</td>
    <td>LOCERET</td>
    <td>NGANJUK</td>
    <td>12-12-1963</td>
    <td>55</td>
    <td>L</td>
    <td>Wiraswasta</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2136</td>
    <td>06-08-2019</td>
    <td>000558</td>
    <td>ANGGA TRIWIJAYA</td>
    <td>JETIS</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>27-07-1992</td>
    <td>27</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2137</td>
    <td>06-08-2019</td>
    <td>003611</td>
    <td>MARJI</td>
    <td>JAAN</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>30-12-1976</td>
    <td>42</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2138</td>
    <td>06-08-2019</td>
    <td>030351</td>
    <td>KISTIASIH</td>
    <td>KACANGAN</td>
    <td>MODO</td>
    <td>LAMONGAN</td>
    <td>08-01-1966</td>
    <td>53</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    <tr align="left" valign="top">
    <td>2139</td>
    <td>06-08-2019</td>
    <td>029147</td>
    <td>HJ. RUSMINI</td>
    <td>KACANGAN</td>
    <td>MODO</td>
    <td>LAMONGAN</td>
    <td>12-01-1955</td>
    <td>64</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2140</td>
    <td>07-08-2019</td>
    <td>010872</td>
    <td>SUWARNO</td>
    <td>WAUNG</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>31-12-1979</td>
    <td>39</td>
    <td>L</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734487726</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2141</td>
    <td>07-08-2019</td>
    <td>005735</td>
    <td>ABU KHAMID</td>
    <td>LAMBANGKUNING</td>
    <td>KERTOSONO</td>
    <td>NGANJUK</td>
    <td>15-10-1997</td>
    <td>21</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2142</td>
    <td>07-08-2019</td>
    <td>003284</td>
    <td>SUPARMAN</td>
    <td>WERUNGOTOK</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>23-09-1978</td>
    <td>40</td>
    <td>L</td>
    <td>PEDAGANG</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045035314</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2143</td>
    <td>07-08-2019</td>
    <td>001596</td>
    <td>RIKI YAKUB</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-02-1997</td>
    <td>22</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2144</td>
    <td>07-08-2019</td>
    <td>030372</td>
    <td>LILY ARIANI</td>
    <td>KENDALREJO</td>
    <td>SOKO</td>
    <td>TUBAN</td>
    <td>02-10-2002</td>
    <td>16</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2145</td>
    <td>07-08-2019</td>
    <td>021584</td>
    <td>DAMIATI</td>
    <td>BANARANWETAN</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>01-07-1956</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735690677</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2146</td>
    <td>07-08-2019</td>
    <td>025378</td>
    <td>SUYITNO</td>
    <td>DEMANGAN</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>13-08-1984</td>
    <td>35</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2147</td>
    <td>07-08-2019</td>
    <td>003632</td>
    <td>SUWADI</td>
    <td>NGADIPIRO</td>
    <td>WILANGAN</td>
    <td>NGANJUK</td>
    <td>16-07-1971</td>
    <td>48</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2148</td>
    <td>07-08-2019</td>
    <td>019883</td>
    <td>MILA LESTIOWATI</td>
    <td>KEDUNGADEM</td>
    <td>KEDUNGADEM</td>
    <td>BOJONEGORO</td>
    <td>07-10-1993</td>
    <td>25</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001985201796</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2149</td>
    <td>08-08-2019</td>
    <td>030404</td>
    <td>KHOLIFAH</td>
    <td>MEJONO</td>
    <td>PLEMAHAN</td>
    <td>KEDIRI</td>
    <td>07-04-1982</td>
    <td>37</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>
    </tr>

    <tr align="left" valign="top">


    <td>2150</td>
    <td>08-08-2019</td>
    <td>020760</td>
    <td>SUMARMI</td>
    <td>TULUNG</td>
    <td>SARADAN</td>
    <td>MADIUN</td>
    <td>05-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2151</td>
    <td>08-08-2019</td>
    <td>029535</td>
    <td>SRIATUN</td>
    <td>KEDONDONG</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>11-12-1963</td>
    <td>55</td>
    <td>P</td>
    <td>PENSIUNAN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2152</td>
    <td>08-08-2019</td>
    <td>011712</td>
    <td>SIAMAN</td>
    <td>PANDANBLOLE</td>
    <td>PLOSO</td>
    <td>JOMBANG</td>
    <td>05-06-1958</td>
    <td>61</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2153</td>
    <td>08-08-2019</td>
    <td>003188</td>
    <td>KATIRAN</td>
    <td>PLOSOHARJO</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>03-04-1983</td>
    <td>36</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733703286</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2154</td>
    <td>08-08-2019</td>
    <td>003115</td>
    <td>SUHARJI</td>
    <td>GONDANGKULON</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>29-01-1965</td>
    <td>54</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0002887690228</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2155</td>
    <td>08-08-2019</td>
    <td>021069</td>
    <td>IWAN EDI PRASTYO</td>
    <td>JETIS</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>03-03-2001</td>
    <td>18</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2156</td>
    <td>08-08-2019</td>
    <td>000774</td>
    <td>CATUR KUSUMANDAYU</td>
    <td>PLOSO</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>23-11-1978</td>
    <td>40</td>
    <td>P</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2157</td>
    <td>08-08-2019</td>
    <td>027053</td>
    <td>DWI SANTOSO</td>
    <td>BUKUR</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>12-01-1985</td>
    <td>34</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2158</td>
    <td>08-08-2019</td>
    <td>007373</td>
    <td>FARUK IQBAL ROZIKON</td>
    <td>WARUJAYENG</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>12-01-1989</td>
    <td>30</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2159</td>
    <td>08-08-2019</td>
    <td>000616</td>
    <td>JATININGSIH</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>01-02-1960</td>
    <td>59</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2160</td>
    <td>09-08-2019</td>
    <td>030151</td>
    <td>ABI SUGIANTO</td>
    <td>KREMBANGAN</td>
    <td>TAMAN</td>
    <td>SIDOARJO</td>
    <td>04-11-1994</td>
    <td>24</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2161</td>
    <td>09-08-2019</td>
    <td>012116</td>
    <td>AGUS WIYONO</td>
    <td>BARON</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>25-06-1982</td>
    <td>37</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2162</td>
    <td>10-08-2019</td>
    <td>011508</td>
    <td>KUSMANTO</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-1963</td>
    <td>56</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    <tr align="left" valign="top">
    <td>2163</td>
    <td>10-08-2019</td>
    <td>012793</td>
    <td>SETYO WARSONO</td>
    <td>NGLINGGO</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>18-07-1998</td>
    <td>21</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2164</td>
    <td>12-08-2019</td>
    <td>030456</td>
    <td>SITI AISAH</td>
    <td>SUMBERJOKIDUL</td>
    <td>SUKOSEWU</td>
    <td>BOJONEGORO</td>
    <td>01-04-1975</td>
    <td>44</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000747175364</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2165</td>
    <td>12-08-2019</td>
    <td>030186</td>
    <td>RATNA PUJIWATI</td>
    <td>KANDAT</td>
    <td>KANDAT</td>
    <td>KEDIRI</td>
    <td>18-04-1980</td>
    <td>39</td>
    <td></td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2166</td>
    <td>12-08-2019</td>
    <td>005164</td>
    <td>JAMIN</td>
    <td>TIRIPAN</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>30-06-1977</td>
    <td>42</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733008789</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2167</td>
    <td>12-08-2019</td>
    <td>003550</td>
    <td>SUPRIYADI</td>
    <td>KEMADUH</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>30-06-1970</td>
    <td>49</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2168</td>
    <td>12-08-2019</td>
    <td>023237</td>
    <td>PUJI RAHAYU</td>
    <td>BANJARANYAR</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>01-02-1984</td>
    <td>35</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733226409</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2169</td>
    <td>12-08-2019</td>
    <td>006008</td>
    <td>IIS NURFIAH</td>
    <td>JEKEK</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>27-04-1983</td>
    <td>36</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001044916209</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2170</td>
    <td>12-08-2019</td>
    <td>005635</td>
    <td>ISRO</td>
    <td>NGETOS</td>
    <td>NGETOS</td>
    <td>NGANJUK</td>
    <td>21-03-1997</td>
    <td>22</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2171</td>
    <td>12-08-2019</td>
    <td>019407</td>
    <td>NYAMIRAN</td>
    <td>SUMBERURIP</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>31-12-1985</td>
    <td>33</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000731907639</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2172</td>
    <td>12-08-2019</td>
    <td>030453</td>
    <td>AHMAD IBNU MUSTOFA</td>
    <td>NGADIREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>13-09-1994</td>
    <td>24</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2173</td>
    <td>12-08-2019</td>
    <td>000547</td>
    <td>JEPRI NURCAHYONO</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-06-1997</td>
    <td>22</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>
    </tr>

    <tr align="left" valign="top">


    <td>2174</td>
    <td>12-08-2019</td>
    <td>000865</td>
    <td>ADI PRAWITO</td>
    <td>WARUJAYENG</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>19-05-1970</td>
    <td>49</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2175</td>
    <td>12-08-2019</td>
    <td>027136</td>
    <td>M. IRHAM MUFIDA</td>
    <td>BANDUNG</td>
    <td>PRAMBON</td>
    <td>NGANJUK</td>
    <td>08-06-1993</td>
    <td>26</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2176</td>
    <td>12-08-2019</td>
    <td>029169</td>
    <td>NURI IDAYATI</td>
    <td>SUKOHARJO</td>
    <td>WILANGAN</td>
    <td>NGANJUK</td>
    <td>02-03-1980</td>
    <td>39</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2177</td>
    <td>12-08-2019</td>
    <td>030153</td>
    <td>LASIRAN</td>
    <td>KRONDONAN</td>
    <td>GONDANG</td>
    <td>BOJONEGORO</td>
    <td>31-07-1954</td>
    <td>65</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2178</td>
    <td>12-08-2019</td>
    <td>001884</td>
    <td>SUTOMO.</td>
    <td>KEREPKIDUL</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>02-01-1974</td>
    <td>45</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2179</td>
    <td>12-08-2019</td>
    <td>002495</td>
    <td>MARDI</td>
    <td>TEMPURAN</td>
    <td>NGLUYU</td>
    <td>NGANJUK</td>
    <td>29-12-1983</td>
    <td>35</td>
    <td>L</td>
    <td>BURUH HARIAN LEPAS</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736377377</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2180</td>
    <td>12-08-2019</td>
    <td>019647</td>
    <td>UMAR</td>
    <td>GROJOGAN</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>19-01-1976</td>
    <td>43</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000732555865</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2181</td>
    <td>13-08-2019</td>
    <td>008936</td>
    <td>NUR HADI</td>
    <td>JATIMLEREK</td>
    <td>PLANDAAN</td>
    <td>JOMBANG</td>
    <td>25-04-1982</td>
    <td>37</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2182</td>
    <td>13-08-2019</td>
    <td>010256</td>
    <td>MANDA DHARMA</td>
    <td>RINGINANOM</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>11-05-1989</td>
    <td>30</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2183</td>
    <td>13-08-2019</td>
    <td>029703</td>
    <td>BAHRUL ULUM</td>
    <td>PATIANROWO</td>
    <td>PATIANROWO</td>
    <td>MADIUN</td>
    <td>16-02-1980</td>
    <td>39</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2184</td>
    <td>13-08-2019</td>
    <td>016702</td>
    <td>AGUS SANTOSO</td>
    <td>BALONGPACUL</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>14-09-1984</td>
    <td>34</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2185</td>
    <td>13-08-2019</td>
    <td>029095</td>
    <td>KHIRZUDIN</td>
    <td>MOJODUWUR</td>
    <td>MOJOWARNO</td>
    <td>JOMBANG</td>
    <td>08-10-1978</td>
    <td>40</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2186</td>
    <td>13-08-2019</td>
    <td>001873</td>
    <td>JULAIKAH</td>
    <td>BARON</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>26-03-1980</td>
    <td>39</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2187</td>
    <td>13-08-2019</td>
    <td>006736</td>
    <td>ADILA EKA NURAHMAWATI</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-07-2002</td>
    <td>17</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2188</td>
    <td>14-08-2019</td>
    <td>030496</td>
    <td>PORWANTO</td>
    <td>LAMBANGKUNING</td>
    <td>KERTOSONO</td>
    <td>NGANJUK</td>
    <td>01-02-1979</td>
    <td>40</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734124273</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2189</td>
    <td>14-08-2019</td>
    <td>000806</td>
    <td>FITRI LESTARI</td>
    <td>WARUJAYENG</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>10-09-1999</td>
    <td>20</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2190</td>
    <td>14-08-2019</td>
    <td>000807</td>
    <td>IMAM</td>
    <td>WARUJAYENG</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>11-07-1973</td>
    <td>46</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2191</td>
    <td>14-08-2019</td>
    <td>000274</td>
    <td>HARIYONO</td>
    <td>BANARANKULON</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>30-06-1980</td>
    <td>39</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735136806</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2192</td>
    <td>14-08-2019</td>
    <td>003565</td>
    <td>DIANTO</td>
    <td>JAMBEREJO</td>
    <td>KEDUNGADEM</td>
    <td>BOJONEGORO</td>
    <td>11-08-1983</td>
    <td>36</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2193</td>
    <td>14-08-2019</td>
    <td>005541</td>
    <td>PURWOADI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>MADIUN</td>
    <td>20-03-1998</td>
    <td>21</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2194</td>
    <td>14-08-2019</td>
    <td>027198</td>
    <td>SUMIATI</td>
    <td>GARU</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>30-06-1975</td>
    <td>44</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002001569242</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2195</td>
    <td>14-08-2019</td>
    <td>002187</td>
    <td>WIDAN NARKO</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-05-1985</td>
    <td>34</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2196</td>
    <td>14-08-2019</td>
    <td>005754</td>
    <td>SITI RUPINGAH</td>
    <td>NGLAWAK</td>
    <td>KERTOSONO</td>
    <td>NGANJUK</td>
    <td>15-06-1942</td>
    <td>77</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733064635</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2197</td>
    <td>14-08-2019</td>
    <td>005764</td>
    <td>EDWIN PRASETYO</td>
    <td>MLORAH</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>30-01-1985</td>
    <td>34</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    <tr align="left" valign="top">
    <td>2198</td>
    <td>15-08-2019</td>
    <td>000251</td>
    <td>JUNI</td>
    <td>GAMPENG</td>
    <td>NGLUYU</td>
    <td>NGANJUK</td>
    <td>02-04-1987</td>
    <td>32</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736848268</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2199</td>
    <td>15-08-2019</td>
    <td>010259</td>
    <td>HARSONO</td>
    <td>KETAWANG</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>16-05-1991</td>
    <td>28</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2200</td>
    <td>15-08-2019</td>
    <td>006447</td>
    <td>VINA NUR KHAMIDAH</td>
    <td>KEDUNGREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>02-04-1999</td>
    <td>20</td>
    <td>P</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000732424735</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2201</td>
    <td>15-08-2019</td>
    <td>003281</td>
    <td>SUNARTO</td>
    <td>KLINO</td>
    <td>SEKAR</td>
    <td>BOJONEGORO</td>
    <td>12-09-1983</td>
    <td>35</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2202</td>
    <td>15-08-2019</td>
    <td>030533</td>
    <td>FARAH KAMILIA</td>
    <td>GLAGAHAN</td>
    <td>PERAK</td>
    <td>JOMBANG</td>
    <td>03-10-1998</td>
    <td>20</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2203</td>
    <td>15-08-2019</td>
    <td>018449</td>
    <td>BAGAS FADILAH FUSU</td>
    <td>PAYAMAN</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>07-07-2001</td>
    <td>18</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2204</td>
    <td>15-08-2019</td>
    <td>012365</td>
    <td>PANIJAN</td>
    <td>BAJULAN</td>
    <td>LOCERET</td>
    <td>NGANJUK</td>
    <td>30-12-1965</td>
    <td>53</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000731577172</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2205</td>
    <td>15-08-2019</td>
    <td>003560</td>
    <td>DAWAM</td>
    <td>KECUBUNG</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>07-08-1965</td>
    <td>54</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2206</td>
    <td>15-08-2019</td>
    <td>005628</td>
    <td>HARSONO</td>
    <td>KEDUNGGLUGU</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>27-01-1985</td>
    <td>34</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2207</td>
    <td>15-08-2019</td>
    <td>002521</td>
    <td>MOHAMAD ANAS</td>
    <td>NGADIREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>19-09-1984</td>
    <td>34</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2208</td>
    <td>15-08-2019</td>
    <td>006023</td>
    <td>EKO WAHYUDI</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>10-08-1982</td>
    <td>37</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>
    </tr>

    <tr align="left" valign="top">


    <td>2209</td>
    <td>16-08-2019</td>
    <td>030548</td>
    <td>ABIB MAULANA</td>
    <td>TANGGUNGKRAMAT</td>
    <td>PLOSO</td>
    <td>JOMBANG</td>
    <td>14-06-1999</td>
    <td>20</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2210</td>
    <td>16-08-2019</td>
    <td>010631</td>
    <td>YULI SETIAWATI</td>
    <td>GADOR</td>
    <td>DURENAN</td>
    <td>TRENGGALEK</td>
    <td>18-05-1993</td>
    <td>26</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2211</td>
    <td>16-08-2019</td>
    <td>017290</td>
    <td>JOKO DARMOKO</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>25-11-1988</td>
    <td>30</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2212</td>
    <td>16-08-2019</td>
    <td>008387</td>
    <td>YAYUK</td>
    <td>SENDANGBUMEN</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>12-06-1988</td>
    <td>31</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000732241719</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2213</td>
    <td>19-08-2019</td>
    <td>000236</td>
    <td>M. FATONI</td>
    <td>SEKARPUTIH</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>17-06-1998</td>
    <td>21</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2214</td>
    <td>19-08-2019</td>
    <td>003813</td>
    <td>SUSILOWATI</td>
    <td>DEMANGAN</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>12-01-1972</td>
    <td>47</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001044681895</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2215</td>
    <td>19-08-2019</td>
    <td>021584</td>
    <td>DAMIATI</td>
    <td>BANARANWETAN</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>01-07-1956</td>
    <td>63</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735690677</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2216</td>
    <td>19-08-2019</td>
    <td>004388</td>
    <td>BINTI Z</td>
    <td>KAMPUNGBARU</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>15-03-1980</td>
    <td>39</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2217</td>
    <td>19-08-2019</td>
    <td>009561</td>
    <td>HARIATI</td>
    <td>KEDUNGDOWO</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>13-01-1969</td>
    <td>50</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2218</td>
    <td>19-08-2019</td>
    <td>003871</td>
    <td>SUMANTONO</td>
    <td>KEDUNGREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>30-06-1957</td>
    <td>62</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2219</td>
    <td>19-08-2019</td>
    <td>011168</td>
    <td>MERSIN FENDIK A.</td>
    <td>KARTOHARJO</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>06-11-1994</td>
    <td>24</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2220</td>
    <td>19-08-2019</td>
    <td>001775</td>
    <td>PAISAM</td>
    <td>PLOSOHARJO</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>23-12-1973</td>
    <td>45</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBD)</td>
    <td>0002684193456</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2221</td>
    <td>19-08-2019</td>
    <td>016018</td>
    <td>TARJI</td>
    <td>BANARANWETAN</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>30-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735557679</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    <tr align="left" valign="top">
    <td>2222</td>
    <td>19-08-2019</td>
    <td>003817</td>
    <td>SITI COTIMAH</td>
    <td>MANCON</td>
    <td>WILANGAN</td>
    <td>NGANJUK</td>
    <td>01-12-1955</td>
    <td>63</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045097065</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2223</td>
    <td>19-08-2019</td>
    <td>002643</td>
    <td>FRANSISKA</td>
    <td>JAAN</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>24-09-1992</td>
    <td>26</td>
    <td>P</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735451255</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2224</td>
    <td>19-08-2019</td>
    <td>019247</td>
    <td>BANDI</td>
    <td>NGROMBOT</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>01-06-1954</td>
    <td>65</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001044878444</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2225</td>
    <td>19-08-2019</td>
    <td>003023</td>
    <td>KUSNUL KOTIMAH</td>
    <td>ROWOMARTO</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>27-12-1974</td>
    <td>44</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734180253</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2226</td>
    <td>19-08-2019</td>
    <td>008081</td>
    <td>SUDARTI</td>
    <td>NGADIBOYO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>21-05-1975</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2227</td>
    <td>20-08-2019</td>
    <td>005611</td>
    <td>MOH ALIFIN WAHYUDI</td>
    <td>GARU</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>25-08-1988</td>
    <td>31</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735914406</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2228</td>
    <td>20-08-2019</td>
    <td>008417</td>
    <td>SUMARTINI</td>
    <td>MOJOREMBUN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>11-12-1974</td>
    <td>44</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2229</td>
    <td>20-08-2019</td>
    <td>011928</td>
    <td>FIKIH RIZALDI</td>
    <td>WERUNGOTOK</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>16-03-2003</td>
    <td>16</td>
    <td>L</td>
    <td>Pelajar / Mahasiswa</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2230</td>
    <td>20-08-2019</td>
    <td>000188</td>
    <td>DJUMANI</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>05-12-1982</td>
    <td>36</td>
    <td>L</td>
    <td>PERDAGANGAN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2231</td>
    <td>20-08-2019</td>
    <td>004350</td>
    <td>YUDI SANTOSO</td>
    <td>JATIREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>08-06-1991</td>
    <td>28</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2232</td>
    <td>20-08-2019</td>
    <td>006033</td>
    <td>TRI WIDIA NINGSIH</td>
    <td>TRITIK</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>27-09-1994</td>
    <td>24</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>
    </tr>

    <tr align="left" valign="top">


    <td>2233</td>
    <td>20-08-2019</td>
    <td>009757</td>
    <td>DIDIK IRIYANTO</td>
    <td>PAYAMAN</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>03-05-1963</td>
    <td>56</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2234</td>
    <td>20-08-2019</td>
    <td>017039</td>
    <td>MARDJOKO</td>
    <td>BALONGGEBANG</td>
    <td>GONDANG</td>
    <td>MADIUN</td>
    <td>14-09-1983</td>
    <td>35</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735033881</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2235</td>
    <td>21-08-2019</td>
    <td>029693</td>
    <td>JALALUDIN</td>
    <td>NGEPEH</td>
    <td>LOCERET</td>
    <td>NGANJUK</td>
    <td>25-10-1991</td>
    <td>27</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000732735268</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2236</td>
    <td>21-08-2019</td>
    <td>000015</td>
    <td>SUYANTO</td>
    <td>BERBEK</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>15-04-1967</td>
    <td>52</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2237</td>
    <td>21-08-2019</td>
    <td>003188</td>
    <td>KATIRAN</td>
    <td>PLOSOHARJO</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>03-04-1983</td>
    <td>36</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733703286</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2238</td>
    <td>21-08-2019</td>
    <td>029644</td>
    <td>JUMINTEN</td>
    <td>GETAS</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>18-08-1978</td>
    <td>41</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733391561</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2239</td>
    <td>21-08-2019</td>
    <td>029703</td>
    <td>BAHRUL ULUM</td>
    <td>PATIANROWO</td>
    <td>PATIANROWO</td>
    <td>MADIUN</td>
    <td>16-02-1980</td>
    <td>39</td>
    <td>L</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2240</td>
    <td>21-08-2019</td>
    <td>030372</td>
    <td>LILY ARIANI</td>
    <td>KENDALREJO</td>
    <td>SOKO</td>
    <td>TUBAN</td>
    <td>02-10-2002</td>
    <td>16</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2241</td>
    <td>21-08-2019</td>
    <td>006206</td>
    <td>ABDI RUDIANTO</td>
    <td>JOHO</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>23-08-1993</td>
    <td>26</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2242</td>
    <td>21-08-2019</td>
    <td>009365</td>
    <td>WAHYUNINGSIH</td>
    <td>SIDOHARJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>07-04-1980</td>
    <td>39</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2243</td>
    <td>21-08-2019</td>
    <td>004073</td>
    <td>WAWAN PURNOMO</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-06-1985</td>
    <td>34</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2244</td>
    <td>21-08-2019</td>
    <td>008568</td>
    <td>YENI RAHAYU</td>
    <td>BENDUNGREJO</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>03-05-1980</td>
    <td>39</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2245</td>
    <td>21-08-2019</td>
    <td>000028</td>
    <td>SETIADJI, SE</td>
    <td>KETAWANG</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>16-10-1973</td>
    <td>45</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2246</td>
    <td>22-08-2019</td>
    <td>030684</td>
    <td>M. KHUDORI</td>
    <td>SUNGAIAMBAT</td>
    <td>ENOK</td>
    <td>INDRAGIRI HILIR</td>
    <td>12-12-1960</td>
    <td>58</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000287111687</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2247</td>
    <td>22-08-2019</td>
    <td>005184</td>
    <td>ROYHATUL JANAH</td>
    <td>BABADAN</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>16-10-1975</td>
    <td>43</td>
    <td>P</td>
    <td>BURUH TANI/PERKEBUNAN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2248</td>
    <td>22-08-2019</td>
    <td>003810</td>
    <td>DAMAN PURWANTO</td>
    <td>KRAMAT</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>26-11-1980</td>
    <td>38</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001045015389</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2249</td>
    <td>22-08-2019</td>
    <td>000819</td>
    <td>SLAMET</td>
    <td>DEMANGAN</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>21-02-1984</td>
    <td>35</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733414937</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2250</td>
    <td>22-08-2019</td>
    <td>000820</td>
    <td>SUMIATI</td>
    <td>DEMANGAN</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>31-12-1967</td>
    <td>51</td>
    <td>P</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2251</td>
    <td>22-08-2019</td>
    <td>029439</td>
    <td>DIAH KURNIASARI</td>
    <td>TANJUNGANOM</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>05-07-2002</td>
    <td>17</td>
    <td>P</td>
    <td>Pelajar / Mahasiswa</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2252</td>
    <td>22-08-2019</td>
    <td>020144</td>
    <td>ANANG MAKRUF</td>
    <td>KLODAN</td>
    <td>NGETOS</td>
    <td>NGANJUK</td>
    <td>01-09-1996</td>
    <td>23</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000732191949</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2253</td>
    <td>22-08-2019</td>
    <td>004073</td>
    <td>WAWAN PURNOMO</td>
    <td>SIDOKARE</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>20-06-1985</td>
    <td>34</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2254</td>
    <td>23-08-2019</td>
    <td>012793</td>
    <td>SETYO WARSONO</td>
    <td>NGLINGGO</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>18-07-1998</td>
    <td>21</td>
    <td>L</td>
    <td>PELAJAR/MAHASISWA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2255</td>
    <td>24-08-2019</td>
    <td>010304</td>
    <td>MOCHAMAD TRI WAHYUDI</td>
    <td>KLANGON</td>
    <td>BOJONEGORO</td>
    <td>BOJONEGORO</td>
    <td>21-05-1994</td>
    <td>25</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2256</td>
    <td>24-08-2019</td>
    <td>017327</td>
    <td>MUJIONO</td>
    <td>JETIS</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>06-07-1981</td>
    <td>38</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733510765</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    <tr align="left" valign="top">
    <td>2257</td>
    <td>24-08-2019</td>
    <td>025802</td>
    <td>MUSLIMIN</td>
    <td>BALONGGEBANG</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>01-11-1980</td>
    <td>38</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0000734090321</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2258</td>
    <td>26-08-2019</td>
    <td>030735</td>
    <td>DEWI WIGNYO NINGSIH</td>
    <td>GONDANGKULON</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>29-06-1984</td>
    <td>35</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>BARU</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0002809772019</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2259</td>
    <td>26-08-2019</td>
    <td>012116</td>
    <td>AGUS WIYONO</td>
    <td>BARON</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>25-06-1982</td>
    <td>37</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2260</td>
    <td>26-08-2019</td>
    <td>000242</td>
    <td>MOH. SHOLEH</td>
    <td>JAMBI</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>07-05-1988</td>
    <td>31</td>
    <td>L</td>
    <td>BURUH HARIAN LEPAS</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735062229</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2261</td>
    <td>26-08-2019</td>
    <td>023362</td>
    <td>SRI RAHAYU</td>
    <td>NGADIPIRO</td>
    <td>WILANGAN</td>
    <td>NGANJUK</td>
    <td>20-04-1977</td>
    <td>42</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2262</td>
    <td>26-08-2019</td>
    <td>005147</td>
    <td>NUR ASIH</td>
    <td>MABUNG</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>19-03-1993</td>
    <td>26</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2263</td>
    <td>26-08-2019</td>
    <td>028865</td>
    <td>EKO SUSANTO</td>
    <td>NGADIPIRO</td>
    <td>WILANGAN</td>
    <td>NGANJUK</td>
    <td>11-05-1993</td>
    <td>26</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2264</td>
    <td>26-08-2019</td>
    <td>015330</td>
    <td>GAGUK JULIANTO</td>
    <td>KARANGSEMI</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>09-06-1983</td>
    <td>36</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2265</td>
    <td>26-08-2019</td>
    <td>005971</td>
    <td>ISNAINI ROMLI</td>
    <td>SUKOREJO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>18-09-1975</td>
    <td>43</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2266</td>
    <td>26-08-2019</td>
    <td>008392</td>
    <td>HASAN BISRI</td>
    <td>PECUK</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>20-06-1980</td>
    <td>39</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2267</td>
    <td>26-08-2019</td>
    <td>002187</td>
    <td>WIDAN NARKO</td>
    <td>REJOSO</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>29-05-1985</td>
    <td>34</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>
    </tr>

    <tr align="left" valign="top">


    <td>2268</td>
    <td>26-08-2019</td>
    <td>007058</td>
    <td>PUJIANTO</td>
    <td>KAPAS</td>
    <td>SUKOMORO</td>
    <td>NGANJUK</td>
    <td>31-12-1992</td>
    <td>26</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2269</td>
    <td>26-08-2019</td>
    <td>027053</td>
    <td>DWI SANTOSO</td>
    <td>BUKUR</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>12-01-1985</td>
    <td>34</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2270</td>
    <td>26-08-2019</td>
    <td>029978</td>
    <td>M. UBAIDILLAH</td>
    <td>SELOREJO</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>07-09-1986</td>
    <td>33</td>
    <td>L</td>
    <td>Karyawan Swasta</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PEKERJA MANDIRI</td>
    <td>0001323175263</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2271</td>
    <td>26-08-2019</td>
    <td>003606</td>
    <td>RUFIATUN</td>
    <td>KEDUNGREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>04-03-1981</td>
    <td>38</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2272</td>
    <td>26-08-2019</td>
    <td>003604</td>
    <td>SUNARYO</td>
    <td>GETAS</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>24-04-1975</td>
    <td>44</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2273</td>
    <td>27-08-2019</td>
    <td>005721</td>
    <td>PURYANTO</td>
    <td>KEPANJEN</td>
    <td>PACE</td>
    <td>NGANJUK</td>
    <td>21-07-1980</td>
    <td>39</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2274</td>
    <td>27-08-2019</td>
    <td>002578</td>
    <td>SUKARJI</td>
    <td>KEDUNGPADANG</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>15-04-1989</td>
    <td>30</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2275</td>
    <td>27-08-2019</td>
    <td>004390</td>
    <td>SUPARTINI</td>
    <td>KARTOHARJO</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>15-07-1975</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735935409</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2276</td>
    <td>27-08-2019</td>
    <td>005543</td>
    <td>DJUMADI</td>
    <td>JEKEK</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>13-03-1974</td>
    <td>45</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2277</td>
    <td>27-08-2019</td>
    <td>005326</td>
    <td>SITI KOMARIYAH</td>
    <td>NGANGKATAN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-04-1999</td>
    <td>20</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2278</td>
    <td>27-08-2019</td>
    <td>011926</td>
    <td>KASMI</td>
    <td>WAUNG</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>30-06-1945</td>
    <td>74</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734354807</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2279</td>
    <td>27-08-2019</td>
    <td>010666</td>
    <td>WINARTO</td>
    <td>WARUJAYENG</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>19-05-1988</td>
    <td>31</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2280</td>
    <td>27-08-2019</td>
    <td>019711</td>
    <td>SUMARI</td>
    <td>BANJARANYAR</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>01-09-1980</td>
    <td>39</td>
    <td>L</td>
    <td>Petani / Pekebun</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0001044667991</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    <tr align="left" valign="top">
    <td>2281</td>
    <td>27-08-2019</td>
    <td>018401</td>
    <td>PURNOMO</td>
    <td>GETAS</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>01-01-1970</td>
    <td>49</td>
    <td>L</td>
    <td>SOPIR</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>0001044658708</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2282</td>
    <td>27-08-2019</td>
    <td>001596</td>
    <td>RIKI YAKUB</td>
    <td>WENGKAL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>17-02-1997</td>
    <td>22</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2283</td>
    <td>27-08-2019</td>
    <td>003715</td>
    <td>SUHARTONO</td>
    <td>PETERONGAN</td>
    <td>PETERONGAN</td>
    <td>JOMBANG</td>
    <td>19-04-1989</td>
    <td>30</td>
    <td>L</td>
    <td>Wiraswasta</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2284</td>
    <td>28-08-2019</td>
    <td>021194</td>
    <td>TOMI ADITIYA PAMBUDI</td>
    <td>TIRIPAN</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>03-03-1993</td>
    <td>26</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2285</td>
    <td>28-08-2019</td>
    <td>003552</td>
    <td>LAMIJAH</td>
    <td>SUMBERURIP</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>31-12-1981</td>
    <td>37</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2286</td>
    <td>28-08-2019</td>
    <td>002521</td>
    <td>MOHAMAD ANAS</td>
    <td>NGADIREJO</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>19-09-1984</td>
    <td>34</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2287</td>
    <td>28-08-2019</td>
    <td>029169</td>
    <td>NURI IDAYATI</td>
    <td>SUKOHARJO</td>
    <td>WILANGAN</td>
    <td>NGANJUK</td>
    <td>02-03-1980</td>
    <td>39</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2288</td>
    <td>28-08-2019</td>
    <td>006296</td>
    <td>SUNARSIH</td>
    <td>PESANTREN</td>
    <td>PESANTREN</td>
    <td>KOTA KEDIRI</td>
    <td>28-03-1955</td>
    <td>64</td>
    <td>P</td>
    <td>Belum / Tidak Bekerja</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2289</td>
    <td>28-08-2019</td>
    <td>030799</td>
    <td>SUNARI</td>
    <td>SAMBIROTO</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>12-06-1982</td>
    <td>37</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2290</td>
    <td>28-08-2019</td>
    <td>026001</td>
    <td>SAIFUL</td>
    <td>BETET</td>
    <td>NGRONGGOT</td>
    <td>NGANJUK</td>
    <td>16-06-1984</td>
    <td>35</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734745903</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2291</td>
    <td>28-08-2019</td>
    <td>000778</td>
    <td>WAHIB SETIAWAN</td>
    <td>KATERBAN</td>
    <td>BARON</td>
    <td>NGANJUK</td>
    <td>12-10-1986</td>
    <td>32</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>
    </tr>

    <tr align="left" valign="top">


    <td>2292</td>
    <td>28-08-2019</td>
    <td>030386</td>
    <td>SLAMET WASONO</td>
    <td>SENGKUT</td>
    <td>BERBEK</td>
    <td>NGANJUK</td>
    <td>29-01-1977</td>
    <td>42</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2293</td>
    <td>29-08-2019</td>
    <td>005806</td>
    <td>NYUHADI</td>
    <td>KUTOREJO</td>
    <td>BAGOR</td>
    <td>NGANJUK</td>
    <td>01-11-1967</td>
    <td>51</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2294</td>
    <td>29-08-2019</td>
    <td>013313</td>
    <td>ENDON PATONAH</td>
    <td>NGETOS</td>
    <td>NGETOS</td>
    <td>NGANJUK</td>
    <td>31-12-1974</td>
    <td>44</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000732899136</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2295</td>
    <td>29-08-2019</td>
    <td>004512</td>
    <td>RISWAN</td>
    <td>SAMBIKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>26-01-1995</td>
    <td>24</td>
    <td>L</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2296</td>
    <td>29-08-2019</td>
    <td>005737</td>
    <td>PURDIANTO</td>
    <td>SANGGRAHAN</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>02-09-1984</td>
    <td>35</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735432783</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2297</td>
    <td>29-08-2019</td>
    <td>002491</td>
    <td>MOHAMAD SUTIKNO</td>
    <td>BALONGGEBANG</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>12-10-1969</td>
    <td>49</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2298</td>
    <td>29-08-2019</td>
    <td>000202</td>
    <td>SIMAN</td>
    <td>JINTEL</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>09-06-1972</td>
    <td>47</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2299</td>
    <td>29-08-2019</td>
    <td>016702</td>
    <td>AGUS SANTOSO</td>
    <td>BALONGPACUL</td>
    <td>NGANJUK</td>
    <td>NGANJUK</td>
    <td>14-09-1984</td>
    <td>34</td>
    <td>L</td>
    <td>PETANI/PEKEBUN</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2300</td>
    <td>29-08-2019</td>
    <td>003023</td>
    <td>KUSNUL KOTIMAH</td>
    <td>ROWOMARTO</td>
    <td>PATIANROWO</td>
    <td>NGANJUK</td>
    <td>27-12-1974</td>
    <td>44</td>
    <td>P</td>
    <td>BELUM/TIDAK BEKERJA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000734180253</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2301</td>
    <td>30-08-2019</td>
    <td>023237</td>
    <td>PUJI RAHAYU</td>
    <td>BANJARANYAR</td>
    <td>TANJUNGANOM</td>
    <td>NGANJUK</td>
    <td>01-02-1984</td>
    <td>35</td>
    <td>P</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000733226409</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2302</td>
    <td>30-08-2019</td>
    <td>029696</td>
    <td>RUDIANTO</td>
    <td>TEMUWULAN</td>
    <td>PERAK</td>
    <td>JOMBANG</td>
    <td>28-10-1984</td>
    <td>34</td>
    <td>L</td>
    <td>-</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2303</td>
    <td>30-08-2019</td>
    <td>005686</td>
    <td>M. FATKUR ROZIK</td>
    <td>SUMBERJO</td>
    <td>GONDANG</td>
    <td>NGANJUK</td>
    <td>25-01-1988</td>
    <td>31</td>
    <td>L</td>
    <td>KARYAWAN SWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000735528295</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2304</td>
    <td>30-08-2019</td>
    <td>025344</td>
    <td>MINAH</td>
    <td>JATIKALEN</td>
    <td>JATIKALEN</td>
    <td>NGANJUK</td>
    <td>05-06-1934</td>
    <td>85</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000736452606</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2305</td>
    <td>30-08-2019</td>
    <td>002931</td>
    <td>SUMINTEN</td>
    <td>PUHKEREP</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>12-03-1976</td>
    <td>43</td>
    <td>P</td>
    <td>Mengurus Rumah Tangga</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td>-</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2306</td>
    <td>30-08-2019</td>
    <td>003048</td>
    <td>HARTATIK</td>
    <td>KLAGEN</td>
    <td>REJOSO</td>
    <td>NGANJUK</td>
    <td>31-12-1960</td>
    <td>58</td>
    <td>P</td>
    <td>MENGURUS RUMAH TANGGA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td></td>
    <td></td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>

    <tr align="left" valign="top">


    <td>2307</td>
    <td>31-08-2019</td>
    <td>029693</td>
    <td>JALALUDIN</td>
    <td>NGEPEH</td>
    <td>LOCERET</td>
    <td>NGANJUK</td>
    <td>25-10-1991</td>
    <td>27</td>
    <td>L</td>
    <td>WIRASWASTA</td>
    <td>POLI JIWA</td>
    <td>WAHYUDI SUWANTORO</td>
    <td>LAMA</td>
    <td>KASUS LAMA</td>
    <td>UMUM</td>
    <td>PBI (APBN)</td>
    <td>0000732735268</td>
    <td></td>
    <td align='center'>
    F20 </td>
    <td align='center'>
    Schizophrenia </td>

    </tr>
    </table>

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