LAPORAN PROGRAM PICT TIM H

RUMAH SAKIT BALIKPAPAN BAR

BULAN AGUSTUS TAHUN 2019
No. TANGGAL NAMA PASIEN NO. REG UMUM

1 02/08/19 AGUSTINA 107923 34

2 02/08/19 RAHMI 100155 38

3 02/08/19 PRILLA WULANDARI 107970 24

4 04/08/19 RENI SUSILOWATI 108013 24

5 05/08/19 RAMADANIA PUTERI 106930 24

6 05/08/19 RAFNIC EKAYANTI 58415 26

7 07/08/19 TASYA 108118 24

8 09/08/19 IKA REMITA 97859 36

9 09/08/19 SUSI WIRASTAMA 108215 20

10 10/08/19 ERNI ERAWATY 69398 32

11 10/08/19 SRI JAYANTI 108227 26

12 11/08/19 STEVANY R 70004 33

13 12/08/19 NUNUNG 68573 32

14 13/08/2019 KOMININGSIH 62671

15 17/08/2019 HARMA 108418 40

16 17/08/2019 RITA 87519 21

17 17/08/2019 NURUL PRASISKA 108411 18

18 17/08/2019 YUYUN HAUTEAS 107636 25

19 17/08/2019 MEI SUNDARI 69190 28

20 18/08/2019 ENI SITI

21 19/08/2019 LILIS KARLINA 107474 19

22 20/08/2019 NUR AISYAH 107280 35

23 21/08/2019 KUSTIANINGSIH 108529 33

24 21/08/2019 EKA WATI 108528 29

25 23/08/2019 ASTRID KARDILA 17181 24

26 24/08/2019 MASLIYANA 32171 34

27 25/08/2019 A. NOVELA TRI S 106120 18

28 27/08/2019 PEDRITA FERIYANCE 10866 40

29 27/08/2019 ATIK RACHMAWATI 108713 37

30 28/08/2019 YUNDA RIVANITA 102655 26

31 29/08/2019 ANA MAYASARI 108754 27

32 29/08/2019 SITI TASYA 108759 15

33 30/08/2019 FIFI SUNARNI 26810 28

34 31/08/2019 DEVI YULIANA 17559 26

N PROGRAM PICT TIM HIV
SAKIT BALIKPAPAN BARU
N AGUSTUS TAHUN 2019
PEMERIKSA
ALAMAT PASIEN ASURANSI HASIL PEMERIKSAAN
AN

JLN GN SATU RT 29 NO 44 MARGO MULYO BPJS HIV NON REACTIVE

JLN MERAH DELIMA DUA BLOK H1 NO 18
SEPINGGAN BARU BPJS HIV NON REACTIVE
JLN MAYJEND SUTOYO NO 05 RT 41
KLANDASAN ILIR BPJS HIV NON REACTIVE

JLN RANA ASRI RT 59 NO 13 BATU AMPAR BPJS HIV NON REACTIVE

KOMP. DEPSIS RT 29 NO 24 GN SAMARINDA
ULU HEXINDO HIV NON REACTIVE

JLN WIYATA RT 22 NO 102 SEPINGGAN RAYA BPJS HIV NON REACTIVE

JLN GN POLISI RT 45 KEL. BARU ILIR BPJS HIV NON REACTIVE

JL HARAPAN NO 16 RT 13 GN SARI ILIR BPJS HIV NON REACTIVE

JL KOMPAS MIRING SAMBOJA BPJS HIV NON REACTIVE

PERUM PT HER II BLOK M3 NO 23 BPJS HIV NON REACTIVE

SUNGAI SELUANG SAMBOJA BPJS HIV NON REACTIVE

PERUM GRIYA WIYATA ASRI BLOK G 10 RT 41
GRAHA INDAH BPJS HIV NON REACTIVE

JL MUKMIN FAIZAL P. BATARA RESIDEN I BPJS HIV NON REACTIVE

GN BAHAGIA RT 29 BPJS HIV NON REACTIVE

MUARA JAWA HANDIL KUKAR BPJS HIV NON REACTIVE

JL MULAWARMAN RT 04 MANGGAR BPJS HIV NON REACTIVE

SUNGAI MERDEKA RT 18 SAMBOJA BPJS HIV NON REACTIVE

JL LOLITA SARI PERUM PEMKOT INDAH
LESTARI RT 56 BPJS HIV NON REACTIVE

PERUSDA II RUSUNAWA JALAN SAFIR BPJS HIV NON REACTIVE

PERUM BUKIT PRONA INDAH BLOK P NO 26 BPJS HIV NON REACTIVE

JL SOEKARNO HATTA KM 34 RT 012 BPJS HIV NON REACTIVE

PERUM BATAKAN PERMAI II RT 10 MANGGAR BPJS HIV NON REACTIVE

PERUSDA BLOK M NO 33 UMUM HIV NON REACTIVE

JL. LETJEND SUPRAPTO RT 02 NO 52 BPJS HIV NON REACTIVE

MT HARYONO DALAM RT 30 NO 103 BPJS HIV NON REACTIVE

JL INDRAKILA NO 108 RT 33 GN SAMARINDA
BPN UTARA BPJS HIV NON REACTIVE

JL GUNTUR DAMAI NO 22 BPJS HIV NON REACTIVE

KM 11 KARANG JOANG BPJS HIV NON REACTIVE

PERUM BUKIT BATAKAN PERMAI UMUM HIV NON REACTIVE

JL BLORA I RT 19 NO 64 KLANDASAN ILIR BPJS HIV NON REACTIVE

RT 04 DAMAI BAHAGIA BPJS HIV NON REACTIVE

JL. PATIMURA NO 67 RT 49 BPJS HIV NON REACTIVE

JL BELATUK 1 NO 42 RT 25 GN BAHAGIA BPJS HIV NON REACTIVE

JL. JOKO TOE NO 80 RT 44 SUMBER REJO BPJS HIV NON REACTIVE

 LAPORAN PROGRAM PMCT TIM HIV
RUMAH SAKIT BALIKPAPAN BARU
PERIODE BULAN SEPTEMBER TAHUN 2019

No. TANGGAL NAMA PASIEN NO. REG UMUM

1 01/10/19 NURHIFTIDAH 13909 35

2 01/10/19 MAULUDYANA EKRA 38141 31

3 03/10/19 RINI YUNITA 14760 40

4 04/10/19 HARWATI 96754 37

5 04/10/19 ANGGRAENI RUSDI 109762 32

6 04/10/19 LUSIANI AMBARWATI 709766 40

7 05/10/19 RIANA PURNAMASARI 90644 29

8 06/10/19 MISWATI 109820 35

9 09/10/19 TINA YULIANITA 36829 37

10 10/10/19 ENDAH TRI H 109940 25

11 10/10/19 KIKI AMALIA 107752 31

12 12/10/19 RAHMAWATI 78410 29

13 12/10/19 DWI FATIMAH 109992 28

14 13/10/19 NUR LELA 110016 32
15 13/10/19 IRA SUSANTI 22128 34

16 13/10/19 ANIS SOLEHA 109994 24

17 14/10/19 FITRIYAH AGUSTINA 109618 18

18 14/10/19 SITI ZULEHA 110018 24

19 15/10/19 MELDA SIAGIAN 73446 35

20 15/10/19 WINDA 110091 28

21 15/10/19 MARIATI 86517 24

22 16/10/19 NOR RENA MULIA 63318 26

23 18/10/19 LISNA 77925 25

24 19/10/19 MULIATI 43024 32

25 19/10/19 ERNI MULYANI 94302 26

26 22/10/19 IBNUR RAHMADINA 90982 25

27 22/10/19 RAHMA YUNITA 82292 34

28 23/10/19 NOVITA 110318 21

29 24/10/2019 SUTRIANI 42191 31

30 25/10/2019 RIZKY RIDA 110839 20

31 26/10/2019 SHINTA TRI 83060 29

32 26/10/2019 WIWIET RAHAYU 93291 26

33 26/10/2019 ELLYANA 105402 35

34 27/10/2019 UMUL FADILLAH 54998 23

35 28/10/2019 ADINDA TRIDAYANTI 99130 24
36 29/10/2019 WINDA SAFITRI 103453 29
37 30/10/2019 LIDYA PARAMITHA 91069 30

38 31/10/19 NOVA DARIYANTI 35690 22

PROGRAM PMCT TIM HIV
AKIT BALIKPAPAN BARU
ULAN SEPTEMBER TAHUN 2019

PEMERI HASIL
ALAMAT PASIEN ASURANSI
KSAAN PEMERIKSAAN
JL PEMBANGUNAN RT 38 TELAGA
SARI BPJS HIV NON REACTIVE
JL PAUS I NO 304 RT 29 MANGGAR
BARU BPJS HIV NON REACTIVE
BALIKPAPAN II KARTINI
RESIDENCE BLOK K1/19 BPJS HIV NON REACTIVE
PERUM HER II JL LEMON BLOK L5
NO 19 RT 58 BPJS HIV NON REACTIVE
JL MARIKO RT 16 MARIDAN
SEPAKU BPJS HIV NON REACTIVE
KM 17 BPJS HIV NON REACTIVE
JL TIRTA SARI NO 4 SEPINGGAN
BALIKPAPAN SELATAN BPJS HIV NON REACTIVE
JL SULAWESI RT 58 NO 51 KEL.
KARANG REJO BPJS HIV NON REACTIVE
JL A WAHAB SYAHRANI RT 03 BATU
AMPAR BPJS HIV NON REACTIVE

PERUM PDAM BLOK I NO 30 RT 15 BPJS HIV NON REACTIVE

JL RAMAYANA NO 144 RT 22 BATU
AMPAR ADMEDIKAHIV NON REACTIVE
PERUM WAHANA ASRI 2 BLOK 1 NO
17 DAMAI BARU BPJS(VIP) HIV NON REACTIVE

JL A WAHAB SYAHRANI RT 01 NO 20 BPJS HIV NON REACTIVE

AMBORTAWANG DARAT RT 4 BPJS HIV NON REACTIVE
KM 24 RT 45 BALIKPAPAN BPJS HIV NON REACTIVE

JL AGUNG TUNGGAL GG MAKMUR

NO 12 RT 14 DAMAI BARU BPJS HIV NON REACTIVE
JL TIRTA YASA NO 49 RT 58 GN SARI
ILIR BPJS HIV NON REACTIVE
PERUM GDA NO 71 RT 10
BALIKPAPAN BPJS HIV NON REACTIVE

JL MULAWARMAN RT 40 MANGGAR
BALIKPAPAN TIMUR BPJS HIV NON REACTIVE
KOMPLEK PT HER MANDIRI I BLOK
IP NO 22 BPJS HIV NON REACTIVE

RING ROAD VILLA DAMAI BLOK 5C BPJS HIV NON REACTIVE

BDS 3 BLOK N NO 16 BPJS HIV NON REACTIVE

JL SOEKARNO HATTTA KM 18 RT 58 BPJS HIV NON REACTIVE

PERUM BANK DUTA BLOK G NO 23
RT 33 DAMAI BAHAGIA BPJS HIV NON REACTIVE
GN 4 RT 18 NO 32 BPJS HIV NON REACTIVE
JL MULAWARMAN RT 25 NO 61
LAMARU GENERALLHIV NON REACTIVE

JL SOEKARNO HATTTA KARANG

JOANG RT 22 NO 16 KM 14 BPJS HIV NON REACTIVE

JL SULTAN HASANUDIN NO 15 RT 33 BPJS HIV NON REACTIVE

BPJS HIV NON REACTIVE
JL MULAWARMAN GG INDAH NO 50
RT 03 BPJS HIV NON REACTIVE
JL TELAGA SARI IV NO 180 BPJS HIV NON REACTIVE
JL PUNAI V NO 34 RT 21 GN
BAHAGIA BPJS HIV NON REACTIVE
JL TERATAI MERAH RT 56 NO 70 AXA HIV NON REACTIVE
JL. INDRAKILA GG MERDEKA
UTARA NO 74 GN SAMARINDA BPJS HIV NON REACTIVE
JL MANGGA RT 09 NO 47 BPJS HIV NON REACTIVE
RULITA SARI BLOK D2 NO 17 BPJS HIV NON REACTIVE
JL INPRES IV RT 16 NO 19 BPJS HIV NON REACTIVE

JL PROJAKAL NO 82 GRAHA INDAH BPJS HIV NON REACTIVE

 LAPORAN PROGRAM PMTCT TIM HIV

RUMAH SAKIT BALIKPAPAN BARU

BULAN OKTOBER TAHUN 2019
No. TANGGAL NAMA PASIEN NO. REG UMUM

1 01/10/19 NURHIFTIDAH 13909 35

2 01/10/19 MAULUDYANA EKRA 38141 31
4 03/10/19 RINI YUNITA 14760 40
5 04/10/19 HARWATI 96754 37
6 04/10/19 ANGGRAENI RUSDI 109762 32
7 04/10/19 LUSIANI AMBARWATI 709766 40
8 05/10/19 RIANA PURNAMASARI 90644 29
10 06/10/19 MISWATI 109820 35
16 10/10/19 ENDAH TRI H 109940 25
17 10/10/19 KIKI AMALIA 107752 31
18 12/10/19 RAHMAWATI 78410 29
19 12/10/19 DWI FATIMAH 109992 28
20 12/10/19 WAHYUNI ROSFENTY 88611 38
21 13/10/19 NUR LELA 110016 32
22 13/10/19 IRA SUSANTI 22128 34
23 13/10/19 ANIS SOLEHA 109994 24
24 14/10/19 FITRIYAH AGUSTINA 109618 18
25 14/10/19 SITI ZULEHA 110018 24
29 15/10/19 MELDA SIAGIAN 73446 35
31 15/10/19 MARIATI 86517 24
32 16/10/19 NOR RENA MULIA 63318 26
34 18/10/19 LISNA 77925 25
36 19/10/19 MULIATI 43024 32
37 19/10/19 ERNI MULYANI 94302 26
38 22/10/19 IBNUR RAHMADINA 90982 25
39 22/10/19 RAHMA YUNITA 82292 34
40 23/10/19 NOVITA 110318 21
41 24/10/2019 SUTRIANI 42191 31
42 25/10/2019 RIZKY RIDA 110839 20
43 26/10/2019 SHINTA TRI 83060 29
44 26/10/2019 WIWIET RAHAYU 93291 26
45 26/10/2019 ELLYANA 105402 35
47 27/10/2019 UMUL FADILLAH 54998 23
48 28/10/2019 ADINDA TRIDAYANTI 99130 24
49 29/10/2019 WINDA SAFITRI 103453 29
50 30/10/2019 LIDYA PARAMITHA 91069 30
51 31/10/19 NOVA DARIYANTI 35690 22
LAPORAN PROGRAM PMTCT TIM HIV

RUMAH SAKIT BALIKPAPAN BARU

BULAN OKTOBER TAHUN 2019
PEMERIKSA HASIL
ALAMAT PASIEN ASURANSI
AN PEMERIKSAAN
JL PEMBANGUNAN RT 38 TELAGA SARI BPJS PEMERIKSAAN NON REACTIVE
JL PAUS I NO 304 RT 29 MANGGAR BARU BPJS HIV NON REACTIVE
BALIKPAPAN II KARTINI RESIDENCE BLOK K1/19 BPJS HIV NON REACTIVE
PERUM HER II JL LEMON BLOK L5 NO 19 RT 58 BPJS HIV NON REACTIVE
JL MARIKO RT 16 MARIDAN SEPAKU BPJS HIV NON REACTIVE
KM 17 BPJS HIV NON REACTIVE
JL TIRTA SARI NO 4 SEPINGGAN BALIKPAPAN SELATAN BPJS HIV NON REACTIVE
JL SULAWESI RT 58 NO 51 KEL. KARANG REJO BPJS HIV NON REACTIVE
PERUM PDAM BLOK I NO 30 RT 15 BPJS HIV NON REACTIVE
JL RAMAYANA NO 144 RT 22 BATU AMPAR ADMEDIKA HIV NON REACTIVE
PERUM WAHANA ASRI 2 BLOK 1 NO 17 DAMAI BARU BPJS(VIP) HIV NON REACTIVE
JL A WAHAB SYAHRANI RT 01 NO 20 BPJS HIV NON REACTIVE
MAYJEN RA MAULANI RT 24 SUNGAI NANGKA BPJS HIV NON REACTIVE
AMBORTAWANG DARAT RT 4 BPJS HIV NON REACTIVE
KM 24 RT 45 BALIKPAPAN BPJS HIV NON REACTIVE
JL AGUNG TUNGGAL GG MAKMUR NO 12 RT 14 DAMAI BAR BPJS HIV NON REACTIVE
JL TIRTA YASA NO 49 RT 58 GN SARI ILIR BPJS HIV NON REACTIVE
PERUM GDA NO 71 RT 10 BALIKPAPAN BPJS HIV NON REACTIVE
JL MULAWARMAN RT 40 MANGGAR BALIKPAPAN TIMUR BPJS HIV NON REACTIVE
RING ROAD VILLA DAMAI BLOK 5C BPJS HIV NON REACTIVE
BDS 3 BLOK N NO 16 BPJS HIV NON REACTIVE
JL SOEKARNO HATTTA KM 18 RT 58 BPJS HIV NON REACTIVE
PERUM BANK DUTA BLOK G NO 23 RT 33 DAMAI BAHAGIA BPJS HIV NON REACTIVE
GN 4 RT 18 NO 32 BPJS HIV NON REACTIVE
JL MULAWARMAN RT 25 NO 61 LAMARU GENERALLY HIV NON REACTIVE
JL SOEKARNO HATTTA KARANG JOANG RT 22 NO 16 KM 14 BPJS HIV NON REACTIVE
JL SULTAN HASANUDIN NO 15 RT 33 BPJS HIV NON REACTIVE
BPJS HIV NON REACTIVE
JL MULAWARMAN GG INDAH NO 50 RT 03 BPJS HIV NON REACTIVE
JL TELAGA SARI IV NO 180 BPJS HIV NON REACTIVE
JL PUNAI V NO 34 RT 21 GN BAHAGIA BPJS HIV NON REACTIVE
JL TERATAI MERAH RT 56 NO 70 AXA HIV NON REACTIVE
JL. INDRAKILA GG MERDEKA UTARA NO 74 GN SAMARINDA BPJS HIV NON REACTIVE
JL MANGGA RT 09 NO 47 BPJS HIV NON REACTIVE
RULITA SARI BLOK D2 NO 17 BPJS HIV NON REACTIVE
JL INPRES IV RT 16 NO 19 BPJS HIV NON REACTIVE
JL PROJAKAL NO 82 GRAHA INDAH BPJS HIV NON REACTIVE
HASIL
 ANALISA TRIWULAN PR

BULAN AGUSTUS , SEPTE

NO BULAN JUMLAH PASIEN

1 Agustus 34

2 September 38

3 Oktober 51

Total Seluruh Pemeriksaan 123

DIAGRAM PERMINTAAN PMCT

RUMAH SAKIT BALIKPAPAN BARU

12

10

8
AGUSTUS
SEPTEMBER
6
OKTOBER

0
ALISA TRIWULAN PROGRAM PMCT

N AGUSTUS , SEPTEMBER , OKTOBER

AGUSTUS
SEPTEMBER
OKTOBER