You are on page 1of 10

FORMULIR REGISTER DETEKSI DINI

KANKER PAYUDARA DAN KANKER LEHER RAHIM


PUSKESMAS CISOMPET
PUSKESMAS : CISOMPET
KABUPATEN : GARUT
PROPINSI : JAWA BARAT
BULAN : FEBRUARI

HASIL PEMERIKSAAN PAYUDARA HASIL PEMERIKSAAN LEHER RAHIM


DIRUJUK DIRUJUK
NO TANGGAL No Reg . KTP NAMA UMUR ALAMAT Ket
IVA Positif IVA Negatif
Tumor/
Normal Curiga Ca Kel.Payudara Lain Lesi Luas Curiga Ca Kel.Gin.Lain Papsmear
Benjolan

1 3205284410750002 Entin 41 Jatisari V v


2/2/2017

2 3205284605850003 Ernawati 26 Jatisari V v

3 3205285411830002 Iis 34 Jatisari v v

4 3205284506730009 Nining 42 Jatisari v v

5 32052842066200004 Omah 54 Jatisari v v

6 3205284808750001 Emah 42 Jatisari v v

7 32052846088880001 lina 28 Jatisari v v

8 3205285908670001 Ratningsih 46 Jatisari v v

9 3205285204590002 Komin 58 Jatisari v v

10 3205284602720001 hotimah 44 Jatisari v v

11 3205284107800051 Idah 37 Jatisari v v

12 3205285203690002 Sopiah 41 Jatisari v v

13 3205284603880005 Ditriani 29 Jatisari v v


14 3205284303860006 Nurlela 31 Jatisari v v

15 3205284507810003 Ayi 36 Jatisari v v

16 3205294802950004 Ratna 22 Jatisari v v

17 3205284109820001 Purwanti 35 Jatisari v v

18 3205284309880003 Imas 29 Jatisari v v

19 3205286907910003 Yani 26 Jatisari v v

20 3205284911870001 lilis 32 Jatisari v v

21 3205284703890004 Santi 28 Jatisari v v

22 3205286408930002 Ronisa 24 Jatisari v v

23 3205285107800001 Dewi 36 Jatisari v v

24 3205285212990001 Siti N 18 Jatisari v v

25 3205285605800001 Dedeh 36 Jatisari v v

26 3205284705830002 Yanti 25 Jatisari v v

27 32052856405820001 Titi 34 Jatisari v v

28 3205284304860003 Nursalamah 26 Jatisari v v

29 3205284107860046 Rohayati 41 Jatisari v v

30 3205284107730004 Sukaesih 42 Jatisari v v

31 3205275902750001 Ai Yeti 41 Jatisari V v

32 3205284706740001 Dadah 43 Jatisari v v

33 3205284709680002 Cicin 48 Jatisari v v


34 3205284704840002 Yanti 29 Jatisari v v

35 3205286603880002 Elis 29 Jatisari v v

36 3205285407800003 siti Masripah 36 Jatisari v v

37 320528520390002 Sopiah 41 Jatisari v v

38 3205287005780001 Imah 38 Jatisari v v

39 3205284107770010 Ida Farida 43 Cihaurkuning v v


9/2/2017

40 3205284107830004 Neni Saripah 34 Cihaurkuning v v

41 32052843039320004 Ninu Rosmawati 24 Cihaurkuning v v

42 3205284811710003 Cicih 46 Cihaurkuning v v

43 3205285303980001 Martini 20 Cihaurkuning v v

44 3205285709790001 Sadiah 38 Cihaurkuning v v

45 3205285303910004 Santi 27 Cihaurkuning v v

46 3205287001780001 Mimin 39 Cihaurkuning v v

47 320528503620001 Ni'Ah 55 Cihaurkuning v v

48 3205284107760007 Aisyah 45 Cihaurkuning v v

49 3205284808690001 Aisyah 45 Cihaurkuning v v

50 3205285804940003 Asiti Anisah 22 Cihaurkuning v v

51 3205285602590001 Isah 58 Cihaurkuning v v

52 3205284909950004 Tari Saptariani 22 Cihaurkuning v v

53 3205285808780002 Maesaroh 41 Cihaurkuning v v


54 3205280707710003 Nenah 46 Cihaurkuning v v

55 3205285310690002 Lilis 47 Cihaurkuning v v

56 3205285812790001 Aan 36 Cihaurkuning v v

57 3205284501750008 Enrin 41 Cihaurkuning v v

58 3205284107720015 Aisyah 43 Cihaurkuning v v

59 3205284107630020 Uyum 54 Cihaurkuning v v

60 3205285008850002 Jaah 42 Cihaurkuning v v

61 3205285504450001 Ii 72 Cihaurkuning v v

62 3205284910630001 Aah 56 Cihaurkuning v v

63 3205284512970004 Ai Datiah 20 Cihaurkuning v v

64 3205284107500011 Enok 62 Cihaurkuning v v

65 3205284110980006 Nopi 19 Cihaurkuning v v

66 3205285206760004 Nonong 41 Cihaurkuning v v

67 3205285401920003 Rina 25 Cihaurkuning v v

68 3205284107710002 Omah 47 Cihaurkuning v v

69 3205285310940003 Sri Dewi 22 Cikondang v v

70 3205286109750002 Ika 41 Cikondang v v

71 3205284210940002 Rismayanti 27 Cikondang v v

72 3205284704750002 Dede Jubaedah 41 Cikondang v v

73 3205285203890002 Farimah 25 Cikondang v v


74 3205284404930009 Desi Widiawati 24 Cikondang v v

75 3205284101930009 Emar 24 Cikondang v v

76 3205286404740002 Yati 42 Cikondang v v

77 3205284101870016 Nia 30 Cikondang v v

78 3205284107980028 Rosita 18 Cikondang v v

79 3205285808840003 Rayanti 33 Cikondang v v

80 3205286501750001 Ina 33 Cikondang v v

81 3205286002920003 Neng Nurjanah 25 Cikondang v v

82 3205285603900004 Ai Ismiati 27 Cikondang v v

83 3205284107740035 Masropah 43 Cikondang v v

84 3205285908880003 Siti 28 Cikondang v v

85 3205175202890008 Datiah 28 Cikondang v v

86 3205286406800001 Tintin 37 Cikondang v v

87 3205285506910007 Leni 25 Cikondang v v

88 3205285803850001 Nasiroh 32 Cikondang v v

89 320528420910001 Nunik 26 Cikondang v v

90 3205284608970002 Ai yanti 19 Cikondang v v

91 3205284507850007 Mspupah 27 Cikondang v v

92 3205284502950001 Rismawati 22 Cikondang v v

93 3205284106800001 Suryati 37 Cikondang v v


94 320528410192004 Yeti 24 Cikondang v v

95 3205225312910002 Sopiah 27 Cikondang v v

96 3205285709940005 Lilis 23 Cikondang v v

97 3205284101930018 Nurjanah 24 Cikondang v v

98 3205286612790001 Eli Sri 37 Cikondang v v

99 3205285505840002 Dede Rodiah 33 Cikondang v v

100 3205286012740001 Heni 43 Cikondang v v

101 32052812804790003 Popon 37 Cikondang v v

102 3205284107800083 Aisyah 36 Cikondang v v

103 3205285106860002 Ai Isum 31 Cikondang v v

104 3205285806900002 Sintya 27 Cikondang v v

105 3205285208890005 Imas 28 Cikondang v v

106 3205286012770001 Ratna 37 Cikondang v v

107 3205285109920004 Ipur 24 Cikondang v v

108 3205284602790003 Wati 38 Cikondang v v

109 3217015810940009 Eva 23 Cikondang v v

110 3205285105750002 Onah 42 Cikondang v v

111 3205284606950003 Ai Mahiyah 21 Cikondang v v

112 3205286409910004 Ai Siti 26 Cikondang v v

113 3205284308860002 Rika 30 Cikondang v v


114 3205285701890003 Siti Ani 28 Cikondang v v

115 3205286808730002 Enung 43 Cikondang v v

116 3205284211870002 Ita 29 Cikondang v v

117 3205285505960003 Lisnawati 21 Cikondang v v

118 3205285604720001 Lelah 42 Cikondang v v

119 3205284101920018 Utih 24 Cikondang v v

120 3205284804930005 rokayah 24 Cikondang v v

121 3205286409860001 Mimin 30 Cikondang v v

122 3205285508800002 Nurlatifah 42 Cikondang v v

123 3205285502930001 Atik 24 Cikondang v v

124 3205285403720001 Idah 44 Cikondang v v

125 3205284410750003 Yani 42 Cikondang v v

126 320528410774007 Imas 42 Cikondang v v

127 320528470791062 Santi 25 Cikondang v v

128 3205284502910001 Dede 26 Cikondang v v

129 3205285010850003 susilawati 32 Cikondang v v

130 3205286109860001 Ira 31 Cikondang v v

131 3205284605740003 Habibah 43 Cikondang v v

132 3205284107830046 Marlina 33 Cikondang v v

133 3205284609780001 Tita 37 Cikondang v v


134 3205285909850002 Wiwin 31 Cikondang v v

135 3205284901770001 Timah 43 Cikondang v v

136 3205284606920002 Yani 25 Cikondang v v

137 320528909770002 Neni 43 Cikondang v v

138 3205284305950002 Enti 22 Cikondang v v

139 3205285404780002 Elah 40 Cikondang v v

140 3205285505930001 Siti 24 Cikondang v v

141 3205286505750001 Sariah 30 Cikondang v v

142 3205285708800006 nunung 37 Cikondang v v

143 3205285112710001 holis 48 Cikondang v v

144 3205285809920001 Nenden 24 Cikondang v v

145 3205284311970001 Nuraeni 20 Cikondang v v

146 3205284508950008 Yeni 21 Cikondang v v

147 3205286809750001 Laela 32 Cikondang v v

148 3205285107890002 Imas 27 Cikondang v v

149 3205285509930001 Tita 23 Cikondang v v

150 3205284804900002 Ani 25 Cikondang v v

151 3205285208880004 Ai Siti 26 Cikondang v v

152 3205286211950004 Ai Weti 21 Cikondang v v

153 32052848110950001 Sinta 21 Cikondang v v


154 3205284610770001 Imay 43 Cikondang v v

155 32052841018710003 Noneng 30 Cikondang v v

156 3205284101700021 nunung 48 Cikondang v v

157 3205285604830003 Khodijah 34 Cikondang v v

158 3205284107880045 Rina 25 Cikondang v v

159 3205284506790002 Ida Fitri 35 Cikondang v v

160 3205284302860001 Lala 31 Cikondang v v

161 3205285106680002 Asih 47 Cikondang v v

162 3205285005940003 Wita 22 Cikondang v v

163 3205284107770030 Mulyati 40 Cikondang v v

164 3205284103760003 Cicah 41 Cikondang v v

165 3205286703860002 HEni 30 Cikondang v v

166 3205285110940005 Ina 21 Cikondang v v

167 3205284107910008 Ani 26 Cikondang v v

168 3205284306780002 Iip 38 Cikondang v v

169 3205285905750004 Kokom 35 Cikondang v v

170 3205285008870003 Leni 31 Cikondang v v

171 3205285204730002 Empat 43 Cikondang v v

172 3205284609820001 Dede 36 Cikondang v v

173 3205286808840003 Oyoh 33 Cikondang v v


174 3205284401980001 Dede Eti 19 Cikondang v v

175 3205284905750001 Icih 32 Cikondang v v

176 3205286101700003 Nenah 41 Cikondang v v

177 3205285703720005 Mamah 44 Cikondang v v

178 3205285510800003 Komariah 41 Cikondang v v

179 3205285708770002 Hanifah 40 Cikondang v v

180 32052848027700001 Atik 44 Cikondang v v

181 3205285707730002 Komariah 44 Cikondang v v

182 3205285503960003 Iis 21 Cikondang v v

You might also like