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8/19/2019 Buku 1, PENTOL
1/8
No Tanggal No Reg Nama No Kartu Peserta L/P Status
1 25/02/2016 SARJONO 94469512 L PNS DARA!
2 25/02/2016 D"# $ARD#%ANT# 94&25505 P PNS DARA!
' 25/02/2016 $(J#%$ 94&&0404 P NR#$A PNS#(N PN
4 25/02/2016 $(! R(SLAN 9492)9)4 L NR#$A PNS#(N PN
5 25/02/2016 SR# $(RN#%AT# 9492)995 P NR#$A PNS#(N PN
6 25/02/2016 S($#LA! 94929&4) P NR#$A PNS#(N PN
& 25/02/2016 K(SNARD# 951'&55) L PNS DARA!
) 25/02/2016 SLS# RA!$A D"# 20')66)&4 P PNS DARA!
9 25/02/2016 AR#* +(D#ARTO 206&4)&9& L NR#$A PNS#(N PN
10 25/02/2016 S+T# "#J# LSTAR# 6'96&)622 P P+# ,AP+N-
11 25/02/2016 #SNAN N(R " 6464)0451 L P+# ,AP+N-
12 25/02/2016 N#K$AT(L (L%A 6465'6609 P P+# ,AP+N-
1' 25/02/2016 N#K$AT(L (L%A 6465'6609 P P+# ,AP+N-
14 25/02/2016 "AS#%$ 646599295 P P+# ,AP+N-
15 25/02/2016 S($#RA! 646642506 P P+# ,AP+N-16 25/02/2016 "A!%( K#NANT# 6466)9)1' P P+# ,AP+N-
1& 25/02/2016 %O.A AD# N(RA!$AN 646)0&)0' L P+# ,AP+N-
1) 25/02/2016 +AROKT# $A%A!RA 646)41092 P P+# ,AP+N-
19 25/02/2016 !NDRO 646)515)& L P+# ,AP+N-
20 25/02/2016 D#TA+ S%A #K"#LA SA*#TR# 646)56'92 P P+# ,AP+N-
21 25/02/2016 AN#K S(PAT$# 646)&9))2 P P+# ,AP+N-
22 25/02/2016 SR#$PN 646))0905 P P+# ,AP+N-
2' 25/02/2016 !AR#N# 64691540) P P+# ,AP+N-
24 25/02/2016 KAS$ 6469'1024 P P+# ,AP+N-
25 25/02/2016 T($#J$ 64694419& P P+# ,AP+N-26 25/02/2016 S("ARD# 64&000111 L P+# ,AP+N-
2& 25/02/2016 S("ARD# 64&000111 L P+# ,AP+N-
2) 25/02/2016 RATNA ST#%A N#N.S#! 64&001&64 P P+# ,AP+N-
29 25/02/2016 S($#%$ 64&006&0' P P+# ,AP+N-
'0 25/02/2016 "AR LAS#N$ 64&016)05 P P+# ,AP+N-
'1 25/02/2016 KAR#N# 64&042'54 P P+# ,AP+N-
'2 25/02/2016 AL*#AND# *AK!R# N(R !(DA 64&0610&4 L P+# ,AP+N-
8/19/2019 Buku 1, PENTOL
2/8
'' 25/02/2016 $(J#RA! 64&10'699 P P+# ,AP+N-
'4 25/02/2016 N(R%AT# 64&1'''55 P P+# ,AP+N-
'5 25/02/2016 PA#N$ 64&1&)9&4 P P+# ,AP+N-
'6 25/02/2016 .AD#S A(RL#A A.(ST#NA 64&2414)9 P P+# ,AP+N-
'& 25/02/2016 N.AT$# 64&24)'9& P P+# ,AP+N-
') 25/02/2016 P(TR# 64&2&5206 P P+# ,AP+N-
'9 25/02/2016 T$( 64&'41255 P P+# ,AP+N-
40 25/02/2016 PAR#%$ 64&'55216 P P+# ,AP+N-
41 25/02/2016 R(+#%ANT# 64&'6&11) P P+# ,AP+N-
42 25/02/2016 SAK#%$ 64&'6&46& P P+# ,AP+N-
4' 25/02/2016 SAK#%$ 64&'6&46& P P+# ,AP+N-
44 25/02/2016 SAR#N$ 64&'&0696 P P+# ,AP+N-
45 25/02/2016 TR# (TA$# 64&'))66' P P+# ,AP+N-
46 25/02/2016 TR# (TA$# 64&'))66' P P+# ,AP+N-
4& 25/02/2016 NARON# 64&4065)4 P P+# ,AP+N-
4) 25/02/2016 PAR.#%AT# 64&4145&2 P P+# ,AP+N-49 25/02/2016 *AR#AL .(NTORO N 64&414&06 L P+# ,AP+N-
50 25/02/2016 *AR#AL .(NTORO N 64&414&06 L P+# ,AP+N-
51 25/02/2016 $(J#LA! 64&45''&' P P+# ,AP+N-
52 25/02/2016 S(T#$A! 64&4&6659 P P+# ,AP+N-
5' 25/02/2016 J($#%$ 64&4&6)2) P P+# ,AP+N-
54 25/02/2016 TR# !AR%ANT#N# 64&4))&'2 P P+# ,AP+N-
55 25/02/2016 TON# AD# SAP(TRA 64&495&52 L P+# ,AP+N-
56 25/02/2016 +AN.K#T !($AN#S 64&529265 L P+# ,AP+N-
5& 25/02/2016 S#T# ROK!#LA! 64&5&40&4 P P+# ,AP+N-
5) 25/02/2016 J($# 64&5&5154 P P+# ,AP+N-59 25/02/2016 L(L(K#L $AKN(N 64&591016 P P+# ,AP+N-
60 25/02/2016 TR#$AN 64&5941)) L P+# ,AP+N-
61 25/02/2016 LA#LAT(L K!(SN(L R 64&62649) P P+# ,AP+N-
62 25/02/2016 LA#LAT(L K!(SN(L R 64&62649) P P+# ,AP+N-
6' 25/02/2016 K#N$ 64&646&4) P P+# ,AP+N-
64 25/02/2016 N.AD#%$ 64&&265&) P P+# ,AP+N-
65 25/02/2016 !NDRA L(K$AN S 64&&'0459 L P+# ,AP+N-
8/19/2019 Buku 1, PENTOL
3/8
66 25/02/2016 !NDRA L(K$AN S 64&&'0459 L P+# ,AP+N-
6& 25/02/2016 AD# "#%ONO 64&&'5229 L P+# ,AP+N-
6) 25/02/2016 N.AD#NO 64&&54&15 L P+# ,AP+N-
69 25/02/2016 $(!A$$AD DA*A 64&&)&025 L P+# ,AP+N-
&0 25/02/2016 AR# "#D%AST#N# 64&)0&)26 P P+# ,AP+N-
&1 25/02/2016 AR# "#D%AST#N# 64&)0&)26 P P+# ,AP+N-
&2 25/02/2016 !ANAN +A.(S "#AKSANA 64&)4'646 L P+# ,AP+N-
&' 25/02/2016 $(J#$AN 64&)62546 L P+# ,AP+N-
&4 25/02/2016 S(ROTO 64&90&2&6 L P+# ,AP+N-
&5 25/02/2016 SAN#%$ 64&916&15 P P+# ,AP+N-
&6 25/02/2016 TR# $A"ART# 64&929)55 P P+# ,AP+N-
&& 25/02/2016 S(L#ST%O "#+O"O 64&95)4&5 L P+# ,AP+N-
&) 25/02/2016 N.AD#N# 64&962&49 P P+# ,AP+N-
&9 25/02/2016 J($AD# 64&9)252& L P+# ,AP+N-
)0 25/02/2016 $(!A$$AD #!SAN 64&9)4092 L P+# ,AP+N-
)1 25/02/2016 T($#J$ 64)029215 P P+# ,AP+N-)2 25/02/2016 +AR#DA! 64)0''2)& P P+# ,AP+N-
)' 25/02/2016 *AD#AN *#TR#ANTO 64)119&66 L P+# ,AP+N-
)4 25/02/2016 AR#%ANT# 64)12&''& P P+# ,AP+N-
)5 25/02/2016 S($#N$ 64)1504)9 P P+# ,AP+N-
)6 25/02/2016 $(!A$$AD SAKT# 64)161201 L P+# ,AP+N-
)& 25/02/2016 SR# %ANT# 64)21&956 P P+# ,AP+N-
)) 25/02/2016 "AR#N.A! 64)256419 P P+# ,AP+N-
)9 25/02/2016 $ARS#%AT# 64)2&)695 P P+# ,AP+N-
90 25/02/2016 +ON#%$ 64)290992 P P+# ,AP+N-
91 25/02/2016 .#NA! 64)29)102 P P+# ,AP+N-92 25/02/2016 R*#%AN# 64)'0)01' P P+# ,AP+N-
9' 25/02/2016 SAK#N$ 64)4)6461 P P+# ,AP+N-
94 25/02/2016 KA N(R*ATONA! 64)4)&0)9 P P+# ,AP+N-
95 25/02/2016 PON#RA! 64)516&12 P P+# ,AP+N-
96 25/02/2016 PON#%$ 10'41'0'1& P P+# ,AP+N-
9& 25/02/2016 RAT#! *#TR#AT# 10'41'0914 P P+# ,AP+N-
9) 25/02/2016 A!$AD# 10'41'126' L P+# ,AP+N-
8/19/2019 Buku 1, PENTOL
4/8
99 25/02/2016 A!$AD# 10'41'126' L P+# ,AP+N-
100 25/02/2016 #DAN A+# N(R RA!$AN 10'41'1&6) L P+# ,AP+N-
101 25/02/2016 KR#ST#NA "#SN( $(RT# 10'41'5425 P P+# ,AP+N-
102 25/02/2016 AS#!ONO 10'41'6)4' P P+# ,AP+N-
10' 25/02/2016 #R*AN N(.RA!A 10'41')9&9 L P+# ,AP+N-
104 25/02/2016 SA$#N$ 10'41409)' P P+# ,AP+N-
105 25/02/2016 S(PR#%ANT# 10'4146629 P P+# ,AP+N-
106 25/02/2016 S(T#NA! 10'414949) P P+# ,AP+N-
10& 25/02/2016 K(RN# "#NARN# 10'4150995 P P+# ,AP+N-
10) 25/02/2016 PARD#LA! 10'4152615 P P+# ,AP+N-
109 25/02/2016 *AD!AN ARD#ANS%A! 10'415'99) L P+# ,AP+N-
110 25/02/2016 PA"#RO "#%ONO 10'4155991 L P+# ,AP+N-
111 25/02/2016 S(!AR%AT# 10'415)1&' P P+# ,AP+N-
112 25/02/2016 SODAR$O 10'4159545 L P+# ,AP+N-
11' 25/02/2016 SLA$T AL $AR"OTO RA!ARJO 1294525405 L PKRJA $AND#R#
114 25/02/2016 A.A$ S(L#ST%O 1424121)&' L P.A"A# S"ASTA115 25/02/2016 A.A$ S(L#ST%O 1424121)&' L P.A"A# S"ASTA
116 25/02/2016 #DAN AR#* $(NANDAR 15264019'4 L P.A"A# S"ASTA
11& 25/02/2016 #DAN AR#* $(NANDAR 15264019'4 L P.A"A# S"ASTA
11) 25/02/2016 A+D(RRA!$AN !AR#TS 1620012914 L P.A"A# S"ASTA
119 25/02/2016 DA**A SAP(TRA !R$A"AN 1)950)4&96 L P.A"A# S"ASTA
120 25/02/2016 %OAN !A*#D PRAD#PTA 1)950)5'69 L P.A"A# S"ASTA
8/19/2019 Buku 1, PENTOL
5/8
D3agnosa #D
Neuralg3a an neur3t3s uns7e83e lo:er leg
D;s7e7s3a
Stroar8t3on
Non?3nsul3n?e7enent 3a@etes mell3tus :3t=out 8om7l38at3ons
ssent3al ,7r3mar;- =;7ertens3on
Ot=er an uns7e83e a@om3nal 7a3n
3sual 3stur@an8e uns7e83e
Ot=er eelo7mental 3sorers o> s7ee8= an language
*eer uns7e83e
A8ute naso7=ar;ng3t3s B8ommon 8olC
#m7a8te 8erumen
Neuralg3a an neur3t3s uns7e83e
Neuralg3a an neur3t3s uns7e83e
D;s7e7s3a
$;alg3a#nur; uns7e83e
*eer uns7e83e
Ne8ros3s o> 7ul7
D;s7e7s3a
A8ute naso7=ar;ng3t3s B8ommon 8olC
Allerg38 8onta8t ermat3t3s ue to metals
utaneous a@s8ess >urun8le an 8ar@un8le uns7e83e
S8=3Eo7=ren3a uns7e83e
A8ute naso7=ar;ng3t3s B8ommon 8olC
A8ute naso7=ar;ng3t3s B8ommon 8olC*eer uns7e83e
*eer uns7e83e
F8ess3e an >reGuent menstruat3on :3t= 3rregular 8;8le
O7en :oun o> uns7e83e @o; reg3on
A8ute naso7=ar;ng3t3s B8ommon 8olC
Rota3ral enter3t3s
Allerg38 8onta8t ermat3t3s uns7e83e 8ause
8/19/2019 Buku 1, PENTOL
6/8
D;s7e7s3a
!aemorr=age o> anus an re8tum
ssent3al ,7r3mar;- =;7ertens3on
Nausea an om3t3ng
Non?3nsul3n?e7enent 3a@etes mell3tus :3t= 8oma
A8ute naso7=ar;ng3t3s B8ommon 8olC
onun8t33t3s uns7e83e
Plantar >as83al @romatos3s
ssent3al ,7r3mar;- =;7ertens3on
A@om3nal 7regnan8;
A@om3nal 7regnan8;
ssent3al ,7r3mar;- =;7ertens3on
A@om3nal 7regnan8;
A@om3nal 7regnan8;
D;s7e7s3a
Allerg38 8onta8t ermat3t3s uns7e83e 8auseA8ute naso7=ar;ng3t3s B8ommon 8olC
A8ute naso7=ar;ng3t3s B8ommon 8olC
D;s7e7s3a
Res73rator; tu@er8ulos3s uns7e83e 8onrme @a8ter3olog38all; an =3stolog38all;
D;s7e7s3a
A@om3nal 7regnan8;
*eer uns7e83e
A8ute naso7=ar;ng3t3s B8ommon 8olC
A@om3nal 7regnan8;
!eaa8=eA8ute naso7=ar;ng3t3s B8ommon 8olC
O8ular 7a3n
*eer uns7e83e
*eer uns7e83e
ssent3al ,7r3mar;- =;7ertens3on
A8ute @ron8=3t3s ue to r=3no3rus
(r3nar; tra8t 3n>e8t3on s3te not s7e83e
8/19/2019 Buku 1, PENTOL
7/8
(r3nar; tra8t 3n>e8t3on s3te not s7e83e
ssent3al ,7r3mar;- =;7ertens3on
=ron38 7er3oont3t3s
nlarge l;m7= noes uns7e83e
A@om3nal 7regnan8;
A@om3nal 7regnan8;
T=rom@o8;to7en3a uns7e83e
*eer uns7e83e
A8ute su77urat3e ot3t3s me3a
ssent3al ,7r3mar;- =;7ertens3on
A@om3nal 7regnan8;
*eer uns7e83e
D;s7e7s3a
D3EE3ness an g33ness
A8ute naso7=ar;ng3t3s B8ommon 8olC
D;s7=as3a an a7=as3aNon?3nsul3n?e7enent 3a@etes mell3tus :3t= neurolog38al 8om7l38at3ons
D;s=3ros3s B7om7=ol;FC
A@om3nal 7regnan8;
$;alg3a
Ast=ma uns7e83e
A8ute naso7=ar;ng3t3s B8ommon 8olC
Ot3t3s eFterna uns7e83e
$;alg3a
D3slo8at3on o> :r3st
Pann38ul3t3s aHe8t3ng reg3ons o> ne8< an @a8 @loo essel,s- o> uns7e83e @o; reg3on
Allerg38 8onta8t ermat3t3s uns7e83e 8ause
#nur; uns7e83e
8/19/2019 Buku 1, PENTOL
8/8
#nur; uns7e83e
A8ute naso7=ar;ng3t3s B8ommon 8olC
S8=3Eo7=ren3a uns7e83e
!;7ertens3e =eart 3sease :3t=out ,8ongest3e- =eart >a3lure
A8ute naso7=ar;ng3t3s B8ommon 8olC
$;alg3a
A@om3nal 7regnan8;
D;s7e7s3a
A8ute naso7=ar;ng3t3s B8ommon 8olC
D;s7e7s3a
#m7a8te 8erumen
#nur; uns7e83e
(rt38ar3a uns7e83e
*ra8ture o> ot=er 7arts o> s=ouler an u77er arm 8lose
Ot=er s7e83e 8=ron38 o@stru8t3e 7ulmonar; 3sease
*eer uns7e83e
*eer uns7e83e
A8ute naso7=ar;ng3t3s B8ommon 8olC
A8ute naso7=ar;ng3t3s B8ommon 8olC
A8ute naso7=ar;ng3t3s B8ommon 8olC
A8ute naso7=ar;ng3t3s B8ommon 8olC
Allerg38 8onta8t ermat3t3s ue to ot=er agents