332 '11/04 EVI IRAWATI 05.01.02.

031195 PKMS SILVER P '44 / 11 Pulpitis 7,500 - 7,500 - - 15,000

333 '11/04 NOFAL 05.02.03.160629 PKMS SILVER L '6 / 9 Conjunctivities 7,500 - - - - 7,500
Influensa bukan karena
334 '11/04 SUNDARI '05.02.02.143557 PKMS SILVER P '28 / 3 7,500 - - - - 7,500
Virus
335 '11/04 ADELIA DWI K 05.03.4.089608 PKMS GOLD P 14/ Obs. Febris 7,500 7,500
Influensa bukan karena
336 '11/04 HAYU ROSA '05.02.09.234571 PKMS GOLD P '2 / 11 7,500 - - - - 7,500
Virus
337 '11/04 KASMIYATI 05.02.02.029086 PKMS GOLD P '54 / 3 Hipertensi Essensial 7,500 - - - - 7,500
338 '11/04 SULASIH,NY 05.02.02.216754 PKMS SILVER P '69 / 3 NIDDM (tdk tgt insulin) 7,500 - - - - 7,500
339 '11/04 WAGIYEM '05.02.01.266182 PKMS SILVER P '62 / 3 Hipertensi Essensial 7,500 - - - - 7,500
JUMLAH 2,542,500 90,000 37,500 30,000 52,000 2,752,000

Surakarta, 11 Mei 2015

Kepala UPTD Puskesmas Nusukan

Dinas Kesehatan
Kota Surakarta

drg. Agus Susanto,MM

NIP.19590823 198311 1 001