PELAPORAN JEJARING FASYANKES KLINIK LYA DENTALCARE.xlsx

	A	B	C	D	E	F	G
1	REKAPITULASI LAPORAN KASUS
2	FASYANKES DI WILAYAH KELURAHAN CIREUNDEU
3	DINAS KESEHATAN KOTA TANGERANG SELATAN PROVINSI BANTEN
4	TAHUN 2026
5
6	Nama Klinik / Fasyankes	: Lya Dental Care Cirendeu
7	Bulan	April 2026
8	NO	NAMA PASIEN	NIK	TANGGAL LAHIR	USIA	DIAGNOSA	KETERANGAN
9	NO	NAMA PASIEN	NIK	TANGGAL LAHIR	USIA	DIAGNOSA	KETERANGAN
10	1	Soeharno	367405090748000-1	09/07/1948	78	Abrasi	Filling Composite
11	2	Marvel		05/09/2005	19	Gingivitis	scaling RA dan RB
12	3	Tn Bimo	31740602048000-7	02/04/1984	42	Periodontitis	OA + Aplikasi TiEs + Aplikasi Dentifikasi
13	4	An Sagara		29/03/2019	7	Nekrosis Pulpa	Insisi drainase
14	5	An Saheel	187101660893000-1	08/05/2021	5	Ulkus Dekubitus	Extraksi Pedo gigi 61
15	6	Rifca		30/06/1995	30	Gingivitis	scaling RA dan RB
16	7	Muhammad		11/15/2015		Nekrosis Pulpa + Gingivitis	Filling GIC + Scalling
17	8	Tri Subekti	33250849029000-1	09/02/1992	34	Pulpitis Reversible	Filling Composite 3 Gigi
18	9	Sagara Ali				Nekrosis Pulpa	Insisi drainase + Aplikasi Ti Es
19	10	Tn Andri		26/3/1980	46	Gingivitis + Pulpitis Ireversible	Scalling + Filling Composite + Bongkar tambalan Lama
20	11	Kusnindar	317410110667000-2	11/06/1967	59	Abses Periapikal	Insisi Drainase
21	12	Natasya		04/06/2006	20	Pulpitis Ireversible	insisi drainase
22	13	Almira Mikayla		2/20/2017	9	Nekrosis Pulpa	drainase+ Aplikasi Ti Es
23	14	Sagara Ali				Nekrosis Pulpa	Tambal Sementara
24	15	Doehoon		22/10/1993	33	Pulpitis Ireversible	Open Bur + TS
25	16	M Jajang	367405120191000-7	12/1/1991	35	Gingivitis	scaling RA dan RB
26	17	Herlina Rusli	367112700763000-1	30/07/1963	63	Gingivitis + Pulpitis Ireversible	Scaling dan Filling
27	18	Agatha	327604450293000-5	05/02/1993	33	Gingivitis	Scalling + Filling Composite
28	19	Farid		24/02/2000	26	Gingivitis + Pulpitis Reversible	Scaling dan Filling
29	20	Aidil Fikri		16/11/2004	22	Crown Lepas	Sementasi Crown
30	21	An Kaiden		08/07/2018	8	Persistensi	Extraksi Pedo gigi 81
31	22	Tn Rio Adi	350521290797000-1	29/07/1997	29	Pulpitis Ireversible	Tambalan sementara + Eugenol
32	23	Tn Soeharno	367405090748000-1	09/07/1948	78	Pulpitis Ireversible	PSA + Anastesi + Rabberdam
33	24	Tri Subekti	33250849029000-1	09/02/1992	34	Gingivitis + Pulpitis Reversible	Scalling + Filling Composite @2 Gigi
34	25	Cahya	330222260110000-2	26/01/2010	16	Pulpitis Reversible	Filling Composite + Calcipec + TS
35	26	Ny Sutinah	330307510177000-1	11/1/1977	49	Abses Periapikal	Konsultasi + Pemeriksaan
36	27	Tn Rio Adi				Pulpitis Ireversible	PSA Kunjungan 1 + Anastesi + Calcipex
37	28	Ny Rita		06/06/1961	65	Gingivitis + Pulpitis Ireversible	Scalling + Filling Composite @2 Gigi
38	29	Ny Sutinah	330307510177000-1	11/01/1977	49	Ganggren Radix	Extraksi Gigi 14 + Anastesi
39	30	Daiva		27/02/2009	17	Gingivitis	Scalling
40	31	Al fadilla		13/05/2020	6	Mobility	Exo Pedo 2 Gigi
41	32	M Nauval		27/09/2013	13	Pulpitis Reversible	Filling Composite + Pulp Capping
42	33	Cahya	330222260110000-2	26/1/2010	16	Pulpitis Reversible	Filling Composite
43	34	Tn Rio Adi	350521290797000-1	29/07/1997	29	Pulpitis Ireversible	Pengisian + Bulk Fill + Filling Composite
44	35	Sarah Alya		12/06/2003	23	Gingivitis	Scalling
45	36	Lisnawati		20/10/1973	53	Pulpitis Reversible	Filling Composite
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