JENIS

No TANGGAL No. KARTU NAMA PESERTA SEX DIAGNOSA DI RUJUK

PESERTA
1 30/04/2017 0000707221629 WARDATUL ULUM P PBI (APBN) Dental caries, unspecified TIDAK
Allergic contact dermatitis due to
2 30/04/2017 0000707235941 SULASTINA P PBI (APBN) TIDAK
metals
Allergic contact dermatitis due to
3 30/04/2017 0000707236931 JUNAIDI L PBI (APBN) TIDAK
metals
4 30/04/2017 0000707238009 AMALIATUS P PBI (APBN) Fever with chills TIDAK
5 30/04/2017 0000707244557 RAHMATILLAH P PBI (APBN) Dental caries, unspecified TIDAK
Acute upper respiratory infection,
6 30/04/2017 0000707250971 DENDI MARSUKI L PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
7 30/04/2017 0000707256505 BUYAN L PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
8 30/04/2017 0000707434209 INDAH P PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
9 30/04/2017 0000707436292 SULASTRI P PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
10 30/04/2017 0000707443391 IWAN L PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
11 30/04/2017 0000707444087 TACIK L PBI (APBN) TIDAK
unspecified
12 30/04/2017 0000707449364 TOTO L PBI (APBN) Dental caries, unspecified TIDAK
Disorder of aromatic amino-acid
13 30/04/2017 0000707453155 YANI P PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
14 30/04/2017 0000707457824 DEKI RAHMAN L PBI (APBN) TIDAK
unspecified
15 30/04/2017 0000707470018 SUMARTIK P PBI (APBN) Dental caries, unspecified TIDAK
16 30/04/2017 0000707480741 SURAHDAN L PBI (APBN) Gastritis, unspecified TIDAK
17 30/04/2017 0000707481404 MURTINI P PBI (APBN) Gastritis, unspecified TIDAK
Allergic contact dermatitis due to
18 30/04/2017 0000707481426 SUKARWI L PBI (APBN) TIDAK
metals
 Acute upper respiratory infection,
19 30/04/2017 0000707481527 HANI P PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
20 30/04/2017 0000707481731 B SAMI P PBI (APBN) TIDAK
unspecified
Disorder of aromatic amino-acid
21 30/04/2017 0000707488209 BUAN L PBI (APBN) TIDAK
metabolism, unspecified
Allergic contact dermatitis due to
22 30/04/2017 0000707495051 JUTO L PBI (APBN) TIDAK
metals
Diarrhoea and gastroenteritis of
23 30/04/2017 0000707496401 JATINA P PBI (APBN) TIDAK
presumed infectious origin
Acute upper respiratory infection,
24 30/04/2017 0000707515007 LUTFIA P PBI (APBN) TIDAK
unspecified
25 30/04/2017 0000707518146 DEWI P PBI (APBN) Gastritis, unspecified TIDAK
Disorder of aromatic amino-acid
26 30/04/2017 0000707525201 ABD KADIR L PBI (APBN) TIDAK
metabolism, unspecified
27 30/04/2017 0000707525212 TIYARI P PBI (APBN) Gastritis, unspecified TIDAK
28 30/04/2017 0000707526808 MASKUD L PBI (APBN) Gastritis, unspecified TIDAK
Disorder of aromatic amino-acid
29 30/04/2017 0000707527787 SUYATIM P PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
30 30/04/2017 0000707541434 BUSA L PBI (APBN) TIDAK
unspecified
31 30/04/2017 0000707543537 RIRI L PBI (APBN) Gastritis, unspecified TIDAK
Disorder of aromatic amino-acid
32 30/04/2017 0000707549916 ALKO L PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
33 30/04/2017 0000707551582 SIVA P PBI (APBN) TIDAK
unspecified
34 30/04/2017 0000707562742 SAIFUL ROSID L PBI (APBN) Fever with chills TIDAK
35 30/04/2017 0000707565341 HAMBALI L PBI (APBN) Caries limited to enamel TIDAK
Acute upper respiratory infection,
36 30/04/2017 0000707567411 INA MAULIDA P PBI (APBN) TIDAK
unspecified
37 30/04/2017 0000707568006 MISTOYO L PBI (APBN) Dental caries, unspecified TIDAK
 Allergic contact dermatitis due to
38 30/04/2017 0000707572664 SUKIK L PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
39 30/04/2017 0000707574069 SAIFUS SOMAT L PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
40 30/04/2017 0000707574611 HASAN BASRI L PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
41 30/04/2017 0000707574947 INUL L PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
42 30/04/2017 0000707581585 DENDI L PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
43 30/04/2017 0000707587683 ADIN L PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
44 30/04/2017 0000707711218 NURHAYATI P PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
45 30/04/2017 0000707712221 OSWANI P PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
46 30/04/2017 0000707725653 JUMIYATI P PBI (APBN) TIDAK
metals
47 30/04/2017 0000707727363 SITTI P PBI (APBN) Fever with chills TIDAK
Disorder of aromatic amino-acid
48 30/04/2017 0000707731198 WAKI L PBI (APBN) TIDAK
metabolism, unspecified
Disorder of aromatic amino-acid
49 30/04/2017 0000707748873 ABDUL JALIL L PBI (APBN) TIDAK
metabolism, unspecified
Allergic contact dermatitis due to
50 30/04/2017 0000707749132 SURAWI L PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
51 30/04/2017 0000707751156 BUHARI L PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
52 30/04/2017 0000707753248 ATIM P PBI (APBN) TIDAK
metals
53 30/04/2017 0000707755364 ANNISA NINDIA PUTRI P PBI (APBN) Caries limited to enamel TIDAK
54 30/04/2017 0000707759684 SATRI WATI P PBI (APBN) Allergic contact dermatitis due to TIDAK
 metals
55 30/04/2017 0000707759796 YANI P PBI (APBN) Gastritis, unspecified TIDAK
ANTON HADI Disorder of aromatic amino-acid
56 30/04/2017 0000707768875 L PBI (APBN) TIDAK
PRAYITNO metabolism, unspecified
Disorder of aromatic amino-acid
57 30/04/2017 0000707773566 SUDIRJO L PBI (APBN) TIDAK
metabolism, unspecified
Allergic contact dermatitis due to
58 30/04/2017 0000707775041 SUMAMA P PBI (APBN) TIDAK
metals
59 30/04/2017 0000707775805 SIDIK L PBI (APBN) Fever with chills TIDAK
Disorder of aromatic amino-acid
60 30/04/2017 0000707778066 MAT L PBI (APBN) TIDAK
metabolism, unspecified
61 30/04/2017 0000707779664 TUTIK P PBI (APBN) Gastritis, unspecified TIDAK
Acute upper respiratory infection,
62 30/04/2017 0000707779833 NOFI P PBI (APBN) TIDAK
unspecified
Disorder of aromatic amino-acid
63 30/04/2017 0000707780169 FAUSI L PBI (APBN) TIDAK
metabolism, unspecified
Allergic contact dermatitis due to
64 30/04/2017 0000707781497 SUNADIYA P PBI (APBN) TIDAK
metals
Allergic contact dermatitis due to
65 30/04/2017 0000707781701 HOLID MAWARDI L PBI (APBN) TIDAK
metals
Disorder of aromatic amino-acid
66 30/04/2017 0000707787808 FERA P PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
67 30/04/2017 0000707790014 SUNARTIK P PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
68 30/04/2017 0000707793322 TUJO L PBI (APBN) TIDAK
metals
Disorder of aromatic amino-acid
69 30/04/2017 0000707797719 TOLAK P PBI (APBN) TIDAK
metabolism, unspecified
70 30/04/2017 0000707803536 ALDI L PBI (APBN) Fever with chills TIDAK
Disorder of aromatic amino-acid
71 30/04/2017 0000707807665 IMAM L PBI (APBN) TIDAK
metabolism, unspecified
 Allergic contact dermatitis due to
72 30/04/2017 0000707809443 BUYAM L PBI (APBN) TIDAK
metals
Allergic contact dermatitis due to
73 30/04/2017 0000707809656 RUMINA P PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
74 30/04/2017 0000707810501 KUSWANI P PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
75 30/04/2017 0000707813267 RIYAN L PBI (APBN) TIDAK
metals
76 30/04/2017 0000707814112 SITRIA P PBI (APBN) Caries limited to enamel TIDAK
Acute upper respiratory infection,
77 30/04/2017 0000707821569 FIRDAN L PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
78 30/04/2017 0000707821705 HAYYI L PBI (APBN) TIDAK
metals
Allergic contact dermatitis due to
79 30/04/2017 0000707826644 SRI MURTININGSIH P PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
80 30/04/2017 0000707827329 ATI P PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
81 30/04/2017 0000707830233 EFA P PBI (APBN) TIDAK
unspecified
Disorder of aromatic amino-acid
82 30/04/2017 0000707832292 TITI MAT L PBI (APBN) TIDAK
metabolism, unspecified
Diarrhoea and gastroenteritis of
83 30/04/2017 0000707835069 TOLAK P PBI (APBN) TIDAK
presumed infectious origin
Disorder of aromatic amino-acid
84 30/04/2017 0000707836983 IDRIS L PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
85 30/04/2017 0000707839165 SITI HALIMA P PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
86 30/04/2017 0000707840177 SUPANDI L PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
87 30/04/2017 0000707840886 IRFAN L PBI (APBN) TIDAK
unspecified
 Acute upper respiratory infection,
88 30/04/2017 0000707843902 AISAH P PBI (APBN) TIDAK
unspecified
Disorder of aromatic amino-acid
89 30/04/2017 0000707845498 NAHA P PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
90 30/04/2017 0000707846106 KHOIRIYAH P PBI (APBN) TIDAK
unspecified
91 30/04/2017 0000707846602 SUTOMO L PBI (APBN) Dental caries, unspecified TIDAK
Acute upper respiratory infection,
92 30/04/2017 0000707846771 RIAN L PBI (APBN) TIDAK
unspecified
Disorder of aromatic amino-acid
93 30/04/2017 0000707847186 PARYUM P PBI (APBN) TIDAK
metabolism, unspecified
MAULANA ZACKY Acute upper respiratory infection,
94 30/04/2017 0000707851304 L PBI (APBN) TIDAK
TAMAM unspecified
Acute upper respiratory infection,
95 30/04/2017 0000707854217 AHMAD L PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
96 30/04/2017 0000707860956 ALI MAKKI L PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
97 30/04/2017 0000707861428 JUBRI L PBI (APBN) TIDAK
unspecified
98 30/04/2017 0000707872329 NORHAYATI P PBI (APBN) Gastritis, unspecified TIDAK
99 30/04/2017 0000707873545 B SUTRI P PBI (APBN) Gastritis, unspecified TIDAK
100 30/04/2017 0000707877887 MARTINA P PBI (APBN) Dental caries, unspecified TIDAK
Acute upper respiratory infection,
101 30/04/2017 0000707881792 MISROTO L PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
102 30/04/2017 0000707883028 ESSU P PBI (APBN) TIDAK
unspecified
Disorder of aromatic amino-acid
103 30/04/2017 0000707888068 ASMARI L PBI (APBN) TIDAK
metabolism, unspecified
104 30/04/2017 0000707888373 YATI P PBI (APBN) Caries limited to enamel TIDAK
Disorder of aromatic amino-acid
105 30/04/2017 0000707895358 YULIFA P PBI (APBN) TIDAK
metabolism, unspecified
106 30/04/2017 0000707895494 HAMZE L PBI (APBN) Fever with chills TIDAK
107 30/04/2017 0000707895707 JAYONO L PBI (APBN) Fever with chills TIDAK
Allergic contact dermatitis due to
108 30/04/2017 0000707896899 PARNOTO L PBI (APBN) TIDAK
metals
Disorder of aromatic amino-acid
109 30/04/2017 0000707897092 AMI P PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
110 30/04/2017 0000707897439 HOSNOL KHOTIMA P PBI (APBN) TIDAK
unspecified
111 30/04/2017 0000707898543 YON HADI L PBI (APBN) Gastritis, unspecified TIDAK
Allergic contact dermatitis due to
112 30/04/2017 0000707898903 SAMSUL MAARIP L PBI (APBN) TIDAK
metals
Allergic contact dermatitis due to
113 30/04/2017 0000707899432 TAUFAN L PBI (APBN) TIDAK
metals
Diarrhoea and gastroenteritis of
114 30/04/2017 0000707899588 MIA P PBI (APBN) TIDAK
presumed infectious origin
Acute upper respiratory infection,
115 30/04/2017 0000707900444 NAHWITO L PBI (APBN) TIDAK
unspecified
Disorder of aromatic amino-acid
116 30/04/2017 0000707900758 SAWIYA P PBI (APBN) TIDAK
metabolism, unspecified
117 30/04/2017 0000707903471 AHWARI L PBI (APBN) Gastritis, unspecified TIDAK
Allergic contact dermatitis due to
118 30/04/2017 0000707904077 SUTIKNO L PBI (APBN) TIDAK
metals
Disorder of aromatic amino-acid
119 30/04/2017 0000707905348 SAHUM L PBI (APBN) TIDAK
metabolism, unspecified
Allergic contact dermatitis due to
120 30/04/2017 0000707906529 SUKRI L PBI (APBN) TIDAK
metals
Allergic contact dermatitis due to
121 30/04/2017 0000707909196 YANTO L PBI (APBN) TIDAK
metals
Diarrhoea and gastroenteritis of
122 30/04/2017 0000707913573 MAMA P PBI (APBN) TIDAK
presumed infectious origin
123 30/04/2017 0000707915158 ABD.WAKIK L PBI (APBN) Acute upper respiratory infection, TIDAK
 unspecified
NUR ALISA FEBRI
124 30/04/2017 0000707920738 P PBI (APBN) Fever with chills TIDAK
YANTI
Allergic contact dermatitis due to
125 30/04/2017 0000707922358 MISWATI P PBI (APBN) TIDAK
metals
Disorder of aromatic amino-acid
126 30/04/2017 0000707922404 B SAYARI P PBI (APBN) TIDAK
metabolism, unspecified
Disorder of aromatic amino-acid
127 30/04/2017 0000707929806 NATUN L PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
128 30/04/2017 0000707933272 NIWATI P PBI (APBN) TIDAK
unspecified
129 30/04/2017 0000707937917 ABD. HAMID L PBI (APBN) Gastritis, unspecified TIDAK
Allergic contact dermatitis due to
130 30/04/2017 0000707939796 LASMIATI P PBI (APBN) TIDAK
metals
Allergic contact dermatitis due to
131 30/04/2017 0000707941304 ABDUL L PBI (APBN) TIDAK
metals
Acute upper respiratory infection,
132 30/04/2017 0000707941517 ROFIKI P PBI (APBN) TIDAK
unspecified
Acute upper respiratory infection,
133 30/04/2017 0000707943914 SEY L PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
134 30/04/2017 0000707944746 BADI IYATIN L PBI (APBN) TIDAK
metals
135 30/04/2017 0000707946298 FATIMAH P PBI (APBN) Fever with chills TIDAK
Disorder of aromatic amino-acid
136 30/04/2017 0000707947075 NANIK P PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
137 30/04/2017 0000707948313 AHMAD DHANI L PBI (APBN) TIDAK
unspecified
Allergic contact dermatitis due to
138 30/04/2017 0000707949279 KHAIRUL ROSYID L PBI (APBN) TIDAK
metals
Disorder of aromatic amino-acid
139 30/04/2017 0000707950269 SUYONO L PBI (APBN) TIDAK
metabolism, unspecified
 Disorder of aromatic amino-acid
140 30/04/2017 0000707955221 SUBAIRI L PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
141 30/04/2017 0000707955445 YULIS P PBI (APBN) TIDAK
unspecified
NADJWA SEPTIANI Acute upper respiratory infection,
142 30/04/2017 0000707957313 P PBI (APBN) TIDAK
PUTRI unspecified
Disorder of aromatic amino-acid
143 30/04/2017 0000707958213 MISROTO B P PBI (APBN) TIDAK
metabolism, unspecified
Acute upper respiratory infection,
144 30/04/2017 0000707960046 AHMAD L PBI (APBN) TIDAK
unspecified
145 30/04/2017 0000707965626 RAHMAN L PBI (APBN) Gastritis, unspecified TIDAK