LAPORAN PELAYANAN RAWAT JALAN

LUAR GEDUNG BULAN AGUSTUS TAHUN 2017

NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA
1 9/8/2017 0000 797690968 RUDI L PBI (APBN)
2 9/8/2017 0000 797742156 AKBAR MANSUR L PBI (APBN)
3 9/8/2017 0000 797773983 SEPTINI AYUNINGTYAS P PBI (APBN)

4 9/8/2017 0000 798002741 SUWARDI L PBI (APBN)

5 9/8/2017 0000 798028705 DADAN FIRMANSYAH L PBI (APBN)

6 9/8/2017 0000 798067934 NURHAYATI P PBI (APBN)

7 9/8/2017 0000 798083537 AHMAD L PBI (APBN)

8 9/8/2017 0000 798153186 JUNAENI P PBI (APBN)

9 9/8/2017 0000 798153647 RIAN L PBI (APBN)

10 9/8/2017 0000 798160656 NENIH P PBI (APBN)

11 9/8/2017 0000 798160926 BAI L PBI (APBN)

12 9/8/2017 0000 798161589 ENCEP IRAWAN L PBI (APBN)

13 9/8/2017 0000 798161725 UJI SAPUTRA L PBI (APBN)

14 9/8/2017 0000 798161769 BOONG L PBI (APBN)

15 9/8/2017 0000 798161938 RODIAH P PBI (APBN)

16 9/8/2017 0000 798162041 SAHORI L PBI (APBN)

17 9/8/2017 0000 798162085 ABING L PBI (APBN)

18 9/8/2017 0000 798162401 INAH P PBI (APBN)

19 9/8/2017 0000 798162849 ACIH P PBI (APBN)

20 9/8/2017 0000 798163064 ARTI P PBI (APBN)

21 9/8/2017 0000 798214138 HENDRI L PBI (APBN)

22 9/8/2017 0000 798214689 SARMANI L PBI (APBN)

23 9/8/2017 0000 798214994 RIAN L PBI (APBN)

24 9/8/2017 0000 798320272 JUHETI P PBI (APBN)

25 9/8/2017 0000 798320439 REDI L PBI (APBN)

26 9/8/2017 0000 798320507 UNI P PBI (APBN)

27 9/8/2017 0000 798320709 RIA P PBI (APBN)

28 9/8/2017 0000 798320979 RENDI L PBI (APBN)

29 9/8/2017 0000 798321497 UTIAH P PBI (APBN)

30 9/8/2017 0000 798321745 SUKARDI L PBI (APBN)

31 9/8/2017 0000 798321881 NENI P PBI (APBN)

32 9/8/2017 0000 798435606 JUMRI L PBI (APBN)

33 9/8/2017 0000 798435617 MUALIF HIDAYAT L PBI (APBN)

34 9/8/2017 0000 798479019 SITI P PBI (APBN)

35 9/8/2017 0000 798479166 SANGSANG L PBI (APBN)

36 9/8/2017 0000 798479245 NARIAH P PBI (APBN)

37 9/8/2017 0000 798479267 BUDI.P L PBI (APBN)

38 9/8/2017 0000 798479932 TIAH P PBI (APBN)

39 9/8/2017 0000 798479943 SUPIAT L PBI (APBN)

40 9/8/2017 0000 798480235 ASEP L PBI (APBN)

41 9/8/2017 0000 798480246 AMELIA P PBI (APBN)

42 9/8/2017 0000 798480628 SARDA L PBI (APBN)

43 9/8/2017 0000 798480685 ANI P PBI (APBN)

44 9/8/2017 0000 798481348 IDRIS L PBI (APBN)

45 9/8/2017 0000 798481372 NABILA P PBI (APBN)

46 9/8/2017 0000 798481754 ANAH P PBI (APBN)

47 9/8/2017 0000 798481877 NAISILA P PBI (APBN)

48 9/8/2017 0000 798482136 APIT L PBI (APBN)

49 9/8/2017 0000 798482417 SARMILI L PBI (APBN)

50 9/8/2017 0000 798482452 NANIH P PBI (APBN)

T JALAN
AHUN 2017
DIAGNOSA
Other acute gastritis
Myalgia
Other acute upper respiratory
infections of multiple sites
Schizophrenia, unspecified
Other acute upper respiratory
infections of multiple sites
Post-term infant, not heavy for
gestational age
Benign intracranial hypertension

Atopic dermatitis, unspecified

Fever, unspecified

Atopic dermatitis, unspecified

Myalgia
Other acute upper respiratory
infections of multiple sites
Dyspepsia

Polyarthritis, unspecified

Myalgia
Other acute upper respiratory
infections of multiple sites
Myalgia

Dyspepsia

Dyspepsia

Atopic dermatitis, unspecified

Other acute upper respiratory
infections of multiple sites
Dyspepsia
Other acute upper respiratory
infections of multiple sites
Dental caries, unspecified

Dyspepsia
Other acute upper respiratory
infections of multiple sites
Dental caries, unspecified

Gastritis, unspecified

Atopic dermatitis, unspecified

Other acute upper respiratory
infections of multiple sites
Dyspepsia

Fever, unspecified
Fever, unspecified

Polyarthritis, unspecified
Other acute upper respiratory
infections of multiple sites
Myalgia

Acute pharyngitis, unspecified

Dyspepsia

Atopic dermatitis, unspecified

Acute pharyngitis due to other
specified organisms
Dyspepsia

Atopic dermatitis, unspecified

Dyspepsia
Other acute upper respiratory
infections of multiple sites
Diarrhoea and gastroenteritis of
presumed infectious origin
Atopic dermatitis, unspecified

Dental caries, unspecified

Myalgia

Polyarthritis, unspecified

Myalgia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA DIAGNOSA
1 10/8/2017 00000 46805466 SUSANTI P PNS DAERAH Polyarthritis, unspecified

2 10/8/2017 00000 47175399 WARYENI P PNS DAERAH Gastritis, unspecified

Other acute upper respiratory
3 10/8/2017 0000 796738048 JASMI P PBI (APBN)
infections of multiple sites
4 10/8/2017 0000 796738285 JAENUDIN L PBI (APBN) Atopic dermatitis, unspecified

5 10/8/2017 0000 796738959 ROHIM L PBI (APBN) Dental caries, unspecified

6 10/8/2017 0000 796740467 ASNAH P PBI (APBN) Myalgia

7 10/8/2017 0000 796741108 SAROH P PBI (APBN) Myalgia

8 10/8/2017 0000 796742021 SAMSUDIN L PBI (APBN) Essential (primary) hypertension

9 10/8/2017 0000 796742425 JUNTI P PBI (APBN) Other acute gastritis

10 10/8/2017 0000 796743279 ADYANI L PBI (APBN) Other acute gastritis

Other acute upper respiratory
11 10/8/2017 0000 796744416 SUPRIYATNA L PBI (APBN) infections of multiple sites
UTI
12 10/8/2017 0000 796745261 P PBI (APBN) Atopic dermatitis, unspecified
SETIAWATI
13 10/8/2017 0000 796746295 ADE L PBI (APBN) Essential (primary) hypertension

14 10/8/2017 0000 796746328 ARSIH P PBI (APBN) Fever, unspecified

15 10/8/2017 0000 796746712 ISAH P PBI (APBN) Atopic dermatitis, unspecified

Other acute upper respiratory
16 10/8/2017 0000 796747937 UMSAH P PBI (APBN) infections of multiple sites
17 10/8/2017 0000 796748354 ROHIMAH L PBI (APBN) Other acute gastritis

18 10/8/2017 0000 796748488 SAMAH P PBI (APBN) Myalgia

19 10/8/2017 0000 796748512 PIRMAN L PBI (APBN) Dental caries, unspecified

20 10/8/2017 0000 796750064 IROH P PBI (APBN) Atopic dermatitis, unspecified

21 10/8/2017 0000 796750918 AHMAD L PBI (APBN) Myalgia

22 10/8/2017 0000 796751864 JANAAH P PBI (APBN) Other acute gastritis

Other acute upper respiratory
23 10/8/2017 0000 796752887 JUNAEDI L PBI (APBN) infections of multiple sites
24 10/8/2017 0000 796755879 SAPRI L PBI (APBN) Other acute gastritis

25 10/8/2017 0000 796756217 LAINAH P PBI (APBN) Essential (primary) hypertension

26 10/8/2017 0000 797566915 UDIN L PBI (APBN) Dyspepsia

ENJUH
27 10/8/2017 0000 797567444 P PBI (APBN) Dyspepsia
JUHARIAH
Other acute upper respiratory
28 10/8/2017 0000 797568614 ADIT L PBI (APBN) infections of multiple sites
Other acute upper respiratory
29 10/8/2017 0000 797768109 SABAN L PBI (APBN) infections of multiple sites
30 10/8/2017 0000 797904674 SARMINAH P PBI (APBN) Dyspepsia

31 10/8/2017 0000 798029032 NURAENI P PBI (APBN) Fever, unspecified

 MUHAMAD L
32 10/8/2017 0000 798636622 PBI (APBN) Atopic dermatitis, unspecified
ERWAN
33 10/8/2017 0000 798822584 SANIMAN P PBI (APBN) Dyspepsia
Diarrhoea and gastroenteritis of
34 10/8/2017 0000 798836681 SITI AISYAH P PBI (APBN) presumed infectious origin
Other acute upper respiratory
35 10/8/2017 0000 798941981 MAMUN L PBI (APBN) infections of multiple sites
36 10/8/2017 0000 798958912 RODIAH P PBI (APBN) Myalgia

37 10/8/2017 000 1051196231 INAH P PBI (APBN) Essential (primary) hypertension

BRYAN
38 10/8/2017 000 1840786839 HAZRIEL L PNS DAERAH Other acute upper respiratory
MUHARAM infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA
1 11/8/2017 0000 797556014 MISNAH P PBI (APBN)

2 11/8/2017 0000 797568873 RAIS L PBI (APBN)

3 11/8/2017 0000 797609935 FAHRUDIN L PBI (APBN)

4 11/8/2017 0000 797626719 ASIAH P PBI (APBN)

5 11/8/2017 0000 797629599 SADIM L PBI (APBN)

6 11/8/2017 0000 797632571 SARMANI L PBI (APBN)

7 11/8/2017 0000 797633741 JUHETI P PBI (APBN)

8 11/8/2017 0000 797684804 AHMAD L PBI (APBN)

9 11/8/2017 0000 797691251 SUNIAH P PBI (APBN)

10 11/8/2017 0000 797719048 EEM P PBI (APBN)

11 11/8/2017 0000 797812029 IPIT P PBI (APBN)

12 11/8/2017 0000 798036243 ADI MULYADI L PBI (APBN)

13 11/8/2017 0000 798058866 KARSIH P PBI (APBN)

14 11/8/2017 0000 798200649 MARDI L PBI (APBN)

15 11/8/2017 0000 799139081 ASKAR L PBI (APBN)

16 11/8/2017 0000 799140284 YATI P PBI (APBN)

MUHAMAD
17 11/8/2017 0000 799141195 L PBI (APBN)
NAWAWI
18 11/8/2017 000 1051201124 SAYUBAN P PBI (APBN)

19 11/8/2017 000 2128580425 JUMALI L PBI (APBN)

20 11/9/2017 00000 46805466 SUSANTI P PNS DAERAH

21 11/10/2017 00000 47175399 WARYENI P PNS DAERAH

22 11/11/2017 0000 796738048 JASMI P PBI (APBN)

23 11/12/2017 0000 796738285 JAENUDIN L PBI (APBN)

24 11/13/2017 0000 796738959 ROHIM L PBI (APBN)

25 11/14/2017 0000 796740467 ASNAH P PBI (APBN)

26 11/15/2017 0000 796741108 SAROH P PBI (APBN)

27 11/16/2017 0000 796742021 SAMSUDIN L PBI (APBN)

28 11/17/2017 0000 796742425 JUNTI P PBI (APBN)

29 11/18/2017 0000 796743279 ADYANI L PBI (APBN)

30 11/19/2017 0000 796744416 SUPRIYATNA L PBI (APBN)

31 11/20/2017 0000 796745261 UTI SETIAWATI P PBI (APBN)

32 11/21/2017 0000 796746295 ADE L PBI (APBN)

33 11/22/2017 0000 796746328 ARSIH P PBI (APBN)

34 11/23/2017 0000 796746712 ISAH P PBI (APBN)

35 11/24/2017 0000 796747937 UMSAH P PBI (APBN)

36 11/25/2017 0000 796748354 ROHIMAH L PBI (APBN)

37 11/26/2017 0000 796748488 SAMAH P PBI (APBN)

38 11/27/2017 0000 796748512 PIRMAN L PBI (APBN)

39 11/28/2017 0000 796750064 IROH P PBI (APBN)

40 11/29/2017 0000 796750918 AHMAD L PBI (APBN)

41 11/30/2017 0000 796751864 JANAAH P PBI (APBN)

42 11/30/2017 0000 796752887 JUNAEDI L PBI (APBN)

WAT JALAN
S TAHUN 2017
DIAGNOSA
Other acute upper respiratory infections
of multiple sites
Other acute upper respiratory infections
of multiple sites
Other acute upper respiratory infections
of multiple sites
Other acute upper respiratory infections
of multiple sites
Other acute upper respiratory infections
of multiple sites
Myalgia
Other acute upper respiratory infections
of multiple sites
Other acute gastritis

Fever, unspecified

Pregnancy confirmed

Fever, unspecified
Other acute upper respiratory infections
of multiple sites
Other acute gastritis

Other acute gastritis

Other acute upper respiratory infections
of multiple sites
Myalgia

Predominantly allergic asthma

Myalgia

Fever, unspecified

Polyarthritis, unspecified

Gastritis, unspecified
Other acute upper respiratory infections
of multiple sites
Atopic dermatitis, unspecified

Dental caries, unspecified

Myalgia

Myalgia

Essential (primary) hypertension

Other acute gastritis

Other acute gastritis

Other acute upper respiratory infections
of multiple sites
Atopic dermatitis, unspecified
Essential (primary) hypertension

Fever, unspecified

Atopic dermatitis, unspecified

Other acute upper respiratory infections
of multiple sites
Other acute gastritis

Myalgia

Dental caries, unspecified

Atopic dermatitis, unspecified

Myalgia

Other acute gastritis

Other acute upper respiratory
infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA
1 12/8/2017 00000 47140187 AHMAD JARJUNI L PNS DAERAH

2 12/8/2017 0000 797385385 ASEP L PBI (APBN)

3 12/8/2017 0000 797577478 FACHRUROJI L PBI (APBN)

4 12/8/2017 0000 797624201 ROHILAH P PBI (APBN)

5 12/8/2017 0000 797754824 TITA P PBI (APBN)

6 12/8/2017 0000 797792624 SARKAM L PBI (APBN)

7 12/8/2017 0000 797796088 SUHERTI P PBI (APBN)

8 12/8/2017 0000 797796123 ANI P PBI (APBN)

9 12/8/2017 0000 797799172 AMAH P PBI (APBN)

10 12/8/2017 0000 797799385 IMAN L PBI (APBN)

11 12/8/2017 0000 798018366 EPITAMALA P PBI (APBN)

IWAN
12 12/8/2017 0000 798028018 CANDRADINATA L PBI (APBN)
MARIAM
13 12/8/2017 0000 798112866 HALIMATU P PBI (APBN)
SADIAH
14 12/8/2017 0000 798150014 APINAH P PBI (APBN)
MUHAMAD
15 12/8/2017 0000 798636622 L PBI (APBN)
ERWAN
16 12/8/2017 0000 799268321 SUHERNA P PBI (APBN)

17 12/8/2017 0000 799323041 MARTINI P PBI (APBN)

18 12/8/2017 0000 799323322 AGUS L PBI (APBN)

19 12/8/2017 0000 799324402 ATIAH P PBI (APBN)

20 12/8/2017 0000 799324536 IRMA P PBI (APBN)

21 12/8/2017 0000 799324716 UDIN L PBI (APBN)

22 12/8/2017 0000 799326268 SARMINAH P PBI (APBN)

23 12/8/2017 0000 799329183 IIS P PBI (APBN)

24 12/8/2017 0000 799329879 SAPUDIN L PBI (APBN)

25 12/8/2017 0000 799331444 JANAH P PBI (APBN)

26 12/8/2017 0000 799332344 JAMIN P PBI (APBN)

27 12/8/2017 0000 799332625 DADIH L PBI (APBN)

28 12/8/2017 0000 799334864 YATI P PBI (APBN)

29 12/8/2017 0000 799335944 DEDI P PBI (APBN)

30 12/8/2017 0000 799337428 DOYOT L PBI (APBN)

31 12/8/2017 0000 799337878 RATNA P PBI (APBN)

32 12/8/2017 0000 799343796 OMAN L PBI (APBN)

33 12/8/2017 0000 799344988 TUTI P PBI (APBN)

34 12/8/2017 0000 799356857 SARMIAH P PBI (APBN)

35 12/8/2017 0000 799357509 SA'A L PBI (APBN)

36 12/8/2017 0000 799358016 UMAH P PBI (APBN)

37 12/8/2017 0000 799358319 MURSIH P PBI (APBN)

38 12/8/2017 0000 799358466 UDI L PBI (APBN)

39 12/8/2017 0000 799359153 MUHID L PBI (APBN)

40 12/8/2017 0000 799359682 AAT SUPRIATNA L PBI (APBN)

41 12/8/2017 0000 799359862 JUHENI P PBI (APBN)

MUHAMAD
42 12/8/2017 0000 799362314 L PBI (APBN)
HAERUDIN
43 12/8/2017 0000 799362382 ENJUN P PBI (APBN)

44 12/8/2017 0000 799363451 UMRI L PBI (APBN)

45 12/8/2017 0000 799364002 SANAMAH P PBI (APBN)

46 12/8/2017 0000 799364035 SAEPUDIN L PBI (APBN)

47 12/8/2017 0000 799367095 SUHAYAN P PBI (APBN)

48 12/8/2017 0000 799375026 NELIS FITRIANI P PBI (APBN)

49 12/8/2017 0000 799376275 TINI P PBI (APBN)

50 12/8/2017 0000 799382788 TISNO L PBI (APBN)

ALAN
HUN 2017
DIAGNOSA
Other acute gastritis
Other acute upper respiratory
infections of multiple sites
Anorexia

Spontaneous vertex delivery

Myalgia

Myalgia

Gastritis, unspecified
Other acute upper respiratory
infections of multiple sites
Myalgia

Myalgia

Atopic dermatitis, unspecified

Other acute upper respiratory
infections of multiple sites
Dental caries, unspecified
Other acute upper respiratory
infections of multiple sites
Other acute upper respiratory
infections of multiple sites
Essential (primary) hypertension
Other acute upper respiratory
infections of multiple sites
Other acute upper respiratory
infections of multiple sites
Essential (primary) hypertension

Fever, unspecified

Myalgia

Polyarthritis, unspecified
Diarrhoea and gastroenteritis of
presumed infectious origin
Diarrhoea and gastroenteritis of
presumed infectious origin
Other acute upper respiratory
infections of multiple sites
Gastritis, unspecified

Myalgia
Other acute upper respiratory
infections of multiple sites
Other acute upper respiratory
infections of multiple sites
Idiopathic gout
Other acute upper respiratory
infections of multiple sites
Myalgia
Diarrhoea and gastroenteritis of
presumed infectious origin
Other acute upper respiratory
infections of multiple sites
Idiopathic gout
Other acute upper respiratory
infections of multiple sites
Diarrhoea and gastroenteritis of
presumed infectious origin
Dyspepsia

Polyarthritis, unspecified

Myalgia

Dyspepsia

Fever, unspecified

Polyarthritis, unspecified
Diarrhoea and gastroenteritis of
presumed infectious origin
Myalgia

Dyspepsia

Gastritis, unspecified
Diarrhoea and gastroenteritis of
presumed infectious origin
Fever, unspecified

Essential (primary) hypertension

 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA DIAGNOSA
1 8/8/2017 0000 797882253 ELAH P PBI (APBN) Other acute upper respiratory
infections of multiple sites
2 8/8/2017 0000 797932967 SARHANI L PBI (APBN) Other acute upper respiratory
infections of multiple sites
3 8/8/2017 0000 798111674 SITI HASANAH P PBI (APBN) Myalgia

4 8/8/2017 0000 798200649 MARDI L PBI (APBN) Myalgia

5 8/8/2017 000 1607297051 MUKRIYUDIN L PBI (APBD) Chronic gastritis, unspecified

WIRA KHLAF Other acute upper respiratory
6 8/8/2017 000 1799925669 L PNS DAERAH
NURKHARIS infections of multiple sites
7 8/8/2017 00000 46805466 SUSANTI P PNS DAERAH Polyarthritis, unspecified

8 8/8/2017 00000 47175399 WARYENI P PNS DAERAH Gastritis, unspecified

Other acute upper respiratory
9 8/8/2017 0000 796738048 JASMI P PBI (APBN) infections of multiple sites
10 8/8/2017 0000 796738285 JAENUDIN L PBI (APBN) Atopic dermatitis, unspecified

11 8/8/2017 0000 796738959 ROHIM L PBI (APBN) Dental caries, unspecified

12 8/8/2017 0000 796740467 ASNAH P PBI (APBN) Myalgia

13 8/8/2017 0000 796741108 SAROH P PBI (APBN) Myalgia

Essential (primary)
14 8/8/2017 0000 796742021 SAMSUDIN L PBI (APBN) hypertension
15 8/8/2017 0000 796742425 JUNTI P PBI (APBN) Other acute gastritis

16 8/8/2017 0000 796743279 ADYANI L PBI (APBN) Other acute gastritis

Other acute upper respiratory
17 8/8/2017 0000 796744416 SUPRIYATNA L PBI (APBN) infections of multiple sites
18 8/8/2017 0000 796745261 UTI SETIAWATI P PBI (APBN) Atopic dermatitis, unspecified
Essential (primary)
19 8/8/2017 0000 796746295 ADE L PBI (APBN) hypertension
20 8/8/2017 0000 796746328 ARSIH P PBI (APBN) Fever, unspecified

21 8/8/2017 0000 796746712 ISAH P PBI (APBN) Atopic dermatitis, unspecified

Other acute upper respiratory
22 8/8/2017 0000 796747937 UMSAH P PBI (APBN) infections of multiple sites
23 8/8/2017 0000 796748354 ROHIMAH L PBI (APBN) Other acute gastritis

24 8/8/2017 0000 796748488 SAMAH P PBI (APBN) Myalgia

25 8/8/2017 0000 796748512 PIRMAN L PBI (APBN) Dental caries, unspecified

26 8/8/2017 0000 796750064 IROH P PBI (APBN) Atopic dermatitis, unspecified

27 8/8/2017 0000 796750918 AHMAD L PBI (APBN) Myalgia

28 8/8/2017 0000 796751864 JANAAH P PBI (APBN) Other acute gastritis

Other acute upper respiratory
29 8/8/2017 0000 796752887 JUNAEDI L PBI (APBN) infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA DIAGNOSA
1 14/08/2017 0000 797528305 ISAN L PBI (APBN) Myalgia

2 14/08/2017 0000 797691892 MUNAH P PBI (APBN) Myalgia

3 14/08/2017 0000 797721208 SAHANAH P PBI (APBN) Fever, unspecified

4 14/08/2017 0000 797722187 ANDA L PBI (APBN) Myalgia

Other acute upper respiratory
5 14/08/2017 0000 797722413 SACI P PBI (APBN)
infections of multiple sites
6 14/08/2017 0000 797723583 PARMAN L PBI (APBN) Myalgia
SITI
7 14/08/2017 0000 797786043 NURALAMSYAH P PBI (APBN) Other acute gastritis

8 14/08/2017 0000 797792624 SARKAM L PBI (APBN) Myalgia

Other acute upper respiratory
9 14/08/2017 0000 797792771 MIMI P PBI (APBN) infections of multiple sites
10 14/08/2017 0000 797796088 SUHERTI P PBI (APBN) Myalgia

11 14/08/2017 0000 797798845 JAENUDIN L PBI (APBN) Fever, unspecified

Essential (primary)
12 14/08/2017 0000 797808137 SAPIN L PBI (APBN) hypertension
Other acute upper respiratory
13 14/08/2017 0000 797809555 ANDI L PBI (APBN) infections of multiple sites
14 14/08/2017 0000 797809588 SANUDIN L PBI (APBN) Myalgia
ENOK Essential (primary)
15 14/08/2017 0000 797809803 P PBI (APBN)
SUHERNA hypertension
16 14/08/2017 0000 797912447 ASTI P PBI (APBN) Myalgia

17 14/08/2017 0000 798026512 ALIT P PBI (APBN) Myalgia

18 14/08/2017 0000 799256092 DEDE L PBI (APBN) Dyspepsia

Other acute upper respiratory
19 14/08/2017 0000 799256463 URIAH P PBI (APBN) infections of multiple sites
Diarrhoea and gastroenteritis
20 14/08/2017 0000 799257014 RAMAN L PBI (APBN) of presumed infectious origin
Other acute upper respiratory
21 14/08/2017 0000 799257508 LAMSIAH P PBI (APBN) infections of multiple sites
Other acute upper respiratory
22 14/08/2017 0000 799258151 RATIH P PBI (APBN) infections of multiple sites
23 14/08/2017 0000 799258318 SUANDI L PBI (APBN) Idiopathic gout

24 14/08/2017 0000 799259038 RUMSAH P PBI (APBN) Dyspepsia

Other acute upper respiratory
25 14/08/2017 0000 799259422 IIS P PBI (APBN) infections of multiple sites
26 14/08/2017 0000 799260039 IKBAL L PBI (APBN) Fever, unspecified

27 14/08/2017 0000 799260243 EEN NURAINI P PBI (APBN) Myalgia

Other acute upper respiratory
28 14/08/2017 0000 799265316 LAMSAH P PBI (APBN) infections of multiple sites
29 14/08/2017 0000 799265362 LOMRI L PBI (APBN) Asthma, unspecified
Diarrhoea and gastroenteritis
30 14/08/2017 0000 799266025 ARHADI L PBI (APBN) of presumed infectious origin
Other acute upper respiratory
31 14/08/2017 0000 799266205 JUMALI L PBI (APBN) infections of multiple sites
 Other acute upper respiratory
32 14/08/2017 0000 799266251 ERUM P PBI (APBN) infections of multiple sites
33 14/08/2017 0000 799266734 MADIN L PBI (APBN) Atopic dermatitis, unspecified

34 14/08/2017 0000 799266857 WIWI L PBI (APBN) Atopic dermatitis, unspecified

35 14/08/2017 0000 799266903 JUJU P PBI (APBN) Dyspepsia

36 14/08/2017 0000 799267162 AJAT SUDRAJAT L PBI (APBN) Atopic dermatitis, unspecified

37 14/08/2017 0000 799268692 SARMAH P PBI (APBN) Myalgia

38 14/08/2017 0000 799268951 SAEPUIL L PBI (APBN) Other acute upper respiratory
ANWAR infections of multiple sites
39 14/08/2017 0000 799268984 ARNEN L PBI (APBN) Myalgia

40 14/08/2017 0000 799273552 EMIN P PBI (APBN) Myalgia

41 14/08/2017 0000 799276408 EMED L PBI (APBN) Dyspepsia

42 14/08/2017 0000 799277859 USUP L PBI (APBN) Fever, unspecified

 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA DIAGNOSA
1 15/08/2017 00000 47140029 TATI RUSWANTI P PNS DAERAH Other acute upper respiratory
infections of multiple sites
2 15/08/2017 0000 797077541 NENENH ARINA P PBI (APBN) Other acute gastritis

3 15/08/2017 0000 797690968 RUDI L PBI (APBN) Other acute gastritis

SITI
4 15/08/2017 0000 797786043 P PBI (APBN) Other acute gastritis
NURALAMSYAH
5 15/08/2017 0000 797912447 ASTI P PBI (APBN) Other acute gastritis

6 15/08/2017 0000 797992896 ULPAH P PBI (APBN) Myalgia

Other acute upper respiratory
7 15/08/2017 0000 798003134 SAKAR L PBI (APBN) infections of multiple sites
Other acute upper respiratory
8 15/08/2017 0000 798037672 DIDIN L PBI (APBN) infections of multiple sites
Other acute upper respiratory
9 15/08/2017 0000 798038188 AISAH P PBI (APBN) infections of multiple sites
10 15/08/2017 0000 798038414 RITA ANJANI P PBI (APBN) Fever, unspecified
Other acute upper respiratory
11 15/08/2017 0000 798038807 USRI L PBI (APBN) infections of multiple sites
12 15/08/2017 0000 798038875 SURTI P PBI (APBN) Other acute gastritis

13 15/08/2017 0000 798039696 MARNA L PBI (APBN) Myalgia

14 15/08/2017 0000 798039731 NENG UUN P PBI (APBN) Atopic dermatitis, unspecified

15 15/08/2017 0000 798065368 WATI P PBI (APBN) Gastritis, unspecified

SASKIA
16 15/08/2017 0000 798066494 P PBI (APBN) Atopic dermatitis, unspecified
ANGGINI
17 15/08/2017 0000 798066832 ADE L PBI (APBN) Myalgia
Other acute upper respiratory
18 15/08/2017 0000 798067912 SUNARSIH P PBI (APBN) infections of multiple sites
Other acute upper respiratory
19 15/08/2017 0000 798068024 JAYADI L PBI (APBN) infections of multiple sites
20 15/08/2017 0000 798068259 SARONI L PBI (APBN) Myalgia

21 15/08/2017 0000 798068417 AMINAH P PBI (APBN) Atopic dermatitis, unspecified

22 15/08/2017 0000 798068518 MAMUN L PBI (APBN) Fever, unspecified

Other acute upper respiratory
23 15/08/2017 0000 798068542 MISRAN L PBI (APBN) infections of multiple sites
24 15/08/2017 0000 798069442 SABIT L PBI (APBN) Fever, unspecified

25 15/08/2017 0000 798069879 UJANG L PBI (APBN) Other acute gastritis

26 15/08/2017 0000 798070105 ARISAH P PBI (APBN) Other acute gastritis

27 15/08/2017 0000 798070678 SITI AFIYAH P PBI (APBN) Fever, unspecified

Other acute upper respiratory
28 15/08/2017 0000 798070702 ALI ALFIAN L PBI (APBN) infections of multiple sites
Other acute upper respiratory
29 15/08/2017 0000 798073075 JUHA P PBI (APBN) infections of multiple sites
30 15/08/2017 0000 798073233 SANERI P PBI (APBN) Pregnancy confirmed

31 15/08/2017 0000 798074346 SAPRI L PBI (APBN) Myalgia

32 15/08/2017 0000 798075077 CUCUM P PBI (APBN) Fever, unspecified

33 15/08/2017 0000 798075459 JUHEDI L PBI (APBN) Other acute gastritis

34 15/08/2017 0000 798076449 HENI P PBI (APBN) Other acute gastritis

Other acute upper respiratory
35 15/08/2017 0000 798076618 JUHENAH P PBI (APBN) infections of multiple sites
36 15/08/2017 0000 798076877 ABUDIN L PBI (APBN) Myalgia

37 15/08/2017 0000 798076923 SUHETI P PBI (APBN) Other acute gastritis

38 15/08/2017 0000 798077362 OKTAPIYAH P PBI (APBN) Fever, unspecified

39 15/08/2017 0000 798078194 SAMINAH P PBI (APBN) Other acute gastritis

Other acute upper respiratory
40 15/08/2017 0000 798079792 MINCE P PBI (APBN)
infections of multiple sites
41 15/08/2017 0000 798080679 ASPI L PBI (APBN) Other acute gastritis

42 15/08/2017 0000 798080848 SUANDI P PBI (APBN) Myalgia

Other acute upper respiratory
43 15/08/2017 0000 798081208 SUMYATI P PBI (APBN) infections of multiple sites
44 15/08/2017 0000 798081298 SUGAN L PBI (APBN) Myalgia

45 15/08/2017 0000 798081445 SANACI P PBI (APBN) Other acute gastritis

46 15/08/2017 0000 798081783 HENDI L PBI (APBN) Atopic dermatitis, unspecified

Other acute upper respiratory
47 15/08/2017 0000 798082031 SUHERTI P PBI (APBN) infections of multiple sites
48 15/08/2017 0000 798082288 USMAN L PBI (APBN) Other acute gastritis

49 15/08/2017 0000 798090669 ISNEN L PBI (APBN) Gastritis, unspecified

 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA
1 16/08/2017 0000 797340295 MEMED L PBI (APBN)

2 16/08/2017 0000 797664868 NYAI MARTINI P PBI (APBN)

3 16/08/2017 0000 797736025 SARINAH P PBI (APBN)

IWAN
4 16/08/2017 0000 798028018 CANDRADINAT L PBI (APBN)
A
5 16/08/2017 0000 798062938 ARMILAH P PBI (APBN)

6 16/08/2017 0000 798239575 YOGI L PBI (APBN)

7 16/08/2017 0000 798592375 DULMUYI L PBI (APBN)

8 16/08/2017 0000 798647499 ASEP L PBI (APBN)

9 16/08/2017 0000 798680035 SURNI P PBI (APBN)

10 16/08/2017 0000 798726082 SARWANGI P PBI (APBN)

11 16/08/2017 0000 798785212 DEWI P PBI (APBN)

ERNAWATI
12 16/08/2017 0000 798811165 P PBI (APBN)
BINT ENUR
13 16/08/2017 0000 799425077 ALIYAH P PBI (APBN)

14 16/08/2017 0000 1051191696 KAJAR P PBI (APBN)

15 16/08/2017 0000 1259678777 HUMAIROH P PEKERJA MANDIRI

16 16/08/2017 0000 1820870008 BAHRUMI L PEKERJA MANDIRI

17 16/08/2017 0000 1820870223 MUMUN P PEKERJA MANDIRI

18 16/08/2017 0000 47175399 WARYENI P PNS DAERAH

19 16/08/2017 0000 796738048 JASMI P PBI (APBN)

20 16/08/2017 0000 796738285 JAENUDIN L PBI (APBN)

21 16/08/2017 0000 796738959 ROHIM L PBI (APBN)

22 16/08/2017 0000 796740467 ASNAH P PBI (APBN)

23 16/08/2017 0000 796741108 SAROH P PBI (APBN)

24 16/08/2017 0000 796742021 SAMSUDIN L PBI (APBN)

25 16/08/2017 0000 796742425 JUNTI P PBI (APBN)

26 16/08/2017 0000 796743279 ADYANI L PBI (APBN)

27 16/08/2017 0000 796744416 SUPRIYATNA L PBI (APBN)

28 16/08/2017 0000 796745261 UTI SETIAWATI P PBI (APBN)

29 16/08/2017 0000 796746295 ADE L PBI (APBN)

30 16/08/2017 0000 796746328 ARSIH P PBI (APBN)

31 16/08/2017 0000 796746712 ISAH P PBI (APBN)

32 16/08/2017 0000 796747937 UMSAH P PBI (APBN)

33 16/08/2017 0000 796748354 ROHIMAH L PBI (APBN)

34 16/08/2017 0000 796748488 SAMAH P PBI (APBN)

35 16/08/2017 0000 796748512 PIRMAN L PBI (APBN)

36 16/08/2017 0000 796750064 IROH P PBI (APBN)

37 16/08/2017 0000 796750918 AHMAD L PBI (APBN)

38 16/08/2017 0000 796751864 JANAAH P PBI (APBN)

ALAN
HUN 2017
DIAGNOSA
Other acute gastritis

Fever, unspecified
Other acute upper respiratory
infections of multiple sites
Myalgia

Myalgia

Other schizophrenia

Asthma, unspecified

Other acute gastritis

Other acute gastritis

Other acute gastritis

Other acute gastritis

Other acute upper respiratory
infections of multiple sites
Other acute upper respiratory
infections of multiple sites
Myalgia

Myalgia

Benign intracranial hypertension

Non-insulin-dependent diabetes
mellitus with unspecified
complications
Gastritis, unspecified
Other acute upper respiratory
infections of multiple sites
Atopic dermatitis, unspecified

Dental caries, unspecified

Myalgia

Myalgia

Essential (primary) hypertension

Other acute gastritis

Other acute gastritis

Other acute upper respiratory
infections of multiple sites
Atopic dermatitis, unspecified

Essential (primary) hypertension

Fever, unspecified

Atopic dermatitis, unspecified

Other acute upper respiratory
infections of multiple sites
Other acute gastritis

Myalgia

Dental caries, unspecified

Atopic dermatitis, unspecified

Myalgia

Other acute gastritis

 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO.BPJS NAMA SEX JENIS PESERTA DIAGNOSA
1 18/08/2017 0000 797617449 WAHYUDIN L PBI (APBN) Fever, unspecified

2 18/08/2017 0000 797755015 RAHMA P PBI (APBN) Other acute gastritis

3 18/08/2017 0000 797867559 MASIAH P PBI (APBN) Myalgia

ULPAH
4 18/08/2017 0000 798121574 P PBI (APBN) Myalgia
SOLIHAH
5 18/08/2017 0000 798121697 ETI P PBI (APBN) Other acute gastritis

6 18/08/2017 0000 798129303 KOMARUDIN L PBI (APBN) Myalgia

7 18/08/2017 0000 798229901 SARIP P PBI (APBN) Other acute gastritis

Other acute upper
8 18/08/2017 0000 798548038 AMNAH P PBI (APBN) respiratory infections of
multiple sites
9 18/08/2017 0000 798591262 SUMANAH P PBI (APBN) Other acute gastritis

10 18/08/2017 0000 798726082 SARWANGI P PBI (APBN) Other acute gastritis

11 18/08/2017 0000 796740467 ASNAH P PBI (APBN) Myalgia

12 18/08/2017 0000 796741108 SAROH P PBI (APBN) Myalgia

Essential (primary)
13 18/08/2017 0000 796742021 SAMSUDIN L PBI (APBN) hypertension
14 18/08/2017 0000 796742425 JUNTI P PBI (APBN) Other acute gastritis

15 18/08/2017 0000 796743279 ADYANI L PBI (APBN) Other acute gastritis

Other acute upper
16 18/08/2017 0000 796744416 SUPRIYATNA L PBI (APBN) respiratory infections of
multiple sites
17 18/08/2017 0000 796745261 UTI SETIAWATI P PBI (APBN) Atopic dermatitis,
unspecified
18 18/08/2017 0000 796746295 ADE L PBI (APBN) Essential (primary)
hypertension
19 18/08/2017 0000 796746328 ARSIH P PBI (APBN) Fever, unspecified
Atopic dermatitis,
20 18/08/2017 0000 796746712 ISAH P PBI (APBN)
unspecified
Other acute upper
21 18/08/2017 0000 796747937 UMSAH P PBI (APBN) respiratory infections of
multiple sites
22 18/08/2017 0000 796748354 ROHIMAH L PBI (APBN) Other acute gastritis

23 18/08/2017 0000 796748488 SAMAH P PBI (APBN) Myalgia

24 18/08/2017 0000 796748512 PIRMAN L PBI (APBN) Dental caries, unspecified

Atopic dermatitis,
25 18/08/2017 0000 796750064 IROH P PBI (APBN) unspecified
26 18/08/2017 0000 796750918 AHMAD L PBI (APBN) Myalgia

27 18/08/2017 0000 796751864 JANAAH P PBI (APBN) Other acute gastritis

Other acute upper
28 18/08/2017 0000 796752887 JUNAEDI L PBI (APBN) respiratory infections of
multiple sites
29 18/08/2017 0000 796755879 SAPRI L PBI (APBN) Other acute gastritis
Essential (primary)
30 18/08/2017 0000 796756217 LAINAH P PBI (APBN) hypertension
31 18/08/2017 0000 797566915 UDIN L PBI (APBN) Dyspepsia
 ENJUH
32 18/08/2017 0000 797567444 P PBI (APBN) Dyspepsia
JUHARIAH Other acute upper
33 18/08/2017 0000 797568614 ADIT L PBI (APBN) respiratory infections of
multiple
Other acute
sitesupper
34 18/08/2017 0000 797768109 SABAN L PBI (APBN) respiratory infections of
multiple sites
35 18/08/2017 0000 797904674 SARMINAH P PBI (APBN) Dyspepsia

36 18/08/2017 0000 798029032 NURAENI P PBI (APBN) Fever, unspecified

37 18/08/2017 0000 798636622 MUHAMAD L PBI (APBN) Atopic dermatitis,

ERWAN unspecified
38 18/08/2017 0000 798822584 SANIMAN P PBI (APBN) Dyspepsia
Diarrhoea and
39 18/08/2017 0000 798836681 SITI AISYAH P PBI (APBN) gastroenteritis of presumed
infectious
Other origin
acute upper
40 18/08/2017 0000 798941981 MAMUN L PBI (APBN) respiratory infections of
multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO NAMA NO BPJS NAMA SEX JENIS PESERTA
1 19/08/2017 00000 46858195 ISTIGHFARY L PNS DAERAH
ALFIANDINY
2 19/08/2017 00000 47279349 ROKAYAH P PNS DAERAH

3 19/08/2017 0000 797205701 MASWI L PBI (APBN)

4 19/08/2017 0000 797207679 ARSUDIN L PBI (APBN)

5 19/08/2017 0000 797208884 NAYAH P PBI (APBN)

6 19/08/2017 0000 797210864 SAWEDAH P PBI (APBN)

7 19/08/2017 0000 797211729 SARIP L PBI (APBN)

8 19/08/2017 0000 797212091 ARNAH P PBI (APBN)

9 19/08/2017 0000 797212945 IIN P PBI (APBN)

10 19/08/2017 0000 797213171 JOHADI L PBI (APBN)

11 19/08/2017 0000 797213518 NURMI P PBI (APBN)

12 19/08/2017 0000 797213698 JUANDA L PBI (APBN)

AMALIA
13 19/08/2017 0000 797214385 P PBI (APBN)
KARTIKA
14 19/08/2017 0000 797214666 SADELI L PBI (APBN)

15 19/08/2017 0000 797215263 SUKRABAH P PBI (APBN)

16 19/08/2017 0000 797217704 RAMAH P PBI (APBN)

17 19/08/2017 0000 797218299 RENI P PBI (APBN)

18 19/08/2017 0000 797219076 SUHETI P PBI (APBN)

19 19/08/2017 0000 797219109 SUKRAMA L PBI (APBN)

20 19/08/2017 0000 797219381 M ALI L PBI (APBN)

21 19/08/2017 0000 797219739 TATI HARYATI P PBI (APBN)

22 19/08/2017 0000 797222136 KARIM L PBI (APBN)

23 19/08/2017 0000 797592161 NANA L PBI (APBN)

24 19/08/2017 0000 797725899 SUDIN L PBI (APBN)

25 19/08/2017 0000 797725945 JUMENAH P PBI (APBN)

26 19/08/2017 0000 797818555 SANA P PBI (APBN)

27 19/08/2017 0000 797819499 HARYATI P PBI (APBN)

28 19/08/2017 0000 797820039 YUSNADIA L PBI (APBN)

29 19/08/2017 0000 797820221 SALIM L PBI (APBN)

30 19/08/2017 0000 797821997 TITIN P PBI (APBN)

31 19/08/2017 0000 797822021 SAKILA P PBI (APBN)

32 19/08/2017 0000 797822919 HILMAN P PBI (APBN)

33 19/08/2017 0000 797822998 MUHAMAD L PBI (APBN)

34 19/08/2017 0000 797823134 KAISAH P PBI (APBN)

35 19/08/2017 0000 797823461 IDAH P PBI (APBN)

36 19/08/2017 0000 797824258 ENDANG L PBI (APBN)

37 19/08/2017 0000 797824596 SUSI P PBI (APBN)

38 19/08/2017 0000 797825114 MUHAMAD L PBI (APBN)

ARIP
39 19/08/2017 0000 797825709 MARNA L PBI (APBN)

40 19/08/2017 0000 797825979 ELPIRA P PBI (APBN)

41 19/08/2017 0000 797826058 MISTA L PBI (APBN)

42 19/08/2017 0000 797826611 TINI P PBI (APBN)

43 19/08/2017 0000 797826655 LENI P PBI (APBN)

44 19/08/2017 0000 797826969 AGUS ROSANDI L PBI (APBN)

ALAN
HUN 2017
DIAGNOSA
Headache

Polyarthritis, unspecified
Other acute upper respiratory
infections of multiple sites
Gastritis, unspecified

Gastritis, unspecified

Other Crohn's disease

Gastritis, unspecified

Gastritis, unspecified

Other Crohn's disease

Gastritis, unspecified

Gastritis, unspecified
Other acute upper respiratory
infections of multiple sites
Other acute upper respiratory
infections of multiple sites
Crohn's disease, unspecified
Other acute upper respiratory
infections of multiple sites
Gastritis, unspecified

Dyspepsia
Other acute upper respiratory
infections of multiple sites
Other acute upper respiratory
infections of multiple sites
Myalgia

Polyarthritis, unspecified

Dyspepsia

Polyarthritis, unspecified

Anorexia

Polyarthritis, unspecified

Myalgia

Dyspepsia
Diarrhoea and gastroenteritis of
presumed infectious origin
Myalgia

Dyspepsia
Diarrhoea and gastroenteritis of
presumed infectious origin
Atopic dermatitis, unspecified

Myalgia

Myalgia

Dyspepsia

Myalgia

Dyspepsia

Dyspepsia
Other acute upper respiratory
infections of multiple sites
Atopic dermatitis, unspecified

Polyarthritis, unspecified

Myalgia
Other acute upper respiratory
infections of multiple sites
Other acute upper respiratory
infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA DIAGNOSA
1 21/08/2017 00000 47140121 SUMARJONO D L PNS DAERAH Myalgia

2 21/08/2017 0000 200737877 RIZKA P PNS DAERAH Myalgia

ALTAFUNISA
3 21/08/2017 0000 797209806 FITRI P PBI (APBN) Pregnancy confirmed
Other acute upper
4 21/08/2017 0000 797288387 RIJAL L PBI (APBN) respiratory infections of
multiple sites
5 21/08/2017 0000 797784164 HASANAH P PBI (APBN) Myalgia
Chronic gastritis,
6 21/08/2017 0000 797888463 ASRA L PBI (APBN) unspecified
7 21/08/2017 0000 797888463 ASRA L PBI (APBN) Asthma, unspecified

8 21/08/2017 0000 798007061 ATMA L PBI (APBN) Typhoid fever

Other acute upper
9 21/08/2017 0000 798007061 ATMA L PBI (APBN) respiratory infections of
multiple
Other sitesupper
acute
10 21/08/2017 0000 798026411 YOGI L PBI (APBN) respiratory infections of
multiple sites
11 21/08/2017 0000 798038649 SANI P PBI (APBN) Other acute gastritis

12 21/08/2017 0000 798152747 MISKA P PBI (APBN) Fever, unspecified

Other acute upper
13 21/08/2017 0000 798157991 JUHENAH P PBI (APBN) respiratory infections of
multiple
Other sitesupper
acute
14 21/08/2017 0000 798175732 MELAWTI P PBI (APBN) respiratory infections of
multiple
Other sitesupper
acute
15 21/08/2017 0000 798189862 ENENG P PBI (APBN) respiratory infections of
multiple sites
16 21/08/2017 0000 798226749 JUAMSAH L PBI (APBN) Other acute gastritis

17 21/08/2017 0000 798234423 SUKATMA L PBI (APBN)

18 21/08/2017 0000 798269872 IDOH P PBI (APBN) Other acute gastritis

Atopic dermatitis,
19 21/08/2017 0000 798316907 SITI KHOLISOH P PBI (APBN) unspecified
Other acute upper
20 21/08/2017 0000 798640626 UMAYAH P PBI (APBN) respiratory infections of
multiple sites
21 21/08/2017 0000 798643899 YUSIP L PBI (APBN) Fever, unspecified
Other acute upper
22 21/08/2017 0000 798649255 ARNAH P PBI (APBN) respiratory infections of
multiple sites
23 21/08/2017 0000 798759134 SAERI L PBI (APBN) Myalgia
Other acute upper
24 21/08/2017 0000 798851823 SARTI P PBI (APBN) respiratory infections of
multiple sites
25 21/08/2017 0000 798920829 IMAT L PBI (APBN) Other schizophrenia
Other acute upper
26 21/08/2017 0000 799146674 KADIR L PBI (APBN) respiratory infections of
multiple sites
27 21/08/2017 0000 799149971 EMI P PBI (APBN) Myalgia
Other acute upper
28 21/08/2017 000 1051192552 RUSMI P PBI (APBN) respiratory infections of
multiple sites
Spontaneous vertex
29 21/08/2017 000 1051196523 TETI MARYATI P PBI (APBN) delivery
30 21/08/2017 000 1051197131 ANISA P PBI (APBN) Other acute gastritis
Otitis externa,
31 21/08/2017 000 1051197131 ANISA P PBI (APBN) unspecified
 Other acute upper
32 21/08/2017 000 1051198751 UHE P PBI (APBN) respiratory infections of
multiple sites
33 21/08/2017 000 1723082152 SARDAN L PEKERJA MANDIRI Other schizophrenia
Other acute upper
34 21/08/2017 000 1727228373 SITI SUKAESIH P PEKERJA MANDIRI respiratory infections of
multiple sites
35 21/08/2017 000 1847358202 ARSIH P PNS DAERAH Pregnancy confirmed
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA DIAGNOSA
1 22/08/2017 0000 797157527 SUANDA L PBI (APBN) Other acute upper respiratory
infections of multiple sites
2 22/08/2017 0000 797576545 SULAIMAN L PBI (APBN) Gastritis, unspecified

3 22/08/2017 0000 797649489 OLIVIA P PBI (APBN) Polyarthritis, unspecified

4 22/08/2017 0000 797758762 TETI P PBI (APBN) Polyarthritis, unspecified

5 22/08/2017 0000 797791443 USUP L PBI (APBN) Gastritis, unspecified

Other acute upper respiratory
6 22/08/2017 0000 797889003 ANDI IYAN L PBI (APBN) infections of multiple sites
7 22/08/2017 0000 797904674 SARMINAH P PBI (APBN) Other acute gastritis
Other acute upper respiratory
8 22/08/2017 0000 797943194 RIKI L PBI (APBN) infections of multiple sites
9 22/08/2017 0000 797959078 JUMAETI P PBI (APBN) Fever, unspecified

10 22/08/2017 0000 797965222 SARPIN L PBI (APBN) Fever, unspecified

11 22/08/2017 0000 797966065 USNI L PBI (APBN) Fever, unspecified

12 22/08/2017 0000 797971904 JUHERI L PBI (APBN) Fever, unspecified

13 22/08/2017 0000 797973006 ASMAH P PBI (APBN) Headache

14 22/08/2017 0000 797973658 EMEN P PBI (APBN) Gastritis, unspecified

15 22/08/2017 0000 797974615 LAMIN L PBI (APBN) Myalgia

16 22/08/2017 0000 797975482 RAIS L PBI (APBN) Fever, unspecified

17 22/08/2017 0000 797976821 SALIMAH P PBI (APBN) Headache

Other acute upper respiratory
18 22/08/2017 0000 798084707 RUMSAH P PBI (APBN) infections of multiple sites
19 22/08/2017 0000 798189546 AMAH P PBI (APBN) Other acute gastritis

20 22/08/2017 0000 798201009 ATI P PBI (APBN) Polyarthritis, unspecified

21 22/08/2017 0000 798202754 KARMA L PBI (APBN) Myalgia

22 22/08/2017 0000 798506458 SUMIN L PBI (APBN) Polyarthritis, unspecified

Other acute upper respiratory
23 22/08/2017 0000 798647499 ASEP L PBI (APBN) infections of multiple sites
24 22/08/2017 0000 798821796 ROSITA P PBI (APBN) Atopic dermatitis, unspecified

25 22/08/2017 0000 798866921 ESIH P PBI (APBN) Gastritis, unspecified

Other acute upper respiratory
26 22/08/2017 0000 799070782 SUHERNI P PBI (APBN) infections of multiple sites
27 22/08/2017 0000 799114779 USIAH P PBI (APBN) Polyarthritis, unspecified

28 22/08/2017 0000 799117402 HETI P PBI (APBN) Other acute gastritis

29 22/08/2017 0000 799172559 MULYANA L PBI (APBN) Fever, unspecified

Other acute upper respiratory
30 22/08/2017 0000 798073075 JUHA P PBI (APBN) infections of multiple sites
31 22/08/2017 0000 798073233 SANERI P PBI (APBN) Pregnancy confirmed
32 22/08/2017 0000 798074346 SAPRI L PBI (APBN) Myalgia

33 22/08/2017 0000 798075077 CUCUM P PBI (APBN) Fever, unspecified

34 22/08/2017 0000 798075459 JUHEDI L PBI (APBN) Other acute gastritis

35 22/08/2017 0000 798076449 HENI P PBI (APBN) Other acute gastritis

36 22/08/2017 0000 798076618 JUHENAH P PBI (APBN) Other acute upper respiratory
infections of multiple sites
37 22/08/2017 0000 798076877 ABUDIN L PBI (APBN) Myalgia

38 22/08/2017 0000 798076923 SUHETI P PBI (APBN) Other acute gastritis

39 22/08/2017 0000 798077362 OKTAPIYAH P PBI (APBN) Fever, unspecified

40 22/08/2017 0000 798078194 SAMINAH P PBI (APBN) Other acute gastritis

Other acute upper respiratory
41 22/08/2017 0000 798079792 MINCE P PBI (APBN)
infections of multiple sites
42 22/08/2017 0000 798080679 ASPI L PBI (APBN) Other acute gastritis

43 22/08/2017 0000 798080848 SUANDI P PBI (APBN) Myalgia

Other acute upper respiratory
44 22/08/2017 0000 798081208 SUMYATI P PBI (APBN) infections of multiple sites
45 22/08/2017 0000 798081298 SUGAN L PBI (APBN) Myalgia

46 22/08/2017 0000 798081445 SANACI P PBI (APBN) Other acute gastritis

47 22/08/2017 0000 798081783 HENDI L PBI (APBN) Atopic dermatitis, unspecified

Other acute upper respiratory
48 22/08/2017 0000 798082031 SUHERTI P PBI (APBN) infections of multiple sites
49 22/08/2017 0000 798082288 USMAN L PBI (APBN) Other acute gastritis
50 22/08/2017 0000 798090669 ISNEN L PBI (APBN) Gastritis, unspecified
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN AGUSTUS TAHUN 2017
NO TANGGAL NO BPJS NAMA SEX JENIS PESERTA
1 23/08/2017 0000 798180759 SURANI P PBI (APBN)

2 23/08/2017 0000 798182695 AMIR L PBI (APBN)

MAHMUD
3 23/08/2017 0000 798184359 HERI P PBI (APBN)

4 23/08/2017 0000 798184359 HERI P PBI (APBN)

5 23/08/2017 0000 798185305 AHYUDUIN L PBI (APBN)

6 23/08/2017 0000 798640075 SURIYA L PBI (APBN)

7 23/08/2017 0000 799163346 RAMAN L PBI (APBN)

8 23/08/2017 0000 799164257 JUMRONI L PBI (APBN)

9 23/08/2017 0000 799177476 ENI P PBI (APBN)

10 23/08/2017 0000 799181043 JAHURI L PBI (APBN)

11 23/08/2017 0000 978185305 IBAH P PBI (APBN)

12 23/08/2017 000 1051191753 MARI L PBI (APBN)

13 23/08/2017 000 1051192809 SARJANI L PBI (APBN)

14 16/08/2017 0000 798592375 DULMUYI L PBI (APBN)

15 16/08/2017 0000 798647499 ASEP L PBI (APBN)

16 16/08/2017 0000 798680035 SURNI P PBI (APBN)

17 16/08/2017 0000 798726082 SARWANGI P PBI (APBN)

18 16/08/2017 0000 798785212 DEWI P PBI (APBN)

ERNAWATI
19 16/08/2017 0000 798811165 P PBI (APBN)
BINT ENUR
20 16/08/2017 0000 799425077 ALIYAH P PBI (APBN)

21 16/08/2017 000 1051191696 KAJAR P PBI (APBN)

22 16/08/2017 000 1259678777 HUMAIROH P PEKERJA MANDIRI

23 16/08/2017 000 1820870008 BAHRUMI L PEKERJA MANDIRI

24 16/08/2017 000 1820870223 MUMUN P PEKERJA MANDIRI

25 16/08/2017 00000 47175399 WARYENI P PNS DAERAH

26 16/08/2017 0000 796738048 JASMI P PBI (APBN)

27 16/08/2017 0000 796738285 JAENUDIN L PBI (APBN)

28 16/08/2017 0000 796738959 ROHIM L PBI (APBN)

29 16/08/2017 0000 796740467 ASNAH P PBI (APBN)

30 16/08/2017 0000 796741108 SAROH P PBI (APBN)

31 16/08/2017 0000 796742021 SAMSUDIN L PBI (APBN)

32 16/08/2017 0000 796742425 JUNTI P PBI (APBN)

33 16/08/2017 0000 796743279 ADYANI L PBI (APBN)

34 16/08/2017 0000 796744416 SUPRIYATNA L PBI (APBN)

35 16/08/2017 0000 796745261 UTI SETIAWATI P PBI (APBN)

36 16/08/2017 0000 796746295 ADE L PBI (APBN)

37 16/08/2017 0000 796746328 ARSIH P PBI (APBN)

38 16/08/2017 0000 796746712 ISAH P PBI (APBN)

WAT JALAN
US TAHUN 2017
DIAGNOSA
Dental caries, unspecified

Dental caries, unspecified

Other acute upper respiratory infections of
multiple sites
Fever, unspecified
Other acute upper respiratory infections of
multiple sites
Acute conjunctivitis, unspecified
Other acute upper respiratory infections of
multiple sites
Other acute upper respiratory infections of
multiple sites
Fever, unspecified
Other acute upper respiratory infections of
multiple sites
Fever, unspecified

Gastritis, unspecified
Unspecified organic or symptomatic mental
disorder
Asthma, unspecified

Other acute gastritis

Other acute gastritis

Other acute gastritis

Other acute gastritis

Other acute upper respiratory infections of
multiple sites
Other acute upper respiratory infections of
multiple sites
Myalgia

Myalgia

Benign intracranial hypertension

Non-insulin-dependent diabetes mellitus
with unspecified complications
Gastritis, unspecified
Other acute upper respiratory infections of
multiple sites
Atopic dermatitis, unspecified

Dental caries, unspecified

Myalgia

Myalgia

Essential (primary) hypertension

Other acute gastritis

Other acute gastritis

Other acute upper respiratory infections of
multiple sites
Atopic dermatitis, unspecified

Essential (primary) hypertension

Fever, unspecified

Atopic dermatitis, unspecified