NOJENIS PESERTADIRUJUK 100902110918Y000289 29/09/201U

100902110918Y000001 01/09/201SUJILAH 0001409969294P 490Headache

100902110918Y000002 01/09/201NONENG SOBARIAH 0000500991243P
100902110918Y000003 01/09/201PIPIN 0000501067642P 488Myalgia
100902110918Y000004 01/09/201ARIAN OKTA MUHARAM
100902110918Y000005 01/09/201RADIKA YUDHA PRATAMA
100902110918Y000006 03/09/201DITHA MELVIA 0001079014678P
100902110918Y000007 03/09/201MOcHAmMAD yOHANDA 0001409968394L
100902110918Y000008 04/09/201RAHMAT 0000062793696L 401Benign
100902110918Y000009 03/09/201AGUS RIYADI 0002479075457L
100902110918Y000010 03/09/201AMAH 0001663574229P 469Cardiomegaly
100902110918Y000011 04/09/201YULIANTI 0000502129607P 411Facial
100902110918Y000012 04/09/201ADHITYA ZAHRA AZIZAH
100902110918Y000013 04/09/201HIDAYAT A, DRS,
100902110918Y000015 03/09/201TATI HARTATI 0002184205015P
100902110918Y000016 04/09/201IYUM 0002419028109P 440Congestive
100902110918Y000017 04/09/201SANUSI 0000503069095L 417Respiratory
100902110918Y000018 04/09/201MUHAMMAD SALAM 0001864653423L
100902110918Y000019 04/09/201HINDUN 0001012895559P 418Other
100902110918Y000020 04/09/201OOM ROMLAH 0000501221913P
100902110918Y000021 04/09/201SUKARTI 0001773447592P 428Essential
100902110918Y000022 04/09/201NURUL AENI 0000502486042P
100902110918Y000023 04/09/201IYOH 0000501845062P 410Essential
100902110918Y000024 04/09/201LIA 0002002673722P 436Acute
100902110918Y000025 04/09/201ITA PUSPITA 0002002673711P
100902110918Y000026 04/09/201khoirul septa dwitama
100902110918Y000027 04/09/201MAHYATI 0001663568482P 426Other
100902110918Y000028 04/09/201NINING 0000502916714P 416Scabies
100902110918Y000029 04/09/201IWAN 0001388964958L 421Sicca
100902110918Y000030 04/09/201LILIS 0000502154559P 412Other
100902110918Y000031 04/09/201IDAH 0001779798622P 432Essential
100902110918Y000032 04/09/201ASEP 0000502401194L 413Acute
100902110918Y000033 04/09/201ENUNG NURHAYATI 0001663575276P
100902110918Y000034 04/09/201AI LOMRAH 0001172534692P
100902110918Y000035 04/09/201BERLIANI NURRAZMA 0001778467645P
100902110918Y000036 04/09/201DEVINA KRISTINA 0001520771613P
100902110918Y000037 04/09/201JAMANI ANANDA 0002013049934P
100902110918Y000038 04/09/201N. SUDARTIYAH 0000062982461P
100902110918Y000039 04/09/201RUKMINI 0001409964344P 422Other
100902110918Y000040 04/09/201YUYUN ERNAWATI 0002013399459P
100902110918Y000041 04/09/201ADITYA 0000501023812L 405Other
100902110918Y000042 04/09/201FINAWA A .
100902110918Y000043 04/09/201ANDRI HILMAN 0000501839559L
100902110918Y000044 04/09/201DESTI SAIDAH 0001610423166P
100902110918Y000045 03/09/201JULITAWATI 0002184137008P 480Conjunctivitis
100902110918Y000046 03/09/201ADIBA SITI SIDQIA
100902110918Y000047 03/09/201RAFIK SETIAWAN 0001149201279L
100902110918Y000048 03/09/201SANAH HAYATI 0001669361703P
100902110918Y000049 03/09/201ANIS SANSETI 0001667763955P
100902110918Y000051 05/09/201MAMAD 0002446549762L 400Cataract,
100902110918Y000053 03/09/201MASKANAH 0001663568605P 467Essential
100902110918Y000054 03/09/201ARIESANDI ZA 0001834761903L
100902110918Y000055 03/09/201MUHAMMAD ARSYAD AL
100902110918Y000056 03/09/201PIPIH 0001284128379P 457Pre-existing
100902110918Y000057 03/09/201YULIANTI 0001256843439P 456Dyspepsia
100902110918Y000058 03/09/201NINGSIH 0000502602647L 453Chronic
100902110918Y000059 03/09/201AAT 0000501668504P 446Atopic
100902110918Y000060 03/09/201YAYAN 0000502177937P 449Other
100902110918Y000061 03/09/201IROH ROHATI 0001667764315P
100902110918Y000062 03/09/201ACIH 0000501458984P 443Acute
100902110918Y000063 03/09/201ICAH 0001663572532P 468Essential
100902110918Y000064 03/09/201TITIN 0000501667885P 445Tension-type
100902110918Y000065 03/09/201SETRA 0000501668864P 447Other
100902110918Y000066 03/09/201NIA NUTANI 0000502568234P
100902110918Y000067 03/09/201JUWITA 0002446550289P 485Essential
100902110918Y000068 03/09/201OOY 0001669360926P 472Haemorrhoids
100902110918Y000069 03/09/201ODEH 0002012273256P 478Acute
100902110918Y000071 03/09/201EROS 0001409969259P 464Other
100902110918Y000072 03/09/201AYU GIA ARIMBI
100902110918Y000073 03/09/201MUHAMMAD AL GHIFARI
100902110918Y000074 03/09/201OMAN SUPARMAN 0000501710894L
100902110918Y000075 03/09/201AI INDAWATI 0001409966897P
100902110918Y000076 03/09/201LINDA NURMALASARI 0002184197635P
100902110918Y000077 03/09/201VENI 0000501313509P 442Essential
100902110918Y000078 03/09/201MARIJO 0000501610419L 444Acute
100902110918Y000079 03/09/201YANI YUNINGSIH 0001409962972P
100902110918Y000080 05/09/201ABDUL ROJAK 0001779799915L
100902110918Y000081 05/09/201LIA SYARIFAH 0001124678237P
100902110918Y000082 05/09/201WIWI PUSPITASARI 0001661100366P
100902110918Y000083 05/09/201UDIN SYAMSUDIN 0000503023184L
100902110918Y000084 05/09/201DADAH SAADAH 0001012895864P
100902110918Y000085 05/09/201NENTI 0001663569009P 387Respiratory
100902110918Y000086 05/09/201NENGSIH 0000501744611P 380Pre-existing
100902110918Y000087 05/09/201ELA MULIANI 0002184199209P
100902110918Y000088 05/09/201MIMIN 0000501663587P 379Acute
100902110918Y000089 06/09/201ADIBA ZYANA PUTRI
100902110918Y000090 06/09/201RATNA KOMALAWATI 0000502326077P
100902110918Y000092 05/09/201UTJIH 0001667764179L 388Essential
100902110918Y000093 05/09/201MUHAMMAD IKBAL ARIFIN
100902110918Y000094 06/09/201LELEN 0000502473914P 358Schizophrenia,
100902110918Y000095 05/09/201MUHAMMAD ELANG 0001779800681L
100902110918Y000096 05/09/201RUMYATI 0001669360048L 389Congestive
100902110918Y000097 06/09/201ratu navisa putri
100902110918Y000099 06/09/201BERTI ARIZONA 0000148030334P
100902110918Y000100 07/09/201HASAN SUHAENI 0002458628291L
100902110918Y000101 06/09/201RINA SUPRIATI 0001779799645P
100902110918Y000102 05/09/201NAUFAL NAKHLA NUR
100902110918Y000103 05/09/201DEDE JAMALUDIN 0002251227363L
100902110918Y000104 06/09/201ENENG ELIN 0001669004886P
100902110918Y000105 06/09/201DESTI RAHMAWATI 0000501411183P
100902110918Y000107 06/09/201AL THOFUN NISAA
100902110918Y000108 06/09/201uu 0002056749118P 373Acute
100902110918Y000109 06/09/201uci 0002056748602L 372Acute
100902110918Y000110 06/09/201ELLY MARLINA 0001174083208P
100902110918Y000111 06/09/201lilis hernawati 0001425255287P
100902110918Y000112 06/09/201YUYU 0001663573735P 363Essential
100902110918Y000113 06/09/201SUPARDI 0001779799329L 368Chronic
100902110918Y000114 06/09/201MUHAMMAD ALIF 0001779798385L
100902110918Y000115 06/09/201SANDY SURYANA 0000501522028L
100902110918Y000116 06/09/201ENUNG NURJANAH 0000500997159P
100902110918Y000117 06/09/201MISNI HAYATI 0001779799961P
100902110918Y000118 06/09/201KOMAR. S 0001667866869L
100902110918Y000119 06/09/201sabiqa fakhira shakila
100902110918Y000120 06/09/201RIKI 0000502629939L 359Disturbances
100902110918Y000121 06/09/201ERO 0000501568828L 354Essential
100902110918Y000122 06/09/201MAMAN DAMPA 0000501440578L
100902110918Y000124 07/09/201YUYUB 0002013156088P 346Myalgia
100902110918Y000125 07/09/201DEVI MAULANA YUSUP
100902110918Y000126 07/09/201DETI DARLITA SARI
100902110918Y000127 07/09/201IROH 0000502605652P 332Chronic
100902110918Y000128 07/09/201MAHDI 0000502605606L 331Myalgia
100902110918Y000129 07/09/201AHMAD DAHLAN 0001667868017L
100902110918Y000130 07/09/201UDIN SYAMSUDIN 0001667867984L
100902110918Y000131 07/09/201TITING 0000502611939P 333Chronic
100902110918Y000132 07/09/201DIAN 0000502303432L 327Respiratory
100902110918Y000133 07/09/201MOcHAmMAD yOHANDA 0001409968394L
100902110918Y000134 07/09/201DENI RUSWANDI 0000502238349L
100902110918Y000135 07/09/201m alfa zain
100902110918Y000136 07/09/201SRI RETNO MUNTONAH
100902110918Y000137 07/09/201MAHMID 0001663569933L 340Dyspepsia
100902110918Y000138 07/09/201ABDUL MANAP 0000502447443L
100902110918Y000139 07/09/201ENUNG 0000501003742P 322Headache
100902110918Y000140 07/09/201TIAH 0000502519533P 329Chronic
100902110918Y000141 08/09/201NENAH 0000501441153P 317Disorder
100902110918Y000142 07/09/201MASKANAH 0001663568605P 339Essential
100902110918Y000144 07/09/201NENENG YUNI 0000502237462P
100902110918Y000145 07/09/201MINARTI 0000501004888P 323Myalgia
100902110918Y000146 08/09/201UJANG SOBANDI 0000502463621L
100902110918Y000147 10/09/201HERIANDI 0000500995304L 312Residual
100902110918Y000148 10/09/201YANI MARZUKI 0000502100346P
100902110918Y000149 10/09/201YANI 0000501793571P 313Human
100902110918Y000150 10/09/201NASRULLAH 0000500902244L 311Schizophrenia
100902110918Y000151 12/09/201U DJUBAEDAH 0000061778518P
100902110918Y000152 12/09/201RULI RULYANDI 0001663575581L
100902110918Y000153 12/09/201MAMAN ABDUL RAHMAN
100902110918Y000154 12/09/201MARTEN RIANSYAH 0000502381361L
100902110918Y000155 12/09/201LUKMAN 0001610353866L 300Acute
100902110918Y000156 12/09/201IMIH 0001725510532P 305Other
100902110918Y000157 13/09/201LIA AMALIA 0001467244877P
100902110918Y000158 12/09/201TITIN TARTILAH 0001779799836P
100902110918Y000159 12/09/201ABDUL AZIZ 0002375027324L
100902110918Y000160 13/09/201SITI FATIMAH 0001409969654P
100902110918Y000161 13/09/201MIRNA SUSILA 0001522553185P
100902110918Y000162 13/09/201DWI GINA ANGGRAENI
100902110918Y000163 13/09/201DIAN PRATAMA 0000501024993L
100902110918Y000164 13/09/201ETI SUSANTI 0000501763599P
100902110918Y000165 13/09/201ABDURAHMAN ASEP 0001409964333L
100902110918Y000166 13/09/201NENI SURYANI 0000502589878P
100902110918Y000167 13/09/201ENDANG HERMAWAN 0001669360689L
100902110918Y000168 13/09/201ICEU KOMALA SARI
100902110918Y000169 13/09/201ROSIKAH 0000502093315P 270Other
100902110918Y000170 13/09/201OON 0000501562113P 264Essential
100902110918Y000171 14/09/201NURSALAMAH 0000501033407P 224Benign
100902110918Y000172 14/09/201SITI RUHANIAH NUR
100902110918Y000173 15/09/201CICIH YOHANAH 0001663576086P
100902110918Y000174 15/09/201MIRNA SUSILA 0001522553185P
100902110918Y000175 13/09/201PENDI SUPENDI 0001465430264L
100902110918Y000177 13/09/201RUDI BOFA PRASETYA
100902110918Y000178 13/09/201AGUS ROMDONI 0001522558596L
100902110918Y000179 13/09/201ENING 0001737697026P 287Acute
100902110918Y000180 13/09/201DIMAS SEPTIA MAULANA
100902110918Y000181 13/09/201A. DJAUHARI 0000062948867L
100902110918Y000182 13/09/201IKA KARTIKA 0000392397311P
100902110918Y000183 13/09/201NENGSIH 0000501744611P 266Pre-existing
100902110918Y000184 13/09/201JULITAWATI 0002184137008P 293Essential
100902110918Y000185 13/09/201INA MARYANA 0002013150835P
100902110918Y000186 13/09/201AMINAH 0000502450018P 272Pre-existing
100902110918Y000187 13/09/201AI NELI 0002012747411P
100902110918Y000188 13/09/201aira maruba harahap
100902110918Y000189 13/09/201HINDUN 0001012895559P 275Chronic
100902110918Y000191 13/09/201YAYA 0001669360353P 285Essential
100902110918Y000192 13/09/201KAMILAH 0000062864943P 257Essential
100902110918Y000193 13/09/201DINDA FITRI SALAMAH
100902110918Y000194 13/09/201IMELDA DESTRIANI 0002067001929P
100902110918Y000195 13/09/201DWI YULIANI 0000502079049P
100902110918Y000196 13/09/201KOKOM 0000502077622P 268Essential
100902110918Y000197 13/09/201KUSNO 0000502240397L 271Essential
100902110918Y000198 13/09/201ERO 0000501568828L 265Congestive
100902110918Y000199 13/09/201MAMAN DAMPA 0000501440578L
100902110918Y000200 15/09/201AI INDAWATI 0001409966897P
100902110918Y000201 14/09/201SITI ASIH KUNDARTI
100902110918Y000202 14/09/201NYAI HASNA 0001670321441P
100902110918Y000203 14/09/201ERIS RISMAYANDI 0001610304401L
100902110918Y000204 14/09/201SINTIA FANI ERIKA
100902110918Y000205 14/09/201NIA KURNIA 0001669361938P
100902110918Y000206 15/09/201DESI NURMASARI 0001300130548P
100902110918Y000207 14/09/201HASNA ALVIANA 0001409966278P
100902110918Y000208 14/09/201IMAS 0001409966256P 236Other
100902110918Y000209 14/09/201IMAS 0000500955265P 223Essential
100902110918Y000210 14/09/201EUIS NURHAYATI 0001663574499P
100902110918Y000211 14/09/201uu 0002056749118P 253Acute
100902110918Y000212 14/09/201TITI 0001663571924P 243Chronic
100902110918Y000213 14/09/201RIKA KURNIA WATI
100902110918Y000215 14/09/201IPAT 0000500897711P 221Chronic
100902110918Y000216 14/09/201MAMAH 0001669360678P 246Acute
100902110918Y000217 14/09/201EGI EKA SAPUTRA
100902110918Y000218 14/09/201AYU AULIA SARI
100902110918Y000220 14/09/201EEN ROHANAH 0001663568493P
100902110918Y000221 14/09/201PIPIN 0000501067642P 225Pre-existing
100902110918Y000222 14/09/201ENTI NURHAYATI 0000502138912P
100902110918Y000223 14/09/201IDA FARIDA 0002324542555P
100902110918Y000224 14/09/201AMALIA ADINA RISKA
100902110918Y000225 14/09/201IMA MARYANI 0000502501937P
100902110918Y000226 14/09/201IIS KOMALASARI 0000062981043P
100902110918Y000227 14/09/201AYUM 0001663574736P 245Acute
100902110918Y000228 14/09/201TINI SUSANTI 0001409969261P
100902110918Y000229 14/09/201PEPEN SUPENDI 0001522560936L
100902110918Y000230 17/09/201NANANG SURYANA 0001288996582L
100902110918Y000231 17/09/201HAIDAR SALEH 0000148970946L
100902110918Y000232 17/09/201MUHAMMAD INDRA 0000501047019L
100902110918Y000233 17/09/201RUSMAN EFFENDI 0001729508703L
100902110918Y000234 17/09/201ENAN MARYANAH 0001779799331P
100902110918Y000235 17/09/201SOFFIA WULANDARI 0000100122873P
100902110918Y000236 17/09/201TEDI RIYADI 0001001027248L
100902110918Y000238 17/09/201NAZWA PUTRI CHAERUNISA
100902110918Y000239 17/09/201LINTONG MARPAUNG, 0000061233434L
100902110918Y000240 17/09/201FITRI NURAENI 0001663576378P
100902110918Y000241 17/09/201ABDUL KARIM 0001409968416L
100902110918Y000242 17/09/201RIYAH 0001663576389P 197Myalgia
100902110918Y000243 17/09/201NURHIKMAH 0001667801441P 198Tinea
100902110918Y000244 17/09/201IROH 0000502605652P 187Essential
100902110918Y000245 17/09/201INAYA AZMI ATHIFA
100902110918Y000246 17/09/201MUHTAR 0000501234671L 186Essential
100902110918Y000247 17/09/201MAHYATI 0001663568482P 195Other
100902110918Y000248 18/09/201YULIANTI 0000502129607P 176Bell's
100902110918Y000249 18/09/201NENENG NURULAENI 0000061254549P
100902110918Y000250 18/09/201PATIMAH 0001012895201P 179Ileus,
100902110918Y000251 18/09/201YUYU YULIANA 0002083744179P
100902110918Y000252 19/09/201NENG HASANAH 0000502444102P
100902110918Y000253 19/09/201SUEB 0000501836128L 166Unspecified
100902110918Y000255 20/09/201FARHAN IBNU ATOILLAH
100902110918Y000256 20/09/201ASIH 0002012856085P 160Sequelae
100902110918Y000257 20/09/201RISMAWATI 0001777436087P 154Supervision
100902110918Y000258 21/09/201FITRIAMAH 0002184205454P 133Endometriosis
100902110918Y000259 20/09/201A JUARIAH 0000062865268P
100902110918Y000260 22/09/201PIPIH 0001284128379P 97Dermatophytosis
100902110918Y000262 22/09/201DEDE ROHMAH AULIA
100902110918Y000263 22/09/201YUSUP HUSEN 0000048783227L
100902110918Y000264 24/09/201YUSUP HUSEN 0000048783227L
100902110918Y000265 25/09/201OXY HANDZAKWAN 0002276659304L
100902110918Y000266 25/09/201SUSI SUSANTI 0001778455539P
100902110918Y000267 25/09/201juhanah 0001323014477P 38Pre-existing
100902110918Y000268 25/09/201M. SYARIF HIDAYATULLAH
100902110918Y000269 25/09/201ETIH NURHAYATI 0000062777518P
100902110918Y000270 26/09/201DZIKRI 0000502044142L 16Benign
100902110918Y000271 26/09/201YESI RUSMIATI 0001777436256P
100902110918Y000272 27/09/201SHEILLA ZULFA SUTISNA
100902110918Y000273 27/09/201OOY 0001669360926P 13Haemorrhoids
100902110918Y000274 28/09/201ASIH 0002012856085P 10Essential
100902110918Y000275 28/09/201FAEYZA S ATHAYA
100902110918Y000276 28/09/201MINTARSIH 0000502212363P 4Chronic
100902110918Y000277 28/09/201HANAN 0000501458365L 3Other
100902110918Y000278 28/09/201IDON SURYADI 0001663570067L
100902110918Y000279 28/09/201AWIT SETIAWATI 0001610343189P
100902110918Y000280 27/09/201HAMKA ABIZAR HERIAWAN
100902110918Y000281 19/09/201YUYUN ERNAWATI 0002013399459P
100902110918Y000282 19/09/201TITIN SUPRIATI 0001780515145P
100902110918Y000283 19/09/201juhanah 0001323014477P 169Fever
100902110918Y000284 19/09/201USMAN MAULANA YUSUP
100902110918Y000285 19/09/201ADITYA 0000501023812L 165Other
100902110918Y000286 28/09/201ENENG RIANTI 0001667866994P
100902110918Y000287 28/09/201AI MASRIANI 0001661092738P
100902110918Y000288 19/09/201MUHAMAD REZA RISWANDI
100902110918Y000290 14/09/201SANTI WILIAWATI 0000501805293P
100902110918Y000291 14/09/201NURZAMILAH 0000500898622P 222Contraceptive
100902110918Y000292 20/09/201ANGGA MAULANA 0001012895019L
100902110918Y000293 20/09/201SANTI SUSANTI 0001669220807P
100902110918Y000294 20/09/201SALVA SITRIAMA 0001778456081P
100902110918Y000295 20/09/201RIKI GUNAWAN 0000501494207L
100902110918Y000296 20/09/201SUSI SAFITRI 0002227986088P
100902110918Y000297 20/09/201YATI SUMYATI 0000502500789P
100902110918Y000298 03/09/201YAYAH SUSILAWATI 0002012537349P
100902110918Y000299 20/09/201SITI LATIFA RAHMA
100902110918Y000300 20/09/201ANI WAHYUNI 0001778468242P
100902110918Y000301 20/09/201RESTI AYU DERIANI
100902110918Y000302 13/09/201EUIS SUSANTI 0001633466564P
100902110918Y000303 17/09/201EUIS ROHAENI 0001778455866P
100902110918Y000304 18/09/201TATI 0002131859452P 181Contraceptive
100902110918Y000305 18/09/201SITI SUAEBAH 0000502136166P
100902110918Y000306 18/09/201IYAH SOPIAH 0000502416123P
100902110918Y000307 20/09/201LUTFI HERMAWAN 0002251228206L
100902110918Y000308 20/09/201AISYAH JD SATIBI
100902110918Y000309 20/09/201UJANG SAEPUDIN 0001667759927L
100902110918Y000310 18/09/201YUHANAH 0000501744699P 175Supervision
100902110918Y000311 20/09/201IWAN AMIR SUTISNA
100902110918Y000312 20/09/201MISBAHUDIN 0001779799307L 159Myalgia
100902110918Y000313 20/09/201ZAETUN 0001663573408P 151Atopic
100902110918Y000314 20/09/201SUPARTA 0000010464423L 137Other
100902110918Y000315 20/09/201ANDA BIN II
100902110918Y000316 20/09/201LISNA WATI MARIAM
100902110918Y000317 20/09/201LILI 0001409970093L 148Essential
100902110918Y000318 21/09/201ADE IYA HERLIANI
100902110918Y000319 20/09/201shafana fazila nurafrin
100902110918Y000320 20/09/201DESTI SAIDAH 0001610423166P
100902110918Y000321 21/09/201NAFISATUL ASMA NURUL
100902110918Y000323 20/09/201NIA WIDIAWATI 0000501743057P
100902110918Y000324 22/09/201ENENG RIANTI 0001667866994P
100902110918Y000325 20/09/201CITRA FIERDAWATI 0001610355745P
100902110918Y000326 24/09/201YUNI ALBAYINAH 0000501797057P
100902110918Y000327 24/09/201ELSA ROSTIANI 0000503012035P
100902110918Y000328 25/09/201FIFI YULIA 0002012840223P
100902110918Y000329 27/09/201RINI FEBRIANI 0000502270334P
100902110918Y000330 17/09/201SITI AMINAH 0001643248563P
100902110918Y000331 21/09/201PANTI PATIMAH 0000502144593P
100902110918Y000332 27/09/201SITI SUNDARIAWATI 0000502535046P
100902110918Y000333 29/09/201MUHAMMAD FAIZ 0001899590038L
100902110918Y000334 26/09/201RISKY ADITIA PRATAMA
100902110918Y000335 24/09/201NURHAYATI 0001627151668P 71Necrosis
100902110918Y000336 24/09/201SUCIE AYU KUSUMAWATI
100902110918Y000337 24/09/201NASIATUL MUBAROKAH 0001614188766P
100902110918Y000338 17/09/201NANANG SURYANA 0001288996582L
100902110918Y000339 17/09/201NASIATUL MUBAROKAH 0001614188766P
100902110918Y000340 15/09/201MUHAMAD ALDI GALIH
100902110918Y000341 15/09/201SUSANTI 0001669359429P 214Acute
100902110918Y000342 15/09/201SELVAN SUBEKTI 0001174083219L
100902110918Y000343 08/09/201RENI 0001779797979P 320Acute
100902110918Y000344 07/09/201RIKA KURNIA WATI
100902110918Y000345 05/09/201ETI SUMIATI 0001779799263P
100902110918Y000346 04/09/201SITI SYARIFAH 0001522427455P
100902110918Y000347 03/09/201LENI MARLINA 0000502321432P
100902110918Y000348 03/09/201NUR ALFI LAILA
100902110918Y000349 08/09/201CICIH YOHANAH 0001663576086P
100902110918Y000350 08/09/201HUSEN 0000501090309L 316Typhoid
100902110918Y000351 24/09/201CICIN. S 0002184205059P
100902110918Y000352 24/09/201YULI 0002012968135P 77Chronic
100902110918Y000353 24/09/201BADRUDIN 0002013101919P 78Myalgia
100902110918Y000354 24/09/201DADANG SUGANDA 0000502285634L
100902110918Y000355 24/09/201MIMIN MINTARSIH 0000502286095P
100902110918Y000356 24/09/201ANDRIAN MUHAMMAD 0000502114972L
100902110918Y000357 24/09/201ELSA ROSTIANI 0000503012035P
100902110918Y000358 24/09/201OXY HANDZAKWAN 0002276659304L
100902110918Y000359 24/09/201MOCH FARHAN 0002132327957L
100902110918Y000360 24/09/201ERIS RISMAYANDI 0001610304401L
100902110918Y000361 24/09/201TATI 0002012705649P 76Diarrhoea
100902110918Y000362 24/09/201RIAS ADIANSYAH 0002254161701L
100902110918Y000363 24/09/201ENUNG NURJANAH 0000500997159P
100902110918Y000364 24/09/201AQILA SEVIA KIRANA
100902110918Y000365 24/09/201SRI NURAMANI 0001668743842P
100902110918Y000366 24/09/201SALVA SITRIAMA 0001778456081P
100902110918Y000367 24/09/201TITIN TARTILAH 0001779799836P
100902110918Y000368 24/09/201YANI 0001444994267L 67Conjunctivitis
100902110918Y000371 24/09/201MOCH PAULI ABDILLAH
100902110918Y000372 24/09/201MUMU ABDUL MUIS
100902110918Y000373 25/09/201MAEMUNAH 0001012897539P 37Myalgia
100902110918Y000374 25/09/201MUHAMMAD ALIF 0001779798385L
100902110918Y000375 25/09/201FAYRUZ CAKRA KEYSHA
100902110918Y000377 25/09/201HJ ATI LISNAWATI
100902110918Y000378 25/09/201EVI EKAWATI 0001520199292P
100902110918Y000379 25/09/201FIFI YULIA 0002012840223P
100902110918Y000380 25/09/201uu 0002056749118P 54Myalgia
100902110918Y000381 25/09/201NENI NURIYAH A.
100902110918Y000382 25/09/201ILAH 0001667760614P 44Pre-existing
100902110918Y000383 25/09/201PIPIT PITRIANI 0000503037268P
100902110918Y000384 25/09/201ISAH 0000503036098P 33Acute
100902110918Y000385 25/09/201MUHAMMAD RENDI 0001779800117L
100902110918Y000386 25/09/201NENENG 0001522554794P 41Chronic
100902110918Y000387 25/09/201AAS KARTINI 0001663575939P
100902110918Y000388 25/09/201ROHMAH 0001668578095P 45Headache
100902110918Y000389 25/09/201NINIT, HJ 0001409963185P
100902110918Y000390 25/09/201HASAN 0000501423669L 22Chronic
100902110918Y000391 25/09/201ESIH SUKAESIH 0000501485949P
100902110918Y000392 25/09/201WATI 0000502276329P 28Headache
100902110918Y000393 25/09/201IKAH 0000502970062P 32Chronic
100902110918Y000394 25/09/201ENUNG 0000502551729P 31Chronic
100902110918Y000395 25/09/201HJ. OOK 0000503049172P
100902110918Y000396 25/09/201OON 0000502175013P 27Essential
100902110918Y000397 25/09/201AAN 0001012896685P 36Acute
100902110918Y000398 25/09/201YANTI 0000502536756P 30Acute
100902110918Y000399 25/09/201ENDANG SARBINI 0002184204767L
100902110918Y000400 25/09/201ELIM 0000501747805P 26Essential
100902110918Y000401 25/09/201U. PAHRUDIN 0000501746747L
100902110918Y000402 25/09/201NIA 0000501493353P 24Acute
100902110918Y000403 25/09/201AYI MARYANI 0002012634246P
100902110918Y000404 22/09/201ASEP SOSIO 0000061301507L
100902110918Y000405 22/09/201UUS HUSAENI 0001669361861L
100902110918Y000406 22/09/201ZAENAL ABIDIN 0001409967832L
100902110918Y000407 22/09/201DESI SINTA 0000501846952P
100902110918Y000408 22/09/201SINDI HANDAYANI 0000502496111P
100902110918Y000409 22/09/201PURWITA 0000500948537P 87Essential
100902110918Y000410 22/09/201KHALISHA CERRY 0001780625529P
100902110918Y000411 22/09/201SIRHAN ANDRIANSYAH 0001669360239L
100902110918Y000412 22/09/201TATI HARTATI 0000501395646P
100902110918Y000413 22/09/201DEDI MULYADI 0000502148799L
100902110918Y000414 22/09/201DEDE HAnan 0000502549007L
100902110918Y000415 22/09/201ILIS 0000502523166P 93Myalgia
100902110918Y000416 22/09/201DIDI IBRAHIM 0000501829018L
100902110918Y000417 22/09/201DEVINA KRISTINA 0001520771613P
100902110918Y000418 22/09/201ANGGA MAULANA 0001012895019L
100902110918Y000419 22/09/201EKA RESTIANi 0001610431244P
100902110918Y000420 22/09/201MUHAMAD ABDUL SALAM
100902110918Y000421 21/09/201SUSI SAFITRI 0002227986088P
100902110918Y000422 21/09/201FITRIAMAH 0002184205454P 134Acute
100902110918Y000423 21/09/201HENI MULYAWATI 0001159065123P
100902110918Y000424 21/09/201ARYAT RUHYAT 0001522556032L
100902110918Y000425 21/09/201WILHELMINA ULE WOSO
100902110918Y000426 21/09/201ABDUL MANAP 0000502447443L
100902110918Y000427 21/09/201NANA 0000502646949P 113Chronic
100902110918Y000428 21/09/201SITI AZIZAH MAULIDA
100902110918Y000429 21/09/201SRI NURAMANI 0001668743842P
100902110918Y000430 21/09/201MUMU ABDUL MUIS
100902110918Y000431 21/09/201DINDA FITRI SALAMAH
100902110918Y000432 21/09/201BERLIANI NURRAZMA 0001778467645P
100902110918Y000434 21/09/201DEUDEU SUAEBAH 0001663572789P
100902110918Y000435 21/09/201POPI SOPIA 0001409967213P
100902110918Y000436 21/09/201MACHMUDIN 0001663573083L 123Myalgia
100902110918Y000437 21/09/201M AGUNG RAMDANI
100902110918Y000438 21/09/201NAFISATUL ASMA NURUL
100902110918Y000439 21/09/201NAUFAL NAKHLA NUR
100902110918Y000440 21/09/201MULYANI 0000500957346P 107Essential
100902110918Y000441 21/09/201YEYEN SUHENI 0000501857987P
100902110918Y000442 21/09/201ENDIN 0001663570811L 121Myalgia
100902110918Y000443 21/09/201YUYU 0001663573735P 124Essential
100902110918Y000444 21/09/201KAFAANY MAWLA KARIM
100902110918Y000445 21/09/201IMAS 0001610354823P 120Chronic
100902110918Y000446 21/09/201DEDE ROHMAH AULIA
100902110918Y000447 01/09/201NOWWAF FIRMASNYAH 0001667867793L
100902110918Y000448 01/09/201CHERYL CECILIA 0001894497445P
100902110918Y000449 01/09/201FATTIH MAULANA ASSIDIQ
100902110918Y000450 03/09/201YULIANI 0001522562218P 465Acute
100902110918Y000451 03/09/201MUMU ABDUL MUIS
100902110918Y000452 03/09/201SUSI SAFITRI 0002227986088P
100902110918Y000453 03/09/201NENG ONASIH 0000502344652P
100902110918Y000454 04/09/201RAMDAN 0000501081265L 407Acute
100902110918Y000455 04/09/201IIS 0000502496684P 415Chronic
100902110918Y000456 04/09/201EDI SURYADI 0000501052972L
100902110918Y000457 04/09/201MELA MAELANI 0001779798069P
100902110918Y000458 04/09/201A. KARTINI 0002181335141P
100902110918Y000459 05/09/201INDRA SUPRIATNA 0001778123621L
100902110918Y000460 05/09/201MUMU ABDUL MUIS
100902110918Y000461 05/09/201CICAH 0001778455271P 391Essential
100902110918Y000462 05/09/201TETI NURHAYATI 0000500966932P
100902110918Y000463 05/09/201MELISA 0000391659311P 376Headache
100902110918Y000464 05/09/201RAFIK SETIAWAN 0001149201279L
100902110918Y000465 06/09/201ALAN 0001667764528L 364Diarrhoea
100902110918Y000466 06/09/201OON MARYANI 0002184196656P
100902110918Y000467 06/09/201BERTI ARIZONA 0000148030334P
100902110918Y000468 07/09/201MUHIBAN 0000062743217L 321Retained
100902110918Y000469 07/09/201NIDA FARIDA 0002013102426P
100902110918Y000470 07/09/201MUHAMMAD ALI 0001667764539L
100902110918Y000471 07/09/201IMAS SAIDAWLLOH 0000502551033P
100902110918Y000472 12/09/201IISNA 0000062763827P 297Pre-existing
100902110918Y000473 12/09/201DYNA DELIANA 0001667763977P
100902110918Y000474 12/09/201EKA NOVI NUR
100902110918Y000475 12/09/201LILIS 0001667760693L 303Unspecified
100902110918Y000476 12/09/201MUHAMAD FARHAN ABIDIN
100902110918Y000477 12/09/201DWI YULIANI 0000502079049P
100902110918Y000478 12/09/201RIZKI 0002425576915L 310Acute
100902110918Y000479 13/09/201RIZKI NOVIAR DARMAWAN
100902110918Y000480 14/09/201UJUH 0000502671778P 234Chronic
100902110918Y000481 14/09/201yayan sopyan 0002209315149L
100902110918Y000482 14/09/201UJANG SOBANDI 0000502463621L
100902110918Y000483 14/09/201YANTO BUDIYANTO 0001717661586L
100902110918Y000484 14/09/201RISKY ADITIA PRATAMA
100902110918Y000485 14/09/201SANTI WILIAWATI 0000501805293P
100902110918Y000486 15/09/201ADIBA SITI SIDQIA
100902110918Y000487 15/09/201ELAH KAMILAH 0000501534977P
100902110918Y000488 15/09/201LAHIFA 0000501535552P 205Acute
100902110918Y000489 15/09/201KOYAH 0001779798633P 216Chronic
100902110918Y000491 15/09/201SASKIA ANATASYA 0001779800714P
100902110918Y000492 15/09/201AAH 0000502567659P 206Acute
100902110918Y000493 15/09/201LINDA NURMALASARI 0002184197635P
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
DAFTAR KUNJUNGAN PESERTA SAKIT
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
FKTPCIKUNDUL -10090211 :
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
NO KUNJUNGANNAMA PESERTA TANGGALDIAGNOSA
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
SUKABUMI -1005 Kantor Cabang
DJUBAEDAH 0000061778518P 1Thyrotoxicosis, unspecified VETERANYA
PBI (APBD)TIDAK
487Myalgia PBI (APBN)TIDAK
PBI (APBN)TIDAK
0001780522378L 492Diarrhoea and gastroenteritis of
0001780522389L 493Acute nasopharyngitis [common cold]
454Other disorders of breast PEKERJA
463Tuberculosis of lung, without mention
lipomatous neoplasm of skin PNS
486Disorder of eye and adnexa,
PBI (APBD)YA
nerve disorders PBI (APBN)YA
0000065087842P 404Epilepsy, unspecified PEKERJA MANDIRIYA
SH 0000065087829L 403Disorder of refraction,
482Low back pain PBI (APBD)YA
heart failure PEKERJA MANDIRIYA
tuberculosis, not confirmed PBI (APBN)YA
433Infantile cerebral palsy, unspecified PEKERJA
dermatitis PBI (APBN)TIDAK
408Heart failure PBI (APBN)YA
(primary) hypertension PEKERJA MANDIRITIDAK
414Iron deficiency anaemia PEGAWAI SWASTATIDAK
(primary) hypertension PBI (APBN)TIDAK
pharyngitis PBI (APBN)TIDAK
435Acute nasopharyngitis [common cold] PBI
0001892539348L 434Conjunctivitis PEKERJA MANDIRITIDAK
arthritis PBI (APBD)TIDAK
PBI (APBN)TIDAK
syndrome [Sjogren] PEKERJA MANDIRIYA
arthritis PBI (APBN)TIDAK
(primary) hypertension PBI (APBD)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
427Chronic gastritis, unspecified PBI (APBD)TIDAK
419Low back pain PBI (APBD)TIDAK
429Other dermatitis PBI (APBD)TIDAK
423Acute pharyngitis PEGAWAI SWASTATIDAK
437Acute tonsillitis PBI (APBN)TIDAK
402Other arthritis PNS DAERAHTIDAK
arthritis PBI (APBD)TIDAK
438Acute pharyngitis PBI (APBN)TIDAK
disorders of ear, not elsewhere
FITRIANI 0001779798071P 431Acute nasopharyngitis [common
409Migraine PBI (APBN)TIDAK
425Acute pharyngitis PEGAWAI SWASTATIDAK
PBI (APBD)TIDAK
0001669361714P 474Acute upper respiratory infection,
455Acute nasopharyngitis [common cold] PEGAWAI
473Other arthritis PBI (APBD)TIDAK
470Fever of other and unknown
unspecified PEKERJA MANDIRIYA
(primary) hypertension PBI (APBD)TIDAK
476Acute pharyngitis PEKERJA MANDIRITIDAK
0001304461844L 459Acute nasopharyngitis [common cold]
diabetes mellitus, PEKERJA MANDIRITIDAK
PEKERJA MANDIRITIDAK
gastritis, unspecified PBI (APBN)TIDAK
dermatitis PBI (APBN)TIDAK
arthritis PBI (APBN)TIDAK
471Essential (primary) hypertension PBI (APBD)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
(primary) hypertension PBI (APBD)TIDAK
headache PBI (APBN)TIDAK
dermatitis PBI (APBN)TIDAK
452Acute pharyngitis PBI (APBN)TIDAK
(primary) hypertension PEKERJA MANDIRITIDAK
PBI (APBD)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
arthritis PBI (APBD)TIDAK
0001522576539P 466Acute pharyngitis PEGAWAI SWASTATIDAK
0001968323771L 477Acute nasopharyngitis [common cold]
448Conjunctivitis PBI (APBN)TIDAK
461Gastroduodenitis, unspecified PBI (APBD)TIDAK
481Headache PBI (APBD)TIDAK
(primary) hypertension PBI (APBN)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
460Acute pharyngitis PBI (APBD)TIDAK
393Conjunctivitis PBI (APBD)TIDAK
383Gastroduodenitis, unspecified PEGAWAI SWASTATIDAK
386Varicella [chickenpox] PEGAWAI SWASTATIDAK
381Chronic gastritis, unspecified PBI (APBN)TIDAK
382Chronic gastritis, unspecified PBI (APBN)TIDAK
tuberculosis, not confirmed PBI (APBD)TIDAK
diabetes mellitus, PBI (APBN)TIDAK
396Chronic gastritis, unspecified PBI (APBD)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
0002257080917P 375Epilepsy, unspecified PEKERJA MANDIRIYA
356Chronic renal failure, unspecified PBI
(primary) hypertension PBI (APBD)TIDAK
0002184199211L 397Acute tonsillitis PBI (APBD)TIDAK
unspecified PBI (APBN)YA
394Gastroduodenitis, unspecified PBI (APBD)TIDAK
heart failure PBI (APBD)TIDAK
mulyawan 0001826783076P 371Thalassaemia, unspecified PEGAWAI
348Supervision of high-risk pregnancy, PNS
347Follow-up examination after other PEKERJA
369Myalgia PBI (APBD)TIDAK
0001780623281L 395Conjunctivitis PBI (APBD)TIDAK
398Other arthritis PBI (APBD)TIDAK
366Chronic gastritis, unspecified PEGAWAI SWASTATIDAK
351Acute pharyngitis PBI (APBN)TIDAK
0000501577345L 355Acute nasopharyngitis [common cold]
nasopharyngitis [common cold] PEKERJA MANDIRITIDAK
nasopharyngitis [common cold] PEKERJA MANDIRITIDAK
360Essential (primary) hypertension PEKERJA MANDIRITIDAK
361Acute pharyngitis PEGAWAI SWASTATIDAK
(primary) hypertension PBI (APBD)TIDAK
gastritis, unspecified PBI (APBD)TIDAK
367Acute upper respiratory infection, PBI
353Asthma PBI (APBN)TIDAK
350Chronic gastritis, unspecified PBI (APBN)TIDAK
370Myalgia PBI (APBD)TIDAK
365Other arthritis PBI (APBD)TIDAK
0001425256075P 362Acute upper respiratory infection,
in tooth eruption PBI (APBN)TIDAK
(primary) hypertension PBI (APBN)TIDAK
352Respiratory tuberculosis, PBI (APBN)TIDAK
PBI (APBN)TIDAK
0001661122023L 338Varicella [chickenpox] PEGAWAI SWASTATIDAK
0001462641849P 335Diarrhoea and gastroenteritis of
gastritis, unspecified PBI (APBN)TIDAK
PBI (APBN)TIDAK
343Fever of other and unknown
342Other disorders of skin and
gastritis, unspecified PBI (APBN)TIDAK
tuberculosis, not confirmed PBI (APBN)TIDAK
334Cystitis PBI (APBD)TIDAK
326Acute upper respiratory infection, PBI
miftahul huda 0001888751643L 344Acute tonsillitis
0001605024909P 337Other disorders of skin
PBI (APBD)TIDAK
328Fever of other and unknown
PBI (APBN)TIDAK
gastritis, unspecified PBI (APBN)TIDAK
of ear, unspecified PBI (APBN)YA
(primary) hypertension PBI (APBD)TIDAK
325Gastritis, unspecified PBI (APBN)TIDAK
PBI (APBN)TIDAK
318Schizophrenia, unspecified PBI (APBN)YA
schizophrenia PBI (APBN)YA
314Schizophrenia, unspecified PBI (APBN)YA
immunodeficiency virus [HIV] PBI (APBN)YA
PBI (APBN)YA
296Congestive heart failure VETERANYA
302Residual schizophrenia PBI (APBD)YA
0002204595652L 308Congestive heart failure PBI
299Chronic gastritis, unspecified PBI (APBN)TIDAK
pharyngitis PEGAWAI SWASTATIDAK
arthritis PEKERJA MANDIRITIDAK
279Schizophrenia, unspecified PEKERJA MANDIRIYA
306Essential (primary) hypertension PBI (APBD)TIDAK
309Acute pharyngitis PEKERJA MANDIRITIDAK
277Heart failure, unspecified PBI (APBD)YA
280Myalgia PEGAWAI SWASTATIDAK
0001663575456P 284Chronic gastritis, unspecified PBI
262Fever of other and unknown
267Myalgia PBI (APBN)TIDAK
276Dyspepsia PBI (APBD)TIDAK
274Typhoid fever PBI (APBN)TIDAK
286Tinea corporis PBI (APBD)TIDAK
0000062997208P 259Other disorders of skin
arthritis PBI (APBN)TIDAK
(primary) hypertension PBI (APBN)TIDAK
neoplasm of breast PBI (APBN)YA
AZIZAH 0000196763589P 220Enlarged lymph nodes,
212Diseases of vocal cords and
211Myalgia PEGAWAI SWASTATIDAK
278Cystitis PEGAWAI SWASTATIDAK
0001610332176L 282Gastroduodenitis, unspecified PEGAWAI SWASTATIDAK
281Fever of other and unknown
pharyngitis PEKERJA MANDIRITIDAK
0001780522356L 289Acute pharyngitis PBI (APBD)TIDAK
258Essential (primary) hypertension PENERIMA PENSIUNTIDAK
261Acute nasopharyngitis [common cold] PBI
diabetes mellitus, PBI (APBN)TIDAK
(primary) hypertension PBI (APBD)TIDAK
291Other dermatitis PBI (APBN)TIDAK
diabetes mellitus, PBI (APBN)TIDAK
290Chronic gastritis, unspecified PBI (APBN)TIDAK
0002246546261P 295Acute nasopharyngitis [common cold]
gastritis, unspecified PBI (APBN)TIDAK
(primary) hypertension PBI (APBD)TIDAK
(primary) hypertension PENERIMA PENSIUNTIDAK
0001778467983P 288Acute nasopharyngitis [common cold]
292Tinea corporis PBI (APBD)TIDAK
269Other disorders of skin and
(primary) hypertension PBI (APBN)TIDAK
(primary) hypertension PBI (APBN)TIDAK
heart failure PBI (APBN)TIDAK
263Pre-existing diabetes mellitus, PBI (APBN)TIDAK
209Observation for other suspected PBI
0001458121702P 239Acute nasopharyngitis [common cold]
248Varicella [chickenpox] PEGAWAI SWASTATIDAK
241Chronic gastritis, unspecified PEGAWAI SWASTATIDAK
0001777436234P 251Headache PBI (APBD)TIDAK
247Chronic gastritis, unspecified PBI (APBD)TIDAK
208Epilepsy PEKERJA MANDIRIYA
237Acute nasopharyngitis [common cold] PBI
dermatitis PBI (APBD)TIDAK
(primary) hypertension PBI (APBN)TIDAK
244Acute nasopharyngitis [common cold] PBI
nasopharyngitis [common cold] PEKERJA MANDIRITIDAK
gastritis, unspecified PBI (APBD)TIDAK
0000502067766P 229Dyspepsia PBI (APBN)TIDAK
gastritis, unspecified PBI (APBN)TIDAK
upper respiratory infection, PBI (APBD)TIDAK
0000501710095L 226Gastritis, unspecified PBI (APBN)TIDAK
0001078726318P 235Headache PNS DAERAHTIDAK
242Conjunctivitis PBI (APBD)TIDAK
diabetes mellitus, PBI (APBN)TIDAK
230Chronic gastritis, unspecified PBI (APBN)TIDAK
256Dyspepsia PEKERJA MANDIRITIDAK
0002070779253L 254Acute pharyngitis PEGAWAI SWASTATIDAK
233Acute pharyngitis PBI (APBN)TIDAK
219Acute pharyngitis PNS DAERAHTIDAK
pharyngitis PBI (APBD)TIDAK
238Typhoid fever PBI (APBD)TIDAK
240Gastroduodenitis, unspecified PEGAWAI SWASTATIDAK
191Congestive heart failure PEKERJA MANDIRIYA
184Atherosclerotic heart disease PNS DAERAHYA
185Nonbullous erythema multiforme PBI (APBN)YA
200Pre-existing diabetes mellitus, PEKERJA MANDIRIYA
203Congestive heart failure PBI (APBD)YA
183Chronic gastritis, unspecified PNS DAERAHYA
188Human immunodeficiency virus [HIV] PBI
0001669004864P 199Acute pharyngitis PEGAWAI SWASTATIDAK
182Stroke, not specified as haemorrhage
196Dental caries PBI (APBD)TIDAK
192Acute upper respiratory infection, PBI
PBI (APBD)TIDAK
corporis PEGAWAI SWASTATIDAK
(primary) hypertension PBI (APBN)TIDAK
0001778455809P 201Acute tonsillitis PBI (APBD)TIDAK
(primary) hypertension PBI (APBN)TIDAK
arthritis PBI (APBD)TIDAK
palsy PBI (APBN)YA
174Disorders of refraction and PNS
unspecified PBI (APBN)YA
180Calculus of kidney PEKERJA MANDIRIYA
167Malignant neoplasm of endocervix PBI
organic or symptomatic PBI (APBN)YA
0000394337812L 141Disorder of refraction, unspecified
of stroke, not specified as
of normal pregnancy, PBI (APBD)YA
of ovary PBI (APBD)YA
138Senile cataract, unspecified PENERIMA PENSIUN
PEKERJA MANDIRIYA
0002487192377P 106Malignant neoplasm of ovary
85Cerebellar stroke syndrome PNS DAERAHYA
57Other specified general symptoms and
56Thalassaemia PEGAWAI SWASTAYA
47Thyroiditis PBI (APBD)YA
diabetes mellitus, PEKERJA MANDIRIYA
0000502536069L 29Respiratory tuberculosis, not confirmed
20Disorder of refraction, unspecified PNS
lipomatous neoplasm, PBI (APBN)YA
18Tuberculosis of other specified organs
0001780522413P 15Protein-energy malnutrition of PBI
PBI (APBD)YA
(primary) hypertension PBI (APBN)TIDAK
ZIKRI 0001964199069L 9Acute nasopharyngitis [common
gastritis, unspecified PBI (APBN)TIDAK
arthritis PBI (APBN)TIDAK
7Acute nasopharyngitis [common cold] PBI
5Acute nasopharyngitis [common cold] PEGAWAI
0001669389502L 14Acute nasopharyngitis [common cold]
173Gastroduodenitis, unspecified PBI (APBN)TIDAK
172Dyspepsia PBI (APBD)TIDAK
of other and unknown origin
R. 0001667764078L 170Acute nasopharyngitis [common
dermatitis PBI (APBN)TIDAK
8Disorder of refraction, unspecified PBI
6Fever of other and unknown
0001779800128L 171Other dermatitis PBI (APBD)TIDAK
228Contraceptive management, PBI (APBN)TIDAK
management, PBI (APBN)TIDAK
146Other dermatitis PBI (APBN)TIDAK
153Acute nasopharyngitis [common cold] PEGAWAI
155Acute nasopharyngitis [common cold] PBI
143Acute nasopharyngitis [common cold] PBI
163Other arthritis PEGAWAI SWASTATIDAK
145Myalgia PBI (APBN)TIDAK
479Contraceptive management, PBI (APBN)TIDAK
0001778456114P 156Suppurative and unspecified otitis
157Essential (primary) hypertension PBI (APBD)TIDAK
0001778468253L 158Other dermatitis PBI (APBD)TIDAK
283Supervision of normal pregnancy, PEGAWAI
202Contraceptive management, PBI (APBD)TIDAK
management, PBI (APBN)TIDAK
177Contraceptive management, PBI (APBN)TIDAK
178Contraceptive management, PBI (APBN)TIDAK
164Other disorders of skin and
BIN 0000211530879P 139Acute nasopharyngitis [common
152Chronic gastritis, unspecified PBI (APBD)TIDAK
of normal pregnancy, PBI (APBN)TIDAK
0002131859474L 161Acute nasopharyngitis [common cold]
PBI (APBD)TIDAK
dermatitis PBI (APBD)TIDAK
disorders of skin and PNS
0000501080174L 142Respiratory tuberculosis, not confirmed
0000394335202P 140Myalgia PBI (APBN)TIDAK
(primary) hypertension PBI (APBD)TIDAK
0000501863409P 110Contraceptive management, PBI (APBN)TIDAK
0002223900191P 162Conjunctivitis PEGAWAI SWASTATIDAK
150Gastroduodenitis, unspecified PEGAWAI SWASTATIDAK
0001520374421P 117Contraceptive management, PEGAWAI SWASTATIDAK
144Acute nasopharyngitis [common cold] PBI
101Contraceptive management, PBI (APBD)TIDAK
149Dyspepsia PEGAWAI SWASTATIDAK
59Contraceptive management, PBI (APBN)TIDAK
65Contraceptive management, PBI (APBN)TIDAK
53Contraceptive management, PBI (APBN)TIDAK
11Contraceptive management, PBI (APBN)TIDAK
194Contraceptive management, PEGAWAI SWASTATIDAK
111Contraceptive management, PBI (APBN)TIDAK
12Contraceptive management, PBI (APBN)TIDAK
2Disturbances in tooth eruption PNS
0001777436223L 17Other dental caries PBI
of pulp PEKERJA MANDIRITIDAK
0001473671586P 68Impacted teeth PEGAWAI SWASTATIDAK
70Chronic periodontitis PEGAWAI SWASTATIDAK
190Abnormal hard tissue formation in
193Acute periodontitis PEGAWAI SWASTATIDAK
0001667763944L 213Disturbances in tooth eruption
periodontitis PBI (APBD)TIDAK
207Acute periodontitis PEKERJA MANDIRITIDAK
periodontitis PBI (APBD)TIDAK
0000502067766P 324Necrosis of pulp PBI
392Retained dental root PBI (APBD)TIDAK
424Periapical abscess without sinus PEGAWAI
450Pulpitis PBI (APBN)TIDAK
0001778455451P 475Necrosis of pulp PBI
319Fever of other and unknown
fever PBI (APBN)TIDAK
81Essential (primary) hypertension PBI (APBD)TIDAK
gastritis, unspecified PBI (APBN)TIDAK
PBI (APBN)TIDAK
61Respiratory tuberculosis, not confirmed PBI
62Essential (primary) hypertension PBI (APBN)TIDAK
60Acute nasopharyngitis [common cold] PBI
64Chronic gastritis, unspecified PBI (APBN)TIDAK
83Thalassaemia PEGAWAI SWASTATIDAK
80Fever, unspecified PBI (APBN)TIDAK
69Other general symptoms and signs
and gastroenteritis of PBI (APBN)TIDAK
82Atopic dermatitis PBI (APBD)TIDAK
58Acute nasopharyngitis [common cold] PBI
0001779800703P 75Scabies PBI (APBD)TIDAK
72Chronic gastritis, unspecified PEGAWAI SWASTATIDAK
73Acute nasopharyngitis [common cold] PBI
74Essential (primary) hypertension PBI (APBD)TIDAK
PEGAWAI SWASTATIDAK
0002013290842P 79Respiratory tuberculosis, PBI (APBN)TIDAK
0001299616312L 66Respiratory tuberculosis, PEGAWAI SWASTATIDAK
PBI (APBN)TIDAK
48Acute nasopharyngitis [common cold] PBI
0001851269466L 50Acute tonsillitis PEGAWAI SWASTATIDAK
0001778455528P 46Chronic gastritis, unspecified PBI
40Myalgia PEGAWAI SWASTATIDAK
52Chronic gastritis, unspecified PBI (APBN)TIDAK
PEKERJA MANDIRITIDAK
S 0000061590543P 19Acute nasopharyngitis [common
diabetes mellitus, PBI (APBD)TIDAK
34Chronic gastritis, unspecified PBI (APBN)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
49Fever, unspecified PBI (APBD)TIDAK
gastritis, unspecified PEGAWAI SWASTATIDAK
43Chronic gastritis, unspecified PBI (APBD)TIDAK
PEGAWAI SWASTATIDAK
39Other arthritis PBI (APBD)TIDAK
gastritis, unspecified PBI (APBN)TIDAK
23Chronic gastritis, unspecified PBI (APBN)TIDAK
PBI (APBN)TIDAK
gastritis, unspecified PBI (APBN)TIDAK
gastritis, unspecified PBI (APBN)TIDAK
35Acute pharyngitis PBI (APBN)TIDAK
(primary) hypertension PBI (APBN)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
55Essential (primary) hypertension PBI (APBD)TIDAK
(primary) hypertension PBI (APBN)TIDAK
25Other arthritis PBI (APBN)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
51Chronic gastritis, unspecified PBI (APBN)TIDAK
86Epilepsy PNS DAERAHTIDAK
103Myalgia PBI (APBD)TIDAK
98Acute pharyngitis PBI (APBD)TIDAK
90Acute nasopharyngitis [common cold] PBI
92Chronic gastritis, unspecified PEGAWAI SWASTATIDAK
(primary) hypertension PBI (APBN)TIDAK
104Acute nasopharyngitis [common cold] PBI
102Acute nasopharyngitis [common cold] PBI
88Conjunctivitis PBI (APBN)TIDAK
91Acute pharyngitis PBI (APBN)TIDAK
95Atopic dermatitis PBI (APBN)TIDAK
PBI (APBN)TIDAK
89Myalgia PBI (APBN)TIDAK
99Chronic gastritis, unspecified PEGAWAI SWASTATIDAK
96Acute nasopharyngitis [common cold] PBI
100Headache PEGAWAI SWASTATIDAK
0000502523943L 94Acute nasopharyngitis [common cold]
135Tension-type headache PEGAWAI SWASTATIDAK
nasopharyngitis [common cold] PBI (APBD)TIDAK
114Acute nasopharyngitis [common cold] PEGAWAI
119Acute nasopharyngitis [common cold] PEGAWAI
0002040959316P 132Headache PEGAWAI SWASTATIDAK
112Acute nasopharyngitis [common cold] PBI
gastritis, unspecified PBI (APBN)TIDAK
0001779797946P 129Acute nasopharyngitis [common cold]
125Acute pharyngitis PEGAWAI SWASTATIDAK
0001299616312L 115Respiratory tuberculosis, PEGAWAI SWASTATIDAK
0001778467983P 128Other dermatitis PBI (APBD)TIDAK
127Other dermatitis PBI (APBD)TIDAK
122Acute nasopharyngitis [common cold] PBI
116Acute nasopharyngitis [common cold] PBI
PBI (APBD)TIDAK
0000500985764L 108Acute upper respiratory infection,
0001520374421P 118Other dermatitis PEGAWAI SWASTATIDAK
0001780623281L 130Acute nasopharyngitis [common cold]
(primary) hypertension PBI (APBN)TIDAK
109Acute pharyngitis PBI (APBN)TIDAK
PBI (APBD)TIDAK
(primary) hypertension PBI (APBD)TIDAK
0001821982364L 131Acute nasopharyngitis [common cold]
gastritis, unspecified PEGAWAI SWASTATIDAK
0002487192377P 136Headache PEKERJA MANDIRITIDAK
491Other dermatitis PBI (APBD)TIDAK
494Acute nasopharyngitis [common cold] PNS
0001187983989L 489Other dermatitis PEKERJA MANDIRITIDAK
nasopharyngitis [common cold] PEGAWAI SWASTATIDAK
0001299616312L 458Respiratory tuberculosis, PEGAWAI SWASTATIDAK
484Chronic gastritis, unspecified PEGAWAI SWASTATIDAK
451Headache PBI (APBN)TIDAK
nasopharyngitis [common cold] PEGAWAI SWASTATIDAK
gastritis, unspecified PBI (APBN)TIDAK
406Myalgia PBI (APBN)TIDAK
430Diarrhoea and gastroenteritis of PBI
439Myalgia PBI (APBD)TIDAK
390Acute upper respiratory infection, PEGAWAI
0001299616312L 385Respiratory tuberculosis, PEGAWAI SWASTATIDAK
(primary) hypertension PBI (APBD)TIDAK
377Acute nasopharyngitis [common cold] PBI
PBI (APBN)TIDAK
384Myalgia PEGAWAI SWASTATIDAK
and gastroenteritis of PBI (APBD)TIDAK
374Myalgia PBI (APBD)TIDAK
349Headache PNS DAERAHTIDAK
dental root PNS DAERAHTIDAK
345Chronic gastritis, unspecified PBI (APBN)TIDAK
341Acute nasopharyngitis [common cold] PBI
330Calculus of kidney PBI (APBN)TIDAK
diabetes mellitus, PNS DAERAHTIDAK
304Acute upper respiratory infection, PBI
ENDAH 0001663572238P 301Chronic gastritis, unspecified
diabetes mellitus PBI (APBD)TIDAK
0002013051767P 307Fever, unspecified PBI (APBN)TIDAK
298Dyspepsia PBI (APBN)TIDAK
upper respiratory infection, PEGAWAI SWASTATIDAK
0000165720633L 260Acute nasopharyngitis [common cold]
gastritis, unspecified PBI (APBN)TIDAK
255Myalgia PEKERJA MANDIRITIDAK
232Schizophrenia PBI (APBN)TIDAK
249Myalgia PEKERJA MANDIRITIDAK
0001777436223L 250Acute nasopharyngitis [common cold]
227Chronic gastritis, unspecified PBI (APBN)TIDAK
0001669361714P 215Diarrhoea and gastroenteritis of
204Acute pharyngitis PBI (APBN)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
gastritis, unspecified PBI (APBD)TIDAK
217Acute pharyngitis PBI (APBD)TIDAK
nasopharyngitis [common cold] PBI (APBN)TIDAK
218Chronic gastritis, unspecified PBI (APBD)TIDAK
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110917Y001668
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000376
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000369
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000370
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000261
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000433
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000322
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000254
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000237
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000490
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000219
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000214
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000176
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000190
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000143
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000123
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000106
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000091
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000098
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000014
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000050
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000052
NO KARTUSEX NOJENIS PESERTADIRUJUK 100902110918Y000070
:
:
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PBI (APBD)TIDAK
PBI (APBD)TIDAK
MANDIRIYA
PBI (APBD)YA
DAERAHYA
PEKERJA MANDIRIYA

unspecified PENERIMA PENSIUNYA

MANDIRIYA

(APBN)TIDAK

PBI (APBN)TIDAK
cold] PBI (APBD)TIDAK
PBI (APBD)TIDAK
SWASTATIDAK

origin PBI (APBD)TIDAK

PEKERJA MANDIRITIDAK

PEGAWAI SWASTATIDAK

(APBN)YA
SWASTAYA
DAERAHYA
MANDIRIYA

PBI (APBN)TIDAK

(APBD)TIDAK

PEGAWAI SWASTATIDAK

PEGAWAI SWASTATIDAK

origin PBI (APBD)TIDAK

PBI (APBD)TIDAK

(APBN)TIDAK
PEGAWAI SWASTATIDAK
and PEGAWAI SWASTATIDAK

origin PBI (APBN)TIDAK

(APBD)YA

(APBD)TIDAK
origin PEGAWAI SWASTATIDAK

and PNS DAERAHTIDAK

unspecified PNS PUSATYA

larynx, not PBI (APBD)YA

origin PEGAWAI SWASTATIDAK

(APBN)TIDAK

PEGAWAI SWASTATIDAK
PBI (APBD)TIDAK

PBI (APBN)TIDAK

(APBD)YA
PEGAWAI SWASTATIDAK

(APBD)TIDAK

(APBD)TIDAK

(APBN)YA
PENERIMA PENSIUNYA

(APBD)TIDAK

DAERAHYA

(APBN)YA

PBI (APBN)YA
PBI (APBN)YA

TNIYA

PEKERJA MANDIRIYA

PNS DAERAHYA

PBI (APBN)YA
PUSATYA

PBI (APBD)YA
(APBD)YA

cold] PEKERJA MANDIRITIDAK

(APBD)TIDAK
SWASTATIDAK
PBI (APBD)TIDAK

PEKERJA MANDIRITIDAK
cold] PBI (APBD)TIDAK
(APBD)YA
origin PEGAWAI SWASTATIDAK

SWASTATIDAK
(APBD)TIDAK
(APBN)TIDAK

PBI (APBD)TIDAK

SWASTATIDAK

PBI (APBD)TIDAK
cold] PENERIMA PENSIUNTIDAK

PBI (APBN)TIDAK

PUSATTIDAK
PBI (APBN)TIDAK

(APBN)TIDAK
DAERAHTIDAK
(APBD)TIDAK

pulp PEKERJA MANDIRITIDAK

PBI (APBD)TIDAK

(APBN)TIDAK

SWASTATIDAK

(APBD)TIDAK
origin PBI (APBD)TIDAK

(APBN)TIDAK

(APBN)TIDAK

PEGAWAI SWASTATIDAK

(APBN)TIDAK

(APBD)TIDAK

(APBD)TIDAK

(APBD)TIDAK
cold] PNS DAERAHTIDAK

(APBN)TIDAK

(APBD)TIDAK
(APBD)TIDAK

(APBN)TIDAK

PBI (APBN)TIDAK

SWASTATIDAK
SWASTATIDAK
(APBN)TIDAK

PBI (APBD)TIDAK

(APBD)TIDAK
(APBD)TIDAK

PBI (APBN)TIDAK

PBI (APBD)TIDAK

PNS DAERAHTIDAK

DAERAHTIDAK

(APBD)TIDAK

SWASTATIDAK

(APBN)TIDAK

(APBD)TIDAK
(APBD)TIDAK
PBI (APBD)TIDAK

PNS PUSATTIDAK

PBI (APBD)TIDAK

PBI (APBD)TIDAK
25/09/201CECEP KURNIA 0000501007656L 21Schizophrenia PBI
25/09/201RINA LISTIANI 0001610431481P 42Acute nasopharyngitis
24/09/201LELIH 0000502615091P 63Acute nasopharyngitis [common
24/09/201SA'DYAH PUTRI ANWARI 0002432662301P 84Diarrhoea
22/09/201MUHAMAD ILYAS RAMDAN 0002184143152L 105Varicose
21/09/201NUR SETIAWATI 0001778456215P 126Chronic gastritis,
20/09/201ABDURAHMAN ASEP 0001409964333L 147Myalgia PBI
19/09/201ONENG 0000502549828P 168Nontoxic multinodular goitre
17/09/201SITI ATIAH 0001012895829P 189Chronic gastritis,
15/09/201POPI SOPIA 0001409967213P 210Chronic gastritis,
14/09/201IIS SUPIATI 0000502294779P 231Other dermatitis
14/09/201AGUS MULYADI 0002012310639P 252Other arthritis
13/09/201SELVYANA 0000502579135P 273Chronic gastritis, unspecified
13/09/201INDA SHINTA YULISTIA 0002184198974P 294Chronic
08/09/201MOHAMAD FIDIANSYAH 0000501023215L 315Acute upper
07/09/201UJANG MUHIDIN 0001605024898L 336Fever of
06/09/201MARETA SANTI SUSANTI 0000502369817P 357Chronic
05/09/201AYUNITA 0000501078115P 378Other dermatitis PBI
05/09/201LUTFI HERMAWAN 0002251228206L 399Acute pharyngitis
04/09/201NOVI YULIANTI 0001320411666P 420Other and
03/09/201KOKOM 0000501016151P 441Asthma PBI (APBN)TIDAK
03/09/201KASRIPAH 0001409967538P 462Essential (primary) hypertension
03/09/201shafana fazila nurafrin 0002223900191P 483Other
(APBN)YA
[common cold] PEGAWAI SWASTATIDAK
cold] PBI (APBN)TIDAK
and gastroenteritis of PNS DAERAHTIDAK
veins of other sites PBI (APBD)YA
unspecified PBI (APBD)TIDAK
(APBD)TIDAK
PBI (APBN)YA
unspecified PBI (APBN)TIDAK
unspecified PBI (APBD)TIDAK
PBI (APBN)TIDAK
PBI (APBN)TIDAK
PBI (APBN)TIDAK
gastritis, unspecified PBI (APBD)TIDAK
respiratory infection, PBI (APBN)TIDAK
other and unknown origin PEGAWAI SWASTATIDAK
gastritis, unspecified PBI (APBN)TIDAK
(APBN)TIDAK
PBI (APBD)TIDAK
unspecified ovarian cysts PEKERJA MANDIRIYA

PBI (APBD)TIDAK
dermatitis PEGAWAI SWASTATIDAK
No. Tanggal No. Kunjungan No. Kartu Nama Peserta Jenis Peserta
1 100902110918Y000289 61778518 U DJUBAEDAH VETERAN

2 9/28/2018 100902110918Y000286 0001667866994 ENENG RIANTI PBI (APBD)

3 9/27/2018 100902110918Y000273 0001669360926 O OOY PBI (APBD)

4 9/27/2018 100902110918Y000272 0001780522413 SHEILLA ZULFA SUTISNA PBI (APBD)

5 9/26/2018 100902110918Y000270 0000502044142 DZIKRI PBI (APBD)

6 9/26/2018 100902110918Y000271 0001777436256 YESI RUSMIAT PBI (APBD)

7 9/25/2018 100902110918Y000269 0000062777518 ETIH NURHAYATI PBI (APBD)

8 9/25/2018 100902110917Y001668 0000501007656 CECEP KURNIA PBI (APBD)

9 9/25/2018 100902110918Y000268 0000502536069 M. SYARIF HIDAYATULLAH PBI (APBD)

10 9/25/2018 100902110918Y000267 0001323014477 juhanah PEKERJA MANDIRI

11 9/25/2018 100902110918Y000266 0001778455539 SUSI SUSANTI PBI (APBD)

13 9/25/2018 1 100902110918Y000265 0002276659304 OXY HANDZAKWAN PEGAWAI SWASTA

14 9/24/2018 100902110918Y000264 0000048783227 YUSUP HUSEN PNS DAERAH

15 9/22/2018 100902110918Y000263 0000048783227 YUSUP HUSEN PNS DAERAH

16 9/22/2018 100902110918Y000260 0001284128379 PIPIH PEGAWAI SWASTA

17 9/22/2018 100902110918Y000261 0002184143152 MUHAMAD ILYAS RAMDAN PBI (APBD)

18 9/22/2018 100902110918Y000262 0002487192377 DEDE ROHMAH AULIA PEKERJA MANDIRI

19 9/21/2018 100902110918Y000258 0002184205454 FITRIAMAH PBI (APBD)

20 9/20/2018 100902110918Y000259 0000062865268 A JUARIAH PENERIMA PENSIUN TNI

21 9/20/2018 100902110918Y000255 0000394337812 FARHAN IBNU ATOILLAH PBI (APBN)

22 9/20/2018

23

24

25

26

27

28

29

30

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32

33

34

35

36

37

38

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46
 Diagnosa Non Spesialistik Alasan Rujuk RS Tujuan
Thyrotoxicosis, unspecified

Disorder of refraction, unspecified YA

Haemorrhoids

Protein-energy malnutrition of

Benign lipomatous neoplasm,

Tuberculosis of other specified organs

Disorder of refraction, unspecified

Schizophrenia

Respiratory tuberculosis, not confirmed

Pre-existing diabetes mellitus

Thyroiditis

Thalassaemia

Other specified general symptoms and

Cerebellar stroke syndrome

Dermatophytosis

Varicose veins of other sites

Malignant neoplasm of ovary

Endometriosis of ovary

Senile cataract, unspecified

Disorder of refraction, unspecified
105 22/09/201 PBI (APBD) Varicose veins of other sites YA 106 22/09/201 100902110918Y000262 0002487192377 DEDE ROHMAH AULIA P PEKERJA MANDIRI Maligna
IA P PEKERJA MANDIRI Malignant neoplasm of ovary YA
DAFTAR KUNJUNGAN PESERTA SAKIT FKTP : CIKUNDUL (10090211) Kantor Cabang : SUKABUMI (1005) NO TANGGAL NO KUNJU
29/09/201 100902110918Y000289 0000061778518 U DJUBAEDAH P VETERAN Thyrotoxicosis, unspecified YA
I (1005) NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK 1 29/09/201 100902110918Y00
unspecified YA
1 29/09/201 100902110918Y000289 0000061778518 U DJUBAEDAH P VETERAN Thyrotoxicosis, unspecified YA 2 29/09/201 10090211091
ed YA 2 29/09/201 100902110918Y000333 0001899590038 MUHAMMAD FAIZ L PNS DAERAH Disturbances in tooth eruption TIDAK 3 28/
es in tooth eruption TIDAK 3 28/09/201 100902110918Y000277 0000501458365 HANAN L PBI (APBN) Other arthritis TIDAK 4 28/09/201 1
er arthritis TIDAK 4 28/09/201 100902110918Y000276 0000502212363 MINTARSIH P PBI (APBN) Chronic gastritis, unspecified TIDAK 5 28/
astritis, unspecified TIDAK 5 28/09/201 100902110918Y000279 0001610343189 AWIT SETIAWATI P PEGAWAI SWASTA Acute nasopharyng
WAI SWASTA Acute nasopharyngitis [common cold] TIDAK 6 28/09/201 100902110918Y000287 0001661092738 AI MASRIANI P PEGAWAI S
92738 AI MASRIANI P PEGAWAI SWASTA Fever of other and unknown origin TIDAK 7 28/09/201 100902110918Y000278 0001663570067 ID
0918Y000278 0001663570067 IDON SURYADI L PBI (APBD) Acute nasopharyngitis [common cold] TIDAK 8 28/09/201 100902110918Y0002
28/09/201 100902110918Y000286 0001667866994 ENENG RIANTI P PBI (APBD) Disorder of refraction, unspecified YA 9 28/09/201 100902
specified YA 9 28/09/201 100902110918Y000275 0001964199069 FAEYZA S ATHAYA ZIKRI L PEKERJA MANDIRI Acute nasopharyngitis [com
DIRI Acute nasopharyngitis [common cold] TIDAK 10 28/09/201 100902110918Y000274 0002012856085 ASIH P PBI (APBN) Essential (prim
SIH P PBI (APBN) Essential (primary) hypertension TIDAK 11 27/09/201 100902110918Y000329 0000502270334 RINI FEBRIANI P PBI (APBN