DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SINTANG - 1504

FKTP : SEI AYAK - 15120201

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 31-10-2018 151202011018Y000042 0001591378132 TRIPINA IKA P PEGAWAI SWASTA Other benign neoplasm of Rujuk Lanjut
connective and other soft

2 31-10-2018 151202011018Y000043 0002311735871 KATARINA P PEKERJA MANDIRI Other and unspecified Rujuk Lanjut
abdominal pain
3 30-10-2018 151202011018Y000041 0001590941722 LUSIA P PEGAWAI SWASTA Atherosclerosis Rujuk Lanjut

4 30-10-2018 151202011018Y000040 0001592916399 OKTAVIUS L PEGAWAI SWASTA Special epileptic Rujuk Lanjut
syndromes
5 29-10-2018 151202011018Y000039 0000881014994 DAI L PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

6 26-10-2018 151202011018Y000038 0001590942565 TIODORUS L PEGAWAI SWASTA Abdominal and pelvic pain Rujuk Lanjut

7 25-10-2018 151202011018Y000034 0000879929763 TATU P PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

8 25-10-2018 151202011018Y000035 0001078474239 DIKY FIRNADO L PNS DAERAH Gastroenteritis and colitis Rujuk Lanjut
of unspecified origin
9 25-10-2018 151202011018Y000037 0002219594916 MUHAMAD TARMIZI L PNS DAERAH Headache Rujuk Lanjut

10 25-10-2018 151202011018Y000036 0002475904926 SUPRIANTO L PEKERJA MANDIRI Cyst of oral region, Rujuk Lanjut
unspecified
11 24-10-2018 151202011018Y000031 0001593054909 EMILIA P PEKERJA MANDIRI Female pelvic Rujuk Lanjut
inflammatory disease,

12 24-10-2018 151202011018Y000033 0001593054911 STEVANUS L PEGAWAI SWASTA Calculus of kidney Rujuk Lanjut

13 24-10-2018 151202011018Y000032 0001887678832 YULITA P PEKERJA MANDIRI Other specified diabetes Rujuk Lanjut
mellitus with multiple

14 24-10-2018 151202011018Y000030 0002471048673 DESI AMANDA PUTRI P PEKERJA MANDIRI Fever, unspecified Rujuk Lanjut

15 22-10-2018 151202011018Y000029 0000052428971 KEMAI MARTHA P PNS DAERAH Chronic renal failure, Rujuk Lanjut
unspecified
16 22-10-2018 151202011018Y000044 0002475624047 SYAHRI L PEKERJA MANDIRI Anorexia nervosa Lain-lain

17 19-10-2018 151202011018Y000028 0002311735871 KATARINA P PEKERJA MANDIRI Acute appendicitis Rujuk Lanjut

18 18-10-2018 151202011018Y000025 0000052425988 GUNAWAN L PNS DAERAH Heart failure Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SINTANG - 1504

FKTP : SEI AYAK - 15120201

19 18-10-2018 151202011018Y000024 0001592917727 DAMIANUS L PEGAWAI SWASTA Tuberculosis of lung, Rujuk Lanjut
confirmed by unspecified

20 18-10-2018 151202011018Y000026 0001592917738 KRISTINA SELIA P PEGAWAI SWASTA Tuberculosis of lung, Rujuk Lanjut
confirmed by unspecified

21 18-10-2018 151202011018Y000027 0002474261482 LILIS SUGIARTI P PEKERJA MANDIRI Prolonged pregnancy Rujuk Lanjut

22 17-10-2018 151202011018Y000023 0002060958947 AGUSTINUS SONI L PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

23 16-10-2018 151202011018Y000022 0000052431208 MARINI P PNS DAERAH Polyhydramnios Rujuk Lanjut

24 10-10-2018 151202011018Y000021 0001593053774 MARIA YOSEFINA MOI P PEGAWAI SWASTA Medical abortion, Rujuk Lanjut
incomplete, without

25 08-10-2018 151202011018Y000011 0001313295052 SARIFUDIN L PEGAWAI PEMERINTAH Tuberculosis of lung, Rujuk Lanjut
DENGAN PERJANJIAN confirmed by unspecified

26 08-10-2018 151202011018Y000010 0001891386292 TRIVINA PATRISIA P PEGAWAI SWASTA Unspecified chronic Rujuk Lanjut
bronchitis
27 08-10-2018 151202011018Y000012 0002079120216 VERY DIANA P PEGAWAI PEMERINTAH Oligohydramnios Rujuk Lanjut
NON PNS
28 08-10-2018 151202011018Y000009 0002480538903 ANI WIDIYAWATI P PEKERJA MANDIRI Prolonged first stage (of Rujuk Lanjut
labour)
29 07-10-2018 151202011018Y000045 0001593056057 VICTORYANUS NGGELU L PEGAWAI SWASTA Pain localized to other Sembuh
parts of lower abdomen
30 04-10-2018 151202011018Y000008 0000052431816 MARTINA MARICE P PNS DAERAH Dental caries Rujuk Lanjut

31 03-10-2018 151202011018Y000019 0000172664594 MELINDA PATRISIA P PNS DAERAH Constipation Berobat Jalan

32 03-10-2018 151202011018Y000007 0000880984539 ANASTASIA EVI P PBI (APBN) Acute hepatitis B Rujuk Lanjut

33 03-10-2018 151202011018Y000006 0002491821281 SEHANI P PEKERJA MANDIRI Benign paroxysmal vertigo Rujuk Lanjut

34 02-10-2018 151202011018Y000014 0000052435067 NURYATI P PNS DAERAH Headache Berobat Jalan

35 02-10-2018 151202011018Y000003 0000161546714 SEKIUS L PNS DAERAH Acute renal failure Rujuk Lanjut

36 02-10-2018 151202011018Y000004 0000880723089 A. MENINGAN L PEKERJA MANDIRI Polycythaemia vera Rujuk Lanjut

37 02-10-2018 151202011018Y000020 0001476554016 TJHANG TJIE KHIAN AL. L PEKERJA MANDIRI Secondary hypertension Berobat Jalan
SUNARTO
38 02-10-2018 151202011018Y000005 0002250470867 RESAD L PEKERJA MANDIRI Respiratory tuberculosis, Rujuk Lanjut
bacteriologically and

39 02-10-2018 151202011018Y000013 0002294203408 TITI DASITI P PEKERJA MANDIRI Dysuria Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SINTANG - 1504

FKTP : SEI AYAK - 15120201

40 01-10-2018 151202011018Y000018 0000880800682 ERNAWATI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
41 01-10-2018 151202011018Y000001 0001593560226 MARSELA RINGKOM P PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
confirmed by unspecified

42 01-10-2018 151202011018Y000015 0002035467988 TJIA APHIN L PEGAWAI SWASTA Headache Berobat Jalan

43 01-10-2018 151202011018Y000002 0002058105846 MARTINI P PEKERJA MANDIRI Acute renal failure Rujuk Lanjut

44 01-10-2018 151202011018Y000016 0002070868432 GINO L PEKERJA MANDIRI Influenza, virus not Berobat Jalan
identified
45 01-10-2018 151202011018Y000017 0002257837514 CHONG PAK KIEN L PEKERJA MANDIRI Secondary hypertension Berobat Jalan