DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

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

1 31-08-2018 080110010818Y000359 0000032696616 BAMBANG HARTONO, IR L PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus
2 31-08-2018 080110010818Y000365 0000032981409 SUBAGIYO L PNS PUSAT Secondary hypertension Rujuk Lanjut

3 31-08-2018 080110010818Y000463 0000033739694 JARWATI,SE P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
4 31-08-2018 080110010818Y000374 0000360776564 ALYANA P PBI (APBN) Gastritis, unspecified Berobat Jalan

5 31-08-2018 080110010818Y000366 0001323614801 M. ALVARO GAVRIEL L PEGAWAI SWASTA Asthma Rujuk Lanjut

6 31-08-2018 080110010818Y000480 0002255709846 SONATHA HUTAPEA, SI KOM P TNI ANGKATAN DARAT Single spontaneous Sembuh
delivery, unspecified
7 31-08-2018 080110010818Y000491 0002470056524 DEWI SEFTIYA NINGSIH P PEGAWAI PEMERINTAH Single spontaneous Sembuh
NON PNS delivery, unspecified
8 31-08-2018 080110010818Y000478 0002480074953 DESSY RAFICA SARI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
9 30-08-2018 080110010818Y000315 0000033812368 YULI CAHYATI P PNS DAERAH Astigmatism Rujuk Lanjut

10 30-08-2018 080110010818Y000328 0000033867279 ABD.HARIS L PNS PUSAT Chronic kidney disease Rujuk Lanjut

11 30-08-2018 080110010818Y000301 0000035633867 TANSILA P PNS DAERAH Chronic renal failure, Rujuk Lanjut
unspecified
12 30-08-2018 080110010818Y000332 0000204353414 NANI OKTAVIA P PNS PUSAT Chronic mastoiditis Rujuk Lanjut

13 30-08-2018 080110010818Y000316 0000360188111 NURLAILI P PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
14 30-08-2018 080110010818Y000319 0000360337871 ANDI SAPUTRA L PBI (APBN) Chronic atrophic gastritis Rujuk Lanjut

15 30-08-2018 080110010818Y000512 0000360588802 LILIS DAMAYANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
16 30-08-2018 080110010818Y000373 0000360774944 JAILANI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
17 30-08-2018 080110010818Y000323 0000360775552 DEDEH SUPENDAH P PBI (APBN) Other specified cataract Rujuk Lanjut

18 30-08-2018 080110010818Y000329 0000361020835 RENI YANTI P PBI (APBN) Maternal care for fetal Rujuk Lanjut
problem, unspecified
19 30-08-2018 080110010818Y000317 0001184081365 VERA MIRANDA P PEKERJA MANDIRI Myopia Rujuk Lanjut

20 30-08-2018 080110010818Y000320 0001475527342 MERY YUSNITA YASMITO P PEKERJA MANDIRI Idiopathic Rujuk Lanjut
thrombocytopenic purpura
21 30-08-2018 080110010818Y000318 0002238043004 FITRI FENI PANDUWINATA P PEGAWAI SWASTA Perineal laceration during Rujuk Lanjut
delivery, unspecified

22 30-08-2018 080110010818Y000327 0002428354754 nadheera alfatunisa P PBI (APBN) Talipes equinovarus Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

23 29-08-2018 080110010818Y000296 0000033780047 LINDA HERDIANA P PNS DAERAH Other disorders of Rujuk Lanjut
refraction
24 29-08-2018 080110010818Y000372 0000034257418 SHELA AULIA SARI P ANGGOTA POLRI Acute nasopharyngitis Berobat Jalan
[common cold]
25 29-08-2018 080110010818Y000290 0000169530535 EMILIA AGUSTINI P PENERIMA PENSIUN Malignant neoplasm of Rujuk Lanjut
PNS nasopharynx
26 29-08-2018 080110010818Y000291 0000359228766 IKAS PRATIWI P PBI (APBN) Impacted teeth Rujuk Lanjut

27 29-08-2018 080110010818Y000363 0000360124661 NAIM RULLOH L PEGAWAI SWASTA Non-insulin-dependent Sembuh

diabetes mellitus without

28 29-08-2018 080110010818Y000293 0000360788073 SUYAWATI P PBI (APBN) Cardiomegaly Rujuk Lanjut

29 29-08-2018 080110010818Y000300 0000361045113 YOLA HANDAYANI P PBI (APBN) Ganglion Rujuk Lanjut

30 29-08-2018 080110010818Y000298 0000361170303 SARI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut

diabetes mellitus with

31 29-08-2018 080110010818Y000294 0000361346602 RAMDANI EFENDI L PBI (APBN) Dengue haemorrhagic Rujuk Lanjut
fever
32 29-08-2018 080110010818Y000364 0001101230774 AIMA P ANGGOTA POLRI Non-insulin-dependent Sembuh
diabetes mellitus without

33 29-08-2018 080110010818Y000506 0001195641382 INDARTI YANI P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
34 29-08-2018 080110010818Y000297 0001791723622 EVI FEBRIANI P PEGAWAI SWASTA Other disorders of Rujuk Lanjut
refraction
35 29-08-2018 080110010818Y000289 0001792287077 M. FIKRAN VANIPALOPO L PEKERJA MANDIRI Schizophrenia Rujuk Lanjut

36 29-08-2018 080110010818Y000295 0002247754083 ERMIYATI P PEKERJA MANDIRI Brachial plexus disorders Rujuk Lanjut

37 29-08-2018 080110010818Y000299 0002254211897 RIZKY PRATAMA L PEKERJA MANDIRI Unspecified jaundice Rujuk Lanjut

38 29-08-2018 080110010818Y000287 0002278720405 HI. HASAN BASRI L PEKERJA MANDIRI Other specified cataract Rujuk Lanjut

39 29-08-2018 080110010818Y000292 0002442532037 AHMAD YASIN SIDIQ PUTRA L PNS DAERAH Myopia Rujuk Lanjut
SAGITA
40 29-08-2018 080110010818Y000288 0002475442618 SEPTIANI P PEGAWAI PEMERINTAH Other noninflammatory Rujuk Lanjut
DENGAN PERJANJIAN disorders of vagina

41 28-08-2018 080110010818Y000280 0000031506401 HAIYUN FATONI P PNS DAERAH Malignant neoplasm of Rujuk Lanjut
breast
42 28-08-2018 080110010818Y000282 0000032697797 M. NOER L PENERIMA PENSIUN Other disorders of Rujuk Lanjut
PNS refraction
43 28-08-2018 080110010818Y000361 0000032919928 ELIYA P PNS DAERAH Essential (primary) Sembuh
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

44 28-08-2018 080110010818Y000277 0000032920031 AGUS TRIYANTO L PNS DAERAH Hypertensive heart Rujuk Lanjut
disease with (congestive)

45 28-08-2018 080110010818Y000371 0000033753543 AMAR SOFIAN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
46 28-08-2018 080110010818Y000285 0000033884414 SUTIKNO L PNS PUSAT Hyperplasia of prostate Rujuk Lanjut

47 28-08-2018 080110010818Y000276 0000360235168 HERWIN LUBIS L PBI (APBN) Haemorrhoids Rujuk Lanjut

48 28-08-2018 080110010818Y000360 0000360305763 NENY HERYANA P PBI (APBN) Essential (primary) Sembuh
hypertension
49 28-08-2018 080110010818Y000283 0000360604146 MAMAN L PBI (APBN) Other specified cataract Rujuk Lanjut

50 28-08-2018 080110010818Y000504 0000360686338 YATINAH P PBI (APBN) Contraceptive Berobat Jalan

management, unspecified
51 28-08-2018 080110010818Y000278 0000361188606 YULIA P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft

52 28-08-2018 080110010818Y000281 0001081246972 BERNAWATI P PENERIMA PENSIUN Malignant neoplasm of Rujuk Lanjut
PNS other connective and soft

53 28-08-2018 080110010818Y000279 0001081749418 HERI KUSWOYO S.KOM L PNS PUSAT Other disorders of Rujuk Lanjut
refraction
54 28-08-2018 080110010818Y000284 0001861891918 YOSI NOFIRA ISNA, S.PD P PEKERJA MANDIRI Other single delivery by Rujuk Lanjut
caesarean section
55 28-08-2018 080110010818Y000496 0002442709877 ROSMI ATI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
56 27-08-2018 080110010818Y000273 0000032144422 SANTOSO L PNS DAERAH Disorders of initiating and Rujuk Lanjut
maintaining sleep

57 27-08-2018 080110010818Y000254 0000032688832 HAYANA P PENERIMA PENSIUN Disorders of refraction and Rujuk Lanjut
PNS accommodation
58 27-08-2018 080110010818Y000271 0000033012268 GUFRON AZIS FUADI, DRS L PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
59 27-08-2018 080110010818Y000270 0000033180557 ANDRIAN NAUFAL L PNS PUSAT Hypermetropia Rujuk Lanjut

60 27-08-2018 080110010818Y000356 0000033732314 RATNA ROSIDA RIFADATI P PNS DAERAH Essential (primary) Sembuh
hypertension
61 27-08-2018 080110010818Y000274 0000033758818 SRI SURYATI DANY P PENERIMA PENSIUN Bronchitis, not specified as Rujuk Lanjut
PNS acute or chronic
62 27-08-2018 080110010818Y000250 0000034038909 NUR HAYATI P PENERIMA PENSIUN Chronic kidney disease Rujuk Lanjut
PNS
63 27-08-2018 080110010818Y000272 0000043979703 KARIYAH BT SALIM P PENERIMA PENSIUN TNI Unstable angina Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

64 27-08-2018 080110010818Y000259 0000090404223 MUHAMMAD NURIY NUHA L PEKERJA MANDIRI Dengue haemorrhagic Rujuk Lanjut
NAUFAL fever
65 27-08-2018 080110010818Y000251 0000360294063 ASTARIDA P PBI (APBN) Hypertensive heart and Rujuk Lanjut
renal disease with

66 27-08-2018 080110010818Y000256 0000360372554 ABDUL RAHMAN L PBI (APBN) Cerebral infarction, Rujuk Lanjut
unspecified
67 27-08-2018 080110010818Y000370 0000360727558 SRI MULYANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
68 27-08-2018 080110010818Y000369 0000360761769 RAHMAD RUDINI L PBI (APBN) Gastritis, unspecified Berobat Jalan

69 27-08-2018 080110010818Y000358 0000360788073 SUYAWATI P PBI (APBN) Essential (primary) Sembuh

hypertension
70 27-08-2018 080110010818Y000257 0000361100496 JUNAH P PBI (APBN) Primary generalized Rujuk Lanjut
(osteo)arthrosis
71 27-08-2018 080110010818Y000267 0000361212377 ARIYAN DOVIE L PBI (APBN) Thyrotoxicosis Rujuk Lanjut
[hyperthyroidism]
72 27-08-2018 080110010818Y000265 0000361253709 KARNITA P PBI (APBN) Multiple delivery, all by Rujuk Lanjut
caesarean section
73 27-08-2018 080110010818Y000262 0000361325799 ELIZAR L PBI (APBN) Syphilis, unspecified Rujuk Lanjut

74 27-08-2018 080110010818Y000268 0000997704303 NAZWA AL ZAHRA P PBI (APBN) Disorders of refraction and Rujuk Lanjut
accommodation
75 27-08-2018 080110010818Y000261 0000997705157 BUSRONI L PBI (APBN) Hypertensive heart Rujuk Lanjut
disease without

76 27-08-2018 080110010818Y000264 0001268499025 ERVAN NOVRIZAL L PNS DAERAH Respiratory tuberculosis, Rujuk Lanjut
not confirmed
bacteriologically or

77 27-08-2018 080110010818Y000266 0001427605841 supriyati siswana siwi P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
SWASTA diabetes mellitus
78 27-08-2018 080110010818Y000275 0001821037972 aliya dwi pertiwi P PEGAWAI PEMERINTAH Tinea pedis Rujuk Lanjut
DENGAN PERJANJIAN

79 27-08-2018 080110010818Y000258 0001827569608 MUHAMMAD REZKI L PNS PUSAT Generalized enlarged Rujuk Lanjut
RAMADHADI lymph nodes
80 27-08-2018 080110010818Y000249 0001896598282 Y. KETUT HARYANTO L PEGAWAI SWASTA Blepharitis Rujuk Lanjut

81 27-08-2018 080110010818Y000269 0001971112656 herawati P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
connective and soft tissue
of upper limb, including

82 27-08-2018 080110010818Y000253 0002072141122 HAMUDI L PEKERJA MANDIRI Acute abdomen Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

83 27-08-2018 080110010818Y000252 0002072141414 EMA SALAMAH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
84 27-08-2018 080110010818Y000357 0002074534931 EKA PRISNA SARI P PEKERJA MANDIRI Essential (primary) Sembuh
hypertension
85 27-08-2018 080110010818Y000260 0002204688497 CAHAYA PUTRI KHODIJAH P PEGAWAI PEMERINTAH Chronic gastritis, Rujuk Lanjut
DENGAN PERJANJIAN unspecified

86 27-08-2018 080110010818Y000255 0002273635269 SITI HOTIMAH P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
cornea
87 27-08-2018 080110010818Y000263 0002282926599 FAHRIZAL SYARIF L PNS DAERAH Disorders of refraction and Rujuk Lanjut
HIDAYATULLAH accommodation
88 26-08-2018 080110010818Y000470 0001445558771 AYU SARI ISKANDAR P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
89 25-08-2018 080110010818Y000239 0000032626991 RUBAYAH P PENERIMA PENSIUN TNI Other specified cataract Rujuk Lanjut

90 25-08-2018 080110010818Y000245 0000032699283 SYAFARUDDIN.ST L PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut

PNS diabetes mellitus
91 25-08-2018 080110010818Y000355 0000033012268 GUFRON AZIS FUADI, DRS L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
92 25-08-2018 080110010818Y000353 0000033023935 BAMBANG HERU PRISTIWADI L PNS DAERAH Essential (primary) Sembuh
hypertension
93 25-08-2018 080110010818Y000248 0000033043375 INDARSIH,SPD P PNS DAERAH Other disorders of Rujuk Lanjut
refraction
94 25-08-2018 080110010818Y000362 0000033370266 HUZALI ABDULHAY,SH L PENERIMA PENSIUN Essential (primary) Sembuh
PNS hypertension
95 25-08-2018 080110010818Y000243 0000033638501 DADANG RISWA WAHID L PENERIMA PENSIUN Other chronic obstructive Rujuk Lanjut
PNS pulmonary disease
96 25-08-2018 080110010818Y000473 0000201521338 SUTIHAT HUMAIRAH P PNS PUSAT Single spontaneous Sembuh
delivery, unspecified
97 25-08-2018 080110010818Y000241 0000337393585 DEDE SAPUTRA L PBI (APBN) Haemorrhoids Rujuk Lanjut

98 25-08-2018 080110010818Y000368 0000360747268 IDHAR MANAF L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
99 25-08-2018 080110010818Y000354 0000360765898 URIP ABDULLAH L PBI (APBN) Essential (primary) Sembuh
hypertension
100 25-08-2018 080110010818Y000247 0001282249067 RAHMAWATI P PEKERJA MANDIRI Low back pain Rujuk Lanjut

101 25-08-2018 080110010818Y000242 0001800976465 mahadi hs L PEKERJA MANDIRI Old myocardial infarction Rujuk Lanjut

102 25-08-2018 080110010818Y000240 0001896596807 YENI SAFITRI P PEKERJA MANDIRI Pre-existing hypertension Rujuk Lanjut
complicating pregnancy,
childbirth and the

103 25-08-2018 080110010818Y000244 0002063479735 RAISA NABILA PUTRI P PEKERJA MANDIRI Patent ductus arteriosus Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

104 25-08-2018 080110010818Y000474 0002210968023 PIPI NOVIANI P PEGAWAI SWASTA Single spontaneous Sembuh
delivery, unspecified
105 25-08-2018 080110010818Y000246 0002481879778 DALIMAS P PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
106 24-08-2018 080110010818Y000236 0000032176596 AHMAD RIFAI L PENERIMA PENSIUN Chronic ischaemic heart Rujuk Lanjut
PNS disease
107 24-08-2018 080110010818Y000352 0000033012257 ETY SETIAWATI P PNS DAERAH Essential (primary) Sembuh
hypertension
108 24-08-2018 080110010818Y000238 0000033442345 SUKARNO RAMBEY,BA L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease without

109 24-08-2018 080110010818Y000232 0000034379561 NASRUDDIN L PNS PUSAT Other specified cataract Rujuk Lanjut

110 24-08-2018 080110010818Y000235 0000359917053 SITI ROHIAH P PBI (APBN) Other hearing loss Rujuk Lanjut

111 24-08-2018 080110010818Y000351 0000361072686 ROSMI P PBI (APBN) Essential (primary) Sembuh
hypertension
112 24-08-2018 080110010818Y000234 0001337689067 RELYASTI SIHOTANG P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

113 24-08-2018 080110010818Y000237 0001382201302 ANA LUSIYA WIDARI P PEKERJA MANDIRI Other depressive episodes Rujuk Lanjut

114 24-08-2018 080110010818Y000350 0001800976465 mahadi hs L PEKERJA MANDIRI Essential (primary) Sembuh
hypertension
115 24-08-2018 080110010818Y000233 0001848807753 MAHYUDIN L PEGAWAI SWASTA Melanoma in situ of other Rujuk Lanjut
sites
116 23-08-2018 080110010818Y000229 0000033128728 A RAIS ADYAN SH L PNS PUSAT Insulin-dependent Rujuk Lanjut
diabetes mellitus
117 23-08-2018 080110010818Y000228 0000033619072 ROSDAYATI BANGSA RADIN P PENERIMA PENSIUN Acute sinusitis Rujuk Lanjut
PNS
118 23-08-2018 080110010818Y000226 0000360109539 TIA P PBI (APBN) Myopia Rujuk Lanjut

119 23-08-2018 080110010818Y000367 0000361273386 BESTORI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

120 23-08-2018 080110010818Y000493 0001191515005 KARLINA P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
121 23-08-2018 080110010818Y000490 0001593430391 FITRIANA P PEGAWAI SWASTA Single spontaneous Sembuh
delivery, unspecified
122 23-08-2018 080110010818Y000227 0002138373562 AYUDIA PUTRI INARA P PEGAWAI BUMN Microcephaly Rujuk Lanjut

123 23-08-2018 080110010818Y000230 0002248791208 HARNO L PEGAWAI PEMERINTAH Chronic periodontitis Rujuk Lanjut
NON PNS
124 23-08-2018 080110010818Y000469 0002311410789 TRI LESTARI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

125 22-08-2018 080110010818Y000492 0002466229915 SANTI MEGASARI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
126 21-08-2018 080110010818Y000213 0000025335549 AMINAH P PENERIMA PENSIUN TNI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
127 21-08-2018 080110010818Y000225 0000035271325 IRAWAN BUDI WASKITO L PNS DAERAH Myopia Rujuk Lanjut

128 21-08-2018 080110010818Y000224 0000360772334 NASRUN SABKI L PBI (APBN) Atopic dermatitis Berobat Jalan

129 21-08-2018 080110010818Y000497 0000360804993 AMIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
130 21-08-2018 080110010818Y000479 0001980859871 AYU SARASWATI P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
131 21-08-2018 080110010818Y000212 0002478818248 PENI SUPIYANI P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast
132 20-08-2018 080110010818Y000223 0000032561965 SYAMSIDAR BS P PNS PUSAT Essential (primary) Berobat Jalan
hypertension
133 20-08-2018 080110010818Y000207 0000032696526 SADJIDAH,HJ P PENERIMA PENSIUN Arthrosis, unspecified Rujuk Lanjut
PNS
134 20-08-2018 080110010818Y000198 0000033219415 YULI YANTI P PNS DAERAH Arthrosis, unspecified Rujuk Lanjut

135 20-08-2018 080110010818Y000195 0000033638501 DADANG RISWA WAHID L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease with (congestive)

136 20-08-2018 080110010818Y000349 0000033699969 ERNITA P PNS DAERAH Essential (primary) Sembuh
hypertension
137 20-08-2018 080110010818Y000202 0000164008045 YETTY SUMIATI P PENERIMA PENSIUN Chronic atrophic gastritis Rujuk Lanjut
PNS
138 20-08-2018 080110010818Y000348 0000360258952 FAQIH NURBANI P PBI (APBN) Essential (primary) Sembuh
hypertension
139 20-08-2018 080110010818Y000201 0000361227824 SUTRI ASNI P PBI (APBN) Secondary hypertension Rujuk Lanjut

140 20-08-2018 080110010818Y000211 0001226467618 JOHANA L PEGAWAI SWASTA Radiculopathy Berobat Jalan

141 20-08-2018 080110010818Y000206 0001263703623 HI.HERNY HSY L PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
142 20-08-2018 080110010818Y000203 0001308930039 denny s L PEKERJA MANDIRI Secondary hypertension Rujuk Lanjut

143 20-08-2018 080110010818Y000209 0001323128013 KASINEM P PEGAWAI SWASTA Angina pectoris Rujuk Lanjut

144 20-08-2018 080110010818Y000196 0001382148055 DWI CHANDRA YULIA SARI P PEKERJA MANDIRI Specific developmental Rujuk Lanjut
disorders of speech and

145 20-08-2018 080110010818Y000204 0001628323367 KOMARI L PEGAWAI SWASTA Myopia Rujuk Lanjut

146 20-08-2018 080110010818Y000347 0001794482019 SUSILAWATI P PEKERJA MANDIRI Essential (primary) Sembuh
hypertension
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

147 20-08-2018 080110010818Y000210 0001903137208 MARPU'AH P PEKERJA MANDIRI Chronic kidney disease Rujuk Lanjut

148 20-08-2018 080110010818Y000208 0001906378637 AGUS SALIM L PEKERJA MANDIRI Other recurrent depressive Rujuk Lanjut
disorders
149 20-08-2018 080110010818Y000199 0001964861638 NAPSIAH P PEKERJA MANDIRI Low back pain Rujuk Lanjut

150 20-08-2018 080110010818Y000200 0002084757344 M SARTONO L PEKERJA MANDIRI Other shoulder lesions Rujuk Lanjut

151 20-08-2018 080110010818Y000511 0002466589162 PUTRI PUSPITA SARI P PEGAWAI SWASTA Antenatal screening for Berobat Jalan
chromosomal anomalies
152 20-08-2018 080110010818Y000205 0002466589162 PUTRI PUSPITA SARI P PEGAWAI SWASTA Prolonged pregnancy Rujuk Lanjut

153 18-08-2018 080110010818Y000286 0000032626855 SUDIYONO L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
154 18-08-2018 080110010818Y000314 0000032696616 BAMBANG HARTONO, IR L PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus without

155 18-08-2018 080110010818Y000302 0000033028929 SUNARTO L PNS DAERAH Non-insulin-dependent Sembuh

diabetes mellitus without

156 18-08-2018 080110010818Y000308 0000033091233 SITI ANUGRAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus without

157 18-08-2018 080110010818Y000189 0000033619072 ROSDAYATI BANGSA RADIN P PENERIMA PENSIUN Superficial injury of head Rujuk Lanjut
PNS
158 18-08-2018 080110010818Y000191 0000033656117 KHAIDIRSYAH L PNS DAERAH Other disorders of Rujuk Lanjut
refraction
159 18-08-2018 080110010818Y000307 0000036398092 SABIRIN L PNS PUSAT Non-insulin-dependent Sembuh
diabetes mellitus without

160 18-08-2018 080110010818Y000311 0000039279205 ETTY KUSUMANINGSIH P PNS PUSAT Non-insulin-dependent Sembuh
diabetes mellitus without

161 18-08-2018 080110010818Y000313 0000360227294 EVILAWATI P PBI (APBN) Non-insulin-dependent Sembuh

diabetes mellitus without

162 18-08-2018 080110010818Y000190 0000360322222 KAMSAH P PBI (APBN) Myopia Rujuk Lanjut

163 18-08-2018 080110010818Y000310 0000360583288 SUWARNI P PBI (APBN) Non-insulin-dependent Sembuh

diabetes mellitus without

164 18-08-2018 080110010818Y000222 0000360772446 NURANA DARNI YANTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
165 18-08-2018 080110010818Y000312 0001263703959 HJ.LESTURI SARI P PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus without
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

166 18-08-2018 080110010818Y000304 0001390652875 ratna abriyanti P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus without

167 18-08-2018 080110010818Y000309 0001787422421 SUYONO S L PNS DAERAH Non-insulin-dependent Sembuh

diabetes mellitus without

168 18-08-2018 080110010818Y000306 0001846445499 YUSMANIAR P PNS DAERAH Non-insulin-dependent Sembuh

diabetes mellitus without

169 18-08-2018 080110010818Y000194 0001862209462 RINJANI PUTRI TANJUNG P PEKERJA MANDIRI Thalassaemia, unspecified Rujuk Lanjut

170 18-08-2018 080110010818Y000305 0001892540799 DARYANTO L PEKERJA MANDIRI Non-insulin-dependent Sembuh

diabetes mellitus without

171 18-08-2018 080110010818Y000303 0002037697841 NAJRIN SILALAHI L PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus without

172 18-08-2018 080110010818Y000192 0002244003783 SUMIRAH P PEKERJA MANDIRI Chronic renal failure, Rujuk Lanjut
unspecified
173 18-08-2018 080110010818Y000468 0002424682405 SITI MASITOH P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
174 18-08-2018 080110010818Y000193 0002462352388 FINO TINO NEGORO BATU L PEKERJA MANDIRI Superficial injury of head Rujuk Lanjut
BARA
175 17-08-2018 080110010818Y000467 0000360754738 JULIA P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
176 17-08-2018 080110010818Y000489 0001318935058 NANI WIJAYA P PEGAWAI SWASTA Single spontaneous Sembuh
delivery, unspecified
177 16-08-2018 080110010818Y000179 0000032535022 AMSOR L PENERIMA PENSIUN Disorder of refraction, Rujuk Lanjut
PNS unspecified
178 16-08-2018 080110010818Y000346 0000033015699 IMRONAH P PNS DAERAH Essential (primary) Sembuh
hypertension
179 16-08-2018 080110010818Y000184 0000337393236 FATMAWATI P PBI (APBN) Congestive heart failure Rujuk Lanjut

180 16-08-2018 080110010818Y000185 0000360121792 JUMINAH P PBI (APBN) Anaemia complicating Rujuk Lanjut
pregnancy, childbirth and

181 16-08-2018 080110010818Y000220 0000360318611 RUDIYANSAH L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
182 16-08-2018 080110010818Y000345 0000360675371 BUNAIYAH P PBI (APBN) Essential (primary) Sembuh
hypertension
183 16-08-2018 080110010818Y000182 0000361034605 YULIANTI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
184 16-08-2018 080110010818Y000221 0000361273386 BESTORI L PBI (APBN) Other headache Berobat Jalan
syndromes
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

185 16-08-2018 080110010818Y000499 0000361296562 SUSI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
186 16-08-2018 080110010818Y000178 0000577633331 TIZZYA DWI ANJANI P PBI (APBN) Patent ductus arteriosus Rujuk Lanjut

187 16-08-2018 080110010818Y000180 0000997708869 SANDI ISKANDAR L PBI (APBN) Thyrotoxicosis Rujuk Lanjut
[hyperthyroidism]
188 16-08-2018 080110010818Y000188 0001078874662 ALIFIANDRA ANANDA GADING L PNS DAERAH Other atopic dermatitis Rujuk Lanjut

189 16-08-2018 080110010818Y000488 0001262727101 LISTA APRIANTI, SE P PEGAWAI SWASTA Single spontaneous Sembuh
delivery, unspecified
190 16-08-2018 080110010818Y000181 0001282939209 RUSLI NURDIN L PNS DAERAH Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
191 16-08-2018 080110010818Y000186 0002071642239 ANTIKA SURYA P PEKERJA MANDIRI Leiomyoma of uterus Rujuk Lanjut

192 16-08-2018 080110010818Y000183 0002305992284 QORRIE AINA P PNS PUSAT Necrosis of pulp Rujuk Lanjut

193 16-08-2018 080110010818Y000187 0002430719605 MARYANI P PEKERJA MANDIRI Myopia Rujuk Lanjut

194 15-08-2018 080110010818Y000169 0000032689102 JIMMY F HARTONO, DRS L PENERIMA PENSIUN Myopia Rujuk Lanjut
PNS
195 15-08-2018 080110010818Y000164 0000033051453 SRI MOERHAENI P PNS DAERAH Pterygium Rujuk Lanjut

196 15-08-2018 080110010818Y000175 0000033745105 WARNIDES P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus
197 15-08-2018 080110010818Y000166 0000033803447 SUHIRMAN L PNS DAERAH Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
198 15-08-2018 080110010818Y000177 0000033880149 M.SYAFEI L PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
199 15-08-2018 080110010818Y000171 0000034075787 BURMAN SARBINI L PENERIMA PENSIUN Chronic kidney disease Rujuk Lanjut
PNS
200 15-08-2018 080110010818Y000167 0000035463925 MUSLIM L PNS DAERAH Secondary hypertension Rujuk Lanjut

201 15-08-2018 080110010818Y000344 0000360296155 SALBIAH P PBI (APBN) Essential (primary) Sembuh
hypertension
202 15-08-2018 080110010818Y000501 0000360811776 MELATI MARLIANA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
203 15-08-2018 080110010818Y000168 0000361247826 MELISA P PBI (APBN) Herpesviral [herpes Rujuk Lanjut
simplex] infections
204 15-08-2018 080110010818Y000343 0000997704742 YURITA P PBI (APBN) Essential (primary) Sembuh
hypertension
205 15-08-2018 080110010818Y000218 0001081228904 SIYANTORI L PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

206 15-08-2018 080110010818Y000176 0001382148055 DWI CHANDRA YULIA SARI P PEKERJA MANDIRI Specific developmental Rujuk Lanjut
disorders of speech and

207 15-08-2018 080110010818Y000219 0001431710515 RUMAINI P PEGAWAI SWASTA Other headache Berobat Jalan
syndromes
208 15-08-2018 080110010818Y000173 0001644357519 MARCHELLY PUSPA PERTIWI P PEKERJA MANDIRI Supervision of other Rujuk Lanjut
normal pregnancy
209 15-08-2018 080110010818Y000231 0001819355681 hi. ahmad yusup L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
210 15-08-2018 080110010818Y000165 0002089447626 M. UMAR L PEKERJA MANDIRI Fracture of fibula alone, Rujuk Lanjut
closed
211 15-08-2018 080110010818Y000172 0002197803745 ROSA NOVILIA P KEPOLISIAN RI Pulpitis Rujuk Lanjut

212 15-08-2018 080110010818Y000170 0002282381998 MUHAMMAD RADEN FATTAH L PNS DAERAH Microtia Rujuk Lanjut
ARSANTATI ADHA DElIMAN

213 14-08-2018 080110010818Y000160 0000021083422 DAM DAM BACHTIAR L PNS PUSAT Necrosis of pulp Rujuk Lanjut

214 14-08-2018 080110010818Y000342 0000032696627 NAZMAH P PENERIMA PENSIUN Essential (primary) Sembuh
PNS hypertension
215 14-08-2018 080110010818Y000341 0000033987262 KARTINA K P PNS DAERAH Essential (primary) Sembuh
hypertension
216 14-08-2018 080110010818Y000466 0000354840366 SITI PATIMAH P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
217 14-08-2018 080110010818Y000503 0000360313738 DARMINI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
218 14-08-2018 080110010818Y000217 0000360724994 ERMANSYAH L PBI (APBN) Dental caries, unspecified Berobat Jalan

219 14-08-2018 080110010818Y000498 0000361000675 HELIYENI RASYID P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
220 14-08-2018 080110010818Y000161 0000361183173 MONIKA ERISTA. K P PBI (APBN) Other single delivery by Rujuk Lanjut
caesarean section
221 14-08-2018 080110010818Y000162 0000361368595 SAMHAH P PBI (APBN) Low back pain Rujuk Lanjut

222 14-08-2018 080110010818Y000156 0001319215836 PURWANDARI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

223 14-08-2018 080110010818Y000159 0001435450296 djuwono nyono L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease without

224 14-08-2018 080110010818Y000158 0001723373954 RATIH MUNAWAROH P PEKERJA MANDIRI Missed abortion Rujuk Lanjut

225 14-08-2018 080110010818Y000487 0001872543701 helda vitasri P PEGAWAI PEMERINTAH Single spontaneous Sembuh
NON PNS delivery, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

226 14-08-2018 080110010818Y000163 0002231762308 AISYAH AQILA ZAHRA P PEGAWAI SWASTA Other developmental Rujuk Lanjut
disorders of speech and

227 14-08-2018 080110010818Y000157 0002440476505 NANDA FEBRIANINGRUM P PEGAWAI SWASTA Other disorders of Rujuk Lanjut
refraction
228 13-08-2018 080110010818Y000151 0000033707406 RATNA ALIRI P PNS DAERAH Lipomatosis, not Rujuk Lanjut
elsewhere classified
229 13-08-2018 080110010818Y000147 0000039279205 ETTY KUSUMANINGSIH P PNS PUSAT Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

230 13-08-2018 080110010818Y000148 0000353322134 ADI SAPUTRA L PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in malignant

231 13-08-2018 080110010818Y000142 0000359179086 NOUFAL HANIF FIRMANSYAH L PBI (APBN) Dengue haemorrhagic Rujuk Lanjut
fever
232 13-08-2018 080110010818Y000149 0000360194218 SAPNI P PBI (APBN) Other atopic dermatitis Rujuk Lanjut

233 13-08-2018 080110010818Y000140 0000360284861 FAUZIAH P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease without

234 13-08-2018 080110010818Y000143 0000360378663 YUSNANI P PBI (APBN) Other chest pain Rujuk Lanjut

235 13-08-2018 080110010818Y000216 0000360726287 AGUS TERI WANJAYA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

236 13-08-2018 080110010818Y000152 0000361212377 ARIYAN DOVIE L PBI (APBN) Myopia Rujuk Lanjut

237 13-08-2018 080110010818Y000153 0000361357097 M RIDUAN L PBI (APBN) Lipomatosis, not Rujuk Lanjut
elsewhere classified
238 13-08-2018 080110010818Y000138 0001283976426 HERLINA S P PEKERJA MANDIRI Other specified cataract Rujuk Lanjut

239 13-08-2018 080110010818Y000154 0001287158488 EMI SUPRIATIN P PEKERJA MANDIRI Benign neoplasm of ovary Rujuk Lanjut

240 13-08-2018 080110010818Y000139 0001819371565 yana ria P PEKERJA MANDIRI Other disorders of urinary Rujuk Lanjut
system
241 13-08-2018 080110010818Y000155 0001823887719 GALUH PAWESTI P PEGAWAI SWASTA Oligohydramnios Rujuk Lanjut

242 13-08-2018 080110010818Y000146 0001846445499 YUSMANIAR P PNS DAERAH Insulin-dependent Rujuk Lanjut
diabetes mellitus
243 13-08-2018 080110010818Y000137 0001873811024 ELNA ALFIANA P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

244 13-08-2018 080110010818Y000150 0001876026993 HAIRANI HERYADI P PNS PUSAT Maternal care for Rujuk Lanjut
disproportion of other

245 13-08-2018 080110010818Y000141 0002431835796 sukapti P PEKERJA MANDIRI Other recurrent depressive Rujuk Lanjut
disorders
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

246 13-08-2018 080110010818Y000465 0002436121855 KARTIKA SARI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
247 13-08-2018 080110010818Y000144 0002475659935 MARHAMAH P PEKERJA MANDIRI Decubitus ulcer Rujuk Lanjut

248 13-08-2018 080110010818Y000145 0002481534641 ERVINA SARI P PEGAWAI SWASTA Threatened abortion Rujuk Lanjut

249 12-08-2018 080110010818Y000485 0000336897729 fatimah P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
250 12-08-2018 080110010818Y000477 0000996230103 EMY LESTARI P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
251 12-08-2018 080110010818Y000486 0002470260723 YENI GUSTIANA P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
252 11-08-2018 080110010818Y000110 0000029540417 SAINA P PENERIMA PENSIUN Developmental disorders Rujuk Lanjut
PNS of jaws
253 11-08-2018 080110010818Y000339 0000032735384 HANNA P PNS DAERAH Essential (primary) Sembuh
hypertension
254 11-08-2018 080110010818Y000117 0000032926061 IDA JUBAIDAH,S.PD P PNS DAERAH Presbyopia Rujuk Lanjut

255 11-08-2018 080110010818Y000118 0000032926094 BERLIAN SATRIO WICAKSONO L PNS DAERAH Myopia Rujuk Lanjut

256 11-08-2018 080110010818Y000214 0000033016948 KARYAWATI P PNS DAERAH Other headache Berobat Jalan
syndromes
257 11-08-2018 080110010818Y000119 0000033656141 HANGGI TRY NOPRIANSYAH L PNS DAERAH Epilepsy Rujuk Lanjut

258 11-08-2018 080110010818Y000340 0000033894639 ZULKARNAEN A MANTJA L PNS DAERAH Essential (primary) Sembuh
hypertension
259 11-08-2018 080110010818Y000116 0000034235201 ZURAIDA P PNS DAERAH Malignant neoplasm of Rujuk Lanjut
breast
260 11-08-2018 080110010818Y000111 0000360220105 MARHANI L PBI (APBN) Hyperplasia of prostate Rujuk Lanjut

261 11-08-2018 080110010818Y000114 0000360222208 ASNI BIN TASIR P PBI (APBN) Other specified cataract Rujuk Lanjut

262 11-08-2018 080110010818Y000120 0000360337871 ANDI SAPUTRA L PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
bacteriologically and

263 11-08-2018 080110010818Y000502 0000360472465 APRI YUNARSIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
264 11-08-2018 080110010818Y000215 0000361274051 JANNE ALICIA PUTRI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
265 11-08-2018 080110010818Y000112 0000997706024 ARISTIKA MIRANDA P PBI (APBN) Other iron deficiency Rujuk Lanjut
anaemias
266 11-08-2018 080110010818Y000121 0001190729878 NICO AKBAR NUGRAHA L PEGAWAI SWASTA Tuberculosis of lung, Rujuk Lanjut
bacteriologically and

267 11-08-2018 080110010818Y000115 0001299242619 BETHA NATALIA ARITONANG P PEGAWAI BUMN Maternal care for other Rujuk Lanjut
malpresentation of fetus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

268 11-08-2018 080110010818Y000113 0001658544401 FAJARUDIN L PBI (APBD) Other disorders of facial Rujuk Lanjut
nerve
269 11-08-2018 080110010818Y000484 0001962719335 defti arlen P PEGAWAI PEMERINTAH Single spontaneous Sembuh
NON PNS delivery, unspecified
270 11-08-2018 080110010818Y000122 0002257865245 SAFITRI P PEKERJA MANDIRI Other appendicitis Rujuk Lanjut

271 11-08-2018 080110010818Y000123 0002446318809 BERTA SAFITRI P PEKERJA MANDIRI Other hypoglycaemia Rujuk Lanjut

272 10-08-2018 080110010818Y000136 0000033295566 WALINA P PENERIMA PENSIUN TNI Myalgia Berobat Jalan

273 10-08-2018 080110010818Y000105 0000033820018 FENNY INDRIANI P PNS DAERAH Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
274 10-08-2018 080110010818Y000337 0000034733979 M SAHID ALKARIM L PNS DAERAH Essential (primary) Sembuh
hypertension
275 10-08-2018 080110010818Y000106 0000360486224 MARYANTI P PBI (APBN) Hypermetropia Rujuk Lanjut

276 10-08-2018 080110010818Y000135 0000360812261 M ANTON WIJAYA L PBI (APBN) Other headache Berobat Jalan
syndromes
277 10-08-2018 080110010818Y000103 0000360839215 ROBI L PBI (APBN) Epilepsy Rujuk Lanjut

278 10-08-2018 080110010818Y000338 0001282248437 BUSTONI L PEKERJA MANDIRI Essential (primary) Sembuh
hypertension
279 10-08-2018 080110010818Y000108 0001842756939 rachmiyati P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

280 10-08-2018 080110010818Y000109 0002062880728 AFIF MUHAMMAD PUTRA L PRAJURIT AL Cerebral palsy Rujuk Lanjut

281 10-08-2018 080110010818Y000104 0002434431745 SUGIONO L PEKERJA MANDIRI Chronic atrophic gastritis Rujuk Lanjut

282 09-08-2018 080110010818Y000088 0000029540417 SAINA P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

283 09-08-2018 080110010818Y000090 0000032995697 PURWANTINI P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
284 09-08-2018 080110010818Y000099 0000033028626 SULASMI P PENERIMA PENSIUN Chronic conjunctivitis Rujuk Lanjut
PNS
285 09-08-2018 080110010818Y000098 0000033028637 EDDY PURWANTO L PENERIMA PENSIUN Spondylolisthesis, lumbar Rujuk Lanjut
PNS region
286 09-08-2018 080110010818Y000095 0000033632785 SURNA ASMUNI, S.Pd P PNS DAERAH Other specified cataract Rujuk Lanjut

287 09-08-2018 080110010818Y000094 0000033704965 SUGIRI L PNS DAERAH Arthrosis, unspecified Rujuk Lanjut

288 09-08-2018 080110010818Y000197 0000033719949 HAYANI JAKFAR P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
289 09-08-2018 080110010818Y000092 0000034208291 FAUZAN MH L PNS DAERAH Gingival recession Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

290 09-08-2018 080110010818Y000505 0000035044828 KEMALASARI, A.MD P PNS DAERAH Contraceptive Berobat Jalan
management, unspecified
291 09-08-2018 080110010818Y000091 0000195602128 LANAEL AUFA DZAKWAN L PNS DAERAH Tuberculous peripheral Rujuk Lanjut
lymphadenopathy
292 09-08-2018 080110010818Y000100 0000360010102 HUSAINI L PBI (APBN) Dyspnoea Rujuk Lanjut

293 09-08-2018 080110010818Y000089 0000360220105 MARHANI L PBI (APBN) Low back pain Rujuk Lanjut

294 09-08-2018 080110010818Y000134 0000360802326 MARYANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
295 09-08-2018 080110010818Y000101 0000360992744 AHMAD MUAMAR L PBI (APBN) Foreign body on external Rujuk Lanjut
eye
296 09-08-2018 080110010818Y000097 0000997704573 SITI P PBI (APBN) Tinnitus Rujuk Lanjut

297 09-08-2018 080110010818Y000096 0001436028423 abdul aziz soopy L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease without

298 09-08-2018 080110010818Y000464 0001455180928 ENI NURAINI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
299 09-08-2018 080110010818Y000500 0002257658897 DESSY DHARMA LINDA P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
300 09-08-2018 080110010818Y000093 0002314498127 LUSYLIA SEPTA RIANIS P PEKERJA MANDIRI Benign neoplasm of ovary Rujuk Lanjut

301 09-08-2018 080110010818Y000102 0002440275039 EVA YUNISMA P PEGAWAI SWASTA Delayed and secondary Rujuk Lanjut
postpartum haemorrhage
302 08-08-2018 080110010818Y000085 0000033028626 SULASMI P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
303 08-08-2018 080110010818Y000133 0000033595468 HIMARIATI P PNS DAERAH Myalgia Berobat Jalan

304 08-08-2018 080110010818Y000335 0000039279205 ETTY KUSUMANINGSIH P PNS PUSAT Essential (primary) Sembuh
hypertension
305 08-08-2018 080110010818Y000087 0000360220105 MARHANI L PBI (APBN) Secondary hypertension, Rujuk Lanjut
unspecified
306 08-08-2018 080110010818Y000336 0000360268402 NUR BAITI P PBI (APBN) Essential (primary) Sembuh
hypertension
307 08-08-2018 080110010818Y000495 0000360433135 REPINA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
308 08-08-2018 080110010818Y000083 0001096296838 EDDY IRSAN, SH L KEPOLISIAN RI Necrosis of pulp Rujuk Lanjut

309 08-08-2018 080110010818Y000084 0001807775256 DJAUHAR SURYANI P PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
SWASTA disease with (congestive)

310 08-08-2018 080110010818Y000086 0002057492981 siti fadhilati hw P PEKERJA MANDIRI Arthrosis, unspecified Rujuk Lanjut

311 08-08-2018 080110010818Y000509 0002432163914 neneng iklimah P PEKERJA MANDIRI Antenatal screening for Berobat Jalan
chromosomal anomalies
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

312 08-08-2018 080110010818Y000082 0002453650075 DIAN YANIKA PUTRI P PEKERJA MANDIRI Systemic lupus Rujuk Lanjut
erythematosus,

313 07-08-2018 080110010818Y000077 0000018061492 YULVIA SANI P PEKERJA MANDIRI Myopia Rujuk Lanjut

314 07-08-2018 080110010818Y000071 0000026287953 SUPRIYANTO L PNS PUSAT Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
315 07-08-2018 080110010818Y000066 0000032624291 SITI AISAH P PENERIMA PENSIUN TNI Open wound of nose Rujuk Lanjut

316 07-08-2018 080110010818Y000075 0000112832234 SRI HARNANIK P PENERIMA PENSIUN TNI Malignant neoplasm of Rujuk Lanjut
breast
317 07-08-2018 080110010818Y000067 0000158598909 SUSIYATI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

318 07-08-2018 080110010818Y000334 0000165474887 SUTINAH P PNS PUSAT Essential (primary) Sembuh
hypertension
319 07-08-2018 080110010818Y000510 0000360121792 JUMINAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
320 07-08-2018 080110010818Y000076 0000360124661 NAIM RULLOH L PEGAWAI SWASTA Insulin-dependent Rujuk Lanjut
diabetes mellitus
321 07-08-2018 080110010818Y000080 0000360140444 ALI AMRAN L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

322 07-08-2018 080110010818Y000132 0000361273386 BESTORI L PBI (APBN) Gastritis, unspecified Berobat Jalan

323 07-08-2018 080110010818Y000073 0000361368595 SAMHAH P PBI (APBN) Low back pain Rujuk Lanjut

324 07-08-2018 080110010818Y000079 0001262790606 JAVIER SHAQUILLE L PEGAWAI SWASTA Epistaxis Rujuk Lanjut
RAMADHAN
325 07-08-2018 080110010818Y000072 0001282939209 RUSLI NURDIN L PNS DAERAH Tuberculosis of lung, Rujuk Lanjut
bacteriologically and

326 07-08-2018 080110010818Y000078 0001295350593 HASAN BASRI L PEKERJA MANDIRI Secondary hypertension Rujuk Lanjut

327 07-08-2018 080110010818Y000070 0001427605165 SOEDJATMIKO L PENERIMA PENSIUN Other specified cataract Rujuk Lanjut
SWASTA
328 07-08-2018 080110010818Y000333 0001453221843 ZAKARIA L PEKERJA MANDIRI Essential (primary) Sembuh
hypertension
329 07-08-2018 080110010818Y000069 0001792282048 ahmad zubaidi L PNS DAERAH Other specified cataract Rujuk Lanjut

330 07-08-2018 080110010818Y000074 0001819355681 hi. ahmad yusup L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

331 07-08-2018 080110010818Y000068 0002036806841 ASRIANI P PEGAWAI SWASTA Insulin-dependent Rujuk Lanjut
diabetes mellitus
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

332 07-08-2018 080110010818Y000081 0002037697841 NAJRIN SILALAHI L PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

333 07-08-2018 080110010818Y000476 0002428208921 mujiarni P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
334 06-08-2018 080110010818Y000060 0000033362054 H.ZIKRI ADLAN,SH L PENERIMA PENSIUN Other specified cataract Rujuk Lanjut
PNS
335 06-08-2018 080110010818Y000057 0000360225797 AAN ARDIANSYAH P PBI (APBN) Other keratitis Rujuk Lanjut

336 06-08-2018 080110010818Y000061 0000361187638 TRISNA DEWI P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
connective and soft tissue
of head, face and neck

337 06-08-2018 080110010818Y000065 0000361240064 SUKADI L PBI (APBN) Parkinson's disease Rujuk Lanjut

338 06-08-2018 080110010818Y000054 0001292050607 YANTI DEWI P PEKERJA MANDIRI Low back pain Rujuk Lanjut

339 06-08-2018 080110010818Y000131 0001292435537 ANNA SARI DEWI P PEGAWAI SWASTA Myalgia Berobat Jalan

340 06-08-2018 080110010818Y000472 0001310316636 YURISTA PRASE PUTRI P PEGAWAI SWASTA Single spontaneous Sembuh
delivery, unspecified
341 06-08-2018 080110010818Y000056 0001328014675 RITA BR SILABAN P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

342 06-08-2018 080110010818Y000055 0001434247762 ARSIL L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

343 06-08-2018 080110010818Y000059 0001832570662 MIRNA RACHMA WATY SE P PEGAWAI SWASTA Threatened abortion Rujuk Lanjut

344 06-08-2018 080110010818Y000058 0001960476017 fitri wulan dari P PEKERJA MANDIRI Other disorders of Rujuk Lanjut
refraction
345 06-08-2018 080110010818Y000062 0002055631116 RAKA DHANAN JAYA L PRAJURIT AD Specific developmental Rujuk Lanjut
disorders of speech and

346 06-08-2018 080110010818Y000064 0002197917371 SUYANTO L PEGAWAI PEMERINTAH Foreign body on external Rujuk Lanjut
NON PNS eye
347 06-08-2018 080110010818Y000063 0002250109743 HERU HADRIANTO L PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
connective and soft tissue
of head, face and neck

348 05-08-2018 080110010818Y000471 0000361306034 ASTUTI P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
349 05-08-2018 080110010818Y000475 0001795173783 ICE HARNITA P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
350 05-08-2018 080110010818Y000483 0002283699532 SITI AMINAH P PEGAWAI PEMERINTAH Single spontaneous Sembuh
NON PNS delivery, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

351 04-08-2018 080110010818Y000039 0000028075825 HARFA ARDI L PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

352 04-08-2018 080110010818Y000052 0000030558082 HERI WAHYUDI SN L PNS DAERAH Other disorders of Rujuk Lanjut
refraction
353 04-08-2018 080110010818Y000051 0000030558093 AQIILA PUTRI NABILLAH P PNS DAERAH Other disorders of Rujuk Lanjut
refraction
354 04-08-2018 080110010818Y000050 0000030695545 SEFTALINA, S. KM P PNS DAERAH Other disorders of Rujuk Lanjut
refraction
355 04-08-2018 080110010818Y000047 0000032176596 AHMAD RIFAI L PENERIMA PENSIUN Hyperplasia of prostate Rujuk Lanjut
PNS
356 04-08-2018 080110010818Y000331 0000033182583 ELIA SUTIYEM P PNS PUSAT Essential (primary) Sembuh
hypertension
357 04-08-2018 080110010818Y000045 0000033662125 DEWI SARTIKA P PEGAWAI SWASTA Multiple delivery, all by Rujuk Lanjut
caesarean section
358 04-08-2018 080110010818Y000041 0000035110001 EVA DWIKORAWATIE P PNS DAERAH Malignant neoplasm of Rujuk Lanjut
breast
359 04-08-2018 080110010818Y000040 0000200447829 IMALIA RIFAI P PNS DAERAH Other specified cataract Rujuk Lanjut

360 04-08-2018 080110010818Y000038 0000360752444 ASPIANA P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease with (congestive)

361 04-08-2018 080110010818Y000129 0000360776564 ALYANA P PBI (APBN) Dental caries, unspecified Berobat Jalan

362 04-08-2018 080110010818Y000130 0000361293377 SITI NURFAENI P PBI (APBN) Atopic dermatitis Berobat Jalan

363 04-08-2018 080110010818Y000053 0000997702942 HERMANSYAH L PBI (APBN) Secondary hypertension Rujuk Lanjut

364 04-08-2018 080110010818Y000043 0001090262867 RIZKI SAPUTRA ADYAN L PNS PUSAT Impacted teeth Rujuk Lanjut

365 04-08-2018 080110010818Y000046 0001101340124 APRIANI P ANGGOTA POLRI Hypertensive heart Rujuk Lanjut
disease without

366 04-08-2018 080110010818Y000037 0001262368596 KALIMAH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease without

367 04-08-2018 080110010818Y000049 0001266256179 HARYANTO L PEKERJA MANDIRI Other chronic obstructive Rujuk Lanjut
pulmonary disease
368 04-08-2018 080110010818Y000036 0001860661135 tumini P PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
369 04-08-2018 080110010818Y000044 0001882762031 NOVINDA CAHYA RHISTA L PEKERJA MANDIRI Pulpitis Rujuk Lanjut
DAMAYANTI
370 04-08-2018 080110010818Y000042 0001904938244 MARIANA P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast
371 04-08-2018 080110010818Y000048 0002205151762 winarto L PEKERJA MANDIRI Arthrosis, unspecified Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

372 04-08-2018 080110010818Y000508 0002436632741 IRMA APRIYANI P PEKERJA MANDIRI Antenatal screening for Berobat Jalan
chromosomal anomalies
373 03-08-2018 080110010818Y000326 0000033739694 JARWATI,SE P PNS DAERAH Essential (primary) Sembuh
hypertension
374 03-08-2018 080110010818Y000031 0000034571002 DRS. SYEHRUN YUSUF L PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

375 03-08-2018 080110010818Y000127 0000360317619 SULAIMAN SANUSI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
376 03-08-2018 080110010818Y000035 0000360322828 PAJRIANTO L PBI (APBN) Necrosis of pulp Rujuk Lanjut

377 03-08-2018 080110010818Y000330 0000360623823 YUNITA RIMA P PBI (APBN) Essential (primary) Sembuh
hypertension
378 03-08-2018 080110010818Y000128 0000360782054 MURIYA ULFA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
379 03-08-2018 080110010818Y000033 0001188101261 RUMNAWATI P PEGAWAI BUMN Other atopic dermatitis Rujuk Lanjut

380 03-08-2018 080110010818Y000030 0001805605143 Muhammad Devdan Abiyyu L PEGAWAI SWASTA Other developmental Rujuk Lanjut
disorders of speech and

381 03-08-2018 080110010818Y000034 0001857542411 SHINTA KIRANA P PEGAWAI SWASTA Leiomyoma of uterus Rujuk Lanjut
WIRDANINGSIH, SE
382 03-08-2018 080110010818Y000032 0002423831477 DAI NURI RAZAK L PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease with (congestive)

383 02-08-2018 080110010818Y000020 0000030318197 MARIANA P PNS DAERAH Hypermetropia Rujuk Lanjut

384 02-08-2018 080110010818Y000015 0000032176607 ELLIYA P PENERIMA PENSIUN Trigeminal neuralgia Rujuk Lanjut
PNS
385 02-08-2018 080110010818Y000452 0000032738545 AULYA RAHMA P PNS DAERAH Influenza, virus not Berobat Jalan
identified
386 02-08-2018 080110010818Y000016 0000033090928 SADIKIN L PENERIMA PENSIUN Hypermetropia Rujuk Lanjut
PNS
387 02-08-2018 080110010818Y000013 0000033115353 BADRUZZAMAN SIDDIQ L PENERIMA PENSIUN Hyperplasia of prostate Rujuk Lanjut
PNS
388 02-08-2018 080110010818Y000174 0000033689823 MUHAMMAD YAMIN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
389 02-08-2018 080110010818Y000432 0000033778473 KHAIRUL EFFENDY DRS L PNS DAERAH Other rheumatoid arthritis Berobat Jalan

390 02-08-2018 080110010818Y000324 0000033850045 EUIS PANJIWATI P PNS PUSAT Essential (primary) Sembuh
hypertension
391 02-08-2018 080110010818Y000027 0000033868552 SRI WATI P PNS PUSAT Low back pain Rujuk Lanjut

392 02-08-2018 080110010818Y000022 0000033901007 DIRGAS OLIS B NAHOR L PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

393 02-08-2018 080110010818Y000456 0000158574464 Hj.RADINI P PENERIMA PENSIUN Pneumonia, organism Berobat Jalan
PNS unspecified
394 02-08-2018 080110010818Y000028 0000203639231 SETIYONO L PNS DAERAH Arthrosis, unspecified Rujuk Lanjut

395 02-08-2018 080110010818Y000449 0000360145359 ALIF KHAISHOL L PBI (APBN) Acute tonsillitis Berobat Jalan

396 02-08-2018 080110010818Y000437 0000360193961 ASMINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
397 02-08-2018 080110010818Y000443 0000360231186 ASIKIN HARUN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
398 02-08-2018 080110010818Y000450 0000360369887 ROHANA P PBI (APBN) Dental caries Berobat Jalan

399 02-08-2018 080110010818Y000445 0000360378641 SYAMSUDDIN L PBI (APBN) Vasomotor and allergic Berobat Jalan
rhinitis
400 02-08-2018 080110010818Y000446 0000360378663 YUSNANI P PBI (APBN) Other rheumatoid arthritis Berobat Jalan

401 02-08-2018 080110010818Y000462 0000360387854 SUMARNI P PBI (APBN) Dyspepsia Berobat Jalan

402 02-08-2018 080110010818Y000458 0000360496067 ANTO L PBI (APBN) Conjunctivitis Berobat Jalan

403 02-08-2018 080110010818Y000325 0000360583288 SUWARNI P PBI (APBN) Essential (primary) Sembuh
hypertension
404 02-08-2018 080110010818Y000459 0000360636355 MUKMIN HASANAHAMA P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

405 02-08-2018 080110010818Y000461 0000360657437 RUDI ARIF KURNIAWAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

406 02-08-2018 080110010818Y000447 0000360675371 BUNAIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
407 02-08-2018 080110010818Y000019 0000360830957 SITI HOMSIAH P PBI (APBN) Glaucoma Rujuk Lanjut

408 02-08-2018 080110010818Y000126 0000361004128 M. FACHKRI AKBAR L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
409 02-08-2018 080110010818Y000014 0000361129138 KAMSIN L PBI (APBN) Other specified Rujuk Lanjut
orthopaedic follow-up care

410 02-08-2018 080110010818Y000448 0000361155374 NUR AINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
411 02-08-2018 080110010818Y000018 0000361196379 MANSUR L PBI (APBN) Inguinal hernia Rujuk Lanjut

412 02-08-2018 080110010818Y000460 0000361253586 TIARA SUKMAWATI P PEGAWAI PEMERINTAH Acute tonsillitis Berobat Jalan
DENGAN PERJANJIAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

413 02-08-2018 080110010818Y000438 0000361337297 SUWIJI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
414 02-08-2018 080110010818Y000441 0000361359426 DARLAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
415 02-08-2018 080110010818Y000455 0000361674202 NINGSIH P PBI (APBN) Dyspepsia Berobat Jalan

416 02-08-2018 080110010818Y000494 0000361674202 NINGSIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
417 02-08-2018 080110010818Y000482 0000599346202 SISWATI P PBI (APBN) Single spontaneous Sembuh
delivery, unspecified
418 02-08-2018 080110010818Y000029 0000997707587 NUR AINSYAH P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

419 02-08-2018 080110010818Y000433 0001277284961 SITI MARYAM P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
420 02-08-2018 080110010818Y000011 0001278094691 titik kurniati P PEKERJA MANDIRI Other disorders of cornea Rujuk Lanjut

421 02-08-2018 080110010818Y000021 0001284296354 YULIARNI P PEKERJA MANDIRI Traumatic amputation of Rujuk Lanjut
lower leg
422 02-08-2018 080110010818Y000454 0001286538131 ICE PEMISARI P PENERIMA PENSIUN Myalgia Berobat Jalan
SWASTA
423 02-08-2018 080110010818Y000012 0001305831701 MUHAMAD HAMZAH L ANGGOTA POLRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

424 02-08-2018 080110010818Y000024 0001421898243 FAUZIAH RAHAYU L PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut

425 02-08-2018 080110010818Y000435 0001450533306 MURSINI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

426 02-08-2018 080110010818Y000025 0001788937997 MULTIARA AMINANTIE P PEKERJA MANDIRI Other disorders of brain Rujuk Lanjut

427 02-08-2018 080110010818Y000434 0001801047982 keisha askana ratifa P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
428 02-08-2018 080110010818Y000442 0001837755562 TIARA APRIL LIANI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
429 02-08-2018 080110010818Y000453 0001839266695 m. rizqi haydar L PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
430 02-08-2018 080110010818Y000451 0001862902135 khoiriyah P PEGAWAI SWASTA Acute pharyngitis Berobat Jalan

431 02-08-2018 080110010818Y000444 0001900241515 intan permata sari P PEKERJA MANDIRI Conjunctivitis Berobat Jalan

432 02-08-2018 080110010818Y000017 0002042111676 sunarti P PEKERJA MANDIRI Other chronic obstructive Rujuk Lanjut
pulmonary disease
433 02-08-2018 080110010818Y000440 0002056586949 berlian aqil musdayen L PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
434 02-08-2018 080110010818Y000010 0002069574039 ERMADI L PEKERJA MANDIRI Disorder of refraction, Rujuk Lanjut
unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

435 02-08-2018 080110010818Y000023 0002086674502 MAYANG BULAN DARI FAHIRA P PEKERJA MANDIRI Epilepsy Rujuk Lanjut

436 02-08-2018 080110010818Y000026 0002237776108 IRMANIA NITTA ANNISA P PEKERJA MANDIRI Carpal tunnel syndrome Rujuk Lanjut

437 02-08-2018 080110010818Y000439 0002248792468 SEPRONI L PEGAWAI PEMERINTAH Gastritis, unspecified Berobat Jalan
DENGAN PERJANJIAN

438 02-08-2018 080110010818Y000457 0002289791373 GIBRAN ALFATIR NUGRAHA L PNS DAERAH Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

439 02-08-2018 080110010818Y000436 0002327815719 JAHIR L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
440 01-08-2018 080110010818Y000406 0000032176607 ELLIYA P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
441 01-08-2018 080110010818Y000381 0000032698146 MURSYID HAMID L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
442 01-08-2018 080110010818Y000001 0000032974659 SITI REZEKI P PNS PUSAT Secondary hypertension Rujuk Lanjut

443 01-08-2018 080110010818Y000407 0000033115353 BADRUZZAMAN SIDDIQ L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
444 01-08-2018 080110010818Y000427 0000033689823 MUHAMMAD YAMIN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
445 01-08-2018 080110010818Y000321 0000033886416 TEDI RUSMAN L PNS PUSAT Essential (primary) Sembuh
hypertension
446 01-08-2018 080110010818Y000385 0000034141151 KUSYAIRI L PENERIMA PENSIUN Rheumatoid arthritis, Berobat Jalan
PNS unspecified
447 01-08-2018 080110010818Y000377 0000034423209 ABDULLAH R.M L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus
448 01-08-2018 080110010818Y000420 0000034571002 DRS. SYEHRUN YUSUF L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
449 01-08-2018 080110010818Y000415 0000035581882 ARIE MEIFINA, SE.MM P PNS DAERAH Dental caries, unspecified Berobat Jalan

450 01-08-2018 080110010818Y000413 0000360204704 JUNI ARTIKA HASIBUAN P PBI (APBN) Dental caries, unspecified Berobat Jalan

451 01-08-2018 080110010818Y000008 0000360205929 NOVRIANTY SIREGAR P PBI (APBN) Delivery by caesarean Rujuk Lanjut
section, unspecified
452 01-08-2018 080110010818Y000124 0000360215357 MIZANNUR L PBI (APBN) Other headache Berobat Jalan
syndromes
453 01-08-2018 080110010818Y000379 0000360241345 SRI WAHYUNI P PBI (APBN) Acute tonsillitis Berobat Jalan

454 01-08-2018 080110010818Y000411 0000360256656 YENI APRILIA P PBI (APBN) Dental caries, unspecified Berobat Jalan

455 01-08-2018 080110010818Y000412 0000360256713 AYU WANINGSI P PBI (APBN) Dental caries, unspecified Berobat Jalan

456 01-08-2018 080110010818Y000417 0000360322828 PAJRIANTO L PBI (APBN) Impacted teeth Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

457 01-08-2018 080110010818Y000428 0000360361809 DARLIN L PBI (APBN) Acute tonsillitis Berobat Jalan

458 01-08-2018 080110010818Y000003 0000360432134 SUMIATI P PBI (APBN) Low back pain Rujuk Lanjut

459 01-08-2018 080110010818Y000431 0000360496214 DIAN INDRIANI P PBI (APBN) Dyspepsia Berobat Jalan

460 01-08-2018 080110010818Y000125 0000360774944 JAILANI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
461 01-08-2018 080110010818Y000430 0000360977387 KARSONO L PBI (APBN) Conjunctivitis Berobat Jalan

462 01-08-2018 080110010818Y000402 0000361078931 ZUBAIDAH P PBI (APBN) Other rheumatoid arthritis Berobat Jalan

463 01-08-2018 080110010818Y000507 0000361078931 ZUBAIDAH P PBI (APBN) Antenatal screening for Berobat Jalan
chromosomal anomalies
464 01-08-2018 080110010818Y000375 0000361120948 DAURI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
465 01-08-2018 080110010818Y000408 0000361129138 KAMSIN L PBI (APBN) Dyspepsia Berobat Jalan

466 01-08-2018 080110010818Y000397 0000361134281 ANnISA L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
467 01-08-2018 080110010818Y000410 0000361142324 SUNARIYAH P PBI (APBN) Dyspepsia Berobat Jalan

468 01-08-2018 080110010818Y000392 0000361161562 OKTARITA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
469 01-08-2018 080110010818Y000416 0000361175106 M. KAHMANI L PBI (APBN) Impacted teeth Berobat Jalan

470 01-08-2018 080110010818Y000376 0000361234833 BEJO UTOMO L PBI (APBN) Tuberculosis of lung, Berobat Jalan
bacteriologically and

471 01-08-2018 080110010818Y000107 0000361266658 retna P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

472 01-08-2018 080110010818Y000383 0000361279102 RUSMIATI P PBI (APBN) Dental caries, unspecified Berobat Jalan

473 01-08-2018 080110010818Y000382 0000361281003 REJIKA ANGGRAINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
474 01-08-2018 080110010818Y000396 0000361313752 SRI YANAH P PBI (APBN) Dyspepsia Berobat Jalan

475 01-08-2018 080110010818Y000405 0000361325452 SITI AIYSAH P PBI (APBN) Dyspepsia Berobat Jalan

476 01-08-2018 080110010818Y000388 0000361380699 BAGUS SETIAWAN PRAWIDA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
477 01-08-2018 080110010818Y000425 0000361674202 NINGSIH P PBI (APBN) Gastritis, unspecified Berobat Jalan

478 01-08-2018 080110010818Y000426 0000997701647 YOLANDA SELVIANA P PBI (APBN) Acute tonsillitis Berobat Jalan

479 01-08-2018 080110010818Y000007 0000997706711 HASIAH P PEGAWAI PEMERINTAH Mixed asthma Rujuk Lanjut
DENGAN PERJANJIAN
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

480 01-08-2018 080110010818Y000419 0001095868901 SUDIRMAN L KEPOLISIAN RI Atopic dermatitis Berobat Jalan

481 01-08-2018 080110010818Y000401 0001101402786 IRMA ROPI P ANGGOTA POLRI Conjunctivitis, unspecified Berobat Jalan

482 01-08-2018 080110010818Y000322 0001106634385 WIWIK SRI Utami P PRAJURIT AD Essential (primary) Sembuh
hypertension
483 01-08-2018 080110010818Y000403 0001278094691 titik kurniati P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
484 01-08-2018 080110010818Y000002 0001284558456 zahratun P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

485 01-08-2018 080110010818Y000409 0001287348513 M. ALI YUSIRWAN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
486 01-08-2018 080110010818Y000481 0001313480182 ELY ANDRIYANI P PEKERJA MANDIRI Single spontaneous Sembuh
delivery, unspecified
487 01-08-2018 080110010818Y000424 0001319215836 PURWANDARI P PEKERJA MANDIRI Myalgia Berobat Jalan

488 01-08-2018 080110010818Y000394 0001320497998 SURATINAH P PEKERJA MANDIRI Other headache Berobat Jalan
syndromes
489 01-08-2018 080110010818Y000390 0001370385652 Dra. Kholiyah P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
490 01-08-2018 080110010818Y000391 0001370386157 ANDRI ABADI L PEGAWAI SWASTA Acute pharyngitis, Berobat Jalan
unspecified
491 01-08-2018 080110010818Y000384 0001440359313 DIAH YULIANTI P PEKERJA MANDIRI Other and unspecified Berobat Jalan
abdominal pain
492 01-08-2018 080110010818Y000418 0001479426074 DIKA MAULANA ILYAS L PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
493 01-08-2018 080110010818Y000404 0001644357519 MARCHELLY PUSPA PERTIWI P PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
494 01-08-2018 080110010818Y000393 0001661007148 DEKA ERNALIZA P PEKERJA MANDIRI Acute pharyngitis, Berobat Jalan
unspecified
495 01-08-2018 080110010818Y000399 0001788958001 JOKO SARnowo L PEKERJA MANDIRI Dyspepsia Berobat Jalan

496 01-08-2018 080110010818Y000380 0001822783915 RENA ANGGRAINI P PEGAWAI SWASTA Dental caries, unspecified Berobat Jalan

497 01-08-2018 080110010818Y000386 0001831203549 MUHAMMAD FAUZAN L PNS DAERAH Acute nasopharyngitis Berobat Jalan
RAMADHAN [common cold]
498 01-08-2018 080110010818Y000004 0001837755562 TIARA APRIL LIANI P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut

499 01-08-2018 080110010818Y000423 0001845161943 ROMLAH P PEGAWAI SWASTA Vasomotor and allergic Berobat Jalan
rhinitis
500 01-08-2018 080110010818Y000429 0001852707947 domi malau P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
501 01-08-2018 080110010818Y000395 0001855220319 eko zainuri L PEGAWAI SWASTA Acute pharyngitis, Berobat Jalan
unspecified
502 01-08-2018 080110010818Y000005 0001855221513 mutsaqif hasan al islami L PEGAWAI SWASTA Chronic tonsillitis Rujuk Lanjut
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

503 01-08-2018 080110010818Y000414 0001896596807 YENI SAFITRI P PEKERJA MANDIRI Dental caries, unspecified Berobat Jalan

504 01-08-2018 080110010818Y000389 0001900241515 intan permata sari P PEKERJA MANDIRI Conjunctivitis, unspecified Berobat Jalan

505 01-08-2018 080110010818Y000421 0002042159185 mega sofiya P PEKERJA MANDIRI Conjunctivitis Berobat Jalan

506 01-08-2018 080110010818Y000387 0002126350135 FARHAN NAKLA ADINATA L PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
507 01-08-2018 080110010818Y000009 0002290639926 NINDI HERIA WASTIKA WULAN P PEGAWAI SWASTA Abnormal uterine and Rujuk Lanjut
vaginal bleeding,

508 01-08-2018 080110010818Y000398 0002423831477 DAI NURI RAZAK L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
509 01-08-2018 080110010818Y000006 0002434431745 SUGIONO L PEKERJA MANDIRI Arthrosis, unspecified Rujuk Lanjut

510 01-08-2018 080110010818Y000400 0002464387457 RAJULIS L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
511 01-08-2018 080110010818Y000422 0002464422636 ROHAMAH P PEGAWAI SWASTA Disorder of conjunctiva, Berobat Jalan
unspecified
512 01-08-2018 080110010818Y000378 0002475442618 SEPTIANI P PEGAWAI PEMERINTAH Dyspepsia Berobat Jalan
DENGAN PERJANJIAN