UMUR

NO NO. RUJUKAN NAMA ALAMAT L P

102903010418Y000840 MAMAT RAHMAT PANUTUTAN 6/1 68
102903010418Y000654 DICKY FIRMANSYAH SUKAASIH 3/1 14
102903010418Y000160 ATIKAH CIPICUNG 1/7 30
102903010418Y000231 UJANG NUSAWANGI 5/5 29
102903010418Y000216 YUYUN RIUNG ASIH 3/13 62
102903010418Y000252 TINI SUHARTINI GN KALONG CIBEUREUM 37
102903010418Y000253 LIA MADINATUL RIZQI CIHIDEUNG GEDE 3/6 23
102903010418Y000176 PONIMAN 57
102903010418Y000288 LINA PATRIA 47
102903010418Y000339 USEP YUSUF 86
102903010418Y000452 MARLINA 30
102903010418Y000669 ELIS JULIAWATI 31
102903010418Y000146 YUNI KARTIKA 21
102903010418Y000186 ENUNG ROHAENI 47
102903010418Y000168 NUROH PANUTUTAN 2/1 62

May-18
102903010518Y000298 RUSINAH BOJONGSARI7/9 69
102903010518Y000350 AAN ANWAR PASEH 7/2 63
102903010518Y000526 A. NURYATI NAGARAWANGI 1/10 59
102903010518Y000524 FIKRI GUNAWAN TUGUSIRNA 3/6 7
102903010518Y000013 SYAFIQ AZIZAH CIBAREGBEG 3/4 1
102903010518Y000020 ENCE CAHELL PASEH 14/4 43
102903010518Y000018 LENI ROSILAWATI SUKAWARGI 3/9 44
102903010518Y000027 NUNUNG MIRLIANI NAGARAWANGI 3/4 26
102903010518Y000030 ELIN HERLINA PASEH 4/1 42
102903010518Y000032 INDRI FIRDAUS CIPICUNG 5/7 18
102903010518Y000070 RIKA CIPICUNG 2/7 19
102903010518Y000338 SUGANDI NUSAWANGI 1/6 48
102903010518Y000343 DANI BUNI ASIH 13/6 14
102903010518Y000353 KOMAR NURJAMAN DADAHA 3/1 73
102903010518Y000357 DEDE CILEMBANG 3/14 69
102903010518Y000387 IYAN YANTO HZ MUSTOFA 1/5 48
102903010518Y000061 RAHMAT HIDAYAT PASEH 1/3 28
102903010518Y000050 DADANG HZ MUSTOFA 1/3 81
102903010518Y000472 ARA GN KARIKIL 4/7 34
102903010518Y000482 WINANTO RAHARJO KEBON TENGAH 2/7 35
102903010518Y000421 RAHMAN RIUNG ASIH 2/12 11
102903010518Y000449 ECIN SANGKALI 1/2 68
102903010518Y000291 AJAT SUDRAJAT NAGARAWANGI 2/9 67
102903010518Y000266 IIS YUHANAH PASEH 10/2 81
102903010518Y000240 UNU M PASEH 60
102903010518Y000260 SLAMET SUMARDI PASEH 7/2 68
102903010518Y000237 SRI YANTI HZ MUSTOFA 1/5 13
102903010518Y000224 ROSE GANTINI PANUTUTAN 6/2 63
102903010518Y000238 TATA SUHERMAN JL AH WINOTO 3/9 48
102903010518Y000204 JENAL MUTAKIN TUGUSARI 1/9 34
102903010518Y000182 DIOH NAGARAWANGI 3/7 18
102903010518Y000212 CHINTIA FEBRIANI S PASEH 33
102903010518Y000180 IDA FARIDA JIWA BESAR 1/8 48
102903010518Y000158 NIROH PANUTUTAN 3/1 53
102903010518Y000152 UEN KURNIASIH TUNDAGAN 2/7 71
102903010518Y000138 MAMAN SURATMAN PASEH 48
102903010518Y000135 ODJO SUTARJO HZ MUSTOFA 3/5
102903010518Y000137 SALEH PASEH 6/3 67
102903010518Y000136 ENONG ELIS HZ MUSTOFA 3/5 59
102903010518Y000134 IYAN SOPIAN CIBAREGBEG 1/4 68
102903010518Y000112 FADLI SUKAWARGI 3/9 78
102903010518Y000101 ABDA SAWALIZ NAGARAWANGI 2/7 6
102903010518Y000100 MAMAT RAHMAT PANUTUTAN 6/1 59
102903010518Y000079 ANI ROHANIAH PASEH 6/8 47
102903010518Y000395 NANDANG RIUNG ASIH 2/12 45
102903010518Y000408 AJAT SUDRAJAT NAGARAWANGI 2/9 57
102903010518Y000391 M TAFSIR NAGARAWANGI 3/8 58
102903010518Y000390 RAHMAT PASEH 1/2 29
102903010518Y000302 YANI HZ MUSTOFA 4/5 69
102903010518Y000315 ANAH PASEH 4/4 31
102903010518Y000319 LILI HERLI LUKMANUL HAKIM 7/2 68
102903010518Y000330 FIERDA GANI DADAHA 2/1 13
102903010518Y000529 M HUDAYA 47
102903010518Y000069 DEDI JUNAEDI 52
102903010518Y000004 AZKIA MUTMAINAH 38
102903010518Y000406 AJAT SUDRAJAT NAGARAWANGI 2/9 57
102903010518Y000464 LIMINI SUMARTINI
102903010518Y000453 DRS RACHMAT 74
102903010518Y000405 AJAT SUDRAJAT NAGARAWANGI 2/9 57
102903010518Y000419 UCU ANWAR S 52
102903010518Y000267 NANDANG 48
102903010518Y000174 MIMIN AMINAH 69
102903010518Y000131 USEP YUSUF 69
102903010518Y000388 IDA FARIDA 69
102903010518Y000072 WESTI NURSITA 37
102903010518Y000314 DEDEH DAHLIA PERUM AKSA JAYA 57
102903010518Y000584 EDDY CIPICUNG 5/3 61

Jun-18
102903010618Y000179 UWE RUHAENAH 67
102903010618Y000157 SURYATI 61
102903010618Y000086 MESA JAHIRA 4
102903010618Y000088 EHA JULAEHA 3
102903010618Y000089 NENNY RUHAENI 68
102903010618Y000090 SESILIA SUKAMAJU, TAMANSARI 20
102903010618Y000085 NANA SUMARNA 65
102903010618Y000096 ANI SURYANI 39
102903010618Y000197 EDENG SULAEMAN 70
102903010618Y000204 NURUL AZIZA 16
102903010618Y000206 MAMAT RAHMAT 59
102903010618Y000119 MAMAN SURATMAN 63
102903010618Y000170 NANDANG 45
102903010618Y000119 MAMAN 63
102903010618Y000127 LUKMAN 46
102903010618Y000261 ELI EMALIAWATI 49
 IDENTITAS
ASKES BPJS KIS DIAGNOSA POLI
0002447659719 SENILE CATARACT (H25.9) MATA
0002422284581 EXAMINATION OF EYES (201.0) MATA
000515852976 SPECIAL SCREENING (211.1) DALAM
000515240616 PLEVAL ( j91) DALAM
0000515474774 CALCULUS OF (K80.0) DALAM
0002307571402 SPECIAL SCREENING (211.1) DALAM
0001453873321 AHEOROSIS HEART DISAES (I25.1) JANTUNG
0002307571402 DALAM
0001669633568 TRYNOTCOALA DALAM
0000515246738 SPECIAL SCREENING (211.1) DALAM
0000515983367 UNSPECIFIED IGD
0000514731308 URINARY CALCULUS UROLOGI
0001667553974 AFRIAL JANTUNG
0000514766055 SPECIAL SCREENING (211.1) DALAM
0001667559879 SENILE CATARACT (H25.9) MATA

0001667546897 DISORDER OF ( H57.9) MATA

0000070218404 ATHEOROSIS (I.25.1 JANTUNG
0000070752082 CONGESTIVE (I30.0) JANTUNG
0001669933563 OTHER PENIGN (D23.5) BEDAH
0002310923979 TUBERCOLOSIS (A16.0) ANAK
0001718243393 IMPOTENCE (N48.4) UROLOGI
0001667550194 UNSPECIFIED K.23) BEDAH
0001146820858 EXAMINATION OF EYES (201.0) MATA
0001262834381 TENSION (G44.2) SYARAF
000513942186 UNSPECIFIED K.23) BEDAH
0000515617222 UNSPECIFIED K.23) BEDAH
0001312430758 FOLLOW UP EXAMINATION (Z09.8) JANTUNG
0000515087638 TUBERCOLOSIS (A16.0) DALAM
0001667363048 SPECIAL SCREENING (211.1) DALAM
0000070166182 VERTICULAR ( I.472) JANTUNG
0000515785241 SPECIAL SCREENING (211.1) DALAM
0000515071596 HIV (B.20) DALAM
0000515055835 PRUTURA (I29.9) KULIT
0000514748259 HEART FULLURE (I50.9) JANTUNG
0002287337995 IMPECTED (H61.2) THT
000051522215 SPECIAL SCREENING (211.1) DALAM
0001889669362 SENILE CATARACT (H25.9) MATA
000051522215 STROKE (I.64) SYARAF
0000071847999 LOW BACK PAIN (M54.5) SYARAF
0000514781774 PANTPRODUNAL MATA
0001463349543 OTHER (H93.2) THT
 0000515607399 ASHMA (J45.9) DALAM
0002447661339 RADICU (M54.1) SYARAF
0002312719773 CYATIS (N30.9) DALAM
0000072230714 EXAMINATION OF EYES (201.0) MATA
0001667353533 JANTUNG
0001663390732 CONDUCTION (I45.9) JANTUNG
000003932929 CAPER (G56.0) SYARAF
0001667559879 CATARACT (H26.9) MATA
0000072021172 NON INSULIN (E11) DALAM
0001311339126 CLIDURA OF PROTAIN DALAM
0000071947991 SEQUILES OF (T90.0) SYARAF
0000515301908 SEQUILES OF (I69.4) SYARAF
0000072112522 OTHER (H26.6) MATA
0000515943404 SPECIAL SCREENING (211.1) DALAM
0000072062111 ATHEOROSIS (I.25.1 JANTUNG
0001888465599 THYPOID (A01.0) ANAK
0002447659719 BENIGN (H81.1) SYARAF
0001014759707 ATHEOROSIS (I.25.1 JANTUNG
0002304183464 EXAMINATION OF EYES (201.0) MATA
0001667348897 BLAIFA (G51.0) FISIOTERAPI
0001667353577 TUBERCOLOSIS (A16.0) DALAM
0000515071596 HIV (B.20) DALAM
0000071965089 EXAMINATION OF EYES (201.0) MATA
0000515602631 SPECIAL SCREENING (211.1) DALAM
0000072207731 OTHER ANXIETY (F41) PSK
0001848544053 TENAMION (G44.2) SYARAF
0002320990738 TUBERCOLOSIS (A16.0) DALAM
0001667350012 DISORDER OF LINNARY UROLOGI
0001270186891 CUTANACUS BEDAH
0001667348897 BELF'S PATSY SYARAF
0000072058991 ESENTIAL (PRIMARY) DALAM
0000072056002 ESENTIAL (PRIMARY) DALAM
0001667348897 BELF'S PATSY FISIOTERAPI
0000072274566 ACUTE PROSTASIC UROLOGI
0002304183484 EXAMINATION OF EYES (201.0) MATA
0000072030908 NON INSULIN (E11) DALAM
0000515246736 SPECIAL SCREENING (211.1) DALAM
0000039329291 LOW BACK PAIN (M54.5) SYARAF
0001878084469 CHEAF PAITH DALAM
0000070492252 LOW BACK PAIN (M54.5) SYARAF
0001667545716 RESPIRATORY (A16) DALAM

0001667548078 CARDIOMEGALY DALAM

0001669142968 CONTUSION OF THORAX BEDAH
 0002437007286 INGUNAL HERNIA BEDAH
0000516191688 SPRAIN AND STRAIN ORT
0000060964029 ATHEROSCLEROTIC HEART JANTUNG
0001820210049 CHRONIC KIDNEY DALAM
0001139312564 CYSTITIS UROLOGI
0000515238401 FRACTURE OF RIB DALAM
0004889668877 ESENTIAL (PRIMARY) DALAM
0002268675167 KELOID SCAR BEDAH
0002447659719 SENILE CATARACT (H25.9) MATA
0002461778245 CARANOMA IN SITU OF BEDAH
0002304183464 BLINDNESS ONE EYE MATA
0002461778245 SKIN OF LOWER LIMB BEDAH
0002265391822 UNSPECIFIED K.23) BEDAH
0000072111982 SPINAL SYARAF
 RUMAH SAKIT
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