No

TANGGAL

No. KARTU

NAMA PESERTDIAGNOSA

9/23/2015

1382651188 IRMA KUSUMAEpidemic vertigo

9/22/2015

9/22/2015

1296449335 SUWARTI

9/18/2015

1427145726 HANY TARTIWOther mycobacterial infections

9/16/2015

1862047811 YANH BROTO Influenza with other respiratory manifesta

9/15/2015

1276368164 RUSMI

9/8/2015

1202665577 AMRUWAHYUH
Localization-related (focal) (partial) symp

9/4/2015

1296448481 BASORI

9/4/2015

1793116967 ADINDA REYSInfluenza with other respiratory manifesta

10

9/4/2015

1833364427 SUNARTO

Influenza with other respiratory manifesta

11

9/4/2015

1839978011 DJAMILAH

Hypertensive heart disease with (conges

12

9/3/2015

13

9/3/2015

104562944 AGSAL NOVIAN

Influenza with other respiratory manifesta

104636654 MULYONO

Insulin-dependent diabetes mellitus with

Influenza with other respiratory manifesta

Vertigo of central origin

Low back pain, lumbosacral region

1863331716 SUGENG HAMBenign neoplasm, prostate

DI RUJUK

CETAK

pidemic vertigo

TIDAK

fluenza with other respiratory manifestations, virus not identified

TIDAK

sulin-dependent diabetes mellitus with other specified complications

YA

ther mycobacterial infections

TIDAK

fluenza with other respiratory manifestations, virus not identified

TIDAK

fluenza with other respiratory manifestations, virus not identified

TIDAK

ocalization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with comYA

ertigo of central origin

TIDAK

fluenza with other respiratory manifestations, virus not identified

TIDAK

fluenza with other respiratory manifestations, virus not identified

TIDAK

ypertensive heart disease with (congestive) heart failure

TIDAK

ow back pain, lumbosacral region

TIDAK

enign neoplasm, prostate

YA