No

TANGGAL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47

No. KARTU NAMA PESERTA

10/31/2016 2.0E+008 SAKRAH
10/31/2016 8.4E+008 YULIANI
10/31/2016 8.4E+008 SULIATI
10/31/2016 8.4E+008 RUMI
10/31/2016 8.4E+008 M. ANDRE AWAN
10/31/2016 8.4E+008 MURDASIM
10/29/2016 1.5E+008 RADEN SELAMET
10/29/2016 8.4E+008 YULIANI
10/29/2016 8.4E+008 PAPUK UJIP
10/29/2016 8.4E+008 SAM
10/29/2016 8.4E+008 NOVI KAMALA
10/29/2016 8.4E+008 RIANG
10/29/2016 8.4E+008 YATNA
10/29/2016 8.4E+008 SAHINUN
10/29/2016 8.4E+008 INAQ ATIAH
10/29/2016 1.1E+009 HARINI
10/28/2016 1.4E+008 HUSNI THAMRIN, SP
10/28/2016 1.5E+008 MUHAMMAD IHSAN KARYADI
10/28/2016 8.4E+008 YULIANI
10/28/2016 8.4E+008 MUH.PAUZI RIDWAN
10/28/2016 8.4E+008 SUNARDI
10/28/2016 8.4E+008 SUPAENI
10/28/2016 8.4E+008 M FARIZI
10/28/2016 8.4E+008 AMAQ EPIN
10/27/2016 1.4E+008 ERLIANA
10/27/2016 1.5E+008 KAREP
10/27/2016 8.4E+008 YULIANI
10/27/2016 8.4E+008 AMAK OJAN
10/27/2016 8.4E+008 ANA
10/27/2016 8.4E+008 INAQ ANI
10/27/2016 8.4E+008 NURHAYATI
10/27/2016 8.4E+008 ANDI
10/27/2016 1.1E+009 MARIANA
10/27/2016 1.3E+009 FAOZI ANUGROHO
10/27/2016 2.0E+009 JULI HANDAYANI
10/27/2016 2.1E+009 KHALIKA IQTAN FATINA
10/26/2016 1.4E+008 HAKIM
10/26/2016 1.4E+008 SUKA
10/26/2016 1.5E+008 SITI HADIJAH
10/26/2016 1.5E+008 BUKAAH
10/26/2016 1.5E+008 DJOHARINI
10/26/2016 1.5E+008 MUHAMMAD
10/26/2016 8.4E+008 YULIANI
10/26/2016 8.4E+008 MIRNAWATI
10/26/2016 8.4E+008 SUNUL HULAEFIAH
10/26/2016 8.4E+008 PINA ASTUTI
10/26/2016 8.4E+008 ROZIANTI

SEX
P
P
P
L
L
P
L
P
L
P
P
L
P
P
P
P
L
L
P
L
P
P
L
L
P
L
P
L
P
P
P
L
P
L
L
P
L
P
P
L
P
L
P
P
P
P
P

48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95

10/26/2016
10/26/2016
10/26/2016
10/25/2016
10/25/2016
10/25/2016
10/25/2016
10/25/2016
10/25/2016
10/25/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/24/2016
10/22/2016
10/22/2016
10/22/2016
10/22/2016
10/22/2016
10/22/2016
10/22/2016
10/22/2016
10/22/2016
10/22/2016
10/22/2016
10/21/2016
10/21/2016
10/21/2016
10/21/2016
10/21/2016
10/21/2016
10/21/2016
10/21/2016
10/21/2016
10/21/2016
10/20/2016
10/20/2016
10/20/2016
10/20/2016

8.4E+008 INAQ ATIAH

8.4E+008 AMAK SATRIA
8.4E+008 NURHIDAYATI
8.4E+008 WIDIANI AGUSTINA
8.4E+008 YULIANI
8.4E+008 OZIN
8.4E+008 SUHARNI
8.4E+008 INAQ ANA
8.4E+008 BAIQ SUTRIA
8.4E+008 MUHAMMAD KASIM
8.4E+008 ANDIKA JAYA PUTRA
8.4E+008 YULIANI
8.4E+008 AKUP
8.4E+008 AMAQ ECA
8.4E+008 NURHAYATI
8.4E+008 HAJI SUKARNI
8.4E+008 YUSRAL
8.4E+008 INAQ AHRIN
8.4E+008 SAPNA IRAWAN
8.4E+008 LIANA
8.4E+008 AMAQ MARIHUN
8.4E+008 MUHAMAD HALQI
2.1E+009 CELINE NURFITRI
1.5E+008 KUDIN
8.4E+008 AMAQ ROSIDIN
8.4E+008 YULIANI
8.4E+008 AMINAH
8.4E+008 INUN
8.4E+008 DANI SAPUTRA
8.4E+008 AMAQ ERNI
8.4E+008 INAQ ATIAH
1.3E+009 YULAN SABRAN
2.0E+009 AULIA HUMAEROH
2.1E+009 SUPRATMAN
1.5E+008 MUH AUZA'I
8.4E+008 YULIANI
8.4E+008 AMAK OJAN
8.4E+008 ISNAINI
8.4E+008 INAQ MUSTIANI
8.4E+008 AMINAH
8.4E+008 SITI MAEYANI
1.1E+009 WAHYUDI
1.3E+009 RIM
1.8E+009 AMAQ ERNAWATI
1.5E+008 RADEN SELAMET
8.4E+008 YULIANI
8.4E+008 RUHIL
8.4E+008 IMEN

P
L
P
P
P
L
P
P
P
L
L
P
L
L
P
L
L
P
P
P
L
P
P
L
L
P
P
P
L
L
P
L
P
L
L
P
L
P
P
P
P
L
P
L
L
P
L
P

96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143

10/20/2016
10/20/2016
10/20/2016
10/20/2016
10/20/2016
10/20/2016
10/20/2016
10/20/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/19/2016
10/18/2016
10/18/2016
10/18/2016
10/18/2016
10/18/2016
10/18/2016
10/18/2016
10/18/2016
10/18/2016
10/18/2016
10/17/2016
10/17/2016
10/17/2016
10/17/2016
10/17/2016
10/17/2016
10/17/2016
10/17/2016
10/17/2016
10/17/2016
10/17/2016
10/15/2016
10/15/2016
10/15/2016
10/15/2016

8.4E+008 AMAQ EMI

8.4E+008 INAQ EDI
8.4E+008 SRI WAHYUNI
8.4E+008 M SUNARDI
8.4E+008 MUHAMMAD KASIM
8.4E+008 SAHINUN
8.4E+008 AMAK ANA
1.9E+009 SITI ANDHINI QAYYIMA
1.5E+008 SITI AISYAH
8.4E+008 INAQ TESAR
8.4E+008 YULIANI
8.4E+008 NADA ASRI MAULIDA
8.4E+008 PATIMAH
8.4E+008 INAQ ALFAN
8.4E+008 M.DONI YUSRAN
8.4E+008 INTAN PERATIWI
8.4E+008 ALUH INTA PRATIWI
8.4E+008 SUHARNI
8.4E+008 INAQ SAHRUL
8.4E+008 KAIPIDIN
1.1E+009 INAQ AGUS
2.0E+009 DWI NOVIANI
2.1E+009 EGI IRMAWATI
1.5E+008 MUH AUZA'I
8.4E+008 AMAQ LUTFI
8.4E+008 AMBIAH
8.4E+008 PAPUQ MENI
8.4E+008 INAQ SAFAN
8.4E+008 MARIANI
8.4E+008 INAQ ROH
1.3E+009 YULAN SABRAN
1.8E+009 SALIHAN
2.0E+009 JULI HANDAYANI
8.4E+008 AMAQ ROSIDIN
8.4E+008 YULIANI
8.4E+008 RENI
8.4E+008 NEKAYA
8.4E+008 INAQ JUPRIADI
8.4E+008 NOVIA SULASTUTI
8.4E+008 SADLI
8.4E+008 ELWIN JUANDANA
8.4E+008 MUHAMMAD GIRO
8.4E+008 AMAQ MARIHUN
1.9E+009 PURNAMA
8.4E+008 YULIANI
8.4E+008 ELA AFRIANI
8.4E+008 AMAQ HAFIZ
8.4E+008 INAQ NUR

L
P
P
L
L
P
L
P
P
P
P
P
P
P
P
P
P
P
P
L
P
P
P
L
L
P
L
P
P
P
L
P
L
L
P
P
P
P
P
L
L
L
L
L
P
P
L
P

144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191

10/15/2016
10/15/2016
10/15/2016
10/14/2016
10/14/2016
10/14/2016
10/14/2016
10/14/2016
10/14/2016
10/14/2016
10/13/2016
10/13/2016
10/13/2016
10/13/2016
10/13/2016
10/13/2016
10/13/2016
10/13/2016
10/12/2016
10/12/2016
10/12/2016
10/12/2016
10/12/2016
10/12/2016
10/12/2016
10/12/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/11/2016
10/10/2016
10/10/2016
10/10/2016
10/10/2016
10/10/2016
10/10/2016
10/10/2016
10/10/2016

8.4E+008 ERMA
8.4E+008 NURAINI
1.1E+009 ERNAWATI
1.5E+008 BAIQ ASNAINI SUHARTI
8.4E+008 INAQ BUDI
8.4E+008 YULIANI
8.4E+008 INAQ TITIN
8.4E+008 IZA
8.4E+008 FITRI HIDAYANI
8.4E+008 AMAQ ZULHIJJAH
8.4E+008 YULIANI
8.4E+008 INAQ IRNO
8.4E+008 KALMI
8.4E+008 INAQ LISA
8.4E+008 SUM
8.4E+008 SITI NURUL HIDAYAH
8.4E+008 FATHUR RAZAK
1.5E+009 AMAQ MARJAN
1.5E+008 H. SUKEMI
8.4E+008 MUNAWAROH
8.4E+008 M HAERU MUSLIM
8.4E+008 KARNAEN
8.4E+008 INAQ IR
8.4E+008 ATUN
1.1E+009 HARINI
2.1E+009 MOH. NIKO PRAMADANU
1.4E+008 RUMINI
2.0E+008 HOLIAH
8.4E+008 YOPITA PERMATASARI
8.4E+008 INAQ ALPAN
8.4E+008 INAQ ALBI
8.4E+008 YAZID SA'BANI
8.4E+008 DEVI
8.4E+008 ERNIWATI
8.4E+008 INAQ UNI
8.4E+008 MUHAMMAD KASIM
8.4E+008 SAHINUN
8.4E+008 INAQ ROH
1.1E+009 SUSANTI
LALU MOH. IKHLAS PUTRA
1.9E+009 MALIK
1.5E+008 SAFRINA AZARIA RAHMAN
8.4E+008 HAMBALI
8.4E+008 MURAHINI
8.4E+008 RIPNAWATI
8.4E+008 NURAENI
8.4E+008 PAPUQ EL
8.4E+008 PAPUQ DIANA
8.4E+008 SAHINUN

P
P
P
P
P
P
P
P
P
L
P
P
P
P
P
P
L
L
L
P
L
L
P
P
P
L
P
P
P
P
P
L
P
P
P
L
P
P
P
L
P
L
P
P
P
P
P
P

192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239

10/10/2016
10/10/2016
10/10/2016
10/10/2016
10/8/2016
10/8/2016
10/8/2016
10/8/2016
10/8/2016
10/8/2016
10/8/2016
10/8/2016
10/7/2016
10/7/2016
10/7/2016
10/7/2016
10/7/2016
10/7/2016
10/7/2016
10/7/2016
10/7/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/6/2016
10/5/2016
10/5/2016
10/5/2016
10/5/2016
10/5/2016
10/5/2016
10/5/2016
10/5/2016
10/5/2016
10/5/2016
10/5/2016
10/4/2016
10/4/2016
10/4/2016

8.4E+008 FAHRURRAZI
8.4E+008 HUSNUL KHOTIMAH
8.4E+008 FIKRI
2.0E+009 INAQ JULI
8.3E+008 ZAENAL ABIDIN
8.4E+008 SAYUTI
8.4E+008 ISAH
8.4E+008 DIANTINI
8.4E+008 RIZAL WATHONI
8.4E+008 AJIS
8.4E+008 EZA ZAMAAH
1.1E+009 HARINI
1.5E+008 MUHAMAD NASRI
8.4E+008 NOVIA SULASTUTI
8.4E+008 RADENTA FATHURRAHMAN
8.4E+008 INAQ SAKI
8.4E+008 NURHAYATI
8.4E+008 INAQ BAYU
8.4E+008 NUR
8.4E+008 ASIM
8.4E+008 PAPUQ DIANA
8.4E+008 KAMARUDIN
8.4E+008 RUMINI
8.4E+008 INAQ ANI
8.4E+008 BAIQ MARYANA
8.4E+008 INAQ ANGGI
8.4E+008 SUMASNITA
8.4E+008 PERI
8.4E+008 ENAWATI
8.4E+008 INAQ AHRIN
8.4E+008 ALL
1.4E+009 RENI MULIANA
1.6E+009 BQ. LIDIA ASTUTI, A.MD
2.1E+009 BAYI RUMINI
1.5E+008 HAERUL AZMI
1.5E+008 JIHAN NADHIRA
8.4E+008 SALAM
8.4E+008 SUMIATI
8.4E+008 INAQ ZAENI
8.4E+008 ASMAWATI
8.4E+008 AHYAR RASYIDI
8.4E+008 AHYAR
1.4E+009 RENI MULIANA
2.0E+009 ALIFA MARCAYRA
2.0E+009 HUSNIATI
1.5E+008 KAREP
1.5E+008 SAHLI
1.5E+008 MUHAMAD NASRI

L
P
L
P
L
P
P
P
L
P
P
P
L
P
L
P
P
P
L
P
P
L
P
P
P
P
P
L
P
P
P
P
P
P
L
P
L
P
P
P
L
P
P
P
P
L
L
L

240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279

10/4/2016
10/4/2016
10/4/2016
10/4/2016
10/4/2016
10/4/2016
10/4/2016
10/4/2016
10/4/2016
10/4/2016
10/4/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/3/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016
10/1/2016

8.4E+008 KUSIMAN JAYADI

8.4E+008 ASIH
8.4E+008 AMAQ DANIK
8.4E+008 BAPAK ARI
8.4E+008 INAQ DIAN
8.4E+008 AMAQ AYUN
8.4E+008 AENUN
8.4E+008 RIZAL WATHONI
8.4E+008 INAQ ZUR
8.4E+008 MAMIQ BIDARI
2.1E+009 KHALIKA IQTAN FATINA
8.4E+008 AHRIANI
8.4E+008 INAQ IRNO
8.4E+008 ERKI PRADITA
8.4E+008 YANTI
8.4E+008 SUMARNI
8.4E+008 INUN
8.4E+008 SUP
8.4E+008 AMAQ MARIHUN
8.4E+008 AMAQ YAN
1.1E+009 MERI
1.1E+009 ROH
1.1E+009 PAPUQ DINI
2.0E+009 FEBY SATRIA
2.0E+009 BAIQ MAULIDA UTAMI
2.1E+009 JUMHAR
2.1E+009 JUMHAR
2.1E+009 M. RAFLI APKARI
1.5E+008 RADEN SELAMET
8.4E+008 MIPTAHUL JANNAH
8.4E+008 MUHAMAD OZAN
8.4E+008 YULIANI
8.4E+008 SADLI
8.4E+008 M ADITYA
8.4E+008 INAQ CICI
8.4E+008 SUMIATI
1.3E+009 MANGSUR
1.3E+009 H.MUHAMMAD ZAINUDDIN
1.5E+009 AMAQ MARJAN
1.8E+009 SITI HAJAR

L
L
L
L
P
L
P
L
P
L
P
P
P
L
P
P
P
P
L
L
P
P
P
L
P
L
L
L
L
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L
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L
L
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P
L
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L
P

Acute
Follow-up
nasophary
examinati
JENIS
DIAGNOS
ngitis
Inflammat
on after
PESERTA [common
A
DI RUJUK
PNS
ory
other
DAERAH disorders
cold]
PBI
treatment
Acute
(APBN)
of
breast
PBI
for
other
Cataract,
nasophary
Acute
Influenza
(APBN)
conditions
PBI
unspecifie
ngitis
nasophary
with
(APBN)
d
PBI
[common
ngitis
pneumoni
(APBN)
PBI
[common
PENERIMA cold]
a, virus
Inflammat
Influenza
(APBN)
PENSIUN cold]
not
ory
Essential
with
PNS
identified
PBI
disorders
(primary)
pneumoni
(APBN)
of
breast
PBI
hypertens
a, virus
(APBN)
ion
PBI
not
Gastritis,
(APBN)
identified
PBI
unspecifie
Disturban
(APBN)
d
PBI
Chronic
ces
in
(APBN)
gingivitis
PBI
tooth
Tuberculo
Essential
(APBN)
eruption
sis
of
PBI
(primary)
Acute
lung,
(APBN)
Myalgia
PBI
hypertens
Tensionpharyngiti
Other
confirmed
(APBN)
ion
PBI
type
s,
disorders
by
(APBN)
headache
PNS
unspecifie
of
tooth
Inflammat
sputum
DAERAH Influenza
d
PNS
developm
ory
microscop
with
Allergic
DAERAH
ent
PBI
disorders
y
with or
pneumoni
contact
Influenza
(APBN)
of
breast
PBI
without
a,
virus
dermatitis
with
Influenza
(APBN)
culture
PBI
not
,pneumoni
with
(APBN)
identified
PBI
unspecifie
a, virus
pneumoni
(APBN)
d
cause
PBI
not
a,
virus
(APBN)
identified
PBI
not
Senile
(APBN)
PNS
PENERIMA identified
cataract,
Inflammat
Acute
DAERAH Influenza
Dyspepsia
PENSIUN
unspecifie
ory
pharyngiti
with
PNS
d
PBI
disorders
s,
pneumoni
(APBN)
of
breast
PBI
unspecifie
a,
virus
(APBN)
d
PBI
not
TensionAcute
(APBN)
identified
PBI
type
Status
pharyngiti
(APBN)
headache
PBI
asthmatic
s,
Abdomina
(APBN)
us
PBI
lunspecifie
Conjuncti
(APBN)
d
PBI
pregnanc
vitis,
Acute
(APBN)
y
PBI
unspecifie
Tensionnasophary
(APBD)
PEKERJA d
type
ngitis
Essential
Neuralgia
MANDIRI
headache
PBI
[common
(primary)
and
(APBD)
cold]
PNS
hypertens
neuritis,
DAERAH ion
PNS
unspecifie
DAERAH
Myalgia
PNS
d, lower
PENERIMA
Pruritus,
Superficia
DAERAH
PENSIUN leg
unspecifie
Congestiv
l injury of
d
PNS
e
heart
unspecifie
Inflammat
DAERAH failure
PNS
d
body
ory
Acute
DAERAH
region
PBI
disorders
Tensionnasophary
(APBN)
of
breast
PBI
type
ngitis
(APBN)
headache
PBI
[common
Tension(APBN)
cold]
PBI
type
Tension(APBN)
headache
PBI
type
(APBN)
headache

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Essential
Acute
Maternal
(primary)
nasophary
care for
PBI
hypertens
ngitis
viable
(APBN)
ion
PBI
[common
Fever,
fetus in
Maternal
(APBN)
cold]
PBI
unspecifie
abdominal
Inflammat
care
for
(APBN)
d
PBI
pregnanc
ory
viable
(APBN)
y
PBI
disorders
Tensionfetus in
(APBN)
of
breast
PBI
type
abdominal
Abdomina
(APBN)
headache
PBI
pregnanc
l
(APBN)
y
PBI
pregnanc
Arthrosis,
Essential
(APBN)
y
PBI
unspecifie
(primary)
Diarrhoea
(APBN)
d
PBI
hypertens
Gastritis,
Inflammat
and
(APBN)
ion
PBI
unspecifie
ory
gastroent
(APBN)
d
PBI
disorders
eritis of
(APBN)
of
breast
PBI
presumed
Allergic
Chronic
(APBN)
Dyspepsia
PBI
infectious
Tuberculo
Asthma,
contact
obstructiv
(APBN)
origin
sis
of
PBI
unspecifie
Pruritus,
dermatitis
e
Soft
tissue
Maternal
lung,
(APBN)
d
PBI
,unspecifie
pulmonar
disorder,
care
for
confirmed
(APBN)
d
PBI
unspecifie
y
disease,
unspecifie
viable
by
(APBN)
d
cause
PBI
unspecifie
d,
sitein
fetus
sputum
Hordeolu
(APBN)
d
PBI
unspecifie
abdominal
microscop
Acute
m
and
(APBN)
d
PBI
pregnanc
y
with or
nasophary
other
(APBN)
y
PBI
without
Nonngitis
deep
(APBN)
culture
insulinPBI
[common
inflammat
Essential
Urinary
dependen
(APBN)
cold]
PNS
ion
of
(primary)
tract
t
diabetes
DAERAH
eyelid
PNS
hypertens
infection,
Inflammat
mellitus
Cutaneou
DAERAH
ion
PBI
site not
ory
with
s
abscess,
(APBN)
specified
PBI
disorders
Gout,
unspecifie
furuncle
(APBN)
of
breast
PBI
unspecifie
d
and
Observati
(APBN)
d
PBI
complicati
carbuncle,
on for
(APBN)
ons
PBI
unspecifie
suspected
Acute
(APBN)
d
PBI
tuberculos
Arthrosis,
nasophary
(APBN)
is
PBI
unspecifie
ngitis
(APBN)
PEKERJA d
[common
Asthma,
MANDIRI
cold]
PBI
unspecifie
Nausea
(APBN)
d
PNS
and
Inflammat
DAERAH vomiting
PNS
Typhoid
ory
Otitis
Influenza
DAERAH
fever
PBI
disorders
externa,
with
(APBN)
of
breast
PBI
unspecifie
Dizziness
pneumoni
Acute
(APBN)
d
PBI
and
Nona,
virus
nasophary
Acute
Influenza
(APBN)
giddiness
insulinPBI
not
ngitis
nasophary
with
dependen
(APBN)
identified
PBI
[common
ngitis
pneumoni
tcold]
diabetes
(APBN)
PBI
[common
a,
virus
mellitus
(APBN)
cold]
PBI
not
Congestiv
with
(APBN)
identified
PEKERJA
e
heart
Congestiv
unspecifie
MANDIRI
failure
PBI
e
heart
PENERIMA d
Inflammat
(APBD)
failure
PENSIUN ory
complicati
Other
PNS
ons
PBI
disorders
Nontoxic
(APBN)
breast
PBI
of
lacrimal
goitre,
(APBN)
gland
PBI
unspecifie
(APBN)
d

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TIDAK
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TIDAK
YA

PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PNS
DAERAH
PNS
DAERAH
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PEKERJA
MANDIRI
PNS
DAERAH
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PEKERJA
MANDIRI
PEKERJA
MANDIRI
PEKERJA
MANDIRI
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)
PBI
(APBN)

NonSenile
insulinNoncataract,
dependen
insulinunspecifie
Congestiv
Abdomina
tdependen
diabetes
d
e
l heart
mellitus
tpregnanc
diabetes
failure
Essential
with
mellitus
y
(primary)
unspecifie
with
Myopia
hypertens
d
unspecifie
Superficia
ion
complicati
d
l injury of
ons
complicati
unspecifie
Acute
ons
d body
upper
region
Unstable
Inflammat
respirator
Influenza
angina
Necrosis
ory
y
with
of
pulp
disorders
infection,
pneumoni
of
breast
unspecifie
a,
virus
Cutaneou
d
not
Paranoid
s
abscess,
Maternal
identified
schizophr
Nausea
furuncle
care
for
enia
and
and
viable
vomiting
Typhoid
carbuncle,
fetus in
fever
unspecifie
abdominal
Essential
Influenza
d
pregnanc
(primary)
with
y
hypertens
pneumoni
ion
Low
back
a,
virus
Hearing
pain
not
loss,
Abdomina
Maternal
identified
unspecifie
lAcute
care
for
d
pregnanc
Tuberculo
pharyngiti
viable
y
sis
of in
Typhoid
s,
fetus
lung,
fever
unspecifie
abdominal
Urinary
confirmed
d
pregnanc
calculus,
Abdomina
by
y
unspecifie
lConjuncti
sputum
d
pregnanc
vitis,
microscop
y
unspecifie
y
with or
Disorder
d
without
Epilepsy,
of
culture
unspecifie
refraction,
Urinary
Acute
d
unspecifie
Gastritis,
tract
upper
d
unspecifie
infection,
Inflammat
respirator
Intrad
site
not
ory
y
abdominal
specified
disorders
infection,
and pelvic
of
breast
unspecifie
Tuberculo
swelling,
d
sis
of and
mass
Arthrosis,
Observati
lung,
lump
unspecifie
on
for
Influenza
confirmed
d
Impacted
suspected
with
by
teeth
tuberculos
pneumoni
sputum
is
Typhoid
a,
virus
microscop
Maternal
fever
not
y with or
care
for
identified
without
Arthrosis,
Inflammat
viable
culture
unspecifie
ory
fetus in
d
disorders
abdominal
Urinary
of
breast
pregnanc
calculus,
y
unspecifie
d
Pterygium

YA
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care for
viable
fetus
in
Procreativ
abdominal
e
PBI
pregnanc
Acute
managem
(APBN)
y
PBI
amoebic
ent,
Essential
(APBN)
PNS
unspecifie
PENERIMA dysentery
(primary)
DAERAH
PENSIUN d
hypertens
Dizziness
Inflammat
PNS
ion
PBI
and
ory
Acute
Diarrhoea
(APBN)
giddiness
PBI
disorders
nasophary
Observati
and
(APBN)
of
breast
PBI
ngitis
on
for
gastroent
(APBN)
Headache
PBI
[common
suspected
eritis of
(APBN)
cold]
PBI
tuberculos
presumed
Inflammat
Acute
Maternal
(APBN)
is
PBI
infectious
ory
nasophary
care
for
(APBN)
origin
PBI
disorders
ngitis
viable
Maternal
(APBN)
of
breast
PBI
[common
fetus
in
care
for
(APBN)
cold]
PBI
Typhoid
abdominal
viable
(APBN)
fever
PBI
pregnanc
Epilepsy,
fetus
Acutein
(APBN)
y
PBI
unspecifie
abdominal
nasophary
(APBN)
d
PBI
pregnanc
ngitis
(APBN)
y
PBI
[common
Arthrosis,
Urinary
(APBN)
PEKERJA
unspecifie
PENERIMA cold]
calculus,
MANDIRI d
PENSIUN
unspecifie
Gastritis,
Acute
PNS
d
PBI
unspecifie
Asthma,
nasophary
(APBN)
d
PBI
unspecifie
ngitis
(APBN)
d
PBI
[common
Gastritis,
Acute
(APBN)
cold]
PBI
unspecifie
Gastritis,
nasophary
(APBN)
d
PBI
unspecifie
ngitis
Conjuncti
(APBN)
d
PBI
[common
vitis,
Senile
(APBN)
PEKERJA
unspecifie
PENERIMA cold]
cataract,
Acute
MANDIRI d
PENSIUN
unspecifie
nasophary
PNS
d
ngitis
Amoebiasi
DAERAH
Dyspepsia
PBI
[common
s,
Acute
(APBN)
cold]
PBI
unspecifie
Asthma,
pharyngiti
(APBN)
d
PBI
unspecifie
Tuberculo
s,
Abdomina
(APBN)
d
sis
of
PBI
lunspecifie
Abdomina
Cutaneou
lung,
(APBN)
d
PBI
lpregnanc
Senile
s
abscess,
confirmed
(APBN)
y
PBI
pregnanc
cataract,
Essential
furuncle
by
(APBN)
y
PBI
unspecifie
(primary)
and
sputum
(APBN)
d
PBI
hypertens
carbuncle,
microscop
(APBN)
ion
PBI
unspecifie
y
with or
Abdomina
(APBN)
d
PBI
without
l
(APBN)
culture
PBI
pregnanc
Fever,
(APBN)
y
PNS
unspecifie
Urinary
Influenza
NonDAERAH
d
PNS
Necrosis
NonAsthma,
tract
with
DAERAH insulinof
pulp
insulinPBI
unspecifie
infection,
pneumoni
dependen
dependen
(APBN)
d
PBI
site
not
a,
virus
tt diabetes
diabetes
(APBN)
specified
PBI
not
Tensionmellitus
mellitus
(APBN)
identified
PBI
type
without
Zoster
with
(APBN)
headache
PBI
complicati
without
unspecifie
(APBN)
ons
PBI
complicati
d
(APBN)
on
PBI
complicati
(APBN)
ons

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TIDAK
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TIDAK
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Conductiv
e hearing
PBI
loss,
(APBN)
bilateral
PBI
Injury,
Diarrhoea
(APBN)
Myopia
PBI
unspecifie
Tensionand
(APBN)
d
PBI
type
Fever,
gastroent
(APBN)
headache
PBI
unspecifie
eritis of
(APBN)
d
PBI
Chronic
presumed
Abdomina
(APBN)
gingivitis
PBI
infectious
l
Premature
(APBN)
origin
PBI
pregnanc
Paranoid
rupture of
(APBN)
y
PBI
schizophr
NonDizziness
membran
Allergic
(APBN)
enia
insulinPBI
and
es,
contact
dependen
(APBN)
giddiness
PBI
unspecifie
Arthrosis,
dermatitis
td
diabetes
(APBN)
PBI
unspecifie
,
mellitus
(APBN)
d
PNS
unspecifie
with
DAERAH d
cause
PBI
Gastritis,
unspecifie
(APBN)
Pulpitis
PBI
unspecifie
d
Follow-up
(APBN)
d
PBI
complicati
Asthma,
Abdomina
examinati
(APBN)
ons
PBI
unspecifie
lon after
(APBN)
d
PBI
pregnanc
Congestiv
other
Influenza
(APBN)
y
PBI
e
heart
treatment
Zoster
with
Acute
(APBN)
failure
PBI
for
other
without
pneumoni
upper
Diarrhoea
(APBN)
conditions
PBI
complicati
a,
virus
Routine
respirator
and
(APBN)
on
PBI
not
postpartu
y
gastroent
(APBN)
identified
PBI
m
followinfection,
eritis
of
(APBN)
up
PBI
unspecifie
presumed
Spontane
(APBN)
d
PBI
infectious
Other
and
ous
Chronic
(APBN)
origin
PBI
Necrosis
unspecifie
abortion,
obstructiv
Follow-up
(APBN)
of
pulp
PBI
d
ovarian
Gastritis,
incomplet
e
examinati
(APBN)
cysts
PBI
unspecifie
e,
without
pulmonar
on
after
(APBN)
d
PBI
complicati
y
disease,
other
(APBN)
on
PBI
unspecifie
treatment
Neonatal
(APBN)
d
PBI
for
other
Asthma,
Other
and
jaundice
(APBN)
conditions
PEKERJA unspecifie
from
MANDIRI
PEGAWAI d
ovarian
Tuberculo
other
Deposits
SWASTA Maternal
cysts
sis
of
PBI
specified
[accretion
care
for
lung,
(APBN)
causes
PNS
s] on
viable
confirmed
DAERAH
teeth
PNS
Gastritis,
fetus
in
by
DAERAH
Pulpitis
PBI
unspecifie
abdominal
Essential
sputum
(APBN)
d
PBI
pregnanc
(primary)
microscop
Maternal
(APBN)
y
PBI
hypertens
y with or
care
for
Diarrhoea
(APBN)
ion
PBI
without
NonInjury,
viable
and
(APBN)
culture
insulinPBI
unspecifie
fetus in
gastroent
dependen
(APBN)
d
PBI
abdominal
eritis of
diabetes
(APBN)
PEKERJA tPterygium
pregnanc
presumed
mellitus
MANDIRI
y
PBI
infectious
Gastritis,
with
(APBN)
origin
PBI
unspecifie
PENERIMA
Asthma,
unspecifie
(APBN)
PENSIUN
unspecifie
PENERIMA d
d
PNS
d
PENSIUN
complicati
PNS
ons
Typhoid
DAERAH fever

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Noninsulindependen
PBI
Typhoid
Cataract,
tChronic
diabetes
(APBN)
fever
PBI
unspecifie
mellitus
obstructiv
Maternal
(APBN)
d
PBI
Chronic
without
Abdomina
e
care
for
(APBN)
gingivitis
PBI
lcomplicati
pulmonar
viable
Maternal
(APBN)
ons
PBI
pregnanc
y
disease,
fetus
in
care
for
(APBN)
y
PBI
unspecifie
abdominal
viable
(APBN)
d
PBI
pregnanc
Paranoid
fetus
in
Acute
Maternal
(APBN)
y
PBI
schizophr
abdominal
nasophary
care
for
(APBN)
enia
PBI
pregnanc
ngitis
viable
Soft
tissue
(APBN)
y
PBI
[common
NonFebrile
fetus
in
disorder,
(APBN)
cold]
insulinPBI
convulsio
Nonabdominal
unspecifie
Chronic
dependen
(APBD)
ns
insulinPBI
pregnanc
Tuberculo
d,
site
obstructiv
t
diabetes
dependen
(APBN)
y
sis
of
PBI
unspecifie
Epilepsy,
e
tmellitus
diabetes
lung,
(APBN)
d
PBI
unspecifie
pulmonar
with
mellitus
confirmed
(APBN)
d
PBI
Typhoid
y
disease,
unspecifie
with
by
(APBN)
fever
PBI
unspecifie
d
unspecifie
sputum
(APBN)
d
PBI
complicati
d
microscop
(APBN)
ons
PBI
complicati
y with or
(APBN)
ons
PBI
without
Injury,
(APBN)
culture
PBI
unspecifie
Epilepsy,
(APBN)
d
PBI
unspecifie
Essential
(APBN)
d
PBI
Non(primary)
Acute
(APBN)
Epistaxis
insulinPBI
hypertens
Streptoco
nasophary
dependen
(APBN)
ion
PBI
ccal
ngitis
ttonsillitis
diabetes
(APBN)
PBI
[common
Injury,
Sequelae
mellitus
Diarrhoea
(APBN)
cold]
PEKERJA
unspecifie
of
with
MANDIRI and
d
PEKERJA
cerebral
unspecifie
gastroent
MANDIRI
PEKERJA
Tetralogy
PENERIMA infarction
d
eritis of
MANDIRI
Fallot
PENSIUN of
complicati
presumed
Otitis
PNS
ons
PBI
infectious
Nonmedia,
Surveillan
(APBN)
origin
insulinPBI
unspecifie
ce of
dependen
(APBN)
d
PBI
contracep
Gastritis,
tAllergic
diabetes
(APBN)
tive
drugs
PBI
unspecifie
Fever,
Surveillan
contact
mellitus
(APBN)
d
PBI
unspecifie
ce
of
dermatitis
with
Non(APBN)
d
PBI
contracep
,unspecifie
insulin(APBN)
tive
drugs
PBI
unspecifie
d
dependen
(APBN)
cause
PEKERJA d
complicati
Epilepsy,
t diabetes
MANDIRI ons
PEKERJA
unspecifie
Nonspecifi
mellitus
MANDIRI d
PEKERJA
c
without
MANDIRI
PEKERJA urethritis
complicati
MANDIRI ons

TIDAK
YA
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
YA
TIDAK
TIDAK
TIDAK
YA
TIDAK
TIDAK
YA
TIDAK
TIDAK
YA
YA
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
TIDAK
YA
YA
TIDAK
YA

CETAK