TGL KUNJUNGAN

NO REG

NAMA PENDERITA

Dx UTAMA

DX UTAMA LAIN

TGL LAHIR

1-Jun-16 MRN-04394

ROFI'ATUN ALIYA

Q68

26-Dec-06

1-Jun-16 MRN-45860

M HAIKAL JIBRAN

J03

25-Nov-07

1-Jun-16 MRN-45299

MUHAMMAD AL FATIH

J03

10-Oct-08

1-Jun-16 MRN-16395

RAHMATUL UMMAH

Z02

9-Apr-99

1-Jun-16 MRN-37120

M RIKO EFENDI

S40

8-Feb-02

1-Jun-16 MRN-49786

SARIP

J06

5-Jun-01

1-Jun-16 MRN-49784

M YASIN

J03

10-Nov-05

1-Jun-16 MRN-44871

CLARA

K00.1

1-Jun-16 MRN-44289

DWI CAHYA HARTATIK

L20

28-Dec-09

1-Jun-16 MRN-13925

RIZQI

R50

24-Nov-09

1-Jun-16 MRN-49782

MOH YASIN

A01.T

7-Aug-06

2-Jun-16 MRN-49804

SIRLI

K02

4-Jun-08

2-Jun-16 MRN-49793

MOH GHOZALI RISKI

Z02

28-Nov-98

2-Jun-16 MRN-41978

TITIS CAHYA NINGTIYAS

K02

22-Jan-10

2-Jun-16 MRN-49810

SUSILOWATI

K02

6-Jun-00

2-Jun-16 MRN-00875

IRSA

J06

27-Nov-07

2-Jun-16 MRN-41211

MUHAMMAD IRFAN

R50

12-Feb-05

2-Jun-16 MRN-49796

MASNUNA HANIFA

K05

5-Jun-06

2-Jun-16 MRN-41211

MUHAMMAD IRFAN

R50

12-Feb-05

2-Jun-16 MRN-19376

RADITYA

J06

10-Feb-06

2-Jun-16 MRN-49805

FITRIA NINGSIH

R50

6-Jun-03

2-Jun-16 MRN-49763

LAILY ARDIYANTI

R50

3-Jun-04

2-Jun-16 MRN-27168

ZERLINDA

J10

17-Apr-11

3-Jun-16 MRN-00775

SITI

L20

19-Jan-09

3-Jun-16 MRN-40742

DINIA SAHADUN KAMILAH

K02

29-Oct-08

3-Jun-16 MRN-11798

RENA F

J06

27-May-99

3-Jun-16 MRN-45255

A SHODIQ

R50

7-Oct-07

3-Jun-16 MRN-49811

RISA FITRIATUN HASANAH

A16.T

3-Jun-16 MRN-38131

MUHAMMAD RONI

R50

13-Apr-10

3-Jun-16 MRN-26185

SYARIFA

K00.1

22-Nov-06

3-Jun-16 MRN-49825

UDIN

A01

6-Jun-06

4-Jun-16 MRN-49830

SUFI SOFYAN

K02

1-May-99

4-Jun-16 MRN-49828

MUHAMMAD KHOIFULLAH

B86

11-Aug-04

4-Jun-16 MRN-41092

M SAIFUL

J02

10-Mar-08

4-Jun-16 MRN-44750

IZZA NURILLAH FATIN

K00.1

21-Aug-08

4-Jun-16 MRN-20410

ANISA SALSABILA

K00.1

4-Nov-08

5-Jun-16 MRN-49840

RAMDAN

R11

7-Jun-11

6-Jun-16 MRN-49843

JEBRI ARIFIN

B86

10-Jun-01

6-Jun-16 MRN-12666

MUHAMMAD ILHAM R

A01.T

3-Sep-09

6-Jun-16 MRN-49825

UDIN

A01

6-Jun-06

6-Jun-16 MRN-49472

EKA MAULIDIA

Z02

7-Jul-97

6-Jun-16 MRN-49847

ALDI SATRYA BUDYASROH

Z02

16-Oct-97

6-Jun-16 MRN-49811

RISA FITRIATUN HASANAH

A16.T

11-Mar-10

7-Jun-16 MRN-27333

ZANOBA ARIFAHYONI

L23

3-Feb-10

7-Jun-16 MRN-49862

KHOLILI

B86

5-May-05

7-Jun-16 MRN-49863

HUMAIROH

R50

8-Jun-13

7-Jun-16 MRN-49871

MUTMAINNAH

K00.1

9-Jun-10

1-Sep-10

11-Mar-10

7-Jun-16 MRN-41330

AHMAD RAMADANI

A09

9-Dec-09

7-Jun-16 MRN-05593

FATAH RIDHA BASKARA

Z02

29-May-99

7-Jun-16 MRN-16393

MUHAMMAD YOGA SAPUTRA

K02

27-Sep-10

7-Jun-16 MRN-16271

MOH ERLANGGA

L24

25-Jun-10

7-Jun-16 MRN-36836

JULEHA

Z36

28-May-93

7-Jun-16 MRN-49857

WIWIK

R50

10-Jun-01

7-Jun-16 MRN-20841

PUTRI JWITASARI

A90

29-Nov-07

7-Jun-16 MRN-37089

MOCH HENDRIK AWAN

G40

4-Feb-10

7-Jun-16 MRN-24400

MUHAMMAD AFANDI SAID

J10

23-Apr-11

7-Jun-16 MRN-39490

HIKMATUL MAULIDIYAH

J06

28-Mar-07

7-Jun-16 MRN-49867

ELOK CAHYANI

K29

1-Jul-98

7-Jun-16 MRN-49861

SITI KHOLIFA

A01

10-Jun-04

7-Jun-16 MRN-49873

IHYA ULUMUDDIN

K02

9-Jun-10

7-Jun-16 MRN-02561

SYANTYA DEWI W

A01.T

9-Oct-99

7-Jun-16 MRN-05072

DELVIAN HISYAM BAQIS

Z02

7-Jun-98

7-Jun-16 MRN-00301

LAILATUL INAYAH

R50

16-Oct-07

7-Jun-16 MRN-27179

DIEGO QOMARUZ Z

A01.T

28-Jan-06

7-Jun-16 MRN-38366

MOH. ARIFULLAH

J10

30-Apr-11

7-Jun-16 MRN-01882

SULIS SETIANINGSIH

R50

30-Apr-04

8-Jun-16 MRN-49881

SITI NUR FITRI

A01

11-Jun-07

8-Jun-16 MRN-49876

JANNATU FIRDAUSI HASANA

K00.1

10-Jun-08

8-Jun-16 MRN-49885

USWATUN HASANAH

K00.1

11-Jun-06

8-Jun-16 MRN-36758

ARETANIA

J06

14-Jan-09

8-Jun-16 MRN-49879

RISMA

K00.1

10-Jun-08

8-Jun-16 MRN-17820

ABI GIFARI

K00.1

6-Jul-07

8-Jun-16 MRN-49882

IMRON ROSYIDI

Z02

5-Feb-98

8-Jun-16 MRN-11799

DAFA SALMAN HOIRON

J06

30-Dec-09

9-Jun-16 MRN-08785

AHDELIA KURNIA

K00.1

13-Nov-09

9-Jun-16 MRN-49901

DEWA FIRMAN RAMADHAN

Z00

9-Jun-16 MRN-49903

FATMAWATI

Z36

12-Jul-00

9-Jun-16 MRN-49912

SAIFUL ROSI

A01

14-Jun-99

9-Jun-16 MRN-09232

SAFA

J10

8-Oct-09

9-Jun-16 MRN-49879

RISMA

K00.1

10-Jun-08

9-Jun-16 MRN-49309

CANDRA

R50

21-Sep-10

9-Jun-16 MRN-01555

AGUNG

J06

1-Dec-07

9-Jun-16 MRN-46968

IRHAMNI SHIDQI

K00.1

9-Jun-16 MRN-39357

NAZMA

R50

10-Jun-16 MRN-15484

ALEX BITUKO

J06

13-Feb-01

10-Jun-16 MRN-20674

EVA IRIYANITA

J11

17-Nov-99

10-Jun-16 MRN-12465

LAVENIA DIANA PUTRI

K00.1

10-Jun-16 MRN-20262

SHIFA MONAWARO

J06

10-Jun-16 MRN-49921

SAVIRA

A01.T

10-Jun-16 MRN-43778

FADILATUL MAISYAROH

J10

14-Mar-11

10-Jun-16 MRN-26476

MIRDAN

J06

9-Dec-01

11-Jun-16 MRN-12109

YULIAN

R51

10-Oct-02

11-Jun-16 MRN-49930

IMAMI

J06

13-Jun-09

11-Jun-16 MRN-35664

AHMAD KUSIN

K00.1

30-Oct-08

11-Jun-16 MRN-21171

AZMAN ABDILLAH MOCHTALI

A01

30-Sep-07

6-Dec-00

27-Jan-09
13-Jul-03

2-Jun-10
14-Jun-04
1-Aug-07

11-Jun-16 MRN-49881

SITI NUR FITRI

A01

11-Jun-07

11-Jun-16 MRN-20171

YUNISA ROBIATUN

R50

19-Oct-00

12-Jun-16 MRN-49938

NOVAL PRATAMA

R50

14-Jun-08

12-Jun-16 MRN-49950

LIDYA

A01

17-Jun-00

13-Jun-16 MRN-37651

MALIK AKBAR

J10

6-Mar-10

13-Jun-16 MRN-11027

IIM HALIMAH

L23

24-Dec-05

13-Jun-16 MRN-44817

SINTA NAWANG WULAN

J10

26-Aug-10

13-Jun-16 MRN-47570

ROHMATUL U

R50

7-May-98

13-Jun-16 MRN-11194

DINI KURNIA

J06

7-Jun-03

13-Jun-16 MRN-49950

LIDYA

R50

17-Jun-00

13-Jun-16 MRN-36748

SITI HOTIJAH

K02

7-Sep-99

13-Jun-16 MRN-38131

MUHAMMAD RONI

R50

13-Apr-10

13-Jun-16 MRN-49978

DIDIK

R50

18-Jun-00

13-Jun-16 MRN-49955

KHOTIJAH

R50

16-Jun-03

13-Jun-16 MRN-38265

PUTRI SYAIFIA

K00.1

24-Apr-07

13-Jun-16 MRN-12771

MIFTAHUL ULUM

A01

25-Apr-07

13-Jun-16 MRN-49912

SAIFUL ROSI

A01

14-Jun-99

13-Jun-16 MRN-39383

LILIN SUMIATI

J02

2-Aug-76

13-Jun-16 MRN-49942

YUGA

A09

15-Jun-10

13-Jun-16 MRN-49930

IMAMI

A01

13-Jun-09

13-Jun-16 MRN-00775

SITI

L23

19-Jan-09

14-Jun-16 MRN-49961

RINI WAHYUNI

Z36

14-Jun-16 MRN-44981

SELI

K00.1

12-Sep-07

14-Jun-16 MRN-30632

ATHOUR ROHMAN

K02

17-Aug-09

14-Jun-16 MRN-49973

AIZAH NURROHMAN

Z00

28-Nov-01

14-Jun-16 MRN-13577

SANDI ZAWABI ALALLAH

J06

4-Oct-08

14-Jun-16 MRN-49972

LALA APRILIA

Z00

25-Apr-01

14-Jun-16 MRN-09532

NIA RAMADANI

R50

23-Nov-08

15-Jun-16 MRN-01171

DESWITA MAHARANI

J06

3-Jan-08

15-Jun-16 MRN-08853

MUHAMMAD RAFEAL

K00.1

16-Feb-06

15-Jun-16 MRN-50018

RISKY ADITYA

A01

18-Jun-09

15-Jun-16 MRN-00298

IFAN TRI JULIAN MAULANA

J06

17-Jul-06

15-Jun-16 MRN-49986

SAIDATUL ASRIYAH

Z02

24-Jul-98

15-Jun-16 MRN-12669

NAILI JAUHAROH KAMALIA

R50

13-Jan-10

15-Jun-16 MRN-28226

YULITA TRI UTAMI

R50

21-Mar-01

15-Jun-16 MRN-15590

AHMAD DHARMAWAN RUDYANTO

L24

12-Jul-10

15-Jun-16 MRN-00848

RADIKA MATLUBI

K00.1

25-May-08

15-Jun-16 MRN-15404

UMIL KARIMAH

J06

27-May-99

15-Jun-16 MRN-06824

SITI MAISAROH

K02

29-Oct-03

15-Jun-16 MRN-37651

MALIK AKBAR

J10

6-Mar-10

15-Jun-16 MRN-49980

KAMILATUL HOIRIYAH

K29

19-Jun-01

15-Jun-16 MRN-13829

RAHMAT AINUR QULYUBI

S50

21-Dec-09

15-Jun-16 MRN-11001

MUHAMMAD ZULFIKRI

J10

16-Feb-10

15-Jun-16 MRN-00988

NUR OKTAFIA

J06

24-Feb-07

15-Jun-16 MRN-49993

RAFIAKA QOMARUDIN ZAMAN

K02

26-Feb-11

15-Jun-16 MRN-07614

MUHAMMAD LUTFI

B36

7-Dec-01

15-Jun-16 MRN-49997

RAFIK

K02

17-Jun-11

15-Jun-16 MRN-12109

YULIAN

J02

10-Oct-02

1-Jul-00

16-Jun-16 MRN-50020

MOCHAMMAD SIGIT MAULANA

Z00

17-Apr-01

16-Jun-16 MRN-04099

PUTRA ABDUL GOFUR

L24

20-May-08

16-Jun-16 MRN-50021

RONALD BUDI ABDUL HAMID

L23

9-Nov-05

16-Jun-16 MRN-38935

FIRDAUS

K00.1

16-Jun-16 MRN-04073

DEWI SAFITRI

Z36

20-Jul-01

16-Jun-16 MRN-04376

CAHYO FAJRIANTI

J06

30-May-03

16-Jun-16 MRN-10542

SAHROTUS SITA

K02

7-Aug-09

16-Jun-16 MRN-20056

ANDIKA PRATAMA P

J10

13-Jan-11

16-Jun-16 MRN-50018

RISKY ADITYA

A01

18-Jun-09

16-Jun-16 MRN-06680

ALIFIAN NAWAL HAQ

A09

29-Jan-08

16-Jun-16 MRN-50004

SITI MARYAM

K05

10-Sep-04

16-Jun-16 MRN-46657

FIRMAN WAHYUDI

R50

16-Jan-98

16-Jun-16 MRN-12669

NAILI JAUHAROH KAMALIA

R50

13-Jan-10

16-Jun-16 MRN-20056

ANDIKA PRATAMA P

R50

13-Jan-11

16-Jun-16 MRN-50002

SITI MARYAM

A01

18-Jun-10

16-Jun-16 MRN-49999

ANISAH ZAKIATUS ZAHRA

B26

17-Jul-05

16-Jun-16 MRN-28226

YULITA TRI UTAMI

R50

21-Mar-01

16-Jun-16 MRN-46551

AISYAH

K00.1

10-Jan-07

16-Jun-16 MRN-08645

EKO WAHYUDI

J06

20-Jun-84

16-Jun-16 MRN-50007

NUR IMAMAH RIZKYA M

A01

22-Mar-09

17-Jun-16 MRN-28226

YULITA TRI UTAMI

R50

21-Mar-01

17-Jun-16 MRN-20056

ANDIKA PRATAMA P

R50

13-Jan-11

17-Jun-16 MRN-45567

FIFIN ANDRIYANI

Z02

25-Sep-97

17-Jun-16 MRN-50026

BADRUT TAMAM

T06

21-Jun-02

17-Jun-16 MRN-50018

RISKY ADITYA

A01

18-Jun-09

17-Jun-16 MRN-50002

SITI MARYAM

A01

18-Jun-10

17-Jun-16 MRN-06740

SAJID

L23

28-Aug-08

17-Jun-16 MRN-46657

FIRMAN WAHYUDI

R50

16-Jan-98

17-Jun-16 MRN-15404

UMIL KARIMAH

A01

27-May-99

17-Jun-16 MRN-27807

RAISA

K29

27-Feb-08

18-Jun-16 MRN-50044

BILLY

A01

22-Jun-03

18-Jun-16 MRN-12457

WIDO SODIKIN

G40

10-Oct-98

18-Jun-16 MRN-50011

RISKI AINUL YAQIN

N23

18-Jun-11

18-Jun-16 MRN-50038

SOLEHA

K00.1

25-Oct-05

18-Jun-16 MRN-40851

BRILIAN AFRINA S

K00.1

5-Nov-08

18-Jun-16 MRN-50061

TAMAM

R11

22-Jun-00

18-Jun-16 MRN-50034

NUR AHMAD MAULANA

J10

20-Jun-11

18-Jun-16 MRN-50002

SITI MARYAM

A01

18-Jun-10

18-Jun-16 MRN-50056

RISQI

R50

22-Jun-01

18-Jun-16 MRN-50036

ISLAMAYA

K00.1

22-Jun-01

18-Jun-16 MRN-46328

ANIK SITI NAFISA

Z36

2-Jan-99

18-Jun-16 MRN-13829

RAHMAT AINUR QULYUBI

S50

21-Dec-09

18-Jun-16 MRN-20056

ANDIKA PRATAMA P

R50

13-Jan-11

18-Jun-16 MRN-48444

MARISATUL LAULA

K00.1

18-Jun-16 MRN-16119

CINDY CAMELIA

L24

18-Jun-16 MRN-50030

ABDUR ROHMAN NAVIS

B86

1-Nov-02

18-Jun-16 MRN-22102

MUHAMMAD DWI ANDIKA

J10

27-Feb-11

18-Jun-16 MRN-49828

MUHAMMAD KHOIFULLAH

B86

11-Aug-04

12-Jun-06

1-Apr-10
25-Jan-11

18-Jun-16 MRN-07812

ERWIN SANJAYA

K00.1

19-Jan-09

18-Jun-16 MRN-04402

NUR FITRI

J06

15-Oct-07

19-Jun-16 MRN-50068

SUGIANTO

A01

23-Jun-06

19-Jun-16 MRN-15404

UMIL KARIMAH

A01

27-May-99

19-Jun-16 MRN-50078

DIAN FERONIKA

R11

23-Jun-10

19-Jun-16 MRN-50044

BILLY

A01

22-Jun-03

20-Jun-16 MRN-50004

SITI MARYAM

K01.1

10-Sep-04

20-Jun-16 MRN-50078

DIAN FERONIKA

R11

23-Jun-10

20-Jun-16 MRN-16676

ANDRIAN

J10

26-Nov-10

20-Jun-16 MRN-50044

BILLY

A01

22-Jun-03

20-Jun-16 MRN-50053

MALIKA AMELIA PUTRI

K02

4-Aug-10

20-Jun-16 MRN-45648

NADIA

A01

10-Nov-10

20-Jun-16 MRN-50067

MUHAMMAD MUSTOFA

K00.1

22-Jun-08

20-Jun-16 MRN-41937

INSANUR ROHMAN

L24

29-Mar-04

20-Jun-16 MRN-26992

MOH.YAHYA

A09

16-May-01

20-Jun-16 MRN-50056

RISQI

R50

22-Jun-01

21-Jun-16 MRN-27807

RAISA

J06

27-Feb-08

21-Jun-16 MRN-25647

M HAKIKI

J10

21-May-11

21-Jun-16 MRN-50078

DIAN FERONIKA

R11

23-Jun-10

21-Jun-16 MRN-50082

ARBAINA

R50

26-Jun-99

21-Jun-16 MRN-50086

FIKI QOTRUN NADA

B86

23-Jun-08

21-Jun-16 MRN-50068

SUGIANTO

A01

23-Jun-06

21-Jun-16 MRN-11027

IIM HALIMAH

B36

24-Dec-05

21-Jun-16 MRN-13360

UNTUNG PRAYOGA

J06

28-Feb-03

21-Jun-16 MRN-49099

SAHROTUS SITA

J10

2-May-09

22-Jun-16 MRN-50068

SUGIANTO

A01

23-Jun-06

22-Jun-16 MRN-40421

INDAH HOIRUN NISA

K29

6-Oct-97

22-Jun-16 MRN-50096

ROSIL

K02

24-Jun-11

22-Jun-16 MRN-01670

SULTAN

J06

7-Sep-08

22-Jun-16 MRN-43081

BAYU ANGGA

J06

2-Apr-09

22-Jun-16 MRN-16455

NANDES

L24

10-Jan-10

22-Jun-16 MRN-50078

DIAN FERONIKA

R11

23-Jun-10

22-Jun-16 MRN-15229

MUHAMMAD AMIRUL HAMZAH

K02

30-Dec-03

22-Jun-16 MRN-08070

SUCI INDAH SARI

R11

2-Jan-99

22-Jun-16 MRN-50091

EVI MAULANA

H93

25-Jun-04

23-Jun-16 MRN-45736

NUR QOMARIYAH

K02

18-Nov-99

23-Jun-16 MRN-40421

INDAH HOIRUN NISA

K29

6-Oct-97

23-Jun-16 MRN-50104

AIRA SAFIRA

K02

26-Jun-06

23-Jun-16 MRN-43081

BAYU ANGGA

R50

2-Apr-09

23-Jun-16 MRN-01376

ANISA AYU LESTARINA

J06

5-Mar-03

23-Jun-16 MRN-50112

SITI ROMLA

K03.6

23-Jun-16 MRN-41663

MOH TAUFIQUR ROHMAN

S40

7-Jan-08

23-Jun-16 MRN-50068

SUGIANTO

A01

23-Jun-06

23-Jun-16 MRN-11708

MUHAMMAD RIFAL RIZALDI

R19

2-Dec-04

23-Jun-16 MRN-28728

DINDA

J02

5-Apr-09

23-Jun-16 MRN-50106

ALGA

K00.1

1-Dec-08

23-Jun-16 MRN-08723

JERI JAYANTO

K00.1

14-Jun-07

23-Jun-16 MRN-50110

DEWI

L24

26-Jun-06

27-Jun-00

24-Jun-16 MRN-43081

BAYU ANGGA

R50

2-Apr-09

24-Jun-16 MRN-08348

AHMAD ALI

A39

20-Jan-02

24-Jun-16 MRN-50129

MUHAMMAD AGUNG MAULANA

K00.1

26-Jun-08

24-Jun-16 MRN-08545

MUHAMMAD FAHMI D.P

R11

4-Jan-09

24-Jun-16 MRN-50091

EVI MAULANA

H93

25-Jun-04

24-Jun-16 MRN-50126

INDRA LESMANA

H72

1-Nov-97

25-Jun-16 MRN-44303

NUR HIDAYAT

A16.T

17-Jul-00

25-Jun-16 MRN-50151

MUHAMMAD FALAHUDIN

R50

1-Jul-03

25-Jun-16 MRN-50167

ABDUL AZIZ

R50

27-Jun-11

25-Jun-16 MRN-08545

MUHAMMAD FAHMI D.P

R11

4-Jan-09

25-Jun-16 MRN-50112

SITI ROMLA

K02

27-Jun-00

25-Jun-16 MRN-23978

MELINDA TRI NUR LISA

Z02

19-May-04

25-Jun-16 MRN-08545

MUHAMMAD FAHMI D.P

R11

4-Jan-09

25-Jun-16 MRN-12448

PRASETYA ARIS KUSUMA

Z02

18-Jul-00

25-Jun-16 MRN-50136

NILNA HASANAH

H57

1-Jul-03

25-Jun-16 MRN-11945

MASRUROTUL MAUDA

J03

4-Oct-06

25-Jun-16 MRN-41952

RAFA NANDA A

Z00

23-Jan-04

25-Jun-16 MRN-11708

MUHAMMAD RIFAL RIZALDI

A01.T

25-Jun-16 MRN-50146

ANDIKA

K02

27-Jun-08

25-Jun-16 MRN-50141

RAUDATUL HASANAH

K02

15-Jun-89

25-Jun-16 MRN-12448

PRASETYA ARIS KUSUMA

Z00

18-Jul-00

25-Jun-16 MRN-16393

MUHAMMAD YOGA SAPUTRA

J10

27-Sep-10

25-Jun-16 MRN-26279

ABIDULLAIL ALFARIZI

K00.1

25-Nov-08

25-Jun-16 MRN-43081

BAYU ANGGA

R50

2-Apr-09

26-Jun-16 MRN-50167

ABDUL AZIZ

R50

27-Jun-11

26-Jun-16 MRN-36782

DEFI

R50

17-Jan-07

27-Jun-16 MRN-50018

RISKY ADITYA

A01

18-Jun-09

27-Jun-16 MRN-48216

BINTANG

L20

19-Mar-09

27-Jun-16 MRN-26327

BERLIAN SABRINA M.

Z00

5-May-04

27-Jun-16 MRN-50151

MUHAMMAD FALAHUDIN

R50

1-Jul-03

27-Jun-16 MRN-06742

M CANDRA

H10

24-Jun-09

27-Jun-16 MRN-49253

KHAIRUL ANWAR

B86

7-May-04

27-Jun-16 MRN-40462

JABAR

J02

10-Oct-97

27-Jun-16 MRN-36782

DEFI

R50

17-Jan-07

28-Jun-16 MRN-11001

MUHAMMAD ZULFIKRI

A09

16-Feb-10

2-Dec-04

UMUR

RUANGAN

KUNJUNGAN

CARA BAYAR

KODE WILAYAH KASUS ( YG KE)NAMA PETUGAS

9.4642857143 B

UK

DW

KB

212

8.5467032967 B

J4

DW

KB

212

7.6675824176 B

UK

DW

KB

212

17.206043956 B

UK

DW

KB

212

14.3598901099 B

J4

DW

KL

212

15.0412087912 B

UK

LW

KB

212

10.5934065934 B

J4

DW

KB

212

5.7692307692 G

UK

DW

KB

259

6.4478021978 B

JM

LW

KB

212

6.5412087912 K

UK

DW

KL

9.8516483516 B

J4

DW

KB

212

8.021978022 G

UK

LW

KB

259

17.5714285714 B

UK

DW

KB

219

6.3818681319 G

UK

DW

KB

259

16.043956044 G

UK

LW

KB

259

8.543956044 B

UK

DW

kb

212

11.3406593407 RI

UB

DW

KB

252

10.0274725275 G

UK

LW

KB

259

11.3406593407 RI

UK

DW

KB

252

10.3434065934 B

UK

DW

KB

219

13.0357142857 RI

UB

LW

KB

252

12.0384615385 RI

UB

LW

KB

252

5.1456043956 K

UK

DW

KL

414

7.3956043956 B

UK

DW

KL

219

7.6208791209 G

UK

LW

KB

259

17.0796703297 B

J4

DW

KB

219

8.6868131868 B

J4

DW

KL

212

6.2527472527 B

JM

DW

KB

219

6.1620879121 RI

UK

DW

KB

252

9.5631868132 G

UK

LW

KB

259

10.0274725275 RI

UB

LW

KB

252

17.1538461538 G

J4

LW

KB

259

11.8543956044 B

JM

LW

KB

202

8.2637362637 B

J4

DW

KB

202

7.8131868132 G

J1

DW

KB

259

7.6071428571 G

UK

LW

KB

259

5.0137362637 RI

UB

LW

KB

15.0412087912 B

J4

DW

KB

202

6.7802197802 B

UK

DW

KB

202

10.0357142857 RI

UB

LW

KB

252

18.9807692308 B

UK

DW

KB

202

18.7032967033 B

UK

DW

KB

202

6.260989011 B

JM

DW

KB

426

6.3626373626 K

J4

DW

kb

414

11.1291208791 B

J4

DW

KB

202

3.0082417582 RI

UB

LW

KB

252

6.0164835165 G

UK

DW

KB

259

6.5164835165 B

UK

DW

KB

202

17.0851648352 B

J1

DW

KB

202

5.7142857143 G

UK

DW

KB

259

5.9725274725 K

J4

DW

KL

414

23.1071428571 K

JM

DW

kb

414

15.043956044 RI

UB

LW

KB

252

8.5521978022 B

UK

DW

KB

202

6.3598901099 B

JM

DW

KB

202

5.1428571429 K

UK

DW

KL

414

9.228021978 B

JM

DW

KB

426

17.9972527473 B

J4

DW

KB

202

12.032967033 B

J4

DW

KB

426

6.0164835165 G

UK

LW

KB

259

16.7197802198 B

J1

DW

KB

202

18.0631868132 B

UK

DW

KB

202

8.6730769231 B

J4

DW

KB

202

10.3928571429 B

J4

DW

KB

202

5.1236263736 K

J4

DW

kb

414

12.1456043956 B

J4

DW

KB

202

9.0247252747 B

J4

DW

KB

202

8.021978022 G

UK

DW

KB

259

10.0274725275 G

UK

DW

KB

259

7.4230769231 B

UK

DW

KB

202

8.021978022 G

UK

LW

KB

259

8.956043956 G

UK

DW

KB

259

18.4010989011 B

UK

DW

KB

202

6.4615384615 B

UK

DW

KB

202

6.5934065934 G

J1

DW

KL

259

15.5604395604 B

JM

DW

KB

202

15.9642857143 K

J4

DW

KB

414

17.0467032967 RI

UB

LW

KB

252

6.6923076923 K

UK

DW

KL

414

8.0247252747 G

UK

LW

KB

259

5.7362637363 K

JM

LW

KL

414

8.5521978022 B

J4

DW

KB

202

7.3901098901 G

J4

DW

KB

259

12.9532967033 RI

UK

DW

KB

252

15.3736263736 B

UK

DW

KB

202

16.6208791209 B

J4

DW

KB

202

UK

DW

KB

259

12.0302197802 B

J4

DW

KB

202

8.8901098901 B

J4

DW

KB

202

5.260989011 K

JM

LW

kl

276

14.5521978022 B

AS

DW

KB

202

13.717032967 B

UK

DW

KB

202

7.0192307692 B

UK

LW

KB

202

7.6401098901 G

J4

DW

KB

259

8.728021978 B

JM

LW

KB

426

6.043956044 G

9.032967033 B

J4

DW

KL

202

15.6978021978 RI

UK

DW

KB

252

8.021978022 RI

UB

LW

KB

252

16.0412087912 RI

UB

DW

KB

252

6.293956044 K

JM

LW

kl

276

10.5054945055 B

J4

DW

KB

202

5.8186813187 K

UK

DW

kb

276

18.1648351648 B

J4

DW

KB

202

13.0631868132 B

UK

DW

KB

202

16.043956044 RI

UB

DW

KB

252

16.8241758242 G

UK

LW

KB

259

6.1895604396 RI

UK

DW

KB

252

16.0412087912 RI

UB

DW

KB

252

13.0384615385 RI

UB

DW

KB

252

9.1703296703 G

UK

LW

KB

259

9.1675824176 B

J4

DW

KB

202

17.0576923077 RI

UB

LW

KB

252

40 B

JM

DW

KB

202

6.0164835165 K

UK

LW

kb

276

7.0247252747 B

UK

LW

KB

202

7.4230769231 B

UK

DW

KB

202

16.0082417582 K

J4

DW

KB

414

8.7857142857 G

UK

DW

KB

259

6.8489010989 G

J1

DW

KB

259

14.5934065934 B

UK

DW

KB

202

7.7197802198 B

J1

DW

KB

426

15.1895604396 B

UK

DW

KL

202

7.5824175824 B

J4

DW

KB

202

8.478021978 B

J4

DW

KB

202

10.3626373626 G

J4

DW

KB

259

7.0164835165 RI

UB

LW

KB

252

9.9478021978 B

J1

DW

KB

426

17.956043956 B

UK

DW

KB

202

6.4423076923 RI

UK

DW

KB

252

15.2884615385 RI

J4

DW

KB

252

5.9478021978 K

J1

DW

KL

414

8.0851648352 G

UK

DW

KB

259

17.1126373626 B

J4

DW

KB

202

12.6730769231 G

J4

DW

KB

259

6.2994505495 K

JM

LW

KL

414

15.0412087912 B

UK

LW

KB

426

6.5054945055 B

J4

DW

KB

202

6.3489010989 K

UK

DW

KB

9.3379120879 B

UK

DW

KB

202

5.3186813187 G

JM

LW

KB

259

14.5714285714 B

J4

DW

KB

202

5.0137362637 G

UK

DW

KB

259

13.728021978 B

UK

DW

KB

202

15.217032967 B

UK

DW

KB

202

8.1016483516 B

UK

DW

KL

202

10.6373626374 B

JM

LW

KB

426

10.0467032967 G

UK

LW

KB

259

14.9587912088 K

J4

DW

KB

414

13.0934065934 B

J1

DW

KB

202

6.8818681319 G

UK

DW

KB

259

5.4423076923 K

J4

DW

KB

414

7.0192307692 RI

UB

LW

KB

252

8.4093406593 B

J1

DW

KB

202

11.8049450549 G

JM

LW

KB

259

18.478021978 RI

UB

DW

KB

252

6.4450549451 RI

UK

DW

KB

252

5.4423076923 RI

J4

DW

KB

252

6.0164835165 RI

UB

LW

KB

252

10.9532967033 B

JM

LW

KB

426

15.2912087912 RI

J4

DW

KB

252

9.4642857143 G

UK

DW

KB

259

32.0989010989 B

J1

DW

kb

202

7.260989011 B

JM

LW

KB

426

15.293956044 RI

J4

DW

KB

252

5.4450549451 RI

J4

DW

KB

252

18.7912087912 B

UK

DW

KB

426

14.0384615385 RI

UB

DW

KB

252

7.021978022 RI

UB

LW

KB

252

6.0192307692 RI

UB

LW

KB

252

7.8296703297 B

UK

DW

KB

202

18.4807692308 RI

UB

DW

KB

252

17.1181318681 RI

J4

DW

KB

252

8.3324175824 B

UK

DW

KB

426

13.0357142857 RI

UB

LW

KB

252

J4

DW

KL

202

5.0192307692 K

UK

LW

kl

276

10.6840659341 G

J4

DW

KB

259

7.6428571429 G

JM

DW

KB

259

16.043956044 RI

UB

LW

KB

252

5.0137362637 K

UK

DW

kb

276

17.75 B

6.021978022 RI

JM

LW

KB

15.0412087912 RI

UB

DW

KB

252

15.0412087912 G

UK

LW

KB

259

17.5192307692 K

J4

DW

kb

276

6.5137362637 B

J4

DW

KL

202

5.4478021978 RI

J4

DW

KB

252

6.2362637363 G

UK

DW

KB

259

5.4148351648 K

J4

DW

kb

414

13.6758241758 B

J4

DW

KB

426

5.3241758242 K

J4

DW

kb

276

11.8928571429 B

JM

LW

KL

426

7.4368131868 G

J4

DW

KB

259

8.706043956 B

UK

DW

KB

426

10.0247252747 RI

UB

LW

KB

252

17.1236263736 RI

J4

DW

KB

252

6.010989011 RI

UB

LW

KB

252

13.0384615385 RI

UB

LW

KB

252

11.8159340659 G

JM

LW

KL

259

6.0137362637 RI

UB

LW

KB

252

5.5851648352 K

UK

DW

kb

414

13.0412087912 RI

UB

LW

KB

252

5.8983516484 G

JM

DW

KB

259

5.6291208791 RI

UK

LW

KB

252

8.021978022 G

UK

DW

KB

259

12.2692307692 B

J4

DW

KB

202

15.1483516484 B

J4

DW

KB

202

15.0467032967 RI

UB

DW

KB

252

8.3434065934 B

UK

DW

KB

202

5.1043956044 K

J4

DW

KL

414

6.0164835165 RI

UB

LW

KB

252

17.0467032967 RI

UB

DW

KB

252

UK

DW

KB

202

10.0302197802 RI

UB

LW

KB

252

10.5274725275 B

J4

DW

KL

202

13.3571428571 B

UK

DW

KB

202

7.1620879121 K

UK

DW

KL

414

8.021978022 B

10.032967033 RI

UB

LW

KB

252

18.7747252747 RI

UK

DW

KB

252

5.0137362637 G

UK

LW

KB

259

7.8159340659 B

UK

DW

kb

202

7.2472527473 B

UK

DW

KB

426

6.4697802198 K

UK

DW

KL

6.0192307692 RI

UB

LW

KB

252

12.521978022 G

UK

LW

KB

259

17.5302197802 RI

GR

DW

KB

252

12.032967033 B

J4

DW

KB

426

16.6538461538 G

J4

DW

KB

259

18.7774725275 RI

J4

DW

KB

252

10.0274725275 G

UK

DW

KB

259

7.25 RI

UK

DW

KB

252

UK

DW

KB

202

16.043956044 G

J4

DW

KB

259

8.489010989 B

13.3489010989 B

J4

DW

KB

202

10.0357142857 RI

J4

LW

KB

252

11.5961538462 B

UK

DW

KB

202

7.2417582418 B

J4

DW

KB

202

7.5851648352 G

J4

DW

KB

259

9.0576923077 G

UK

DW

KB

259

10.0274725275 B

UK

DW

KB

202

7.2527472527 RI
14.4752747253 B

UK

DW

KB

252

J4

DW

KB

426

8.021978022 G

UK

DW

KB

259

7.4945054945 RI

UK

LW

KB

252

12.0384615385 B

J4

DW

KL

202

18.7087912088 B

J4

DW

KB

202

15.9945054945 B

J4

DW

KB

426

13.0302197802 RI

UB

LW

KB

252

5.0137362637 RI

UB

LW

KB

252

7.4972527473 RI

UK

LW

KB

252

16.0494505495 G

J4

DW

KB

259

12.1428571429 B

J1

DW

KB

202

UK

LW

KB

252

15.9917582418 B

J1

DW

KB

202

13.0302197802 B

J4

DW

KB

202

9.7582417582 B

UK

DW

KB

426

12.4642857143 B

AS

DW

KB

426

11.6016483516 B

UK

DW

KL

426

8.021978022 G

UK

LW

KB

259

27.1208791209 G

UK

DW

KB

259

15.9917582418 B

J1

DW

KB

426

5.7637362637 K

UK

DW

KL

276

7.6071428571 G

J1

DW

KB

259

7.2554945055 RI

UK

DW

KB

252

5.0164835165 RI

UB

LW

KB

252

9.4725274725 RI

UK

DW

KB

252

7.0494505495 B

UK

LW

KB

202

7.2994505495 B

J1

DW

KL

202

12.1868131868 B

J1

DW

KB

202

13.0357142857 RI

UB

LW

KB

252

J4

DW

KB

202

12.1813186813 B

UK

DW

KB

202

18.7774725275 B

J4

DW

KB

202

9.4752747253 RI

UK

DW

KB

252

6.3846153846 K

UK

DW

KL

414

7.4972527473 RI

7.032967033 B

KARCIS RUTIN RETRIBUSI GIGI

RETRIBUSI LAIN-LAINHABIS PAKAI

INJEKSI

JUM INJ

Tx 1

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Rp0

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Rp0

Rp0

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Jumlah 1

Tx 2

Jumlah 2

Tx 3

Jumlah 3

Tx 4

Jumlah 4

STATUS KELUAR PASIEN

RAWAT JALAN

RAWAT JALAN

SEMBUH

SEMBUH