You are on page 1of 7

No TANGGAL No.

KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DI RUJUK CETAK


1 14/05/2017 0000706843462 YENI P PBI (APBN) Gastritis, unspecified TIDAK
2 14/05/2017 0000706965603 ABDUL AZIZ L PBI (APBN) Gastritis, unspecified TIDAK
3 14/05/2017 0000706965759 BUHARI L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
4 14/05/2017 0000706969034 HERNATI P PBI (APBN) Migraine, unspecified TIDAK
5 14/05/2017 0000707396984 SAMA ATI P PBI (APBN) Migraine, unspecified TIDAK
6 14/05/2017 0000707412688 TUMIYEM P PBI (APBN) Fever with chills TIDAK
7 14/05/2017 0000707413329 DEDEK MAY JOKO L PBI (APBN) Other forms of stomatitis TIDAK
8 14/05/2017 0000707418551 SENAH L PBI (APBN) Other forms of stomatitis TIDAK
9 14/05/2017 0000707434975 USMAN L PBI (APBN) Gastritis, unspecified TIDAK
10 14/05/2017 0000707442805 TRISNO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
11 14/05/2017 0000707446383 BUDIYANTO L PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
12 14/05/2017 0000707450264 MAHUD L PBI (APBN) Gastritis, unspecified TIDAK
13 14/05/2017 0000707456204 USI P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
14 14/05/2017 0000707461481 SRIWATI P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
15 14/05/2017 0000707465057 SRI ANITA P PBI (APBN) Migraine, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
16 14/05/2017 0000707482023 SUTAWI L PBI (APBN) TIDAK
identified
17 14/05/2017 0000707484565 TOLAK L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
18 14/05/2017 0000707486433 SUMYATI P PBI (APBN) Migraine, unspecified TIDAK
19 14/05/2017 0000707492283 PITWATI P PBI (APBN) Conjunctivitis due to adenovirus TIDAK
20 14/05/2017 0000707497558 HOLIS L PBI (APBN) Migraine, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
21 14/05/2017 0000707501812 KOSNO L PBI (APBN) TIDAK
identified
22 14/05/2017 0000707509664 ASIM L PBI (APBN) Fever with chills TIDAK
23 14/05/2017 0000707512061 TOYANI GIARTI P PBI (APBN) Fever with chills TIDAK
24 14/05/2017 0000707528226 JAMIDEN L PBI (APBN) Gastritis, unspecified TIDAK
25 14/05/2017 0000707529677 RIZAL FAIDI L PBI (APBN) Gastritis, unspecified TIDAK
26 14/05/2017 0000707529879 MISWATI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
27 14/05/2017 0000707540073 LULUK P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
28 14/05/2017 0000707544066 SISWATI P PBI (APBN) Migraine, unspecified TIDAK
29 14/05/2017 0000707545293 YUSRI P PBI (APBN) Fever with chills TIDAK
30 14/05/2017 0000707546002 AHMAD NURUL YATIM P PBI (APBN) Gastritis, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
31 14/05/2017 0000707546575 SISWATI P PBI (APBN) TIDAK
identified
32 14/05/2017 0000707555924 MIDUN L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
33 14/05/2017 0000707556082 ADIM L PBI (APBN) Fever with chills TIDAK
34 14/05/2017 0000707556745 JATIM P PBI (APBN) Migraine, unspecified TIDAK
35 14/05/2017 0000707557386 HADI L PBI (APBN) Migraine, unspecified TIDAK
36 14/05/2017 0000707558602 AGUS RIANTO L PBI (APBN) Fever with chills TIDAK
37 14/05/2017 0000707558782 MISWATI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
38 14/05/2017 0000707559647 YULI AMITA L PBI (APBN) TIDAK
identified
39 14/05/2017 0000707562876 KARNAWIT L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
Influenza with other respiratory manifestations, virus not
40 14/05/2017 0000707581721 UMAM L PBI (APBN) TIDAK
identified
41 14/05/2017 0000707595164 WINDARI P PBI (APBN) Migraine, unspecified TIDAK
42 14/05/2017 0000707595704 ATRANI P PBI (APBN) Disorder of aromatic amino-acid metabolism, unspecified TIDAK
43 14/05/2017 0000707597842 MIS YONO L PBI (APBN) Fever with chills TIDAK
44 14/05/2017 0000707599989 MUSTOFA L PBI (APBN) Migraine, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
45 14/05/2017 0000707605042 KHOLIL L PBI (APBN) TIDAK
identified
46 14/05/2017 0000707609788 B. SUNITO P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
47 14/05/2017 0000707618338 WAKIRMAN L PBI (APBN) TIDAK
identified
48 14/05/2017 0000707621692 TARWIANI P PBI (APBN) Migraine, unspecified TIDAK
49 14/05/2017 0000707625303 KHOFIFA P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
50 14/05/2017 0000707640399 SINDI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
51 14/05/2017 0000707643562 BURA L PBI (APBN) Gastritis, unspecified TIDAK
52 14/05/2017 0000707643775 ASYARI P PBI (APBN) Migraine, unspecified TIDAK
53 14/05/2017 0000707656353 MUNAWAR L PBI (APBN) Migraine, unspecified TIDAK
54 14/05/2017 0000707657578 SUYIP L PBI (APBN) Gastritis, unspecified TIDAK
55 14/05/2017 0000707658456 ADIYONO L PBI (APBN) Migraine, unspecified TIDAK
56 14/05/2017 0000707665476 BUSRI HARIYANTO L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
57 14/05/2017 0000707667175 SEIMURI L PBI (APBN) Gastritis, unspecified TIDAK
58 14/05/2017 0000707678267 MISNO L PBI (APBN) Gastritis, unspecified TIDAK
59 14/05/2017 0000707685232 SUTARJI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
60 14/05/2017 0000707689236 WIWI L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
61 14/05/2017 0000707691069 SANIPON L PBI (APBN) Migraine, unspecified TIDAK
62 14/05/2017 0000707692307 WENA P PBI (APBN) Allergic contact dermatitis due to metals TIDAK
63 14/05/2017 0000707694849 SUNADEN L PBI (APBN) Migraine, unspecified TIDAK
64 14/05/2017 0000707720062 SURA I L PBI (APBN) Gastritis, unspecified TIDAK
65 14/05/2017 0000707721658 EKO KADARMAN L PBI (APBN) Migraine, unspecified TIDAK
66 14/05/2017 0000707727374 SIRTU VIRLAILI P PBI (APBN) Migraine, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
67 14/05/2017 0000707727385 JONI EFRIYADI L PBI (APBN) TIDAK
identified
68 14/05/2017 0000708153445 RIZA UMAMI P PBI (APBN) Fever with chills TIDAK
69 14/05/2017 0000708154165 SAHAMO L PBI (APBN) Gastritis, unspecified TIDAK
70 14/05/2017 0000708162985 MANISRI P PBI (APBN) Gastritis, unspecified TIDAK
71 14/05/2017 0000708846704 RUSTIN P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
72 14/05/2017 0000708853961 SAHODI L PBI (APBN) Migraine, unspecified TIDAK
73 14/05/2017 0000708861554 AMILATUS SHOLEHA P PBI (APBN) Migraine, unspecified TIDAK
74 14/05/2017 0000708863095 RIA P PBI (APBN) Migraine, unspecified TIDAK
75 14/05/2017 0000708873726 NANING SISKA WATI P PBI (APBN) Allergic contact dermatitis due to metals TIDAK
Influenza with other respiratory manifestations, virus not
76 14/05/2017 0000708889454 SATURI L PBI (APBN) TIDAK
identified
77 14/05/2017 0000708912123 JAMSUR MADANI L PBI (APBN) Migraine, unspecified TIDAK
78 14/05/2017 0000708926657 HENDRA L PBI (APBN) Migraine, unspecified TIDAK
79 14/05/2017 0000708935444 PUDI A L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
Influenza with other respiratory manifestations, virus not
80 14/05/2017 0000708943285 IMAM LAILANI P PBI (APBN) TIDAK
identified
81 14/05/2017 0000708961735 NING SUMAWI L PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
82 14/05/2017 0000708964558 FARIDA P PBI (APBN) Migraine, unspecified TIDAK
83 14/05/2017 0000708968439 KALLAB P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
84 14/05/2017 0000708991727 FIRMAN EFENDI L PBI (APBN) Gastritis, unspecified TIDAK
85 14/05/2017 0000708996284 ISNAWATI P PBI (APBN) Gastritis, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
86 14/05/2017 0000708996745 DELA P PBI (APBN) TIDAK
identified
87 14/05/2017 0000709005824 JUFRIANTO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
88 14/05/2017 0000709006241 YUYUL P PBI (APBN) Gastritis, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
89 14/05/2017 0000709033151 NORSANTI P PBI (APBN) TIDAK
identified
90 14/05/2017 0000709038562 ELMA TIYANA P PBI (APBN) Gastritis, unspecified TIDAK
PENERIMA PENSIUN
1 28/05/2017 0000116016502 MUTIYAH P Allergy, unspecified TIDAK
PNS
2 28/05/2017 0000706965603 ABDUL AZIZ L PBI (APBN) Gastritis, unspecified TIDAK
3 28/05/2017 0000707388265 SUMARYO L PBI (APBN) Migraine, unspecified TIDAK
4 28/05/2017 0000707396984 SAMA ATI P PBI (APBN) Migraine, unspecified TIDAK
5 28/05/2017 0000707398209 ASTOMO L PBI (APBN) Gastritis, unspecified TIDAK
6 28/05/2017 0000707398367 P. SUTRIYAMI L PBI (APBN) Migraine, unspecified TIDAK
7 28/05/2017 0000707434975 USMAN L PBI (APBN) Gastritis, unspecified TIDAK
8 28/05/2017 0000707437451 ZAINUL L PBI (APBN) Fever with chills TIDAK
Influenza with other respiratory manifestations, virus not
9 28/05/2017 0000707448745 NURIL P PBI (APBN) TIDAK
identified
Influenza with other respiratory manifestations, virus not
10 28/05/2017 0000707453008 BADRIS L PBI (APBN) TIDAK
identified
11 28/05/2017 0000707455833 ASMIYATI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
12 28/05/2017 0000707457813 IIN P PBI (APBN) Migraine, unspecified TIDAK
13 28/05/2017 0000707473337
SITI NURJANNAH P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
14 28/05/2017 0000707489504
B NURSIWA P PBI (APBN) Migraine, unspecified TIDAK
15 28/05/2017 0000707491078
ARJUNO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
16 28/05/2017 0000707491124
SATIMA P PBI (APBN) Migraine, unspecified TIDAK
17 28/05/2017 0000707497558
HOLIS L PBI (APBN) Gastritis, unspecified TIDAK
18 28/05/2017 0000707499808
HALIM L PBI (APBN) Fever with chills TIDAK
19 28/05/2017 0000707502947
AURA FAISATUL JANNAH P PBI (APBN) Fever with chills TIDAK
20 28/05/2017 0000707516559
SAPRAWI L PBI (APBN) Migraine, unspecified TIDAK
21 28/05/2017 0000707522512
WIWIK NOR HIKMAH P PBI (APBN) Gastritis, unspecified TIDAK
22 28/05/2017 0000707529082
DESI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
HERMAN AHMAD
23 28/05/2017 0000707529521 L PBI (APBN) Gastritis, unspecified TIDAK
HAYANTO
Influenza with other respiratory manifestations, virus not
24 28/05/2017 0000707529677 RIZAL FAIDI L PBI (APBN) TIDAK
identified
25 28/05/2017 0000707539746 ARTAMO L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
26 28/05/2017 0000707540073 LULUK P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
27 28/05/2017 0000707546002 AHMAD NURUL YATIM P PBI (APBN) Gastritis, unspecified TIDAK
28 28/05/2017 0000707554517 CONGENIK / P.ANTUS P PBI (APBN) Migraine, unspecified TIDAK
29 28/05/2017 0000707556745 JATIM P PBI (APBN) Migraine, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
30 28/05/2017 0000707557432 MASIJA P PBI (APBN) TIDAK
identified
31 28/05/2017 0000707557961 MARYANI P PBI (APBN) Other forms of stomatitis TIDAK
32 28/05/2017 0000707558602 AGUS RIANTO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
33 28/05/2017 0000707562876 KARNAWIT L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
34 28/05/2017 0000707565069 AHMAD L PBI (APBN) Gastritis, unspecified TIDAK
35 28/05/2017 0000707606662 SANTI P PBI (APBN) Migraine, unspecified TIDAK
36 28/05/2017 0000707609788 B. SUNITO P PBI (APBN) Conjunctivitis, unspecified TIDAK
37 28/05/2017 0000707618338 WAKIRMAN L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
38 28/05/2017 0000707619148 FATIMAH P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
39 28/05/2017 0000707619227 NADHIFATIKAZIMAH P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
40 28/05/2017 0000707622579 ZAINI ROMLI L PBI (APBN) Gastritis, unspecified TIDAK
41 28/05/2017 0000707625303 KHOFIFA P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
Influenza with other respiratory manifestations, virus not
42 28/05/2017 0000707631265 WIDIA P PBI (APBN) TIDAK
identified
43 28/05/2017 0000707643775 ASYARI P PBI (APBN) Fever with chills TIDAK
44 28/05/2017 0000707647555 YATI P PBI (APBN) Migraine, unspecified TIDAK
45 28/05/2017 0000707648949 SAHRIYATUL L PBI (APBN) Gastritis, unspecified TIDAK
46 28/05/2017 0000707656353 MUNAWAR L PBI (APBN) Migraine, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
47 28/05/2017 0000707657703 ANI P PBI (APBN) TIDAK
identified
48 28/05/2017 0000707670393 SOFI P PBI (APBN) Acute upper respiratory infection, unspecified TIDAK
49 28/05/2017 0000707691069 SANIPON L PBI (APBN) Gastritis, unspecified TIDAK
50 28/05/2017 0000707694603 ARBAIYAH P PBI (APBN) Myalgia TIDAK
51 28/05/2017 0000707721658 EKO KADARMAN L PBI (APBN) Gastritis, unspecified TIDAK
52 28/05/2017 0000707721704 B SUWALIS P PBI (APBN) Other specified brain damage due to birth injury TIDAK
53 28/05/2017 0000707724314 ASIANI P PBI (APBN) Migraine, unspecified TIDAK
54 28/05/2017 0000707727058 AL MUZAMMIL P PBI (APBN) Fever with chills TIDAK
55 28/05/2017 0000707727104 SAKUR L PBI (APBN) Allergic contact dermatitis due to metals TIDAK
56 28/05/2017 0000707727374 SIRTU VIRLAILI P PBI (APBN) Migraine, unspecified TIDAK
57 28/05/2017 0000707919085 BUSIA P PBI (APBN) Conjunctivitis, unspecified TIDAK
58 28/05/2017 0000708152163 BUNASA L PBI (APBN) Gastritis, unspecified TIDAK
59 28/05/2017 0000708162985 MANISRI P PBI (APBN) Gastritis, unspecified TIDAK
Influenza with other respiratory manifestations, virus not
60 28/05/2017 0000708164864 PAKSOYO L PBI (APBN) TIDAK
identified
61 28/05/2017 0000708861554 AMILATUS SHOLEHA P PBI (APBN) Migraine, unspecified TIDAK
62 28/05/2017 0000708892064 AFIFAH DELA FITRIANI P PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
63 28/05/2017 0000708926139 SUTRIK P PBI (APBN) Allergic contact dermatitis due to metals TIDAK
64 28/05/2017 0000708950305 TITIS KURNIA SAKTI P PBI (APBN) Gastritis, unspecified TIDAK
65 28/05/2017 0000708964558 FARIDA P PBI (APBN) Migraine, unspecified TIDAK
66 28/05/2017 0000708967899 ROY L PBI (APBN) Migraine, unspecified TIDAK
67 28/05/2017 0000708968439 KALLAB P PBI (APBN) Migraine, unspecified TIDAK
68 28/05/2017 0000708985697 USA P PBI (APBN) Fever with chills TIDAK
69 28/05/2017 0000708987341 UMMI P PBI (APBN) Migraine, unspecified TIDAK
70 28/05/2017 0000709005824 JUFRIANTO L PBI (APBN) Diarrhoea and gastroenteritis of presumed infectious origin TIDAK
71 28/05/2017 0000709006241 YUYUL P PBI (APBN) Gastritis, unspecified TIDAK
72 28/05/2017 0000709011516 SA'IDA P PBI (APBN) Migraine, unspecified TIDAK