Laporan Rujukan

DATA RUJUKAN PUSKESMAS REJOSARI PEKANBARU
BULAN NOVEMBER TAHUN 2016
NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA DIAGNOSA
1 1-Nov-16 0001964924875 SITI FATIMAH 25 P PNS DAERAH Delivery by caesarean section, unspecified
2 1-Nov-16 0001849123023 MUHARMAINI 49 P PEKERJA MANDIRI Carpal tunnel syndrome
3 1-Nov-16 0001827525227 PEBI FEBRIANI AMBARITA 12 P PEGAWAI SWASTA Schizophrenia, unspecified
4 1-Nov-16 0001499479727 YUSNI 37 P PBI Necrosis of pulp
5 1-Nov-16 0001450830622 PRIYONO 56 L PEKERJA MANDIRI Dislocation of knee
6 1-Nov-16 0001445932438 SITI SUSMIYATI 36 P PEKERJA MANDIRI Benign neoplasm of breast
7 1-Nov-16 0000296485672 DAHLIS 76 L PBI Vertigo of central origin
8 1-Nov-16 0000295882997 SUPATMI 51 P PBI Anxiety disorder, unspecified
9 1-Nov-16 0000021103446 WARNI HARTI NASUTION 64 P PENERIMA PENSIUN TNI Atherosclerotic cardiovascular disease, so describ
10 2-Nov-16 0001854407373 DWITA PRIHARTANTI 23 P PBI Disorder of refraction, unspecified
11 2-Nov-16 0001792012814 zaidah 47 P PEKERJA MANDIRI Acute suppurative otitis media
12 2-Nov-16 0000988804416 RIKI CANDRA 27 L PBI Thyrotoxicosis, unspecified
13 2-Nov-16 0000296970118 DITA AMANDA SIHOMBING 12 P PBI Disorder of refraction, unspecified
14 2-Nov-16 0000296949778 HELMI RITONGA 40 P PBI Chronic gastritis, unspecified
15 2-Nov-16 0000296187614 SURIAMAH 53 P PBI Cervical disc disorder, unspecified
16 2-Nov-16 0000296020934 MASNA 56 P PBI Anaemia, unspecified
17 2-Nov-16 0000194094898 ASNIDAR 69 P PENERIMA PENSIUN PNS Myalgia, site unspecified
18 2-Nov-16 0000021017766 SRI RAHAYU 40 P PNS PUSAT Leiomyoma of uterus, unspecified
19 3-Nov-16 0002093429125 JHON SURYANI 59 P PEKERJA MANDIRI Secondary hypertension, unspecified
20 3-Nov-16 0001383083379 TETTY SIHOMBING 38 P PEGAWAI SWASTA Secondary hypertension, unspecified
21 3-Nov-16 0001303392475 RISEM 67 P PEKERJA MANDIRI Cataract, unspecified, Glaucoma, unspecified, Essential (primary) hypertension
22 3-Nov-16 0000988815352 HERMANETI 52 P PBI Acute lymphadenitis of face, head and neck
23 3-Nov-16 0000296786518 RINI SUMIANTI 23 P PBI Tuberculosis of lung, confirmed by unspecified mea
24 3-Nov-16 0000295462484 JUPRIANTO 41 L PBI Schizophrenia, unspecified
25 3-Nov-16 0000021257875 SYAMSUL BACHRI 68 L PENERIMA PENSIUN PNS Stroke, not specified as haemorrhage or infarction
26 3-Nov-16 0000019777037 AMINAH 71 P PENERIMA PENSIUN PNS Hypertensive heart disease with (congestive) heart
27 4-Nov-16 0002088109629 AMDIAN 61 L PEKERJA MANDIRI Sciatica
28 4-Nov-16 0001478154069 RAFLIS RUSLI 69 L PEKERJA MANDIRI Heart failure, unspecified, Dyspepsia
29 4-Nov-16 0001434914965 ATAN. M 70 L PEKERJA MANDIRI Parkinson's disease
30 4-Nov-16 0001264540421 KAMAN SAGALA 74 L PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Secondary hypertension
31 4-Nov-16 0000021195641 SITI AISYAH 74 P PENERIMA PENSIUN PNS Fracture of shaft of tibia
32 4-Nov-16 0000021063791 R SUTANTRI EDI PRABOWO 54 L PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Cardiomegaly
33 5-Nov-16 0001401852587 HUSNA YANIRA PUTRI 21 P PEGAWAI SWASTA Disorder of refraction, unspecified
34 5-Nov-16 0001383083572 FIKA EVALINDA SIREGAR 18 P PEGAWAI SWASTA Disorder of refraction, unspecified
35 5-Nov-16 0001383083379 TETTY SIHOMBING 38 P PEGAWAI SWASTA Acute sinusitis, unspecified
36 5-Nov-16 0001270233213 ROSMARA LUBIS 63 P PEKERJA MANDIRI Low back pain
37 5-Nov-16 0000988816882 SUBADI 63 L PBI Hypertensive heart disease with (congestive) heart
38 5-Nov-16 0000297062842 SAMURI 47 L PBI Low back pain
39 5-Nov-16 0000296188896 BANTU 25 L PBI Unspecified nonorganic psychosis
40 5-Nov-16 0000295892706 TUMINAH 65 P PBI Senile cataract, unspecified
41 5-Nov-16 0000295192451 VERONIKA 12 P PBI Foreign body in ear
42 5-Nov-16 0000021496667 SIMION BANGUN 56 L PNS DAERAH Chronic renal failure, unspecified
43 5-Nov-16 0000020351529 IR.SODIQ 49 L PNS DAERAH Cholecystitis, unspecified
44 7-Nov-16 0001907410882 SHEILA MELITA GULTOM 0 P PEKERJA MANDIRI Acute suppurative otitis media
45 7-Nov-16 0001821103828 RADHITYA PUTRA 11 L PEKERJA MANDIRI Tuberculosis of lung, confirmed by unspecified mea
46 7-Nov-16 0001427051136 BACHTIAR TANJUNG 71 L PEKERJA MANDIRI Hyperplasia of prostate
47 7-Nov-16 0001126084162 RIDWAN KOMARI 54 L PEGAWAI SWASTA Urinary calculus, unspecified
48 7-Nov-16 0000296995105 MAKIN 63 L PBI Non-insulin-dependent diabetes mellitus without co, Herpesviral infection, unspecified
49 7-Nov-16 0000021602002 DARTA SINURAYA 61 L PENERIMA PENSIUN PNS Insulin-dependent diabetes mellitus without compli
50 7-Nov-16 0000021247918 SOEPARYO 82 L PENERIMA PENSIUN PNS Hyperplasia of prostate
51 7-Nov-16 0000021245332 SAWIYAH 70 P PENERIMA PENSIUN PNS Schizophrenia, unspecified
52 7-Nov-16 0000021240707 RUBIAH 66 P PENERIMA PENSIUN PNS Stroke, not specified as haemorrhage or infarction
53 7-Nov-16 0000021240696 RUSLI TAHER 72 L PENERIMA PENSIUN PNS Felty's syndrome
54 7-Nov-16 0000021222898 MURNI ZAMAN 65 L PENERIMA PENSIUN PNS Insulin-dependent diabetes mellitus without compli, Essential (primary) hypertension
55 7-Nov-16 0000021085514 ROSMAH 85 P PENERIMA PENSIUN TNI Hypertensive heart disease with (congestive) heart
56 7-Nov-16 0000021061337 ZAKI SURENDRA MARZUKI 12 L PNS DAERAH Acute suppurative otitis media
57 7-Nov-16 0000020957275 YANIE ASNIDAR 51 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Urinary tract infection, site not
58 8-Nov-16 0002078105714 INDRA MAWARNI 54 P PEKERJA MANDIRI Sciatica
59 8-Nov-16 0002025495707 SUDIANTO MUNGKUR 48 L PBI Disorder of refraction, unspecified
60 8-Nov-16 0001499504747 CHODAR RAHMANTO 28 L PBI Fracture of clavicle
61 8-Nov-16 0000988816689 KATIRAH 55 L PBI Excessive bleeding in the premenopausal period
62 8-Nov-16 0000296803181 ARHAJULITA 16 P PBI Disorder of refraction, unspecified
63 8-Nov-16 0000296801818 D. ARHAMKA. DH 62 L PBI Cataract, unspecified
64 8-Nov-16 0000296306144 ADE FITRIAWATI 27 L PBI Tuberculosis of lung, confirmed by unspecified mea
65 8-Nov-16 0000264410313 APRISKA LUBIS 15 P PBI Viral warts
66 8-Nov-16 0000021555281 YUSNIAR HAMZAH 64 P PENERIMA PENSIUN PNS Hypertension secondary to other renal disorders
67 8-Nov-16 0000021516772 HASANUDDIN 60 L PNS DAERAH Pathological resorption of teeth
68 8-Nov-16 0000021500864 BACTARUDDIN 59 L PNS DAERAH Atherosclerotic cardiovascular disease, so describ
69 8-Nov-16 0000021282557 SUKINO 69 L PENERIMA PENSIUN PNS FEVER, UNSPECIFIED
70 8-Nov-16 0000021193604 HAMONANGAN HUTASOIT,SH 71 L PENERIMA PENSIUN PNS Hyperplasia of prostate
71 9-Nov-16 0001826927638 AKHMAD QODRI FITRIAWAN 24 L PEKERJA MANDIRI Predominantly allergic asthma
72 9-Nov-16 0001499544865 ZAINAL 59 L PBI Chronic obstructive pulmonary disease with acute e
73 9-Nov-16 0001499505851 AMRIZAL 61 L PBI Heart failure, unspecified, Chronic obstructive pulmonary disease with acute e
74 9-Nov-16 0001325325813 DESTYA RENATA RAMADHINA 16 P PEKERJA MANDIRI Cardiac arrhythmia, unspecified
75 9-Nov-16 0001261819383 RUSDI ABIDIN 63 L PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e
76 9-Nov-16 0000988815341 SUPARMAN 57 L PBI Dyspnoea, Atherosclerotic heart disease
77 9-Nov-16 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Viral warts
78 9-Nov-16 0000295867192 ARFA'I 46 L PBI Disorder of refraction, unspecified
79 9-Nov-16 0000295689251 FADRI YELDI 30 L PBI Tuberculosis of lung, confirmed by culture only
80 9-Nov-16 0000021957579 HASAN ZEIN 73 L PENERIMA PENSIUN PNS Chronic obstructive pulmonary disease with acute e
81 9-Nov-16 0000021517312 RITA WARDA 61 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co
82 9-Nov-16 0000021482965 SUDARIAH KS 61 P PNS DAERAH Fracture of upper end of humerus
83 9-Nov-16 0000021455291 MARULI 48 L PNS DAERAH Epilepsy, unspecified
84 9-Nov-16 0000021227646 NURBAITY RAIS 69 P PENERIMA PENSIUN PNS Low back pain, Hypertensive heart disease with (congestive) heart
85 10-Nov-16 0001451615769 PUTRI KASIH MARIA 2 P PEKERJA MANDIRI Atrial septal defect
86 10-Nov-16 0001314528693 RANY ROHANA 58 P PEKERJA MANDIRI Cardiac arrhythmia, unspecified
87 10-Nov-16 0001270233213 ROSMARA LUBIS 63 P PEKERJA MANDIRI Low back pain, Arthrosis, unspecified
88 10-Nov-16 0000296285782 MUHAMMAD TAMBRIN 55 L PBI Cataract, unspecified
89 10-Nov-16 0000196717318 NURMANSYAH 68 L PENERIMA PENSIUN PNS Cataract, unspecified
90 11-Nov-16 0000021502473 SILVIA GITA RAMADHANI 19 P PNS DAERAH Disorder of refraction, unspecified
91 12-Nov-16 0001822849367 SURATMI 54 P PEKERJA MANDIRI Low back pain
92 12-Nov-16 0001453253589 SYAMSUARNI 75 P PEKERJA MANDIRI Atherosclerotic cardiovascular disease, so describ
93 12-Nov-16 0001265347517 FACHRUDIN 63 L PEKERJA MANDIRI Primary arthrosis of other joints
94 12-Nov-16 0000988805957 KATIRAH 74 P PBI Excessive bleeding in the premenopausal period
95 12-Nov-16 0000295747121 NITA 48 P PBI Presence of intraocular lens
96 12-Nov-16 0000021148378 GUSTINAR 47 P PNS PUSAT Disorder of refraction, unspecified
97 12-Nov-16 0000009151334 HJ.RODIAH 76 P PENERIMA PENSIUN PNS Vertigo of central origin
98 14-Nov-16 0000008788375 LUMIASPI RAJAGUKGUK 55 P PNS PUSAT Secondary hypertension, unspecified
99 14-Nov-16 0002088109629 AMDIAN 67 L PEKERJA MANDIRI Insulin-dependent diabetes mellitus without compli
100 14-Nov-16 0001453249348 AZHARI ADRIANDY 52 L PEKERJA MANDIRI Mental disorder, nos
101 14-Nov-16 0001294454024 SUMIHAR MANURUNG 64 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Vertigo of central origin, Gastro-
102 14-Nov-16 0001264540421 KAMAN SAGALA 74 L PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction, Non-insulin-dependent diabetes
103 14-Nov-16 0000988808534 LINSARIA SITOMPUL 46 P PBI Gastro-oesophageal reflux disease without oesophag
104 14-Nov-16 0000296995105 MAKIN 63 L PBI Cataract, unspecified
105 14-Nov-16 0000296303949 JONNAIDI 59 L PBI Fracture of first metacarpal bone
106 14-Nov-16 0000295940092 ERNAWATI 68 P PBI Hypertensive heart disease with (congestive) heart
107 14-Nov-16 0000295939642 U.RUHYAT 75 L PBI Hypertensive heart disease with (congestive) heart
108 14-Nov-16 0000021396903 SURONO EDI SUSANTO 66 L PNS DAERAH Atherosclerotic cardiovascular disease, so describ
109 14-Nov-16 0000021155084 RAMLI NAZAR 59 L PENERIMA PENSIUN PNS Angina pectoris, unspecified
110 14-Nov-16 0000021072216 SYARIFAH FADILLAH 45 P PNS DAERAH Other specified bacterial intestinal infections
111 15-Nov-16 0001770256563 Arian Dani 25 L PEGAWAI SWASTA Disorder of refraction, unspecified
112 15-Nov-16 0001499496827 PAIDI 64 L PBI Malignant neoplasm of nasopharynx, unspecified
113 15-Nov-16 0001447606517 ELFRIDA SITOMPUL 53 P PEKERJA MANDIRI Predominantly allergic asthma
114 15-Nov-16 0000988817995 SAFRI 54 L PBI Chronic gastritis, unspecified
115 15-Nov-16 0000296012485 M TAHER ADAM 74 L PBI Haemoptysis, Non-insulin-dependent diabetes mellitus without co
116 15-Nov-16 0000021384797 ROSMANIAR 53 P PNS DAERAH Stroke, not specified as haemorrhage or infarction
117 15-Nov-16 0000021250719 SUJONO TAMBUNAN 66 L PENERIMA PENSIUN PNS Hyperplasia of prostate
118 15-Nov-16 0000021027554 YUSNA ZAINAL 62 P PNS PUSAT Tinnitus
119 15-Nov-16 0000020865161 SABIMAN 62 L PENERIMA PENSIUN PNS Senile cataract, unspecified, Foreign body on external eye, part unspecified
120 16-Nov-16 0001905373629 RIDWAN POHAN 61 L PEKERJA MANDIRI Unilateral or unspecified inguinal hernia, without
121 16-Nov-16 0001499544191 ALIAN 64 L PBI Predominantly allergic asthma
122 16-Nov-16 0001433629203 SRI SUSILOWATI 33 P PEKERJA MANDIRI Necrosis of pulp
123 16-Nov-16 0001328627518 RABIAH 73 P PEKERJA MANDIRI Cataract, unspecified
124 16-Nov-16 0001290814953 ERNAWATI SIREGAR 34 P PEKERJA MANDIRI Spontaneous abortion, incomplete, complicated by g
125 16-Nov-16 0000297312388 JOHAN ZULIDA 53 L PBI Tuberculosis of lung, confirmed by unspecified mea
126 16-Nov-16 0000296896026 RISNA PUTRI 42 P PBI Benign neoplasm of breast
127 16-Nov-16 0000295798239 FERNANDO SIMAMORA 31 L PBI Gastro-oesophageal reflux disease without oesophag
128 16-Nov-16 0000021794692 SATRIA JAYA 64 L PENERIMA PENSIUN PNS Malignant neoplasm of prostate
129 16-Nov-16 0000021560488 AZIMAR 58 P PNS DAERAH Low back pain
130 16-Nov-16 0000021555281 YUSNIAR HAMZAH 64 P PENERIMA PENSIUN PNS Other specified noninflammatory disorders of vagin
131 16-Nov-16 0000021517503 SUCIANIK 60 P PNS DAERAH Arthrosis, unspecified
132 16-Nov-16 0000021504172 SIDARNIS 53 P PNS DAERAH Presence of (intrauterine) contraceptive device
133 16-Nov-16 0000019721283 AZHARDI 53 L PNS DAERAH Acute suppurative otitis media
134 17-Nov-16 0001972078626 AMORA FADELA PUTRI ASMAN 3 P PEKERJA MANDIRI Specific speech articulation disorder
135 17-Nov-16 0000296213343 ARMAN 50 L PBI Secondary hypertension, unspecified, Epistaxis
136 17-Nov-16 0000295847245 DINA MITRA PADRI 30 P PBI Discoid lupus erythematosus
137 17-Nov-16 0000021269417 YUSRAN HAMRAS 68 L Non-insulin-dependent diabetes mellitus without co, Secondary hypertension,
138 18-Nov-16 0001972078626 AMORA FADELA PUTRI ASMAN 3 P PEKERJA MANDIRI Sensorineural hearing loss, unspecified
139 18-Nov-16 0001864370654 RUSWANTO 48 L PEGAWAI SWASTA Malignant neoplasm of oropharynx, unspecified
140 18-Nov-16 0001499547609 ARLINAWATI 41 P PBI Benign neoplasm of breast
141 18-Nov-16 0001307530001 NURKARTINI 60 P PEKERJA MANDIRI Congestive heart failure
142 18-Nov-16 0001307528998 SYARIFUDDIN BUR 71 L PEKERJA MANDIRI Hyperplasia of prostate
143 18-Nov-16 0000296949418 AFRIWALNI NURMAN NININGSI 11 P PBI Hordeolum and other deep inflammation of eyelid
144 18-Nov-16 0000296801818 D. ARHAMKA. DH 62 L PBI Urinary calculus, unspecified, Hyperplasia of prostate
145 18-Nov-16 0000296314784 ASNIMAR 60 P PBI Benign neoplasm of meninges, unspecified
146 18-Nov-16 0000021348617 CATUR PRIHARTONO 62 L PENERIMA PENSIUN PNS Cataract, unspecified
147 18-Nov-16 0000021159573 SUGIRI 46 L PNS DAERAH Cataract, unspecified
148 18-Nov-16 0000020947015 RIPKI SEPTIAN TORO 17 L PNS PUSAT Disorder of refraction, unspecified
149 19-Nov-16 0001389647507 ALVAN MUHANDA 22 L PEKERJA MANDIRI Tuberculosis of bones and joints
150 19-Nov-16 0001255945814 JHONI KUTAR 59 L PEKERJA MANDIRI Necrosis of pulp
151 19-Nov-16 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Congestive heart failure
152 19-Nov-16 0000297333628 GUSMAR 51 L PBI Tuberculosis of lung, confirmed by unspecified mea
153 19-Nov-16 0000296161817 ELFRIDA TAMPUBOLON 48 P PBI Pain in joint
154 19-Nov-16 0000021247661 SOEMARDHI THAHER.DRS 75 L PENERIMA PENSIUN PNS Predominantly allergic asthma
155 21-Nov-16 0002062801179 DASMI 56 P PNS DAERAH Bronchiectasis
156 21-Nov-16 0002045571052 KASIRAN 53 L PEKERJA MANDIRI Primary arthrosis of other joints, Essential (primary) hypertension
157 21-Nov-16 0001890124604 MAHDALENA 48 P PEKERJA MANDIRI Insulin-dependent diabetes mellitus without compli
158 21-Nov-16 0001846746775 NORMA IDA BR TOBING 58 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension
159 21-Nov-16 0001439836086 KASMIN PAKPAHAN 63 L PEKERJA MANDIRI Adhesive capsulitis of shoulder
160 21-Nov-16 0001438329846 RENI HAPIYANI 40 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension
161 21-Nov-16 0001283988249 ERMIDA 56 P PEKERJA MANDIRI Arthrosis, unspecified
162 21-Nov-16 0000312227763 KHOIRONI 28 L PBI Follicular cyst of skin and subcutaneous tissue, u
163 21-Nov-16 0000296786518 RINI SUMIANTI 23 P PBI Chronic obstructive pulmonary disease, unspecified
164 21-Nov-16 0000296575727 SERPASIUS JEPRIN G 18 L PBI Fever, unspecified
165 21-Nov-16 0000296524091 LINDA 52 P PBI Benign neoplasm of breast
166 21-Nov-16 0000295893764 SARI DESMAWATI 19 P PBI Acute appendicitis, unspecified
167 21-Nov-16 0000295717239 M REVALDI APRILIO 6 L PBI Acute suppurative otitis media
168 21-Nov-16 0000295701625 WATI 23 P PBI Haemangioma, any site
169 21-Nov-16 0000021418997 ABDULLAH 68 L PENERIMA PENSIUN PNS Cataract, unspecified
170 21-Nov-16 0000021358473 MAWAR REBEKA SIREGAR 51 P PENERIMA PENSIUN PNS Acute and transient psychotic disorder, unspecifie
171 21-Nov-16 0000021182095 ROSLAINI 58 P PENERIMA PENSIUN PNS Other specified dermatitis
172 22-Nov-16 0001499546248 BURHANUDIN 57 L PBI Cataract, unspecified
173 22-Nov-16 0001499482157 WULAN SAFITRI 19 P PBI Acute tonsillitis, unspecified
174 22-Nov-16 0001307759703 ANWAR 71 L PEKERJA MANDIRI Gonarthrosis, unspecified, Primary arthrosis of other joints, Intervertebral disc disorder
175 22-Nov-16 0000296672411 RANGGA AULIA FITRI 10 L PBI Dyspepsia
176 22-Nov-16 0000296615542 ZULKIFLI NASUTION 61 L PBI Internal haemorrhoids with other complications
177 22-Nov-16 0000295805248 NURLAN 41 P PBI Other cholelithiasis
178 22-Nov-16 0000295523526 TEDI RAHMAD 37 L PBI Schizophrenia, unspecified
179 22-Nov-16 0000172686835 IYAI SUSANTI 32 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co
180 23-Nov-16 0001644339183 DHITYA JULIA SANDY 16 P PEGAWAI SWASTA Vertigo of central origin
181 23-Nov-16 0001268077667 RADJAB AHMAD 69 L PEKERJA MANDIRI Cataract, unspecified
182 23-Nov-16 0000988803584 JONI 61 L PBI Senile cataract, unspecified
183 23-Nov-16 0000021563943 NEL ENDRI 55 L PNS DAERAH Hypertensive heart disease with (congestive) heart
184 23-Nov-16 0000021358451 MARZUKI,BSC 69 L PENERIMA PENSIUN PNS Renovascular hypertension
185 23-Nov-16 0000021234418 RAJA ASMAR 71 L PENERIMA PENSIUN PNS Vertigo of central origin
186 23-Nov-16 0000020998326 SYAMSIDAR 59 P PENERIMA PENSIUN PNS Seropositive rheumatoid arthritis, unspecified
187 23-Nov-16 0000020384831 M TAUFIK 44 L PNS DAERAH Schizophrenia, unspecified
188 24-Nov-16 0001644339183 DHITYA JULIA SANDY 16 P PEGAWAI SWASTA Orthopaedic follow-up care, unspecified
189 24-Nov-16 0001429224592 M. SIIN 87 L PEKERJA MANDIRI Hyperplasia of prostate
190 24-Nov-16 0001307764754 RAILI 61 P PEKERJA MANDIRI Intervertebral disc disorder, unspecified
191 24-Nov-16 0000297151907 WIRDANISWATI 53 P PBI Non-Hodgkin's lymphoma, unspecified type
192 24-Nov-16 0000297145787 AHMAD DZAKI 5 L PBI Epistaxis
193 24-Nov-16 0000209499377 AHMAD JAZI 55 L PENERIMA PENSIUN TNI Angina pectoris, unspecified
194 25-Nov-16 0000296703426 JULIANA 58 P PBI Dyspnoea
195 25-Nov-16 0000022537697 SUPRAYITNO 60 L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular disease, so describ
196 25-Nov-16 0000020921218 EMILIA MS, SH. M.SI 62 P PNS DAERAH Fracture of neck of femur
197 26-Nov-16 0001618501274 MUDAWAMAH 35 P PEGAWAI SWASTA Secondary hypertension, unspecified, Bell's palsy
198 26-Nov-16 0000296675482 SYAHRONI 63 L PBI Lichen planus, unspecified
199 26-Nov-16 0000295799883 RENI HARTATIN 21 P PBI Benign neoplasm of breast
200 26-Nov-16 0000295449996 YUHARNIATI 48 P PBI Disorder of refraction, unspecified
201 26-Nov-16 0000295449939 RASYIDIN 47 L PBI Stroke, not specified as haemorrhage or infarction, Non-insulin-dependent diabetes
202 26-Nov-16 0000021476597 EDY SIDIK 58 L PNS DAERAH Atherosclerotic heart disease
203 28-Nov-16 0001960960904 ADIKEN MARLIN 33 P PEKERJA MANDIRI Moderate pre-eclampsia
204 28-Nov-16 0001459014862 TIANNA SITORUS 80 P PEKERJA MANDIRI Cataract, unspecified
205 28-Nov-16 0001389210693 ALAN NIATI 53 P PEGAWAI SWASTA Thyrotoxicosis, unspecified
206 28-Nov-16 0001326067446 TUMIAR BR KHALID 64 P PEKERJA MANDIRI Polyneuropathy, unspecified, Low back pain, Pure hypercholesterolaemia
207 28-Nov-16 0001303392475 RISEM 67 P PEKERJA MANDIRI Cataract, unspecified
208 28-Nov-16 0001261819383 RUSDI ABIDIN 63 L PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e
209 28-Nov-16 0000297038518 MASJUITA BR SILITONGA 41 P PBI Gastro-oesophageal reflux disease without oesophag
210 28-Nov-16 0000296995105 MAKIN 63 L PBI Cataract, unspecified
211 28-Nov-16 0000296689667 INDRAWATI 31 P PBI Caries of cementum
212 28-Nov-16 0000295939642 U.RUHYAT 75 L PBI Cataract, unspecified
213 28-Nov-16 0000021794703 ENDANG PS 62 P PENERIMA PENSIUN PNS Benign lipomatous neoplasm of skin and subcutaneou
214 28-Nov-16 0000021390592 RUSNI 58 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension
215 28-Nov-16 0000021390581 ALI AMRAN 59 L PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension
216 28-Nov-16 0000020905492 SINGGIH PRANOTO 34 L PNS DAERAH Fracture of clavicle
217 28-Nov-16 0000012500526 TIANGGUR PASARIBU 74 P PENERIMA PENSIUN TNI Cataract, unspecified
218 29-Nov-16 0002088109629 AMDIAN 67 L PEKERJA MANDIRI Sciatica
219 29-Nov-16 0002045642321 SITI MUBAROQAH 62 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus with other
220 29-Nov-16 0001965811746 NURMAYA BR SILINTONGA 59 P PEKERJA MANDIRI End-stage renal disease
221 29-Nov-16 0001822077641 SURIYAH 41 P PEKERJA MANDIRI Necrosis of pulp
222 29-Nov-16 0000297735096 NURAINI 47 P PBI Low back pain, Non-insulin-dependent diabetes mellitus without co
223 29-Nov-16 0000296459021 SATIANI 33 P PBI Necrosis of pulp
224 29-Nov-16 0000296050937 EFANIM 19 P PBI Maternal care for disproportion, unspecified
225 29-Nov-16 0000295200911 PINONDANG MARUNA SIAGIAN 40 P PBI Predominantly allergic asthma
226 29-Nov-16 0000021368722 PERMATA ULI ASIH 22 P PEKERJA MANDIRI Benign neoplasm of breast
227 29-Nov-16 0000020902408 SYAHRIL ARIADI 63 L PNS DAERAH Secondary hypertension, unspecified
228 30-Nov-16 0001873857025 SULASMI 72 L PEKERJA MANDIRI Cataract, unspecified
229 30-Nov-16 0001499505851 AMRIZAL 61 L PBI Heart failure, unspecified, Chronic obstructive pulmonary disease with acute e
230 30-Nov-16 0000297325304 AYU KRISTINA PANGGABEAN 21 P PBI Premature rupture of membranes, unspecified
231 30-Nov-16 0000296573444 RINAWATI 44 P PBI Headache
232 30-Nov-16 0000296179874 KENNEDY 50 L PBI Stroke, not specified as haemorrhage or infarction, Intervertebral disc disorder
233 30-Nov-16 0000295805248 NURLAN 41 P PBI Other cholelithiasis
234 30-Nov-16 0000295462484 JUPRIANTO 41 L PBI Schizophrenia, unspecified
235 30-Nov-16 0000172686835 IYAI SUSANTI 32 P PNS DAERAH Disorder of refraction, unspecified
236 30-Nov-16 0000021520383 DJUARIAH 64 P PNS DAERAH Primary arthrosis of other joints
237 30-Nov-16 0000021263545 MARIANA 66 P PENERIMA PENSIUN PNS Congestive heart failure
238 30-Nov-16 0000020756981 ALFRED 59 L PNS DAERAH Adhesive capsulitis of shoulder
POLI RUJUKAN TUJUAN RUJUKAN
POLI OBSTETRI/GYN RS. ZAINAB

POLI SYARAF RS BHAYANGKARAPOLDA PKU
POLI JIWA RS. JIWA PEKANBARU
POLI GIGI RSUD PETALA BUMI
POLI ORT RS IBNU SINA PEKANBARU
POLI BEDAH PMC
POLI SYARAF RSUD ARIFIN ACHMAD
POLI JIWA RS. JIWA PEKANBARU
POLI JANTUNG RSUD ARIFIN ACHMAD
POLI MATA RSUD PETALA BUMI
POLI THT RSUD PETALA BUMI
POLI PENYAKIT DALAM RSUD PETALA BUMI
POLI PENYAKIT MATA RSUD PETALA BUMI
POLI SYARAF RS. ZAINAB
POLI PENYAKIT DALAM RSUD ARIFIN ACHMAD
POLI PENYAKIT DALAM RS. SYAFIRA
POLI PENYAKIT MATA RS. EKA HOSPITAL PKU
POLI PARU PARU RSUD PETALA BUMI
POLI PENYAKIT JIWA RS. JIWA PEKANBARU
POLI PENYAKIT DALAM PMC
POLI SYARAF RSUD PETALA BUMI
POLI PENYAKIT DALAM RS. IBNU SINA
POLI ORT RS. AULIA HOSPITAL
POLI PENYAKIT MATA RS. SYAFIRA
POLI THT RS. SYAFIRA
POLI PENYAKIT JIWA RS JIWA PEKANBARU
POLI PENYAKIT MATA RS. BINA KASIH
POLI THT RSUD ARIFIN ACHMAD
POLI PENYAKIT DALAM RS. AWAL BROS
POLI ANAK RSUD PETALA BUMI
POLI UROLOGI RSUD ARIFIN ACHMAD
POLI UROLOGI RS. AWAL BROS
FISIOTERAPI RSUD ARIFIN ACHMAD
POLI ORT RSUD ARIFIN ACHMAD
POLI OBSTETRI/GYN RSUD PETALA BUMI
POLI PENYAKIT MATA RS. IBNU SINA
POLI PENYAKIT MATA RS. IBNU SINA
POLI PENYAKIT DALAM RS BHAYANGKARAPOLDA PKU
POLI JANTUNG RS. AWAL BROS
POLI UROLOGI RS. SYAFIRA
POLI ANAK PMC
UGD RSUD ARIFIN ACHMAD
POLI PENYAKIT KULIT RSUD PETALA BUMI
POLI PARU PARU RSUD ARIFIN ACHMAD
Installasi Rehabilitasi Medik RSUD ARIFIN ACHMAD
POLI ANAK RS. EKA HOSPITAL PKU
POLI PENYAKIT MATA RS. PROF. DR. TABRANI
POLI PENYAKIT MATA RSUD ARIFIN ACHMAD
POLI SYARAF RS. EKA HOSPITAL PKU
POLI JANTUNG RS. BINA KASIH
POLI BEDAH RSUD ARIFIN ACHMAD
POLI PENYAKIT MATA RS MATA SMEC
POLI PARU PARU RS. PROF. DR. TABRANI
POLI BEDAH RS. SYAFIRA
POLI UROLOGI RS. AWAL BROS
POLI THT RS. AWAL BROS
POLI ANAK PMC
POLI PENYAKIT DALAM RS. AWAL BROS
POLI JANTUNG RS. SYAFIRA
POLI UROLOGI RS. SYAFIRA
POLI PENYAKIT MATA RS. AWAL BROS
POLI ORT RS. IBNU SINA
POLI BEDAH RSUD PETALA BUMI
POLI PARU PARU RS. SYAFIRA
POLI PENYAKIT KULIT RSUD ARIFIN ACHMAD
POLI ANAK RSUD ARIFIN ACHMAD
POLI SYARAF RS. IBNU SINA
POLI PENYAKIT MATA RS. EKA HOSPITAL PEKANBARU
POLI PENYAKIT DALAM RS. PROF. DR. TABRANI
POLI ORT RS. SYAFIRA
POLI THT RS. IBNU SINA
POLI UROLOGI RS. IBNU SINA
POLI JANTUNG RS. AWAL BROS
POLI ORT RS. SYAFIRA
POLI SYARAF RS. EKA HOSPITAL PKU
POLI PENYAKIT KULIT RS. SYAFIRA
POLI PENYAKIT MATA RS. EKA HOSPITAL PKU
POLI GIGI RS. SYAFIRA
POLI BEDAH RS. AWAL BROS
POLI BEDAH RS. AWAL BROS
POLI OBSTETRI/GYN RS. BINA KASIH
POLI BEDAH RS. IBNU SINA
POLI OBSTETRI/GYN RS. BINA KASIH
POLI PENYAKIT MATA RS SYAFIRA
KOTA PEKANBARU, 30 NOVEMBER 2016

KEPALA PUSKESMAS REJOSARI
drg. YERLINA
NIP. 19761016 200406 2 010
BULAN OKTOBER TAHUN 2016
NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA DIAGNOSA POLI RUJUKAN
1 10/1/2016 0001337190164 NOVIDA IDAWATI SIAHAAN 34 P PEGAWAI SWASTA Endometrial glandular hyperplasia POLI OBSTETRI/GYN
2 10/1/2016 0000021957579 HASAN ZEIN 73 L PENERIMA PENSIUN PNS Chronic obstructive pulmonary disease with acute e POLI PARU PARU
3 10/1/2016 0000021666352 KUKUH DINDA SETIARANI 16 P PENERIMA PENSIUN PNS Disorder of refraction, unspecified POLI PENYAKIT MATA
4 10/1/2016 0000021666339 T.YULIARNI 51 P PENERIMA PENSIUN PNS Disorder of refraction, unspecified POLI PENYAKIT MATA
5 10/1/2016 0000021596117 BAMBANG RESMIYADI 50 L PNS DAERAH Pterygium POLI PENYAKIT MATA
6 10/1/2016 0000021517312 RITA WARDA 60 P PNS DAERAH Osteomyelitis, unspecified Installasi Rehabilitasi Medik
7 10/1/2016 0000021496667 SIMION BANGUN 56 L PNS DAERAH Chronic renal failure, unspecified POLI PENYAKIT DALAM
8 10/1/2016 0000020935934 ELITATY 50 P PNS DAERAH Malignant neoplasm of breast, unspecified Poli Bedah Onkologi
9 10/3/2016 0002075619093 PITRI ANISA 25 P PNS DAERAH Constipation POLI PENYAKIT DALAM
10 10/3/2016 0002062801179 DASMI 56 P PNS DAERAH Bronchiectasis POLI PARU PARU
11 10/3/2016 0001864684653 NURSILA 68 P PEKERJA MANDIRI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
12 10/3/2016 0001846746775 NORMA IDA BR TOBING 58 P PEKERJA MANDIRI Secondary hypertension, unspecified, Non-insulin-dependent diabetes mellitus without POLI PENYAKIT DALAM
13 10/3/2016 0001794666273 DIANA PUSPITA RAHAYU 43 P PEKERJA MANDIRI Superficial injury of abdomen, lower back and pelv POLI ORT
14 10/3/2016 0001470356537 SAIMIAH 47 P PEKERJA MANDIRI Atopic dermatitis, unspecified POLI PENYAKIT KULIT
15 10/3/2016 0001284542831 ROSMIANA SIALAGAN 64 P PEKERJA MANDIRI Intervertebral disc disorder, unspecified POLI SYARAF
16 10/3/2016 0001274124328 SYAHRIL 48 L PEKERJA MANDIRI Malignant neoplasm of rectum Poli Bedah Digestif
17 10/3/2016 0001264540421 KAMAN SAGALA 74 L PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction POLI SYARAF
18 10/3/2016 0001263725008 TOMAN PURBA 42 L PEKERJA MANDIRI Chest pain, unspecified POLI PENYAKIT DALAM
19 10/3/2016 0001261819383 RUSDI ABIDIN 63 L PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e POLI PARU PARU
20 10/3/2016 0000988816882 SUBADI 63 L PBI Hypertensive heart disease with (congestive) heart POLI JANTUNG
21 10/3/2016 0000297062842 SAMURI 47 L PBI Other spondylosis with radiculopathy, lumbar regio POLI SYARAF
22 10/3/2016 0000296808917 YABANI 52 P PBI Haematemesis, Gastro-oesophageal reflux disease without oesophag, Vertigo of centra POLI PENYAKIT DALAM
23 10/3/2016 0000296687081 ETISA GOWASA 34 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
24 10/3/2016 0000295991458 HUSNI ANINDI 42 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
25 10/3/2016 0000295364553 EVA SANGGITA 38 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
26 10/3/2016 0000295284712 FARIDA HANUM 49 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
27 10/3/2016 0000295151927 SEEN PRIMAN 23 L PBI Fracture of clavicle POLI ORT
28 10/3/2016 0000203835971 PRASETYA MASDI,S,SOS 30 L PNS DAERAH Fracture of shaft of tibia Installasi Rehabilitasi Medik
29 10/3/2016 0000194094898 ASNIDAR 69 P Malignant neoplasm of bone and articular cartilage POLI ORT
30 10/3/2016 0000172144833 ANDI M. GABRIEL ALNUR 11 L PNS DAERAH Headache POLI SYARAF
31 10/3/2016 0000021517323 ZAINAL EFENDI. IB 66 L PNS DAERAH Predominantly allergic asthma POLI PARU PARU
32 10/3/2016 0000021517312 RITA WARDA 60 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
33 10/3/2016 0000021229244 NURLISAN 72 P PENERIMA PENSIUN PNS Primary arthrosis of other joints POLI SYARAF
34 10/3/2016 0000020921218 EMILIA MS, SH. M.SI 62 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
35 10/4/2016 0001891452161 YUSRIANITA 31 P PEKERJA MANDIRI Epilepsy, unspecified POLI SYARAF
36 10/4/2016 0001867742357 TIORIMIN SIMBOLON 55 P PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction POLI SYARAF
37 10/4/2016 0001550399962 BHUTO BENARDUS MANALU 48 L PEGAWAI SWASTA Disorder of refraction, unspecified POLI PENYAKIT MATA
38 10/4/2016 0001501035175 AULIA ATIKA SARI 16 P PEGAWAI SWASTA Internal haemorrhoids without complication POLI B
39 10/4/2016 0001501035153 SUWANDI 43 L PEGAWAI SWASTA Disorder of refraction, unspecified POLI PENYAKIT MATA
40 10/4/2016 0001384379504 DARWIS 39 L PEKERJA MANDIRI Schizophrenia, unspecified POLI PENYAKIT JIWA
41 10/4/2016 0001268077667 RADJAB AHMAD 69 L PEKERJA MANDIRI Cataract, unspecified POLI PENYAKIT MATA
42 10/4/2016 0000297670781 YULIZAR 56 L PBI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
43 10/4/2016 0000296949778 HELMI RITONGA 40 P PBI Chronic gastritis, unspecified POLI PENYAKIT DALAM
44 10/4/2016 0000295523526 TEDI RAHMAD 37 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
45 10/4/2016 0000021282581 SUKIRMAN.H 73 L PENERIMA PENSIUN PNS Unstable angina POLI JANTUNG
46 10/5/2016 0001434916168 DAHNIAR 57 P PEKERJA MANDIRI Primary arthrosis of other joints POLI ORT
47 10/5/2016 0001274120133 SARINAM 59 P PEKERJA MANDIRI Primary arthrosis of other joints, Adhesive capsulitis of shoulder POLI ORT
48 10/5/2016 0001270579522 ROS AZIZAH 59 P KEPOLISIAN RI Chronic renal failure, unspecified, Hypertensive heart disease with (congestive) heart, POLI PENYAKIT DALAM
49 10/5/2016 0000988804416 RIKI CANDRA 27 L PBI Thyrotoxicosis, unspecified POLI PENYAKIT DALAM
50 10/5/2016 0000297318431 ZIDAN RAMADAN 12 L PBI Post-traumatic stress disorder POLI BEDAH
51 10/5/2016 0000296869858 SAYPOMISYAM 69 P PBI Epidermal cyst POLI BEDAH
52 10/5/2016 0000296161817 ELFRIDA TAMPUBOLON 48 P PBI Hypertensive heart disease with (congestive) heart POLI JANTUNG
53 10/5/2016 0000296050937 EFANIM 19 P PBI Other specified noninflammatory disorders of vagin POLI OBSTETRI/GYN
54 10/5/2016 0000200195943 FEBRO EKA ZONI 43 L PNS DAERAH Atherosclerotic heart disease POLI JANTUNG
55 10/5/2016 0000199393018 SYAFRIZAL USMAN 53 L PNS DAERAH Scrotal varices POLI B
56 10/5/2016 0000021245332 SAWIYAH 70 P PENERIMA PENSIUN PNS Schizophrenia, unspecified POLI PENYAKIT JIWA
57 10/5/2016 0000021148986 SRININGSIH 43 P PNS PUSAT Other disorders of lacrimal gland POLI PENYAKIT MATA
58 10/5/2016 0000021063791 R SUTANTRI EDI PRABOWO 53 L PNS DAERAH Cardiomegaly, Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
59 10/6/2016 0001383083379 TETTY SIHOMBING 38 P PEGAWAI SWASTA Acute sinusitis, unspecified POLI THT
60 10/6/2016 0001279366378 ROSNELI 53 P PEKERJA MANDIRI Malignant neoplasm of palate, unspecified POLI BEDAH ONKOLOGI
61 10/6/2016 0000295330825 MARIUS PANJAITAN 38 L PBI Necrosis of pulp POLI GIGI
62 10/6/2016 0000021282592 LAMINAM 72 P PENERIMA PENSIUN PNS Angina pectoris, unspecified POLI JANTUNG
63 10/6/2016 0000021222898 MURNI ZAMAN 65 L PENERIMA PENSIUN PNS Insulin-dependent diabetes mellitus without compli POLI PENYAKIT DALAM
64 10/6/2016 0000021156467 SYARIFUDIN 49 L PNS DAERAH Urinary calculus, unspecified POLI UROLOGI
65 10/6/2016 0000008788375 LUMIASPI RAJAGUKGUK 55 P PNS PUSAT Secondary hypertension, unspecified POLI PENYAKIT DALAM
66 10/7/2016 0001965811746 NURMAYA BR SILINTONGA 59 P PEKERJA MANDIRI End-stage renal disease, Hypertensive heart disease with (congestive) hear HAEMODIALISA
67 10/7/2016 0001821103828 radhitya putra defano 11 L PEKERJA MANDIRI Tuberculosis of lung, confirmed by unspecified mea POLI ANAK
68 10/7/2016 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Cataract, unspecified POLI PENYAKIT MATA
69 10/7/2016 0000988810839 BONIRAN 65 L PBI Stroke, not specified as haemorrhage or infarction POLI SYARAF
70 10/7/2016 0000297708704 TRIO RAMANDA PUTRA 15 L PBI Other specified soft tissue disorders, Conjunctival haemorrhage POLI PENYAKIT MATA
71 10/8/2016 0001864684653 nursila 68 P PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction POLI SYARAF
72 10/8/2016 0001822849367 SURATMI 54 P PEKERJA MANDIRI Low back pain POLI SYARAF
73 10/8/2016 0001425988091 BUDIYATI 53 P PEKERJA MANDIRI Vertigo of central origin, Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
74 10/8/2016 0001294454024 SUMIHAR MANURUNG 64 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Vertigo of central origin, Gastro- POLI PENYAKIT DALAM
75 10/8/2016 0001279368786 DENI EFRIYANTI 27 P PEGAWAI SWASTA Disorder of refraction, unspecified POLI PENYAKIT MATA
76 10/8/2016 0000295937649 YENTI 38 P PBI Other specified dermatitis POLI PENYAKIT KULIT
77 10/8/2016 0000295937605 HELMI 50 L PBI Stroke, not specified as haemorrhage or infarction POLI SYARAF
78 10/8/2016 0000295689251 FADRI YELDI 30 L PBI Fever, unspecified POLI PENYAKIT DALAM
79 10/8/2016 0000021247918 SOEPARYO 82 L PENERIMA PENSIUN PNS Hyperplasia of prostate POLI UROLOGI
80 10/10/2016 0002048758211 THOHIR YASKUR HIBATULLAH 0 L PEKERJA MANDIRI Haemangioma, any site POLI BEDAH ANAK
81 10/10/2016 0001864370654 RUSWANTO 48 L PEGAWAI SWASTA Malignant neoplasm of oropharynx, unspecified POLI THT
82 10/10/2016 0001314528693 rany rohana 57 P PEKERJA MANDIRI Gastro-oesophageal reflux disease without oesophag, Cardiac arrhythmia, unspecified POLI PENYAKIT DALAM
83 10/10/2016 0000988804945 NIAH 71 P PBI Chronic ischaemic heart disease, unspecified POLI JANTUNG
84 10/10/2016 0000297332526 SANGAP MANUEL 24 L PBI Arrested dental caries POLI GIGI
85 10/10/2016 0000296172404 PARDI 75 L PBI Anaemia due to other disorders of glutathione meta POLI PENYAKIT DALAM
86 10/10/2016 0000021602002 DARTA SINURAYA 61 L PENERIMA PENSIUN PNS Stroke, not specified as haemorrhage or infarction POLI SYARAF
87 10/10/2016 0000021502078 IRMANSYAH 60 L PNS DAERAH Vertigo of central origin POLI SYARAF
88 10/10/2016 0000021425319 DAHNIAR 64 P PNS DAERAH Chronic ischaemic heart disease, unspecified POLI JANTUNG
89 10/10/2016 0000021396903 SURONO EDI SUSANTO 66 L PNS DAERAH Atherosclerotic cardiovascular disease, so describ POLI JANTUNG
90 10/11/2016 0002078105714 INDRA MAWARNI 54 P PEKERJA MANDIRI Sciatica POLI SYARAF
91 10/11/2016 0001884404992 RAJA RAGEBALAMA 17 L PNS DAERAH Nephrotic syndrome, unspecified POLI PENYAKIT DALAM
92 10/11/2016 0001826927638 AKHMAD QODRI FITRIAWAN 24 L PEKERJA MANDIRI Predominantly allergic asthma POLI PARU PARU
93 10/11/2016 0001445931639 ALMUSTOPA 32 L PEKERJA MANDIRI Urinary calculus, unspecified POLI UROLOGI
94 10/11/2016 0001427051136 BACHTIAR TANJUNG 71 L PEKERJA MANDIRI Heart failure, unspecified POLI JANTUNG
95 10/11/2016 0001255945814 JHONI KUTAR 58 L PEKERJA MANDIRI Angina pectoris, unspecified POLI JANTUNG
96 10/11/2016 0000296943974 ADISTY PUTRI JEWIN 14 P PBI Disorder of brain, unspecified POLI BEDAH
97 10/11/2016 0000296627466 MAWARNITA ARITONANG 35 P PBI Acute suppurative otitis media POLI THT
98 10/11/2016 0000295747121 NITA 48 P PBI Presence of intraocular lens POLI PENYAKIT MATA
99 10/11/2016 0000205228618 WAN MUHAMMAD AL KHALIFI 5 L PNS DAERAH Routine child health examination POLI ANAK
100 10/11/2016 0000159657153 TAMSIR TAUFIK 67 L PENERIMA PENSIUN PNS Non-insulin-dependent diabetes mellitus without co, Secondary hypertension, POLI PENYAKIT DALAM
101 10/11/2016 0000021462118 DAHARNI 62 P PENERIMA PENSIUN PNS Predominantly allergic asthma POLI PARU PARU
102 10/11/2016 0000020340382 SUTEJA 63 L PENERIMA PENSIUN PNS Heart failure, unspecified POLI JANTUNG
103 10/12/2016 0001499480752 MIMI PUSPITA SARI 23 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
104 10/12/2016 0001453253589 SYAMSUARNI 75 P PEKERJA MANDIRI Atherosclerotic cardiovascular disease, so describ POLI JANTUNG
105 10/12/2016 0001247255987 NURAINI 37 P PEGAWAI SWASTA Delivery by elective caesarean section POLI OBSTETRI/GYN
106 10/12/2016 0000296153469 SITI AMINAH 53 P PBI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
107 10/12/2016 0000295940092 ERNAWATI 68 P PBI Hypertensive heart disease with (congestive) heart POLI JANTUNG
108 10/12/2016 0000295939642 U.RUHYAT 75 L PBI Hypertensive heart disease with (congestive) heart POLI JANTUNG
109 10/12/2016 0000021517503 SUCIANIK 60 P PNS DAERAH Primary arthrosis of other joints POLI ORT
110 10/12/2016 0000021482965 SUDARIAH KS 61 P PNS DAERAH Hypertensive heart disease with (congestive) heart POLI PENYAKIT DALAM
111 13/10/2016 0002088109629 AMDIAN 67 L PEKERJA MANDIRI Conjoined twins POLI SYARAF
112 13/10/2016 0000988808534 LINSARIA SITOMPUL 46 P PBI Headache POLI SYARAF
113 13/10/2016 0000296158375 LASTRI NUR HALIMAH 16 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
114 13/10/2016 0000295732293 ASHELA DEANA 17 P PBI Epilepsy, unspecified POLI SYARAF
115 13/10/2016 0000295701794 YUNI TASARI 23 P PBI Thyrotoxicosis, unspecified POLI PENYAKIT DALAM
116 13/10/2016 0000021182095 ROSLAINI 58 P PENERIMA PENSIUN PNS Accidental puncture and laceration during a proced POLI BEDAH
117 13/10/2016 0000020941187 DARNISAH 66 P PNS PUSAT Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
118 14/10/2016 0001965811746 NURMAYA BR SILINTONGA 59 P PEKERJA MANDIRI End-stage renal disease POLI BEDAH
119 14/10/2016 0001382654237 MUTIA SARI DEWI 27 P PNS DAERAH Benign lipomatous neoplasm, unspecified POLI BEDAH
120 14/10/2016 0001307530001 NURKARTINI 60 P PEKERJA MANDIRI Congestive heart failure POLI JANTUNG
121 14/10/2016 0001307528998 SYARIFUDDIN BUR 71 L PEKERJA MANDIRI Gastro-oesophageal reflux disease without oesophag, Low back pain POLI PENYAKIT DALAM
122 14/10/2016 0000296192316 ROUDHATUL JANNAH 14 L PBI Necrosis of pulp POLI GIGI
123 14/10/2016 0000159657287 ZUBAIDAH z 67 P PENERIMA PENSIUN PNS Dyspepsia POLI PENYAKIT DALAM
124 14/10/2016 0000021027554 YUSNA ZAINAL 62 P PNS PUSAT Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
125 15/10/2016 0001499517066 SUPRIYATIN RAHAYU 61 P PBI Low back pain POLI SYARAF
126 15/10/2016 0001499509991 MARTINIS 64 P PBI Atherosclerotic heart disease POLI JANTUNG
127 15/10/2016 0000021245332 SAWIYAH 70 P PENERIMA PENSIUN PNS Chronic gastritis, unspecified POLI PENYAKIT DALAM
128 17/10/2016 0001307764754 RAILI 61 P PEKERJA MANDIRI Intervertebral disc disorder, unspecified POLI SYARAF
129 17/10/2016 0001307759703 ANWAR 71 L PEKERJA MANDIRI Intervertebral disc disorder, unspecified, Primary arthrosis of other joints POLI SYARAF
130 17/10/2016 0000988816689 KATIRAH 55 L PBI Secondary hypertension, unspecified POLI PENYAKIT DALAM
131 17/10/2016 0000297326553 RAMADAN 42 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
132 17/10/2016 0000297032218 HELPIJER SIHOMBING 24 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
133 17/10/2016 0000296750463 WAHYU HIDAYAT 17 L PBI Necrosis of pulp POLI GIGI
134 17/10/2016 0000296208101 ANA ERIANI 42 P PBI Necrosis of pulp POLI GIGI
135 17/10/2016 0000296179874 KENNEDY 50 L PBI Stroke, not specified as haemorrhage or infarction POLI SYARAF
136 17/10/2016 0000296069455 JUNI ARTA 18 P PBI Other injuries of unspecified body region POLI BEDAH
137 17/10/2016 0000296064011 NOVRI ELNI 53 P PBI Non-insulin-dependent diabetes mellitus without co, Primary arthrosis of other joints POLI PENYAKIT DALAM
138 17/10/2016 0000194094898 ASNIDAR 69 P Secondary hypertension, unspecified, Primary arthrosis of other joints POLI PENYAKIT DALAM
139 17/10/2016 0000166468061 ZULMAWATI SAN 62 P PENERIMA PENSIUN TNI Acute sinusitis, unspecified POLI THT
140 17/10/2016 0000021797559 YESSI ERNIZA, SE. AK 43 P PNS DAERAH Headache POLI SYARAF
141 17/10/2016 0000021517323 ZAINAL EFENDI. IB 66 L PNS DAERAH Adhesive capsulitis of shoulder POLI SYARAF
142 17/10/2016 0000021517312 RITA WARDA 60 P PNS DAERAH Gonarthrosis, unspecified POLI SYARAF
143 17/10/2016 0000021358451 MARZUKI,BSC 69 L PENERIMA PENSIUNAN PNSCataract, unspecified POLI PENYAKIT MATA
144 17/10/2016 0000021225069 MUHARLAINI 70 P PENERIMA PENSIUNAN PNSPrimary arthrosis of other joint POLI SYARAF
145 17/10/2016 0000021017294 MUZAKI WILASTONO 11 L PNS PUSAT Disorder of refraction, unspecified POLI PENYAKIT MATA
146 17/10/2016 0000021017272 GUSTINAR 47 P PNS PUSAT Disorder of refraction, unspecified POLI PENYAKIT MATA
147 18/10/2016 0001499548059 SUSI 36 P PBI Benign neoplasm of breast POLI BEDAH
148 18/10/2016 0001499498831 MASNA 56 P PBI Cataract, unspecified POLI PENYAKIT MATA
149 18/10/2016 0000988803922 IMELDA 40 P PBI Other ectopic pregnanc POLI OBSTETRI/GYN
150 18/10/2016 0000297735096 NURAINI 47 P PBI Urinary calculus, unspecified POLI UROLOGI
151 18/10/2016 0000296980299 PAUL MANSON 17 L PBI Endocarditis, valve unspecified POLI JANTUNG
152 18/10/2016 0000296762613 AKMAL RIANTO 32 L PBI Tinnitus POLI THT
153 18/10/2016 0000021384797 ROSMANIAR 52 P PNS DAERAH Stroke, not specified as haemorrhage or infarction POLI SYARAF
154 18/10/2016 0000021282581 SUKIRMAN.H 73 L PENERIMA PENSIUNAN PNSHyperplasia of prostate POLI UROLOGI
155 19/10/2016 0001499544191 ALIAN 64 L PBI Heart failure, unspecified, Insulin-dependent diabetes mellitus without compli POLI PENYAKIT DALAM
156 19/10/2016 0001299127285 KARTINI 56 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Secondary hypertension POLI PENYAKIT DALAM
157 19/10/2016 0001272521597 JUMIATI 35 P PEGAWAI SWASTA Acquired haemolytic anaemia, unspecified POLI PENYAKIT DALAM
158 19/10/2016 0000296020934 MASNA 56 P PBI Cataract, unspecified POLI PENYAKIT MATA
159 19/10/2016 0000194094898 ASNIDAR 69 P Malignant neoplasm of bone and articular cartilage POLI ORT
160 19/10/2016 0000021617943 BUDIARTY,SE 51 P PNS DAERAH Primary arthrosis of other joints POLI ORT
161 19/10/2016 0000021369464 YUZAINA 56 P PNS DAERAH Impacted cerumen POLI THT
162 19/10/2016 0000021358901 TUKIMIN PARLUHUTAN 65 L PENERIMA PENSIUNAN PNSAtherosclerotic heart disease POLI JANTUNG
163 19/10/2016 0000021269417 YUSRAN HAMRAS 68 L PENERIMA PENSIUNAN PNSFracture of clavicle POLI SYARAF
164 19/10/2016 0000021249483 SUDARSIH 59 P PENERIMA PENSIUNAN PNSDisorder of refraction, unspecified POLI PENYAKIT MATA
165 19/10/2016 0000021231821 PARSUNGKUNAN NASUTION 68 L PENERIMA PENSIUN PJBT NGRHeadache POLI SYARAF
166 19/10/2016 0000020935923 ZARPANEL 58 L PNS DAERAH Chronic renal failure, unspecified, Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
167 20/10/2016 0002062800832 NILO PRANA 37 L PEKERJA MANDIRI Cataract, unspecified POLI PENYAKIT MATA
168 20/10/2016 0001972078626 AMORA FADELA PUTRI ASMAN 3 P PEKERJA MANDIRI Delayed milestone Installasi Rehabilitasi Medik
169 20/10/2016 0001255945814 JHONI KUTAR 58 L PEKERJA MANDIRI Necrosis of pulp POLI GIGI
170 20/10/2016 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Congestive heart failure POLI JANTUNG
171 20/10/2016 0000295958158 CANMER PAKPAHAN 25 L PBI Pain localized to upper abdomen POLI PENYAKIT DALAM
172 20/10/2016 0000148456754 HJ.ROHILA, S.PD 50 P PNS DAERAH Congestive heart failure POLI JANTUNG
173 20/10/2016 0000021511315 KHAIRUL ANWAR 62 L PNS DAERAH Gout, unspecified POLI PENYAKIT DALAM
174 20/10/2016 0000021193604 HAMONANGAN HUTASOIT,SH 71 L PENERIMA PENSIUNAN PNSAtherosclerotic cardiovascular disease, so describ POLI JANTUNG
175 21/10/2016 0002088109629 AMDIAN 67 L PEKERJA MANDIRI Sciatica POLI SYARAF
176 21/10/2016 0002068074426 M. ARSYAD SYAM 69 L PENERIMA PENSIUN SWASTAMyalgia POLI SYARAF
177 21/10/2016 0001433629203 SRI SUSILOWATI 33 P PEKERJA MANDIRI Necrosis of pulp POLI GIGI
178 21/10/2016 0000296152648 JEFRIANTO 43 L PBI Unspecified abdominal hernia without obstruction o POLI BEDAH
179 21/10/2016 0000295458851 YUSNA 56 P PBI Cataract, unspecified POLI PENYAKIT MATA
180 22/10/2016 0001618501274 MUDAWAMAH 35 P PEGAWAI SWASTA Bell's palsy POLI SYARAF
181 22/10/2016 0000296485672 DAHLIS 76 L PBI Fracture of patella POLI ORT
182 22/10/2016 0000209741027 HANIIFAH NABIILAH 12 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
183 22/10/2016 0000196717318 NURMANSYAH 68 L PENERIMA PENSIUNAN PNSSecondary hypertension, unspecified POLI SYARAF
184 22/10/2016 0000021516772 HASANUDDIN 60 L PNS DAERAH Atherosclerotic cardiovascular disease, so describ POLI JANTUNG
185 22/10/2016 0000020932007 RAMLAH MANALU 56 P PENERIMA PENSIUNAN PNSLow back pain FISIOTERAPI
186 22/10/2016 0000020353768 ENI SANTI 68 P PNS DAERAH Disorder of refraction, unspecified POLI SYARAF
187 22/10/2016 0000012500526 TIANGGUR PASARIBU 74 P PENERIMA PENSIUNAN TNI Presence of intraocular lens POLI PENYAKIT MATA
188 10/24/2016 0001499505851 AMRIZAL 61 L PBI Heart failure, unspecified, Chronic obstructive pulmonary disease with acute e POLI PENYAKIT DALAM
189 10/24/2016 0001499496827 PAIDI 64 L PBI Malignant neoplasm of nasopharynx, unspecified POLI THT
190 10/24/2016 0001428026016 M.EDI YUSUF SIHOTANG 35 L PEKERJA MANDIRI Schizophrenia, unspecified POLI PENYAKIT JIWA
191 10/24/2016 0000988802739 TIMBUL PARDEDE 65 L PBI Acute lymphadenitis, unspecified, Secondary hypertension, unspecified POLI PENYAKIT DALAM
192 10/24/2016 0000296468289 BUDI SANTOSO 31 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
193 10/24/2016 0000021957579 HASAN ZEIN 73 L PENERIMA PENSIUN PNS Unspecified dementia POLI SYARAF
194 10/24/2016 0000021798652 SUWARNI 57 P PNS DAERAH Neuralgia and neuritis, unspecified POLI SYARAF
195 10/24/2016 0000020863236 RUSMINI 55 P PENERIMA PENSIUN PNS Disorder of refraction, unspecified POLI PENYAKIT MATA
196 10/24/2016 0000020384831 M TAUFIK 44 L PNS DAERAH Schizophrenia, unspecified POLI PENYAKIT JIWA
197 10/25/2016 0002048361322 NAUFAL AFKAR 1 L PEKERJA MANDIRI Fever, unspecified POLI ANAK
198 25-10-2016 0001500860507 HENDRA MULIYADI PARDOSI 32 L PEGAWAI SWASTA Glaucoma suspect POLI PENYAKIT MATA
199 25-10-2016 0001439437342 ROCKY SANDER 28 L PNS DAERAH Atopic dermatitis, unspecified POLI PENYAKIT KULIT
200 25-10-2016 0000988813664 HELMINA 18 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
201 25-10-2016 0000297670781 YULIZAR 56 L PBI Glaucoma, unspecified POLI PENYAKIT MATA
202 25-10-2016 0000297324279 ESLINA SIAHAAN 61 P PBI Cataract, unspecified POLI PENYAKIT MATA
203 25-10-2016 0000297144314 FARHAN ZAIDI 7 L PBI Fever, unspecified POLI ANAK
204 25-10-2016 0000296672207 TIARA CITRA 11 P PBI Epilepsy, unspecified POLI ANAK
205 25-10-2016 0000296192316 ROUDHATUL JANNAH 14 L PBI Acute suppurative otitis media POLI THT
206 25-10-2016 0000021164365 ABDUL SOMAD, BA 71 L PENERIMA PENSIUNAN PNSLichen planus, unspecified POLI PARU PARU
207 25-10-2016 0000021045341 DWI KURNIATI 18 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
208 25-10-2016 0000019822961 MUKSEN 39 L PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
209 26-10-2016 0001421801392 SRI SUYATMI 44 P PEKERJA MANDIRI Epilepsy, unspecified POLI SYARAF
210 26-10-2016 0000296195973 TINI 28 P PBI Thyrotoxicosis, unspecified POLI PENYAKIT DALAM
211 26-10-2016 0000021072216 SYARIFAH FADILLAH 45 P PNS DAERAH Predominantly allergic asthma POLI PARU PARU
212 26-10-2016 0000019822959 JENIARTI 35 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
213 27-10-2016 0000297338286 SAUTMA JISMAN S 50 L PBI Retinal detachment with retinal break POLI PENYAKIT MATA
214 27-10-2016 0000297331413 MARINGAN MANALU 48 L PBI Low back pain POLI SYARAF
215 27-10-2016 0000020921218 EMILIA MS, SH. M.SI 62 P PNS DAERAH Insulin-dependent diabetes mellitus without compli POLI PENYAKIT DALAM
216 28-10-2016 0001500950553 NAOMI ADILAH 15 P PEGAWAI SWASTA Low back pain POLI SYARAF
217 28-10-2016 0001499472854 AINUN FITRAYAWATI 17 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
218 28-10-2016 0001499472832 MULYONO 55 L PBI Pterygium POLI PENYAKIT MATA
219 28-10-2016 0001326067446 TUMIAR BR KHALID 64 P PEKERJA MANDIRI Primary arthrosis of other joints, Polyneuropathy, unspecified POLI SYARAF
220 28-10-2016 0000296290225 DINI 13 P PBI Tuberculosis of lung, confirmed by unspecified mea POLI ANAK
221 28-10-2016 0000295805248 NURLAN 41 P PBI Gastro-oesophageal reflux disease without oesophag, Stroke, not specified as POLI PENYAKIT DALAM
222 28-10-2016 0000295200628 HOTMAULI SITORUS 47 P PBI Insulin-dependent diabetes mellitus without compli POLI PENYAKIT DALAM
223 28-10-2016 0000020911397 MAZARIN 59 L PNS DAERAH Heart failure, unspecified POLI JANTUNG
224 29-10-2016 0001337190164 NOVIDA IDAWATI SIAHAAN 34 P PEGAWAI SWASTA Endometrial glandular hyperplasia POLI OBSTETRI/GYN
225 29-10-2016 0000295939642 U.RUHYAT 75 L PBI Cataract, unspecified POLI PENYAKIT MATA
226 29-10-2016 0000295689453 ALNER SIMANJUNTAK 17 L PBI Unspecified chronic bronchitis POLI PARU PARU
227 29-10-2016 0000295537072 GUSPA YENTI 39 P PBI Foreign body in ear POLI THT
228 29-10-2016 0000295200911 PINONDANG MARUNA SIAGIAN 40 P PBI Predominantly allergic asthma POLI PARU PARU
229 29-10-2016 0000163487867 NURBAITI 57 P PENERIMA PENSIUNAN PNSStroke, not specified as haemorrhage or infarction POLI SYARAF
230 29-10-2016 0000021596139 BAGUS ANUGRAH PRASETYO 18 L PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
231 29-10-2016 0000021596117 BAMBANG RESMIYADI 50 L PNS DAERAH Pterygium POLI PENYAKIT MATA
232 29-10-2016 0000021229244 NURLISAN 72 P PENERIMA PENSIUNAN PNSPrimary arthrosis of other joints POLI PENYAKIT DALAM
233 29-10-2016 0000021223361 MUSLIM 69 L PENERIMA PENSIUNAN PNSStroke, not specified as haemorrhage or infarction POLI SYARAF
234 29-10-2016 0000017975193 YUSNA 72 P PENERIMA PENSIUNAN PNSGastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
235 29-10-2016 0000004216836 YUSRI DARTO 37 L PNS DAERAH Impacted teeth POLI GIGI
236 31-10-2016 0002039348823 BAHALI 71 L PEKERJA MANDIRI Other benign neoplasm of connective and other soft POLI BEDAH
237 31-10-2016 0001483116388 AGUSTINA NOVITASARI 46 P PEKERJA MANDIRI Malignant neoplasm of breast, unspecified POLI BEDAH ONKOLOGI
238 31-10-2016 0001290814953 ERNAWATI SIREGAR 34 P PEKERJA MANDIRI Spontaenous abortion, incomplete, with other and u POLI OBSTETRI/GYN
239 31-10-2016 0000296010472 HADI SUSANTO 30 L PBI Injury of eye and orbit, part unspecified POLI PENYAKIT MATA
240 31-10-2016 0000295810086 TUMIJEM 65 P PBI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
241 31-10-2016 0000295591285 NURYATI 37 P PBI Unspecified pre-existing hypertension complicating POLI OBSTETRI/GYN
242 31-10-2016 0000021589165 MUSALI RITONGA 58 L PNS DAERAH Angina pectoris, unspecified POLI JANTUNG
243 31-10-2016 0000021474933 MURKADI 67 L PENERIMA PENSIUNAN PNSChronic obstructive pulmonary disease with acute e POLI PARU PARU
244 31-10-2016 0000021469252 SUPRIYONO,SH 49 L PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
KOTA PEKANBARU, 31 OKTO
KEPALA PUSKESMAS RE
drg. YERLINA
NIP. 19761016 200406
TUJUAN RUJUKAN
RSUD ARIFIN ACHMAD

RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS PROF. DR. TABRANI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
PMC
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RS AWAL BROS
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS IBNU SINA PKU
RS IBNU SINA PKU
RS JIWA PEKANBARU
RS EKA HOSPITAL PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PEKANBARU
RSUD ARIFIN ACHMAD
RS EKA HOSPITAL PKU
RSUD PETALA BUMI
RS AWAL BROS
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD PETALA BUMI
RS AWAL BROS
RSUD ARIFIN ACHMAD
RS JIWA PEKANBARU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS AWAL BROS
RSUD PETALA BUMI
RS MATA SMEC
RS BHAYANGKARAPOLDA PKU
RSUD PETALA BUMI
RS IBNU SINA
RSUD PETALA BUMI
PMC
RSUD PETALA BUMI
PMC
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS EKA HOSPITAL PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RS EKA HOSPITAL PKU
RS ZAINAB
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS AWAL BROS
RS AWAL BROS
RS SYAFIRA
RS SYAFIRA
RSUD PETALA BUMI
RS SYAFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PEKANBARU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYAFIRA
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS EKA HOSPITAL PKU
RS IBNU SINA PKU
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYAFIRA
RSUD ARIFIN ACHMAD
RS EKA HOSPITAL PKU
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS JIWA PEKANBARU
RSUD ARIFIN ACHMAD
RS JIWA PEKANBARU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PEKANBARU
RS SYAFIRA
RS EKA HOSPITAL PEKANBARU
RS SYAFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS MATA SMEC
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS MATA SMEC
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS AWAL BROS PEKANBARU
RS EKA HOSPITAL PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS MATA SMEC
RU, 31 OKTOBER 2016
SKESMAS REJOSARI
g. YERLINA
016 200406 2 010
BULAN SEPTEMBER TAHUN 2016
NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA DIAGNOSA POLI RUJUKAN
1 1/9/2016 0001821103828 radhitya putra defano 11 L PEKERJA MANDIRI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
2 1/9/2016 0001821101951 defi suzeni 40 P PEKERJA MANDIRI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
3 1/9/2016 0001821100577 arifianto 42 L PEKERJA MANDIRI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
4 1/9/2016 0001550399973 SASTRI DEWI SIREGAR 44 P PEGAWAI SWASTA Disorder of refraction, unspecified POLI PENYAKIT MATA
5 1/9/2016 0001247256011 RULLY RAMADHONI 23 L PEGAWAI SWASTA Fracture of nasal bones Poli THT
6 1/9/2016 0000296680566 ARDILA RAHMAnita 7 P PBI Psoriasis, unspecified POLI PENYAKIT KULIT
7 1/9/2016 0000295947145 INDAH TRIWAHYUNI 18 P PBI Necrosis of pulp POLI GIGI
8 1/9/2016 0000295688981 KISRAN SIMANJUNTAK 44 L PBI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
9 1/9/2016 0000163487867 NURBAITI 57 P PENERIMA PENSIUN PNS Stroke, not specified as haemorrhage or infarction Poli Penyakit Saraf
10 1/9/2016 0000021734379 ARIF RASYADAN 14 L PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
11 1/9/2016 0000021358451 MARZUKI,BSC 69 L PENERIMA PENSIUN PNS Hyperplasia of prostate POLI UROLOGI
12 1/9/2016 0000021223361 MUSLIM 69 L PENERIMA PENSIUN PNS Stroke, not specified as haemorrhage or infarction POLI SYARAF
13 2/9/2016 0002056021931 yulia 34 P PEKERJA MANDIRI Predominantly allergic asthma POLI PARU PARU
14 2/9/2016 0001299127285 KARTINI 56 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Secondary hypertension, POLI PENYAKIT DALAM
15 2/9/2016 0001274124328 SYAHRIL 48 L PEKERJA MANDIRI Malignant neoplasm of rectum POLI BEDAH
16 2/9/2016 0001266232386 EDLIWATI SIREGAR 48 P PEKERJA MANDIRI Disorder of refraction, unspecified POLI PENYAKIT MATA
17 2/9/2016 0001078196433 AISYAH KARAMINA 17 P PNS DAERAH Atrial septal defect POLI JANTUNG
18 2/9/2016 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Chronic obstructive pulmonary disease with acute e, Congestive heart failure, P FISIOTERAPI
19 2/9/2016 0000297033186 DEDI PERIANTO S 23 L PBI Benign lipomatous neoplasm, unspecified POLI BEDAH
20 2/9/2016 0000296725116 LIBORA 33 P PBI Thyrotoxicosis, unspecified POLI PENYAKIT DALAM
21 2/9/2016 0000296179874 KENNEDY 49 L PBI Stroke, not specified as haemorrhage or infarction POLI SYARAF
22 2/9/2016 0000166468061 ZULMAWATI SAN 62 P PENERIMA PENSIUN TNI Fatty (change of) liver, not elsewhere classified POLI PENYAKIT DALAM
23 2/9/2016 0000159657287 ZUBAIDAH z 67 P PENERIMA PENSIUN PNS Secondary hypertension, unspecified, Dyspepsia POLI PENYAKIT DALAM
24 2/9/2016 0000149556025 YUDI YANTO 33 L PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
25 2/9/2016 0000021607479 AFRIZAL SIREGAR 44 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
26 2/9/2016 0000021555292 ZAINUDDIN CHATIB 58 L PENERIMA PENSIUN PNS Chest pain, unspecified POLI PENYAKIT DALAM
27 2/9/2016 0000021481367 RATNA ZULAIKA 62 P PENERIMA PENSIUN PNS Vertigo of central origin POLI SYARAF
28 2/9/2016 0000021245332 SAWIYAH 70 P PENERIMA PENSIUN PNS Gonarthrosis, unspecified POLI ORT
29 2/9/2016 0000012500526 TIANGGUR PASARIBU 74 P PENERIMA PENSIUN TNI Cataract, unspecified POLI PENYAKIT MATA
30 2/9/2016 0000009151334 HJ.RODIAH 76 P PENERIMA PENSIUN PNS Atherosclerotic heart disease POLI JANTUNG
31 3/9/2016 0001789720841 SURYANI 55 P PEKERJA MANDIRI Fracture of shaft of radius POLI ORT
32 3/9/2016 0001429224592 M. SIIN 87 L PEKERJA MANDIRI Cataract, unspecified POLI PENYAKIT MATA
33 3/9/2016 0001379662975 soeyatno 56 P PEKERJA MANDIRI Primary arthrosis of other joints POLI ORT
34 3/9/2016 0000297524272 SAPRIL 54 L PBI Cough POLI PARU PARU
35 3/9/2016 0000296802573 SARMI 56 P PBI Predominantly allergic asthma POLI PARU PARU
36 3/9/2016 0000196717318 NURMANSYAH 67 L PENERIMA PENSIUN PNS Secondary hypertension, unspecified POLI SYARAF
37 3/9/2016 0000021517312 RITA WARDA 60 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
38 3/9/2016 0000021336028 ABDUL HAMID BIN AHMAD 86 L PENERIMA PENSIUN PNS Chronic obstructive pulmonary disease with acute e POLI PARU PARU
39 3/9/2016 0000019777037 AMINAH 71 P PENERIMA PENSIUN PNS Hypertensive heart disease with (congestive) heart, Congestive heart failure POLI PENYAKIT DALAM
40 5/9/2016 0001884404992 RAJA RAGEBALAMA 17 L PNS DAERAH Nephrotic syndrome, unspecified POLI PENYAKIT DALAM
41 5/9/2016 0001499509991 MARTINIS 64 P PBI Angina pectoris, unspecified POLI JANTUNG
43 5/9/2016 0001478750793 R. DARNO 59 L PEGAWAI SWASTA Stroke, not specified as haemorrhage or infarction POLI SYARAF
44 5/9/2016 0001453253589 SYAMSUARNI 75 P PEKERJA MANDIRI Atherosclerotic cardiovascular disease, so describ POLI JANTUNG
45 5/9/2016 0001337190164 NOVIDA IDAWATI 33 P PEGAWAI SWASTA Endometrial glandular hyperplasia POLI OBSTETRI/GYN
46 5/9/2016 0000988805676 ELVA SALFITRI 51 P PBI Superficial mycosis, unspecified Poli THT
47 5/9/2016 0000297308733 RATNA 49 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
48 5/9/2016 0000296313456 MAYA PERTIWI 8 P PBI Tuberculosis of lung, confirmed by unspecified mea POLI ANAK
49 5/9/2016 0000295809985 AFRILIA KHAIRANI 5 P PBI Necrosis of pulp POLI GIGI
50 5/9/2016 0000021560488 AZIMAR 58 P PNS DAERAH Low back pain, Secondary hypertension, unspecified POLI SYARAF
51 5/9/2016 0000021261014 FATIMAH 73 P PENERIMA PENSIUN PNS Dyspepsia, Other and unspecified hydronephrosis POLI PENYAKIT DALAM
52 5/9/2016 0000021245332 SAWIYAH 70 P PENERIMA PENSIUN PNS Schizophrenia, unspecified POLI PENYAKIT JIWA
53 5/9/2016 0000021041278 ASRIL RAHMAN 61 L PENERIMA PENSIUN PNS Atherosclerotic heart disease POLI JANTUNG
54 5/9/2016 0000021017766 SRI RAHAYU 40 P PNS PUSAT Cellulitis of finger and toe POLI BEDAH
55 6/9/2016 0001478154069 RAFLIS RUSLI 69 L PEKERJA MANDIRI Heart failure, unspecified, Dyspepsia POLI PENYAKIT DALAM
56 6/9/2016 0001381838681 DEDDY YULIADI 40 L PEKERJA MANDIRI Urinary calculus, unspecified POLI UROLOGI
57 6/9/2016 0001263448383 siti aisyah 49 P PEKERJA MANDIRI Disorder of refraction, unspecified POLI PENYAKIT MATA
58 6/9/2016 0001261819383 rusdi abidin 63 L PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e POLI PARU PARU
59 6/9/2016 0001255945814 JHONI KUTAR 58 L PEKERJA MANDIRI Caries of dentine POLI GIGI
60 6/9/2016 0000988804945 NIAH 71 P PBI Atherosclerotic heart disease POLI JANTUNG
61 6/9/2016 0000297026212 FITRI 43 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
62 6/9/2016 0000296473735 ERNITA 36 P PBI Chronic gastritis, unspecified POLI PENYAKIT DALAM
63 6/9/2016 0000296033848 RAHMAD 16 L PBI Necrosis of pulp POLI GIGI
64 6/9/2016 0000295455115 MAWARDI 59 L PBI Secondary hypertension, unspecified POLI SYARAF
65 6/9/2016 0000149201548 NURZAHRINI 34 P PNS DAERAH Other specified surgical follow-up care POLI OBSTETRI/GYN
66 6/9/2016 0000020932007 RAMLAH MANALU 56 P PENERIMA PENSIUN PNS Low back pain POLI SYARAF
67 7/9/2016 0002062800832 NILO PRANA 37 L PEKERJA MANDIRI Cataract, unspecified POLI PENYAKIT MATA
68 7/9/2016 0001384379504 darwis a 39 L PEKERJA MANDIRI Schizophrenia, unspecified POLI PENYAKIT JIWA
69 7/9/2016 0001304322085 ZAMRUD BAIDURI 55 P PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction, Secondary hypertension, uns POLI SYARAF
70 7/9/2016 0001304320961 DARWIS 64 L PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction, Secondary hypertension, uns POLI SYARAF
71 7/9/2016 0000021591764 LINDA LESTARI 56 P PNS DAERAH Superficial injury of scalp POLI BEDAH
72 7/9/2016 0000021222898 MURNI ZAMAN 65 L PENERIMA PENSIUN PNS Insulin-dependent diabetes mellitus without compli, Secondary hypertension POLI PENYAKIT DALAM
73 7/9/2016 0000021207644 M.DJAMIN 66 P PENERIMA PENSIUN PNS Other allergic rhinitis Poli THT
74 7/9/2016 0000020956972 WAN LENNI 42 P PNS DAERAH Chronic renal failure, unspecified POLI BEDAH
75 8/9/2016 0001971605305 CHRISTIAN SINAGA 0 L PEKERJA MANDIRI Allergy, unspecified POLI ANAK
76 8/9/2016 0001846746775 NORMA IDA BR TOBING 57 P PEKERJA MANDIRI Occlusion and stenosis of unspecified precerebral POLI SYARAF
77 8/9/2016 0001821103828 radhitya putra defano 11 L PEKERJA MANDIRI Tuberculosis of lung, confirmed by unspecified mea POLI ANAK
78 8/9/2016 0001453256357 SYAMSUARDI 56 L PEKERJA MANDIRI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
79 8/9/2016 0001270579522 ROS AZIZAH 59 P KEPOLISIAN RI Chronic renal failure, unspecified, Hypertensive heart disease with (congestive) POLI PENYAKIT DALAM
80 8/9/2016 0001261221715 RICHARD SIREGAR 61 L PEKERJA MANDIRI Necrosis of pulp POLI GIGI
81 8/9/2016 0000295458851 YUSNA 56 P PBI Low back pain POLI SYARAF
82 8/9/2016 0000021554392 EMILIANA 52 P PNS DAERAH Malignant neoplasm of breast, unspecified POLI BEDAH
84 8/9/2016 0000021223361 MUSLIM 69 L PENERIMA PENSIUN PNS Cataract, unspecified POLI PENYAKIT MATA
86 9/9/2016 0001427052071 inang rahayu 61 P PEKERJA MANDIRI Angina pectoris, unspecified POLI JANTUNG
87 9/9/2016 0001278859138 RITA RUTH TAURUSIA 28 P PEKERJA MANDIRI Delivery by elective caesarean section POLI OBSTETRI/GYN
88 9/9/2016 0001247255976 IKSAN SUSILO 37 L PEGAWAI SWASTA Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
89 9/9/2016 0000297586798 DAHNIAR 42 P PBI Contusion of shoulder and upper arm POLI BEDAH
90 9/9/2016 0000021384876 RATNA WATI 57 P PENERIMA PENSIUN PNS Atherosclerotic heart disease POLI JANTUNG
91 10/9/2016 0001822849367 SURATMI 54 P PEKERJA MANDIRI Low back pain POLI SYARAF
92 10/9/2016 0000296563061 CHINDY CORNELIA 13 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
93 10/9/2016 0000296526677 MAIZALINA 19 P PBI Necrosis of pulp POLI GIGI
94 10/9/2016 0000296231297 NOPI ORITA 37 P PBI Primary arthrosis of other joints POLI ORT
95 10/9/2016 0000021517323 ZAINAL EFENDI. IB 66 L PNS DAERAH Adhesive capsulitis of shoulder POLI SYARAF
96 13/09/2016 0001499544191 ALIAN 64 L PBI Heart failure, unspecified POLI PENYAKIT DALAM
97 13/09/2016 0001446099344 JASNIAR 66 P PEKERJA MANDIRI Disorder of refraction, unspecified POLI PENYAKIT MATA
98 13/09/2016 0001326067446 TUMIAR BR KHALID 63 P PEKERJA MANDIRI Primary arthrosis of other joints POLI SYARAF
99 13/09/2016 0001314704867 AFRINAWATY 35 P PEKERJA MANDIRI Delivery by elective caesarean section POLI OBSTETRI/GYN
100 13/09/2016 0001272521597 JUMIATI 35 P PEGAWAI SWASTA Iron deficiency anaemia secondary to blood loss (c POLI PENYAKIT DALAM
101 13/09/2016 0000297670781 YULIZAR 56 L PBI Hypertensive heart disease with (congestive) heart POLI JANTUNG
102 13/09/2016 0000296986375 SAYPUL HAMIED 15 L PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
103 13/09/2016 0000296158792 SUNARSIH 55 P PBI Other cholelithiasis POLI BEDAH
104 13/09/2016 0000148317939 THORIQ ALDAFI 9 L PNS DAERAH Fever, unspecified POLI ANAK
105 13/09/2016 0000021223361 MUSLIM 69 L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular disease, so describ POLI JANTUNG
106 14/9/2016 0001499496827 PAIDI 64 L PBI Non-Hodgkin's lymphoma, unspecified type POLI BEDAH
107 14/9/2016 0001386517149 MARHALIANG GULTOM 73 L PEKERJA MANDIRI Status asthmaticus POLI PARU PARU
108 14/9/2016 0001319166606 YULIANI 58 P PEKERJA MANDIRI Chronic gastritis, unspecified POLI PENYAKIT DALAM
109 14/9/2016 0001304873842 MARTINI YULIUS 57 P PEKERJA MANDIRI Incomplete uterovaginal prolapse POLI OBSTETRI/GYN
110 14/9/2016 0001296446861 AFRIZAL 53 L PEKERJA MANDIRI Unilateral or unspecified inguinal hernia, without Poli Bedah
111 14/9/2016 0000983444962 LATAP PASARIBU 81 L PBI Secondary hypertension, unspecified Poli Penyakit Dalam
112 14/9/2016 0000977955017 syarifah qirani 3 P PNS PUSAT Fever, unspecified POLI ANAK
113 15/9/2016 0001307759703 ANWAR 71 L PEKERJA MANDIRI Primary arthrosis of other joints POLI SYARAF
114 15/9/2016 0000988819356 ANJELITA HELNI 11 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
115 15/9/2016 0000988802278 ERNAWATI 48 P PBI Acute lymphadenitis of upper limb POLI BEDAH
116 15/9/2016 0000297528456 BAYANI 63 P PBI Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
117 15/9/2016 0000296050937 EFANIM 19 P PBI Other specified inflammation of vagina and vulva POLI OBSTETRI/GYN
118 15/9/2016 0000296017738 SENI SENTOSO 46 L PBI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
119 15/9/2016 0000295732293 ASHELA DEANA 17 P PBI Epilepsy, unspecified POLI SYARAF
120 15/9/2016 0000295595649 RONIDA HUTABARAT 34 P PBI Caries of cementum POLI GIGI
121 15/9/2016 0000295165361 ESTER SITANGGANG 16 P PBI Caries of dentine POLI GIGI
122 15/9/2016 0000203835971 PRASETYA MASDI,S,SOS 30 L PNS DAERAH Fracture of shaft of tibia POLI BEDAH
123 15/9/2016 0000196717318 NURMANSYAH 67 L PENERIMA PENSIUN PNS Cataract, unspecified POLI PENYAKIT MATA
124 15/9/2016 0000021517323 ZAINAL EFENDI. IB 66 L PNS DAERAH Bicipital tendinitis Installasi Rehabilitasi Medik
125 15/9/2016 0000021269417 YUSRAN HAMRAS 68 L PENERIMA PENSIUN PNS Fracture of clavicle POLI SYARAF
126 15/9/2016 0000019860693 TAUFIK AMIN 62 L PNS DAERAH Stroke, not specified as haemorrhage or infarction POLI SYARAF
127 16/9/2016 0002078105354 DARUSLY SULUNG 56 L PEKERJA MANDIRI Benign neoplasm of unspecified site POLI BEDAH
128 16/9/2016 0001314528693 rany rohana 57 P PEKERJA MANDIRI Cardiac arrhythmia, unspecified POLI JANTUNG
130 16/9/2016 0000295616351 HOGNER SIANIPAR 46 L PBI Low back pain POLI SYARAF
131 16/9/2016 0000295542336 GADIS 6 P PBI Fever, unspecified UGD
132 16/9/2016 0000295122104 CHELIO DARMA PUTRA 19 L PBI Necrosis of pulp POLI GIGI
133 16/9/2016 0000021798652 SUWARNI 57 P PNS DAERAH Trigeminal neuralgia POLI SYARAF
134 17/9/2016 0002045642321 siti mubaroqah 62 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
135 17/9/2016 0001482142836 NGARIMIN 72 P PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e POLI PARU PARU
137 17/9/2016 0000296333638 YULIA NOFRIKASARI 20 P PBI Acute lymphadenitis of upper limb POLI PENYAKIT DALAM
138 17/9/2016 0000295928853 DAHLIA 52 P PBI Other vitreous opacities POLI PENYAKIT MATA
139 17/9/2016 0000021596117 BAMBANG RESMIYADI 50 L PNS DAERAH Tinnitus Poli THT
140 17/9/2016 0000021269417 YUSRAN HAMRAS 68 L PENERIMA PENSIUN PNS Secondary hypertension, unspecified POLI PENYAKIT DALAM
141 17/9/2016 0000020491391 DARLIANA 34 P PNS DAERAH Prolonged pregnancy POLI OBSTETRI/GYN
142 19/9/2016 0001427051136 bachtiar tanjung 70 L PEKERJA MANDIRI End-stage renal disease POLI PENYAKIT DALAM
143 19/9/2016 0001079570711 WIRA SASWITA 30 P PNS DAERAH Atopic dermatitis, unspecified POLI PENYAKIT KULIT
145 19/9/2016 0000296852848 WAHYUNI 33 P PBI Headache POLI SYARAF
147 19/9/2016 0000296277884 ELIDAWATI 46 P PBI Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
148 19/9/2016 0000295747121 NITA 48 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
149 19/9/2016 0000295346856 SUPRIADI 31 L PBI Keratitis, unspecified POLI PENYAKIT MATA
151 19/9/2016 0000021245332 SAWIYAH 70 P PENERIMA PENSIUN PNS Gonarthrosis, unspecified POLI ORT
152 20/9/2016 0001972078626 AMORA FADELA PUTRI ASMAN 3 P PEKERJA MANDIRI Delayed milestone Installasi Rehabilitasi Medik
153 20/9/2016 0001389647507 ALVAN MUHANDA 22 L PEKERJA MANDIRI Tuberculosis of bones and joints POLI ORT
154 20/9/2016 0001298144531 BUDI PRAYETNO 33 L PEKERJA MANDIRI Chest pain, unspecified POLI JANTUNG
155 20/9/2016 0000297670781 YULIZAR 56 L PBI Glaucoma, unspecified POLI PENYAKIT MATA
156 20/9/2016 0000296562205 HENDRA FERI 36 L PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
157 20/9/2016 0000296195973 TINI 28 P PBI Thyrotoxicosis, unspecified POLI PENYAKIT DALAM
158 20/9/2016 0000295621672 YUNI SUMARNI 41 P PBI Necrosis of pulp POLI GIGI
159 20/9/2016 0000295597517 TARI PURNOMO 32 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
160 20/9/2016 0000164037339 RESTU SURYANI 21 L PNS DAERAH Impacted teeth POLI GIGI
161 20/9/2016 0000021169877 SYAMSINAH 79 P PENERIMA PENSIUN PNS Cataract, unspecified POLI PENYAKIT MATA
162 20/9/2016 0000021098564 SITI HAPSAH 59 P PENERIMA PENSIUN TNI Sciatica Poli Penyakit Saraf
163 21/9/2016 0002083230336 AIKO FLARENZA ARIONA 0 P PEKERJA MANDIRI Tuberculous peripheral lymphadenopathy POLI ANAK
164 21/9/2016 0001638261369 ALFIANSYA MAISON 26 L PEGAWAI BUMN Other benign neoplasm of connective and other soft POLI BEDAH
165 21/9/2016 0001499484519 DELITA PAKPAHAN 49 P PBI Atherosclerotic heart disease POLI JANTUNG
166 21/9/2016 0000977814066 KHAIRUNA, S 49 P PENERIMA PENSIUN PNS Headache Poli Penyakit Saraf
167 21/9/2016 0000296380416 IRFAN RAMDANI 5 L PBI Epilepsy, unspecified POLI ANAK
168 21/9/2016 0000295683715 TIARA SUSANTI 5 P PBI Fever, unspecified POLI ANAK
169 21/9/2016 0000194094898 ASNIDAR 69 P PENERIMA PENSIUN PNS Malignant neoplasm of connective and soft tissue, POLI BEDAH
170 21/9/2016 0000021682506 YAHYA ZAKARIA 59 L PENERIMA PENSIUN PNS Atherosclerotic heart disease POLI JANTUNG
171 21/9/2016 0000021591775 MARSIL CAN 65 P PNS DAERAH Predominantly allergic asthma POLI PENYAKIT PARU
172 22/9/2016 0001619203533 JAPITNER MARBUN 55 L PEGAWAI SWASTA Secondary malignant neoplasm of other specified si, Chronic obstructive pulmon POLI PENYAKIT PARU
173 22/9/2016 0001499468995 YULMAIZAR 50 P PBI Other vitreous opacities POLI PENYAKIT MATA
174 22/9/2016 0001314528693 rany rohana 57 P PEKERJA MANDIRI Polyneuropathy, unspecified Poli Penyakit Saraf
175 22/9/2016 0001304171234 SUKINEM 50 P PEKERJA MANDIRI Caries of dentine POLI GIGI
176 22/9/2016 0000296652881 AZHAR 73 L PBI Unilateral or unspecified inguinal hernia, without POLI BEDAH
177 22/9/2016 0000295882997 SUPATMI 51 P PBI Cardiac arrhythmia, unspecified POLI JANTUNG
178 22/9/2016 0000164037339 RESTU SURYANI 21 L PNS DAERAH Impacted teeth POLI GIGI
179 22/9/2016 0000022537697 SUPRAYITNO 60 L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular disease, so describ POLI JANTUNG
180 22/9/2016 0000021172691 ASMAIWATI 65 P PENERIMA PENSIUN PNS Sciatica, Low back pain FISIOTERAPI
181 22/9/2016 0000020921218 EMILIA MS, SH. M.SI 61 P PNS DAERAH Fracture of neck of femur POLI BEDAH
182 23/09/2016 0002036963261 AISYAH 73 L PNS DAERAH Low back pain Poli Penyakit Saraf
183 23/09/2016 0001865088178 RIDHO TRISAPUTRA 9 L PNS DAERAH Necrosis of pulp POLI GIGI
184 23/09/2016 0001865086694 MUJIONO 44 L PNS DAERAH Fever, unspecified POLI PENYAKIT DALAM
185 23/09/2016 0001618501274 MUDAWAMAH 35 P PEGAWAI SWASTA Bell's palsy Poli Penyakit Saraf
186 23/09/2016 0001499497345 M. SIDIK 52 L PBI Malignant neoplasm of colon, unspecified POLI BEDAH
188 23/09/2016 0000296044907 ENO NOVITASARI 33 P PBI Maternal care for face, brow and chin presentation POLI ANAK
189 23/09/2016 0000295591285 NURYATI 37 P PBI Unspecified pre-existing hypertension complicating POLI OBSTETRI/GYN
190 23/09/2016 0000295200628 HOTMAULI SITORUS 47 P PBI Insulin-dependent diabetes mellitus with ophthalmi POLI PENYAKIT MATA
191 23/09/2016 0000021455291 MARULI 48 L PNS DAERAH Epilepsy, unspecified Poli Penyakit Saraf
192 23/09/2016 0000021177459 BACHRUZI 67 L PENERIMA PENSIUN PNS Dorsalgia, unspecified, Angina pectoris, unspecified, Secondary hypertension, POLI PENYAKIT DALAM
193 24/09/2016 0002077548399 lamhot novialdi gultom 2 L PEKERJA MANDIRI Fever, unspecified POLI ANAK
194 24/09/2016 0001423600266 DAME JUWITA 38 P PEGAWAI SWASTA Maternal care for breech presentation POLI OBSTETRI/GYN
195 24/09/2016 0000297151907 WIRDANISWATI 53 P PBI Intervertebral disc disorder, unspecified POLI ORT
196 24/09/2016 0000295846931 DELFI GULTOM 47 P PBI Primary arthrosis of other joints POLI PENYAKIT DALAM
197 26/09/2016 0001499544191 ALIAN 64 L PBI Heart failure, unspecified POLI PENYAKIT DALAM
198 26/09/2016 0001451349325 ALFI YOYOL 32 P PEKERJA MANDIRI Submucous leiomyoma of uterus POLI OBSTETRI/GYN
199 26/09/2016 0000297311286 MARULAM SIMANJUNTAK 57 L PBI Non-Hodgkin's lymphoma, unspecified type POLI PENYAKIT PARU
200 26/09/2016 0000297031173 CAHAYA INDAH LAIA 18 P PBI Caries of dentine POLI GIGI
201 26/09/2016 0000296977959 MIZAN 44 L PBI Ganglion POLI BEDAH
202 26/09/2016 0000296485672 DAHLIS 76 L PBI Vertigo of central origin Poli Penyakit Saraf
203 26/09/2016 0000295961883 KAYLA LESTARI 9 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
204 26/09/2016 0000295200911 PINONDANG MARUNA S 40 P PBI Predominantly allergic asthma POLI PENYAKIT PARU
205 26/09/2016 0000207595258 AISYAH MUTIARA 9 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
206 26/09/2016 0000163487867 NURBAITI 57 P PENERIMA PENSIUN PNS Cataract, unspecified POLI PENYAKIT MATA
207 26/09/2016 0000021589165 MUSALI RITONGA 57 L PNS DAERAH Angina pectoris, unspecified POLI JANTUNG
208 26/09/2016 0000021223607 MUSMAINI 64 P PENERIMA PENSIUN PNS Intervertebral disc disorder, unspecified Poli Penyakit Saraf
209 26/09/2016 0000012500526 TIANGGUR PASARIBU 74 P PENERIMA PENSIUN TNI Cataract, unspecified POLI PENYAKIT MATA
210 27/09/2016 0001825704584 MAHADI. L 73 L PNS DAERAH Senile cataract, unspecified POLI PENYAKIT MATA
211 27/09/2016 0001800143673 ernawita 41 P PEKERJA MANDIRI Other specified noninflammatory disorders of vagin POLI OBSTETRI/GYN
212 27/09/2016 0001270233213 ROSMARA LUBIS 63 P PEKERJA MANDIRI Primary arthrosis of other joints Poli Penyakit Saraf
213 27/09/2016 0001264540421 KAMAN SAGALA 74 L PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Secondary hypertension, POLI PENYAKIT DALAM
214 27/09/2016 0000988802739 TIMBUL PARDEDE 65 L PBI Senile cataract, unspecified POLI PENYAKIT MATA
215 27/09/2016 0000297327352 AMELIA PUTRI 9 P PBI Ventricular septal defect POLI JANTUNG
217 27/09/2016 0000295847256 MHD NASIR 75 L PBI Unilateral or unspecified inguinal hernia, without POLI BEDAH
218 27/09/2016 0000295670373 RENDI FERNANDO 8 L PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
219 27/09/2016 0000292686862 M. SYAWIR 65 L PBI Benign lipomatous neoplasm, unspecified POLI BEDAH
220 27/09/2016 0000021500864 BACTARUDDIN 59 L PNS DAERAH Atherosclerotic cardiovascular disease, so describ POLI JANTUNG
221 27/09/2016 0000021204977 YUSNAH 72 P PENERIMA PENSIUN PNS Haematemesis POLI PENYAKIT DALAM
222 27/09/2016 0000020900722 HENY EFNITA 36 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
223 28/09/2016 0002068074426 M. ARSYAD SYAM 69 L PENERIMA PENSIUN SWASTAOtalgia Poli THT
224 28/09/2016 0001894060091 M. SYAHRIL 52 L PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Acute appendicitis, unspecif POLI BEDAH
225 28/09/2016 0001502387943 ASNAWATI 53 P PEGAWAI SWASTA Disorder of refraction, unspecified POLI PENYAKIT MATA
226 28/09/2016 0001500950553 NAOMI ADILAH 14 P PEGAWAI SWASTA Low back pain Poli Penyakit Saraf
228 28/09/2016 0001499481843 ALEXANDER NASUTION 50 L PBI Cataract, unspecified POLI PENYAKIT MATA
229 28/09/2016 0001423587194 DASTA SIDABUTAR 38 P PEKERJA MANDIRI Dyspepsia POLI PENYAKIT DALAM
230 28/09/2016 0000296920765 LEO CANDRA SAPUTRA 33 L PBI Pterygium POLI PENYAKIT MATA
231 28/09/2016 0000296718917 SUPI 65 P PBI Stroke, not specified as haemorrhage or infarction Poli Penyakit Saraf
232 28/09/2016 0000296672207 TIARA CITRA 11 P PBI Epilepsy, unspecified POLI ANAK
233 28/09/2016 0000295462484 JUPRIANTO 41 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
234 28/09/2016 0000149201594 CIGIT PRASTIO PRADIKA 9 L PNS DAERAH Impacted cerumen Poli THT
235 28/09/2016 0000021358427 MAGDALENA SIREGAR 68 P PENERIMA PENSIUN PNS Hypertensive heart disease with (congestive) heart POLI JANTUNG
237 29/09/2016 0001794418659 ELVY RAMADANI NURDIN 16 P PNS PUSAT Headache Poli Penyakit Saraf
238 29/09/2016 0001325325813 destya renata ramadhina 16 P PEKERJA MANDIRI Disorder of refraction, unspecified POLI PENYAKIT MATA
239 29/09/2016 0001319166606 YULIANI 58 P PEKERJA MANDIRI Caries of dentine POLI GIGI
240 29/09/2016 0000297332526 SANGAP MANUEL 24 L PBI Arrested dental caries POLI GIGI
241 29/09/2016 0000296192316 ROUDHATUL JANNAH 14 L PBI Acute bronchitis, unspecified POLI PENYAKIT DALAM
242 29/09/2016 0000296016884 FAHRI OKTAFIANDRI 6 L PBI Fever, unspecifie POLI ANAK
243 29/09/2016 0000021358427 MAGDALENA SIREGAR 68 P PENERIMA PENSIUN PNS Gonarthrosis, unspecified Installasi Rehabilitasi Medik
244 29/09/2016 0000021063069 YUSUF HENDRAWAN 9 L PNS DAERAH Fever, unspecified POLI ANAK
245 30/09/2016 0001483116388 AGUSTINA NOVITASARI 46 P PEKERJA MANDIRI Malignant neoplasm of breast, unspecified Poliklinik Bedah Onkologi
246 30/09/2016 0001287693426 SRI RUANA 21 P PEKERJA MANDIRI Obstructed labour due to breech presentation POLI OBSTETRI/GYN
247 30/09/2016 0000296852916 NURAINA RAMADHAN 12 L PBI Caries of dentine POLI GIGI
248 30/09/2016 0000296155541 MUHAMAD MARZUKI 16 L PBI Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT DALAM
249 30/09/2016 0000295605538 WANISEM 43 P PBI Concussion Poli Penyakit Saraf
KOTA PEKANBARU, 30 SEP

KEPALA PUSKESMAS R
drg. YERLINA
NIP. 19761016 20040
TUJUAN RUJUKAN
RSUD PETALA BUMI

RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYAFIRA
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RS AWAL BROS PANAM
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
PROF. DR. TABRANI (JST)
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RS SYAFIRA
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RS EKA HOSPITAL PKU
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
PMC
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS EKA HOSPITAL PKU
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS
RS JIWA PKU
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSIA ERIA BUNDA
RSUD PETALA BUMI
RS JIWA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS IBNU SINA PKU
RS ZAINAB
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS JIWA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS AWAL BROS
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS JIWA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSIA ERIA BUNDA
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RS SYAFIRA
RS SYAFIRA
RS EKA HOSPITAL PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS ZAINAB
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSIA ERIA BUNDA
RS SYAFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RS ZAINAB
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS IBNU SINA PKU
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS EKA HOSPITAL PKU
RS EKA HOSPITAL PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS JIWA PKU
RSIA ERIA BUNDA
RSUD ARIFIN ACHMAD
RS JIWA PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
U, 30 SEPTEMBER 2016
KESMAS REJOSARI
. YERLINA
016 200406 2 010
DATA RUJUKAN PUSKESM
BULAN FEBRU
NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
UJUKAN PUSKESMAS REJOSARI PEKANBARU
BULAN FEBRUARI TAHUN 2017
DIAGNOSA
TUJUAN RUJUKAN TEMPAT RUJUKAN
DATA RUJUKAN PUSKESM
BULAN JANUA
NO TANGGAL NO.KARTU NAMA UMUR J.K JENIS PESERTA
1 2/1/2016 0001801686093 ARROZI 39 L PEKERJA MANDIRI

2 2/1/2016 0000297524777 KUMALA SARI 12 P PBI
3 2/1/2016 0000296055382 SARNUBI 46 L PBI
4 2/1/2016 0000295820223 REZKI DWI SEPRIJA 15 L PBI
5 2/1/2016 0000230928096 EDISON GULO 44 L PBI
6 2/1/2016 0000021581256 ZULFA 60 L PNS
7 2/1/2016 0000021208263 M.NASIR. HS 68 L PENSIUNAN PNS
8 4/1/2016 0001864480476 JASA NASRI 47 L PEGAWAI SWASTA
9 4/1/2016 0001836287739 HAPASHA 64 P PEKERJA MANDIRI
10 4/1/2016 0001500655296 USENG SUPARMAN 47 L PEGAWAI SWASTA
11 4/1/2016 0001429224592 M. SIIN 87 L PEKERJA MANDIRI
12 4/1/2016 0001384777157 BUCHARI MUSLIM 70 L PEKERJA MANDIRI
13 4/1/2016 0001382654237 MUTIA SARI DEWI 26 P PNS
14 4/1/2016 0001314528693 RANY ROHANA 57 P PEKERJA MANDIRI
15 4/1/2016 0001306834176 SUGIARTI 67 P PEKERJA MANDIRI
16 4/1/2016 0001304322085 ZAMRUD BAIDURI 54 P PEKERJA MANDIRI
17 4/1/2016 0001304320961 DARWIS 64 L PEKERJA MANDIRI
18 4/1/2016 0000297670781 YULIZAR 55 L PBI
19 4/1/2016 0000296762139 BONSU 50 P PBI
20 4/1/2016 0000296314784 ASNIMAR 59 P PBI
21 4/1/2016 0000296314007 DUSKI 61 L PBI
22 4/1/2016 0000296064011 NOVRI ELNI 52 P PBI
23 4/1/2016 0000295904575 RENNI SITANGGANG 44 P PBI
24 4/1/2016 0000295892706 TUMINAH 64 P PBI
25 4/1/2016 0000295617609 YULFA DENI SANTI 32 P PBI
26 4/1/2016 0000295617025 IMAM WAHYUDI 34 L PBI
27 4/1/2016 0000196717318 NURMANSYAH 67 L PENSIUNAN PNS
28 4/1/2016 0000193595951 DR.SYAFRIDA RIA 32 P PNS
29 4/1/2016 0000021938578 YUNIATIEK 58 P PENERIMA PENSIUNAN TNI
30 4/1/2016 0000021384876 RATNA WATI 57 P PENERIMA PENSIUNAN PNS
31 4/1/2016 0000021384797 ROSMANIAR 52 P PNS
32 4/1/2016 0000021358901 TUKIMIN PARLUHUTAN 64 L PENERIMA PENSIUNAN PNS
33 5/1/2016 0001324065745 RR. RAHAYU SETYANING 27 P PEKERJA MANDIRI
34 5/1/2016 0000296275072 KENEDI SIRINGO RINGO 54 L PBI
35 5/1/2016 0000295726342 TANYA ISMAIL 5 P PBI
36 5/1/2016 0000196717318 NURMANSYAH 67 L PENERIMA PENSIUNAN PNS
37 5/1/2016 0000159657287 ZUBAIDAH z 66 P PENERIMA PENSIUNAN PNS
38 5/1/2016 0000021063791 R SUTANTRI EDI PRABOWO 53 L PNS
39 5/1/2016 0000021018093 SUKIRNO 36 L PNS
40 6/1/2016 0001470356537 SAIMIAH 47 P PEKERJA MANDIRI
41 6/1/2016 0001295843218 RAFFIO FHARDAN 3 L PEKERJA MANDIRI
42 6/1/2016 0001272890384 RUTIAMI ZAI 85 P PEKERJA MANDIRI
43 6/1/2016 0001265105259 BINTANG FARID BAZLAN 6 L PNS
44 6/1/2016 0000297310408 MUHAMMAD FAREL 7 L PBI
45 6/1/2016 0000296396188 RAMSIA HUTAFEA 48 P PBI
46 6/1/2016 0000296358546 RIAN WINANDA 8 L PBI
47 6/1/2016 0000296055224 RIZAL 20 L PBI
48 6/1/2016 0000295639659 MaSKHODIJAH 33 P PBI
49 6/1/2016 0000021797559 YESSI ERNIZA, SE. AK 42 P PNS
50 6/1/2016 0000021602002 DARTA SINURAYA 60 L PENERIMA PENSIUNAN PNS
51 6/1/2016 0000021565811 R. ARYA RIZKY 11 L PNS
52 6/1/2016 0000021247918 SOEPARYO 82 L PENERIMA PENSIUNAN PNS
53 6/1/2016 0000021240707 RUBIAH 66 P PENERIMA PENSIUNAN PNS
54 6/1/2016 0000021240696 RUSLI TAHER 72 L PENERIMA PENSIUNAN PNS
55 7/1/2016 0001897039451 MAYA RATNA SARI ADE 45 P PEKERJA MANDIRI
56 7/1/2016 0001796309144 EDI PURWANTO 43 L PEGAWAI SWASTA
57 7/1/2016 0001499466339 BAHARUDDIN 67 L PBI
58 7/1/2016 0001476058162 YENI WULANDARI 36 P PEKERJA MANDIRI
59 7/1/2016 0001267798858 FAUZIAH CANITA 38 P PEKERJA MANDIRI
60 7/1/2016 0000988816882 SUBADI 62 L PBI
61 7/1/2016 0000295989478 SUARNI 43 P PBI
62 7/1/2016 0000295787171 SITI SAMSIAH 34 P PBI
63 7/1/2016 0000295617609 YULFA DENI SANTI 32 P PBI
64 7/1/2016 0000021602002 DARTA SINURAYA 60 L PENERIMA PENSIUNAN PNS
65 7/1/2016 0000021425319 DAHNIAR 63 P PNS
66 7/1/2016 0000021120186 ZAKARIA YUNUS 72 L PENERIMA PENSIUNAN PNS
67 8/1/2016 0001499492744 LAMRIA MALAU 46 P PBI
68 8/1/2016 0001499487017 ASIR IMAM BANDARO 65 L PBI
69 8/1/2016 0000297330377 SUNI 69 P PBI
70 8/1/2016 0000296790636 YAYA ULAYYA 9 P PBI
71 8/1/2016 0000296182956 TUMARNI 33 L PBI
72 8/1/2016 0000021358427 MAGDALENA SIREGAR 67 P PENERIMA PENSIUNAN PNS
73 9/1/2016 0001499468668 PANDARAMAN SIREGAR 64 L PBI
74 9/1/2016 0001483835736 LIDYA JULIAN CINTANI 13 P PNS
75 9/1/2016 0001478750793 R. DARNO 58 L PEGAWAI SWASTA
76 9/1/2016 0001438329846 RENI HAPIYANI 39 P PEKERJA MANDIRI
77 9/1/2016 0001384379504 DARWIS 38 L PEKERJA MANDIRI
78 9/1/2016 0000295200066 BINHARUN SIMAMORA 44 L PBI
79 9/1/2016 0000020935923 ZARPANEL 58 L PNS
80 9/1/2016 0000020866836 ROSLAILI 45 P PNS
0001499497345 M. SIDIK 51 L PBI
0001499487017 ASIR IMAM BANDARO 65 L PBI
BULAN JANUARI TAHUN 2016
DIAGNOSA
Necrosis of pulp
Fever, unspecified
Ptosis of eyelid
Epilepsy, unspecified
Benign neoplasm of brain, unspecified
Atherosclerotic cardiovascular disease, so describ
Atherosclerotic heart disease
Chronic obstructive pulmonary disease, unspecified
Congestive heart failure
Ganglion
Cataract, unspecified
Low back pain
Other specified complications of labour and delive
Cardiac arrhythmia, unspecified
Insulin-dependent diabetes mellitus without compli, Vertigo of central origin
Stroke, not specified as haemorrhage or infarction
Volume depletion
Benign neoplasm of meninges, unspecified
Low back pain
Ganglion
Diffuse brain injury
Malignant neoplasm of cervix uteri, unspecified
Low back pain
Low back pain
Paraesthesia of skin
Vaginal delivery following previous caesarean sect
Necrosis of pulp
Pulpitis
Unspecified viral hepatitis without hepatic coma
Acute pharyngitis, unspecified
Hypertension secondary to other renal disorders
Seropositive rheumatoid arthritis, unspecified, Hypertension secondary to other renal
Non-insulin-dependent diabetes mellitus without co, Hypertension secondary to other
Tuberculosis of lung, confirmed by unspecified mea
Seborrhoeic dermatitis, unspecified
Tuberculosis of lung, confirmed by unspecified mea
Infantile cerebral palsy, unspecified
Carrier of other intestinal infectious diseases
Follicular cyst of ovary
Mucocele of salivary gland
Fracture of skull and facial bones, part unspecifi
Thyrotoxicosis, unspecified
Headache
Non-insulin-dependent diabetes mellitus without co
Tetralogy of Fallot
Felty's syndrome
Epidural haemorrhage
Disorder of refraction, unspecified
Haemorrhage in early pregnancy, unspecified
Tuberculosis of intestines, peritoneum and mesente
Hypertensive heart disease with (congestive) heart
Low back pain
Other infection of genital tract following deliver
Low back pain
Chronic renal failure, unspecified
Carcinoma in situ of endometrium
Soft tissue disorder, unspecified
Carrier of other intestinal infectious diseases
Schizophrenia, unspecified
Heart failure, unspecified
Angina pectoris, unspecified
Disorder of refraction, unspecified
Non-insulin-dependent diabetes mellitus without co
Schizophrenia, unspecified
Low back pain
Low back pain
Secondary and unspecified malignant neoplasm of ly
Low back pain
POLI RUJUKAN TUJUAN RUJUKAN

POLI PENYAKIT SYARAF RSUD PETALA BUMI
POLI BEDAH RSUD ARIFIN ACMAD
POLI JANTUNG RSUD ARIFIN ACMAD
POLI BEDAH RS. PROF.DR.TABRANI
POLI OBSTETRI/GYN RSU SYAFIRA
POLI PENYAKIT MATA RS BHAYANGKARAPOLDA PKU
POLI SYARAF RSUD ARIFIN ACMAD
POLI OBSTETRI/GYN RSUD ARIFIN ACMAD
POLI OBSTETRI/GYN RSU SYAFIRA
POLI GIGI RS. JIWA PEKANBARU
POLI PENYAKIT DALAM RSU SYAFIRA
POLI PENYAKIT DALAM RSUD ARIFIN ACMAD
POLI PENYAKIT KULIT RSU SYAFIRA
POLI ANAK RS. ZAINAB
POLI ANAK RS. ZAINAB
Installasi Rehabilitasi Medik RS. ZAINAB
POLI PENYAKIT DALAM RSUD ARIFIN ACMAD
POLI JANTUNG RS. EKA HOSPITAL
RSUD PETALA BUMI
RS. SYAFIRA
RS. SYAFIRA
RSUD PETALA BUMI
RSUD ARIFIN ACMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS. SYAFIRA
RSUD ARIFIN ACMAD
RSUD ARIFIN ACMAD
RSUD ARIFIN ACMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS. PMC
RSUD PETALA BUMI
RS. JIWA PEKANBARU
RSUD ARIFIN ACMAD
RSUD PETALA BUMI
RS. PROF.DR.TABRANI
RSUD PETALA BUMI
RSUD ARIFIN ACMAD
RS. JIWA PEKANBARU
RSUD PETALA BUMI
RSUD ARIFIN ACMAD
RSUD PETALA BUMI
RSUD ARIFIN ACMAD
RSUD PETALA BUMI
BULAN JANUARI TAHUN 2017
NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA DIAGNOSA TUJUAN RUJUKAN
1 3/1/2017 0001794418659 ELVY RAMADANI NURDIN 17 P PNS PUSAT Impacted cerumen POLI THT
2 3/1/2017 0001502387943 ASNAWATI 53 P PEGAWAI SWASTA Fracture of neck of femur POLI ORT
3 3/1/2017 0001499479514 ASDIRMAN 56 L PBI Gastritis, unspecified POLI PENYAKIT DALAM
4 3/1/2017 0001499473754 TULUS 74 L PBI Hyperplasia of prostate POLI UROLOGI
5 3/1/2017 0001499472167 SUWARNO 57 L PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
6 3/1/2017 0001459014862 TIANNA SITORUS 80 P PEKERJA MANDIRI Cataract, unspecified POLI PENYAKIT MATA
7 3/1/2017 0000988804552 YULI WIDYASTUTI 31 P PBI Acute tonsillitis, unspecified POLI THT
8 3/1/2017 0000297716387 LISTINA SAIGIAN 34 P PBI Cellulitis, unspecified POLI BEDAH
9 3/1/2017 0000297670781 YULIZAR 56 P PBI Glaucoma, unspecified POLI PENYAKIT MATA
10 3/1/2017 0000296751969 ARIF ALAMSYAH 8 L PBI Acute tonsillitis, unspecified POLI THT
11 3/1/2017 0000296670126 WATI 45 P PBI Pityriasis versicolor POLI PENYAKIT KULIT
12 3/1/2017 0000296530874 ARIANI 32 P PBI Acute tonsillitis, unspecified POLI THT
13 3/1/2017 0000296035277 DEMMO SAHAT 61 L PBI Malignant neoplasm of prostate POLI UROLOGI
14 3/1/2017 0000295970747 ASNI 51 P PBI Predominantly allergic asthma POLI PENYAKIT PARU
15 3/1/2017 0000295820313 WULANDARI 20 P PBI Pterygium POLI PENYAKIT MATA
16 3/1/2017 0000295677742 SARI AYU 27 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
17 3/1/2017 0000021270767 ZAINAL MANAN 72 L PENSIUN PNS Hyperplasia of prostate POLI UROLOGI
18 3/1/2017 0000021245332 SAWIYAH 71 P PENSIUN PNS Schizophrenia, unspecified POLI PENYAKIT JIWA
19 3/1/2017 0000021018093 SUKIRNO 37 L PNS PUSAT Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
20 4/1/2017 0002204302623 zubaida 60 P PEKERJA MANDIRI Cataract, unspecified POLI PENYAKIT MATA
21 4/1/2017 0002199585587 MEISA OLIVIA 1 P PEKERJA MANDIRI Other benign neoplasm of connective and other soft POLI BEDAH
22 4/1/2017 0001890125447 DANIEL MECIHO 18 L PEKERJA MANDIRI Necrosis of pulp POLI GIGI
23 4/1/2017 0001500860507 HENDRA MULIYADI 32 L PEGAWAI SWASTA Glaucoma, unspecified POLI PENYAKIT MATA
24 4/1/2017 0001499513231 RESTU OKTAVIANI 24 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
25 4/1/2017 0001499513229 YUMENI 50 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
26 4/1/2017 0001452051549 TARMIZI 60 L PEKERJA MANDIRI Unilateral or unspecified inguinal hernia, withouT POLI BEDAH
27 4/1/2017 0001451615769 PUTRI KASIH MARIA 2 P PEKERJA MANDIRI Delayed milestone POLI ANAK
28 4/1/2017 0001285843948 SUDIRMAN 54 L PEKERJA MANDIRI Congestive heart failure POLI JANTUNG
29 4/1/2017 0000988805957 KATIRAH 75 P PBI Excessive bleeding in the premenopausal period Poli Obstetri/Gyn.
30 4/1/2017 0000297047608 SUNDANG JAYA 31 L PBI Unspecified abdominal hernia without obstruction POLI BEDAH
31 4/1/2017 0000296848348 JAMAL ISKANDAR 21 L PBI Caries of cementum POLI GIGI
32 4/1/2017 0000296236552 ANI 56 P PBI Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
33 4/1/2017 0000296179874 KENNEDY 50 L PBI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
34 4/1/2017 0000295805248 NURLAN 41 P PBI Other cholelithiasis POLI BEDAH
35 4/1/2017 0000295570258 ENDRA NELLY 45 P PBI Benign lipomatous neoplasm, unspecified POLI BEDAH
36 4/1/2017 0000295524977 SANTO FERNANDO. S 26 L PBI Acute and transient psychotic disorder, unspecifie POLI PENYAKIT JIWA
37 4/1/2017 0000295523526 TEDI RAHMAT 37 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
38 4/1/2017 0000295489023 DAMRAH 72 L PBI Cataract, unspecified POLI PENYAKIT MATA
39 4/1/2017 0000195711546 TUTI EVANA 32 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
40 4/1/2017 0000021282557 SUKINO 69 L PENSIUN PNS Hyperplasia of prostate POLI UROLOGI
41 4/1/2017 0000020935934 ELITATY 50 P PNS DAERAH Malignant neoplasm of breast, unspecified POLI BEDAH ONKOLOGI
42 4/1/2017 0000020921218 EMILIA MS, SH. M.SI 62 P PNS DAERAH Insulin-dependent diabetes mellitus without compli POLI PENYAKIT DALAM
43 5/1/2017 0001793124584 FITRA ARJONI 34 L PEKERJA MANDIRI Disorder of refraction, unspecified POLI PENYAKIT MATA
44 5/1/2017 0001499514186 FIFI SUMANTI 30 P PBI Otalgia POLI THT
45 5/1/2017 0001483116388 AGUSTINA NOVITASARI 46 P PEKERJA MANDIRI Malignant neoplasm of breast, unspecified POLI BEDAH ONKOLOGI
46 5/1/2017 0001267128437 NURSAL BAGINDO 77 L PNS DAERAH Dislocation of patella POLI ORT
47 5/1/2017 0000297338286 SAUTMA JISMAN S 50 L PBI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
48 5/1/2017 0000296820988 FEBI RISKIA PUTRI 7 P PBI Bronchitis, not specified as acute or chronic POLI ANAK
49 5/1/2017 0000296033848 RAHMAD 16 L PBI Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
50 5/1/2017 0000021436841 NURHASYIM 69 L PENSIUN PNS Cervical disc disorder, unspecified FISIOTERAPI
51 5/1/2017 0000021222898 MURNI ZAMAN 65 L PENSIUN PNS Insulin-dependent diabetes mellitus without compli POLI PENYAKIT DALAM
52 5/1/2017 0000021193604 HAMONANGAN 71 L PENSIUN PNS Hyperplasia of prostate POLI UROLOGI
53 6/1/2017 0001500950553 NAOMI ADILAH 15 P PEGAWAI SWASTA Low back pain POLI PENYAKIT SYARAF
54 6/1/2017 0001319166606 YULIANI 58 P PEKERJA MANDIRI Malignant neoplasm of cervix uteri, unspecified Poli Obstetri/Gyn.
55 6/1/2017 0000295940092 ERNAWATI 69 P PBI Hypertensive heart disease with (congestive) heart POLI PENYAKIT JANTUNG
56 6/1/2017 0000295939642 U.RUHYAT 75 L PBI Hypertensive heart disease with (congestive) heart POLI PENYAKIT JANTUNG
57 6/1/2017 0000194094898 ASNIDAR 70 P PENSIUN PNS Intervertebral disc disorder, unspecified POLI ORT
58 6/1/2017 0000021517323 ZAINAL EFENDI. IB 66 L PNS DAERAH Adhesive capsulitis of shoulder POLI PENYAKIT SYARAF
59 6/1/2017 0000021517312 RITA WARDA 61 P PNS DAERAH Gonarthrosis, unspecified POLI PENYAKIT SYARAF
60 6/1/2017 0000021247918 SOEPARYO 83 L PENSIUN PNS Hyperplasia of prostate POLI UROLOGI
61 7/1/2017 0002045642321 siti mubaroqah 62 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus with other POLI PENYAKIT DALAM
62 7/1/2017 0001326067446 TUMIAR BR KHALID 64 P PEKERJA MANDIRI Polyneuropathy, unspecified, Low back pain, Pure hypercholesterolaemia POLI PENYAKIT SYARAF
63 7/1/2017 0001295840406 RAMADANIL 42 L PEKERJA MANDIRI Unilateral or unspecified inguinal hernia, without POLI BEDAH
64 7/1/2017 0000988818355 BIMA PRYANTO 15 L PBI Fever, unspecified POLI PENYAKIT DALAM
65 7/1/2017 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Ascites POLI PENYAKIT DALAM
66 7/1/2017 0000296569225 PARSAULINA 60 P PBI Other specified dermatitis POLI PENYAKIT KULIT
67 7/1/2017 0000296064011 NOVRI ELNI 53 P PBI Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
68 7/1/2017 0000295920134 JERI MAULANA 11 L PBI Fever, unspecified POLI ANAK
69 7/1/2017 0000021474933 MURKADI 67 L PENSIUN PNS Chronic obstructive pulmonary disease with acute e POLI PENYAKIT PARU
70 7/1/2017 0000021436841 NURHASYIM 69 L PENSIUN PNS Cervical disc disorder, unspecified POLI PENYAKIT SYARAF
71 7/1/2017 0000020875149 YULWIRIATI 51 P PNS DAERAH Intervertebral disc disorder, unspecified POLI ORT
72 9/1/2017 0002034418465 CISILIA LENNY 39 P PEKERJA MANDIRI Other and unspecified ovarian cysts Poli Obstetri/Gyn.
73 9/1/2017 0001499513242 RISKA PERMATASARI 21 P PBI Headache POLI PENYAKIT SYARAF
74 9/1/2017 0001453253589 SYAMSUARNI 76 P PEKERJA MANDIRI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
75 9/1/2017 0000296314784 ASNIMAR 60 P PBI Benign neoplasm of meninges, unspecified POLI PENYAKIT SYARAF
76 9/1/2017 0000296296064 JUFRIZAIN 39 L PBI Recurrent depressive disorder, unspecified POLI PENYAKIT JIWA
77 9/1/2017 0000296161817 ELFRIDA TAMPUBOLON 48 P PBI Adhesive capsulitis of shoulder POLI PENYAKIT SYARAF
78 9/1/2017 0000295909492 SORTA TAMPUBOLON 51 P PBI Bell's palsy POLI PENYAKIT SYARAF
79 9/1/2017 0000295386963 SOFYOLA FRIANCE 8 P PBI Chronic gastritis, unspecified POLI ANAK
80 9/1/2017 0000021794692 SATRIA JAYA 64 L PENSIUN PNS Malignant neoplasm of prostate POLI UROLOGI
81 9/1/2017 0000021682506 YAHYA ZAKARIA 59 L PENSIUN PNS Atherosclerotic heart disease POLI PENYAKIT JANTUNG
82 9/1/2017 0000021182095 ROSLAINI 58 P PENSIUN PNS Seborrhoeic keratosis POLI PENYAKIT KULIT
83 9/1/2017 0000019777037 AMINAH 72 P PENSIUN PNS Hypertensive heart disease with (congestive) heart POLI PENYAKIT DALAM
84 10/1/2017 0002084215241 almiroza yuna anaya 0 L PEKERJA MANDIRI Amblyopia ex anopsia POLI PENYAKIT MATA
85 10/1/2017 0001870312533 NASEM 60 P PEKERJA MANDIRI Pterygium POLI PENYAKIT MATA
86 10/1/2017 0001725049912 ROMEL DILAWATI 33 P PEKERJA MANDIRI Multiple delivery, all by caesarean section Poli Obstetri/Gyn.
87 10/1/2017 0001499482991 NURIDA 47 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
88 10/1/2017 0001451615769 PUTRI KASIH MARIA 2 P PEKERJA MANDIRI Delayed milestone Installasi Rehabilitasi Medik
89 10/1/2017 0001338191021 JAMALIAR 75 P PEKERJA MANDIRI Thyrotoxicosis, unspecified, Essential (primary) hypertension POLI PENYAKIT DALAM
90 10/1/2017 0001278213344 MAIMUNANDAR 57 L PEKERJA MANDIRI Cataract, unspecified POLI PENYAKIT MATA
91 10/1/2017 0001264540421 KAMAN SAGALA 74 L PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
92 10/1/2017 0000296946505 SAINEM 44 P PBI Contusion of knee POLI BEDAH
93 10/1/2017 0000296856584 EBENEZER 12 P PBI Unspecified disorder of psychological development POLI ANAK
94 10/1/2017 0000295597203 SUGITO 59 L PBI Angina pectoris, unspecified POLI PENYAKIT JANTUNG
95 10/1/2017 0000295363271 NOVIAH 37 P PBI Hydrops fetalis due to other and unspecified haemo Poli Obstetri/Gyn.
96 10/1/2017 0000021358427 MAGDALENA SIREGAR 68 P PENSIUN PNS Hypertensive heart disease with (congestive) heart POLI JANTUNG
97 10/1/2017 0000021219647 MUDJIONO 74 L PENSIUN PNS Unspecified chronic bronchitis POLI PENYAKIT PARU
98 11/1/2017 0002093429125 JHON SURYANI 59 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
99 11/1/2017 0002081313382 ENCIK ANDAK 83 P PENSIUN PNS Hypertensive heart disease with (congestive) heart POLI JANTUNG
100 11/1/2017 0001842391956 YUNARWATI 57 P PEKERJA MANDIRI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
101 11/1/2017 0001807912181 RIZKY AMALIA 20 P PEKERJA MANDIRI Fever, unspecified POLI PENYAKIT DALAM
102 11/1/2017 0001499489324 DEWI SARI 26 P PBI Haemorrhage in early pregnancy, unspecified Poli Obstetri/Gyn.
103 11/1/2017 0001389210693 ALAN NIATI 53 P PEGAWAI SWASTA Thyrotoxicosis, unspecified POLI PENYAKIT DALAM
104 11/1/2017 0000295889714 JUMIATI 46 P PBI Soft tissue disorder, unspecified POLI BEDAH
105 11/1/2017 0000139883804 MARIATI BR GINTING 54 P PNS DAERAH Hypertensive heart disease with (congestive) heart POLI JANTUNG
106 11/1/2017 0000021657339 LAFFRY ELDENY 70 L PNS PUSAT Cataract, unspecified POLI PENYAKIT MATA
107 11/1/2017 0000021208263 M.NASIR. HS 69 L PENSIUN PNS Atherosclerotic heart disease POLI JANTUNG
108 12/1/2017 0002203911516 NURTINI 71 P PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
109 12/1/2017 0001839604173 DEMINA SIMANULLANG 59 P PEKERJA MANDIRI Low back pain POLI ORT
110 12/1/2017 0001499477152 IJAH 66 P PBI Fracture of pubis POLI ORT
111 12/1/2017 0001297927833 SURIATI 47 P PEKERJA MANDIRI Necrosis of pulp POLI GIGI
112 12/1/2017 0001123303239 ANTESRI MULYANI 22 P PEGAWAI SWASTA Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
113 12/1/2017 0000297699502 IFDLAL. MS 54 L PBI Low back pain POLI PENYAKIT SYARAF
114 12/1/2017 0000297528456 BAYANI 66 P PBI Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
115 12/1/2017 0000295747121 NITA 49 P PBI Presence of intraocular lens POLI PENYAKIT MATA
116 12/1/2017 0000295747053 KASMINI 54 L PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
117 12/1/2017 0000295523526 TEDI RAHMAT 37 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
118 12/1/2017 0000021462118 DAHARNI 62 P PENSIUN PNS Predominantly allergic asthma POLI PENYAKIT PARU
119 12/1/2017 0000021457236 WAN KHALID 60 L PENSIUN PNS Low back pain POLI PENYAKIT SYARAF
120 12/1/2017 0000021269417 YUSRAN HAMRAS 68 L PENSIUN PNS Fracture of clavicle POLI PENYAKIT SYARAF
121 12/1/2017 0000021220424 MUHAMMAD HATTA 78 L PENSIUN PNS Secondary hypertension, unspecified POLI PENYAKIT DALAM
122 12/1/2017 0000021157413 SUMARLIYAH 44 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Anaemia, unspecified POLI PENYAKIT DALAM
123 01/13/2017 0000296456769 SUSAN SAPUTRI 14 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
124 01/13/2017 0000296172404 PARDI 75 L PBI Anaemia due to other disorders of glutathione meta POLI PENYAKIT DALAM
125 01/13/2017 0000020911397 MAZARIN 59 L PNS DAERAH Heart failure, unspecified POLI PENYAKIT JANTUNG
127 01/14/2017 0000296995601 MISKIYAH 44 P PBI Acute bronchitis, unspecified POLI PENYAKIT PARU
128 01/14/2017 0000295892706 TUMINAH 65 P PBI Cataract, unspecified POLI PENYAKIT MATA
129 01/14/2017 0000295527251 DESI ASTUTI 18 P PBI Scar conditions and fibrosis of skin POLI BEDAH
130 01/14/2017 0000021384876 RATNA WATI 58 P PENSIUN PNS Benign lipomatous neoplasm, unspecified POLI BEDAH
131 01/14/2017 0000021257875 SYAMSUL BACHRI 68 L PENSIUN PNS Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
132 01/16/2017 0001905373629 RIDWAN POHAN 62 L PEKERJA MANDIRI Unilateral or unspecified inguinal hernia, without POLI BEDAH
133 01/16/2017 0000988802741 MAHAP SIAGIAN 61 P PBI Thyrotoxicosis, unspecified, Essential (primary) hypertension POLI PENYAKIT DALAM
134 01/16/2017 0000297302613 SOLIDA BR HOMBING 37 P PBI Bell's palsy POLI PENYAKIT SYARAF
135 01/16/2017 0000297144314 FARHAN ZAIDI 7 L PBI Tuberculosis of lung, confirmed by unspecified mea POLI ANAK
136 01/16/2017 0000297052795 M TOBING 74 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
137 01/16/2017 0000296801818 D. ARHAMKA. DH 62 L PBI Low back pain POLI PENYAKIT SYARAF
139 01/16/2017 0000296155541 UHAMAD MARZUKI 17 L PBI Sequelae of tuberculosis of other organs POLI PENYAKIT DALAM
140 01/16/2017 0000200195943 FEBRO EKA ZONI 43 L PNS DAERAH Atherosclerotic cardiovascular disease, so describ POLI PENYAKIT JANTUNG
141 01/16/2017 0000021363761 AZWARNIDA 54 P PNS DAERAH Chronic obstructive pulmonary disease with acute e POLI PENYAKIT DALAM
142 01/16/2017 0000021282581 SUKIRMAN.H 73 L PENSIUN PNS Chronic obstructive pulmonary disease with acute e POLI PENYAKIT PARU
143 01/16/2017 0000021250719 SUJONO TAMBUNAN 66 L PENSIUN PNS Hyperplasia of prostate POLI UROLOGI
144 01/16/2017 0000021223607 MUSMAINI 65 P PENSIUN PNS Intervertebral disc disorder, unspecified POLI PENYAKIT SYARAF
145 01/17/2017 0001891452161 YUSRIANITA 32 P PEKERJA MANDIRI Epilepsy, unspecified POLI PENYAKIT SYARAF
146 01/17/2017 0001268078613 NURHAYATI 64 P PEKERJA MANDIRI Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
147 01/17/2017 0001261819383 rusdi abidin 63 L PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e POLI PENYAKIT PARU
148 01/17/2017 0000297735096 NURAINI 48 P PBI Acute nephritic syndrome, unspecified POLI UROLOGI
149 01/17/2017 0000296064011 NOVRI ELNI 53 P PBI Non-insulin-dependent diabetes mellitus with neuro, Seropositive rheumatoid arthritis, POLI PENYAKIT SYARAF
150 01/17/2017 0000295817714 NURYANI 70 P PBI Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
151 01/17/2017 0000021482965 SUDARIAH KS 61 P PNS DAERAH Fracture of upper end of humerus POLI ORT
152 01/17/2017 0000021358451 MARZUKI,BSC 69 L PENSIUN PNS Secondary hypertension, unspecified, Other cholelithiasis POLI PENYAKIT DALAM
153 01/17/2017 0000021223361 MUSLIM 69 L PENSIUN PNS Cataract, unspecified POLI PENYAKIT MATA
154 01/17/2017 0000021195641 SITI AISYAH 74 P PENSIUN PNS Fracture of shaft of tibia POLI ORT
155 01/17/2017 0000021186742 DJOHAR MAKNUN.H 70 L PENSIUN PNS Disorder of refraction, unspecified POLI PENYAKIT MATA
156 01/17/2017 0000020845293 WIDODO 57 L PNS DAERAH Chronic ischaemic heart disease, unspecified POLI PENYAKIT JANTUNG
157 01/17/2017 0000019927607 SARDI 91 L VETERAN Malignant neoplasm of nasal cavity POLI THT
159 01/18/2017 0001307759703 ANWAR 71 L PEKERJA MANDIRI Melaena POLI PENYAKIT DALAM
160 01/18/2017 0001168042296 NAJWA AL FATIHA 9 P PEGAWAI SWASTA Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
161 01/18/2017 0000296813619 KASIEM 56 P PBI Psoriasis, unspecified POLI PENYAKIT KULIT
162 01/18/2017 0000296615542 ZULKIFLI NASUTION 62 L PBI Hyperplasia of prostate, Non-insulin-dependent diabetes mellitus without co POLI UROLOGI
163 01/18/2017 0000296540201 SITI FATIMAH 19 P PBI Ganglion POLI BEDAH
165 01/18/2017 0000295380562 SUMARMIATI 33 P PBI Chest pain on breathing POLI PENYAKIT DALAM
166 01/19/2017 0001840866849 MISNIARI 28 P PEKERJA MANDIRI Decubitus ulcer POLI BEDAH
167 01/19/2017 0001499509585 BUNGA TRI DARMAWAN 8 P PBI Acute suppurative otitis media POLI THT
168 01/19/2017 0000297337577 SAMIAR 56 P PBI Low back pain POLI PENYAKIT SYARAF
169 01/19/2017 0000296103598 NANI sartika 32 P PBI Other benign neoplasm of connective and other soft POLI PENYAKIT DALAM
170 01/19/2017 0000295491677 YULIANA SUNDARI 18 P PBI Other and unspecified ovarian cysts Poli Obstetri/Gyn.
171 01/19/2017 0000295383802 SITI FATIMAH 40 P PBI Ganglion POLI BEDAH
172 01/19/2017 0000021358495 KRISMEN TITER 18 L PENSIUN PNS Headache POLI PENYAKIT SYARAF
173 01/20/2017 0001427052071 inang rahayu 62 P PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
174 01/20/2017 0001427051136 bachtiar tanjung 71 L PEKERJA MANDIRI Hyperplasia of prostate POLI UROLOGI
175 01/20/2017 0000297025795 SYAHRIL 51 L PBI Atopic dermatitis, unspecified POLI PENYAKIT KULIT
176 01/20/2017 0000296814442 SAWAL MULIA HAKIM 10 P PBI Acute appendicitis, unspecified POLI ANAK
177 01/20/2017 0000295328406 RAHMAD SEPTIANTO 14 L PBI Predominantly allergic asthma POLI ANAK
178 01/20/2017 0000149201548 NURZAHRINI 35 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
179 01/20/2017 0000021155927 SOVIA KARTIKA 41 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
180 01/20/2017 0000021155591 MUCHLIS 43 L PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
181 01/21/2017 0001453253589 SYAMSUARNI 76 P PEKERJA MANDIRI Atherosclerotic cardiovascular disease, so describ POLI PENYAKIT JANTUNG
182 01/21/2017 0001427312957 KARTINI 61 P PEKERJA MANDIRI Congestive heart failure POLI PENYAKIT JANTUNG
183 01/21/2017 0001307530001 NURKARTINI 61 P PEKERJA MANDIRI Congestive heart failure POLI PENYAKIT JANTUNG
184 01/21/2017 0001307528998 SYARIFUDDIN BUR 72 L PEKERJA MANDIRI Hyperplasia of prostate POLI UROLOGI
185 01/21/2017 0000988814092 RAHMAH 89 P PBI Chronic obstructive pulmonary disease with acute e POLI PENYAKIT PARU
186 01/21/2017 0000988805957 KATIRAH 75 P PBI Excessive bleeding in the premenopausal period Poli Obstetri/Gyn.
187 01/21/2017 0000297327352 AMELIA PUTRI 9 P PBI Ventricular septal defect POLI PENYAKIT JANTUNG
188 01/21/2017 0000296514314 REHAN STEVEN 6 L PBI Atrial septal defec POLI PENYAKIT JANTUNG
189 01/21/2017 0000296372889 DARMINI 57 P PBI Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
190 01/21/2017 0000296044907 ENO NOVITASARI 33 P PBI Necrosis of pulp POLI GIGI
191 01/21/2017 0000295970747 ASNI 51 P PBI Predominantly allergic asthma POLI PENYAKIT PARU
192 01/21/2017 0000295839268 EMI GUSMIATI 37 P PBI Presence of (intrauterine) contraceptive device Poli Obstetri/Gyn.
193 01/21/2017 0000159657287 ZUBAIDAH z 67 P PENSIUN PNS Gastritis, unspecified, Essential (primary) hypertension POLI PENYAKIT DALAM
194 01/23/2017 0001789519836 MARKAMAH 72 P PNS DAERAH Stroke, not specified as haemorrhage or infarction, Essential (primary) hypertension POLI PENYAKIT SYARAF
195 01/23/2017 0001499544191 ALIAN 65 L PBI Heart failure, unspecified, Essential (primary) hypertension POLI PENYAKIT DALAM
196 01/23/2017 0001447606517 ELFRIDA SITOMPUL 53 P PEKERJA MANDIRI Predominantly allergic asthma POLI PENYAKIT PARU
197 01/23/2017 0000988802548 ShOLIHIN 63 L PBI Cataract, unspecified POLI PENYAKIT MATA
198 01/23/2017 0000296159679 RIYANTI 29 P PBI Dyspepsia POLI PENYAKIT DALAM
199 01/23/2017 0000295762296 DESPANDRI 50 L PBI Unstable angina, Essential (primary) hypertension POLI PENYAKIT JANTUNG
200 01/23/2017 0000021798663 MHD. RIZKY RAMADHAN 19 P PENSIUN TNI Acne vulgaris POLI PENYAKIT KULIT
201 01/24/2017 0001839604173 DEMINA SIMANULLANG 59 P PEKERJA MANDIRI Rectal polyp POLI BEDAH
202 01/24/2017 0001290483988 SULISTIANA 58 P PEKERJA MANDIRI Ganglion POLI BEDAH
203 01/24/2017 0001285847109 YUNI SASRI 29 P PEKERJA MANDIRI Acute lymphadenitis of upper limb POLI BEDAH
204 01/24/2017 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Congestive heart failure POLI PENYAKIT JANTUNG
205 01/24/2017 0000297670781 YULIZAR 56 L PBI Hypertensive heart disease with (congestive) heart POLI PENYAKIT JANTUNG
206 01/24/2017 0000296182743 NASRI 65 L PBI Chronic obstructive pulmonary disease with acute e POLI PENYAKIT PARU
207 01/24/2017 0000296103598 NANI sartika 32 P PBI Malignant neoplasm of ovary Poli Obstetri/Gyn.
208 01/24/2017 0000019721283 AZHARDI 54 L PNS DAERAH Low back pain POLI PENYAKIT SYARAF
209 01/25/2017 0001268078613 NURHAYATI 64 P PEKERJA MANDIRI Bronchitis, not specified as acute or chronic POLI PENYAKIT PARU
210 01/25/2017 0000021384797 ROSMANIAR 53 P PNS DAERAH Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
211 01/25/2017 0000020761367 ADE NORMA WIRDAYATI 35 P PNS DAERAH Torticollis POLI PENYAKIT SYARAF
212 01/26/2017 0001854684718 YUSNIAR SIRAIT 29 P PBI Unspecified abortion, complete or unspecified, wit Poli Obstetri/Gyn.
213 01/26/2017 0001501246708 SUTEKNO 39 L PEGAWAI SWASTA Acute hepatitis B without delta-agent and without POLI PENYAKIT DALAM
214 01/26/2017 0001267128933 USMAH HASAN 73 P PNS DAERAH Primary arthrosis of other joints POLI ORT
215 01/26/2017 0001267128437 NURSAL BAGINDO 77 L PNS DAERAH Dislocation of patella POLI ORT
216 01/26/2017 0000988806543 ARIATI 35 P PBI Benign neoplasm of breast POLI BEDAH
217 01/26/2017 0000295805722 YURNALIS 29 L PBI Unspecified renal colic POLI UROLOGI
218 01/26/2017 0000199393018 SYAFRIZAL USMAN 53 L PNS DAERAH Calculus of kidney POLI UROLOGI
219 01/26/2017 0000021210592 JUMAINI 69 P PENSIUN PNS Cataract, unspecified POLI PENYAKIT MATA
221 01/27/2017 0001855491063 sifis nafri 31 L PEKERJA MANDIRI B-cell lymphoma, unspecified POLI BEDAH
222 01/27/2017 0001499474586 ELI SUMADI 38 P PBI Intervertebral disc disorder, unspecified POLI ORT
223 01/27/2017 0001423587194 DASTA SIDABUTAR 38 P PEKERJA MANDIRI Malignant neoplasm of nasopharynx, unspecified POLI THT
224 01/27/2017 0001294454024 SUMIHAR MANURUNG 64 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Vertigo of central origin POLI PENYAKIT DALAM
225 01/27/2017 0000297062842 SAMURI 48 L PBI Low back pain POLI PENYAKIT SYARAF
226 01/27/2017 0000296718917 SUPI 65 P PBI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
227 01/27/2017 0000296238317 RIYANTI
SAHAL 77 L PBI Tuberculosis of intestines, peritoneum and mesente POLI PENYAKIT PARU
228 01/27/2017 0000296159679 29 P PBI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
229 01/27/2017 0000295785573 ARMEN 42 L PBI Enlarged lymph nodes, unspecified POLI BEDAH
230 01/27/2017 0000295558705 RESTI INDRI PUTRI 24 P PBI Anxiety disorder, unspecified POLI PENYAKIT JIWA
231 01/27/2017 0000295443606 RAMSES SILITONGA 57 L PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
232 01/27/2017 0000207916773 HARLIATI 63 P PENSIUN PNS Cardiomegaly POLI PENYAKIT JANTUNG
233 01/27/2017 0000194094898 ASNIDAR 70 P PENSIUN PNS Intervertebral disc disorder, unspecified POLI ORT
234 01/27/2017 0000021517503 SUCIANIK 61 P PNS DAERAH Other and unspecified atrioventricular block POLI PENYAKIT JANTUNG
235 01/30/2017 0002034418465 CISILIA LENNY 39 P PEKERJA MANDIRI Other and unspecified ovarian cysts Poli Obstetri/Gyn.
236 01/30/2017 0001905373629 RIDWAN POHAN 62 L PEKERJA MANDIRI Hypertensive heart disease with (congestive) heart POLI PENYAKIT JANTUNG
238 01/30/2017 0001499476419 RIKA PUTRI SUSANTI 42 P PBI Malignant neoplasm of breast, unspecified POLI BEDAH ONKOLOGI
239 01/30/2017 0001445084796 YUNNARIS 54 L PEKERJA MANDIRI Chronic gastritis, unspecified POLI PENYAKIT DALAM
240 01/30/2017 0001439836086 KASMIN PAKPAHAN 63 L PEKERJA MANDIRI Adhesive capsulitis of shoulder POLI PENYAKIT SYARAF
242 01/30/2017 0001274120133 SARINAM 59 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
243 01/30/2017 0000988816882 SUBADI 63 L PBI Hypertensive heart disease with (congestive) heart POLI PENYAKIT JANTUNG
244 01/30/2017 0000988814867 RIPI DAHLIA 19 P PBI Necrosis of pulp POLI GIGI
245 01/30/2017 0000988803584 JONI 61 L PBI Cataract, unspecified POLI PENYAKIT MATA
247 01/30/2017 0000296744387 BETTY ROZA 47 P PBI Foreign body in ear POLI THT
248 01/30/2017 0000296188481 MIDAN SASTI 50 P PBI Angina pectoris, unspecified POLI PENYAKIT JANTUNG
249 01/30/2017 0000295892706 TUMINAH 65 P PBI Malignant neoplasm of endometrium Poli Obstetri/Gyn.
250 01/30/2017 0000295854748 HARMIATI 61 P PBI Non-insulin-dependent diabetes mellitus without co, Internal haemorrhoids with other POLI PENYAKIT DALAM
251 01/30/2017 0000295847256 MHD NASIR 76 L PBI Unilateral or unspecified inguinal hernia, without POLI BEDAH
252 01/30/2017 0000295847245 DINA MITRA PADRI 30 P PBI Discoid lupus erythematosus POLI PENYAKIT KULIT
253 01/30/2017 0000295795642 ARGIUS SIMAMORA 58 L PBI Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
254 01/30/2017 0000295200911 PINONDANG MARUNA 40 P PBI Predominantly allergic asthma POLI PENYAKIT PARU
255 01/30/2017 0000021590379 SURNAHETI 57 P PNS DAERAH Low back pain POLI ORT
256 01/30/2017 0000021589165 MUSALI RITONGA 58 L PNS DAERAH Angina pectoris, unspecified POLI PENYAKIT JANTUNG
257 01/30/2017 0000021517503 SUCIANIK 61 P PNS DAERAH Primary arthrosis of other joints POLI ORT
258 01/30/2017 0000021476597 EDY SIDIK 58 L PNS DAERAH Atherosclerotic heart disease POLI PENYAKIT JANTUNG
259 01/30/2017 0000021396903 SURONO EDI SUSANTO 67 L PNS DAERAH Atherosclerotic cardiovascular disease, so describ POLI PENYAKIT JANTUNG
260 01/30/2017 0000020941187 DARNISAH 66 P PNS PUSAT Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
261 01/31/2017 0000205228618 WAN MUHAMMAD 5 L PNS DAERAH Routine child health examination POLI ANAK
262 01/31/2017 0000021563943 NEL ENDRI 55 L PNS DAERAH Hypertensive heart disease with (congestive) heart POLI PENYAKIT JANTUNG
263 01/31/2017 0000021484991 ZILDAWATI 54 P PNS DAERAH Myasthenia gravis POLI PENYAKIT SYARAF
264 01/31/2017 0000021269417 YUSRAN HAMRAS 68 L PENSIUN PNS Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
KOTA PEKANBARU, 3
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NIP. 19761016 2
TEMPAT RUJUKAN
RSUD ARIFIN ACHMAD

RS EKA HOSPITAL
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS MATA SMEC
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS JIWA PKU
RSUD ARIFIN ACHMAD
RS AWAL BROS PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS EKA HOSPITAL
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS ZAINAB PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS BINA KASIH PKU
RSUD ARIFIN ACHMAD
RS JIWA PKU
RS JIWA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS AWAL BROS PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RS EKA HOSPITAL
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS PMC
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYAFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS ZAINAB PKU
RS AWAL BROS PKU
RS EKA HOSPITAL
RSUD ARIFIN ACHMAD
RS JIWA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RS ZAINAB PKU
RS AWAL BROS PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS PMC
RSUD PETALA BUMI
RS ERIA BUNDA
RS ZAINAB PKU
RSUD PETALA BUMI
RS MATA SMEC
RSUD PETALA BUMI
RSUD PETALA BUMI
RS ZAINAB PKU
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD PETALA BUMI
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RS ZAINAB PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS BINA KASIH PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS AWAL BROS PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS BINA KASIH PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS AULIA HOSPITAL
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS JIWA PKU
RS PMC
RS AWAL BROS PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RS EKA HOSPITAL
RSUD ARIFIN ACHMAD
RS SYAFIRA
RS SYAFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS EKA HOSPITAL
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS SYAFIRA
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS PKU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS PKU
RS ZAINAB PKU
RS EKA HOSPITAL
RS IBNU SINA PKU
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS AWAL BROS PKU
RS MATA SMEC
RS JIWA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYAFIRA
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS SYAFIRA
RS JIWA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS EKA HOSPITAL
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
ANBARU, 31 JANUARI 2017

A PUSKESMAS REJOSARI
drg. YERLINA
9761016 200406 2 010
BULAN FEBRUARI TAHUN 2017
NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA DIAGNOSA
1 1/2/2017 0000021027554 YUSNA ZAINAL 62 P PNS PUSAT Non-insulin-dependent diabetes mellitus without co
2 1/2/2017 0000021640961 ADE FITRI 40 P PNS PUSAT Fatty (change of) liver, not elsewhere classified, Other cholelithiasis, Essentia
3 1/2/2017 0000172686835 IYAI SUSANTI 32 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co
4 1/2/2017 0000295200628 HOTMAULI SITORUS 47 P PBI Non-insulin-dependent diabetes mellitus with ophth, Glaucoma, unspecified
5 1/2/2017 0000295491317 YUL MAIDA 44 P PBI Predominantly allergic asthma
6 1/2/2017 0000295651282 EDI 63 L PBI Glaucoma, unspecified
7 1/2/2017 0000295699757 RINDA WANA GULTOM 36 P PBI Mucocele of salivary gland
8 1/2/2017 0000295804956 TIKA OKTAVIA NINGSIH 13 P PBI Acute lymphadenitis of upper limb
9 1/2/2017 0000295887857 INDRAWATI 43 P PBI Benign neoplasm of unspecified site
10 1/2/2017 0000296672207 TIARA CITRA 11 P PBI Epilepsy, unspecified
11 1/2/2017 0000296828752 NOVRIA SUSANTI 26 P PBI Skeletal fluorosis, site unspecified
12 1/2/2017 0000988804416 RIKI CANDRA 28 L PBI Thyrotoxicosis, unspecified
13 1/2/2017 0000988806093 SUMIRAH 61 P PBI Gastro-oesophageal reflux disease without oesophag
14 1/2/2017 0001303392475 RISEM 68 P PEKERJA MANDIRI Cataract, unspecified
15 1/2/2017 0001307530001 NURKARTINI 61 P PEKERJA MANDIRI Congestive heart failure
16 1/2/2017 0001427105755 BARIAH 57 P PEKERJA MANDIRI Non-Hodgkin's lymphoma, unspecified type
17 1/2/2017 0001826927638 AKHMAD QODRI 24 L PEKERJA MANDIRI Predominantly allergic asthma
18 1/2/2017 0002091565337 NURMALA SIMANJUNTAK 49 P PEGAWAI SWASTA Concussion
19 2/2/2017 0000021225069 MUHARLAINI 70 P PENSIUNAN PNS Angina pectoris, unspecified
20 2/2/2017 0000021481367 RATNA ZULAIKA 63 P PENSIUNAN PNS Congestive heart failure, Gastro-oesophageal reflux disease without oesopha
21 2/2/2017 0000021640994 ALIFIA SALSABILLA 13 P PNS PUSAT Low back pain
22 2/2/2017 0000295632797 PUTRI YANI 21 P PBI Nasal polyp, unspecified
23 2/2/2017 0000296485672 DAHLIS 77 L PBI Polyuria
24 2/2/2017 0000296603368 TRI SYNTA MAYA SARI 29 P PBI Single spontaneous delivery, unspecified
25 2/2/2017 0000296828752 NOVRIA SUSANTI 26 P PBI Skeletal fluorosis
26 2/2/2017 0000297735096 NURAINI 48 P PBI Calculus of kidney
27 2/2/2017 0001279950985 K. SEMBIRING PANDIA 48 L PEKERJA MANDIRI Angina pectoris, unspecified
28 2/2/2017 0001304320961 DARWIS 65 L PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction
29 2/2/2017 0001304322085 ZAMRUD BAIDURI 55 P PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction
30 3/2/2017 0000021147243 ABD.RAHMAN SIRAD 74 L PENSIUNAN TNI Cardiomegaly
31 3/2/2017 0000021222898 MURNI ZAMAN 65 L PENSIUNAN PNS Non-insulin-dependent diabetes mellitus without co, Essential (primary) hyper
32 3/2/2017 0000021245332 SAWIYAH 71 P PENSIUNAN PNS Gonarthrosis, unspecified
33 3/2/2017 0000021247661 SOEMARDI THAHER 75 L PENSIUNAN PNS Unstable angina
34 3/2/2017 0000021358135 DAHLIA HS 65 P PENSIUNAN PNS Unspecified viral hepatitis without hepatic coma
35 3/2/2017 0000021516772 HASANUDDIN 60 L PENSIUNAN PNS Atherosclerotic heart disease
36 3/2/2017 0000988353009 NURiana r 73 P PBI Heart failure, unspecified, Gastro-oesophageal reflux disease without oesoph
37 3/2/2017 0001674618592 MASIFETI GAURIFA 40 P PBI Chronic sinusitis, unspecified
38 3/2/2017 0002091565337 NURMALA SIMANJUNTAK 49 P PEGAWAI SWASTA Concussion
39 4/2/2017 0000021462118 DAHARNI 62 P PENSIUNAN PNS Non-insulin-dependent diabetes mellitus without co
40 4/2/2017 0000196717318 NURMANSYAH 68 L PENSIUNAN PNS Disorder of refraction, unspecified
41 4/2/2017 0000296670126 WATI 45 P PBI Angina pectoris, unspecified
42 4/2/2017 0001285847109 YUNI SASRI 29 P PEKERJA MANDIRI Acute lymphadenitis of upper limb
43 4/2/2017 0001499517066 SUPRIYATIN RAHAYU 61 P PBI Lumbar and other intervertebral disc disorders wit
44 4/2/2017 0001822849367 SURATMI 54 P PEKERJA MANDIRI Low back pain
45 6/2/2017 0000021085514 ROSMAH 86 P PENSIUNAN TNI Hypertensive heart disease with (congestive) heart
46 6/2/2017 0000021390581 ALI AMRAN 59 L PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hyper
47 6/2/2017 0000021456303 ERLINDA 46 P PNS DAERAH Malignant neoplasm of breast, unspecified
48 6/2/2017 0000021517312 RITA WARDA 61 P PNS DAERAH Gonarthrosis, unspecified
49 6/2/2017 0000021517323 ZAINAL EFENDI. IB 67 L PNS DAERAH Adhesive capsulitis of shoulder
50 6/2/2017 0000296827255 YONDRIATI 51 P PBI Secondary hypertension, unspecified
51 6/2/2017 0000297670781 YULIZAR 56 L PBI Cataract, unspecified
52 6/2/2017 0001295840406 RAMADANIL 42 L PEKERJA MANDIRI Predominantly allergic asthma
53 7/2/2017 0000020351531 SRI BEKTI RAHAYU 50 P PNS DAERAH Urinary calculus, unspecified
54 7/2/2017 0000021257875 SYAMSUL BACHRI 68 L PENSIUN PNS Stroke, not specified as haemorrhage or infarction
55 7/2/2017 0000021368474 RENNY ERYANTI B 61 P PNS DAERAH Senile incipient cataract
56 7/2/2017 0000021384876 RATNA WATI 58 P PENSIUN PNS Atherosclerotic heart disease
57 7/2/2017 0000021390592 RUSNI 58 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hyper
58 7/2/2017 0000021640994 ALIFIA SALSABILLA 13 P PNS PUSAT Scoliosis, unspecified
59 7/2/2017 0000295689251 FADRI YELDI 31 L PBI Tuberculosis of lung, confirmed by unspecified mea
60 7/2/2017 0000295902246 EVI NURLIAN 31 P PBI Benign neoplasm of breast
61 7/2/2017 0000295909492 SORTA TAMPUBOLON 51 P PBI Disorder of refraction, unspecified
62 7/2/2017 0000296258736 AREN 46 P PBI Benign mammary dysplasia, unspecified
63 7/2/2017 0000296590026 OBER REMON GULTOM 29 L PBI Fever, unspecified
64 7/2/2017 0000296925052 MELA PAKPAHAN 31 P PBI Viral warts
65 7/2/2017 0000988803584 JONI 61 L PBI Chronic obstructive pulmonary disease with acute e, Tuberculosis of lung, con
66 7/2/2017 0000988805957 KATIRAH 75 P PBI Cataract, unspecified, Essential (primary) hypertension
67 7/2/2017 0000988811831 SITI AMINAH 53 P PBI Headache
68 7/2/2017 0001328534019 bangun pane 45 L PNS DAERAH Unilateral or unspecified inguinal hernia, without
69 7/2/2017 0001499544191 ALIAN 65 L PBI Unilateral or unspecified inguinal hernia, without
70 7/2/2017 0001846746775 NORMA IDA BR TOBING 58 P PEKERJA MANDIRI Amblyopia ex anopsia
71 8/2/2017 0000009151334 HJ.RODIAH 77 P PENSIUN PNS Atherosclerotic heart disease
72 8/2/2017 0000021282581 SUKIRMAN.H 73 L PENSIUN PNS Chronic obstructive pulmonary disease with acute e
73 8/2/2017 0000021517503 SUCIANIK 61 P PNS DAERAH Other and unspecified right bundle-branch block
74 8/2/2017 0000167019838 TAUFIK IKRAM 63 L PNS DAERAH Secondary hypertension, unspecified
75 8/2/2017 0000296179874 KENNEDY 50 L PBI Stroke, not specified as haemorrhage or infarction
76 8/2/2017 0000296188481 MIDAN SASTI 50 P PBI Impacted cerumen
77 8/2/2017 0000296282316 JOSUA 12 L PBI Epilepsy, unspecified
78 8/2/2017 0000296379279 M RISKI 10 L PBI Nephrotic syndrome, unspecified
79 8/2/2017 0000296442088 NUR AISYAH AMINY 25 P PBI Ganglion
80 8/2/2017 0001255945814 JHONI KUTAR 59 L PEKERJA MANDIRI Atherosclerotic heart disease
81 8/2/2017 0001499485151 MARWAN 40 L PBI Periapical abscess without sinus
82 8/2/2017 0001792012814 zaidah 47 P PEKERJA MANDIRI Tinnitus
83 9/2/2017 0000021425319 DAHNIAR 65 P PENSIUN PNS Atherosclerotic cardiovascular disease, so describ
84 9/2/2017 0000021482965 SUDARIAH KS 61 P PNS DAERAH Hypertensive heart disease with (congestive) heart
85 9/2/2017 0000021640994 ALIFIA SALSABILLA 13 P PNS PUSAT Scoliosis, unspecified
86 9/2/2017 0000296188481 MIDAN SASTI 50 P PBI Impacted cerumen
87 9/2/2017 0000296462406 KARMAN NAINGGOLAN 49 L PBI Ganglion
88 9/2/2017 0000297527769 ADINDA SARI 18 P PBI Acute sinusitis, unspecified
89 9/2/2017 0001272890384 RUTIAMI ZAI 86 P PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction
90 9/2/2017 0002078105714 INDRA MAWARNI 56 P PEKERJA MANDIRI Chronic gastritis, unspecified
91 9/2/2017 0002093429125 JHON SURYANI 59 P PEKERJA MANDIRI Hypertensive heart disease without (congestive) he, Non-insulin-dependent d
92 10/2/2017 0000020351529 IR.SODIQ 49 L PNS DAERAH Cholecystitis, unspecified
93 10/2/2017 0000020351531 SRI BEKTI RAHAYU 50 P PNS DAERAH Fatty (change of) liver, not elsewhere classified
94 10/2/2017 0000021245332 SAWIYAH 71 P PENSIUN PNS Schizophrenia, unspecified
95 10/2/2017 0000021455291 MARULI 48 L PNS DAERAH Epilepsy, unspecified
96 10/2/2017 0000021517312 RITA WARDA 61 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hyper
97 10/2/2017 0000166468061 ZULMAWATI SAN 63 P PENSIUN TNI Acute sinusitis, unspecified
98 10/2/2017 0001287774101 MA'RUF RAMADHAN 41 L PEKERJA MANDIRI Urinary calculus, unspecified
99 10/2/2017 0002076262378 NILAWATI 58 P PENSIUN SWASTA Gonarthrosis, unspecified
100 11/2/2017 0000296980299 PAUL MANSON 18 L PBI Thyrotoxicosis, unspecified
101 11/2/2017 0000297315369 ADEK EKA PUTRA 16 L PBI Necrosis of pulp
102 13/02/2017 0000021018868 ASNI 78 P VETERAN Malignant neoplasm of breast, unspecified
103 13/02/2017 0000021197924 NURANI SIREGAR 51 P PENSIUN PNS Atherosclerotic heart disease
104 13/02/2017 0000021249483 SUDARSIH 60 P PENSIUN PNS Adhesive capsulitis of shoulder
105 13/02/2017 0000021474933 MURKADI 67 L PENSIUN PNS Chronic obstructive pulmonary disease with acute e
106 13/02/2017 0000021615862 RIFAI YASIN 58 L PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hyper
107 13/02/2017 0000021615873 YULINAR 47 P PNS DAERAH Disorder of refraction, unspecified
108 13/02/2017 0000295777877 SITI AMINAH 48 P PBI Primary arthrosis of other joints
109 13/02/2017 0000295805248 NURLAN hasibuan 41 P PBI Chronic obstructive pulmonary disease with acute e
110 13/02/2017 0000295847256 MHD NASIR 76 L PBI Unilateral or unspecified inguinal hernia, without
111 13/02/2017 0000295942915 MARZUKI 51 L PBI Fracture of shaft of humerus
112 13/02/2017 0000295943488 ALDY DELFERO 13 L PBI Fracture of femur, part unspecified
113 13/02/2017 0000296283486 UCOK GULTOM 8 L PBI Fever, unspecified
114 13/02/2017 0000296802718 ARHAMIDA 19 P PBI Premature rupture of membranes, unspecified
115 13/02/2017 0000297011518 JUHARNOTO 25 L PBI Other specified dermatitis
116 13/02/2017 0001261819383 rusdi abidin 63 L PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e
117 13/02/2017 0001498468408 MERINA 34 P PEGAWAI SWASTA Toxoplasmosis, unspecified
118 13/02/2017 0001499487434 MASRIZAL 38 L PBI Concussion
119 13/02/2017 0001499509991 MARTINIS 64 P PBI Atherosclerotic heart disease
120 13/02/2017 0001499517483 NELLY PERMATASARI 31 P PBI HIV disease resulting in unspecified infectious or
121 13/02/2017 0001854659766 DESMAWATI 40 P PBI Disorder of refraction, unspecified
122 13/02/2017 0001896026567 darnis 51 P PEKERJA MANDIRI Angina pectoris, unspecified
123 13/02/2017 0002088109629 AMDIAN 67 L PEKERJA MANDIRI Sciatica
124 13/02/2017 0002091565337 NURMALA SIMANJUNTAK 49 P PEGAWAI SWASTA Malignant neoplasm of breast, unspecified
125 14/02/2017 0000021201851 SUTARMINI 75 P PENSIUN PNS Secondary hypertension, unspecified
126 14/02/2017 0000021591775 MARSIL CAN 66 L PNS DAERAH Gastro-oesophageal reflux disease without oesophag
127 14/02/2017 0000295532695 JUSMIANAH 57 P PBI Disorder of refraction, unspecified
128 14/02/2017 0000295902246 EVI NURLIAN 31 P PBI Benign neoplasm of breast
129 14/02/2017 0000296587102 BIMA KURNIAWAN 9 L PBI Necrosis of pulp
130 14/02/2017 0000296910944 WIDIA LESTARI 10 P PBI Acute lymphadenitis of upper limb
131 14/02/2017 0001264540421 KAMAN SAGALA 74 L PEKERJA MANDIRI Stroke, not specified as haemorrhage or infarction
132 14/02/2017 0001283027163 SOEGITO 66 L PEKERJA MANDIRI Benign lipomatous neoplasm, unspecified
133 14/02/2017 0001319166606 YULIANI 58 P PEKERJA MANDIRI Chronic gastritis, unspecified
134 14/02/2017 0001389210693 ALAN NIATI 53 P PEGAWAI SWASTA Thyrotoxicosis, unspecified
135 14/02/2017 0001499516842 SAFRI GUNAWAN 15 L PBI Bronchitis, not specified as acute or chronic
136 16/02/2017 0000020921218 EMILIA MS, SH. M.SI 62 P PNS DAERAH Insulin-dependent diabetes mellitus without compli
137 16/02/2017 0000021063115 PRESLU AGNES 20 P PNS DAERAH Pulpitis
138 16/02/2017 0000021220424 MUHAMMAD HATTA 79 L PENSIUN PNS Hypertensive heart disease with (congestive) heart
139 16/02/2017 0000021224529 NASRIL,DRS 68 L PENSIUN PNS Caries of dentine
140 16/02/2017 0000021798663 MHD. RIZKY RAMADHAN 19 L PNS DAERAH Congenital malformation of peripheral vascular sys
141 16/02/2017 0000022537697 SUPRAYITNO 61 L PENSIUN PNS Atherosclerotic cardiovascular disease, so describ
142 16/02/2017 0000194094898 ASNIDAR 70 P PENSIUN PNS Low back pain
143 16/02/2017 0000295152682 SITI MAKSUMAH 45 P PBI Melanocytic naevi, unspecified
144 16/02/2017 0000295931665 SRIATUN. S 42 P PBI Conjunctival haemorrhage
145 16/02/2017 0000296584615 TRIWIDI ESMERALTDA.S 11 P PBI Necrosis of pulp
146 16/02/2017 0000296745052 AHMAD RUBERZA 21 L PBI Other and unspecified intestinal obstruction
147 16/02/2017 0000297312287 NABILA SURYANI 18 L PBI Fever, unspecified
148 16/02/2017 0000297338286 SAUTMA JISMAN S 50 L PBI Stroke, not specified as haemorrhage or infarction
149 16/02/2017 0000297584908 MESKAM 72 L PBI Tuberculosis of lung, confirmed by unspecified mea
150 16/02/2017 0000988815352 HERMANETI 52 P PBI Oedema, unspecified, Essential (primary) hypertension
151 16/02/2017 0001389647507 ALVAN MUHANDA 22 L PEKERJA MANDIRI Tuberculosis of bones and joints
152 16/02/2017 0001864480476 JASA NASRI 48 L PEGAWAI SWASTA Viral warts
153 16/02/2017 0001890125447 DANIEL MECIHO 18 L PEKERJA MANDIRI Caries of dentine
154 17/02/2017 0000021391806 WAIS ALKORNI 26 L PEKERJA MANDIRI Acute polymorphic psychotic disorder without sympt
155 17/02/2017 0000021517312 RITA WARDA 61 P PNS DAERAH Cataract, unspecified
156 17/02/2017 0000173297046 SY. AMELIA AGUSTINA 33 P PNS DAERAH Blighted ovum and nonhydatidiform mole
157 17/02/2017 0000296600512 FIRMAN SYAHPUTRA 22 L PBI Fracture of shaft of tibia
158 17/02/2017 0000296809378 PAINO 65 L PBI Cataract, unspecified
159 17/02/2017 0000297313997 MAHLIL 66 L PBI Hypertensive heart disease with (congestive) heart
160 17/02/2017 0001314528693 rany rohana 58 P PEKERJA MANDIRI Cardiac arrhythmia, unspecified
161 17/02/2017 0001499485151 MARWAN 40 L PBI Radicular cyst
162 17/02/2017 0001499487434 MASRIZAL 38 L PBI Concussion
163 18/02/2017 0000021223361 MUSLIM 69 L PENSIUN PNS Stroke, not specified as haemorrhage or infarction
164 18/02/2017 0000021530441 DASRIL 62 L PNS DAERAH Cardiac arrhythmia, unspecified
165 18/02/2017 0000163487867 NURBAITI 58 P PENSIUN PNS Stroke, not specified as haemorrhage or infarction
166 18/02/2017 0000204750077 GUSNI ARIF 33 L PNS DAERAH Arthropathic psoriasis
167 18/02/2017 0000295888375 ACHMAD HIDAYAT 50 L PBI Tuberculosis of lung, confirmed by unspecified mea
168 18/02/2017 0000296195433 NURSALAN MARPAUNG 48 P PBI Non-insulin-dependent diabetes mellitus without co
169 18/02/2017 0000296276095 SURDI SITORUS 37 L PBI Dislocation of knee
170 18/02/2017 0000296325685 hUTRI 25 P PBI Ganglion
171 18/02/2017 0000297326711 IGA YULIANA 16 P PBI Disorder of refraction, unspecified
172 18/02/2017 0000988806543 ARIATI 35 P PBI Benign neoplasm of breast
173 18/02/2017 0001792012814 zaidah 47 P PEKERJA MANDIRI Necrosis of pulp
174 18/02/2017 0001796733832 ASIR HARIYANTO 60 L PEGAWAI SWASTA Chest pain, unspecified
175 18/02/2017 0002045642321 siti mubaroqah 62 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co
176 20/02/2017 0000020756981 ALFRED 60 L PNS DAERAH Cervical disc disorder, unspecified, Essential (primary) hypertension
177 20/02/2017 0000021195641 SITI AISYAH 74 P PENSIUN PNS Fracture of lower end of tibia
178 20/02/2017 0000021345142 MARIANI,HJ 69 P PENSIUN PNS Parkinson's disease
179 20/02/2017 0000021358451 MARZUKI,BSC 69 L PENSIUN PNS Oedema, unspecified, Essential (primary) hypertension
180 20/02/2017 0000021602002 DARTA SINURAYA 61 L PENSIUN PNS Insulin-dependent diabetes mellitus without compli
181 20/02/2017 0000021938578 YUNIATIEK 59 P PENSIUN TNI Disorder of refraction, unspecified
182 20/02/2017 0000022239009 LINDAWATI 61 P PENSIUN PNS Other periodontal diseases
183 20/02/2017 0000295621672 YUNI SUMARNI 41 P PBI Necrosis of pulp
184 20/02/2017 0000295682736 EMI SUSANA 36 P PBI Nasal polyp, unspecified
185 20/02/2017 0000295882997 SUPATMI 51 P PBI Atherosclerotic heart disease
186 20/02/2017 0000295900075 IRMAwati silaban 14 P PBI Epistaxis
187 20/02/2017 0000295928853 DAHLIA 52 P PBI Malignant neoplasm of breast, unspecified
188 20/02/2017 0000296124377 AYESA AZURA 9 P PBI Acute lymphadenitis, unspecified
189 20/02/2017 0000296161817 ELFRIDA TAMPUBOLON 48 P PBI Myalgia, Essential (primary) hypertension
190 20/02/2017 0000296721347 DARLINA GINTING 51 P PBI Disorder of refraction, unspecified
191 20/02/2017 0000297584908 MESKAM 72 L PBI Unilateral or unspecified inguinal hernia, without
192 20/02/2017 0000988353009 NURiana r 73 P PBI Congestive heart failure
193 20/02/2017 0001288307362 MELPA IRA SIAHAAN 25 P PEKERJA MANDIRI Benign neoplasm of breast
194 20/02/2017 0001453253589 SYAMSUARNI 76 P PEKERJA MANDIRI Atherosclerotic cardiovascular disease, so describ
195 20/02/2017 0001499496827 PAIDI 65 L PBI Malignant neoplasm of nasopharynx, unspecified
196 20/02/2017 0001800805869 mhd nur l 70 L PEKERJA MANDIRI Urinary calculus, unspecified
197 21/02/2017 0000021193604 HAMONANGAN HUTASOIT, 71 L PENSIUN PNS Hyperplasia of prostate
198 21/02/2017 0000021400391 ZULHASNI 54 P PNS DAERAH Other and unspecified right bundle-branch block
199 21/02/2017 0000295999784 AGUNG SINTIA LAURENT 17 P PBI Benign neoplasm of breast
200 21/02/2017 0000296485672 DAHLIS 77 L PBI Fracture of patella
201 21/02/2017 0000988805957 KATIRAH 75 P PBI Secondary hypertension, unspecified
202 21/02/2017 0000988810953 WARTI 34 P PBI Urinary calculus, unspecified
203 21/02/2017 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Congestive heart failure
204 21/02/2017 0001499484519 DELITA PAKPAHAN 50 P PBI Atherosclerotic heart disease
205 22/02/2017 0000021474922 ANIDAR 53 P PENSIUN PNS Non-insulin-dependent diabetes mellitus without co
206 22/02/2017 0000159657287 ZUBAIDAH z 67 P PENSIUN PNS Dyspepsia, Essential (primary) hypertension
207 22/02/2017 0000295454597 MIDIAN SIAGIAN 49 L PBI Tuberculosis of lung, confirmed by unspecified mea
208 22/02/2017 0000295831809 REHAN NUR HAKIM 9 L PBI Disorder of refraction, unspecified
209 22/02/2017 0000296609376 EVI MARNI 34 P PBI Acute lymphadenitis, unspecified
210 22/02/2017 0000296802718 ARHAMIDA 19 P PBI Fever, unspecified
211 22/02/2017 0000296803596 RIADI 43 L PBI Disorder of refraction, unspecified
212 22/02/2017 0000297330377 SUNI 70 P PBI Congestive heart failure
213 22/02/2017 0000297650643 FARANSISCA HOTMAIDA.T 31 P PBI Fracture of patella
214 22/02/2017 0001880177174 R. FAKHRI AR RIZIQ 1 L PEKERJA MANDIRI Delayed milestone
215 23/02/2017 0000020384831 M TAUFIK 44 L PNS DAERAH Schizophrenia, unspecified
216 23/02/2017 0000021227646 NURBAITY RAIS 69 P PENSIUN PNS Low back pain
217 23/02/2017 0000021269417 YUSRAN HAMRAS 68 L PENSIUN PNS Fracture of clavicle
218 23/02/2017 0000022209085 ELITASARI 43 P PNS DAERAH Disorder of refraction, unspecified
219 23/02/2017 0000295523526 TEDI RAHMAT 37 P PBI Schizophrenia, unspecified
220 23/02/2017 0000296016816 M DAFFA PRATAMA 8 L PBI Fever, unspecified
221 23/02/2017 0000297024941 AFNI ASTUTI 42 P PBI Disorder of refraction, unspecified
222 23/02/2017 0000297327352 AMELIA PUTRI 9 P PBI Ventricular septal defect
223 23/02/2017 0001147801094 ROY CHANDRA BATUBARA 30 L PEGAWAI SWASTA Necrosis of pulp
224 23/02/2017 0001499514412 MARIATI 36 P PBI Angina pectoris, unspecified
225 23/02/2017 0001808926874 sarli siburian 42 P PEKERJA MANDIRI Tuberculosis of adrenal glands
226 23/02/2017 0001886534572 M. YAZID GIDANG 60 L PNS DAERAH Cataract, unspecified
227 23/02/2017 0001890125864 ABRAHAM ARON 15 L PEKERJA MANDIRI Impacted cerumen
228 24/02/2017 0000021197441 ARMIYATI 57 P PENSIUN PNS Angina pectoris, unspecified
229 24/02/2017 0000021350428 RASYID 68 L PENSIUN PNS Chronic obstructive pulmonary disease with acute e
230 24/02/2017 0000021596117 BAMBANG RESMIYADI 51 L PNS DAERAH Viral warts
231 24/02/2017 0000021602698 SYAFRIZAL 48 L PNS DAERAH Disorder of refraction, unspecified
232 24/02/2017 0000021798663 MHD. RIZKY RAMADHAN 19 L PNS DAERAH Congenital malformation of peripheral vascular sys
233 24/02/2017 0000988813675 WINA ELIA PUTRI 23 P PBI Nystagmus and other irregular eye movements
234 24/02/2017 0001268639638 AHMAD SYAHPUTRA 30 L PEKERJA MANDIRI Pneumonia, unspecified, Anaemia, unspecified
235 24/02/2017 0001308906516 SYAMSUL BAHARI 63 L PEKERJA MANDIRI Other vitreous opacities
236 24/02/2017 0001310696188 KEZIA ERIADI 9 P PEKERJA MANDIRI Fever, unspecified
237 24/02/2017 0001499507447 KALIPAH 44 P PBI Disorder of refraction, unspecified
238 24/02/2017 0001499512331 RENI MARLINDA 37 P PBI Urinary calculus, unspecified
239 25/02/2017 0000021177459 BACHRUZI 67 L PENSIUN PNS Gastro-oesophageal reflux disease without oesophag
240 25/02/2017 0000295330443 LILI IMELADA 17 P PBI Pulpitis
241 25/02/2017 0000295578753 SUNINGSHI 47 P PBI Angina pectoris, unspecified
242 25/02/2017 0001427051136 bachtiar tanjung 71 L PEKERJA MANDIRI Cataract, unspecified
243 25/02/2017 0001483055921 SUWARTI 46 P PEKERJA MANDIRI Angina pectoris, unspecified
244 25/02/2017 0001499474586 ELI SUMADI 38 P PBI Lumbar and other intervertebral disc disorders wit
245 25/02/2017 0001901578151 AYSHA KHALIQA PRATAMA 1 P PEGAWAI SWASTA Acute lymphadenitis, unspecified
246 27/02/2017 0000020866421 RAUSHAN ALYA 8 P PNS DAERAH Disorder of refraction, unspecified
247 27/02/2017 0000020921218 EMILIA MS, SH. M.SI 62 P PNS DAERAH Fracture of femur, part unspecified
248 27/02/2017 0000194094898 ASNIDAR 70 P PENSIUN PNS Soft tissue disorder, unspecified
249 27/02/2017 0000295805248 NURLAN hasibuan 41 P PBI Tuberculosis of lung, confirmed by unspecified mea
250 27/02/2017 0000296319633 DUL HAINI 56 L PBI Tuberculosis of lung, confirmed by unspecified mea
251 27/02/2017 0000296829922 toga silitonga 61 L PBI Tuberculosis of lung, confirmed by unspecified mea
252 27/02/2017 0000988805957 KATIRAH 75 P PBI Cataract, unspecified
253 27/02/2017 0000988818322 ARIYANTI 44 P PBI Non-insulin-dependent diabetes mellitus without co
254 27/02/2017 0001308906516 SYAMSUL BAHARI 63 L PEKERJA MANDIRI Disorder of refraction, unspecified
255 27/02/2017 0001385785102 KARTINI JUNITA SARI 39 P PNS DAERAH Delivery by caesarean section, unspecified
256 27/02/2017 0001427052071 inang rahayu 62 P PEKERJA MANDIRI Atherosclerotic heart disease
257 27/02/2017 0001789519836 MARKAMAH 72 P PNS DAERAH Stroke, not specified as haemorrhage or infarction
258 27/02/2017 0001808794517 hendra 32 L PEKERJA MANDIRI Angina pectoris, unspecified
259 28/02/2017 0000020902105 MANGIRING BUTARBUTAR 57 P PNS DAERAH Contusion of thorax
260 28/02/2017 0000021117609 TRIDJO SUNARTO 71 L PENSIUN TNI Stroke, not specified as haemorrhage or infarction, Paraplegia, unspecified
261 28/02/2017 0000021341204 EMIL MANULANG 65 L PENSIUN PNS Disorder of refraction, unspecified
262 28/02/2017 0000021483988 TUTI SUHARNI HAREFA 45 P PNS DAERAH Fever, unspecified
263 28/02/2017 0000021560488 AZIMAR 58 P PNS DAERAH Hypertensive heart disease with (congestive) heart
264 28/02/2017 0000295661103 RATIFINA 37 P PBI Low back pain
265 28/02/2017 0000296282316 JOSUA 12 L PBI Epilepsy, unspecified
266 28/02/2017 0000296862581 SUTIAH 52 P PBI Stroke, not specified as haemorrhage or infarction
267 28/02/2017 0000296943974 ADISTY PUTRI JEWIN 15 P PBI Ganglion
268 28/02/2017 0001268639638 AHMAD SYAHPUTRA 30 L PEKERJA MANDIRI Hypertensive heart disease with (congestive) heart, Congestive heart failure
269 28/02/2017 0001499487952 CAHAYA NABILA 12 P PBI Mucocele of salivary gland
270 28/02/2017 0001859851372 BENNY INDRA CUACA 65 L PEKERJA MANDIRI Disorder of refraction, unspecified
TUJUAN RUJUKAN TEMPAT RUJUKAN

POLI PENYAKIT DALAM RS PMC
POLI PENYAKIT PARU RSUD PETALA BUMI
POLI PENYAKIT MATA RS PROF. DR. TABRANI
POLI PENYAKIT GIGI RSUD PETALA BUMI
ORT RSUD ARIFIN ACHMAD
POLI PENYAKIT DALAM RS PROF. DR. TABRANI
POLI PENYAKIT MATA RS EKA HOSPITAL PKU
IGD RS SYAFIRA
POLI PENYAKIT JANTUNG RSUD ARIFIN ACHMAD
POLI OBGYN RSUD PETALA BUMI
ORT RSUD PETALA BUMI
POLI UROLOGI RS AWAL BROS
POLI PENYAKIT DALAM RS AWAL BROS
POLIPENYAKIT SYARAF RS BHAYANGKARAPOLDA PKU
POLIPENYAKIT SYARAF RS BHAYANGKARAPOLDA PKU
POLI PENYAKIT JANTUNG RS AWAL BROS
POLI BEDAH RS SYAFIRA
POLI BEDAH ONKOLOGI RSUD ARIFIN ACHMAD
POLIPENYAKIT SYARAF RSUD PETALA BUMI
POLIPENYAKIT SYARAF RSUD PETALA BUMI
POLI PENYAKIT PARU RS PMC
POLI PENYAKIT SYARAF RSUD ARIFIN ACHMAD
POLI PENYAKIT SYARAF RS BINA KASIH PKU
POLI GIGI RSUD ARIFIN ACHMAD
POLI ANAK RS ZAINAB PKU
POLI PENYAKIT SYARAF RS IBNU SINA PKU
POLI PENYAKIT JIWA RS JIWA PKU
POLI ORT RS PMC PKU
POLI PENYAKIT PARU RS BHAYANGKARAPOLDA PKU
POLI PENYAKIT PARU RSUD ARIFIN ACHMAD
POLI OBGYN RS SYAFIRA
POLI GIGI RS PROF. DR. TABRANI
POLI PENYAKIT DALAM RS AWAL BROS
POLI GIGI RS TK IV 01.07.04
Installasi Rehabilitasi Medik RS ZAINAB PKU
POLI PENYAKIT JANTUNG RS AWAL BROS
POLI PENYAKIT MATA RS IBNU SINA PKU
POLI PENYAKIT SYARAF RS BHAYANGKARAPOLDA PKU
POLI PENYAKIT PARU RS EKA HOSPITAL PKU
POLI GIGI RS SYAFIRA
POLI OBGYN RS ERIA BUNDA PKU
POLI BEDAH MULUT RSUD ARIFIN ACHMAD
POLI JANTUNG RS SYAFIRA
POLI PENYAKIT KULIT RS AWAL BROS
POLI JANTUNG RS IBNU SINA PKU
POLI ORT RS AULIA PKU
POLI BEDAH MULUT RSUD ARIFIN ACHMAD
POLI BEDAH RS PROF. DR. TABRANI
POLI JANTUNG RS EKA HOSPITAL PKU
POLI UROLOGI RS SYAFIRA
POLI UROLOGI RS SYAFIRA
POLI PENYAKIT DALAM RS SYAFIRA
POLI JANTUNG RS PMC
POLI ORT RS PMC
POLI ANAK RS ERIA BUNDA PKU
POLI PENYAKIT MATA RS PMC
POLI PENYAKIT MATA RS PMC
POLI PENYAKIT SYARAF RS ZAINAB PKU
POLI PENYAKIT PARU RS EKA HOSPITAL PKU
POLI ANAK RS ZAINAB PKU
POLI ORT RS AWAL BROS
POLI PARU-PARU RSUD ARIFIN ACHMAD
POLI OBGYN RS ZAINAB PKU
POLI JANTUNG RS AWAL BROS
POLI JANTUNG RS EKA HOSPITAL PKU
KOTA PEKANBARU, 28 Februari 2017

KEPALA PUSKESMAS REJOSARI
drg. YERLINA
NIP. 19761016 200406 2 010
BULAN DESEMBER TAHUN 2016
NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA DIAGNOSA TUJUAN RUJUKAN
1 1/12/2016 0001891452161 YUSRIANITA 32 P PEKERJA MANDIRI Epilepsy, unspecified, Supervision of other normal pregnancy POLI OBSTETRI/GYN
2 1/12/2016 0001307759703 ANWAR 71 L PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e POLI PARU
3 1/12/2016 0000297338286 SAUTMA JISMAN S 50 L PBI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
4 1/12/2016 0000021602709 WARDANI 47 P PNS DAERAH Benign lipomatous neoplasm, unspecified POLI BEDAH
5 1/12/2016 0000021269417 YUSRAN HAMRAS 68 L PENERIMA PENSIUN PNS Fracture of clavicle POLI PENYAKIT SYARAF
6 1/12/2016 0000021257875 SYAMSUL BACHRI 68 L PENERIMA PENSIUN PNS Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
7 1/12/2016 0000020650252 WARDATI 47 P PNS DAERAH Benign lipomatous neoplasm, unspecified POLI BEDAH
8 2/12/2016 0002088109629 AMDIAN 67 L PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
9 2/12/2016 0001453253589 SYAMSUARNI 76 P PEKERJA MANDIRI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
10 2/12/2016 0001273746407 ELYDAWATI 54 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
11 2/12/2016 0000296305953 ELVI 40 P PBI Benign neoplasm of breast POLI BEDAH
12 2/12/2016 0000295555105 RAMINO 51 L PBI Impotence of organic origin POLI PENYAKIT DALAM
13 2/12/2016 0000164381995 ASRIL CANIAGO 43 L PNS DAERAH Tuberculosis of lung, confirmed by unspecified mea POLI PARU
14 2/12/2016 0000021063791 R SUTANTRI EDI PRABOWO 54 L PNS DAERAH End-stage renal disease HAEMODIALISA
15 3/12/2016 0002093428664 PHOA A LIANG 65 L PEKERJA MANDIRI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
16 3/12/2016 0001499517066 SUPRIYATIN RAHAYU 61 P PBI Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
17 3/12/2016 0001307530001 NURKARTINI 61 P PEKERJA MANDIRI Adhesive capsulitis of shoulder POLI PENYAKIT SYARAF
18 3/12/2016 0001270578712 IMAM NAWAWI 59 L KEPOLISIAN RI Phlebitis and thrombophlebitis of unspecified site POLI BEDAH
19 3/12/2016 0000296520748 LISNA 37 P PBI Pterygium POLI PENYAKIT MATA
20 3/12/2016 0000296199911 MEI ANA PURBA 21 P PBI Pterygium POLI PENYAKIT MATA
21 3/12/2016 0000295893202 ERITA 45 P PBI Acute appendicitis, unspecified POLI BEDAH
22 3/12/2016 0000295724057 HALOMOAN NADEAK 59 L PBI Benign neoplasm of unspecified site POLI BEDAH
23 3/12/2016 0000290466009 SITI 66 P PBI Cataract, unspecified POLI PENYAKIT MATA
24 3/12/2016 0000021957579 HASAN ZEIN 73 L PENERIMA PENSIUN PNS Dyspepsia, Vertigo of central origin POLI PENYAKIT DALAM
25 3/12/2016 0000021474933 MURKADI 67 L PENERIMA PENSIUN PNS Chronic obstructive pulmonary disease with acute e POLI PARU PARU
26 3/12/2016 0000021222898 MURNI ZAMAN 65 L PENERIMA PENSIUN PNS Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
27 3/12/2016 0000021193222 SITI AISYAH 57 P PENERIMA PENSIUN PNS Pterygium POLI PENYAKIT MATA
28 5/12/2016 0001865086694 MUJIONO 44 L PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
29 5/12/2016 0001865085873 PARMINI 51 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
30 5/12/2016 0001501246719 YATIMAH 35 P PEGAWAI SWASTA Acute hepatitis B without delta-agent and without POLI PENYAKIT DALAM
31 5/12/2016 0001501246708 SUTEKNO 39 L PEGAWAI SWASTA Acute hepatitis B without delta-agent and without POLI PENYAKIT DALAM
32 5/12/2016 0001499517483 NELLY 32 P PBI HIV disease resulting in unspecified infectious or POLI PENYAKIT DALAM
33 5/12/2016 0001476893283 RONNAULI BR. SIAGIAN 46 P PEKERJA MANDIRI Malignant neoplasm of cervix uteri, unspecified POLI OBSTETRI/GYN
34 5/12/2016 0001425733558 REFLIS 48 L PEKERJA MANDIRI Secondary hypertension, unspecified POLI PENYAKIT DALAM
35 5/12/2016 0001307764754 RAILI 61 P PEKERJA MANDIRI Impacted cerumen POLI THT
36 5/12/2016 0000297670781 YULIZAR 56 L PBI Cataract, unspecified POLI PENYAKIT MATA
37 5/12/2016 0000296615542 ZULKIFLI NASUTION 62 L PBI Hyperplasia of prostate POLI URO
38 5/12/2016 0000296587956 M IRWAN SAPUTRA 15 L PBI Anaemia, unspecified POLI PENYAKIT DALAM
39 5/12/2016 0000296424922 WILA TIANDRA 6 P PBI Fever, unspecified POLI ANAK
40 5/12/2016 0000296195973 TINI 28 P PBI Thyrotoxicosis, unspecified POLI PENYAKIT DALAM
41 5/12/2016 0000295616542 KRISTINA S 34 P PBI Conjunctival degenerations and deposits POLI PENYAKIT MATA
42 5/12/2016 0000159657153 TAMSIR TAUFIK 68 L PENERIMA PENSIUN PNS Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
43 5/12/2016 0000021407679 ZAINIMAR 58 P PNS DAERAH Vertigo of central origin POLI PENYAKIT SYARAF
44 5/12/2016 0000021358427 MAGDALENA SIREGAR 68 P PENERIMA PENSIUN PNS Hypertensive heart disease with (congestive) heart POLI JANTUNG
45 5/12/2016 0000021201851 SUTARMINI 75 P PENERIMA PENSIUN PNS Nontoxic goitre, unspecified POLI PENYAKIT DALAM
46 5/12/2016 0000020921218 EMILIA MS, SH. M.SI 62 P PNS DAERAH Fracture of femur, part unspecified POLI ORT
47 6/12/2016 0001960960904 ADIKEN MARLIN 34 P PEKERJA MANDIRI Unspecified pre-existing hypertension complicating POLI OBSTETRI/GYN
48 6/12/2016 0001499547598 NURBAITI 60 P PBI Chronic gastritis, unspecified POLI PENYAKIT DALAM
50 6/12/2016 0000296182743 NASRI 65 L PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
51 6/12/2016 0000295491677 YULIANA SUNDARI 18 P PBI Other endometriosis POLI OBSTETRI/GYN
52 6/12/2016 0000295353819 WARNI 48 P PBI Benign lipomatous neoplasm, unspecified POLI BEDAH
53 6/12/2016 0000294782049 LANDUS SIMANJUNTAK 61 P PBI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
54 6/12/2016 0000020865161 SABIMAN 62 L PENERIMA PENSIUN PNS Pterygium, Cataract, unspecified POLI PENYAKIT MATA
55 7/12/2016 0001499545091 MEGAWATI 50 P PBI Myalgia POLI PENYAKIT SYARAF
56 7/12/2016 0001499473754 TULUS 74 L PBI Hyperplasia of prostate POLI UROLOGI
57 7/12/2016 0001483117119 RUSLI 47 L PEKERJA MANDIRI Disorder of refraction, unspecified POLI PENYAKIT SYARAF
58 7/12/2016 0001483116388 AGUSTINA NOVITASARI 46 P PEKERJA MANDIRI Malignant neoplasm of breast, unspecified POLI BEDAH ONKOLOGI
59 7/12/2016 0001445084796 YUNNARIS 54 L PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
60 7/12/2016 0001287251706 INDRA 62 L PEKERJA MANDIRI Senile cataract, unspecified POLI PENYAKIT MATA
61 7/12/2016 0001280953811 kenzie yafiq hamizan 2 L PEKERJA MANDIRI Developmental disorder of speech and language, uns FISIOTERAPI
62 7/12/2016 0000297308777 ETRI YULIANA 24 P PBI Acute sinusitis, unspecified POLI THT
63 7/12/2016 0000297302613 SOLIDA BR HOMBING 36 P PBI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
64 7/12/2016 0000296672207 TIARA CITRA 11 P PBI Epilepsy, unspecified POLI ANAK
65 7/12/2016 0000295992112 YULISTIANI 17 P PBI Foreign body in ear POLI THT
66 7/12/2016 0000295671082 TOMMI PARULIAN 23 L PBI Nephrotic syndrome, unspecified POLI PENYAKIT DALAM
68 7/12/2016 0000021517323 ZAINAL EFENDI. IB 66 L PNS DAERAH Adhesive capsulitis of shoulder POLI PENYAKIT SYARAF
69 7/12/2016 0000021517312 RITA WARDA 61 P PNS DAERAH Gonarthrosis, unspecified POLI PENYAKIT SYARAF
70 7/12/2016 0000020930163 DARMALINA 52 P PNS DAERAH Low back pain POLI PENYAKIT SYARAF
71 8/12/2016 0001807912181 RIZKY AMALIA 20 P PEKERJA MANDIRI Fever, unspecified POLI PENYAKIT DALAM
72 8/12/2016 0001499513242 RISKA PERMATASARI 21 P PBI Headache POLI PENYAKIT SYARAF
73 8/12/2016 0001499487445 NUNINGSIH 37 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
74 8/12/2016 0001274125432 PRATAMA JUPRIANTO 23 L PEKERJA MANDIRI Fever, unspecified POLI PENYAKIT DALAM
75 8/12/2016 0001255945814 JHONI KUTAR 59 L PEKERJA MANDIRI Caries of dentine POLI GIGI
76 8/12/2016 0000988814709 NURSITI SIMANJUNTAK 82 P PBI Cataract, unspecified POLI PENYAKIT MATA
77 8/12/2016 0000297302613 SOLIDA BR HOMBING 36 P PBI Bell's palsy FISIOTERAPI
78 8/12/2016 0000296828739 KUSNI ATIN 55 P PBI Foreign body in ear POLI THT
79 8/12/2016 0000296702469 ERAWATI 41 P PBI Haemorrhage in early pregnancy, unspecified POLI OBSTETRI/GYN
80 8/12/2016 0000296311882 EVI NISPA KRISTINA 20 P PBI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
81 8/12/2016 0000296064011 NOVRI ELNI 53 P PBI Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
82 8/12/2016 0000295597517 TARI PURNOMO 32 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
83 8/12/2016 0000021511315 KHAIRUL ANWAR 62 L PNS DAERAH Low back pain POLI PENYAKIT DALAM
84 8/12/2016 0000021247661 SOEMARDHI THAHER.DRS 75 L PENERIMA PENSIUN PNS Predominantly allergic asthma POLI PARU PARU
85 8/12/2016 0000021223361 MUSLIM 69 L PENERIMA PENSIUN PNS Atherosclerotic heart disease POLI JANTUNG
86 8/12/2016 0000021041278 ASRIL RAHMAN 62 L PENERIMA PENSIUN PNS Atherosclerotic heart disease POLI JANTUNG
87 8/12/2016 0000021027554 YUSNA ZAINAL 62 P PNS PUSAT Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
88 8/12/2016 0000004896393 UTAMIE APRADELIA PR 15 P PENERIMA PENSIUN PNS Disorder of refraction, unspecified POLI PENYAKIT MATA
89 9/12/2016 0000296663477 ANA 39 P PBI Cellulitis, unspecified POLI BEDAH
90 9/12/2016 0000296537556 MELIKA ARDINA 21 P PBI Fracture of other finger POLI OBSTETRI/GYN
91 9/12/2016 0000295689251 FADRI YELDI 31 L PBI Tuberculosis of lung, confirmed by unspecified mea POLI PARU PARU
92 9/12/2016 0000295449996 YUHARNIATI 48 P PBI Fever, unspecified POLI PENYAKIT DALAM
93 9/12/2016 0000021591775 MARSIL CAN 66 L PNS DAERAH Predominantly allergic asthma POLI PARU PARU
95 9/12/2016 0000020930163 DARMALINA 52 P PNS DAERAH Low back pain Installasi Rehabilitasi Medik
96 10/12/2016 0001499487985 MIRA IRWANTO 17 P PBI Headache POLI PENYAKIT SYARAF
97 10/12/2016 0001338191021 JAMALIAR 74 P PEKERJA MANDIRI Heart failure, unspecified POLI PENYAKIT DALAM
98 10/12/2016 0000296803181 ARHAJULITA 16 P PBI Abnormal results of function studies of central ne POLI ANAK
99 10/12/2016 0000198222502 DIAN EKAWATI 38 P PEGAWAI SWASTA Disorder of refraction, unspecified POLI PENYAKIT MATA
100 13/12/2016 0001822077641 SURIYAH 41 P PEKERJA MANDIRI Low back pain POLI PENYAKIT SYARAF
101 13/12/2016 0001821101951 defi suzeni 40 P PEKERJA MANDIRI Myalgia POLI PENYAKIT SYARAF
103 13/12/2016 0001314528693 rany rohana 58 P PEKERJA MANDIRI Cardiac arrhythmia, unspecified POLI JANTUNG
104 13/12/2016 0001261819383 rusdi abidin 63 L PEKERJA MANDIRI Chronic obstructive pulmonary disease with acute e POLI PENYAKIT PARU
105 13/12/2016 0000297038518 MASJUITA BR SILITONGA 41 P PBI Excessive and frequent menstruation with irregular POLI OBSTETRI/GYN
106 13/12/2016 0000296600512 FIRMAN SYAHPUTRA 21 L PBI Fracture of shaft of tibia POLI ORT
107 13/12/2016 0000296235729 EVIANI 31 P PBI Tuberculosis of other specified organs POLI BEDAH
108 13/12/2016 0000295578753 SUNINGSHI 47 P PBI Angina pectoris, unspecified POLI PENYAKIT DALAM
109 13/12/2016 0000295491677 YULIANA SUNDARI 18 P PBI Psoriasis, unspecified POLI PENYAKIT KULIT
110 13/12/2016 0000021652244 MUSLIKAH 41 P PNS PUSAT Embolism and thrombosis of unspecified vein POLI BEDAH
111 13/12/2016 0000021560488 AZIMAR 58 P PNS DAERAH Atherosclerotic heart disease POLI JANTUNG
112 13/12/2016 0000021484337 YUDHISTIRA ADI WIYANTO 18 L PNS DAERAH Anetoderma of Schweninger-Buzzi POLI BEDAH
113 13/12/2016 0000021484326 YANTI ROSDIANA 40 P PNS DAERAH Malignant neoplasm of breast, unspecified POLI BEDAH ONKOLOGI
114 13/12/2016 0000021484315 WIDODO 42 L PNS DAERAH Keratosis punctata (palmaris et plantaris) POLI PENYAKIT KULIT
115 13/12/2016 0000021425319 DAHNIAR 64 P PENERIMA PENSIUN PNS Malignant neoplasm of nasopharynx, unspecified POLI THT
116 13/12/2016 0000021384797 ROSMANIAR 53 P PNS DAERAH Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
117 13/12/2016 0000021289296 FRIAMIN SIAHAAN 61 P PENERIMA PENSIUN PNS Secondary malignant neoplasm of other specified si POLI BEDAH ONKOLOGI
118 13/12/2016 0000021289285 HARLEN PARDEDE 66 L PENERIMA PENSIUN PNS Non-insulin-dependent diabetes mellitus without co, Pure hypercholesterolaemia POLI PENYAKIT DALAM
119 14/12/2016 0001826927638 AKHMAD QODRI FITRIAWAN 24 L PEKERJA MANDIRI Predominantly allergic asthma POLI PENYAKIT PARU
120 14/12/2016 0001822849367 SURATMI 54 P PEKERJA MANDIRI Low back pain POLI PENYAKIT SYARAF
121 14/12/2016 0001792012814 zaidah 47 P PEKERJA MANDIRI Acute suppurative otitis media POLI THT
122 14/12/2016 0001499514221 RINDI ANDIKA 17 P PBI Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
123 14/12/2016 0000297645761 SAHRUL 26 L PBI Follicular cyst of skin and subcutaneous tissue, u POLI BEDAH
124 14/12/2016 0000297318497 SARIPAH 66 P PBI Acute and transient psychotic disorder, unspecifie POLI PENYAKIT JIWA
125 14/12/2016 0000295919212 JULI ANDIKA 12 L PBI Fever, unspecified POLI ANAK
126 15/12/2016 0002093428664 PHOA A LIANG 65 L PEKERJA MANDIRI Chronic obstructive pulmonary disease, unspecified POLI JANTUNG
127 15/12/2016 0001789519836 MARKAMAH 72 P PNS DAERAH Sequelae of stroke, not specified as haemorrhage o, Secondary hypertension, POLI PENYAKIT SYARAF
128 15/12/2016 0000297311286 MARULAM SIMANJUNTAK 57 L PBI Malignant neoplasm of bronchus or lung, unspecifie POLI PENYAKIT PARU
129 15/12/2016 0000210629979 ASNI 77 P PENERIMA PENSIUN PNS Malignant neoplasm of breast, unspecified POLI BEDAH ONKOLOGI
130 15/12/2016 0000023565633 SYARIFAH RATNAH 68 P PBI Paranoid personality disorder POLI PENYAKIT JIWA
131 15/12/2016 0000021345142 MARIANI,HJ 68 P PENERIMA PENSIUN PNS Parkinson's disease POLI PENYAKIT SYARAF
132 16/12/2016 0001963730169 tusih 63 P PEKERJA MANDIRI Secondary hypertension, unspecified POLI PENYAKIT DALAM
133 16/12/2016 0001499492744 LAMRIA MALAU 47 P PBI Malignant neoplasm of endometrium POLI BEDAH ONKOLOGI
134 16/12/2016 0001499475306 SOVIA LOREN 20 P PBI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
135 16/12/2016 0000296276512 IKUT SIRINGO RINGO 32 L PBI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
136 16/12/2016 0000022239009 LINDAWATI 61 P PENERIMA PENSIUN PNS Other periodontal diseases POLI BEDAH MULUT
137 16/12/2016 0000021517312 RITA WARDA 61 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
138 16/12/2016 0000021056635 MAHYUDIN 55 L PNS DAERAH Cellulitis, unspecified POLI ORT
139 17/12/2016 0001499515615 ABDULLAH MAULANA 39 L PBI Secondary hypertension, unspecified Instalasi Gawat Darurat
140 17/12/2016 0000296801818 D. ARHAMKA. DH 62 L PBI Hyperplasia of prostate POLI UROLOGI
141 17/12/2016 0000295889714 JUMIATI 46 P PBI Follicular cyst of skin and subcutaneous tissue, u POLI BEDAH
142 17/12/2016 0000021206698 LUKMAN RIAU 76 L PENERIMA PENSIUN PNS Diarrhoea and gastroenteritis of presumed infectio POLI PENYAKIT DALAM
143 19/12/2016 0001864370654 RUSWANTO 48 L PEGAWAI SWASTA Malignant neoplasm of oropharynx, unspecified POLI THT
145 19/12/2016 0001436089533 salmiah 59 P PEKERJA MANDIRI Disorder of refraction, unspecified POLI PENYAKIT MATA
147 19/12/2016 0001273676692 OKI KURNIA 10 L PEKERJA MANDIRI Fever, unspecified POLI ANAK
148 19/12/2016 0000988804089 YULINAR 55 L PBI Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
149 19/12/2016 0000297308709 ENDRIZAL 40 P PBI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
150 19/12/2016 0000297144314 FARHAN ZAIDI 7 L PBI Tuberculosis of lung, confirmed by unspecified mea POLI ANAK
151 19/12/2016 0000296156081 TRI AKBAR RAMADHAN 6 L PBI Predominantly allergic asthma POLI ANAK
152 19/12/2016 0000295892706 TUMINAH 65 P PBI Cataract, unspecified POLI PENYAKIT MATA
153 19/12/2016 0000295609061 HAYATI 42 P PBI Blighted ovum and nonhydatidiform mole POLI OBSTETRI/GYN
154 19/12/2016 0000168916498 SITI HAJAR 57 P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
155 19/12/2016 0000163487867 NURBAITI 57 P PENERIMA PENSIUN PNS Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
156 19/12/2016 0000021223361 MUSLIM 69 L PENERIMA PENSIUN PNS Stroke, not specified as haemorrhage or infarction POLI PENYAKIT SYARAF
157 19/12/2016 0000021210592 JUMAINI 69 P PENERIMA PENSIUN PNS Cataract, unspecified POLI PENYAKIT MATA
158 19/12/2016 0000021193536 HAMIDUN 73 L PENERIMA PENSIUN PNS Cataract, unspecified POLI PENYAKIT MATA
159 20/12/2016 0001885834631 putri paramita sakti 31 P PNS DAERAH Oligohydramnios POLI OBSTETRI/GYN
160 20/12/2016 0001499481224 AMIR HAWEN LUBIS 55 L PBI Myalgia POLI PENYAKIT SYARAF
161 20/12/2016 0001429224592 M. SIIN 88 L PEKERJA MANDIRI Cataract, unspecified POLI PENYAKIT MATA
162 20/12/2016 0001307530001 NURKARTINI 61 P PEKERJA MANDIRI Congestive heart failure POLI JANTUNG
163 20/12/2016 0001307528998 SYARIFUDDIN BUR 72 L PEKERJA MANDIRI Hyperplasia of prostate POLI UROLOGI
164 20/12/2016 0000297048014 SOFIA SUSANTI 19 P PBI Internal haemorrhoids with other complications POLI PENYAKIT DALAM
166 20/12/2016 0000296840237 MUJAHIO SYAKIR 6 L PBI Fever, unspecified POLI ANAK
167 20/12/2016 0000296573444 RINAWATI 44 P PBI Headache POLI PENYAKIT SYARAF
169 20/12/2016 0000296276512 IKUT SIRINGO RINGO 32 L PBI Urinary calculus, unspecified POLI UROLOGI
170 20/12/2016 0000295935838 RAHMAT 53 L PBI Conductive hearing loss, unspecified POLI THT
171 20/12/2016 0000295721829 NISNANI 38 P PBI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
172 20/12/2016 0000021008057 ASMITA 48 P PNS DAERAH Hyphaema POLI PENYAKIT MATA
173 20/12/2016 0000020925663 TEDI KURNIAWAN 17 L PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
174 21/12/2016 0002208519977 RIFKY HAMIZAN SIREGAR 0 L PBI Fever, unspecified POLI ANAK
175 21/12/2016 0001842534729 MAWARNI 63 P PEKERJA MANDIRI Angina pectoris, unspecified POLI JANTUNG
176 21/12/2016 0001499474586 ELI SUMADI 38 P PBI Intervertebral disc disorder, unspecified POLI ORT
177 21/12/2016 0001429358692 ROSMANIAR 48 P PEKERJA MANDIRI Other cervical disc displacemen POLI ORT
178 21/12/2016 0001429354956 AMRIN SIREGAR 57 L PEKERJA MANDIRI Heart failure, unspecified POLI JANTUNG
179 21/12/2016 0001307759703 ANWAR 71 L PEKERJA MANDIRI Myalgia POLI PENYAKIT SYARAF
180 21/12/2016 0001079602874 SEPTI MELAWARNI 33 P PNS DAERAH Gest [pregnancy-induced] hypertens without sig pro POLI OBSTETRI/GYN
181 21/12/2016 0000296254405 DWIKI SALAM 13 L PBI Urticaria, unspecified POLI ANAK
182 21/12/2016 0000295847245 DINA MITRA PADRI 30 P PBI Discoid lupus erythematosus POLI PENYAKIT DALAM
183 21/12/2016 0000295656592 DESLIANA 18 P PBI Acute tonsillitis, unspecified POLI THT
184 21/12/2016 0000205228618 WAN MUHAMMAD 5 L PNS DAERAH Routine child health examination POLI ANAK
185 21/12/2016 0000159657287 ZUBAIDAH z 67 P PENERIMA PENSIUN PNS Secondary hypertension, unspecified, Dyspepsia POLI PENYAKIT DALAM
186 21/12/2016 0000021673732 WIJI 49 P PNS PUSAT Vertigo of central origin POLI PENYAKIT SYARAF
187 21/12/2016 0000021517503 SUCIANIK 61 P PNS DAERAH Osteoporosis of disuse with pathological fracture POLI ORT
188 21/12/2016 0000021358473 MAWAR REBEKA SIREGAR 51 P PENERIMA PENSIUN PNS Acute and transient psychotic disorder, unspecifie POLI PENYAKIT JIWA
189 21/12/2016 0000021289296 FRIAMIN SIAHAAN 61 P PENERIMA PENSIUN PNS Secondary malignant neoplasm of other specified si POLI PENYAKIT DALAM
190 21/12/2016 0000021172691 ASMAIWATI 65 P PENERIMA PENSIUN PNS Low back pain FISIOTERAPI
191 22/12/2016 0001447606517 ELFRIDA SITOMPUL 53 P PEKERJA MANDIRI Predominantly allergic asthma POLI PENYAKIT PARU
193 22/12/2016 0000296505224 MUHAMMAD YUSUP 52 L PBI Headache POLI PENYAKIT SYARAF
194 22/12/2016 0000296422367 SUHENDRA 45 L PBI Foreign body on external eye, part unspecified POLI PENYAKIT MATA
195 22/12/2016 0000295200911 PINONDANG MARUNA S 40 P PBI Predominantly allergic asthma POLI PENYAKIT PARU
197 23/12/2016 0000297306911 MILA KARTIKA 27 P PBI Keloid scar POLI KLINIK BEDAH PLASTIK
198 23/12/2016 0000296485672 DAHLIS 76 L PBI Vertigo of central origin POLI PENYAKIT SYARAF
199 23/12/2016 0000296462496 SEDI JABAT 43 P PBI Other and unspecified ovarian cysts POLI OBSTETRI/GYN
200 23/12/2016 0000296379279 M RISKI 10 L PBI Nephrotic syndrome, unspecified POLI ANAK
201 23/12/2016 0000021018093 SUKIRNO 36 L PNS PUSAT Tuberculosis of lung, confirmed by unspecified mea POLI PENYAKIT PARU
202 24/12/2016 0001297927833 SURIATI 47 P PEKERJA MANDIRI Necrosis of pulp POLI GIGI
203 24/12/2016 0001285847109 YUNI SASRI 29 P PEKERJA MANDIRI Acute lymphadenitis of upper limb POLI PENYAKIT DALAM
204 24/12/2016 0000297318497 SARIPAH 66 P PBI Stroke, not specified as haemorrhage or infarction POLI PENYAKIT DALAM
205 24/12/2016 0000295940092 ERNAWATI 69 P PBI Hypertensive heart disease with (congestive) heart POLI JANTUNG
206 24/12/2016 0000295939642 U.RUHYAT 75 L PBI Hypertensive heart disease with (congestive) heart POLI JANTUNG
207 24/12/2016 0000295524977 SANTO FERNANDO. S 26 L PBI Acute and transient psychotic disorder, unspecifie POLI JANTUNG
208 24/12/2016 0000021249483 SUDARSIH 60 P PENERIMA PENSIUN PNS Adhesive capsulitis of shoulder POLI ORT
209 27/12/2016 0001870312533 NASEM 59 P PEKERJA MANDIRI Pterygium POLI PENYAKIT MATA
210 27/12/2016 0001816039809 NELI SUTRI HERAWATI 41 P PEKERJA MANDIRI Malignant melanoma of skin, unspecified POLI PENYAKIT KULIT
211 27/12/2016 0001502387954 MUHAMMAD JASRUL ASRIKY 15 L PEGAWAI SWASTA Necrosis of pulp POLI GIGI
213 27/12/2016 0001499482991 NURIDA 47 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
214 27/12/2016 0001439836086 KASMIN PAKPAHAN 63 L PEKERJA MANDIRI Adhesive capsulitis of shoulder POLI PENYAKIT SYARAF
215 27/12/2016 0001294454024 SUMIHAR MANURUNG 64 P PEKERJA MANDIRI Non-insulin-dependent diabetes mellitus without co, Vertigo of central origin POLI PENYAKIT DALAM
216 27/12/2016 0001261222749 EVALINDA SIBARANI 55 P PEKERJA MANDIRI Fever, unspecified POLI PENYAKIT DALAM
217 27/12/2016 0001261221715 RICHARD SIREGAR 62 L PEKERJA MANDIRI Necrosis of pulp POLI GIGI
218 27/12/2016 0000297326867 SASABILA 6 L PBI Chondromalacia POLI ORT
219 27/12/2016 0000297043413 TIUS PANJAITAN 49 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
220 27/12/2016 0000296285782 MUHAMMAD TAMBRIN 56 L PBI Cataract, unspecified POLI PENYAKIT MATA
221 27/12/2016 0000295849833 FADILA FINANTA 5 P PBI Otalgia POLI THT
222 27/12/2016 0000295847245 DINA MITRA PADRI 30 P PBI Disorder of refraction, unspecified POLI PENYAKIT MATA
223 27/12/2016 0000021765497 ROBBY M NUR 44 L PNS DAERAH Pterygium POLI PENYAKIT MATA
224 27/12/2016 0000021563943 NEL ENDRI 55 L PNS DAERAH Hypertensive heart disease with (congestive) heart POLI JANTUNG
225 27/12/2016 0000021480041 WIDILA MIRATAMA 15 P PNS DAERAH Disorder of refraction, unspecified POLI PENYAKIT MATA
226 27/12/2016 0000021177459 BACHRUZI 67 L PENERIMA PENSIUN PNS Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
227 28/12/2016 0001842391956 YUNARWATI 57 P PEKERJA MANDIRI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
228 28/12/2016 0001500860507 HENDRA MULIYADI PARDOSI 32 L PEGAWAI SWASTA Myalgia POLI PENYAKIT SYARAF
229 28/12/2016 0001499547598 NURBAITI 60 P PBI Chronic gastritis, unspecified POLI PENYAKIT DALAM
230 28/12/2016 0001470356537 SAIMIAH 48 P PEKERJA MANDIRI Atopic dermatitis, unspecified POLI PENYAKIT KULIT
231 28/12/2016 0001307764754 RAILI 61 P PEKERJA MANDIRI Intervertebral disc disorder, unspecified POLI PENYAKIT SYARAF
232 28/12/2016 0000297151907 WIRDANISWATI 53 P PBI Secondary hypertension, unspecified POLI PENYAKIT DALAM
233 28/12/2016 0000296995318 ISMAIL 30 L PBI Acute appendicitis, unspecified POLI BEDAH
234 28/12/2016 0000296829966 NURDEWITA 43 P PBI Myalgia POLI PENYAKIT SYARAF
235 28/12/2016 0000296174744 KALEP P 7 L PBI Foreign body in ear POLI ANAK
236 28/12/2016 0000295523526 TEDI RAHMAD 37 L PBI Schizophrenia, unspecified POLI PENYAKIT JIWA
237 28/12/2016 0000021390592 RUSNI 58 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
238 28/12/2016 0000021390581 ALI AMRAN 59 L PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Essential (primary) hypertension POLI PENYAKIT DALAM
239 28/12/2016 0000020940963 PEPY YANI AGUSTINA PSB 20 P PNS PUSAT Disorder of refraction, unspecified POLI PENYAKIT MATA
240 29/12/2016 0001891452161 YUSRIANITA 32 P PEKERJA MANDIRI Supervision of other normal pregnancy, Epilepsy, unspecified POLI OBSTETRI/GYN
241 29/12/2016 0001446895945 PUTRA ARCANGELA 12 L PEGAWAI SWASTA Scoliosis, unspecified POLI ORT
242 29/12/2016 0000020925663 TEDI KURNIAWAN 17 P PNS DAERAH Impacted cerumen POLI THT
243 30/12/2016 0002088109629 AMDIAN 67 L PEKERJA MANDIRI Sciatica POLI PENYAKIT SYARAF
244 30/12/2016 0001842534729 MAWARNI 63 P PEKERJA MANDIRI Myalgia POLI PENYAKIT SYARAF
245 30/12/2016 0001499544191 ALIAN 65 L PBI Low back pain, Hypertensive heart disease without (congestive) he POLI PENYAKIT DALAM
246 30/12/2016 0001499482157 WULAN SAFITRI 19 P PBI Acute tonsillitis, unspecified POLI THT
247 30/12/2016 0001303392475 RISEM 68 P PEKERJA MANDIRI Cataract, unspecified, Essential (primary) hypertension POLI PENYAKIT MATA
249 31/12/2016 0001499489313 ROSLIANA SIHOMBING 56 P PBI Gastro-oesophageal reflux disease without oesophag POLI PENYAKIT DALAM
250 31/12/2016 0001499489302 ADVEN MANALU 53 L PBI Gastro-oesophageal reflux disease without oesophag, Essential (primary) hypertension, POLI PENYAKIT DALAM
251 31/12/2016 0000988803584 JONI 61 L PBI Cataract, unspecified POLI PENYAKIT MATA
252 31/12/2016 0000021587016 ROHANI 58 P PNS DAERAH Non-insulin-dependent diabetes mellitus without co, Secondary hypertension, POLI PENYAKIT DALAM
253 31/12/2016 0000021474922 ANIDAR 53 P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes mellitus without co POLI PENYAKIT DALAM
KOTA PEKANBARU, 31 DESEM
KEPALA PUSKESMAS REJO
drg. YERLINA
NIP. 19761016 200406 2
TEMPAT RUJUKAN
RSUD ARIFIN ACHMAD

RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS EKA HOSPITAL
RS PMC
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYFIRA
RS AWAL BROS
RS MATA SMEC
RS MATA SMEC
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS SYFIRA
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYFIRA
RS SYFIRA
RS EKA HOSPITAL
RS EKA HOSPITAL
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYFIRA
RS BINA KASIH
RS SYFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS ZAINAB
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYFIRA
RS MATA SMEC
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PEKANBARU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD PETALA BUMI
RS MATA SMEC
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS AWAL BROS
RS IBNU SINA PKU
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS JIWA PEKANBARU
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PEKANBARU
RSUD PETALA BUMI
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS JIWA PEKANBARU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYFIRA
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS PEKANBARU MEDICAL CENTER
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RS ZAINAB
RS BINA KASIH
RS BINA KASIH
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS MATA SMEC
RS MATA SMEC
RS SYFIRA
RSUD PETALA BUMI
RS EKA HOSPITAL
RS SYFIRA
RS SYFIRA
RSUD PETALA BUMI
RS JIWA PEKANBARU
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PEKANBARU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS MATA SMEC
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS AWAL BROS
RSUD PETALA BUMI
RS SYFIRA
RS SYFIRA
RSUD ARIFIN ACHMAD
RS EKA HOSPITAL
RS SYFIRA
RS AWAL BROS
RSUD ARIFIN ACHMAD
RS JIWA PEKANBARU
RS AWAL BROS
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RS MATA SMEC
RSUD ARIFIN ACHMAD
RS JIWA PEKANBARU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS SYFIRA
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS JIWA PEKANBARU
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RSUD ARIFIN ACHMAD
RS SYFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RS IBNU SINA PKU
RSUD ARIFIN ACHMAD
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS EKA HOSPITAL
RS SYFIRA
RS SYFIRA
RSUD PETALA BUMI
RS SYFIRA
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS JIWA PEKANBARU
RSUD PETALA BUMI
RSUD PETALA BUMI
RSUD ARIFIN ACHMAD
RS SYFIRA
RS AWAL BROS
RS BINA KASIH
RSUD PETALA BUMI
RS IBNU SINA PKU
RSUD PETALA BUMI
RS SYFIRA
RS EKA HOSPITAL
RSUD ARIFIN ACHMAD
RSUD PETALA BUMI
RSUD PETALA BUMI
RS SYFIRA
RSUD PETALA BUMI
ANBARU, 31 DESEMBER 2016
A PUSKESMAS REJOSARI
drg. YERLINA
19761016 200406 2 010

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DATA RUJUKAN PUSKESMAS REJOSARI PEKANBARU

BULAN NOVEMBER TAHUN 2016

NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA DIAGNOSA

POLI OBSTETRI/GYN RS. ZAINAB

KOTA PEKANBARU, 30 NOVEMBER 2016

RSUD ARIFIN ACHMAD

KOTA PEKANBARU, 30 SEP

RSUD PETALA BUMI

NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA

NO TANGGAL NO.KARTU NAMA UMUR J.K JENIS PESERTA

1 2/1/2016 0001801686093 ARROZI 39 L PEKERJA MANDIRI

POLI GIGI RSUD PETALA BUMI

RSUD ARIFIN ACHMAD

ANBARU, 31 JANUARI 2017

NO TANGGAL NO. PESERTA NAMA UMUR J.K JENIS PESERTA DIAGNOSA

POLI PENYAKIT DALAM RSUD PETALA BUMI

KOTA PEKANBARU, 28 Februari 2017

RSUD ARIFIN ACHMAD

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