LAPORAN PELAYANAN RAWAT JALAN

LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 8/5/2017 0000046830014 AHMAD FAUJI, S PD I L PNS PUSAT
2 8/5/2017 0000046830036 LAILATUL FAUZIYAH P PNS PUSAT
AGUSTIN
3 8/5/2017 0000207703754 GADIZA AINI FAUZIAH P PNS PUSAT
4 8/5/2017 0000797266348 TIO L PBI (APBN)
5 8/5/2017 0000797352682 SUHERTI P PBI (APBN)
6 8/5/2017 0000797429889 RANTI P PBI (APBN)
7 8/5/2017 0000797534774 UNI L PBI (APBN)
8 8/5/2017 0000797536449 WAWAN L PBI (APBN)
9 8/5/2017 0000797541658 UCIH P PBI (APBN)
10 8/5/2017 0000797541895 HERMA P PBI (APBN)
11 8/5/2017 0000797542661 SANA L PBI (APBN)
12 8/5/2017 0000797544167 HENI P PBI (APBN)
13 8/5/2017 0000797544573 YUDI MAULANA L PBI (APBN)
14 8/5/2017 0000797544606 DADAN MULIAN L PBI (APBN)
15 8/5/2017 0000797545236 ANISA P PBI (APBN)
16 8/5/2017 0000797546867 ANDI L PBI (APBN)
17 8/5/2017 0000797547069 SRI MULYATI P PBI (APBN)
18 8/5/2017 0000797552245 JAENAH P PBI (APBN)
19 8/5/2017 0000797552289 HAPIPAH P PBI (APBN)
20 8/5/2017 0000797552515 SUMSIH P PBI (APBN)
21 8/5/2017 0000797553459 ATIKAH P PBI (APBN)
22 8/5/2017 0000797553731 JUANTA L PBI (APBN)
23 8/5/2017 0000797556082 IJAH P PBI (APBN)
24 8/5/2017 0000797743304 SAHIM L PBI (APBN)
25 8/5/2017 0000797831921 MELDA NOVITA P PBI (APBN)
26 8/5/2017 0000797841786 EMI P PBI (APBN)
27 8/5/2017 0000798009658 EMIN P PBI (APBN)
28 8/5/2017 0000798150014 APINAH P PBI (APBN)
29 8/5/2017 0000798183246 SITI SAEBAH P PBI (APBN)
30 8/5/2017 0000798200649 MARDI L PBI (APBN)
31 8/5/2017 0000798612985 ENDING SAPRUDIN L PBI (APBN)
32 8/5/2017 0000798613615 MISNAH P PBI (APBN)
33 8/5/2017 0000798614054 LENA MARLINA P PBI (APBN)
34 8/5/2017 0000798614109 MULYA JAYA L PBI (APBN)
35 8/5/2017 0000798621445 MUHADI L PBI (APBN)
36 8/5/2017 0000798621524 ANAH P PBI (APBN)
37 8/5/2017 0000798622143 AKIL L PBI (APBN)
38 8/5/2017 0000798622492 SINTA P PBI (APBN)
39 8/5/2017 0000798622806 UTUP L PBI (APBN)
40 8/5/2017 0000798623572 TOLIB L PBI (APBN)
41 8/5/2017 0000798624145 SARNI P PBI (APBN)
42 8/5/2017 0000798624551 LELA P PBI (APBN)
43 8/5/2017 0000798677381 YUSUF MAULANA L PBI (APBN)
44 8/5/2017 0000798898318 NURHAWI L PBI (APBN)
45 8/5/2017 0000799074415 JUMIATI P PBI (APBN)
46 8/5/2017 0000799267375 RUMSANAH P PBI (APBN)
47 8/5/2017 0000799302734 HAERUDIN L PBI (APBN)
48 8/5/2017 0001051190875 ANA ANGGRAENI P PBI (APBN)
49 8/5/2017 0001051192708 RUJAI L PBI (APBN)
50 8/5/2017 0001051196692 ARNAH P PBI (APBN)
51 8/5/2017 0001607297027 ATI P PBI (APBD)
52 8/5/2017 0001835458378 ROKAYAH P PEKERJA MANDIRI
53 8/5/2017 0001858098363 JUPRI L PEKERJA MANDIRI
54 8/5/2017 0002050278546 HERNI L PEKERJA MANDIRI
AN RAWAT JALAN
LAN MEI 2017

DIAGNOSA
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Myalgia
Dyspepsia
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Dental caries, unspecified
Pregnancy confirmed
Dental caries, unspecified
Myalgia
Myalgia
Dyspepsia
Acute upper respiratory infection, unspecified
Atopic dermatitis, unspecified
Atopic dermatitis, unspecified
Dyspepsia
Streptococcal pharyngitis
Dyspepsia
Acute pharyngitis, unspecified
Dyspepsia
Dyspepsia
Acute pharyngitis due to other specified organisms
Fever, unspecified
Visual disturbance, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Malignant neoplasm of prostate
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Iron deficiency anaemia, unspecified
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 9/5/2017 0000046805466 SUSANTI P PNS DAERAH
2 9/5/2017 0000047149481 RAMZIL NAZARUDIN L PENERIMA PENSIUN PNS
3 9/5/2017 0000797184718 HERNA P PBI (APBN)
4 9/5/2017 0000797222531 SAMINAH P PBI (APBN)
5 9/5/2017 0000797593443 SANIR P PBI (APBN)
6 9/5/2017 0000797622581 SANAWI P PBI (APBN)
7 9/5/2017 0000797743416 MARSIDI L PBI (APBN)
8 9/5/2017 0000797875176 NOVAN L PBI (APBN)
9 9/5/2017 0000797984458 ANGGIT NURANY P PBI (APBN)
10 9/5/2017 0000798025948 MADSUPI L PBI (APBN)
11 9/5/2017 0000798047109 SATA P PBI (APBN)
12 9/5/2017 0000798047943 SINTA P PBI (APBN)
13 9/5/2017 0000798088656 SANAH P PBI (APBN)
14 9/5/2017 0000798128482 SAMUDI L PBI (APBN)
15 9/5/2017 0000798128526 ASMAH P PBI (APBN)
16 9/5/2017 0000798128605 ROHMAH P PBI (APBN)
17 9/5/2017 0000798128886 SARMAN L PBI (APBN)
18 9/5/2017 0000798129977 RIYA P PBI (APBN)
19 9/5/2017 0000798132047 PUDIN L PBI (APBN)
20 9/5/2017 0000798133959 ENE P PBI (APBN)
21 9/5/2017 0000798134084 IKA P PBI (APBN)
22 9/5/2017 0000798135726 PIRDA P PBI (APBN)
23 9/5/2017 0000798136481 ADNI L PBI (APBN)
24 9/5/2017 0000798143782 DADANG L PBI (APBN)
25 9/5/2017 0000798147595 SA'AD L PBI (APBN)
26 9/5/2017 0000798147797 SAMAH P PBI (APBN)
27 9/5/2017 0000798148372 SARIP L PBI (APBN)
28 9/5/2017 0000798163604 EMED L PBI (APBN)
29 9/5/2017 0000798164122 RASINAH P PBI (APBN)
30 9/5/2017 0000798165303 REVA ASJAYANI P PBI (APBN)
31 9/5/2017 0000798171581 OTIH P PBI (APBN)
32 9/5/2017 0000798171759 ROUP L PBI (APBN)
33 9/5/2017 0000798247978 UMAH P PBI (APBN)
34 9/5/2017 0000798249058 WIRA L PBI (APBN)
35 9/5/2017 0000798249306 ESAH P PBI (APBN)
36 9/5/2017 0000798249453 WIWIN PURWINI P PBI (APBN)
37 9/5/2017 0000798259882 SANAH P PBI (APBN)
38 9/5/2017 0000798319686 JUNED L PBI (APBN)
39 9/5/2017 0000798320553 KESIH P PBI (APBN)
40 9/5/2017 0000798321734 PERI L PBI (APBN)
41 9/5/2017 0000798321857 JUNAH P PBI (APBN)
42 9/5/2017 0000798384115 ARNAH P PBI (APBN)
43 9/5/2017 0000798385678 MURTAPIAH P PBI (APBN)
44 9/5/2017 0000798386253 JASURA L PBI (APBN)
45 9/5/2017 0000798387388 REMAY P PBI (APBN)
46 9/5/2017 0000798401237 ARNI P PBI (APBN)
47 9/5/2017 0000798401531 MUSLIM L PBI (APBN)
48 9/5/2017 0000798401608 NENI P PBI (APBN)
49 9/5/2017 0000798405759 JAMINAH L PBI (APBN)
50 9/5/2017 0000798406075 EMAH P PBI (APBN)
51 9/5/2017 0000798406154 JOHANI L PBI (APBN)
52 9/5/2017 0000798406536 ABSAH P PBI (APBN)
53 9/5/2017 0000798440466 ANDINI P PBI (APBN)
54 9/5/2017 0000798619781 ELI ABDUL BASIT L PBI (APBN)
55 9/5/2017 0000798683916 EDOH P PBI (APBN)
56 9/5/2017 0000798684985 HENRIK L PBI (APBN)
57 9/5/2017 0000798835757 ABIDIN L PBI (APBN)
58 9/5/2017 0000798898318 NURHAWI L PBI (APBN)
59 9/5/2017 0001051192991 SURNIAH P PBI (APBN)
60 9/5/2017 0001259678777 HUMAIROH P PEKERJA MANDIRI
61 9/5/2017 0001259678777 HUMAIROH P PEKERJA MANDIRI
MUHAMMAD NAUFAL
62 9/5/2017 0001799025669 L PEGAWAI SWASTA
ALVARO MUZZAKI
RAWAT JALAN
N MEI 2017

DIAGNOSA
Myalgia
Atopic dermatitis, unspecified
Myalgia
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Gastritis, unspecified
Atopic dermatitis, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Myalgia
Atopic dermatitis, unspecified
Headache
Gastritis, unspecified
Gastritis, unspecified
Myalgia
Cough
Myalgia
Myalgia
Dental caries, unspecified
Mucopurulent conjunctivitis
Dental caries, unspecified
Cough
Myalgia
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Gastritis, unspecified
Atopic dermatitis, unspecified
Atopic dermatitis, unspecified
Essential (primary) hypertension
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Myalgia
Dental caries, unspecified
Headache
Myalgia
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Gastritis, unspecified
Headache
Essential (primary) hypertension
Gastritis, unspecified
Headache
Gastritis, unspecified
Myalgia
Myalgia
Gastritis, unspecified
Allergic rhinitis, unspecified
Headache
Hypertrophy of adenoids
Unspecified haemorrhoids without complication
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Visual disturbance, unspecified
Pregnancy confirmed
Pregnancy confirmed
Other immediate postpartum haemorrhage
Myalgia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 10/5/2017 0000046823499 MAEMUNAH P PEGAWAI PEMERINTAH
NON PNS
2 10/5/2017 0000797142339 NURHEDI L PBI (APBN)
3 10/5/2017 0000797142508 MUTIAH P PBI (APBN)
4 10/5/2017 0000797142802 SIDIK L PBI (APBN)
5 10/5/2017 0000797143353 ISMAN L PBI (APBN)
6 10/5/2017 0000797143623 YADI L PBI (APBN)
7 10/5/2017 0000797144398 NURHEMAH P PBI (APBN)
8 10/5/2017 0000797183425 KAMSIAH P PBI (APBN)
9 10/5/2017 0000797183649 JUMHADI L PBI (APBN)
10 10/5/2017 0000797183673 KEMUS L PBI (APBN)
11 10/5/2017 0000797183728 ARSIPAH P PBI (APBN)
12 10/5/2017 0000797184044 ASRI P PBI (APBN)
13 10/5/2017 0000797184077 OYOK L PBI (APBN)
14 10/5/2017 0000797185034 MURI P PBI (APBN)
15 10/5/2017 0000797200907 SUHEMI L PBI (APBN)
16 10/5/2017 0000797204226 YAYAH P PBI (APBN)
17 10/5/2017 0000797204384 NURHASANAH P PBI (APBN)
18 10/5/2017 0000797204856 IRAW FAUJIAH L PBI (APBN)
19 10/5/2017 0000797205881 HAMID L PBI (APBN)
20 10/5/2017 0000797206364 RENI P PBI (APBN)
21 10/5/2017 0000797208039 SUNARIAH P PBI (APBN)
22 10/5/2017 0000797208467 RUSDIANA L PBI (APBN)
23 10/5/2017 0000797218053 IIS L PBI (APBN)
24 10/5/2017 0000797219515 SURDI L PBI (APBN)
25 10/5/2017 0000797220077 SAMAH P PBI (APBN)
26 10/5/2017 0000797220696 JUNAH P PBI (APBN)
27 10/5/2017 0000797221451 SUSI P PBI (APBN)
28 10/5/2017 0000797237199 SUKIRA L PBI (APBN)
29 10/5/2017 0000797244761 ADE P PBI (APBN)
30 10/5/2017 0000797244794 DEDEH P PBI (APBN)
31 10/5/2017 0000797246774 SUPRI L PBI (APBN)
32 10/5/2017 0000797247033 SUHENDAR L PBI (APBN)
33 10/5/2017 0000797596121 MINI P PBI (APBN)
34 10/5/2017 0000797616472 ADANG L PBI (APBN)
35 10/5/2017 0000797619431 SUANDI L PBI (APBN)
36 10/5/2017 0000797620577 SAMSUDIN L PBI (APBN)
37 10/5/2017 0000797624278 M RIJAL P PBI (APBN)
38 10/5/2017 0000797626719 ASIAH P PBI (APBN)
39 10/5/2017 0000797627158 MUHIDIN L PBI (APBN)
40 10/5/2017 0000797628104 UCI L PBI (APBN)
41 10/5/2017 0000797629599 SADIM L PBI (APBN)
42 10/5/2017 0000797630567 RASMAN L PBI (APBN)
43 10/5/2017 0000797631028 RATNA P PBI (APBN)
44 10/5/2017 0000797650942 KASMI P PBI (APBN)
45 10/5/2017 0000797664249 ARMAN L PBI (APBN)
46 10/5/2017 0000797747141 UTIAH P PBI (APBN)
47 10/5/2017 0000797997508 ENING P PBI (APBN)
48 10/5/2017 0000798031225 SAPRUDIN L PBI (APBN)
49 10/5/2017 0000798036928 ELIS P PBI (APBN)
50 10/5/2017 0000798038807 USRI L PBI (APBN)
51 10/5/2017 0000798038875 SURTI P PBI (APBN)
52 10/5/2017 0000798039731 NENG UUN P PBI (APBN)
53 10/5/2017 0000798056223 IMRON L PBI (APBN)
54 10/5/2017 0000798057437 PITRI P PBI (APBN)
55 10/5/2017 0000798058214 RAMIN L PBI (APBN)
56 10/5/2017 0000798060058 UJANG L PBI (APBN)
57 10/5/2017 0000798063625 EEN P PBI (APBN)
58 10/5/2017 0000798070702 ALI ALFIAN L PBI (APBN)
59 10/5/2017 0000798077957 ADUNG L PBI (APBN)
60 10/5/2017 0000798079465 HENDI L PBI (APBN)
61 10/5/2017 0000798081298 SUGAN L PBI (APBN)
62 10/5/2017 0000798082031 SUHERTI P PBI (APBN)
63 10/5/2017 0000798082514 SAPIN L PBI (APBN)
64 10/5/2017 0000798083515 MUHAMAD NOOR L PBI (APBN)
65 10/5/2017 0000798083706 MURSID L PBI (APBN)
66 10/5/2017 0000798124915 JARIM L PBI (APBN)
67 10/5/2017 0000798125769 ESIH P PBI (APBN)
68 10/5/2017 0000798127784 SACI P PBI (APBN)
69 10/5/2017 0000798128785 JAMIN L PBI (APBN)
70 10/5/2017 0000798128908 NOPA L PBI (APBN)
71 10/5/2017 0000798130945 KHOERUDIN L PBI (APBN)
72 10/5/2017 0000798131823 MARJAN L PBI (APBN)
73 10/5/2017 0000798666546 SURHAYA L PBI (APBN)
74 10/5/2017 0000798705235 SUHENAH P PBI (APBN)
75 10/5/2017 0000798787157 RUSMINI P PBI (APBN)
76 10/5/2017 0000798787449 LOMRI L PBI (APBN)
77 10/5/2017 0000798806801 DESI P PBI (APBN)
N RAWAT JALAN
LAN MEI 2017

DIAGNOSA
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Myalgia
Diarrhoea and gastroenteritis of presumed infectious origin
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Diarrhoea and gastroenteritis of presumed infectious origin
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Essential (primary) hypertension
Other acute gastritis
Dental caries, unspecified
Other acute gastritis
Gastritis, unspecified
Acute upper respiratory infection, unspecified
Gastritis, unspecified
Acute upper respiratory infection, unspecified
Acute upper respiratory infection, unspecified
Acute upper respiratory infection, unspecified
Gastritis, unspecified
Atopic dermatitis, unspecified
Acute upper respiratory infection, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Other acute gastritis
Dental caries, unspecified
Myalgia
Myalgia
Myalgia
Myalgia
Myalgia
Myalgia
Other acute gastritis
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute gastritis
Dermatitis, unspecified
Acute upper respiratory infection, unspecified
Gastritis, unspecified
Conjunctivitis, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Acute upper respiratory infection, unspecified
Gastritis, unspecified
Dyspepsia
Cataract, unspecified
Dyspepsia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 12/5/2017 000079721138 SITI JAHROH P PBI (APBN)
2
2 12/5/2017 000079721188 ENDAH P PBI (APBN)
7
3 12/5/2017 000079721193 WINDA P PBI (APBN)
3
4 12/5/2017 000079721202 SANARIAH P PBI (APBN)
3
5 12/5/2017 000079721447 SUNENGSIH P PBI (APBN)
5
6 12/5/2017 000079725097 SAMID L PBI (APBN)
1
7 12/5/2017 000079725208 ROHNAH P PBI (APBN)
4
8 12/5/2017 000079727511 RAMIN L PBI (APBN)
3
9 12/5/2017 000079727529 MUNAH P PBI (APBN)
3
10 12/5/2017 000079727977 SUKMI P PBI (APBN)
1
11 12/5/2017 000079729703 SARKAWI L PBI (APBN)
8
12 12/5/2017 000079730037 DIDING L PBI (APBN)
9
13 12/5/2017 000079730061 AHMAD JAELANI L PBI (APBN)
6
14 12/5/2017 000079731147 SADIM L PBI (APBN)
3
15 12/5/2017 000079734927 MUINAH P PBI (APBN)
3
16 12/5/2017 000079736150 ALIYUDIN L PBI (APBN)
2
17 12/5/2017 000079736278 TIBI L PBI (APBN)
4
18 12/5/2017 000079736465 UTI P PBI (APBN)
2
19 12/5/2017 000079736472 UCI L PBI (APBN)
9
20 12/5/2017 000079736484 SANARIAH P PBI (APBN)
3
21 12/5/2017 000079755668 SUKAESIH P PBI (APBN)
8
22 12/5/2017 000079755692 HENDRA L PBI (APBN)
5
23 12/5/2017 000079755723 SITI SULISDA P PBI (APBN)
9
24 12/5/2017 000079772705 JARSITI P PBI (APBN)
8
25 12/5/2017 000079773520 NENGSIH P PBI (APBN)
4
26 12/5/2017 000079773530 SUDAR L PBI (APBN)
5
27 12/5/2017 000079773602 SARINAH P PBI (APBN)
5
28 12/5/2017 000079773611 MAMI P PBI (APBN)
5
29 12/5/2017 000079774730 SAEBAH P PBI (APBN)
8
30 12/5/2017 000079774997 LAMRAH P PBI (APBN)
5
31 12/5/2017 000079776126 MUSIAH P PBI (APBN)
9
32 12/5/2017 000079776160 LAMSAH P PBI (APBN)
7
33 12/5/2017 000079776484 UNARI P PBI (APBN)
7
34 12/5/2017 000079776810 SABAN L PBI (APBN)
9
35 12/5/2017 000079777606 RAMAH P PBI (APBN)
4
36 12/5/2017 000079781092 SAJU L PBI (APBN)
7
37 12/5/2017 000079781213 ROSID L PBI (APBN)
2
38 12/5/2017 000079785158 IYAS L PBI (APBN)
5
39 12/5/2017 000079801395 SUPARDI L PBI (APBN)
6
40 12/5/2017 000079811143 BASTARI P PBI (APBN)
7
41 12/5/2017 000079811274 ENI P PBI (APBN)
3
42 12/5/2017 000079812383 BAIHAKI P PBI (APBN)
5
43 12/5/2017 000079816889 SURMI P PBI (APBN)
2
44 12/5/2017 000079842010 MARJAN L PBI (APBN)
4
45 12/5/2017 000079844316 SAPEI L PBI (APBN)
6
46 12/5/2017 000079871066 MAMAH P PBI (APBN)
8
47 12/5/2017 000079876491 MAMAH P PBI (APBN)
6
48 12/5/2017 000079878820 SANAN L PBI (APBN)
4
49 12/5/2017 000079878835 URTI P PBI (APBN)
1
50 12/5/2017 000079879885 MARCANA P PBI (APBN)
7
51 12/5/2017 000079884713 ROHADI L PBI (APBN)
2
52 12/5/2017 000079884794 NENI P PBI (APBN)
2
53 12/5/2017 000079888516 JUMARIAH P PBI (APBN)
7
54 12/5/2017 000079890362 ICAH P PBI (APBN)
8
55 12/5/2017 000079890383 ALDI L PBI (APBN)
2
56 12/5/2017 000079890393 HENI P PBI (APBN)
3
57 12/5/2017 000079906430 SAMAD L PBI (APBN)
2
58 12/5/2017 000079906575 SUHARIAH P PBI (APBN)
3
59 12/5/2017 000079906997 UJANG L PBI (APBN)
2
60 12/5/2017 000079908813 SADIR L PBI (APBN)
9
61 12/5/2017 000079908839 RUMSANAH P PBI (APBN)
8
62 12/5/2017 000079908961 SUHERNI P PBI (APBN)
4
63 12/5/2017 000079911827 MISNAH P PBI (APBN)
8
64 12/5/2017 000105118876 WARDI L PBI (APBN)
1
65 12/5/2017 000105118877 MARHAMAH P PBI (APBN)
2
66 12/5/2017 000105119722 KARIM L PBI (APBN)
1
67 12/5/2017 000172308215 SARDAN L PEKERJA
PEGAWAIMANDIRI
2
68 12/5/2017 000179992929 NIDA'A SHAFWAH P PEMERINTAH NON
3 HUMAIROH
69 12/5/2017 000181968118 MOH. ISNAENI L PNS
PEKERJA MANDIRI
7
AN RAWAT JALAN
ULAN MEI 2017

DIAGNOSA
Atopic dermatitis, unspecified
Anorexia
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Allergic rhinitis, unspecified
Gastritis, unspecified
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Anorexia
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Anorexia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Myalgia
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Anorexia
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Essential (primary) hypertension
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Anorexia
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Tuberculosis of lung, confirmed by culture only
Myalgia
Other acute upper respiratory infections of multiple sites
Cutaneous abscess, furuncle and carbuncle, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Anorexia
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Anorexia
Anorexia
Atopic dermatitis, unspecified
Anorexia
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Schizophrenia, unspecified
Pneumonic plague
Acute upper respiratory infection, unspecified
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 13/05/2017 0000797596075 ENENG UUM UMAYAH P PBI (APBN)
2 13/05/2017 0000797778279 LEO ROBIN L PBI (APBN)
3 13/05/2017 0000797830187 SALEH L PBI (APBN)
4 13/05/2017 0000797867559 MASIAH P PBI (APBN)
5 13/05/2017 0000798009658 EMIN P PBI (APBN)
6 13/05/2017 0000798171579 RIAQN L PBI (APBN)
7 13/05/2017 0000798229901 SARIP P PBI (APBN)
8 13/05/2017 0000798622492 SINTA P PBI (APBN)
9 13/05/2017 0000798727533 SARTA L PBI (APBN)
10 13/05/2017 0000798728084 JAMAL L PBI (APBN)
11 13/05/2017 0000799064065 MARYATI P PBI (APBN)
12 13/05/2017 0001051196365 SOKER L PBI (APBN)
13 13/05/2017 0001051197197 RADIMAN L PBI (APBN)
14 13/05/2017 0001093711847 ENJANG L KEPOLISIAN RI
15 13/05/2017 0001099169673 AJENG ANANDA SAFITRI L KEPOLISIAN RI
16 13/05/2017 0002069512659 TITA PANDINI P PEKERJA MANDIRI
17 13/05/2017 0002209779303 KASMAH P PEKERJA MANDIRI
18 13/05/2017 0000047139939 KARNATA L PNS DAERAH
19 13/05/2017 0000047140301 SUJIMAN L PNS DAERAH
20 13/05/2017 0000047155915 ENY SUSETYAWATI P PNS DAERAH
21 13/05/2017 0000797385339 ROSDAH P PBI (APBN)
22 13/05/2017 0000797446528 LILIH P PBI (APBN)
23 13/05/2017 0000797447283 SARIP L PBI (APBN)
24 13/05/2017 0000797447981 ASTI P PBI (APBN)
25 13/05/2017 0000797448453 UJANG L PBI (APBN)
26 13/05/2017 0000797448598 AHMAD L PBI (APBN)
27 13/05/2017 0000797449566 RUYAT L PBI (APBN)
0000'000079745 PAMIN
28 13/05/2017 L PBI (APBN)
0308
29 13/05/2017 0000797450343 CINAH P PBI (APBN)
30 13/05/2017 0000797451434 SITI PARIHAH P PBI (APBN)
31 13/05/2017 0000797452211 SARKIM L PBI (APBN)
32 13/05/2017 0000797453458 MARSIM L PBI (APBN)
33 13/05/2017 0000797454606 ROSIDIN L PBI (APBN)
34 13/05/2017 0000797454641 MUMUN P PBI (APBN)
35 13/05/2017 0000797986989 ATIAH P PBI (APBN)
36 13/05/2017 0000797987079 AAM P PBI (APBN)
37 13/05/2017 0000797987362 JAJANG L PBI (APBN)
38 13/05/2017 0000797987722 MULYA L PBI (APBN)
39 13/05/2017 0000797988431 RIVA NABILA P PBI (APBN)
40 13/05/2017 0000797988497 WIRYO L PBI (APBN)
41 13/05/2017 0000797989127 JUARSIH P PBI (APBN)
42 13/05/2017 0000797989533 IDA P PBI (APBN)
43 13/05/2017 0000797989577 DEDE L PBI (APBN)
44 13/05/2017 0000797989937 WAWAN L PBI (APBN)
45 13/05/2017 0000797990005 SAIKAN L PBI (APBN)
46 13/05/2017 0000797990286 ALIATI P PBI (APBN)
47 13/05/2017 0000797990826 IIM L PBI (APBN)
48 13/05/2017 0000797991085 KURDI L PBI (APBN)
49 13/05/2017 0000797991309 RUSMAWATI P PBI (APBN)
N RAWAT JALAN
LAN MEI 2017

DIAGNOSA
Malignant neoplasm of breast, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Myalgia
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Myalgia
Myalgia
Other acute gastritis
Gastritis, unspecified
Conjunctivitis, unspecified
Corns and callosities
Gastritis, unspecified
Gastritis, unspecified
Acute pharyngitis, unspecified
Fever, unspecified
Fever, unspecified
Dental caries, unspecified
Dental caries, unspecified
Fever, unspecified
Fever, unspecified
Dental caries, unspecified
Myalgia
Myalgia
Myalgia
Dental caries, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 15/05/2017 0000797007172 SAEPUDIN L PBI (APBN)
2 15/05/2017 0000797366327 ROHETI P PBI (APBN)
3 15/05/2017 0000797564485 AAS P PBI (APBN)
4 15/05/2017 0000797637914 MURNASIH P PBI (APBN)
5 15/05/2017 0000797686165 UMAESIH P PBI (APBN)
6 15/05/2017 0000797686492 ANIH P PBI (APBN)
7 15/05/2017 0000797712096 USRI P PBI (APBN)
8 15/05/2017 0000797722582 SAID L PBI (APBN)
9 15/05/2017 0000797840368 ARSA P PBI (APBN)
10 15/05/2017 0000798028817 UMSI P PBI (APBN)
11 15/05/2017 0000798038616 SANARI P PBI (APBN)
12 15/05/2017 0000798102189 ESIH P PBI (APBN)
13 15/05/2017 0000798154222 TOMI L PBI (APBN)
14 15/05/2017 0000798183303 SARIPUDIN L PBI (APBN)
15 15/05/2017 0000798200649 MARDI L PBI (APBN)
16 15/05/2017 0000798246977 SINAH P PBI (APBN)
17 15/05/2017 0000798487817 WAWAN HUDRI L PBI (APBN)
18 15/05/2017 0000798605043 IMAS SUMIATI P PBI (APBN)
19 15/05/2017 0000798638332 IIN P PBI (APBN)
20 15/05/2017 0000798726082 SARWANGI P PBI (APBN)
21 15/05/2017 0000798747287 NURTI P PBI (APBN)
22 15/05/2017 0000798832449 SUARSIH P PBI (APBN)
23 15/05/2017 0000798929392 SUERNI P PBI (APBN)
24 15/05/2017 0001051197006 JAENUDIN L PBI (APBN)
25 15/05/2017 0001607297016 SUHERMAN L PBI (APBD)
26 15/05/2017 0002237503206 YATI P PEKERJA MANDIRI
27 15/05/2017 0000797985966 MISRA L PBI (APBN)
28 15/05/2017 0000797985977 SANECA P PBI (APBN)
29 15/05/2017 0000797986181 MUHRI L PBI (APBN)
30 15/05/2017 0000797986416 SARNIAH P PBI (APBN)
31 15/05/2017 0000797986596 IMAN SUTIANA L PBI (APBN)
32 15/05/2017 0000797986653 HADI L PBI (APBN)
33 15/05/2017 0000797986708 SIDIK L PBI (APBN)
34 15/05/2017 0000797986956 MAESAROH P PBI (APBN)
35 15/05/2017 0000798442547 MUTIAH P PBI (APBN)
36 15/05/2017 0000798479019 SITI P PBI (APBN)
37 15/05/2017 0000798487503 ROHANI L PBI (APBN)
38 15/05/2017 0000798487615 YAYAH P PBI (APBN)
39 15/05/2017 0000798488526 M YUNUS L PBI (APBN)
40 15/05/2017 0000798581913 RAFIK L PBI (APBN)
41 15/05/2017 0000798592476 RUBAAH L PBI (APBN)
42 15/05/2017 0000798593635 ST.HASANAH P PBI (APBN)
43 15/05/2017 0000799426438 MUHAMAD RIDHO L PBI (APBN)
44 15/05/2017 0001051196747 APAH P PBI (APBN)
45 15/05/2017 0000105119931 UMINAH P PBI (APBN)
3
46 15/05/2017 0001296105445 RUMSIAH P PEKERJA MANDIRI
47 15/05/2017 0001607296285 JUKRI L PBI (APBD)
AN RAWAT JALAN
ULAN MEI 2017

DIAGNOSA
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Atopic dermatitis, unspecified
Myalgia
Myalgia
Essential (primary) hypertension
Other acute gastritis
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Unspecified haemorrhoids without complication
Threatened abortion
Urinary calculus, unspecified
Headache
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Myalgia
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Myalgia
Myalgia
Acute laryngopharyngitis
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Non-insulin-dependent diabetes mellitus with unspecified
complications
Myalgia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 16/05/2017 0000 46833074 HADIJAH P PENSIUN PNS
2 16/05/2017 0000 46835032 ALIS SITI ZAHROH P PNS PUSAT
3 16/05/2017 0000 47140209 ANGGA NOPAN L PEKERJA MANDIRI
GEMESER
4 16/05/2017 0000 797184224 RUDI L PBI (APBN)
5 16/05/2017 0000 797556014 MISNAH P PBI (APBN)
6 16/05/2017 0000 797556082 IJAH P PBI (APBN)
7 16/05/2017 0000 797596075 ENENG UUM UMAYAH P PBI (APBN)
8 16/05/2017 0000 797777436 BAYI DAWATI P PBI (APBN)
9 16/05/2017 0000 797818061 EDAH P PBI (APBN)
10 16/05/2017 0000 797819354 DIAH P PBI (APBN)
11 16/05/2017 0000 797904077 YENTI P PBI (APBN)
12 16/05/2017 0000 797904674 SARMINAH P PBI (APBN)
13 16/05/2017 0000 797917094 SANAH P PBI (APBN)
14 16/05/2017 0000 797996248 PUTRI P PBI (APBN)
15 16/05/2017 0000 797996248 PUTRI P PBI (APBN)
16 16/05/2017 0000 798171579 RIAQN L PBI (APBN)
17 16/05/2017 0000 798625618 OMAN L PBI (APBN)
18 16/05/2017 0000 798625697 MUKTAR L PBI (APBN)
19 16/05/2017 0000 798626889 ISNEN L PBI (APBN)
20 16/05/2017 0000 798626913 SUDIN L PBI (APBN)
21 16/05/2017 0000 798627014 MUSLIKAH P PBI (APBN)
22 16/05/2017 0000 798627431 SAEPUL L PBI (APBN)
23 16/05/2017 0000 798627532 RASMAN L PBI (APBN)
24 16/05/2017 0000 798627554 PIYHA P PBI (APBN)
25 16/05/2017 0000 798627666 SAMSUL MUARIF L PBI (APBN)
26 16/05/2017 0000 798627802 ROSIDAH P PBI (APBN)
27 16/05/2017 0000 798627892 AHMAD SAPEI L PBI (APBN)
28 16/05/2017 0000 798628465 M ARIF AGUSTINA L PBI (APBN)
29 16/05/2017 0000 798628522 MADSONI L PBI (APBN)
30 16/05/2017 0000 798628601 AMELIA P PBI (APBN)
31 16/05/2017 0000 798713706 ALI L PBI (APBN)
32 16/05/2017 0000 798718026 TATI P PBI (APBN)
33 16/05/2017 0000 798718184 SUDIN L PBI (APBN)
34 16/05/2017 0000 798719027 LAMASAH P PBI (APBN)
35 16/05/2017 0000 798719692 MASRIAH P PBI (APBN)
36 16/05/2017 0000 798720344 EMEN P PBI (APBN)
37 16/05/2017 0000 798720445 SARDA L PBI (APBN)
38 16/05/2017 0000 798720568 UDING L PBI (APBN)
39 16/05/2017 0000 798721042 SOLIHIN L PBI (APBN)
40 16/05/2017 0000 798721716 YENI P PBI (APBN)
41 16/05/2017 0000 798721795 UNIS P PBI (APBN)
42 16/05/2017 0000 798722662 SUMANI L PBI (APBN)
43 16/05/2017 0000 798723573 SUKIAH P PBI (APBN)
44 16/05/2017 0000 798724045 APIP P PBI (APBN)
45 16/05/2017 0000 798724146 LILIS L PBI (APBN)
46 16/05/2017 0000 799156091 SAMSIAH P PBI (APBN)
47 16/05/2017 0000 799404221 SUDARMA L PBI (APBN)
48 16/05/2017 000 1051193079 SABIRIN L PBI (APBN)
49 16/05/2017 000 1051199346 BETI P PBI (APBN)
50 16/05/2017 000 2237503206 YATI P PEKERJA MANDIRI
RAWAT JALAN
N MEI 2017

DIAGNOSA
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Schizophrenia, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Malignant neoplasm of breast, unspecified
Myalgia
Essential (primary) hypertension
Myalgia
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Pregnancy confirmed
Myalgia
Myalgia
Allergic rhinitis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Allergic rhinitis, unspecified
Fever, unspecified
Dental caries, unspecified
Allergic rhinitis, unspecified
Dental caries, unspecified
Allergic rhinitis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Headache
Myalgia
Myalgia
Iron deficiency anaemia secondary to blood loss (chronic)
Dental caries, unspecified
Gastritis, unspecified
Allergic rhinitis, unspecified
Allergic rhinitis, unspecified
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Headache
Anorexia
Other acute upper respiratory infections of multiple sites
Diabetes mellitus in pregnancy, unspecified
Other acute gastritis
Myalgia
Atopic dermatitis, unspecified
Neoplasm of uncertain or unknown behavior of ovary
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 17/05/2017 0000 797458566 MISNAH L PBI (APBN)
2 17/05/2017 0000 797458656 AHMAD ROUP L PBI (APBN)
3 17/05/2017 0000 797458702 SAHIM L PBI (APBN)
4 17/05/2017 0000 797459646 SUTIAH P PBI (APBN)
5 17/05/2017 0000 797461929 PANOI L PBI (APBN)
6 17/05/2017 0000 797462199 SATIAH P PBI (APBN)
7 17/05/2017 0000 797462278 ADHALI P PBI (APBN)
8 17/05/2017 0000 797462662 SUKMI L PBI (APBN)
9 17/05/2017 0000 797463843 ENDIL L PBI (APBN)
10 17/05/2017 0000 797488244 MARHAMAH P PBI (APBN)
11 17/05/2017 0000 797488558 SUTI P PBI (APBN)
12 17/05/2017 0000 797489921 SAPULLAH L PBI (APBN)
13 17/05/2017 0000 797491091 BEDAH P PBI (APBN)
14 17/05/2017 0000 797811107 MURTIAH P PBI (APBN)
15 17/05/2017 0000 797979429 RASANH P PBI (APBN)
16 17/05/2017 0000 797988497 WIRYO L PBI (APBN)
17 17/05/2017 0000 797989533 IDA P PBI (APBN)
18 17/05/2017 0000 798020392 ROSITA P PBI (APBN)
19 17/05/2017 0000 798121697 ETI P PBI (APBN)
20 17/05/2017 0000 798251635 SAR'AN L PBI (APBN)
21 17/05/2017 0000 798251894 ESIH P PBI (APBN)
22 17/05/2017 0000 798252344 UNIH P PBI (APBN)
23 17/05/2017 0000 798252377 DADIH L PBI (APBN)
24 17/05/2017 0000 798252917 SATINAH P PBI (APBN)
25 17/05/2017 0000 798253659 KAMUN L PBI (APBN)
26 17/05/2017 0000 798254651 YANTO L PBI (APBN)
27 17/05/2017 0000 798255022 SARHEDI L PBI (APBN)
28 17/05/2017 0000 798256001 YAYAT L PBI (APBN)
29 17/05/2017 0000 798504917 SUMINTA L PBI (APBN)
30 17/05/2017 0000 798505075 NURSAH P PBI (APBN)
31 17/05/2017 0000 798505402 TITI P PBI (APBN)
32 17/05/2017 0000 798505648 RAIDAN L PBI (APBN)
33 17/05/2017 0000 798505672 SITI P PBI (APBN)
34 17/05/2017 0000 798505918 JAHRI L PBI (APBN)
35 17/05/2017 0000 798505953 SAMSIAH P PBI (APBN)
36 17/05/2017 0000 798506987 JUHARIAH P PBI (APBN)
37 17/05/2017 0000 798507808 ROHMI' L PBI (APBN)
38 17/05/2017 0000 798508168 MA'MUN L PBI (APBN)
39 17/05/2017 0000 798508811 MA'RUF L PBI (APBN)
40 17/05/2017 0000 798509002 DAHLAN L PBI (APBN)
41 17/05/2017 0000 798509079 SAENAH P PBI (APBN)
42 17/05/2017 0000 798509755 UMAYAH P PBI (APBN)
43 17/05/2017 0000 798510003 SARHADI L PBI (APBN)
44 17/05/2017 0000 798510148 IKAH P PBI (APBN)
45 17/05/2017 0000 798510453 DILAH P PBI (APBN)
46 17/05/2017 0000 798511048 SITI AUNILAH P PBI (APBN)
47 17/05/2017 0000 798511072 DEDE MUBAROK L PBI (APBN)
48 17/05/2017 0000 798511353 ABDUL MUHILILI L PBI (APBN)
49 17/05/2017 0000 798516426 ARNISAH P PBI (APBN)
50 17/05/2017 0000 798516606 SUEB L PBI (APBN)
51 17/05/2017 0000 798517258 UHEN P PBI (APBN)
52 17/05/2017 0000 798517394 SURDI L PBI (APBN)
53 17/05/2017 0000 798517978 SADELI L PBI (APBN)
54 17/05/2017 0000 798520724 USIAH P PBI (APBN)
55 17/05/2017 0000 798521758 AJAY L PBI (APBN)
 MUHAMAD IKHSAN
56 17/05/2017 0000 798545193 L PBI (APBN)
MAULANA
57 17/05/2017 0000 798565059 NENI P PBI (APBN)
58 17/05/2017 0000 798581913 RAFIK L PBI (APBN)
59 17/05/2017 0000 799227336 JOHANI L PBI (APBN)
60 17/05/2017 000 1051189402 TIHAT P PBI (APBN)
61 17/05/2017 000 1451738913 UMINUDIN L PEKERJA MANDIRI
62 17/05/2017 000 1451739778 ETI SUHAETI P PEKERJA MANDIRI
63 17/05/2017 000 1834782838 SUMARNI P PEKERJA MANDIRI
64 17/05/2017 000 2218400291 EEN P PEKERJA MANDIRI
RAWAT JALAN
N MEI 2017

DIAGNOSA
Dental caries, unspecified
Dental caries, unspecified
Myalgia
Fever, unspecified
Dental caries, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Gastritis, unspecified
Dental caries, unspecified
Myalgia
Gastritis, unspecified
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Allergic rhinitis, unspecified
Atopic dermatitis, unspecified
Myalgia
Myalgia
Fever, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Fever, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Dental caries, unspecified
Dental caries, unspecified
Fever, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Allergic rhinitis, unspecified
Myalgia
Gastritis, unspecified
Fever, unspecified
Allergic rhinitis, unspecified
Myalgia
Myalgia
Fever, unspecified
Fever, unspecified
Allergic rhinitis, unspecified
Fever, unspecified
Gastritis, unspecified
Gastritis, unspecified
Fever, unspecified
Myalgia
Allergic rhinitis, unspecified
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Cataract, unspecified
Dental caries, unspecified
Diarrhoea and gastroenteritis of presumed infectious origin
Spontaneous vertex delivery
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 18/05/2017 00000 46802079 NURLAELA P PNS DAERAH
2 18/05/2017 00000 46833074 HADIJAH P PENERIMA PENSIUN PNS
3 18/05/2017 00000 47175399 WARYENI P PNS DAERAH
4 18/05/2017 0000 171708096 KAHUN L PENERIMA PENSIUN TNI
5 18/05/2017 0000 797213171 JOHADI L PBI (APBN)
6 18/05/2017 0000 797366327 ROHETI P PBI (APBN)
7 18/05/2017 0000 797396084 SANAH P PBI (APBN)
8 18/05/2017 0000 797479828 SUHERMI P PBI (APBN)
9 18/05/2017 0000 797518989 AISYAH P PBI (APBN)
10 18/05/2017 0000 797524582 RUMI P PBI (APBN)
11 18/05/2017 0000 797524672 IDONG L PBI (APBN)
12 18/05/2017 0000 797524751 ERAH P PBI (APBN)
13 18/05/2017 0000 797525651 JASUDIN L PBI (APBN)
14 18/05/2017 0000 797525695 ENANG P PBI (APBN)
15 18/05/2017 0000 797526224 MAKNUN L PBI (APBN)
16 18/05/2017 0000 797526549 GUSDUR L PBI (APBN)
17 18/05/2017 0000 797526595 MIPTAHUDIN L PBI (APBN)
18 18/05/2017 0000 797526819 IROH P PBI (APBN)
19 18/05/2017 0000 797528305 ISAN L PBI (APBN)
20 18/05/2017 0000 797530127 SALA L PBI (APBN)
21 18/05/2017 0000 797533569 SOLEHAH P PBI (APBN)
22 18/05/2017 0000 797549545 ARIAH P PBI (APBN)
23 18/05/2017 0000 797737149 SABANI L PBI (APBN)
24 18/05/2017 0000 797841268 ANIRAH P PBI (APBN)
25 18/05/2017 0000 797846556 UTI P PBI (APBN)
26 18/05/2017 0000 797911097 ANAH P PBI (APBN)
27 18/05/2017 0000 798030167 MAHURI L PBI (APBN)
28 18/05/2017 0000 798033688 LILIS MARYATI P PBI (APBN)
29 18/05/2017 0000 798062747 ISKAK L PBI (APBN)
30 18/05/2017 0000 798064378 ADANG L PBI (APBN)
31 18/05/2017 0000 798096835 EROH P PBI (APBN)
32 18/05/2017 0000 798146559 AMI P PBI (APBN)
33 18/05/2017 0000 798171052 EMOT P PBI (APBN)
34 18/05/2017 0000 798200649 MARDI L PBI (APBN)
35 18/05/2017 0000 798266068 PARDI L PBI (APBN)
36 18/05/2017 0000 798299098 UPI P PBI (APBN)
37 18/05/2017 0000 798314679 TETI SUMIATI P PBI (APBN)
38 18/05/2017 0000 798363336 SUTISNA L PBI (APBN)
39 18/05/2017 0000 798376072 OOM P PBI (APBN)
40 18/05/2017 0000 798388874 RAHMAT L PBI (APBN)
41 18/05/2017 0000 798389019 JUJU P PBI (APBN)
42 18/05/2017 0000 798389109 UDIT L PBI (APBN)
43 18/05/2017 0000 798389155 USIH P PBI (APBN)
44 18/05/2017 0000 798389537 HILMI L PBI (APBN)
45 18/05/2017 0000 798389706 HERMAN L PBI (APBN)
46 18/05/2017 0000 798389796 JARIP L PBI (APBN)
47 18/05/2017 0000 798390235 ANTI P PBI (APBN)
48 18/05/2017 0000 798390527 JUMASIK L PBI (APBN)
49 18/05/2017 0000 798390808 UMSIAH P PBI (APBN)
50 18/05/2017 0000 798391541 YUDA L PBI (APBN)
51 18/05/2017 0000 798392147 ENDAH NURSIAM P PBI (APBN)
52 18/05/2017 0000 798392327 ALAM L PBI (APBN)
53 18/05/2017 0000 798392441 BAROK L PBI (APBN)
54 18/05/2017 0000 798392553 MAHPUD L PBI (APBN)
55 18/05/2017 0000 798392643 ROHANAH P PBI (APBN)
56 18/05/2017 0000 798392722 MAHYANI L PBI (APBN)
57 18/05/2017 0000 798407098 ADAY KHUDLI L PBI (APBN)
58 18/05/2017 0000 798407133 JUNANI L PBI (APBN)
59 18/05/2017 0000 798407199 MARSANAH P PBI (APBN)
60 18/05/2017 0000 798407234 RAMDNI L PBI (APBN)
61 18/05/2017 0000 798407289 MUHAMAD HILSH L PBI (APBN)
62 18/05/2017 0000 798407313 MISRA L PBI (APBN)
63 18/05/2017 0000 798407381 M TIRMIDI L PBI (APBN)
64 18/05/2017 0000 798407447 IJAH P PBI (APBN)
65 18/05/2017 0000 798407537 ISRA L PBI (APBN)
66 18/05/2017 0000 798407662 AMALUDIN L PBI (APBN)
67 18/05/2017 0000 798408235 MIA P PBI (APBN)
68 18/05/2017 0000 798408314 JARKASIH L PBI (APBN)
69 18/05/2017 0000 798408426 SATI P PBI (APBN)
70 18/05/2017 0000 798409034 KARTA L PBI (APBN)
71 18/05/2017 0000 798409089 YUSUP L PBI (APBN)
72 18/05/2017 0000 798409462 HENDRA L PBI (APBN)
73 18/05/2017 0000 798409539 RASDI L PBI (APBN)
74 18/05/2017 0000 798410114 MUNAH P PBI (APBN)
 AWAT JALAN
N MEI 2017

DIAGNOSA
Delivery by caesarean section, unspecified
Essential (primary) hypertension
Other acute upper respiratory infections of multiple sites
Primary pulmonary hypertension
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Acute pharyngitis due to other specified organisms
Myalgia
Polyarthritis, unspecified
Dyspepsia
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Dyspepsia
Other acute upper respiratory infections of multiple sites
Dyspepsia
Dyspepsia
Dyspepsia
Acute laryngopharyngitis
Atopic dermatitis, unspecified
Myalgia
Myalgia
Other acute gastritis
Essential (primary) hypertension
Myalgia
Myalgia
Idiopathic gout
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute gastritis
Dyspepsia
Atopic dermatitis, unspecified
Acute pharyngitis due to other specified organisms
Myalgia
Dyspepsia
Polyarthritis, unspecified
Dyspepsia
Acute pharyngitis due to other specified organisms
Atopic dermatitis, unspecified
Atopic dermatitis, unspecified
Dyspepsia
Myalgia
Dyspepsia
Dyspepsia
Acute pharyngitis due to other specified organisms
Acute pharyngitis due to other specified organisms
Atopic dermatitis, unspecified
Dyspepsia
Dyspepsia
Acute pharyngitis, unspecified
Myalgia
Atopic dermatitis, unspecified
Dyspepsia
Atopic dermatitis, unspecified
Acute pharyngitis due to other specified organisms
Myalgia
Atopic dermatitis, unspecified
Polyarthritis, unspecified
Streptococcal pharyngitis
Acute pharyngitis due to other specified organisms
Dyspepsia
Acute pharyngitis due to other specified organisms
Polyarthritis, unspecified
Myalgia
Acute pharyngitis due to other specified organisms
Acute pharyngitis due to other specified organisms
Myalgia
Dyspepsia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 19/05/2017 0000 797159439 UUD L PBI (APBN)
2 19/05/2017 0000 797279927 NURHANAH P PBI (APBN)
3 19/05/2017 0000 797347192 DETI WIDIAWATI P PBI (APBN)
4 19/05/2017 0000 797348171 SARMAN L PBI (APBN)
5 19/05/2017 0000 797385339 ROSDAH P PBI (APBN)
6 19/05/2017 0000 797591799 PAHRU L PBI (APBN)
7 19/05/2017 0000 797591946 NANI P PBI (APBN)
8 19/05/2017 0000 797684804 AHMAD L PBI (APBN)
9 19/05/2017 0000 797741875 SAPRUDIN L PBI (APBN)
10 19/05/2017 0000 797784164 HASANAH P PBI (APBN)
11 19/05/2017 0000 797827847 MURSANAH P PBI (APBN)
12 19/05/2017 0000 798002741 SUWARDI L PBI (APBN)
13 19/05/2017 0000 798009658 EMIN P PBI (APBN)
14 19/05/2017 0000 798064378 ADANG L PBI (APBN)
15 19/05/2017 0000 798122079 ENEN P PBI (APBN)
16 19/05/2017 0000 798185351 ENUR L PBI (APBN)
17 19/05/2017 0000 798678797 BUDIYANTI P PBI (APBN)
18 19/05/2017 0000 798895539 ARJUDIN L PBI (APBN)
19 19/05/2017 0000 798905384 HENI P PBI (APBN)
20 19/05/2017 0000 798912843 SARMANAH P PBI (APBN)
21 19/05/2017 0000 799176025 APIK L PBI (APBN)
22 19/05/2017 0000 799307651 RAHMAN L PBI (APBN)
23 19/05/2017 0000 799323322 AGUS L PBI (APBN)
24 19/05/2017 0000 799324536 IRMA P PBI (APBN)
25 19/05/2017 000 1051191145 MULYATI P PBI (APBN)
26 19/05/2017 000 1051197546 IPIT P PBI (APBN)
27 19/05/2017 000 1727124298 MUHAMAD SOLIHIN L PEKERJA MANDIRI
28 19/05/2017 0000 797137806 AMAN L PBI (APBN)
29 19/05/2017 0000 797137986 DANI L PBI (APBN)
30 19/05/2017 0000 797139189 ELIS P PBI (APBN)
31 19/05/2017 0000 797180398 WILDAN NURODI P PBI (APBN)
32 19/05/2017 0000 797181715 JUMSIH P PBI (APBN)
33 19/05/2017 0000 797182424 AAN SUTISNA L PBI (APBN)
34 19/05/2017 0000 797185034 MURI P PBI (APBN)
35 19/05/2017 0000 797185765 YUYUN P PBI (APBN)
36 19/05/2017 0000 797186902 PATMAH P PBI (APBN)
37 19/05/2017 0000 797206779 ISAL FAUZI P PBI (APBN)
38 19/05/2017 0000 797217412 SARI P PBI (APBN)
39 19/05/2017 0000 797217524 INA P PBI (APBN)
40 19/05/2017 0000 797218053 IIS L PBI (APBN)
41 19/05/2017 0000 797218446 NENGSIH L PBI (APBN)
42 19/05/2017 0000 797224792 SURDI L PBI (APBN)
 AWAT JALAN
N MEI 2017

DIAGNOSA
Fever, unspecified
Myalgia
Mucopurulent conjunctivitis
Atopic dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Myalgia
Atopic dermatitis, unspecified
Schizophrenia, unspecified
Atopic dermatitis, unspecified
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Essential (primary) hypertension
Myalgia
Myalgia
Other acute gastritis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Other acute gastritis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS

PESERTA
1 20/05/2017 0000 797225894 HERNI P PBI (APBN)
2 20/05/2017 0000 797226186 SOPIAH P PBI (APBN)
3 20/05/2017 0000 797229821 SALINAH P PBI (APBN)
4 20/05/2017 0000 797230438 SAHID L PBI (APBN)
5 20/05/2017 0000 797231226 NANA P PBI (APBN)
6 20/05/2017 0000 797232802 SAWANGI P PBI (APBN)
7 20/05/2017 0000 797238764 YANTI P PBI (APBN)
8 20/05/2017 0000 797238876 DEWI P PBI (APBN)
9 20/05/2017 0000 797241587 SANI KOMARIAH P PBI (APBN)
10 20/05/2017 0000 797242678 UMI P PBI (APBN)
11 20/05/2017 0000 797243927 KASBAH P PBI (APBN)
12 20/05/2017 0000 797244219 SANUJI L PBI (APBN)
13 20/05/2017 0000 797256696 ABDUROHMAN L PBI (APBN)
14 20/05/2017 0000 797268025 ASMI P PBI (APBN)
15 20/05/2017 0000 797596165 ATANG L PBI (APBN)
16 20/05/2017 0000 797596244 ANIDAH P PBI (APBN)
17 20/05/2017 0000 797596751 NISA FITRIANI P PBI (APBN)
18 20/05/2017 0000 797597594 SUNTI P PBI (APBN)
19 20/05/2017 0000 797598022 IJANG L PBI (APBN)
20 20/05/2017 0000 797598303 SUARSIH P PBI (APBN)
21 20/05/2017 0000 797598393 UUN UNAYAH P PBI (APBN)
22 20/05/2017 0000 797599214 IRPAN L PBI (APBN)
23 20/05/2017 0000 797603782 UDIN L PBI (APBN)
24 20/05/2017 0000 797603927 JUJU JUMAETI P PBI (APBN)
25 20/05/2017 0000 797604906 SITI ROBEAH P PBI (APBN)
26 20/05/2017 0000 797605154 AHMAD L PBI (APBN)
27 20/05/2017 0000 797605942 NURIAH P PBI (APBN)
28 20/05/2017 0000 797616268 ASMUN L PBI (APBN)
29 20/05/2017 0000 797616832 SANU P PBI (APBN)
30 20/05/2017 0000 797618204 ROJI L PBI (APBN)
31 20/05/2017 0000 797619126 YAHYA L PBI (APBN)
32 20/05/2017 0000 797621747 SADURI L PBI (APBN)
33 20/05/2017 0000 797621973 SARNI P PBI (APBN)
34 20/05/2017 0000 797623143 SUHENAH P PBI (APBN)
35 20/05/2017 0000 797625876 SUDIN L PBI (APBN)
36 20/05/2017 0000 797628328 MARPAH P PBI (APBN)
37 20/05/2017 0000 797632536 MERI P PBI (APBN)
38 20/05/2017 0000 797633289 AMINAH P PBI (APBN)
39 20/05/2017 0000 797633741 JUHETI P PBI (APBN)
40 20/05/2017 0000 797633919 SUMARNA L PBI (APBN)
41 20/05/2017 0000 797635315 UMSAH P PBI (APBN)
42 20/05/2017 0000 797638601 AJIS L PBI (APBN)
43 20/05/2017 0000 797639275 CUCUM P PBI (APBN)
44 20/05/2017 0000 797689719 SUGANDI L PBI (APBN)
45 20/05/2017 0000 797690823 ASIH P PBI (APBN)
46 20/05/2017 0000 797968822 ANDI L PBI (APBN)
47 20/05/2017 0000 798031607 KUSNADI L PBI (APBN)
48 20/05/2017 0000 798032349 UPI P PBI (APBN)
49 20/05/2017 0000 798035196 UMAR L PBI (APBN)
50 20/05/2017 0000 798035984 HAER L PBI (APBN)
51 20/05/2017 0000 798043059 ARSUDIN L PBI (APBN)
52 20/05/2017 0000 798047234 AEPUDIN L PBI (APBN)
53 20/05/2017 0000 798050046 ASWAD L PBI (APBN)
54 20/05/2017 0000 798050305 UMINAH P PBI (APBN)
55 20/05/2017 0000 798054489 OOM P PBI (APBN)
56 20/05/2017 0000 798055097 USMI P PBI (APBN)
57 20/05/2017 0000 798056471 JUHERAH L PBI (APBN)
58 20/05/2017 0000 798057483 JAI L PBI (APBN)
59 20/05/2017 0000 798063805 RADIT L PBI (APBN)
60 20/05/2017 0000 798065368 WATI P PBI (APBN)
61 20/05/2017 0000 798066494 SASKIA ANGGINI P PBI (APBN)
62 20/05/2017 0000 798066832 ADE L PBI (APBN)
63 20/05/2017 0000 798070105 ARISAH P PBI (APBN)
64 20/05/2017 0000 798073075 JUHA P PBI (APBN)
65 20/05/2017 0000 798074346 SAPRI L PBI (APBN)
66 20/05/2017 0000 798079792 MINCE P PBI (APBN)
NAN RAWAT JALAN
ULAN MEI 2017

DIAGNOSA
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Other acute gastritis
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Fever, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute gastritis
Other acute gastritis
Myalgia
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Diarrhoea and gastroenteritis of presumed infectious origin
Other acute gastritis
Other acute gastritis
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Dental caries, unspecified
Visual disturbance, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Other acute gastritis
Myalgia
Myalgia
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Fever, unspecified
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Other acute gastritis
Idiopathic gout
Fever, unspecified
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS

PESERTA
1 22/05/2017 0000 797465957 NENI P PBI (APBN)
2 22/05/2017 0000 797783679 A AZHARI L PBI (APBN)
3 22/05/2017 0000 798527733 SANAH P PBI (APBN)
4 22/05/2017 0000 798527845 ROSID L PBI (APBN)
5 22/05/2017 0000 798528442 ROHIMAH P PBI (APBN)
6 22/05/2017 0000 798528914 NOVI P PBI (APBN)
7 22/05/2017 0000 798529151 RAMA FAUZI L PBI (APBN)
8 22/05/2017 0000 798529779 SATI P PBI (APBN)
9 22/05/2017 0000 798530174 HANAN L PBI (APBN)
10 22/05/2017 0000 798530398 KARSIAH P PBI (APBN)
11 22/05/2017 0000 798530512 KOLIPAH P PBI (APBN)
12 22/05/2017 0000 798530804 ARNASIH P PBI (APBN)
13 22/05/2017 0000 798531197 AHMAD L PBI (APBN)
14 22/05/2017 0000 798531658 MAESAROH P PBI (APBN)
15 22/05/2017 0000 798531917 SAINAH P PBI (APBN)
16 22/05/2017 0000 798533886 ROSITA P PBI (APBN)
17 22/05/2017 0000 798534494 YAYAH P PBI (APBN)
18 22/05/2017 0000 798534562 ERNA P PBI (APBN)
19 22/05/2017 0000 798536024 ABUL ROHMAN L PBI (APBN)
20 22/05/2017 0000 798536913 WINDA P PBI (APBN)
21 22/05/2017 0000 798537249 OMI P PBI (APBN)
22 22/05/2017 0000 798537284 RINI P PBI (APBN)
23 22/05/2017 0000 798538768 ARIAH P PBI (APBN)
24 22/05/2017 0000 798539534 DIMAS L PBI (APBN)
25 22/05/2017 0000 798539646 SARMADI L PBI (APBN)
26 22/05/2017 0000 798540175 KESIH P PBI (APBN)
27 22/05/2017 0000 798540491 AMIR L PBI (APBN)
28 22/05/2017 0000 798545248 IRMA P PBI (APBN)
29 22/05/2017 0000 798546341 ALI L PBI (APBN)
30 22/05/2017 0000 798546881 SITI MASITOH P PBI (APBN)
31 22/05/2017 0000 798547149 DADANG L PBI (APBN)
32 22/05/2017 0000 798548038 AMNAH P PBI (APBN)
33 22/05/2017 0000 798548466 ALMAN L PBI (APBN)
34 22/05/2017 0000 798552641 EHA P PBI (APBN)
35 22/05/2017 0000 798553157 ONO L PBI (APBN)
36 22/05/2017 0000 798553945 EMAH P PBI (APBN)
37 22/05/2017 0000 798554428 RINA ARYANTI P PBI (APBN)
38 22/05/2017 0000 798555677 SANAB L PBI (APBN)
39 22/05/2017 0000 798556173 MARSANAH P PBI (APBN)
40 22/05/2017 0000 798556296 JASITI P PBI (APBN)
41 22/05/2017 0000 798556656 SALMAN L PBI (APBN)
42 22/05/2017 0000 798556768 SARIDI L PBI (APBN)
43 22/05/2017 0000 798557725 SARNI P PBI (APBN)
44 22/05/2017 0000 798558074 MARTI P PBI (APBN)
45 22/05/2017 0000 798558445 MEDI L PBI (APBN)
46 22/05/2017 0000 798558513 KARIS L PBI (APBN)
47 22/05/2017 0000 798558748 RUMANIAH P PBI (APBN)
48 22/05/2017 0000 798558783 SAEPUL WAHID L PBI (APBN)
JEMBAR
49 22/05/2017 0000 798559503 L PBI (APBN)
SAPUTRA
50 22/05/2017 0000 798560829 DEDE L PBI (APBN)
51 22/05/2017 0000 798561099 IPUL L PBI (APBN)
52 22/05/2017 0000 798561652 RIJKI L PBI (APBN)
53 22/05/2017 0000 798562991 SAEPUL L PBI (APBN)
54 22/05/2017 0000 798564306 RANAH P PBI (APBN)
55 22/05/2017 0000 798565162 SARDI L PBI (APBN)
56 22/05/2017 0000 798566714 SAMID L PBI (APBN)
57 22/05/2017 0000 798775716 NASROH P PBI (APBN)
58 22/05/2017 0000 798775784 VINA OKTAVIA P PBI (APBN)
59 22/05/2017 0000 798775839 RABIN L PBI (APBN)
60 22/05/2017 0000 798776133 ICIH P PBI (APBN)
61 22/05/2017 0000 798776807 SUMANTA L PBI (APBN)
62 22/05/2017 0000 798776976 SARNITI P PBI (APBN)
63 22/05/2017 0000 798777011 MUHAMAD L PBI (APBN)
64 22/05/2017 0000 798777426 KARMIN L PBI (APBN)
65 22/05/2017 0000 798777854 ARWITI P PBI (APBN)
66 22/05/2017 0000 798778157 KASIAH P PBI (APBN)
67 22/05/2017 0000 798778686 ARTAM L PBI (APBN)
68 22/05/2017 0000 798778945 ARTAMAN L PBI (APBN)
69 22/05/2017 0000 798779081 SARTA L PBI (APBN)
70 22/05/2017 0000 798779248 SUHENAH P PBI (APBN)
71 22/05/2017 0000 798779722 SUARMIN L PBI (APBN)
72 22/05/2017 0000 798780971 SITI ROHMAH P PBI (APBN)
73 22/05/2017 0000 798782332 SUPANDI L PBI (APBN)
74 22/05/2017 0000 798782826 SANAJI L PBI (APBN)
NAN RAWAT JALAN
BULAN MEI 2017

DIAGNOSA
Dental caries, unspecified
Cataract, unspecified
Acute pharyngitis, unspecified
Myalgia
Acute pharyngitis, unspecified
Dermatitis, unspecified
Dental caries, unspecified
Dental caries, unspecified
Dermatitis, unspecified
Dermatitis, unspecified
Dermatitis, unspecified
Acute pharyngitis, unspecified
Myalgia
Acute upper respiratory infection, unspecified
Acute upper respiratory infection, unspecified
Dermatitis, unspecified
Myalgia
Dental caries, unspecified
Dental caries, unspecified
Myalgia
Dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Other forms of stomatitis
Acute pharyngitis, unspecified
Acute pharyngitis, unspecified
Acute upper respiratory infection, unspecified
Dermatitis, unspecified
Acute pharyngitis, unspecified
Myalgia
Other forms of stomatitis
Dental caries, unspecified
Dental caries, unspecified
Acute pharyngitis, unspecified
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Other forms of stomatitis
Dental caries, unspecified
Gastritis, unspecified
Dental caries, unspecified
Acute pharyngitis, unspecified
Other forms of stomatitis
Gastritis, unspecified
Myalgia
Myalgia
Dental caries, unspecified
Acute pharyngitis, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Myalgia
Dental caries, unspecified
Dermatitis, unspecified
Dermatitis, unspecified
Gastritis, unspecified
Gastritis, unspecified
Acute pharyngitis, unspecified
Other forms of stomatitis
Acute pharyngitis, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Myalgia
Gastritis, unspecified
Acute pharyngitis, unspecified
Acute pharyngitis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Dermatitis, unspecified
Dermatitis, unspecified
Other acute gastritis
Acute pharyngitis, unspecified
Gastritis, unspecified
Gastritis, unspecified
Myalgia
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS PESERTA

1 23/05/2017 00000 47006537 JUNAEBAH P PENERIMA PENSIUN PNS
2 23/05/2017 00000 47171327 SARDI L PNS DAERAH
3 23/05/2017 00000 47171338 JUHANAH SARI P PNS DAERAH
4 23/05/2017 00000 47174229 RONI SUKMAWIHARJA L PNS DAERAH
5 23/05/2017 0000 207142457 PETIR IQROMI L PNS DAERAH
6 23/05/2017 0000 797210122 MARKU L PBI (APBN)
7 23/05/2017 0000 797279927 NURHANAH P PBI (APBN)
8 23/05/2017 0000 797671901 IKA P PBI (APBN)
9 23/05/2017 0000 797730759 SOLAH L PBI (APBN)
10 23/05/2017 0000 798157991 JUHENAH P PBI (APBN)
11 23/05/2017 0000 798239924 AHMAD L PBI (APBN)
12 23/05/2017 0000 798541918 SARINAH P PBI (APBN)
13 23/05/2017 0000 798591262 SUMANAH P PBI (APBN)
14 23/05/2017 0000 798681407 SAETI P PBI (APBN)
15 23/05/2017 0000 798682149 ROVI L PBI (APBN)
16 23/05/2017 0000 798721975 ASMAH P PBI (APBN)
17 23/05/2017 0000 798722897 SELPIANTI P PBI (APBN)
18 23/05/2017 0000 798852532 JARNIAH P PBI (APBN)
19 23/05/2017 0000 798941981 MAMUN L PBI (APBN)
20 23/05/2017 0000 799153108 NURHASAN L PBI (APBN)
21 23/05/2017 0000 799174888 DASIH P PBI (APBN)
22 23/05/2017 000 1051198435 JUNAH P PBI (APBN)
23 23/05/2017 000 1607297466 ASNAH P PBI (APBD)
24 23/05/2017 0000798861554 KANA'AH P PBI (APBN)
25 23/05/2017 0000798882726 JAHRO P PBI (APBN)
26 23/05/2017 0000798893684 SANAAH P PBI (APBN)
27 23/05/2017 0000798919299 SAMSIAH P PBI (APBN)
28 23/05/2017 0000799156631 ROHANAH P PBI (APBN)
29 23/05/2017 0000799157259 NASRUDIN L PBI (APBN)
30 23/05/2017 00001259678777 HUMAIROH P PEKERJA MANDIRI
31 23/05/2017 00002218416884 SISKA P PEKERJA MANDIRI
32 23/05/2017 0000 798786865 AJUN L PBI (APBN)
33 23/05/2017 0000 798787607 EMAH P PBI (APBN)
34 23/05/2017 0000 798788182 JUNARIYAH P PBI (APBN)
35 23/05/2017 0000 798790781 MAMAD L PBI (APBN)
36 23/05/2017 0000 798812087 RAMAH P PBI (APBN)
37 23/05/2017 0000 798816003 RASDAN L PBI (APBN)
38 23/05/2017 000 1051270222 ONDEH L PBI (APBN)

000 1814792782 AFNI AULIA

39 23/05/2017 P PEGAWAI SWASTA
OKTAVIANI
000 1814793783 PANDU HAFIDZUL
40 23/05/2017 L PEGAWAI SWASTA
IHSAN
41 23/05/2017 000 1852900288 SRI MULYANTI P PNS DAERAH
42 23/05/2017 000 2201354065 MADSUPI L PEKERJA MANDIRI
AWAT JALAN
MEI 2017

DIAGNOSA
Myalgia
Atopic dermatitis, unspecified
Other acute gastritis
Atopic dermatitis, unspecified
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Myalgia
Other acute upper respiratory infections of multiple sites
Cutaneous abscess, furuncle and carbuncle of limb
Atopic dermatitis, unspecified
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Dental caries, unspecified
Cutaneous abscess, furuncle and carbuncle of limb
Hyperplasia of prostate
Other acute gastritis
Other acute upper respiratory infections of multiple sites
Other acute gastritis
Essential (primary) hypertension
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute gastritis
Dyspepsia
Other acute upper respiratory infections of multiple sites
Spontaneous vertex delivery
Spontaneous vertex delivery
Dermatitis, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Acute pharyngitis, unspecified
Myalgia

Allergic rhinitis, unspecified

Other acute upper respiratory infections of multiple sites

Myalgia
Other acute upper respiratory infections of multiple sites
 LAPORAN PELAYANAN RAWAT JALAN
LUAR GEDUNG BULAN MEI 2017

No TANGGAL No. KARTU NAMA PESERTA SEX JENIS

PESERTA
1 24/05/2017 0000 797970947 SITI P PBI (APBN)
2 24/05/2017 0000 797970969 SARDEWI P PBI (APBN)
3 24/05/2017 0000 797971026 UDIN L PBI (APBN)
4 24/05/2017 0000 797971162 SAHRI L PBI (APBN)
5 24/05/2017 0000 797971432 JUNI P PBI (APBN)
6 24/05/2017 0000 797971577 DURASID L PBI (APBN)
7 24/05/2017 0000 797971588 HASAN L PBI (APBN)
8 24/05/2017 0000 797971623 MARYONO L PBI (APBN)
9 24/05/2017 0000 797971814 ASJUM L PBI (APBN)
10 24/05/2017 0000 797971904 JUHERI L PBI (APBN)
11 24/05/2017 0000 797971959 ALISAH P PBI (APBN)
12 24/05/2017 0000 797972207 SUHENDI L PBI (APBN)
13 24/05/2017 0000 797972477 RAMAN L PBI (APBN)
14 24/05/2017 0000 797972534 NURSIAH P PBI (APBN)
15 24/05/2017 0000 797972567 SITI ASIAH P PBI (APBN)
16 24/05/2017 0000 797972725 AAN MULYADI L PBI (APBN)
17 24/05/2017 0000 797973006 ASMAH P PBI (APBN)
18 24/05/2017 0000 797973039 SANAH P PBI (APBN)
19 24/05/2017 0000 797973333 ZEZEN L PBI (APBN)
20 24/05/2017 0000 797973355 KRNEN L PBI (APBN)
21 24/05/2017 0000 797980263 SAPIAH P PBI (APBN)
22 24/05/2017 0000 797980555 JUHROWATI P PBI (APBN)
23 24/05/2017 0000 797980623 JAENUL MUKAQIN L PBI (APBN)
24 24/05/2017 0000 797980814 TARSA L PBI (APBN)
25 24/05/2017 0000 797981016 HAERUDIN L PBI (APBN)
26 24/05/2017 0000 797981163 JUMARIAH P PBI (APBN)
27 24/05/2017 0000 797981343 ADUL L PBI (APBN)
28 24/05/2017 0000 797981411 AMSORI L PBI (APBN)
29 24/05/2017 0000 797981512 SOLIHAT P PBI (APBN)
30 24/05/2017 0000 797981591 SAMSUDIN L PBI (APBN)
31 24/05/2017 0000 797981646 SATINAH P PBI (APBN)
32 24/05/2017 0000 797981668 AMINAH P PBI (APBN)
33 24/05/2017 0000 797981916 SUERSIH P PBI (APBN)
34 24/05/2017 0000 797981951 SIDIK MUALANA L PBI (APBN)
35 24/05/2017 0000 797981995 SAEPUL L PBI (APBN)
36 24/05/2017 0000 797982085 ILYAS L PBI (APBN)
37 24/05/2017 0000 797982142 ANI L PBI (APBN)
38 24/05/2017 0000 797982243 S.LAILATUL KAMILAH P PBI (APBN)
39 24/05/2017 0000 797982456 MISRAN L PBI (APBN)
40 24/05/2017 0000 797982524 SARTISAH P PBI (APBN)
41 24/05/2017 0000 797982568 EMEH P PBI (APBN)
42 24/05/2017 0000 797982759 ANJANI P PBI (APBN)
43 24/05/2017 0000 797982862 SAIMAN L PBI (APBN)
44 24/05/2017 0000 797983097 LIA P PBI (APBN)
45 24/05/2017 0000 797983244 AAAT L PBI (APBN)
46 24/05/2017 0000 797983301 SANEWI P PBI (APBN)
47 24/05/2017 0000 797983953 ATI P PBI (APBN)
48 24/05/2017 0000 797984392 SITI P PBI (APBN)
49 24/05/2017 0000 797984752 BARIAH P PBI (APBN)
50 24/05/2017 0000 797984875 ENI P PBI (APBN)
51 24/05/2017 0000 797985099 ROHMAT L PBI (APBN)
52 24/05/2017 0000 797985922 SARI P PBI (APBN)
53 24/05/2017 0000 797991377 IWAN L PBI (APBN)
54 24/05/2017 0000 797992075 SUHRI L PBI (APBN)
55 24/05/2017 0000 797992299 WINAH P PBI (APBN)
56 24/05/2017 0000 797992547 JUHDI L PBI (APBN)
57 24/05/2017 0000 797992615 SANAN L PBI (APBN)
58 24/05/2017 0000 797992661 SUHETI P PBI (APBN)
59 24/05/2017 0000 797993381 ROSID L PBI (APBN)
60 24/05/2017 0000 797993425 UPEN P PBI (APBN)
61 24/05/2017 0000 797993684 SARNAH P PBI (APBN)
62 24/05/2017 0000 797993954 MURDI L PBI (APBN)
63 24/05/2017 0000 797998882 SUEROH P PBI (APBN)
64 24/05/2017 0000 797999139 AMSIAH P PBI (APBN)
65 24/05/2017 0000 798027096 HILMANSYAH L PBI (APBN)
66 24/05/2017 0000 798041384 ARTI P PBI (APBN)
67 24/05/2017 0000 798058866 ARSIH P PBI (APBN)
68 24/05/2017 0000 798152095 UPIT P PBI (APBN)
69 24/05/2017 0000 798183303 SARIPUDIN L PBI (APBN)
70 24/05/2017 0000 798200649 MARDI L PBI (APBN)
71 24/05/2017 0000 798469694 JOJON L PBI (APBN)
72 24/05/2017 0000 799079782 MAULANA L PBI (APBN)
73 24/05/2017 000 1051195465 ISAH P PBI (APBN)
74 24/05/2017 000 1051195858 HABIB RIZKI N L PBI (APBN)
N RAWAT JALAN
AN MEI 2017

DIAGNOSA
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Gastritis, unspecified
Gastritis, unspecified
Acute upper respiratory infection, unspecified
Acute upper respiratory infection, unspecified
Acute upper respiratory infection, unspecified
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Myalgia
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Dental caries, unspecified
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Dental caries, unspecified
Other acute upper respiratory infections of multiple sites
Gastritis, unspecified
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Other acute upper respiratory infections of multiple sites
Myalgia
Myalgia
Myalgia
Other acute upper respiratory infections of multiple sites
Myalgia
Dental caries, unspecified
Gastritis, unspecified
Myalgia