DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA DIRUJUK

1 30-04-2019 021103010419Y000362 0000013462942 MAIMUNAH P PENERIMA PENSIUN TNI Low back pain Berobat Jalan

2 30-04-2019 021103010419Y000363 0000013583981 NURJANAH GULTOM P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
3 30-04-2019 021103010419Y000359 0000234667877 SAUDAGAR PASARIBU L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
4 30-04-2019 021103010419P000304 0000235224303 ROSMIKA NAINGGOLAN P PBI (APBN) Other complications of Rujuk Lanjut
labour and delivery, not

5 30-04-2019 021103010419Y000352 0000235228151 DONNER SIHOMBING L PBI (APBN) Dyspepsia Berobat Jalan

6 30-04-2019 021103010419Y000355 0000235249367 HOTDE TAMPUBOLON P PBI (APBN) Dyspepsia Berobat Jalan

7 30-04-2019 021103010419P000305 0000235709414 RUT PITA GULTOM P PBI (APBN) Epilepsy Rujuk Lanjut

8 30-04-2019 021103010419Y000361 0000235915852 RUSMA ARITONANG P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
9 30-04-2019 021103010419Y000357 0000236286145 RUKINI SITOMPUL P PBI (APBN) Dyspepsia Berobat Jalan

10 30-04-2019 021103010419Y000360 0000982962832 JUNITA NAINGGOLAN P PBI (APBN) Dyspepsia Berobat Jalan

11 30-04-2019 021103010419Y000356 0001242124187 BONGIS SIANTURI L PBI (APBD) Other chronic obstructive Berobat Jalan
pulmonary disease
12 30-04-2019 021103010419Y000353 0001242124626 Ahmad Gultom P PBI (APBD) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
13 30-04-2019 021103010419P000302 0001289291332 PARLAUNGAN NAINGGOLAN L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

14 30-04-2019 021103010419Y000354 0001397348673 NELSON SITOMPUL L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
15 30-04-2019 021103010419Y000366 0001397349797 RISKI ANJANI SINAGA P PBI (APBD) Yellow fever Berobat Jalan

16 30-04-2019 021103010419P000303 0002074526289 PARLAUNGAN SINAGA L PEKERJA MANDIRI Chronic gastritis, Rujuk Lanjut
unspecified
17 30-04-2019 021103010419P000367 0002147300144 RAUNE SIMANJUNTAK P PBI (APBD) Single spontaneous Sembuh
delivery
18 30-04-2019 021103010419Y000358 0002473324773 DEBORA GULTOM P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by culture only
19 30-04-2019 021103010419Y000365 0002745272417 PRAJA IMMANUEL GULTOM L PNS DAERAH Other specified dermatitis Berobat Jalan

20 30-04-2019 021103010419Y000351 0002754376547 RENIA SIREGAR P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by culture only
21 30-04-2019 021103010419Y000364 0002754861669 CHELVIA GULTOM P PEKERJA MANDIRI Other specified dermatitis Berobat Jalan

22 29-04-2019 021103010419P000296 0000013349417 MARITA PASARIBU P PNS DAERAH Other specified headache Rujuk Lanjut
syndromes
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

23 29-04-2019 021103010419P000294 0000013501776 SURTI HUTABARAT P PENERIMA PENSIUN Other multiple, unspecified Rujuk Lanjut
PNS as to place of birth

24 29-04-2019 021103010419Y000345 0000013532051 RIMANI SITOMPUL P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
25 29-04-2019 021103010419Y000338 0000013532319 SITI JAMILAH SIHOMBING P PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
26 29-04-2019 021103010419Y000299 0000013588378 RINNA SIMBOLON P PNS DAERAH Hypotension Berobat Jalan

27 29-04-2019 021103010419Y000349 0000013611036 RUSTI TAMPUBOLON P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
28 29-04-2019 021103010419Y000350 0000038387777 LAMSINAR GULTOM P PNS PUSAT Gastritis and duodenitis Berobat Jalan

29 29-04-2019 021103010419Y000347 0000235249299 RUSLI HUTABARAT P PBI (APBN) Dyspepsia Berobat Jalan

30 29-04-2019 021103010419P000293 0000982963866 JHON PERNEDI GULTOM L PBI (APBN) Congestive heart failure Rujuk Lanjut

31 29-04-2019 021103010419P000295 0000982966331 PORMAULI SITOMPUL P PBI (APBN) Cataract, unspecified Rujuk Lanjut

32 29-04-2019 021103010419Y000343 0001242123805 PAHALA NAINGGOLAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
33 29-04-2019 021103010419P000298 0001492535474 CONNI IMELDA SITOMPUL P PBI (APBD) Other specified headache Rujuk Lanjut
syndromes
34 29-04-2019 021103010419Y000339 0001492536633 BORTAP SILITONGA P PBI (APBD) Dyspepsia Berobat Jalan

35 29-04-2019 021103010419Y000346 0001906933623 EDUART SIMATUPANG L PBI (APBD) Disorder of gingiva and Berobat Jalan
edentulous alveolar ridge,

36 29-04-2019 021103010419Y000301 0002035387686 dzawata afnan gultom L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
37 29-04-2019 021103010419P000297 0002188767025 YUSUP HASIHOLAN L PBI (APBN) Benign lipomatous Rujuk Lanjut
ARITONANG neoplasm
38 29-04-2019 021103010419Y000342 0002242614824 ROSMAWATI PANE P PNS PUSAT Epidemic vertigo Berobat Jalan

39 29-04-2019 021103010419Y000344 0002279116067 SUTARDI ALTAKDIR L PNS PUSAT Impacted cerumen Berobat Jalan

40 29-04-2019 021103010419Y000341 0002292226018 WALMAN GULTOM L PEKERJA MANDIRI Other chronic obstructive Berobat Jalan
pulmonary disease
41 29-04-2019 021103010419Y000300 0002310724045 ARISTON TAMPUBOLON L PEKERJA MANDIRI Other chronic obstructive Berobat Jalan
pulmonary disease
42 29-04-2019 021103010419Y000348 0002485746742 TIARMA SIMATUPANG P PBI (APBD) Low back pain Berobat Jalan

43 29-04-2019 021103010419Y000340 0002741513951 RIFKI ARYA GULTOM L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
44 28-04-2019 021103010419Y000337 0002756479364 JONATAN ELFRAIM TAMBUNAN L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

45 27-04-2019 021103010419Y000336 0000236113852 NURO SITOMPUL P PBI (APBN) Dyspepsia Berobat Jalan

46 27-04-2019 021103010419Y000334 0001242123671 ESMINAR SIMANJUNTAK L PBI (APBD) Other chronic obstructive Berobat Jalan
pulmonary disease
47 27-04-2019 021103010419Y000335 0002074526289 PARLAUNGAN SINAGA L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
48 27-04-2019 021103010419Y000333 0002147301189 Sela Viola Gultom L PBI (APBD) Yellow fever, unspecified Berobat Jalan

49 27-04-2019 021103010419P000290 0002490390044 YENNI MARPAUNG P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
50 26-04-2019 021103010419Y000330 0000013515063 SINUR D.NAINGGOLAN P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
51 26-04-2019 021103010419Y000331 0000013581909 MESTIKA GULTOM P PNS DAERAH Dyspepsia Berobat Jalan

52 26-04-2019 021103010419Y000329 0000168787686 MINA ROSYIANA PANE P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
53 26-04-2019 021103010419Y000326 0000235249299 RUSLI HUTABARAT P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
54 26-04-2019 021103010419P000287 0000235682346 TETTY SIBARANI P PBI (APBN) Supervision of normal Rujuk Lanjut
pregnancy
55 26-04-2019 021103010419P000288 0001247236468 ROSINTAULI DAMERIATY P PEKERJA MANDIRI Schizophrenia Rujuk Lanjut
GULTOM
56 26-04-2019 021103010419Y000332 0001493458075 SAUL NAINGGOLAN L PBI (APBD) Dyspepsia Berobat Jalan

57 26-04-2019 021103010419Y000328 0002145215709 ANTUR SIMANUNGKALIT L PBI (APBD) Dyspepsia Berobat Jalan

58 26-04-2019 021103010419Y000327 0002623204438 MUTIARA SITOMPUL P PEKERJA MANDIRI Dyspepsia Berobat Jalan

59 26-04-2019 021103010419P000289 0002748381759 OKULINA SABET NAINGGOLAN P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
60 25-04-2019 021103010419Y000322 0000013451343 ADOLF SIBARANI L PNS DAERAH Impacted cerumen Berobat Jalan

61 25-04-2019 021103010419P000284 0000235510481 BERKIMONG SIMATUPANG L PBI (APBN) Degenerative myopia Rujuk Lanjut

62 25-04-2019 021103010419P000283 0000235510547 HOTMARIA LIMBONG P PBI (APBN) Degenerative myopia Rujuk Lanjut

63 25-04-2019 021103010419P000286 0000982963967 SINTA LUMBANTOBING P PBI (APBN) Senile cataract Rujuk Lanjut

64 25-04-2019 021103010419Y000324 0001492536014 RAY SURANTA NAINGGOLAN P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
65 25-04-2019 021103010419Y000319 0002145224766 NURHAM SIMAMORA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
66 25-04-2019 021103010419P000285 0002145343689 DESTA SYUKURNIWATI HULU P PBI (APBD) Supervision of normal Rujuk Lanjut
pregnancy
67 25-04-2019 021103010419P000282 0002228188702 MUTIARA HARIANJA P PEKERJA MANDIRI Low back pain Rujuk Lanjut

68 25-04-2019 021103010419Y000323 0002422490949 RUSMIAN HUTABARAT P PEKERJA MANDIRI Constipation Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

69 25-04-2019 021103010419Y000321 0002485746742 TIARMA SIMATUPANG P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
70 25-04-2019 021103010419Y000325 0002611593393 MELDA NOVITA BR. MANALU P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
71 25-04-2019 021103010419Y000320 0002614235051 ROPAJA SITOMPUL P PEKERJA MANDIRI Atopic dermatitis Berobat Jalan

72 25-04-2019 021103010419P000281 0002759711073 BAYI NYONYA OMEX OCTAVIA L PEKERJA MANDIRI Typhoid and paratyphoid Rujuk Lanjut
NAINGGOLAN fevers
73 24-04-2019 021103010419Y000309 0000013463166 BONUR SIMANJUNTAK P PENERIMA PENSIUN TNI Gout Berobat Jalan

74 24-04-2019 021103010419P000243 0000013606953 NURLIANA BUTARBUTAR P PNS DAERAH Low back pain, sacral and Rujuk Lanjut
sacrococcygeal region

75 24-04-2019 021103010419Y000306 0000235273948 RUSMINI SIREGAR P PBI (APBN) Gout Berobat Jalan

76 24-04-2019 021103010419Y000311 0000235720293 ALET NAINGGOLAN L PBI (APBN) Headache Berobat Jalan

77 24-04-2019 021103010419Y000312 0000235720372 NENI SIANTURI P PBI (APBN) Dyspepsia Berobat Jalan

78 24-04-2019 021103010419P000240 0000236077828 WAHIDA PAKPAHAN P PBI (APBN) Other specified diabetes Rujuk Lanjut
mellitus
79 24-04-2019 021103010419Y000307 0000982964474 EMME SIANTURI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
80 24-04-2019 021103010419Y000317 0001242123805 PAHALA NAINGGOLAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
81 24-04-2019 021103010419Y000310 0001242124187 BONGIS SIANTURI L PBI (APBD) Dyspepsia Berobat Jalan

82 24-04-2019 021103010419Y000313 0001242125291 LINGGOM GULTOM P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
83 24-04-2019 021103010419Y000318 0001397352104 HENDRI SITOMPUL L PBI (APBD) Other gastritis Berobat Jalan

84 24-04-2019 021103010419P000242 0002074372198 LEONARD NAINGGOLAN L PEKERJA MANDIRI Degenerative myopia Rujuk Lanjut

85 24-04-2019 021103010419P000239 0002147300392 Rusliana Sitompul P PBI (APBD) Other specified retinal Rujuk Lanjut
disorders
86 24-04-2019 021103010419P000244 0002147300763 Cheicilia Septiana Putri Sinaga L PBI (APBD) Typhoid and paratyphoid Rujuk Lanjut
fevers
87 24-04-2019 021103010419Y000314 0002273300616 TIAWAN GULTOM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
88 24-04-2019 021103010419Y000308 0002292226018 WALMAN GULTOM L PEKERJA MANDIRI Other chronic obstructive Berobat Jalan
pulmonary disease
89 24-04-2019 021103010419Y000315 0002478993322 HERDIANA NURHATI SIANIPAR P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
90 24-04-2019 021103010419Y000316 0002613018205 LATIFAH HANUM P PNS DAERAH Acute upper respiratory Berobat Jalan
SIMANUNGKALIT infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

91 24-04-2019 021103010419P000241 0002756478958 RIVER JORDAN TAMBUNAN L PEKERJA MANDIRI Other allergic rhinitis Rujuk Lanjut

92 23-04-2019 021103010419Y000248 0000005333984 FERRY WATI SITOMPUL P PENERIMA PENSIUN Hypertensive heart Berobat Jalan
PNS disease
93 23-04-2019 021103010419Y000261 0000013464955 MARTHA TOBING P PENERIMA PENSIUN TNI Congestive heart failure Berobat Jalan

94 23-04-2019 021103010419Y000257 0000013532319 SITI JAMILAH SIHOMBING P PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
95 23-04-2019 021103010419Y000245 0000013532793 TIURMA SITOMPUL P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
96 23-04-2019 021103010419Y000265 0000049273514 ST MARTHA SIMANJUNTAK P PENERIMA PENSIUN Other specified dermatitis Berobat Jalan
PNS
97 23-04-2019 021103010419Y000250 0000234667877 SAUDAGAR PASARIBU L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
98 23-04-2019 021103010419P000235 0000234950962 WASINTON HARIANJA L PBI (APBN) Other anaemias Rujuk Lanjut

99 23-04-2019 021103010419Y000256 0000234967869 ALDI JOANSER MANALU L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
100 23-04-2019 021103010419P000233 0000234981314 ROPINUS SITOMPUL L PBI (APBN) Chronic ischaemic heart Rujuk Lanjut
disease
101 23-04-2019 021103010419Y000255 0000235212579 NURSALAM NAINGGOLAN P PBI (APBN) Other acute gastritis Berobat Jalan

102 23-04-2019 021103010419Y000263 0000235518355 ESRA NAINGGOLAN P PBI (APBN) Tuberculosis of other Berobat Jalan
specified organs
103 23-04-2019 021103010419Y000264 0000235522833 ISDEMAWATI SITOMPUL P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
104 23-04-2019 021103010419P000234 0000235620292 JOHANnES PRAPAT L PEGAWAI SWASTA Other benign neoplasms Rujuk Lanjut
of connective and other

105 23-04-2019 021103010419Y000254 0000235720596 SOLO GULTOM L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
106 23-04-2019 021103010419Y000251 0000235915852 RUSMA ARITONANG P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
107 23-04-2019 021103010419Y000266 0000235939432 ANITA SITOMPUL P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
108 23-04-2019 021103010419Y000247 0000982965734 SAHAYO SIANTURI P PBI (APBN) Low back pain Berobat Jalan

109 23-04-2019 021103010419Y000262 0000982966342 MINA SITOMPUL P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
110 23-04-2019 021103010419Y000260 0001242124626 Ahmad Gultom P PBI (APBD) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
111 23-04-2019 021103010419Y000232 0001242124773 Parulian Sihombing L PBI (APBD) Pterygium Rujuk Lanjut

112 23-04-2019 021103010419Y000259 0001242125019 PIO SIBARANI P PBI (APBD) Idiopathic gout Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

113 23-04-2019 021103010419Y000252 0001493458604 Ojak Sitompul L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
114 23-04-2019 021103010419P000237 0001718564286 DIANA NAINGGOLAN P PEGAWAI SWASTA Congestive heart failure Rujuk Lanjut

115 23-04-2019 021103010419P000238 0001897021721 gideon roy fourtha sihombing L PNS DAERAH Impetigo [any organism] Rujuk Lanjut
[any site]
116 23-04-2019 021103010419Y000253 0002045249032 AHMAD FAUZI HARAHAP L PNS DAERAH Dyspepsia Berobat Jalan

117 23-04-2019 021103010419Y000258 0002048507032 RIDUAN MANALU L PEKERJA MANDIRI Catatonic schizophrenia Berobat Jalan

118 23-04-2019 021103010419P000236 0002200347977 DUWARTO SITOMPUL L PEKERJA MANDIRI Epilepsy Rujuk Lanjut

119 23-04-2019 021103010419Y000249 0002491126312 KRISTA ROULI SIANTURI P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by culture only
120 23-04-2019 021103010419Y000246 0002754376547 RENIA SIREGAR P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by culture only
121 22-04-2019 021103010419Y000278 0000013483563 NURPAIDA HUTABARAT P PENERIMA PENSIUN Headache Berobat Jalan
PNS
122 22-04-2019 021103010419P000227 0000013501776 SURTI HUTABARAT P PENERIMA PENSIUN Other surgical follow-up Rujuk Lanjut
PNS care
123 22-04-2019 021103010419P000224 0000013637597 TIAREN SINURAT P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
124 22-04-2019 021103010419P000226 0000235465648 SITI JAHRO SIMANJUNTAK P PBI (APBN) Vertigo of central origin Rujuk Lanjut

125 22-04-2019 021103010419Y000280 0001397352115 JUNELITE ZALUKHU P PBI (APBD) Headache Berobat Jalan

126 22-04-2019 021103010419P000231 0001842415582 NOVARIA NAINGGOLAN P PEKERJA MANDIRI Benign lipomatous Rujuk Lanjut
neoplasm
127 22-04-2019 021103010419P000225 0002071177413 MERLI LISDAWATI GULTOM P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
128 22-04-2019 021103010419Y000279 0002147300638 Tiur Gultom L PBI (APBD) Low back pain Berobat Jalan

129 22-04-2019 021103010419P000230 0002151246082 SAOR MARULI SITOMPUL L PBI (APBD) Congestive heart failure Rujuk Lanjut

130 22-04-2019 021103010419Y000229 0002486518481 SOHIBA SIREGAR L PEKERJA MANDIRI Cholelithiasis Rujuk Lanjut

131 20-04-2019 021103010419Y000269 0000013517223 Mayam dONGORAN P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
132 20-04-2019 021103010419Y000277 0000234950962 WASINTON HARIANJA L PBI (APBN) Other chronic obstructive Berobat Jalan
pulmonary disease
133 20-04-2019 021103010419Y000273 0000235659982 MANGGELENG PARAPAT L PBI (APBN) Low back pain Berobat Jalan

134 20-04-2019 021103010419Y000271 0000235708986 MARIA SIBURIAN P PBI (APBN) Idiopathic gout Berobat Jalan

135 20-04-2019 021103010419Y000272 0000235709414 RUT PITA GULTOM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
136 20-04-2019 021103010419Y000268 0000235800448 AHMAD GULTOM L PBI (APBN) Dyspepsia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

137 20-04-2019 021103010419Y000275 0000235939296 TORANG SILITONGA L PBI (APBN) Headache Berobat Jalan

138 20-04-2019 021103010419Y000270 0000982962832 JUNITA NAINGGOLAN P PBI (APBN) Gout Berobat Jalan

139 20-04-2019 021103010419Y000276 0001247234501 DELIMA HARIANJA P PEKERJA MANDIRI Dyspepsia Berobat Jalan

140 20-04-2019 021103010419Y000274 0001389459508 RUKIA SIMANJUNTAK P PEKERJA MANDIRI Dyspepsia Berobat Jalan

141 20-04-2019 021103010419Y000267 0001491472506 Rosmawita Ritonga L PBI (APBD) Headache Berobat Jalan

142 18-04-2019 021103010419Y000195 0000013361016 NURCAHAYA SIANTURI P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
143 18-04-2019 021103010419Y000196 0000013378577 RAMLI NAINGGOLAN L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
144 18-04-2019 021103010419Y000200 0000013505062 SORENIA ARITONANG P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
145 18-04-2019 021103010419Y000190 0000163101993 JEKSON LUMBAN GAOL L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
146 18-04-2019 021103010419P000211 0000235224303 ROSMIKA NAINGGOLAN P PBI (APBN) Abnormal uterine and Rujuk Lanjut
vaginal bleeding,

147 18-04-2019 021103010419Y000202 0000264659736 EMA LESTARI SIJABAT P PBI (APBN) Dyspepsia Berobat Jalan

148 18-04-2019 021103010419P000147 0000977832988 INDAH REJEKI GULTOM P PNS DAERAH Degenerative myopia Rujuk Lanjut

149 18-04-2019 021103010419Y000198 0000982964474 EMME SIANTURI P PBI (APBN) Dyspepsia Berobat Jalan

150 18-04-2019 021103010419Y000191 0001839112896 amanda juliana nainggolan P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
151 18-04-2019 021103010419Y000192 0002072803173 septiana putri marito nainggolan P PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
152 18-04-2019 021103010419Y000188 0002319557591 SAMSUL BAHRI MUNTHE L PEKERJA MANDIRI Other specified dermatitis Berobat Jalan

153 18-04-2019 021103010419Y000194 0002468019205 KORNELIUS J. PURBA L PBI (APBD) Dyspepsia Berobat Jalan

154 17-04-2019 021103010419P000203 0000264659736 EMA LESTARI SIJABAT P PBI (APBN) Long labour, unspecified Rujuk Lanjut

155 16-04-2019 021103010419Y000138 0000013462942 MAIMUNAH P PENERIMA PENSIUN TNI Acute upper respiratory Berobat Jalan
infection, unspecified
156 16-04-2019 021103010419Y000148 0000013464955 MARTHA TOBING P PENERIMA PENSIUN TNI Idiopathic gout Berobat Jalan

157 16-04-2019 021103010419Y000139 0000234667877 SAUDAGAR PASARIBU L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
158 16-04-2019 021103010419Y000146 0000235189135 RUYA GULTOM P PBI (APBN) Idiopathic gout Berobat Jalan

159 16-04-2019 021103010419Y000136 0000235197887 NUR TIA RITONGA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

160 16-04-2019 021103010419P000088 0000235211005 ROITO PASARIBU P PBI (APBN) Acute and transient Rujuk Lanjut
psychotic disorders
161 16-04-2019 021103010419Y000142 0000235336329 RAMONA SIBURIAN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
162 16-04-2019 021103010419Y000144 0000235341898 REDIMA SITOMPUL P PBI (APBN) Idiopathic gout Berobat Jalan

163 16-04-2019 021103010419Y000141 0000235453713 TIANUR ARITONANG P PBI (APBN) Idiopathic gout Berobat Jalan

164 16-04-2019 021103010419P000090 0000235689996 KLEMENTINA PANDIANGAN P PBI (APBN) General counselling and Rujuk Lanjut
advice on contraception
165 16-04-2019 021103010419Y000137 0000235720596 SOLO GULTOM L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
166 16-04-2019 021103010419Y000135 0000235771288 KARTINI SIHOMBING P PBI (APBN) Dyspepsia Berobat Jalan

167 16-04-2019 021103010419Y000130 0000235825367 BURHANUDDIN SIREGAR L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
168 16-04-2019 021103010419Y000129 0000235826021 MARALAN GULTOM P PBI (APBN) Other chronic obstructive Berobat Jalan
pulmonary disease
169 16-04-2019 021103010419Y000143 0001190954013 LISNA HUTABARAT P PEKERJA MANDIRI Bacterial intestinal Berobat Jalan
infection, unspecified
170 16-04-2019 021103010419Y000131 0001242125537 Nelli Nainggolan P PBI (APBD) Idiopathic gout Berobat Jalan

171 16-04-2019 021103010419Y000133 0001491472552 Leo Perdiansyah Gultom P PBI (APBD) Other specified dermatitis Berobat Jalan

172 16-04-2019 021103010419Y000128 0001492536543 ROBERT TAMBUNAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
173 16-04-2019 021103010419Y000134 0001493458312 Timbul Gultom L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
174 16-04-2019 021103010419P000089 0001616996024 MARLINA MANUNGKALIT P PEKERJA MANDIRI Other arthrosis Rujuk Lanjut

175 16-04-2019 021103010419Y000132 0002147301235 Tiur Aritonang L PBI (APBD) Dyspepsia Berobat Jalan

176 16-04-2019 021103010419Y000145 0002151246071 MARISKA ISABELLA P PBI (APBD) Fever, unspecified Berobat Jalan
NAINGGOLAN
177 16-04-2019 021103010419Y000140 0002442682517 GREYCIA M. SIMORANGKIR P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

178 16-04-2019 021103010419P000091 0002754376547 RENIA SIREGAR P PEKERJA MANDIRI Respiratory tuberculosis, Rujuk Lanjut
bacteriologically and

179 15-04-2019 021103010419P000083 0000013564585 LAMSON L PNS DAERAH Chronic ischaemic heart Rujuk Lanjut
disease
180 15-04-2019 021103010419P000084 0000013593892 SETIA WATI MANULLANG P PNS DAERAH Ascites Rujuk Lanjut

181 15-04-2019 021103010419P000085 0000013614939 PASIHAR HUTABARAT L PENERIMA PENSIUN Senile cataract Rujuk Lanjut
PNS
182 15-04-2019 021103010419P000086 0000013614941 SITIMOUR SITOMPUL P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

183 15-04-2019 021103010419Y000152 0000234478912 MINDO ARITONANG P PBI (APBN) Idiopathic gout Berobat Jalan

184 15-04-2019 021103010419Y000153 0000235212579 NURSALAM NAINGGOLAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
185 15-04-2019 021103010419Y000150 0000236286145 RUKINI SITOMPUL P PBI (APBN) Dyspepsia Berobat Jalan

186 15-04-2019 021103010419Y000158 0000982963552 MILERIA NAINGGOLAN P PBI (APBN) Idiopathic gout Berobat Jalan

187 15-04-2019 021103010419Y000149 0000982964463 PITTA GULTOM P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
188 15-04-2019 021103010419Y000151 0001397348605 DIANI RITONGA P PBI (APBD) Dyspepsia Berobat Jalan

189 15-04-2019 021103010419Y000157 0001493458356 Ansor Gultom L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
190 15-04-2019 021103010419Y000074 0001809593177 TABITA EPIFANI RAJAGUKGUK P PNS DAERAH Typhoid and paratyphoid Rujuk Lanjut
fevers
191 15-04-2019 021103010419Y000154 0002319557591 SAMSUL BAHRI MUNTHE L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
192 15-04-2019 021103010419P000087 0002740397242 RIWANTI SEVEN SIBURIAN P PEGAWAI SWASTA Premature rupture of Rujuk Lanjut
membranes, unspecified
193 15-04-2019 021103010419Y000156 0002753125648 HOTMAIDA SITOMPUL P PEKERJA MANDIRI Anaemia due to enzyme Berobat Jalan
disorder, unspecified
194 15-04-2019 021103010419Y000155 0002754376547 RENIA SIREGAR P PEKERJA MANDIRI Bronchitis, not specified as Berobat Jalan
acute or chronic
195 15-04-2019 021103010419P000082 0002758159495 RUSTI ARITONANG P PENERIMA PENSIUN TNI Congestive heart failure Rujuk Lanjut

196 14-04-2019 021103010419Y000163 0000013452085 RISMAULI HUTAGALUNG P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
197 13-04-2019 021103010419Y000161 0000013583665 NURHAIDA LUMBANTOBING P PNS DAERAH Dyspepsia Berobat Jalan

198 13-04-2019 021103010419Y000162 0000235260977 HASIHOLAN HUTABARAT L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
199 13-04-2019 021103010419Y000159 0000982965014 DAULAT SIBURIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
200 13-04-2019 021103010419P000368 0002068724338 INDRA SITOMPUL P PEKERJA MANDIRI Single spontaneous Sembuh
delivery
201 13-04-2019 021103010419Y000160 0002422490949 RUSMIAN HUTABARAT P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus
202 12-04-2019 021103010419Y000164 0000982964654 MUKMIN RITONGA L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
203 12-04-2019 021103010419Y000165 0000982966634 PITTA NAINGGOLAN P PBI (APBN) Dyspepsia Berobat Jalan

204 12-04-2019 021103010419P000047 0001082964543 LINRO HETTI MANALU P PBI (APBN) Otitis media in other Rujuk Lanjut
diseases classified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

205 12-04-2019 021103010419Y000166 0001493458075 SAUL NAINGGOLAN L PBI (APBD) Dyspepsia Berobat Jalan

206 12-04-2019 021103010419P000046 0002274251545 MIAN SIMATUPANG L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

207 11-04-2019 021103010419Y000118 0000013498108 SYAMSIAH SIREGAR P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
208 11-04-2019 021103010419P000045 0000013629699 MURNI SIHOMBING P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without

209 11-04-2019 021103010419Y000116 0000158300054 RUDOLF PAKPAHAN L PENERIMA PENSIUN Vasomotor and allergic Berobat Jalan
PNS rhinitis
210 11-04-2019 021103010419Y000117 0000235800448 AHMAD GULTOM L PBI (APBN) Idiopathic gout Berobat Jalan

211 11-04-2019 021103010419Y000120 0000235805398 TUKAR GULTOM L PBI (APBN) Dyspepsia Berobat Jalan

212 11-04-2019 021103010419Y000119 0000236089449 MINCEHARIANJA P PBI (APBN) Bacterial intestinal Berobat Jalan
infection, unspecified
213 11-04-2019 021103010419P000043 0000982964114 MUAL GULTOM L PBI (APBN) Chest pain, unspecified Rujuk Lanjut

214 11-04-2019 021103010419P000044 0001242125357 LIDIA SIBARANI P PBI (APBD) Supervision of normal Rujuk Lanjut
pregnancy
215 11-04-2019 021103010419P000042 0001492535259 PANCASONA SIBURIAN P PBI (APBD) Typhoid and paratyphoid Rujuk Lanjut
fevers
216 11-04-2019 021103010419Y000115 0002147943003 Josua Alfredo Siburian L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
217 11-04-2019 021103010419P000041 0002149118908 DERITA RISMA ARITONANG P PBI (APBD) Supervision of high-risk Rujuk Lanjut
pregnancy
218 11-04-2019 021103010419Y000121 0002499293261 AGATHA NAINGGOLAN P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infection, unspecified
219 10-04-2019 021103010419P000038 0000009932949 DRENSEN SIBURIAN L PNS DAERAH Schizophrenia Rujuk Lanjut

220 10-04-2019 021103010419P000039 0000013406117 ROMEANNA SITOMPUL P PNS DAERAH Other secondary Rujuk Lanjut
hypertension
221 10-04-2019 021103010419Y000107 0000013476723 TIOMINA ARITONANG P PENERIMA PENSIUN Gastritis and duodenitis Berobat Jalan
PNS
222 10-04-2019 021103010419Y000106 0000013517223 Mayam dONGORAN P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
223 10-04-2019 021103010419P000040 0000013620442 POSMA TIURLAN P PNS DAERAH Acute otitis externa, Rujuk Lanjut
noninfective
224 10-04-2019 021103010419P000036 0000234710728 RUSLINA ARITONANG P PBI (APBN) Family history of stroke Rujuk Lanjut

225 10-04-2019 021103010419Y000109 0000235207945 LUHUT SIANTURI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
226 10-04-2019 021103010419Y000102 0000235494944 RATNA DEWI NAINGGOLAN P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

227 10-04-2019 021103010419Y000097 0000235723869 DORIANA SIAGIAN P PBI (APBN) Idiopathic gout Berobat Jalan

228 10-04-2019 021103010419Y000113 0000977061756 NASYA FADILAH HARAHAP P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
229 10-04-2019 021103010419Y000104 0000982964474 EMME SIANTURI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
230 10-04-2019 021103010419Y000110 0000982965071 MANNER SINAGA L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
231 10-04-2019 021103010419P000035 0000982966511 RISDA MELINA HUTASOIT P PBI (APBN) Other specified Rujuk Lanjut
noninflammatory disorders

232 10-04-2019 021103010419P000034 0000982966533 ELISABET S. NAINGGOLAN P PBI (APBN) Typhoid fever Rujuk Lanjut

233 10-04-2019 021103010419Y000105 0001083456663 MERPHI YANTI PANGGABEAN P PBI (APBN) Dyspepsia Berobat Jalan

234 10-04-2019 021103010419Y000099 0001491472552 Leo Perdiansyah Gultom P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
235 10-04-2019 021103010419Y000100 0001876091995 BERLIAN SIREGAR P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
236 10-04-2019 021103010419Y000101 0001885674543 RAHMATULLAH SIMANJUNTAK L PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus
237 10-04-2019 021103010419Y000114 0001894129402 adriel fidelis panggabean L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
238 10-04-2019 021103010419P000037 0002074372198 LEONARD NAINGGOLAN L PEKERJA MANDIRI Degenerative myopia Rujuk Lanjut

239 10-04-2019 021103010419Y000111 0002082172713 MUHAMMAD FA'IQ RIZQI L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

240 10-04-2019 021103010419Y000108 0002145343689 DESTA SYUKURNIWATI HULU P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy
241 10-04-2019 021103010419Y000112 0002236792691 MHD. FIRJATULLAH L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

242 10-04-2019 021103010419Y000098 0002292278152 SURTIANI SITOMPUL P PEKERJA MANDIRI Hemiplegia, unspecified Berobat Jalan

243 10-04-2019 021103010419Y000103 0002746269731 TAMBUN SITOMPUL L PEKERJA MANDIRI Idiopathic gout Berobat Jalan

244 09-04-2019 021103010419Y000078 0000013407996 HISAR SIBURIAN L PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
245 09-04-2019 021103010419Y000067 0000013462942 MAIMUNAH P PENERIMA PENSIUN TNI Acute upper respiratory Berobat Jalan
infection, unspecified
246 09-04-2019 021103010419Y000061 0000013489413 LOISTER SIMANUNGKALIT P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
247 09-04-2019 021103010419Y000066 0000013532319 SITI JAMILAH SIHOMBING P PENERIMA PENSIUN Unspecified chronic Berobat Jalan
PNS bronchitis
248 09-04-2019 021103010419Y000079 0000013582653 IDA ROYANI GULTOM P PNS DAERAH Benign paroxysmal vertigo Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

249 09-04-2019 021103010419Y000080 0000234667877 SAUDAGAR PASARIBU L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
250 09-04-2019 021103010419P000292 0000234812384 KIKI ERIYANTI HUTAPEA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
251 09-04-2019 021103010419Y000032 0000235070548 RADMA GULTOM P PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease with
acute exacerbation,

252 09-04-2019 021103010419Y000081 0000235114615 KOBOL PASARIBU L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
253 09-04-2019 021103010419Y000071 0000235212579 NURSALAM NAINGGOLAN P PBI (APBN) Dyspepsia Berobat Jalan

254 09-04-2019 021103010419Y000062 0000235273948 RUSMINI SIREGAR P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
255 09-04-2019 021103010419Y000033 0000235341898 REDIMA SITOMPUL P PBI (APBN) Sequelae of stroke, not Rujuk Lanjut
specified as haemorrhage

256 09-04-2019 021103010419Y000072 0000235453713 TIANUR ARITONANG P PBI (APBN) Myalgia Berobat Jalan

257 09-04-2019 021103010419Y000096 0000235518355 ESRA NAINGGOLAN P PBI (APBN) Tuberculosis of adrenal Berobat Jalan
glands
258 09-04-2019 021103010419Y000069 0000235826021 MARALAN GULTOM P PBI (APBN) Other chronic obstructive Berobat Jalan
pulmonary disease
259 09-04-2019 021103010419Y000076 0000236286145 RUKINI SITOMPUL P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
260 09-04-2019 021103010419Y000063 0000982962832 JUNITA NAINGGOLAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
261 09-04-2019 021103010419Y000094 0000982963473 SINTA SIHOMBING P PBI (APBN) Low back pain Berobat Jalan

262 09-04-2019 021103010419Y000065 0001242124626 Ahmad Gultom P PBI (APBD) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
263 09-04-2019 021103010419Y000068 0001492536543 ROBERT TAMBUNAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
264 09-04-2019 021103010419Y000073 0001492536936 RUSNIA ARITONANG L PBI (APBD) Dyspepsia Berobat Jalan

265 09-04-2019 021103010419Y000070 0001493458784 Lamsa Tampubolon P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
266 09-04-2019 021103010419Y000093 0002048507032 RIDUAN MANALU L PEKERJA MANDIRI Schizophrenia Berobat Jalan

267 09-04-2019 021103010419Y000077 0002091842019 CANELO ALVAREZ L PEKERJA MANDIRI Dyspepsia Berobat Jalan

268 09-04-2019 021103010419Y000092 0002215294389 ROHIMA TOBING P PEKERJA MANDIRI Dyspepsia Berobat Jalan

269 09-04-2019 021103010419Y000075 0002464742744 REVAN HESKIE NAINGGOLAN L PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
infection, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

270 09-04-2019 021103010419Y000064 0002491126312 KRISTA ROULI SIANTURI P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by culture only
271 09-04-2019 021103010419Y000095 0002623204438 MUTIARA SITOMPUL P PEKERJA MANDIRI Idiopathic gout Berobat Jalan

272 08-04-2019 021103010419Y000058 0000013387746 ANNA SIMARANGKIR P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus
273 08-04-2019 021103010419P000048 0000013403338 PARNAULI SITOMPUL P PNS DAERAH Gastroenteritis and colitis Berobat Jalan
of unspecified origin
274 08-04-2019 021103010419Y000056 0000013410112 USWATUN HASANAH SIAHAAN P PNS DAERAH Idiopathic gout Berobat Jalan

275 08-04-2019 021103010419P000030 0000013423173 ROSMERI LUMBAN GAOL P PNS PUSAT Peptic ulcer, unspecified Rujuk Lanjut
as acute or chronic,
without haemorrhage or

276 08-04-2019 021103010419Y000059 0000013427741 JOPINTAR PARANGINANGIN L PNS DAERAH Dislocation, sprain and Berobat Jalan
strain of joints and

277 08-04-2019 021103010419Y000031 0000013513678 NORMA SIAGIAN P PENERIMA PENSIUN Chronic obstructive Rujuk Lanjut
PNS pulmonary disease with
acute exacerbation,

278 08-04-2019 021103010419Y000057 0000013612331 LASMA SITOMPUL P PNS DAERAH Idiopathic gout Berobat Jalan

279 08-04-2019 021103010419P000054 0000013614939 PASIHAR HUTABARAT L PENERIMA PENSIUN Headache Berobat Jalan
PNS
280 08-04-2019 021103010419P000055 0000013614941 SITIMOUR SITOMPUL P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
281 08-04-2019 021103010419P000023 0000207638908 ESMA ARITONANG P PENERIMA PENSIUN TNI Gastric ulcer Rujuk Lanjut

282 08-04-2019 021103010419Y000052 0000235260977 HASIHOLAN HUTABARAT L PBI (APBN) Complications of Berobat Jalan
procedures, not elsewhere

283 08-04-2019 021103010419P000049 0000235787152 NAZIRUN GULTOM L PBI (APBN) Headache Berobat Jalan

284 08-04-2019 021103010419P000028 0000982964114 MUAL GULTOM L PBI (APBN) Degenerative myopia Rujuk Lanjut

285 08-04-2019 021103010419P000027 0000982964125 DERMAWAN SINAGA P PBI (APBN) Degenerative myopia Rujuk Lanjut

286 08-04-2019 021103010419P000026 0001247236468 ROSINTAULI DAMERIATY P PEKERJA MANDIRI Schizophrenia Rujuk Lanjut
GULTOM
287 08-04-2019 021103010419P000053 0001397348559 TASSYA LUMBANGAOL P PBI (APBD) Acute lymphadenitis of Berobat Jalan
upper limb
288 08-04-2019 021103010419P000050 0001397350427 ALGI GREAC CHIANO L PBI (APBD) Acute upper respiratory Berobat Jalan
ARITONANG infection, unspecified
289 08-04-2019 021103010419Y000051 0001906933623 EDUART SIMATUPANG L PBI (APBD) Dyspepsia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

290 08-04-2019 021103010419P000369 0002145215722 TAMBUN F. SIMANUNGKALIT P PBI (APBD) Single spontaneous Sembuh
delivery
291 08-04-2019 021103010419Y000060 0002310724045 ARISTON TAMPUBOLON L PEKERJA MANDIRI Other chronic obstructive Berobat Jalan
pulmonary disease
292 08-04-2019 021103010419P000024 0002317057424 OMEX OCTAVIA NAINGGOLAN P PEKERJA MANDIRI Supervision of high-risk Rujuk Lanjut
pregnancy
293 08-04-2019 021103010419P000025 0002328631705 TIARMIDA SITOMPUL P PEKERJA MANDIRI Sequelae of stroke, not Rujuk Lanjut
specified as haemorrhage

294 08-04-2019 021103010419P000029 0002465322322 MINDO GULTOM P PEKERJA MANDIRI Hemiplegia Rujuk Lanjut

295 07-04-2019 021103010419Y000167 0000013361005 MELINNA HAREFA P PNS DAERAH Injury of unspecified body Berobat Jalan
region
296 07-04-2019 021103010419Y000168 0002036587893 rAYMOND NATHANAEL L PNS PUSAT Acute upper respiratory Berobat Jalan
HARIANJA infection, unspecified
297 06-04-2019 021103010419Y000175 0000013532308 MAWARDY PANGGABEAN L PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
298 06-04-2019 021103010419Y000174 0000013532319 SITI JAMILAH SIHOMBING P PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
299 06-04-2019 021103010419Y000176 0001492536936 RUSNIA ARITONANG L PBI (APBD) Dyspepsia Berobat Jalan

300 06-04-2019 021103010419P000022 0002421166511 HEHE IDAMA SIAGIAN P PEKERJA MANDIRI Gastro-oesophageal reflux Rujuk Lanjut
disease
301 05-04-2019 021103010419Y000171 0000013483563 NURPAIDA HUTABARAT P PENERIMA PENSIUN Headache Berobat Jalan
PNS
302 05-04-2019 021103010419Y000021 0000013501776 SURTI HUTABARAT P PENERIMA PENSIUN Other appendicitis Rujuk Lanjut
PNS
303 05-04-2019 021103010419Y000172 0000013517223 Mayam dONGORAN P PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
304 05-04-2019 021103010419Y000173 0000013630432 ROSINTA NAPITUPULU P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
305 05-04-2019 021103010419P000020 0000976628463 SURYADI S. L PNS PUSAT Other specified chronic Rujuk Lanjut
obstructive pulmonary

306 05-04-2019 021103010419Y000169 0001813899216 ASNI TAMBUNAN P PEKERJA MANDIRI Dyspepsia Berobat Jalan

307 05-04-2019 021103010419Y000170 0002614730927 YULI SARTIKA HARAHAP P PEKERJA MANDIRI Hypotension Berobat Jalan

308 04-04-2019 021103010419Y000179 0000007394117 HERRY DIANA BR SITOMPUL P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
309 04-04-2019 021103010419P000016 0000013349417 MARITA PASARIBU P PNS DAERAH Other specified headache Rujuk Lanjut
syndromes
310 04-04-2019 021103010419P000018 0000013391897 FLORA HUTABARAT P PENERIMA PENSIUN Chronic kidney disease Rujuk Lanjut
PNS
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

311 04-04-2019 021103010419P000019 0000013396825 DINA ARITONANG P PNS DAERAH Degenerative myopia Rujuk Lanjut

312 04-04-2019 021103010419P000017 0000013406679 RADEN TAGOR SIANTURI L PNS DAERAH Congestive heart failure Rujuk Lanjut

313 04-04-2019 021103010419P000015 0000013418763 FITRI ANNI GULTOM P PEKERJA MANDIRI Otitis media, unspecified Rujuk Lanjut

314 04-04-2019 021103010419Y000185 0000013582653 IDA ROYANI GULTOM P PNS DAERAH Idiopathic gout Berobat Jalan

315 04-04-2019 021103010419Y000181 0000235212579 NURSALAM NAINGGOLAN P PBI (APBN) Myalgia Berobat Jalan

316 04-04-2019 021103010419Y000187 0000235468089 HOTMAN PARLINDUNGAN G L PBI (APBN) Fever, unspecified Berobat Jalan

317 04-04-2019 021103010419Y000184 0001247234545 BASARIA FITRI SIANTURI P PEKERJA MANDIRI Headache Berobat Jalan

318 04-04-2019 021103010419Y000183 0001397352115 JUNELITE ZALUKHU P PBI (APBD) Myalgia Berobat Jalan

319 04-04-2019 021103010419Y000180 0002074526289 PARLAUNGAN SINAGA L PEKERJA MANDIRI Dyspepsia Berobat Jalan

320 04-04-2019 021103010419Y000182 0002215294389 ROHIMA TOBING P PEKERJA MANDIRI Dyspepsia Berobat Jalan

321 04-04-2019 021103010419Y000186 0002629275298 ASNA HARIANJA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
322 04-04-2019 021103010419Y000177 0002746269731 TAMBUN SITOMPUL L PEKERJA MANDIRI Arthrosis, unspecified Berobat Jalan

323 04-04-2019 021103010419Y000178 0002746269977 DERITA SIANIPAR P PEKERJA MANDIRI Dyspepsia Berobat Jalan

324 03-04-2019 021103010419Y000204 0000013580954 MAURINTA PAKPAHAN P PNS DAERAH Dyspepsia Berobat Jalan

325 03-04-2019 021103010419P000291 0000234507789 DANRO S. SIMANJUNTAK L PBI (APBN) Dyspepsia Berobat Jalan

326 03-04-2019 021103010419Y000193 0000982963787 DESY TAMBUNAN P PBI (APBN) Dyspepsia Berobat Jalan

327 03-04-2019 021103010419Y000197 0000982964474 EMME SIANTURI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
328 03-04-2019 021103010419Y000201 0001242124391 Desmi Harianja L PBI (APBD) Idiopathic gout Berobat Jalan

329 03-04-2019 021103010419Y000199 0001839109487 tiarma aritonang P PEKERJA MANDIRI Fever, unspecified Berobat Jalan

330 03-04-2019 021103010419Y000189 0002473324773 DEBORA GULTOM P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by culture only
331 02-04-2019 021103010419P000011 0000013352534 RATNA GULTOM P PNS DAERAH Degenerative myopia Rujuk Lanjut

332 02-04-2019 021103010419Y000221 0000013489402 JAWAREN TAMPUBOLON L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
333 02-04-2019 021103010419Y000219 0000013517223 Mayam dONGORAN P PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
334 02-04-2019 021103010419Y000214 0000198488733 TOGIHON SITOMPUL L PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
335 02-04-2019 021103010419P000228 0000234492208 PASMADAN HARAHAP L PBI (APBN) Dyspepsia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

336 02-04-2019 021103010419Y000217 0000234667877 SAUDAGAR PASARIBU L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
337 02-04-2019 021103010419P000013 0000235073619 TOHO PARULIAN SIREGAR L PBI (APBN) Secondary hypertension Rujuk Lanjut

338 02-04-2019 021103010419P000012 0000235208801 AMINAH GULTOM P PBI (APBN) Other chronic obstructive Rujuk Lanjut
pulmonary disease
339 02-04-2019 021103010419Y000215 0000235212579 NURSALAM NAINGGOLAN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
340 02-04-2019 021103010419Y000208 0000235441991 PARTAHI HALOMOAN L PBI (APBN) Idiopathic gout Berobat Jalan
SIMATUPANG
341 02-04-2019 021103010419Y000212 0000235453713 TIANUR ARITONANG P PBI (APBN) Idiopathic gout Berobat Jalan

342 02-04-2019 021103010419Y000207 0000235720596 SOLO GULTOM L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
343 02-04-2019 021103010419Y000213 0000235826021 MARALAN GULTOM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
344 02-04-2019 021103010419Y000222 0000235939296 TORANG SILITONGA L PBI (APBN) Other specified dermatitis Berobat Jalan

345 02-04-2019 021103010419Y000216 0000236286145 RUKINI SITOMPUL P PBI (APBN) Vertigo of central origin Berobat Jalan

346 02-04-2019 021103010419Y000209 0000982965453 ISMAIL GULTOM L PBI (APBN) Acute amoebic dysentery Berobat Jalan

347 02-04-2019 021103010419Y000220 0000982966634 PITTA NAINGGOLAN P PBI (APBN) Dyspepsia Berobat Jalan

348 02-04-2019 021103010419P000014 0001491523828 RUBAYA SIMORANGKIR L PBI (APBD) Senile cataract Rujuk Lanjut

349 02-04-2019 021103010419Y000210 0001493458784 Lamsa Tampubolon P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
350 02-04-2019 021103010419Y000205 0002066873668 ARDEN PABEL GULTOM L PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

351 02-04-2019 021103010419Y000218 0002145215709 ANTUR SIMANUNGKALIT L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
352 02-04-2019 021103010419Y000223 0002310724045 ARISTON TAMPUBOLON L PEKERJA MANDIRI Other chronic obstructive Berobat Jalan
pulmonary disease
353 02-04-2019 021103010419Y000206 0002485877231 GITA NURSIA GULTOM P PEGAWAI SWASTA Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

354 01-04-2019 021103010419P000009 0000013361038 PITTA ULI SITOHANG P PNS DAERAH Degenerative myopia Rujuk Lanjut

355 01-04-2019 021103010419P000008 0000013419966 ROSDEWI RITONGA P PNS PUSAT Tuberculosis of lung, Rujuk Lanjut
confirmed by culture only
356 01-04-2019 021103010419P000001 0000013532635 ROPINUS PASARIBU L PENERIMA PENSIUN Dyspepsia Rujuk Lanjut
PNS
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : SIBOLGA - 0204

FKTP : SARULLA - 02110301

357 01-04-2019 021103010419Y000126 0000013532804 TONGAM SIBURIAN L PENERIMA PENSIUN Acute upper respiratory Berobat Jalan
PNS infection, unspecified
358 01-04-2019 021103010419Y000127 0000013568005 DELIMA SIMARANGKIR P PNS DAERAH Acute upper respiratory Berobat Jalan
infection, unspecified
359 01-04-2019 021103010419Y000124 0000049273514 ST MARTHA SIMANJUNTAK P PENERIMA PENSIUN Other specified dermatitis Berobat Jalan
PNS
360 01-04-2019 021103010419P000007 0000235260977 HASIHOLAN HUTABARAT L PBI (APBN) Inguinal hernia Rujuk Lanjut

361 01-04-2019 021103010419P000005 0000235539775 DIANA PARDEDE P PBI (APBN) Cataract and other Rujuk Lanjut
disorders of lens in
diseases classified

362 01-04-2019 021103010419Y000122 0000235741678 MOINA TAMBUNAN P PBI (APBN) Hypotension Berobat Jalan

363 01-04-2019 021103010419Y000125 0001079748371 HINSA PAKPAHAN L PNS DAERAH Idiopathic gout Berobat Jalan

364 01-04-2019 021103010419Y000123 0001491523795 RAHUL SIANTURI P PBI (APBD) Other specified dermatitis Berobat Jalan

365 01-04-2019 021103010419P000010 0001878099502 srilenti tambunan P PEKERJA MANDIRI Maternal care for Rujuk Lanjut
disproportion due to
generally contracted pelvis

366 01-04-2019 021103010419P000002 0002200346695 JASUMIHAR SITOMPUL L PEKERJA MANDIRI Melaena Rujuk Lanjut

367 01-04-2019 021103010419P000003 0002431679376 RISMA MANALU P PBI (APBD) Gastric ulcer Rujuk Lanjut

368 01-04-2019 021103010419P000006 0002433962463 EDWART REYNALDY L PEKERJA MANDIRI Epilepsy Rujuk Lanjut
LUMBANTOBING
369 01-04-2019 021103010419P000004 0002468768681 GEBY SABELLA MARIANA P PEKERJA MANDIRI Nephrotic syndrome, Rujuk Lanjut
HUTAGALUNG unspecified