Kantor Cabang: BANJARMASIN - 1701 FKTP: Kertak Hanyar - 17040601

Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601

NO TANGGAL NO KUNJUNGAN NO KARTU
1 31-01-2018 170406010118Y000507 0000122620127
2 31-01-2018 170406010118Y000509 0000122805314
3 31-01-2018 170406010118Y000502 0000123029032
4 31-01-2018 170406010118Y000519 0000123115105
5 31-01-2018 170406010118Y000504 0000123815171
6 31-01-2018 170406010118Y000505 0000123815182
7 31-01-2018 170406010118Y000512 0000889790826
8 31-01-2018 170406010118Y000508 0000890313906
9 31-01-2018 170406010118Y000514 0000890539097
10 31-01-2018 170406010118Y000513 0000890872716
11 31-01-2018 170406010118Y000518 0001267501601
12 31-01-2018 170406010118Y000506 0001303168735
13 31-01-2018 170406010118Y000515 0001316257479
14 31-01-2018 170406010118Y000503 0002209303541
15 31-01-2018 170406010118Y000517 0002235454154
16 31-01-2018 170406010118Y000511 0002299104832
17 31-01-2018 170406010118Y000516 0002316573358
18 31-01-2018 170406010118Y000510 0002322240895
19 30-01-2018 170406010118Y000495 0000119008102
20 30-01-2018 170406010118Y000498 0000122621051
21 30-01-2018 170406010118Y000496 0000122685467

NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
HARTINAH P PNS DAERAH Essential (primary) hypertension
AGUS PRIBADI L PNS DAERAH Hyperplasia of prostate
AHMADI L PNS DAERAH End-stage renal disease
BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Essential (primary) hypertension
MUHAMMAD RAMLAN L PENERIMA PENSIUN PNS Disorders of refraction and

accommodation
NOPARISA P PENERIMA PENSIUN PNS Disorders of refraction and
accommodation
MUHAMMAD HENDRI SAPUTRA L PBI (APBN) Fever of other and unknown origin
SYARNIAH P PBI (APBN) Gout
SAHWATI P PBI (APBN) Unknown and unspecified causes

of morbidity
NOORJANAH P PBI (APBN) End-stage renal disease
ASRANI L PEKERJA MANDIRI Other acute gastritis
MUCH SYUKUR L PEKERJA MANDIRI Otalgia and effusion of ear
ANTUNG SADARIAH P PEKERJA MANDIRI Stroke, not specified as

haemorrhage or infarction
ZAKARIYA S L PEKERJA MANDIRI Malaise and fatigue
BARKIAH P PNS DAERAH Essential (primary) hypertension
FATIMAH P PEKERJA MANDIRI Essential (primary) hypertension
SRI YANTO L PEKERJA MANDIRI Dyspepsia
ABDUL GANI L PEKERJA MANDIRI Essential (primary) hypertension
AKHMAD SUJALI L PNS DAERAH Lumbar and other intervertebral

disc disorders with
JAMILAH P PNS DAERAH Cough
AFWAH P PNS PUSAT Allergic contact dermatitis

DIRUJUK
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
22 30-01-2018 170406010118Y000489 0000122707001
23 30-01-2018 170406010118Y000483 0000122845263
24 30-01-2018 170406010118Y000497 0000166492383
25 30-01-2018 170406010118Y000482 0000889424414
26 30-01-2018 170406010118Y000494 0000889706215
27 30-01-2018 170406010118Y000501 0000889706283
28 30-01-2018 170406010118Y000500 0000890002124
29 30-01-2018 170406010118Y000490 0000890002124
30 30-01-2018 170406010118Y000492 0000890219237
31 30-01-2018 170406010118Y000493 0000890313906
32 30-01-2018 170406010118Y000491 0000890787159
33 30-01-2018 170406010118Y000485 0001302569829
34 30-01-2018 170406010118Y000486 0001306752142
35 30-01-2018 170406010118Y000484 0001465179524
36 30-01-2018 170406010118Y000556 0001827796612
37 30-01-2018 170406010118Y000499 0001866745192
38 30-01-2018 170406010118Y000487 0002219622827
39 30-01-2018 170406010118Y000488 0002304844108
40 29-01-2018 170406010118Y000461 0000122622085
41 29-01-2018 170406010118Y000474 0000122654801
42 29-01-2018 170406010118Y000475 0000123583307

SITI FARIDAH, HJ P PENERIMA PENSIUN TNI Primary gonarthrosis, bilateral
BASRI, S.PD L PNS DAERAH Hypertensive heart disease
AISYAH P PENERIMA PENSIUN TNI Gastritis and duodenitis
SAWIYAH P PBI (APBN) Essential (primary) hypertension
RATIH P PBI (APBN) Varicella [chickenpox]
RISNAWATI P PBI (APBN) Contraceptive management,

unspecified
GUSNAWATI P PBI (APBN) Antenatal screening, unspecified
GUSNAWATI P PBI (APBN) Motorcycle rider injured in collision

with pedestrian or
HAMDAH P PBI (APBN) Cough
SYARNIAH P PBI (APBN) Hypertensive heart disease
RAMLI L PBI (APBN) Essential (primary) hypertension
MANSYAH L PEKERJA MANDIRI Sequelae of cerebral infarction
MAHRITA P PEKERJA MANDIRI Sequelae of cerebral infarction
AMIR L PEKERJA MANDIRI Acute upper respiratory infections

of multiple and
SUCI NURHIDAYATI P PEGAWAI SWASTA Contraceptive management,

unspecified
AIDI SUKIDI L PENERIMA PENSIUN SWASTA Necrosis of pulp
SURIANSYAH L PEKERJA MANDIRI Heart failure, unspecified
SITI RAHMAH P PEKERJA MANDIRI Allergic contact dermatitis due to

metals
MUHAMMAD TAAT NOOR L PNS DAERAH Hypertensive heart disease
ERNAWATI P PENERIMA PENSIUN PNS Cough
RITTA CHAIRIAH P PENERIMA PENSIUN PNS Gastritis, unspecified

Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
43 29-01-2018 170406010118Y000467 0000123807025
44 29-01-2018 170406010118Y000551 0000889364597
45 29-01-2018 170406010118Y000465 0000889446003
46 29-01-2018 170406010118Y000466 0000889477964
47 29-01-2018 170406010118Y000473 0000889728996
48 29-01-2018 170406010118Y000469 0000889956854
49 29-01-2018 170406010118Y000471 0000890001088
50 29-01-2018 170406010118Y000549 0000890505191
51 29-01-2018 170406010118Y000476 0000890505461
52 29-01-2018 170406010118Y000462 0000890532933
53 29-01-2018 170406010118Y000553 0000891634634
54 29-01-2018 170406010118Y000463 0001065501459
55 29-01-2018 170406010118Y000464 0001313876002
56 29-01-2018 170406010118Y000472 0001794111851
57 29-01-2018 170406010118Y000552 0001827796612
58 29-01-2018 170406010118Y000468 0001828932243
59 29-01-2018 170406010118Y000470 0001878842136
60 29-01-2018 170406010118Y000550 0002198449855
61 28-01-2018 170406010118Y000558 0000890002124
62 27-01-2018 170406010118Y000535 0000122654801
63 27-01-2018 170406010118Y000536 0000122695571
64 27-01-2018 170406010118Y000537 0000122718824

MUHAMMAD HUSNI L PENERIMA PENSIUN PNS Cutaneous abscess, furuncle and
carbuncle
MARDIKAYAH P PBI (APBN) Dyspepsia
AGUSTINA P PBI (APBN) Gastritis, unspecified
RUBIAH P PBI (APBN) Cough
MUHAMMAD RIDHA L PBI (APBN) Cough
BAHRUL BASRI L PBI (APBN) Idiopathic gout
MUHAMMAD MAULANA L PBI (APBN) Cough
RAUDAH P PBI (APBN) Fever of other and unknown origin
JAMILAH P PBI (APBN) Gastritis, unspecified
JAM'AN L PBI (APBN) Undifferentiated schizophrenia
BASTIAH P PBI (APBN) Antenatal screening, unspecified
NAPIYAH L PBI (APBN) Senile cataract, unspecified
MUKHTAR L PEKERJA MANDIRI Hyperplasia of prostate
NOOR AIDA P PEKERJA MANDIRI Gastritis and duodenitis
SUCI NURHIDAYATI P PEGAWAI SWASTA Antenatal screening, unspecified
SANIAH P PEKERJA MANDIRI Influenza with pneumonia,

influenza virus identified
LIA NOOR RAHMAN P PEGAWAI SWASTA Diarrhoea and gastroenteritis of

presumed infectious origin
aminah P PEKERJA MANDIRI Essential (primary) hypertension
GUSNAWATI P PBI (APBN) Contraceptive management,

unspecified
ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure
ERNI RAHMI P PNS DAERAH Examination of blood pressure
DEWI ESTIKA SARI P PNS DAERAH Examination of blood pressure

Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
65 27-01-2018 170406010118Y000538 0000122718971
66 27-01-2018 170406010118Y000534 0000122718982
67 27-01-2018 170406010118Y000539 0000122718993
68 27-01-2018 170406010118Y000540 0000122719026
69 27-01-2018 170406010118Y000541 0000122719037
70 27-01-2018 170406010118Y000542 0000122719094
71 27-01-2018 170406010118Y000543 0000122719151
72 27-01-2018 170406010118Y000544 0000122719195
73 27-01-2018 170406010118Y000545 0000122719206
74 27-01-2018 170406010118Y000546 0000122719432
75 27-01-2018 170406010118Y000458 0000122728915
76 27-01-2018 170406010118Y000522 0000123115061
77 27-01-2018 170406010118Y000528 0000123587021
78 27-01-2018 170406010118Y000526 0000124080805
79 27-01-2018 170406010118Y000547 0000204782804
80 27-01-2018 170406010118Y000527 0000889702828
81 27-01-2018 170406010118Y000523 0000889905205
82 27-01-2018 170406010118Y000530 0000890450109
83 27-01-2018 170406010118Y000524 0000890561733

FARIDAWATY P PNS DAERAH Examination of blood pressure
FAULIAH P PNS DAERAH Examination of blood pressure
BURHANUDDIN L PNS DAERAH Examination of blood pressure
H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure
MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure
HERTATI P PNS DAERAH Examination of blood pressure
JOHNY RAMOON L PNS PUSAT Examination of blood pressure
MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure
NOOR ASLIANI P PNS DAERAH Examination of blood pressure
SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure
ASUN B L PENERIMA PENSIUN PNS Other specified disorders of

muscle, lower leg
ARBANI L PNS DAERAH Non-insulin-dependent diabetes
mellitus without
ITA AS P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus without
RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Tuberculosis of lung, confirmed by

sputum microscopy with or without
SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure
MIDAWATI P PBI (APBN) Allergic contact dermatitis
FARIDAH P PBI (APBN) Tuberculosis of lung, confirmed by

NOOR EFFENDI L PBI (APBN) Gastritis, unspecified
SURIADI L PBI (APBN) Spondylolysis

Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
84 27-01-2018 170406010118Y000525 0001065417333
85 27-01-2018 170406010118Y000548 0001266035848
86 27-01-2018 170406010118Y000533 0001441794846
87 27-01-2018 170406010118Y000529 0001786916439
88 27-01-2018 170406010118Y000531 0001790572871
89 27-01-2018 170406010118Y000459 0002195291417
90 27-01-2018 170406010118Y000521 0002209303541
91 27-01-2018 170406010118Y000520 0002215322638
92 27-01-2018 170406010118Y000460 0002219622827
93 27-01-2018 170406010118Y000532 0002308025171
94 26-01-2018 170406010118Y000415 0000123114969
95 26-01-2018 170406010118Y000416 0000123815182
96 26-01-2018 170406010118Y000420 0000158013213
97 26-01-2018 170406010118Y000412 0000889777067
98 26-01-2018 170406010118Y000423 0000890212026
99 26-01-2018 170406010118Y000421 0001267645329
100 26-01-2018 170406010118Y000417 0001828932243
101 26-01-2018 170406010118Y000418 0002065715267
102 26-01-2018 170406010118Y000419 0002065715616
103 26-01-2018 170406010118Y000422 0002229564835
104 26-01-2018 170406010118Y000413 0002281029063

SITI RAHMAH P PBI (APBN) Acute upper respiratory infection,
unspecified
MASTAYAH P PEKERJA MANDIRI Examination of blood pressure
ANNI NURHIDAYAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified
HALIDAH P PEKERJA MANDIRI Essential (primary) hypertension
ROHANI P PEKERJA MANDIRI Essential (primary) hypertension
MASKUPAH P PENERIMA PENSIUN PNS Other surgical follow-up care
ZAKARIYA S L PEKERJA MANDIRI Acute pharyngitis
BELA DWI KURNIANSYAH L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified
SURIANSYAH L PEKERJA MANDIRI Stroke, not specified as

THAIBAH P PEKERJA MANDIRI Headache
AINI P PNS DAERAH Essential (primary) hypertension
NOPARISA P PENERIMA PENSIUN PNS Insulin-dependent diabetes

mellitus with
M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Essential (primary) hypertension
HELMAN MAHMUDI L PBI (APBN) Motorcycle rider injured in collision

with pedestrian or animal,
passenger, nontraffic accident
SYARIFUDINOOR L PBI (APBN) Gastritis, unspecified
M. IRFAN MAULANA L PEKERJA MANDIRI Thalassaemia
SANIAH P PEKERJA MANDIRI Senile cataract
ABDURRAHIM L PEKERJA MANDIRI Essential (primary) hypertension
AFRIANI P PEKERJA MANDIRI Influenza due to other identified

influenza virus
YUSRAN L PEKERJA MANDIRI Hyperplasia of prostate
SITI HASANAH L PEKERJA MANDIRI Heart failure, unspecified

Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
105 26-01-2018 170406010118Y000414 0002282550704
106 26-01-2018 170406010118Y000424 0002304844108
107 25-01-2018 170406010118Y000402 0000122745982
108 25-01-2018 170406010118Y000401 0000889926276
109 25-01-2018 170406010118Y000410 0000891229678
110 25-01-2018 170406010118Y000403 0001078533707
111 25-01-2018 170406010118Y000408 0001173437425
112 25-01-2018 170406010118Y000405 0001262674675
113 25-01-2018 170406010118Y000409 0001264610643
114 25-01-2018 170406010118Y000406 0001540734772
115 25-01-2018 170406010118Y000407 0001837184545
116 25-01-2018 170406010118Y000400 0001974870775
117 25-01-2018 170406010118Y000411 0002275280256
118 24-01-2018 170406010118Y000383 0000196393419
119 24-01-2018 170406010118Y000394 0000889796878
120 24-01-2018 170406010118Y000387 0000889829098
121 24-01-2018 170406010118Y000391 0000890072965
122 24-01-2018 170406010118Y000386 0000890302116
123 24-01-2018 170406010118Y000385 0000890420049
124 24-01-2018 170406010118Y000392 0000890555253
125 24-01-2018 170406010118Y000388 0000890791738
126 24-01-2018 170406010118Y000382 0001065415555
127 24-01-2018 170406010118Y000396 0001065416422

MILIYANTI P PEKERJA MANDIRI Other acute gastritis
SITI RAHMAH P PEKERJA MANDIRI Haemangioma, any site
MARIANA P PENERIMA PENSIUN PNS Chronic apical periodontitis
ERNA P PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
RAYSA SULISTIYAWATI P PBI (APBN) Acute tonsillitis
DEWI MINA NORHIDAYAH P PENERIMA PENSIUN PNS Caries of dentine
HIKMAH P PEGAWAI SWASTA Acute suppurative otitis media
Muhammad YUSRIFANSYAH L PEKERJA MANDIRI Haemoptysis
MASRIADY L PEKERJA MANDIRI Undifferentiated schizophrenia
Wahyu Wijayanti P PEGAWAI SWASTA Other acute gastritis
aldi noor fahrezy L PEKERJA MANDIRI Dyspepsia
NASRULLAH L PBI (APBN) Undifferentiated schizophrenia
MAHFUZATUL YASMIN P PEKERJA MANDIRI Fever, unspecified
JACKY MANIHIN L PENERIMA PENSIUN POLRI Hyperplasia of prostate
MUHAMMAD NASIR L PBI (APBN) Pulpitis
ARSUNI L PBI (APBN) Hyperparathyroidism, unspecified
NOR ZAKIA RAHMA P PBI (APBN) Suppurative and unspecified otitis

media
MUHAMMAD AINI L PBI (APBN) Fracture of lower end of tibia,
closed
RUSIADI L PBI (APBN) Actinic keratosis
SUTIMAH P PBI (APBN) Essential (primary) hypertension
SALAMIAH P PBI (APBN) Gastritis, unspecified
RINA P PBI (APBN) Dyspepsia
JAMAIN L PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
128 24-01-2018 170406010118Y000393 0001065416488
129 24-01-2018 170406010118Y000395 0001065416499
130 24-01-2018 170406010118Y000380 0001274736947
131 24-01-2018 170406010118Y000384 0001318164388
132 24-01-2018 170406010118Y000381 0001461687039
133 24-01-2018 170406010118Y000389 0001867189779
134 24-01-2018 170406010118Y000390 0002290778302
135 23-01-2018 170406010118Y000363 0000122688617
136 23-01-2018 170406010118Y000374 0000123313206
137 23-01-2018 170406010118Y000365 0000196393419
138 23-01-2018 170406010118Y000375 0000204782804
139 23-01-2018 170406010118Y000367 0000889478583
140 23-01-2018 170406010118Y000366 0000889727804
141 23-01-2018 170406010118Y000368 0000889830369
142 23-01-2018 170406010118Y000373 0000889905205
143 23-01-2018 170406010118Y000372 0000889949823
144 23-01-2018 170406010118Y000376 0000890072559
145 23-01-2018 170406010118Y000371 0000890223941
146 23-01-2018 170406010118Y000457 0000890341863
147 23-01-2018 170406010118Y000377 0000890465016
148 23-01-2018 170406010118Y000378 0000890689746

WIDIA UTAMI P PBI (APBN) Caries of dentine
BAGUS SAPUTRA L PBI (APBN) Disturbances in tooth eruption
MISNAWATI P PEKERJA MANDIRI Hypotension, unspecified
TANKASIANI L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
MUHAMMAD MANSYAH L PEKERJA MANDIRI Idiopathic gout
halimatus sadiah P PEKERJA MANDIRI Other deforming dorsopathies
SELAMAT L PEKERJA MANDIRI Acute pharyngitis
JUNAIDI, DRS L PNS PUSAT Mixed anxiety and depressive

disorder
A ATHAILAH L PNS PUSAT Essential (primary) hypertension
JACKY MANIHIN L PENERIMA PENSIUN POLRI Cervicalgia
SITI PATIMAH P PENERIMA PENSIUN PNS Dyspepsia
DEWI MAHARANI P PBI (APBN) Acute pharyngitis
ABDURRAHMAN L PBI (APBN) Essential (primary) hypertension
KURSANI L PBI (APBN) Essential (primary) hypertension
FARIDAH P PBI (APBN) Respiratory tuberculosis,

bacteriologically and
NORMAYA P PBI (APBN) Epidemic vertigo
HASANAH P PBI (APBN) Gastritis, unspecified
PAHMALIANI P PBI (APBN) Acute upper respiratory infections

of multiple and
RENNY SETIA NINGSIH P PBI (APBN) Antenatal screening, unspecified
RUSMINAH P PBI (APBN) Essential (primary) hypertension
MUHAMMAD NABIL FUAD L PBI (APBN) Cough

Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
149 23-01-2018 170406010118Y000379 0000890761072
150 23-01-2018 170406010118Y000364 0001260971065
151 23-01-2018 170406010118Y000370 0002286853053
152 23-01-2018 170406010118Y000369 0002310424367
153 22-01-2018 170406010118Y000346 0000122706988
154 22-01-2018 170406010118Y000344 0000122707034
155 22-01-2018 170406010118Y000339 0000122733303
156 22-01-2018 170406010118Y000351 0000122739107
157 22-01-2018 170406010118Y000354 0000122757052
158 22-01-2018 170406010118Y000349 0000123359861
159 22-01-2018 170406010118Y000360 0000124080805
160 22-01-2018 170406010118Y000480 0000889676594
161 22-01-2018 170406010118Y000350 0000889693446
162 22-01-2018 170406010118Y000345 0000889926276
163 22-01-2018 170406010118Y000353 0000889956854
164 22-01-2018 170406010118Y000359 0000890448524
165 22-01-2018 170406010118Y000352 0000890655895
166 22-01-2018 170406010118Y000347 0000891218417
167 22-01-2018 170406010118Y000358 0000891604135
168 22-01-2018 170406010118Y000348 0000976815178
169 22-01-2018 170406010118Y000357 0001302082593

FATIMAH P PBI (APBN) Non-insulin-dependent diabetes
mellitus without
PUTRI TARUNA SYAIKA ANE REZKY P PEKERJA MANDIRI Thalassaemia
FATHAN GHAZI RAIHAN L PNS DAERAH Erb's paralysis due to birth injury
AIMAH P PEKERJA MANDIRI End-stage renal disease
KASPUL ANWAR, H L PENERIMA PENSIUN TNI Hyperplasia of prostate
M. MAKI L PENERIMA PENSIUN TNI Non-insulin-dependent diabetes

mellitus with
H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular

disease, so
SAHURA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus
ABDUL HADI L PENERIMA PENSIUN PNS Essential (primary) hypertension
RUSLI L PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with other specified
RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Respiratory tuberculosis,

ROSITA P PBI (APBN) Necrosis of pulp
MUHAMMAD KHAPI L PBI (APBN) Cough
ERNA P PBI (APBN) Haemoptysis
BAHRUL BASRI L PBI (APBN) Idiopathic gout
DIANA P PBI (APBN) Cough
M. RIZANI L PBI (APBN) Cutaneous abscess, furuncle and

carbuncle
TABRI L PBI (APBN) Gout
FEBRY YANSYAH EKA PUTRA L PBI (APBN) Allergic contact dermatitis
MUHAMMAD NOOR SYABANI L PNS PUSAT Stiffness of joint, not elsewhere

classified
ACHMAD EFFENDI L PEKERJA MANDIRI Gout
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
170 22-01-2018 170406010118Y000342 0001302083278
171 22-01-2018 170406010118Y000356 0001319216321
172 22-01-2018 170406010118Y000355 0001484006861
173 22-01-2018 170406010118Y000481 0001623245995
174 22-01-2018 170406010118Y000362 0001794270159
175 22-01-2018 170406010118Y000479 0001902576161
176 22-01-2018 170406010118Y000340 0002093457723
177 22-01-2018 170406010118Y000343 0002229564835
178 22-01-2018 170406010118Y000361 0002291496816
179 22-01-2018 170406010118Y000341 0002291502958
180 20-01-2018 170406010118Y000442 0000122654801
181 20-01-2018 170406010118Y000443 0000122717766
182 20-01-2018 170406010118Y000444 0000122718791
183 20-01-2018 170406010118Y000445 0000122718824
184 20-01-2018 170406010118Y000446 0000122718971
185 20-01-2018 170406010118Y000447 0000122718982
186 20-01-2018 170406010118Y000448 0000122718993
187 20-01-2018 170406010118Y000449 0000122719026
188 20-01-2018 170406010118Y000450 0000122719037
189 20-01-2018 170406010118Y000451 0000122719094
190 20-01-2018 170406010118Y000452 0000122719151

NURLIANA P PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with
SITI MARIAM P PEKERJA MANDIRI Gout
NOOR JUBAIDAH A.A P PEKERJA MANDIRI Gout
SAIDAH P PEGAWAI SWASTA Necrosis of pulp
MUHAMMAD MUTTAQIN L PEGAWAI SWASTA Necrosis of pulp
RINI ANDRIATI P PEKERJA MANDIRI Necrosis of pulp
HARI LISWATI P PEKERJA MANDIRI Insulin-dependent diabetes

mellitus with peripheral circulatory
YUSRAN L PEKERJA MANDIRI Hyperplasia of prostate
MOLIYONO L PEKERJA MANDIRI Haemorrhoids
ALISHA HANAYYA P PEKERJA MANDIRI Erb's paralysis due to birth injury
ADTRI KORNIATI P PNS DAERAH Examination of blood pressure
DENI ELFENI P PNS DAERAH Examination of blood pressure
FAULIAH P PNS DAERAH Examination of blood pressure

Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
191 20-01-2018 170406010118Y000453 0000122719195
192 20-01-2018 170406010118Y000454 0000122719206
193 20-01-2018 170406010118Y000455 0000122719432
194 20-01-2018 170406010118Y000334 0000124003618
195 20-01-2018 170406010118Y000337 0000124507877
196 20-01-2018 170406010118Y000456 0000204782804
197 20-01-2018 170406010118Y000333 0000889951116
198 20-01-2018 170406010118Y000399 0000890712426
199 20-01-2018 170406010118Y000398 0000891384142
200 20-01-2018 170406010118Y000338 0001307796309
201 20-01-2018 170406010118Y000336 0001545837996
202 20-01-2018 170406010118Y000478 0001797527327
203 20-01-2018 170406010118Y000335 0001883400502
204 20-01-2018 170406010118Y000397 0002215322638
205 19-01-2018 170406010118Y000329 0000119008102
206 19-01-2018 170406010118Y000332 0000122653631
207 19-01-2018 170406010118Y000330 0000123807036
208 19-01-2018 170406010118Y000331 0000889826837
209 19-01-2018 170406010118Y000327 0001796551615
210 19-01-2018 170406010118Y000328 0001825643171

MUNIROH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with
SITI AISYAH P PENERIMA PENSIUN PNS Primary gonarthrosis, bilateral
SITI AISYAH P PBI (APBN) Thyrotoxicosis [hyperthyroidism]
JUMSIAH P PBI (APBN) Tuberculosis of lung, confirmed by

unspecified
RATMINI P PBI (APBN) Tuberculosis of lung, confirmed by

ARBAYAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified
HELDAYATI P PEGAWAI SWASTA Caries of dentine
SITI FATIMAH P PEGAWAI PEMERINTAH Other and unspecified diseases of

DENGAN PERJANJIAN pulp and
ROHANI P PEKERJA MANDIRI Essential (primary) hypertension

unspecified
AKHMAD SUJALI L PNS DAERAH Low back pain
SANIAH H KACIL P PNS PUSAT Gastritis and duodenitis
NORMI ULFAH P PENERIMA PENSIUN PNS Gout
HASANAH P PBI (APBN) Acute pharyngitis
SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp
MUCHRI DAHLAN L PEKERJA MANDIRI Senile cataract, unspecified

Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
211 18-01-2018 170406010118Y000299 0000117843445
212 18-01-2018 170406010118Y000286 0000124507877
213 18-01-2018 170406010118Y000294 0000202899407
214 18-01-2018 170406010118Y000284 0000889777383
215 18-01-2018 170406010118Y000287 0000889993809
216 18-01-2018 170406010118Y000310 0000890042782
217 18-01-2018 170406010118Y000295 0000890212026
218 18-01-2018 170406010118Y000309 0000890310778
219 18-01-2018 170406010118Y000292 0000890340614
220 18-01-2018 170406010118Y000297 0000890630695
221 18-01-2018 170406010118Y000555 0000890728839
222 18-01-2018 170406010118Y000289 0000890811167
223 18-01-2018 170406010118Y000293 0000891669756
224 18-01-2018 170406010118Y000285 0000975900565
225 18-01-2018 170406010118Y000477 0000978029818
226 18-01-2018 170406010118Y000291 0001065416477
227 18-01-2018 170406010118Y000288 0001442907821
228 18-01-2018 170406010118Y000301 0001810491085
229 18-01-2018 170406010118Y000300 0002263639689
230 18-01-2018 170406010118Y000296 0002277325754
231 18-01-2018 170406010118Y000308 0002297436118
232 18-01-2018 170406010118Y000290 0002304844108

M. YAKUB L PENERIMA PENSIUN PNS Malaise and fatigue
SITI AISYAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with
SITI BARKIS P PENERIMA PENSIUN PNS Dyspepsia
SITI AISAH P PBI (APBN) Hyperparathyroidism, unspecified
ROHANA P PBI (APBN) Headache
HUSNA P PBI (APBN) Contraceptive management,

unspecified
SYARIFUDINOOR L PBI (APBN) Other acute gastritis
RUSMIATI P PBI (APBN) Contraceptive management,

unspecified
redho setiawan L PBI (APBN) Undifferentiated schizophrenia
MISLIWATI P PBI (APBN) Essential (primary) hypertension
NORIDAH P PBI (APBN) Contraceptive management,

unspecified
DIANA P PBI (APBN) Conjunctivitis
NAJWA FADHILA P PBI (APBN) Dyspepsia
FATHUL JANNAH P PENERIMA PENSIUN TNI Moderate depressive episode
RUSMIATI P PENERIMA PENSIUN PNS Necrosis of pulp
ANITA WAHDAH P PBI (APBN) Stroke, not specified as

HUSAINI L PEKERJA MANDIRI Heart failure, unspecified
MURSILAH P PEKERJA MANDIRI Other acute gastritis
HAMDANI L PEKERJA MANDIRI Acute pharyngitis
HADERI L PEKERJA MANDIRI Fever of other and unknown origin
ainah L PEKERJA MANDIRI Contraceptive management,

unspecified
SITI RAHMAH P PEKERJA MANDIRI Haemangioma, any site
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
233 18-01-2018 170406010118Y000298 0002311636678
234 17-01-2018 170406010118Y000275 0000122674342
235 17-01-2018 170406010118Y000269 0000123029032
236 17-01-2018 170406010118Y000279 0000123203169
237 17-01-2018 170406010118Y000302 0000123583307
238 17-01-2018 170406010118Y000283 0000123583307
239 17-01-2018 170406010118Y000281 0000158013213
240 17-01-2018 170406010118Y000270 0000167340341
241 17-01-2018 170406010118Y000280 0000202900915
242 17-01-2018 170406010118Y000271 0000889477964
243 17-01-2018 170406010118Y000304 0000889678844
244 17-01-2018 170406010118Y000277 0000889947977
245 17-01-2018 170406010118Y000305 0000890750891
246 17-01-2018 170406010118Y000282 0000890784088
247 17-01-2018 170406010118Y000276 0000890791738
248 17-01-2018 170406010118Y000440 0000978029818
249 17-01-2018 170406010118Y000441 0001065416488
250 17-01-2018 170406010118Y000273 0001266044051
251 17-01-2018 170406010118Y000272 0001271566315
252 17-01-2018 170406010118Y000274 0001879562327
253 17-01-2018 170406010118Y000278 0002062940793
254 17-01-2018 170406010118Y000303 0002100012579

ANDITA AZMI DZAKIYAH RAYYA DEI P PEKERJA MANDIRI Cough
DIDJAH P VETERAN Cough
AHMADI L PNS DAERAH Senile cataract
PARANSI L PNS DAERAH Non-insulin-dependent diabetes

mellitus without
RITTA CHAIRIAH P PENERIMA PENSIUN PNS Other and unspecified diseases of

pulp and
RITTA CHAIRIAH P PENERIMA PENSIUN PNS Gastritis, unspecified
M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Essential (primary) hypertension
SANIAH P PENERIMA PENSIUN PNS Hypertensive heart disease
SUKARSIH P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
RUBIAH P PBI (APBN) Disorders of refraction and

accommodation
NUR KHALISA P PBI (APBN) Antenatal screening, unspecified
NAPSIAH P PBI (APBN) Influenza due to other identified

influenza virus
FITRI P PBI (APBN) Antenatal screening, unspecified
MASYURAH P PBI (APBN) Acute pharyngitis, unspecified
SALAMIAH P PBI (APBN) Non-insulin-dependent diabetes

mellitus
RUSMIATI P PENERIMA PENSIUN PNS Chronic periodontitis
WIDIA UTAMI P PBI (APBN) Pulpitis
RAHMANI L PBI (APBD) Heart failure, unspecified
NURUL JANNAH P PEKERJA MANDIRI Dyspepsia
jubaidah P PEKERJA MANDIRI Allergic contact dermatitis
NORHAYATI P PEKERJA MANDIRI Essential (primary) hypertension
UMI SALAMAH P PEGAWAI SWASTA Dental caries, unspecified

Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
255 17-01-2018 170406010118Y000306 0002300146198
256 17-01-2018 170406010118Y000307 0002304843478
257 16-01-2018 170406010118Y000238 0000122707135
258 16-01-2018 170406010118Y000228 0000123582879
259 16-01-2018 170406010118Y000230 0000889759631
260 16-01-2018 170406010118Y000237 0000889963389
261 16-01-2018 170406010118Y000232 0000890000919
262 16-01-2018 170406010118Y000242 0000890302116
263 16-01-2018 170406010118Y000247 0000890314064
264 16-01-2018 170406010118Y000239 0000890494536
265 16-01-2018 170406010118Y000248 0000890681038
266 16-01-2018 170406010118Y000250 0000890836435
267 16-01-2018 170406010118Y000243 0001264049471
268 16-01-2018 170406010118Y000231 0001279182374
269 16-01-2018 170406010118Y000240 0001298136442
270 16-01-2018 170406010118Y000234 0001381991128
271 16-01-2018 170406010118Y000236 0001424633861
272 16-01-2018 170406010118Y000245 0001484006861
273 16-01-2018 170406010118Y000439 0001788507088
274 16-01-2018 170406010118Y000438 0001788507279
275 16-01-2018 170406010118Y000246 0001796551615
276 16-01-2018 170406010118Y000233 0002122995172
277 16-01-2018 170406010118Y000235 0002198613418

RINI P PEKERJA MANDIRI Contraceptive management,
unspecified
DEWI KARMILAWATI P PEKERJA MANDIRI Contraceptive management,
unspecified
SITI FATIMAH P PENERIMA PENSIUN TNI Stroke, not specified as
ARMAT BASRI L PENERIMA PENSIUN PNS Essential (primary) hypertension
JASMANI L PBI (APBN) Undifferentiated schizophrenia
ANITA P PBI (APBN) Haemorrhoids
RUSMAWATY P PBI (APBN) Rheumatism, unspecified
MUHAMMAD AINI L PBI (APBN) Anogenital herpesviral [herpes

simplex] infection
SAPRANI L PBI (APBN) Essential (primary) hypertension
FADILLAH L PBI (APBN) Conjunctivitis
BAHJAH P PBI (APBN) Essential (primary) hypertension
RUSMAWATI P PBI (APBN) Essential (primary) hypertension
RUSINAH P PEKERJA MANDIRI Essential (primary) hypertension
AHMAD SYAIPUDIN L PEKERJA MANDIRI Epilepsy
ABU BAKAR L PEKERJA MANDIRI Haemoptysis
ABDUL HADI L PEKERJA MANDIRI Low back pain
husnah P PEKERJA MANDIRI Atherosclerotic cardiovascular

disease, so
NOOR JUBAIDAH A.A P PEKERJA MANDIRI Gout
HINDUN DIANA P PEKERJA MANDIRI Pulpitis
WIDYA P PEKERJA MANDIRI Arrested dental caries
SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp
MUHAMMAD ARPANI L PBI (APBN) Unspecified renal colic
RAHMA WATI P PEKERJA MANDIRI Acute upper respiratory infections

of multiple and
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
278 16-01-2018 170406010118Y000249 0002207538909
279 16-01-2018 170406010118Y000244 0002263699708
280 16-01-2018 170406010118Y000229 0002308001635
281 16-01-2018 170406010118Y000241 0002322526239
282 15-01-2018 170406010118Y000203 0000122707001
283 15-01-2018 170406010118Y000218 0000122707045
284 15-01-2018 170406010118Y000198 0000122756714
285 15-01-2018 170406010118Y000207 0000123414827
286 15-01-2018 170406010118Y000208 0000889424414
287 15-01-2018 170406010118Y000219 0000889727804
288 15-01-2018 170406010118Y000204 0000889764759
289 15-01-2018 170406010118Y000251 0000889769823
290 15-01-2018 170406010118Y000205 0000889777383
291 15-01-2018 170406010118Y000216 0000889926276
292 15-01-2018 170406010118Y000437 0000889957427
293 15-01-2018 170406010118Y000215 0000890465016
294 15-01-2018 170406010118Y000211 0000891635995
295 15-01-2018 170406010118Y000221 0000976814976
296 15-01-2018 170406010118Y000436 0000978029818
297 15-01-2018 170406010118Y000200 0000978029818
298 15-01-2018 170406010118Y000226 0001065415511
299 15-01-2018 170406010118Y000209 0001079404659
300 15-01-2018 170406010118Y000217 0001266035848
301 15-01-2018 170406010118Y000214 0001302569829

MAULIDA SAFITRI P PEKERJA MANDIRI Necrosis of pulp
MUHAMMAD LUTHFI L PEKERJA MANDIRI Fever of other and unknown origin
muhammad ghani rais L PEKERJA MANDIRI Ventricular septal defect
AHMAD KHAIRULLAH L PEKERJA MANDIRI Conjunctivitis
SITI FARIDAH, HJ P PENERIMA PENSIUN TNI Primary gonarthrosis, bilateral
ROHANI P PENERIMA PENSIUN TNI Hyperlipidaemia, unspecified
ARKANI L PENERIMA PENSIUN PNS Parkinson's disease
HELDA HAYATI P PNS DAERAH Spondylolysis
SAWIYAH P PBI (APBN) Cough
ABDURRAHMAN L PBI (APBN) Asthma
ahmad saidi L PBI (APBN) Undifferentiated schizophrenia
SUMIATI P PBI (APBN) Antenatal screening, unspecified
SITI AISAH P PBI (APBN) Thyrotoxicosis [hyperthyroidism]
ERNA P PBI (APBN) Cough
SITI RABIAH P PBI (APBN) Chronic periodontitis
RUSMINAH P PBI (APBN) Cough
ASIAH P PBI (APBN) Essential (primary) hypertension
AHMAD DHIYAI SYABANI L PNS PUSAT Thalassaemia, unspecified
RUSMIATI P PENERIMA PENSIUN PNS Chronic periodontitis
RUSMIATI P PENERIMA PENSIUN PNS Gingivitis and periodontal diseases
PITRIADI L PBI (APBN) Dyspepsia
AHMAD SAYUTI L PNS DAERAH Headache
MASTAYAH P PEKERJA MANDIRI Dyspepsia
MANSYAH L PEKERJA MANDIRI Headache

Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
302 15-01-2018 170406010118Y000199 0001306752142
303 15-01-2018 170406010118Y000220 0001316879897
304 15-01-2018 170406010118Y000195 0001328026138
305 15-01-2018 170406010118Y000213 0001380784746
306 15-01-2018 170406010118Y000224 0001389446695
307 15-01-2018 170406010118Y000202 0001452452185
308 15-01-2018 170406010118Y000197 0001476737897
309 15-01-2018 170406010118Y000210 0001546182461
310 15-01-2018 170406010118Y000225 0001634500023
311 15-01-2018 170406010118Y000201 0001785680741
312 15-01-2018 170406010118Y000222 0001797527327
313 15-01-2018 170406010118Y000227 0001860287635
314 15-01-2018 170406010118Y000223 0001889939777
315 15-01-2018 170406010118Y000252 0002201121461
316 15-01-2018 170406010118Y000196 0002229571541
317 15-01-2018 170406010118Y000212 0002300145625
318 15-01-2018 170406010118Y000206 0002319736015
319 13-01-2018 170406010118Y000311 0000122357564
320 13-01-2018 170406010118Y000186 0000122451309
321 13-01-2018 170406010118Y000185 0000122451311
322 13-01-2018 170406010118Y000173 0000122598483
323 13-01-2018 170406010118Y000194 0000122608732

MAHRITA P PEKERJA MANDIRI Sequelae of cerebral infarction
KAMSIAH P PEKERJA MANDIRI Heart failure, unspecified
SALAMAH P PEKERJA MANDIRI Undifferentiated schizophrenia
RAWANSYAH L PEKERJA MANDIRI Constipation
ASMADI L PEKERJA MANDIRI Headache
AHMAD FADILLAH L PEKERJA MANDIRI Epilepsy, unspecified
HILMAH P PEKERJA MANDIRI Urethral stricture, unspecified
UMI SALAMAH P PEGAWAI SWASTA Cough
DESY YUSFITA RANI P PEGAWAI SWASTA Spondylolysis
MARIANAH P PEKERJA MANDIRI Nonorganic insomnia
SITI FATIMAH P PEGAWAI PEMERINTAH Caries of dentine

DENGAN PERJANJIAN
RUSGIATI P PEKERJA MANDIRI Essential (primary) hypertension
SAPIAH P PEKERJA MANDIRI Hypertensive heart disease without
NIKMAH P PEKERJA MANDIRI Contraceptive management,

unspecified
SITI SARAH P PEKERJA MANDIRI Stroke, not specified as
RONI AHMAD L PEKERJA MANDIRI Unilateral or unspecified inguinal
hernia, without
JAHRAH P PEKERJA MANDIRI Senile cataract, unspecified
ERLYNDA OCTAVERRA NOOR P PNS DAERAH Examination of blood pressure
AL-HAFIZ HASANUDDIN L PNS DAERAH Headache
HAFIZHATURRAHMAH P PNS DAERAH Dyspepsia
NOOR HASANAH P PENERIMA PENSIUN PNS End-stage renal disease
MUHAMMAD JAMAHSYARI L PNS PUSAT Asthma

Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
324 13-01-2018 170406010118Y000312 0000122654801
325 13-01-2018 170406010118Y000313 0000122695571
326 13-01-2018 170406010118Y000314 0000122717766
327 13-01-2018 170406010118Y000315 0000122718824
328 13-01-2018 170406010118Y000316 0000122718993
329 13-01-2018 170406010118Y000317 0000122719026
330 13-01-2018 170406010118Y000318 0000122719037
331 13-01-2018 170406010118Y000319 0000122719094
332 13-01-2018 170406010118Y000320 0000122719151
333 13-01-2018 170406010118Y000321 0000122719195
334 13-01-2018 170406010118Y000322 0000122719206
335 13-01-2018 170406010118Y000323 0000122719432
336 13-01-2018 170406010118Y000192 0000122756725
337 13-01-2018 170406010118Y000172 0000122757636
338 13-01-2018 170406010118Y000191 0000123587021
339 13-01-2018 170406010118Y000324 0000204782804
340 13-01-2018 170406010118Y000178 0000889400261
341 13-01-2018 170406010118Y000435 0000889763624
342 13-01-2018 170406010118Y000188 0000889956854
343 13-01-2018 170406010118Y000179 0000890313906

ERNI RAHMI P PNS DAERAH Examination of blood pressure
AS'ARI ISFANI L PENERIMA PENSIUN PNS Benign neoplasm of bladder
IMAS P PENERIMA PENSIUN PNS Senile cataract
ITA AS P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus
NORIFANSYAH L PBI (APBN) Benign lipomatous neoplasm
SETIA BUDI L PBI (APBN) Pulpitis
BAHRUL BASRI L PBI (APBN) Essential (primary) hypertension
SYARNIAH P PBI (APBN) Hypertensive heart disease without

Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
344 13-01-2018 170406010118Y000189 0000890804002
345 13-01-2018 170406010118Y000190 0000890811977
346 13-01-2018 170406010118Y000175 0000891177164
347 13-01-2018 170406010118Y000182 0000891218417
348 13-01-2018 170406010118Y000557 0000894976751
349 13-01-2018 170406010118Y000434 0001065414295
350 13-01-2018 170406010118Y000187 0001265556497
351 13-01-2018 170406010118Y000176 0001291826709
352 13-01-2018 170406010118Y000193 0001307281959
353 13-01-2018 170406010118Y000325 0001441794846
354 13-01-2018 170406010118Y000177 0001443525816
355 13-01-2018 170406010118Y000180 0001476737897
356 13-01-2018 170406010118Y000181 0001825102091
357 13-01-2018 170406010118Y000174 0001904156392
358 13-01-2018 170406010118Y000183 0002215322638
359 13-01-2018 170406010118Y000184 0002215322739
360 13-01-2018 170406010118Y000171 0002251652308
361 12-01-2018 170406010118Y000165 0000889364597
362 12-01-2018 170406010118Y000168 0000890448524
363 12-01-2018 170406010118Y000166 0000890784819

NORSEHAN P PBI (APBN) Other benign neoplasm of
connective and other soft tissue of
head, face and
MISBATUN NI'MAH P PBI (APBN) Dyspepsia
YULIANA P PBI (APBN) Other and unspecified ovarian

cysts
TABRI L PBI (APBN) Essential (primary) hypertension
PIAH P PBI (APBN) Contraceptive management,

unspecified
AHMAD FARID HIDAYAT L PBI (APBN) Necrosis of pulp
ISNAWATI P PEKERJA MANDIRI Allergic contact dermatitis
AHMAD ZAKI ILMI L PEKERJA MANDIRI Undifferentiated schizophrenia
jumberi L PEKERJA MANDIRI Acute upper respiratory infections

of multiple and
ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure
nurul ma rifah P PEKERJA MANDIRI Epilepsy, unspecified
HILMAH P PEKERJA MANDIRI Endometriosis, unspecified
RIKA SELVIA P PEGAWAI SWASTA Polyp of vagina
SALMAN L PEKERJA MANDIRI Heart failure, unspecified

ERDAWATI P PEKERJA MANDIRI Spondylolysis
RUSDIANSYAH L PEKERJA MANDIRI Vascular syndromes of brain in

cerebrovascular
MARDIKAYAH P PBI (APBN) Cough
MELATI INDAH MUSTIKA P PBI (APBN) Acute upper respiratory infection,

unspecified
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
364 12-01-2018 170406010118Y000167 0000890791738
365 12-01-2018 170406010118Y000170 0001065673618
366 12-01-2018 170406010118Y000169 0001451642679
367 11-01-2018 170406010118Y000163 0000123287253
368 11-01-2018 170406010118Y000155 0000123302812
369 11-01-2018 170406010118Y000152 0000889424414
370 11-01-2018 170406010118Y000154 0000889992764
371 11-01-2018 170406010118Y000164 0000890450109
372 11-01-2018 170406010118Y000160 0000890678632
373 11-01-2018 170406010118Y000151 0001065417333
374 11-01-2018 170406010118Y000150 0001142094598
375 11-01-2018 170406010118Y000156 0001318164388
376 11-01-2018 170406010118Y000157 0001319216321
377 11-01-2018 170406010118Y000161 0001320165718
378 11-01-2018 170406010118Y000431 0001424666294
379 11-01-2018 170406010118Y000162 0001794111851
380 11-01-2018 170406010118Y000432 0001794270159
381 11-01-2018 170406010118Y000433 0002207538909
382 11-01-2018 170406010118Y000153 0002283218717
383 11-01-2018 170406010118Y000159 0002304843478
384 11-01-2018 170406010118Y000158 0002310985901
385 10-01-2018 170406010118Y000136 0000123313689

SALAMIAH P PBI (APBN) Non-insulin-dependent diabetes
mellitus with
riska HASANAH P PBI (APBN) Acute tonsillitis
A. ARBANI L PEKERJA MANDIRI Senile cataract
MUDERAN L PENERIMA PENSIUN PNS Heart failure, unspecified
SUBONO L PENERIMA PENSIUN PNS Heart failure, unspecified
SAWIYAH P PBI (APBN) Essential (primary) hypertension
WAHIDAH P PBI (APBN) Dyspepsia
NOOR EFFENDI L PBI (APBN) Dyspepsia
WIWI ARIYANI P PBI (APBN) Dyspepsia
SITI RAHMAH P PBI (APBN) Other haemorrhage in early

pregnancy
SITI BULKIS P PEGAWAI SWASTA Corns and callosities
TANKASIANI L PEKERJA MANDIRI Headache
SITI MARIAM P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
MUHAMMAD NAAFI' AHMADI L PNS DAERAH Acute upper respiratory infection,

unspecified
FAJRI NANDA L PEKERJA MANDIRI Caries of dentine
NOOR AIDA P PEKERJA MANDIRI Acute haemorrhagic gastritis
DIAH DAYANTI P PEKERJA MANDIRI Other benign neoplasm of

connective and other soft
DEWI KARMILAWATI P PEKERJA MANDIRI Influenza, virus not identified
HENDRA L PEGAWAI SWASTA Dyskinetic cerebral palsy
ABDULLAHKARIM L PNS PUSAT Non-insulin-dependent diabetes

mellitus with
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
386 10-01-2018 170406010118Y000146 0000123583307
387 10-01-2018 170406010118Y000144 0000123612535
388 10-01-2018 170406010118Y000148 0000208087143
389 10-01-2018 170406010118Y000141 0000889971309
390 10-01-2018 170406010118Y000147 0000890683964
391 10-01-2018 170406010118Y000140 0000891052233
392 10-01-2018 170406010118Y000137 0000978029818
393 10-01-2018 170406010118Y000139 0001426235523
394 10-01-2018 170406010118Y000138 0001790572871
395 10-01-2018 170406010118Y000142 0001828932243
396 10-01-2018 170406010118Y000149 0001974854092
397 10-01-2018 170406010118Y000145 0002079692594
398 10-01-2018 170406010118Y000143 0002099487857
399 09-01-2018 170406010118Y000134 0000122756591
400 09-01-2018 170406010118Y000117 0000122756927
401 09-01-2018 170406010118Y000132 0000122805314
402 09-01-2018 170406010118Y000128 0000123186846
403 09-01-2018 170406010118Y000121 0000123205533
404 09-01-2018 170406010118Y000115 0000123329542
405 09-01-2018 170406010118Y000122 0000195495761
406 09-01-2018 170406010118Y000126 0000889947977
407 09-01-2018 170406010118Y000133 0000890448524

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Dyspepsia
KAMARIAH, HJ P PENERIMA PENSIUN PNS Hypertensive heart disease without
NORMEILINA P PENERIMA PENSIUN PNS Disorder of refraction, unspecified
BARKATI SIMBARA L PBI (APBN) Essential (primary) hypertension
ALIANSYAH L PBI (APBN) Headache
BARSIH L PBI (APBN) Cutaneous abscess, furuncle and

carbuncle,
RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension
arbiansyah L PEKERJA MANDIRI Headache
ROHANI P PEKERJA MANDIRI Allergic contact dermatitis
SANIAH P PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
ASPANDI L PBI (APBN) Non-insulin-dependent diabetes
mellitus without
HIDAYAH P PNS DAERAH Essential (primary) hypertension
ATHA NIZAR KAMIL L PEGAWAI SWASTA Acute pharyngitis
ABDUL HADI L PENERIMA PENSIUN PNS Gout
ROKHANA P PENERIMA PENSIUN PNS Senile cataract
AGUS PRIBADI L PNS DAERAH Gastritis, unspecified
MASJADI L PENERIMA PENSIUN PNS Essential (primary) hypertension
RASIDI L PNS DAERAH Essential (primary) hypertension
CHAIRUL ANWAR L PNS DAERAH Hyperplasia of prostate
RAHIMAH P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
NAPSIAH P PBI (APBN) Gastritis, unspecified

Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
408 09-01-2018 170406010118Y000130 0000890814508
409 09-01-2018 170406010118Y000119 0000891539008
410 09-01-2018 170406010118Y000430 0000891583244
411 09-01-2018 170406010118Y000127 0001080973732
412 09-01-2018 170406010118Y000125 0001142094598
413 09-01-2018 170406010118Y000120 0001182205574
414 09-01-2018 170406010118Y000131 0001262674675
415 09-01-2018 170406010118Y000129 0001460053989
416 09-01-2018 170406010118Y000114 0001481549793
417 09-01-2018 170406010118Y000116 0001666664087
418 09-01-2018 170406010118Y000429 0001788507088
419 09-01-2018 170406010118Y000135 0001814819387
420 09-01-2018 170406010118Y000118 0001853536037
421 09-01-2018 170406010118Y000123 0001867189779
422 09-01-2018 170406010118Y000124 0002053478362
423 08-01-2018 170406010118Y000093 0000122605626
424 08-01-2018 170406010118Y000109 0000122605637
425 08-01-2018 170406010118Y000106 0000122654801
426 08-01-2018 170406010118Y000088 0000122747308
427 08-01-2018 170406010118Y000087 0000123093268

HANA NOOR AZKIA P PBI (APBN) Acute upper respiratory infection,
unspecified
AINI L PBI (APBN) Other benign neoplasm of skin of
ear and external
ASPURI L PBI (APBN) Necrosis of pulp
SYAMSIAH P PENERIMA PENSIUN TNI Gout
SITI BULKIS P PEGAWAI SWASTA Essential (primary) hypertension
RUSIDAH P PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
Muhammad YUSRIFANSYAH L PEKERJA MANDIRI Cough
M. SUBLI MAKSUM L PEGAWAI SWASTA Essential (primary) hypertension
RAZAKIAH P PEKERJA MANDIRI Insulin-dependent diabetes

WIBOWO KERSONO L PEGAWAI BUMN Atherosclerotic heart disease
HINDUN DIANA P PEKERJA MANDIRI Necrosis of pulp
SARI INDRIYANI P PEGAWAI PEMERINTAH NON Antenatal screening, unspecified

PNS
SARWITI P PEKERJA MANDIRI Senile cataract
halimatus sadiah P PEKERJA MANDIRI Gout
DHIA HUSNA KAMILA P PNS DAERAH Fever, unspecified
MUHAIMIN L PENERIMA PENSIUN PNS Secondary hypertension,

unspecified
HJ. SYUFIAH UHIN P PENERIMA PENSIUN PNS Insulin-dependent diabetes
mellitus
SITI KURNIA.HJ P PENERIMA PENSIUN PNS Myalgia, site unspecified
RUDY ANWARI L PNS DAERAH Chronic viral hepatitis, unspecified

Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
428 08-01-2018 170406010118Y000090 0000123209379
429 08-01-2018 170406010118Y000105 0000889823586
430 08-01-2018 170406010118Y000099 0000889950172
431 08-01-2018 170406010118Y000113 0000889956854
432 08-01-2018 170406010118Y000091 0000890043535
433 08-01-2018 170406010118Y000089 0000890343235
434 08-01-2018 170406010118Y000101 0000890420049
435 08-01-2018 170406010118Y000098 0000890835862
436 08-01-2018 170406010118Y000428 0000890888488
437 08-01-2018 170406010118Y000104 0000891005624
438 08-01-2018 170406010118Y000096 0000891208394
439 08-01-2018 170406010118Y000107 0000891506237
440 08-01-2018 170406010118Y000094 0000975900565
441 08-01-2018 170406010118Y000102 0001265556497
442 08-01-2018 170406010118Y000103 0001269910967
443 08-01-2018 170406010118Y000086 0001303166687
444 08-01-2018 170406010118Y000095 0001484006861
445 08-01-2018 170406010118Y000427 0001794270159
446 08-01-2018 170406010118Y000108 0001797527327
447 08-01-2018 170406010118Y000100 0001852185093
448 08-01-2018 170406010118Y000426 0001892327049

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes
FATMAWATI P PBI (APBN) Dyspepsia
M. MAULANA L PBI (APBN) Spondylolysis
BAHRUL BASRI L PBI (APBN) Spondylolysis
TAUFIK AKHMAD L PBI (APBN) Atherosclerotic cardiovascular

disease, so
SAMSIAH P PBI (APBN) Hyperparathyroidism, unspecified
RUSIADI L PBI (APBN) Cough
M YUSUP L PBI (APBN) Asthma, unspecified
ICA PUTRI KIRANA P PBI (APBN) Disturbances in tooth eruption
NORMA FATMAWATI P PBI (APBN) Acute haemorrhagic gastritis
ROHANA P PBI (APBN) Cough
NORLATIFAH P PBI (APBN) Dyspepsia
FATHUL JANNAH P PENERIMA PENSIUN TNI Insulin-dependent diabetes

mellitus with
ISNAWATI P PEKERJA MANDIRI Acute vaginitis
ENDANG JUMIATI P PEGAWAI SWASTA Hypertensive heart disease with

(congestive)
SYAEPULLAH L PEKERJA MANDIRI Epilepsy
NOOR JUBAIDAH A.A P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
SITI FATIMAH P PEGAWAI PEMERINTAH Acute haemorrhagic gastritis

DENGAN PERJANJIAN
YUSRIANSYAH L PEKERJA MANDIRI Influenza, virus not identified
MURJANI L PEKERJA MANDIRI Chronic periodontitis

Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
449 08-01-2018 170406010118Y000085 0002064469386
450 08-01-2018 170406010118Y000110 0002198449855
451 08-01-2018 170406010118Y000092 0002207538909
452 08-01-2018 170406010118Y000097 0002263640578
453 08-01-2018 170406010118Y000111 0002299925979
454 08-01-2018 170406010118Y000112 0002311771026
455 06-01-2018 170406010118Y000253 0000122654801
456 06-01-2018 170406010118Y000254 0000122717766
457 06-01-2018 170406010118Y000255 0000122718824
458 06-01-2018 170406010118Y000256 0000122718971
459 06-01-2018 170406010118Y000257 0000122718982
460 06-01-2018 170406010118Y000258 0000122718993
461 06-01-2018 170406010118Y000259 0000122719026
462 06-01-2018 170406010118Y000260 0000122719037
463 06-01-2018 170406010118Y000261 0000122719094
464 06-01-2018 170406010118Y000262 0000122719195
465 06-01-2018 170406010118Y000263 0000122719206
466 06-01-2018 170406010118Y000264 0000122719432
467 06-01-2018 170406010118Y000068 0000122824855
468 06-01-2018 170406010118Y000067 0000123114969
469 06-01-2018 170406010118Y000081 0000148656216

SARKIAH P PEKERJA MANDIRI Carcinoma in situ of breast,
unspecified
aminah P PEKERJA MANDIRI Essential (primary) hypertension
MAULIDA P PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
SITI MARYAM P PEKERJA MANDIRI Acute haemorrhagic gastritis
FARIDI RAKHMAN L PEKERJA MANDIRI Essential (primary) hypertension
FAULIAH P PNS DAERAH Essential (primary) hypertension
HERTATI P PNS DAERAH Essential (primary) hypertension
SESSI TRI AYU REVILLA P PNS DAERAH Essential (primary) hypertension
NOORLENA P PNS DAERAH Hordeolum and chalazion
AINI P PNS DAERAH Leiomyoma of uterus, unspecified
LAILA RAHMI, A.MA P PNS DAERAH Cough

Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
470 06-01-2018 170406010118Y000082 0000890638187
471 06-01-2018 170406010118Y000070 0000890784819
472 06-01-2018 170406010118Y000075 0000890786946
473 06-01-2018 170406010118Y000073 0000890787159
474 06-01-2018 170406010118Y000076 0001065415487
475 06-01-2018 170406010118Y000069 0001065416883
476 06-01-2018 170406010118Y000072 0001264049471
477 06-01-2018 170406010118Y000265 0001266035848
478 06-01-2018 170406010118Y000266 0001298136914
479 06-01-2018 170406010118Y000066 0001441794194
480 06-01-2018 170406010118Y000267 0001441794846
481 06-01-2018 170406010118Y000074 0001744356813
482 06-01-2018 170406010118Y000077 0002062940793
483 06-01-2018 170406010118Y000079 0002062940995
484 06-01-2018 170406010118Y000084 0002083726091
485 06-01-2018 170406010118Y000268 0002207775701
486 06-01-2018 170406010118Y000080 0002215322638
487 06-01-2018 170406010118Y000083 0002262698043
488 06-01-2018 170406010118Y000078 0002290778302

NOOR MILA P PBI (APBN) Diarrhoea and gastroenteritis of
MELATI INDAH MUSTIKA P PBI (APBN) Acute upper respiratory infection,

unspecified
SITI AISYAH P PBI (APBN) Essential (primary) hypertension
RAMLI L PBI (APBN) Essential (primary) hypertension
SAMIAH P PBI (APBN) Tuberculosis of lung, confirmed by

RAWIANI L PBI (APBN) Cough
RUSINAH P PEKERJA MANDIRI Allergic contact dermatitis
MASTAYAH P PEKERJA MANDIRI Essential (primary) hypertension
MAHWATI P PEKERJA MANDIRI Examination of blood pressure
ISKANDAR L PEKERJA MANDIRI Hyperplasia of prostate
ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure
AHMAD BADAWI L PEGAWAI SWASTA Tuberculosis of lung, confirmed by

NORHAYATI P PEKERJA MANDIRI Essential (primary) hypertension
BULKIS L PEKERJA MANDIRI Acute haemorrhagic gastritis
AHMAD HADI SETIAWAN L PEKERJA MANDIRI Cough
DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

ARBAINAH P PEKERJA MANDIRI Allergic contact dermatitis
SELAMAT L PEKERJA MANDIRI Respiratory tuberculosis,

Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
489 06-01-2018 170406010118Y000071 0002308025171
490 05-01-2018 170406010118Y000061 0000122824495
491 05-01-2018 170406010118Y000062 0000890844592
492 05-01-2018 170406010118Y000065 0001380784746
493 05-01-2018 170406010118Y000064 0001451368113
494 05-01-2018 170406010118Y000063 0001481294035
495 04-01-2018 170406010118Y000041 0000122653631
496 04-01-2018 170406010118Y000060 0000122719037
497 04-01-2018 170406010118Y000047 0000123583307
498 04-01-2018 170406010118Y000045 0000158013213
499 04-01-2018 170406010118Y000048 0000202900915
500 04-01-2018 170406010118Y000554 0000889931463
501 04-01-2018 170406010118Y000049 0000890073944
502 04-01-2018 170406010118Y000051 0000890203083
503 04-01-2018 170406010118Y000425 0000891183892
504 04-01-2018 170406010118Y000037 0001065413957
505 04-01-2018 170406010118Y000046 0001460053989
506 04-01-2018 170406010118Y000053 0001460055453
507 04-01-2018 170406010118Y000044 0001465179546
508 04-01-2018 170406010118Y000052 0001633752516
509 04-01-2018 170406010118Y000043 0001634570829
510 04-01-2018 170406010118Y000050 0001790572871

THAIBAH P PEKERJA MANDIRI Dyspepsia
YUDA SYAIFUDDIN L PEKERJA MANDIRI Other specified mental disorders

due to brain damage and
dysfunction
NORSEHAN P PBI (APBN) Headache
RAWANSYAH L PEKERJA MANDIRI Constipation
DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified
supiyah P PEKERJA MANDIRI Carcinoma in situ of breast,

unspecified
SANIAH H KACIL P PNS PUSAT Senile cataract, unspecified
MAHDIATUL WAHDAH P PNS DAERAH Cough
RITTA CHAIRIAH P PENERIMA PENSIUN PNS Dyspepsia
M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Chronic sinusitis, unspecified
SUKARSIH P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified
IRNAWATI P PBI (APBN) Contraceptive management,

unspecified
IDHAM L PBI (APBN) Malaise and fatigue
gazali RAHMAN L PBI (APBN) Undifferentiated schizophrenia
MUHAMMAD ABDURRAHIM L PBI (APBN) Chronic periodontitis
MURSIDAH P PBI (APBN) Allergic contact dermatitis
M. SUBLI MAKSUM L PEGAWAI SWASTA Essential (primary) hypertension
RUSMILAWATI P PEGAWAI SWASTA Gingivitis and periodontal diseases
JURAH P PEKERJA MANDIRI Acute haemorrhagic gastritis
HADI MUZAKIR L PEGAWAI SWASTA Unspecified viral hepatitis
PURNAMA P PEGAWAI SWASTA Hyperlipidaemia, unspecified
ROHANI P PEKERJA MANDIRI Allergic contact dermatitis

Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
511 04-01-2018 170406010118Y000035 0001823098781
512 04-01-2018 170406010118Y000038 0001828932243
513 04-01-2018 170406010118Y000036 0001863928528
514 04-01-2018 170406010118Y000040 0001930384686
515 04-01-2018 170406010118Y000039 0002079582581
516 04-01-2018 170406010118Y000042 0002293208019
517 03-01-2018 170406010118Y000019 0000122621141
518 03-01-2018 170406010118Y000033 0000122719206
519 03-01-2018 170406010118Y000032 0000122805303
520 03-01-2018 170406010118Y000022 0000123029032
521 03-01-2018 170406010118Y000020 0000123115105
522 03-01-2018 170406010118Y000326 0000168310798
523 03-01-2018 170406010118Y000025 0000889956854
524 03-01-2018 170406010118Y000024 0000890511074
525 03-01-2018 170406010118Y000034 0000890637142
526 03-01-2018 170406010118Y000028 0000890656435
527 03-01-2018 170406010118Y000023 0000890769565
528 03-01-2018 170406010118Y000031 0001065416422
529 03-01-2018 170406010118Y000030 0001267501601
530 03-01-2018 170406010118Y000021 0001316879897
531 03-01-2018 170406010118Y000027 0001380784746
532 03-01-2018 170406010118Y000029 0001441794846
533 03-01-2018 170406010118Y000026 0001899369404

ARBAYAH, HJ P PEKERJA MANDIRI Essential (primary) hypertension
SANIAH P PEKERJA MANDIRI Essential (primary) hypertension
MARIFATULLAH AWALUDDIN L PEGAWAI SWASTA Systemic lupus erythematosus,
EDY RAHMADI L PEGAWAI SWASTA Otitis media, unspecified
NURHIDAYAH P PEKERJA MANDIRI Carcinoma in situ of breast,

unspecified
NOR AISYA MUFIA P PBI (APBN) Other low birth weight
KAMARUDDIN L PNS DAERAH Heart failure, unspecified
NOOR ASLIANI P PNS DAERAH Hyperlipidaemia, unspecified
MASNUNIAH P PNS DAERAH Headache
AHMADI L PNS DAERAH End-stage renal disease
BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Presence of intraocular lens
AISYA MUTIA HUMAIROH P PNS PUSAT Caries of dentine
BAHRUL BASRI L PBI (APBN) Spondylolysis
MUHLIS L PBI (APBN) Influenza, virus not identified
WIDIAWATI MASLOMAN P PBI (APBN) Pterygium
ERNI YANTI P PBI (APBN) Allergic contact dermatitis
SALABIAH P PBI (APBN) Spondylolysis
JAMAIN L PBI (APBN) Asthma
ASRANI L PEKERJA MANDIRI Atherosclerotic cardiovascular

disease, so
KAMSIAH P PEKERJA MANDIRI Heart failure, unspecified
RAWANSYAH L PEKERJA MANDIRI Hyperplasia of prostate
ANNI NURHIDAYAH P PEKERJA MANDIRI Spondylolysis
IFFA KHALISA BALQIS P PNS PUSAT Acute upper respiratory infection,

unspecified
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
534 03-01-2018 170406010118Y000559 0002204815048
535 02-01-2018 170406010118Y000054 0000123583307
536 02-01-2018 170406010118Y000011 0000123807025
537 02-01-2018 170406010118Y000013 0000163507184
538 02-01-2018 170406010118Y000015 0000890042231
539 02-01-2018 170406010118Y000014 0000890201349
540 02-01-2018 170406010118Y000057 0000890223941
541 02-01-2018 170406010118Y000056 0000890450335
542 02-01-2018 170406010118Y000005 0000890513302
543 02-01-2018 170406010118Y000012 0000890811977
544 02-01-2018 170406010118Y000058 0000890836435
545 02-01-2018 170406010118Y000016 0000890886587
546 02-01-2018 170406010118Y000006 0000891218417
547 02-01-2018 170406010118Y000003 0001266035253
548 02-01-2018 170406010118Y000002 0001266035848
549 02-01-2018 170406010118Y000018 0001442536211
550 02-01-2018 170406010118Y000008 0001483847627
551 02-01-2018 170406010118Y000009 0001778390199
552 02-01-2018 170406010118Y000004 0001825643362
553 02-01-2018 170406010118Y000059 0001827796612

NORBAINAH P PEGAWAI PEMERINTAH NON Contraceptive management,
PNS unspecified
RITTA CHAIRIAH P PENERIMA PENSIUN PNS Other and unspecified diseases of
pulp and
MUHAMMAD HUSNI L PENERIMA PENSIUN PNS Conjunctivitis
RUSDIANA. HJ P PENERIMA PENSIUN PNS Calcific tendinitis
KHAIRIADI L PBI (APBN) Essential (primary) hypertension
FAISAL ANSYARI L PBI (APBN) Diarrhoea and gastroenteritis of

PAHMALIANI P PBI (APBN) Antenatal screening, unspecified
SARI DEWI RAHMA YANI P PBI (APBN) Contraceptive management,

unspecified
AMAT YANI L PBI (APBN) Undifferentiated schizophrenia
MISBATUN NI'MAH P PBI (APBN) Conjunctivitis
RUSMAWATI P PBI (APBN) Contraceptive management,

unspecified
MUHAMMAD SANDI L PBI (APBN) Influenza, virus not identified
TABRI L PBI (APBN) Essential (primary) hypertension
AHMAD MUHAMMAD MARZUKI L PEKERJA MANDIRI Rheumatoid arthritis, unspecified
MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with
HAURA ELYSA GUNTUR P PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
muhammad arsyad L PEKERJA MANDIRI Calculus of kidney
AHMAT SAIDI L PEGAWAI SWASTA Other benign neoplasm of

connective and other soft
RUSDIANA P PEKERJA MANDIRI Stroke, not specified as

SUCI NURHIDAYATI P PEGAWAI SWASTA Antenatal screening, unspecified
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
Rujuk Lanjut
Rujuk Lanjut
Rujuk Lanjut
Berobat Jalan
554 02-01-2018 170406010118Y000017 0002137929164
555 02-01-2018 170406010118Y000001 0002213331581
556 02-01-2018 170406010118Y000010 0002220754948
557 02-01-2018 170406010118Y000007 0002229571269
558 02-01-2018 170406010118Y000055 0002262204494
559 01-01-2018 170406010118Y000560 0000894751784
560 01-01-2018 170406010118Y000561 0001484092181

ABDILLAH L PEGAWAI SWASTA Acute haemorrhagic gastritis
JAHRATUN SIFA P PEKERJA MANDIRI Down's syndrome, unspecified
AUFA RIZAL RASYAD L PENERIMA PENSIUN PNS Vasculitis limited to skin,

unspecified
DANIANSYAH L PEKERJA MANDIRI Allergic contact dermatitis due to
metals
FATIMAH P PEKERJA MANDIRI Antenatal screening, unspecified
NOORLIANA SANTI P PBI (APBN) Contraceptive management,

unspecified
FITRIA P PEKERJA MANDIRI Contraceptive management,
unspecified
Berobat Jalan
Rujuk Lanjut
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan
Berobat Jalan

Kantor Cabang: BANJARMASIN - 1701 FKTP: Kertak Hanyar - 17040601

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Kantor Cabang: BANJARMASIN - 1701 FKTP: Kertak Hanyar - 17040601

Uploaded by

Copyright:

Available Formats

Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

1 31-01-2018 170406010118Y000507 0000122620127

2 31-01-2018 170406010118Y000509 0000122805314

3 31-01-2018 170406010118Y000502 0000123029032

4 31-01-2018 170406010118Y000519 0000123115105

5 31-01-2018 170406010118Y000504 0000123815171

6 31-01-2018 170406010118Y000505 0000123815182

7 31-01-2018 170406010118Y000512 0000889790826

8 31-01-2018 170406010118Y000508 0000890313906

9 31-01-2018 170406010118Y000514 0000890539097

10 31-01-2018 170406010118Y000513 0000890872716

11 31-01-2018 170406010118Y000518 0001267501601

12 31-01-2018 170406010118Y000506 0001303168735

13 31-01-2018 170406010118Y000515 0001316257479

14 31-01-2018 170406010118Y000503 0002209303541

15 31-01-2018 170406010118Y000517 0002235454154

16 31-01-2018 170406010118Y000511 0002299104832

17 31-01-2018 170406010118Y000516 0002316573358

18 31-01-2018 170406010118Y000510 0002322240895

19 30-01-2018 170406010118Y000495 0000119008102

20 30-01-2018 170406010118Y000498 0000122621051

21 30-01-2018 170406010118Y000496 0000122685467

AGUS PRIBADI L PNS DAERAH Hyperplasia of prostate

AHMADI L PNS DAERAH End-stage renal disease

BURHANUDDIN, H, B.SC L PENERIMA PENSIUN PNS Essential (primary) hypertension

MUHAMMAD RAMLAN L PENERIMA PENSIUN PNS Disorders of refraction and

SYARNIAH P PBI (APBN) Gout

SAHWATI P PBI (APBN) Unknown and unspecified causes

NOORJANAH P PBI (APBN) End-stage renal disease

ASRANI L PEKERJA MANDIRI Other acute gastritis

MUCH SYUKUR L PEKERJA MANDIRI Otalgia and effusion of ear

ANTUNG SADARIAH P PEKERJA MANDIRI Stroke, not specified as

BARKIAH P PNS DAERAH Essential (primary) hypertension

FATIMAH P PEKERJA MANDIRI Essential (primary) hypertension

SRI YANTO L PEKERJA MANDIRI Dyspepsia

ABDUL GANI L PEKERJA MANDIRI Essential (primary) hypertension

AKHMAD SUJALI L PNS DAERAH Lumbar and other intervertebral

JAMILAH P PNS DAERAH Cough

AFWAH P PNS PUSAT Allergic contact dermatitis

23 30-01-2018 170406010118Y000483 0000122845263

24 30-01-2018 170406010118Y000497 0000166492383

25 30-01-2018 170406010118Y000482 0000889424414

26 30-01-2018 170406010118Y000494 0000889706215

27 30-01-2018 170406010118Y000501 0000889706283

28 30-01-2018 170406010118Y000500 0000890002124

29 30-01-2018 170406010118Y000490 0000890002124

30 30-01-2018 170406010118Y000492 0000890219237

31 30-01-2018 170406010118Y000493 0000890313906

32 30-01-2018 170406010118Y000491 0000890787159

33 30-01-2018 170406010118Y000485 0001302569829

34 30-01-2018 170406010118Y000486 0001306752142

35 30-01-2018 170406010118Y000484 0001465179524

36 30-01-2018 170406010118Y000556 0001827796612

37 30-01-2018 170406010118Y000499 0001866745192

38 30-01-2018 170406010118Y000487 0002219622827

39 30-01-2018 170406010118Y000488 0002304844108

40 29-01-2018 170406010118Y000461 0000122622085

41 29-01-2018 170406010118Y000474 0000122654801

42 29-01-2018 170406010118Y000475 0000123583307

BASRI, S.PD L PNS DAERAH Hypertensive heart disease

AISYAH P PENERIMA PENSIUN TNI Gastritis and duodenitis

SAWIYAH P PBI (APBN) Essential (primary) hypertension