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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

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

1 31-01-2019 111902040119Y001666 0000083512348 MUHAMMAD SOLICHUN L PENERIMA PENSIUN Stomatitis and related Berobat Jalan
PNS lesions
2 31-01-2019 111902040119Y001623 0000084402483 SUNARTO L PENERIMA PENSIUN Functional diarrhoea Berobat Jalan
PNS
3 31-01-2019 111902040119Y001685 0000084544222 UMAR JAIDI L PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

4 31-01-2019 111902040119Y001676 0000084569501 ANASTASIA SUKIRAH UNDARI P PENERIMA PENSIUN Polyarthrosis, unspecified Rujuk Lanjut
PNS
5 31-01-2019 111902040119Y001692 0000084699549 HARI PURNOMOWATI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

6 31-01-2019 111902040119Y001618 0000084755946 SUNYOTO L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
7 31-01-2019 111902040119Y001688 0000543623139 SUNARTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

8 31-01-2019 111902040119Y001658 0000543736528 DIKA DWI ANDRIYANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

9 31-01-2019 111902040119Y001635 0000544190411 NAMIROH P PBI (APBN) Personal history of Berobat Jalan
contraception
10 31-01-2019 111902040119Y001696 0000544284314 REFA YUNINGSIH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

11 31-01-2019 111902040119Y001616 0000544308265 SRI ISMIATUN P PBI (APBN) Chronic myeloid Rujuk Lanjut
leukaemia
12 31-01-2019 111902040119Y001629 0000544373458 AMAT RIDWAN L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

13 31-01-2019 111902040119Y001669 0000544373482 SAINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
14 31-01-2019 111902040119Y001660 0000544474517 LAILATUL MUKAROMAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
15 31-01-2019 111902040119Y001659 0000544475147 IRVAN MAULANA L PBI (APBN) Allergic urticaria Berobat Jalan

16 31-01-2019 111902040119Y001651 0000544493259 TINI P PBI (APBN) Tension-type headache Berobat Jalan

17 31-01-2019 111902040119Y001652 0000544493439 RESTU ARDELA L PBI (APBN) Hypotension, unspecified Berobat Jalan

18 31-01-2019 111902040119Y001687 0000544531026 SUGIMAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

19 31-01-2019 111902040119Y001641 0000544533895 KOMARUDIN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

20 31-01-2019 111902040119Y001655 0000544616155 SITI NGAISAH P PBI (APBN) Dyspepsia Berobat Jalan

21 31-01-2019 111902040119Y001627 0000544829128 FANI DIAZ HARDANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

22 31-01-2019 111902040119Y001644 0000545069057 SARINAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut


diabetes mellitus with

23 31-01-2019 111902040119Y001628 0000545073153 WAHYU APRELIA P PBI (APBN) Schizophrenia Rujuk Lanjut

24 31-01-2019 111902040119Y001653 0000545099332 IDA MARTALENA P PBI (APBN) Low back pain Berobat Jalan

25 31-01-2019 111902040119Y001638 0000545199243 SUNARTI P PBI (APBN) Functional diarrhoea Berobat Jalan

26 31-01-2019 111902040119Y001649 0000545240878 MUSTAJIB MUSTOFA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

27 31-01-2019 111902040119Y001699 0001019097887 INTARTI P PBI (APBN) Tension-type headache Berobat Jalan

28 31-01-2019 111902040119Y001673 0001019098675 RETNO PALUPI P PBI (APBN) Tension-type headache Berobat Jalan

29 31-01-2019 111902040119Y001667 0001019103636 AHMAD GOZALI L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
30 31-01-2019 111902040119Y001654 0001019106011 SUMILATUN P PBI (APBN) Myalgia Berobat Jalan

31 31-01-2019 111902040119Y001747 0001019106639 NOVITASARI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
32 31-01-2019 111902040119Y001690 0001019128432 AIM MATUNAZILAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

33 31-01-2019 111902040119Y001636 0001019129016 HIDAYAT L PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

34 31-01-2019 111902040119Y001693 0001019130884 EDY PRAWOKO L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

35 31-01-2019 111902040119Y001664 0001019138613 ASIF BAHASAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

36 31-01-2019 111902040119Y001642 0001107350752 SITI AMINAH P PRAJURIT AD Tuberculosis of lung, Rujuk Lanjut
bacteriologically and
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

37 31-01-2019 111902040119Y001625 0001199473211 SEMIYATUN P PEGAWAI SWASTA Suppurative otitis media, Berobat Jalan
unspecified
38 31-01-2019 111902040119Y001640 0001295893372 NUNUNG TURSILOWATI P PEKERJA MANDIRI Leiomyoma of uterus Rujuk Lanjut

39 31-01-2019 111902040119Y001671 0001436192987 ILHAM PRAYOGA L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

40 31-01-2019 111902040119Y001639 0001697167484 BAMBANG HAYANTO L PBI (APBD) Hyperparathyroidism, Rujuk Lanjut
unspecified
41 31-01-2019 111902040119Y001637 0001697188961 KARMINI P PBI (APBD) Polyarthrosis, unspecified Berobat Jalan

42 31-01-2019 111902040119Y001665 0001697195812 DEWI NURAENI LISMANA P PBI (APBD) Abdominal pregnancy Berobat Jalan

43 31-01-2019 111902040119Y001695 0001807523651 sri sumarti P PEKERJA MANDIRI Dyspepsia Berobat Jalan

44 31-01-2019 111902040119Y001656 0001824087868 TARIMAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
45 31-01-2019 111902040119Y001621 0001826905094 NGADINAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
46 31-01-2019 111902040119Y001657 0001839977087 KHOTIMAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

47 31-01-2019 111902040119Y001663 0001899410387 SUGIARTO SAPUTRO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

48 31-01-2019 111902040119Y001682 0001901125056 KASIMI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

49 31-01-2019 111902040119Y001622 0001903948637 IDA MAYANTI P PEKERJA MANDIRI Haemorrhage in early Rujuk Lanjut
pregnancy
50 31-01-2019 111902040119Y001632 0002075061936 SUTARMAN L PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
51 31-01-2019 111902040119Y001626 0002130395185 RIZKY AYU WENI P PBI (APBN) Schizophrenia Rujuk Lanjut

52 31-01-2019 111902040119Y001615 0002168544712 SABILA PUTRI AGUSTIN P PBI (APBD) Persistent fever Rujuk Lanjut

53 31-01-2019 111902040119Y001647 0002168545689 SOYIMAH P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

54 31-01-2019 111902040119Y001619 0002212759146 WALIDI HARJOPRASETYO L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

55 31-01-2019 111902040119Y001634 0002213176342 TRI WAHYUDI SUBAGIO L PEKERJA MANDIRI Acute nephritic syndrome Rujuk Lanjut

56 31-01-2019 111902040119Y001646 0002236614579 BAMBANG PARIKESIT L PBI (APBD) Hyperparathyroidism, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

57 31-01-2019 111902040119Y001645 0002252435646 INDONIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan


diabetes mellitus with

58 31-01-2019 111902040119Y001630 0002277252303 ROKATIK P PEKERJA MANDIRI Hearing loss, unspecified Rujuk Lanjut

59 31-01-2019 111902040119Y001700 0002448051401 PARYATI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

60 31-01-2019 111902040119Y001662 0002499865751 JUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan


diabetes mellitus with

61 31-01-2019 111902040119Y001677 0002504905468 PANJI YUNIARTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

62 31-01-2019 111902040119Y001702 0002504906447 MEI TRI JAYANTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

63 31-01-2019 111902040119Y001701 0002504906458 MEILA ANGELICA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

64 31-01-2019 111902040119Y001650 0002624877191 MURYANI P PEKERJA MANDIRI Tension-type headache Berobat Jalan

65 31-01-2019 111902040119Y001643 0002625661653 ADITYA AL GHIFARI L PEGAWAI SWASTA Congenital absence, Rujuk Lanjut
atresia and stenosis of

66 30-01-2019 111902040119Y001570 0000076144072 DARSONO L PNS DAERAH Chronic laryngitis Rujuk Lanjut

67 30-01-2019 111902040119Y001576 0000080967958 SUBURYANI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
68 30-01-2019 111902040119Y001575 0000080967971 R. BANDUNG LEBDA PITAKA L PNS DAERAH Polyarthrosis, unspecified Berobat Jalan

69 30-01-2019 111902040119Y001605 0000084320098 MISTINI P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
70 30-01-2019 111902040119Y001586 0000084376923 SITI MALIKAH P PENERIMA PENSIUN TNI Polyarthrosis, unspecified Berobat Jalan

71 30-01-2019 111902040119Y001712 0000084462895 WADJIDAH P PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS
72 30-01-2019 111902040119Y001603 0000084548777 SUKINAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

73 30-01-2019 111902040119Y001612 0000084709618 SUPARTOMO L PNS DAERAH Non-insulin-dependent Berobat Jalan


diabetes mellitus with

74 30-01-2019 111902040119Y001591 0000084784364 ARIF SETIYADI L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

75 30-01-2019 111902040119Y001574 0000211712771 ETTI SUTJIATI P PENERIMA PENSIUN Traumatic arthropathy Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

76 30-01-2019 111902040119Y001607 0000544158731 FITRI NUR AENI P PBI (APBN) Antenatal screening Berobat Jalan

77 30-01-2019 111902040119Y001572 0000544353715 MARLIYAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut


diabetes mellitus with

78 30-01-2019 111902040119Y001564 0000544361591 MULYATI P PBI (APBN) Personal history of Berobat Jalan
contraception
79 30-01-2019 111902040119Y001596 0000544363773 AYU IMANINGTYAS P PBI (APBN) Influenza with other Berobat Jalan
NUGRAHENI manifestations, virus not

80 30-01-2019 111902040119Y001716 0000544438899 SUMIYATI P PBI (APBN) Impacted cerumen Berobat Jalan

81 30-01-2019 111902040119Y001595 0000544459937 IBRAHIM L PBI (APBN) Hypertensive heart Rujuk Lanjut
disease
82 30-01-2019 111902040119Y001592 0000544464358 MUNDAKIR L PBI (APBN) Low back pain Berobat Jalan

83 30-01-2019 111902040119Y001584 0000544505106 SOHFATURROHMAH P PBI (APBN) Dyspepsia Berobat Jalan

84 30-01-2019 111902040119Y001718 0000544569546 TUPARIYAH P PBI (APBN) Personal history of Berobat Jalan
contraception
85 30-01-2019 111902040119Y001589 0000544627719 WASILAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

86 30-01-2019 111902040119Y001577 0000544717708 SUMIATUN P PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
87 30-01-2019 111902040119Y001713 0000544756858 MASINEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

88 30-01-2019 111902040119Y001711 0000544785941 MUTIKAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
influenza virus identified

89 30-01-2019 111902040119Y001569 0000544908881 PONIRAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

90 30-01-2019 111902040119Y001609 0000545108736 DEVI RETNOWATI P PBI (APBN) Personal history of Berobat Jalan
contraception
91 30-01-2019 111902040119Y001601 0000545155435 EFIK SETIYA ASTUTI L PBI (APBN) Acute amoebic dysentery Berobat Jalan

92 30-01-2019 111902040119Y001714 0000545534943 NGADIYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

93 30-01-2019 111902040119Y001587 0000545587582 AMAT MA'RUF L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

94 30-01-2019 111902040119Y001585 0000976352319 SLAMET L PENERIMA PENSIUN TNI Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

95 30-01-2019 111902040119Y001590 0001019095817 MARSINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan


diabetes mellitus with

96 30-01-2019 111902040119Y001597 0001019110893 KASMINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
97 30-01-2019 111902040119Y001588 0001019118407 EDY BASUKI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
98 30-01-2019 111902040119Y001580 0001019118712 SUTINI P PBI (APBN) Endocrine disorder, Berobat Jalan
unspecified
99 30-01-2019 111902040119Y001602 0001019123201 RASIYEM P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease
100 30-01-2019 111902040119Y001581 0001019126957 TURIYEM P PBI (APBN) Congestive heart failure Berobat Jalan

101 30-01-2019 111902040119Y001593 0001019128318 NIKEN TRIA LESTARI P PBI (APBN) Pulpitis Berobat Jalan

102 30-01-2019 111902040119Y001567 0001019129466 ZAETUN P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

103 30-01-2019 111902040119Y001565 0001019141943 ALIN MANSYUR MUZZAKky L PBI (APBN) Unspecified appendicitis Rujuk Lanjut

104 30-01-2019 111902040119Y001599 0001080909944 MUHAMMAD LUTHFI PRATAMA L PNS DAERAH Disturbances in tooth Berobat Jalan
eruption
105 30-01-2019 111902040119Y001611 0001084491268 BUYUNG SETYO DARMADI L PBI (APBN) Somatoform disorder, Berobat Jalan
unspecified
106 30-01-2019 111902040119Y001610 0001084756138 SRI DADI P PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
107 30-01-2019 111902040119Y001583 0001107350752 SITI AMINAH P PRAJURIT AD Neoplasm of uncertain or Rujuk Lanjut
unknown behaviour of

108 30-01-2019 111902040119Y001582 0001269445228 WARTINI WARSITO ASROMI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
109 30-01-2019 111902040119Y001606 0001425141022 IKWAN PRASETYA L PEKERJA MANDIRI Acute sinusitis, Berobat Jalan
unspecified
110 30-01-2019 111902040119Y001573 0001483492498 H.MOH.SALIM L PENERIMA PENSIUN Polyarthrosis, unspecified Berobat Jalan
SWASTA
111 30-01-2019 111902040119Y001578 0001483493938 SUMIYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
SWASTA diabetes mellitus with

112 30-01-2019 111902040119Y001568 0001534735833 HARNIK P PBI (APBD) Antenatal screening Rujuk Lanjut

113 30-01-2019 111902040119Y001566 0001697167989 Rumantinah P PBI (APBD) Tension-type headache Berobat Jalan

114 30-01-2019 111902040119Y001571 0001960071153 MARJILAH P PEKERJA MANDIRI External haemorrhoids Rujuk Lanjut
without complication
115 30-01-2019 111902040119Y001600 0001969587606 SAMINEM P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

116 30-01-2019 111902040119Y001579 0002033102338 NETI PANGESTUTI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

117 30-01-2019 111902040119Y001608 0002165012829 WIWIT RIYANTINA P PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
118 30-01-2019 111902040119Y001715 0002168548929 ROCHANIYAH P PBI (APBD) Gastritis, unspecified Berobat Jalan

119 30-01-2019 111902040119Y001613 0002177782558 ASYIFA DEA ANISA P PBI (APBN) Fever, unspecified Berobat Jalan

120 30-01-2019 111902040119Y001598 0002213606081 SUGIYEM P PEKERJA MANDIRI Polyuria Berobat Jalan

121 30-01-2019 111902040119Y001604 0002234416623 KEMUNING SAPTORINI P PENERIMA PENSIUN TNI Endocrine disorder, Berobat Jalan
unspecified
122 30-01-2019 111902040119Y001594 0002281329156 ALMAIRA AGHNA FAEYZA P PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
123 30-01-2019 111902040119Y001563 0002377779524 RUSMINI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

124 30-01-2019 111902040119Y001717 0002381171848 YULI TRIMANWATI P PBI (APBN) Personal history of Berobat Jalan
contraception
125 30-01-2019 111902040119Y001614 0002454859304 RASYIQUL ABID L PBI (APBN) Fever, unspecified Berobat Jalan

126 29-01-2019 111902040119Y001508 0000024055277 ISTIKOMAH P PENERIMA PENSIUN Generalized anxiety Rujuk Lanjut
PNS disorder
127 29-01-2019 111902040119Y001507 0000041602105 SUMINAH P PENERIMA PENSIUN Polyarthrosis, unspecified Berobat Jalan
PNS
128 29-01-2019 111902040119Y001532 0000084301097 LAILI ASHLIHATI P PNS DAERAH Ganglion Rujuk Lanjut

129 29-01-2019 111902040119Y001491 0000084332709 NIPAN L PENERIMA PENSIUN TNI Residual schizophrenia Rujuk Lanjut

130 29-01-2019 111902040119Y001496 0000084535705 SUWARNO L PENERIMA PENSIUN Unstable angina Rujuk Lanjut
PNS
131 29-01-2019 111902040119Y001547 0000084638889 SUSILOWATI BUDIUTAMI P PNS DAERAH Endocrine disorder, Berobat Jalan
unspecified
132 29-01-2019 111902040119Y001531 0000084652413 SRI RETNANINGSIH P PNS DAERAH Foreign body in ear Berobat Jalan

133 29-01-2019 111902040119Y001498 0000084668253 NASIR CHAMID L PENERIMA PENSIUN Caries of dentine Berobat Jalan
PNS
134 29-01-2019 111902040119Y001554 0000084704062 SUPRIYADI L PNS DAERAH Myalgia Berobat Jalan

135 29-01-2019 111902040119Y001537 0000084720306 SUNERI . P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

136 29-01-2019 111902040119Y001543 0000084740016 DWI SEPTI WIJIASTUTI P PNS DAERAH Antenatal screening Berobat Jalan

137 29-01-2019 111902040119Y001533 0000084741974 SIWI UTAMI P PNS DAERAH Viral infection, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

138 29-01-2019 111902040119Y001515 0000162369922 NASIROH P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
manifestations, virus not

139 29-01-2019 111902040119Y001500 0000459597644 NINING NURAENI P PBI (APBN) Nasal polyp Rujuk Lanjut

140 29-01-2019 111902040119Y001489 0000543364007 RETNO SUYANTI P PBI (APBN) Residual schizophrenia Rujuk Lanjut

141 29-01-2019 111902040119Y001521 0000543585791 TRI ATMININGSIH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

142 29-01-2019 111902040119Y001520 0000543587321 MUHAMMAD MUFADHOL L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

143 29-01-2019 111902040119Y001541 0000544052654 WATI P PBI (APBN) Necrosis of pulp Berobat Jalan

144 29-01-2019 111902040119Y001725 0000544105721 KELIK MARYATI P PBI (APBN) Personal history of Berobat Jalan
contraception
145 29-01-2019 111902040119Y001723 0000544192064 SITI NUR ASIYAH P PBI (APBN) Personal history of Berobat Jalan
contraception
146 29-01-2019 111902040119Y001555 0000544256987 SUNARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

147 29-01-2019 111902040119Y001495 0000544335243 SRI WAHYUNI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

148 29-01-2019 111902040119Y001497 0000544335669 FIKA DWI KURNIYAWATI P PBI (APBN) Scabies Berobat Jalan

149 29-01-2019 111902040119Y001513 0000544346201 NURUL DWI ANGGRAENI P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
150 29-01-2019 111902040119Y001494 0000544363209 NARYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
151 29-01-2019 111902040119Y001511 0000544395442 AFIN ANIKE PUTRI L PBI (APBN) Dyspepsia Berobat Jalan

152 29-01-2019 111902040119Y001536 0000544714312 PRAVITALIA P PBI (APBN) Antenatal screening Berobat Jalan

153 29-01-2019 111902040119Y001549 0000544813154 SUKARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
154 29-01-2019 111902040119Y001542 0000544852012 JEMIRAH P PBI (APBN) Necrosis of pulp Berobat Jalan

155 29-01-2019 111902040119Y001490 0000544857254 MUCHAMMAD RAFA AL MADANI L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
156 29-01-2019 111902040119Y001505 0000544941101 AMAT GUNADI L PBI (APBN) Fracture of shaft of radius, Rujuk Lanjut
closed
157 29-01-2019 111902040119Y001516 0000544944306 MARYANTI P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

158 29-01-2019 111902040119Y001517 0000545007958 NGATIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
159 29-01-2019 111902040119Y001535 0000545260601 DEWI SURYANINGSIH P PBI (APBN) Antenatal screening Berobat Jalan

160 29-01-2019 111902040119Y001534 0001018538638 SRI WAHYUNI P PBI (APBN) Myalgia Berobat Jalan

161 29-01-2019 111902040119Y001502 0001019096379 SUMIYATUN P PBI (APBN) Malignant neuroleptic Rujuk Lanjut
syndrome
162 29-01-2019 111902040119Y001548 0001019102973 PUTRI KURNIASIH P PBI (APBN) Antenatal screening Berobat Jalan

163 29-01-2019 111902040119Y001530 0001019105425 HARI SUPARTO L PBI (APBN) Dyspepsia Berobat Jalan

164 29-01-2019 111902040119Y001544 0001019111804 KITRI P PBI (APBN) Functional diarrhoea Berobat Jalan

165 29-01-2019 111902040119Y001551 0001019121107 AGUS EDDY WIDODO L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
166 29-01-2019 111902040119Y001504 0001019126259 SURATMAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

167 29-01-2019 111902040119Y001524 0001019137893 KUSMIYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

168 29-01-2019 111902040119Y001552 0001084878707 AYUNINGTYAS SUCI ANINDA P PBI (APBN) Epilepsy, unspecified Rujuk Lanjut
SARI
169 29-01-2019 111902040119Y001492 0001128746856 NGATIMAN L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

170 29-01-2019 111902040119Y001519 0001151833893 SITI FATIMAH P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

171 29-01-2019 111902040119Y001522 0001172628843 NABILLA ZULFAA AYU P PEGAWAI SWASTA Other specified bacterial Berobat Jalan
diseases
172 29-01-2019 111902040119Y001527 0001611931781 RIA TRIANI P PEGAWAI SWASTA Spontaneous vertex Rujuk Lanjut
delivery
173 29-01-2019 111902040119Y001529 0001615366989 RIBUT YULIYANTI P PBI (APBD) Congestive heart failure Rujuk Lanjut

174 29-01-2019 111902040119Y001523 0001697163592 ROJANI L PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

175 29-01-2019 111902040119Y001550 0001697167967 Rizqi Muhammad Rafli L PBI (APBD) Allergic urticaria Berobat Jalan

176 29-01-2019 111902040119Y001501 0001697168248 Sudarmi P PBI (APBD) Polyarthrosis, unspecified Rujuk Lanjut

177 29-01-2019 111902040119Y001546 0001697169767 WALIDI CIPTO SUWARNO L PBI (APBD) Polyarthrosis, unspecified Berobat Jalan

178 29-01-2019 111902040119Y001512 0001697169778 MARSILAH P PBI (APBD) Polyarthrosis, unspecified Berobat Jalan

179 29-01-2019 111902040119Y001499 0001697170037 ANISA FIBRI. A P PBI (APBD) Low weight gain in Rujuk Lanjut
pregnancy
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

180 29-01-2019 111902040119Y001538 0001697195676 SAL SABILA P PBI (APBD) Influenza with other Berobat Jalan
respiratory manifestations,
influenza virus identified

181 29-01-2019 111902040119Y001493 0001842136964 DWI RAHAYU KRISTININGSIH P PEGAWAI SWASTA Glaucoma, unspecified Rujuk Lanjut

182 29-01-2019 111902040119Y001514 0001893516276 TOWIYAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

183 29-01-2019 111902040119Y001525 0002046113717 YATINAH P PEKERJA MANDIRI Myalgia Berobat Jalan

184 29-01-2019 111902040119Y001510 0002046547787 SIDQIYYA PUTRI TAZKIYYA P PEGAWAI SWASTA Pulpitis Berobat Jalan

185 29-01-2019 111902040119Y001518 0002060561654 AHMAD GUNAWAN L PEGAWAI SWASTA Impetiginization of other Berobat Jalan
dermatoses
186 29-01-2019 111902040119Y001509 0002165650569 Muhammad Lutfi Khoirul Anam L PBI (APBD) Redundant prepuce, Rujuk Lanjut
phimosis and

187 29-01-2019 111902040119Y001539 0002165650828 Minarti P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

188 29-01-2019 111902040119Y001506 0002229021584 ANINDYA PUTRI ARSHAFIN P PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

189 29-01-2019 111902040119Y001526 0002231942411 SUPRAPTI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

190 29-01-2019 111902040119Y001488 0002236611407 TRI HANDAYANI P PBI (APBD) Antenatal screening Rujuk Lanjut

191 29-01-2019 111902040119Y001553 0002376723925 SUGIMAN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

192 29-01-2019 111902040119Y001545 0002379684982 NURUL KHAWADHIS P PEGAWAI SWASTA Antenatal screening Berobat Jalan

193 29-01-2019 111902040119Y001503 0002381172164 MISRIAH P PBI (APBN) Abdominal pregnancy Rujuk Lanjut

194 29-01-2019 111902040119Y001540 0002428947898 ANANDA KIERAN KALYANA P PEGAWAI SWASTA Influenza with other Berobat Jalan
PUTRI respiratory manifestations,
influenza virus identified

195 29-01-2019 111902040119Y001528 0002494814196 NOVIA SUBAGIO P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

196 28-01-2019 111902040119Y001434 0000084190195 SUMIRAT KARDI L PNS DAERAH Seborrhoeic dermatitis, Berobat Jalan
unspecified
197 28-01-2019 111902040119Y001431 0000084212875 PUDJIJATI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

198 28-01-2019 111902040119Y001395 0000084226454 DWI AGUS RIYANTO L PNS DAERAH Granulomatous disorders Rujuk Lanjut
of skin and subcutaneous

199 28-01-2019 111902040119Y001379 0000084226487 DWI BUDIHARYANTO L PNS DAERAH Hypertensive heart Rujuk Lanjut
disease
200 28-01-2019 111902040119Y001401 0000084280419 NY.TRI HARYATI P PENERIMA PENSIUN Pulpitis Berobat Jalan
PNS
201 28-01-2019 111902040119Y001416 0000084285617 WAGE L VETERAN Retention of urine Rujuk Lanjut

202 28-01-2019 111902040119Y001425 0000084423723 WARDIWATI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

203 28-01-2019 111902040119Y001387 0000084539608 TOEKINO L PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
204 28-01-2019 111902040119Y001417 0000084656463 LEGIYATUN P PENERIMA PENSIUN Polyarthrosis, unspecified Rujuk Lanjut
PNS
205 28-01-2019 111902040119Y001422 0000084656575 SUHARTATI P PNS DAERAH Psoriasis vulgaris Rujuk Lanjut

206 28-01-2019 111902040119Y001451 0000084662965 ISMI ADIB LAELA PUTRI N L PNS DAERAH Allergic urticaria Berobat Jalan

207 28-01-2019 111902040119Y001449 0000084699617 RUNAESIH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

208 28-01-2019 111902040119Y001418 0000084713973 SAMIRAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
209 28-01-2019 111902040119Y001424 0000084733817 SULANG SANTOSO L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

210 28-01-2019 111902040119Y001377 0000084756104 SRI RORO RUBAINAH P PNS DAERAH External haemorrhoids Rujuk Lanjut
without complication
211 28-01-2019 111902040119Y001361 0000084806561 ROPINGAH P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

212 28-01-2019 111902040119Y001359 0000172831138 SIYAMTI P PENERIMA PENSIUN Retinal disorder, Rujuk Lanjut
PNS unspecified
213 28-01-2019 111902040119Y001388 0000193453143 MARYANAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
214 28-01-2019 111902040119Y001370 0000202877021 SRI SUKARJIANTINI P VETERAN Benign neoplasm of breast Rujuk Lanjut

215 28-01-2019 111902040119Y001372 0000207632507 SURATI P PNS DAERAH Vertigo of central origin Berobat Jalan

216 28-01-2019 111902040119Y001363 0000543363581 MISRAN L PBI (APBN) Residual schizophrenia Rujuk Lanjut

217 28-01-2019 111902040119Y001391 0000543404169 PUJI LESTARI P PBI (APBN) Personal history of Berobat Jalan
contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

218 28-01-2019 111902040119Y001429 0000543608897 SARIPAH P PBI (APBN) Myalgia Berobat Jalan

219 28-01-2019 111902040119Y001397 0000543616885 AMELIA PRAMUDITA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

220 28-01-2019 111902040119Y001430 0000543628539 SONI ASHINTYAMONICA P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
221 28-01-2019 111902040119Y001648 0000543664967 ENDANG DWI ASTUTI P PBI (APBN) Myalgia Berobat Jalan

222 28-01-2019 111902040119Y001411 0000543838882 SUDARSIH P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

223 28-01-2019 111902040119Y001721 0000543888639 ELIPAH P PBI (APBN) Personal history of Berobat Jalan
contraception
224 28-01-2019 111902040119Y001427 0000543946072 VIKA YULIANTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

225 28-01-2019 111902040119Y001357 0000544195282 SAMSI IRCHAM L PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

226 28-01-2019 111902040119Y001447 0000544249967 SUTARNI P PBI (APBN) General examination and Berobat Jalan
investigation of persons
without complaint and

227 28-01-2019 111902040119Y001423 0000544301763 CHARISSA AYUDYAPUTRI P PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

228 28-01-2019 111902040119Y001453 0000544322259 MARYONO L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
229 28-01-2019 111902040119Y001419 0000544344197 YUSNIA SARI P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
230 28-01-2019 111902040119Y001407 0000544353377 KASONO COKRODIKROMO L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

231 28-01-2019 111902040119Y001435 0000544438181 SRI HARTATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

232 28-01-2019 111902040119Y001428 0000544442084 DASIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
233 28-01-2019 111902040119Y001444 0000544536832 TUGINEM P PBI (APBN) Polyarthrosis, unspecified Rujuk Lanjut

234 28-01-2019 111902040119Y001393 0000544601024 MANISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

235 28-01-2019 111902040119Y001406 0000544699708 AGUS WAHYUDI L PBI (APBN) Impacted teeth Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

236 28-01-2019 111902040119Y001399 0000544716281 JAUHHARIYANI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

237 28-01-2019 111902040119Y001373 0000544811477 SRI PURWANTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

238 28-01-2019 111902040119Y001403 0000544818341 HARTONO L PBI (APBN) Fracture of clavicle, closed Rujuk Lanjut

239 28-01-2019 111902040119Y001362 0000544937027 SUINARKO L PBI (APBN) Schizophrenia Rujuk Lanjut

240 28-01-2019 111902040119Y001439 0000545046254 PURWITO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

241 28-01-2019 111902040119Y001381 0000545239743 SUHARTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

242 28-01-2019 111902040119Y001376 0000545245154 MUHIBAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

243 28-01-2019 111902040119Y001412 0001019098348 NOVIANI P PBI (APBN) Presence of functional Berobat Jalan
implant, unspecified
244 28-01-2019 111902040119Y001360 0001019102398 SUTINI P PBI (APBN) Cervical root disorders, not Rujuk Lanjut
elsewhere classified
245 28-01-2019 111902040119Y001433 0001019104672 AKHMADI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

246 28-01-2019 111902040119Y001368 0001019120635 AMAT WALUYO L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

247 28-01-2019 111902040119Y001426 0001019127385 JAENAB P PBI (APBN) Myalgia Berobat Jalan

248 28-01-2019 111902040119Y001452 0001019130884 EDY PRAWOKO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

249 28-01-2019 111902040119Y001441 0001019131446 SANDRA DEWI P PBI (APBN) Personal history of Berobat Jalan
contraception
250 28-01-2019 111902040119Y001405 0001079694538 TUGINI P PENERIMA PENSIUN TNI Low back pain Rujuk Lanjut

251 28-01-2019 111902040119Y001371 0001094610036 SUPRIYANTO L PENERIMA PENSIUN Other disorders of gingiva Berobat Jalan
POLRI and edentulous alveolar

252 28-01-2019 111902040119Y001369 0001110486036 NINDYA LESTARI NUGROHO P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

253 28-01-2019 111902040119Y001375 0001203075101 UMI MUSANGIDAH P PEGAWAI SWASTA Tension-type headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

254 28-01-2019 111902040119Y001389 0001302551144 SUKARYONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
255 28-01-2019 111902040119Y001446 0001328180128 MOKH BASORI L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

256 28-01-2019 111902040119Y001445 0001328181783 RUSMIYATI P PEKERJA MANDIRI Myalgia Berobat Jalan

257 28-01-2019 111902040119Y001398 0001442531722 TUTI SUHARTI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

258 28-01-2019 111902040119Y001421 0001524988427 PONIRAH P PEKERJA MANDIRI Tension-type headache Berobat Jalan

259 28-01-2019 111902040119Y001358 0001646329443 RANIA ANINDYA CAHYA P PEGAWAI SWASTA Influenza with other Berobat Jalan
RAMADHANI manifestations, virus not

260 28-01-2019 111902040119Y001402 0001651865951 SLAMET TRIYONO L PEGAWAI SWASTA Pulpitis Berobat Jalan

261 28-01-2019 111902040119Y001420 0001662153287 SUDIYEM P PENERIMA PENSIUN Neuralgia and neuritis, Berobat Jalan
PNS unspecified
262 28-01-2019 111902040119Y001383 0001697166472 ASMAUL HUSNAH P PBI (APBD) Nonpurulent mastitis Berobat Jalan
associated with childbirth
263 28-01-2019 111902040119Y001390 0001697166483 RAHMAT KURNIAWAN L PBI (APBD) Specific developmental Rujuk Lanjut
disorders of speech and

264 28-01-2019 111902040119Y001438 0001697167642 BUDI PRASETYO L PBI (APBD) Simple chronic bronchitis Berobat Jalan

265 28-01-2019 111902040119Y001384 0001697168463 Warsiti P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

266 28-01-2019 111902040119Y001408 0001700089481 DARWANINGSIH P PBI (APBD) Personal history of Berobat Jalan
contraception
267 28-01-2019 111902040119Y001414 0001716450704 SOFANDI BIN GITO SANTOSO L PEKERJA MANDIRI Lagophthalmos Rujuk Lanjut

268 28-01-2019 111902040119Y001415 0001817432559 KEMINI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

269 28-01-2019 111902040119Y001437 0001825085913 SUEPNO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
270 28-01-2019 111902040119Y001410 0001833719725 wartiningsih P PEKERJA MANDIRI Pulpitis Rujuk Lanjut

271 28-01-2019 111902040119Y001380 0001893527829 SOLEH ASHARI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

272 28-01-2019 111902040119Y001442 0001967069158 supartini P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

273 28-01-2019 111902040119Y001448 0001967260364 INDRIATI P PEGAWAI SWASTA Gastrojejunal ulcer, acute Rujuk Lanjut
with perforation
274 28-01-2019 111902040119Y001366 0002010029815 YENI LESTARI P PBI (APBN) Residual schizophrenia Rujuk Lanjut

275 28-01-2019 111902040119Y001443 0002026718054 SUPRAPTI P PBI (APBN) Personal history of Berobat Jalan
contraception
276 28-01-2019 111902040119Y001432 0002034172855 SUNARDI L PEKERJA MANDIRI Unspecified chronic Rujuk Lanjut
bronchitis
277 28-01-2019 111902040119Y001404 0002082422081 SUWITO HADI SURYONO L PEKERJA MANDIRI Presence of intraocular Rujuk Lanjut
lens
278 28-01-2019 111902040119Y001367 0002100693047 ENI SUMARNI P PENERIMA PENSIUN Vertigo of central origin Rujuk Lanjut
SWASTA
279 28-01-2019 111902040119Y001396 0002168543812 RIBUT MARZUKI L PBI (APBD) General examination and Berobat Jalan
investigation of persons
without complaint and

280 28-01-2019 111902040119Y001386 0002168548007 SITI RODHIYAH P PBI (APBD) Hypotension, unspecified Berobat Jalan

281 28-01-2019 111902040119Y001450 0002168548481 SRI WAHYUNI P PBI (APBD) Tension-type headache Berobat Jalan

282 28-01-2019 111902040119Y001440 0002249603908 IMAS RITA TARLINA P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

283 28-01-2019 111902040119Y001365 0002251768746 WIDIYASTUTI P PEGAWAI SWASTA Abdominal pregnancy Berobat Jalan

284 28-01-2019 111902040119Y001385 0002252402706 BINTARTI P PEKERJA MANDIRI Psoriasis vulgaris Rujuk Lanjut

285 28-01-2019 111902040119Y001409 0002277252303 ROKATIK P PEKERJA MANDIRI Dyspepsia Rujuk Lanjut

286 28-01-2019 111902040119Y001454 0002281242137 AGUS RIYANTO L PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

287 28-01-2019 111902040119Y001364 0002301421386 DWI RIYANTI P PEGAWAI PEMERINTAH Acute nephritic syndrome Rujuk Lanjut
DENGAN PERJANJIAN

288 28-01-2019 111902040119Y001374 0002316628811 ENDITA CITRA KIRANA P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

289 28-01-2019 111902040119Y001378 0002377779513 YOYOK NUR EFFENDI L PEKERJA MANDIRI Tension-type headache Berobat Jalan

290 28-01-2019 111902040119Y001413 0002422359437 YATIMAH P PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

291 28-01-2019 111902040119Y001382 0002484202061 FAJAR WIJAYA KUSUMA L PEKERJA MANDIRI Seborrhoeic dermatitis, Rujuk Lanjut
unspecified
292 28-01-2019 111902040119Y001400 0002504905481 SETA ZUHRI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

293 28-01-2019 111902040119Y001394 0002504908293 ANGGREA SASKIA P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

294 28-01-2019 111902040119Y001436 0002618308585 ERNAWATI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

295 28-01-2019 111902040119Y001392 0002626424976 MUGIYEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

296 26-01-2019 111902040119Y001315 0000076144072 DARSONO L PNS DAERAH Acute laryngitis Berobat Jalan

297 26-01-2019 111902040119Y001339 0000084217599 PUTRI INDAH KURNIAWATI P PNS DAERAH Impetiginization of other Berobat Jalan
dermatoses
298 26-01-2019 111902040119Y001344 0000084304067 SUGENG L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

299 26-01-2019 111902040119Y001321 0000084377799 SAMADI L PENERIMA PENSIUN TNI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

300 26-01-2019 111902040119Y001338 0000084440485 WASTUTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

301 26-01-2019 111902040119Y001334 0000084659275 NETTY FATMANINGSIH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

302 26-01-2019 111902040119Y001312 0000084699696 SULISTIYATI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
303 26-01-2019 111902040119Y001303 0000084699707 SUYANTI P PNS DAERAH Neuralgia and neuritis, Berobat Jalan
unspecified
304 26-01-2019 111902040119Y001313 0000084798808 SRI HASTUTI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

305 26-01-2019 111902040119Y001304 0000205593412 INGGRIT AFIFAH ST P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

306 26-01-2019 111902040119Y001290 0000543538552 TASIK L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

307 26-01-2019 111902040119Y001349 0000543591909 AHMAT TAWAKKUL L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

308 26-01-2019 111902040119Y001306 0000543667386 SUPARTI P PBI (APBN) Somatoform disorders Rujuk Lanjut

309 26-01-2019 111902040119Y001322 0000543930568 DWI LESTARININGSIH P PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

310 26-01-2019 111902040119Y001346 0000543964915 ARI YANU WASKITO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

311 26-01-2019 111902040119Y001345 0000543966974 AURELIO FAUSTIN DAVILLA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

312 26-01-2019 111902040119Y001342 0000544263647 SUMIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

313 26-01-2019 111902040119Y001355 0000544286428 FADIL NAN MAULANA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

314 26-01-2019 111902040119Y001320 0000544531612 SUMIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

315 26-01-2019 111902040119Y001302 0000544542052 TASLIMAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
316 26-01-2019 111902040119Y001354 0000545066831 YULFA SURYANTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

317 26-01-2019 111902040119Y001308 0000545086809 SUKARSIH P PBI (APBN) Contraceptive Berobat Jalan
management
318 26-01-2019 111902040119Y001332 0000545283966 MUHAMMAD HIFZIL MUBAROK L PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
319 26-01-2019 111902040119Y001309 0000545348935 IDiya DAfit PRATAMA L PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
320 26-01-2019 111902040119Y001617 0001019095694 DARNO L PBI (APBN) Headache Berobat Jalan

321 26-01-2019 111902040119Y001291 0001019098708 RUMINAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

322 26-01-2019 111902040119Y001746 0001019106639 NOVITASARI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
323 26-01-2019 111902040119Y001330 0001019116203 TRI RIYANTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

324 26-01-2019 111902040119Y001329 0001019116214 MUHAMMAD RAFKI YOGATAMA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

325 26-01-2019 111902040119Y001314 0001019118227 SRI WAHYUNI P PBI (APBN) Contraceptive Berobat Jalan
management
326 26-01-2019 111902040119Y001351 0001019120308 RIZAL FERDI RIYANTO L PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
327 26-01-2019 111902040119Y001317 0001019120578 NINGTYAS TRI FEBRIANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

328 26-01-2019 111902040119Y001311 0001019122132 SETIYOWATI P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
329 26-01-2019 111902040119Y001348 0001019125034 NUR LATIFATUN NIKMAH P PBI (APBN) Tension-type headache Berobat Jalan

330 26-01-2019 111902040119Y001307 0001019128318 NIKEN TRIA LESTARI P PBI (APBN) Pulpitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

331 26-01-2019 111902040119Y001293 0001019139131 ZAMROATUN P PBI (APBN) Other and unspecified Rujuk Lanjut
ovarian cysts
332 26-01-2019 111902040119Y001356 0001019140288 ASTRIYANI RESTININGRUM P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

333 26-01-2019 111902040119Y001301 0001019141537 CHAYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

334 26-01-2019 111902040119Y001347 0001078759001 MARPUNGAH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

335 26-01-2019 111902040119Y001296 0001156992401 ROCHMAD HADI L PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
336 26-01-2019 111902040119Y001333 0001168011876 FAJAR NURDIANSYAH L PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
337 26-01-2019 111902040119Y001343 0001423964889 SUMARMI P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

338 26-01-2019 111902040119Y001305 0001631641746 SATRIA JALA MANGKARA L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

339 26-01-2019 111902040119Y001337 0001631920318 RUSMINAH P PEGAWAI SWASTA Low back pain Berobat Jalan

340 26-01-2019 111902040119Y001331 0001691222455 TRIYATIK P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

341 26-01-2019 111902040119Y001294 0001692273914 ALVARO DEVON HAMIZAN L PEGAWAI SWASTA Dermatitis herpetiformis Berobat Jalan

342 26-01-2019 111902040119Y001340 0001697215072 RUBI WULAN PRASETIYANI P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

343 26-01-2019 111902040119Y001352 0001701614283 YULITA HAPSARI RUKMANTI P PEGAWAI BUMN Tension-type headache Berobat Jalan

344 26-01-2019 111902040119Y001328 0001701614294 AISYAH ANINDYA KUSUMA P PEGAWAI BUMN Allergic urticaria Berobat Jalan

345 26-01-2019 111902040119Y001336 0001880533157 sri maryati P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
346 26-01-2019 111902040119Y001341 0002044449674 NENI YULIATI P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

347 26-01-2019 111902040119Y001295 0002048987182 WIWIk MULYANI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

348 26-01-2019 111902040119Y001310 0002070985184 PONIRIN AMAT SEMADI L PEGAWAI SWASTA Neuralgia and neuritis, Berobat Jalan
unspecified
349 26-01-2019 111902040119Y001297 0002072517096 ahmad ramadhani pratama L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

350 26-01-2019 111902040119Y001319 0002076194597 AMAT SUGIYANTO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

351 26-01-2019 111902040119Y001299 0002087996275 FATIH HAIKAL MIRZA L PEKERJA MANDIRI Allergic urticaria Berobat Jalan

352 26-01-2019 111902040119Y001350 0002089834064 ZULI SARTIKA P PEKERJA MANDIRI Tension-type headache Berobat Jalan

353 26-01-2019 111902040119Y001698 0002116257322 ZAENAP P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
influenza virus identified

354 26-01-2019 111902040119Y001325 0002131184215 SUMIYATI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
355 26-01-2019 111902040119Y001292 0002168546275 KASIYATI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
356 26-01-2019 111902040119Y001318 0002292511904 SUDIR RAHARJO L PEKERJA MANDIRI Nonorganic sleep Rujuk Lanjut
disorders
357 26-01-2019 111902040119Y001324 0002295587542 CHRISTINA TRI WULANDARI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

358 26-01-2019 111902040119Y001327 0002316667871 DJUMIYATI P PEKERJA MANDIRI Low back pain Berobat Jalan

359 26-01-2019 111902040119Y001326 0002325073228 SALWA NIRMALA P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

360 26-01-2019 111902040119Y001298 0002359106673 WALIYAH P PBI (APBD) Antenatal screening Rujuk Lanjut

361 26-01-2019 111902040119Y001300 0002379974218 PARINAH P INVESTOR Generalized anxiety Rujuk Lanjut
disorder
362 26-01-2019 111902040119Y001335 0002444043701 SITI KHOTIMAH P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

363 26-01-2019 111902040119Y001316 0002469220299 ARSY MEYSA LASTIKA P PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

364 26-01-2019 111902040119Y001353 0002504907731 HELEN OCTATIANI P PBI (APBN) Viral conjunctivitis, Berobat Jalan
unspecified
365 26-01-2019 111902040119Y001323 0002610478798 APRILIA GUSTI NUR A'IDAH P PEGAWAI SWASTA Antenatal screening Berobat Jalan

366 25-01-2019 111902040119Y001235 0000084266627 SULASMI P PNS DAERAH Polyarthrosis, unspecified Berobat Jalan

367 25-01-2019 111902040119Y001249 0000084326051 SITI RUBIYAH P PENERIMA PENSIUN TNI Lichen simplex chronicus Berobat Jalan

368 25-01-2019 111902040119Y001246 0000084542815 SUKIYAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
369 25-01-2019 111902040119Y001286 0000084784792 DOYO ARESTU L PEKERJA MANDIRI Caries of dentine Berobat Jalan

370 25-01-2019 111902040119Y001281 0000149377217 ARYO PAMBUDI NUGROHO L PNS DAERAH Chronic post-traumatic Rujuk Lanjut
headache
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

371 25-01-2019 111902040119Y001276 0000206509612 DARSONO AL JOGO DARSONO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

372 25-01-2019 111902040119Y001278 0000543369431 PUDJIONO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

373 25-01-2019 111902040119Y001254 0000543381344 PAWIRO DURIYO L PBI (APBN) Congestive heart failure Rujuk Lanjut

374 25-01-2019 111902040119Y001283 0000543452591 RIKO HARJITO L PBI (APBN) Injury of other specified Rujuk Lanjut
intrathoracic organs
375 25-01-2019 111902040119Y001251 0000543551308 EKO WIRAWAN L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

376 25-01-2019 111902040119Y001257 0000543551567 NOFI NURNGAFIYAH P PBI (APBN) Antenatal screening Berobat Jalan

377 25-01-2019 111902040119Y001247 0000543907304 NGATINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

378 25-01-2019 111902040119Y001277 0000544192064 SITI NUR ASIYAH P PBI (APBN) General counselling and Berobat Jalan
advice on contraception
379 25-01-2019 111902040119Y001280 0000544233611 RIDHATUN SOLIMAH P PBI (APBN) Post-schizophrenic Rujuk Lanjut
depression
380 25-01-2019 111902040119Y001250 0000544267607 IMAN NASIRI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

381 25-01-2019 111902040119Y001751 0000544468072 SITI SETIYANI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
382 25-01-2019 111902040119Y001289 0000544617742 SINAR WAHYU WARDANI L PBI (APBN) Deposits [accretions] on Berobat Jalan
teeth
383 25-01-2019 111902040119Y001253 0000544756825 HARTIYEM P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

384 25-01-2019 111902040119Y001237 0000545008724 ASEP PUJIYANTO L PBI (APBN) Other and unspecified Rujuk Lanjut
hydronephrosis
385 25-01-2019 111902040119Y001239 0000545010928 NURUL HIJRIYAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

386 25-01-2019 111902040119Y001284 0000545011222 ALI ABI SALAM L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
387 25-01-2019 111902040119Y001243 0000545015068 SARWIYANI P PBI (APBN) Dyspepsia Berobat Jalan

388 25-01-2019 111902040119Y001265 0000545043925 TURMUDZI L PBI (APBN) Chronic kidney disease Rujuk Lanjut

389 25-01-2019 111902040119Y001262 0000545044566 SITI BAROKAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

390 25-01-2019 111902040119Y001263 0000545045681 DAFINNIYYATUL FARIKHAH P PBI (APBN) Allergic urticaria Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

391 25-01-2019 111902040119Y001458 0000545086809 SUKARSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
392 25-01-2019 111902040119Y001287 0000545473247 ANNISA KURROTA A`YUN P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
393 25-01-2019 111902040119Y001245 0000545494228 SUKINI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

394 25-01-2019 111902040119Y001285 0000545710498 FITRI RINA RAHMANDANI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
395 25-01-2019 111902040119Y001242 0000545743552 WARDANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

396 25-01-2019 111902040119Y001244 0001019125405 JANIYAH P PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
bacteriological and
histological examination

397 25-01-2019 111902040119Y001252 0001019128386 TURIYEM P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

398 25-01-2019 111902040119Y001259 0001019130682 SRIYANI P PBI (APBN) Dyspepsia Berobat Jalan

399 25-01-2019 111902040119Y001234 0001019132144 LIANI P PBI (APBN) Insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

400 25-01-2019 111902040119Y001238 0001019141379 SALIMIN L PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

401 25-01-2019 111902040119Y001261 0001099398249 fellen pangki nugroho L ANGGOTA POLRI Amenorrhoea, unspecified Rujuk Lanjut

402 25-01-2019 111902040119Y001273 0001201469927 DEWI WINARTI P PEGAWAI SWASTA Tension-type headache Berobat Jalan

403 25-01-2019 111902040119Y001241 0001303186443 HILMY ZAKY ROHMAN L PEGAWAI SWASTA Scarlet fever Berobat Jalan

404 25-01-2019 111902040119Y001743 0001449762546 ISTIKOMAH P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
405 25-01-2019 111902040119Y001240 0001483751507 ICA PELANGI DWITAMA P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

406 25-01-2019 111902040119Y001274 0001525065063 ROCHAENI P PEGAWAI SWASTA Functional diarrhoea Berobat Jalan

407 25-01-2019 111902040119Y001271 0001697163636 RUSMIYATUN P PBI (APBD) Chronic kidney disease Rujuk Lanjut

408 25-01-2019 111902040119Y001270 0001697213788 SANTY WIJAYANTY P PBI (APBD) Antenatal screening Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

409 25-01-2019 111902040119Y001269 0001700088513 BITONAH ERI PRAYOGI L PBI (APBD) Fracture of shaft of radius, Rujuk Lanjut
closed
410 25-01-2019 111902040119Y001282 0001806678066 yeni wuryana P PEKERJA MANDIRI Suppurative otitis media, Rujuk Lanjut
unspecified
411 25-01-2019 111902040119Y001255 0002053611707 ALI MUSTOPO L PEGAWAI SWASTA Leprosy, unspecified Berobat Jalan

412 25-01-2019 111902040119Y001248 0002070243876 AURORA ATHALIA P PEKERJA MANDIRI Urticaria, unspecified Berobat Jalan

413 25-01-2019 111902040119Y001266 0002079297404 ISMARLIYAH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
414 25-01-2019 111902040119Y001275 0002168544712 SABILA PUTRI AGUSTIN P PBI (APBD) Scarlet fever Berobat Jalan

415 25-01-2019 111902040119Y001256 0002201432354 INAS MUNTAZAH P PBI (APBN) Antenatal screening Berobat Jalan

416 25-01-2019 111902040119Y001236 0002202245842 AMINDA PUTRI P PEKERJA MANDIRI Disorder of lens, Rujuk Lanjut
unspecified
417 25-01-2019 111902040119Y001268 0002213176735 ISMIYATININGSIH P PEKERJA MANDIRI Hypertensive heart Rujuk Lanjut
disease
418 25-01-2019 111902040119Y001264 0002222175699 ZIDA MALICHAH P PEGAWAI BUMN Antenatal screening Berobat Jalan

419 25-01-2019 111902040119Y001288 0002485661984 gina maritza P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

420 25-01-2019 111902040119Y001272 0002488956917 ZUNAIDA NABILA P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

421 25-01-2019 111902040119Y001279 0002496853833 MUHAMAD ASRI DUWIJAYANTO L PEKERJA MANDIRI Scarlet fever Berobat Jalan

422 25-01-2019 111902040119Y001260 0002504906076 YAYAT KASEN AL QURNIO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

423 25-01-2019 111902040119Y001267 0002504906583 ADI SUHERMAN L PBI (APBN) Scarlet fever Berobat Jalan

424 25-01-2019 111902040119Y001258 0002504906594 SAEFUL YUSUF L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

425 24-01-2019 111902040119Y001178 0000060004146 SUTARDI L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
426 24-01-2019 111902040119Y001160 0000084533499 MARTIYAH P PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
427 24-01-2019 111902040119Y001172 0000084535571 SUWARNI P PENERIMA PENSIUN Allergic urticaria Berobat Jalan
PNS
428 24-01-2019 111902040119Y001188 0000084632736 SUWARSIH P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

429 24-01-2019 111902040119Y001198 0000084738969 SUGIATI P PNS DAERAH Tension-type headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

430 24-01-2019 111902040119Y001199 0000084755441 NGATIYAH P PNS DAERAH Polyarthrosis, unspecified Rujuk Lanjut

431 24-01-2019 111902040119Y001170 0000164836236 AMAT KUDORI L PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
432 24-01-2019 111902040119Y001191 0000543363557 JUMARI L PBI (APBN) Lichen simplex chronicus Berobat Jalan

433 24-01-2019 111902040119Y001209 0000544170791 WIDARTO L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

434 24-01-2019 111902040119Y001181 0000544274785 SUTINI P PBI (APBN) Vertigo of central origin Berobat Jalan

435 24-01-2019 111902040119Y001159 0000544286542 DIMAS VINDIAWAN L PBI (APBN) Suppurative otitis media, Rujuk Lanjut
unspecified
436 24-01-2019 111902040119Y001205 0000544304452 windaryanti P PBI (APBN) Mixed asthma Rujuk Lanjut

437 24-01-2019 111902040119Y001168 0000544309885 MUHAMMAD NUR SAIFUDIN L PBI (APBN) Scabies Berobat Jalan

438 24-01-2019 111902040119Y001182 0000544315443 ADI SUPARMAN L PBI (APBN) Malignant neoplasm of Rujuk Lanjut
body of penis
439 24-01-2019 111902040119Y001195 0000544348326 OZI PRANOTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

440 24-01-2019 111902040119Y001184 0000544467971 RAHMAT L PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
441 24-01-2019 111902040119Y001157 0000544477408 MARLIYAH P PBI (APBN) Low back pain Rujuk Lanjut

442 24-01-2019 111902040119Y001177 0000544610553 NANI YUNINGSIH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
443 24-01-2019 111902040119Y001165 0000544611622 DIMAS RAFA ADI NUGROHO L PBI (APBN) Dyspepsia Berobat Jalan

444 24-01-2019 111902040119Y001192 0000544768727 RIZKY PRATAMA L PBI (APBN) Persistent fever Rujuk Lanjut

445 24-01-2019 111902040119Y001206 0000544850313 PUJI ASTUTI P PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
446 24-01-2019 111902040119Y001189 0000544955253 MAMAT L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

447 24-01-2019 111902040119Y001190 0000544955376 WARNI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

448 24-01-2019 111902040119Y001171 0000544984659 ELLY RIANI P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

449 24-01-2019 111902040119Y001176 0000545020705 BAROYAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

450 24-01-2019 111902040119Y001200 0000545021785 SUJARWATI P PBI (APBN) Necrosis of pulp Berobat Jalan

451 24-01-2019 111902040119Y001175 0000545022483 DEWA SAPUTRA L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

452 24-01-2019 111902040119Y001167 0000545034014 WIWIK RUSMIYATI P PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
453 24-01-2019 111902040119Y001161 0000545487322 DENI KURNIAWAN L PBI (APBN) Unspecified appendicitis Rujuk Lanjut

454 24-01-2019 111902040119Y001204 0000545553933 MUSHAROH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

455 24-01-2019 111902040119Y001719 0000545654957 AGUSTINA EKA PUTRI P PBI (APBN) Personal history of Berobat Jalan
contraception
456 24-01-2019 111902040119Y001735 0000601012214 UMROTUS SOLIKAT P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
457 24-01-2019 111902040119Y001162 0001019098462 AMAT SABARI L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

458 24-01-2019 111902040119Y001187 0001019105234 BANDIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
459 24-01-2019 111902040119Y001745 0001019106639 NOVITASARI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
460 24-01-2019 111902040119Y001210 0001019112401 WASITO L PBI (APBN) Other specified bacterial Berobat Jalan
diseases
461 24-01-2019 111902040119Y001179 0001019119926 WARJINAH P PBI (APBN) Allergic urticaria Berobat Jalan

462 24-01-2019 111902040119Y001203 0001019128285 RIYANI P PBI (APBN) Disorder of urinary system, Berobat Jalan
unspecified
463 24-01-2019 111902040119Y001193 0001019132021 REBIMAN L PBI (APBN) Simple chronic bronchitis Berobat Jalan

464 24-01-2019 111902040119Y001202 0001019132032 marifah P PBI (APBN) Periodontal disease, Berobat Jalan
unspecified
465 24-01-2019 111902040119Y001213 0001019134934 MULYANI P PBI (APBN) Dyspepsia Berobat Jalan

466 24-01-2019 111902040119Y001196 0001019140266 NGATINEM P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

467 24-01-2019 111902040119Y001197 0001019140288 ASTRIYANI RESTININGRUM P PBI (APBN) Dyspepsia Berobat Jalan

468 24-01-2019 111902040119Y001183 0001019141414 SUTIKNO L PBI (APBN) Thyrotoxicosis with toxic Rujuk Lanjut
single thyroid nodule
469 24-01-2019 111902040119Y001211 0001084908453 BANDIYAH P PBI (APBN) Hypotension, unspecified Berobat Jalan

470 24-01-2019 111902040119Y001194 0001479778481 MUJIYATI P PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

471 24-01-2019 111902040119Y001208 0001697162242 Rambat L PBI (APBD) Allergic urticaria Berobat Jalan

472 24-01-2019 111902040119Y001207 0001697168913 Supiyati P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

473 24-01-2019 111902040119Y001186 0001697188961 KARMINI P PBI (APBD) Polyarthrosis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

474 24-01-2019 111902040119Y001212 0002050839843 DEWO RINI PRAJANINGRUM P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

475 24-01-2019 111902040119Y001169 0002093953217 WARSIYEM P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
476 24-01-2019 111902040119Y001156 0002168546455 PARIMAN L PBI (APBD) Benign neoplasm of Rujuk Lanjut
prostate
477 24-01-2019 111902040119Y001158 0002168547041 TUTIK P PBI (APBD) Other senile cataract Rujuk Lanjut

478 24-01-2019 111902040119Y001173 0002168549166 SUMARTINI P PBI (APBD) Polyarthrosis, unspecified Berobat Jalan

479 24-01-2019 111902040119Y001180 0002169391803 IBNU ANWAR L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

480 24-01-2019 111902040119Y001174 0002243813286 NATHAN ALKHALIFI L PEGAWAI SWASTA Specific developmental Rujuk Lanjut
disorders of speech and

481 24-01-2019 111902040119Y001164 0002258265284 MULYONO L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

482 24-01-2019 111902040119Y001739 0002272197238 NIMAS ARI WAHYUNI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
483 24-01-2019 111902040119Y001166 0002298143463 TAJEMSIH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

484 24-01-2019 111902040119Y001201 0002309427606 SUNARSIH L PEKERJA MANDIRI Dyspepsia Berobat Jalan

485 24-01-2019 111902040119Y001163 0002314150931 SUKASNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

486 24-01-2019 111902040119Y001185 0002504905121 RIZKI CAHYO ARDI L PBI (APBN) Viral conjunctivitis, Berobat Jalan
unspecified
487 23-01-2019 111902040119Y001108 0000009299327 SUBAGIONO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

488 23-01-2019 111902040119Y001090 0000084266943 SITI WINDARTI P PNS DAERAH Necrosis of pulp Berobat Jalan

489 23-01-2019 111902040119Y001104 0000084376923 SITI MALIKAH P PENERIMA PENSIUN TNI Polyarthrosis, unspecified Berobat Jalan

490 23-01-2019 111902040119Y001102 0000084557619 FAJAR NUGROHO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

491 23-01-2019 111902040119Y001055 0000084560196 SULTONIYAH P PENERIMA PENSIUN Glaucoma, unspecified Rujuk Lanjut
PNS
492 23-01-2019 111902040119Y001105 0000084560804 SUMARMI P PENERIMA PENSIUN Low back pain Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

493 23-01-2019 111902040119Y001101 0000084641995 TRI PURWI S,SPD P PNS DAERAH Functional diarrhoea Berobat Jalan

494 23-01-2019 111902040119Y001118 0000084671414 SARDI L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
495 23-01-2019 111902040119Y001091 0000084699628 SATIRAH P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

496 23-01-2019 111902040119Y001120 0000158298491 MAYEM P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
497 23-01-2019 111902040119Y001074 0000162369911 WASIATO L PENERIMA PENSIUN TNI Congestive heart failure Rujuk Lanjut

498 23-01-2019 111902040119Y001110 0000543923504 SEPTIYANTI LAYYA P PBI (APBN) Dyspepsia Berobat Jalan
PRABAWATI
499 23-01-2019 111902040119Y001096 0000544014088 FARHAN MAULANA L PBI (APBN) Functional diarrhoea Berobat Jalan

500 23-01-2019 111902040119Y001097 0000544014303 RIZKA SILFIANA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

501 23-01-2019 111902040119Y001112 0000544120885 AYU WIDIASTUTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

502 23-01-2019 111902040119Y001062 0000544362985 SIGIT NUGROHO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

503 23-01-2019 111902040119Y001065 0000544438181 SRI HARTATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

504 23-01-2019 111902040119Y001465 0000544498356 WASILAH P PBI (APBN) Personal history of Berobat Jalan
contraception
505 23-01-2019 111902040119Y001099 0000544512161 DUMERI L PBI (APBN) Allergic urticaria Berobat Jalan

506 23-01-2019 111902040119Y001095 0000544515952 SRIYANI P PBI (APBN) Necrosis of pulp Berobat Jalan

507 23-01-2019 111902040119Y001082 0000544520327 SURIYAH P PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
508 23-01-2019 111902040119Y001697 0000544627304 SURNI P PBI (APBN) Gastritis, unspecified Berobat Jalan

509 23-01-2019 111902040119Y001100 0000544795301 SUPARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
510 23-01-2019 111902040119Y001073 0000544839129 MUHADI L PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
511 23-01-2019 111902040119Y001072 0000545024608 SURANTININGSIH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

512 23-01-2019 111902040119Y001079 0000545170634 FAISAL SUTEJO L PBI (APBN) Periodontal disease, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

513 23-01-2019 111902040119Y001115 0000545231081 RUSTI P PBI (APBN) Myalgia Berobat Jalan

514 23-01-2019 111902040119Y001111 0000545482743 KOT MILATUL KHASANAH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

515 23-01-2019 111902040119Y001061 0000545487322 DENI KURNIAWAN L PBI (APBN) Unspecified appendicitis Berobat Jalan

516 23-01-2019 111902040119Y001106 0000545580764 MISRAN L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

517 23-01-2019 111902040119Y001107 0000545581089 KOMSIYAH P PBI (APBN) Low back pain Berobat Jalan

518 23-01-2019 111902040119Y001063 0001019104705 MUHAMMAD HAIDAR L PBI (APBN) Disturbances in tooth Berobat Jalan
ARRASYID eruption
519 23-01-2019 111902040119Y001744 0001019106639 NOVITASARI P PBI (APBN) Spontaneous vertex Sembuh
delivery
520 23-01-2019 111902040119Y001060 0001019110364 SUMARNINGSIH P PBI (APBN) Myalgia Berobat Jalan

521 23-01-2019 111902040119Y001071 0001019114616 LUDFI TRIA YUDHA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

522 23-01-2019 111902040119Y001098 0001019115033 OKTAVIYANI PUTRI SADEWI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

523 23-01-2019 111902040119Y001066 0001019122828 RUMINAH P PBI (APBN) Superficial mycosis, Berobat Jalan
unspecified
524 23-01-2019 111902040119Y001109 0001019123919 ISDIYANTO L PBI (APBN) Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

525 23-01-2019 111902040119Y001057 0001019124911 LENI MELANI P PBI (APBN) Antenatal screening Rujuk Lanjut

526 23-01-2019 111902040119Y001084 0001019135496 GHONIYAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

527 23-01-2019 111902040119Y001114 0001019140514 A. DANUSI RAHMAT EFENDI L PBI (APBN) Dyspepsia Berobat Jalan

528 23-01-2019 111902040119Y001113 0001019140536 RAYHAN ADE PRADANA L PBI (APBN) Dyspepsia Berobat Jalan

529 23-01-2019 111902040119Y001067 0001079694538 TUGINI P PENERIMA PENSIUN TNI Low back pain Berobat Jalan

530 23-01-2019 111902040119Y001086 0001103569672 Warsono L PRAJURIT AU Malignant neoplasm of Rujuk Lanjut
brain
531 23-01-2019 111902040119Y001083 0001156992873 DEFIRA TSALTSABILA P PEKERJA MANDIRI Fracture of lower end of Rujuk Lanjut
tibia
532 23-01-2019 111902040119Y001722 0001160744038 TRI WATI P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
533 23-01-2019 111902040119Y001093 0001286841701 AGNES WIDYAWATI P PRAJURIT AD Acute pharyngitis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

534 23-01-2019 111902040119Y001080 0001383451986 TIN NGATINAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

535 23-01-2019 111902040119Y001070 0001532659026 Wahyu Setiaji L PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

536 23-01-2019 111902040119Y001064 0001534736542 DWI PRIAMBUDI L PBI (APBD) Necrosis of pulp Berobat Jalan

537 23-01-2019 111902040119Y001089 0001647387663 SRI SONGOWATI P PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
538 23-01-2019 111902040119Y001077 0001697166573 LASTRI P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

539 23-01-2019 111902040119Y001075 0001697166742 BADRUN HADI PRAYITNO L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
540 23-01-2019 111902040119Y001088 0001833109301 QIDO MAYORTA FAIZ AL JUNDY L PNS DAERAH Disturbances in tooth Berobat Jalan
eruption
541 23-01-2019 111902040119Y001085 0001869751462 UMI HARYANI P PNS DAERAH Necrosis of pulp Berobat Jalan

542 23-01-2019 111902040119Y001087 0001869755152 RASYIFA ULYA ZULFA P PNS DAERAH Disturbances in tooth Berobat Jalan
eruption
543 23-01-2019 111902040119Y001069 0001969868676 Pangesti P PEGAWAI SWASTA Cystitis Berobat Jalan

544 23-01-2019 111902040119Y001056 0002045429829 MUHAMMAD FARKHAN L PEGAWAI SWASTA Epilepsy, unspecified Rujuk Lanjut

545 23-01-2019 111902040119Y001117 0002091105718 MARDIYAH P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

546 23-01-2019 111902040119Y001694 0002116257377 SITI KASTIAH P PBI (APBN) Myalgia Berobat Jalan

547 23-01-2019 111902040119Y001094 0002177874843 PUDJO SUNARKO L PBI (APBN) Tinnitus Berobat Jalan

548 23-01-2019 111902040119Y001059 0002203075719 SUPARNO L PEGAWAI PEMERINTAH Disorder of lens, Rujuk Lanjut
DENGAN PERJANJIAN unspecified

549 23-01-2019 111902040119Y001058 0002203076204 BURILAH P PEGAWAI PEMERINTAH Non-insulin-dependent Rujuk Lanjut
DENGAN PERJANJIAN diabetes mellitus with

550 23-01-2019 111902040119Y001068 0002241353799 SITI CHOTIJAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
551 23-01-2019 111902040119Y001092 0002312517802 WISNU MURTI L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

552 23-01-2019 111902040119Y001078 0002466027865 SHINTA ANITA DEWI P PEKERJA MANDIRI Benign neoplasm of breast Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

553 23-01-2019 111902040119Y001081 0002501304074 HENI ISNAINI P PEKERJA MANDIRI Antenatal screening Rujuk Lanjut

554 23-01-2019 111902040119Y001116 0002614037286 SUGIHARTI P PEKERJA MANDIRI Low back pain Berobat Jalan

555 23-01-2019 111902040119Y001076 0002619601064 ZANGIMATUN NASIROH P PEGAWAI SWASTA Persons encountering Rujuk Lanjut
health services for specific
procedures, not carried out

556 23-01-2019 111902040119Y001103 0002620200486 satya pratama wibawa L PNS PUSAT Disturbances in tooth Berobat Jalan
eruption
557 22-01-2019 111902040119Y001041 0000084027802 SUGIYANI P PNS DAERAH Superficial mycosis, Berobat Jalan
unspecified
558 22-01-2019 111902040119Y001023 0000084377979 SITI ASTUTI P PENERIMA PENSIUN TNI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

559 22-01-2019 111902040119Y001035 0000084643784 ARSIMAH P PNS DAERAH Neuralgia and neuritis, Berobat Jalan
unspecified
560 22-01-2019 111902040119Y001054 0000084680829 SURYONO L PNS DAERAH Endocrine disorder, Berobat Jalan
unspecified
561 22-01-2019 111902040119Y001028 0000084699685 SRI SUTARMI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
562 22-01-2019 111902040119Y001001 0000543516715 TUPON ISWADI L PBI (APBN) Unstable angina Rujuk Lanjut

563 22-01-2019 111902040119Y001016 0000543567701 JUMINEM P PBI (APBN) Pulpitis Berobat Jalan

564 22-01-2019 111902040119Y001034 0000543608998 BADRIAH P PBI (APBN) Vitiligo Rujuk Lanjut

565 22-01-2019 111902040119Y001003 0000543612047 SUDIGDO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

566 22-01-2019 111902040119Y001018 0000543626212 COKROSUMARTO L PBI (APBN) Congestive heart failure Rujuk Lanjut

567 22-01-2019 111902040119Y001007 0000544057503 RISKA DWI PUTRI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
568 22-01-2019 111902040119Y001025 0000544093918 SAMIRIN L PBI (APBN) Low back pain Berobat Jalan

569 22-01-2019 111902040119Y001008 0000544094739 YATMIYATUN P PBI (APBN) Dyspepsia Berobat Jalan

570 22-01-2019 111902040119Y001020 0000544120661 SUMARSIH P PBI (APBN) Simple chronic bronchitis Berobat Jalan

571 22-01-2019 111902040119Y001017 0000544154703 PAINI P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

572 22-01-2019 111902040119Y001052 0000544195809 ASMAWIYAH P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

573 22-01-2019 111902040119Y001010 0000544220853 URIP L PBI (APBN) Viral conjunctivitis, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

574 22-01-2019 111902040119Y001051 0000544344197 YUSNIA SARI P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
575 22-01-2019 111902040119Y001022 0000544432419 SUBECHI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
576 22-01-2019 111902040119Y001021 0000544433578 ISTI FADAH P PBI (APBN) Scabies Berobat Jalan

577 22-01-2019 111902040119Y001050 0000544633953 SURYATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

578 22-01-2019 111902040119Y001046 0000544818363 RANU SEMITO L PBI (APBN) Unilateral or unspecified Berobat Jalan
inguinal hernia, without

579 22-01-2019 111902040119Y001004 0000544861269 AMAT TARSIN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

580 22-01-2019 111902040119Y001724 0000544965581 SITI CHOTIBAH P PBI (APBN) Personal history of Berobat Jalan
contraception
581 22-01-2019 111902040119Y001014 0000545048054 MAMI NARMINA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

582 22-01-2019 111902040119Y001005 0000545094213 MUHAMMAD NIZAM P P P PBI (APBN) Pulpitis Berobat Jalan

583 22-01-2019 111902040119Y001013 0001019123201 RASIYEM P PBI (APBN) Hypertensive heart Berobat Jalan
disease
584 22-01-2019 111902040119Y001027 0001019128397 SLAMET RUBIYANTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

585 22-01-2019 111902040119Y001037 0001019129488 DESTIYAN MERLINAWATI P PBI (APBN) Plantar fascial Rujuk Lanjut
fibromatosis, ankle and

586 22-01-2019 111902040119Y001460 0001019138883 NOVI ERNAWATI P PBI (APBN) Personal history of Berobat Jalan
contraception
587 22-01-2019 111902040119Y001040 0001019141414 SUTIKNO L PBI (APBN) Thyrotoxicosis with toxic Berobat Jalan
single thyroid nodule
588 22-01-2019 111902040119Y001048 0001019141875 HAWINAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

589 22-01-2019 111902040119Y001043 0001080787803 SALMA NIBRAS GITA RATRI P PNS DAERAH Dyspepsia Berobat Jalan

590 22-01-2019 111902040119Y001024 0001084644999 WINARTI P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

591 22-01-2019 111902040119Y001033 0001301254874 ATIK SETIYORINI P PEGAWAI SWASTA Pterygium Berobat Jalan

592 22-01-2019 111902040119Y001032 0001301261591 SAFA FERYSTA PUTERY P PEGAWAI SWASTA Acute pharyngitis, Berobat Jalan
unspecified
593 22-01-2019 111902040119Y001031 0001534735539 NUR HIDAYAH P PBI (APBD) Mixed asthma Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

594 22-01-2019 111902040119Y001019 0001534735563 MARDINO L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

595 22-01-2019 111902040119Y001002 0001534736485 alfino mahardika pratama L PBI (APBD) Granuloma and Rujuk Lanjut
granuloma-like lesions of

596 22-01-2019 111902040119Y001015 0001691391104 ENDAH KURNIASTUTI P PEGAWAI SWASTA Brucellosis due to Brucella Rujuk Lanjut
abortus
597 22-01-2019 111902040119Y001044 0001697162477 Pariyah P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

598 22-01-2019 111902040119Y001047 0001697167945 Nurmayati P PBI (APBD) Dyspepsia Berobat Jalan

599 22-01-2019 111902040119Y001042 0001697167978 Rubiyani P PBI (APBD) Gingival and edentulous Rujuk Lanjut
alveolar ridge lesions

600 22-01-2019 111902040119Y001053 0001842518081 FANI TRI HERTANTO L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

601 22-01-2019 111902040119Y001000 0002168545421 NOVITA AISYAH RANI P PBI (APBD) Other benign neoplasm of Rujuk Lanjut
skin, unspecified
602 22-01-2019 111902040119Y001036 0002168545689 SOYIMAH P PBI (APBD) Chronic obstructive Berobat Jalan
pulmonary disease,

603 22-01-2019 111902040119Y001006 0002222973145 DWI GIANTINI P PEKERJA MANDIRI Suppurative otitis media, Rujuk Lanjut
unspecified
604 22-01-2019 111902040119Y001012 0002222973448 NASYWA DHIYAA PRASOJO P PEKERJA MANDIRI General examination and Berobat Jalan
investigation of persons
without complaint and

605 22-01-2019 111902040119Y001045 0002277970334 muhammad muhtarom L PEKERJA MANDIRI Anosmia Rujuk Lanjut

606 22-01-2019 111902040119Y001030 0002304884867 PUJIONO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

607 22-01-2019 111902040119Y001029 0002304885227 SRI SUTARMI P PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
608 22-01-2019 111902040119Y001009 0002308904807 SIMAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
609 22-01-2019 111902040119Y001038 0002325651827 SUTIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

610 22-01-2019 111902040119Y001026 0002381172759 RIBUT P PBI (APBN) Herpesviral vesicular Berobat Jalan
dermatitis
611 22-01-2019 111902040119Y001011 0002439462756 AAT YULIATI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

612 22-01-2019 111902040119Y001049 0002463118749 MARODI L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
613 21-01-2019 111902040119Y000961 0000076639397 ROCH SURONO L PNS PUSAT Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
614 21-01-2019 111902040119Y000968 0000084267033 SUDIYONO L PNS DAERAH Polyarthrosis, unspecified Rujuk Lanjut

615 21-01-2019 111902040119Y000964 0000084280419 NY.TRI HARYATI P PENERIMA PENSIUN Pulpitis Berobat Jalan
PNS
616 21-01-2019 111902040119Y000957 0000084378003 SUKARTIMAN L PENERIMA PENSIUN TNI Necrosis of pulp Berobat Jalan

617 21-01-2019 111902040119Y000986 0000084558148 NURIYAH P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
618 21-01-2019 111902040119Y000952 0000166584868 HA EKO AMIHARTO L PNS DAERAH Mixed asthma Rujuk Lanjut

619 21-01-2019 111902040119Y000976 0000171571724 SUHARTONO L PENERIMA PENSIUN Multiple and bilateral Rujuk Lanjut
PNS precerebral artery

620 21-01-2019 111902040119Y000977 0000171571814 NANIEK SUTARMI P PENERIMA PENSIUN Hearing loss, unspecified Rujuk Lanjut
PNS
621 21-01-2019 111902040119Y000940 0000543655877 SAFIRA PUTRI MAULIDA P PBI (APBN) Otalgia Berobat Jalan

622 21-01-2019 111902040119Y001720 0000543940479 LESTARI P PBI (APBN) Personal history of Berobat Jalan
contraception
623 21-01-2019 111902040119Y000979 0000544188802 SUDARNO L PBI (APBN) Myalgia Berobat Jalan

624 21-01-2019 111902040119Y000965 0000544323159 SARMINI P PBI (APBN) Viral conjunctivitis, Berobat Jalan
unspecified
625 21-01-2019 111902040119Y000949 0000544325286 ADi BAGUS NUGROHO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

626 21-01-2019 111902040119Y001459 0000544543108 SITI ROCHANA P PBI (APBN) Personal history of Berobat Jalan
contraception
627 21-01-2019 111902040119Y000946 0000544557497 KLARAH P PBI (APBN) Unstable angina Rujuk Lanjut

628 21-01-2019 111902040119Y001464 0000544694703 TARMINAH P PBI (APBN) Personal history of Berobat Jalan
contraception
629 21-01-2019 111902040119Y000991 0000544716595 APRILIA SETYOWATI P PBI (APBN) Nasal polyp Rujuk Lanjut

630 21-01-2019 111902040119Y000995 0000544792353 DAINI P PBI (APBN) Asthma Berobat Jalan

631 21-01-2019 111902040119Y000987 0000544863598 ROBY FIRMANSYAH BASUKI P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
632 21-01-2019 111902040119Y000984 0000544948053 AMAT TOYIBI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

633 21-01-2019 111902040119Y000974 0000544992884 MARTIASIH P PBI (APBN) Low back pain Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

634 21-01-2019 111902040119Y000980 0000545245154 MUHIBAH P PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
635 21-01-2019 111902040119Y000981 0000545245481 MINTARDANINGSIH L PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
636 21-01-2019 111902040119Y000985 0000545579649 SUKARTI P PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
637 21-01-2019 111902040119Y000947 0001019100554 KASAN KUSEN L PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
638 21-01-2019 111902040119Y000960 0001019104885 SITI KUSNUL KOTIMAH P PEKERJA MANDIRI Antenatal screening Rujuk Lanjut

639 21-01-2019 111902040119Y000953 0001019112186 KAMSIAH P PBI (APBN) Periodontal disease, Berobat Jalan
unspecified
640 21-01-2019 111902040119Y000982 0001019120556 FEBRI HARIYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
641 21-01-2019 111902040119Y000972 0001019123741 GHANY IKHWAN CHOYRI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

642 21-01-2019 111902040119Y000966 0001019125405 JANIYAH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

643 21-01-2019 111902040119Y000945 0001019126957 TURIYEM P PBI (APBN) Typhoid fever Rujuk Lanjut

644 21-01-2019 111902040119Y000950 0001019128678 ANNA KUSUMANINGRUM P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

645 21-01-2019 111902040119Y000939 0001019131389 SITI FATMAWIYAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

646 21-01-2019 111902040119Y000971 0001085538576 SRI WAHYUNI P PENERIMA PENSIUN TNI Polyarthrosis, unspecified Berobat Jalan

647 21-01-2019 111902040119Y000992 0001155570377 SUDARIYONO L PEGAWAI SWASTA Epilepsy, unspecified Rujuk Lanjut

648 21-01-2019 111902040119Y000975 0001295893372 NUNUNG TURSILOWATI P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

649 21-01-2019 111902040119Y000988 0001447041251 NAFEEZYHA RAMADHANI L PEKERJA MANDIRI Disturbances in tooth Berobat Jalan
HIDAYAT eruption
650 21-01-2019 111902040119Y000941 0001448706835 ENDANG PURWATI P PEGAWAI SWASTA Low back pain Berobat Jalan

651 21-01-2019 111902040119Y000955 0001519657964 OFELISTA GRHAPUTRI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

652 21-01-2019 111902040119Y000989 0001528223861 SEPTIYANI P PEGAWAI SWASTA Other and unspecified Rujuk Lanjut
abdominal pain
653 21-01-2019 111902040119Y000993 0001656120712 ALFIAN MAULANA SAPUTRA L PEKERJA MANDIRI Necrosis of pulp Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

654 21-01-2019 111902040119Y000970 0001697167484 BAMBANG HAYANTO L PBI (APBD) Tension-type headache Berobat Jalan

655 21-01-2019 111902040119Y000978 0001697170432 WIWIK SETYOWATI P PBI (APBD) Dyspepsia Berobat Jalan

656 21-01-2019 111902040119Y000948 0001697195024 Komarudin L PBI (APBD) Periodontal disease, Rujuk Lanjut
unspecified
657 21-01-2019 111902040119Y000944 0001803092062 SITI CHOMARIAH P PEKERJA MANDIRI Antenatal screening Rujuk Lanjut

658 21-01-2019 111902040119Y000969 0001824102786 SUTIYAH P PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

659 21-01-2019 111902040119Y000958 0001960071153 MARJILAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

660 21-01-2019 111902040119Y000990 0001970553475 SRI LESTARI P PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

661 21-01-2019 111902040119Y000983 0002044944573 TEGUH PAMUJI L PEKERJA MANDIRI Schizophrenia Berobat Jalan

662 21-01-2019 111902040119Y000994 0002091105718 MARDIYAH P PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

663 21-01-2019 111902040119Y000962 0002168545893 HARTATI RODIYAH P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

664 21-01-2019 111902040119Y000973 0002194967305 MUJINAH P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

665 21-01-2019 111902040119Y000959 0002195478808 UMRONI L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

666 21-01-2019 111902040119Y000967 0002253617379 HARTADI HIDAYAT L PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
667 21-01-2019 111902040119Y000942 0002348847663 KUNCORO TUNGGAL L PEGAWAI SWASTA Dyspepsia Berobat Jalan

668 21-01-2019 111902040119Y000956 0002419696855 HANAAN ARIIBAH SINTA P PBI (APBN) Delayed milestone Rujuk Lanjut

669 21-01-2019 111902040119Y000954 0002436112337 ACHDIAT HERY S L PNS DAERAH Congestive heart failure Rujuk Lanjut

670 21-01-2019 111902040119Y000963 0002504907494 RATRI NUGROHO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

671 21-01-2019 111902040119Y000943 0002616585658 AGUS TRIYANI P PEKERJA MANDIRI Other and unspecified Rujuk Lanjut
ovarian cysts
672 21-01-2019 111902040119Y000951 0002625991435 SALSABILA WIDYA DANA P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

673 21-01-2019 111902040119Y001039 0002740119557 MIARSIH WIRAHAYU P PENERIMA PENSIUN Impacted teeth Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

674 20-01-2019 111902040119Y001750 0000544468072 SITI SETIYANI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
675 20-01-2019 111902040119Y001742 0001449762546 ISTIKOMAH P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
676 19-01-2019 111902040119Y000928 0000081332256 ENI BUDIYANTI P PENERIMA PENSIUN Malignant neoplasm of Rujuk Lanjut
PNS rectum
677 19-01-2019 111902040119Y000933 0000084267854 SETIYADI L PNS DAERAH Unilateral or unspecified Rujuk Lanjut
inguinal hernia, without

678 19-01-2019 111902040119Y001691 0000084462895 WADJIDAH P PENERIMA PENSIUN Other acute gastritis Berobat Jalan
PNS
679 19-01-2019 111902040119Y000935 0000084570131 DRS AMIR FAISOL SE MM L PENERIMA PENSIUN Essential (primary) Rujuk Lanjut
PNS hypertension
680 19-01-2019 111902040119Y000932 0000084601991 MUDJIJEM P PENERIMA PENSIUN Dyspepsia Rujuk Lanjut
PNS
681 19-01-2019 111902040119Y000930 0000543950109 KURNIAWATI P PBI (APBN) Seborrhoeic dermatitis Rujuk Lanjut

682 19-01-2019 111902040119Y000934 0000544224835 NGATIJAH P PBI (APBN) Hyperparathyroidism, Rujuk Lanjut
unspecified
683 19-01-2019 111902040119Y001689 0000544617358 SURATNI P PBI (APBN) Gastritis, unspecified Berobat Jalan

684 19-01-2019 111902040119Y001463 0000545125893 WINARTI P PBI (APBN) Personal history of Berobat Jalan
contraception
685 19-01-2019 111902040119Y000938 0000545503915 LEGIYEM P PBI (APBN) Polyarthrosis, unspecified Rujuk Lanjut

686 19-01-2019 111902040119Y001734 0000601012214 UMROTUS SOLIKAT P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
687 19-01-2019 111902040119Y000937 0001019097314 PURWANTO L PBI (APBN) Fracture of shoulder and Rujuk Lanjut
upper arm
688 19-01-2019 111902040119Y000929 0001084624828 RIO yANUAR L PBI (APBN) Other anxiety disorders Rujuk Lanjut

689 19-01-2019 111902040119Y000936 0001308881597 WAGINEM P PEKERJA MANDIRI Dyspepsia Rujuk Lanjut

690 19-01-2019 111902040119Y000996 0002168543812 RIBUT MARZUKI L PBI (APBD) Asthma Berobat Jalan

691 19-01-2019 111902040119Y000997 0002249518195 RANU MIHARJO L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

692 19-01-2019 111902040119Y001737 0002272197238 NIMAS ARI WAHYUNI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
693 19-01-2019 111902040119Y000931 0002440897637 ENING KUSMIHARTI P PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

694 18-01-2019 111902040119Y000902 0000084215002 SUGIARTI P PNS DAERAH Fracture of lower end of Rujuk Lanjut
tibia
695 18-01-2019 111902040119Y000898 0000084222494 JUMIROH P PNS DAERAH Other senile cataract Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

696 18-01-2019 111902040119Y000913 0000084504914 SOEDIJONO L PENERIMA PENSIUN Other specified disorders Rujuk Lanjut
PNS of teeth and supporting

697 18-01-2019 111902040119Y000895 0000084542815 SUKIYAH P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
698 18-01-2019 111902040119Y000907 0000084684767 SITI MUHSINAH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

699 18-01-2019 111902040119Y000925 0000084797616 HELIOSA ATMAJA L PNS DAERAH Necrosis of pulp Berobat Jalan

700 18-01-2019 111902040119Y000897 0000543657161 MUHAMMAD NASRULLAH L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

701 18-01-2019 111902040119Y000909 0000544014088 FARHAN MAULANA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

702 18-01-2019 111902040119Y000910 0000544014303 RIZKA SILFIANA P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
703 18-01-2019 111902040119Y000922 0000544307556 ABU SALIM L PBI (APBN) Congestive heart failure Rujuk Lanjut

704 18-01-2019 111902040119Y001759 0000544353355 PUJI RAHAYU P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
705 18-01-2019 111902040119Y000918 0000544430226 IRA PRASETYO P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

706 18-01-2019 111902040119Y000919 0000544439171 SITI ASMA THOHIROH P PBI (APBN) Dyspepsia Berobat Jalan

707 18-01-2019 111902040119Y001749 0000544468072 SITI SETIYANI P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
708 18-01-2019 111902040119Y000911 0000544470344 MARJO UTOMO L PBI (APBN) Lichen simplex chronicus Berobat Jalan

709 18-01-2019 111902040119Y000912 0000545100039 MUHAMAD RIZQI PURWANTO L PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
710 18-01-2019 111902040119Y000905 0000545472551 HADIANTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

711 18-01-2019 111902040119Y000906 0001019119882 KASIRAH P PBI (APBN) Myalgia Berobat Jalan

712 18-01-2019 111902040119Y000904 0001019140446 ASYIFA RAMADHANI P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
713 18-01-2019 111902040119Y000915 0001270034335 RORO PENI P PEKERJA MANDIRI Schizophrenia, unspecified Rujuk Lanjut

714 18-01-2019 111902040119Y000923 0001278746605 SUMIYATI P PEKERJA MANDIRI Mixed asthma Rujuk Lanjut

715 18-01-2019 111902040119Y000899 0001294952387 ISMAIL L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

716 18-01-2019 111902040119Y000921 0001423226992 SITI PATIMAH P PEGAWAI SWASTA Polyarthrosis, unspecified Berobat Jalan

717 18-01-2019 111902040119Y001741 0001449762546 ISTIKOMAH P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
718 18-01-2019 111902040119Y000916 0001631920318 RUSMINAH P PEGAWAI SWASTA Low back pain Berobat Jalan

719 18-01-2019 111902040119Y000926 0001643815675 AGUNG BUDI SANTOSO L PEKERJA MANDIRI Impacted teeth Berobat Jalan

720 18-01-2019 111902040119Y000917 0001806675884 tri nurtanto L PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

721 18-01-2019 111902040119Y000908 0001806678066 yeni wuryana P PEKERJA MANDIRI Suppurative otitis media, Berobat Jalan
unspecified
722 18-01-2019 111902040119Y000998 0002053611707 ALI MUSTOPO L PEGAWAI SWASTA Acute bronchitis Berobat Jalan

723 18-01-2019 111902040119Y000900 0002053612225 SAGIYEM P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

724 18-01-2019 111902040119Y000914 0002168548132 SETYO NUGROHO L PBI (APBD) Caries of dentine Rujuk Lanjut

725 18-01-2019 111902040119Y000901 0002236608999 DAFFINA NUR FAIZAH P PBI (APBD) Impetiginization of other Rujuk Lanjut
dermatoses
726 18-01-2019 111902040119Y000924 0002252725503 MAIZATUL IZAH P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

727 18-01-2019 111902040119Y000903 0002351629809 LATIFAH NUR AINI P PBI (APBD) Suppurative otitis media, Rujuk Lanjut
unspecified
728 18-01-2019 111902040119Y000920 0002381171962 KUSTIYATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

729 18-01-2019 111902040119Y000927 0002484047553 SABIAN NADHIF ALFATH L PEKERJA MANDIRI Communicating Rujuk Lanjut
hydrocephalus
730 18-01-2019 111902040119Y000896 0002498057954 SARIWATI P PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
731 17-01-2019 111902040119Y000856 0000038349764 GUNADI L PENERIMA PENSIUN Constipation Rujuk Lanjut
PNS
732 17-01-2019 111902040119Y000846 0000076144072 DARSONO L PNS DAERAH Acute laryngitis Berobat Jalan

733 17-01-2019 111902040119Y000893 0000084233575 RAHARU SRI SUMARNI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

734 17-01-2019 111902040119Y000831 0000084240055 MUHAMMAD ADY NURFAUZI L PNS PUSAT Disorder of lens, Rujuk Lanjut
unspecified
735 17-01-2019 111902040119Y000888 0000084351341 SARIYAH P PENERIMA PENSIUN TNI Low back pain Berobat Jalan

736 17-01-2019 111902040119Y000884 0000084556945 ACHMAD DJAMIL L PENERIMA PENSIUN Simple chronic bronchitis Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

737 17-01-2019 111902040119Y000872 0000084699527 C RETNO ANGGRAENY P PNS DAERAH Insulin-dependent Rujuk Lanjut
diabetes mellitus with

738 17-01-2019 111902040119Y000855 0000084744235 NISA KARTIKA P PNS DAERAH Scoliosis Rujuk Lanjut

739 17-01-2019 111902040119Y000887 0000543608897 SARIPAH P PBI (APBN) Dyspepsia Berobat Jalan

740 17-01-2019 111902040119Y000857 0000543893297 DELA ANDRIANA P PBI (APBN) Functional diarrhoea Berobat Jalan

741 17-01-2019 111902040119Y000870 0000543952811 MUZAZANAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

742 17-01-2019 111902040119Y000892 0000544145128 LANJAR SIDORINI P PBI (APBN) Urticaria, unspecified Berobat Jalan

743 17-01-2019 111902040119Y000867 0000544221011 SITI MARYAM P PBI (APBN) Tension-type headache Berobat Jalan

744 17-01-2019 111902040119Y000874 0000544223709 DARIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
745 17-01-2019 111902040119Y000849 0000544290805 SUROSO L PBI (APBN) Allergic urticaria Berobat Jalan

746 17-01-2019 111902040119Y000880 0000544292831 DJUMILAH P PBI (APBN) Periodontal disease, Berobat Jalan
unspecified
747 17-01-2019 111902040119Y000871 0000544459937 IBRAHIM L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

748 17-01-2019 111902040119Y001748 0000544468072 SITI SETIYANI P PBI (APBN) Spontaneous vertex Sembuh
delivery
749 17-01-2019 111902040119Y000847 0000544521216 SULASMI P PBI (APBN) Dyspepsia Berobat Jalan

750 17-01-2019 111902040119Y000834 0000544697098 FARIDAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

751 17-01-2019 111902040119Y000841 0000544784714 SUGIARTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
752 17-01-2019 111902040119Y000848 0000544861269 AMAT TARSIN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

753 17-01-2019 111902040119Y000859 0000544924372 WATIYEM P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

754 17-01-2019 111902040119Y001727 0000544951596 NURLAELA P PBI (APBN) Personal history of Berobat Jalan
contraception
755 17-01-2019 111902040119Y000866 0000545041517 KOMSIAH P PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
756 17-01-2019 111902040119Y000850 0000545200481 LASIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

757 17-01-2019 111902040119Y000861 0000545255886 RUJIYAH P PBI (APBN) Low back pain Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

758 17-01-2019 111902040119Y000853 0000545482901 SURATNO L PBI (APBN) Functional diarrhoea Berobat Jalan

759 17-01-2019 111902040119Y000843 0000545516392 ZAHRAa RAMADHANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

760 17-01-2019 111902040119Y000869 0000545636024 PAWIROREJO L PBI (APBN) Herpesviral vesicular Berobat Jalan
dermatitis
761 17-01-2019 111902040119Y001733 0000601012214 UMROTUS SOLIKAT P PBI (APBN) Spontaneous vertex Berobat Jalan
delivery
762 17-01-2019 111902040119Y000854 0001019111657 WIJI P PBI (APBN) Hypotension, unspecified Berobat Jalan

763 17-01-2019 111902040119Y000865 0001019115538 PARSIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
764 17-01-2019 111902040119Y001457 0001019118227 SRI WAHYUNI P PBI (APBN) Personal history of Berobat Jalan
contraception
765 17-01-2019 111902040119Y000845 0001019126406 SUPARTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

766 17-01-2019 111902040119Y000877 0001019129196 TUMINI P PBI (APBN) Congestive heart failure Rujuk Lanjut

767 17-01-2019 111902040119Y000836 0001019129354 TUSIYAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

768 17-01-2019 111902040119Y000879 0001084491268 BUYUNG SETYO DARMADI L PBI (APBN) Residual schizophrenia Rujuk Lanjut

769 17-01-2019 111902040119Y000840 0001110486036 NINDYA LESTARI NUGROHO P PEGAWAI SWASTA Antenatal screening Rujuk Lanjut

770 17-01-2019 111902040119Y000889 0001186706722 MAITSAA GHINAA P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

771 17-01-2019 111902040119Y000890 0001186706733 DWI CAHYANI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

772 17-01-2019 111902040119Y000864 0001262801024 LEGINEM P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

773 17-01-2019 111902040119Y000883 0001262897177 RIZKI ANGGRIYANTI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

774 17-01-2019 111902040119Y000839 0001271074151 JAMANGATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

775 17-01-2019 111902040119Y000886 0001275327887 MUKH WIDAYAT L PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

776 17-01-2019 111902040119Y000832 0001423966825 MUH TAROM L PEKERJA MANDIRI Impetiginization of other Berobat Jalan
dermatoses
777 17-01-2019 111902040119Y000835 0001448011923 DWI UTAMI P PEGAWAI SWASTA Necrosis of pulp Rujuk Lanjut

778 17-01-2019 111902040119Y001740 0001449762546 ISTIKOMAH P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

779 17-01-2019 111902040119Y000882 0001478397993 SUSNAN L PEKERJA MANDIRI Pulpitis Berobat Jalan

780 17-01-2019 111902040119Y000878 0001516763081 KEISHA EKACAHYANI P PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
781 17-01-2019 111902040119Y001755 0001528986644 ERNA WAHYUNINGSIH P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
782 17-01-2019 111902040119Y000858 0001652995596 RIZKY DWI ROMADHON L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

783 17-01-2019 111902040119Y000876 0001656120712 ALFIAN MAULANA SAPUTRA L PEKERJA MANDIRI Ganglion Rujuk Lanjut

784 17-01-2019 111902040119Y000860 0001697194899 Aida Rahmawati P PBI (APBD) Other specified bacterial Berobat Jalan
diseases
785 17-01-2019 111902040119Y000881 0001833109301 QIDO MAYORTA FAIZ AL JUNDY L PNS DAERAH Disturbances in tooth Berobat Jalan
eruption
786 17-01-2019 111902040119Y000868 0001839977087 KHOTIMAH P PEKERJA MANDIRI Superficial mycosis, Berobat Jalan
unspecified
787 17-01-2019 111902040119Y000844 0001851118391 HASNI P PEKERJA MANDIRI Abnormal findings on Rujuk Lanjut
antenatal screening of

788 17-01-2019 111902040119Y000837 0001857593103 SITI KALIMAH P PEGAWAI SWASTA Cystitis, unspecified Rujuk Lanjut

789 17-01-2019 111902040119Y000833 0001885621522 AMAT PURNOMO L PEKERJA MANDIRI Paranoid schizophrenia Rujuk Lanjut

790 17-01-2019 111902040119Y000838 0002078556952 SEMIREDJO L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

791 17-01-2019 111902040119Y000851 0002168545689 SOYIMAH P PBI (APBD) Chronic obstructive Berobat Jalan
pulmonary disease with
acute lower respiratory

792 17-01-2019 111902040119Y001738 0002272197238 NIMAS ARI WAHYUNI P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
793 17-01-2019 111902040119Y000862 0002272817755 AGUNG MANDIRI L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

794 17-01-2019 111902040119Y000863 0002272818148 YUANITA DWI MAHESTI P PEGAWAI SWASTA Asthma, unspecified Berobat Jalan

795 17-01-2019 111902040119Y000875 0002275420634 GILANG NUGRAHA L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

796 17-01-2019 111902040119Y000894 0002293252582 SENDY DIAZ ERLANGGA L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

797 17-01-2019 111902040119Y000885 0002351629809 LATIFAH NUR AINI P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

798 17-01-2019 111902040119Y000842 0002377779513 YOYOK NUR EFFENDI L PEKERJA MANDIRI Tension-type headache Berobat Jalan

799 17-01-2019 111902040119Y000891 0002493331299 TRI KASIH P PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
800 17-01-2019 111902040119Y000852 0002614037286 SUGIHARTI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

801 17-01-2019 111902040119Y000873 0002738011061 SARMAN L PEKERJA MANDIRI Hepatomegaly, not Rujuk Lanjut
elsewhere classified
802 16-01-2019 111902040119Y000813 0000084264513 SRI HARTINI P PNS DAERAH Neuralgia and neuritis, Rujuk Lanjut
unspecified
803 16-01-2019 111902040119Y000814 0000544298411 KADIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

804 16-01-2019 111902040119Y001728 0000544549465 SITI ALFIAH P PBI (APBN) Personal history of Berobat Jalan
contraception
805 16-01-2019 111902040119Y001624 0000544554371 AULIA RACHMAWATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

806 16-01-2019 111902040119Y001461 0000545046434 SRI RAHAYU P PBI (APBN) Personal history of Berobat Jalan
contraception
807 16-01-2019 111902040119Y001732 0000601012214 UMROTUS SOLIKAT P PBI (APBN) Spontaneous vertex Sembuh
delivery
808 16-01-2019 111902040119Y000811 0001019121941 WAGIRUN L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
809 16-01-2019 111902040119Y000828 0001307760478 SUTOJO L PEGAWAI PEMERINTAH Chronic obstructive Berobat Jalan
DENGAN PERJANJIAN pulmonary disease,

810 16-01-2019 111902040119Y000827 0001548248692 FITRI HANDAYANI P PEKERJA MANDIRI Antenatal screening Rujuk Lanjut

811 16-01-2019 111902040119Y001620 0001697164288 JENJEM P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
812 16-01-2019 111902040119Y000810 0001697194809 WIDI ASTUTI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
813 16-01-2019 111902040119Y000812 0001699882637 NGATINEM P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
814 16-01-2019 111902040119Y001760 0001738930588 ENDANG PURWANI AMD P PEGAWAI SWASTA Tuberculous pleurisy, Berobat Jalan
confirmed bacteriologically
and histologically

815 16-01-2019 111902040119Y000826 0001811763202 WAGE MARSUDI L PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,

816 16-01-2019 111902040119Y000818 0001846657686 KOHARUDIN SETIAWAN L PEKERJA MANDIRI Residual schizophrenia Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

817 16-01-2019 111902040119Y000999 0001969868676 Pangesti P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

818 16-01-2019 111902040119Y001736 0002272197238 NIMAS ARI WAHYUNI P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
819 16-01-2019 111902040119Y000829 0002275921001 BADRIYAH P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

820 16-01-2019 111902040119Y000830 0002624877191 MURYANI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

821 15-01-2019 111902040119Y000747 0000073299429 SLAMET WIDODO L PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
822 15-01-2019 111902040119Y000791 0000075910094 SUTONO L PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
823 15-01-2019 111902040119Y000808 0000084226904 SUPRIYATI P PNS DAERAH Myalgia Berobat Jalan

824 15-01-2019 111902040119Y000782 0000084238716 KOMARUDIN L PNS PUSAT Glaucoma, unspecified Rujuk Lanjut

825 15-01-2019 111902040119Y000761 0000084280419 NY.TRI HARYATI P PENERIMA PENSIUN Deposits [accretions] on Rujuk Lanjut
PNS teeth
826 15-01-2019 111902040119Y000757 0000084282491 KARSONO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
827 15-01-2019 111902040119Y000756 0000084282579 MUTMAINAH P PENERIMA PENSIUN Other forms of stomatitis Berobat Jalan
PNS
828 15-01-2019 111902040119Y000778 0000084304642 MUH.MUSTANGIN L PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus with

829 15-01-2019 111902040119Y000768 0000084399243 EKOWATI SUGIHARNINGSIH P PENERIMA PENSIUN Unstable angina Rujuk Lanjut
PNS
830 15-01-2019 111902040119Y000764 0000084415026 ALIPAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

831 15-01-2019 111902040119Y000776 0000084510011 SOEPARIJAH P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
832 15-01-2019 111902040119Y000760 0000084525298 SUMARNO L PENERIMA PENSIUN Cervical root disorders, not Rujuk Lanjut
PNS elsewhere classified
833 15-01-2019 111902040119Y000777 0000084560016 SUMIARSIH P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

834 15-01-2019 111902040119Y000745 0000084560141 PAIJAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
835 15-01-2019 111902040119Y000748 0000084571233 KUWAT BUDIYONO L PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
836 15-01-2019 111902040119Y000744 0000084601991 MUDJIJEM P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

837 15-01-2019 111902040119Y000796 0000084682067 MUKHAYAT L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
838 15-01-2019 111902040119Y000752 0000084703847 PARMONO L PNS DAERAH Delusional disorder Rujuk Lanjut

839 15-01-2019 111902040119Y000753 0000084771786 SRI DALWIYATI P PNS DAERAH Polyarthrosis, unspecified Rujuk Lanjut

840 15-01-2019 111902040119Y000781 0000122168439 IZHANOEM AUDIAH P PNS DAERAH Fracture of clavicle, closed Rujuk Lanjut

841 15-01-2019 111902040119Y000769 0000171571814 NANIEK SUTARMI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

842 15-01-2019 111902040119Y000794 0000202877021 SRI SUKARJIANTINI P VETERAN Asthma, unspecified Berobat Jalan

843 15-01-2019 111902040119Y000793 0000543378363 PEMBAYUN P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

844 15-01-2019 111902040119Y000772 0000543391863 SAFINAH P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
845 15-01-2019 111902040119Y001462 0000543483303 EKA NURYANTI P PBI (APBN) Personal history of Berobat Jalan
contraception
846 15-01-2019 111902040119Y000774 0000543494507 DJARO P PBI (APBN) Congestive heart failure Rujuk Lanjut

847 15-01-2019 111902040119Y000766 0000543551308 EKO WIRAWAN L PBI (APBN) Myalgia Berobat Jalan

848 15-01-2019 111902040119Y000740 0000543613746 RAMIYATI P PBI (APBN) Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
849 15-01-2019 111902040119Y000743 0000543628539 SONI ASHINTYAMONICA P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

850 15-01-2019 111902040119Y001471 0000544021042 SITI KHOSIDAH P PBI (APBN) Personal history of Berobat Jalan
contraception
851 15-01-2019 111902040119Y000763 0000544190692 ENDANGWATI P PBI (APBN) Antenatal screening Rujuk Lanjut

852 15-01-2019 111902040119Y000765 0000544298905 ATIKAH KHOIRUNISA P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
853 15-01-2019 111902040119Y000755 0000544373763 ISMAIL L PBI (APBN) Residual schizophrenia Rujuk Lanjut

854 15-01-2019 111902040119Y000775 0000544621588 KOIRUL HIDAYAT L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

855 15-01-2019 111902040119Y000790 0000544781968 SUPRIYADI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

856 15-01-2019 111902040119Y000779 0000544801994 PAISAH P PBI (APBN) Myalgia Berobat Jalan

857 15-01-2019 111902040119Y000780 0000544858209 WAHYUNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

858 15-01-2019 111902040119Y000742 0000544908295 ANI PUJI FEBRIYANTI P PBI (APBN) Necrosis of pulp Rujuk Lanjut

859 15-01-2019 111902040119Y000802 0000544936239 ARFIAN NOVIANTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

860 15-01-2019 111902040119Y000784 0000544961913 KEMISAH P PBI (APBN) Cervical root disorders, not Rujuk Lanjut
elsewhere classified
861 15-01-2019 111902040119Y000773 0000544997698 MUH SONEF L PBI (APBN) Allergic urticaria Berobat Jalan

862 15-01-2019 111902040119Y000770 0000545050855 RUMIYATUN P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
863 15-01-2019 111902040119Y000749 0000545147458 MARGIYEM P PBI (APBN) Necrosis of pulp Berobat Jalan

864 15-01-2019 111902040119Y001561 0001019107596 MUNFANGATI P PBI (APBN) Allergic urticaria Berobat Jalan

865 15-01-2019 111902040119Y000799 0001019117114 KASMINI P PBI (APBN) Dyspepsia Berobat Jalan

866 15-01-2019 111902040119Y000767 0001019139851 WAGINO L PBI (APBN) Myalgia Berobat Jalan

867 15-01-2019 111902040119Y000807 0001019140211 SITI KHOTIJAH P PBI (APBN) Dyspepsia Berobat Jalan

868 15-01-2019 111902040119Y000800 0001084491268 BUYUNG SETYO DARMADI L PBI (APBN) Oedema, unspecified Berobat Jalan

869 15-01-2019 111902040119Y000788 0001127881405 H GUNAWAN UDI PRAYITNO L PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

870 15-01-2019 111902040119Y000798 0001328181783 RUSMIYATI P PEKERJA MANDIRI Myalgia Berobat Jalan

871 15-01-2019 111902040119Y000787 0001379616287 MUGIONO L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
872 15-01-2019 111902040119Y000797 0001519905881 ARYA AISYAR PRATAMA L PEGAWAI BUMN Disturbances in tooth Berobat Jalan
eruption
873 15-01-2019 111902040119Y000746 0001528223512 SURATI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

874 15-01-2019 111902040119Y000795 0001615267089 Siti Chotimah P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
875 15-01-2019 111902040119Y001470 0001646329331 PUJI ASTUTI P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
876 15-01-2019 111902040119Y000759 0001697167978 Rubiyani P PBI (APBD) Other disorders of gingiva Rujuk Lanjut
and edentulous alveolar

877 15-01-2019 111902040119Y000786 0001700089479 GILANG RIDHO PRASTYO L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

878 15-01-2019 111902040119Y000785 0001744292046 KRISTANTI WAHYUNI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

879 15-01-2019 111902040119Y000809 0001824102786 SUTIYAH P PEKERJA MANDIRI Dyspepsia Berobat Jalan

880 15-01-2019 111902040119Y000771 0001880533157 sri maryati P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
881 15-01-2019 111902040119Y000741 0001883590547 MUDRIYAH P PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

882 15-01-2019 111902040119Y000783 0001885272131 SULASTRI P PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

883 15-01-2019 111902040119Y000754 0001889527432 NIA HERDIANA P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

884 15-01-2019 111902040119Y000758 0001890577539 MESYAM P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

885 15-01-2019 111902040119Y001562 0002070466942 SUMARNI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
886 15-01-2019 111902040119Y000803 0002091105718 MARDIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

887 15-01-2019 111902040119Y000801 0002165651122 Suratmi P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
888 15-01-2019 111902040119Y000739 0002168546038 MH HERI WINARTO L PBI (APBD) Paranoid schizophrenia Rujuk Lanjut

889 15-01-2019 111902040119Y000805 0002168546433 PAWIT P PBI (APBD) Tension-type headache Berobat Jalan

890 15-01-2019 111902040119Y000789 0002236608999 DAFFINA NUR FAIZAH P PBI (APBD) Scabies Berobat Jalan

891 15-01-2019 111902040119Y000804 0002270276728 SURYAN SANJAYA L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
892 15-01-2019 111902040119Y000751 0002270276908 SETYABAKTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
HANDAYANINGSIH diabetes mellitus with

893 15-01-2019 111902040119Y000806 0002290733796 SITI ZUBAIDAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
894 15-01-2019 111902040119Y000762 0002301246505 UMI CHANIFAH P PEGAWAI SWASTA Pulpitis Rujuk Lanjut

895 15-01-2019 111902040119Y000750 0002442621069 SISWO DIHARJO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
896 15-01-2019 111902040119Y000792 0002628392297 DITA NINDA SARI P PBI (APBN) Diseases of lips Rujuk Lanjut

897 14-01-2019 111902040119Y000698 0000039048636 KUNSIHATI B.A P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

898 14-01-2019 111902040119Y000692 0000042247506 SUPARSIH P PNS PUSAT Viral conjunctivitis, Berobat Jalan
unspecified
899 14-01-2019 111902040119Y000735 0000084216903 ZUHANAH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

900 14-01-2019 111902040119Y000699 0000084270161 ENI HERLINA P PNS DAERAH Other and unspecified Berobat Jalan
abdominal pain
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

901 14-01-2019 111902040119Y000665 0000084346907 SEGLI L PENERIMA PENSIUN TNI Seborrhoeic dermatitis, Rujuk Lanjut
unspecified
902 14-01-2019 111902040119Y000673 0000084377755 SALIMIN L PENERIMA PENSIUN TNI Tension-type headache Berobat Jalan

903 14-01-2019 111902040119Y000724 0000084463018 MUHAMAD ROWI L PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
904 14-01-2019 111902040119Y000706 0000084506163 SOEJATNO L PENERIMA PENSIUN Dislocation of hip Rujuk Lanjut
PNS
905 14-01-2019 111902040119Y000708 0000084520866 SUYATI P PENERIMA PENSIUN Stroke, not specified as Rujuk Lanjut
PNS haemorrhage or infarction
906 14-01-2019 111902040119Y000720 0000084557125 PARDIYEM P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
907 14-01-2019 111902040119Y000716 0000084639835 ISWATI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

908 14-01-2019 111902040119Y000696 0000084656632 LILIK AFIDAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

909 14-01-2019 111902040119Y000715 0000084659275 NETTY FATMANINGSIH P PENERIMA PENSIUN Polyarthrosis, unspecified Rujuk Lanjut
PNS
910 14-01-2019 111902040119Y000731 0000084732524 AMINAH P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

911 14-01-2019 111902040119Y000725 0000084741412 PANDI L PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
912 14-01-2019 111902040119Y000678 0000084784959 SUPRIYONO L PNS DAERAH Congestive heart failure Rujuk Lanjut

913 14-01-2019 111902040119Y000702 0000084795355 SRI UTAMI P PNS DAERAH Other polyarthrosis Rujuk Lanjut

914 14-01-2019 111902040119Y000711 0000084812409 ALFIAH P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

915 14-01-2019 111902040119Y000672 0000459597644 NINING NURAENI P PBI (APBN) Necrosis of pulp Rujuk Lanjut

916 14-01-2019 111902040119Y000667 0000543432688 PONISAH P PBI (APBN) Carcinoma in situ of Rujuk Lanjut
breast, unspecified
917 14-01-2019 111902040119Y000701 0000543576159 ADI SETYAWAN L PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
918 14-01-2019 111902040119Y000671 0000544097586 WAHYU TRIYANTI P PBI (APBN) Anaemia, unspecified Rujuk Lanjut

919 14-01-2019 111902040119Y000688 0000544139616 ALFIDA RAHMADANI A P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

920 14-01-2019 111902040119Y000693 0000544156187 SUPINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

921 14-01-2019 111902040119Y000705 0000544192064 SITI NUR ASIYAH P PBI (APBN) Tension-type headache Berobat Jalan

922 14-01-2019 111902040119Y000670 0000544226095 GALUH PUSPA WARDAYA P PBI (APBN) Benign neoplasm of breast Rujuk Lanjut

923 14-01-2019 111902040119Y000674 0000544242879 SLAMET PRALONO L PBI (APBN) Residual schizophrenia Rujuk Lanjut

924 14-01-2019 111902040119Y000734 0000544266011 ANIK RUMIYATI P PBI (APBN) Hypotension, unspecified Berobat Jalan

925 14-01-2019 111902040119Y000733 0000544339631 SRI SUGIYATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
926 14-01-2019 111902040119Y000726 0000544345784 KASMINAH P PBI (APBN) Myalgia Berobat Jalan

927 14-01-2019 111902040119Y000689 0000544425873 DINA MAULIDIA P PBI (APBN) Other specified bacterial Berobat Jalan
diseases
928 14-01-2019 111902040119Y000730 0000544438901 SULASTRI P PBI (APBN) Cystitis Berobat Jalan

929 14-01-2019 111902040119Y000704 0000544509549 BARIMAN L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
930 14-01-2019 111902040119Y000717 0000544520171 DWI HARTINI P PBI (APBN) Lichen simplex chronicus Rujuk Lanjut

931 14-01-2019 111902040119Y000713 0000544559005 RIZKA INDAH CHOIRUNNISA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
932 14-01-2019 111902040119Y001633 0000544656148 WARISAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

933 14-01-2019 111902040119Y001631 0000544658264 MANISEM P PBI (APBN) Allergic urticaria Berobat Jalan

934 14-01-2019 111902040119Y000736 0000544898114 KEMINEM P PBI (APBN) Necrosis of pulp Berobat Jalan

935 14-01-2019 111902040119Y000737 0000544918948 WELAS P PBI (APBN) Necrosis of pulp Berobat Jalan

936 14-01-2019 111902040119Y000718 0000544931831 SUNDARI P PBI (APBN) Low back pain Berobat Jalan

937 14-01-2019 111902040119Y000719 0000544932617 RAFIN JANUAR HASAN L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

938 14-01-2019 111902040119Y000676 0000545271131 AMAT KISWANDI L PBI (APBN) Congestive heart failure Rujuk Lanjut

939 14-01-2019 111902040119Y000694 0000545493802 ABIT SAPUTRE L PBI (APBN) Impacted cerumen Berobat Jalan

940 14-01-2019 111902040119Y000714 0001019102387 PRAYITNO L PBI (APBN) Dyspepsia Berobat Jalan

941 14-01-2019 111902040119Y000712 0001019102398 SUTINI P PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
942 14-01-2019 111902040119Y001469 0001019108024 SUSANA P PBI (APBN) Personal history of Berobat Jalan
contraception
943 14-01-2019 111902040119Y000727 0001019112952 MARTODIHARJO L PBI (APBN) Functional diarrhoea Berobat Jalan

944 14-01-2019 111902040119Y000691 0001019119882 KASIRAH P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

945 14-01-2019 111902040119Y000732 0001019124988 RUSMINAH P PBI (APBN) Congestive heart failure Berobat Jalan

946 14-01-2019 111902040119Y000722 0001019125989 SITI ROHMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

947 14-01-2019 111902040119Y000709 0001019126643 SEMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
948 14-01-2019 111902040119Y000666 0001019133437 SOLIAH P PBI (APBN) Carpal tunnel syndrome Rujuk Lanjut

949 14-01-2019 111902040119Y000728 0001019141493 MARIYATUN P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

950 14-01-2019 111902040119Y000721 0001079471395 SITI ROKHMAH P PNS DAERAH Polyarthrosis, unspecified Rujuk Lanjut

951 14-01-2019 111902040119Y000664 0001093721703 SUROTO L ANGGOTA POLRI Benign neoplasm of Rujuk Lanjut
prostate
952 14-01-2019 111902040119Y000681 0001110486161 NUKE PRATIWI NUGROHO P PRAJURIT AL Dyspepsia Berobat Jalan

953 14-01-2019 111902040119Y000683 0001262476473 HENDRAWAN ANDRI SULISTYO L PEKERJA MANDIRI Residual schizophrenia Rujuk Lanjut

954 14-01-2019 111902040119Y000695 0001294952387 ISMAIL L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

955 14-01-2019 111902040119Y000669 0001423966825 MUH TAROM L PEKERJA MANDIRI Impetiginization of other Berobat Jalan
dermatoses
956 14-01-2019 111902040119Y000686 0001451794858 WITARSO L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

957 14-01-2019 111902040119Y000690 0001463278961 SUNDIYAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
958 14-01-2019 111902040119Y000675 0001697164424 SUSILO PRANYOTO L PBI (APBD) Hearing loss, unspecified Rujuk Lanjut

959 14-01-2019 111902040119Y000703 0001801284502 MANIJAN HAIRUDIN L PEKERJA MANDIRI Myalgia Berobat Jalan

960 14-01-2019 111902040119Y000723 0001826905094 NGADINAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
961 14-01-2019 111902040119Y000710 0001873797131 AMINAH P PEKERJA MANDIRI Myalgia Berobat Jalan

962 14-01-2019 111902040119Y000687 0001885621522 AMAT PURNOMO L PEKERJA MANDIRI Schizophrenia Berobat Jalan

963 14-01-2019 111902040119Y000684 0001899527589 ANJAR KURNIAWAN,SE L PNS DAERAH Other specified bacterial Berobat Jalan
diseases
964 14-01-2019 111902040119Y000729 0002048597313 PAIJAH P PEKERJA MANDIRI Myalgia Berobat Jalan

965 14-01-2019 111902040119Y000677 0002059982324 SITI AMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

966 14-01-2019 111902040119Y000679 0002068416437 LUCKY HERSHANTY P PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut
MARDIANTONI
967 14-01-2019 111902040119Y000685 0002068417967 SRI SUMARNI P PEGAWAI PEMERINTAH Essential (primary) Berobat Jalan
DENGAN PERJANJIAN hypertension

968 14-01-2019 111902040119Y000700 0002089834064 ZULI SARTIKA P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

969 14-01-2019 111902040119Y000697 0002168548154 NGAISAH P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

970 14-01-2019 111902040119Y000738 0002236353322 DESKA AJI PRADIPTA L PBI (APBD) Pulpitis Berobat Jalan

971 14-01-2019 111902040119Y000707 0002315351305 AGUS SUROJI L PEGAWAI SWASTA Glaucoma, unspecified Rujuk Lanjut

972 14-01-2019 111902040119Y000682 0002318782397 SARTIYEM P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

973 14-01-2019 111902040119Y000668 0002423227577 TUTIK P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

974 14-01-2019 111902040119Y000680 0002615604625 SRI HARYUNI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

975 13-01-2019 111902040119Y001758 0000544353355 PUJI RAHAYU P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
976 12-01-2019 111902040119Y000630 0000084226465 DYAH AGUS RISWANTI P PNS DAERAH Pulpitis Berobat Jalan

977 12-01-2019 111902040119Y000639 0000084246118 UMMI LATIFAH P PNS PUSAT Necrosis of pulp Rujuk Lanjut

978 12-01-2019 111902040119Y000636 0000084302739 SUYADI L PNS DAERAH Mixed asthma Rujuk Lanjut

979 12-01-2019 111902040119Y000625 0000084304642 MUH.MUSTANGIN L PNS PUSAT Transient cerebral Rujuk Lanjut
ischaemic attack,

980 12-01-2019 111902040119Y000620 0000084362848 RUBIYATI P PENERIMA PENSIUN TNI Influenza with other Berobat Jalan
manifestations, virus not

981 12-01-2019 111902040119Y000662 0000084363434 SUWARDI L PENERIMA PENSIUN TNI Tension-type headache Berobat Jalan

982 12-01-2019 111902040119Y000594 0000084378159 SUHADI L VETERAN Non-insulin-dependent Rujuk Lanjut


diabetes mellitus with

983 12-01-2019 111902040119Y000593 0000084378161 ISMINEM P VETERAN Generalized anxiety Rujuk Lanjut
disorder
984 12-01-2019 111902040119Y001703 0000084462895 WADJIDAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

985 12-01-2019 111902040119Y000589 0000084601991 MUDJIJEM P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
986 12-01-2019 111902040119Y000633 0000084635098 NGADIMAN L PNS PUSAT Endocrine disorder, Berobat Jalan
unspecified
987 12-01-2019 111902040119Y000617 0000084659275 NETTY FATMANINGSIH P PENERIMA PENSIUN Dyspepsia Berobat Jalan
PNS
988 12-01-2019 111902040119Y000618 0000084720249 AMAT ANWARI L PNS DAERAH Other specified bacterial Berobat Jalan
diseases
989 12-01-2019 111902040119Y000631 0000169843037 YULIATI P PNS DAERAH Periodontal disease, Berobat Jalan
unspecified
990 12-01-2019 111902040119Y000632 0000206434563 SURATNI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

991 12-01-2019 111902040119Y000607 0000209002432 PARIYEM P PNS DAERAH Tension-type headache Berobat Jalan

992 12-01-2019 111902040119Y000623 0000211253501 FATHAN NURI L L PNS DAERAH Necrosis of pulp Berobat Jalan

993 12-01-2019 111902040119Y000645 0000543380297 EKA MUJI RAHAYU P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

994 12-01-2019 111902040119Y000644 0000543552851 BAHTIAR ENO ARDANI L PBI (APBN) Dyspepsia Berobat Jalan

995 12-01-2019 111902040119Y000590 0000543586138 MAWARDI L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

996 12-01-2019 111902040119Y000660 0000544078855 KOMSIATUN P PBI (APBN) Functional diarrhoea Berobat Jalan

997 12-01-2019 111902040119Y000601 0000544180577 SRI WINARSIH P PBI (APBN) Antenatal screening Rujuk Lanjut

998 12-01-2019 111902040119Y000614 0000544244646 LIYYA QOTRUN NADA P PBI (APBN) Seborrhoeic dermatitis, Berobat Jalan
unspecified
999 12-01-2019 111902040119Y000615 0000544244815 KAMILATUN NASIKHAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1000 12-01-2019 111902040119Y000610 0000544362625 ERNA SUSANTI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1001 12-01-2019 111902040119Y000634 0000544443884 MARMI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1002 12-01-2019 111902040119Y001705 0000544617101 AMAT TAKSIN L PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
influenza virus identified

1003 12-01-2019 111902040119Y001704 0000544617358 SURATNI P PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1004 12-01-2019 111902040119Y001709 0000544627304 SURNI P PBI (APBN) Gastritis, unspecified Berobat Jalan

1005 12-01-2019 111902040119Y001710 0000544629701 NURHIDAYAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
influenza virus identified

1006 12-01-2019 111902040119Y000608 0000544703095 MURTINI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1007 12-01-2019 111902040119Y001707 0000544831907 SAROFAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1008 12-01-2019 111902040119Y000646 0000544888089 EKA ZULFA FADHILAH P PBI (APBN) Necrosis of pulp Rujuk Lanjut

1009 12-01-2019 111902040119Y001472 0000544990533 BERO SULASIH P PBI (APBN) Personal history of Berobat Jalan
contraception
1010 12-01-2019 111902040119Y000638 0000545010388 IFANI ARDIYANTI P PEGAWAI SWASTA Hypertrophy of tonsils Rujuk Lanjut

1011 12-01-2019 111902040119Y000603 0000545017263 MARYAM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1012 12-01-2019 111902040119Y000637 0000545041563 DARYANTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1013 12-01-2019 111902040119Y000629 0000545045466 MUHAMAD PATULROHMAN L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1014 12-01-2019 111902040119Y000612 0000545065841 SARIASIH P PBI (APBN) Myalgia Berobat Jalan

1015 12-01-2019 111902040119Y000611 0000545066627 MAYA OKTA RAMAWATI P PBI (APBN) Other benign neoplasm of Berobat Jalan
skin, unspecified
1016 12-01-2019 111902040119Y000624 0000545109658 NGATINO L PBI (APBN) Necrosis of pulp Berobat Jalan

1017 12-01-2019 111902040119Y000648 0000545206408 FARID ARMAND MAULANA L PBI (APBN) Caries of dentine Berobat Jalan

1018 12-01-2019 111902040119Y000600 0000545213733 SUMIATI P PBI (APBN) Haemarthrosis Rujuk Lanjut

1019 12-01-2019 111902040119Y000626 0000545267338 SRI SUGIARTI P PBI (APBN) Dyspepsia Berobat Jalan

1020 12-01-2019 111902040119Y001708 0000545635822 MAHMUDAH P PBI (APBN) Headache Berobat Jalan

1021 12-01-2019 111902040119Y000619 0000545655341 SUMADI PRIYO ANGGORO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1022 12-01-2019 111902040119Y000592 0000545805437 TUMIJO L PBI (APBN) Dyspepsia Berobat Jalan

1023 12-01-2019 111902040119Y000650 0001019095121 LUTFIYAH ROIHANAH P PBI (APBN) Hearing loss, unspecified Rujuk Lanjut

1024 12-01-2019 111902040119Y000663 0001019109622 RINI HERMININGSIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1025 12-01-2019 111902040119Y000661 0001019113029 PARTIYAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1026 12-01-2019 111902040119Y000627 0001019113031 ANGGA RIZKI FITRIYANTO L PBI (APBN) Impacted cerumen Berobat Jalan

1027 12-01-2019 111902040119Y000595 0001019115191 WITARI P PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
1028 12-01-2019 111902040119Y000659 0001019115933 WILDAN DARMAWAN L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1029 12-01-2019 111902040119Y000658 0001019129512 APRILIA INDAH WAHYUNI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1030 12-01-2019 111902040119Y000647 0001019141831 SITI FAUZIYAH P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

1031 12-01-2019 111902040119Y000613 0001303649919 KASDIMAN L PEGAWAI SWASTA Neuralgia and neuritis, Berobat Jalan
unspecified
1032 12-01-2019 111902040119Y000641 0001371968019 LASMIATI P PBI (APBD) Hypertensive heart Rujuk Lanjut
disease
1033 12-01-2019 111902040119Y000602 0001422102958 NAURAH CALLISTA PRATANTO P PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

1034 12-01-2019 111902040119Y001754 0001528986644 ERNA WAHYUNINGSIH P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
1035 12-01-2019 111902040119Y000649 0001534729498 SITI MUNIROH P PBI (APBD) Other specified bacterial Berobat Jalan
diseases
1036 12-01-2019 111902040119Y000657 0001534736856 Siti Rokhimah P PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1037 12-01-2019 111902040119Y000653 0001615266821 Prihatini P PBI (APBD) Tension-type headache Berobat Jalan

1038 12-01-2019 111902040119Y000621 0001634494386 YUWANTI P PEGAWAI SWASTA Other and unspecified Rujuk Lanjut
abdominal pain
1039 12-01-2019 111902040119Y000656 0001643286442 CHOTIMAH P PEGAWAI BUMN Influenza with other Berobat Jalan
manifestations, virus not

1040 12-01-2019 111902040119Y000598 0001697166843 LAMBANG POERWANTO L PBI (APBD) Allergic urticaria Berobat Jalan

1041 12-01-2019 111902040119Y000599 0001697167631 MARSATUN P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1042 12-01-2019 111902040119Y001468 0001697170353 PARMI P PBI (APBD) Personal history of Berobat Jalan
contraception
1043 12-01-2019 111902040119Y000609 0001697194888 Abdul Karim Amrullah L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1044 12-01-2019 111902040119Y000640 0001700089255 CHELSI DWI TIKA SAPUTRI P PBI (APBD) Disorder of lens, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1045 12-01-2019 111902040119Y000622 0001725863692 NAUFAL ZAIDAN ATMOKO L PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
1046 12-01-2019 111902040119Y000643 0001838756057 MUHAMAD MAULUDIN L PNS PUSAT Allergic urticaria Berobat Jalan

1047 12-01-2019 111902040119Y001706 0001884198058 WIWID PRASETYO L PEKERJA MANDIRI Other specified bacterial Berobat Jalan
diseases
1048 12-01-2019 111902040119Y000606 0001887305624 SUKENDARIYATI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1049 12-01-2019 111902040119Y000642 0002050829739 HANIFAH P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1050 12-01-2019 111902040119Y000597 0002068617789 AMAT MUSTAHIDIN L PEKERJA MANDIRI Myalgia Berobat Jalan

1051 12-01-2019 111902040119Y000596 0002068618342 NURYANAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1052 12-01-2019 111902040119Y000628 0002168545544 AMANDA AULIA YUNI SAFITA P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
1053 12-01-2019 111902040119Y000605 0002175086002 BAIM ARJUNIATAMA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1054 12-01-2019 111902040119Y000655 0002175394533 NABILA MA RUFAH P PBI (APBN) Influenza with other Berobat Jalan
ASSODIQOH manifestations, virus not

1055 12-01-2019 111902040119Y000652 0002204542337 elis fisca dewi P PEKERJA MANDIRI Thyrotoxicosis with toxic Rujuk Lanjut
single thyroid nodule
1056 12-01-2019 111902040119Y000616 0002221385185 BINTANG PAMUNGKAS L PEKERJA MANDIRI Disturbances in tooth Rujuk Lanjut
eruption
1057 12-01-2019 111902040119Y000654 0002292513491 RUSMIYATI P PEKERJA MANDIRI Superficial mycosis, Berobat Jalan
unspecified
1058 12-01-2019 111902040119Y000591 0002313134818 KOTIFAH P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1059 12-01-2019 111902040119Y000651 0002619160661 RISNAYATI P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1060 12-01-2019 111902040119Y000604 0002625974594 KARYONO L PEKERJA MANDIRI Other and unspecified Berobat Jalan
abdominal pain
1061 12-01-2019 111902040119Y000635 0002626424976 MUGIYEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1062 11-01-2019 111902040119Y000579 0000061046649 MARWATI P PENERIMA PENSIUN Neuralgia and neuritis, Berobat Jalan
PNS unspecified
1063 11-01-2019 111902040119Y000587 0000084405453 EKO PUJI RAHAYU P PNS DAERAH Mixed asthma Rujuk Lanjut

1064 11-01-2019 111902040119Y000567 0000084423723 WARDIWATI P PENERIMA PENSIUN Psoriasis vulgaris Rujuk Lanjut
PNS
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1065 11-01-2019 111902040119Y000560 0000084527302 SUNARTI P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

1066 11-01-2019 111902040119Y000570 0000084539619 HENI ERNAWATI P PENERIMA PENSIUN External haemorrhoids Berobat Jalan
PNS without complication
1067 11-01-2019 111902040119Y000563 0000084574743 SUMIYADI L PENERIMA PENSIUN Congestive heart failure Berobat Jalan
PNS
1068 11-01-2019 111902040119Y000558 0000084574991 SUPRAYITNO L PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
1069 11-01-2019 111902040119Y000562 0000084638856 AMINAH P PENERIMA PENSIUN Carcinoma in situ of Berobat Jalan
PNS breast, unspecified
1070 11-01-2019 111902040119Y000586 0000084650376 DESI CAHYA ANGGRAENI P PEGAWAI SWASTA Polyarthrosis, unspecified Berobat Jalan

1071 11-01-2019 111902040119Y000547 0000084768096 MARDI WALUYO L PENERIMA PENSIUN Glaucoma, unspecified Rujuk Lanjut
PNS
1072 11-01-2019 111902040119Y000548 0000172720798 JUMIYATI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1073 11-01-2019 111902040119Y000575 0000205396108 SELVIA ALMANAR JANNAH P PNS DAERAH Periapical abscess without Berobat Jalan
sinus
1074 11-01-2019 111902040119Y000583 0000544078855 KOMSIATUN P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
1075 11-01-2019 111902040119Y000550 0000544228648 SANGADAH P PBI (APBN) Pterygium Berobat Jalan

1076 11-01-2019 111902040119Y000549 0000544295316 SUGITO L PBI (APBN) Congestive heart failure Rujuk Lanjut

1077 11-01-2019 111902040119Y001757 0000544353355 PUJI RAHAYU P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
1078 11-01-2019 111902040119Y000578 0000544510102 ADITYA REIVI GRACIA WIJAYA P PBI (APBN) Foreign body in ear Rujuk Lanjut

1079 11-01-2019 111902040119Y000542 0000544705119 TEGUH HERMAWAN L PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
1080 11-01-2019 111902040119Y000546 0000544746194 SRI RAHAYU P PBI (APBN) Tension-type headache Berobat Jalan

1081 11-01-2019 111902040119Y000543 0000544945307 KARYANTI P PBI (APBN) Abnormal finding on Rujuk Lanjut
antenatal screening of

1082 11-01-2019 111902040119Y000573 0000545017983 COKROMULYO NGADIRUN L PBI (APBN) Myalgia Berobat Jalan

1083 11-01-2019 111902040119Y000541 0000545052611 RIZKA WAHYU NINGSIH P PBI (APBN) Dyspepsia Berobat Jalan

1084 11-01-2019 111902040119Y000551 0000545109658 NGATINO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1085 11-01-2019 111902040119Y000557 0000545243501 MUHTAROM L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1086 11-01-2019 111902040119Y000559 0000545506222 SUTARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1087 11-01-2019 111902040119Y000553 0000545513848 ALIP BUDIANTO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1088 11-01-2019 111902040119Y000539 0000545525638 HADI SUPARTO L PBI (APBN) Allergic urticaria Berobat Jalan

1089 11-01-2019 111902040119Y000585 0000545528711 MURYANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1090 11-01-2019 111902040119Y000564 0000545580764 MISRAN L PBI (APBN) Dyspepsia Berobat Jalan

1091 11-01-2019 111902040119Y000581 0001019105324 YUYUN SETYO APRININGSIH L PBI (APBN) Impacted cerumen Berobat Jalan

1092 11-01-2019 111902040119Y000574 0001019108856 QOIDUL GHURRIL MUHAJJALIN L PBI (APBN) Necrosis of pulp Berobat Jalan

1093 11-01-2019 111902040119Y001484 0001019110364 SUMARNINGSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
1094 11-01-2019 111902040119Y000555 0001019121941 WAGIRUN L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1095 11-01-2019 111902040119Y000545 0001084912896 MUJIATUN P PBI (APBN) Tuberculosis of lung, Rujuk Lanjut
bacteriological and
histological examination

1096 11-01-2019 111902040119Y001455 0001107559451 RUBIYANTI P PRAJURIT AD Personal history of Berobat Jalan
contraception
1097 11-01-2019 111902040119Y000569 0001319825024 SUNGKONO PRAWIRO L PEKERJA MANDIRI Secondary hypertension, Rujuk Lanjut
unspecified
1098 11-01-2019 111902040119Y000552 0001423966825 MUH TAROM L PEKERJA MANDIRI Impetiginization of other Berobat Jalan
dermatoses
1099 11-01-2019 111902040119Y000576 0001434012748 muhammad fauzan L PEKERJA MANDIRI Epilepsy, unspecified Rujuk Lanjut

1100 11-01-2019 111902040119Y000588 0001525066683 NIYAH YATI P PBI (APBD) Premature rupture of Rujuk Lanjut
membranes
1101 11-01-2019 111902040119Y000556 0001534735045 ALIF ILHAM FATURRAHMAN L PBI (APBD) Influenza with other Berobat Jalan
manifestations, virus not

1102 11-01-2019 111902040119Y000540 0001697166663 SEPTI REKMA RAHMAWATI P PBI (APBD) Disorder of lens, Rujuk Lanjut
unspecified
1103 11-01-2019 111902040119Y000568 0001700089615 IMAN MAKFUL L PBI (APBD) Congestive heart failure Rujuk Lanjut

1104 11-01-2019 111902040119Y000561 0001824087868 TARIMAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1105 11-01-2019 111902040119Y000580 0002078556952 SEMIREDJO L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1106 11-01-2019 111902040119Y000577 0002083879833 LEGIMAN L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1107 11-01-2019 111902040119Y000554 0002091105718 MARDIYAH P PEKERJA MANDIRI Tuberculosis of lung, Rujuk Lanjut
bacteriological and
histological examination

1108 11-01-2019 111902040119Y000582 0002168544982 DECCA MARIA ULFA P PBI (APBD) Allergic urticaria Berobat Jalan

1109 11-01-2019 111902040119Y000572 0002168546106 SANGIDUN L PBI (APBD) Congestive heart failure Berobat Jalan

1110 11-01-2019 111902040119Y000566 0002294912823 PARINI P PEKERJA MANDIRI Allergic urticaria Berobat Jalan

1111 11-01-2019 111902040119Y000571 0002298391209 NGAZIZ L PEKERJA MANDIRI Other chronic cystitis Berobat Jalan

1112 11-01-2019 111902040119Y000544 0002304884867 PUJIONO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1113 11-01-2019 111902040119Y000565 0002318782397 SARTIYEM P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1114 11-01-2019 111902040119Y000584 0002448012982 SUGENG HARYONO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1115 10-01-2019 111902040119Y000506 0000084282491 KARSONO L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1116 10-01-2019 111902040119Y000490 0000084376912 HASJIM MARSONO L PENERIMA PENSIUN TNI Orchitis and epididymitis Rujuk Lanjut

1117 10-01-2019 111902040119Y000504 0000084377979 SITI ASTUTI P PENERIMA PENSIUN TNI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1118 10-01-2019 111902040119Y000510 0000084378093 SOPIAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1119 10-01-2019 111902040119Y000509 0000084500313 SITI BAROYAH P PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

1120 10-01-2019 111902040119Y000493 0000084557272 BEJO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

1121 10-01-2019 111902040119Y000499 0000084558903 PONIYEM P PENERIMA PENSIUN Asthma, unspecified Berobat Jalan
PNS
1122 10-01-2019 111902040119Y000524 0000084559735 SOEPARMAN ERWINTO L PENERIMA PENSIUN Polyarthrosis, unspecified Rujuk Lanjut
PRASTOWO PNS
1123 10-01-2019 111902040119Y000505 0000084640026 SRI SUPANGATI P PENERIMA PENSIUN Generalized anxiety Rujuk Lanjut
PNS disorder
1124 10-01-2019 111902040119Y000522 0000084720249 AMAT ANWARI L PNS DAERAH Other specified bacterial Berobat Jalan
diseases
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1125 10-01-2019 111902040119Y000533 0000084721814 SHOLEH L PENERIMA PENSIUN Neuralgia and neuritis, Berobat Jalan
PNS unspecified
1126 10-01-2019 111902040119Y000534 0000084734897 SITI AMINAH P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1127 10-01-2019 111902040119Y000520 0000084768096 MARDI WALUYO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1128 10-01-2019 111902040119Y000502 0000084797616 HELIOSA ATMAJA L PNS DAERAH Necrosis of pulp Berobat Jalan

1129 10-01-2019 111902040119Y000500 0000205235267 DWIYATI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1130 10-01-2019 111902040119Y000538 0000207969039 TRIANDA DEWI A P PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
1131 10-01-2019 111902040119Y000489 0000543372377 SUKARDI L PBI (APBN) Congestive heart failure Rujuk Lanjut

1132 10-01-2019 111902040119Y000508 0000543470793 NGASIMAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1133 10-01-2019 111902040119Y000503 0000543567701 JUMINEM P PBI (APBN) Necrosis of pulp Berobat Jalan

1134 10-01-2019 111902040119Y000511 0000543569692 DONI WICAKSONO L PBI (APBN) Impacted cerumen Berobat Jalan

1135 10-01-2019 111902040119Y000495 0000543648486 MARIO DIAN SAPUTRA L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1136 10-01-2019 111902040119Y000529 0000544304744 SUMIARTI P PBI (APBN) Endocrine disorder, Berobat Jalan
unspecified
1137 10-01-2019 111902040119Y001756 0000544353355 PUJI RAHAYU P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
1138 10-01-2019 111902040119Y000518 0000544355144 RUSMINATUN P PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
1139 10-01-2019 111902040119Y000527 0000544360522 SUDIYAT L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1140 10-01-2019 111902040119Y000528 0000544388319 CHONI cholisa P PBI (APBN) Schizophrenia Berobat Jalan

1141 10-01-2019 111902040119Y001456 0000544525874 YUNI PRASETIYOWATI P PBI (APBN) Personal history of Berobat Jalan
contraception
1142 10-01-2019 111902040119Y000526 0000544695939 SITI MUNTOFINGAH P PBI (APBN) Nutritional anaemia, Berobat Jalan
unspecified
1143 10-01-2019 111902040119Y000515 0000544719047 UMINEM P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1144 10-01-2019 111902040119Y000519 0000544719576 PUNGKY AJIWUNARNO L PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1145 10-01-2019 111902040119Y000491 0000544949875 ROHMAH SUSETYOWATI P PBI (APBN) Dyspepsia Berobat Jalan

1146 10-01-2019 111902040119Y000496 0000544963869 RENA ANDRIANA P PBI (APBN) Antenatal screening Rujuk Lanjut

1147 10-01-2019 111902040119Y000530 0000544964782 SUPRIYATI P PBI (APBN) Other chronic cystitis Berobat Jalan

1148 10-01-2019 111902040119Y000536 0000545103011 IBNU L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1149 10-01-2019 111902040119Y000531 0000545284631 ACHMAT BADRUDIN L PBI (APBN) Impacted cerumen Berobat Jalan

1150 10-01-2019 111902040119Y001466 0000545284721 MARKOTIAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1151 10-01-2019 111902040119Y000521 0000545650773 SITI NUR FADHILAH P PBI (APBN) Dyspepsia Berobat Jalan

1152 10-01-2019 111902040119Y000517 0001019097314 PURWANTO L PBI (APBN) Fracture of navicular Rujuk Lanjut
[scaphoid] bone of hand ,

1153 10-01-2019 111902040119Y000501 0001019107596 MUNFANGATI P PBI (APBN) General examination and Berobat Jalan
investigation of persons
without complaint and

1154 10-01-2019 111902040119Y000498 0001307763123 RUKINI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1155 10-01-2019 111902040119Y000523 0001473346541 SUPIYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1156 10-01-2019 111902040119Y000492 0001525066885 SUTARNO L PEGAWAI SWASTA Functional diarrhoea Berobat Jalan

1157 10-01-2019 111902040119Y001753 0001528986644 ERNA WAHYUNINGSIH P PEGAWAI SWASTA Spontaneous vertex Berobat Jalan
delivery
1158 10-01-2019 111902040119Y000497 0001534734955 HERY UTOMO L PBI (APBD) Polyarthrosis, unspecified Berobat Jalan

1159 10-01-2019 111902040119Y000514 0001647387663 SRI SONGOWATI P PEGAWAI SWASTA Dyspepsia Berobat Jalan

1160 10-01-2019 111902040119Y001467 0001697166472 ASMAUL HUSNAH P PBI (APBD) Personal history of Berobat Jalan
contraception
1161 10-01-2019 111902040119Y000532 0001697167934 Eko Sulistiono L PBI (APBD) Tension-type headache Berobat Jalan

1162 10-01-2019 111902040119Y000537 0001795897506 MAROWATI P PEKERJA MANDIRI Hypothyroidism, Rujuk Lanjut
unspecified
1163 10-01-2019 111902040119Y000516 0001880533157 sri maryati P PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

1164 10-01-2019 111902040119Y000494 0001907993812 zindy alzafira sentana P PRAJURIT AD Deposits [accretions] on Rujuk Lanjut
teeth
1165 10-01-2019 111902040119Y000507 0001967068427 SUGENG L PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1166 10-01-2019 111902040119Y000513 0001969586368 SUKIRMAN L PEKERJA MANDIRI Monoplegia of lower limb Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1167 10-01-2019 111902040119Y000512 0001969868676 Pangesti P PEGAWAI SWASTA Other chronic cystitis Berobat Jalan

1168 10-01-2019 111902040119Y000535 0002168542798 JUMONO L PBI (APBD) Hordeolum and other deep Berobat Jalan
inflammation of eyelid

1169 10-01-2019 111902040119Y000525 0002622377709 SURATMI P PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

1170 09-01-2019 111902040119Y000446 0000040303708 AMAT SYAMSURI L PENERIMA PENSIUN Hypertensive heart Rujuk Lanjut
PNS disease
1171 09-01-2019 111902040119Y000447 0000040303719 UMI SALAMAH P PENERIMA PENSIUN Insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with
other specified

1172 09-01-2019 111902040119Y000464 0000044827749 HARTINI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1173 09-01-2019 111902040119Y000449 0000060004146 SUTARDI L PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1174 09-01-2019 111902040119Y000445 0000076144645 SARIMIN L PENERIMA PENSIUN Chronic renal failure, Rujuk Lanjut
PNS unspecified
1175 09-01-2019 111902040119Y000465 0000084280419 NY.TRI HARYATI P PENERIMA PENSIUN Periodontal disease, Berobat Jalan
PNS unspecified
1176 09-01-2019 111902040119Y000459 0000084430091 DJUMADI SISWOHADI L PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PURNOMO PNS
1177 09-01-2019 111902040119Y000475 0000084724863 BASRIANAH P PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1178 09-01-2019 111902040119Y000486 0000169843026 SULIYAH P PNS DAERAH Impetiginization of other Berobat Jalan
dermatoses
1179 09-01-2019 111902040119Y000473 0000202268182 SISMIYATI P PNS DAERAH Mixed asthma Rujuk Lanjut

1180 09-01-2019 111902040119Y000472 0000543432148 PAIJEM P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

1181 09-01-2019 111902040119Y000453 0000543538552 TASIK L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1182 09-01-2019 111902040119Y000483 0000543679907 NGATIYEM P PBI (APBN) Allergic urticaria Berobat Jalan

1183 09-01-2019 111902040119Y000461 0000544094739 YATMIYATUN P PBI (APBN) Simple chronic bronchitis Rujuk Lanjut

1184 09-01-2019 111902040119Y001129 0000544204348 KASMINI P PBI (APBN) Leprosy [Hansen disease] Berobat Jalan

1185 09-01-2019 111902040119Y000469 0000544247199 SURATI P PBI (APBN) Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous

1186 09-01-2019 111902040119Y000482 0000544261702 IIS SUPRIYANI P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1187 09-01-2019 111902040119Y000474 0000544346932 EKA ROSWITA juliasti P PBI (APBN) Gastrojejunal ulcer, acute Rujuk Lanjut
with perforation
1188 09-01-2019 111902040119Y000457 0000544449611 MUSLIMAH P PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
1189 09-01-2019 111902040119Y000487 0000544683071 ISMAIL ROH HIDAYAT L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle of

1190 09-01-2019 111902040119Y000488 0000544777301 SARIFAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1191 09-01-2019 111902040119Y000462 0000544908014 KUWAT HAPY WIBOWO L PBI (APBN) Necrosis of pulp Rujuk Lanjut

1192 09-01-2019 111902040119Y000460 0000544908295 ANI PUJI FEBRIYANTI P PBI (APBN) Necrosis of pulp Rujuk Lanjut

1193 09-01-2019 111902040119Y000455 0000544991455 SAMSUL BAHRI L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1194 09-01-2019 111902040119Y000485 0000545021785 SUJARWATI P PBI (APBN) Tension-type headache Berobat Jalan

1195 09-01-2019 111902040119Y000479 0000545224419 SULASMI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1196 09-01-2019 111902040119Y001483 0000545236266 ISTRIYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
1197 09-01-2019 111902040119Y001132 0000545761809 SARMINAH P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
1198 09-01-2019 111902040119Y000450 0000545783657 RAMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1199 09-01-2019 111902040119Y000468 0000545805437 TUMIJO L PBI (APBN) Dyspepsia Berobat Jalan

1200 09-01-2019 111902040119Y000481 0001019110195 SITI AMINAH ZUMAROH P PBI (APBN) Leprosy [Hansen disease] Rujuk Lanjut

1201 09-01-2019 111902040119Y000480 0001019115628 LALAN SUSANTO L PBI (APBN) Dyspepsia Berobat Jalan

1202 09-01-2019 111902040119Y000470 0001019117013 ISTI MUAWANAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1203 09-01-2019 111902040119Y000466 0001019121941 WAGIRUN L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1204 09-01-2019 111902040119Y000484 0001084594634 ROKHIMAH P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1205 09-01-2019 111902040119Y000448 0001271511292 SRI YULIANTI P ANGGOTA POLRI Suppurative otitis media, Rujuk Lanjut
unspecified
1206 09-01-2019 111902040119Y000463 0001423226992 SITI PATIMAH P PEGAWAI SWASTA Tension-type headache Berobat Jalan

1207 09-01-2019 111902040119Y000467 0001525066885 SUTARNO L PEGAWAI SWASTA Functional diarrhoea Berobat Jalan

1208 09-01-2019 111902040119Y001752 0001528986644 ERNA WAHYUNINGSIH P PEGAWAI SWASTA Spontaneous vertex Sembuh
delivery
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1209 09-01-2019 111902040119Y000454 0001697167618 AMINATUN P PBI (APBD) Vertigo of central origin Berobat Jalan

1210 09-01-2019 111902040119Y000452 0001786514297 SAPARUN L PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

1211 09-01-2019 111902040119Y001730 0001804398388 KATRIN HIDAYATI P PEKERJA MANDIRI Personal history of Berobat Jalan
contraception
1212 09-01-2019 111902040119Y000476 0001880533157 sri maryati P PEKERJA MANDIRI Suppurative otitis media, Rujuk Lanjut
unspecified
1213 09-01-2019 111902040119Y000477 0002203256046 WARTINI P PEKERJA MANDIRI Nasal polyp Rujuk Lanjut

1214 09-01-2019 111902040119Y000478 0002381172243 PARIYAH P PBI (APBN) Disorder of lens, Rujuk Lanjut
unspecified
1215 09-01-2019 111902040119Y000451 0002381173176 JEMINI P PBI (APBN) Neoplasm of uncertain or Berobat Jalan
unknown behaviour of

1216 09-01-2019 111902040119Y000456 0002448439705 KUSWORONINGSIH P PEGAWAI SWASTA Pulpitis Berobat Jalan

1217 09-01-2019 111902040119Y000471 0002493934198 NGADINEM P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

1218 08-01-2019 111902040119Y000407 0000084215777 SUPRIYATI P PNS DAERAH Varicella without Berobat Jalan
complication
1219 08-01-2019 111902040119Y000396 0000084217588 SRI MARYANI P PNS DAERAH Chronic laryngitis Rujuk Lanjut

1220 08-01-2019 111902040119Y000426 0000084224676 SURATMI P PENERIMA PENSIUN Polyarthrosis, unspecified Berobat Jalan
PNS
1221 08-01-2019 111902040119Y000435 0000084270161 ENI HERLINA P PNS DAERAH Dyspepsia Berobat Jalan

1222 08-01-2019 111902040119Y000400 0000084307544 WASIYEM P PENERIMA PENSIUN TNI Insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

1223 08-01-2019 111902040119Y000411 0000084699685 SRI SUTARMI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1224 08-01-2019 111902040119Y000403 0000084757487 SILIK MURWATI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1225 08-01-2019 111902040119Y000386 0000104953386 NANIK KUSWATI P PENERIMA PENSIUN TNI Hypertensive heart Berobat Jalan
disease
1226 08-01-2019 111902040119Y000412 0000543529528 WARLIYAH P PBI (APBN) Dyspepsia Berobat Jalan

1227 08-01-2019 111902040119Y000418 0000543545504 BARIYAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1228 08-01-2019 111902040119Y000422 0000543570614 SARINI P PBI (APBN) Superficial mycosis, Berobat Jalan
unspecified
1229 08-01-2019 111902040119Y000432 0000543591742 SANTOSO L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1230 08-01-2019 111902040119Y000414 0000543667443 NGADIYEM P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1231 08-01-2019 111902040119Y000385 0000544119838 BAMBANG RIYANTO L PBI (APBN) Postzoster neuralgia Berobat Jalan

1232 08-01-2019 111902040119Y000387 0000544120661 SUMARSIH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1233 08-01-2019 111902040119Y000393 0000544225026 MuNIR L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1234 08-01-2019 111902040119Y000425 0000544229188 WAGIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1235 08-01-2019 111902040119Y000408 0000544275663 TUGINAH P PBI (APBN) Myalgia Berobat Jalan

1236 08-01-2019 111902040119Y000401 0000544282211 KASIH P PBI (APBN) Insulin-dependent Rujuk Lanjut
diabetes mellitus with
other specified

1237 08-01-2019 111902040119Y000441 0000544292831 DJUMILAH P PBI (APBN) Impacted teeth Berobat Jalan

1238 08-01-2019 111902040119Y000399 0000544306972 TUMIJEM P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1239 08-01-2019 111902040119Y000397 0000544395126 TRI SUSANI P PBI (APBN) Gastrojejunal ulcer, acute Rujuk Lanjut
with perforation
1240 08-01-2019 111902040119Y000402 0000544395666 AFAN FERDIANTO L PBI (APBN) Pulpitis Rujuk Lanjut

1241 08-01-2019 111902040119Y000398 0000544430226 IRA PRASETYO P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1242 08-01-2019 111902040119Y001478 0000544563393 SRI WATI P PBI (APBN) Personal history of Berobat Jalan
contraception
1243 08-01-2019 111902040119Y000429 0000544699708 AGUS WAHYUDI L PBI (APBN) Pulpitis Rujuk Lanjut

1244 08-01-2019 111902040119Y000436 0000544955253 MAMAT L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1245 08-01-2019 111902040119Y000437 0000544955376 WARNI P PBI (APBN) Allergic urticaria Berobat Jalan

1246 08-01-2019 111902040119Y000404 0000545070341 SUMARNI P PBI (APBN) Tension-type headache Berobat Jalan

1247 08-01-2019 111902040119Y000405 0000545243567 SITI LASMINAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1248 08-01-2019 111902040119Y000419 0000545493802 ABIT SAPUTRE L PBI (APBN) Impacted cerumen Berobat Jalan

1249 08-01-2019 111902040119Y000442 0000545620994 EFI MARTA P PBI (APBN) Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1250 08-01-2019 111902040119Y001558 0001019107822 TEMON P PBI (APBN) Myalgia Berobat Jalan

1251 08-01-2019 111902040119Y000391 0001019117507 FAJRI FACHRUL ROZI L PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

1252 08-01-2019 111902040119Y000390 0001019129488 DESTIYAN MERLINAWATI P PBI (APBN) Functional diarrhoea Berobat Jalan

1253 08-01-2019 111902040119Y000433 0001110486025 LIDYA SUNARSIH P PRAJURIT AL Glaucoma, unspecified Rujuk Lanjut

1254 08-01-2019 111902040119Y000424 0001139182413 SUSILOWATI P PEKERJA MANDIRI Endocrine disorder, Berobat Jalan
unspecified
1255 08-01-2019 111902040119Y000394 0001258495187 MARDIYONO L PEKERJA MANDIRI Retinal detachments and Rujuk Lanjut
breaks
1256 08-01-2019 111902040119Y000392 0001294952387 ISMAIL L PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

1257 08-01-2019 111902040119Y000384 0001325203435 BOWO RUSBAGYO L PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

1258 08-01-2019 111902040119Y000438 0001328180128 MOKH BASORI L PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

1259 08-01-2019 111902040119Y000439 0001328634393 HARIYATI P PEKERJA MANDIRI Lichen simplex chronicus Berobat Jalan

1260 08-01-2019 111902040119Y000423 0001390280196 TRI WAHYUNI P PEKERJA MANDIRI Neuralgia and neuritis, Berobat Jalan
unspecified
1261 08-01-2019 111902040119Y000410 0001423966825 MUH TAROM L PEKERJA MANDIRI Ganglion Berobat Jalan

1262 08-01-2019 111902040119Y001560 0001482356316 CALYA TIFFANY NAURAJATI P ANGGOTA POLRI Viral conjunctivitis, Berobat Jalan
unspecified
1263 08-01-2019 111902040119Y000443 0001519657975 SERAFISTA FREYA ARSANTI P PEKERJA MANDIRI Disturbances in tooth Berobat Jalan
eruption
1264 08-01-2019 111902040119Y000388 0001525066154 SITI MUSLIKHAH P PEGAWAI SWASTA Acute pharyngitis, Berobat Jalan
unspecified
1265 08-01-2019 111902040119Y000420 0001526265369 KAMISAH P PEGAWAI SWASTA Polyarthrosis, unspecified Rujuk Lanjut

1266 08-01-2019 111902040119Y001557 0001534736182 SUbur P PBI (APBD) Myalgia Berobat Jalan

1267 08-01-2019 111902040119Y001556 0001534736597 afifa salsabila P PBI (APBD) Allergic urticaria Berobat Jalan

1268 08-01-2019 111902040119Y001559 0001615267405 ASIH SUHARDINI P PBI (APBD) Other specified bacterial Berobat Jalan
diseases
1269 08-01-2019 111902040119Y000431 0001615366721 TOYIMAH P PBI (APBD) Tension-type headache Berobat Jalan

1270 08-01-2019 111902040119Y000427 0001646386659 NAUFAL ALDEN DAINTY L PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1271 08-01-2019 111902040119Y000428 0001697168248 Sudarmi P PBI (APBD) Polyarthrosis, unspecified Rujuk Lanjut

1272 08-01-2019 111902040119Y000413 0001697169014 Keminem P PBI (APBD) Allergic urticaria Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1273 08-01-2019 111902040119Y000417 0001811763202 WAGE MARSUDI L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1274 08-01-2019 111902040119Y000444 0001840785175 AZKA DEAN ARSHAFIN L PEKERJA MANDIRI Ventricular septal defect Rujuk Lanjut

1275 08-01-2019 111902040119Y000440 0002000103276 ANGGI LARASATI L PBI (APBN) Dyspepsia Berobat Jalan

1276 08-01-2019 111902040119Y000434 0002048373933 LITTA LUCIANA ROSA P P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1277 08-01-2019 111902040119Y000389 0002089834389 DIMAS ZAINAL ABIDIN L PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1278 08-01-2019 111902040119Y000415 0002168543812 RIBUT MARZUKI L PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1279 08-01-2019 111902040119Y000416 0002168546229 SOLIMAN L PBI (APBD) Polyarthrosis, unspecified Berobat Jalan

1280 08-01-2019 111902040119Y000395 0002249251672 QONITA ZAIN RAIHANAH P PEKERJA MANDIRI Rheumatic fever without Rujuk Lanjut
mention of heart

1281 08-01-2019 111902040119Y000406 0002301558445 ESTER TRIWIRYATI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1282 08-01-2019 111902040119Y001485 0002381172963 ROSIDAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1283 08-01-2019 111902040119Y001486 0002381173301 TATIK SUHARTI P PBI (APBN) Personal history of Berobat Jalan
contraception
1284 08-01-2019 111902040119Y000409 0002422750116 BUDI UTOMO PAINO L PEKERJA MANDIRI Psoriasis vulgaris Berobat Jalan

1285 08-01-2019 111902040119Y000430 0002482292619 MUKHAMAD NUR HUDALLOH L PEGAWAI PEMERINTAH Non-insulin-dependent Berobat Jalan
DENGAN PERJANJIAN diabetes mellitus with

1286 08-01-2019 111902040119Y000421 0002572667133 MUSTOFA L PBI (APBD) Schizophrenia Rujuk Lanjut

1287 07-01-2019 111902040119Y000358 0000044181764 MARNI P PENERIMA PENSIUN TNI Tension-type headache Berobat Jalan

1288 07-01-2019 111902040119Y000318 0000073163417 DRS.PARDJOTO L PENERIMA PENSIUN Vertigo of central origin Berobat Jalan
PNS
1289 07-01-2019 111902040119Y000360 0000083512348 MUHAMMAD SOLICHUN L PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

1290 07-01-2019 111902040119Y000346 0000084214078 SOLIMAH P PNS DAERAH Tension-type headache Berobat Jalan

1291 07-01-2019 111902040119Y000819 0000084216699 WAGIYEM P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1292 07-01-2019 111902040119Y000339 0000084267033 SUDIYONO L PNS DAERAH Polyarthrosis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1293 07-01-2019 111902040119Y000347 0000084355301 SUYATINAH P PENERIMA PENSIUN TNI Polyarthrosis, unspecified Rujuk Lanjut

1294 07-01-2019 111902040119Y000348 0000084402483 SUNARTO L PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
1295 07-01-2019 111902040119Y000299 0000084641826 SRI AGUSTINI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1296 07-01-2019 111902040119Y000816 0000084643558 DWI PURWIYATI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1297 07-01-2019 111902040119Y000817 0000084643784 ARSIMAH P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1298 07-01-2019 111902040119Y000320 0000084662864 CORININGSIH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1299 07-01-2019 111902040119Y000372 0000084674158 TUNIMAN L PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1300 07-01-2019 111902040119Y000305 0000084704286 YUDIMAN L PNS DAERAH Congestive heart failure Rujuk Lanjut

1301 07-01-2019 111902040119Y000330 0000084724626 SUKIJAN L PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1302 07-01-2019 111902040119Y000371 0000084725188 IKA SULISTYANINGRUM P PEGAWAI SWASTA Ectopic pregnancy, Rujuk Lanjut
unspecified
1303 07-01-2019 111902040119Y000363 0000084733828 MAHMUDAH P PNS DAERAH Congestive heart failure Rujuk Lanjut

1304 07-01-2019 111902040119Y000309 0000084754978 BARTO L PENERIMA PENSIUN Senile cataract, Rujuk Lanjut
PNS unspecified
1305 07-01-2019 111902040119Y000312 0000084755687 YAYUK PRAYUTI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

1306 07-01-2019 111902040119Y000383 0000084797616 HELIOSA ATMAJA L PNS DAERAH Pulpitis Berobat Jalan

1307 07-01-2019 111902040119Y000374 0000084806561 ROPINGAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1308 07-01-2019 111902040119Y000820 0000204595547 PARTI P PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS
1309 07-01-2019 111902040119Y000308 0000543567936 ERLINA HANDINI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1310 07-01-2019 111902040119Y000815 0000543643053 YULI LESTARI P PBI (APBN) Anorexia Berobat Jalan

1311 07-01-2019 111902040119Y000361 0000543743436 TONO MIHARJO L PBI (APBN) Dyspepsia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1312 07-01-2019 111902040119Y000362 0000543743493 SUGINEM P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1313 07-01-2019 111902040119Y000322 0000543952811 MUZAZANAH P PBI (APBN) Burn of third degree of Berobat Jalan
trunk
1314 07-01-2019 111902040119Y000370 0000544066582 SRI WAHYUNI P PBI (APBN) Tension-type headache Berobat Jalan

1315 07-01-2019 111902040119Y000345 0000544102751 MUSLIMAH P PBI (APBN) Asthma Rujuk Lanjut

1316 07-01-2019 111902040119Y000337 0000544187621 USWATUN CHASANAH P PEGAWAI SWASTA Hyperparathyroidism, Rujuk Lanjut
unspecified
1317 07-01-2019 111902040119Y000357 0000544233936 ANNA NOVIANA P PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
1318 07-01-2019 111902040119Y000329 0000544242879 SLAMET PRALONO L PBI (APBN) Residual schizophrenia Berobat Jalan

1319 07-01-2019 111902040119Y000298 0000544277068 PARIASIH P PBI (APBN) Leiomyoma of uterus Rujuk Lanjut

1320 07-01-2019 111902040119Y000340 0000544294473 YATINI P PBI (APBN) Functional diarrhoea Berobat Jalan

1321 07-01-2019 111902040119Y000294 0000544506186 AMAT ROSIDI L PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
1322 07-01-2019 111902040119Y000376 0000544516312 PAINEM P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1323 07-01-2019 111902040119Y000380 0000544568692 PARTINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1324 07-01-2019 111902040119Y000323 0000544651841 SURIP P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1325 07-01-2019 111902040119Y000344 0000544719047 UMINEM P PBI (APBN) Dyspepsia Berobat Jalan

1326 07-01-2019 111902040119Y000377 0000544795086 SISWANTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1327 07-01-2019 111902040119Y000333 0000544981511 SHELLI FEBRI YANI P PBI (APBN) Nonpurulent mastitis Berobat Jalan
associated with childbirth
1328 07-01-2019 111902040119Y000365 0000545000837 ARIYAH P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1329 07-01-2019 111902040119Y000302 0000545022066 SARTINI P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1330 07-01-2019 111902040119Y000325 0000545075256 DARSI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1331 07-01-2019 111902040119Y000821 0000545103729 SONEM P PBI (APBN) Myalgia Berobat Jalan

1332 07-01-2019 111902040119Y000311 0000545240957 NUR KHOLIFAH P PBI (APBN) Tuberculous pleurisy, Berobat Jalan
confirmed bacteriologically
and histologically
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1333 07-01-2019 111902040119Y000367 0000545279376 RINA P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1334 07-01-2019 111902040119Y000379 0000545522657 HARYATI P PBI (APBN) Superficial mycosis, Berobat Jalan
unspecified
1335 07-01-2019 111902040119Y000378 0000545522804 RITA ASTUTI P PBI (APBN) Lichen simplex chronicus Berobat Jalan

1336 07-01-2019 111902040119Y000321 0000545619677 MUSLICHAH P PBI (APBN) Antenatal screening Rujuk Lanjut

1337 07-01-2019 111902040119Y000368 0001019096943 ENY TRIANA P PBI (APBN) Tension-type headache Berobat Jalan

1338 07-01-2019 111902040119Y000369 0001019098675 RETNO PALUPI P PBI (APBN) Hypotension, unspecified Berobat Jalan

1339 07-01-2019 111902040119Y000353 0001019115617 PONISIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1340 07-01-2019 111902040119Y000823 0001019117496 SRI REJEKI P PBI (APBN) Myalgia Berobat Jalan

1341 07-01-2019 111902040119Y000824 0001019117507 FAJRI FACHRUL ROZI L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1342 07-01-2019 111902040119Y000373 0001019121952 MARDIAMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1343 07-01-2019 111902040119Y000310 0001019122132 SETIYOWATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1344 07-01-2019 111902040119Y000328 0001019122828 RUMINAH P PBI (APBN) Superficial mycosis, Berobat Jalan
unspecified
1345 07-01-2019 111902040119Y000301 0001019126428 YANI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1346 07-01-2019 111902040119Y000315 0001019127576 SITI SAMSIYAH P PBI (APBN) Tension-type headache Berobat Jalan

1347 07-01-2019 111902040119Y000306 0001019129466 ZAETUN P PBI (APBN) Tension-type headache Berobat Jalan

1348 07-01-2019 111902040119Y000364 0001019131738 ROWIYATI P PBI (APBN) Congestive heart failure Berobat Jalan

1349 07-01-2019 111902040119Y000296 0001019131784 KRISMINARTO L PBI (APBN) Bipolar affective disorder Rujuk Lanjut

1350 07-01-2019 111902040119Y000307 0001019132662 MUDJINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1351 07-01-2019 111902040119Y000350 0001019141155 RUKIYAH P PBI (APBN) Tuberculosis of lung, Berobat Jalan
bacteriological and
histological examination

1352 07-01-2019 111902040119Y000354 0001135675844 RETNO WIDI ASTUTI P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan

1353 07-01-2019 111902040119Y000341 0001302551144 SUKARYONO L PEKERJA MANDIRI Functional diarrhoea Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1354 07-01-2019 111902040119Y000335 0001448668642 SRI WAHYUNI P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1355 07-01-2019 111902040119Y000327 0001525066356 RINA ASTUTI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1356 07-01-2019 111902040119Y000351 0001615366989 RIBUT YULIYANTI P PBI (APBD) Congestive heart failure Rujuk Lanjut

1357 07-01-2019 111902040119Y000332 0001616308514 TIYAS AGUSTIN P PEGAWAI SWASTA Disorder of lens, Rujuk Lanjut
unspecified
1358 07-01-2019 111902040119Y000314 0001631920318 RUSMINAH P PEGAWAI SWASTA Neuralgia and neuritis, Berobat Jalan
unspecified
1359 07-01-2019 111902040119Y000366 0001696984626 UMMUM KULSUM P PBI (APBD) Dyspepsia Berobat Jalan

1360 07-01-2019 111902040119Y000342 0001697167484 BAMBANG HAYANTO L PBI (APBD) Dyspepsia Berobat Jalan

1361 07-01-2019 111902040119Y000326 0001720759948 WAGIMAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1362 07-01-2019 111902040119Y000382 0001785755147 APRINING DWI REJEKI P PEGAWAI SWASTA Other nutritional anaemias Berobat Jalan

1363 07-01-2019 111902040119Y000304 0001788521995 SLAMET SUGIYANTO L PEGAWAI SWASTA Other and unspecified Rujuk Lanjut
abdominal pain
1364 07-01-2019 111902040119Y001477 0001788619241 NUR ISNAINI P PEGAWAI SWASTA Personal history of Berobat Jalan
contraception
1365 07-01-2019 111902040119Y000334 0001789440489 SITI KHOERULAH P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1366 07-01-2019 111902040119Y000331 0001865181407 TURIMAN L PEKERJA MANDIRI Necrosis of pulp Rujuk Lanjut

1367 07-01-2019 111902040119Y000324 0001880217819 ULFI ROCHMAWATI P PEGAWAI SWASTA Antenatal screening Rujuk Lanjut

1368 07-01-2019 111902040119Y000381 0002063464571 LEGINEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1369 07-01-2019 111902040119Y000300 0002090086198 DEWI PRITA GAYATRI P PNS DAERAH Epilepsy Rujuk Lanjut

1370 07-01-2019 111902040119Y000343 0002103692005 Kadarmi P PENERIMA PENSIUN Myalgia Berobat Jalan
SWASTA
1371 07-01-2019 111902040119Y000349 0002131183945 MITUN P PBI (APBN) Unstable angina Rujuk Lanjut

1372 07-01-2019 111902040119Y000316 0002168542247 AMAT KUDI L PBI (APBD) Senile cataract, Rujuk Lanjut
unspecified
1373 07-01-2019 111902040119Y000295 0002177782457 AGUS SUCIADI L PBI (APBN) Schizophrenia Rujuk Lanjut

1374 07-01-2019 111902040119Y000319 0002234416623 KEMUNING SAPTORINI P PENERIMA PENSIUN TNI Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1375 07-01-2019 111902040119Y000336 0002240193767 MANISIR P PEKERJA MANDIRI Herpesviral vesicular Berobat Jalan
dermatitis
1376 07-01-2019 111902040119Y000352 0002259896613 MUJIANAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1377 07-01-2019 111902040119Y000822 0002269169032 PAINEM P PEKERJA MANDIRI Viral conjunctivitis, Berobat Jalan
unspecified
1378 07-01-2019 111902040119Y000375 0002295587542 CHRISTINA TRI WULANDARI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1379 07-01-2019 111902040119Y000338 0002316677264 SULASMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1380 07-01-2019 111902040119Y000303 0002423622598 legiyem P PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

1381 07-01-2019 111902040119Y000313 0002436112337 ACHDIAT HERY S L PNS DAERAH Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1382 07-01-2019 111902040119Y000356 0002443934182 PURWOKO L PEKERJA MANDIRI Myalgia Berobat Jalan

1383 07-01-2019 111902040119Y000825 0002448051401 PARYATI P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1384 07-01-2019 111902040119Y000317 0002452818172 TUGIMAN L PEKERJA MANDIRI Polyarthrosis, unspecified Rujuk Lanjut

1385 07-01-2019 111902040119Y000359 0002474028696 NARNI P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1386 05-01-2019 111902040119Y000282 0000041088069 SUKARTO L PENERIMA PENSIUN Stroke, not specified as Berobat Jalan
PNS haemorrhage or infarction
1387 05-01-2019 111902040119Y000268 0000084239471 HALIMAH WAHYU NINGRUM P PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1388 05-01-2019 111902040119Y000286 0000084266572 DIDIK NUR CAHYO MAULUDIN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1389 05-01-2019 111902040119Y000271 0000084444276 PARTIYAH P PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
1390 05-01-2019 111902040119Y001679 0000084462895 WADJIDAH P PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS
1391 05-01-2019 111902040119Y000278 0000084557169 ATIN SUPRIHATIEN S P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1392 05-01-2019 111902040119Y000274 0000084671425 SITI P PNS DAERAH Hypertensive heart Rujuk Lanjut
disease
1393 05-01-2019 111902040119Y000254 0000084756104 SRI RORO RUBAINAH P PNS DAERAH External haemorrhoids Rujuk Lanjut
without complication
1394 05-01-2019 111902040119Y000263 0000084771786 SRI DALWIYATI P PNS DAERAH Polyarthrosis, unspecified Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1395 05-01-2019 111902040119Y000289 0000172573749 SUCI CHUSNUL KHOTIMAH L PNS DAERAH Necrosis of pulp Berobat Jalan

1396 05-01-2019 111902040119Y001680 0000204309314 SUWARMINAH P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
1397 05-01-2019 111902040119Y000288 0000209575629 TRI DZULHIJAH P PENERIMA PENSIUN TNI Necrosis of pulp Berobat Jalan

1398 05-01-2019 111902040119Y001476 0000544098407 WURI LESTARI P PBI (APBN) Personal history of Berobat Jalan
contraception
1399 05-01-2019 111902040119Y000290 0000544257224 GALIH RAHMAD SUBEKTI L PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1400 05-01-2019 111902040119Y000279 0000544308693 SITI FATIMAH P PBI (APBN) Other pruritus Berobat Jalan

1401 05-01-2019 111902040119Y001686 0000544438899 SUMIYATI P PBI (APBN) Headache Berobat Jalan

1402 05-01-2019 111902040119Y000292 0000544464358 MUNDAKIR L PBI (APBN) Necrosis of pulp Berobat Jalan

1403 05-01-2019 111902040119Y000284 0000544494396 AMALIYAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1404 05-01-2019 111902040119Y000285 0000544495037 TRI CAHYANING ADINI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1405 05-01-2019 111902040119Y000275 0000544509977 SIWI PUSPO MURNI P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
1406 05-01-2019 111902040119Y000258 0000544541894 SRI ROFIAH P PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

1407 05-01-2019 111902040119Y001684 0000544571021 KASTOLANI L PBI (APBN) Allergic urticaria Berobat Jalan

1408 05-01-2019 111902040119Y001672 0000544627304 SURNI P PBI (APBN) Myalgia Berobat Jalan

1409 05-01-2019 111902040119Y000281 0000544750075 SELFIANI WIDIAWATI P PBI (APBN) Caries of dentine Rujuk Lanjut

1410 05-01-2019 111902040119Y001683 0000544777301 SARIFAH P PBI (APBN) Myalgia Berobat Jalan

1411 05-01-2019 111902040119Y001681 0000544777683 DWI PRASETYO L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1412 05-01-2019 111902040119Y001473 0000544875816 SRI FATIMAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1413 05-01-2019 111902040119Y000253 0000545024351 RIMA SUDIARTI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut
diabetes mellitus with

1414 05-01-2019 111902040119Y000280 0000545222226 MARMIASIH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1415 05-01-2019 111902040119Y000293 0000545232396 SUMIYATI P PBI (APBN) Congestive heart failure Rujuk Lanjut

1416 05-01-2019 111902040119Y001487 0000545236266 ISTRIYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1417 05-01-2019 111902040119Y000255 0000545573384 ASIYAH P PBI (APBN) Other senile cataract Rujuk Lanjut

1418 05-01-2019 111902040119Y001674 0000545619677 MUSLICHAH P PBI (APBN) Antenatal screening Berobat Jalan

1419 05-01-2019 111902040119Y000261 0001019113345 NUR SAFINATUN P PBI (APBN) Allergic urticaria Berobat Jalan

1420 05-01-2019 111902040119Y000276 0001019117722 SURATMI P PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1421 05-01-2019 111902040119Y000257 0001105350557 MuH RODIN L PRAJURIT AD Enterobiasis Rujuk Lanjut

1422 05-01-2019 111902040119Y000266 0001271511292 SRI YULIANTI P ANGGOTA POLRI Suppurative otitis media, Berobat Jalan
unspecified
1423 05-01-2019 111902040119Y000267 0001296135641 AMAT PASIN L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1424 05-01-2019 111902040119Y000291 0001315207282 SRI HARTATI P PNS DAERAH Antenatal screening Rujuk Lanjut

1425 05-01-2019 111902040119Y000287 0001437949923 BUDIYARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1426 05-01-2019 111902040119Y000264 0001534736531 TRI TUPARDILAH P PBI (APBD) Abnormal uterine and Rujuk Lanjut
vaginal bleeding,

1427 05-01-2019 111902040119Y000273 0001697194991 NADHIFA RIHADATUL P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
1428 05-01-2019 111902040119Y000259 0001824087868 TARIMAH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1429 05-01-2019 111902040119Y000260 0001889527465 TALITA NAIMA ROSYIDAH P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1430 05-01-2019 111902040119Y000270 0002055999025 FAHMI AKMALUL HUDA L PEGAWAI SWASTA Periapical abscess without Berobat Jalan
sinus
1431 05-01-2019 111902040119Y000269 0002063459597 TSAQIF AHYAR ARDINATHA L PEKERJA MANDIRI Epilepsy Rujuk Lanjut

1432 05-01-2019 111902040119Y000265 0002085646421 ROMIYATUN P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1433 05-01-2019 111902040119Y001678 0002168541865 SUHARTINI L PBI (APBD) Headache Berobat Jalan

1434 05-01-2019 111902040119Y000272 0002274860441 FAWWAZ AL LABIB L PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1435 05-01-2019 111902040119Y000283 0002381172772 SURYATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1436 05-01-2019 111902040119Y001675 0002381173604 TEMU SUPINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1437 05-01-2019 111902040119Y000277 0002496977291 HERTA MARTINAH P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1438 04-01-2019 111902040119Y000164 0000084027791 KAHANA L PNS DAERAH Other disorders of gingiva Rujuk Lanjut
and edentulous alveolar

1439 04-01-2019 111902040119Y000214 0000084280419 NY.TRI HARYATI P PENERIMA PENSIUN Other benign neoplasms Rujuk Lanjut
PNS of uterus
1440 04-01-2019 111902040119Y000189 0000084435625 SUMARSI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

1441 04-01-2019 111902040119Y000153 0000084504914 SOEDIJONO L PENERIMA PENSIUN Periodontal disease, Rujuk Lanjut
PNS unspecified
1442 04-01-2019 111902040119Y000222 0000084506995 SOEKARSI P PENERIMA PENSIUN Cutaneous abscess, Berobat Jalan
PNS furuncle and carbuncle of

1443 04-01-2019 111902040119Y000355 0000084515692 SRI SUMIDJAH P PENERIMA PENSIUN Acute bronchitis Berobat Jalan
PNS
1444 04-01-2019 111902040119Y000231 0000084557935 KEMIJEM P PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
1445 04-01-2019 111902040119Y000239 0000084559702 SOENARTI P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
1446 04-01-2019 111902040119Y000233 0000084652492 UMUJIATI P PNS DAERAH Congestive heart failure Rujuk Lanjut

1447 04-01-2019 111902040119Y000221 0000084699516 GREGORIUS WINOTO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1448 04-01-2019 111902040119Y000176 0000084780696 SRI WAHYUNI P PNS DAERAH Viral conjunctivitis, Berobat Jalan
unspecified
1449 04-01-2019 111902040119Y000184 0000084784353 ANIK MARIYANI P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1450 04-01-2019 111902040119Y000244 0000085032292 SUPIYAH P PENERIMA PENSIUN Endocrine disorder, Berobat Jalan
PNS unspecified
1451 04-01-2019 111902040119Y000200 0000543539305 DWI PRAYOGO L PBI (APBN) Deposits [accretions] on Berobat Jalan
teeth
1452 04-01-2019 111902040119Y000245 0000543553975 SITI MUSRIFAH P PBI (APBN) Tension-type headache Berobat Jalan

1453 04-01-2019 111902040119Y000246 0000543554921 PUTRI CAHYANINGRUM P PBI (APBN) General medical Berobat Jalan
examination
1454 04-01-2019 111902040119Y000143 0000544244646 LIYYA QOTRUN NADA P PBI (APBN) Suppurative otitis media, Rujuk Lanjut
unspecified
1455 04-01-2019 111902040119Y001124 0000544307692 RIBUT P PBI (APBN) Tuberculosis of lung, Berobat Jalan
bacteriologically and

1456 04-01-2019 111902040119Y001731 0000544316872 MUKAROMAH P PBI (APBN) Personal history of Berobat Jalan
contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1457 04-01-2019 111902040119Y000241 0000544326952 WAGIYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1458 04-01-2019 111902040119Y000198 0000544454605 CAHYONO AMBEKSOADI L PBI (APBN) Unspecified appendicitis Rujuk Lanjut

1459 04-01-2019 111902040119Y000175 0000544563393 SRI WATI P PBI (APBN) Otitis externa, unspecified Berobat Jalan

1460 04-01-2019 111902040119Y000177 0000544697616 KARTINEM P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1461 04-01-2019 111902040119Y000149 0000544702634 PARMO L PBI (APBN) Residual schizophrenia Rujuk Lanjut

1462 04-01-2019 111902040119Y000168 0000544870001 KHARISMA OKTAVIA SARI P PBI (APBN) Epilepsy, unspecified Rujuk Lanjut

1463 04-01-2019 111902040119Y000240 0000545006237 KARTO WASITO L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,

1464 04-01-2019 111902040119Y000242 0000545102414 MUJIATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1465 04-01-2019 111902040119Y000185 0000545516515 IMAN TAUHIDA SALAM L PBI (APBN) Other specified bacterial Berobat Jalan
diseases
1466 04-01-2019 111902040119Y000236 0000545581089 KOMSIYAH P PBI (APBN) Impacted cerumen Rujuk Lanjut

1467 04-01-2019 111902040119Y000194 0000672836646 UWIFA KHOTUL MUBTAFSIROH P PEGAWAI SWASTA Necrosis of pulp Berobat Jalan

1468 04-01-2019 111902040119Y000238 0001019106371 KARMINI P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
unspecified
1469 04-01-2019 111902040119Y000174 0001019108799 SITI RUPINGAH P PBI (APBN) Myalgia Berobat Jalan

1470 04-01-2019 111902040119Y000152 0001019110353 SUNARSO L PBI (APBN) Endocrine disorder, Berobat Jalan
unspecified
1471 04-01-2019 111902040119Y000179 0001019110386 FAZALITA KHAIRALA P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
1472 04-01-2019 111902040119Y000170 0001019121164 TUKINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1473 04-01-2019 111902040119Y000155 0001084383022 SIGIT TRIYANTO L PBI (APBN) Residual schizophrenia Rujuk Lanjut

1474 04-01-2019 111902040119Y000151 0001093510765 PANGGIH L ANGGOTA POLRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1475 04-01-2019 111902040119Y000148 0001261542903 SURATMAN L PEKERJA MANDIRI Schizoaffective disorder, Rujuk Lanjut
depressive type
1476 04-01-2019 111902040119Y000237 0001286841161 PUDJI ASTUTI P PRAJURIT AD Periodontal disease, Berobat Jalan
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1477 04-01-2019 111902040119Y001122 0001295993529 KEMISEM P PEGAWAI SWASTA Bronchitis, not specified as Berobat Jalan
acute or chronic
1478 04-01-2019 111902040119Y000235 0001326070326 SITI AMINAH P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1479 04-01-2019 111902040119Y000206 0001473346541 SUPIYATI P PEKERJA MANDIRI Periodontal disease, Berobat Jalan
unspecified
1480 04-01-2019 111902040119Y000191 0001697194675 LATIFATUN NURUSSYIFA P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
1481 04-01-2019 111902040119Y000247 0001744453719 SERLI SEPTIANI P PEGAWAI SWASTA Prolonged pregnancy Rujuk Lanjut

1482 04-01-2019 111902040119Y000157 0001829248209 SUPINAH P PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

1483 04-01-2019 111902040119Y000150 0002051070838 ARJO SUWITO L PEKERJA MANDIRI Stroke, not specified as Berobat Jalan
haemorrhage or infarction
1484 04-01-2019 111902040119Y000297 0002053611707 ALI MUSTOPO L PEGAWAI SWASTA Tinea cruris Berobat Jalan

1485 04-01-2019 111902040119Y000232 0002168543812 RIBUT MARZUKI L PBI (APBD) Disorder of lens, Rujuk Lanjut
unspecified
1486 04-01-2019 111902040119Y000243 0002265896632 MURTOFIAH P PEKERJA MANDIRI Myalgia Berobat Jalan

1487 04-01-2019 111902040119Y000234 0002439103296 NA'IMAH P PEKERJA MANDIRI Gastrojejunal ulcer Rujuk Lanjut

1488 04-01-2019 111902040119Y000196 0002448440482 RESWARA KIRANA L PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
MAHESWARI eruption
1489 04-01-2019 111902040119Y000173 0002493934198 NGADINEM P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1490 04-01-2019 111902040119Y000180 0002499865751 JUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1491 04-01-2019 111902040119Y000217 0002500842352 SITI SUWANGSIH P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1492 03-01-2019 111902040119Y000169 0000074680874 ERI KRESNOADJI L PNS DAERAH Asthma, unspecified Berobat Jalan

1493 03-01-2019 111902040119Y000088 0000076144645 SARIMIN L PENERIMA PENSIUN Chronic renal failure, Rujuk Lanjut
PNS unspecified
1494 03-01-2019 111902040119Y000199 0000083554064 MARYONO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1495 03-01-2019 111902040119Y000205 0000084201366 HENI WIJAYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1496 03-01-2019 111902040119Y001136 0000084224676 SURATMI P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1497 03-01-2019 111902040119Y000128 0000084224676 SURATMI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1498 03-01-2019 111902040119Y000147 0000084229694 ENY SUPARTI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1499 03-01-2019 111902040119Y000135 0000084238716 KOMARUDIN L PNS PUSAT Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1500 03-01-2019 111902040119Y001123 0000084238716 KOMARUDIN L PNS PUSAT Non-insulin-dependent Sembuh


diabetes mellitus with

1501 03-01-2019 111902040119Y000086 0000084257199 SURATMAN L PNS DAERAH Dyspepsia Berobat Jalan

1502 03-01-2019 111902040119Y000120 0000084266627 SULASMI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1503 03-01-2019 111902040119Y000081 0000084277236 NIA NURDIANA P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
1504 03-01-2019 111902040119Y000138 0000084312551 SITI MARYAM P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1505 03-01-2019 111902040119Y000160 0000084351341 SARIYAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1506 03-01-2019 111902040119Y000083 0000084376912 HASJIM MARSONO L PENERIMA PENSIUN TNI Orchitis and epididymitis Rujuk Lanjut

1507 03-01-2019 111902040119Y000072 0000084376967 MARSIYAH P PENERIMA PENSIUN TNI Tension-type headache Berobat Jalan

1508 03-01-2019 111902040119Y000136 0000084377125 MARJAMAH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1509 03-01-2019 111902040119Y000187 0000084377979 SITI ASTUTI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1510 03-01-2019 111902040119Y001220 0000084377979 SITI ASTUTI P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus with

1511 03-01-2019 111902040119Y001228 0000084378183 KARTININGSIH P PENERIMA PENSIUN TNI Non-insulin-dependent Sembuh
diabetes mellitus with

1512 03-01-2019 111902040119Y000192 0000084378183 KARTININGSIH P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1513 03-01-2019 111902040119Y001126 0000084413744 ACHMAD SUNGUDI L PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

1514 03-01-2019 111902040119Y000208 0000084413744 ACHMAD SUNGUDI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1515 03-01-2019 111902040119Y000163 0000084423723 WARDIWATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1516 03-01-2019 111902040119Y001131 0000084445751 KEMIRUN HS L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1517 03-01-2019 111902040119Y000131 0000084445751 KEMIRUN HS L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1518 03-01-2019 111902040119Y000112 0000084458259 RENTEK P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1519 03-01-2019 111902040119Y000132 0000084474549 PARTINAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1520 03-01-2019 111902040119Y001145 0000084474549 PARTINAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1521 03-01-2019 111902040119Y001140 0000084501461 SITI ROHANAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

1522 03-01-2019 111902040119Y000211 0000084501461 SITI ROHANAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1523 03-01-2019 111902040119Y000113 0000084512979 SUPARYATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1524 03-01-2019 111902040119Y000248 0000084515995 SRI WIJI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1525 03-01-2019 111902040119Y001155 0000084528821 SUPARMO L PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

1526 03-01-2019 111902040119Y000119 0000084531633 SUREMI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1527 03-01-2019 111902040119Y000117 0000084531925 TRISNOWATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1528 03-01-2019 111902040119Y000190 0000084533826 SUTIRAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1529 03-01-2019 111902040119Y000249 0000084557169 ATIN SUPRIHATIEN S P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1530 03-01-2019 111902040119Y001225 0000084557564 DWI TUMINARTI P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

1531 03-01-2019 111902040119Y000166 0000084557564 DWI TUMINARTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1532 03-01-2019 111902040119Y000256 0000084558251 MARSIM SUBAGYO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1533 03-01-2019 111902040119Y001141 0000084558868 PONIMIN L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1534 03-01-2019 111902040119Y000215 0000084558868 PONIMIN L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1535 03-01-2019 111902040119Y001226 0000084571233 KUWAT BUDIYONO L PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

1536 03-01-2019 111902040119Y000134 0000084571233 KUWAT BUDIYONO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1537 03-01-2019 111902040119Y001227 0000084571244 SUNGKEMI P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1538 03-01-2019 111902040119Y001219 0000084574743 SUMIYADI L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1539 03-01-2019 111902040119Y000223 0000084574743 SUMIYADI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1540 03-01-2019 111902040119Y001224 0000084619899 SUNHADJI D L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1541 03-01-2019 111902040119Y000167 0000084619899 SUNHADJI D L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1542 03-01-2019 111902040119Y000188 0000084639835 ISWATI P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1543 03-01-2019 111902040119Y000171 0000084641962 SRI HARTATI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1544 03-01-2019 111902040119Y000097 0000084641995 TRI PURWI S,SPD P PNS DAERAH Influenza with other Berobat Jalan
manifestations, virus not

1545 03-01-2019 111902040119Y000133 0000084645156 NGADIPON L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1546 03-01-2019 111902040119Y001128 0000084645156 NGADIPON L PNS DAERAH Non-insulin-dependent Sembuh


diabetes mellitus with

1547 03-01-2019 111902040119Y000093 0000084645213 SLAMET L PENERIMA PENSIUN Polyarthrosis, unspecified Berobat Jalan
PNS
1548 03-01-2019 111902040119Y000158 0000084645224 ROWIYAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1549 03-01-2019 111902040119Y000213 0000084645246 SUMANAH P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
1550 03-01-2019 111902040119Y000216 0000084656441 JUMIAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1551 03-01-2019 111902040119Y001146 0000084656441 JUMIAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1552 03-01-2019 111902040119Y000227 0000084656621 SUWARNO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1553 03-01-2019 111902040119Y001121 0000084671414 SARDI L PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus with

1554 03-01-2019 111902040119Y001125 0000084674158 TUNIMAN L PNS DAERAH Non-insulin-dependent Sembuh


diabetes mellitus with

1555 03-01-2019 111902040119Y000144 0000084674158 TUNIMAN L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1556 03-01-2019 111902040119Y000250 0000084704062 SUPRIYADI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1557 03-01-2019 111902040119Y001153 0000084704062 SUPRIYADI L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1558 03-01-2019 111902040119Y000219 0000084704196 M. FAQIER L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1559 03-01-2019 111902040119Y001151 0000084704207 KHULIYATUL MUKAROMAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

1560 03-01-2019 111902040119Y000209 0000084704207 KHULIYATUL MUKAROMAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1561 03-01-2019 111902040119Y001149 0000084704264 RODIYAH P PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1562 03-01-2019 111902040119Y000122 0000084704264 RODIYAH P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1563 03-01-2019 111902040119Y000123 0000084709473 SUGITO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1564 03-01-2019 111902040119Y001214 0000084725098 KARNOMO L PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1565 03-01-2019 111902040119Y000210 0000084725098 KARNOMO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1566 03-01-2019 111902040119Y000225 0000084759805 IGNATIA PURWANTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1567 03-01-2019 111902040119Y001221 0000084764981 ROCHWADJI L PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

1568 03-01-2019 111902040119Y000201 0000084764981 ROCHWADJI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1569 03-01-2019 111902040119Y000137 0000084777107 KANTJIL L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1570 03-01-2019 111902040119Y001144 0000084777107 KANTJIL L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1571 03-01-2019 111902040119Y001152 0000084784634 RATIH RATNANI P PNS DAERAH Non-insulin-dependent Sembuh
diabetes mellitus with

1572 03-01-2019 111902040119Y000178 0000084784634 RATIH RATNANI P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1573 03-01-2019 111902040119Y000130 0000084784825 JUMIAH P PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1574 03-01-2019 111902040119Y001142 0000084784825 JUMIAH P PNS DAERAH Non-insulin-dependent Sembuh


diabetes mellitus with

1575 03-01-2019 111902040119Y001134 0000084790675 MIYO L PNS DAERAH Non-insulin-dependent Sembuh


diabetes mellitus with

1576 03-01-2019 111902040119Y000142 0000084790675 MIYO L PNS DAERAH Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1577 03-01-2019 111902040119Y000079 0000084797616 HELIOSA ATMAJA L PNS DAERAH Disturbances in tooth Berobat Jalan
eruption
1578 03-01-2019 111902040119Y000089 0000085032292 SUPIYAH P PENERIMA PENSIUN Psoriasis vulgaris Rujuk Lanjut
PNS
1579 03-01-2019 111902040119Y000195 0000132842283 ROMADLON L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1580 03-01-2019 111902040119Y001150 0000132842283 ROMADLON L PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1581 03-01-2019 111902040119Y000125 0000146270114 WAHONO L PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1582 03-01-2019 111902040119Y000229 0000162369922 NASIROH P PENERIMA PENSIUN TNI Essential (primary) Berobat Jalan
hypertension
1583 03-01-2019 111902040119Y001215 0000172831138 SIYAMTI P PENERIMA PENSIUN Non-insulin-dependent Sembuh
PNS diabetes mellitus with

1584 03-01-2019 111902040119Y000186 0000172831138 SIYAMTI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1585 03-01-2019 111902040119Y000145 0000173600875 HARUN ALROSYID ANNAZRI L PNS DAERAH Insulin-dependent Berobat Jalan
diabetes mellitus with
other specified

1586 03-01-2019 111902040119Y001233 0000173600875 HARUN ALROSYID ANNAZRI L PNS DAERAH Insulin-dependent Sembuh
diabetes mellitus with
other specified

1587 03-01-2019 111902040119Y001143 0000201515051 HARNOTO L PENERIMA PENSIUN Non-insulin-dependent Sembuh


PNS diabetes mellitus with

1588 03-01-2019 111902040119Y000140 0000201515051 HARNOTO L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
PNS diabetes mellitus with

1589 03-01-2019 111902040119Y000109 0000205068824 RESI AYU LILIK SRIGIARTI P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1590 03-01-2019 111902040119Y000095 0000205893999 SARNI P PENERIMA PENSIUN TNI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1591 03-01-2019 111902040119Y001479 0000543299523 MURDININGSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
1592 03-01-2019 111902040119Y000218 0000543541498 AWITI WIDYA P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1593 03-01-2019 111902040119Y001130 0000543541498 AWITI WIDYA P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus with

1594 03-01-2019 111902040119Y000105 0000543567701 JUMINEM P PBI (APBN) Pulpitis Berobat Jalan

1595 03-01-2019 111902040119Y000094 0000543608897 SARIPAH P PBI (APBN) Generalized anxiety Rujuk Lanjut
disorder
1596 03-01-2019 111902040119Y000114 0000543664967 ENDANG DWI ASTUTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1597 03-01-2019 111902040119Y000139 0000543765161 SRIWATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1598 03-01-2019 111902040119Y001135 0000543765161 SRIWATI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus with

1599 03-01-2019 111902040119Y001481 0000544191107 RIFAI NURCAHYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
1600 03-01-2019 111902040119Y000165 0000544220065 PARTIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1601 03-01-2019 111902040119Y000161 0000544229954 SRI RUKOYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1602 03-01-2019 111902040119Y000226 0000544249967 SUTARNI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1603 03-01-2019 111902040119Y001148 0000544315634 SONIMAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus with

1604 03-01-2019 111902040119Y000202 0000544315634 SONIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1605 03-01-2019 111902040119Y000098 0000544432746 FATONAH P PBI (APBN) Other chronic cystitis Rujuk Lanjut

1606 03-01-2019 111902040119Y000106 0000544460725 SITI KAMSIyAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
unspecified
1607 03-01-2019 111902040119Y000070 0000544499695 SUYATMAN L PBI (APBN) Other senile cataract Rujuk Lanjut

1608 03-01-2019 111902040119Y000181 0000544718259 wariyatun P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1609 03-01-2019 111902040119Y001139 0000544718259 wariyatun P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus with

1610 03-01-2019 111902040119Y001216 0000544811815 PARYANI P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus with

1611 03-01-2019 111902040119Y000203 0000544811815 PARYANI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1612 03-01-2019 111902040119Y000110 0000544829466 SOLICHAH P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1613 03-01-2019 111902040119Y001475 0000544896101 MITUROIKAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1614 03-01-2019 111902040119Y001480 0000544912885 HARIYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
1615 03-01-2019 111902040119Y001474 0000544968101 SRI LESTARI P PBI (APBN) Personal history of Berobat Jalan
contraception
1616 03-01-2019 111902040119Y000108 0000545024643 SITI NURYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1617 03-01-2019 111902040119Y000092 0000545098588 SLAMET SUSI HARYANTI L PBI (APBN) Dyspepsia Berobat Jalan

1618 03-01-2019 111902040119Y000087 0000545099332 IDA MARTALENA P PBI (APBN) Low back pain Rujuk Lanjut

1619 03-01-2019 111902040119Y000197 0000545102414 MUJIATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1620 03-01-2019 111902040119Y000118 0000545249643 SUMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1621 03-01-2019 111902040119Y000212 0000545506896 SURAMI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1622 03-01-2019 111902040119Y000111 0000545629048 MUSTADI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1623 03-01-2019 111902040119Y000069 0000545799227 SUYATI P PBI (APBN) Suppurative otitis media, Berobat Jalan
unspecified
1624 03-01-2019 111902040119Y000068 0000645452548 RATIH ISNAINI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1625 03-01-2019 111902040119Y000090 0001019097314 PURWANTO L PBI (APBN) Fracture of clavicle, closed Rujuk Lanjut

1626 03-01-2019 111902040119Y001231 0001019101781 ISMANURI L PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus with

1627 03-01-2019 111902040119Y000207 0001019101781 ISMANURI L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1628 03-01-2019 111902040119Y000091 0001019107282 RANDY RADITYA ANGGORO L PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1629 03-01-2019 111902040119Y000252 0001019108632 HANUN ISDAWATI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1630 03-01-2019 111902040119Y001137 0001019110498 REBINAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus with

1631 03-01-2019 111902040119Y000154 0001019110498 REBINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1632 03-01-2019 111902040119Y000172 0001019111051 SUHARTO L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1633 03-01-2019 111902040119Y000127 0001019113378 RUKIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1634 03-01-2019 111902040119Y001223 0001019113378 RUKIYAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1635 03-01-2019 111902040119Y000075 0001019116269 KONTIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1636 03-01-2019 111902040119Y000159 0001019117226 JUMINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1637 03-01-2019 111902040119Y000220 0001019118475 SITI NGAISAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1638 03-01-2019 111902040119Y001230 0001019122749 ISTI ROBINGAH P PBI (APBN) Non-insulin-dependent Sembuh
diabetes mellitus with

1639 03-01-2019 111902040119Y000182 0001019122749 ISTI ROBINGAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1640 03-01-2019 111902040119Y000115 0001019124055 TUMIRUN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1641 03-01-2019 111902040119Y000141 0001019125067 PARINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1642 03-01-2019 111902040119Y001232 0001019125067 PARINAH P PBI (APBN) Non-insulin-dependent Sembuh


diabetes mellitus with

1643 03-01-2019 111902040119Y000096 0001019128645 RUMINAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1644 03-01-2019 111902040119Y000078 0001019133382 SUGIHARJO L PBI (APBN) Stomatitis and related Berobat Jalan
lesions
1645 03-01-2019 111902040119Y000230 0001078500159 SUMILAH P PENERIMA PENSIUN Essential (primary) Berobat Jalan
PNS hypertension
1646 03-01-2019 111902040119Y000224 0001094608449 ASWANTO L ANGGOTA POLRI Essential (primary) Berobat Jalan
hypertension
1647 03-01-2019 111902040119Y000183 0001106562205 PUJIATI P PRAJURIT AD Essential (primary) Berobat Jalan
hypertension
1648 03-01-2019 111902040119Y000193 0001107703776 SRI KISWORO P PRAJURIT AD Essential (primary) Berobat Jalan
hypertension
1649 03-01-2019 111902040119Y000071 0001283150608 ANINDYA ZAHRA PRAMESTIKA P PEGAWAI SWASTA Varicella without Berobat Jalan
complication
1650 03-01-2019 111902040119Y000116 0001319825024 SUNGKONO PRAWIRO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1651 03-01-2019 111902040119Y000077 0001390161644 JUWARIYAH P PEKERJA MANDIRI Influenza with other Berobat Jalan
manifestations, virus not

1652 03-01-2019 111902040119Y001147 0001445298377 SARIYEM P PEKERJA MANDIRI Non-insulin-dependent Sembuh


diabetes mellitus with
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1653 03-01-2019 111902040119Y000129 0001445298377 SARIYEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1654 03-01-2019 111902040119Y000124 0001448797318 HARTATIK SRI ROHANI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1655 03-01-2019 111902040119Y001217 0001448797318 HARTATIK SRI ROHANI P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus with

1656 03-01-2019 111902040119Y000228 0001463701893 HADI WAGINO L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1657 03-01-2019 111902040119Y000074 0001463701904 ROMLIYATI P PEKERJA MANDIRI Myalgia Berobat Jalan

1658 03-01-2019 111902040119Y000073 0001519657964 OFELISTA GRHAPUTRI P PEKERJA MANDIRI Dyspepsia Berobat Jalan

1659 03-01-2019 111902040119Y000156 0001534735563 MARDINO L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1660 03-01-2019 111902040119Y000251 0001615409111 Romiyah P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
1661 03-01-2019 111902040119Y000085 0001621275759 ALYA MUDITA CENDANI P PEGAWAI SWASTA Functional diarrhoea Berobat Jalan

1662 03-01-2019 111902040119Y000162 0001647387663 SRI SONGOWATI P PEGAWAI SWASTA Essential (primary) Berobat Jalan
hypertension
1663 03-01-2019 111902040119Y000082 0001697165278 SUMSIATI P PBI (APBD) Congestive heart failure Rujuk Lanjut

1664 03-01-2019 111902040119Y000065 0001697169778 MARSILAH P PBI (APBD) Schizophrenia Rujuk Lanjut

1665 03-01-2019 111902040119Y000107 0001700089762 MUHAMMAD RAFFI KHAIRUL L PBI (APBD) Pulpitis Berobat Jalan
AZZAM
1666 03-01-2019 111902040119Y000076 0001723004572 MUGI PRIHATIN P PEGAWAI SWASTA Functional diarrhoea Berobat Jalan

1667 03-01-2019 111902040119Y000080 0001723004638 ANISA RASYIDATU NAJA P PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
1668 03-01-2019 111902040119Y000066 0001823740018 widyaningsih P PEKERJA MANDIRI Generalized anxiety Rujuk Lanjut
disorder
1669 03-01-2019 111902040119Y000100 0001835482195 samsul sugiatun P PNS DAERAH Neuralgia and neuritis, Berobat Jalan
unspecified
1670 03-01-2019 111902040119Y001133 0001845564873 SAMIYONO TEJO RAHARJO L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus with

1671 03-01-2019 111902040119Y000204 0001845564873 SAMIYONO TEJO RAHARJO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1672 03-01-2019 111902040119Y000099 0001846659881 syafiq nurcahyo L PEKERJA MANDIRI Cardiac arrhythmia, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1673 03-01-2019 111902040119Y001222 0001857929951 ARI KURNIAWATI P PEGAWAI SWASTA Non-insulin-dependent Sembuh
diabetes mellitus with

1674 03-01-2019 111902040119Y001138 0001861447263 AHMAD DJUWARI L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus with

1675 03-01-2019 111902040119Y000146 0001861447263 AHMAD DJUWARI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1676 03-01-2019 111902040119Y000103 0001873062224 NAURA WAFA BIAN FASARI P PEGAWAI SWASTA Pulpitis Berobat Jalan

1677 03-01-2019 111902040119Y000101 0001907993812 zindy alzafira sentana P PRAJURIT AD Caries of dentine Berobat Jalan

1678 03-01-2019 111902040119Y000121 0002046112953 JANIMAN DARMO SUJOKO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1679 03-01-2019 111902040119Y001229 0002046112953 JANIMAN DARMO SUJOKO L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus with

1680 03-01-2019 111902040119Y000067 0002047767028 SUPARYO L PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1681 03-01-2019 111902040119Y001218 0002233548472 MUJIATI P PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus with

1682 03-01-2019 111902040119Y000262 0002233548472 MUJIATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1683 03-01-2019 111902040119Y000064 0002239323862 PONIKEM P PEKERJA MANDIRI Stroke, not specified as Rujuk Lanjut
haemorrhage or infarction
1684 03-01-2019 111902040119Y001154 0002258265284 MULYONO L PEKERJA MANDIRI Non-insulin-dependent Sembuh
diabetes mellitus with

1685 03-01-2019 111902040119Y001127 0002290490065 SUNGGONO L PEGAWAI SWASTA Insulin-dependent Sembuh


diabetes mellitus with
other specified

1686 03-01-2019 111902040119Y000126 0002290490065 SUNGGONO L PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1687 03-01-2019 111902040119Y000104 0002301557512 SAMUDI MIKA YUDI L PEKERJA MANDIRI Disorder of lens, Rujuk Lanjut
unspecified
1688 03-01-2019 111902040119Y000102 0002301558445 ESTER TRIWIRYATI P PEKERJA MANDIRI Disorder of lens, Rujuk Lanjut
unspecified
1689 03-01-2019 111902040119Y000084 0002431147735 PALIMAH P PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1690 02-01-2019 111902040119Y000034 0000041088069 SUKARTO L PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

1691 02-01-2019 111902040119Y000057 0000043368579 NY. MARIMUN P PENERIMA PENSIUN Congestive heart failure Rujuk Lanjut
PNS
1692 02-01-2019 111902040119Y000012 0000084184481 WATINI P PENERIMA PENSIUN Tension-type headache Berobat Jalan
PNS
1693 02-01-2019 111902040119Y001668 0000084462895 WADJIDAH P PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS
1694 02-01-2019 111902040119Y000044 0000084641951 SUHARTO L PENERIMA PENSIUN Influenza with other Berobat Jalan
PNS manifestations, virus not

1695 02-01-2019 111902040119Y000027 0000084755788 ADZIMATINUR ASFIANI P PNS DAERAH Cystitis, unspecified Berobat Jalan

1696 02-01-2019 111902040119Y000060 0000084764992 LIANAWATI P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
PNS diabetes mellitus with

1697 02-01-2019 111902040119Y000038 0000084774699 SRI BINTARTI P PNS DAERAH Carcinoma in situ of Rujuk Lanjut
breast, unspecified
1698 02-01-2019 111902040119Y000033 0000543577037 SUNARIYAH P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1699 02-01-2019 111902040119Y000003 0000543612699 PITONAH P PBI (APBN) Generalized skin eruption Rujuk Lanjut
due to drugs and

1700 02-01-2019 111902040119Y000056 0000543673282 SRIYANI P PBI (APBN) Polyarthrosis, unspecified Rujuk Lanjut

1701 02-01-2019 111902040119Y001729 0000544067807 DIYANI P PBI (APBN) Personal history of Berobat Jalan
contraception
1702 02-01-2019 111902040119Y000036 0000544094739 YATMIYATUN P PBI (APBN) Asthma, unspecified Rujuk Lanjut

1703 02-01-2019 111902040119Y001119 0000544102751 MUSLIMAH P PBI (APBN) Bronchitis, not specified as Berobat Jalan
acute or chronic
1704 02-01-2019 111902040119Y000059 0000544189487 TASRO L PBI (APBN) Chronic laryngitis Rujuk Lanjut

1705 02-01-2019 111902040119Y000023 0000544225026 MuNIR L PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1706 02-01-2019 111902040119Y000025 0000544269598 FATIMATUYAHRO P PBI (APBN) Myalgia Berobat Jalan

1707 02-01-2019 111902040119Y000017 0000544286046 SETILAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1708 02-01-2019 111902040119Y000016 0000544286204 PRA SETIAWAN L PBI (APBN) Schizophrenia Berobat Jalan

1709 02-01-2019 111902040119Y000019 0000544289883 WARTINI P PBI (APBN) Asthma, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1710 02-01-2019 111902040119Y000015 0000544290805 SUROSO L PBI (APBN) Low back pain Berobat Jalan

1711 02-01-2019 111902040119Y000054 0000544297094 MARYATUN P PBI (APBN) Congestive heart failure Rujuk Lanjut

1712 02-01-2019 111902040119Y000062 0000544361545 SUMIYATI P PBI (APBN) Neuralgia and neuritis, Rujuk Lanjut
unspecified
1713 02-01-2019 111902040119Y000028 0000544391638 DIKA ANGGRAENI P PBI (APBN) Supervision of other Rujuk Lanjut
normal pregnancy
1714 02-01-2019 111902040119Y000037 0000544443557 TURAH P PBI (APBN) Glaucoma, unspecified Rujuk Lanjut

1715 02-01-2019 111902040119Y000022 0000544516312 PAINEM P PBI (APBN) Impetiginization of other Berobat Jalan
dermatoses
1716 02-01-2019 111902040119Y000053 0000544536832 TUGINEM P PBI (APBN) Benign lipomatous Rujuk Lanjut
neoplasm of skin and
subcutaneous tissue of
other and unspecified sites

1717 02-01-2019 111902040119Y001670 0000544571741 TURINAH P PBI (APBN) Influenza with other Berobat Jalan
respiratory manifestations,
influenza virus identified

1718 02-01-2019 111902040119Y000021 0000544618023 MUTAKARINA PURINDRAYANI P PBI (APBN) Acute tonsillitis, Berobat Jalan
unspecified
1719 02-01-2019 111902040119Y000051 0000544673889 SUDARSIH P PBI (APBN) Low back pain Berobat Jalan

1720 02-01-2019 111902040119Y000029 0000544673946 MARYAMI P PBI (APBN) Low back pain Rujuk Lanjut

1721 02-01-2019 111902040119Y000050 0000544699991 MUJIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
1722 02-01-2019 111902040119Y000010 0000544908014 KUWAT HAPY WIBOWO L PBI (APBN) Necrosis of pulp Rujuk Lanjut

1723 02-01-2019 111902040119Y000009 0000544908295 ANI PUJI FEBRIYANTI P PBI (APBN) Necrosis of pulp Rujuk Lanjut

1724 02-01-2019 111902040119Y001726 0000544948233 CHOLIFAH P PBI (APBN) Personal history of Berobat Jalan
contraception
1725 02-01-2019 111902040119Y000020 0000545014563 SUGENG L PBI (APBN) Polyarthrosis, unspecified Berobat Jalan

1726 02-01-2019 111902040119Y000011 0000545022066 SARTINI P PBI (APBN) Plantar fascial Berobat Jalan
fibromatosis, site

1727 02-01-2019 111902040119Y000035 0000545212416 SUNARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1728 02-01-2019 111902040119Y000058 0000545251061 TRI WAKIDIN L PBI (APBN) Bipolar affective disorder, Rujuk Lanjut
current episode manic with

1729 02-01-2019 111902040119Y000046 0001019096392 SOLIKIN L PBI (APBN) Lichen simplex chronicus Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1730 02-01-2019 111902040119Y000001 0001019098708 RUMINAH P PBI (APBN) Low back pain Rujuk Lanjut

1731 02-01-2019 111902040119Y001482 0001019118205 SUNARSIH P PBI (APBN) Personal history of Berobat Jalan
contraception
1732 02-01-2019 111902040119Y000055 0001019126698 SITI UMIYAH P PBI (APBN) Gastrojejunal ulcer, acute Rujuk Lanjut
with perforation
1733 02-01-2019 111902040119Y000006 0001019128869 MISTIYAH P PBI (APBN) Hypertensive heart Rujuk Lanjut
disease
1734 02-01-2019 111902040119Y000014 0001019129477 BUDI TRI SILAWATI P PBI (APBN) Influenza with other Berobat Jalan
manifestations, virus not

1735 02-01-2019 111902040119Y000002 0001019131086 GIRAH P PBI (APBN) Other senile cataract Rujuk Lanjut

1736 02-01-2019 111902040119Y000048 0001081447198 SUTOJO L PENERIMA PENSIUN TNI Congestive heart failure Rujuk Lanjut

1737 02-01-2019 111902040119Y000047 0001280306733 ARDYTYA YULY ASTUTI P PEKERJA MANDIRI Supervision of normal Rujuk Lanjut
pregnancy
1738 02-01-2019 111902040119Y000013 0001437443008 YULIANA SRI PURWANTI P PEGAWAI SWASTA Tension-type headache Berobat Jalan

1739 02-01-2019 111902040119Y000049 0001476831069 PONISEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1740 02-01-2019 111902040119Y000005 0001481581168 SUYATMI P PEKERJA MANDIRI Insulin-dependent Rujuk Lanjut
diabetes mellitus with

1741 02-01-2019 111902040119Y000030 0001483492498 H.MOH.SALIM L PENERIMA PENSIUN Polyarthrosis, unspecified Berobat Jalan
SWASTA
1742 02-01-2019 111902040119Y000031 0001483493938 SUMIYATI P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan
SWASTA diabetes mellitus with

1743 02-01-2019 111902040119Y000041 0001484545768 ROHANA P PEKERJA MANDIRI Low back pain Rujuk Lanjut

1744 02-01-2019 111902040119Y000039 0001697167978 Rubiyani P PBI (APBD) Other disorders of gingiva Rujuk Lanjut
and edentulous alveolar

1745 02-01-2019 111902040119Y000026 0001697194675 LATIFATUN NURUSSYIFA P PBI (APBD) Disturbances in tooth Berobat Jalan
eruption
1746 02-01-2019 111902040119Y000032 0001700088636 RASINEM P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus with

1747 02-01-2019 111902040119Y000043 0001738930588 ENDANG PURWANI AMD P PEGAWAI SWASTA Tuberculous pleurisy, Berobat Jalan
confirmed bacteriologically
and histologically

1748 02-01-2019 111902040119Y000004 0001786514297 SAPARUN L PEKERJA MANDIRI Polyarthrosis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KEBUMEN - 1113

FKTP : Bayan - 11190204

1749 02-01-2019 111902040119Y000008 0001809935583 KAMISAH P PENERIMA PENSIUN Non-insulin-dependent Rujuk Lanjut
SWASTA diabetes mellitus with

1750 02-01-2019 111902040119Y000018 0001846556291 etik P PEKERJA MANDIRI Vertigo of central origin Rujuk Lanjut

1751 02-01-2019 111902040119Y000042 0001851457375 AURELIA HINDRIYATI P PEKERJA MANDIRI Glaucoma, unspecified Rujuk Lanjut

1752 02-01-2019 111902040119Y000024 0002073616121 SAMINAH P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

1753 02-01-2019 111902040119Y001661 0002168541909 IRFAN ZEN L PBI (APBD) Allergic urticaria Berobat Jalan

1754 02-01-2019 111902040119Y000063 0002249522212 TRI MARYATI P PEKERJA MANDIRI Other and unspecified Rujuk Lanjut
ovarian cysts
1755 02-01-2019 111902040119Y000045 0002249604641 RUSMANA L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
1756 02-01-2019 111902040119Y000061 0002299385002 AMAT TURASMAN L PEKERJA MANDIRI Benign lipomatous Rujuk Lanjut
neoplasm of skin and
subcutaneous tissue of
other and unspecified sites

1757 02-01-2019 111902040119Y000052 0002425234419 MARIYATI P PEGAWAI SWASTA Influenza with other Berobat Jalan
manifestations, virus not

1758 02-01-2019 111902040119Y000040 0002443938254 RAYYAN ABIYYI FAWWAZ L PEKERJA MANDIRI Other benign neoplasm of Rujuk Lanjut
skin, unspecified
1759 02-01-2019 111902040119Y000007 0002486918542 SEPTI IKA RAHMAWATI P PEKERJA MANDIRI External haemorrhoids Rujuk Lanjut
without complication

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