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Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601


NO TANGGAL NO KUNJUNGAN NO KARTU

1 31-03-2018 170406010318Y000522 0000122654801

2 31-03-2018 170406010318Y000523 0000122695571

3 31-03-2018 170406010318Y000524 0000122713345

4 31-03-2018 170406010318Y000525 0000122717766

5 31-03-2018 170406010318Y000526 0000122718971

6 31-03-2018 170406010318Y000527 0000122719026

7 31-03-2018 170406010318Y000528 0000122719037

8 31-03-2018 170406010318Y000529 0000122719149

9 31-03-2018 170406010318Y000530 0000122719195

10 31-03-2018 170406010318Y000531 0000122719432

11 31-03-2018 170406010318Y000532 0000122719509

12 31-03-2018 170406010318Y000505 0000122756591

13 31-03-2018 170406010318Y000519 0000123052421

14 31-03-2018 170406010318Y000498 0000123318865

15 31-03-2018 170406010318Y000497 0000123318876

16 31-03-2018 170406010318Y000533 0000167797361

17 31-03-2018 170406010318Y000534 0000204782804

18 31-03-2018 170406010318Y000496 0000889777383

19 31-03-2018 170406010318Y000509 0000889823586

20 31-03-2018 170406010318Y000521 0000889974832


NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ERNI RAHMI P PNS DAERAH Examination of blood pressure

ANNA BUDIARTI P PNS DAERAH Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

FARIDAWATY P PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

INA MAHLIANI P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

ABDUL HADI L PENERIMA PENSIUN PNS Gout

ISNA RAMADHANI P PNS PUSAT Antenatal screening, unspecified

MUHAMMAD MUKRI, H L PNS PUSAT Disorder of refraction, unspecified

MARIANI P PNS PUSAT Disorder of refraction, unspecified

RENI, AM.KEB P PNS DAERAH Examination of blood pressure

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

SITI AISAH P PBI (APBN) Abnormality of albumin

FATMAWATI P PBI (APBN) Dyspepsia

ANDINI P PBI (APBN) Other and unspecified diseases of


pulp and
DIRUJUK

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
21 31-03-2018 170406010318Y000502 0000890041004

22 31-03-2018 170406010318Y000520 0000890811099

23 31-03-2018 170406010318Y000510 0000891218801

24 31-03-2018 170406010318Y000511 0000891539008

25 31-03-2018 170406010318Y000503 0001065416422

26 31-03-2018 170406010318Y000535 0001266035848

27 31-03-2018 170406010318Y000512 0001437092605

28 31-03-2018 170406010318Y000536 0001441794846

29 31-03-2018 170406010318Y000507 0001460057297

30 31-03-2018 170406010318Y000499 0001786617786

31 31-03-2018 170406010318Y000506 0001833652293

32 31-03-2018 170406010318Y000501 0001833652394

33 31-03-2018 170406010318Y000537 0001873511245

34 31-03-2018 170406010318Y000508 0002215322638

35 31-03-2018 170406010318Y000495 0002220897115

36 31-03-2018 170406010318Y000500 0002420616317

37 31-03-2018 170406010318Y000504 0002420982393

38 29-03-2018 170406010318Y000488 0000123740054

39 29-03-2018 170406010318Y000493 0000889900716

40 29-03-2018 170406010318Y000489 0000890834578

41 29-03-2018 170406010318Y000492 0000891229847


M. RIDHO RIZKULLAH L PBI (APBN) Dyspepsia

RUSNANI P PBI (APBN) Antenatal screening, unspecified

INTAN P PBI (APBN) Essential (primary) hypertension

AINI L PBI (APBN) Other benign neoplasm of skin of


ear and external

JAMAIN L PBI (APBN) Asthma

MASTAYAH P PEKERJA MANDIRI Examination of blood pressure

RATNAWATI P PEKERJA MANDIRI Cutaneous abscess, furuncle and


carbuncle
ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

M. RIYADH AZHAR L PEGAWAI SWASTA Gastritis, unspecified

masriah P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

M. AINI L PEKERJA MANDIRI Deforming dorsopathy, unspecified

ARSIAH P PEKERJA MANDIRI Excessive, frequent and irregular


menstruation
MASTANIAH P PEKERJA MANDIRI Examination of blood pressure

BELA DWI KURNIANSYAH L PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified

JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI Chronic kidney disease

MUHAMMAD DANIL L PBI (APBN) Cytomegaloviral hepatitis

JAKFAR SIDDIK L PEKERJA MANDIRI Keratitis

MASTIKAWATI P PNS DAERAH Hyperlipidaemia, unspecified

NURUL ANISA P PBI (APBN) Allergic contact dermatitis

ILMI L PBI (APBN) Cutaneous abscess, furuncle and


carbuncle
ABDUL WAHID L PBI (APBN) Essential (primary) hypertension
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
42 29-03-2018 170406010318Y000518 0000891557504

43 29-03-2018 170406010318Y000494 0001260954505

44 29-03-2018 170406010318Y000490 0001266035848

45 29-03-2018 170406010318Y000486 0001381991128

46 29-03-2018 170406010318Y000491 0001634570829

47 29-03-2018 170406010318Y000487 0002050102967

48 28-03-2018 170406010318Y000473 0000123205533

49 28-03-2018 170406010318Y000479 0000123205544

50 28-03-2018 170406010318Y000477 0000123583307

51 28-03-2018 170406010318Y000478 0000123583307

52 28-03-2018 170406010318Y000472 0000124507877

53 28-03-2018 170406010318Y000474 0000200681943

54 28-03-2018 170406010318Y000481 0000889741618

55 28-03-2018 170406010318Y000480 0000889741888

56 28-03-2018 170406010318Y000483 0000890212026

57 28-03-2018 170406010318Y000482 0000891054909

58 28-03-2018 170406010318Y000476 0000891577631

59 28-03-2018 170406010318Y000475 0001286581386

60 28-03-2018 170406010318Y000484 0002291525008

61 28-03-2018 170406010318Y000485 0002304844108

62 27-03-2018 170406010318Y000514 0000122719522

63 27-03-2018 170406010318Y000471 0000122805314


RAHIMAH P PBI (APBN) Antenatal screening, unspecified

TABERANI L PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

MASTAYAH P PEKERJA MANDIRI Gastritis and duodenitis

ABDUL HADI L PEKERJA MANDIRI Low back pain

PURNAMA P PEGAWAI SWASTA Other anaemias

SAPUANSYAH L PEKERJA MANDIRI Essential (primary) hypertension

RASIDI L PNS DAERAH Essential (primary) hypertension

RUKIAH. P PNS DAERAH Necrosis of pulp

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Necrosis of pulp

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Dyspepsia

SITI AISYAH P PENERIMA PENSIUN PNS Primary gonarthrosis, bilateral

SITI MARYAM, JD P PENERIMA PENSIUN TNI Headache

SARKANI L PBI (APBN) Essential (primary) hypertension

FARIDAH P PBI (APBN) Gout

SYARIFUDINOOR L PBI (APBN) Gastritis, unspecified

RAMADANI L PBI (APBN) Essential (primary) hypertension

NAYLI MONA AZIZAH P PBI (APBN) Disorders of tooth development


and eruption
SITI MARIYAM L PNS DAERAH Disorder of refraction, unspecified

putri humaira P PBI (APBN) Cough

SITI RAHMAH P PEKERJA MANDIRI Unspecified contact dermatitis

SURBINI L PENERIMA PENSIUN PNS Necrosis of pulp

AGUS PRIBADI L PNS DAERAH Gastritis and duodenitis


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
64 27-03-2018 170406010318Y000513 0000123177565

65 27-03-2018 170406010318Y000456 0000123209379

66 27-03-2018 170406010318Y000449 0000124080805

67 27-03-2018 170406010318Y000516 0000158013213

68 27-03-2018 170406010318Y000515 0000163775867

69 27-03-2018 170406010318Y000444 0000889763624

70 27-03-2018 170406010318Y000443 0000889791568

71 27-03-2018 170406010318Y000450 0000890042231

72 27-03-2018 170406010318Y000445 0000890043671

73 27-03-2018 170406010318Y000451 0000890681038

74 27-03-2018 170406010318Y000457 0000890787159

75 27-03-2018 170406010318Y000442 0000890791738

76 27-03-2018 170406010318Y000517 0000890882469

77 27-03-2018 170406010318Y000458 0000891183295

78 27-03-2018 170406010318Y000447 0001265556497

79 27-03-2018 170406010318Y000453 0001267733373

80 27-03-2018 170406010318Y000446 0001316257479

81 27-03-2018 170406010318Y000454 0001631200364

82 27-03-2018 170406010318Y000448 0001657157692

83 27-03-2018 170406010318Y000459 0001821774969


JULI EKA NUGRAHENI, SP, S.PD P PNS DAERAH Other and unspecified diseases of
pulp and

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus without

RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Essential (primary) hypertension

M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Disturbances in tooth eruption

EDISON SITORUS L PNS PUSAT Other and unspecified diseases of


pulp and

SETIA BUDI L PBI (APBN) Stroke, not specified as


haemorrhage or infarction
AHMAD L PBI (APBN) Parkinson's disease

KHAIRIADI L PBI (APBN) Essential (primary) hypertension

ASNIAH P PBI (APBN) Disorder of refraction, unspecified

BAHJAH P PBI (APBN) Essential (primary) hypertension

RAMLI L PBI (APBN) Essential (primary) hypertension

SALAMIAH P PBI (APBN) Non-insulin-dependent diabetes


mellitus with

MAHDA LENA P PBI (APBN) Other and unspecified diseases of


pulp and

YATI P PBI (APBN) Dyspepsia

ISNAWATI P PEKERJA MANDIRI Dyspepsia

ERNAYATI P PEKERJA MANDIRI Allergic contact dermatitis

ANTUNG SADARIAH P PEKERJA MANDIRI Stroke, not specified as


haemorrhage or infarction
NORHASANAH P PEGAWAI SWASTA Essential (primary) hypertension

IWAN JAYA SAPUTERA L PEKERJA MANDIRI Essential (primary) hypertension

NUR AINA P PEKERJA MANDIRI Other dermatitis


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
84 27-03-2018 170406010318Y000441 0001827674414

85 27-03-2018 170406010318Y000455 0001867189779

86 27-03-2018 170406010318Y000452 0001960739897

87 26-03-2018 170406010318Y000434 0000122707135

88 26-03-2018 170406010318Y000420 0000122719094

89 26-03-2018 170406010318Y000426 0000123815182

90 26-03-2018 170406010318Y000435 0000889815609

91 26-03-2018 170406010318Y000429 0000890014037

92 26-03-2018 170406010318Y000437 0000890465016

93 26-03-2018 170406010318Y000440 0000890706115

94 26-03-2018 170406010318Y000438 0000890784584

95 26-03-2018 170406010318Y000428 0000891583244

96 26-03-2018 170406010318Y000431 0000978029818

97 26-03-2018 170406010318Y000439 0001094262467

98 26-03-2018 170406010318Y000424 0001265731211

99 26-03-2018 170406010318Y000427 0001433414924

100 26-03-2018 170406010318Y000432 0001442536211

101 26-03-2018 170406010318Y000436 0001449886735

102 26-03-2018 170406010318Y000422 0001452452185

103 26-03-2018 170406010318Y000433 0001610595066

104 26-03-2018 170406010318Y000421 0001785680741

105 26-03-2018 170406010318Y000425 0001904156392


ANISAH P PEKERJA MANDIRI Disorder of refraction, unspecified

halimatus sadiah P PEKERJA MANDIRI Myalgia

CHAIRIANI FARIDA P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus
SITI FATIMAH P PENERIMA PENSIUN TNI Gastritis, unspecified

HERTATI P PNS DAERAH Benign paroxysmal vertigo

NOPARISA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus with

UTUH HUDARI L PBI (APBN) Asthma

MUHAMMAD RAMLI L PBI (APBN) Diarrhoea and gastroenteritis of


presumed infectious origin

RUSMINAH P PBI (APBN) Asthma

ILHAM L PBI (APBN) Hypotension, unspecified

MOH ALDY L PBI (APBN) Stomatitis and related lesions

ASPURI L PBI (APBN) Asthma

RUSMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension

M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Essential (primary) hypertension

JUMAINAH P PEKERJA MANDIRI Undifferentiated schizophrenia

SABARIAH P PEKERJA MANDIRI Gout

HAURA ELYSA GUNTUR P PEKERJA MANDIRI Dyspepsia

NORJANAH P PEKERJA MANDIRI Gout

AHMAD FADILLAH L PEKERJA MANDIRI Epilepsy, unspecified

SAM'ANI L PEGAWAI SWASTA Cough

MARIANAH P PEKERJA MANDIRI Nonorganic insomnia

SALMAN L PEKERJA MANDIRI Heart failure, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
106 26-03-2018 170406010318Y000419 0002093457723

107 26-03-2018 170406010318Y000430 0002261401323

108 26-03-2018 170406010318Y000423 0002301407076

109 25-03-2018 170406010318Y000542 0001278170245

110 24-03-2018 170406010318Y000460 0000122695571

111 24-03-2018 170406010318Y000461 0000122718971

112 24-03-2018 170406010318Y000462 0000122718982

113 24-03-2018 170406010318Y000402 0000122718993

114 24-03-2018 170406010318Y000463 0000122719026

115 24-03-2018 170406010318Y000464 0000122719037

116 24-03-2018 170406010318Y000465 0000122719094

117 24-03-2018 170406010318Y000466 0000122719195

118 24-03-2018 170406010318Y000397 0000122719206

119 24-03-2018 170406010318Y000467 0000122719432

120 24-03-2018 170406010318Y000468 0000122719509

121 24-03-2018 170406010318Y000413 0000122797798

122 24-03-2018 170406010318Y000415 0000123163694

123 24-03-2018 170406010318Y000409 0000123177587

124 24-03-2018 170406010318Y000408 0000123177598


HARI LISWATI P PEKERJA MANDIRI Insulin-dependent diabetes
mellitus with peripheral circulatory

SUPARMAN L PEKERJA MANDIRI Essential (primary) hypertension

JUWAIRIYAH P PEKERJA MANDIRI Undifferentiated schizophrenia

MARDIANA P PEKERJA MANDIRI Contraceptive management,


unspecified
ERNI RAHMI P PNS DAERAH Examination of blood pressure

FARIDAWATY P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Chronic ischaemic heart disease,


unspecified
H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

HERTATI P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Polyneuropathy, unspecified

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

HAMISAH P PNS DAERAH Acute pharyngitis

FARIDAH, A.MA.PD, HJ P PENERIMA PENSIUN PNS Gout

NASYWA MAHARANI Y. P PNS DAERAH Acute nasopharyngitis [common


cold]
NISRINA MAHARANI Y. P PNS DAERAH Acute upper respiratory infection,
unspecified
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
125 24-03-2018 170406010318Y000398 0000123313206

126 24-03-2018 170406010318Y000469 0000204782804

127 24-03-2018 170406010318Y000416 0000889424414

128 24-03-2018 170406010318Y000410 0000890623629

129 24-03-2018 170406010318Y000406 0000890654883

130 24-03-2018 170406010318Y000405 0000890656435

131 24-03-2018 170406010318Y000412 0000890712426

132 24-03-2018 170406010318Y000417 0000891177164

133 24-03-2018 170406010318Y000404 0000945054145

134 24-03-2018 170406010318Y000414 0001065416422

135 24-03-2018 170406010318Y000396 0001264610643

136 24-03-2018 170406010318Y000407 0001265556497

137 24-03-2018 170406010318Y000411 0001266035848

138 24-03-2018 170406010318Y000399 0001424633861

139 24-03-2018 170406010318Y000470 0001441794846

140 24-03-2018 170406010318Y000400 0001476737897

141 24-03-2018 170406010318Y000401 0001794111851

142 24-03-2018 170406010318Y000403 0002229571269

143 24-03-2018 170406010318Y000418 0002231648234

144 23-03-2018 170406010318Y000356 0001265556497


A ATHAILAH L PNS PUSAT Benign lipomatous neoplasm of
skin and subcutaneous tissue of
other and unspecified sites

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

SAWIYAH P PBI (APBN) Influenza due to other identified


influenza virus
MADI L PBI (APBN) Asthma

RADIAH P PBI (APBN) Essential (primary) hypertension

ERNI YANTI P PBI (APBN) Dyspepsia

JUMSIAH P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

YULIANA P PBI (APBN) Gastritis, unspecified

ANWAR SUKRI L PBI (APBN) Cough

JAMAIN L PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

MASRIADY L PEKERJA MANDIRI Undifferentiated schizophrenia

ISNAWATI P PEKERJA MANDIRI Hyperlipidaemia, unspecified

MASTAYAH P PEKERJA MANDIRI Malaise and fatigue

husnah P PEKERJA MANDIRI Atherosclerotic cardiovascular


disease, so

ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

HILMAH P PEKERJA MANDIRI Hydronephrosis with ureteral


stricture, not

NOOR AIDA P PEKERJA MANDIRI Dyspepsia

DANIANSYAH L PEKERJA MANDIRI Disorder of refraction, unspecified

NURJANAH P PEGAWAI SWASTA Contraceptive management,


unspecified
ISNAWATI P PEKERJA MANDIRI Headache
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
145 23-03-2018 170406010318Y000357 0001317889247

146 23-03-2018 170406010318Y000358 0001319216321

147 23-03-2018 170406010318Y000355 0002235454064

148 22-03-2018 170406010318Y000298 0000122733303

149 22-03-2018 170406010318Y000292 0000123329542

150 22-03-2018 170406010318Y000289 0000123807025

151 22-03-2018 170406010318Y000288 0000158013213

152 22-03-2018 170406010318Y000290 0000162918178

153 22-03-2018 170406010318Y000294 0000889664027

154 22-03-2018 170406010318Y000299 0000890677001

155 22-03-2018 170406010318Y000363 0000890750891

156 22-03-2018 170406010318Y000297 0000890821078

157 22-03-2018 170406010318Y000293 0001437092605

158 22-03-2018 170406010318Y000287 0001476737897

159 22-03-2018 170406010318Y000295 0001808362462

160 22-03-2018 170406010318Y000300 0001828932243

161 22-03-2018 170406010318Y000296 0001883400502

162 22-03-2018 170406010318Y000291 0002065412452

163 22-03-2018 170406010318Y000364 0002100012557

164 22-03-2018 170406010318Y000301 0002312600387

165 22-03-2018 170406010318Y000395 0002431209993

166 21-03-2018 170406010318Y000283 0000122621141


RADIAH P PEKERJA MANDIRI Hypertensive heart disease

SITI MARIAM P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

M.YUSUP L PNS DAERAH Inguinal hernia

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular


disease, so

CHAIRUL ANWAR L PNS DAERAH Hyperplasia of prostate

MUHAMMAD HUSNI L PENERIMA PENSIUN PNS Disorder of refraction, unspecified

M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Essential (primary) hypertension

NOOR BAINAH P PENERIMA PENSIUN TNI Residual schizophrenia

HAYATI P PBI (APBN) Essential (primary) hypertension

MUHAMMAD YUSUP L PBI (APBN) Diseases of pulp and periapical


tissues
FITRI P PBI (APBN) Contraceptive management,
unspecified
MISNAWATI P PBI (APBN) Cough

RATNAWATI P PEKERJA MANDIRI Cutaneous abscess, furuncle and


carbuncle
HILMAH P PEKERJA MANDIRI Carcinoma in situ of breast,
unspecified
yanti P PEKERJA MANDIRI Suppurative and unspecified otitis
media
SANIAH P PEKERJA MANDIRI Acute nasopharyngitis [common
cold]
ROHANI P PEKERJA MANDIRI Gastritis, unspecified

PANG SING KOK L PEKERJA MANDIRI Other postsurgical states

MAHSYA ALMAYDA P PEGAWAI SWASTA Contraceptive management,


unspecified
SYAILA AZIZA P PEGAWAI SWASTA Cough

SITI RAHMAH P PEKERJA MANDIRI Headache

KAMARUDDIN L PNS DAERAH Heart failure, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
167 21-03-2018 170406010318Y000276 0000122707045

168 21-03-2018 170406010318Y000280 0000123189243

169 21-03-2018 170406010318Y000273 0000123702625

170 21-03-2018 170406010318Y000269 0000123844689

171 21-03-2018 170406010318Y000278 0000124497325

172 21-03-2018 170406010318Y000279 0000202391043

173 21-03-2018 170406010318Y000270 0000889413129

174 21-03-2018 170406010318Y000275 0000889763624

175 21-03-2018 170406010318Y000393 0000889849157

176 21-03-2018 170406010318Y000394 0000889849967

177 21-03-2018 170406010318Y000390 0000889931463

178 21-03-2018 170406010318Y000392 0000889982098

179 21-03-2018 170406010318Y000271 0000890395468

180 21-03-2018 170406010318Y000277 0000890656435

181 21-03-2018 170406010318Y000274 0000890834578

182 21-03-2018 170406010318Y000272 0000890843826

183 21-03-2018 170406010318Y000284 0001302082593

184 21-03-2018 170406010318Y000268 0001302083278

185 21-03-2018 170406010318Y000282 0001657157692

186 21-03-2018 170406010318Y000286 0001790572871

187 21-03-2018 170406010318Y000285 0001811732523


ROHANI P PENERIMA PENSIUN TNI Asthma

MISRAN L PNS DAERAH Non-insulin-dependent diabetes


mellitus without

AMSIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus without

MISKAD L PNS PUSAT Hyperplasia of prostate

SRF.RODIYAH, SP P PNS DAERAH Disorder of refraction, unspecified

KARMAH P PNS DAERAH Malaise and fatigue

SOPIAH P PBI (APBN) Unspecified viral hepatitis

SETIA BUDI L PBI (APBN) Acute periodontitis

RINI WATI P PBI (APBN) Antenatal screening, unspecified

MUZTALIPAH P PBI (APBN) Antenatal screening, unspecified

IRNAWATI P PBI (APBN) Antenatal screening, unspecified

ASLINA P PBI (APBN) Contraceptive management,


unspecified
A MULYAKIN L PBI (APBN) Undifferentiated schizophrenia

ERNI YANTI P PBI (APBN) Dyspepsia

ILMI L PBI (APBN) Cutaneous abscess, furuncle and


carbuncle
KHAIRUDIN L PBI (APBN) Gonarthrosis [arthrosis of knee]

ACHMAD EFFENDI L PEKERJA MANDIRI Gastritis, unspecified

NURLIANA P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

IWAN JAYA SAPUTERA L PEKERJA MANDIRI Essential (primary) hypertension

ROHANI P PEKERJA MANDIRI Allergic contact dermatitis

suaibatul aslamiah P PNS PUSAT Hyperlipidaemia, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
188 21-03-2018 170406010318Y000391 0001927863112

189 21-03-2018 170406010318Y000281 0002071356513

190 21-03-2018 170406010318Y000267 0002209303956

191 20-03-2018 170406010318Y000266 0000059309166

192 20-03-2018 170406010318Y000264 0000123421228

193 20-03-2018 170406010318Y000389 0000889684738

194 20-03-2018 170406010318Y000256 0000889767178

195 20-03-2018 170406010318Y000254 0000890328835

196 20-03-2018 170406010318Y000261 0000890420049

197 20-03-2018 170406010318Y000255 0000890466219

198 20-03-2018 170406010318Y000259 0001065413823

199 20-03-2018 170406010318Y000258 0001078411318

200 20-03-2018 170406010318Y000257 0001442907821

201 20-03-2018 170406010318Y000260 0001627257521

202 20-03-2018 170406010318Y000262 0001810491085

203 20-03-2018 170406010318Y000263 0002263697166

204 20-03-2018 170406010318Y000265 0002420982303

205 19-03-2018 170406010318Y000228 0000122654801

206 19-03-2018 170406010318Y000225 0000122756927

207 19-03-2018 170406010318Y000230 0000123583307


SAPNA MAINA P PBI (APBD) Antenatal screening, unspecified

MUHAMMAD ARSYADUL HAKIM L PEKERJA MANDIRI Fever of other and unknown origin

SURYA JAYA S L PEKERJA MANDIRI Other postsurgical states

M HUSIN YUSMAN L PENERIMA PENSIUN PNS Headache

ACHMAD NOOR L PENERIMA PENSIUN PNS Essential (primary) hypertension

AULIANA NOOR PARADIPA P PBI (APBN) Antenatal screening, unspecified

SADIKIN L PBI (APBN) Other specified mental disorders


due to brain damage and
dysfunction

YUSNAN ANANI L PBI (APBN) Undifferentiated schizophrenia

RUSIADI L PBI (APBN) Essential (primary) hypertension

LAMBERI L PBI (APBN) Congestive heart failure

RUSDIANA P PBI (APBN) Necrosis of pulp

RUSTINI P PNS PUSAT Headache

HUSAINI L PEKERJA MANDIRI Heart failure, unspecified

MUHAMMAD MAULANA RIFQI L PEKERJA MANDIRI Unknown and unspecified causes


of morbidity

MURSILAH P PEKERJA MANDIRI Gout

MUHAMMAD SAYUTI L PEKERJA MANDIRI Diarrhoea and gastroenteritis of


presumed infectious origin

SURIANSYAH L PEKERJA MANDIRI Pneumonia due to other infectious


organisms, not

ERNAWATI P PENERIMA PENSIUN PNS Heart failure, unspecified

ROKHANA P PENERIMA PENSIUN PNS Disorder of refraction, unspecified

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Other postsurgical states


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
208 19-03-2018 170406010318Y000234 0000124003618

209 19-03-2018 170406010318Y000248 0000889784548

210 19-03-2018 170406010318Y000246 0000889828132

211 19-03-2018 170406010318Y000251 0000889947977

212 19-03-2018 170406010318Y000238 0000890314064

213 19-03-2018 170406010318Y000241 0000890561733

214 19-03-2018 170406010318Y000252 0000891218417

215 19-03-2018 170406010318Y000243 0001260954505

216 19-03-2018 170406010318Y000233 0001260971065

217 19-03-2018 170406010318Y000242 0001264610643

218 19-03-2018 170406010318Y000250 0001266580743

219 19-03-2018 170406010318Y000236 0001280774283

220 19-03-2018 170406010318Y000226 0001306752142

221 19-03-2018 170406010318Y000239 0001307796309

222 19-03-2018 170406010318Y000229 0001425352072

223 19-03-2018 170406010318Y000237 0001443525816

224 19-03-2018 170406010318Y000231 0001481549793

225 19-03-2018 170406010318Y000249 0001553430047

226 19-03-2018 170406010318Y000235 0001666664087

227 19-03-2018 170406010318Y000227 0001793642095

228 19-03-2018 170406010318Y000245 0001873511245


MUNIROH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes
mellitus with

SALAMIAH P PBI (APBN) Gout

MUHAMMAD RAYHAN QUTBI L PBI (APBN) Diarrhoea and gastroenteritis of


presumed infectious origin

NAPSIAH P PBI (APBN) Dyspepsia

SAPRANI L PBI (APBN) Essential (primary) hypertension

SURIADI L PBI (APBN) Conjunctivitis

TABRI L PBI (APBN) Gout

TABERANI L PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

PUTRI TARUNA SYAIKA ANE REZKY P PEKERJA MANDIRI Thalassaemia

MASRIADY L PEKERJA MANDIRI Undifferentiated schizophrenia

RAHIMAH P PEKERJA MANDIRI Tinea cruris

HU'SHILA AWALIA RIZQIANI P PEKERJA MANDIRI Necrosis of pulp

MAHRITA P PEKERJA MANDIRI Sequelae of cerebrovascular


disease
ARBAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus without

SYUKRAN L PEKERJA MANDIRI Other chronic obstructive


pulmonary disease
nurul ma rifah P PEKERJA MANDIRI Necrosis of pulp

RAZAKIAH P PEKERJA MANDIRI Primary gonarthrosis, bilateral

Lutfi Zakaria L PEGAWAI SWASTA Cough

WIBOWO KERSONO L PEGAWAI BUMN Atherosclerotic heart disease

KASPIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus with

MASTANIAH P PEKERJA MANDIRI Gastritis, unspecified


Rujuk Lanjut

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
229 19-03-2018 170406010318Y000240 0001889939777

230 19-03-2018 170406010318Y000224 0002195291417

231 19-03-2018 170406010318Y000244 0002277325754

232 19-03-2018 170406010318Y000247 0002277422829

233 19-03-2018 170406010318Y000253 0002291496816

234 19-03-2018 170406010318Y000232 0002322240895

235 18-03-2018 170406010318Y000539 0002100012557

236 16-03-2018 170406010318Y000374 0000122695571

237 16-03-2018 170406010318Y000375 0000122718971

238 16-03-2018 170406010318Y000376 0000122718982

239 16-03-2018 170406010318Y000377 0000122718993

240 16-03-2018 170406010318Y000378 0000122719026

241 16-03-2018 170406010318Y000379 0000122719037

242 16-03-2018 170406010318Y000380 0000122719094

243 16-03-2018 170406010318Y000381 0000122719149

244 16-03-2018 170406010318Y000382 0000122719195

245 16-03-2018 170406010318Y000383 0000122719206

246 16-03-2018 170406010318Y000384 0000122719432

247 16-03-2018 170406010318Y000220 0000123302812

248 16-03-2018 170406010318Y000221 0000124080805

249 16-03-2018 170406010318Y000211 0000124882176


SAPIAH P PEKERJA MANDIRI Heart failure, unspecified

MASKUPAH P PENERIMA PENSIUN PNS Other surgical follow-up care

HADERI L PEKERJA MANDIRI Other disorders of urinary system

HARIS FADILLAH L PEKERJA MANDIRI Fever, unspecified

MOLIYONO L PEKERJA MANDIRI Acute nasopharyngitis [common


cold]
ABDUL GANI L PEKERJA MANDIRI Senile cataract, unspecified

MAHSYA ALMAYDA P PEGAWAI SWASTA Contraceptive management,


unspecified
ERNI RAHMI P PNS DAERAH Examination of blood pressure

FARIDAWATY P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

HERTATI P PNS DAERAH Examination of blood pressure

INA MAHLIANI P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUBONO L PENERIMA PENSIUN PNS Heart failure

RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Tuberculosis of lung, confirmed by


unspecified

IR. H. ARIFIN NOOR, MT L PNS DAERAH Vitreous haemorrhage


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Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
250 16-03-2018 170406010318Y000385 0000204782804

251 16-03-2018 170406010318Y000222 0000889905205

252 16-03-2018 170406010318Y000217 0000889926276

253 16-03-2018 170406010318Y000215 0000890212026

254 16-03-2018 170406010318Y000212 0000890456589

255 16-03-2018 170406010318Y000214 0000890834578

256 16-03-2018 170406010318Y000218 0000945054145

257 16-03-2018 170406010318Y000219 0001094262467

258 16-03-2018 170406010318Y000373 0001266035848

259 16-03-2018 170406010318Y000386 0001441794846

260 16-03-2018 170406010318Y000223 0001796551615

261 16-03-2018 170406010318Y000216 0001823098781

262 16-03-2018 170406010318Y000387 0001873511245

263 16-03-2018 170406010318Y000213 0002057401539

264 16-03-2018 170406010318Y000388 0002207775701

265 15-03-2018 170406010318Y000370 0000122706988

266 15-03-2018 170406010318Y000196 0000122707001

267 15-03-2018 170406010318Y000201 0000122726979

268 15-03-2018 170406010318Y000200 0000122747308

269 15-03-2018 170406010318Y000202 0000889351154

270 15-03-2018 170406010318Y000206 0000889376703


SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

FARIDAH P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

ERNA P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

SYARIFUDINOOR L PBI (APBN) Dyspepsia

SYAMSIAH P PBI (APBN) Prolonged pregnancy

ILMI L PBI (APBN) Chronic myeloid leukaemia

ANWAR SUKRI L PBI (APBN) Cough

M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Non-insulin-dependent diabetes


mellitus without

MASTAYAH P PEKERJA MANDIRI Examination of blood pressure

ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp

ARBAYAH, HJ P PEKERJA MANDIRI Dyspepsia

MASTANIAH P PEKERJA MANDIRI Examination of blood pressure

RABIAH P PENERIMA PENSIUN PNS Senile cataract, unspecified

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

KASPUL ANWAR, H L PENERIMA PENSIUN TNI Chronic periodontitis

SITI FARIDAH, HJ P PENERIMA PENSIUN TNI Senile cataract, unspecified

AH.BIDJIRMI AM L PENERIMA PENSIUN PNS Low back pain

SITI KURNIA.HJ P PENERIMA PENSIUN PNS Myalgia, site unspecified

WILIYANTI P PBI (APBN) Follow-up examination after


surgery for other

hj jawita P PBI (APBN) End-stage renal disease


Berobat Jalan

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
271 15-03-2018 170406010318Y000208 0000889815655

272 15-03-2018 170406010318Y000195 0000889990705

273 15-03-2018 170406010318Y000207 0000890313906

274 15-03-2018 170406010318Y000210 0000890539097

275 15-03-2018 170406010318Y000203 0001286578293

276 15-03-2018 170406010318Y000197 0001295326405

277 15-03-2018 170406010318Y000198 0001295327013

278 15-03-2018 170406010318Y000209 0001465179524

279 15-03-2018 170406010318Y000372 0001657157692

280 15-03-2018 170406010318Y000199 0001786617786

281 15-03-2018 170406010318Y000371 0002230311431

282 15-03-2018 170406010318Y000205 0002261760895

283 15-03-2018 170406010318Y000204 0002322240895

284 14-03-2018 170406010318Y000193 0000158671361

285 14-03-2018 170406010318Y000188 0000890405717

286 14-03-2018 170406010318Y000368 0001173437425

287 14-03-2018 170406010318Y000189 0001271566315

288 14-03-2018 170406010318Y000186 0001279184512

289 14-03-2018 170406010318Y000185 0001443525816

290 14-03-2018 170406010318Y000190 0001481549793

291 14-03-2018 170406010318Y000192 0001659311111


MUHAMMAD L PBI (APBN) Idiopathic gout

MUHAMMAD TOPAN L PBI (APBN) Acute tonsillitis, unspecified

SYARNIAH P PBI (APBN) Hypertensive heart disease without

SAHWATI P PBI (APBN) Unspecified contact dermatitis due


to

MAHFUD L PNS DAERAH Chronic ischaemic heart disease

SYARKAWI L PEKERJA MANDIRI Hyperplasia of prostate

ARSIAH P PEKERJA MANDIRI Senile cataract, unspecified

AMIR L PEKERJA MANDIRI Acute upper respiratory infection,


unspecified
IWAN JAYA SAPUTERA L PEKERJA MANDIRI Necrosis of pulp

masriah P PEKERJA MANDIRI Senile cataract, unspecified

M. IHSAN SADIK L PEGAWAI SWASTA Necrosis of pulp

ARSUNANI L PEKERJA MANDIRI Non-Hodgkin's lymphoma,


unspecified type

ABDUL GANI L PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

NORHAYATI P PNS PUSAT Heart failure

MISRAN L PBI (APBN) Spondylolysis

HIKMAH P PEGAWAI SWASTA Caries of dentine

NURUL JANNAH P PEKERJA MANDIRI Idiopathic gout

lita juniati P PEKERJA MANDIRI Otitis media, unspecified

nurul ma rifah P PEKERJA MANDIRI Epilepsy, unspecified

RAZAKIAH P PEKERJA MANDIRI Insulin-dependent diabetes


mellitus with peripheral circulatory

SAHIRUDIN L PEKERJA MANDIRI Peptic ulcer, site unspecified


Berobat Jalan

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
292 14-03-2018 170406010318Y000369 0001778390199

293 14-03-2018 170406010318Y000184 0001793642095

294 14-03-2018 170406010318Y000194 0001808362462

295 14-03-2018 170406010318Y000187 0002044843637

296 14-03-2018 170406010318Y000191 0002215322638

297 13-03-2018 170406010318Y000167 0000122728195

298 13-03-2018 170406010318Y000166 0000122738387

299 13-03-2018 170406010318Y000172 0000123421228

300 13-03-2018 170406010318Y000177 0000123583307

301 13-03-2018 170406010318Y000178 0000124715428

302 13-03-2018 170406010318Y000174 0000889697935

303 13-03-2018 170406010318Y000171 0000889839314

304 13-03-2018 170406010318Y000538 0000889919662

305 13-03-2018 170406010318Y000365 0000889954997

306 13-03-2018 170406010318Y000180 0000890449525

307 13-03-2018 170406010318Y000367 0000890663703

308 13-03-2018 170406010318Y000366 0000890811099

309 13-03-2018 170406010318Y000182 0001065415779

310 13-03-2018 170406010318Y000181 0001065415781

311 13-03-2018 170406010318Y000183 0001261691144

312 13-03-2018 170406010318Y000170 0001271566315

313 13-03-2018 170406010318Y000168 0001441794846


AHMAT SAIDI L PEGAWAI SWASTA Necrosis of pulp

KASPIAH P PENERIMA PENSIUN PNS Sciatica, multiple sites

yanti P PEKERJA MANDIRI Essential (primary) hypertension

fitriani P PEKERJA MANDIRI Influenza, virus not identified

BELA DWI KURNIANSYAH L PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified

ANNAWATI. P PENERIMA PENSIUN PNS Primary gonarthrosis, bilateral

M.ABERANI. L PENERIMA PENSIUN PNS Secondary hypertension,


unspecified
ACHMAD NOOR L PENERIMA PENSIUN PNS Dyspepsia

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Essential (primary) hypertension

MASRUKIAH P PENERIMA PENSIUN PNS Other disorders of urinary system

AHMAD AKBAR L PBI (APBN) Varicella [chickenpox]

RUSMIYATI P PBI (APBN) Malignant neoplasm of cervix uteri,


unspecified
SALASIAH P PBI (APBN) Contraceptive management,
unspecified
MULIANA P PBI (APBN) Contraceptive management,
unspecified
AHMAD RAMADHANI L PBI (APBN) Disorders of tooth development
and eruption
NORIYAH P PBI (APBN) Contraceptive management,
unspecified
RUSNANI P PBI (APBN) Contraceptive management,
unspecified
SITI HALIDAH P PBI (APBN) Necrosis of pulp

NOR HELDAYANI P PBI (APBN) Impacted teeth

JURAHMAH P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

NURUL JANNAH P PEKERJA MANDIRI Low back pain

ANNI NURHIDAYAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
314 13-03-2018 170406010318Y000362 0001623246017

315 13-03-2018 170406010318Y000169 0002083726091

316 13-03-2018 170406010318Y000173 0002137929164

317 13-03-2018 170406010318Y000179 0002213331581

318 13-03-2018 170406010318Y000175 0002229564835

319 13-03-2018 170406010318Y000176 0002308001635

320 12-03-2018 170406010318Y000156 0000122598483

321 12-03-2018 170406010318Y000155 0000122605626

322 12-03-2018 170406010318Y000162 0000122605637

323 12-03-2018 170406010318Y000359 0000122706988

324 12-03-2018 170406010318Y000165 0000122707135

325 12-03-2018 170406010318Y000164 0000123287253

326 12-03-2018 170406010318Y000154 0000123313206

327 12-03-2018 170406010318Y000158 0000889947977

328 12-03-2018 170406010318Y000160 0000890786946

329 12-03-2018 170406010318Y000159 0000891639358

330 12-03-2018 170406010318Y000161 0001065416005

331 12-03-2018 170406010318Y000163 0001460053989

332 12-03-2018 170406010318Y000360 0001796551615

333 12-03-2018 170406010318Y000157 0001872979211

334 12-03-2018 170406010318Y000361 0002204133423

335 10-03-2018 170406010318Y000150 0000122653631


MUHAMMAD RAYHAN L PEGAWAI SWASTA Disturbances in tooth eruption

AHMAD HADI SETIAWAN L PEKERJA MANDIRI Acute nasopharyngitis [common


cold]
ABDILLAH L PEGAWAI SWASTA Dyspepsia

JAHRATUN SIFA P PEKERJA MANDIRI Delayed milestone

YUSRAN L PEKERJA MANDIRI Hyperplasia of prostate

muhammad ghani rais L PEKERJA MANDIRI Ventricular septal defect

NOOR HASANAH P PENERIMA PENSIUN PNS End-stage renal disease

MUHAIMIN L PENERIMA PENSIUN PNS Parkinson's disease

HJ. SYUFIAH UHIN P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus without

KASPUL ANWAR, H L PENERIMA PENSIUN TNI Acute periodontitis

SITI FATIMAH P PENERIMA PENSIUN TNI Cough

MUDERAN L PENERIMA PENSIUN PNS Essential (primary) hypertension

A ATHAILAH L PNS PUSAT Senile cataract, unspecified

NAPSIAH P PBI (APBN) Dyspepsia

SITI AISYAH P PBI (APBN) Senile cataract, unspecified

FATMAWATI P PBI (APBN) Cough

ANANG RIDUAN L PBI (APBN) Cough

M. SUBLI MAKSUM L PEGAWAI SWASTA Essential (primary) hypertension

SITI AMINAH P PEKERJA MANDIRI Necrosis of pulp

SALMA SYIFA P PEKERJA MANDIRI Diarrhoea and gastroenteritis of


presumed infectious origin

ITA P PEGAWAI PEMERINTAH NON Contraceptive management,


PNS unspecified
SANIAH H KACIL P PNS PUSAT Essential (primary) hypertension
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
336 10-03-2018 170406010318Y000340 0000122654801

337 10-03-2018 170406010318Y000341 0000122717766

338 10-03-2018 170406010318Y000342 0000122718791

339 10-03-2018 170406010318Y000343 0000122718982

340 10-03-2018 170406010318Y000344 0000122718993

341 10-03-2018 170406010318Y000345 0000122719026

342 10-03-2018 170406010318Y000338 0000122719037

343 10-03-2018 170406010318Y000346 0000122719094

344 10-03-2018 170406010318Y000347 0000122719195

345 10-03-2018 170406010318Y000348 0000122719432

346 10-03-2018 170406010318Y000142 0000122728915

347 10-03-2018 170406010318Y000143 0000123093268

348 10-03-2018 170406010318Y000336 0000123165178

349 10-03-2018 170406010318Y000349 0000123587021

350 10-03-2018 170406010318Y000350 0000167797361

351 10-03-2018 170406010318Y000339 0000200312019

352 10-03-2018 170406010318Y000351 0000204782804

353 10-03-2018 170406010318Y000337 0000889823586

354 10-03-2018 170406010318Y000138 0000889926276

355 10-03-2018 170406010318Y000140 0000891218417

356 10-03-2018 170406010318Y000151 0001065416354


ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

HERTATI P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

ASUN B L PENERIMA PENSIUN PNS Other specified disorders of


muscle, lower leg
RUDY ANWARI L PNS DAERAH Chronic viral hepatitis, unspecified

FIKRIANSYAH L PNS DAERAH Necrosis of pulp

ITA AS P PENERIMA PENSIUN PNS Examination of blood pressure

RENI, AM.KEB P PNS DAERAH Examination of blood pressure

ERNAWATI P PNS DAERAH Examination of blood pressure

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

FATMAWATI P PBI (APBN) Necrosis of pulp

ERNA P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

TABRI L PBI (APBN) Essential (primary) hypertension

MARIATUL KIFTIAH P PBI (APBN) Examination of blood pressure


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
357 10-03-2018 170406010318Y000144 0001263163318

358 10-03-2018 170406010318Y000352 0001266035848

359 10-03-2018 170406010318Y000353 0001441794846

360 10-03-2018 170406010318Y000147 0001794328727

361 10-03-2018 170406010318Y000145 0001867189779

362 10-03-2018 170406010318Y000146 0001873511245

363 10-03-2018 170406010318Y000153 0001974854092

364 10-03-2018 170406010318Y000149 0002196515452

365 10-03-2018 170406010318Y000354 0002207775701

366 10-03-2018 170406010318Y000139 0002209303541

367 10-03-2018 170406010318Y000141 0002215322638

368 10-03-2018 170406010318Y000148 0002220897115

369 10-03-2018 170406010318Y000152 0002277325754

370 09-03-2018 170406010318Y000128 0000195495761

371 09-03-2018 170406010318Y000135 0000211436987

372 09-03-2018 170406010318Y000132 0000890343235

373 09-03-2018 170406010318Y000133 0000890420049

374 09-03-2018 170406010318Y000137 0000890423278

375 09-03-2018 170406010318Y000134 0000890791738

376 09-03-2018 170406010318Y000136 0000891003014


RAJUDDIN NOOR L PEKERJA MANDIRI Undifferentiated schizophrenia

MASTAYAH P PEKERJA MANDIRI Examination of blood pressure

ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

SAIDAH P PEKERJA MANDIRI Stroke, not specified as


haemorrhage or infarction
halimatus sadiah P PEKERJA MANDIRI Essential (primary) hypertension

MASTANIAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

ASPANDI L PBI (APBN) Essential (primary) hypertension

NADIA RAHMAH L PEKERJA MANDIRI Essential (primary) hypertension

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

ZAKARIYA S L PEKERJA MANDIRI Allergic contact dermatitis

BELA DWI KURNIANSYAH L PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified

JHONI ABDURAHMAN ABDILLAH L PEKERJA MANDIRI Chronic kidney disease

HADERI L PEKERJA MANDIRI Spondylolysis

RAHIMAH P PENERIMA PENSIUN PNS Essential (primary) hypertension

AHMAD MUHYIDDIN L PNS DAERAH Other and unspecified


gastroenteritis and colitis

SAMSIAH P PBI (APBN) Hyperparathyroidism, unspecified

RUSIADI L PBI (APBN) Essential (primary) hypertension

M.TAUFIQURRAHMAN L PBI (APBN) Necrosis of pulp

SALAMIAH P PBI (APBN) Non-insulin-dependent diabetes


mellitus with

MISRAN L PBI (APBN) Dyspepsia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
377 09-03-2018 170406010318Y000131 0000891539008

378 09-03-2018 170406010318Y000129 0000945054145

379 09-03-2018 170406010318Y000126 0001290766375

380 09-03-2018 170406010318Y000130 0001302569829

381 09-03-2018 170406010318Y000127 0002229571269

382 08-03-2018 170406010318Y000123 0000122653631

383 08-03-2018 170406010318Y000112 0000123313689

384 08-03-2018 170406010318Y000121 0000889755862

385 08-03-2018 170406010318Y000116 0000889979534

386 08-03-2018 170406010318Y000115 0000890789084

387 08-03-2018 170406010318Y000111 0000890811977

388 08-03-2018 170406010318Y000122 0000890835862

389 08-03-2018 170406010318Y000114 0000891205975

390 08-03-2018 170406010318Y000119 0001080973732

391 08-03-2018 170406010318Y000113 0001094262467

392 08-03-2018 170406010318Y000124 0001266035848

393 08-03-2018 170406010318Y000117 0001790572871

394 08-03-2018 170406010318Y000120 0001794111851

395 08-03-2018 170406010318Y000118 0001808362462

396 08-03-2018 170406010318Y000125 0001960739897

397 08-03-2018 170406010318Y000335 0002204133423


AINI L PBI (APBN) Other benign neoplasm of skin of
ear and external

ANWAR SUKRI L PBI (APBN) Cough

MUHAMMAD FAISAL L PEKERJA MANDIRI Undifferentiated schizophrenia

MANSYAH L PEKERJA MANDIRI Sequelae of cerebral infarction

DANIANSYAH L PEKERJA MANDIRI Dyspepsia

SANIAH H KACIL P PNS PUSAT Essential (primary) hypertension

ABDULLAHKARIM L PNS PUSAT Non-insulin-dependent diabetes


mellitus with

SAM'AH P PBI (APBN) Dyspepsia

M. SUPIAN SAURI L PBI (APBN) Headache

ABDULLAH SIDIK L PBI (APBN) Influenza, virus not identified

MISBATUN NI'MAH P PBI (APBN) Spondylolysis

M YUSUP L PBI (APBN) Asthma

MUHAMMAD RIZKI L PBI (APBN) Influenza, virus not identified

SYAMSIAH P PENERIMA PENSIUN TNI Spondylolysis

M. WAHYUDIN .HN L PENERIMA PENSIUN POLRI Essential (primary) hypertension

MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

ROHANI P PEKERJA MANDIRI Essential (primary) hypertension

NOOR AIDA P PEKERJA MANDIRI Dyspepsia

yanti P PEKERJA MANDIRI Essential (primary) hypertension

CHAIRIANI FARIDA P PEKERJA MANDIRI Essential (primary) hypertension

ITA P PEGAWAI PEMERINTAH NON Contraceptive management,


PNS unspecified
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
398 07-03-2018 170406010318Y000334 0000122706988

399 07-03-2018 170406010318Y000110 0000122707135

400 07-03-2018 170406010318Y000098 0000122824451

401 07-03-2018 170406010318Y000095 0000163775867

402 07-03-2018 170406010318Y000333 0000889702828

403 07-03-2018 170406010318Y000109 0000889956854

404 07-03-2018 170406010318Y000104 0000890561733

405 07-03-2018 170406010318Y000107 0000891147971

406 07-03-2018 170406010318Y000101 0001065415487

407 07-03-2018 170406010318Y000106 0001380784746

408 07-03-2018 170406010318Y000096 0001446999906

409 07-03-2018 170406010318Y000102 0001465179524

410 07-03-2018 170406010318Y000105 0001796551615

411 07-03-2018 170406010318Y000332 0001814819387

412 07-03-2018 170406010318Y000103 0002043596608

413 07-03-2018 170406010318Y000094 0002064469386

414 07-03-2018 170406010318Y000100 0002201121461

415 07-03-2018 170406010318Y000099 0002206569249

416 07-03-2018 170406010318Y000097 0002254090702

417 07-03-2018 170406010318Y000108 0002299104832

418 06-03-2018 170406010318Y000074 0000122688617


KASPUL ANWAR, H L PENERIMA PENSIUN TNI Chronic periodontitis

SITI FATIMAH P PENERIMA PENSIUN TNI Acute haemorrhagic gastritis

MURJANI ASNAWI L PNS DAERAH Essential (primary) hypertension

EDISON SITORUS L PNS PUSAT Psoriasis, unspecified

MIDAWATI P PBI (APBN) Contraceptive management,


unspecified
BAHRUL BASRI L PBI (APBN) Unknown and unspecified causes
of morbidity

SURIADI L PBI (APBN) Acute haemorrhagic gastritis

MURSALIS P PBI (APBN) Carcinoma in situ of bronchus and


lung
SAMIAH P PBI (APBN) Allergic contact dermatitis

RAWANSYAH L PEKERJA MANDIRI Hyperplasia of prostate

RAHIMAH P PEKERJA MANDIRI Influenza, virus not identified

AMIR L PEKERJA MANDIRI Cough

SITI AMINAH P PEKERJA MANDIRI Hyperparathyroidism, unspecified

SARI INDRIYANI P PEGAWAI PEMERINTAH NON Antenatal screening, unspecified


PNS
MARTINI P PBI (APBD) Epilepsy

SARKIAH P PEKERJA MANDIRI Carcinoma in situ of breast,


unspecified
NIKMAH P PEKERJA MANDIRI Unknown and unspecified causes
of morbidity

HANAFI L PEKERJA MANDIRI Essential (primary) hypertension

HUDARI L PEGAWAI PEMERINTAH NON Acute upper respiratory infection,


PNS unspecified
FATIMAH P PEKERJA MANDIRI Essential (primary) hypertension

JUNAIDI, DRS L PNS PUSAT Mixed anxiety and depressive


disorder
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
419 06-03-2018 170406010318Y000084 0000122707001

420 06-03-2018 170406010318Y000082 0000122707034

421 06-03-2018 170406010318Y000077 0000122757052

422 06-03-2018 170406010318Y000331 0000148656216

423 06-03-2018 170406010318Y000092 0000157936331

424 06-03-2018 170406010318Y000073 0000168052588

425 06-03-2018 170406010318Y000087 0000210415533

426 06-03-2018 170406010318Y000079 0000889950172

427 06-03-2018 170406010318Y000080 0000889951116

428 06-03-2018 170406010318Y000540 0000890022813

429 06-03-2018 170406010318Y000330 0000890074754

430 06-03-2018 170406010318Y000328 0000890677001

431 06-03-2018 170406010318Y000083 0000890834578

432 06-03-2018 170406010318Y000090 0000891517274

433 06-03-2018 170406010318Y000329 0001065415779

434 06-03-2018 170406010318Y000085 0001078578224

435 06-03-2018 170406010318Y000081 0001264056265

436 06-03-2018 170406010318Y000076 0001451368113

437 06-03-2018 170406010318Y000075 0001481294035

438 06-03-2018 170406010318Y000089 0001484006861

439 06-03-2018 170406010318Y000088 0001827796612

440 06-03-2018 170406010318Y000093 0001960244212

441 06-03-2018 170406010318Y000086 0002216551094


SITI FARIDAH, HJ P PENERIMA PENSIUN TNI Primary gonarthrosis, bilateral

M. MAKI L PENERIMA PENSIUN TNI Allergic contact dermatitis,


unspecified cause

ABDUL HADI L PENERIMA PENSIUN PNS Senile cataract, unspecified

LAILA RAHMI, A.MA P PNS DAERAH Antenatal screening, unspecified

MASTUR L PNS PUSAT Acute periodontitis

MUSLIKHAN L PNS DAERAH Other anxiety disorders

USMIATI P PENERIMA PENSIUN PNS Dyspepsia

M. MAULANA L PBI (APBN) Hyperparathyroidism, unspecified

SITI AISYAH P PBI (APBN) Thyrotoxicosis [hyperthyroidism]

MASRAH P PBI (APBN) Contraceptive management,


unspecified
BAHRAH P PBI (APBN) Contraceptive management,
unspecified
MUHAMMAD YUSUP L PBI (APBN) Necrosis of pulp

ILMI L PBI (APBN) Essential thrombocytosis

HARUN L PBI (APBN) Dyspepsia

SITI HALIDAH P PBI (APBN) Necrosis of pulp

SHOFIA NOOR AFIFAH P PNS DAERAH Allergic contact dermatitis due to


metals
NORAIDA P PEKERJA MANDIRI Hypertensive heart disease

DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified

supiyah P PEKERJA MANDIRI Carcinoma in situ of breast,


unspecified
NOOR JUBAIDAH A.A P PEKERJA MANDIRI Allergic contact dermatitis

SUCI NURHIDAYATI P PEGAWAI SWASTA Acute haemorrhagic gastritis

AKIFA NAILA P PEKERJA MANDIRI Nausea and vomiting

AHMAD SANI L PEKERJA MANDIRI Dyspepsia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
442 06-03-2018 170406010318Y000078 0002250656627

443 06-03-2018 170406010318Y000091 0002431311118

444 05-03-2018 170406010318Y000059 0000122654801

445 05-03-2018 170406010318Y000062 0000122813313

446 05-03-2018 170406010318Y000054 0000122824495

447 05-03-2018 170406010318Y000050 0000123029032

448 05-03-2018 170406010318Y000055 0000123115061

449 05-03-2018 170406010318Y000049 0000123205533

450 05-03-2018 170406010318Y000064 0000123328754

451 05-03-2018 170406010318Y000056 0000123421228

452 05-03-2018 170406010318Y000053 0000123473272

453 05-03-2018 170406010318Y000070 0000124080805

454 05-03-2018 170406010318Y000327 0000163775867

455 05-03-2018 170406010318Y000067 0000200681943

456 05-03-2018 170406010318Y000057 0000889899074

457 05-03-2018 170406010318Y000051 0000890043535

458 05-03-2018 170406010318Y000325 0000890678632

459 05-03-2018 170406010318Y000060 0000890679058

460 05-03-2018 170406010318Y000072 0000890836435

461 05-03-2018 170406010318Y000063 0000945054145


YULIANTO PONGTULURAN L PEGAWAI SWASTA Calculus of gallbladder without
cholecystitis
napiyah L PEKERJA MANDIRI Senile cataract, unspecified

ERNAWATI P PENERIMA PENSIUN PNS Spondylolysis

M.ASYARI L PNS DAERAH Essential (primary) hypertension

YUDA SYAIFUDDIN L PEKERJA MANDIRI Other specified mental disorders


due to brain damage and
dysfunction

AHMADI L PNS DAERAH End-stage renal disease

ARBANI L PNS DAERAH Non-insulin-dependent diabetes


mellitus without

RASIDI L PNS DAERAH Non-insulin-dependent diabetes


mellitus with

SITI MARIANI P PENERIMA PENSIUN PNS Essential (primary) hypertension

ACHMAD NOOR L PENERIMA PENSIUN PNS Acute haemorrhagic gastritis

CYLVIA SUHARTATI HADIPUTRO, HJ P PENERIMA PENSIUN TNI Disorder of refraction, unspecified

RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Tuberculosis of lung, confirmed by


unspecified

EDISON SITORUS L PNS PUSAT Chronic periodontitis

SITI MARYAM, JD P PENERIMA PENSIUN TNI Senile cataract, unspecified

MANAWIYAH P PBI (APBN) Essential (primary) hypertension

TAUFIK AKHMAD L PBI (APBN) Atherosclerotic cardiovascular


disease, so

WIWI ARIYANI P PBI (APBN) Contraceptive management,


unspecified
ACHMAD RAMADHAN L PBI (APBN) Dyspepsia

RUSMAWATI P PBI (APBN) Essential (primary) hypertension

ANWAR SUKRI L PBI (APBN) Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
462 05-03-2018 170406010318Y000058 0001433414924

463 05-03-2018 170406010318Y000066 0001610595077

464 05-03-2018 170406010318Y000326 0001796551615

465 05-03-2018 170406010318Y000065 0001810491085

466 05-03-2018 170406010318Y000052 0001863928528

467 05-03-2018 170406010318Y000071 0001884486418

468 05-03-2018 170406010318Y000048 0001928424936

469 05-03-2018 170406010318Y000069 0002277325754

470 05-03-2018 170406010318Y000324 0002291502958

471 05-03-2018 170406010318Y000068 0002419160793

472 03-03-2018 170406010318Y000034 0000122622085

473 03-03-2018 170406010318Y000309 0000122654801

474 03-03-2018 170406010318Y000310 0000122717766

475 03-03-2018 170406010318Y000311 0000122718791

476 03-03-2018 170406010318Y000312 0000122718982

477 03-03-2018 170406010318Y000313 0000122718993

478 03-03-2018 170406010318Y000314 0000122719026

479 03-03-2018 170406010318Y000315 0000122719037

480 03-03-2018 170406010318Y000316 0000122719094

481 03-03-2018 170406010318Y000317 0000122719195

482 03-03-2018 170406010318Y000318 0000122719432

483 03-03-2018 170406010318Y000033 0000122824855


SABARIAH P PEKERJA MANDIRI Spondylolysis

NINIK SUSIANI P PEGAWAI SWASTA Headache

SITI AMINAH P PEKERJA MANDIRI Pulpitis

MURSILAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

MARIFATULLAH AWALUDDIN L PEGAWAI SWASTA Systemic lupus erythematosus,

AHMADI L PEKERJA MANDIRI Conjunctivitis

HIDAYATILLAH L PBI (APBD) Paranoid schizophrenia

HADERI L PEKERJA MANDIRI Spondylolysis

ALISHA HANAYYA P PEKERJA MANDIRI Fever of other and unknown origin

SARKUNI L PEKERJA MANDIRI Hyperplasia of prostate

MUHAMMAD TAAT NOOR L PNS DAERAH Congestive heart failure

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

FAULIAH P PNS DAERAH Examination of blood pressure

BURHANUDDIN L PNS DAERAH Examination of blood pressure

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

HERTATI P PNS DAERAH Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

NOORLENA P PNS DAERAH Mixed anxiety and depressive


disorder
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
484 03-03-2018 170406010318Y000307 0000123165178

485 03-03-2018 170406010318Y000319 0000123587021

486 03-03-2018 170406010318Y000320 0000167797361

487 03-03-2018 170406010318Y000321 0000204782804

488 03-03-2018 170406010318Y000041 0000889798994

489 03-03-2018 170406010318Y000306 0000889854445

490 03-03-2018 170406010318Y000042 0000889905205

491 03-03-2018 170406010318Y000039 0000889926276

492 03-03-2018 170406010318Y000045 0000890037257

493 03-03-2018 170406010318Y000308 0000890555253

494 03-03-2018 170406010318Y000043 0000978029818

495 03-03-2018 170406010318Y000047 0001065416422

496 03-03-2018 170406010318Y000028 0001266035253

497 03-03-2018 170406010318Y000029 0001266035848

498 03-03-2018 170406010318Y000035 0001267501601

499 03-03-2018 170406010318Y000036 0001269910967

500 03-03-2018 170406010318Y000046 0001271566315

501 03-03-2018 170406010318Y000032 0001306752142

502 03-03-2018 170406010318Y000038 0001441794846


FIKRIANSYAH L PNS DAERAH Necrosis of pulp

ITA AS P PENERIMA PENSIUN PNS Examination of blood pressure

RENI, AM.KEB P PNS DAERAH Examination of blood pressure

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

abdul rahim L PBI (APBN) Keratitis

AHMAD YANI L PBI (APBN) Necrosis of pulp

FARIDAH P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

ERNA P PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

SALAMAH P PBI (APBN) Dyspepsia

SUTIMAH P PBI (APBN) Contraceptive management,


unspecified
RUSMIATI P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

JAMAIN L PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

AHMAD MUHAMMAD MARZUKI L PEKERJA MANDIRI Rheumatoid nodule, multiple sites

MASTAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

ASRANI L PEKERJA MANDIRI Atherosclerotic cardiovascular


disease, so

ENDANG JUMIATI P PEGAWAI SWASTA Hypertensive heart disease with


(congestive)

NURUL JANNAH P PEKERJA MANDIRI Headache

MAHRITA P PEKERJA MANDIRI Sequelae of cerebral infarction

ANNI NURHIDAYAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
503 03-03-2018 170406010318Y000037 0001744356813

504 03-03-2018 170406010318Y000040 0001794327208

505 03-03-2018 170406010318Y000044 0001797531704

506 03-03-2018 170406010318Y000322 0001873511245

507 03-03-2018 170406010318Y000031 0002079582581

508 03-03-2018 170406010318Y000323 0002207775701

509 03-03-2018 170406010318Y000030 0002213331581

510 02-03-2018 170406010318Y000021 0000122707157

511 02-03-2018 170406010318Y000016 0000123186846

512 02-03-2018 170406010318Y000018 0000123209379

513 02-03-2018 170406010318Y000025 0000123583307

514 02-03-2018 170406010318Y000020 0000889788587

515 02-03-2018 170406010318Y000027 0000889968497

516 02-03-2018 170406010318Y000304 0000890423278

517 02-03-2018 170406010318Y000013 0000890459111

518 02-03-2018 170406010318Y000026 0000890748099

519 02-03-2018 170406010318Y000024 0001264610643

520 02-03-2018 170406010318Y000014 0001279182374

521 02-03-2018 170406010318Y000017 0001303166687

522 02-03-2018 170406010318Y000015 0001778390199

523 02-03-2018 170406010318Y000019 0001797531704


AHMAD BADAWI L PEGAWAI SWASTA Tuberculosis of lung, confirmed by
unspecified

HAMIDI L PEKERJA MANDIRI Essential (primary) hypertension

NUR FAJRINA RUSMADINI P PEGAWAI PEMERINTAH NON Dyspepsia


PNS
MASTANIAH P PEKERJA MANDIRI Examination of blood pressure

NURHIDAYAH P PEKERJA MANDIRI Carcinoma in situ of breast,


unspecified
DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

JAHRATUN SIFA P PEKERJA MANDIRI Down's syndrome, unspecified

FERRY HIDAYAT L PENERIMA PENSIUN TNI Other acute upper respiratory


infections of

MASJADI L PENERIMA PENSIUN PNS Heart failure, unspecified

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus with peripheral circulatory

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Dyspepsia

SYOHIROH P PBI (APBN) Impacted cerumen

IDA ROYANI P PBI (APBN) Placenta praevia

M.TAUFIQURRAHMAN L PBI (APBN) Necrosis of pulp

MAIMUNAH P PBI (APBN) Epilepsy

HAYATUN NUFUS P PBI (APBN) Dyspepsia

MASRIADY L PEKERJA MANDIRI Undifferentiated schizophrenia

AHMAD SYAIPUDIN L PEKERJA MANDIRI Epilepsy, unspecified

SYAEPULLAH L PEKERJA MANDIRI Epilepsy, unspecified

AHMAT SAIDI L PEGAWAI SWASTA Other benign neoplasm of


connective and other soft

NUR FAJRINA RUSMADINI P PEGAWAI PEMERINTAH NON Diseases of pulp and periapical
PNS tissues
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
524 02-03-2018 170406010318Y000305 0001966231078

525 02-03-2018 170406010318Y000023 0002038665756

526 02-03-2018 170406010318Y000022 0002263697166

527 01-03-2018 170406010318Y000002 0000889777383

528 01-03-2018 170406010318Y000302 0000889907534

529 01-03-2018 170406010318Y000011 0000890001088

530 01-03-2018 170406010318Y000303 0000890038899

531 01-03-2018 170406010318Y000541 0001173437425

532 01-03-2018 170406010318Y000001 0001380784746

533 01-03-2018 170406010318Y000004 0001424666294

534 01-03-2018 170406010318Y000008 0001425352858

535 01-03-2018 170406010318Y000007 0001475311195

536 01-03-2018 170406010318Y000010 0001475311533

537 01-03-2018 170406010318Y000012 0001770759887

538 01-03-2018 170406010318Y000009 0001873511245

539 01-03-2018 170406010318Y000006 0001907099032

540 01-03-2018 170406010318P000543 0001978883133

541 01-03-2018 170406010318Y000003 0002047441623

542 01-03-2018 170406010318Y000005 0002219622827


MUHAMMAD KHAIRUL AZHAR L PEKERJA MANDIRI Diseases of pulp and periapical
tissues
ahmad yuseran L PNS PUSAT Headache

MUHAMMAD SAYUTI L PEKERJA MANDIRI Headache

SITI AISAH P PBI (APBN) Abnormality of albumin

NOOR AIDA P PBI (APBN) Antenatal screening, unspecified

MUHAMMAD MAULANA L PBI (APBN) Otitis media, unspecified

FATMAWATI P PBI (APBN) Antenatal screening, unspecified

HIKMAH P PEGAWAI SWASTA Contraceptive management,


unspecified
RAWANSYAH L PEKERJA MANDIRI Gout

FAJRI NANDA L PEKERJA MANDIRI Foreign body in ear

SITI AISYAH P PEKERJA MANDIRI Essential (primary) hypertension

SANTI P PEGAWAI SWASTA Suppurative and unspecified otitis


media
PUTRI NAISA SELA P PEGAWAI SWASTA Impacted cerumen

FAZRIANNOOR L PEGAWAI SWASTA Gout

MASTANIAH P PEKERJA MANDIRI Gout

SUSAN RITA IRENE TORE P PEKERJA MANDIRI Essential (primary) hypertension

SANDRA P PBI (APBN) Complications of anaesthesia


during the

HANUUN P PEKERJA MANDIRI Gastritis, unspecified

SURIANSYAH L PEKERJA MANDIRI Heart failure, unspecified


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