Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601

NO TANGGAL NO KUNJUNGAN NO KARTU

1 29-09-2018 170406010918Y000310 0000122654801

2 29-09-2018 170406010918Y000311 0000122695571

3 29-09-2018 170406010918Y000312 0000122718791

4 29-09-2018 170406010918Y000313 0000122718824

5 29-09-2018 170406010918Y000314 0000122718971

6 29-09-2018 170406010918Y000315 0000122718982

7 29-09-2018 170406010918Y000316 0000122718993

8 29-09-2018 170406010918Y000317 0000122719026

9 29-09-2018 170406010918Y000318 0000122719037

10 29-09-2018 170406010918Y000319 0000122719151

11 29-09-2018 170406010918Y000320 0000122719195

12 29-09-2018 170406010918Y000321 0000122719432

13 29-09-2018 170406010918Y000302 0000122733303

14 29-09-2018 170406010918Y000322 0000122849267

15 29-09-2018 170406010918Y000323 0000123587021

16 29-09-2018 170406010918Y000297 0000123815182

17 29-09-2018 170406010918Y000298 0000158671361

18 29-09-2018 170406010918Y000324 0000204782804

19 29-09-2018 170406010918Y000303 0000889981389

20 29-09-2018 170406010918Y000305 0000890060951

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

DENI ELFENI P PNS DAERAH Examination of blood pressure

DEWI ESTIKA SARI 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

JOHNY RAMOON L PNS PUSAT Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Gout

MEGAWATI P PNS DAERAH Examination of blood pressure

ITA AS P PENERIMA PENSIUN PNS Examination of blood pressure

NOPARISA P PENERIMA PENSIUN PNS Insulin-dependent diabetes

mellitus with

NORHAYATI P PNS PUSAT Heart failure, unspecified

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

JARIAH P PBI (APBN) Contraceptive management,

unspecified
M. ZAINI L PBI (APBN) Headache
DIRUJUK

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Berobat Jalan

Sembuh

Sembuh

Rujuk Lanjut

Rujuk Lanjut

Sembuh

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
21 29-09-2018 170406010918Y000307 0000890495572

22 29-09-2018 170406010918Y000295 0000890532933

23 29-09-2018 170406010918Y000304 0000890632484

24 29-09-2018 170406010918Y000309 0000890746907

25 29-09-2018 170406010918Y000308 0000891219633

26 29-09-2018 170406010918Y000306 0001265576771

27 29-09-2018 170406010918Y000300 0001266035848

28 29-09-2018 170406010918Y000325 0001441794846

29 29-09-2018 170406010918Y000301 0001873511245

30 29-09-2018 170406010918Y000296 0002303736581

31 28-09-2018 170406010918Y000331 0000890302252

32 28-09-2018 170406010918Y000293 0000890328835

33 28-09-2018 170406010918Y000294 0000890761072

34 28-09-2018 170406010918Y000328 0000890784819

35 28-09-2018 170406010918Y000334 0000891241018

36 28-09-2018 170406010918Y000330 0000891634634

37 28-09-2018 170406010918Y000333 0000891668665

38 28-09-2018 170406010918Y000326 0001267501601

39 28-09-2018 170406010918Y000291 0001270013613

40 28-09-2018 170406010918Y000299 0001316257479

41 28-09-2018 170406010918Y000290 0001318164388

FATIMAH P PBI (APBN) Gastritis, unspecified

JAM'AN L PBI (APBN) Undifferentiated schizophrenia

HERIADI L PBI (APBN) Cough

SAPIAH P PBI (APBN) Essential (primary) hypertension

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

unspecified

MASJA P PEKERJA MANDIRI Essential (primary) hypertension

MASTAYAH P PEKERJA MANDIRI Gastritis, unspecified

ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

MASTANIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus
ASMINA P PEKERJA MANDIRI Atherosclerotic cardiovascular
disease, so

MALIAH P PBI (APBN) Gastritis, unspecified

YUSNAN ANANI L PBI (APBN) Undifferentiated schizophrenia

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

mellitus
MELATI INDAH MUSTIKA P PBI (APBN) Acute nasopharyngitis [common
cold]
MUNAWARAH P PBI (APBN) Contraceptive management,
unspecified
BASTIAH P PBI (APBN) Constipation

MUJAIMAH P PBI (APBN) Contraceptive management,

unspecified
ASRANI L PEKERJA MANDIRI Gastritis, unspecified

RUSMAWATI P PEKERJA MANDIRI Other iron deficiency anaemias

ANTUNG SADARIAH P PEKERJA MANDIRI Stroke, not specified as

haemorrhage or infarction
TANKASIANI L PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with
Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Sembuh

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
42 28-09-2018 170406010918Y000329 0001422558099

43 28-09-2018 170406010918Y000292 0001443525816

44 28-09-2018 170406010918Y000327 0001610595088

45 28-09-2018 170406010918Y000332 0002486999902

46 27-09-2018 170406010918Y000284 0000122733303

47 27-09-2018 170406010918Y000288 0000123329542

48 27-09-2018 170406010918Y000285 0000889767178

49 27-09-2018 170406010918Y000287 0000889815609

50 27-09-2018 170406010918Y000338 0000890212026

51 27-09-2018 170406010918Y000337 0000890222984

52 27-09-2018 170406010918Y000286 0000890618736

53 27-09-2018 170406010918Y000289 0000890654883

54 27-09-2018 170406010918Y000335 0000890728839

55 27-09-2018 170406010918Y000283 0001079404659

56 27-09-2018 170406010918Y000336 0002320913193

57 26-09-2018 170406010918Y000279 0000122756927

58 26-09-2018 170406010918Y000274 0000123115061

59 26-09-2018 170406010918Y000276 0000123209379

60 26-09-2018 170406010918Y000339 0000123329957

61 26-09-2018 170406010918Y000277 0000123587021

62 26-09-2018 170406010918Y000342 0000123656174

NOFA SEPITRI P PEKERJA MANDIRI Acute pharyngitis

nurul ma rifah P PEKERJA MANDIRI Epilepsy

AMALIA EKA NINGRUM P PEGAWAI SWASTA Cough

RAFINA YANTI P PEKERJA MANDIRI Asthma

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular

disease, so

CHAIRUL ANWAR L PNS DAERAH Epidemic vertigo

SADIKIN L PBI (APBN) Undifferentiated schizophrenia

UTUH HUDARI L PBI (APBN) Presence of intraocular lens

SYARIFUDINOOR L PBI (APBN) Gastritis, unspecified

ABDUL HAMID L PBI (APBN) Acute pharyngitis

MURHANI L PBI (APBN) Senile cataract

RADIAH P PBI (APBN) Essential (primary) hypertension

NORIDAH P PBI (APBN) Acute pharyngitis

AHMAD SAYUTI L PNS DAERAH Non-insulin-dependent diabetes

mellitus with

RIZKI AULIA P PEKERJA MANDIRI Dyspepsia

ROKHANA P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with peripheral circulatory

ARBANI L PNS DAERAH Non-insulin-dependent diabetes

mellitus
ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes
mellitus with peripheral circulatory

MEGA KESUMA P PNS DAERAH Gout

ITA AS P PENERIMA PENSIUN PNS Essential (primary) hypertension

RUSLANI IBUT L PENERIMA PENSIUN PNS Cough

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
63 26-09-2018 170406010918Y000281 0000196393419

64 26-09-2018 170406010918Y000340 0000889697338

65 26-09-2018 170406010918Y000344 0001190921984

66 26-09-2018 170406010918Y000282 0001264056265

67 26-09-2018 170406010918Y000280 0001317889247

68 26-09-2018 170406010918Y000345 0001381946973

69 26-09-2018 170406010918Y000278 0001437091402

70 26-09-2018 170406010918Y000341 0001814599023

71 26-09-2018 170406010918Y000343 0002061130048

72 26-09-2018 170406010918Y000275 0002263889711

73 25-09-2018 170406010918Y000348 0000122707034

74 25-09-2018 170406010918Y000271 0000122756725

75 25-09-2018 170406010918Y000269 0000889819762

76 25-09-2018 170406010918Y000346 0000890202284

77 25-09-2018 170406010918Y000347 0000890212318

78 25-09-2018 170406010918Y000351 0000890749574

79 25-09-2018 170406010918Y000350 0001266035848

80 25-09-2018 170406010918Y000272 0001307796309

81 25-09-2018 170406010918Y000266 0001328026138

82 25-09-2018 170406010918Y000268 0001385943401

83 25-09-2018 170406010918Y000267 0001789350974

JACKY MANIHIN L PENERIMA PENSIUN POLRI Hyperplasia of prostate

HALIMATUS SADIAH P PBI (APBN) Acute upper respiratory infection,

unspecified
NAYSA PUTRI ALMUNADA P PEGAWAI SWASTA Other and unspecified diseases of
pulp and

NORAIDA P PEKERJA MANDIRI Heart failure, unspecified

RADIAH P PEKERJA MANDIRI Heart failure, unspecified

RINA MISLAWATI P PEGAWAI PEMERINTAH Antenatal screening, unspecified

DENGAN PERJANJIAN

ABD HAMID L PEKERJA MANDIRI Senile cataract, unspecified

M. MUSLIM L PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
M. ASRIANOR L PEGAWAI SWASTA Diseases of pulp and periapical
tissues
MUHAMMAD FIRMANSYAH L PEKERJA MANDIRI Malignant neoplasm of brain,
unspecified
M. MAKI L PENERIMA PENSIUN TNI Otitis externa

AS'ARI ISFANI L PENERIMA PENSIUN PNS Insulin-dependent diabetes

mellitus
SARBANI L PBI (APBN) Other chronic obstructive
pulmonary disease
NOOR SYARIFAH P PBI (APBN) Cough

HALIMAH P PBI (APBN) Hyperlipidaemia, unspecified

RAUDAH P PBI (APBN) Antenatal screening, unspecified

MASTAYAH P PEKERJA MANDIRI Dental caries

ARBAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus
SALAMAH P PEKERJA MANDIRI Undifferentiated schizophrenia

FATHURRAHMAN L PEKERJA MANDIRI Undifferentiated schizophrenia

ERFANSYAH L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus
Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
84 25-09-2018 170406010918Y000349 0001883400502

85 25-09-2018 170406010918Y000273 0002044845753

86 25-09-2018 170406010918Y000270 0002478525118

87 24-09-2018 170406010918Y000255 0000122719162

88 24-09-2018 170406010918Y000253 0000122757276

89 24-09-2018 170406010918Y000261 0000123741707

90 24-09-2018 170406010918Y000352 0000163507184

91 24-09-2018 170406010918Y000357 0000887612646

92 24-09-2018 170406010918Y000264 0000889449028

93 24-09-2018 170406010918Y000257 0000889791568

94 24-09-2018 170406010918Y000256 0000889815609

95 24-09-2018 170406010918Y000258 0000890200732

96 24-09-2018 170406010918Y000262 0000890236337

97 24-09-2018 170406010918Y000259 0000890455048

98 24-09-2018 170406010918Y000265 0000890461146

99 24-09-2018 170406010918Y000358 0000890749574

100 24-09-2018 170406010918Y000356 0000890785405

101 24-09-2018 170406010918Y000260 0000891623619

102 24-09-2018 170406010918Y000263 0001065415105

103 24-09-2018 170406010918Y000355 0001433339752

104 24-09-2018 170406010918Y000354 0001481510891

ROHANI P PEKERJA MANDIRI Gout

muhammad keenan umar dian L PEKERJA MANDIRI Acute nasopharyngitis [common

cold]
SIGIT PORNOMO L PEKERJA MANDIRI Unilateral or unspecified inguinal
hernia, without

RUSLIASARI P PNS PUSAT Parkinson's disease

HJ. MURNI P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with

SUISMADI L PNS DAERAH Spondylolysis

RUSDIANA. HJ P PENERIMA PENSIUN PNS Other and unspecified diseases of

pulp and

RIZA NORJANAH P PBI (APBN) Antenatal screening, unspecified

rama idup L PBI (APBN) Cough

AHMAD L PBI (APBN) Parkinson's disease

UTUH HUDARI L PBI (APBN) Other chronic obstructive

pulmonary disease
FATHUL JANNAH P PBI (APBN) Essential (primary) hypertension

ATIKAH P PBI (APBN) Dyspepsia

ABDULLAH L PBI (APBN) Cough

JAINAH P PBI (APBN) Urticaria

RAUDAH P PBI (APBN) Antenatal screening, unspecified

LIDYA WARDANI P PBI (APBN) Antenatal screening, unspecified

ZAHRAN AUFA AKMAL L PBI (APBN) Acute upper respiratory infections

of multiple and

MASLIANA P PBI (APBN) Allergic contact dermatitis

RUSDIANA HANDAYANI P PEKERJA MANDIRI Antenatal screening, unspecified

MUHAMMAD SUPIANI L PEKERJA MANDIRI Other and unspecified diseases of

pulp and
Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
105 24-09-2018 170406010918Y000353 0001796551615

106 24-09-2018 170406010918Y000252 0002455568526

107 24-09-2018 170406010918Y000254 0002467193466

108 22-09-2018 170406010918Y000249 0000119160911

109 22-09-2018 170406010918Y000361 0000122606188

110 22-09-2018 170406010918Y000247 0000122621141

111 22-09-2018 170406010918Y000359 0000122653631

112 22-09-2018 170406010918Y000362 0000122654801

113 22-09-2018 170406010918Y000363 0000122718791

114 22-09-2018 170406010918Y000364 0000122718824

115 22-09-2018 170406010918Y000365 0000122718971

116 22-09-2018 170406010918Y000366 0000122718982

117 22-09-2018 170406010918Y000368 0000122718993

118 22-09-2018 170406010918Y000369 0000122719026

119 22-09-2018 170406010918Y000370 0000122719037

120 22-09-2018 170406010918Y000371 0000122719195

121 22-09-2018 170406010918Y000372 0000122719206

122 22-09-2018 170406010918Y000373 0000122719432

123 22-09-2018 170406010918Y000374 0000122849267

124 22-09-2018 170406010918Y000248 0000123287253

125 22-09-2018 170406010918Y000375 0000204782804

126 22-09-2018 170406010918Y000367 0000889839314

SITI AMINAH P PEKERJA MANDIRI Dental caries, unspecified

ANISA P PEKERJA MANDIRI Prolonged pregnancy

SURIANSYAH L PEKERJA MANDIRI Disorder of refraction, unspecified

ZIKRY AZHARI L PNS DAERAH Fracture of upper end of radius,

closed
BARKIAH P PNS DAERAH Essential (primary) hypertension

KAMARUDDIN L PNS DAERAH Heart failure, unspecified

SANIAH H KACIL P PNS PUSAT Essential (primary) hypertension

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

DEWI ESTIKA SARI 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

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

MEGAWATI P PNS DAERAH Examination of blood pressure

MUDERAN L PENERIMA PENSIUN PNS Heart failure, unspecified

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

RUSMIYATI P PBI (APBN) Asthma

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Berobat Jalan

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Berobat Jalan

Sembuh

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
127 22-09-2018 170406010918Y000360 0000890465016

128 22-09-2018 170406010918Y000246 0001389842087

129 22-09-2018 170406010918Y000376 0001441794846

130 22-09-2018 170406010918Y000377 0001873511245

131 22-09-2018 170406010918Y000250 0001960739897

132 22-09-2018 170406010918Y000378 0002207775701

133 22-09-2018 170406010918Y000251 0002228752034

134 21-09-2018 170406010918Y000381 0000122654801

135 21-09-2018 170406010918Y000383 0000889827862

136 21-09-2018 170406010918Y000382 0000890212026

137 21-09-2018 170406010918Y000243 0000890423278

138 21-09-2018 170406010918Y000379 0000978029818

139 21-09-2018 170406010918Y000380 0001319216321

140 21-09-2018 170406010918Y000384 0001433417321

141 21-09-2018 170406010918Y000244 0001449943121

142 21-09-2018 170406010918Y000245 0001867189779

143 21-09-2018 170406010918Y000242 0002053662906

144 21-09-2018 170406010918Y000241 0002229571269

145 20-09-2018 170406010918Y000388 0000122330698

146 20-09-2018 170406010918Y000389 0000122719162

147 20-09-2018 170406010918Y000390 0000163507184

RUSMINAH P PBI (APBN) Asthma

MARTA P PEKERJA MANDIRI Insulin-dependent diabetes

mellitus with

ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

MASTANIAH P PEKERJA MANDIRI Examination of blood pressure

CHAIRIANI FARIDA P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

FATIMAH P PEKERJA MANDIRI Undifferentiated schizophrenia

ERNAWATI P PENERIMA PENSIUN PNS Headache

NUR KHATIMAH P PBI (APBN) Acute upper respiratory infection,

unspecified
SYARIFUDINOOR L PBI (APBN) Dyspepsia

M.TAUFIQURRAHMAN L PBI (APBN) Nystagmus and other irregular eye

movements
RUSMIATI P PENERIMA PENSIUN PNS Gout

SITI MARIAM P PEKERJA MANDIRI Essential (primary) hypertension

HAIRIN NUFUS P PEKERJA MANDIRI Tinea corporis

SANIAH P PEKERJA MANDIRI Pulpitis

halimatus sadiah P PEKERJA MANDIRI Caries of dentine

M. ALI WAFA L PEKERJA MANDIRI Hypertrophy of breast

DANIANSYAH L PEKERJA MANDIRI Disorder of refraction, unspecified

HASANAH P PNS PUSAT Myalgia

RUSLIASARI P PNS PUSAT Other and unspecified diseases of

pulp and

RUSDIANA. HJ P PENERIMA PENSIUN PNS Other and unspecified diseases of

pulp and
Berobat Jalan

Rujuk Lanjut

Sembuh

Sembuh

Berobat Jalan

Sembuh

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
148 20-09-2018 170406010918Y000237 0000206005847

149 20-09-2018 170406010918Y000386 0000890001145

150 20-09-2018 170406010918Y000387 0000890340423

151 20-09-2018 170406010918Y000239 0000890843826

152 20-09-2018 170406010918Y000385 0001065413788

153 20-09-2018 170406010918Y000238 0001065414947

154 20-09-2018 170406010918Y000240 0001437665073

155 19-09-2018 170406010918Y000230 0000122811309

156 19-09-2018 170406010918Y000453 0000122824451

157 19-09-2018 170406010918Y000235 0000123209379

158 19-09-2018 170406010918Y000234 0000123329957

159 19-09-2018 170406010918Y000233 0000163851063

160 19-09-2018 170406010918Y000451 0000889726937

161 19-09-2018 170406010918Y000454 0000889800028

162 19-09-2018 170406010918Y000456 0000890345294

163 19-09-2018 170406010918Y000232 0000890405717

164 19-09-2018 170406010918Y000457 0000890826074

165 19-09-2018 170406010918Y000227 0000891056237

166 19-09-2018 170406010918Y000229 0001190921984

167 19-09-2018 170406010918Y000455 0001318164388

168 19-09-2018 170406010918Y000226 0001383901266

169 19-09-2018 170406010918Y000449 0001441794846

HADIANNOR L PNS DAERAH Tuberculosis of lung, confirmed by
unspecified

ARIPA ZAHRA P PBI (APBN) Scabies

SITI FATIMAH P PBI (APBN) Essential (primary) hypertension

KHAIRUDIN L PBI (APBN) Other chronic obstructive

pulmonary disease
SYAIBAH P PBI (APBN) Gout

MASARAH P PBI (APBN) Unspecified chronic bronchitis

RUKAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with

SUHAIMI L PNS DAERAH Acute upper respiratory infection,

unspecified
MURJANI ASNAWI L PNS DAERAH Cough

ANITA P PENERIMA PENSIUN PNS Conjunctivitis

MEGA KESUMA P PNS DAERAH Myalgia

SA DIAH P PENERIMA PENSIUN TNI Dyspepsia

RIZKI RAMADHAN L PBI (APBN) Acute pharyngitis, unspecified

ISNA KLARA P PBI (APBN) Myalgia

RAHMAWATI P PBI (APBN) Leukoplakia of vulva

MISRAN L PBI (APBN) Myalgia

MESTI P PBI (APBN) Contraceptive management,

unspecified
JUMILAH P PBI (APBN) Senile cataract, unspecified

NAYSA PUTRI ALMUNADA P PEGAWAI SWASTA Disturbances in tooth eruption

TANKASIANI L PEKERJA MANDIRI Allergic contact dermatitis

JAMHURI L PEKERJA MANDIRI Essential (primary) hypertension

ANNI NURHIDAYAH P PEKERJA MANDIRI Essential (primary) hypertension

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
170 19-09-2018 170406010918Y000459 0001452940323

171 19-09-2018 170406010918Y000228 0001811732523

172 19-09-2018 170406010918Y000236 0001853219553

173 19-09-2018 170406010918Y000458 0002084192313

174 19-09-2018 170406010918Y000452 0002093457723

175 19-09-2018 170406010918Y000450 0002220765129

176 19-09-2018 170406010918Y000231 0002469003581

177 18-09-2018 170406010918Y000464 0000122330698

178 18-09-2018 170406010918Y000470 0000122620127

179 18-09-2018 170406010918Y000468 0000122756591

180 18-09-2018 170406010918Y000219 0000123189243

181 18-09-2018 170406010918Y000222 0000158013213

182 18-09-2018 170406010918Y000462 0000890310778

183 18-09-2018 170406010918Y000461 0000890617972

184 18-09-2018 170406010918Y000469 0001065412978

185 18-09-2018 170406010918Y000220 0001265731211

186 18-09-2018 170406010918Y000460 0001422558099

187 18-09-2018 170406010918Y000466 0001484006861

188 18-09-2018 170406010918Y000224 0001551258044

189 18-09-2018 170406010918Y000221 0001789350974

190 18-09-2018 170406010918Y000471 0001794111851

RIDHA HAYATI P PEKERJA MANDIRI Contraceptive management,
unspecified
suaibatul aslamiah P PNS PUSAT Hyperlipidaemia, unspecified

nayah hj P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with peripheral circulatory

SUPARMI P PEGAWAI SWASTA Contraceptive management,

unspecified
HARI LISWATI P PEKERJA MANDIRI Hyperlipidaemia, unspecified

RUSNANI P PEKERJA MANDIRI Essential (primary) hypertension

MAHDINI L PEKERJA MANDIRI Essential (primary) hypertension

HASANAH P PNS PUSAT Myalgia

HARTINAH P PNS DAERAH Cutaneous abscess, furuncle and

carbuncle
ABDUL HADI L PENERIMA PENSIUN PNS Myalgia

MISRAN L PNS DAERAH Non-insulin-dependent diabetes

mellitus without

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

RUSMIATI P PBI (APBN) Contraceptive management,

unspecified
SITI RAHMAWATI P PBI (APBN) Contraceptive management,
unspecified
ABDUL HADI L PBI (APBN) Acute pharyngitis

JUMAINAH P PEKERJA MANDIRI Undifferentiated schizophrenia

NOFA SEPITRI P PEKERJA MANDIRI Examination of blood pressure

NOOR JUBAIDAH A.A P PEKERJA MANDIRI Gout

MUHAMMAD FAZERI L PEGAWAI SWASTA Necrosis of pulp

ERFANSYAH L PEKERJA MANDIRI Benign lipomatous neoplasm

NOOR AIDA P PEKERJA MANDIRI Gastritis and duodenitis

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
191 18-09-2018 170406010918Y000225 0001853219553

192 18-09-2018 170406010918Y000465 0002068790163

193 18-09-2018 170406010918Y000223 0002079344935

194 18-09-2018 170406010918Y000467 0002124150535

195 18-09-2018 170406010918Y000463 0002313322424

196 17-09-2018 170406010918Y000205 0000122707034

197 17-09-2018 170406010918Y000202 0000122718993

198 17-09-2018 170406010918Y000217 0000122805303

199 17-09-2018 170406010918Y000215 0000124080805

200 17-09-2018 170406010918Y000472 0000163507184

201 17-09-2018 170406010918Y000208 0000889763624

202 17-09-2018 170406010918Y000476 0000889927885

203 17-09-2018 170406010918Y000478 0000890038899

204 17-09-2018 170406010918Y000218 0000890206582

205 17-09-2018 170406010918Y000213 0000890212026

206 17-09-2018 170406010918Y000211 0000890212318

207 17-09-2018 170406010918Y000477 0000890542539

208 17-09-2018 170406010918Y000210 0000890654883

209 17-09-2018 170406010918Y000479 0000890678632

210 17-09-2018 170406010918Y000214 0000890843826

211 17-09-2018 170406010918Y000475 0000891177164

nayah hj P PEKERJA MANDIRI Counselling, unspecified

SURIANSYAH L PNS DAERAH Dyspepsia

DESSY RETNO EKAWATI P PEGAWAI SWASTA Caries of dentine

FAHRIYAH P PBI (APBN) Unspecified renal colic

JUMIATI P PEKERJA MANDIRI Contraceptive management,

unspecified
M. MAKI L PENERIMA PENSIUN TNI Non-insulin-dependent diabetes
mellitus with

BURHANUDDIN L PNS DAERAH Heart failure, unspecified

MASNUNIAH P PNS DAERAH Hyperlipidaemia, unspecified

RABIATUL MAJDIAH P PENERIMA PENSIUN PNS Acute upper respiratory infection,

unspecified
RUSDIANA. HJ P PENERIMA PENSIUN PNS Other and unspecified diseases of
pulp and

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

haemorrhage or infarction
HAMIDAH P PBI (APBN) Contraceptive management,
unspecified
FATMAWATI P PBI (APBN) Antenatal screening, unspecified

MAWARNI P PBI (APBN) Unspecified renal colic

SYARIFUDINOOR L PBI (APBN) Dyspepsia

HALIMAH P PBI (APBN) Hyperlipidaemia, unspecified

RATNA YULIA P PBI (APBN) Antenatal screening, unspecified

RADIAH P PBI (APBN) Diarrhoea and gastroenteritis of

presumed infectious origin

WIWI ARIYANI P PBI (APBN) Antenatal screening, unspecified

KHAIRUDIN L PBI (APBN) Cough

YULIANA P PBI (APBN) Antenatal screening, unspecified

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
212 17-09-2018 170406010918Y000474 0000891603437

213 17-09-2018 170406010918Y000473 0000891604135

214 17-09-2018 170406010918Y000216 0001065673618

215 17-09-2018 170406010918Y000209 0001260971065

216 17-09-2018 170406010918Y000204 0001795247684

217 17-09-2018 170406010918Y000212 0001859978619

218 17-09-2018 170406010918Y000203 0001967109647

219 17-09-2018 170406010918Y000206 0002204292003

220 17-09-2018 170406010918Y000207 0002431209712

221 15-09-2018 170406010918Y000486 0000122654801

222 15-09-2018 170406010918Y000482 0000122695571

223 15-09-2018 170406010918Y000194 0000122707091

224 15-09-2018 170406010918Y000195 0000122707091

225 15-09-2018 170406010918Y000481 0000122717766

226 15-09-2018 170406010918Y000483 0000122718791

227 15-09-2018 170406010918Y000484 0000122718982

228 15-09-2018 170406010918Y000485 0000122718993

229 15-09-2018 170406010918Y000487 0000122719026

230 15-09-2018 170406010918Y000488 0000122719037

231 15-09-2018 170406010918Y000489 0000122719151

232 15-09-2018 170406010918Y000490 0000122719195

MURSIDI L PBI (APBN) Other and unspecified diseases of
pulp and

FEBRY YANSYAH EKA PUTRA L PBI (APBN) Other and unspecified diseases of
pulp and

riska HASANAH P PBI (APBN) Haemorrhoids

PUTRI TARUNA SYAIKA ANE REZKY P PEKERJA MANDIRI Thalassaemia

ASMALITA P PEKERJA MANDIRI Pterygium

NORHAYATI P PEKERJA MANDIRI Hyperlipidaemia, unspecified

DWI RIDHA YULIANTI P PEGAWAI SWASTA Follicular cyst of ovary

ANIDA YUSPA P PEGAWAI PEMERINTAH Other and unspecified abdominal

DENGAN PERJANJIAN pain

RAHMANI L PEKERJA MANDIRI Hypertensive heart disease

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ERNI RAHMI P PNS DAERAH Examination of blood pressure

OMAN SUDARMAN L PENERIMA PENSIUN TNI Acute periodontitis

OMAN SUDARMAN L PENERIMA PENSIUN TNI Acute periodontitis

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

JOHNY RAMOON L PNS PUSAT Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Sembuh

Sembuh

Berobat Jalan

Berobat Jalan

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
233 15-09-2018 170406010918Y000491 0000122719206

234 15-09-2018 170406010918Y000492 0000122719509

235 15-09-2018 170406010918Y000493 0000122849267

236 15-09-2018 170406010918Y000179 0000123209379

237 15-09-2018 170406010918Y000198 0000123405873

238 15-09-2018 170406010918Y000187 0000123587021

239 15-09-2018 170406010918Y000183 0000204782804

240 15-09-2018 170406010918Y000516 0000889981389

241 15-09-2018 170406010918Y000193 0000890042231

242 15-09-2018 170406010918Y000480 0000890042782

243 15-09-2018 170406010918Y000196 0000890199988

244 15-09-2018 170406010918Y000199 0000890450109

245 15-09-2018 170406010918Y000184 0000890561733

246 15-09-2018 170406010918Y000181 0000890678632

247 15-09-2018 170406010918Y000186 0000890678709

248 15-09-2018 170406010918Y000185 0000890681038

249 15-09-2018 170406010918Y000182 0000890786946

250 15-09-2018 170406010918Y000188 0000891219633

251 15-09-2018 170406010918Y000192 0000978029818

252 15-09-2018 170406010918Y000180 0001127483177

253 15-09-2018 170406010918Y000189 0001266035848

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

MEGAWATI P PNS DAERAH Examination of blood pressure

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes

mellitus without

NGADIMIN L PNS PUSAT Acute periodontitis

ITA AS P PENERIMA PENSIUN PNS Dyspepsia

SITI PATIMAH P PENERIMA PENSIUN PNS Spondylolysis

JARIAH P PBI (APBN) Contraceptive management,

unspecified
KHAIRIADI L PBI (APBN) Conjunctivitis

HUSNA P PBI (APBN) Contraceptive management,

unspecified
RAHMAT ARIANSYAH L PBI (APBN) Spondylolysis

NOOR EFFENDI L PBI (APBN) Necrosis of pulp

SURIADI L PBI (APBN) Non-insulin-dependent diabetes

mellitus with

WIWI ARIYANI P PBI (APBN) Influenza, virus not identified

NOOR MULYANI P PBI (APBN) Cough

BAHJAH P PBI (APBN) Essential (primary) hypertension

SITI AISYAH P PBI (APBN) Essential (primary) hypertension

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

unspecified

RUSMIATI P PENERIMA PENSIUN PNS Gout

ARBAIN L PEGAWAI SWASTA Acute pharyngitis

MASTAYAH P PEKERJA MANDIRI Caries of dentine

Sembuh

Sembuh

Sembuh

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
254 15-09-2018 170406010918Y000494 0001266035848

255 15-09-2018 170406010918Y000191 0001382175786

256 15-09-2018 170406010918Y000495 0001441794846

257 15-09-2018 170406010918Y000200 0001821774969

258 15-09-2018 170406010918Y000496 0001873511245

259 15-09-2018 170406010918Y000190 0002053007019

260 15-09-2018 170406010918Y000497 0002207775701

261 15-09-2018 170406010918Y000201 0002291525008

262 15-09-2018 170406010918Y000197 0002428492072

263 14-09-2018 170406010918Y000172 0000123583307

264 14-09-2018 170406010918Y000177 0000123583307

265 14-09-2018 170406010918Y000175 0000158013213

266 14-09-2018 170406010918Y000167 0000168310798

267 14-09-2018 170406010918Y000498 0000889697338

268 14-09-2018 170406010918Y000517 0000890042782

269 14-09-2018 170406010918Y000178 0000890480856

270 14-09-2018 170406010918Y000168 0000890539097

271 14-09-2018 170406010918Y000173 0000890838584

272 14-09-2018 170406010918Y000499 0000891168748

273 14-09-2018 170406010918Y000174 0000891634825

274 14-09-2018 170406010918Y000170 0000891668665

275 14-09-2018 170406010918Y000171 0001065417208

276 14-09-2018 170406010918Y000169 0001425352072

MASTAYAH P PEKERJA MANDIRI Examination of blood pressure

M.NADHIF RAZAN EL DANESH L PNS DAERAH Necrosis of pulp

ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

NUR AINA P PEKERJA MANDIRI Allergic contact dermatitis

MASTANIAH P PEKERJA MANDIRI Examination of blood pressure

BAHRAN L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

putri humaira P PBI (APBN) Influenza, virus not identified

MISBAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Presence of intraocular lens

RITTA CHAIRIAH P PENERIMA PENSIUN PNS Necrosis of pulp

M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Periodontosis

AISYA MUTIA HUMAIROH P PNS PUSAT Disorder of refraction, unspecified

HALIMATUS SADIAH P PBI (APBN) Contraceptive management,

unspecified
HUSNA P PBI (APBN) Contraceptive management,
unspecified
M SAAT L PBI (APBN) Acute periodontitis

SAHWATI P PBI (APBN) Other dermatitis

IYA P PBI (APBN) Acute pharyngitis

PARIDAH P PBI (APBN) Contraceptive management,

unspecified
HANA SALSABILA P PBI (APBN) Acute pharyngitis

MUJAIMAH P PBI (APBN) Dyspepsia

SYAMSUDIN L PBI (APBN) Cough

SYUKRAN L PEKERJA MANDIRI Asthma

Sembuh

Berobat Jalan

Sembuh

Berobat Jalan

Sembuh

Berobat Jalan

Sembuh

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
277 14-09-2018 170406010918Y000176 0002251470666

278 13-09-2018 170406010918Y000166 0000122653631

279 13-09-2018 170406010918Y000148 0000123302812

280 13-09-2018 170406010918Y000160 0000123844768

281 13-09-2018 170406010918Y000158 0000889796981

282 13-09-2018 170406010918Y000161 0000889912181

283 13-09-2018 170406010918Y000502 0000890029383

284 13-09-2018 170406010918Y000151 0000890342234

285 13-09-2018 170406010918Y000150 0000890342302

286 13-09-2018 170406010918Y000157 0000890367377

287 13-09-2018 170406010918Y000163 0000890490159

288 13-09-2018 170406010918Y000149 0000890495572

289 13-09-2018 170406010918Y000159 0000890843826

290 13-09-2018 170406010918Y000152 0001302569829

291 13-09-2018 170406010918Y000500 0001786622196

292 13-09-2018 170406010918Y000164 0001810491085

293 13-09-2018 170406010918Y000162 0001868734877

294 13-09-2018 170406010918Y000154 0001878842136

295 13-09-2018 170406010918Y000153 0002093457723

296 13-09-2018 170406010918Y000501 0002231648234

297 13-09-2018 170406010918Y000155 0002293560178

298 13-09-2018 170406010918Y000156 0002293560538

FARHAN KHAZIN L PNS PUSAT Necrosis of pulp

SANIAH H KACIL P PNS PUSAT Gout

SUBONO L PENERIMA PENSIUN PNS Heart failure, unspecified

MAWARDAH P PENERIMA PENSIUN PNS Cutaneous abscess, furuncle and

carbuncle
HILMA P PBI (APBN) Caries of dentine

AHMAD RIJAL L PBI (APBN) Allergic contact dermatitis

RAIHANA RIDA P PBI (APBN) Contraceptive management,

unspecified
AYU ANGGRAINI P PBI (APBN) Influenza, virus not identified

WAHYU ADHITYA L PBI (APBN) Acute upper respiratory infections

of multiple and

AKHMAD MAULANA L PBI (APBN) Asthma

SITI WAHIDAH P PBI (APBN) Tuberculosis of lung, confirmed by

unspecified

FATIMAH P PBI (APBN) Acute upper respiratory infection,

unspecified
KHAIRUDIN L PBI (APBN) Acute upper respiratory infection,
unspecified
MANSYAH L PEKERJA MANDIRI Cough

SRI YULIANTI P PEKERJA MANDIRI Contraceptive management,

unspecified
MURSILAH P PEKERJA MANDIRI Dyspepsia

KASINAH P PEKERJA MANDIRI Myalgia

LIA NOOR RAHMAN P PEGAWAI SWASTA Dyspepsia

HARI LISWATI P PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus without

NURJANAH P PEGAWAI SWASTA Antenatal screening, unspecified

IRHAN, H L PEKERJA MANDIRI Essential (primary) hypertension

NORHAYATI, HJ P PEKERJA MANDIRI Conjunctivitis

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
299 13-09-2018 170406010918Y000165 0002460920297

300 13-09-2018 170406010918Y000147 0002485755257

301 12-09-2018 170406010918Y000124 0000122706988

302 12-09-2018 170406010918Y000132 0000123209379

303 12-09-2018 170406010918Y000507 0000124715428

304 12-09-2018 170406010918Y000123 0000889377322

305 12-09-2018 170406010918Y000506 0000889769823

306 12-09-2018 170406010918Y000505 0000889931463

307 12-09-2018 170406010918Y000509 0000889939686

308 12-09-2018 170406010918Y000503 0000890002124

309 12-09-2018 170406010918Y000504 0000890017211

310 12-09-2018 170406010918Y000136 0000890212026

311 12-09-2018 170406010918Y000125 0000890313906

312 12-09-2018 170406010918Y000143 0000890338375

313 12-09-2018 170406010918Y000508 0000890338375

314 12-09-2018 170406010918Y000139 0000890512986

315 12-09-2018 170406010918Y000137 0000890681038

316 12-09-2018 170406010918Y000130 0000890702526

317 12-09-2018 170406010918Y000133 0000891505484

318 12-09-2018 170406010918Y000129 0000894552952

319 12-09-2018 170406010918Y000131 0001318164388

320 12-09-2018 170406010918Y000140 0001437665073

MALIYAH HJ P PEKERJA MANDIRI Benign lipomatous neoplasm

MASTAINAH P PEKERJA MANDIRI Carcinoma in situ of breast,

unspecified
KASPUL ANWAR, H L PENERIMA PENSIUN TNI Hyperplasia of prostate

ANITA P PENERIMA PENSIUN PNS Spondylolysis

MASRUKIAH P PENERIMA PENSIUN PNS Other and unspecified diseases of

pulp and

ZAINAL ARIFIN L PBI (APBN) Asthma

SUMIATI P PBI (APBN) Contraceptive management,

unspecified
IRNAWATI P PBI (APBN) Examination of blood pressure

MUHAMMAD RIYADI L PBI (APBN) Dental caries

GUSNAWATI P PBI (APBN) Contraceptive management,

unspecified
AMAH P PBI (APBN) Antenatal screening, unspecified

SYARIFUDINOOR L PBI (APBN) Spondylolysis

SYARNIAH P PBI (APBN) Hypertensive heart disease

jubaidah P PBI (APBN) Acute haemorrhagic gastritis

jubaidah P PBI (APBN) Necrosis of pulp

JALEHA P PBI (APBN) Dyspepsia

BAHJAH P PBI (APBN) Essential (primary) hypertension

FITRI CITRAWATI P PBI (APBN) Diarrhoea and gastroenteritis of

presumed infectious origin

RUSDA P PBI (APBN) Acute haemorrhagic gastritis

MAYASARI P PBI (APBN) Twin pregnancy

TANKASIANI L PEKERJA MANDIRI Dyspepsia

RUKAYAH P PEKERJA MANDIRI Spondylolysis

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
321 12-09-2018 170406010918Y000128 0001442907821

322 12-09-2018 170406010918Y000134 0001550569779

323 12-09-2018 170406010918Y000126 0001786617786

324 12-09-2018 170406010918Y000138 0001827796612

325 12-09-2018 170406010918Y000122 0001863928528

326 12-09-2018 170406010918Y000142 0001873511245

327 12-09-2018 170406010918Y000135 0002093457723

328 12-09-2018 170406010918Y000141 0002229571269

329 12-09-2018 170406010918Y000127 0002478726437

330 11-09-2018 170406010918P000518 0001978883133

331 10-09-2018 170406010918Y000117 0000122757276

332 10-09-2018 170406010918Y000113 0000123029032

333 10-09-2018 170406010918Y000111 0000124003618

334 10-09-2018 170406010918Y000118 0000889819762

335 10-09-2018 170406010918Y000121 0000889830786

336 10-09-2018 170406010918Y000144 0000890061456

337 10-09-2018 170406010918Y000510 0000890341863

338 10-09-2018 170406010918Y000119 0000890405717

339 10-09-2018 170406010918Y000115 0000890467964

340 10-09-2018 170406010918Y000146 0000890678632

341 10-09-2018 170406010918Y000120 0000891661871

342 10-09-2018 170406010918Y000145 0000891661904

HUSAINI L PEKERJA MANDIRI Heart failure, unspecified

M SUGIANNOR L PEGAWAI SWASTA Allergic contact dermatitis

masriah P PEKERJA MANDIRI Heart failure, unspecified

SUCI NURHIDAYATI P PEGAWAI SWASTA Dyspepsia

MARIFATULLAH AWALUDDIN L PEGAWAI SWASTA Systemic lupus erythematosus,

MASTANIAH P PEKERJA MANDIRI Essential (primary) hypertension

HARI LISWATI P PEKERJA MANDIRI Hyperlipidaemia, unspecified

DANIANSYAH L PEKERJA MANDIRI Diarrhoea and gastroenteritis of

presumed infectious origin

MASITAH P PEKERJA MANDIRI Cardiomegaly

SANDRA P PBI (APBN) Complications of anaesthesia

during the

HJ. MURNI P PENERIMA PENSIUN PNS Essential (primary) hypertension

AHMADI L PNS DAERAH End-stage renal disease

MUNIROH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus with

SARBANI L PBI (APBN) Influenza due to other identified

influenza virus
RISKA AMALIA PUTRI P PBI (APBN) Asthma

MASNIAH P PBI (APBN) Essential (primary) hypertension

RENNY SETIA NINGSIH P PBI (APBN) Antenatal screening, unspecified

MISRAN L PBI (APBN) Myalgia

MURHAN BASERI L PBI (APBN) Cough

WIWI ARIYANI P PBI (APBN) Cough

MASRAH P PBI (APBN) Gastritis and duodenitis

MUHAMMAD HADINI L PBI (APBN) Cough

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
343 10-09-2018 170406010918Y000112 0001078411318

344 10-09-2018 170406010918Y000114 0001266035848

345 10-09-2018 170406010918Y000511 0001801331807

346 10-09-2018 170406010918Y000116 0002216666801

347 10-09-2018 170406010918Y000512 0002478490672

348 08-09-2018 170406010918Y000435 0000122654801

349 08-09-2018 170406010918Y000436 0000122695571

350 08-09-2018 170406010918Y000437 0000122718791

351 08-09-2018 170406010918Y000438 0000122718824

352 08-09-2018 170406010918Y000439 0000122718903

353 08-09-2018 170406010918Y000440 0000122718971

354 08-09-2018 170406010918Y000441 0000122718982

355 08-09-2018 170406010918Y000442 0000122718993

356 08-09-2018 170406010918Y000443 0000122719026

357 08-09-2018 170406010918Y000446 0000122719151

358 08-09-2018 170406010918Y000444 0000122719195

359 08-09-2018 170406010918Y000445 0000122719206

360 08-09-2018 170406010918Y000447 0000122849267

361 08-09-2018 170406010918Y000099 0000124715428

362 08-09-2018 170406010918Y000448 0000204782804

363 08-09-2018 170406010918Y000103 0000889713292

RUSTINI P PNS PUSAT Anal fissure, unspecified

MASTAYAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

SITI AISYAH P PEKERJA MANDIRI Antenatal screening, unspecified

ATAYA DWI RAFKA L PEGAWAI SWASTA Acute nasopharyngitis [common

cold]
JUMRATUL FITRIANI P PEKERJA MANDIRI Examination of blood pressure

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

ERNI RAHMI P PNS DAERAH Examination of blood pressure

DENI ELFENI P PNS DAERAH Examination of blood pressure

DEWI ESTIKA SARI P PNS DAERAH Examination of blood pressure

ENDAH HARYANI, A.MKEB 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 Special examination, unspecified

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

JOHNY RAMOON L PNS PUSAT Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

MEGAWATI P PNS DAERAH Examination of blood pressure

MASRUKIAH P PENERIMA PENSIUN PNS Conjunctivitis

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

YADI L PBI (APBN) Benign lipomatous neoplasm of

other sites
Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Sembuh

Berobat Jalan

Sembuh

Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
364 08-09-2018 170406010918Y000434 0000890074754

365 08-09-2018 170406010918Y000106 0000890681038

366 08-09-2018 170406010918Y000110 0000890783379

367 08-09-2018 170406010918Y000109 0000890786946

368 08-09-2018 170406010918Y000097 0001269910967

369 08-09-2018 170406010918Y000513 0001298136914

370 08-09-2018 170406010918Y000102 0001382175786

371 08-09-2018 170406010918Y000101 0001424667273

372 08-09-2018 170406010918Y000108 0001425352072

373 08-09-2018 170406010918Y000098 0001437665073

374 08-09-2018 170406010918Y000514 0001441794846

375 08-09-2018 170406010918Y000100 0001460053989

376 08-09-2018 170406010918Y000107 0001465179524

377 08-09-2018 170406010918Y000515 0002207775701

378 08-09-2018 170406010918Y000104 0002219622827

379 08-09-2018 170406010918Y000105 0002265929111

380 07-09-2018 170406010918Y000075 0000122728195

381 07-09-2018 170406010918Y000088 0000122738387

382 07-09-2018 170406010918Y000084 0000123807025

383 07-09-2018 170406010918Y000081 0000123807036

384 07-09-2018 170406010918Y000091 0000890030597

385 07-09-2018 170406010918Y000432 0000890053525

BAHRAH P PBI (APBN) Contraceptive management,
unspecified
BAHJAH P PBI (APBN) Essential (primary) hypertension

MOH HASAN BISRI L PBI (APBN) Cough

SITI AISYAH P PBI (APBN) Essential (primary) hypertension

ENDANG JUMIATI P PEGAWAI SWASTA Heart failure, unspecified

MAHWATI P PEKERJA MANDIRI Examination of blood pressure

M.NADHIF RAZAN EL DANESH L PNS DAERAH Caries of dentine

NORHAIRINAH P PEKERJA MANDIRI Blighted ovum and

nonhydatidiform mole
SYUKRAN L PEKERJA MANDIRI Asthma

RUKAYAH P PEKERJA MANDIRI Senile cataract, unspecified

ANNI NURHIDAYAH P PEKERJA MANDIRI Examination of blood pressure

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

AMIR L PEKERJA MANDIRI Dyspepsia

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

SURIANSYAH L PEKERJA MANDIRI Heart failure, unspecified

NURSIAH P 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
MUHAMMAD HUSNI L PENERIMA PENSIUN PNS Disorder of refraction, unspecified

NORMI ULFAH P PENERIMA PENSIUN PNS Disorder of refraction, unspecified

HANIPAH P PBI (APBN) Essential (primary) hypertension

MARIANA P PBI (APBN) Contraceptive management,

unspecified
Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Sembuh

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Sembuh

Berobat Jalan

Berobat Jalan

Sembuh

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
386 07-09-2018 170406010918Y000083 0000890203083

387 07-09-2018 170406010918Y000431 0000890882469

388 07-09-2018 170406010918Y000093 0000891229678

389 07-09-2018 170406010918Y000076 0000976814976

390 07-09-2018 170406010918Y000078 0000976815178

391 07-09-2018 170406010918Y000430 0001173437425

392 07-09-2018 170406010918Y000080 0001173437447

393 07-09-2018 170406010918Y000092 0001265576771

394 07-09-2018 170406010918Y000087 0001286578293

395 07-09-2018 170406010918Y000089 0001286581386

396 07-09-2018 170406010918Y000077 0001433414924

397 07-09-2018 170406010918Y000086 0001451368113

398 07-09-2018 170406010918Y000433 0001484092181

399 07-09-2018 170406010918Y000095 0001660140314

400 07-09-2018 170406010918Y000096 0001770759887

401 07-09-2018 170406010918Y000079 0001794328727

402 07-09-2018 170406010918Y000085 0001877935768

403 07-09-2018 170406010918Y000094 0001928425263

404 07-09-2018 170406010918Y000074 0002205284128

405 07-09-2018 170406010918Y000082 0002251470666

406 07-09-2018 170406010918Y000090 0002438267005

407 06-09-2018 170406010918Y000070 0000889789689

gazali RAHMAN L PBI (APBN) Undifferentiated schizophrenia

MAHDA LENA P PBI (APBN) Contraceptive management,

unspecified
RAYSA SULISTIYAWATI P PBI (APBN) Acute upper respiratory infection,
unspecified
AHMAD DHIYAI SYABANI L PNS PUSAT Thalassaemia, unspecified

MUHAMMAD NOOR SYABANI L PNS PUSAT Acute lymphoblastic leukaemia

HIKMAH P PEGAWAI SWASTA Contraceptive management,

unspecified
ADHA AZ ZAHRA P PEGAWAI SWASTA Caries of dentine

MASJA P PEKERJA MANDIRI Influenza with pneumonia,

influenza virus identified

MAHFUD L PNS DAERAH Atherosclerotic heart disease

SITI MARIYAM L PNS DAERAH Sequelae of cerebral infarction

SABARIAH P PEKERJA MANDIRI Atherosclerotic heart disease

DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified

FITRIA P PEKERJA MANDIRI Antenatal screening, unspecified

MARISA ZENERA P PEGAWAI SWASTA Acute upper respiratory infections

of multiple and

FAZRIANNOOR L PEGAWAI SWASTA Malaise and fatigue

SAIDAH P PEKERJA MANDIRI Moderate depressive episode

norsabah P PEKERJA MANDIRI Parkinson's disease

NOORMANSYAH L PBI (APBD) Asthma

SAFRUDIN L PEKERJA MANDIRI Undifferentiated schizophrenia

FARHAN KHAZIN L PNS PUSAT Necrosis of pulp

FITRIA P PEKERJA MANDIRI Allergic contact dermatitis

JAMIAH P PBI (APBN) Acute upper respiratory infection,

unspecified
Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
408 06-09-2018 170406010918Y000063 0000889951116

409 06-09-2018 170406010918Y000073 0000889956854

410 06-09-2018 170406010918Y000067 0000890202284

411 06-09-2018 170406010918Y000427 0000890728839

412 06-09-2018 170406010918Y000072 0000890742587

413 06-09-2018 170406010918Y000428 0000890767427

414 06-09-2018 170406010918Y000064 0000891218417

415 06-09-2018 170406010918Y000068 0000891219633

416 06-09-2018 170406010918Y000425 0000891529964

417 06-09-2018 170406010918Y000065 0001078411318

418 06-09-2018 170406010918Y000066 0001266790847

419 06-09-2018 170406010918Y000429 0001385980176

420 06-09-2018 170406010918Y000071 0001437665073

421 06-09-2018 170406010918Y000069 0001446999906

422 06-09-2018 170406010918Y000426 0001827796612

423 06-09-2018 170406010918Y000424 0002442650466

424 05-09-2018 170406010918Y000061 0000890212318

425 05-09-2018 170406010918Y000422 0000890312793

426 05-09-2018 170406010918Y000053 0001279182374

427 05-09-2018 170406010918Y000054 0001298136442

428 05-09-2018 170406010918Y000057 0001306752142

429 05-09-2018 170406010918Y000423 0001791969311

SITI AISYAH P PBI (APBN) Thyrotoxicosis [hyperthyroidism]

BAHRUL BASRI L PBI (APBN) Essential (primary) hypertension

NOOR SYARIFAH P PBI (APBN) Cough

NORIDAH P PBI (APBN) Antenatal screening, unspecified

NOOR ANISA P PBI (APBN) Necrosis of pulp

MURSIDAH P PBI (APBN) Contraceptive management,

unspecified
TABRI L PBI (APBN) Essential (primary) hypertension

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

sputum microscopy with or without

AYU PALASARI P PBI (APBN) Antenatal screening, unspecified

RUSTINI P PNS PUSAT Haemorrhoids

RABIATUL JANAINAH P KEPOLISIAN RI Acute tonsillitis

RUSMAH P PEKERJA MANDIRI Other and unspecified diseases of

pulp and

RUKAYAH P PEKERJA MANDIRI Heart failure, unspecified

RAHIMAH P PEKERJA MANDIRI Acute upper respiratory infection,

unspecified
SUCI NURHIDAYATI P PEGAWAI SWASTA Antenatal screening, unspecified

AMINAH P PEKERJA MANDIRI Contraceptive management,

unspecified
HALIMAH P PBI (APBN) Spondylolysis

FINA MURWARINI P PBI (APBN) Antenatal screening, unspecified

AHMAD SYAIPUDIN L PEKERJA MANDIRI Epilepsy

ABU BAKAR L PEKERJA MANDIRI Iron deficiency anaemia

MAHRITA P PEKERJA MANDIRI Essential (primary) hypertension

isrina P PEKERJA MANDIRI Antenatal screening, unspecified

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
430 05-09-2018 170406010918Y000058 0001793642095

431 05-09-2018 170406010918Y000421 0001839006876

432 05-09-2018 170406010918Y000056 0002043596608

433 05-09-2018 170406010918Y000062 0002065412452

434 05-09-2018 170406010918Y000055 0002314068906

435 04-09-2018 170406010918Y000059 0000118875903

436 04-09-2018 170406010918Y000418 0000122824258

437 04-09-2018 170406010918Y000414 0000122824451

438 04-09-2018 170406010918Y000413 0000123189243

439 04-09-2018 170406010918Y000420 0000158013213

440 04-09-2018 170406010918Y000048 0000889376703

441 04-09-2018 170406010918Y000417 0000890843826

442 04-09-2018 170406010918Y000415 0000891205975

443 04-09-2018 170406010918Y000060 0001065414047

444 04-09-2018 170406010918Y000419 0001079882188

445 04-09-2018 170406010918Y000412 0001261691144

446 04-09-2018 170406010918Y000045 0001267501601

447 04-09-2018 170406010918Y000050 0001271566315

448 04-09-2018 170406010918Y000416 0001302569829

449 04-09-2018 170406010918Y000046 0001322442448

450 04-09-2018 170406010918Y000052 0001810489083

451 04-09-2018 170406010918Y000043 0001928424936

KASPIAH P PENERIMA PENSIUN PNS Sciatica

ANIDA P PEKERJA MANDIRI Examination of blood pressure

MARTINI P PBI (APBD) Epilepsy

PANG SING KOK L PEKERJA MANDIRI Constipation

ARBAYAH P PEKERJA MANDIRI Dyspepsia

DARINI KURNIAWATI P PNS DAERAH Myalgia

AMRULLAH L PNS DAERAH Other and unspecified diseases of

pulp and

MURJANI ASNAWI L PNS DAERAH Essential (primary) hypertension

MISRAN L PNS DAERAH Non-insulin-dependent diabetes

mellitus
M. SALEH MARAN, DRS L PENERIMA PENSIUN PNS Other and unspecified diseases of
pulp and

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

KHAIRUDIN L PBI (APBN) Non-insulin-dependent diabetes

mellitus without

MUHAMMAD RIZKI L PBI (APBN) Cough

JAMHURI L PBI (APBN) Acute upper respiratory infection,

unspecified
MUSTAFA KAMAL L PNS DAERAH Caries of dentine

JURAHMAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes

mellitus
ASRANI L PEKERJA MANDIRI Atherosclerotic heart disease

NURUL JANNAH P PEKERJA MANDIRI Ganglion

MANSYAH L PEKERJA MANDIRI Cough

PATIMAH P PEKERJA MANDIRI Undifferentiated schizophrenia

SYARKAWI L PEKERJA MANDIRI Stroke, not specified as

haemorrhage or infarction
HIDAYATILLAH L PBI (APBD) Paranoid schizophrenia
Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
452 04-09-2018 170406010918Y000049 0002244183862

453 04-09-2018 170406010918Y000051 0002286853053

454 04-09-2018 170406010918Y000047 0002309476781

455 04-09-2018 170406010918Y000044 0002467175905

456 03-09-2018 170406010918Y000022 0000122707135

457 03-09-2018 170406010918Y000024 0000122813403

458 03-09-2018 170406010918Y000035 0000123029032

459 03-09-2018 170406010918Y000041 0000123421228

460 03-09-2018 170406010918Y000037 0000123702625

461 03-09-2018 170406010918Y000028 0000202899407

462 03-09-2018 170406010918Y000021 0000889742204

463 03-09-2018 170406010918Y000410 0000889935658

464 03-09-2018 170406010918Y000033 0000890043726

465 03-09-2018 170406010918Y000032 0000890820944

466 03-09-2018 170406010918Y000411 0000891581927

467 03-09-2018 170406010918Y000031 0001291826709

468 03-09-2018 170406010918Y000026 0001303265597

469 03-09-2018 170406010918Y000023 0001318164388

470 03-09-2018 170406010918Y000036 0001325524151

471 03-09-2018 170406010918Y000038 0001465179524

472 03-09-2018 170406010918Y000030 0001610595066

473 03-09-2018 170406010918Y000040 0001610595077

H. M. HATTA L PEKERJA MANDIRI End-stage renal disease

FATHAN GHAZI RAIHAN L PNS DAERAH Erb's paralysis due to birth injury

HASBIANNOR L PEKERJA MANDIRI Stroke, not specified as

haemorrhage or infarction
MUHAMMAD ARSYAD L PEKERJA MANDIRI End-stage renal disease

SITI FATIMAH P PENERIMA PENSIUN TNI Stroke, not specified as

haemorrhage or infarction
FITRIATI P PENERIMA PENSIUN PNS Surgical follow-up care,
unspecified
AHMADI L PNS DAERAH End-stage renal disease

ACHMAD NOOR L PENERIMA PENSIUN PNS Spondylolysis

AMSIAH P PENERIMA PENSIUN PNS Influenza, virus not identified

SITI BARKIS P PENERIMA PENSIUN PNS Dyspepsia

RAHMAN SADIKIN L PBI (APBN) Thalassaemia, unspecified

RAHMAWATI P PBI (APBN) Examination of blood pressure

RAFI AKHMAD L PBI (APBN) Cough

MAHRIANI P PBI (APBN) Essential (primary) hypertension

YULIANTI P PBI (APBN) Contraceptive management,

unspecified
AHMAD ZAKI ILMI L PEKERJA MANDIRI Residual schizophrenia

BADRI L PBI (APBD) Undifferentiated schizophrenia

TANKASIANI L PEKERJA MANDIRI Non-insulin-dependent diabetes

mellitus with neurological
complications

NAYLA SYABILA AZAHRA P PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
AMIR L PEKERJA MANDIRI Asthma

SAM'ANI L PEGAWAI SWASTA Cough

NINIK SUSIANI P PEGAWAI SWASTA Acute upper respiratory infection,

unspecified
Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
474 03-09-2018 170406010918Y000042 0001827796612

475 03-09-2018 170406010918Y000027 0001827797466

476 03-09-2018 170406010918Y000034 0001872979029

477 03-09-2018 170406010918Y000029 0002216875634

478 03-09-2018 170406010918Y000039 0002229571541

479 03-09-2018 170406010918Y000025 0002480418674

480 01-09-2018 170406010918Y000407 0000122330698

481 01-09-2018 170406010918Y000016 0000122606188

482 01-09-2018 170406010918Y000391 0000122695571

483 01-09-2018 170406010918Y000392 0000122717766

484 01-09-2018 170406010918Y000393 0000122718824

485 01-09-2018 170406010918Y000394 0000122718971

486 01-09-2018 170406010918Y000395 0000122718982

487 01-09-2018 170406010918Y000396 0000122718993

488 01-09-2018 170406010918Y000397 0000122719026

489 01-09-2018 170406010918Y000398 0000122719037

490 01-09-2018 170406010918Y000399 0000122719195

491 01-09-2018 170406010918Y000400 0000122719206

492 01-09-2018 170406010918Y000401 0000122719509

493 01-09-2018 170406010918Y000402 0000122849267

494 01-09-2018 170406010918Y000408 0000123054974

SUCI NURHIDAYATI P PEGAWAI SWASTA Dyspepsia

MUHAMMAD NABIL L PEGAWAI SWASTA Disorders of tooth development

and eruption
SAUKIAH P PEKERJA MANDIRI Headache

LIANI P PEKERJA MANDIRI Acute sinusitis

SITI SARAH P PEKERJA MANDIRI Essential (primary) hypertension

WAHIDAH P PEKERJA MANDIRI Malignant neoplasm of thyroid

gland
HASANAH P PNS PUSAT Contraceptive management,
unspecified
BARKIAH P PNS DAERAH Tuberculosis of lung, confirmed by
unspecified

ERNI RAHMI P PNS DAERAH Examination of blood pressure

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

DEWI ESTIKA SARI 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

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Examination of blood pressure

MEGAWATI P PNS DAERAH Examination of blood pressure

KIBA SIMANJUNTAK P PNS PUSAT Other and unspecified diseases of

pulp and
Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
495 01-09-2018 170406010918Y000018 0000123189243

496 01-09-2018 170406010918Y000015 0000123209379

497 01-09-2018 170406010918Y000008 0000123329542

498 01-09-2018 170406010918Y000013 0000123587021

499 01-09-2018 170406010918Y000403 0000167797361

500 01-09-2018 170406010918Y000404 0000204782804

501 01-09-2018 170406010918Y000012 0000889796384

502 01-09-2018 170406010918Y000020 0000890206312

503 01-09-2018 170406010918Y000002 0000890791738

504 01-09-2018 170406010918Y000005 0000890872716

505 01-09-2018 170406010918Y000006 0001260954505

506 01-09-2018 170406010918Y000017 0001266035848

507 01-09-2018 170406010918Y000405 0001298136914

508 01-09-2018 170406010918Y000001 0001371940738

509 01-09-2018 170406010918Y000409 0001545837996

510 01-09-2018 170406010918Y000014 0001868732335

511 01-09-2018 170406010918Y000003 0001974854092

512 01-09-2018 170406010918Y000019 0002053007019

513 01-09-2018 170406010918Y000007 0002079582581

514 01-09-2018 170406010918Y000406 0002207775701

515 01-09-2018 170406010918Y000004 0002213331581

MISRAN L PNS DAERAH Non-insulin-dependent diabetes
mellitus with

ANITA P PENERIMA PENSIUN PNS Spondylolysis

CHAIRUL ANWAR L PNS DAERAH Panic disorder [episodic

paroxysmal anxiety]
ITA AS P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

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

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

AFIFAH P PBI (APBN) Allergic contact dermatitis

SYAHRUZI L PBI (APBN) Pterygium

SALAMIAH P PBI (APBN) Insulin-dependent diabetes

mellitus without

NOORJANAH P PBI (APBN) End-stage renal disease

TABERANI L PEKERJA MANDIRI Senile cataract, unspecified

MASTAYAH P PEKERJA MANDIRI Dyspepsia

MAHWATI P PEKERJA MANDIRI Examination of blood pressure

NOOR RABIATUL FARAH P PENERIMA PENSIUN SWASTA End-stage renal disease

HELDAYATI P PEGAWAI SWASTA Examination of blood pressure

ALWI SALEH L PEKERJA MANDIRI Allergic contact dermatitis

ASPANDI L PBI (APBN) Insulin-dependent diabetes

mellitus with

BAHRAN L PEKERJA MANDIRI Tuberculosis of lung, confirmed by

unspecified

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

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
516 01-09-2018 170406010918Y000009 0002308025171

517 01-09-2018 170406010918Y000010 0002322241255

518 01-09-2018 170406010918Y000011 0002322445509

THAIBAH P PEKERJA MANDIRI Headache

NUN HAYATI P PEKERJA MANDIRI Cough

RAISA AMELIA P PEKERJA MANDIRI Allergic contact dermatitis

Berobat Jalan

Berobat Jalan

Berobat Jalan