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Kantor Cabang : BANJARMASIN - 1701

FKTP : KERTAK HANYAR - 17040601


NO TANGGAL NO KUNJUNGAN NO KARTU

1 30-04-2019 170406010419P000693 0000122824855

2 30-04-2019 170406010419P000688 0000123702625

3 30-04-2019 170406010419P000757 0000890002124

4 30-04-2019 170406010419P000687 0000890313906

5 30-04-2019 170406010419P000686 0000890455318

6 30-04-2019 170406010419P000748 0000890630695

7 30-04-2019 170406010419P000696 0000890798995

8 30-04-2019 170406010419P000685 0001286578293

9 30-04-2019 170406010419P000691 0001380784746

10 30-04-2019 170406010419P000694 0001808362462

11 30-04-2019 170406010419P000689 0001832276272

12 30-04-2019 170406010419P000690 0001868732335

13 30-04-2019 170406010419P000695 0002263277801

14 30-04-2019 170406010419P000759 0002444619194

15 30-04-2019 170406010419P000692 0002493541135

16 29-04-2019 170406010419P000655 0000122257427

17 29-04-2019 170406010419P000676 0000122718791

18 29-04-2019 170406010419P000683 0000122719026

19 29-04-2019 170406010419P000664 0000123587021

20 29-04-2019 170406010419P000663 0000124715428

21 29-04-2019 170406010419P000659 0000890216109


NAMA PESERTA SE JENIS PESERTA DIAGNOSA
X
NOORLENA P PNS DAERAH Acute vaginitis

AMSIAH P PENERIMA PENSIUN PNS Conjunctivitis

GUSNAWATI P PBI (APBN) Contraceptive management

SYARNIAH P PBI (APBN) Acute upper respiratory infection,


unspecified
RAPIAH P PBI (APBN) Other pleural conditions

MISLIWATI P PBI (APBN) Gout

AINAH P PBI (APBN) Senile cataract, unspecified

MAHFUD L PNS DAERAH Atherosclerotic cardiovascular


disease, so

RAWANSYAH L PEKERJA MANDIRI Hyperplasia of prostate

yanti P PEKERJA MANDIRI Epilepsy

MASTIFAH P PEKERJA MANDIRI Essential (primary) hypertension

ALWI SALEH L PEKERJA MANDIRI Cutaneous abscess, furuncle and


carbuncle
RIDHA WAHYUNI P PEKERJA MANDIRI Supervision of normal pregnancy

MUJALIFAH P PEKERJA MANDIRI Supervision of normal pregnancy

AHMAD RUDIANNOR L PEKERJA MANDIRI Acute upper respiratory infection,


unspecified
SITI INDERA HJ P PENERIMA PENSIUN PNS Essential (primary) hypertension

DENI ELFENI P PNS DAERAH Headache

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

ITA AS P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus with

MASRUKIAH P PENERIMA PENSIUN PNS Dyspepsia

SYAIPULLAH L PBI (APBN) Acute haemorrhagic gastritis


DIRUJUK

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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
22 29-04-2019 170406010419P000747 0000890345294

23 29-04-2019 170406010419P000657 0000890674277

24 29-04-2019 170406010419P000684 0000890678632

25 29-04-2019 170406010419P000755 0000890758563

26 29-04-2019 170406010419P000656 0001266035253

27 29-04-2019 170406010419P000638 0001460053989

28 29-04-2019 170406010419P000660 0001460055453

29 29-04-2019 170406010419P000658 0001484006861

30 29-04-2019 170406010419P000654 0001648188944

31 29-04-2019 170406010419P000644 0001786616504

32 29-04-2019 170406010419P000682 0001797527327

33 29-04-2019 170406010419P000662 0002084192313

34 29-04-2019 170406010419P000674 0002084192807

35 29-04-2019 170406010419P000675 0002207776443

36 29-04-2019 170406010419P000661 0002487680662

37 27-04-2019 170406010419P000745 0000122654801

38 27-04-2019 170406010419P000579 0000122706988

39 27-04-2019 170406010419P000746 0000122717766

40 27-04-2019 170406010419P000739 0000122718982

41 27-04-2019 170406010419P000734 0000122719026

42 27-04-2019 170406010419P000735 0000122719037

43 27-04-2019 170406010419P000737 0000122719195


RAHMAWATI P PBI (APBN) Examination of blood pressure

SARINAH P PBI (APBN) Dyspepsia

WIWI ARIYANI P PBI (APBN) Contraceptive management,


unspecified
SITI MUAYADAH P PBI (APBN) Contraceptive management

AHMAD MUHAMMAD MARZUKI L PEKERJA MANDIRI Rheumatoid nodule, multiple sites

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

RUSMILAWATI P PEGAWAI SWASTA Hyperlipidaemia, unspecified

NOOR JUBAIDAH A.A P PEKERJA MANDIRI Low back pain

BURHANUDDIN L PEGAWAI SWASTA Heart failure, unspecified

BASRUNI L PEKERJA MANDIRI Hyperplasia of prostate

SITI FATIMAH P PEGAWAI PEMERINTAH Examination of blood pressure


DENGAN PERJANJIAN

SUPARMI P PEGAWAI SWASTA Spondylolysis

SINTA WAFI P PEGAWAI SWASTA Dyspepsia

MUHAMMAD RIZKY RAMADHANI L PEGAWAI SWASTA Influenza, virus not identified

ASNIAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

ERNAWATI P PENERIMA PENSIUN PNS Examination of blood pressure

KASPUL ANWAR, H L PENERIMA PENSIUN TNI Hyperplasia of prostate

ADTRI KORNIATI P PNS DAERAH Examination of blood pressure

FAULIAH 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

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
44 27-04-2019 170406010419P000738 0000122719206

45 27-04-2019 170406010419P000736 0000122719432

46 27-04-2019 170406010419P000743 0000123209379

47 27-04-2019 170406010419P000740 0000124715428

48 27-04-2019 170406010419P000744 0000164578509

49 27-04-2019 170406010419P000588 0000889787147

50 27-04-2019 170406010419P000583 0000889825768

51 27-04-2019 170406010419P000589 0000889830213

52 27-04-2019 170406010419P000590 0000889830483

53 27-04-2019 170406010419P000586 0000889926276

54 27-04-2019 170406010419P000643 0000889937864

55 27-04-2019 170406010419P000649 0000890760339

56 27-04-2019 170406010419P000648 0000890761904

57 27-04-2019 170406010419P000650 0000890762264

58 27-04-2019 170406010419P000642 0000890768889

59 27-04-2019 170406010419P000646 0000890821078

60 27-04-2019 170406010419P000645 0000890822125

61 27-04-2019 170406010419P000587 0000890843826

62 27-04-2019 170406010419P000580 0001065413035

63 27-04-2019 170406010419P000647 0001065413619

64 27-04-2019 170406010419P000651 0001065413676


NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

ANITA P PENERIMA PENSIUN PNS Examination of blood pressure

MASRUKIAH P PENERIMA PENSIUN PNS Examination of blood pressure

ZAITUN P PENERIMA PENSIUN PNS Examination of blood pressure

FATMAWATI P PBI (APBN) Cutaneous abscess, furuncle and


carbuncle
UDAY HUSEIN L PBI (APBN) Tuberculosis of lung, confirmed by
unspecified

TABRANI L PBI (APBN) Gout

ROHANI P PBI (APBN) Spondylolysis

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


unspecified

MUHAMMAD NASRULLAH L PBI (APBN) Fever of other and unknown origin

BAHRANI L PBI (APBN) Influenza due to other identified


influenza virus
JAMILAH P PBI (APBN) Dyspepsia

SITI AISYAH P PBI (APBN) Cough

NORJANAH P PBI (APBN) Headache

MISNAWATI P PBI (APBN) Fever of other and unknown origin

HAMID FIKRI L PBI (APBN) Headache

KHAIRUDIN L PBI (APBN) Cough

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


unspecified

HADIDJAH P PBI (APBN) Dyspepsia

SYAHRUDDIN L PBI (APBN) Acute upper respiratory infections


of multiple and
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
65 27-04-2019 170406010419P000652 0001065413687

66 27-04-2019 170406010419Y000607 0001127483177

67 27-04-2019 170406010419P000628 0001271659454

68 27-04-2019 170406010419P000627 0001271659735

69 27-04-2019 170406010419P000619 0001275341466

70 27-04-2019 170406010419P000742 0001327093402

71 27-04-2019 170406010419P000582 0001441794846

72 27-04-2019 170406010419P000584 0001873511245

73 27-04-2019 170406010419P000585 0002053478362

74 27-04-2019 170406010419Y000608 0002196515452

75 27-04-2019 170406010419P000621 0002201165987

76 27-04-2019 170406010419P000741 0002207775701

77 27-04-2019 170406010419P000631 0002438267005

78 27-04-2019 170406010419P000629 0002438267624

79 27-04-2019 170406010419P000581 0002456408327

80 27-04-2019 170406010419P000626 0002487680662

81 26-04-2019 170406010419P000519 0000122719151

82 26-04-2019 170406010419P000516 0000122848536

83 26-04-2019 170406010419P000564 0000123115331

84 26-04-2019 170406010419P000507 0000123333434

85 26-04-2019 170406010419P000517 0000123807025

86 26-04-2019 170406010419P000562 0000889727804

87 26-04-2019 170406010419P000641 0000889910908


AINAWATI P PBI (APBN) Gastritis and duodenitis

ARBAIN L PEGAWAI SWASTA Caries of dentine

ASFIANOOR BAHRAN L PEKERJA MANDIRI Cough

RAHMAWATI P PEKERJA MANDIRI Cough

ASLAMIYAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

MURSEHAN P PEKERJA MANDIRI Examination of blood pressure

ANNI NURHIDAYAH P PEKERJA MANDIRI Myalgia

MASTANIAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

DHIA HUSNA KAMILA P PNS DAERAH Influenza, virus not identified

NADIA RAHMAH L PEKERJA MANDIRI Caries of dentine

MAIMUNAH P PBI (APBD) Essential (primary) hypertension

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

FITRIA P PEKERJA MANDIRI Cough

RAISA ASPIAN P PEKERJA MANDIRI Influenza, virus not identified

MUHAMMAD KHALID MUGNI L PNS DAERAH Pneumonia, unspecified

ASNIAH P PEKERJA MANDIRI Respiratory tuberculosis,


bacteriologically and

JOHNY RAMOON L PNS PUSAT Cough

JUAINI L PNS DAERAH Disorder of refraction, unspecified

M HATTA L PNS DAERAH Essential (primary) hypertension

AURIANSYAH L PENERIMA PENSIUN PNS Paraplegia, unspecified

MUHAMMAD HUSNI L PENERIMA PENSIUN PNS Hyperplasia of prostate

ABDURRAHMAN L PBI (APBN) Essential (primary) hypertension

NAPHANI EFENDI L PBI (APBN) Dyspepsia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
88 26-04-2019 170406010419P000570 0000890002124

89 26-04-2019 170406010419P000640 0000890070197

90 26-04-2019 170406010419P000578 0000890367581

91 26-04-2019 170406010419P000515 0000890677631

92 26-04-2019 170406010419P000639 0000890761072

93 26-04-2019 170406010419P000577 0001065413935

94 26-04-2019 170406010419P000576 0001065414464

95 26-04-2019 170406010419P000518 0001065415983

96 26-04-2019 170406010419P000520 0001264049673

97 26-04-2019 170406010419P000508 0001303166687

98 26-04-2019 170406010419P000569 0001833652293

99 26-04-2019 170406010419P000566 0001833652394

100 26-04-2019 170406010419P000567 0001867189779

101 26-04-2019 170406010419P000571 0002204170784

102 26-04-2019 170406010419P000548 0002216157221

103 26-04-2019 170406010419P000563 0002235454154

104 26-04-2019 170406010419P000561 0002305908887

105 26-04-2019 170406010419P000565 0002314068906

106 26-04-2019 170406010419P000568 0002603144081

107 25-04-2019 170406010419P000458 0000122598483

108 25-04-2019 170406010419P000485 0000122606526

109 25-04-2019 170406010419P000504 0000122719432

110 25-04-2019 170406010419P000460 0000122756725

111 25-04-2019 170406010419P000505 0000123171401


GUSNAWATI P PBI (APBN) Contraceptive management,
unspecified
ARUL L PBI (APBN) Essential (primary) hypertension

AFRIADI L PBI (APBN) Dysphagia

KURNI YUSRI L PBI (APBN) Paranoid schizophrenia

FATIMAH P PBI (APBN) Dyspepsia

BADRIANSYAH L PBI (APBN) Nausea and vomiting

ZAINAB P PBI (APBN) Spondylolysis

HARIS RIADI L PBI (APBN) Acute upper respiratory infection,


unspecified
MUHAMMAD FARHAN L PEKERJA MANDIRI Acute upper respiratory infection,
unspecified
SYAEPULLAH L PEKERJA MANDIRI Epilepsy

M. AINI L PEKERJA MANDIRI Dyspepsia

ARSIAH P PEKERJA MANDIRI Dyspepsia

halimatus sadiah P PEKERJA MANDIRI Dyspepsia

NAURIATUL MUHARRAMAH P PEGAWAI PEMERINTAH Pulpitis


DENGAN PERJANJIAN

KARTASIAH P PEKERJA MANDIRI Hypertensive heart disease

BARKIAH P PNS DAERAH Essential (primary) hypertension

HJ. NOORJANAH P PEKERJA MANDIRI Allergic contact dermatitis

ARBAYAH P PEKERJA MANDIRI Myalgia

MULYANTI P PBI (APBN) Headache

NOOR HASANAH P PENERIMA PENSIUN PNS End-stage renal disease

ZULPAEDHA P PNS DAERAH Pulpitis

SESSI TRI AYU REVILLA P PNS DAERAH Cough

AS'ARI ISFANI L PENERIMA PENSIUN PNS Intervertebral disc disorder,


unspecified
HERDAYANI P PNS DAERAH Cough
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
112 25-04-2019 170406010419P000466 0000123287253

113 25-04-2019 170406010419P000462 0000168310798

114 25-04-2019 170406010419P000503 0000196718117

115 25-04-2019 170406010419P000573 0000889799894

116 25-04-2019 170406010419P000572 0000889800028

117 25-04-2019 170406010419P000574 0000889800085

118 25-04-2019 170406010419P000575 0000889800129

119 25-04-2019 170406010419P000465 0000889839314

120 25-04-2019 170406010419P000486 0000889940294

121 25-04-2019 170406010419P000758 0000889988769

122 25-04-2019 170406010419P000478 0000890202284

123 25-04-2019 170406010419P000483 0000890216109

124 25-04-2019 170406010419P000488 0000890312793

125 25-04-2019 170406010419P000480 0000890674277

126 25-04-2019 170406010419P000754 0000890882469

127 25-04-2019 170406010419P000482 0000891127269

128 25-04-2019 170406010419P000484 0000891680501

129 25-04-2019 170406010419P000506 0001080711843

130 25-04-2019 170406010419P000467 0001266044051

131 25-04-2019 170406010419P000637 0001319509001

132 25-04-2019 170406010419P000487 0001550390793

133 25-04-2019 170406010419P000461 0001666656178

134 25-04-2019 170406010419P000464 0001793642095

135 25-04-2019 170406010419P000463 0001904156392


MUDERAN L PENERIMA PENSIUN PNS Heart failure, unspecified

AISYA MUTIA HUMAIROH P PNS PUSAT Disorder of refraction, unspecified

MUHAMMAD THORIQ HIDAYAT L PNS PUSAT Cough

MUHAMMAD SUPIAN L PBI (APBN) Headache

ISNA KLARA P PBI (APBN) Conjunctivitis

AHMAD SHOFIY L PBI (APBN) Cough

ARIBAH RONA L PBI (APBN) Acute nasopharyngitis [common


cold]
RUSMIYATI P PBI (APBN) Carcinoma in situ of cervix uteri

MEIDA SAFIRA P PBI (APBN) Pulpitis

DAYANTI HEMELDA P PBI (APBN) Supervision of normal pregnancy

NOOR SYARIFAH P PBI (APBN) Cough

SYAIPULLAH L PBI (APBN) Dyspepsia

FINA MURWARINI P PBI (APBN) Antenatal screening, unspecified

SARINAH P PBI (APBN) Cough

MAHDA LENA P PBI (APBN) Contraceptive management

ARBANI HAMBALI L PBI (APBN) Essential (primary) hypertension

SANTI P PBI (APBN) Pulpitis

MUHAMMAD HAGI SUSENO L PNS DAERAH Cough

RAHMANI L PBI (APBD) Heart failure, unspecified

RAUDHATUL JANNAH P PEKERJA MANDIRI Gout

MUHAMMAD RIF'AN L PEGAWAI SWASTA Periapical abscess without sinus

H SAID SULTAN L PEGAWAI BUMN Chronic renal failure, unspecified

KASPIAH P PENERIMA PENSIUN PNS Sciatica

SALMAN L PEKERJA MANDIRI Heart failure, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
136 25-04-2019 170406010419P000481 0002615928928

137 25-04-2019 170406010419P000479 0002624783883

138 24-04-2019 170406010419P000446 0000122707091

139 24-04-2019 170406010419P000500 0000122728195

140 24-04-2019 170406010419P000501 0000122738387

141 24-04-2019 170406010419P000449 0000122824855

142 24-04-2019 170406010419P000604 0000889713551

143 24-04-2019 170406010419P000489 0000889800568

144 24-04-2019 170406010419P000636 0000889984124

145 24-04-2019 170406010419P000753 0000890312793

146 24-04-2019 170406010419P000444 0000890366758

147 24-04-2019 170406010419P000450 0000890766696

148 24-04-2019 170406010419P000635 0000890773852

149 24-04-2019 170406010419P000599 0000890874821

150 24-04-2019 170406010419P000603 0000890876733

151 24-04-2019 170406010419P000601 0000890876766

152 24-04-2019 170406010419P000455 0000890882469

153 24-04-2019 170406010419P000453 0001174156749

154 24-04-2019 170406010419P000443 0001269333426

155 24-04-2019 170406010419P000597 0001380784746

156 24-04-2019 170406010419P000454 0001451642679

157 24-04-2019 170406010419P000442 0001826813621

158 24-04-2019 170406010419P000445 0001831292943


ADIVA AQILA P PEKERJA MANDIRI Allergic contact dermatitis

SYAIFULLAH L PEGAWAI SWASTA Cough

OMAN SUDARMAN L PENERIMA PENSIUN TNI Essential (primary) hypertension

ANNAWATI. P PENERIMA PENSIUN PNS Essential (primary) hypertension

M.ABERANI. L PENERIMA PENSIUN PNS Cough

NOORLENA P PNS DAERAH Acute vaginitis

NOOR HAYANI AGUSTINA P PBI (APBN) Headache

SITI NURBAYAH P PBI (APBN) Acute haemorrhagic gastritis

ALUS L PBI (APBN) Essential (primary) hypertension

FINA MURWARINI P PBI (APBN) Contraceptive management

AHMAD RIFANI L PBI (APBN) Unspecified nonorganic psychosis

MURDIAN L PBI (APBN) Haemorrhoids

HAIFANAZUWA P PBI (APBN) Allergic contact dermatitis

MARHANI L PBI (APBN) Influenza, virus not identified

EMILIA P PBI (APBN) Cough

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

MAHDA LENA P PBI (APBN) Contraceptive management,


unspecified
SITI MARIANA P PEGAWAI SWASTA Spondylolysis

MAULIYAH P PEKERJA MANDIRI Blindness, one eye

RAWANSYAH L PEKERJA MANDIRI Headache

A. ARBANI L PEKERJA MANDIRI Urinary calculus, unspecified

MASITAH P PEKERJA MANDIRI Insulin-dependent diabetes


mellitus without

SUBLI L PEKERJA MANDIRI Undifferentiated schizophrenia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
159 24-04-2019 170406010419P000451 0001902576161

160 24-04-2019 170406010419P000452 0002065412755

161 24-04-2019 170406010419P000606 0002207858894

162 24-04-2019 170406010419P000605 0002207859039

163 24-04-2019 170406010419P000490 0002229055582

164 24-04-2019 170406010419P000502 0002252056487

165 24-04-2019 170406010419P000498 0002589788327

166 24-04-2019 170406010419P000499 0002605184043

167 23-04-2019 170406010419P000413 0000122622085

168 23-04-2019 170406010419P000495 0000122757658

169 23-04-2019 170406010419P000493 0000122758209

170 23-04-2019 170406010419P000492 0000122808947

171 23-04-2019 170406010419P000434 0000123165178

172 23-04-2019 170406010419P000414 0000123372472

173 23-04-2019 170406010419P000411 0000123702625

174 23-04-2019 170406010419P000432 0000123844781

175 23-04-2019 170406010419P000415 0000163723825

176 23-04-2019 170406010419P000430 0000889697338

177 23-04-2019 170406010419P000435 0000889697935

178 23-04-2019 170406010419P000448 0000889705484

179 23-04-2019 170406010419P000447 0000889800568

180 23-04-2019 170406010419P000427 0000889815137


RINI ANDRIATI P PEKERJA MANDIRI Essential (primary) hypertension

JAW GIOK LING P PEKERJA MANDIRI Spondylolysis

IMANSYAH L PEKERJA MANDIRI Essential (primary) hypertension

JAMILAH P PEKERJA MANDIRI Essential (primary) hypertension

WARTINI P PEKERJA MANDIRI Essential (primary) hypertension

YUNISA ANESWARY P PEGAWAI SWASTA Cough

ARBANI L PBI (APBN) Cough

AHMAD RIDHANI L PBI (APBN) Influenza, virus not identified

MUHAMMAD TAAT NOOR L PNS DAERAH Congestive heart failure

RABIATUL ADAWIyAH P PENERIMA PENSIUN PNS Spondylolysis

RAIZATUL JANNAH P PENERIMA PENSIUN PNS Headache

ROSNANIAH P PENERIMA PENSIUN PNS Acute haemorrhagic gastritis

FIKRIANSYAH L PNS DAERAH Pulpitis

YEFFRIANSJAH SALIM , S.KOM L PNS PUSAT Other disorders of refraction

AMSIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus without

MUHAMMAD HABIBIE L PENERIMA PENSIUN PNS Pulpitis

ERNA HERLIANI, S.PD P PNS PUSAT Disorder of refraction, unspecified

HALIMATUS SADIAH P PBI (APBN) Contraceptive management

AHMAD AKBAR L PBI (APBN) Pulpitis

ROSITA P PBI (APBN) Acute haemorrhagic gastritis

SITI NURBAYAH P PBI (APBN) Acute haemorrhagic gastritis

HALIMATUS SABIAH P PBI (APBN) Antenatal screening, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
181 23-04-2019 170406010419P000497 0000889815306

182 23-04-2019 170406010419P000632 0000889973796

183 23-04-2019 170406010419P000633 0000889974832

184 23-04-2019 170406010419P000634 0000890057619

185 23-04-2019 170406010419P000410 0000890203083

186 23-04-2019 170406010419P000496 0000890461168

187 23-04-2019 170406010419P000494 0000890515989

188 23-04-2019 170406010419P000436 0000890561733

189 23-04-2019 170406010419P000439 0000890630695

190 23-04-2019 170406010419P000431 0000890686023

191 23-04-2019 170406010419P000441 0000890742587

192 23-04-2019 170406010419P000630 0000890766898

193 23-04-2019 170406010419P000440 0000891180101

194 23-04-2019 170406010419P000421 0000894976751

195 23-04-2019 170406010419P000420 0001127483177

196 23-04-2019 170406010419P000428 0001173437425

197 23-04-2019 170406010419P000433 0001173437447

198 23-04-2019 170406010419P000437 0001307796309

199 23-04-2019 170406010419P000429 0001730252147

200 23-04-2019 170406010419P000416 0001730556112

201 23-04-2019 170406010419P000417 0001793642095

202 23-04-2019 170406010419P000412 0001793660769

203 23-04-2019 170406010419P000418 0002043596608


MASNUN P PBI (APBN) Myalgia

GUSTI HAJAR P PBI (APBN) Cough

ANDINI P PBI (APBN) Cough

NURUL HIDAYAH P PBI (APBN) Allergic contact dermatitis

gazali RAHMAN L PBI (APBN) Undifferentiated schizophrenia

RUHANI P PBI (APBN) Spondylolysis

RIDUANSYAH L PBI (APBN) Spondylolysis

SURIADI L PBI (APBN) Spondylolysis

MISLIWATI P PBI (APBN) Essential (primary) hypertension

NORLIANA P PBI (APBN) Pulpitis

NOOR ANISA P PBI (APBN) Cough

HAMIDAH P PBI (APBN) Diseases of pulp and periapical


tissues
MAHLIAN L PBI (APBN) Dyspepsia

PIAH P PBI (APBN) Spondylolysis

ARBAIN L PEGAWAI SWASTA Hyperlipidaemia, unspecified

HIKMAH P PEGAWAI SWASTA Contraceptive management

ADHA AZ ZAHRA P PEGAWAI SWASTA Dental caries

ARBAYAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

MAHMUDAH P PEKERJA MANDIRI Antenatal screening, unspecified

SRI YANI P PEKERJA MANDIRI Spondylolysis

KASPIAH P PENERIMA PENSIUN PNS Non-insulin-dependent diabetes


mellitus with

RAHIMAH P PEKERJA MANDIRI Anal fistula

MARTINI P PBI (APBD) Epilepsy


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
204 23-04-2019 170406010419P000438 0002095501386

205 23-04-2019 170406010419P000419 0002304843478

206 22-04-2019 170406010419P000386 0000119405182

207 22-04-2019 170406010419P000375 0000122728195

208 22-04-2019 170406010419P000389 0000122733303

209 22-04-2019 170406010419P000374 0000122738387

210 22-04-2019 170406010419P000403 0000122824495

211 22-04-2019 170406010419P000404 0000123329542

212 22-04-2019 170406010419P000373 0000123359861

213 22-04-2019 170406010419P000393 0000168310798

214 22-04-2019 170406010419P000385 0000204782804

215 22-04-2019 170406010419P000387 0000889403433

216 22-04-2019 170406010419P000408 0000889776448

217 22-04-2019 170406010419P000406 0000889992764

218 22-04-2019 170406010419P000382 0000890060951

219 22-04-2019 170406010419P000377 0000890061535

220 22-04-2019 170406010419P000625 0000890070197

221 22-04-2019 170406010419P000384 0000890313906

222 22-04-2019 170406010419P000401 0000890448524

223 22-04-2019 170406010419P000397 0000890678632

224 22-04-2019 170406010419P000398 0000890679058


PRIMA ARIADI L PEGAWAI SWASTA Tuberculosis of lung, confirmed by
unspecified

DEWI KARMILAWATI P PEKERJA MANDIRI Influenza, virus not identified

RESKY WARDANI L PNS PUSAT Mixed asthma

ANNAWATI. P PENERIMA PENSIUN PNS Primary gonarthrosis, bilateral

H. IBERAHIM TUKACIL L PENERIMA PENSIUN PNS Atherosclerotic cardiovascular


disease, so

M.ABERANI. L PENERIMA PENSIUN PNS Heart failure, unspecified

YUDA SYAIFUDDIN L PEKERJA MANDIRI Other specified mental disorders


due to brain damage and
dysfunction

CHAIRUL ANWAR L PNS DAERAH Panic disorder [episodic


paroxysmal anxiety]
RUSLI L PENERIMA PENSIUN PNS Non-insulin-dependent diabetes
mellitus with

AISYA MUTIA HUMAIROH P PNS PUSAT Diseases of pulp and periapical


tissues
SITI PATIMAH P PENERIMA PENSIUN PNS Acute upper respiratory infection,
unspecified
SITI P PBI (APBN) Paralytic syndrome, unspecified

SALSA DILA ADINDA P PBI (APBN) Antenatal screening, unspecified

WAHIDAH P PBI (APBN) Cough

M. ZAINI L PBI (APBN) Headache

LAILA AMALIA P PBI (APBN) Conjunctivitis

ARUL L PBI (APBN) Dyspepsia

SYARNIAH P PBI (APBN) Acute upper respiratory infection,


unspecified
DIANA P PBI (APBN) Cough

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

ACHMAD RAMADHAN L PBI (APBN) Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
225 22-04-2019 170406010419P000624 0000890761072

226 22-04-2019 170406010419P000390 0000890761904

227 22-04-2019 170406010419P000383 0000890781287

228 22-04-2019 170406010419P000376 0000890791738

229 22-04-2019 170406010419P000388 0000890827031

230 22-04-2019 170406010419P000381 0001065413619

231 22-04-2019 170406010419P000392 0001127483177

232 22-04-2019 170406010419P000395 0001174156749

233 22-04-2019 170406010419P000405 0001426981814

234 22-04-2019 170406010419P000399 0001545295972

235 22-04-2019 170406010419P000371 0001548389698

236 22-04-2019 170406010419P000391 0001550569779

237 22-04-2019 170406010419P000380 0001873511245

238 22-04-2019 170406010419P000379 0001886579583

239 22-04-2019 170406010419P000394 0001902576161

240 22-04-2019 170406010419P000402 0002061186377

241 22-04-2019 170406010419P000407 0002079581826

242 22-04-2019 170406010419P000426 0002092390031

243 22-04-2019 170406010419P000372 0002229571541

244 22-04-2019 170406010419P000378 0002420683457

245 22-04-2019 170406010419P000400 0002633786447

246 22-04-2019 170406010419P000409 0002656938756

247 22-04-2019 170406010419P000396 0002747267087


FATIMAH P PBI (APBN) Headache

JAMILAH P PBI (APBN) Stomatitis and related lesions

HAFIZ ANSYARI L PBI (APBN) Acute pharyngitis

SALAMIAH P PBI (APBN) Allergic contact dermatitis

MARTINAH P PBI (APBN) Influenza, virus not identified

HADIDJAH P PBI (APBN) Cough

ARBAIN L PEGAWAI SWASTA Diseases of pulp and periapical


tissues
SITI MARIANA P PEGAWAI SWASTA Diseases of pulp and periapical
tissues
BAHRUDDIN NOOR L PEKERJA MANDIRI Undifferentiated schizophrenia

ARIEF RAHMAN L PEGAWAI SWASTA Spondylolysis

MIRDA BANJARIAH P PEGAWAI SWASTA Insulin-dependent diabetes


mellitus
M SUGIANNOR L PEGAWAI SWASTA Dental caries

MASTANIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

HIKMAH P PEKERJA MANDIRI Typhoid fever

RINI ANDRIATI P PEKERJA MANDIRI Pulpitis

EKO WAHYU NUR SOFIANTO L PEGAWAI PEMERINTAH Hyperparathyroidism, unspecified


DENGAN PERJANJIAN

NAHRUDIN FAHDI L PEKERJA MANDIRI Essential (primary) hypertension

alesha yumna L PEGAWAI SWASTA Fever, unspecified

SITI SARAH P PEKERJA MANDIRI Stroke, not specified as


haemorrhage or infarction
ZAINAH P PEKERJA MANDIRI Hyperlipidaemia, unspecified

MASRATU P PBI (APBN) Cough

NOR HAYAH P PBI (APBD) Influenza, virus not identified

MUSLIA WATI P PEKERJA MANDIRI Pulpitis


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
248 20-04-2019 170406010419P000732 0000122654801

249 20-04-2019 170406010419P000730 0000122718824

250 20-04-2019 170406010419P000729 0000122718971

251 20-04-2019 170406010419P000721 0000122718982

252 20-04-2019 170406010419P000723 0000122719026

253 20-04-2019 170406010419P000724 0000122719037

254 20-04-2019 170406010419P000722 0000122719094

255 20-04-2019 170406010419P000491 0000123171401

256 20-04-2019 170406010419P000357 0000123183551

257 20-04-2019 170406010419P000356 0000123209379

258 20-04-2019 170406010419P000731 0000123587021

259 20-04-2019 170406010419P000727 0000124715428

260 20-04-2019 170406010419P000733 0000163507184

261 20-04-2019 170406010419P000725 0000164578509

262 20-04-2019 170406010419P000367 0000889727804

263 20-04-2019 170406010419P000361 0000889825768

264 20-04-2019 170406010419P000362 0000889970567

265 20-04-2019 170406010419P000368 0000889980928

266 20-04-2019 170406010419P000370 0000890044547

267 20-04-2019 170406010419P000364 0000890465106

268 20-04-2019 170406010419P000616 0000890759204


ERNAWATI P PENERIMA PENSIUN PNS 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

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

HERDAYANI P PNS DAERAH Influenza, virus not identified

MAIMUNAH P PNS DAERAH Disorder of refraction, unspecified

ANITA P PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus without

ITA AS P PENERIMA PENSIUN PNS Examination of blood pressure

MASRUKIAH P PENERIMA PENSIUN PNS Examination of blood pressure

RUSDIANA. HJ P PENERIMA PENSIUN PNS Examination of blood pressure

ZAITUN P PENERIMA PENSIUN PNS Examination of blood pressure

ABDURRAHMAN L PBI (APBN) Cough

UDAY HUSEIN L PBI (APBN) Tuberculosis of lung, confirmed by


unspecified

AHMAD HAIDAR L PBI (APBN) Fever, unspecified

MUBARAK L PBI (APBN) Cough

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


unspecified

ABDULLAH L PBI (APBN) Heart failure, unspecified

HAMSINAH P PBI (APBN) Cough


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
269 20-04-2019 170406010419P000612 0000890759283

270 20-04-2019 170406010419P000614 0000890759878

271 20-04-2019 170406010419P000366 0000890762264

272 20-04-2019 170406010419P000358 0000891122488

273 20-04-2019 170406010419P000422 0000891248319

274 20-04-2019 170406010419P000423 0000891668665

275 20-04-2019 170406010419P000359 0001065415421

276 20-04-2019 170406010419P000369 0001265576771

277 20-04-2019 170406010419P000360 0001265731211

278 20-04-2019 170406010419P000365 0001303265597

279 20-04-2019 170406010419P000355 0001327093402

280 20-04-2019 170406010419P000726 0001873511245

281 20-04-2019 170406010419P000728 0002207775701

282 20-04-2019 170406010419P000363 0002304843478

283 20-04-2019 170406010419P000609 0002313476627

284 20-04-2019 170406010419P000610 0002313476752

285 20-04-2019 170406010419P000424 0002458460294

286 20-04-2019 170406010419P000425 0002491059778

287 18-04-2019 170406010419P000329 0000122824855

288 18-04-2019 170406010419P000333 0000123421228

289 18-04-2019 170406010419P000350 0000889741618

290 18-04-2019 170406010419P000326 0000889757537


RUYADI L PBI (APBN) Influenza, virus not identified

BUDIMAN L PBI (APBN) Acute upper respiratory infection,


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

SALEH L PBI (APBN) Disorder of refraction, unspecified

HAIFA P PBI (APBN) Necrosis of pulp

MUJAIMAH P PBI (APBN) Antenatal screening, unspecified

FARIDAH P PBI (APBN) Diabetes mellitus in pregnancy,


unspecified
MASJA P PEKERJA MANDIRI Essential (primary) hypertension

JUMAINAH P PEKERJA MANDIRI Undifferentiated schizophrenia

BADRI L PBI (APBD) Undifferentiated schizophrenia

MURSEHAN P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus without

MASTANIAH P PEKERJA MANDIRI Examination of blood pressure

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

DEWI KARMILAWATI P PEKERJA MANDIRI Cough

IBNU RAHMAN L PEGAWAI SWASTA Cough

ZAINAH P PEGAWAI SWASTA Headache

MIKAIL ATHHAR MANAF L PEKERJA MANDIRI Cough

M. ADAM HUSIN L PBI (APBN) Fever, unspecified

NOORLENA P PNS DAERAH Mixed anxiety and depressive


disorder
ACHMAD NOOR L PENERIMA PENSIUN PNS Dyspepsia

SARKANI L PBI (APBN) Cough

MAJEDI MUNAWAR L PBI (APBN) End-stage renal disease


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
291 18-04-2019 170406010419P000613 0000889944671

292 18-04-2019 170406010419P000620 0000889979725

293 18-04-2019 170406010419P000611 0000889984124

294 18-04-2019 170406010419P000328 0000890010268

295 18-04-2019 170406010419P000353 0000890074754

296 18-04-2019 170406010419P000342 0000890314064

297 18-04-2019 170406010419P000352 0000890459752

298 18-04-2019 170406010419P000623 0000890630695

299 18-04-2019 170406010419P000334 0000890674277

300 18-04-2019 170406010419P000343 0000890786946

301 18-04-2019 170406010419P000615 0000890787159

302 18-04-2019 170406010419P000330 0000890811977

303 18-04-2019 170406010419P000347 0000891183295

304 18-04-2019 170406010419P000344 0000891183892

305 18-04-2019 170406010419P000349 0000891581117

306 18-04-2019 170406010419P000617 0000891583244

307 18-04-2019 170406010419P000618 0000891595078

308 18-04-2019 170406010419P000336 0000891603865

309 18-04-2019 170406010419P000622 0001065416782

310 18-04-2019 170406010419P000338 0001079091156

311 18-04-2019 170406010419P000332 0001094262467

312 18-04-2019 170406010419P000339 0001290766375

313 18-04-2019 170406010419P000327 0001302082593


BASHITAH P PBI (APBN) Cough

ERNAWATI P PBI (APBN) Headache

ALUS L PBI (APBN) Essential (primary) hypertension

HAKIM ASHARY L PBI (APBN) Disorder of refraction, unspecified

BAHRAH P PBI (APBN) Contraceptive management

SAPRANI L PBI (APBN) Other disorders of urinary system

MARLINA P PBI (APBN) Pulpitis

MISLIWATI P PBI (APBN) Essential (primary) hypertension

SARINAH P PBI (APBN) Cough

SITI AISYAH P PBI (APBN) Allergic contact dermatitis

RAMLI L PBI (APBN) Essential (primary) hypertension

MISBATUN NI'MAH P PBI (APBN) Dyspepsia

YATI P PBI (APBN) Allergic contact dermatitis

MUHAMMAD ABDURRAHIM L PBI (APBN) Allergic contact dermatitis

MARSYA ADITYA P PBI (APBN) Allergic contact dermatitis

ASPURI L PBI (APBN) Dyspepsia

RUSLI L PBI (APBN) Essential (primary) hypertension

JAUHAR LATIFAH P PBI (APBN) Headache

MURSIDAH P PBI (APBN) Headache

WARSITO L PEGAWAI SWASTA Cough

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

MUHAMMAD FAISAL L PEKERJA MANDIRI Undifferentiated schizophrenia

ACHMAD EFFENDI L PEKERJA MANDIRI Atherosclerotic cardiovascular


disease, so
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
314 18-04-2019 170406010419P000337 0001451661669

315 18-04-2019 170406010419P000348 0001620932782

316 18-04-2019 170406010419P000346 0001797933971

317 18-04-2019 170406010419P000340 0001868489177

318 18-04-2019 170406010419Y000335 0002088252077

319 18-04-2019 170406010419P000341 0002088252235

320 18-04-2019 170406010419P000351 0002095501386

321 18-04-2019 170406010419P000325 0002420683334

322 18-04-2019 170406010419P000331 0002420683457

323 18-04-2019 170406010419P000345 0002492232366

324 18-04-2019 170406010419P000354 0002614856229

325 16-04-2019 170406010419P000324 0000122843171

326 16-04-2019 170406010419P000309 0000123189243

327 16-04-2019 170406010419P000306 0000123319956

328 16-04-2019 170406010419P000321 0000123322386

329 16-04-2019 170406010419P000304 0000172578251

330 16-04-2019 170406010419P000317 0000889705484

331 16-04-2019 170406010419P000323 0000889706283

332 16-04-2019 170406010419P000600 0000890773154

333 16-04-2019 170406010419P000315 0000890804283

334 16-04-2019 170406010419P000312 0000891511841


ANSYAR L PEKERJA MANDIRI Cutaneous abscess, furuncle and
carbuncle
MARINI DIAN SARI P PEKERJA MANDIRI Unspecified injury of ankle and foot

LAILA MAHFUZAH P PEKERJA MANDIRI Acute pharyngitis

ARDIANSYAH IDIPASI L PEKERJA MANDIRI Tuberculosis of lung, confirmed by


unspecified

PUTRI SONIA P PEKERJA MANDIRI Caries of dentine

NOR HASANAH P PEKERJA MANDIRI Cutaneous abscess, furuncle and


carbuncle
PRIMA ARIADI L PEGAWAI SWASTA Tuberculosis of lung, confirmed by
unspecified

ARDIANSYAH L PEKERJA MANDIRI Disorder of refraction, unspecified

ZAINAH P PEKERJA MANDIRI Essential (primary) hypertension

ADI DARUSSALAM L PEGAWAI SWASTA Hypotension

NIKMAH P PEKERJA MANDIRI Antenatal screening, unspecified

ZAINUDDIN L PNS DAERAH Pulpitis

MISRAN L PNS DAERAH Disorder of refraction, unspecified

NORSILAN P PNS PUSAT Stroke, not specified as


haemorrhage or infarction
NEELA AFIFAH P PEGAWAI PEMERINTAH Antenatal screening, unspecified
DENGAN PERJANJIAN

KHAIRUR RAHMAH, DRA P PNS PUSAT Other benign neoplasm of


connective and other soft tissue of
head, face and

ROSITA P PBI (APBN) Hordeolum and chalazion

RISNAWATI P PBI (APBN) Pulpitis

SALIMAH P PBI (APBN) Influenza due to other identified


influenza virus
BASTIYAH P PBI (APBN) Gout

MALIAH P PBI (APBN) Hordeolum and chalazion


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
335 16-04-2019 170406010419P000313 0001184516212

336 16-04-2019 170406010419P000305 0001280203964

337 16-04-2019 170406010419P000320 0001282751291

338 16-04-2019 170406010419P000316 0001786591023

339 16-04-2019 170406010419P000307 0001810489083

340 16-04-2019 170406010419P000314 0001883400502

341 16-04-2019 170406010419P000308 0002055376157

342 16-04-2019 170406010419P000311 0002062940793

343 16-04-2019 170406010419P000310 0002062940995

344 16-04-2019 170406010419P000319 0002079581826

345 16-04-2019 170406010419P000318 0002095501386

346 16-04-2019 170406010419P000322 0002306539484

347 16-04-2019 170406010419P000602 0002633924193

348 16-04-2019 170406010419P000303 0002656364411

349 15-04-2019 170406010419P000280 0000119301219

350 15-04-2019 170406010419Y000284 0000122330698

351 15-04-2019 170406010419P000301 0000122606526

352 15-04-2019 170406010419Y000294 0000122756591

353 15-04-2019 170406010419Y000278 0000123209368

354 15-04-2019 170406010419Y000277 0000123209368

355 15-04-2019 170406010419Y000275 0000123209379

356 15-04-2019 170406010419P000293 0000123329542


SITI ARBAYAH P PEGAWAI SWASTA Cough

RAUDAH P PEKERJA MANDIRI Heart failure, unspecified

MUHAMMAD DHIVA ADITAMA L ANGGOTA POLRI Allergic contact dermatitis

SURZANIE L PEKERJA MANDIRI Essential (primary) hypertension

SYARKAWI L PEKERJA MANDIRI Stroke, not specified as


haemorrhage or infarction
ROHANI P PEKERJA MANDIRI Dyspepsia

SITI MASNAH P PENERIMA PENSIUN PNS Cluster headache syndrome

NORHAYATI P PEKERJA MANDIRI Allergic contact dermatitis

BULKIS L PEKERJA MANDIRI Allergic contact dermatitis

NAHRUDIN FAHDI L PEKERJA MANDIRI Essential (primary) hypertension

PRIMA ARIADI L PEGAWAI SWASTA Tuberculosis of lung, confirmed by


unspecified

DINA FAUZIATI P PEGAWAI SWASTA Antenatal screening, unspecified

MUHAMMAD ZAKIR L PBI (APBN) Fever of other and unknown origin

ZAINUDIN L PBI (APBD) Presence of intraocular lens

M HANAFI L PNS DAERAH End-stage renal disease

HASANAH P PNS PUSAT Dyspepsia

ZULPAEDHA P PNS DAERAH Diseases of pulp and periapical


tissues
ABDUL HADI L PENERIMA PENSIUN PNS Gout

RUSLAN JUHRI L PENERIMA PENSIUN PNS Acute upper respiratory infections


of multiple and

RUSLAN JUHRI L PENERIMA PENSIUN PNS Acute upper respiratory infections


of multiple and

ANITA P PENERIMA PENSIUN PNS Other arthritis

CHAIRUL ANWAR L PNS DAERAH Hyperplasia of prostate


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
357 15-04-2019 170406010419Y000296 0000124715428

358 15-04-2019 170406010419P000300 0000889776448

359 15-04-2019 170406010419P000598 0000889979534

360 15-04-2019 170406010419P000596 0000889979725

361 15-04-2019 170406010419P000591 0000890044198

362 15-04-2019 170406010419P000286 0000890192103

363 15-04-2019 170406010419Y000297 0000890332953

364 15-04-2019 170406010419P000292 0000890335631

365 15-04-2019 170406010419Y000298 0000890448524

366 15-04-2019 170406010419P000592 0000890624823

367 15-04-2019 170406010419P000760 0000890643666

368 15-04-2019 170406010419P000595 0000891524902

369 15-04-2019 170406010419P000653 0000891547661

370 15-04-2019 170406010419P000594 0001065416747

371 15-04-2019 170406010419Y000282 0001173437425

372 15-04-2019 170406010419P000299 0001174156749

373 15-04-2019 170406010419Y000289 0001264049471

374 15-04-2019 170406010419Y000288 0001264049673

375 15-04-2019 170406010419P000302 0001314899278

376 15-04-2019 170406010419Y000287 0001451642679

377 15-04-2019 170406010419P000276 0001817692839

378 15-04-2019 170406010419P000285 0002036325429

379 15-04-2019 170406010419P000283 0002055376157


MASRUKIAH P PENERIMA PENSIUN PNS Other disorders of lacrimal gland

SALSA DILA ADINDA P PBI (APBN) Antenatal screening, unspecified

M. SUPIAN SAURI L PBI (APBN) Dyspepsia

ERNAWATI P PBI (APBN) Dyspepsia

HAYATI P PBI (APBN) Dyspepsia

SITI NOOR JANNAH P PBI (APBN) Antenatal screening, unspecified

ASLAMIAH P PBI (APBN) Other deforming dorsopathies

MARIYATI P PBI (APBN) Chest pain, unspecified

DIANA P PBI (APBN) Influenza due to other identified


influenza virus
JUHANSYAH L PBI (APBN) Essential (primary) hypertension

MAULIDA AGUSTINA P PBI (APBN) Supervision of normal pregnancy

TUFIKURRAHMAN P PBI (APBN) Cough

WARDAH P PBI (APBN) Dyspepsia

MAULINA SALSABILA P PBI (APBN) Fever of other and unknown origin

HIKMAH P PEGAWAI SWASTA Headache

SITI MARIANA P PEGAWAI SWASTA Diseases of pulp and periapical


tissues
RUSINAH P PEKERJA MANDIRI Allergic contact dermatitis

MUHAMMAD FARHAN L PEKERJA MANDIRI Allergic contact dermatitis

FITRIYANI P PEGAWAI SWASTA Gout

A. ARBANI L PEKERJA MANDIRI Essential (primary) hypertension

SUKRAN L PEKERJA MANDIRI Hyperplasia of prostate

nunsiah P PEKERJA MANDIRI Thyrotoxicosis [hyperthyroidism]

SITI MASNAH P PENERIMA PENSIUN PNS Myalgia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
380 15-04-2019 170406010419P000290 0002093457723

381 15-04-2019 170406010419Y000291 0002095501386

382 15-04-2019 170406010419P000295 0002263277801

383 15-04-2019 170406010419P000279 0002428089849

384 15-04-2019 170406010419P000593 0002460920297

385 15-04-2019 170406010419Y000281 0002490150543

386 15-04-2019 170406010419P000752 0002583607972

387 13-04-2019 170406010419P000720 0000122717766

388 13-04-2019 170406010419P000716 0000122718791

389 13-04-2019 170406010419P000715 0000122718982

390 13-04-2019 170406010419P000713 0000122719026

391 13-04-2019 170406010419P000714 0000122719037

392 13-04-2019 170406010419Y000266 0000122719162

393 13-04-2019 170406010419P000717 0000122719206

394 13-04-2019 170406010419P000719 0000122719432

395 13-04-2019 170406010419P000712 0000123209379

396 13-04-2019 170406010419P000709 0000204782804

397 13-04-2019 170406010419P000670 0000889713292

398 13-04-2019 170406010419P000668 0000889713551

399 13-04-2019 170406010419P000669 0000889713819


HARI LISWATI P PEKERJA MANDIRI Insulin-dependent diabetes
mellitus
PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,
bacteriologically and

RIDHA WAHYUNI P PEKERJA MANDIRI Cough

RENDRA ADLI NUGRAHA L PEGAWAI PEMERINTAH Fever of other and unknown origin
DENGAN PERJANJIAN

MALIYAH HJ P PEKERJA MANDIRI Essential (primary) hypertension

RUSMAWATI P PEKERJA MANDIRI Headache

NARSIAH P PBI (APBN) Contraceptive management

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

H SAIBATUL HAMDI L PNS DAERAH Examination of blood pressure

MAHDIATUL WAHDAH P PNS DAERAH Examination of blood pressure

RUSLIASARI P PNS PUSAT Acute upper respiratory infections


of multiple and

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

ANITA P PENERIMA PENSIUN PNS Examination of blood pressure

SITI PATIMAH P PENERIMA PENSIUN PNS Examination of blood pressure

YADI L PBI (APBN) Senile cataract

NOOR HAYANI AGUSTINA P PBI (APBN) Headache

AHMAD FIRDAUS L PBI (APBN) Influenza, virus not identified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
400 13-04-2019 170406010419P000665 0000889815014

401 13-04-2019 170406010419P000666 0000889815655

402 13-04-2019 170406010419P000667 0000889815993

403 13-04-2019 170406010419Y000262 0000889825768

404 13-04-2019 170406010419P000542 0000889910908

405 13-04-2019 170406010419Y000263 0000889926276

406 13-04-2019 170406010419P000541 0000890044198

407 13-04-2019 170406010419P000274 0000890417158

408 13-04-2019 170406010419P000544 0000890624823

409 13-04-2019 170406010419P000543 0000890630695

410 13-04-2019 170406010419P000545 0000890766898

411 13-04-2019 170406010419Y000264 0000890872604

412 13-04-2019 170406010419Y000268 0000890872716

413 13-04-2019 170406010419Y000272 0000891248736

414 13-04-2019 170406010419P000673 0001065413619

415 13-04-2019 170406010419P000710 0001291769392

416 13-04-2019 170406010419Y000265 0001319216321

417 13-04-2019 170406010419P000711 0001327093402

418 13-04-2019 170406010419Y000270 0001442879098

419 13-04-2019 170406010419P000273 0001453207937

420 13-04-2019 170406010419Y000271 0001828932243

421 13-04-2019 170406010419Y000267 0001873511245


ARBAINAH P PBI (APBN) Non-insulin-dependent diabetes
mellitus with

MUHAMMAD L PBI (APBN) Gout

HELDA P PBI (APBN) Headache

UDAY HUSEIN L PBI (APBN) Respiratory tuberculosis,


bacteriologically and

NAPHANI EFENDI L PBI (APBN) Headache

ERNA P PBI (APBN) Respiratory tuberculosis,


bacteriologically and

HAYATI P PBI (APBN) Essential (primary) hypertension

NORMASYIAH P PBI (APBN) Cutaneous abscess, furuncle and


carbuncle
JUHANSYAH L PBI (APBN) Asthma

MISLIWATI P PBI (APBN) Essential (primary) hypertension

HAMIDAH P PBI (APBN) Cough

MISRANIANSYAH L PBI (APBN) Other deforming dorsopathies

NOORJANAH P PBI (APBN) End-stage renal disease

M. NAZRIL L PBI (APBN) Cutaneous abscess, furuncle and


carbuncle
HADIDJAH P PBI (APBN) Dyspepsia

ST FARADIBAH P PEKERJA MANDIRI Examination of blood pressure

SITI MARIAM P PEKERJA MANDIRI Other deforming dorsopathies

MURSEHAN P PEKERJA MANDIRI Examination of blood pressure

NURUL RAHMI P PNS PUSAT Cutaneous abscess, furuncle and


carbuncle
RUSLAN L PEKERJA MANDIRI Dyspepsia

SANIAH P PEKERJA MANDIRI Haemorrhoids

MASTANIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus
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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
422 13-04-2019 170406010419Y000269 0002095501386

423 13-04-2019 170406010419P000718 0002207775701

424 13-04-2019 170406010419P000672 0002465196794

425 13-04-2019 170406010419P000671 0002465205759

426 12-04-2019 170406010419P000239 0000122707034

427 12-04-2019 170406010419P000249 0000889791748

428 12-04-2019 170406010419P000244 0000889952927

429 12-04-2019 170406010419P000247 0000889953399

430 12-04-2019 170406010419Y000251 0000889979725

431 12-04-2019 170406010419P000536 0000890825758

432 12-04-2019 170406010419P000535 0000891509747

433 12-04-2019 170406010419Y000254 0000891540786

434 12-04-2019 170406010419P000258 0001278170245

435 12-04-2019 170406010419Y000253 0001279655572

436 12-04-2019 170406010419Y000246 0001280209667

437 12-04-2019 170406010419P000243 0001287065406

438 12-04-2019 170406010419P000256 0001442536211

439 12-04-2019 170406010419P000259 0001483843263

440 12-04-2019 170406010419P000248 0001484479225

441 12-04-2019 170406010419Y000250 0001790572871

442 12-04-2019 170406010419P000242 0001824596493


PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,
bacteriologically and

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

YUSUF L PEKERJA MANDIRI Influenza due to other identified


influenza virus
ARBAINAH P PEKERJA MANDIRI Gout

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


mellitus with

NURUL MAULIDA P PBI (APBN) Acute upper respiratory infections


of multiple and

SITI SARAH P PBI (APBN) Non-insulin-dependent diabetes


mellitus
SALAMAH P PBI (APBN) Other arthritis

ERNAWATI P PBI (APBN) Cough

TARNADI L PBI (APBN) Essential (primary) hypertension

ABD KHALID L PBI (APBN) Cough

YANTO L PBI (APBN) Respiratory tuberculosis,


bacteriologically and

MARDIANA P PEKERJA MANDIRI Contraceptive management

NURUN NAJMI P PEKERJA MANDIRI Cough

DHEA FATHONAH L PEGAWAI SWASTA Acute upper respiratory infections


of multiple and

SAIHU L PEKERJA MANDIRI Essential (primary) hypertension

HAURA ELYSA GUNTUR P PEKERJA MANDIRI Diseases of pulp and periapical


tissues
muhammad rifqi L PEGAWAI SWASTA Cough

aminah P PEKERJA MANDIRI Irritant contact dermatitis

ROHANI P PEKERJA MANDIRI Allergic contact dermatitis

RUSMAWATI, HJ P PEKERJA MANDIRI Essential (primary) hypertension


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
443 12-04-2019 170406010419P000240 0002063193805

444 12-04-2019 170406010419P000255 0002095501386

445 12-04-2019 170406010419Y000245 0002201165987

446 12-04-2019 170406010419P000241 0002228752034

447 12-04-2019 170406010419P000261 0002239221554

448 12-04-2019 170406010419P000257 0002304843478

449 12-04-2019 170406010419P000260 0002463534325

450 12-04-2019 170406010419Y000252 0002583844817

451 11-04-2019 170406010419P000214 0000123347103

452 11-04-2019 170406010419Y000224 0000123452943

453 11-04-2019 170406010419Y000220 0000123756221

454 11-04-2019 170406010419Y000218 0000200312019

455 11-04-2019 170406010419Y000233 0000211436987

456 11-04-2019 170406010419P000238 0000889798577

457 11-04-2019 170406010419P000529 0000889949823

458 11-04-2019 170406010419Y000223 0000890495572

459 11-04-2019 170406010419P000538 0000890768889

460 11-04-2019 170406010419P000222 0000890800424

461 11-04-2019 170406010419Y000230 0000890811099

462 11-04-2019 170406010419P000213 0000890906321

463 11-04-2019 170406010419P000215 0001079647222


BAHRUL ILMI L PEGAWAI SWASTA Dislocation, sprain and strain of
joints and

PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,


bacteriologically and

MAIMUNAH P PBI (APBD) Gastritis and duodenitis

FATIMAH P PEKERJA MANDIRI Undifferentiated schizophrenia

NUR AZKIA RAHMI P PEGAWAI SWASTA Diarrhoea and gastroenteritis of


presumed infectious origin

DEWI KARMILAWATI P PEKERJA MANDIRI Contraceptive management

AZKIA SHOLEHAH P PBI (APBN) Allergic contact dermatitis

BIRROL HASANI L PBI (APBN) Impacted cerumen

HERYADI, DRS L PNS PUSAT Senile cataract

SITI MULIA P PENERIMA PENSIUN TNI Gout

RUSMIATI P PENERIMA PENSIUN PNS Influenza due to other identified


influenza virus
ERNAWATI P PNS DAERAH Cough

AHMAD MUHYIDDIN L PNS DAERAH Periapical abscess without sinus

KARMIYANTI P PBI (APBN) Contraceptive management

NORMAYA P PBI (APBN) Gout

FATIMAH P PBI (APBN) Essential (primary) hypertension

NORJANAH P PBI (APBN) Essential (primary) hypertension

DARMAWAN L PBI (APBN) Stroke, not specified as


haemorrhage or infarction
RUSNANI P PBI (APBN) Essential (primary) hypertension

JUMRAH P PBI (APBN) Congenital non-neoplastic naevus

ADITYA RAMADHANI L PNS PUSAT Acute bronchitis


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
464 11-04-2019 170406010419P000226 0001127483177

465 11-04-2019 170406010419P000531 0001306759375

466 11-04-2019 170406010419P000225 0001432040681

467 11-04-2019 170406010419Y000227 0001465392284

468 11-04-2019 170406010419Y000232 0001545029932

469 11-04-2019 170406010419Y000229 0001545029943

470 11-04-2019 170406010419Y000231 0002095501386

471 11-04-2019 170406010419Y000219 0002252866072

472 11-04-2019 170406010419P000236 0002253471052

473 11-04-2019 170406010419P000235 0002253471063

474 11-04-2019 170406010419P000237 0002436605335

475 11-04-2019 170406010419Y000221 0002470184346

476 11-04-2019 170406010419Y000216 0002470185123

477 11-04-2019 170406010419Y000228 0002482520681

478 11-04-2019 170406010419P000234 0002615449746

479 11-04-2019 170406010419Y000217 0002737317025

480 10-04-2019 170406010419P000205 0000122621051

481 10-04-2019 170406010419P000199 0000122719151

482 10-04-2019 170406010419P000196 0000122805314


ARBAIN L PEGAWAI SWASTA Malignant neoplasm of glottis

KARNIWATI P PEGAWAI SWASTA Gout

NUR JANNAH L PEKERJA MANDIRI Intervertebral disc disorder,


unspecified
RENDY ILHAM NUR SYAHPUTRA L PEKERJA MANDIRI Diarrhoea and gastroenteritis of
presumed infectious origin

EKA ERNAYANTI P PEGAWAI SWASTA Pure hypercholesterolaemia

HAIRUNNISA P PEGAWAI SWASTA Dyspepsia

PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,


bacteriologically and

NURUL PURNAMA SARI P PEKERJA MANDIRI Gout

NURIAH P PEKERJA MANDIRI Antenatal screening, unspecified

NORLATIFAH P PEKERJA MANDIRI Antenatal screening, unspecified

ISTIQOMAH P PEGAWAI SWASTA Contraceptive management

HALIDAH P PEKERJA MANDIRI Cough

TRI WAHYU L PEKERJA MANDIRI Typhoid fever

BAYI NY RUSNANI L PBI (APBN) Acute upper respiratory infections


of multiple and

SALASIAH P PEGAWAI SWASTA Antenatal screening, unspecified

ROSITA WATI P PENERIMA PENSIUN PNS Typhoid fever

JAMILAH P PNS DAERAH Chronic gastritis, unspecified

JOHNY RAMOON L PNS PUSAT Acute upper respiratory infections


of multiple and

AGUS PRIBADI L PNS DAERAH Dislocation, sprain and strain of


joints and ligaments of shoulder
Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
483 10-04-2019 170406010419P000470 0000889774986

484 10-04-2019 170406010419P000469 0000889775122

485 10-04-2019 170406010419P000468 0000889775504

486 10-04-2019 170406010419P000476 0000889777383

487 10-04-2019 170406010419P000477 0000889832272

488 10-04-2019 170406010419P000472 0000889868889

489 10-04-2019 170406010419P000471 0000889869609

490 10-04-2019 170406010419P000474 0000889870252

491 10-04-2019 170406010419P000473 0000889870331

492 10-04-2019 170406010419P000525 0000889910908

493 10-04-2019 170406010419P000527 0000889943534

494 10-04-2019 170406010419P000526 0000889984124

495 10-04-2019 170406010419Y000197 0000890061456

496 10-04-2019 170406010419P000211 0000891031162

497 10-04-2019 170406010419P000201 0001174156749

498 10-04-2019 170406010419P000204 0001443519538

499 10-04-2019 170406010419Y000200 0001451661669

500 10-04-2019 170406010419Y000208 0001460053989

501 10-04-2019 170406010419P000202 0001547615575

502 10-04-2019 170406010419P000209 0001819335249

503 10-04-2019 170406010419P000203 0002069648886

504 10-04-2019 170406010419Y000206 0002083725797


BASRIAH P PBI (APBN) Acute upper respiratory infections
of multiple and

ARBAINAH P PBI (APBN) Influenza due to other identified


influenza virus
BASRANI L PBI (APBN) Headache

SITI AISAH P PBI (APBN) Acute upper respiratory infections


of multiple and

NORTIKA P PBI (APBN) Influenza due to other identified


influenza virus
RIZALI L PBI (APBN) Influenza due to other identified
influenza virus
FITRIAH P PBI (APBN) Cough

RAHMAN L PBI (APBN) Fever of other and unknown origin

RAHIM L PBI (APBN) Headache

NAPHANI EFENDI L PBI (APBN) Dyspepsia

MUNSI L PBI (APBN) Allergic contact dermatitis

ALUS L PBI (APBN) Essential (primary) hypertension

MASNIAH P PBI (APBN) Other arthritis

MAULIDA P PBI (APBN) Diseases of pulp and periapical


tissues
SITI MARIANA P PEGAWAI SWASTA Diseases of pulp and periapical
tissues
JAMILAH P PEKERJA MANDIRI Allergic contact dermatitis

ANSYAR L PEKERJA MANDIRI Open wound of cheek and


temporomandibular area

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

SALAMAH P PEGAWAI SWASTA Diseases of pulp and periapical


tissues
MAS AIDA P PEKERJA MANDIRI Senile cataract

AFIFAH P PEKERJA MANDIRI Antenatal screening, unspecified

FERNI ARIANI P PEKERJA MANDIRI Gastritis and duodenitis


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

Rujuk Lanjut

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
505 10-04-2019 170406010419Y000198 0002093722468

506 10-04-2019 170406010419Y000207 0002095501386

507 10-04-2019 170406010419P000475 0002309331666

508 10-04-2019 170406010419Y000210 0002438267624

509 10-04-2019 170406010419P000195 0002501923476

510 10-04-2019 170406010419P000212 0002655485458

511 09-04-2019 170406010419P000560 0000122718745

512 09-04-2019 170406010419P000554 0000122728195

513 09-04-2019 170406010419P000186 0000122756725

514 09-04-2019 170406010419P000185 0000122829849

515 09-04-2019 170406010419P000183 0000123187937

516 09-04-2019 170406010419P000189 0000123741707

517 09-04-2019 170406010419P000558 0000889763624

518 09-04-2019 170406010419P000559 0000889764311

519 09-04-2019 170406010419P000179 0000889777383

520 09-04-2019 170406010419P000194 0000890341863

521 09-04-2019 170406010419P000556 0000890637142

522 09-04-2019 170406010419P000555 0001065415678

523 09-04-2019 170406010419P000188 0001182009069

524 09-04-2019 170406010419P000187 0001182009071

525 09-04-2019 170406010419P000178 0001371940738

526 09-04-2019 170406010419P000192 0001424666294


MANSYAH L PEKERJA MANDIRI Gout

PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,


bacteriologically and

M. ASERI .HA L PEKERJA MANDIRI Influenza due to other identified


influenza virus
RAISA ASPIAN P PEKERJA MANDIRI Influenza due to other identified
influenza virus
ZAINAH P PEKERJA MANDIRI Dyspepsia

KARMILAWATI P PEGAWAI SWASTA Contraceptive management

AMRULLAH L PNS DAERAH Acute haemorrhagic gastritis

ANNAWATI. P PENERIMA PENSIUN PNS Varicella [chickenpox]

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


mellitus without

SARNIAH P PENERIMA PENSIUN PNS Essential (primary) hypertension

MASRUPAH P PNS DAERAH Cough

SUISMADI L PNS DAERAH Cutaneous abscess, furuncle and


carbuncle
SETIA BUDI L PBI (APBN) Myalgia

SETIAWATI P PBI (APBN) Headache

SITI AISAH P PBI (APBN) Thyrotoxicosis [hyperthyroidism]

RENNY SETIA NINGSIH P PBI (APBN) Contraceptive management

WIDIAWATI MASLOMAN P PBI (APBN) Dyspepsia

YUHANA P PBI (APBN) Cough

AZIZAH P PEGAWAI SWASTA Dyspepsia

MUHAMMAD SAYED AFRIZAL L PEGAWAI SWASTA Allergic contact dermatitis

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

FAJRI NANDA L PEKERJA MANDIRI Diseases of pulp and periapical


tissues
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

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
527 09-04-2019 170406010419P000180 0001451368113

528 09-04-2019 170406010419P000193 0001623245995

529 09-04-2019 170406010419P000184 0001785681371

530 09-04-2019 170406010419P000181 0001857673214

531 09-04-2019 170406010419P000190 0002095501386

532 09-04-2019 170406010419P000191 0002124150535

533 09-04-2019 170406010419P000182 0002263277801

534 09-04-2019 170406010419P000557 0002637357017

535 08-04-2019 170406010419P000176 0000122707001

536 08-04-2019 170406010419P000150 0000122719522

537 08-04-2019 170406010419P000459 0000123555058

538 08-04-2019 170406010419Y000161 0000123656174

539 08-04-2019 170406010419P000167 0000158985099

540 08-04-2019 170406010419P000160 0000889742204

541 08-04-2019 170406010419P000154 0000889757537

542 08-04-2019 170406010419Y000169 0000889774042

543 08-04-2019 170406010419P000172 0000889776448

544 08-04-2019 170406010419Y000158 0000889837031

545 08-04-2019 170406010419P000171 0000889839718

546 08-04-2019 170406010419Y000153 0000889971658

547 08-04-2019 170406010419P000174 0000889973008


DJANTRAK L PEKERJA MANDIRI Heart failure, unspecified

SAIDAH P PEGAWAI SWASTA Diseases of pulp and periapical


tissues
DESY RAHMAWATI P PEKERJA MANDIRI Acute upper respiratory infections
of multiple and

alya sairina P PEKERJA MANDIRI Epilepsy

PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,


bacteriologically and

FAHRIYAH P PBI (APBN) Dyspepsia

RIDHA WAHYUNI P PEKERJA MANDIRI Dyspepsia

AHYAR L PBI (APBN) Cough

SITI FARIDAH, HJ P PENERIMA PENSIUN TNI Caries of dentine

SURBINI L PENERIMA PENSIUN PNS Insulin-dependent diabetes


mellitus without

RUSLIANI, hj P PENERIMA PENSIUN PNS Gastritis and duodenitis

RUSLANI IBUT L PENERIMA PENSIUN PNS Acute upper respiratory infections


of multiple and

MAHRANI EFFENDI, SH L PNS DAERAH Nonorganic sleep disorder,


unspecified
RAHMAN SADIKIN L PBI (APBN) Thalassaemia, unspecified

MAJEDI MUNAWAR L PBI (APBN) End-stage renal disease

MUHAMMAD IMAM RAMADHANI L PBI (APBN) Acute pharyngitis

SALSA DILA ADINDA P PBI (APBN) Antenatal screening, unspecified

TUKACIL L PBI (APBN) Cough

SITI FARIDAH P PBI (APBN) Antenatal screening, unspecified

NORMAKLIPAH P PBI (APBN) Gout

MUNA KAMILA P PBI (APBN) Diseases of pulp and periapical


tissues
Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
548 08-04-2019 170406010419P000524 0000890044198

549 08-04-2019 170406010419P000159 0000890454172

550 08-04-2019 170406010419P000177 0000890785405

551 08-04-2019 170406010419P000168 0001065415421

552 08-04-2019 170406010419Y000164 0001465392284

553 08-04-2019 170406010419P000163 0001666656178

554 08-04-2019 170406010419P000162 0001666656202

555 08-04-2019 170406010419P000157 0001730252147

556 08-04-2019 170406010419P000165 0001809000189

557 08-04-2019 170406010419P000175 0002046530136

558 08-04-2019 170406010419Y000152 0002083725639

559 08-04-2019 170406010419Y000170 0002095501386

560 08-04-2019 170406010419P000156 0002231648234

561 08-04-2019 170406010419P000173 0002496873453

562 08-04-2019 170406010419Y000151 0002508200144

563 08-04-2019 170406010419P000756 0002589364102

564 08-04-2019 170406010419Y000166 0002607339745

565 08-04-2019 170406010419P000155 0002747267087

566 06-04-2019 170406010419P000680 0000122718745

567 06-04-2019 170406010419P000699 0000122718791


HAYATI P PBI (APBN) Dyspepsia

SURIANSYAH L PBI (APBN) Benign lipomatous neoplasm of


skin and subcutaneous tissue of

LIDYA WARDANI P PBI (APBN) Diseases of pulp and periapical


tissues
FARIDAH P PBI (APBN) Diabetes mellitus in pregnancy,
unspecified
RENDY ILHAM NUR SYAHPUTRA L PEKERJA MANDIRI Gastritis and duodenitis

H SAID SULTAN L PEGAWAI BUMN Chronic renal failure, unspecified

SYARIFAH AULIA AFRIYANI P PEGAWAI BUMN Disorder of refraction, unspecified

MAHMUDAH P PEKERJA MANDIRI Antenatal screening, unspecified

NOR JANAH P PEKERJA MANDIRI Abnormal uterine and vaginal


bleeding,

ACHMAD AS'ARI HAKIM L PEKERJA MANDIRI Diseases of pulp and periapical


tissues
ABD. HALIM L PEKERJA MANDIRI Essential (primary) hypertension

PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,


bacteriologically and

NURJANAH P PEGAWAI SWASTA Antenatal screening, unspecified

NAILA SYAFIYA L PEKERJA MANDIRI Diseases of pulp and periapical


tissues
HABIBIN L PEGAWAI SWASTA Acute upper respiratory infections
of multiple and

RAHMIDAH P PBI (APBN) Contraceptive management

KURNIA P PBI (APBN) Influenza due to other identified


influenza virus
MUSLIA WATI P PEKERJA MANDIRI Antenatal screening, unspecified

AMRULLAH L PNS DAERAH Dyspepsia

DENI ELFENI P PNS DAERAH Examination of blood pressure


Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
568 06-04-2019 170406010419P000702 0000122718982

569 06-04-2019 170406010419P000697 0000122719026

570 06-04-2019 170406010419P000698 0000122719037

571 06-04-2019 170406010419P000708 0000122719162

572 06-04-2019 170406010419P000700 0000122719195

573 06-04-2019 170406010419P000701 0000122719206

574 06-04-2019 170406010419P000706 0000122719432

575 06-04-2019 170406010419P000679 0000122719509

576 06-04-2019 170406010419P000681 0000123171401

577 06-04-2019 170406010419P000149 0000123789418

578 06-04-2019 170406010419P000707 0000124715428

579 06-04-2019 170406010419Y000141 0000168310798

580 06-04-2019 170406010419Y000131 0000204782804

581 06-04-2019 170406010419P000546 0000889449434

582 06-04-2019 170406010419P000136 0000889757537

583 06-04-2019 170406010419P000146 0000889819762

584 06-04-2019 170406010419Y000129 0000889926276

585 06-04-2019 170406010419P000551 0000890656042

586 06-04-2019 170406010419P000547 0000890666695

587 06-04-2019 170406010419P000549 0000890668089

588 06-04-2019 170406010419Y000140 0000890686372

589 06-04-2019 170406010419P000553 0000890697328


FAULIAH 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

RUSLIASARI P PNS PUSAT Examination of blood pressure

MAULANA IBRAHIM L PNS DAERAH Examination of blood pressure

NOOR ASLIANI P PNS DAERAH Examination of blood pressure

SESSI TRI AYU REVILLA P PNS DAERAH Examination of blood pressure

SUNARNI P PNS DAERAH Cough

HERDAYANI P PNS DAERAH Cough

RUSMIATI P PNS DAERAH Non-insulin-dependent diabetes


mellitus
MASRUKIAH P PENERIMA PENSIUN PNS Examination of blood pressure

AISYA MUTIA HUMAIROH P PNS PUSAT Headache

SITI PATIMAH P PENERIMA PENSIUN PNS Gout

ARBAYAH P PBI (APBN) Dyspepsia

MAJEDI MUNAWAR L PBI (APBN) End-stage renal disease

SARBANI L PBI (APBN) Heart failure, unspecified

ERNA P PBI (APBN) Respiratory tuberculosis,


bacteriologically and

MASRANI L PBI (APBN) Cough

SUHARTI P PBI (APBN) Essential (primary) hypertension

YULIA SEKAR KENCANA P PBI (APBN) Influenza, virus not identified

RAHMAD ANDREAN L PBI (APBN) Acute upper respiratory infections


of multiple and

GALUH P PBI (APBN) Acute haemorrhagic gastritis


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

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
590 06-04-2019 170406010419Y000138 0000890762264

591 06-04-2019 170406010419Y000133 0000890791479

592 06-04-2019 170406010419P000142 0000891699232

593 06-04-2019 170406010419Y000143 0000893588872

594 06-04-2019 170406010419P000677 0001080711753

595 06-04-2019 170406010419P000678 0001080711843

596 06-04-2019 170406010419P000145 0001191563043

597 06-04-2019 170406010419Y000137 0001280209667

598 06-04-2019 170406010419P000703 0001291769392

599 06-04-2019 170406010419P000135 0001318164388

600 06-04-2019 170406010419P000552 0001319216321

601 06-04-2019 170406010419P000705 0001327093402

602 06-04-2019 170406010419P000147 0001547615575

603 06-04-2019 170406010419P000132 0001790572871

604 06-04-2019 170406010419Y000130 0001873511245

605 06-04-2019 170406010419P000148 0002065715267

606 06-04-2019 170406010419Y000144 0002095501386

607 06-04-2019 170406010419P000704 0002207775701

608 06-04-2019 170406010419P000128 0002234022647

609 06-04-2019 170406010419P000550 0002277325833


SITI AISYAH P PBI (APBN) Respiratory tuberculosis,
bacteriologically and

YUSRAN L PBI (APBN) Cough

NORAIDA FITRIANI P PBI (APBN) Allergic contact dermatitis

ASRIANTO SABANOR L PEGAWAI SWASTA Cutaneous abscess, furuncle and


carbuncle
RAHMA AMELIA SARIYANI P PNS DAERAH Cough

MUHAMMAD HAGI SUSENO L PNS DAERAH Cough

SILVIA KARMILA P PEKERJA MANDIRI Epilepsy, unspecified

DHEA FATHONAH L PEGAWAI SWASTA Acute upper respiratory infections


of multiple and

ST FARADIBAH P PEKERJA MANDIRI Examination of blood pressure

TANKASIANI L PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

SITI MARIAM P PEKERJA MANDIRI Myalgia

MURSEHAN P PEKERJA MANDIRI Examination of blood pressure

SALAMAH P PEGAWAI SWASTA Diseases of pulp and periapical


tissues
ROHANI P PEKERJA MANDIRI Hypertensive heart disease

MASTANIAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus
ABDURRAHIM L PEKERJA MANDIRI Diseases of pulp and periapical
tissues
PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,
bacteriologically and

DINA MARIANI P PEGAWAI SWASTA Examination of blood pressure

HATIAH P PEKERJA MANDIRI Respiratory tuberculosis,


bacteriologically and

MUTMAINAH P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with
Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
610 06-04-2019 170406010419Y000134 0002431209712

611 06-04-2019 170406010419Y000139 0002487680662

612 05-04-2019 170406010419Y000123 0000117648404

613 05-04-2019 170406010419P000112 0000122719037

614 05-04-2019 170406010419P000523 0000889943534

615 05-04-2019 170406010419P000118 0000889953884

616 05-04-2019 170406010419Y000120 0000890677631

617 05-04-2019 170406010419Y000122 0000978029818

618 05-04-2019 170406010419Y000114 0001272562986

619 05-04-2019 170406010419P000124 0001442536211

620 05-04-2019 170406010419P000126 0001451662536

621 05-04-2019 170406010419P000117 0001551090813

622 05-04-2019 170406010419P000125 0001551353163

623 05-04-2019 170406010419P000116 0001551380747

624 05-04-2019 170406010419P000127 0002065715267

625 05-04-2019 170406010419Y000121 0002088252235

626 05-04-2019 170406010419Y000119 0002095501386

627 05-04-2019 170406010419P000113 0002470185123

628 05-04-2019 170406010419P000115 0002611505845

629 04-04-2019 170406010419P000097 0000122707034

630 04-04-2019 170406010419P000091 0000122805314


RAHMANI L PEKERJA MANDIRI Headache

ASNIAH P PEKERJA MANDIRI Respiratory tuberculosis,


bacteriologically and

SITI JARIAH NORMI P PENERIMA PENSIUN PNS Cough

MAHDIATUL WAHDAH P PNS DAERAH Non-insulin-dependent diabetes


mellitus with

MUNSI L PBI (APBN) Asthma

FADILLAH L PBI (APBN) Stomatitis and related lesions

KURNI YUSRI L PBI (APBN) Undifferentiated schizophrenia

RUSMIATI P PENERIMA PENSIUN PNS Hyperlipidaemia, unspecified

SATAR L PEKERJA MANDIRI Dyspepsia

HAURA ELYSA GUNTUR P PEKERJA MANDIRI Diseases of pulp and periapical


tissues
JAM'AH P PEKERJA MANDIRI Diseases of pulp and periapical
tissues
YOSEP SuGITO L PEGAWAI SWASTA Retinal detachments and breaks

HADARIAH P PEGAWAI SWASTA Other surgical follow-up care

AUGUSTIN JOSEPHIN P PEGAWAI SWASTA Glaucoma, unspecified

ABDURRAHIM L PEKERJA MANDIRI Diseases of pulp and periapical


tissues
NOR HASANAH P PEKERJA MANDIRI Cutaneous abscess, furuncle and
carbuncle
PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,
bacteriologically and

TRI WAHYU L PEKERJA MANDIRI Developmental disorder of speech


and language,

CALON BAYI NY SHALATIAH P PEGAWAI SWASTA Neoplasm of uncertain or unknown


behavior of skin
M. MAKI L PENERIMA PENSIUN TNI Allergic contact dermatitis

AGUS PRIBADI L PNS DAERAH Dyspepsia


Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan

Berobat Jalan

Rujuk Lanjut

Rujuk Lanjut

Berobat Jalan

Berobat Jalan
Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
631 04-04-2019 170406010419P000090 0000123313206

632 04-04-2019 170406010419P000074 0000123313689

633 04-04-2019 170406010419P000098 0000123313691

634 04-04-2019 170406010419P000093 0000123741707

635 04-04-2019 170406010419P000075 0000124507877

636 04-04-2019 170406010419P000092 0000889355035

637 04-04-2019 170406010419P000105 0000889357724

638 04-04-2019 170406010419P000083 0000889764502

639 04-04-2019 170406010419P000085 0000889764671

640 04-04-2019 170406010419P000078 0000889764759

641 04-04-2019 170406010419P000110 0000889907534

642 04-04-2019 170406010419P000521 0000889984124

643 04-04-2019 170406010419P000084 0000890072559

644 04-04-2019 170406010419P000104 0000890302116

645 04-04-2019 170406010419P000081 0000890457401

646 04-04-2019 170406010419P000107 0000890663703

647 04-04-2019 170406010419P000087 0000890761072

648 04-04-2019 170406010419P000103 0000890761408

649 04-04-2019 170406010419P000522 0000890810785

650 04-04-2019 170406010419P000100 0000890825231

651 04-04-2019 170406010419P000094 0000891558494


A ATHAILAH L PNS PUSAT Essential (primary) hypertension

ABDULLAHKARIM L PNS PUSAT Non-insulin-dependent diabetes


mellitus with

AINAH FATIAH,BA P PNS PUSAT Essential (primary) hypertension

SUISMADI L PNS DAERAH Cutaneous abscess, furuncle and


carbuncle
SITI AISYAH P PENERIMA PENSIUN PNS Low back pain

KARTINAH P PBI (APBN) Dyspepsia

EVA SAUFIKA HIDAYATI P PEGAWAI SWASTA Diseases of pulp and periapical


tissues
KASRIANI L PBI (APBN) Diarrhoea and gastroenteritis of
presumed infectious origin

MURSIDAH P PBI (APBN) Cough

ahmad saidi L PBI (APBN) Undifferentiated schizophrenia

NOOR AIDA P PBI (APBN) Contraceptive management

ALUS L PBI (APBN) Essential (primary) hypertension

HASANAH P PBI (APBN) Cough

MUHAMMAD AINI L PBI (APBN) Allergic contact dermatitis

NOR HALIMAH P PBI (APBN) Maternal care for malpresentation


of fetus,

NORIYAH P PBI (APBN) Contraceptive management

FATIMAH P PBI (APBN) Dyspepsia

RAMLI L PBI (APBN) Influenza due to other identified


influenza virus
SAIDAH P PBI (APBN) Cough

AINA P PBI (APBN) Essential (primary) hypertension

MANSYAH L PBI (APBN) Dyspepsia


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
652 04-04-2019 170406010419P000096 0000891558966

653 04-04-2019 170406010419P000079 0000975900565

654 04-04-2019 170406010419P000101 0001065413035

655 04-04-2019 170406010419P000106 0001065413193

656 04-04-2019 170406010419P000088 0001065415779

657 04-04-2019 170406010419P000089 0001065415781

658 04-04-2019 170406010419P000082 0001267501601

659 04-04-2019 170406010419P000086 0001306774866

660 04-04-2019 170406010419P000080 0001475839146

661 04-04-2019 170406010419P000073 0001794327208

662 04-04-2019 170406010419P000099 0001809000189

663 04-04-2019 170406010419P000077 0001904156392

664 04-04-2019 170406010419P000108 0002084192313

665 04-04-2019 170406010419P000095 0002084192807

666 04-04-2019 170406010419P000102 0002095501386

667 04-04-2019 170406010419P000072 0002124150851

668 04-04-2019 170406010419P000109 0002260117168

669 04-04-2019 170406010419P000076 0002429007311

670 04-04-2019 170406010419P000111 0002747005503

671 03-04-2019 170406010419P000750 0000890663703

672 03-04-2019 170406010419P000751 0001900119756

673 02-04-2019 170406010419P000071 0000122598483


JUAIRIAH P PBI (APBN) Fever of other and unknown origin

FATHUL JANNAH P PENERIMA PENSIUN TNI Undifferentiated somatoform


disorder
MUHDAR L PBI (APBN) Diarrhoea and gastroenteritis of
presumed infectious origin

NAZWA P PBI (APBN) Diseases of pulp and periapical


tissues
SITI HALIDAH P PBI (APBN) Disorders of refraction and
accommodation
NOR HELDAYANI P PBI (APBN) Cough

ASRANI L PEKERJA MANDIRI Heart failure

ZAINAL ABIDIN L PEKERJA MANDIRI Cough

ABIZAR RIZKY FRADITA L ANGGOTA POLRI Injury of eye and orbit

HAMIDI L PEKERJA MANDIRI Congestive heart failure

NOR JANAH P PEKERJA MANDIRI Cough

SALMAN L PEKERJA MANDIRI Senile cataract, unspecified

SUPARMI P PEGAWAI SWASTA Contraceptive management

SINTA WAFI P PEGAWAI SWASTA Cough

PRIMA ARIADI L PEGAWAI SWASTA Respiratory tuberculosis,


bacteriologically and

SITI MAIMUNAH P PBI (APBN) Pterygium

SELVIA MAULIDA P PEKERJA MANDIRI Antenatal screening, unspecified

MAYA SARI P PEKERJA MANDIRI Supervision of elderly primigravida

NISA PARWITA P PEKERJA MANDIRI Antenatal screening, unspecified

NORIYAH P PBI (APBN) Contraceptive management

SYAMSIAH P PEKERJA MANDIRI Contraceptive management

NOOR HASANAH P PENERIMA PENSIUN PNS End-stage renal disease


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
674 02-04-2019 170406010419P000534 0000122728195

675 02-04-2019 170406010419P000533 0000122738387

676 02-04-2019 170406010419P000045 0000122813403

677 02-04-2019 170406010419P000528 0000196718117

678 02-04-2019 170406010419Y000061 0000200312019

679 02-04-2019 170406010419P000069 0000889357724

680 02-04-2019 170406010419P000537 0000889477964

681 02-04-2019 170406010419P000046 0000889763624

682 02-04-2019 170406010419P000457 0000889787147

683 02-04-2019 170406010419P000044 0000889791568

684 02-04-2019 170406010419P000539 0000889815306

685 02-04-2019 170406010419P000514 0000889988174

686 02-04-2019 170406010419Y000055 0000890061456

687 02-04-2019 170406010419P000065 0000890310778

688 02-04-2019 170406010419P000513 0000890335631

689 02-04-2019 170406010419P000540 0000890461168

690 02-04-2019 170406010419P000054 0000890618736

691 02-04-2019 170406010419P000512 0000890630695

692 02-04-2019 170406010419Y000060 0000890687542

693 02-04-2019 170406010419P000511 0000890761072

694 02-04-2019 170406010419P000050 0000976814976

695 02-04-2019 170406010419P000530 0001080711753

696 02-04-2019 170406010419Y000063 0001174156749

697 02-04-2019 170406010419Y000049 0001264610643


ANNAWATI. P PENERIMA PENSIUN PNS Cough

M.ABERANI. L PENERIMA PENSIUN PNS Cough

FITRIATI P PENERIMA PENSIUN PNS Senile cataract, unspecified

MUHAMMAD THORIQ HIDAYAT L PNS PUSAT Cough

ERNAWATI P PNS DAERAH Cough

EVA SAUFIKA HIDAYATI P PEGAWAI SWASTA Diseases of pulp and periapical


tissues
RUBIAH P PBI (APBN) Allergic contact dermatitis

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


haemorrhage or infarction
FATMAWATI P PBI (APBN) Cutaneous abscess, furuncle and
carbuncle
AHMAD L PBI (APBN) Parkinson's disease

MASNUN P PBI (APBN) Myalgia

MASNIAH P PBI (APBN) Dyspepsia

MASNIAH P PBI (APBN) Essential (primary) hypertension

RUSMIATI P PBI (APBN) Contraceptive management

MARIYATI P PBI (APBN) Headache

RUHANI P PBI (APBN) Myalgia

MURHANI L PBI (APBN) Retinal vascular occlusion,


unspecified
MISLIWATI P PBI (APBN) Dyspepsia

KAMSIAH P PBI (APBN) Essential (primary) hypertension

FATIMAH P PBI (APBN) Dyspepsia

AHMAD DHIYAI SYABANI L PNS PUSAT Thalassaemia, unspecified

RAHMA AMELIA SARIYANI P PNS DAERAH Cough

SITI MARIANA P PEGAWAI SWASTA Low back pain

MASRIADY L PEKERJA MANDIRI Schizophrenia, unspecified


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
698 02-04-2019 170406010419P000067 0001280208868

699 02-04-2019 170406010419Y000053 0001327153408

700 02-04-2019 170406010419Y000058 0001441794846

701 02-04-2019 170406010419Y000056 0001451642679

702 02-04-2019 170406010419Y000062 0001451661669

703 02-04-2019 170406010419P000070 0001476811541

704 02-04-2019 170406010419Y000057 0001484479225

705 02-04-2019 170406010419Y000059 0001796882512

706 02-04-2019 170406010419Y000052 0001810491085

707 02-04-2019 170406010419P000048 0001868489177

708 02-04-2019 170406010419P000068 0001900119756

709 02-04-2019 170406010419Y000051 0002095501386

710 02-04-2019 170406010419P000064 0002201165987

711 02-04-2019 170406010419P000066 0002273331047

712 02-04-2019 170406010419Y000047 0002314068906

713 02-04-2019 170406010419P000532 0002595526492

714 01-04-2019 170406010419P000026 0000122707135

715 01-04-2019 170406010419P000032 0000123302812

716 01-04-2019 170406010419Y000019 0000124564544

717 01-04-2019 170406010419P000022 0000158013213

718 01-04-2019 170406010419Y000028 0000202899407


SELVIA SHOLEHAH P PEGAWAI SWASTA Contraceptive management

RAHMAWATI P PEGAWAI SWASTA Hyperuricaemia without signs of


inflammatory arthritis and
tophaceous

ANNI NURHIDAYAH P PEKERJA MANDIRI Other hyperlipidaemia

A. ARBANI L PEKERJA MANDIRI Essential (primary) hypertension

ANSYAR L PEKERJA MANDIRI Unknown and unspecified causes


of morbidity

KHUSNUL KHATIMAH P PEGAWAI SWASTA Diseases of pulp and periapical


tissues
aminah P PEKERJA MANDIRI Allergic contact dermatitis

MASNIAH P PENERIMA PENSIUN POLRI Other deforming dorsopathies

MURSILAH P PEKERJA MANDIRI Essential (primary) hypertension

ARDIANSYAH IDIPASI L PEKERJA MANDIRI Insulin-dependent diabetes


mellitus with

SYAMSIAH P PEKERJA MANDIRI Contraceptive management

PRIMA ARIADI L PEGAWAI SWASTA Liver disease, unspecified

MAIMUNAH P PBI (APBD) Dyspepsia

SAUPI SARI P PEGAWAI SWASTA Antenatal screening, unspecified

ARBAYAH P PEKERJA MANDIRI Other deforming dorsopathies

MUHAMMAD HUSAINI L PBI (APBN) Cough

SITI FATIMAH P PENERIMA PENSIUN TNI Stroke, not specified as


haemorrhage or infarction
SUBONO L PENERIMA PENSIUN PNS Other deforming dorsopathies

ABDUL GAFAR L PENERIMA PENSIUN POLRI Essential (primary) hypertension

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

SITI BARKIS P PENERIMA PENSIUN PNS Other deforming dorsopathies


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
719 01-04-2019 170406010419Y000016 0000210415533

720 01-04-2019 170406010419Y000027 0000889449028

721 01-04-2019 170406010419P000025 0000889767178

722 01-04-2019 170406010419P000024 0000889787147

723 01-04-2019 170406010419P000456 0000889830213

724 01-04-2019 170406010419P000749 0000889907534

725 01-04-2019 170406010419P000509 0000889944671

726 01-04-2019 170406010419P000510 0000889981187

727 01-04-2019 170406010419P000010 0000889993809

728 01-04-2019 170406010419P000037 0000890053525

729 01-04-2019 170406010419P000035 0000890074754

730 01-04-2019 170406010419P000004 0000890313906

731 01-04-2019 170406010419Y000008 0000890456398

732 01-04-2019 170406010419Y000007 0000890456769

733 01-04-2019 170406010419P000036 0000890678632

734 01-04-2019 170406010419P000041 0000890679058

735 01-04-2019 170406010419P000040 0000890785405

736 01-04-2019 170406010419P000042 0000890836435

737 01-04-2019 170406010419P000043 0000891031162

738 01-04-2019 170406010419Y000030 0000891248264

739 01-04-2019 170406010419P000013 0000891679421


USMIATI P PENERIMA PENSIUN PNS Essential (primary) hypertension

rama idup L PBI (APBN) Dyspepsia

SADIKIN L PBI (APBN) Other specified mental disorders


due to brain damage and
dysfunction

FATMAWATI P PBI (APBN) Disorders of refraction and


accommodation
TABRANI L PBI (APBN) Gout

NOOR AIDA P PBI (APBN) Contraceptive management

BASHITAH P PBI (APBN) Cough

WAHYUDI L PBI (APBN) Allergic contact dermatitis

ROHANA P PBI (APBN) Disorder of refraction, unspecified

MARIANA P PBI (APBN) Contraceptive management

BAHRAH P PBI (APBN) Contraceptive management

SYARNIAH P PBI (APBN) Hypertensive heart disease

MUCHTAR L PBI (APBN) Acute upper respiratory infections


of multiple and

JUMAIYAH P PBI (APBN) Conjunctivitis

WIWI ARIYANI P PBI (APBN) Contraceptive management

ACHMAD RAMADHAN L PBI (APBN) Diseases of pulp and periapical


tissues
LIDYA WARDANI P PBI (APBN) Diseases of pulp and periapical
tissues
RUSMAWATI P PBI (APBN) Diseases of pulp and periapical
tissues
MAULIDA P PBI (APBN) Diseases of pulp and periapical
tissues
AL PISAH P PBI (APBN) Dyspepsia

PUHDIN L PBI (APBN) Foreign body in ear


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Kantor Cabang : BANJARMASIN - 1701
FKTP : KERTAK HANYAR - 17040601
740 01-04-2019 170406010419Y000015 0001094262467

741 01-04-2019 170406010419P000021 0001166092108

742 01-04-2019 170406010419P000012 0001264056265

743 01-04-2019 170406010419P000009 0001314899278

744 01-04-2019 170406010419P000001 0001328026138

745 01-04-2019 170406010419Y000011 0001481294035

746 01-04-2019 170406010419P000003 0001786617786

747 01-04-2019 170406010419P000023 0001802811251

748 01-04-2019 170406010419P000018 0001810867465

749 01-04-2019 170406010419P000033 0001831292943

750 01-04-2019 170406010419P000005 0001883181396

751 01-04-2019 170406010419P000038 0002069648886

752 01-04-2019 170406010419Y000020 0002095501386

753 01-04-2019 170406010419Y000006 0002122994261

754 01-04-2019 170406010419P000002 0002122994272

755 01-04-2019 170406010419Y000031 0002288159188

756 01-04-2019 170406010419P000039 0002496873453

757 01-04-2019 170406010419Y000029 0002501923476

758 01-04-2019 170406010419P000034 0002611777577

759 01-04-2019 170406010419P000017 0002621034268

760 01-04-2019 170406010419Y000014 0002749201762


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

MUHAMMAD SURIANSYAH, SE L PEGAWAI SWASTA Other chronic obstructive


pulmonary disease
NORAIDA P PEKERJA MANDIRI Heart failure, unspecified

FITRIYANI P PEGAWAI SWASTA Disorder of refraction, unspecified

SALAMAH P PEKERJA MANDIRI Undifferentiated schizophrenia

supiyah P PEKERJA MANDIRI Cough

masriah P PEKERJA MANDIRI Non-insulin-dependent diabetes


mellitus with

juhransyah jarni L PNS DAERAH Non-insulin-dependent diabetes


mellitus without

BUDI RUJANI L PEKERJA MANDIRI Injury of eye and orbit, part


unspecified
SUBLI L PEKERJA MANDIRI Essential (primary) hypertension

IKA SALAWISKA P PEKERJA MANDIRI Supervision of elderly primigravida

AFIFAH P PEKERJA MANDIRI Antenatal screening, unspecified

PRIMA ARIADI L PEGAWAI SWASTA Dyspepsia

MARIAH P PBI (APBN) Essential (primary) hypertension

MARLINA AGUSTIN P PBI (APBN) Cluster headache syndrome

KAMRANSYAH, H L PEKERJA MANDIRI Dyspepsia

NAILA SYAFIYA L PEKERJA MANDIRI Diseases of pulp and periapical


tissues
ZAINAH P PEKERJA MANDIRI Essential (primary) hypertension

MURIANI P PENERIMA PENSIUN PNS Conjunctivitis

SITI HAMDANAH P PEKERJA MANDIRI Heart failure, unspecified

MASNAH P PEKERJA MANDIRI Other and unspecified ovarian


cysts
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