Agenda Rujukan

BUKU AGENDA RUJUKAN UPT PUSKESMAS BARADATU
TAHUN 2017
ALASAN RUJUK
NO TANGGAL NAMA PESERTA NOMOR KARTU DIAGNOSA ALASAN LAINNYA

TIDAK ADA TIDAK ADA TIDAK ADA
NAKES ALKES SARPRAS
1 3/7/2017 INDAH KUSUMA NINGRUM 000 2039212258 Burn of unspecified degree of wrist v
and hand
2 3/7/2017 SAMIKNA 000 2235095651 Congestive heart failure v
3 3/7/2017 JAPARUDIN 0000 351987423 Senile incipient cataract v
4 3/7/2017 ABDURRAHMAN 000 1270713431 Other acute gastritis v
5 4/7/2017 RUSMAINI 000 1388208813 Glaucoma suspect v
6 4/7/2017 EKO SUGIATI 000 1820639981 Malignant neoplasm of nipple and v

areola
7 4/7/2017 KATARINA LANDEP 000 2253934214 Neurofibromatosis (nonmalignant) v
8 4/7/2017 ROSMELINA SINAGA 000 2259583211 Malignant neoplasm of sigmoid v

colon
Benign lipomatous neoplasm of skin

9 4/7/2017 FERDINANDUS VIC VIKO.P 00000 34640098 and subcutaneous tissue of head, v
face and neck
10 5/7/2017 HM ZEN 000 1424167795 Congestive heart failure v
11 5/7/2017 SUYAMTO 000 1625885381 Myopia v
12 6/7/2017 YON FERNANDO 0000 351796239 Gangrene, not elsewhere classified v
13 6/7/2017 WAISAH 0000 34608014 Benign neoplasm of breast v
Malignant neoplasm of connective

14 6/7/2017 FELIX ARGA RAGITA PUTRA 000 166585814 and soft tissue of head, face and v
neck
15 6/7/2017 ELVIRA YUNITA 0000 202099397 Benign neoplasm of breast v
16 6/7/2017 M. RAMSYAH 0000 351680027 Unspecified diabetes mellitus v

without complications
17 7/7/2017 EKO WINARNI 000 1905163288 Gangrene, not elsewhere classified v
18 10/7/2017 SUWARNI 000 2228910748 Nontoxic single thyroid nodule v
19 10/7/2017 INDRA PIRASAT 0000 353512247 Necrosis of pulp v
20 11/7/2017 SUSANTO 000 352208968 Senile incipient cataract v
21 11/7/2017 PONIYEM 0000 352261866 Senile incipient cataract v
22 11/7/2017 SUGENG TRIONO 000 2244110409 Embedded teeth v
23 12/7/2017 AHMAD ROZI HH 0000 352486348 Senile incipient cataract v
Tuberculosis of intrathoracic lymph

24 12/7/2017 WISNU ADI BRATA 000 1283026836 nodes, confirmed bacteriologically v
and histologically
25 12/7/2017 SISKA WIDYA 000 1310260195 Paranoid schizophrenia v
26 12/7/2017 ADELIA DWI PRATIWI 000 1799262966 Myopia v
27 12/7/2017 LELY PRILIA LUANDA 00000 34569652 Acute laryngopharyngitis v

28 12/7/2017 NIRWANA 0000 350633474 Dyspepsia v
29 12/7/2017 SAHADI 00000 351675685 Intracerebral haemorrhage, v

unspecified
30 15/07/2017 RINI 00000 34647658 Idiopathic hypotension v
31 17/07/2017 WASMIN 000 1323978603 Acute renal failure with tubular v

necrosis
32 18/07/2017 SUKILAN 000 2074457081 External haemorrhoids without v

complication
33 18/07/2017 ABDUL SLAMET 000 2247163064 Senile incipient cataract v
34 18/07/2017 MARTOYO 0000 351783325 Senile incipient cataract v
External haemorrhoids without

35 18/07/2017 RAHMAT 0000 351973708 complication v
36 18/07/2017 TOIJAN 000 1296476144 Senile incipient cataract v
Stroke, not specified as haemorrhage

37 19/07/2017 SUDIRMAN 0000 352876948 or infarction v
38 19/07/2017 SRI SULASTRI 000 2215187594 Calculus of kidney v
39 19/07/2017 PAULUS VICKY PASKA COBYAN 0000 352028441 Amblyopia ex anopsia v
40 24/07/2017 YOGI ERLANGGA 00000 34608047 Secondary hypertension, unspecified v
41 24/07/2017 EMA 0000 351177783 Threatened abortion v

42 27/07/2017 NASIROH 0000 351933377 and soft tissue of head, face and v
neck
43 31/07/2017 DEWI 000 2043296447 Threatened abortion v
44 31/07/2017 KARTINAH 000 2068071175 Calculus of kidney v
45 31/07/2017 DWI SUNARJADI 00000 34572813 Impacted teeth v
1 7/8/2017 SRI RAHAYU 000 1796378848 Congestive heart failure v
2 8/8/2017 BUDIONO 0000 996181604 Other specified cataract v
3 7/8/2017 IMAN 0000 351818436 Impacted teeth v
4 9/8/2017 SUPADI 000 2239399484 Conductive hearing loss, bilateral v
Bilateral inguinal hernia, with

5 8/8/2017 SUPRIADI 0000 352130714 obstruction, without gangrene v
6 9/8/2017 ROSLAINI 0000 31087629 Other senile cataract v
7 14/08/2017 HALIM ANWAR RAMADANI 000 2260543601 Bilateral inguinal hernia, with v
obstruction, without gangrene
8 14/08/2017 IDHA CATUR RAHMAWATI 00000 34636691 Impacted teeth v
9 16/08/2017 HARUN 000 2263916845 Chronic pharyngitis v
Acute tonsillitis due to other

10 18/08/2017 YESTI KARTIKA 000 1480321282 specified organisms v
11 16/08/2017 SUGIANTO 000 2196243595 Atherosclerotic heart disease v
Bilateral inguinal hernia, with

12 16/08/2017 JUMADI 000 2262032954 obstruction, without gangrene v
Benign lipomatous neoplasm of skin

13 21/08/2017 SUPRIADI 000 1434828069 and subcutaneous tissue of head, v
face and neck
14 21/08/2017 ERNAWATI 000 1852546263 Calculus of kidney v

15 24/08/2017 YATINI 0000 996183213 and soft tissue of head, face and v
neck
Malignant neoplasm of nipple and
16 24/08/2017 EKO SUGIATI 000 1820639981 areola v
Lumbar and other intervertebral disc
17 24/08/2017 DAHRONA 000 1852607553 disorders with myelopathy v
18 24/08/2017 WAHYONO JAYADI 000 2214927145 Congestive heart failure v
19 25/08/2017 SUPARNI 000 1725347946 Other specified intervertebral disc v

displacement
20 25/08/2017 SUKAMDI 000 2054944866 Essential (primary) hypertension v
21 25/08/2017 PRAPTO HARJONO 000 2276758326 Congestive heart failure v
22 24/08/2017 YULIATI 00000 34582151 Fracture of lower end of radius v
Other benign neoplasm of

23 24/08/2017 SAMUEL CHRISTOPER S 000 201200758 connective and other soft tissue of v
head, face and neck
Tuberculosis of lung, confirmed by
24 24/08/2017 ENI MARTINA 0000 352732184 culture only v
25 24/08/2017 TUSMI YANTI 0000 352994128 Other specified surgical follow-up v

care
26 24/08/2017 SUMARMI 0000 353203075 connective and other soft tissue of v
abdomen
27 26/08/2017 SUPRIADI 0000 352130714 Unspecified abdominal hernia v

without obstruction or gangrene
28 29/08/2017 SITI HANANI 000 1451558496 Constipation v
29 29/08/2017 KADEK AYU DAMAYANTI 000 1843235537 Pterygium v
30 29/08/2017 NURUL KURNIAWAN 000 2265811795 Malignant neoplasm overlapping v

connective and soft tissue sites
31 30/08/2017 PONI ASIH 000 2042595696 Embryonic cyst of broad ligament v
32 30/08/2017 ELIYA APSOH 000 2222336169 Embryonic cyst of broad ligament v
33 29/08/2017 TAUFIQ 00000 34606585 Congestive heart failure v
34 29/08/2017 WARSINI 00000 34620074 Trigeminal neuralgia v
35 29/08/2017 SUTADJI 00000 34654397 Senile cataract, morgagnian type v
36 29/08/2017 NGATIPAH 0000 352124662 Sensorineural hearing loss, v

unspecified
37 30/08/2017 SARIFUDIN 0000 353506498 Low back pain v
38 30/08/2017 PUSRI RAHAYU 0000 996175438 Hypertonic, incoordinate, and v

prolonged uterine contractions
39 30/08/2017 SAHLAN 000 1310259249 Congestive heart failure v
40 30/08/2017 SUMARNI 000 1312372956 Rheumatoid arthritis, unspecified v
41 30/08/2017 ANISA 000 1385209596 Follow-up examination after surgery v

for other conditions
42 30/08/2017 MATIAS ADRIANTO 000 1590124195 Tinea corporis v
43 31/08/2017 HENDRA WAHONO 00000 34634799 Calculus of kidney v
44 31/08/2017 ROZALI.M 00000 34661902 Epidemic vertigo v
45 31/08/2017 MARYATI A. R. 00000 34661913 Epidemic vertigo v
46 31/08/2017 SUHARTILAH 0000 351856091 Congestive heart failure v
47 31/08/2017 SARIFUDIN 0000 353506498 Other specified intervertebral disc v

displacement
48 31/08/2017 MM. YUNITA 000 1818706432 Necrosis of pulp v
49 31/08/2017 ADRIAS 000 2254861348 Chronic atrophic gastritis v
1 4/9/2017 NAPITO POLLO 0000 996172198 Impacted teeth v
2 4/9/2017 SUTARSIH 000 1326871102 Congestive heart failure v
3 4/9/2017 BAMBANG PRIYADI 00000 34544013 Essential (primary) hypertension v

(TACC)
4 4/9/2017 ERWANSYAH 00000 34550256 Hypermetropia v
5 4/9/2017 RITA SUCI ENDANG LESTARI 00000 34550267 Myopia v

6 4/9/2017 SUWARDI 00000 34604998 Sensorineural hearing loss, bilateral v
7 4/9/2017 SUHARTILAH 0000 351856091 Disorder of thyroid, unspecified v
8 4/9/2017 NURIL ATI HIDAYAH 0000 352612012 Necrosis of pulp v
9 6/9/2017 UTIN NURHAYATI 000 2223967364 Spontaneous abortion, incomplete, v

without complication
10 5/9/2017 LITA HENDRIYANI 0000 996178871 Pulmonary oedema v

11 5/9/2017 BAHERAMSYAH 000 1385205647 sputum microscopy with or without v
culture
Insulin-dependent diabetes mellitus

12 5/9/2017 HM ZEN 000 1424167795 without complications v
Acute nasopharyngitis [common

13 6/9/2017 PUTRI AGUSTINA 0000 196413355 cold] v
Acute bronchitis due to Mycoplasma

14 6/9/2017 BUSTAM 0000 198469449 pneumoniae v
15 6/9/2017 DWI DOS BINARIA S 0000 210234789 Myopia v
16 6/9/2017 MASNUN 0000 351277931 Other specified disorders of thyroid v
Unilateral or unspecified inguinal

17 6/9/2017 MARYAPAN 0000 352014996 hernia, with obstruction, without v
gangrene
18 6/9/2017 HM ZEN 000 1424167795 Senile incipient cataract v
19 7/9/2017 RAPI PRANNANTA 0000 350658819 Other specified anaemias v
20 7/9/2017 SUMARNI 0000 351714317 Polyhydramnios v
21 7/9/2017 TUKILAH 0000 352302107 Tinea barbae and tinea capitis v
22 7/9/2017 DIONISIUS PRASETIO 0000 352817368 Bilateral femoral hernia, with v

23 7/9/2017 YULI SAFITRI 000 1450739755 Missed abortion v
24 8/9/2017 YULI YANA 0000 352429413 Gangrene, not elsewhere classified v
25 8/9/2017 PERTIMAH 000 1423292163 Acute gingivitis v
26 8/9/2017 NOVI SAPITRI 000 1788128155 Other and unspecified ovarian cysts v
27 7/9/2017 MARWIYAH 00000 34589834 Carpal tunnel syndrome v
28 11/9/2017 YENI YOSEPA 000 2234407893 Tachycardia, unspecified v
Hypertensive heart disease without

29 9/9/2017 FRANSISKA MURNI SAYEKTI H 0000 148346853 (congestive) heart failure v
30 9/9/2017 WARIYUM 0000 352014265 Disease of appendix, unspecified v
31 8/9/2017 YENI ELVITA 00000 34576571 Endometrial glandular hyperplasia v
32 11/9/2017 JEMAEN 0000 352086941 Acute maxillary sinusitis v
33 11/9/2017 SAJI 0000 996177317 Disorder of urinary system, v

unspecified
34 11/9/2017 ASMARYANI 000 1818928552 Other specified noninflammatory v

disorders of vagina
35 11/9/2017 RITA SUSANTI 000 1870660179 Calculus of kidney v
36 11/9/2017 FARID HUDA NURROHMAN 000 1882051637 Chronic rhinitis v

37 11/9/2017 M.IBAD AZIM ADZAKIR 000 1892590323 Predominantly allergic asthma v
Tuberculosis of lung,
38 11/9/2017 NABILA MARWA AMIRA 000 1898559393 bacteriologically and histologically v
negative
39 11/9/2017 BERTHA BRAJA 000 2074422341 Solitary cyst of breast v
40 12/9/2017 MIQAILA SALSABILA HIDAYAT 000 2282002661 Other preterm infants v
41 11/9/2017 SUSILAWATI 00000 34685583 Predominantly allergic asthma v
42 11/9/2017 AMINAWATI 0000 148609247 Intercostal neuropathy v
EARLENE RAISSA MAZAYA

43 11/9/2017 MUKTAMAR 0000 194986697 Streptococcal tonsillitis v
44 11/9/2017 FARIDA 0000 211082084 Myopia v
45 11/9/2017 SAMINAH 0000 351694157 Unspecified renal colic v
46 11/9/2017 WAHYU APRIANSAH 0000 351715645 Gangrene, not elsewhere classified v
Umbilical hernia without obstruction

47 11/9/2017 HASMUNI 0000 351899043 or gangrene v
48 13/09/2017 NUR FADHILAH 000 1467068951 Myopia v
49 13/09/2017 PEPI NURHAYATI 000 1601902045 False labour before 37 completed v

weeks of gestation
50 13/09/2017 AZZAHRA PUTRI RACHMAN 000 2033434989 Impacted cerumen v
51 12/9/2017 SERI KURNIAWATI, A.MD.RAD. 00000 149214475 Impacted teeth v
52 12/9/2017 SUJIATI 000 1863611818 Fetus and newborn affected by v

malpresentation before labour
53 13/09/2017 ROSLAINI 00000 31087629 Senile incipient cataract v
54 13/09/2017 RITA MAILINA 00000 34647862 Myopia v
55 13/09/2017 SRI NURWULAN 00000 34651124 Myopia v
56 13/09/2017 ZAIROH ASMANI 00000 34658807 Familial erythrocytosis v
57 14/09/2017 NOVERA ARIYANI 0000 352057465 Threatened abortion v
Other and unspecified abdominal

58 14/09/2017 HERA NOVALIA 000 1260281812 pain v
Acute bronchiolitis due to respiratory

59 14/09/2017 MADU KELANA VICTORIA 000 1428038695 syncytial virus v

60 14/09/2017 NIDA SARI 000 2205330603 pain v
61 15/09/2017 BAYU FARHAN MULYA NUGRAHA 000 1296982449 Predominantly allergic asthma v
Cleft hard palate with unilateral cleft

62 15/09/2017 M. ABIDZAR 000 1860410709 lip v
63 15/09/2017 MUHAMAD ZAYADI 00000 34557041 Myopia v
64 15/09/2017 RAMIDI 0000 351888028 Urinary tract infection, site not v

specified

65 15/09/2017 MARDIANSAH 0000 351921249 sputum microscopy with or without v
culture
66 15/09/2017 DARUZI 0000 351947902 bacteriologically and histologically v
negative
67 15/09/2017 SUHARTINI 0000 352093858 Hypertensive heart disease without v

(congestive) heart failure
68 19/09/2017 WAKIDI 000 2195903439 Hepatic sclerosis v
69 19/09/2017 HUMAIRA 000 2227218107 Umbilical hernia without obstruction v

or gangrene

70 19/09/2017 SAPTARIA RIZKY 000 2286763547 connective and other soft tissue of v
head, face and neck
71 20/09/2017 HAMID 000 1852607542 Melaena v
72 20/09/2017 YULIANA 000 1908267063 Pterygium v

73 20/09/2017 SYAMSIAH 000 2246327313 and soft tissue of head, face and v
neck

74 20/09/2017 HENGKI 000 2281658848 connective and other soft tissue of v
abdomen
75 19/09/2017 WIWIN WIDYA WATI 0000 351588598 Disorder of thyroid, unspecified v
76 19/09/2017 RUSMINI 0000 352265679 Candidiasis of vulva and vagina v
Chronic lymphadenitis, except

77 19/09/2017 RENZIANA 0000 352925234 mesenteric v
78 19/09/2017 ASTUTI 0000 996176777 Necrosis of pulp v
79 22/09/2017 DEDI KURNIAWAN 000 1591226954 Necrosis of pulp v
80 22/09/2017 SABIR 000 1868493622 Congestive heart failure v
81 22/09/2017 SUHARTO 000 2264719511 Senile incipient cataract v
82 20/09/2017 SUKARYADI 00000 34652867 Necrosis of pulp v
83 20/09/2017 SAPARUDIN 00000 34684593 Hyphaema v
84 20/09/2017 RAMIDI 0000 351888028 Calculus in bladder v
85 20/09/2017 SAMIATUN 0000 352302219 Other specified intervertebral disc v

displacement
86 20/09/2017 ROLYANA 000 1438684479 Glaucoma suspect v
87 23/09/2017 SRI RAHAYU 000 1796378848 Congestive heart failure v
88 22/09/2017 YULIATI 00000 34582151 Fracture of lower end of both ulna v

and radius
89 22/09/2017 DESI VANDU ROHESTA 0000 195372415 Hypotension, unspecified v
90 25/09/2017 ELIYA 000 2118585633 Solitary cyst of breast v
Acute upper respiratory infection,

91 25/09/2017 GABRIELA WIDYASISWANTO 000 2237995438 unspecified v
92 23/09/2017 SUJARWOTO 0000 352149546 Hypermetropia v
Chronic nephritic syndrome, minor

93 25/09/2017 SUPANGAT 0000 351954729 glomerular abnormality v
94 25/09/2017 DELI YANTI 0000 996176384 Myopia v

95 25/09/2017 M. THOHIR 000 1080677316 and soft tissue of head, face and v
neck
96 25/09/2017 M. NASIR 000 1434136318 Chronic nephritic syndrome, minor v

glomerular abnormality
97 25/09/2017 DARMA YANTI 000 1790893001 Care and examination immediately v

after delivery
98 25/09/2017 SYARIFUDIN 000 1820315687 Mononeuropathy, unspecified v

99 26/09/2017 HAMIDA AHYANI 000 2032130204 Impacted teeth v
100 26/09/2017 SUWARNI 000 2263996833 Prolonged pregnancy v
101 25/09/2017 SELAMAT SUWITO 00000 34597484 External haemorrhoids without v

complication
102 25/09/2017 AHYAT 0000 351810055 Other and unspecified abdominal v

pain
103 27/09/2017 AGUS SETIABUDI HARYADI 000 2054435027 Scrotal varices v
104 27/09/2017 SITI 000 2281433005 Traumatic amputation of other parts v

of wrist and hand
105 26/09/2017 BUNAYA 0000 34582307 Necrosis of pulp v
Personal history of diseases of the

106 26/09/2017 HARISUN 00000 34639007 circulatory system v
107 27/09/2017 SLAMET 00000 34562158 Concussion v
External haemorrhoids without

108 27/09/2017 SELAMAT SUWITO 00000 34597484 complication v
109 27/09/2017 NANIK NOVRIANI 0000 351372159 Acute suppurative otitis media v
Other and unspecified cirrhosis of

110 27/09/2017 DAMAK 0000 351969941 liver v

111 27/09/2017 RENZIANA 0000 352925234 and soft tissue of head, face and v
neck
112 27/09/2017 BAYU FARHAN MULYA NUGRAHA 000 1296982449 Chronic pharyngitis v
113 28/09/2017 NURHASANAH 000 1251256915 Nonspecific lymphadenitis, v

unspecified
114 28/09/2017 IKA FITRIA SARI 000 1379116168 Necrosis of pulp v
115 28/09/2017 ANUAR 000 1382173018 Dysphagia v
116 28/09/2017 TIARA SISCA 000 1886589371 Other and unspecified abdominal v
pain
117 29/09/2017 ALIPIR 0000 352428186 Pain localized to upper abdomen v
118 29/09/2017 SYAHRIL R 000 1382088925 Psoriasis vulgaris v
119 29/09/2017 MUHARI 000 1819148398 Fracture of lower end of femur v
Pre-existing essential hypertension

120 29/09/2017 FATRIAS APRILIA 000 1852607351 complicating pregnancy, childbirth v
and the puerperium
Pain localized to other parts of lower

121 29/09/2017 SULASMI 000 1907234785 abdomen v
122 29/09/2017 VINCENSIUS ANGGA DWI NUGROHO 000 2049903189 Fibroadenosis of breast v
123 29/09/2017 RIRIN RIYANTI 000 2282887596 Prolonged first stage (of labour) v

124 28/09/2017 ROHMAH 0000 351614619 pain v
Pre-existing hypertensive heart and

125 29/09/2017 FRANSISKA MURNI SAYEKTI H 0000 148346853 renal disease complicating v
pregnancy, childbirth and the
puerperium

1 2/10/2017 NURHASANAH 1251256915 connective and other soft tissue of v
head, face and neck
2 2/10/2017 DEDI KURNIAWAN 1591226954 Necrosis of pulp v
Lumbar and other intervertebral disc

3 2/10/2017 SUPARNI 1725347946 disorders with myelopathy v
4 2/10/2017 HESTI VERA YOLANDA 1843244561 Other and unspecified abdominal v
pain
Need for immunization against

5 2/10/2017 PURWANTI 1852595245 cholera with typhoid-paratyphoid v
[cholera + TAB]
6 2/10/2017 NYAMANTO BIN RESO SARMO 2197079313 Infantile, juvenile and presenile v
cataract
7 2/10/2017 TIA ANGGRAENI 34550324 Threatened abortion v
8 2/10/2017 AFRIZAL FIRDAUS 34555375 Chronic tubotympanic suppurative v

otitis media
9 2/10/2017 ROHMAH 351614619 Calculus of kidney v

10 2/10/2017 WALMIYATI 351760195 connective and other soft tissue of v
head, face and neck
11 2/10/2017 MAT LATIP 351778015 Ventricular fibrillation and flutter v
Unilateral or unspecified inguinal

12 2/10/2017 HASMUNI 351899043 hernia, without obstruction or v
gangrene
13 4/10/2017 CINDRA TIARA SARI 2287567225 Corns and callosities v
14 3/10/2017 ADE RATNANINGSIH 34579664 Symptomatic neurosyphilis v

15 3/10/2017 RENZIANA 352925234 and soft tissue of head, face and v
neck
16 3/10/2017 NGATINI 1260752376 Pterygium v
17 3/10/2017 NI WAYAN SRIYANTI 1744350298 Need for immunization against v

leishmaniasis
18 3/10/2017 BANGUN S. AG 1804846882 Abnormal findings on diagnostic v

imaging of breast
19 3/10/2017 KADEK AYU DAMAYANTI 1843235537 Pterygium v
20 3/10/2017 SINTA EKA PUTRI 2061259503 Vasomotor rhinitis v
21 4/10/2017 MARWIYAH 34589834 Sensorineural hearing loss, bilateral v
22 4/10/2017 SURLENA 34617273 Other specified intervertebral disc v

displacement
23 4/10/2017 SUMINI 352899011 Premature rupture of membranes, v

onset of labour within 24 hours
24 4/10/2017 SUKARMI 353323157 Tuberculosis of lung, confirmed by v

culture only
Other specified intervertebral disc

25 4/10/2017 SARIFUDIN 353506498 displacement v
26 4/10/2017 YOBI FRYADI 1081470993 Acute serous otitis media v
27 4/10/2017 AHMAD BUKHORI 1595751669 Acute abdomen v
28 4/10/2017 PENDI 1872672017 Other specified cardiac arrhythmias v
29 4/10/2017 MASNUN 1875117519 Acute abdomen v
30 4/10/2017 SITI SUWAIBAH 2090575629 Supervision of other high-risk v

pregnancies

31 4/10/2017 HUMAIRA 2227218107 connective and other soft tissue of v
abdomen
32 4/10/2017 SUPARMAN 2251872909 Melaena v
33 5/10/2017 KARTINA 353015515 Calculus of kidney v
34 5/10/2017 PARNI 1313068768 Bilateral inguinal hernia, with v

35 5/10/2017 ERLINA WATI 1380315576 Chronic pharyngitis v

36 5/10/2017 MUHAMAD KHOMARUDIN 1594158693 connective and other soft tissue of v
head, face and neck
37 5/10/2017 SRI RAHAYU 1796378848 Congestive heart failure v
38 5/10/2017 GUNTORO 1852594918 Gangrene, not elsewhere classified v
39 5/10/2017 DARMO SUWITO 2232787083 Malignant neoplasm of connective v

and soft tissue of abdomen
40 5/10/2017 MAIJAN 2283832247 Malignant neoplasm of prostate v
Redundant prepuce, phimosis and

41 6/10/2017 DENI ILHAM FIRMANSAH 352253777 paraphimosis (TACC) v
Internal haemorrhoids without

42 6/10/2017 ANGGA MANTOUFENI 2287756304 complication v
43 5/10/2017 YENI KADITA 10563748 Vitiligo v
44 5/10/2017 KARMINAH 34621806 Parkinson's disease v
Hypertonic, incoordinate, and

45 5/10/2017 RIKE YAYANTI 165192153 prolonged uterine contractions v
46 9/10/2017 ABU KASIM 351589454 Pterygium v
47 9/10/2017 ROHANA 351926739 Other specified polyneuropathies v
48 9/10/2017 NINA PARIDA 1273418021 Premature rupture of membranes, v

unspecified

49 9/10/2017 RYO LAXMANA 1325212716 connective and other soft tissue of v
head, face and neck
50 9/10/2017 NIA AGUSTINA 1792485999 Premature rupture of membranes, v

unspecified
51 9/10/2017 OBBIE MULIA HANIFAN 1816710669 Fracture of patella v
52 9/10/2017 YENI IMELDAWATI 1835339793 Threatened abortion v
53 9/10/2017 YULIANTI SRI LESTARI 2061370462 Uterovaginal prolapse, unspecified v
54 9/10/2017 M.FARQAH SAYLENDRA RAMADHAN 2069205884 Bronchopneumonia, unspecified v
55 10/10/2017 SULAIHA 1457373644 Gangrene, not elsewhere classified v
56 10/10/2017 YATINAH 1889728648 Congestive heart failure v
57 10/10/2017 ARFAN EFENDI 1903872846 Cataract, unspecified v
58 10/10/2017 DARMO SUWITO 2232787083 Liver cell carcinoma v
59 9/10/2017 AMAN TASMAN 196991774 Gingival recession v
60 11/10/2017 M. THOHARI 1868337009 Necrosis of pulp v
61 11/10/2017 MUHAMMAD ATS TSAQIB ADINATA 1874496238 Other developmental disorders of v

speech and language

62 11/10/2017 NURJANAH 2214570251 connective and other soft tissue of v
head, face and neck
802 1/11/2017
806 1/11/2017
808 1/11/2017
809 1/11/2017
777 2/11/2017
778 2/11/2017
781 2/11/2017
783 2/11/2017
796 1/11/2017
799 1/11/2017
752 3/11/2017
753 2/11/2017
754 2/11/2017
757 2/11/2017
759 2/11/2017
764 2/11/2017
767 2/11/2017
769 2/11/2017
773 2/11/2017
774 2/11/2017
728 3/11/2017
730 3/11/2017
731 3/11/2017
735 3/11/2017
740 3/11/2017
741 3/11/2017
742 3/11/2017
748 3/11/2017
718 4/11/2017
720 4/11/2017
722 4/11/2017
678 6/11/2017
679 6/11/2017
684 6/11/2017
687 6/11/2017
689 6/11/2017
690 6/11/2017
692 6/11/2017
695 6/11/2017
696 6/11/2017
697 6/11/2017
698 5/11/2017
699 4/11/2017
657 7/11/2017
658 7/11/2017
661 6/11/2017
662 6/11/2017
664 6/11/2017
666 6/11/2017
669 6/11/2017
672 6/11/2017
626 8/11/2017
628 7/11/2017
629 7/11/2017
632 7/11/2017
637 7/11/2017
650 7/11/2017
611 8/11/2017
612 8/11/2017
615 8/11/2017
616 8/11/2017
618 8/11/2017
621 8/11/2017
623 8/11/2017
625 8/11/2017
576 9/11/2017
577 9/11/2017
581 9/11/2017
582 9/11/2017
584 9/11/2017
591 9/11/2017
592 9/11/2017
593 9/11/2017
594 9/11/2017
555 10/11/2017
562 10/11/2017
564 9/11/2017
566 9/11/2017
567 9/11/2017
569 9/11/2017
572 9/11/2017
574 9/11/2017
531 13/11/2017
532 13/11/2017
536 13/11/2017
511 13/11/2017
515 13/11/2017
519 13/11/2017
522 13/11/2017
523 13/11/2017
524 13/11/2017
476 14/11/2017
477 14/11/2017
484 14/11/2017
488 13/11/2017
489 13/11/2017
498 13/11/2017
452 14/11/2017
460 14/11/2017
461 14/11/2017
465 14/11/2017
467 14/11/2017
469 14/11/2017
472 14/11/2017
426 15/11/2017
429 15/11/2017
433 15/11/2017
434 15/11/2017
435 15/11/2017
436 15/11/2017
438 15/11/2017
439 15/11/2017
440 15/11/2017
441 15/11/2017
442 15/11/2017
443 15/11/2017
444 15/11/2017
445 15/11/2017
446 15/11/2017
447 15/11/2017
448 15/11/2017
449 14/11/2017
450 14/11/2017
401 16/11/2017
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403 16/11/2017
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405 16/11/2017
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421 16/11/2017
422 15/11/2017
423 15/11/2017
424 15/11/2017
425 15/11/2017
376 18/11/2017
377 17/11/2017
378 17/11/2017
379 17/11/2017
380 17/11/2017
381 17/11/2017
382 17/11/2017
383 17/11/2017
384 17/11/2017
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388 16/11/2017
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398 16/11/2017
399 16/11/2017
400 16/11/2017
351 20/11/2017
352 20/11/2017
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355 20/11/2017
356 20/11/2017
357 20/11/2017
358 20/11/2017
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367 19/11/2017
368 18/11/2017
369 18/11/2017
370 18/11/2017
371 18/11/2017
372 18/11/2017
373 18/11/2017
374 18/11/2017
375 18/11/2017
326 20/11/2017
327 20/11/2017
328 20/11/2017
329 20/11/2017
330 20/11/2017
331 20/11/2017
332 20/11/2017
333 20/11/2017
334 20/11/2017
335 20/11/2017
336 20/11/2017
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343 20/11/2017
344 20/11/2017
345 20/11/2017
346 20/11/2017
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348 20/11/2017
349 20/11/2017
350 20/11/2017
301 21/11/2017
302 21/11/2017
303 21/11/2017
304 21/11/2017
305 21/11/2017
306 21/11/2017
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308 21/11/2017
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318 21/11/2017
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323 21/11/2017
324 20/11/2017
325 20/11/2017
276 22/11/2017
277 22/11/2017
278 22/11/2017
279 22/11/2017
280 22/11/2017
281 22/11/2017
282 21/11/2017
283 21/11/2017
284 21/11/2017
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251 22/11/2017
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275 22/11/2017
226 23/11/2017
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250 22/11/2017
201 24/11/2017
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224 23/11/2017
225 23/11/2017
176 25/11/2017
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200 24/11/2017
151 25/11/2017
152 25/11/2017
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154 25/11/2017
155 25/11/2017
156 25/11/2017
157 25/11/2017
158 25/11/2017
159 25/11/2017
160 25/11/2017
161 25/11/2017
162 25/11/2017
163 25/11/2017
164 25/11/2017
165 25/11/2017
166 25/11/2017
167 25/11/2017
168 25/11/2017
169 25/11/2017
170 25/11/2017
171 25/11/2017
172 25/11/2017
173 25/11/2017
174 25/11/2017
175 25/11/2017
126 27/11/2017
127 27/11/2017
128 27/11/2017
129 27/11/2017
130 27/11/2017
131 27/11/2017
132 27/11/2017
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134 27/11/2017
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142 26/11/2017
143 26/11/2017
144 26/11/2017
145 25/11/2017
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148 25/11/2017
149 25/11/2017
150 25/11/2017
101 27/11/2017
102 27/11/2017
103 27/11/2017
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105 27/11/2017
106 27/11/2017
107 27/11/2017
108 27/11/2017
109 27/11/2017
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114 27/11/2017
115 27/11/2017
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118 27/11/2017
119 27/11/2017
120 27/11/2017
121 27/11/2017
122 27/11/2017
123 27/11/2017
124 27/11/2017
125 27/11/2017
76 28/11/2017
77 28/11/2017
78 28/11/2017
79 28/11/2017
80 28/11/2017
81 28/11/2017
82 28/11/2017
83 28/11/2017
84 28/11/2017
85 28/11/2017
86 28/11/2017
87 28/11/2017
88 28/11/2017
89 28/11/2017
90 28/11/2017
91 28/11/2017
92 28/11/2017
93 28/11/2017
94 28/11/2017
95 28/11/2017
96 28/11/2017
97 28/11/2017
98 28/11/2017
99 28/11/2017
100 28/11/2017
51 29/11/2017
52 29/11/2017
53 29/11/2017
54 29/11/2017
55 29/11/2017
56 29/11/2017
57 29/11/2017
58 29/11/2017
59 29/11/2017
60 29/11/2017
61 29/11/2017
62 29/11/2017
63 29/11/2017
64 28/11/2017
65 28/11/2017
66 28/11/2017
67 28/11/2017
68 28/11/2017
69 28/11/2017
70 28/11/2017
71 28/11/2017
72 28/11/2017
73 28/11/2017
74 28/11/2017
75 28/11/2017
26 30/11/2017
27 30/11/2017
28 30/11/2017
29 30/11/2017
30 30/11/2017
31 30/11/2017
32 30/11/2017
33 29/11/2017
34 29/11/2017
35 29/11/2017
36 29/11/2017
37 29/11/2017
38 29/11/2017
39 29/11/2017
40 29/11/2017
41 29/11/2017
42 29/11/2017
43 29/11/2017
44 29/11/2017
45 29/11/2017
46 29/11/2017
47 29/11/2017
48 29/11/2017
49 29/11/2017
50 29/11/2017
1 30/11/2017
2 30/11/2017
3 30/11/2017
4 30/11/2017
5 30/11/2017
6 30/11/2017
7 30/11/2017
8 30/11/2017
9 30/11/2017
10 30/11/2017
11 30/11/2017
12 30/11/2017
13 30/11/2017
14 30/11/2017
15 30/11/2017
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18 30/11/2017
19 30/11/2017
20 30/11/2017
21 30/11/2017
22 30/11/2017
23 30/11/2017
24 30/11/2017
25 30/11/2017
Other nonspecific
1812420707 QORI DAIRIFALDI lymphadenitis
1958853431 RUSMILAH Congenital cataract
2071157837 ABDUL ROHMAN Calculus of kidney
2294183553 SUNARTI Calculus of kidney
2197435239 ANDI SAPUTRA Nephrotic syndrome, other

ALOISIUS MARVEL LEMUEL
2216633567 SIDABARIBA Fracture of tooth
Fall from, out of or through
YUNI ERVIKE CRISTINE building or structure causing
2275021664 PANGGABEAN accidental injury
connective and other soft
2298382255 HENDRA ISKANDAR tissue of head, face and neck
353134967 ROHAYATI Threatened abortion
1260752376 NGATINI Pterygium

Follow-up examination after
2297745606 ELIS KURNIATI surgery for other conditions
34557041 MUHAMAD ZAYADI Other specified arthrosis

Other specified intervertebral
34574567 MISDAYATI disc displacement
Other specified injuries of
351567055 RINA KURNIAWATI lower leg
351877241 SUKI Other senile cataract
352440977 SALMIANA Severe pre-eclampsia

1389508143 AMIN Tuberculosis
confirmed byofculture
intrathoracic
only
lymph nodes, confirmed
bacteriologically and
1740741704 SEBRINA CITRA ALISYA Tuberculosis
histologicallyof intrathoracic
lymph nodes, confirmed
1851733089 AHMAD MUBAROK histologically
Generalized and unspecified
1886587918 ISMAIL atherosclerosis
MUHAMMAD GHOZALI
34574589 YULANDO Epidemic vertigo
159519802 YUSMI HARTINI Guillain-Barre syndrome
204334694 DWI SUGIANIK Necrosis of pulp
351818616 YAMINAH Chronic tonsillitis

Other specified
noninflammatory disorders of
353479781 NUR SAYEKTI vagina
MUHAMMAD BINTANG
977052565 AZKARAFA Chronic sinusitis, unspecified
Maternal care for breech
1163814759 SRI DAMAYANTI presentation
2197435239 ANDI SAPUTRA Nephrotic syndrome, other

Traumatic amputation of
1910787524 AFRIYAN PRATAMA thumb (complete) (partial)
2201689697 SULASTRI Acute suppurative otitis media

ALOISIUS MARVEL LEMUEL
2216633567 SIDABARIBA Fracture of tooth
352349368 NIA UTAMI Scabies
352415496 FAHREZA MAULANA Pterygium

Sensorineural hearing loss,
1275445091 NURHILALLIA bilateral
Gangrene, not elsewhere
1592101157 KUSMIYATI classified
Pregnancy-related condition,
1804854802 ASTIKA LELA unspecified
Crushing injuries involving
1863454252 SUPIAH head with neck
2195912935 MELANIA SRI HAYATI Atopic dermatitis, unspecified
2289405813 SITI MARWIYAH Caries limited to enamel
2289406307 VICKY QURNIAWAN Necrosis of pulp

Malignant neoplasm of
connective and soft tissue of
2298269024 TASELIM head, face and neck
353466191 SURATNO Other secondary hypertension
34681397 PUJI INDRA DEWI Caries of dentine

2290521429 NGATINEM Other cerebral infarction
Cerebral infarction due to
embolism of precerebral
2298017204 SEHANI arteries
34638917 KARTIKA SARI Prolonged pregnancy
34641415 MARTINA Carpal tunnel syndrome
193309896 MUHAMAT INSANI,SH Gastritis, unspecified

Chronic renal failure,
351373329 MAT ALI unspecified
Other superficial keratitis
351879783 WAGINEM without conjunctivitis
Spontaenous abortion,
incomplete, with other and
351973822 YULIANI unspecified complications
2292448779 VIVI IRA DWIYANTI Nutritional marasmus
34549029 DEWI ERNA Calculus of kidney

Post-traumatic arthrosis of
34557041 MUHAMAD ZAYADI other joints
194813616 JUNAWAWI Congestive heart failure
352081552 ROHANI Epidermal cyst
1325212716 RYO LAXMANA Left ventricular failure
352949207 MASDIANA Trigeminal neuralgia
353479781 NUR SAYEKTI Candidiasis of vulva and vagina

Hypertensive heart disease
without (congestive) heart
1079778183 ABDUL RACHMAN failure
1079801774 SUSILAWATI failure
1771025084 KIKI DIAN SAPUTRA Calculus of kidney

1875117519 MASNUN histologically negative
2198977503 DEWI RATNA SARI Primary oligomenorrhoea
2275875156 SRI WAHYUNI Breech extraction

352094973 MELI Other viral meningitis
352211545 SANNA DJULIANA tissue of head, face and neck
Other and unspecified ovarian
352963192 MASEHA cysts
Other and unspecified
353294482 WINARMI abdominal pain
MUHAMMAD BINTANG
977052565 AZKARAFA Other acute sinusitis
1852608611 RIZKY KURNIAWAN Paratyphoid fever, unspecified
1868459837 ARIS TITEL Other appendicitis

1886587918 ISMAIL failure
1963389161 HERNI WULANDARI Residual schizophrenia
1722535119 A. KASIPUN Parkinson's disease

2244527458 SUKAESIH disc displacement
34632066 RIWAN Gingival recession
34658807 ZAIROH ASMANI Status asthmaticus

34658818 HALIK disc displacement
Other specified abnormal
195372415 DESI VANDU ROHESTA uterine and vaginal bleeding
351760195 WALMIYATI tissue of head, face and neck
351996186 TRIASIH Congestive heart failure
2237296836 MISNAWATI Tinea imbricata
2241492952 NATASYA SYAILA RAHAYU Impacted cerumen

2281658848 HENGKI tissue of head, face and neck
Other chronic suppurative
996175719 YULIA NAZMA ALHUSNA otitis media
1275445091 NURHILALLIA Unstable angina
Other chronic suppurative
1626694672 RESTU PUTRI otitis media
1788241691 SAIMUNAH Solitary cyst of breast
1825926366 DANIEL KHARIS W. Caries limited to enamel
1852605156 PARDIONO Foreign body in ear

Degenerative and vascular
1852605189 ROZIATI disorders of ear
2287496215 SUPARNINGSIH Prolonged pregnancy
34631717 ENI BAROKAH Myopia

34666187 JAMINAH disc displacement
351811236 MAJIB tissue of head, face and neck
197763557 RICO YONASIA, SPD.I Impacted teeth
352480419 NUN YULIANA Senile incipient cataract

Varicella with other
352689311 SRI SUCIYATI complications
Chronic obstructive pulmonary
disease with acute lower
996176351 RUMSAH respiratory infection
1089073089 ALBI ABQORI A Acute maxillary sinusitis

1270714037 SRI FATMAWATI disc displacement
Other superficial keratitis
1386767935 TEGUH without conjunctivitis
351438693 SUPRIHATIN tissue of head, face and neck
Placenta praevia with
351692662 MINAH haemorrhage
352446478 TITI GANTHA PUTRI Nontoxic single thyroid nodule
352533058 NGATYEM Melaena

Essential (primary)
352663907 HASIBAH hypertension (TACC)
Hordeolum and other deep
1869199479 NAYLA BEST WAN G.K. inflammation of eyelid (TACC)
1967976742 RIZKI PUSPITA HASANAH Scabies

Acute upper respiratory
2079567854 NAILI MUNA HAIZAH infection, unspecified
2089030408 GITA PERMATA SARI infection, unspecified
2099340145 SITI MARIA ULFA Headache
2201687109 REFAL ALFARIZA PRATAMA Sialoadenitis
2201689697 SULASTRI Tinnitus

2243476956 NGATINI infection, unspecified
Personal history of diseases of
2291083953 ROSIK the circulatory system
Supervision of other normal
2292699802 SUTIANI pregnancy
2298045396 WAGINEM Congestive heart failure

Chronic tubotympanic
34377063 MELLY MAULITA suppurative otitis media
164957207 ROHANA Low back pain
352493763 SALAMAH Severe pre-eclampsia
352683472 ANDRIYANTO Dyspepsia

Essential (primary)
353299601 CASMITO hypertension
996176531 TUGIARTI Blepharitis
1079718388 NOPAN HERIANTO Acute abdomen

1291155647 SITI MARWATI pregnancy
1385205647 BAHERAMSYAH infection, unspecified
1389056613 MUSIA Dyspepsia

1454718982 TRIMO HARTONO Arthrosis, unspecified
Essential (primary)
1795647352 NURDIN hypertension
1799870005 SURANTI Congestive heart failure

Non-insulin-dependent
diabetes mellitus with renal
1849997867 ROKHISUL ANIS complications
1861970657 MAYA ARISKA Streptococcal pharyngitis

1910786692 ATHAYA FIKRI RIZQULAH infection, unspecified
2068071175 KARTINAH Calculus of kidney

2090552229 RUSLI,A.MD infection, unspecified
2126594553 MUHAMAD FADHIIL Disturbances in tooth eruption
2250374433 LIDIA PUTRI Dyspepsia

2270113378 MUJIATI pregnancy
2280395968 IIN SUHARNI surgery for other conditions
2303708051 NURMALA Arthrosis, unspecified

Primary generalized
34605944 SYAMDANI (osteo)arthrosis
34606585 TAUFIQ Presbyopia

Unspecified diabetes mellitus
350640922 JAHARA without complications
351227924 YULINA pregnancy
2071731813 AZRA KHAIRUNISA AR-ROZAQ Puerperal sepsis
34292182 NILAWATI Dyspepsia

34638917 KARTIKA SARI pregnancy
Essential (primary)
34654397 SUTADJI hypertension
1268268862 AISHA ZAHRA RATIFA infection, unspecified
1335606873 ARIFIN Dyspepsia
1727308495 SRI LANGGENG infection, unspecified
1820317364 DARMAWANSYAH Headache

Essential (primary)
2040644395 SUMARDI hypertension
2060427543 HOIRUL YADI Low back pain

Diarrhoea and gastroenteritis
2250374433 LIDIA PUTRI of presumed infectious origin
34589777 SUPARMI without complications
34661902 ROZALI.M Adhesive capsulitis of shoulder
351340446 RANDRA AJI DWI PUTRA Headache
351630145 FITRIA YUSLANDA Headache
351680027 M. RAMSYAH Congestive heart failure

351685901 DINI SEKAR YANI infection, unspecified
351711279 JULIANA ELMASDA Chalazion
351756189 INTAN CAHYA MERITA Disturbances in tooth eruption

Essential (primary)
351981077 MUHAMAD USMAN HANAPI hypertension
Essential (primary)
352252528 DARMI hypertension
352349234 RIFA' AMELIA ROIS infection, unspecified
352375086 TUMINI S. Dyspepsia
352376561 ADITIYA RUSADI Other forms of stomatitis
352406327 TIBRONI HAMID Other acute gastritis
1454719814 SUKARTI Hypertensive heart disease
1816710669 OBBIE MULIA HANIFAN Fracture of patella

1870649548 DEWANDA SAPUTRA Acute serous otitis media
1882199373 BURHANUDIN Foreign body on external eye
1900946722 LIDIA TARA Dyspepsia

1910786872 TANIA AZHARI infection, unspecified
2068071175 KARTINAH Calculus of kidney
2195912935 MELANIA SRI HAYATI Necrosis of pulp
2224749868 M ARIEF Dyspepsia

Tuberculosis of lung, without
mention of bacteriological or
2241730607 SAVINA NOVIANI histological confirmation
2264042384 NAZORI infection, unspecified
2276795171 AHMAT ROSYIDIN histologically negative
2292699802 SUTIANI pregnancy
2296781076 SOSRO DIHARJO disc displacement
Other disorders of teeth and
2298269272 SITI ROKAYAH supporting structures
2304357445 KASMINI Glaucoma

2277984699 HANIFAH pregnancy
350657436 ANGGI YANSAH Puerperal sepsis
351692976 MEYSA APRILIA Puerperal sepsis

352132784 SUWARTI without complications
352357773 NOPI FEPRI CAHYANI infection, unspecified
996176417 DEVI WAHYU TURNIP Puerperal sepsis

BINTANG RAMIZA CILCIA Acute upper respiratory
1193691699 RUBITHA infection, unspecified
1452048783 DODI WIJAYA Other specified dermatitis

1900034032 SOLEHA without complications
34661913 MARYATI A. R. Examination of eyes and vision
34667021 SUPINAH Hypertensive heart disease

Tuberculous peripheral
195329463 TEJA NINGSIH lymphadenopathy
350629391 MARDI Schizophrenia

Urinary tract infection, site not
351428703 SUTI specified
351589454 ABU KASIM Pterygium

351694157 SAMINAH specified
351799727 RAKA SAPUTRA infection, unspecified
351867519 HAMIMAH Dyspepsia
351868768 ROBIYANTI Dyspepsia
351978219 AWAN H.P. Hypertensive heart disease
352003972 MASRUN Zoster [herpes zoster]
352094466 RATNA JUWITA Headache

352195874 LIYAN specified
352324495 JUNAIDA pregnancy
352406327 TIBRONI HAMID Peptic ulcer, site unspecified
352663907 HASIBAH Unspecified appendicitis
352931804 PAJAR PRAYOGA Fever, unspecified

Umbilical hernia without
352974633 CANDRA LEKA obstruction or gangrene
353451058 SAHARI Hypertensive heart disease
996172615 MAYA Fever, unspecified

996180434 BADARUDIN Arthrosis, unspecified
996182381 ZAINAL ARIFIN infection, unspecified
1291155647 SITI MARWATI pregnancy
1449903172 NISMAR Arthrosis, unspecified
996176711 UMROTUL WAHIDAH Antenatal screening

996180096 HERNANI infection, unspecified
1133431942 HASANUSI Gastritis, unspecified
1192004763 LIESNAWATI Antenatal screening
1263759794 MIYANA Arthrosis, unspecified
1309097158 SEKAR AYU LARASATI Conjunctivitis
1793865431 M ALVA RIZKI PRATAMA Mumps

1852596797 IRFAN YAZID SETIAWAN infection, unspecified
1870517092 SRI RAHAYU infection, unspecified
1886589371 TIARA SISCA Antenatal screening

1893404057 ENI PUSPITA SARI pregnancy
1898277671 ENDANG WAHYUNI Antenatal screening

1963689862 SUNARLIN pregnancy
2056263265 MARDIAH Arthrosis, unspecified

Gingivitis and periodontal
2058475634 ADITYA CANDRA diseases
2195809222 MUHAMAT JOHARUDIN Paranoid schizophrenia
2251879108 NUR HAMID Abscess of liver
2262854924 SYARIFAH Other assisted single delivery

2277984699 HANIFAH Antenatal screening
2286195704 MISTI HARTATI Antenatal screening

2287756304 ANGGA MANTOUFENI complication
Essential (primary)
2292980106 ERNAN hypertension
2306343047 NOVITA SARI Antenatal screening
34551494 HERI SANTOSO Dyspepsia
34655523 TEGUH RIBUT RAHAYU Dyspepsia

2065856894 DELFIN AULIANSYAH DARMA infection, unspecified
2201608337 DARYANI prolonged uterine contractions
Essential (primary)
2241492581 MANSUR hypertension
2270113378 MUJIATI pregnancy
Malignant neoplasm of head,
2280828734 NURBAITI face and neck
2306340865 UMIYATI Arthrosis, unspecified
34548671 DARMALINI Other specified dermatitis

Cutaneous abscess, furuncle
34551505 NOVITA WAHYUNINGSIH and carbuncle, unspecified
34605944 SYAMDANI Dysphagia

351227924 YULINA pregnancy
351669879 DINA Dyspepsia
351745345 ENDRI Antenatal screening

Cutaneous abscess, furuncle
351794237 BAKRONI and carbuncle
351865844 RUBINEM Antenatal screening
351990055 ROMLAH Headache

352069413 JILAH PURWANTI infection, unspecified
352073259 DELVIN ALVINO of presumed infectious origin
352131445 SUSI GIANTI Miliaria rubra
352222187 SISWANTI Antenatal screening
352226902 WAGIMAN Open wound of wrist and hand

352737865 MINNAWATI infection, unspecified
352958523 ROSNANI infection, unspecified
353526366 RUMILA infection, unspecified
353634423 LILIS MARKONAH Antenatal screening
353648428 FONI FEBRIANTI Antenatal screening

Otitis media in diseases
34585648 IGNATIUS SUPARMAN classified elsewhere
34589777 SUPARMI without complications
202271534 HEFNI KRISTIAN respiratory infection
351692076 SUGIEM Presbyopia
352446478 TITI GANTHA PUTRI Thyroiditis
352478046 IIS MIYATI Antenatal screening
352663907 HASIBAH Unspecified appendicitis
353479353 SUSIANAH Calculus of kidney
353601742 DIMAS APTA SEPA Puerperal sepsis
996173133 GIARTI Headache

996174191 NELI HAYATI specified
996174775 HILMIDA WATI infection, unspecified
996175124 ELANO FAHRI SABENA infection, unspecified
1196613562 MUHAMMAD RIZKY infection, unspecified
1478910958 UNSI Gastritis, unspecified

1527325817 NURUL CHASANAH pregnancy
Seropositive rheumatoid
1799376917 CUMBU arthritis
1809011259 NUNUNG KARTINI Myopia
1809013972 REYNITA ALIYA KHOIRUNNISA Myopia

1833065998 RIDHO ADITYA NASRULLAH respiratory infection
Unspecified haemorrhoids
1839788515 M. AZHARI without complication
Essential (primary)
1878606268 KOMARIAH hypertension
MUHAMMAD ARSYAD Acute bronchitis due to
1878899758 RESDINATA Haemophilus influenzae
Essential (primary)
1898484917 MARYATI hypertension
Essential (primary)
351877241 SUKI hypertension
351891999 RATNA AGUSTINA Dyspepsia

351953752 SAK UNAH infection, unspecified
351955146 SALSA Fever, unspecified
351964754 MUHAMAD ZEN Gout, unspecified

Other chronic obstructive
351973034 SEDUL pulmonary disease
352042705 RIDHO SOLIKHIN Puerperal sepsis
352422178 JAINUDIN Hypoglycaemia, unspecified
996174055 ERFAN FIRNANDO Other specified dermatitis

Malabsorption due to
intolerance, not elsewhere
996174674 NURAINI classified
996175721 JALIDIN infection, unspecified
1382173018 ANUAR lymphadenopathy
1389056613 MUSIA Congestive heart failure

1744350298 NI WAYAN SRIYANTI prolonged uterine contractions
Essential (primary)
1795647352 NURDIN hypertension
1795649826 IPAH Gastritis, unspecified
1834363192 KAYATUN Dyspepsia
1852591836 SUMARNI Hyperhidrosis

1870511927 WASNO infection, unspecified
1870517092 SRI RAHAYU Headache
1872672017 PENDI Dyspepsia
2047609282 JUMADI Other chest pain

AZKHA RAHMAT EDIS Acute upper respiratory
2257080658 SAPUTRA infection, unspecified
2293949801 SETIA NANDO PRATAMA Febrile convulsions
34579089 A KHOLIK Myopia
1326871102 SUTARSIH Arthrosis, unspecified
1385209596 ANISA Necrosis of pulp

1795530982 KUSMAYATI infection, unspecified
Essential (primary)
1820754819 HASAN BASRI hypertension
1851470201 SUKIRMAN Arthrosis, unspecified
1852595098 IKA ALFIANI Fever, unspecified

1860410709 M. ABIDZAR Acute pharyngitis
1889728648 YATINAH Dyspepsia
1900407328 NURAINI Congestive heart failure

Respiratory tuberculosis,
1907234785 SULASMI histologically confirmed
2040788294 YUNI HARTATI Arthrosis, unspecified
2054328311 MASNING Dyspepsia
2201324578 ADNAND NAUFA SAPUTRA Febrile convulsions
2286195761 REVAN JUNIOR SYAHPUTRA Necrosis of pulp
2311699263 YULIA RAHMAWATI Delayed milestone
34617161 BAHRUDIN Trigonitis

Essential (primary)
34661722 MARDALIS hypertension
195329463 TEJA NINGSIH lymphadenopathy
200667532 RISTIANTI without complications
203493835 ERMA PUJI LESTARI Twin pregnancy

350626421 CANGIH infection, unspecified
Periodontal disease,
351563275 REFAL HIDAYAT unspecified
Essential (primary)
351644938 SUYATI hypertension
351690568 MULYATI Myalgia

351788422 AMAT SUWARDI of presumed infectious origin
disease with acute
2231677708 NOPENDI exacerbation, unspecified
M. FADLY NURMAJID
2263996923 ABDILLAH Puerperal sepsis
Hyperemesis gravidarum with
203494263 HANY MARCELINA metabolic disturbance
350614113 MAT HASAN Dyspepsia
350623934 SITI ROHMAH Other specified dermatitis
350624248 NIA LISTARI Dyspepsia

disease with acute
350626421 CANGIH exacerbation, unspecified
351843232 HAYATI Arthrosis, unspecified
351976138 HERLENA WATI Dyspepsia
352032546 SRI SUBEKTI Dyspepsia
352045124 ALI MUBAROK Dyspepsia

352063269 TEGUH NABELA RAMADAN infection, unspecified
352232706 PUPUT MUJIATI Headache
352233876 FREN DESPA Other dermatitis

352363972 EVA WATI infection, unspecified
352719606 BURHAN Fall from tree, Home

Essential (primary)
352822566 MUJILAH hypertension
353299634 TURYAH Headache
996181132 ALAMSYAH Arthrosis, unspecified
996181345 TUMAR Arthrosis, unspecified
1132721605 JONI FAHAMSAR Dyspepsia
1139165831 HAIRUDIN Gastritis, unspecified
1314514642 SURAMI Arthrosis, unspecified
1322468447 NURMAH Fever, unspecified

351795183 KATINI Headache
351806703 UNTARI Headache
352039691 JUNAIDI Puerperal sepsis

352395134 PENDI PUTRA infection, unspecified
352464614 WARINI infection, unspecified
352478046 IIS MIYATI pregnancy
Supervision of normal
996174753 YENY CAROLINA Dyspepsia

996176079 MASPARDAN infection, unspecified
996176711 UMROTUL WAHIDAH pregnancy
Essential (primary)
996180434 BADARUDIN hypertension
1251258142 MARLIANA TAZIRA Stomatitis and related lesions

1303278816 SADIMAN infection, unspecified
YUNANDO MUHAMMAD AL
1326881485 KHAFI Other specified dermatitis
Acute lymphadenitis of upper
1439699376 ETIYA AFRILIA limb
1820394584 SUNARTI Headache

1821221807 JUMINAH infection, unspecified
1823402327 YAZID IHSAN MUHTAR infection, unspecified
1830783778 FAUZAN RIDHO infection, unspecified
1852518699 HERLINA SUSANTI Dysmenorrhoea, unspecified

1907234785 SULASMI infection, unspecified
FAKHIRA AL MEERA
2060879117 WIDIANSYAH Puerperal sepsis
2205330603 NIDA SARI Headache
1454719814 SUKARTI Cholelithiasis
1799376917 CUMBU Presbyopia

Benign lipomatous neoplasm
of skin and subcutaneous
1810332595 MALINDA tissue of head, face and neck
1852595559 BUSNAWI Other specified dermatitis
1897115332 MUHAMMAD AFIF FERNANDO Fever, unspecified

2082756339 CAGAR RAMBU HUGO infection, unspecified
2195912935 MELANIA SRI HAYATI Necrosis of pulp

Other and unspecified injuries
2235105551 MUHAMMAD AZLAN AL FATIH of head
2270753381 AMANDO FICO ARDHANI infection, unspecified
2270753381 AMANDO FICO ARDHANI infection, unspecified
Open wounds involving
2271064127 DUWI RIYANTO Respiratory
multiple bodytuberculosis
regions
unspecified, without mention
of bacteriological or
2276795171 AHMAT ROSYIDIN Respiratory tuberculosis
histological confirmation
unspecified, without mention
of bacteriological or
2276795171 AHMAT ROSYIDIN histological confirmation
2278816312 CALON BAYI NY. DEWI Conjunctivitis
2291324411 ALIUDIN Pterygium

Soft tissue disorder,
2306340865 UMIYATI unspecified
Essential (primary)
34643294 MUHAMMAD ALI hypertension
351414595 ABDUL GOPUR infection, unspecified
Essential (primary)
351422436 SUYONO hypertension
351422572 RUKINEM Arthrosis, unspecified
351728346 RATINI Headache
351773414 SADARHAM Acute tonsillitis

10489779 MERI RIYANDANI, A.MD.KEP. surgery for other conditions
10563748 YENI KADITA Vitiligo
34544384 LUKMAN Other specified cataract

34585659 KUNI JAMIRAH infection, unspecified
Gangrene, not elsewhere
34585659 KUNI JAMIRAH classified
34589777 SUPARMI infection, unspecified
34597607 SETIONO disc displacement
351347703 NOVA Streptococcal tonsillitis

351692076 SUGIEM infection, unspecified
351771311 MISATUN Dyspepsia

351771311 MISATUN diabetes mellitus
Soft tissue disorder,
351926739 ROHANA unspecified
352002148 RIYANTO infection, unspecified
352022591 LASMIDAH Congestive heart failure
352032546 SRI SUBEKTI Keratitis
352283231 SRI AGUSTIN Other obstetric trauma

352365085 BERAHIM Typhoid fever
Tuberculosis of lung, without
mention of bacteriological or
352744097 RIDUAN histological confirmation
996180298 DIAN SINTA HAPSARI infection, unspecified
996180434 BADARUDIN Calculus of kidney
1080814702 MUSDALIFA ULANDARI Dyspepsia

Gingivitis and periodontal
1080814702 MUSDALIFA ULANDARI diseases
Essential (primary)
1388357921 ABDUL WAHAB hypertension
1422220285 ROSITA Pure hypercholesterolaemia

1449903172 NISMAR infection, unspecified
352013826 BUNTORO infection, unspecified
Seropositive rheumatoid
352028788 RUSMANTO arthritis
352242461 ROHIL YANA Dyspepsia
352257085 BUNGA ARIYA Other specified dermatitis

352533058 NGATYEM complication
Maternal care due to uterine
353444938 RESTI MUSTIKA scar from previous surgery
996181345 TUMAR respiratory infection
1204106534 EFRI YANUARTATI Routine postpartum follow-up
1304782479 BAHARUZAMAN Dyspepsia

Acute lymphadenitis of upper
1439699376 ETIYA AFRILIA limb
1444474855 DALILA infection, unspecified
1444475529 HAKUMI disc displacement
False labour before 37
1794846745 RINI ARTATI completed weeks of gestation
1852596718 SUMIRAH infection, unspecified
Other specified postsurgical
1858448226 HENZARONI states
1865786343 NUR HALIMAH Headache

MUHAMMAD RAYNDRA Acute upper respiratory
2046233002 ARTANA infection, unspecified
2094708688 SHAFANA ALYA ZAJILAH Other specified dermatitis
2195903564 SARMINAH Other specified dermatitis
2196243595 SUGIANTO Tinnitus

2242879402 AURA APRILIA infection, unspecified
Anaemia complicating
pregnancy, childbirth and the
2243228422 WIDIA SAPUTRI puerperium
2247622558 ISMIYATI without complications
False labour before 37
2251021397 JURIYAH completed weeks of gestation
1307347839 EDI HERNANTO Otitis externa

diabetes mellitus with other
1424167795 HM ZEN specified complications
1789307954 HENI SRI REJEKI tissue of thorax Axilla
1796358868 RATNA KARTINI Myalgia

1884950807 SAHUYAH infection, unspecified
Cerebral infarction due to
embolism of precerebral
1888908276 AMINAH arteries
AGNES ANGGRA KUSUMA
2049903404 YEKTI Zoster encephalitis
2056263265 MARDIAH Arthrosis, unspecified
2079121094 DEWI YUSNITA Follicular cyst of ovary

2232127607 AKBAR FERDIANSYAH infection, unspecified
Acute bronchitis due to
2260157095 MUHAMMAD FADHIL ABRAR Mycoplasma pneumoniae
34556499 BASWAN Arthrosis, unspecified
34558874 HERY BAHTIAR Keratitis
34617161 BAHRUDIN Tinnitus

34629118 DENILA infection, unspecified
34652147 HERMA Acute suppurative otitis media

Infantile, juvenile and
34666694 MINARTI presenile cataract
Essential (primary)
211082084 FARIDA hypertension
350588182 BOINEM Arthrosis, unspecified
351635433 KUSNAN Congestive heart failure
351783292 KOMAROTIN Dyspepsia

351936213 ISAH infection, unspecified
352003972 MASRUN Tuberculosis of lung,

Arthrosis, unspecified
confirmed by sputum
microscopy with or without
2231677708 NOPENDI culture
2232783336 SURAHMIN infection, unspecified
2232783549 REZA YULIA infection, unspecified
2241493086 RESKI AGUNG NUGROHO infection, unspecified
Stroke, not specified as
2245662933 ROZALI haemorrhage or infarction
2283178781 MUKROMI Dyspepsia
2298269272 SITI ROKAYAH Other specified dermatitis

34586561 ISTIKANA Arthrosis, unspecified
351609851 NIKEN PUSPA NINGGAR Pyoderma
351664176 EKA JATMI Other specified dermatitis

Essential (primary)
351703631 RAMELAN hypertension
351773414 SADARHAM disease, unspecified
351801235 SITI UMAR tissue of head, face and neck
351843232 HAYATI Arthrosis, unspecified

351872346 RUBAMA infection, unspecified
352010597 NIA JULIANA Breech extraction

352064013 NOPEN YUSUP SUPRIYANTO of presumed infectious origin
352100676 RIFALDO Puerperal sepsis

352230579 DARWATI infection, unspecified
Essential (primary)
352717615 RUSMAWATI hypertension
352727098 NILA RIFAH Arthrosis, unspecified

996184315 MAT DARMAWI infection, unspecified
1263759794 MIYANA Dyspepsia
34653341 SAMIJAN Asthma

Essential (primary)
196243593 NURBAITI hypertension
351710741 WIDIA ALPANEZA infection, unspecified
Nonpurulent mastitis
351721056 JURIAH associated with childbirth
Essential (primary)
351882156 MARYAMAH hypertension
351888467 TIARA Pulpitis
351983968 JASULI Headache
352028788 RUSMANTO Gastritis, unspecified
352106662 RIJAL ALFA WIJAYA Sialoadenitis

Essential (primary)
352464614 WARINI hypertension
352831184 MERI pregnancy
353361328 MUSTIKA DEWI Scabies

996180096 HERNANI infection, unspecified
996182324 YAHYA ROHDIA Urticaria

1426265469 ZAHRA AULIA DEWI of presumed infectious origin
1527325817 NURUL CHASANAH pregnancy
1595751985 RATNA SARI pregnancy
1795647352 NURDIN Headache
1829875138 NGATINI Unstable angina
1852597181 TUGIYEM Myalgia
1864893958 ALHUMAIDI Dyspepsia

1972011183 M. MARCHO AB'BRAHAM infection, unspecified
2059548952 DEWI SARTIKA infection, unspecified
Suppurative and unspecified
2226860469 AZAHRA SALSABILA RELIANA otitis media
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BUKU AGENDA RUJUKAN UPT PUSKESMAS BARADATU

NO TANGGAL NAMA PESERTA NOMOR KARTU DIAGNOSA ALASAN LAINNYA

2 3/7/2017 SAMIKNA 000 2235095651 Congestive heart failure v

3 3/7/2017 JAPARUDIN 0000 351987423 Senile incipient cataract v

4 3/7/2017 ABDURRAHMAN 000 1270713431 Other acute gastritis v

5 4/7/2017 RUSMAINI 000 1388208813 Glaucoma suspect v

6 4/7/2017 EKO SUGIATI 000 1820639981 Malignant neoplasm of nipple and v

7 4/7/2017 KATARINA LANDEP 000 2253934214 Neurofibromatosis (nonmalignant) v

8 4/7/2017 ROSMELINA SINAGA 000 2259583211 Malignant neoplasm of sigmoid v

Benign lipomatous neoplasm of skin

10 5/7/2017 HM ZEN 000 1424167795 Congestive heart failure v

11 5/7/2017 SUYAMTO 000 1625885381 Myopia v

12 6/7/2017 YON FERNANDO 0000 351796239 Gangrene, not elsewhere classified v

13 6/7/2017 WAISAH 0000 34608014 Benign neoplasm of breast v

Malignant neoplasm of connective

15 6/7/2017 ELVIRA YUNITA 0000 202099397 Benign neoplasm of breast v

16 6/7/2017 M. RAMSYAH 0000 351680027 Unspecified diabetes mellitus v

17 7/7/2017 EKO WINARNI 000 1905163288 Gangrene, not elsewhere classified v

18 10/7/2017 SUWARNI 000 2228910748 Nontoxic single thyroid nodule v

19 10/7/2017 INDRA PIRASAT 0000 353512247 Necrosis of pulp v

20 11/7/2017 SUSANTO 000 352208968 Senile incipient cataract v

21 11/7/2017 PONIYEM 0000 352261866 Senile incipient cataract v

22 11/7/2017 SUGENG TRIONO 000 2244110409 Embedded teeth v

23 12/7/2017 AHMAD ROZI HH 0000 352486348 Senile incipient cataract v

Tuberculosis of intrathoracic lymph

25 12/7/2017 SISKA WIDYA 000 1310260195 Paranoid schizophrenia v

26 12/7/2017 ADELIA DWI PRATIWI 000 1799262966 Myopia v

27 12/7/2017 LELY PRILIA LUANDA 00000 34569652 Acute laryngopharyngitis v

29 12/7/2017 SAHADI 00000 351675685 Intracerebral haemorrhage, v

30 15/07/2017 RINI 00000 34647658 Idiopathic hypotension v

31 17/07/2017 WASMIN 000 1323978603 Acute renal failure with tubular v

32 18/07/2017 SUKILAN 000 2074457081 External haemorrhoids without v

33 18/07/2017 ABDUL SLAMET 000 2247163064 Senile incipient cataract v

34 18/07/2017 MARTOYO 0000 351783325 Senile incipient cataract v

External haemorrhoids without

36 18/07/2017 TOIJAN 000 1296476144 Senile incipient cataract v

Stroke, not specified as haemorrhage

38 19/07/2017 SRI SULASTRI 000 2215187594 Calculus of kidney v

39 19/07/2017 PAULUS VICKY PASKA COBYAN 0000 352028441 Amblyopia ex anopsia v

40 24/07/2017 YOGI ERLANGGA 00000 34608047 Secondary hypertension, unspecified v

41 24/07/2017 EMA 0000 351177783 Threatened abortion v

Malignant neoplasm of connective

43 31/07/2017 DEWI 000 2043296447 Threatened abortion v

44 31/07/2017 KARTINAH 000 2068071175 Calculus of kidney v

45 31/07/2017 DWI SUNARJADI 00000 34572813 Impacted teeth v

1 7/8/2017 SRI RAHAYU 000 1796378848 Congestive heart failure v

2 8/8/2017 BUDIONO 0000 996181604 Other specified cataract v

3 7/8/2017 IMAN 0000 351818436 Impacted teeth v

4 9/8/2017 SUPADI 000 2239399484 Conductive hearing loss, bilateral v

Bilateral inguinal hernia, with

6 9/8/2017 ROSLAINI 0000 31087629 Other senile cataract v

8 14/08/2017 IDHA CATUR RAHMAWATI 00000 34636691 Impacted teeth v

9 16/08/2017 HARUN 000 2263916845 Chronic pharyngitis v

Acute tonsillitis due to other

11 16/08/2017 SUGIANTO 000 2196243595 Atherosclerotic heart disease v

Bilateral inguinal hernia, with

Benign lipomatous neoplasm of skin

14 21/08/2017 ERNAWATI 000 1852546263 Calculus of kidney v

Malignant neoplasm of connective

18 24/08/2017 WAHYONO JAYADI 000 2214927145 Congestive heart failure v

19 25/08/2017 SUPARNI 000 1725347946 Other specified intervertebral disc v

20 25/08/2017 SUKAMDI 000 2054944866 Essential (primary) hypertension v

21 25/08/2017 PRAPTO HARJONO 000 2276758326 Congestive heart failure v

22 24/08/2017 YULIATI 00000 34582151 Fracture of lower end of radius v