DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : MEDANG ASEM - 10121004

NO TANGGAL NO KUNJUNGAN NO KARTU NAMA PESERTA SEX JENIS PESERTA DIAGNOSA STATUS PRB PROLANIS
PULANG

1 04-11-2019 101210041119P000058 0000064135743 USUP SUPRIADI L PNS DAERAH Cataract, unspecified Rujuk Vertikal

2 04-11-2019 101210041119P000059 0000487414989 DERA MELIANA P PBI (APBN) Disturbances in tooth Berobat Jalan
eruption
3 04-11-2019 101210041119P000065 0000487415531 DONI IRMA SETIAWAN L PBI (APBN) Unilateral or unspecified Rujuk Vertikal
inguinal hernia, without
obstruction or gangrene
4 04-11-2019 101210041119P000064 0000487504528 KASTI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

5 04-11-2019 101210041119P000063 0000488086705 TALIM L PBI (APBN) Myalgia Berobat Jalan

6 04-11-2019 101210041119P000056 0000488173667 HUSNAH P PBI (APBN) Gastric ulcer, unspecified Rujuk Vertikal
as acute or chronic,
without haemorrhage or
perforation
7 04-11-2019 101210041119P000062 0000488243687 YAYAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
8 04-11-2019 101210041119P000055 0000488336141 USEP L PBI (APBN) Other cataract Rujuk Vertikal

9 04-11-2019 101210041119P000061 0000488775655 SAWIYAH P PBI (APBN) Other disorders of skin Berobat Jalan
and subcutaneous tissue,
not elsewhere classified

10 04-11-2019 101210041119P000060 0001632123246 SUTARYA AS L PEKERJA MANDIRI Pulp degeneration Berobat Jalan

11 04-11-2019 101210041119P000057 0001907491836 robiatul adawiah P PEKERJA MANDIRI Maternal care due to Rujuk Vertikal
uterine scar from previous
surgery