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UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM

NO REKAM MEDIS NAMA DX BYR RUJUK


L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 21 9
1 03000804 AZFAR 1 2/5 V V J00 1 1

02002005 M79.1+K25+J
2 NANI 50 2/5 V V 00 1 1 21 9
3 02004524 TENI YANGSIH 36 5/1 V V HAMIL 1 1 1
4 01003712 OYAN 63 7/10 V V H10 1 1
5 02004663 ENUNG 42 3/5 V V I10 1 1
6 02001796 SUSI 44 1/7 V V J00 1 1 BPJS
7 01002704 MAMAN 66 1/5 V V I10 1 1 UMUM GIGI
8 03303904 FAYRA 2 1/9 V V J00 1 1 36 0
9 03103904 FAUZI 13 1/9 V V J00 1 1
10 02004666 RIA 30 3/2 V V HAMIL 1 1 1 GIGI
11 02004667 ANISA 19 4/2 V V HAMIL 1 1 BM KS
12 03103394 ALKHA 3 3/2 V V J02 1 1 0 0
13 02003759 ROSITA 19 4/5 V V 1 1
14 03100054 WIMWIM 12 10/3 V V V J00 1 1 KIA
15 01000255 ROSMANA 65 4/9 V V I10+E14 1 1 BM KS
16 MENDRA 28 1/7 V V 1 1 1 2
17 01001536 YETI 52 3/6 V V J00 1 1
18 RAHMAN 75 2/2 V V 1 1 KB
19 03004533 RISA 22 3/3 V V L23 1 1 BM KS
20 03002153A ABIYAH 20 4/5 V V 1 1 0 0
21 01001665 MAMAN 71 7/10 V V K29 1 1
22 02002626 RITA 45 4/3 V V 1 1 HAMIL
23 03204671 MELI 20 3/2 V V 1 1 BM KS
24 01004672 DEDEN 75 6/6 V V I10 1 1 1 2
25 03002002 ANDINI 22 3/7 V V K29 1 1
26 03204626 EVIANA 26 1/1 V V K29 1 1 UMU
27 03310948 FITRIA 7 11/3 V V J00 1 1 UMUM GIGI
28 02000948 SUHANAH 11/3 V V J06 1 1 18 0
29 03100948 FUJ 22 11/3 V V K29 1 1
30 01002178 AANG 33 7/10 V V 1 1
31 01003854 HERI 44 6/9 V V 1 1
32 01001830 ARYANA 53 5/4 V V 1 1
33 03100735 SAEPUL 7 5/8 V V K30+J06 1 1
34 03000735 M.RAMDAN 12 5/8 V V H10+K29 1 1
35 1808 DENI 41 3/5 V V K29 1 1
36 1808 RIYAN 13 3/5 V V J06 1 1
37 4662 JAJA 55 7/5 V V H10 1 1 SA
38 1608 TUTI 67 4/1 V V I10+E14 1 1
39 995 ROBI'I 76 3/1 V V 1 1
40 4664 M ZEIN 79 4/8 V V H52 1 1 NETRA 2
41 4668 DINI 44 4/10 V V HAMIL 1 1 1
42 4669 DEWI 1 V V R50 1 1
43 2378 AIRA 2 V V J06 1 1
44 847 LIAH 56 4/5 V V k29 1 1
45 1729 MESILAWATI 21 4/3 V V HAMIL 1 1 1
46 1729 AZRIL 1 4/3 V V 1 1
47 3354 SUYATNO 50 2/3 V V 1 1
48 CARAMEL 4BLN 6/6 V V J00 1 1
49 PURWANTI 55 6/6 V V J00 1 1
50 148 SAHIRA 6 8/1 V V 1 1
52 158 SAIMAN 52 3/5 V V H10 1 1
53 3745 M RIZKI 3 5/2 V V R56 1 1 MH
54 4674 RUCHIAT 62 3/6 V V r07 1 1 SA
55 4675 NENDI 60 4/6 V V 1 1
56 3098 ARSAD 4 3/9 V V 1 1
57 1887 ENTIN 69 4/3 V V 1 1
58 02002592 TUGIRAH 60 2/5 V V L30 1 1

01000359 M54.5+I10+J
59 SITI 63 3/4 V V 00 1 1
60 03100063 DELA 17 3/9 V V K04 1 1
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
26 2 58
0

26 2 58
bpjs 37 4

BPJS
KIA HAMIL KB
3 3 0

I RUJUK
HI SA 2
0 MH 1
HM
KBN J
HI MNLS
2 BUNGSU
BKKPM
PMC 3
HI BEC
0 NETRA 1
GRA
IL ILAHI
HI
1

UMUM
KIA HAMIL KB
2 1 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS
NO REKAM MEDIS NAMA DX BYR
L P P K B L B L U G KIA H KB U G KIA H KB BM

1 03201374 KEYREN 2 KBL V V J00 1 1


2 020038502 RENI 34 KBL V V HAMIL 1 1 1
3 01004397 ENENG 50 KBL V V 1 1
4 2041 LILY 72 kbl V V h52 1 1
5 2058 ELIS SITI 45 KBL V V J00 1 1
6 2058 SILVA 5 KBL V V J00 1 1
7 4665 TATANG 54 CSR V V J06 1 1
8 4670 LENI 57 KBL V V K29 1 1
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
BPJS BYR BM KS HI TOTAL
RUJUK
KS HI 7 1 0 0 8
0
7 1 0 0 8
bpjs 1
Bec

BPJS
UMUM GIGI KIA HAMIL KB
1 0 0 0 0

GIGI
BM KS HI RUJUK
0 0 0 SA
MH
KIA HM
BM KS HI KBN J
0 0 0 MNLS
BUNGSU
KB BKKPM
BM KS HI PMC
0 0 0 BEC 1
NETRA
HAMIL GRA
BM KS HI ILAHI
0 0 0

UMUM
UMUM GIGI KIA HAMIL KB
6 0 1 1 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 26 11 13
1 02004676 YAYAH 67 5/6 V V M79,1 1 1
2 01000455 JUBAEDAH 53 3/9 V V I10+K30 1 1 26 11 13
3 01004677 UTEN 67 6/2 V V E14+I10 1 1
4 02003658 MIN RUKMINI 63 3/8 V V I10 1 1
5 03001744 M.AGNA 14 1/6 V V J06 1 1
6 03004352 AYSA 10B V V URTIKARIA 1 1 BPJS
7 03004155 ANISA 24 7/6 V V GIGI 1 1 UMUM GIGI KIA
8 03100646 RADITIA 4 3/9 V V J00 1 1 22 4 0
01002465 I10+M79,1+J
9 SITI K 54 3/7 V V 45 1 1
10 03102465 SITI N 25 3/7 V V 1 1 GIGI
11 02002172 WASRI 67 5/2 V V L30+M79,1 1 1 BM KS HI
12 01001362 UUN 50 2/8 V V M51 1 1 SA 3 1 0
13 01004679 NANI 34 8/3 V V GIGI 1 1
14 01003516 ASTON 56 3/10 V V I25 1 1 IMANUEL KIA
15 02003516 RENI 51 3/10 V V H81 1 1 BM KS HI
16 03100393 RANGGA 11 9/1 V V J03 1 1 0
17 01004680 ROSSILA 52 3 V V FAKULITIS 1 1
18 03202672 ANDINI 1 7/5 V V SELULITIS 1 1 KB
19 02001780 DIAH 44 5/3 V V K30+J00 1 1 BM KS HI
20 02000158 SOLIYAH 48 3/5 V V A16 1 1 BKKPM 0 0 0
21 02003939 NENAH 8/3 V V J00 1 1
22 03100963 ABIYA 1 1/3 V V A09 1 1 HAMIL
23 01002017 DEWI 48 1/2 V V A09 1 1 BM KS HI
24 03001300 AYLA 2 1/6 V V J00 1 1 0
25 04003435 HENI 51 1/1 V V K30 1 1
26 01000637 NUNUNG 1/8 V V I10+M79,1 1 1 UMUM
27 02004458 ETI 60 5/6 V V R50 1 1 MH UMUM GIGI KIA
28 03402836 GAISA 8 4/3 V V J00 1 1 23 1 2
29 02002871 NINING 53 4/3 V V K360+M13 1 1
30 03402588 ANDHIKA 12 2/8 V V H10 1 1
31 02000103 AI HASANAH 37 1/5 V V H81 1 1
32 03000103 ALWI 6 1/5 V V TELINGA 1 1
33 01004024 Ade Ruslan 52 1/2 v v L30+K30 1 1
34 01001704 Kamaludin S 41 6/1 v v M79,1 1 1
35 03003902 Rafasya 1 2/5 v v J00 1 1
36 01004678 Angie Anggadini 2/2 v v 1 1
37 03302324 Alif 10 1/8 v v J03 1 1
38 03203688 Riza Nurhaliza 19 5/3 v v K04 1 1 SA
39 02001078 Sri Sulastri 59 2/10 v v H10 1 1
40 02002668 Lina Rukmaya 46 5/3 v v I10+K30 1 1
41 d rosmini v v 1 1
42 02001107 Kartini 3/5 v v H10 1 1
43 04004681 ARSANA 3/5 V V 1 1
44 01001741 Budiman 3/2 v v RENAL KOLIK 1 1 SA
45 03001840 Ferli 16b 6/10 v v TB 1 1
46 03000537 zaki 4 4/9 v v J00 1 1
47 01004513 SUPINAH 72 3/2 V V M79,1 1 1
48 03103346 SEKAR AYU 2/8 V V J00 1 1
49 04003972 FITRI 7B 7/6 V V A09 1 1
50 AFFATAN V V J00 1 1
52 03000529 M RIFKI 14 5/8 V V H10 1 1
53 02004682 MAMAH 52 6/3 V V H10 1 1
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
HI TOTAL
2 52
0
2 52
bpjs 26 2
28

PJS
HAMIL KB
0 0

RUJUK
SA 3
MH 1
HM
KBN J
MNLS
BUNGSU
BKKPM 1
PMC
BEC
NETRA
GRA
ILAHI
IMAN 1

MUM
HAMIL KB
0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 8 0 0 0
1 01000180 HASRI 34 BJL V V GIGI 1 1

01003445
2 AGUS 59 KBL V V I10+K30+J00 1 1 8 0 0 0
3 01000358 DEDEH 60 KBL V V M79,1 1 1 bpjs
4 02000784 NINING 65 KBL V V M79,1 1 1
5 01002587 Agus Mulyadi 40 KBL V V I10+M79,1 1 1
6 03002134 FAISAL ZIDAN 18 KBL V V J00 1 1 BPJS
7 02003225 Yati 50 BLK DESA V V E14 1 1 UMUM GIGI KIA HAMIL
8 02004683 Ratna Suhaeni KBL V V R51 1 1 0 0 0 0
9
10 GIGI
11 BM KS HI
12 0 0 0
13
14 KIA
15 BM KS HI
16 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 7 1 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
8
0

8
0

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 26 6
1 01002830 RAHMAT 67 5/7 V V E14+M13 1 1 0 1
2 02000816 SUHAENAH 2/7 V V I10 1 1 26 7
3 01000488 MIRA 38 4/10 V V A15 1 1 SA
4 01001150 ACHMAD 38 5/3 V V GIGI 1 1
5 02001461 MIA 22 3/3 V V KB 1 1 1
6 02004684 ERNA 35 3/4 V V GIGI 1 1 BPJS
7 03100712 SANTI 36 3/5 V V KB 1 1 1 UMUM GIGI
8 02004686 DHITA 28 1/3 V V HERPES 1 1 15 1
9 02000506 RENI 41 5/2 V V KB 1 1 1
10 02000300 ANITA HAYATI 39 3/6 V V KB 1 1 1 GIGI
11 03100300 AKBAR 1 3/6 V V J00 1 1 BM KS
12 02002710 ENUNG 58 2/8 V V I10+K30 1 1 2 1
13 02002219 EUIS 35 9/5 V V I10 1 1
14 03104119 NAYARA 7 7/10 V V GIGI 1 1 KIA
15 02003704 ANI 45 6/10 V V GIGI 1 1 BM KS
16 03004689 RIDSKY 20 3/5 V V J02 1 1 1 6
17 03102054 KANIA 7 3/6 V V J00 1 1
18 01003670 ENTIN 68 12/1 V V M79,1 1 1 KB
19 02002024 YATI NURHAYATI 29 3/4 V V KB 1 1 1 BM KS
20 03104606 RESKHA 8 4/10 V R05 1 1 KEBONJATI 1 6
21 01004690 E.KUSNADI 61 7/10 V V J40 1 1
22 01004691 SAADAH 69 6/5 V V J00 1 1 HAMIL
23 02004692 INEU 22 3/8 V V KB 1 1 1 BM KS
24 02004335 ERNI 43 1/6 V J00 1 1 0 0
25 01002242 IDA 59 3/3 V V I10 1
26 02000214 LIA 27 2/3 V V KB 1 1 UMU
27 02001796 SUSY 44 1/7 V V A18 1 1 SA UMUM GIGI
28 02004693 NIA 34 1/8 V V PARONKUS 1 1 21 2
29 02001017 FITRI 42 7/6 V V J00 1 1
30 02002568 WIDIANTI 22 6/2 V V KB 1 1
31 02001863 MARNI 34 4/3 V V KB 1 1 1
32 03002576 FATAN 1 2/3 V V A15 1 1 SA
33 03100137 REYNALDI 8 6/6 V V H10 1 1
34 01001694 MIMIN 58 4/8 V V K29 1 1
35 03501694 ALIYA 15 74/8 V V A09 1 1
36 02000271 SRI 53 1/2 V V I10+L30 1 1
37 04000168 NAZWA 4 3/6 V V J00 1 1
38 0200168 POPONH 60 3/6 V V I10+M79,1 1 1
39 01004694 LARAS 22 6/9 V V GIGI 1 1
40 03303904 FAYRA 2 1/9 V V J02 1 1
41 03003904 RIZKI 18 1/9 V V 1 1
42 03303182 PUTRI 19 3/1 V V A18,2 1 1 MH
43 02003182 IMAS 59 3/1 V V J02 1 1
44 02000801 HIKMAH 34 3/6 V V KB 1 1
45 02000237 DAHNIA 50 2/3 V V L02 1 1 MH
46 023004423 KHAIRUL 8 3/9 V V J00 1 1
47 02004695 UMU 41 7/6 V V M79,1 1 1
48 AMI A15 1 1
49 NANI A15 1 1
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
16 0 48
0 0 1
16 0 49
bpjs 23

BPJS
KIA HAMIL KB
7 0 7

I RUJUK
HI SA 3
7 MH 2
HM
A KBN J 1
HI MNLS
0 BUNGSU
BKKPM
PMC
HI BEC
3 NETRA
GRA
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
3 0 3
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 9 0 0 0
1 02004684 ERNA 35 V V GIGI 1 1 0 1 0 0
2 033203902 DASA 4 REGOL V V J00 1 1 9 1 0 0
3 03103902 DASTAN 4 REGOL V V J00 1 1 bpjs
4 02003902 IOEY 40 REGOL V V M79,1 1 1
5 02004685 ADE 20 KBL V V SCABIES 1 1
6 03004687 AFKAR 2 KBL V V J00 1 1 BPJS
7 01004688 HARIS 23 KUNINGAN V V H10 1 1 UMUM GIGI KIA HAMIL
8 02000559 TITA 54 KBL V V J00 1 1 0 0 0 0
9 03301677 SILVIA 20 KBL V V KB 1 1
10 GIGI
11 BM KS HI
12 0 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 9 0 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
9
1
10
1

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 23 7 14 1
1 03004533 risa 22 3/3 v v a15 1 1 0 1 0 0
2 01000735 SURYANA 43 5/8 V V H10 1 1 23 8 14 1
3 02002101 SANTI 42 5/2 V V HAMIL 1 1 1 bpjs
4 01000323 DJARSAM 77 1/7 V V J00+I10 1 1
5 01003334 RIKI 37 4/8 V V J91 1 1 SA
6 03102835 NAZWA 8 3/3 V V GIGI 1 1 BPJS
7 02003357 IMAS 36 9/1 V V HAMIL 1 1 1 UMUM GIGI KIA HAMIL
8 03104696 SARAH 14 3/8 V V GIGI 1 1 16 1 8 6
9 02002360 ENAR 59 1/3 V V J00+J45 1 1
10 03000368 FERI IRAWAN 29 7/3 V V J00 1 1 GIGI
11 01001587 TEE TJOE NIO 73 8/10 V V H52 1 1 BEC BM KS HI
12 01003584 ANAH 49 1/7 V V I10+K30 1 1 14 1 7
13 03003989 SALSABILA 5HARI 4/10 V V KIA 1 1
14 02003989 ANA 30 4/10 V V KIA 1 1 KIA
15 03400847 SUSI 14 4/5 V V TT 1 1 BM KS HI
16 02004412 WITA 36 2/4 V V HAMIL 1 1 1 13 0 6
17 02001366 SUPARTINI 42 5/2 V V J00 1 1
18 02001901 neneden 39 2/9 v v hamil 1 1 KB
19 01003097 dedi 48 3/5 v v H52 1 1 BEC BM KS HI
20 02004697 enung 49 1/3 v v h25 1 1 SA 10 0 6
21 03200158 siti 14 3/5 v v H10 1 1
22 03104698 indriana 20 5/6 v v A15 1 1 HAMIL
23 03004689 RIDSKY 20 3/5 V V J02 1 1 BM KS HI
24 euis 73 7/3 v v 1 1 10 0 3
25 03200225 nafaza 1 3/9 v v B35 1
26 02002069 SRI 32 1/8 V V HAMIL 1 1 1 UMUM
27 03103711 RAFA 8 6/3 V V J00 1 1 UMUM GIGI KIA HAMIL
28 03103921 RIYAN 10 4/2 V V MASTITIS 1 1 18 1 0 0
29 03200148 SAHIRA 6 8/1 V V J02 1 1
30 03400097 RAHMI 10 3/4 V V J00 1 1
31 03400148 SADANA 1 8/1 V V J00 1 1
32 03102510 VEHYLEN 4 1/9 V V J00 1 1
33 03100192 ILHAM 4 7/10 V V H10 1 1
34 02003127 ENDEN 51 7/5 V V I10 1 1
35 02000237 DAHNIA 50 2/3 V V I50 1 1 SA
36 02004301 IPAH 38 7/10 V V HAMIL 1 1
37 01003888 M.TAHER 56 1/2 V V I10+M79 1 1
38 03301153 M.ATHA 12 3/5 V V A09 1 1
39 01002104 ISMAYATI 62 5/4 C V K30+M79,1 1 1
40 ROSYID 69 2/3 V V L30 1 1
41 02004049 nia 38 3/7 v v hamil 1 1 1
42 01001507 eha 65 4/3 v v M54,5 1 1 IMANUEL
43 nani 58 3/9 v v a15 1 1
44 02004699 tia 50 1/9 v v M10+M13 1 1
45 mesilawati 21 7/5 v v hamil 1 1 1
46 02004700 SUSI 34 7/5 V V HAMIL 1 1
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
45
1
46
23

KB
0

RUJUK
SA 3
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC 2
NETRA
GRA
IMANUEL 1

KB
2
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 3 1 0 0
1 03100379 AGUSTINA 8 KBL V V J00+L30 1 1 0 1 0 0
2 03100379 IDA 39 KBL V V J00 1 1 3 2 0
3 01000579 TITA 63 KBL V V I10+M79 1 1 bpjs
4 01004354 MISBAH 56 KBL V J06 1 1
5
6 BPJS
7 UMUM GIGI KIA HAMIL
8 1 0 0 0
9
10 GIGI
11 BM KS HI
12 0 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 3 0 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
4

4
1

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI
KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 34 5 20 2
1 01000455 jubaedah 53 3/9 v v I10+K29 1 1
2 02004701 ENOK 62 3/8 V V M79+K29 1 1 34 5 20 2
3 AMIR 54 3/3 V V A15 1 1 bpjs
4 03000154 DANISH 1 2/5 V V IMN 1 1
5 01004702 EBI 25 5/2 V V N30 1 1
6 03300976 ASEP 37 6/6 V V HERPES 1 1 BPJS
7 01001035 RUSTAMA 85 1/8 V V J00 1 1 UMUM GIGI KIA HAMIL
8 01003371 YAYAT 51 6/10 V V I25 1 1 MH 24 2 0 0
9 03104704 FITRI 24 1/5 V V J03 1 1
10 03004579 ALIF 3 6/5 V V A15 1 1 GIGI
11 02004705 TUTI 54 2/10 V V K30 1 1 BM KS HI
12 03100130 INDRIANI 3 2/10 V V MILIANA 1 1 1 1
13 01002679 ANO 69 7/6 V V I10+A09 1 1
14 01004706 EEM 76 3/7 V V J00+K30 1 1 KIA
15 03000656 ASKA 21 1/8 V V A15 1 1 BM KS HI
16 03003247 AKBAR 8 2/4 V V J02 1 1 5 0
17 01000059 KHAERUDIN 52 1/5 V V K30 1 1
18 03301366 WINA 12 5/2 V V GIGI 1 1 KB
19 01002117 HENY 58 4/1 V V D24 1 1 SA BM KS HI
20 04004080 MAXWEL 2 3/7 V V IMN 1 1 0 0 0
21 01002140 ASEP 56 3/5 V V J00 1 1
22 ANINDITA V V IMN 1 1 HAMIL
23 01000804 SISWANTO 29 2/5 V V A01 1 1 BM KS HI
24 03000804 AZFAR 14B 2/5 V V J00 1 1 0 0 0
25 01000696 OON 73 3/9 V V I10+J06 1 1
26 02000336 TATI 36 6/6 V V J00 1 1 UMUM
27 DEVANO V V IMN 1 1 UMUM GIGI KIA HAMIL
28 02004707 WININGSIH 38 4/3 V V HERPES 1 1 28 1 5 0
29 03000774 M.HUSNUL 12 7/10 V V R50 1 1
30 02001521 ERNI 34 5/3 V V M79,1 1 1
31 01000228 DJUBAEDAH 81 4/4 V V I10+M79 1 1
32 02003946 YANI 43 5/6 V V K29 1 1
33 03004708 ARDITA 18 5/5 V V M32 1 1 SA
34 03102288 ASIFA 3 4/8 V V H10 1 1
35 02001645 SITI 56 1/4 V V R51 1 1
36 04001645 RINA 6 1/4 V V J00 1 1
37 02003143 MENLANI 37 1/8 V V K30 1 1
38 03003143 RAHMALYA 14 5/9 V V K30 1 1
39 01003156 IMAM 40 4/6 V V 1 1
40 M.YUSUF 14 1 V V J03 1 1
41 03201675 ISMI 8 5/2 V V GIGI 1 1
42 03001629 M.MAULANA 13 2/5 V V L98 1 1
43 02002813 NOVA 39 5/5 V V K30 1 1
4403004621RAFKA RAFKA 1MG 1 V V KIA 1 1
45 03104710 ZAHRA 4 4/5 V V H10 1
46 01000428 JUJU 55 4/8 V V K29I10 1
47 02003118 KONIJAH 26 4/5 V V K30 1 1
48 03200621 ABDUL 2B 3/10 V V J00 1 1
49 01004503 ASEP 49 3/10 V V M79,1 1 1
50 84 RUDOLF 76 1/8 V V GIGI 1 1
52 01001675 WAWAN 41 5/2 V V J00 1 1
53 TITI 75 11/3 V V 1 1
54 01004711 ADE 54 4/3 V V I10+J00 1 1
55 01002277 APONG 52 8/1 V V F32 1 1 SA
56 03104191 VIRGILITA 22 1/7 V V J00 1 1
57 01000479 CICI 35 7/5 V V H10 1 1
58 03103927 NAZMI 8 4/6 V V J00 1
59 03104698 INDIRANA 20 5/6 V V A15 1 1
60 01004713 AGUNG SANYOTO 57 3/4 V V M79,1 1 1
61 NANI A15 1 1
62 FITRIA 28 A15 1 1
63 03004714 MESYA 13 4/6 V V J00+K29 1 1
64 01002911

65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
61

61
27

KB
0

RUJUK
SA 3
MH 1
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 3 2 1
1 01004703 YULIANIS 63 KBL V V PARKINSON 1 1
2 03003991 LIVIANE 8 KBL V V J06 1 1 3 2 0 1
3 03102890 HASNA 12 KBL V V J00 1 1 bpjs
4 03104709 ARKA 2 KBL V V K30 1 1
5 01003512 TUTI 52 KBL V V I11 1 1 SA
6 01002911 SIAUW 69 KBL V H81 1 1 MONALISA BPJS
7 UMUM GIGI KIA HAMIL
8 3 0 0 0
9
10 GIGI
11 BM KS HI
12 1 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 3 0 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
6
0
6
3

KB
0

RUJUK
SA 1
MONA 1
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 37 4
1 444 IMAS 62 2/9 V V E14 1 1 0 1
2 4716 M RAMDAN 8 2/3 V V J00+A09 1 1 37 5
3 1534 SITI M 46 3/10 V V M19 1 1
4 4550 MAMAY 70 7/5 V V I10+N18 1 1
5 4585 ARVINO 1 4/5 V V J00 1 1
6 4585 SITI ASMAYA 46 2/5 V V KB 1 1 1 BPJS
7 1564 NAZLA 16 4/9 V GIGI 1 1 UMUM GIGI
8 1564 NAZWA 13 4/9 V V J00 1 1 23 0
9 4719 ERNAWATI 36 9/3 V V L02 1 1
10 4719 SAVAKIRANA 4 9/3 V V J00 1 1 GIGI
11 1650 ANINDA 10 3/6 V V A09+J02 1 1 BM KS
12 0231 FITRI 23 3/4 V V SUNTIK 1 1 - 0
13 4720 NANI 50 3/10 V V B35 1 1
14 3188 DEVI 33 KBL 4/4 V V SUNTIK 1 1 1 KIA
15 1760 JO KIONG IE 56 6/1 V V R51 1 1 BM KS
16 1760 JONATHAN 12 6/1 V V J02 1 1 - 0
17 4721 YUYUN 46 1/5 V V K30 1 1
18 0621 RIZKY 9 3/10 V V J00 1 1 KB
19 0081 AMINAH 72 6/9 V V I10+K30+H10 1 1 BM KS
20 3097 DEDI 48 3/5 V V H52 1 1 - 0
21 1356 ARDI 23 1/9 V V H52 1 1
22 1356 REJA 15 1/9 V V J02 1 1 HAMIL
23 1356 ENUNG 45 1/9 V V J00 1 1 BM KS
24 0743 M RADITYA 10 5/3 V V L02 1 1 - 0
25 4722 SITI JUWARIAH 22 5/3 V V L03 1 1
26 1299 YOYOH 32 2/4 V V KB 1 1 1 UMUM
27 0046 AULIA 6 KBL 3/3 V V J00 1 1 UMUM GIGI
28 0046 KIKI RASIDIN 32 KBL 3/3 V V A09 1 1 26 3
29 NENI 47 6/9 V V J00 1 1 1
30 1972 LINA 39 3/4 V V KB 1 1 1
31 3539 DEASY 25 4/10 V V J02 1 1
32 3539 DIKI SEPTIAN 4 6/10 V V J02YA 1 1
33 1356 RAGIT 4 1/9 V V J02 1 1
34 1084 ZAHRA 1 2/8 V V J00 1 1
35 1433 EVA 29 2/5 V V J00 1 1
36 4723 AMAR 88 4/4 V V J40 1 1
37 4723 HERI 36 3/5 V V J02 1 1
38 4724 NUNI 39 3/2 V V E14+I10 1 1
39 4727 YUMI 37 4/9 V V KB 1 1 1
40 0340 NAZWA 13 4/9 V V H65 1 1
41 1901 NARA 7 2/9 V V B86 1 1
42 1901 BANI 14 2/9 V V L01 1 1
43 4729 BINTANG 16 1/1 V V KB 1 1 1
44 4729 DAREL 2BLN 1/1 V V J02 1 1 1
45 2568 WIDIANTI 22 6/2 V V Z30 1 1 1
46 2236 ASEP SURYANA 43 3/5 V V J03 1 1
47 4725 ARA 79 5/6 V V JO2 1 1
48 0052 ZAHRA PUTRI 10 4/5 V V J00 1 1
49 0052 ANE 36 4/5 V V K30+L30 1 1
50 1555 M MAULANA 9 5/6 V V J02+J00 1 1
52 2835 NAZWA 9 3/2 V V GIGI 1 1
53 0566 ATIK 23 KIRCON V V A09 1 1
54 4726 SITI 56 4/6 V V J02 1 1
55 1824 ENUNG 60 5/6 V V I10+K30 1 1
56 0401 SUSILAWATI 40 5/6 V V K29 1 1
57 4728 M FAUZI 13 1/9 V V J03 1 1
58 4730 DERAJAT 56 2/1 V V A06 1 1
59 1184 DIEGO 9 10/1 V V J00 1 1
60 0884 ENTIS SUTISNA 20 3/1 V V T14 1 1
61 2876 FRISYA 10 5/9 V V A09+J00 1 1
62 2876 M NUR SATRIA 14 1/9 V J02 1 1
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
20 0 61
0 0 1
20 0 62
bpjs 25

BPJS
KIA HAMIL KB
1 0 1

GIGI RUJUK
HI SA
1 MH
HM
KIA KBN J
HI MNLS
0 BUNGSU
BKKPM
KB PMC
HI BEC
0 NETRA
GRA
HAMIL ILAHI
HI
0

UMUM
KIA HAMIL KB
8 0 8
UMUR ALAMAT Kunjungan Kasus UMUM BPJS
NO REKAM MEDIS NAMA DX
L P P K B L B L U G KIA H KB U G KIA

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
BPJS BPJS BYR BM KS HI TOTAL
BYR RUJUK
H KB BM KS HI 0 0 0 0 0
0 1 0 0 1
0 1 0 0 1
bpjs 1

BPJS
UMUM GIGI KIA HAMIL KB
0 0 0 0 0

GIGI RUJUK
BM KS HI SA
0 0 0 MH
HM
KIA KBN J
BM KS HI MNLS
0 0 0 BUNGSU
BKKPM
KB PMC
BM KS HI BEC
0 0 0 NETRA
GRA
HAMIL ILAHI
BM KS HI
0 0 0

UMUM
UMUM GIGI KIA HAMIL KB
0 0 0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 28 14 15
1 816 RADI 80 2/7 v v H10 1 1 0 1 0
2 634 DEDI KURNIADI 57 2/5 V V E14 1 1 28 15 15
3 634 YETI 51 2/5 V V J02 1 1
4 IMELDA P V V HAMIL 1 1 1
5 1358 ZAHRA 8 8/5 V V H10 + J00 1 1
6 393 ASEP M 43 9/1 V V J00 1 1 BPJS
7 4601 REGITHA 17 1/5 V V HAMIL 1 1 1 UMUM GIGI KIA
8 178 NANI SUMARNI 59 2/8 V V K30 1 1 27 0 2
9 4734 ASEP SAEPULOH 15 3/10 V V R50.9 1 1
10 11 AI FATIMAH 40 7/5 V V J00 1 1 GIGI
11 4735 RIZKY 27 11/3 V V J06 1 1 BM KS HI
12 2648 AZKA 4 11/3 V V J00 1 1 24 0 1
13 2648 UDI 30 11/3 V V J00 1 1
14 945 EHA 52 5/7 V V B35.3 1 1 KIA
15 4736 WAWAN 45 4/8 V V J00 1 1 BM KS HI
16 3144 AMUNG 34 5/7 V V M79.1 1 1 - 0 0
17 3252 SARMINI 70 6/9 V V I10 + H25 1 1
18 4335 ERNI 43 1/6 V V J02 1 1 KB
19 323 ENTIN 71 1/7 V V J02 1 1 BM KS HI
20 4737 YANUAR 41 9/3 V V J04 1 1 - 0 0
21 216 LINA 51 9/3 V V J00 + K30 1 1
22 4159 YANTI 44 1/6 V V M29 1 1 HAMIL
23 3498 SYALWA 19 2/9 V V K30 1 1 BM KS HI
24 4383 YUSWAN 1 3/4 V V L30 1 1 - 0 0
25 3860 JENI 33 4/4 V V J02 1 1
26 3860 TIARA 4 4/4 V V J02 1 1 UMUM
27 1921 RIKA 41 3/8 V V OA 1 1 UMUM GIGI KIA
28 1921 DJIBRIL 4 3/8 V V J03 1 1 27 1 3
29 1751 MULYANA 9BLN 7/5 V V J00 1 1
30 1382 ANINDITA 9BLN 5/6 V V 1 1
31 742 DEWI 23 5/9 V V H00 1 1
32 3217 RENI 29 1/2 V V HAMIL 1 1 1 1
33 4039 JUMAENAH 32 5/6 V V HAMIL 1 1 1 1
34 742 SHIDQI 4 5/9 V V J02 + L02 1 1
35 742 MALIK 11BLN 5/9 V V J02 + L02 1 1
36 4739 SULTAN RAFLI 18 6/2 V V D56 1 1 SA
37 1051 IMAS 54 3/4 V V M79.1 + K30 1 1
38 2407 DEWI 22 5/2 V V HAMIL 1 1
39 2375 ANIFA 43 2/7 V V K30 1 1
40 2375 M RAFI 9 2/7 V V J00 1 1
41 4742 SUDRAJAT 40 6/5 V V GIGI 1 1
42 2051 NYAI 51 1/8 V V I10+M17 1 1
43 2051 RANI RAMANDINI 1/8 V V H10 + J00 1 1
44 SITI HASANAH 7/5 V V 1 1
45 01002792 ROSYID 69 2/3 V V L02 + L30 1 1
46 4740 DEDI KURNIADI 46 2/5 V V K30 1 1
47 1205 SABYAN 2BLN 1/5 V V L02 1 1
48 4741 ENI 61 3/8 V V I64 1 1
49 3205 DEDEN 35 2/10 V V J00 1 1
50 3205 M RAFA 6 2/10 V V J00 1 1
52 FERLY M 1 6/10 V V 1 1
53 1665 MAMAN 70 7/10 V V I10 + M17 1 1
54 1511 E TUTI 43 7/10 V V K30 1 1
55 1511 SUPARMAN 50 7/10 V V 1 1
56 4743 OPIK 22 2/9 V V J00 1 1
57 NANI ROHAENI V V A15 1 1
58 AMIR V V A15 1 1
59 RENI N V V O05 1 1
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
HI TOTAL
1 58
0 1
1 59
bpjs 31

BPJS
HAMIL KB
2 0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

UMUM
HAMIL KB
2 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P B L B L U G KIA H KB U G KIA H KB BM KS HI 12 1
1 1834 NENNY 70 KBL V V H57 1 1 NETRA 2 0 1
2 1358 HENI SANTI 27 KBL V V H10 1 1 12 2
3 4354 MISBAH 56 KBL V V J06 1 1
4 4731 MIRAJ 9BLN KBL V V J02 1 1
5 4732 TINAH 39 KBL V V GIGI 1 1
6 4733 YUNI 16 KBL V V GIGI 1 1 BPJS
7 YASMIN 5BLN KBL V V J00 1 1 UMUM GIGI
8 2712 VINA 31 CIPARAY V V HAMIL 1 1 1 2 0
9 3597 SANDI 21 KBL V V J03 1 1
10 4738 SRI 61 KBL V V K30 1 1 GIGI
11 3411 SYABIL 1 CIGADUNG V V J00 1 1 BM KS
12 74 RAFI 15 KBL V V J00 1 1 0 0
13 02001297 lia m 51 kbl v v M29.1 + K30 1 1
14 03401297 m rival 9 kbl v v J00 + B35 1 1 KIA
15 BM KS
16 0 0
17
18 KB
19 BM KS
20 0 0
21
22 HAMIL
23 BM KS
24 0 0
25
26 UMUM
27 UMUM GIGI
28 9 2
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
0 1 14
0 0 1
0 1 15
bpjs 3

BPJS
KIA HAMIL KB
0 0 0

GIGI RUJUK
HI SA
0 MH
HM
KIA KBN J
HI MNLS
0 BUNGSU
BKKPM
KB PMC
HI BEC
0 NETRA
GRA
HAMIL ILAHI
HI
0

UMUM
KIA HAMIL KB
1 1 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 20 5 17 0
1 02001838 KUSRINI 50 7/6 V V K30 1 1 0 1 0
2 02004105 SANTI 43 2/9 V V I10 1 1 20 6 17 0
3 01003622 INDRA 35 7/10 V V H10+J00 1 1 bpjs
4 02003134 SUMINAR 80 1/3 V V M79 1 1
5 02002155 WIWIN 49 5/1 V V I50 1 1 IMANUEL
6 03104367 AZKIA 7B 7/10 V V IMN 1 1 BPJS
7 01002155 SUHERMAN 52 5/1 V V E14+I10 1 1 UMUM GIGI KIA HAMIL
8 01002315 AEP 64 5/1 V V J00 1 1 19 3 1 0
9 01003846 EDY 65 2/1 V V ISK 1 1
10 03102960 RADITYA 2 1/7 V V IMN 1 1 GIGI
11 03103510 CHIKO 4 6/3 V V J00 1 1 BM KS HI
12 01004744 DIDIN 43 2/9 V V E14 1 1 2 1 0
13 04001781 SITI 79 8 V V M79+I10 1 1
14 03003918 BENAZIR 7B 4/2 V V J00 1 1 KIA
15 01004747 ALGI 29 2/3 V V K30 1 1 BM KS HI
16 02004748 JUJU 49 4 11/3 V V I10+M79,1 1 1 0 1 0
17 02001301 MARIAM 46 1/3 V URTIKARIA 1 1
18 03301994 DAVA 5B 12/3 V J00 1 1 KB
19 03200156 M.RIDWAN 12 4/5 V V GIGI 1 1 BM KS HI
20 01004749 AGUS 35 5/2 V V J02 1 1 0 0 0
21 03004749 AMIRA 6 5/2 V V J06 1 1
22 02003958 EVA 38 1/6 V V HAMIL 1 1 HAMIL
23 03104728 M.FAUZI 13 1/9 V J03 1 1 BM KS HI
24 02003998 HANI 25 5/1 V ASUSPEK TB 1 1 0 0 0
25 03000934 KEI ZIKRI 5B 7/3 V J02 1 1
26 02000654 ENI 53 5/2 V i51,7+k30 1 1 imanuel UMUM
27 01003409 ASEP 55 3/4 V LSK 1 1 UMUM GIGI KIA HAMIL
28 01001361 ANTON 72 3/4 V GIGI 1 1 RSKGM 18 0 2 0
29 RIA 62 3/4 V GIGI 1 1
30 01001455 ICE 55 2/3 V V F32 1 1 SA
31 01004550 MAMAY 60 7/5 V N18 1 1 SA
32 03102627 NURINA 21 3/2 V V J06+K30 1 1
33 01000150 SITI 73 3/5 V M79+I10 1 1
34 01004750 DADAH 53 1/5 V V I10+M13 1 1
35 03100578 ALDI 20 6/5 V V J03 1 1
36 01003626 PURWATI 56 6/6 V J00+K30+I10 1 1
37 02002510 MIMIN 32 1/9 V R51 1 1
38 02000063 DEDE 60 3/9 V A09+K29 1 1
39 02001570 SUMINAR 57 3/9 V V M79+K30 1 1
40 02002588 SITI 48 8/2 V V I10+M79 1 1+
41 03104751 BY.YUNI 2B 2/4 V V R56 1 1 SA
42 02003348 SUPIAH 61 1/8 V H10+I10 1 1
43 4675 NENDI 61 4/6 V V M79 1 1
44 03000176 REZA 20 6/9 V V J02
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
42
1
43
23

KB
0

RUJUK
SA 2
IMANUEL 2
RSKGM 1
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 10 3 0
1 0200099 NETI 62 KBL V V E78 1 1 KBN JT 0 1 0
2 01000099 WIDJAYA 71 KBL V V E78 1 1 KBN JT 10 4
3 01002262 DEDEN 30 KBL V V J02 1 1
4 03102262 SATRIA 2 KBL V V J06 1 1
5 02004218 OYANG 60 KBL V V k29 1 1 KBNJT
6 02000554 TITA 53 KBL V V J00+M79,1 1 1 BPJS
7 03002988 ANDARA 7 KBL V J02 1 1 UMUM GIGI KIA
8 03102988 ABIDZAR 1 KBL V J02 1 1 3 0 0
9 01004745 ATANG 59 MEKAR WANGI V V KJ00+HERNIA 1 1
10 03301927 DAUD 2 KBL V J02 1 1 GIGI
11 02001927 KARTINI 39 KBL V V J00 1 1 BM KS HI
12 01004746 SUMIRAT 77 KBL V V M79 1 1 0 0 0
13 01000257 YANTI 65 KBL V V K29 1 1
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA
28 10 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
HI TOTAL
0 13
0
0 13
bpjs 4

BPJS
HAMIL KB
0 0

RUJUK
SA
MH
HM
KBN J 3
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

MUM
HAMIL KB
0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 27 3 18 1
1 amir a15 1 1 0 1 0
2 nani a15 1 1 27 4 18 1
3 01000455 jubaedah 53 3/9 v V I10+K30 1 1 bpjs
4 01001888 AUN 60 7/10 V V GIGI 1 1 SA
5 01003367 LIENA 79 1/7 V V I10+M79 1 1
6 02001337 ILAH 25 8/3 V V A09+K29 1 1 BPJS
7 03201256 RIO 19 3/9 V 1 1 UMUM GIGI KIA HAMIL
8 01004752 RAHMAT 53 4/8 V V L30 1 1 20 2 0 0
9 01002653 MASWATI 66 5/9 V V I10+K30+J00 1 1
10 01000713 INDRAWAN 27 7/5 V V A01 1 1 GIGI
11 02002166 SAADAH 39 5/2 V V KB 1 1 1 BM KS HI
12 02002703 SURNIAH 50 10/3 V V I10+E78 1 1 2 0 0
13 01004717 IMAS 50 5/1 V V M79+K29 1 1
14 01000498 KOKO 60 2/4 V V J0639 1 1 KIA
15 01000413 APANDI 63 6/1 V V J06+M13 1 1 BM KS HI
16 02004257 NIA 22 6/6 V V R51 1 1 0 0 0
17 03101467 SHITA 18 5/6 V V J00 1 1
18 03004754 DESTRIA 22 5/2 V V K0 1 1 KB
19 03004755 ASILA 5 12/1 V V J00 1 1 BM KS HI
20 04001539 INAYA 9 7/10 V V A09+J00 1 1 0 0 0
21 02001539 TUTI 74 7/10 V V I10+M79 1 1
22 02002745 TATI 57 5/8 V V K30+M79 1 1 HAMIL
23 02001356 ENUNG 45 1/9 V V KB 1 1 1 BM KS HI
24 03301356 RAGIT 4 1/5 V V J02 1 1 0 0 0
25 01004756 RIJAL 31 3/5 V V M79+E78 1 1
26 02002741 INTAN 43 1/8 V H10 1 1 UMUM
27 03003890 JILI 18 4/5 V V H10 1 1 UMUM GIGI KIA HAMIL
28 02001257 TINA 37 1/4 V A16 1 1 23 0 4 0
29 04001836 ROMLAH 57 7/5 V V R51+K30 1 1
30 03201836 NOVI 3 7/5 V V J02 1 1
31 04001836 AISAH 4 7/5 V V J02 1 1
32 03501585 ANDRI 17 5/2 V SKABIES + K30 1 1
33 03100777 APRILIA 6 3/5 V V GIGI 1 1 RSKGM
34 02002962 ANI 34 1/7 V V KB 1 1 1
35 01004427 TASMAN 62 7/10 V V M79+R51 1 1
36 03002404 RAISA 7 2/1 V V J00+K29 1 1
37 03401256 M.VIKRI 12 6/9 V V H10+J00 1 1
38 02004760 DARLINA 6/5 V V J00+L98 1 1
39 03104081 TIARA 32 1/1 V V J03 1 1
40 03000583 HUMAIRA 1 11/3 V R63 1 1 SA
41 03004761 DELVIA 18 7/10 V J00 1 1
42 02001550 SIWI 34 5/9 V V 1 1
43 03302288 M.FAHRI 19 4/8 V V 1 1
44 02000174 ANI 43 2/8 V 1 1
45 01000812 DENI 46 1/6 V V N18 1 1 IMANUEL
46 02003719 INA 36 5/7 V V KB 1 1 1
47 03400222 FAHRIZAL 7 6/2 V 1 1
48 02000981 EUIS 62 3/9 V 1 1
49 02001459 JUJU 71 4/5 V 1 1
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
49
1
50
23

KB
0

RUJUK
SA 2
IMANUEL 1
RSKGM 1
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
4
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 9 2
1 02003935 TATI 76 KBL V V I10 1 1 0 1
2 03102948 SYAHKIA 13 KBL V V J00+K29 1 1 9 3
3 01004757 EKO HIDAYANTO 34 KBL V V R50+M79 1 1
4 03304758 SALSA 18 KBL V V A09 1 1
5 01002027 M.SUKAEMI 83 BALEENDAH V V M79+K29 1 1
6 01002029 SITI 59 DAYEHKOLOT V I10 1 1 BPJS
7 03004759 M.RIZKI 5 KBL V V J02 1 1 UMUM GIGI
8 01000358 DEDEH 60 KBL V V E78+M79 1 1 2 0
9 02003150 YULIA 47 KBL V V K30 1 1
10 03004762 RAIHAN 8 KBL V V J00 1 1 GIGI
11 03103411 SYABIL 10B CIBEUNYING V V J00 1 1 BM KS
12 0 0
13
14 KIA
15 BM KS
16 0 0
17
18 KB
19 BM KS
20 0 0
21
22 HAMIL
23 BM KS
24 0 0
25
26 UMU
27 UMUM GIGI
28 9 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
0 0 11
0 0 1
0 0 12
bpjs 3

BPJS
KIA HAMIL KB
0 0 0

I RUJUK
HI SA
0 MH
HM
A KBN J
HI MNLS
0 BUNGSU
BKKPM
PMC
HI BEC
0 NETRA
GRA
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 26 9 17 1
1 AMIR A15 1 1 0 1 0
2 02004549 ROSITA 31 2/4 V V K30+M79,1 1 1 27 9 17 1
3 03304549 NAILA 3 2/4 V J00 1 1 bpjs
4 01000030 ODAH 69 2/4 V V I10+M79,1 1 1
5 01004763 RONI 43 3/8 V V H10 1 1
6 03501364 BAMBANG 26 3/4 V V J06 1 1 BPJS
7 02001364 YETI 64 3/4 V V M79,1+I10 1 1 UMUM GIGI KIA HAMIL
8 02002158 PETTI 64 8/1 V V L30+Z11,5 1 1 SA 26 0 1 1
9 01004194 D.KOSWARA 66 2/4 V V A09 1 1
10 03304433 IBNU 1 4/8 V V J00 1 1 GIGI
11 01004765 VIKTOR 19 0/9 V V L98 1 1 BM KS HI
12 02004766 TRANTRI 24 6/6 V V J02 1 1 1
13 01002315 AEP 64 5/1 V V Z20 1 1 SA
14 02002930 IIS 53 7/10 V V A09 1 1 KIA
15 02001965 SRI 28 6/6 V V R51 1 1 BM KS HI
16 NANI 58 1/9 V V A15 1 1
17 03204767 ZAQIYAH 22 2/4 V V K29 1 1
18 04002629 SAODAH 76 2/2 V V M79,1+I10 1 1 KB
19 01003202 TONI 64 1/3 V I51 1 1 MH BM KS HI
20 02004768 IIN 31 4/6 V V HAMIL 1 1 1
21 02001514 EULIS 59 3/5 V V E14+K29 1 1
22 02001164 YANI 55 2/3 V V J00 1 1 HAMIL
23 03101277 FADLAN 1 7/10 V J00 1 1 BM KS HI
24 02004770 NIAN 27 5/1 V V 1 1 1 4
25 02004752 TUTI HERAWATI 49 4/8 V V A09 1 1
26 01004771 DILAH 18 4/5 V V A09 1 1 UMUM
27 02000778 AI 32 7/10 V V R50 1 1 UMUM GIGI KIA HAMIL
28 02004772 ANNE 31 5/5 V V K29 1 1 26 0 1 1
29 02002404 RATNA 28 2/1 V V HAMIL 1 1 1
30 02000673 HJ.IPAH 65 5/3 V V M79,1 1 1
31 03203688 RIZA 20 5/3 V GIGI 1 1
32 02002585 NENDEN 26 5/2 V V HAMIL 1 1 1
33 01004774 THIO 66 1/6 V V I10 1 1
34 02001721 DEDEH 53 4/5 V V L98 1 1
35 02003688 NENI 51 5/3 V V J00 1 1
36 03101369 PANI 26 4/8 V V ONGIOEDEMA 1 1
37 02001369 ELY 55 4/8 V V I10+M79,1 1 1
38 03202932 RIZKI 3 4/5 V V H10 1 1
39 01004544 IIN 68 6/1 V V K30 1 1
40 03100636 AQILA 1 1/1 V V ABSES 1 1
41 02004169 SUMARNI 33 2/4 V V K25 1 1
42 03001132 ALBAR 8 7/5 V V J00 1 1
43 03101132 NUR 1 7/5 V V FRUMKEL 1 1
44 03402071 ANIESAH 19 8/1 V V Z20 1 1 SA
45 03404775 NANDA 5 1/7 V V R50,9 1 1
46 03301544 NADINDRA 2 4/7 V J00 1 1
47 02001289 HINJUN 42 2/9 V V M13 1 1
48 02001438 NENDAH 30 5/2 V V HAMIL 1 1 1
49 01001438 CUCU 36 5/2 V V M10+M13 1 1
50 01002038 SAMSIAH 49 6/5 V J45 1 1 BKKPM
52 03200075 MULYANA 5 5/7 V V A09 1 1
53 03303181 ARSILA 1 1/8 V V A09 1 1
54 02003181 LINA 39 1/8 V V L98 1 1
55 02001777 YAYAH 66 1/6 V V I10+K30 1 1
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
53
1
54
27

KB
0

RUJUK
SA 3
MH 1
HM
KBN J
MNLS
BUNGSU
BKKPM 1
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 6 2
1 01001949 RANI 37 KBL V V F32 1 1 GRA ATMA 0 1
2 02004769 HJ.ELA 55 KBL V V I10+L30 1 1 6 3
3 01004769 H.E.ALI 61 KBL V V E14 1 1 SA
4 04000855 YASMIN 1 KBL V J06 1 1
5 01004773 BASUKI 65 KBL V V I10 1 1
6 03102988 ABIDZAR 1 KBL V J02 1 1 BPJS
7 03004776 PRIMA 10 NYENGSERET V V A09 1 1 UMUM GIGI
8 02004778 RENI 23 ANCOL V V J02 1 1 4 0
9 01004779 ASEP 25 KBL V V A09 1 1
10 02002379 SALAMA 36 KBL V V K29 1 1 GIGI
11 BM KS
12 0 0
13
14 KIA
15 BM KS
16 0 0
17
18 KB
19 BM KS
20 0 0
21
22 HAMIL
23 BM KS
24 0 0
25
26 UMUM
27 UMUM GIGI
28 6 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
0 2 10
0 0 1
2 11
bpjs 5

BPJS
KIA HAMIL KB
0 0 0

I RUJUK
HI SA 1
0 MH
HM
A KBN J
HI MNLS
0 BUNGSU
BKKPM
PMC
HI BEC
0 NETRA
GRA 1
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 26 7 18 2
1 DEDI 32 3/2 V V A15 1 1 0 1 0
2 TIEN 65 V V A15 1 1 32 8 22 2
3 4780 ANSOR 59 1/2 V V J00+K05 1 1 bpjs
4 4781 NANDANG 70 4/9 V V H25 1 1 SA
5 378 SALAMAH 82 3/9 V V I10+M79,1 1 1
6 4100 UJANG 52 4/8 V V M79+J00 1 1 BPJS
7 1035 RUSTAMA 84 1/8 V V M79,1+R05 1 1 UMUM GIGI KIA HAMIL
8 359 SITI S 63 3/4 V V I10+J00 1 1 32 0 2 0
9 1275 DINAR 3 3/9 V V J00 1 1
10 1362 UUN 49 2/8 V V HNP 1 1 GIGI
11 4100 NANI R V V A15 1 1 BM KS HI
12 4782 SRI WULANDARI 16 V V S02,7 1 1 0 0 0
13 287 MARKONAH 75 V V I10+M79,1 1 1
14 1931 HENDRA 20 5/3 V V A09 1 1 KIA
15 621 BY NY WIDA 2BLN 3/10 V V IM 1 1 BM KS HI
16 1931 EDAH 56 5/3 V V CEPHAL+M79,1 1 1 1 0 2
17 1836 RIZAL 15 7/5 V V L98 1 1
18 2186 DEDE 45 7/10 V V J02 1 1 KB
19 4784 ARKANA 5BLN 1/7 V V IM 1 1 BM KS HI
20 2545 YUNI 52 2/4 V V A15 1 1 0 0 2
21 913 ALIA 3 3/10 V V A09 1 1
22 4783 NINING 76 2/8 V V I10+J00+L30 1 1 HAMIL
23 3040 KANZA 6BLN 12/7 V V IM 1 1 BM KS HI
24 2461 PIPIN R 57 1/2 V V L98 1 1 0 0 1
25 375 ATI 60 6/2 V V A15 1 1
26 3127 ENDEN 51 7/5 V V I10 1 1 SA UMUM
27 4786 ENTIN WATI 61 12/1 V V I50 1 1 SA UMUM GIGI KIA HAMIL
28 1020 FITRI SUPARTI 36 2/5 V V J00 1 1 25 0 6 0
29 4788 NANA 35 10/3 V V K30 1 1
30 1020 RICKY 29 2/5 V V F32 1 1 SA
31 4789 SARIANTO 61 3/1 V V K08 1 1 SA
32 2882 DINDA 9BLN 5/4 V V IM 1 1
33 3348 SUPIAH 60 1/8 V V M79+I10 1 1
34 4790 HENDI 45 2/9 V V K29+J00 1 1
35 2794 NADIRA 5BLN 2/8 V V IM 1 1
36 1007 ROBIAH 52 6/10 V V K29 1 1
37 4089 NENAH 62 5/3 V V L98 1 1
38 4089 IRA 25 V V J02+K30 1 1
39 1520 ELDI 3BLN 5/9 V V IM 1 1
40 2460 IKAH 54 3/5 V V J00 1 1
41 2460 NOVA 22 3/5 V V E05 1 1
42 4403 JOJOR 62 1/7 V V K29 1 1
43 3228 ADENG 66 2/6 V V H11 1 1 BEC
44 4791 INI SUNTARI 26 6/10 V V J06 1 1
45 806 KUSTOLANI 65 3/4 V V E14 1 1
46 4792 IWAN 41 6/5 V V J02 1 1
47 2902 NISA 7 5/10 V V K29 1 1
48 4794 IDAWATI 61 6/5 V V I11 1 1 SA
49 547 M IBRAHIM 10BLN 3/2 V V IM 1 1
50 406 HENDRI 3 5/6 V V A09 1 1
52 4777 HAIKAL 3 V V V A09 1 1
53 4167 YULINDA 24 V V PRINT ULANG 1 1
54 3941 WILDAN 9 8/3 V V J00 1 1
55 1898 FAJAR 5BLN 4/4 V V IM 1 1
56 4795 ROSTATI 51 11/6 V V L98 1 1
57 1249 UNDANG 71 6/6 V V I10+E14 1 1 PMC
58 01004796 NANA 54 5/6 V V I10+M79,1 1 1
59 4797 DEVI 26 6/1 V V K29 1 1
60 4798 RITA 52 5/2 V V M79,1+K30 1 1
61 1804 NAIRA 4 5/10 V V V BELSPASI 1 1
62 1804 WAHYUNI 40 5/10 V V I10+M13 1 1
63 2068 NONENG 61 5/4 V K21,9 1 1 SA
64 4800 TUTI 43 5/3 V V I10+M79,1+J00 1 1
65 1692 DENI 16 5/2 V V B02 1 1
66 1692 RATNA 27 5/2 V V I10+J02+L02 1 1 SA
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
53
1
54
32

KB
0

RUJUK
SA 7
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC 1
BEC 1
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 8 1 0 1
1 4538 EUIS 43 KBL V V GIGI 1 1 0 1 0 0
2 4785 AL REZKA 1BLN NYSR V V IM 1 1 8 2 1
3 1138 ASEP T 51 KBL V V K29 1 1 bpjs
4 4787 RUDI 30 MENGGER V V GIGI 1 1
5 2191 ISEU 40 NYSR V V H10 1 1
6 2801 AEP S 31 KBL V V K29+J00 1 1 BPJS
7 1064 TIEN SUKARTINI 84 KRNG ANYR V V H25 1 1 BEC UMUM GIGI KIA HAMIL
8 4799 NANI K 45 KBL V V GIGI 1 1 2 0 0 0
9 4509 RITA 53 KBL V 1 1 SANTOSA
10 257 YABTI 65 KBL V V K30+M13 1 1 GIGI
11 BM KS HI
12 0 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 4 3 1 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
10
1
11
3

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC 1
SANTO 1
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 23 4 20 4
1 01003846 EDY 65 2/1 V V ISK 1 1 0 1 0 0
2 01002139 TOTO TOHARI 56 1/3 V V E14 1 1 23 4 20 4
3 01004801 ADE 56 1/2 V V K29 1 1 bpjs
4 02004744 CUCU 31 2/9 V V J00 1 1
5 ABIYAH 19 4/5 V H10 1 1
6 02002726 IDA 44 3/6 V V M79,2 1 1 BPJS
7 03002136 SONDA 18 2/1 V R50 1 1 UMUM GIGI KIA HAMIL
8 01000602 MUMUN 61 2/5 V V I10+K29 1 1 27 1 0 0
9 01000035 HERRY 51 1/6 V V M54,1 1 1
10 01001264 JUJUM 49 3/5 V V I69,4 1 1 SA GIGI
11 02001778 LINA 55 2/3 V V M79+J02 1 1 BM KS HI
12 01004802 DADAN 43 2/9 V V A06 1 1 0 0
13 01001195 KOMALA 65 10/6 V V I10+M79,1 1 1
14 02003380 TARYATI 63 8/1 V I50+I25 1 1 SA KIA
15 01004805 ANI 42 6/1 V V I84 1 1 MH BM KS HI
16 02002332 NURHAYATI 42 4/5 V V J02 1 1 0
17 04001004 HANIFA 6B 4/10 V V J00 1 1
18 02001004 WIWIN 57 4/10 V J00 1 1 KB
19 01002582 TETI 37 7/10 V V A09 1 1 BM KS HI
20 02004807 TINTIN 44 2/9 V V H10 1 1 0
21 01004808 VIKA 20 2/9 V V J00 1 1
22 03003434 M.ALFATIH 2 5/4 V V J00 1 1 HAMIL
23 01004147 AMIR 54 1/2 V V A15 1 1 BM KS HI
24 04001587 TEE ENG DJO 80 8/10 V 1 1 0
25 01000116 AYI 64 6/5 V V K29 1 1
26 02000116 TOTOY 60 6/5 V V I10+M79,1 1 1 UMUM
27 02004809 YOYOM 72 5/6 V V M79+K29 1 1 UMUM GIGI KIA HAMIL
28 03404810 SYARIFAH 1 5/6 V V J18 1 1 27 1 0 0
29 03302034 M.FAQIH 2 5/6 V J06 1 1
30 01004811 M.ANGGANIDI 38 3/7 V V K30 1 1
31 01000084 RUDOLF 66 1/8 V GIGI 1 1
32 01002771 SONY 29 4/8 V V J02 1 1
33 02003793 ROSMIAWATI 27 3/10 V V KB 1 1
34 03102770 RALFA 6 5/6 V V J00 1 1
35 02002770 DIAN 35 5/6 V V J00 1 1
36 01004812 ALMSYAH 38 8/1 V V GIGI 1 1 MARANATA
37 04001824 ALFAT 2 5/6 V V J00 1 1
38 02001824 ENUNG 60 5/6 V V I10+K30 1 1
39 01000727 HETY 44 12/3 V H52 1 1 SA
40 01000207 OSIH 97 4/8 V K29 1 1
41 03002830 DINNUR 19 5/7 V L98 1 1
42 01001587 TEE JOE 73 8/10 V V E11,9 KBNJT
43 03002568 AULIA 1 6/2 V V J00 1 1
44 01004813 ONI 77 1/3 V V I10+M79,1 1 1
45 01000042 SUKIYAH 52 1/7 V V J02+K30 1 1
46 02001224 NINA 47 7/5 V V K30 1 1
47 01004765 VIKTOR 19 2/9 V SCABIES 1 1
48 01003201 ASEP 36 1/5 V V M54,1 1 1
49 02001769 NOFI 36 5/6 V V L30 1 1
50 ENTIN V V K30 1 1
52 02004394 NANI V V J00 1 1
53 01001102 DEDE 59 5/8 V V H25 1 1 SA
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
51
1
52
28

KB
0

RUJUK
SA 4
MH 1
maranata 1
KBN J 1
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 5 3 0 0
1 02004803 PIPIH 41 KBL V V B35 1 1 0 1 0 0
2 03104804 OKKY 19 KBL V V J06 1 1 5 3 0
3 02004806 MARIAM 47 KBL V V K30 1 1 bpjs
4 02003991 ANTY 40 KBL V V J45 1 1
5 03003991 LIVIANNE 9 KBL V V J18 1 1
6 03103405 SASKIA 4B KBL V V J00 1 1 BPJS
7 03004547 BILAL 20 KBL V L98 1 1 UMUM GIGI KIA HAMIL
8 03103991 JAVIAN 7 KBL V V J00 1 1 4 0 0 0
9
10 GIGI
11 BM KS HI
12 0 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 4 0 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
8
1
9
3

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC 1
SANTO 1
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 26 7
1 01001935 MARSITI 51 3/5 V J00 1 1 0 1
2 02002726 IDA 44 3/6 V E14 + M17 1 1 26 8
3 03200520 IYAN 32 4/5 V A09 1 1
4 03200976 DIKDIK 37 6/6 V H10 1 1
5 03404116 GHAITSA 7B 6/9 V H10 1 1
6 02004524 TENI 36 5/1 V V HAMIL 1 1 1 BPJS
7 02004500 NELI 31 5/5 V V HAMIL 1 1 1 UMUM GIGI
8 02002745 TATI 57 5/8 V K29 + M54.15 1 1 27 0
9 03802188 JAKA 4 3/3 V J06 1 1
10 01002217 LILIS 55 2/4 V CKD 1 1 IMANUEL GIGI
11 02004815 RIA 25 4/3 V V HAMIL 1 1 BM KS
12 3827 TATA 54 1/3 V V L02 1 1 25 0
13 4817 RINI 35 1/3 V V HAMIL 1 1 1
14 4816 SURTINI 54 12/3 V V J06 1 1 KIA
15 4817 NIKITA 12 1/3 V V L02 1 1 BM KS
16 2335 INDRI 28 3/5 V V HAMIL 1 1 1 24 0
17 336 TATI 35 6/6 V V A15 1 1 BBKPM
18 123 REKSI 8 7/3 V V GIGI 1 1 KB
19 4720 NANI 50 3/10 V V M79.1 1 1 BM KS
20 107 IDAH 62 3/6 V V I10 +M79.1 1 1 22 0
21 175 FIRYAL 18 2/4 V V J02 1 1
22 964 FIRDA 17 2/4 V V TINEA CRURIS 1 1 HAMIL
23 850 TITING 50 2/8 V V M79.1 1 1 BM KS
24 1188 YUNI 43 5/1 V V J00 1 1 22 0
25 2069 SRI RAHAYU 31 1/8 V V HAMIL 1 1 1
26 EDDY 75 1/3 V V N42 1 1 MUHAMADYAH UMUM
27 2389 NIURILAH 28 4/8 V V HAMIL 1 1 1 UMUM GIGI
28 2097 REZA 25 6/1 V V EPISTAKSIS 1 1 19 3
29 2136 SONDA 17 2/1 V V LAB 1 1
30 3217 RENI 29 1/2 V V J00 1 1
31 1781 SITI 79 V V V I10+L30 1 1
32 3854 HERI 44 6/9 V V J00 1 1
33 4819 WIWIN 43 3/6 V V HAMIL 1 1 1
34 1376 RENDRA 2 4/4 V V J00 1 1
35 GILANG 13 4/5 V V L02 1 1
36 2385 EUTIK 76 5/2 V V J00 + I10 1 1
37 2576 FATAN 1 2/3 V V A15 1 1 SA
38 4818 WIDIA WATI 20 4/8 V V J00 1 1
39 762 AI ROCHYATI 63 7/5 V V J00 + M17 1 1
40 4821 EUIS 68 V V GIGI 1 1
41 107 JULIA 5 3/10 V V J00 1 1
42 4085 FERAWATI 32 7/10 V V H10 1 1
43 2152 ESIH 48 2/9 V V M79 1 1
44 4820 SARIPUDIN 66 3/8 V V I10 +M79.1 1 1
45 4263 CUCU 31 1/8 V V HAMIL 1 1 1
46 4674 YAYAH 57 3/6 V V I10 + J06 1 1
47 1495 MYIESHA 3 2/4 V V VARICELLA 1 1
48 3437 AI ELIYAWATI 32 7/5 V V GIGI 1 1
49 2444 NUR C 10 1/7 V V GIGI 1 1
50 4805 MAMAN 82 5/6 V V J00 1 1
52 131 FENTI 32 5/9 V V K30 1 1
53 757 KOKOM 45 6/9 V V J00 1 1
54 3739 LIS 58 5/2 V V J00 1 1
55 484 SUTISNA 21 3/10 V V URTIKARIA 1 1
56 2560 GUSTOMI 35 7/10 V V H10 1 1
57 3888 TAHER 55 1/2 V V J00 1 1
58 84 RUDOLF 66 1/8 V V H93 1 1 SA
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
23 1 57
0 0 1
23 1 58
bpjs 32

BPJS
KIA HAMIL KB
5 5 0

GIGI RUJUK
HI SA 2
5 MH 1
HM
KIA KBN J
HI MNLS 1
3 BUNGSU
BKKPM 1
KB PMC
HI BEC
3 NETRA
GRA
HAMIL ILAHI
HI
2

UMUM
KIA HAMIL KB
3 3 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 7 0
1 02000559 TITA 54 KBL V J00 1 1 0 1
2 02004814 DEDEH 65 KBL V V J00 1 1 7 1
3 03102191 SEYHAN 3 KBL V J06 1 1
4 SARIAH 64 BBK RKSA V V M79.1 1 1
5 1079 SRI ANGGRAENI 16 KBL V V J02 1 1
6 DEDEH 57 KBL V V J02 1 1 BPJS
7 1862 BAMBANG 42 KBL V V M79.1 1 1 UMUM GIGI
8 0 0
9
10 GIGI
11 BM KS
12 0 0
13
14 KIA
15 BM KS
16 0 0
17
18 KB
19 BM KS
20 0 0
21
22 HAMIL
23 BM KS
24 0 0
25
26 UMUM
27 UMUM GIGI
28 7 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
0 0 7
0 1
0 0 8
bpjs 1

BPJS
KIA HAMIL KB
0 0 0

GIGI RUJUK
HI SA
0 MH
HM
KIA KBN J
HI MNLS
0 BUNGSU
BKKPM
KB PMC
HI BEC
0 NETRA
GRA
HAMIL ILAHI
HI
0

UMUM
KIA HAMIL KB
0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS
NO REKAM MEDIS NAMA DX BYR
L P P K B L B L U G KIA H KB U G KIA H KB

1 712 SANTI 35 1/6 V V K30 1


2 659 RADEN DODO 73 4/1 V V I50.0 1
3 1250 MIA 17 4/3 V V HYPOKALEMA 1
4 3231 KEIRA 9BLN 4/4 V V R50 1 1
5 455 RISKA 10 3/9 V V J03 1
6 142 M BILAL 9BLN 7/5 V V J00 1 1
7 1022 RIFAL 3 7/5 V V GIGI 1
8 1022 ENDAH 25 7/5 V V J00 1
9 475 M ALFARO 5BLN 6/5 V V IM 1
10 3046 YAYUS 61 1/3 V V VERTIGO 1
11 4515 DANEEN 1BLN 2/3 V V IM 1 1
12 949 SYAIRA 5BLN 2/3 V V IM 1 1
13 3421 MARIE 86 8/6 V V M79.1 1
14 4822 YENNI 56 2/3 V V H25 1
15 126 ABUN 61 4/2 V V M79.1 1
16 943 DEDE 41 4/8 V V HEADACHE 1
17 4135 HERNI 18 9/1 V V H10 1 1
18 407 ENING 36 4/3 V V J03 1
19 1778 LINA 50 2/3 V V M17 1
20 1778 ENTIS 38 2/3 V V A09 1 1
21 777 AKSEL 5BLN 3/5 V V IM 1 1
22 4453 ILYAS 2BLN 5/2 V V J00 1 1
23 2311 YENI 44 5/2 V V J02 1 1
24 4195 KUSTINI 63 V V H10 + M79.1 1
25 4823 SUTIYEM 53 5/3 V V I25 1
26 4824 MASITOH 69 6/10 V V I100 + K30 1
27 2135 ILAH 59 7/10 V V K30 + J00 1
28 2034 M FAQIH 9BLN 5/6 V V J06 1 1
29 2034 SITI N 33 5/6 V V J00 1
30 4536 MARYATI 63 3/8 V V I10 + H10 1
31 3926 ASIH 76 4/2 V V M79.1 + I10 1
32 4825 IBRAHIM 2 5/3 V V L98 1 1
33 4826 ALKHA 3 3/2 V V J00 1
34 1951 LINA M 75 4/5 V V I10 + M79.1 1
35 325 UDIN 59 4/6 V V J02 1
36 934 KEI 4BLN 7/3 V V J02 1 1
37 1978 FIJRA 7 2/8 V V J00 1 1
38 1636 UUN 62 3/3 V V J00 1
39 872 NONENG 51 4/5 V V RHEMATOID 1 1
40 4830 DARTUTI 52 8/6 V V GIGI 1 1
41 4829 POPON 65 5/5 V V K30 + J00 1
42 4828 MIA 44 5/5 V V J00 1 1
43 3121 SIDIK 5 2/2 V V J00 1 1
44 3121 PINANDITO 6BLN 2/2 V V J00 1 1
45 3168 VERA 23 2/3 V V H52 1
46 151 KAIRAN 1 8/1 V V J00 1 1
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
95
96
97
98
99
BPJS BYR BM KS HI TOTAL
RUJUK
BM KS HI 19 2 22 3 46
1 0
1 IMANUEL 19 2 22 3 46
1 bpjs 27

1
BPJS
1 SKGM UMUM GIGI KIA HAMIL KB
1 24 1 1 0 0
1
1 GIGI RUJUK
BM KS HI SA 2
1 1 MH
1 HM
1 SA KIA KBN J
1 BM KS HI IM 2
1 0 1 BUNGSU
BKKPM
1 KB PMC
1 BM KS HI BEC
0 0 NETRA
GRA
HAMIL SKGM 1
BM KS HI
1 0 0
1 IMANUEL
1 UMUM
1 UMUM GIGI KIA HAMIL KB
15 1 4 0 0
1
1
1

1
1
1

1
1 SA
UMUR ALAMAT Kunjungan Kasus UMUM BPJS
NO REKAM MEDIS NAMA DX BYR
L P P K B L B L U G KIA H KB U G KIA H KB

1 3253 IRAH 46 KBL V V I10 1 1


2 4827 AHSAN 4BLN PUNGKUR V V R50 1 1
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
BPJS BYR BM KS HI TOTAL
RUJUK
BM KS HI 2 0 0 0 2

2 0 0 0 2
bpjs 0

BPJS
UMUM GIGI KIA HAMIL KB
0 0 0 0 0

GIGI RUJUK
BM KS HI SA
0 0 0 MH
HM
KIA KBN J
BM KS HI MNLS
0 0 0 BUNGSU
BKKPM
KB PMC
BM KS HI BEC
0 0 0 NETRA
GRA
HAMIL ILAHI
BM KS HI
0 0 0

UMUM
UMUM GIGI KIA HAMIL KB
2 0 0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 12 1
1 01001243 ASEP 57 2/2 V H25 1 1 SA 0 1
2 03102301 DAVIN 14 1/0 V V SCABIES 1 1 12 1
3 01000323 DJASRAM 77 1/4 V V J00 1 1
4 01000455 JUBAEDH 53 3/9 V V I10 1 1
5 03204831 KAIRA PUTRI 3 6/1 V V 1 1
6 01001334 DEDI 65 3/8 V V N40 1 1 MH BPJS
7 02001415 SITI 56 2/7 V GIGI 1 1 UMUM GIGI
8 02004207 SITI M 38 3/5 V V M79,1 1 1 24 0
9 02001458 MARIAN 52 3/ V V J06 1 1
10 02002771 RINDA 28 4/8 V KB 1 1 1 GIGI
11 03002576 FATAN 1 2/3 V A15 1 1 BM KS
12 02001459 JUJU 76 4/5 V V M13 1 1 21 0
13 02003665 WIWI 54 7/10 V V K30 1 1
14 03004832 RERE 25 6/9 V V J02 1 1 KIA
15 02000833 SITI 56 2/4 V V M79 1 1 BM KS
16 02001725 SANTI 37 2/4 V V K30 1 1 0 0
17 01004833 AHMAD 41 7/6 V V H25 1 1 SA
18 02000140 SETIANI 44 6/6 V V M79 1 1 KB
19 02004764 FITRIA 33 4/8 V V J02 1 1 BM KS
20 03304764 IBNU 1 4/8 V V J06 1 1 0 0
21 02004784 AMANDA 26 1/7 V V KB 1 1 1
22 01004834 SRI 80 4/5 V V 1 1 HAMIL
23 01002665 HENDAR 50 4/5 V 1 1 BM KS
24 02004835 TETI 37 3/4 V V L98 1 1 0 0
25 01004836 SOFIA 58 1/9 V V 1 1
26 03000271 YUNITA 14 1/2 V V J00 1 1 UMU
27 02000271 SRI 53 1/2 V V I10 1 1 UMUM GIGI
28 03200380 CHERY 6 4/10 V 1 1 9 1
29 03100380 FIRDI 12 4/10 V 1 1
30 01000131 TATI 58 5/9 V 1 1
31 02001478 TOTO 80 2/5 V V M79,1 1 1
32 03002167 FAEZHA 4 3/4 V 1 1
33 02002871 SUMARNI 50 3/4 V V E14 1 1
34 02002678 IMAS 61 11/3 V V I10 1 1
35 01002653 MASWATI 66 5/9 V 1 1
36 02001990 EUIS 55 3/5 V 1 1
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
21 2 36
0 0 1
21 2 37
bpjs 24

BPJS
KIA HAMIL KB
0 0 0

I RUJUK
HI SA 2
0 MH 1
HM
A KBN J
HI MNLS
0 BUNGSU
BKKPM
PMC
HI BEC
0 NETRA
GRA
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
2 0 2
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 2 0
1 01004259 JAENUDIN 50 KBL V V J00 1 1 0 1
2 02004795 ROSTATI 51 BBK TAROGONG V V M13+K29 1 1 2 1
3 03102890 HASNA 12 KBL V 1 1
4
5
6 BPJS
7 UMUM GIGI
8 1 0
9
10 GIGI
11 BM KS
12 0 0
13
14 KIA
15 BM KS
16 0 0
17
18 KB
19 BM KS
20 0 0
21
22 HAMIL
23 BM KS
24 0 0
25
26 UMU
27 UMUM GIGI
28 2 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
0 1 3
0 0
0 1 3
bpjs 2

BPJS
KIA HAMIL KB
0 0 0

I RUJUK
HI SA
0 MH
HM
A KBN J
HI MNLS
0 BUNGSU
BKKPM
PMC
HI BEC
0 NETRA
GRA
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 26 7 17 3
1 01001243 ASEP 55 2/2 V I20 1 1 SA 0 1 0 0
2 01002704 MAMAN 66 1/5 V H35,3 1 1 SA 27 7 18 3
3 AYU 24 2/4 V HAMIL 1 1 1 bpjs
4 02000608 TATI 56 1/3 V N18 1 1 RSHS
5 02004840 NUNUNG 54 1/7 V V I10+L30 1 1
6 03301142 SEPTIAN 2 4/6 V V J00+A09 1 1 BPJS
7 03603100 M.ZIAN 3 2/4 V V L02 1 1 UMUM GIGI KIA HAMIL
8 03303917 JAHRA 11 3/10 V V J00 1 1 22 2 4 4
9 03403917 RIJAL 4 3/10 V V H61,2 1 1
10 04003917 NAZWA 4 3/10 V V J02 1 1 GIGI
11 03502681 AGUS 20 3/6 V V K590 1 1 BM KS HI
12 02002404 RATNA 28 2/1 V V HAMIL 1 1 1 0 2 3
13 01002392 DAMAN 71 2/2 V V I10+J00 1 1
14 02001565 OON 62 2/5 V I10+L30+K30+H10 1 1 KIA
15 03402187 SINTYA 20 6/2 V V J00 1 1 BM KS HI
16 02004423 FITRI 39 3/9 V V B35 1 1 3 1 0
17 02002932 DEWI 41 4/5 V V H10 1 1
18 03104842 HAIDAR 5 3/4 V V J03+L30 1 1 KB
19 02001961 AI RODIAH 80 5/3 V I64 1 1 SA BM KS HI
20 02000429 YETI 62 4/10 V V K30 1 1 0 0 0
21 01004843 DIDIK 35 2/5 V V K30 1 1 SA
22 02000105 NINING 44 8/1 V V J06+K30 1 1 HAMIL
23 01003718 ENGKOM 70 2/9 V I11 1 1 MH BM KS HI
24 03201942 M.ABIAN 3 5/1 V A15 1 1 3 1 2
25 01003414 TETI 58 4/5 V V H10 1 1
26 02001499 ERVI 27 4/5 V V R5039 1 1 UMUM
27 02003665 WIWI 54 7/10 V K80 1 1 SA UMUM GIGI KIA HAMIL
28 01002679 ANO 69 7/6 V V K30+J02 1 1 27 0 0 0
29 75 JISAN 8 6/7 V V K30 1 1
30 1131 PURWATI 56 6/6 V V K30+I10 1 1
31 1283 LIAH 70 5/6 V J45 1 1 SA
32 3132 KOMARIAH 58 4/8 V V K30 1 1
33 4838 KANSA 10 7/8 V V J00 1 1
34 4838 DARA 14 7/8 V J00 1 1
35 4839 ENTIN K 61 1/5 V V I10 1 1
36 3521 DITA A 7 5/2 V GIGI 1 1
37 4841 APRIL 9 3/9 V J02 1 1
38 1317 AWAN 68 4/2 V V B35,4 1 1
39 1804 WAHYUNI 40 5/10 V V H10 1 1
40 946 SARAH 25 2/10 V HAMIL 1 1 1
41 566 RAIHAN 5 PH V J00 1 1
42 2318 DENAYU 12 6/5 V V L02+J021 1 1
43 2346 ERSIS 43 3/9 V V L30 1 1
44 1585 ANDRI S 17 5/2 V V K30 1 1
45 4524 OVICK 8 5/1 V V J03 1 1
46 618 M FAUZI 4 2/9 V V L30+J03 1 1
47 646 RADITYA 4 3/9 V V J06 1 1
48 4049 NIA 38 3/7 V HAMIL 1 1 1
49 3426 TITI 45 5/10 V V L98 1 1
50 872 NONENG 51 V V M79,1+K30 1 1
52 4606 RESHKA 7 4/10 V GIGI 1 1
53 1905 DELLA 20 6/6 V V H10 1 1
54 1118 RIZAL 23 2/3 V V A09 1 1
55 743 ASEP K 54 5/3 V J00 1 1
56 3545 DITA A 23 2/4 V V J00 1 1
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
53
1
54
28

KB
0

RUJUK
SA 6
MH 1
RSHS 1
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 12 0 0 0
01004397 JAMIK
1 ENENG 50 A V V M79,1 1 1 0 1 0 0
2 03204397 PUTRI 16 JAMIKA V V K21 1 1 12 1 0 0
3 02002043 NYI ANAH 55 KBL V V J00+L24 1 1 bpjs
4 04004422 ISAH 51 KBL V V M17+M10 1 1
5 02004422 WIWIN 35 KBL V V N77,1+B37,3 1 1
6 02002712 VINA 31 CIPARAY V V HAMIL 1 1 1 BPJS
7 03200882 HAFID 8 KBL V V J00 1 1 UMUM GIGI KIA HAMIL
8 4837 OSIN 66 KBL V I84 1 1 0 0 0 0
9 1138 YEYET 48 KBL V B35 1 1
10 632 SITI H 64 KBL V V K29 1 1 GIGI
11 2801 AEP S 31 31 KBL V V J06 1 1 BM KS HI
12 882 ASIFA 20 KBL V V K30 1 1 0 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 11 0 1 1
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
12

0
12
1

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 23 6
1 01004235 APUN 76 5/8 V V I10+L30 1 1 0 1
2 01003596 LILI 65 1/5 V E14 1 1 SA 28 6
3 02000323 ENTIN 71 1/7 V V I10 1 1
4 02002808 SYALNIAR 52 4/5 V V J00 1 1
5 02002589 TATI 62 1/3 V I11 1 1 SA
6 01000287 MARKONAH 76 1/5 V V I10+M79,1+K30 1 1 BPJS
7 03002065 YULIAS 25 4/6 V B20 1 1 BUNGSU UMUM GIGI
8 03004622 RICKO 7B 5/2 V V J06 1 1 27 2
9 03202069 HANA 3HARI 1/8 V V 1 1
10 03103231 KEIRA 10B 4/4 V V IMN 1 1 GIGI
11 EUIS V V A15 1 1 BM KS
12 03004844 ALINDA 15 1/6 V V GIGI 1 1 0 2
13 01000599 ADE YUYU 38 4/1 V V H10 1 1
14 03101063 RAFKA 4 3/1 V V H10+J00 1 1 KIA
01004845 BM KS
15 MULYATI 66 1/6 V V J00+K30+J18 1 1
16 01003640 LIE LINAWATI 67 13/1 V E14 1 1 SA 1 1
17 03204847 RANIA 4B 3/2 V V IMN 1 1
18 03200625 RAFIZQY 7B 6/5 V V H10 1 1 KB
19 03104850 PUTRI 6 9/1 V V A90 1 1 BM KS
20 02004851 TRIKA 36 3/2 V V L28,0 1 1
21 01003473 EBO 77 1/3 V T14,6 1 1
22 01003062 DARYAN 67 3/5 V H25 1 1 SA HAMIL
23 03204854 AL FIKRI 8 6/3 V V GIGI 1 1 BM KS
24 01000084 RUDOLF 66 1/8 V V J00+K59,0 1 1
25 03002153 ABIYAH 20 4/5 V V J00 1 1
26 01000124 ECIN 68 3/8 V V J00+I10 1 1 UMU
27 010006999 SARIAH 60 6/6 V V M79,1 1 1 UMUM GIGI
28 02000081 KORIAH 67 3/9 V V M79,1 1 1 23 0
29 01003413 MULYANTO 56 5/2 V V J02 1 1
30 02001957 ELIS 40 3/9 V V J00 1 1
31 1873 TUTI 64 6/10 V V I10+M17 1 1
32 112 MANSYUR 62 5/2 V V M13+M10 1 1
33 112 DEVI 36 5/2 V V N18 1 1 SANTOSA K
34 4809 YOYOM 71 8/4 V V M13 1 1
35 1362 UUN 49 2/8 V H66+M54,1+Z20 1 1 MELINDA
36 4247 FADLAN 1 1 7/10 V V B01 1 1
37 1769 NOFI 45 5/6 V V L30 1 1
38 1769 TANIA 5 5/6 V V H10+J00 1 1
39 4515 DANEEN 1BLN 2/3 V IM 1 1
40 1049 SENI 17 5/2 V V K30 1 1
41 3500 LENNI 46 4/1 V V K30 1 1
42 4579 ALIF 1 6/9 V V A15 1 1
43 1154 FIQI 8 3/3 V V J00+K30 1 1
44 4109 UUM 77 5/3 V V M79+I10 1 1
45 4403 JOJOR 62 1/7 V V M79+K30 1 1
46 2152 NANDA 19 2/9 V V A09 1 1
47 621 ABDUL RASYID 2BLN 3/10 V V IM 1 1
48 4846 SUKAESIH 67 2/9 V V H10 1 1
49 4848 REIHAN 18 3/5 V V T14,6 1 1
50 4849 AQILLA 18BLN 1/2 V V IM 1 1
52 1049 SUHENDAR 58 5/2 V V I20+E14+I10 1 1 SA
53 804 AZFAR 18BLN 2/5 V V IM 1 1
54 4852 CITRA 23 3/2 V V B86 1 1
55 4506 ANGGA 28 1/3 V V E78,0 1 1
56 156 SITI K 50 4/5 V V J00 1 1
57 ASKA PUTRI 21 1/8 V V A15 1 1
58 4855 TURASIH 24 K V V J06 1 1
59 1066 BILI 40 3/4 V V J02 1 1
60 4857 ANITA 1BLN 2/2 V V IM 1 1
61 4859 KIRANA 25 3/8 V V J00 1 1
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
19 4 52
0 0 1
21 4 53
bpjs 31

BPJS
KIA HAMIL KB
2 0 1

I RUJUK
HI SA 5
0 SANTOSA 1
MELINDA 1
A KBN J
HI
MNLS
BUNGSU 1
BKKPM
PMC
HI BEC
NETRA
GRA
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
6 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 7 3
1 02001211 HJ.SARAH 69 KBL V GIGI 1 1 0 1
2 01000589 ISAH 70 KBL V V I10+M79 1 1 7 3
3 01004853 NATASYA 22 KBL V V GIGI 1 1
4 03001423 SINTA 6B PANJUNAN V V IMN 1 1
5 03004858 NOVA 24 BANJARAN V V GIGI 1 1
6 02004860 YUNITA 24 REGOL V V K92,0+R31,9 1 1 BPJS
7 1686 HASANAH 72 KBL V V M54,1+I10 1 1 UMUM GIGI
8 4297 MARIA 57 KBL V GIGI 1 1 RSKGM 1 2
9 4297 BAMBANG 57 KBL V I10+R60,9 1 1 PMC
10 257 YANTI 65 KBL V K29,7 1 1 GIGI
11 4856 MEMED 19 KBL V V J00 1 1 BM KS
12 3 0
13
14 KIA
15 BM KS
16 0 1
17
18 KB
19 BM KS
20 0 0
21
22 HAMIL
23 BM KS
24 0 0
25
26 UMUM
27 UMUM GIGI
28 5 2
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
1 0 11
0 0 1
1 0 12
bpjs 4

BPJS
KIA HAMIL KB
1 0 0

I RUJUK
HI SA
0 MH
HM
A KBN J
HI MNLS
0 BUNGSU
BKKPM
PMC 1
HI RSKGM 1
0 NETRA
GRA
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 27 7 18 1
1 02000422 nani 55 3/10 v M54,1 1 1 SA 0 1 0 0
2 01000576 andriyana 36 2/3 v V K30 1 1 29 8 20 1
3 02001645 siti 56 1/4 v V I25 1 1 SA bpjs
4 02000580 IBAY 20 8/3 V V KB 1 1 1
5 03203663 M.RIJAL 1 3/10 V V J02+K29 1 1
6 02004862 SUCI 22 5/6 V V GIGI 1 1 BPJS
7 01000501 TUTI 65 5/1 V V J00 1 1 UMUM GIGI KIA HAMIL
8 01000449 JUDI 65 6/1 V 1 1 25 3 1 0
9 01004065 NANI 55 6/5 V 1 1
10 03002072 PUTRA 5 8/6 V 1 1 GIGI
11 02002962 ANI 34 1/7 V KB 1 1 1 BM KS HI
12 02000423 ROSITA 46 7/5 V 1 1 1 2 0
13 01004512 IMAN 27 4/5 V V K30 1 1 SA
14 03200682 AJI 13 1/3 V V GIGI 1 1 KIA
15 02000682 YULIANA 45 1/3 V I64 1 1 MH BM KS HI
16 03404288 WAFA 18 7/10 V V J00 1 1 0 1 0
17 01004820 SARIPUDIN 67 3/8 V V I10 1 1
18 03101188 MUH.FAHRI 3B 5/1 V V J00 1 1 KB
19 03101188 M.PAHPI 6 5/1 V V J02 1 1 BM KS HI
20 02001746 SITI 55 5/1 V V I25 1 1 SA 0 1 0
21 02001233 EMPON 64 7/5 V V K30 1 1
22 01004863 DADANG 50 5/3 V V K12 1 1 HAMIL
23 03300915 ANNISA 1 1/6 V V H66+J02 1 1 BM KS HI
24 02001361 RIA 62 3/4 V V M54,1 1 1 SA 0 0 0
25 01002598 ALI 74 1/7 V V GIGI 1 1
26 03001433 AMELIA 2 2/5 V V J00 1 1 UMUM
27 03104864 FERINA 14 KBL V V J04 1 1 UMUM GIGI KIA HAMIL
28 02002510 MIMIN 32 V V KB 1 1 1 21 4 4 0
29 03103098 AFI 22 3/9 V V J00 1 1
30 02002227 SITI 58 5/8 V V J00 1 1
31 03202693 HESTI 23 5/8 V V M54,1 1 1
32 03100121 ALIVIN 2 4/4 V V R50 1 1
33 03104171 NUGI 8 1/8 V V J02 1 1
34 ZANETA 8 1/3 V V A15 1 1
35 BUDI 38 1/3 V V A15 1 1
36 03003907 ALI 20 P V V A09 1 1
37 01002465 SITI 54 5/7 V V I10+M79,1 1 1
38 03004865 FAUZAN 13 3/6 V V H00 1 1
39 01003888 M.TAHER 56 1/2 V V M79,1+M13 1 1
40 01000313 RAHMAT 60 4/9 V V I10+M79 1 1
41 01000245 DIAH 68 P V I11 1 1 SA
42 01004867 JUJU 79 4/4 V V M79,I10 1 1
43 02003186 ROHEMAH 33 3/6 V V KB 1 1 1
44 03200156 M.RIDWAN 12 4/5 V GIGI 1 1
45 03000121 CALISTA 9 4/4 V GIGI 1 1
46 04002291 HARYATI 63 3/6 V V M79+L30 1 1
47 NANI 73 3/4 V J00+I10 1 1
48 02003669 YANTI 25 7/5 V V J02 1 1
49 02001017 FITRI 41 7/6 V V KB 1 1 1
50 03001017 LILI 6 7/6 V V K30 1 1
52 01004869 INDRIANI 44 4/7 V V M79,1 1 1
53 01004870 TIE 56 K V V H25 1 1 NETRA
54 02004777 YAYAH 66 1/6 V GIGI 1 1
55 0400477 AMIH 58 1/6 V V GIGI 1 1
56 01003858 HANDJOJO 63 5/5 V H25 1 1 BEC
57 02003466 RESHA 26 5/6 V V J02 1 1
58 02003466 YUYUN 49 5/6 V V I10 1 1
59 03104871 REVLIN 3 K V V A09 1 1
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
53
1
54
29

KB
1

RUJUK
SA 6
MH 1
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC 1
NETRA 1
GRA
ILAHI

KB
4
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 6 0 0 0
1 01000257 YANTI 65 KBL V 1 1 0 1 0 0
2 02002088 NINING 40 KBL V V I10 1 1 6 1 0 0
3 02002568 WIDIANTI 22 KBL V V KB 1 1 1 bpjs
4 02004866 ATI 64 KBL V V J02 1 1
5 01004866 ENDANG 59 KBL V V J02 1 1
6 01004868 HAWAI 57 CIPARAY V V M79,1+K29 1 1 BPJS
7 UMUM GIGI KIA HAMIL
8 0 0 0 0
9
10 GIGI
11 BM KS HI
12 0 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 5 0 1 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
6

6
1

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
1
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 30 5 24 2
1 574 SIGIT 9 5/6 V V L30 1 1 0 1 0 0
2 1739 ACE 61 5/3 V J44 1 1 BKPM 30 6 24 2
3 1606 DADANG 53 7/5 V V J06,9 1 1 bpjs
4 1968 DEWI H 52 3/8 V V K29 1 1
5 4873 NINING 51 7/3 V V J02+I10 1 1
6 4874 EUIS 73 7/3 V V H81,1 1 1 SA BPJS
7 766 SUSI 14 3/4 V V GIGI 1 1 UMUM GIGI KIA HAMIL
8 1317 AWAN 68 4/2 V V L98+E78 1 1 26 2 3 3
9 525 IMAS 49 1/8 V V J00 1 1
10 525 RIDWANSAH 2 1/8 V V J00 1 1 GIGI
11 2339 KOKOM 39 3/3 V V M79,1 1 1 BM KS HI
12 4524 TENI YANGSIH 35 K V HAMIL 1 1 1 22 2 3
13 1907 MUMUN 62 5/4 V V M79,1+I10 1 1
14 466 TIRA 34 5/2 V V J00 1 1 KIA
15 3182 IMAS S 59 3/1 V V I10+M379,1 1 1 BM KS HI
16 4333 AMALIA 57 4/4 V V I10+L98 1 1 0 3 0
17 4875 NING 84 3/7 V V K30 1 1
18 500 SUKAESIH 66 3/7 V V K21,9 1 1 KB
19 740 HARDINAWATI 62 3/1 V I11 1 1 MUHAMADYAH BM KS HI
20 4876 TITIN 43 3/6 V Z00 1 1 0 0 0
21 4876 RASDI 61 3/6 V Z00 1 1 0
22 4331 KALIA 58 1/7 V V G44,2 1 1 HAMIL
23 2020 MIRA 41 6/5 V KONSUL KIA 1 1 BM KS HI
24 4150 EMPONG 50 1/3 V V M17 1 1 0 3 2
25 1998 INDRAWATI 46 3/2 V V GIGI 1 1
26 1197 AAN R 54 4/2 V V K30+M79,1 1 1 UMUM
27 1998 NURAULIA 10 3/2 V J00 1 1 UMUM GIGI KIA HAMIL
28 4878 TUKINI 31 3/1 V HAMIL 1 1 1 22 2 6 6
29 4879 NENENG 34 2/1 V HAMIL 1 1 1
30 2349 FARANISA 3 2/2 V V J02 1 1
31 2349 INA M 55 2/2 V V L02 1 1
32 4055 SATRIA 28 1/8 V V K29 1 1
33 580 REY PUTRA 1 8/3 V V J00 1 1
34 618 M FAUZI 3 2/9 V V J00 1 1
35 3945 NUR SITI 24 12/3 V HAMIL 1 1 1
36 3345 M KODIR 51 5/6 V V J00 1 1
37 1238 PUTRI 18 2/9 V V J02+K30 1 1
38 4880 AI KARMINI 52 5/1 V V H10 1 1
39 4880 DIDIN 57 5/1 V V E78 1 1
40 4146 NAMIRA 12 3/6 V GIGI 1 1
41 4146 SYAKIRA 8 3/6 V GIGI 1 1
42 2600 ADE 42 4/10 V HAMIL 1 1 1
43 2548 NENDEN 43 12/1 V V M79,1 1 1
44 1105 BY NY NOPIYANTI 1 4/4 V L74 1 1
45 1721 NADA 5 4/5 V V K30 1 1
46 2407 DEWI M 22 5/2 V HAMIL 1 1 1
47 1458 MARIAM 52 3/3 V 1 1
48 654 DENI 16 5/2 V V B86 1 1
49 1585 ANDRI S 17 5/2 V V K30 1 1
50 3217 RENI 30 1/2 V HAMIL 1 1 1
51 1617 ENCAR 77 4/8 V M17+S76 1 1 SA
52 4506 IYAN RISKA 22 1/3 V HAMIL 1 1 1
53 4861 DESTY 22 3/9 V HAMIL 1 1 1
54 611 NENG TITIN 26 2/10 V V N93 1 1
56 2734 MASKUN 57 12/3 V I25 1 1 IMANUEL
57 176 NELIS 34 6/9 V V J00 1 1
58 PATIMAH 16 12/3 V 1 1
59 4882 LUKMAN 20 6/10 V V A09 1 1
60 2018 SITI K 41 7/6 V V M13 1 1
61 383 SALWA 13 8/3 V V J00+K30 1 1
62 4883 ENENG 20 6 V V L03,0 1 1
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
99
TOTAL
61

61
32

KB
0

RUJUK
SA 2
IMANUEL 1
HM
KBN J
MNLS
BUNGSU
BKKPM 1
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 13 0 2 0
4397 JAMIK
1 ENENG 15 A V V J00+K29 1 1 0 1 0 0
2 4872 TATI 49 KBL V V M79,1 1 1 13 0 2 0
3 3564 EUIS 60 KBL V V E78+J06,9 1 1 bpjs
4 4329 ENI 33 RGL V V J45+J00 1 1
5 4422 WIWIN 35 KBL V V I10+N77,1 1 1
6 1775 NANDA 7 GUMURUH V GIGI 1 1 BPJS
7 4877 IMAS R 47 KBL V V N39,0 1 1 UMUM GIGI KIA HAMIL
8 4604 KARTINI 23 PJN V HAMIL 1 1 1 2 0 0 0
9 580 YADI 21 PSRLY V 1 1
10 1729 AZZAM 11BLN KBL V V J00 1 1 GIGI
11 3335 FAYOLA 1 KBL V V J00+A09 1 1 BM KS HI
12 3335 JAKI 19 KBL V V R51+J00 1 1 0 0 0
13 3335 CITRA 18 KBL V V J06,9 1 1
14 46 OTONG 68 KBL V V A09 1 1 KIA
15 3389 NIA K 42 5/2 V V E78+E79 1 1 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 11 1 1 1
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
15

0
2

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 20 2
1 4364 ISNAINI 5 5/2 V V J00 1 1 0 1
2 4159 YANTI 44 1/6 V V M79.61 1 1 20 3
3 4885 SUASIH 64 5/9 V V J00 +M79.1 1 1
4 766 SUSI 14 3/4 V V GIGI 1 1
5 4049 ROBI 5 3/7 V V GIGI 1 1
6 2667 CIKA 21 7/5 V V J02 + K30 1 1 BPJS
7 4585 MUH ARVINI 5BLN 4/5 V V IM 1 1 UMUM GIGI
8 1051 IMAS M 54 3/4 V V J00+K30 1 1 16 1
9 4888 NURAINI 27 3/4 V V J02 1 1
10 847 SUSI S 14 4/5 V V H25 + H00 1 1 GIGI
11 191 SITI M 46 4/5 V V L30 1 1 BM KS
12 191 ALVIANSYAH 16 4/5 V V KABIES 1 1 0
13 378 SALAMAH 82 3/4 V V I10 + M79.1 1 1
14 358 DEDEH D 60 7/5 V V E78 +M79.1 1 1 KIA
15 1294 IRSAD 14 7/5 V V L02 1 1 BM KS
16 4889 TOTO 30 4/4 V V REGIO CRUNS 1 1 0
17 HENDRA 38 7/10 V V J02 1 1
18 M ARSYAD 6 7/10 V V H00 1 1 KB
19 4890 HAMIDAH 75 4/6 V V PPOK +CHF 1 1 BM KS
20 4891 IHSAN 16 6/2 V V L30 1 1 11 0
21 746 LIA 59 5/7 V V J00 + A09 1 1
22 3468 ASEP R 24 6/6 V V J02 1 1 HAMIL
23 4892 SINTA 14 4/5 V V K30 1 1 BM KS
24 352 ENONG 53 1/8 V V RHEUMATIC 1 1 0
25 546 M RIZKI 1 6/2 V V J00 1 1
26 546 ALIVIA 9 6/2 V V J00 1 1 UMUM
27 228 DJUBAEDAH 77 4/4 V V I10 + K30 1 1 UMUM GIGI
28 3745 M RIZKI R 2.5 5/2 V V J06 1 1 17 1
29 4744 DIDIN 32 2/9 V V E14 + J00 1 1
30 01004278 Dia Farida 6/10 v v A15 +J40 1 1 SA
01002653
31 Maswati v v I10 +L30+K30 1 1
32 03103500 kezia 4/1 v v IM 1 1
33 02002155 Wiwin sumiati 44 v v CHF + E14 1 1
34 03104884 Azzahra 4/9 v v IM 1 1
35 01004886 IDIK 59 2/1 V V I64 + I10 1 1
36 02001459 Juju 71 4/5 v v I25 + I10 1 1
37 02004394 Nani Sumarni 45 3/5 v v M79.1 1 1
38 02000237 dahniar 52 2/9 v v K30 1 1
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
16 0 38
0 0
16 0 38
bpjs 19

BPJS
KIA HAMIL KB
1 0 0

GIGI RUJUK
HI SA
1 MH
HM
KIA KBN J
HI MNLS
1 BUNGSU
BKKPM
KB PMC
HI BEC
1 NETRA
GRA
HAMIL ILAHI
HI
1

UMUM
KIA HAMIL KB
2 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 5 0
4546 MKR
1 ZAENAL 50 WG V V HEMOROID 1 1 0 1
2 4887 DINI 14 KBL V V J02 1 1 5 1
3 3188 ALFAZAR 5BLN KBL V V IM 1 1
4 4893 LIKLIK 32 KBL V V J02 1 1

01000561
5 Warman 60 REGOL V V M79.1 1 1
6 02000561 Anis 59 REGOL V V J06 + SISP TB 1 1 BP
7 UMUM GIGI
8 1 0
9
10 GIGI
11 BM KS
12 0 0
13
14 KIA
15 BM KS
16 0 0
17
18 KB
19 BM KS
20 0 0
21
22 HAMIL
23 BM KS
24 0 0
25
26 UMU
27 UMUM GIGI
28 5 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
KS HI TOTAL
0 1 6

0 0
0 1 6
bpjs 2

BPJS
KIA HAMIL KB
0 0 0

GI RUJUK
HI SA
0 MH
HM
A KBN J
HI MNLS
0 BUNGSU
BKKPM
B PMC
HI BEC
0 NETRA
GRA
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 22 8 10 2
1 01001243 asep 57 2/2 v V M79,1+H52,00 1 1 0 1 0 0
2 02000816 suhaenah 75 2/7 v V J06 1 1 22 8 10 2
3 YULIANTI 31 7/3 V M13 1 1 bpjs
4 03004894 AL-FATIH 10B P V V R11 1 1
5 01004679 NANI 34 8/3 V V K30+M79,1 1 1
6 1031 SITI ROMLAH 47 2/9 V V J02 1 1 BPJS
7 2090 FLOREN 51 1/7 V V M79,1 1 1 UMUM GIGI KIA HAMIL
8 4652 M RAFA 7 7/10 V V J02 1 1 17 2 1 0
9 75 MULYANA 4 5/7 V V L01 1 1
10 2244 SYAFIRA 8 1/8 V V J00+K30 1 1 GIGI
11 4895 HESTI 23 5/2 V KB 1 1 1 BM KS HI
12 1943 ERNI 34 6/6 V V H10 1 1 14 2 1
13 1029 TETI 32 7/5 V 1 1 1
14 1393 NENTI 35 4/8 V V I10 1 1 KIA
15 2478 ZUJI 20 1/7 V V J02 1 1 BM KS HI
16 1639 ROMLAH 57 7/5 V V J02 1 1 14 2 1
17 SAENAH 43 3/8 V 1 1
18 126 ABUN 61 4/2 V V M54,1 1 1 KB
19 777 APRILIA 6 3/5 V GIGI 1 1 BM KS HI
20 493 ROMLI 33 1/8 V V J02 1 1 13 2 1
21 1475 SYAVIRA 1 5/6 V V J00 1 1
22 4523 NAWAF 8 5/7 V GIGI 1 1 HAMIL
23 1556 ARFABIAN 8BLN 5/3 V V J00 1 1 BM KS HI
24 1366 SOFI 7 5/2 V V J03 1 1 11 2 1
25 979 YUNI 22 4/8 V KB 1 1 1
26 4152 ASEP K 45 1/5 V V K30 1 1 UMUM
27 4896 NANI 67 3/8 V V H81,4+M79,1 1 1 UMUM GIGI KIA HAMIL
28 1233 EMPON 64 7/5 V V I10+K30 1 1 18 1 3 0
29 52 ANE 36 4/5 V KB 1 1 1
30 52 YASMIN 4 4/5 V GIGI 1 1
31 3779 HENDRA 32 2/4 V V J02 1 1
32 1694 ALIYA 16 4/8 V V A09 1 1
33 1694 MIMIN 58 4/8 V V K30+M79,1 1 1
34 1994 DAVA J 4BLN 12/3 V 1 1
35 1538 MINI 26 12/3 V V J00 1 1
36 2234 HJ. JAJAH 24 2/9 V V K30+I10 1 1
37 1361 RIA YULIA 62 3/4 V I20 1 1 IMANUEL
38 1585 ANDRI 17 5/2 V V L30 1 1
39 4869 JODI 20 4/7 V H81,4 1 1
40 334 ARIS 34 V V K30 1 1
41 03104698 INDRIANA V V A15 1 1
42 01001118 RIZAL 25 2/3 V V K30 1 1
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
42
1
43
20

KB
1

RUJUK
IMANUEL 1
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
3
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 3 1 0 0
1 03200185 RIZAL AHMAD 5B KBL V V J02 1 1 0 1 0 0
2 02000185 YENI 29 KBL V 1 1 3 2 0 0
3 2573 SURYA W 65 KOPO V I11 1 1 SANTO KOPO bpjs
4 626 GUSTI 15 KBL V V J00 1 1
5
6 BPJS
7 UMUM GIGI KIA HAMIL
8 1 0 0 0
9
10 GIGI
11 BM KS HI
12 0 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 3 0 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
4
1
5
2

KB
0

RUJUK
SANTO K 1
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS
NO REKAM MEDIS NAMA DX
L P P K B L B L U G KIA H KB U G KIA

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
BPJS BPJS BYR BM KS HI TOTAL
BYR RUJUK
H KB BM KS HI 0 0 0 0 0
0 1 0 0 1
0 1 0 0 1
bpjs 1

BPJS
UMUM GIGI KIA HAMIL KB
0 0 0 0 0

GIGI RUJUK
BM KS HI SA
0 0 0 MH
HM
KIA KBN J
BM KS HI MNLS
0 0 0 BUNGSU
BKKPM
KB PMC
BM KS HI BEC
0 0 0 NETRA
GRA
HAMIL ILAHI
BM KS HI
0 0 0

UMUM
UMUM GIGI KIA HAMIL KB
0 0 0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS
NO REKAM MEDIS NAMA DX
L P P K B L B L U G KIA H KB U G KIA

1 02004227 HANANIAH 23 2/7 V V 1


2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
BPJS BPJS BYR BM KS HI TOTAL
BYR RUJUK
H KB BM KS HI 1 0 0 0 1
1 0 1 0 0 1
1 1 0 0 2
bpjs 1

BPJS
UMUM GIGI KIA HAMIL KB
0 0 0 0 0

GIGI RUJUK
BM KS HI SA
0 0 0 MH
HM
KIA KBN J
BM KS HI MNLS
0 0 0 BUNGSU
BKKPM
KB PMC
BM KS HI BEC
0 0 0 NETRA
GRA
HAMIL ILAHI
BM KS HI
0 0 0

UMUM
UMUM GIGI KIA HAMIL KB
0 0 1 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 25 6 21 1
1 01000455 JUBAEDAH 53 3/9 V V I10+K30 1 1 0 1 0 0
2 01003367 LIENA 79 1/7 V V M54,1+I10 1 1 27 6 22 1
3 01002861 MAMAY 70 7/5 V H52 1 1 SA bpjs
4 03001840 FERLI 1 6/10 V V A09 1 1 SA
5 02003884 TIA DESTIANA 27 7/1 V V J02 1 1
6 02002571 RULYA MARYANTI 40 2/10 V V J02 1 1 BPJS
7 4879 TETI C 38 3/1 V V A15+O96 1 1 SA UMUM GIGI KIA HAMIL
8 549 IMAS TUTI 39 9/1 V V M79,1+G44 1 1 27 1 1 1
9 2756 ARI M 20 1/5 V V J00 1 1
10 200 ARYANTI 31 9/1 V GIGI 1 1 GIGI
11 02004898 TINA 37 6/6 V V HAMIL 1 1 1 BM KS HI
12 1784 YANI 55 1/4 V V J44 1 1 BKKPM 0 1 0
13 3132 KOMARIAH 58 4/8 V V K30 1 1
14 2211 YAYAT 68 2/4 V V J06+K30 1 1 KIA
15 370 BAMBANG S 50 2/8 V V J02 1 1 BM KS HI
16 1741 FENI 25 3/2 V V J00 1 1 1 0 1
17 1741 BY NY FENI 8BLN 3/2 V V J00 1 1
18 4900 MILA K 44 5/10 V V J02 1 1 KB
19 1631 ELLY 41 2/8 V V J02+K30 1 1 BM KS HI
20 466 BUDI 15 8/2 V K36 1 1 SA 0 0 1
21 3090 RULLY 34 7/6 V V J06 1 1
22 2517 DADANG 34 7/1 V F20,5 1 1 GRA ATMA HAMIL
23 1003 JUARSIH 66 4/5 V V J02 1 1 BM KS HI
24 4902 NOPA 19 6/2 V V K30 1 1 1 0 1
25 4903 M RIZKY 15 4/2 V V A01 1 1
26 3227 M NOPAN 29 2/5 V GIGI 1 1 UMUM
27 380 CHERY 5 4/10 V V J00 1 1 UMUM GIGI KIA HAMIL
28 380 FITRIYANI 34 4/10 V V J02 1 1 23 2 2 2
29 4821 EUIS R 68 2/4 V GIGI 1 1
30 4748 HERMAWAN 22 11/3 V V H52 1 1
31 3946 YOYOH 74 5/6 V V H25 1 1
32 349 NONENG 55 3/5 V V M79,1 1 1
33 2404 RATNA 33 2/1 V HAMIL 1 1 1
34 1469 PITRI YANI 22 7/5 V V M79,1 1 1
35 1469 AYESA 5BLN 7/5 V V J00 1 1
36 3339 IBNU 2 4/4 V V J00 1 1
37 3339 DEVANSA 10 4/4 V V J00 1 1
38 2903 IIS 49 1/3 V V M13+K30 1 1
39 3766 JUARIAH 57 5/6 V A16 1 1 SA
40 4852 ADELIA 2 3/2 V V J00+B86 1 1
41 4909 ADESITI 19 3/2 V V A01 1 1
42 63 DEDE SITI 60 3/9 V V K30 1 1
43 981 EUIS S 62 3/9 V V M13 1 1
44 2069 M RAFI 9BLN 1/8 V V J00 1 1
45 4905 TITING 74 6/3 V V I10+L30,9 1 1
46 103 ALWI 6 1/5 V V L01 1 1
47 4675 NENDI 60 4/6 V V M13 1 1
48 4725 ARA 80 5/6 V M79,1 1 1
49 1901 DEDI H 22 2/9 V V N39 1 1
50 4365 MARSEL 27 4/4 V V HAMIL 1 1 1
52 4903 NENG R 30 7/6 V V L02 1 1
53 03104906 KENZO 2 7/6 V V L02+J00 1 1
54 2637 SITI 40 1/7 V V A09 1 1
55 4907 VEROLAND 1 5/3 V V A15 1 1 SA
56 4908 ARIEF 41 4/2 V V H81,10 1 1
57 2903 SINTA 13 1/3 V V J03+K30 1 1
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
53
1
54
29

KB
0

RUJUK
SA 6
MH
HM
KBN J
MNLS
BUNGSU
BKKPM 1
PMC
BEC
NETRA
GRA 1
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 15 2 0 2
01001647 I10+J06,9+Z2
1 EMAN 67 KBL V V 0+K30 1 1 0 1 0 0
2 02001647 YATI 66 KBL V V M79,1 1 1 15 2 0 2
3 03104180 SHABIYYAH HASNA 10B RANJENG V V J00 1 1 bpjs
4 031000882 SILKAN NAZAH 16 KBL V V J00+K30 1 1
5 3883 SUKAESIH 68 MNDLSR V V K30 1 1
6 3883 JAKARIA 75 MNDLSR V V M13 1 1 SA BPJS
7 3370 REYSHA 22 KBL V K04+B20+A15 1 1 SA UMUM GIGI KIA HAMIL
8 4899 LASMINI 34 KBL V V J02 1 1 3 1 0 0
9 4899 REZA 3 KBL V V J02 1 1
10 559 TITA 53 KBL V V J00 1 1 GIGI
11 4901 ENTIN 64 KBL V V J00 1 1 BM KS HI
12 2160 MATIAS 52 BJLKLR V V I10 1 1 1 0 0
13 ECHA 9 CGRL V V L30 1 1
14 OLIVIA 7 CGRL V V L30 1 1 KIA
59 I10+K30+M7 BM KS HI
15 KHAERUDIN 52 KBL V V 9,1 1 1
16 ECHA 9 CGRL V GIGI 1 1 0 0 0
17 1344 VAREL 1.5 KBL V V L30 1 1
18 4853 NATASYA 21 KBL V V J03 1 1 KB
19 4795 ROSTATI 51 BBKTRG V V L30 1 1 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 15 0 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
19

1
20
4

KB
0

RUJUK
SA 2
MH
HM
KBN J

MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 22 7 19 1
1 03003500 CINDY 4 4/1 V V A15 1 1 0 1 0 0
2 01000287 MARKONAH 76 1/5 V V I10+K30 1 1 22 7 19 1
3 02004361 RUKIAH 57 4/5 V V N18 1 1 IMANUEL bpjs
4 01004909 HASAN 25 4/5 V V GIGI 1 1
5 02001721 DEDEH 55 4/5 V V B35,4+B35,6 1 1
6 03203761 AHMAD 10B 3/5 V IMN 1 1 BPJS
7 01001665 MAMAN 71 7/10 V V I10+M17+K30 1 1 UMUM GIGI KIA HAMIL
8 03001944 SILMI 25 3/5 V V J00 1 1 23 1 2 0
9 01003845 NANI 58 3/9 V V M79,1+A15 1 1
10 02001881 NENI 50 1/8 V V D64 1 1 GIGI
11 03004911 KENISTA 1B 5/6 V V IMN 1 1 BM KS HI
12 01004786 ENTIN 61 12/1 V I50 1 1 SA 0 1 2
13 01002389 HENHEN 55 6/2 V V H25 1 1 NETRA 2
14 02004809 YOYOM 72 5/6 V V M13 1 1 KIA
15 FAUZAN 3B 5/2 V IMN 1 1 BM KS HI
16 FAUZI 3B 5/2 V IMN 1 1 0 2 2
17 02002668 LINA 46 3/5 V V I10+K30 1 1
18 02000323 ENTIN S 51 1/7 V V I10+M79,1 1 1 KB
19 03201188 MUH.FAHRI 2B 5/1 V IMN 1 1 BM KS HI
20 2001188 YUNI 33 5/1 V V J00 1 1 0 0 2
21 01004912 TIA 21 4/3 V V J02+K30 1 1
22 03201205 SABYAN 3B 1/5 V IMN 1 1 HAMIL
23 03400607 NAZWA 13 4/9 V V L01 1 1 BM KS HI
24 02000607 ENOK 28 4/9 V V L30+I10 1 1 15 1 2
25 03404913 RICO 23 4/4 V V J02+K30 1 1
26 01004914 IWAN 56 3/9 V V I10+K30 1 1 UMUM
27 01004915 ADJAT 70 12/3 V V B35+I10 1 1 UMUM GIGI KIA HAMIL
28 03003580 ALYA 23 7/1 V V J02 1 1 10 1 7 0
29 02001272 RUMDAYANTI 54 3/3 V V M13+K30 1 1
30 02001852 RINA 52 2/9 V V M79,1 1 1
31 02001231 NANI 51 3/4 V V K30 1 1
32 01004916 UMAYAH 54 4/7 V V A15,6 1 1 BPKPM
33 03000804 AZFAR 2 2/5 V IMN 1 1
34 01003779 HENDRA 33 2/4 V V J02 1 1
35 03100170 RAKA 3 3/5 V V J00 1 1
36 0340123 IHSAN 25 3/3 V V J00 1 1
37 01001023 YUYU 62 3/3 V V I10+M79,1 1 1
38 03004917 DAREL 2B 5/3 V V IMN 1 1
39 03200156 M.RIDWAN 12 4/5 V V GIGI 1 1
40 03003055 SHAKILA 5B 4/1 V V IMN 1 1
41 02001873 TUTI 64 6/10 V V M10+I10+ 1 1
42 01000239 YAYAH 75 4/1 V V I10+317+K30 1 1
43 03100979 ALFAN 2 4/8 V V R11 1 1
44 01004918 HERI 38 6/2 V V B86+J00 1 1
45 DJULAEHA 61 4/4 V M79,1 1 1
46 03101394 SYALWA 16 2/5 V V K30 1 1
47 03004622 RICKO 7B 5/3 V V IMN 1 1
48 01001525 BUDIMAN 52 5/6 V V J02+I10 1 1
49 01003888 M.TAHER 56 1/2 V V I10+M79,1 1 1
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
49

49
27

KB
0

RUJUK
SA 1
IMANUEL 1
HM
KBN J
MNLS
BUNGSU
BKKPM 1
PMC
BEC
NETRA 1
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM KS HI
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 7 0 0 0
1 02002952 UU 70 KBL V V M13+M10 1 1 0 1 0 0
2 01002952 JAJA 80 KBL V V J02+N39 1 1 7 1 0 0
3 03304910 JATI 19 REGOL V V L02 1 1 bpjs
4 03102019 AYLA 4 KBL V V J00 1 1
5 03003645 AZARIA 8 KBL V V GIGI 1 1
6 02003960 LISNA 32 KBL V V J03 1 1 BPJS
7 01004919 ANI 67 JAMIKA V V I10+M79,1 1 1 UMUM GIGI KIA HAMIL
8 0 0 0 0
9
10 GIGI
11 BM KS HI
12 0 0 0
13
14 KIA
15 BM KS HI
16 0 0 0
17
18 KB
19 BM KS HI
20 0 0 0
21
22 HAMIL
23 BM KS HI
24 0 0 0
25
26 UMUM
27 UMUM GIGI KIA HAMIL
28 6 1 0 0
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
TOTAL
7
1
8
1

KB
0

RUJUK
SA
MH
HM
KBN J
MNLS
BUNGSU
BKKPM
PMC
BEC
NETRA
GRA
ILAHI

KB
0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS
NO REKAM MEDIS NAMA DX
L P P K B L B L U G KIA H KB U G KIA

1 03103536 DWI 26 4/3 V V A01 1


2 02003133 RINS 20 4/5 V V J06,9 1
3 01000030 ODAH 69 2/4 V V I10+K30 1
4 01000269 PEPEN 66 3/8 V V i25 1
5 02000712 SANTI 35 1/6 V V KB 1
6 02000179 ANI 50 2/2 V V KB 1
7 02000269 ENI 55 3/8 V V i51,7 1
8 02004028 ELIS 36 P V V n18 1
9 01001362 UUN 50 7/8 V V M54,1 1
10 03004476 ZAHRA 13 5/1 V V J06,9 1
11 02001224 NINA 57 7/5 V V KB 1 1
12 02004476 NOVA 35 5/1 V V M79,1 1
13 020009671 MARIUFI 55 4/4 V V I10 1
14 01001030 SURATI 60 P V V I10 1
15 02002590 CACIH 73 5/10 V V K29 1
16 02004035 NUNUNG 36 1/6 V V 1
17 02002509 ERLIN 36 2/6 V V J06,9 1
18 03002509 ALDRIC 3 2/6 V V F82 1
19 01002077 setia wati 79 5/1 v V J06,9+M79,1 1
20 03002244 syafira 8 1/8 v V K29 1
21 02002829 META 37 1/5 V V J45+A15 1
22 01000696 OON 73 3/9 V V J06,9+I10 1
23 02001864 MIMIN 52 3/8 V V M79,1 1
24 01001712 ASEP 42 4/1 V V E14 1
25 02001469 PITRI 22 7/5 V V KB 1
26 03201712 DZAKIRA 3 4/1 V V J00 1
27 01001712 ASEP 42 4/1 V 1
28 02001233 EMPON 64 7/5 V V K29 1
29 01000245 DIAH 68 4/9 V V I10+L98 1
30 01000445 ELAH 60 9/3 V V M79,1+K30 1
31 02001785 NONENG 66 12/3 V V K30 1
32 01002582 TETI 37 7/10 V V J06,9 1
33 02004636 YAYAH 58 6/6 V V I10+B35 1
34 02000565 TITI 59 4/3 V V I10+J00+K30 1
35 01004820 SARIPUDIN 67 3/8 V V I10 1
36 01004921 NANI 73 3/4 V V I10 1
37 02000912 EUIS 33 4/5 V V KB 1 1
38 03200912 DEVANO 8B 4/5 V V J00 1
39 02001715 MARNI 28 7/5 V V KB 1
40 03101715 MULYANA 10B 7/5 V V J00 1
41 03001901 ZALU 14 2/9 V V L98 1
42 01002207 ETI 65 2/6 V V Z20 1
43 02000220 IIP 60 6/10 V GIGI 1
44 03400211 ENUNG 54 61/8 V V I10+M79,1 1
45 AMIR V V A15 1
46 03004533 RISA 22 V V A15 1
47 01001531 JAENAB 63 10/1 V V M79,1 1
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
BPJS BPJS BYR BM KS HI TOTAL
BYR RUJUK
H KB BM KS HI 19 5 20 3 47
1 0 1 0 0 1
1 19 5 20 3 48
1 bpjs 28
1 salamun
1 1
1 1 BPJS
1 salamun UMUM GIGI KIA HAMIL KB
1 sa 22 1 5 0 5
1
1 GIGI RUJUK
1 BM KS HI SA
1 20 1 5 MH
1 HM
1 KIA KBN J
1 BM KS HI MNLS
1 1 18 1 3 BUNGSU
1 BKKPM
1 SA KB PMC
1 BM KS HI BEC
1 17 1 3 NETRA
1 SA GRA
1 HAMIL ILAHI
1 BM KS HI
1 15 1 2
1 1
1 UMUM
1 UMUM GIGI KIA HAMIL KB
1 17 0 2 0 2
1
1
1
1
1
1
1
1
1
1
1 1
1
1
1 SA
1
1
1
1
1
UMUR ALAMAT Kunjungan Kasus UMUM BPJS
NO REKAM MEDIS NAMA DX
L P P K B L B L U G KIA H KB U G KIA

1 03104920 RURI 12 KBL V V GIGI 1


2 01003183 SUPRIANTO 42 KBL V V J00 1
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
BPJS BPJS BYR BM KS HI TOTAL
BYR RUJUK
H KB BM KS HI 2 0 0 0 2
1 0 1 0 0 1
1 2 1 0 0 3
bpjs 1

BPJS
UMUM GIGI KIA HAMIL KB
0 0 0 0 0

GIGI RUJUK
BM KS HI SA
0 0 0 MH
HM
KIA KBN J
BM KS HI MNLS
0 0 0 BUNGSU
BKKPM
KB PMC
BM KS HI BEC
0 0 0 NETRA
GRA
HAMIL ILAHI
BM KS HI
0 0 0

UMUM
UMUM GIGI KIA HAMIL KB
1 1 0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 32 7
1 02003759 Watirah 39 4/5 v v A16 1 1 BKKPM 0 1
2 02004105 SANTI DEWI 42 V V J00 1 1 32 8
3 02002302 Imas Julaeha 58 3/5 v v J02 1 1
4 442 YANI 36 4/5 V V K25 1 1
5 442 HADI 6 V V SKT GIGI 1 1
6 126 COCOH 65 V V I10 1 1
7 4922 ERNI 34 V V GIGI 1 1 UMUM GIGI
8 126 ABUN 69 V V M79 1 1 SA 23 0
9 4080 MAXWEL 1.5 3/7 V V A09 1 1
10 455 RISKA 9 3/9 V V J06 1 1 GIGI
11 4923 SITI HARRA 69 9 V V I10 + M79 1 1 BM KS
12 1682 JULIATY 73 4/5 V V H25 1 1 NETRA 2 0
13 4924 RINI 33 V V R68 1 1
14 1900 IMAS 69 1/5 V V J11 +L98 1 1 KIA
15 946 TETI M 59 2/10 V V H10 1 1 BM KS
16 3235 HASAN 53 V V J00 1 1 0
17 353 RIYAN S 12 V V J00 1 1
18 353 RIRIN 17 7/6 V V L98 1 1 KB
19 378 SALAMAH 82 3/9 V V M79 1 1 BM KS
20 4655 SUPARNO 57 5/4 V V I64 1 1 0
21 4927 LILIS 43 3/10 V V A09 + K29 1 1
22 3907 M ALI W 19 PH V V A09 1 1 HAMIL
23 1028 SUMINAR 71 1/3 V V K25 1 1 BM KS
24 1660 PRAJOKO 73 3/7 V V K29 1 1 0
25 2495 RAIS 44 4/8 V V I25 1 1 SANTOSA KOPO
26 1961 DIDI 64 5/3 V V I25 1 1 SA U
27 4394 NANI S 45 3/5 V V KONTROL KIA 1 1 UMUM GIGI
28 370 GAARNIDA 16 2/8 V V K25 1 1 30 2
29 4080 JOJOR M 60 3/7 V V K25 1 1
30 742 SHIDQI 4 5/9 V V L98 1 1
31 BUDY 38 1/3 V V A15 1 1
32 4616 DODI 44 6/9 V V R05 1 1
33 948 FITRIA 6 11/3 V V J02 1 1
34 1780 NINA 19 5/3 V V K25 1 1
35 4928 IMAM 19 2/3 V V J00 1 1
36 893 YASMIN 6 4/4 V V J02 1 1
37 893 ASEP AAM 49 4/4 V V L98 + M79 1 1
38 1780 DARKIM 49 5/3 V V J00 1 1
39 4245 IIS A 45 9/1 V V M79 1 1
40 4245 RENATA 6 9/1 V V J00 1 1
41 965 EDI J 73 5/5 V V J06 1 1
42 4929 EVA 50 2/8 V V GIGI 1 1
43 3637 YAYA 52 3/9 V V I10 1 1
44 4930 RUSWATI 35 K V V IM TT 1 1
45 2836 GIASA 8 3/4 V V J00 + L98 1 1
46 2836 ALUNA 3 3/4 V V L98 1 1
47 2871 NINING SUMARNI 53 3/4 V V K30 1 1
48 192 MARVEL 7 V V A01.0 1 1
49 2090 CAESAR 7 1/7 V V J00 1 1
50 2090 FLOREN 51 1/7 V V L98 1 1
51 4070 ANISA FITRI 26 5/6 V V J00 1 1
52 4931 NOVA A 8 5/2 V V KGB 1 1
53 4932 ARFAN 8BLN 2/3 V V J00 1 1
54 4932 ALMAIRA 4 2/3 V V J06 1 1
55 4932 DENISA 28 2/3 V V J00 1 1
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
96
97
98
99
KS HI TOTAL
13 3 55
0 0
13 3 55
bpjs 24

BPJS
KIA HAMIL KB
0 0 0

GIGI RUJUK
HI SA
0 MH
HM
KIA KBN J
HI MNLS
0 BUNGSU
BKKPM
KB PMC
HI BEC
0 NETRA
GRA
AMIL ILAHI
HI
0

UMUM
KIA HAMIL KB
0 0 0
UMUR ALAMAT Kunjungan Kasus UMUM BPJS BPJS BYR BM
NO REKAM MEDIS NAMA DX BYR RUJUK
L P P K B L B L U G KIA H KB U G KIA H KB BM KS HI 6 0
1 3368 YANI 43 KBL V V J00 1 1 0 1
2 4925 DEDE 33 KBL V V GIGI 1 1 6
3 3700 YUDHI 53 KBL V V I10 1 1
4 3645 AZARIA 7 KBL V V GIGI 1 1
5 4920 RURI 11 KBL V V GIGI 1 1
6 4926 ERIK 28 CBDYT V V L98 1 1 BPJ
7 UMUM GIGI
8 0 0
9
10 GIGI
11 BM KS
12 0 0
13
14 KIA
15 BM KS
16 0 0
17
18 KB
19 BM KS
20 0 0
21
22 HAMIL
23 BM KS
24 0 0
25
26 UMU
27 UMUM GIGI
28 3 3
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
92
93
94
95
96
97
98
99
KS HI TOTAL
0 0 6
0 0
0 0 6
bpjs 0

BPJS
KIA HAMIL KB
0 0 0

GI RUJUK
HI SA
0 MH
HM
A KBN J
HI MNLS
0 BUNGSU
BKKPM
B PMC
HI BEC
0 NETRA
GRA
MIL ILAHI
HI
0

UMUM
KIA HAMIL KB
0 0 0
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