You are on page 1of 57

DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

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

1 31-01-2019 111210020119P000857 0000080799366 WASIMIN L PNS DAERAH Acute nasopharyngitis Berobat Jalan
[common cold]
2 31-01-2019 111210020119P000852 0000519369974 SUNARSO L PBI (APBN) Headache Berobat Jalan

3 31-01-2019 111210020119P000869 0000519902919 SITI ROHANAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

4 31-01-2019 111210020119P000868 0000520129146 MISWAN L PBI (APBN) Headache Berobat Jalan

5 31-01-2019 111210020119P000867 0000520131666 JULIA KEISA PUSPITASARI P PBI (APBN) Fever, unspecified Berobat Jalan

6 31-01-2019 111210020119P000847 0000520204252 MUHNGALIM L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

7 31-01-2019 111210020119P000861 0000520239699 MUNJIRIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

8 31-01-2019 111210020119P000860 0000520285904 SUPENO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
9 31-01-2019 111210020119P000856 0000520373889 SARMAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
10 31-01-2019 111210020119P000841 0000520375781 MARSAN L PBI (APBN) Unspecified renal colic Rujuk Lanjut

11 31-01-2019 111210020119P000859 0000520442504 TISEM P PBI (APBN) Low back pain Berobat Jalan

12 31-01-2019 111210020119P000846 0000520510083 DEWOH IBNU MASJID L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
13 31-01-2019 111210020119P000855 0000520518262 NGATIJEM P PBI (APBN) Headache Berobat Jalan

14 31-01-2019 111210020119P000848 0000520565343 MAHMUD YUNUS L PBI (APBN) Vertigo of central origin Berobat Jalan

15 31-01-2019 111210020119P000851 0000520822258 BARINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
16 31-01-2019 111210020119P000858 0000520850632 SALBIYAH P PBI (APBN) Myalgia Berobat Jalan

17 31-01-2019 111210020119P000871 0000521253202 ABDUL RO'UF L PBI (APBN) Myalgia Berobat Jalan

18 31-01-2019 111210020119P000872 0000521253876 TUWIYAH P PBI (APBN) Vertigo of central origin Berobat Jalan

19 31-01-2019 111210020119P000875 0000521295671 HERNI KARLINA P PBI (APBN) Abdominal pregnancy Berobat Jalan

20 31-01-2019 111210020119P000844 0000521478999 SUTINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
21 31-01-2019 111210020119P000864 0000521771769 SODIRIN MUDIARJO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

22 31-01-2019 111210020119P000845 0001084935341 ANGGA SEPTIAN MAULANA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
23 31-01-2019 111210020119P000866 0001217791877 SYAHIDAH WISUDAWATI P PBI (APBD) Atopic dermatitis, Berobat Jalan
unspecified
24 31-01-2019 111210020119P000854 0002038390672 SETIONO L PBI (APBD) Mumps Berobat Jalan

25 31-01-2019 111210020119P000853 0002051990875 PARINEM P PBI (APBD) Myalgia Berobat Jalan

26 31-01-2019 111210020119P000862 0002125679297 ALIA WIJAYA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
27 31-01-2019 111210020119P000865 0002127971171 YAQUTT VELICIA OCTAVIANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
28 31-01-2019 111210020119P000870 0002128485969 ASHURI L PBI (APBN) Headache Berobat Jalan

29 31-01-2019 111210020119P000873 0002129376846 TRI MURNIATI P PBI (APBN) Maternal care for Rujuk Lanjut
malpresentation of fetus,
unspecified
30 31-01-2019 111210020119P000863 0002283885606 SODIKIN L PEKERJA MANDIRI Other forms of stomatitis Berobat Jalan

31 31-01-2019 111210020119P000842 0002295951219 JUANDA L PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
32 31-01-2019 111210020119P000843 0002314260472 imam baehaqi L PEKERJA MANDIRI Dyspepsia Rujuk Lanjut

33 31-01-2019 111210020119P000840 0002449897165 CAHYANTI P PEKERJA MANDIRI Undifferentiated Rujuk Lanjut


schizophrenia
34 31-01-2019 111210020119P000874 0002504752154 SANIYAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

35 31-01-2019 111210020119P000850 0002504759095 AHMAD RIFKI ADIYANSYAH L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
36 31-01-2019 111210020119P000849 0002618171223 WAILAH P PEKERJA MANDIRI Atopic dermatitis, Berobat Jalan
unspecified
37 30-01-2019 111210020119P001075 0000081366636 SURBANI L PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
PNS diabetes mellitus without Mellitus
complications
38 30-01-2019 111210020119P000962 0000518714087 MAD SUKIMAN L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
39 30-01-2019 111210020119P001086 0000518714471 SOIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
40 30-01-2019 111210020119P000964 0000518990591 ANI WINARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

41 30-01-2019 111210020119P000899 0000519002155 MUHTAR L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
42 30-01-2019 111210020119P000941 0000519283631 MEMED L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
43 30-01-2019 111210020119P000956 0000519521725 TUMINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
44 30-01-2019 111210020119P000897 0000519533256 KASINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
45 30-01-2019 111210020119P000943 0000519556792 MUSRINGAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
46 30-01-2019 111210020119P000901 0000519592871 ROLIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
47 30-01-2019 111210020119P001060 0000519597123 PONIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
48 30-01-2019 111210020119P000966 0000519655599 SAMINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
49 30-01-2019 111210020119P000986 0000519710916 TUKIWEN P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
50 30-01-2019 111210020119P001069 0000519774906 SARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
51 30-01-2019 111210020119P000912 0000519845297 SOIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Hipertensi Hipertensi
diabetes mellitus without
complications
52 30-01-2019 111210020119P000963 0000519874514 KASAM L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
53 30-01-2019 111210020119P000932 0000519882805 DARTIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
54 30-01-2019 111210020119P001058 0000519896733 DAYAT L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

55 30-01-2019 111210020119P001094 0000519919108 SUTIJO L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
56 30-01-2019 111210020119P000909 0000519926589 SUMIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
57 30-01-2019 111210020119P000942 0000519927096 SUMARNI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
58 30-01-2019 111210020119P000919 0000519930753 WASINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
59 30-01-2019 111210020119P001066 0000519934072 MUSONAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
60 30-01-2019 111210020119P000913 0000519968564 MIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
61 30-01-2019 111210020119P001088 0000520021214 TUSINI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
62 30-01-2019 111210020119P001082 0000520029055 MANISEM P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
63 30-01-2019 111210020119P000929 0000520052949 AHMAD KUSMADI L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
64 30-01-2019 111210020119P001072 0000520087768 SUTITO L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
65 30-01-2019 111210020119P000829 0000520110235 ZAITUN RAHMAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
66 30-01-2019 111210020119P000933 0000520193428 RASIKEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
67 30-01-2019 111210020119P000924 0000520201146 TARIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Hipertensi Hipertensi
diabetes mellitus without
complications
68 30-01-2019 111210020119P000949 0000520205163 ROBIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

69 30-01-2019 111210020119P001068 0000520238428 KAMISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
70 30-01-2019 111210020119P000925 0000520286411 MINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
71 30-01-2019 111210020119P000837 0000520310079 RASIMAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

72 30-01-2019 111210020119P000927 0000520323748 JAMIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
73 30-01-2019 111210020119P000978 0000520349589 FADLULLOH L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
74 30-01-2019 111210020119P000983 0000520357048 KAMSIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
75 30-01-2019 111210020119P000968 0000520397706 LASEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
76 30-01-2019 111210020119P000817 0000520416437 ANHAR PRAYOGI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
77 30-01-2019 111210020119P000965 0000520436114 SITI NAERAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
78 30-01-2019 111210020119P001070 0000520437251 MARYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
79 30-01-2019 111210020119P000972 0000520442368 CASEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
80 30-01-2019 111210020119P000916 0000520456656 DASIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
81 30-01-2019 111210020119P000816 0000520467355 RUSWI P PBI (APBN) Myalgia Berobat Jalan

82 30-01-2019 111210020119P000928 0000520471438 TURMIASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
83 30-01-2019 111210020119P000819 0000520509341 NYATIYEM P PBI (APBN) Myalgia Berobat Jalan

84 30-01-2019 111210020119P001078 0000520529624 SAYEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

85 30-01-2019 111210020119P000920 0000520534978 WARSINI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
86 30-01-2019 111210020119P000969 0000520561776 RATNO MUSAFRONI L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
87 30-01-2019 111210020119P000838 0000520563407 NUR JAMANGATUS SOLIHAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

88 30-01-2019 111210020119P000982 0000520577381 NAWEN P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
89 30-01-2019 111210020119P000839 0000520597225 NURHIDAYATI P PBI (APBN) Abdominal pregnancy Berobat Jalan

90 30-01-2019 111210020119P000815 0000520610679 SINDON P PBI (APBN) Paraesthesia of skin Berobat Jalan

91 30-01-2019 111210020119P000918 0000520632663 KADIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
92 30-01-2019 111210020119P000948 0000520675255 SUTIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
93 30-01-2019 111210020119P001077 0000520678721 KASINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
94 30-01-2019 111210020119P001074 0000520679384 YATIN MUJAHIDIN L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
95 30-01-2019 111210020119P000821 0000520693817 MUHAMAD HOERUL ANWAR L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
96 30-01-2019 111210020119P000833 0000520747738 TUNISAH P PBI (APBN) Headache Berobat Jalan

97 30-01-2019 111210020119P000935 0000520748965 OYON SOPYAN L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
98 30-01-2019 111210020119P000980 0000520793065 PARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
99 30-01-2019 111210020119P000827 0000520833464 SUPATMAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
100 30-01-2019 111210020119P000836 0000520841709 ANTI KHUSNUL FARIDA P PBI (APBN) Abdominal pregnancy Berobat Jalan

101 30-01-2019 111210020119P001095 0000520854783 MARYONO LASIM L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

102 30-01-2019 111210020119P000900 0000520878835 MUSTOLINGAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
103 30-01-2019 111210020119P001064 0000520891648 NURSIDIK L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
104 30-01-2019 111210020119P001065 0000520891964 DAISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
105 30-01-2019 111210020119P000902 0000520892818 SAMINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
106 30-01-2019 111210020119P000979 0000520943196 SATIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
107 30-01-2019 111210020119P000921 0000520960599 SARTATI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
108 30-01-2019 111210020119P000814 0000520970545 DARMUJI KADAR L PBI (APBN) Other forms of stomatitis Berobat Jalan

109 30-01-2019 111210020119P000903 0000520999277 SIKEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
110 30-01-2019 111210020119P000938 0000521128001 KASIDAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
111 30-01-2019 111210020119P000984 0000521138395 KASNO L PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
112 30-01-2019 111210020119P000908 0000521201597 TOIMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
113 30-01-2019 111210020119P001033 0000521239004 SITI KHOTIJAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
114 30-01-2019 111210020119P001090 0000521278896 MUHDORUN L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
115 30-01-2019 111210020119P000828 0000521287841 NURUL HUDA L PBI (APBN) Calculus in urethra Berobat Jalan

116 30-01-2019 111210020119P001071 0000521372643 SUKIMAN MAD SODERI L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

117 30-01-2019 111210020119P000955 0000521410083 SOBIROH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
118 30-01-2019 111210020119P000896 0000521411253 ALFIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
119 30-01-2019 111210020119P000973 0000521603559 TURAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
120 30-01-2019 111210020119P000813 0000521688778 RIZKY RAMADAN L PBI (APBN) Otitis media, unspecified Berobat Jalan

121 30-01-2019 111210020119P000834 0000521734342 MEMED L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
122 30-01-2019 111210020119P000936 0000521772445 LASMIYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
123 30-01-2019 111210020119P000910 0001015214725 SARTIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
124 30-01-2019 111210020119P000990 0001015215164 NAPSIAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
125 30-01-2019 111210020119P000960 0001015216817 MARYATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
126 30-01-2019 111210020119P001057 0001015217144 SARINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
127 30-01-2019 111210020119P000923 0001015217875 SOPIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Hipertensi Hipertensi
diabetes mellitus without
complications
128 30-01-2019 111210020119P001085 0001015220057 SITI MUSRINGAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
129 30-01-2019 111210020119P000830 0001015223073 KUSMINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan Hipertensi Hipertensi
[common cold]
130 30-01-2019 111210020119P000967 0001084640308 SAJEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
131 30-01-2019 111210020119P000931 0001084672719 SAMIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

132 30-01-2019 111210020119P000981 0001299480693 TURIMIN L PEGAWAI PEMERINTAH Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
DENGAN PERJANJIAN diabetes mellitus without Mellitus
KERJA complications
133 30-01-2019 111210020119P000905 0001308471243 SUGIARTI P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
134 30-01-2019 111210020119P001061 0001308707853 TUILAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
135 30-01-2019 111210020119P000945 0001314919664 ROSIHUN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
136 30-01-2019 111210020119P000907 0001314919776 SUPARMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
137 30-01-2019 111210020119P000944 0001317823378 SUHARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
138 30-01-2019 111210020119P000904 0001322632091 sobiyah P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
139 30-01-2019 111210020119P001093 0001473590171 PAINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus
diabetes mellitus without Hipertensi
complications
140 30-01-2019 111210020119P000961 0001700513932 PARIYEM P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
141 30-01-2019 111210020119P001079 0001700515045 AMINAH P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
142 30-01-2019 111210020119P000906 0001721235047 SUKIMAN L PEGAWAI PEMERINTAH Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
DENGAN PERJANJIAN diabetes mellitus without Mellitus
KERJA complications
143 30-01-2019 111210020119P000977 0001734459164 ELI PURWANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
144 30-01-2019 111210020119P000976 0001734459208 PENTI FAJRIYANTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
145 30-01-2019 111210020119P000952 0001812660794 yasih P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

146 30-01-2019 111210020119P000987 0001825529501 MARSITI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
147 30-01-2019 111210020119P000898 0001857833166 LUKMANUDIN SURIP L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
148 30-01-2019 111210020119P000917 0001865604374 HARSADI SAMIDI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
149 30-01-2019 111210020119P000988 0001889934748 DASITI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
150 30-01-2019 111210020119P000926 0001914059463 AHMUDIN MUDAKIR L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
151 30-01-2019 111210020119P000930 0002009243439 SUDIONO L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
152 30-01-2019 111210020119P000922 0002009245691 TARMIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
153 30-01-2019 111210020119P001092 0002009246016 WATIEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
154 30-01-2019 111210020119P000971 0002009246376 SUDARTI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
155 30-01-2019 111210020119P001084 0002009253712 TASWEN P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
156 30-01-2019 111210020119P000832 0002009255207 DARMINI P PBI (APBN) Low back pain Berobat Jalan

157 30-01-2019 111210020119P000818 0002009255433 KOLISOH P PBI (APBN) Paraesthesia of skin Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
158 30-01-2019 111210020119P000914 0002009262565 SAINEM P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
159 30-01-2019 111210020119P000831 0002009271069 NINGSIH P PBI (APBN) Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and
histologically
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

160 30-01-2019 111210020119P000911 0002009272105 AMAD SUMARDI L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
161 30-01-2019 111210020119P000950 0002038985177 PASINAH P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
162 30-01-2019 111210020119P000915 0002066498572 KOHAR SARIFUDIN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
163 30-01-2019 111210020119P000937 0002090362915 UDIYONO L PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
164 30-01-2019 111210020119P000939 0002092795086 MUNAWAR L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
165 30-01-2019 111210020119P000947 0002102155841 Sutini P PENERIMA PENSIUN Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
SWASTA diabetes mellitus without Mellitus
complications
166 30-01-2019 111210020119P000958 0002128484362 KARWITA P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
167 30-01-2019 111210020119P000992 0002167379289 KAMINEM P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
168 30-01-2019 111210020119P000974 0002175769484 YAYAN P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
169 30-01-2019 111210020119P000985 0002210745249 KASIYEM P PBI (APBD) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
170 30-01-2019 111210020119P000934 0002213581026 WATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
171 30-01-2019 111210020119P001081 0002214388258 KUSNADI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
172 30-01-2019 111210020119P000940 0002234887727 FAUZAN L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
173 30-01-2019 111210020119P000946 0002238770878 KASIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

174 30-01-2019 111210020119P000951 0002250503291 SUATMI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
175 30-01-2019 111210020119P000970 0002254806099 SARNI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
176 30-01-2019 111210020119P000959 0002262748994 KUSMIYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
177 30-01-2019 111210020119P000953 0002264978081 TRIYONO L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
178 30-01-2019 111210020119P000954 0002265248812 SIJEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
179 30-01-2019 111210020119P000957 0002267674661 JUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Hipertensi Mellitus
complications Hipertensi
180 30-01-2019 111210020119P001089 0002272269014 SALIM TOFIK L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
181 30-01-2019 111210020119P000991 0002275398966 SIDEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
182 30-01-2019 111210020119P001080 0002284861509 NANI YUNINGSIH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
183 30-01-2019 111210020119P001063 0002285620209 HJ DIANA MARYANI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
184 30-01-2019 111210020119P001062 0002296989101 SUDARTI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
185 30-01-2019 111210020119P001083 0002298999352 PARIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
186 30-01-2019 111210020119P001087 0002310367915 SUMINAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
187 30-01-2019 111210020119P000975 0002324710585 JULIYATI P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

188 30-01-2019 111210020119P001059 0002423721486 MUSIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
189 30-01-2019 111210020119P001091 0002428240904 karliyah P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
190 30-01-2019 111210020119P000989 0002436979252 ARSIH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
191 30-01-2019 111210020119P000812 0002446198525 MUSRINGAH P PEKERJA MANDIRI Diabetic cataract Rujuk Lanjut Diabetes Mellitus Diabetes
Mellitus
192 30-01-2019 111210020119P001067 0002449266535 SARTINEM P PEGAWAI SWASTA Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
193 30-01-2019 111210020119P001073 0002453853971 MACHFUDZ L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
194 30-01-2019 111210020119P001076 0002456832148 SUNARYO JADI L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
195 29-01-2019 111210020119P000789 0000080799175 NGADIMIN L PENERIMA PENSIUN Low back pain Rujuk Lanjut
PNS
196 29-01-2019 111210020119P000787 0000519473979 TARMUN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
197 29-01-2019 111210020119P000796 0000519506381 LAELATUL MUNAWAROH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
198 29-01-2019 111210020119P000798 0000520092167 ALI MUBAROK L PBI (APBN) Pulpitis Berobat Jalan

199 29-01-2019 111210020119P000790 0000520099211 SUKATI P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
200 29-01-2019 111210020119P000810 0000520164606 PIPIT SUTIKNO L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

201 29-01-2019 111210020119P000804 0000520324953 WAGINO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
202 29-01-2019 111210020119P000792 0000520376319 WALIYAH P PBI (APBN) Myalgia Berobat Jalan

203 29-01-2019 111210020119P000791 0000520461404 TONI MARTONI L PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

204 29-01-2019 111210020119P000784 0000520493477 ANGGUN SETIYANI P PBI (APBN) Human immunodeficiency Rujuk Lanjut
virus [HIV] disease
resulting in infectious and
parasitic diseases

205 29-01-2019 111210020119P000835 0000520664062 ISTIROHAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

206 29-01-2019 111210020119P000803 0000520793908 SUMIATI P PBI (APBN) Other forms of stomatitis Berobat Jalan

207 29-01-2019 111210020119P000795 0000520820278 SUTARNO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
208 29-01-2019 111210020119P000808 0000520921866 SATIMAH P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

209 29-01-2019 111210020119P000825 0000521179301 SUROTUN FANIKMAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

210 29-01-2019 111210020119P001026 0000521239004 SITI KHOTIJAH P PBI (APBN) False labour, unspecified Sembuh

211 29-01-2019 111210020119P000799 0000521268849 HADI TOMO L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,
unspecified
212 29-01-2019 111210020119P000807 0000521400104 DESTI FERONIKA P PBI (APBN) Otalgia Berobat Jalan

213 29-01-2019 111210020119P000809 0001015218145 PUPUT PRATIWI P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, without
mention of bacteriological
or histological confirmation

214 29-01-2019 111210020119P000805 0001287140084 MANISEM P PEKERJA MANDIRI Headache Berobat Jalan

215 29-01-2019 111210020119P000802 0001427200907 SUDIHARJO L PEKERJA MANDIRI Myalgia Berobat Jalan

216 29-01-2019 111210020119P000793 0001769934778 FEBRIANI KUSUMA DEWI P PEGAWAI SWASTA Atopic dermatitis, Berobat Jalan
unspecified
217 29-01-2019 111210020119P000797 0001913896293 BOING FAHRI ANGKASA L PBI (APBN) Headache Berobat Jalan

218 29-01-2019 111210020119P000801 0002125677881 ZAHLA ZAIDA P PBI (APBN) Tuberculous peripheral Berobat Jalan
lymphadenopathy
219 29-01-2019 111210020119P000788 0002126536997 DINDA AULIA NATASYA P PBI (APBN) Thalassaemia, unspecified Rujuk Lanjut

220 29-01-2019 111210020119P000785 0002176014565 SUNTARI P PBI (APBN) Maternal care for Rujuk Lanjut
malpresentation of fetus,
unspecified
221 29-01-2019 111210020119P000826 0002189872563 SRI FATIMAH P PBI (APBN) Abdominal pregnancy Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

222 29-01-2019 111210020119P001054 0002344773633 SRI SUMIYATI P PBI (APBD) Prolonged first stage (of Berobat Jalan
labour)
223 29-01-2019 111210020119P000794 0002378922129 APRILIA MAULINA PUTRI P PEKERJA MANDIRI Pulpitis Berobat Jalan

224 29-01-2019 111210020119P000800 0002439737133 TUHIRAN L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

225 29-01-2019 111210020119P000811 0002485822667 SAWINAH P PEKERJA MANDIRI Headache Berobat Jalan

226 29-01-2019 111210020119P000806 0002504759556 SITI NURFADILAH P PBI (APBN) Respiratory tuberculosis, Berobat Jalan
not confirmed
bacteriologically or
histologically
227 29-01-2019 111210020119P000786 0002625168047 WARISO SOLIKIN L PEKERJA MANDIRI Heart failure Rujuk Lanjut

228 28-01-2019 111210020119P000738 0000518735428 KATEM P PBI (APBN) Headache Berobat Jalan

229 28-01-2019 111210020119P000755 0000519010007 MUDIYONO L PBI (APBN) Vertigo of central origin Berobat Jalan

230 28-01-2019 111210020119P000735 0000519295825 SINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
231 28-01-2019 111210020119P000718 0000519821447 WASIRIN L PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of head, face and
neck
232 28-01-2019 111210020119P000823 0000519923406 DARYATI P PBI (APBN) Abdominal pregnancy Berobat Jalan

233 28-01-2019 111210020119P001036 0000519940067 PRATIWI DYAH P PBI (APBN) Contraceptive Berobat Jalan
HAYUNINGTYAS management, unspecified
234 28-01-2019 111210020119P000760 0000519940078 KASIMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

235 28-01-2019 111210020119P000732 0000520134849 FITROTUN NISA P PBI (APBN) Otalgia Berobat Jalan

236 28-01-2019 111210020119P000742 0000520166608 SURYATI P PBI (APBN) Malignant neoplasm of Berobat Jalan
nasopharynx
237 28-01-2019 111210020119P000739 0000520231522 SUHADI L PBI (APBN) Headache Berobat Jalan

238 28-01-2019 111210020119P001031 0000520245033 MUKSODAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
239 28-01-2019 111210020119P000740 0000520246539 MUNGINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
240 28-01-2019 111210020119P000731 0000520314568 SAMINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
241 28-01-2019 111210020119P000746 0000520410014 DULROHMAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
242 28-01-2019 111210020119P000747 0000520410464 WASIYAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

243 28-01-2019 111210020119P000741 0000520465296 SUGINAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
244 28-01-2019 111210020119P000758 0000520485401 TUGIYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan Hipertensi Hipertensi

245 28-01-2019 111210020119P000745 0000520612007 AMINAH P PBI (APBN) Thyrotoxicosis, Berobat Jalan
unspecified
246 28-01-2019 111210020119P001032 0000520792334 PAINEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
247 28-01-2019 111210020119P000751 0000520814035 NOFRIYATIN NURFAOZANAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
248 28-01-2019 111210020119P000763 0000520839696 RASIMAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
249 28-01-2019 111210020119P000748 0000520925826 RINI WARTINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
250 28-01-2019 111210020119P000736 0000521025153 SARIMI P PBI (APBN) Myalgia Berobat Jalan

251 28-01-2019 111210020119P000744 0000521134165 AMIR KOMARUDIN L PBI (APBN) Headache Berobat Jalan

252 28-01-2019 111210020119P000822 0000521256789 MARYATUL ISTINGANAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

253 28-01-2019 111210020119P000754 0001015220081 TUMINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
254 28-01-2019 111210020119P000765 0001015223253 WASIYEM P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
255 28-01-2019 111210020119P000756 0001915107761 ANITA BAGASARI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
256 28-01-2019 111210020119P000743 0001916045943 AGUS SETIAWAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
257 28-01-2019 111210020119P000824 0002009272623 WARTINI P PBI (APBN) Abdominal pregnancy Berobat Jalan

258 28-01-2019 111210020119P000749 0002038378217 KHUSWATUN HASANAH P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
259 28-01-2019 111210020119P000707 0002092795086 MUNAWAR L PEKERJA MANDIRI Transient cerebral Rujuk Lanjut Diabetes Mellitus Diabetes
ischaemic attack, Mellitus
unspecified
260 28-01-2019 111210020119P000752 0002120711883 SITI MUSAROFAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
261 28-01-2019 111210020119P000761 0002128232215 SRI MUJIATI P PBI (APBN) Secondary Berobat Jalan
dysmenorrhoea
262 28-01-2019 111210020119P000737 0002176015059 DALIYEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

263 28-01-2019 111210020119P000734 0002210005607 KUSMIATI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
264 28-01-2019 111210020119P000708 0002241839665 TASUN SUYONO L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

265 28-01-2019 111210020119P000733 0002265248812 SIJEM P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
266 28-01-2019 111210020119P000726 0002276349726 TUSIAH P PEKERJA MANDIRI Otalgia Rujuk Lanjut

267 28-01-2019 111210020119P000762 0002305322032 TARSEM P PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
268 28-01-2019 111210020119P000753 0002314370463 KRISTIANI RUMINAH DARINI P PEKERJA MANDIRI Myalgia Berobat Jalan

269 28-01-2019 111210020119P000759 0002423373322 MARYATI P PEKERJA MANDIRI Unspecified renal colic Berobat Jalan

270 28-01-2019 111210020119P000750 0002428240904 karliyah P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
271 28-01-2019 111210020119P000706 0002492792199 JASMI P PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

272 28-01-2019 111210020119P000720 0002501059836 SUKINAH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
273 28-01-2019 111210020119P000757 0002504759027 JUWARIYANTI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
274 28-01-2019 111210020119P000764 0002610330085 ATMA PAWIRA CATAR L PEKERJA MANDIRI Myalgia Berobat Jalan

275 28-01-2019 111210020119P000766 0002621110533 TITI RIKHANAH P PEKERJA MANDIRI Headache Berobat Jalan

276 27-01-2019 111210020119P001025 0000519940067 PRATIWI DYAH P PBI (APBN) False labour, unspecified Sembuh
HAYUNINGTYAS
277 26-01-2019 111210020119P000715 0000520054852 PRIHATINI P PBI (APBN) Unspecified renal colic Berobat Jalan

278 26-01-2019 111210020119P000714 0000520499531 SOLIAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
279 26-01-2019 111210020119P000705 0000520507045 MAHPUROH P PBI (APBN) Gastritis, unspecified Berobat Jalan

280 26-01-2019 111210020119P000712 0000520824341 SISKA ARIYANTI P PBI (APBN) Headache Berobat Jalan

281 26-01-2019 111210020119P000710 0000520970984 MAIMUNAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

282 26-01-2019 111210020119P000704 0000521133322 MAD SOBIRIN L PBI (APBN) Myalgia Berobat Jalan Hipertensi Hipertensi

283 26-01-2019 111210020119P000701 0000521139341 KASINAH P PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
284 26-01-2019 111210020119P000716 0000521449413 AMIRA NUR ASSYIFA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

285 26-01-2019 111210020119P000702 0001616072951 ASNA A'MALIA P PBI (APBD) Excessive and frequent Rujuk Lanjut
menstruation with irregular
cycle
286 26-01-2019 111210020119P000713 0002009262071 SOIMAH P PBI (APBN) Haemoptysis Berobat Jalan

287 26-01-2019 111210020119P001030 0002039110108 supinah P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
288 26-01-2019 111210020119P000717 0002128485429 MUHTAROM L PBI (APBN) Gastritis, unspecified Berobat Jalan

289 26-01-2019 111210020119P000703 0002209139774 TUMINAH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
290 26-01-2019 111210020119P000709 0002231280549 NGADINAH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
291 26-01-2019 111210020119P000719 0002247968204 WARSITI P PEGAWAI SWASTA Headache Berobat Jalan

292 26-01-2019 111210020119P001024 0002247968204 WARSITI P PEGAWAI SWASTA False labour, unspecified Sembuh

293 26-01-2019 111210020119P000711 0002276349726 TUSIAH P PEKERJA MANDIRI Otitis media, unspecified Berobat Jalan

294 26-01-2019 111210020119P000721 0002625009017 E.SUTISNA L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

295 25-01-2019 111210020119P000696 0000519711985 SAILAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

296 25-01-2019 111210020119P001034 0000520069746 SUMINI SUPARTI KUSUMA WR P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
297 25-01-2019 111210020119P000684 0000520247079 UMI ROBINGAH P PBI (APBN) Mumps Berobat Jalan

298 25-01-2019 111210020119P000690 0000520247485 ISRO MUHLASIN L PBI (APBN) Gastritis, unspecified Berobat Jalan

299 25-01-2019 111210020119P000694 0000520422838 SANSUKARDI SURIP L PBI (APBN) Acute amoebic dysentery Berobat Jalan

300 25-01-2019 111210020119P000692 0000520442504 TISEM P PBI (APBN) Low back pain Berobat Jalan

301 25-01-2019 111210020119P000672 0000520488167 JEJEN ARIADI L PBI (APBN) Localized swelling, mass Rujuk Lanjut
and lump, head
302 25-01-2019 111210020119P000683 0000520496774 RODIYAH P PBI (APBN) Vertigo of central origin Berobat Jalan

303 25-01-2019 111210020119P000682 0000520827423 DARSINI P PBI (APBN) Otitis media, unspecified Berobat Jalan

304 25-01-2019 111210020119P000665 0000520837064 SUKIRMAN L PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
305 25-01-2019 111210020119P000685 0000520846108 SITI FATIMAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
306 25-01-2019 111210020119P000686 0000521004835 RAKEM P PBI (APBN) Vertigo of central origin Berobat Jalan Hipertensi Hipertensi

307 25-01-2019 111210020119P000688 0000521336327 INDAH LIVIATUZ ZAHWA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

308 25-01-2019 111210020119P000681 0000521360177 ULFATUL BAROKAH P PBI (APBN) Fever, unspecified Berobat Jalan

309 25-01-2019 111210020119P001035 0000521376142 KUSNAENI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
310 25-01-2019 111210020119P000699 0000521762703 ROKIMAN L PBI (APBN) Myalgia Berobat Jalan

311 25-01-2019 111210020119P000687 0000977526292 SAMINAH P PENERIMA PENSIUN Paraesthesia of skin Berobat Jalan
PNS
312 25-01-2019 111210020119P000700 0001015223253 WASIYEM P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
313 25-01-2019 111210020119P000674 0001700513875 RODIYAH P PBI (APBD) Unspecified haemorrhoids Rujuk Lanjut
without complication

314 25-01-2019 111210020119P000695 0001842171197 HOMSIAH P PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

315 25-01-2019 111210020119P000693 0002188269191 SURYATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
316 25-01-2019 111210020119P000661 0002274894101 KAMISEM P PEKERJA MANDIRI Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
317 25-01-2019 111210020119P000691 0002285408338 SUMIYATI P PEKERJA MANDIRI Low back pain Berobat Jalan

318 25-01-2019 111210020119P000697 0002295951219 JUANDA L PEKERJA MANDIRI Predominantly allergic Berobat Jalan
asthma
319 25-01-2019 111210020119P000698 0002473756446 MADISMAN L PEGAWAI SWASTA Lichen simplex chronicus Berobat Jalan
and prurigo
320 25-01-2019 111210020119P000671 0002492540572 ARIF SODIKUN L PEKERJA MANDIRI Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and
histologically
321 25-01-2019 111210020119P000660 0002495754944 MASIDAH P PEKERJA MANDIRI Preterm labour without Rujuk Lanjut
delivery
322 25-01-2019 111210020119P000689 0002615616639 HAPPY SHOFIATUN P PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

323 24-01-2019 111210020119P000653 0000518688516 ATIKA INDRIATUN ROHANAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
324 24-01-2019 111210020119P000638 0000519445912 GINO MADSUWITO L PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
325 24-01-2019 111210020119P000637 0000519536867 AZHAM NGATOURROHMAN L PBI (APBN) Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

326 24-01-2019 111210020119P000649 0000519598326 IKHSAN FADLI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
327 24-01-2019 111210020119P000662 0000519799735 RISKA KUSTIWININGRUM P PBI (APBN) Abdominal pregnancy Berobat Jalan

328 24-01-2019 111210020119P001021 0000519850844 TIKA WAHYUNINGSIH P PBI (APBN) False labour, unspecified Sembuh

329 24-01-2019 111210020119P000664 0000519932698 WIWIT BADRIYAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

330 24-01-2019 111210020119P001016 0000520069746 SUMINI SUPARTI KUSUMA WR P PBI (APBN) False labour, unspecified Sembuh

331 24-01-2019 111210020119P000639 0000520184979 SOIMANUDIN L PBI (APBN) Unspecified renal colic Berobat Jalan

332 24-01-2019 111210020119P001053 0000520221903 TULASNO L PBI (APBN) Haemolytic-uraemic Berobat Jalan
syndrome
333 24-01-2019 111210020119P000724 0000520234323 LARAH P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
334 24-01-2019 111210020119P000725 0000520394229 BARIMAN L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
335 24-01-2019 111210020119P000656 0000520645375 SITI ROBINGATUN P PBI (APBN) Paraesthesia of skin Berobat Jalan

336 24-01-2019 111210020119P000657 0000520646016 NIA HERLINA P PBI (APBN) Headache Berobat Jalan

337 24-01-2019 111210020119P000728 0000520823643 SATINEM P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
338 24-01-2019 111210020119P000659 0000520839696 RASIMAN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
339 24-01-2019 111210020119P000624 0000520917625 RESTRIYANI P PBI (APBN) Localized oedema Rujuk Lanjut

340 24-01-2019 111210020119P000722 0000521050487 SUTRIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
341 24-01-2019 111210020119P000723 0000521069679 SAYU PUTU SUASTINI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
342 24-01-2019 111210020119P000729 0000521070502 FADIL SAPUTRA L PBI (APBN) Fever, unspecified Berobat Jalan

343 24-01-2019 111210020119P000654 0000521179301 SUROTUN FANIKMAH P PBI (APBN) Fever, unspecified Berobat Jalan

344 24-01-2019 111210020119P000634 0000521268478 DWI ASTUTI P PBI (APBN) Unspecified haemorrhoids Rujuk Lanjut
without complication

345 24-01-2019 111210020119P000651 0000521297458 PARIYAH P PBI (APBN) Headache Berobat Jalan Hipertensi Hipertensi

346 24-01-2019 111210020119P000640 0000521374588 AMPUNIASIH P PBI (APBN) Myalgia Berobat Jalan

347 24-01-2019 111210020119P000636 0000521468673 KARTINEM P PBI (APBN) Myalgia Berobat Jalan

348 24-01-2019 111210020119P000622 0000527149372 RUSMINI P PBI (APBN) Fibroadenosis of breast Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

349 24-01-2019 111210020119P000647 0001015222702 KATIRAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
350 24-01-2019 111210020119P000629 0001889934748 DASITI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
351 24-01-2019 111210020119P000644 0001916045807 ALFIANI NUR KHASANAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
352 24-01-2019 111210020119P000648 0002009243518 SADIYEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
353 24-01-2019 111210020119P000666 0002009269427 YATI PURNAMASARI P PBI (APBN) Primary oligomenorrhoea Berobat Jalan

354 24-01-2019 111210020119P000650 0002039429136 MAD LASIMAN L PBI (APBD) Lichen simplex chronicus Berobat Jalan
and prurigo
355 24-01-2019 111210020119P000623 0002244745394 SUTIYAH P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
356 24-01-2019 111210020119P000727 0002265025149 SOATI P PEKERJA MANDIRI Dermatophytosis, Berobat Jalan
unspecified
357 24-01-2019 111210020119P000652 0002273574868 TARMI P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

358 24-01-2019 111210020119P000658 0002308944925 WAKHIDUN AMIN L PEKERJA MANDIRI Attention to surgical Berobat Jalan
dressings and sutures
359 24-01-2019 111210020119P000655 0002453853971 MACHFUDZ L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
360 24-01-2019 111210020119P000641 0002485174015 SAMIRAH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
361 24-01-2019 111210020119P000642 0002485174263 GALUH SETIAWAN L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
362 24-01-2019 111210020119P000645 0002503716118 RAHMAT FAUZI L PEGAWAI SWASTA Pterygium Berobat Jalan

363 24-01-2019 111210020119P000667 0002517737635 RUSMIYATI P INVESTOR Abdominal pregnancy Berobat Jalan

364 24-01-2019 111210020119P000635 0002610304839 RICHARD RESTU MADANI L PEKERJA MANDIRI Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
365 24-01-2019 111210020119P000663 0002624827138 LUSIANA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

366 24-01-2019 111210020119P000643 0002625009017 E.SUTISNA L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

367 24-01-2019 111210020119P000646 0002625009164 MARNISAH P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

368 23-01-2019 111210020119P000598 0000080730505 RUHAENAH P PNS DAERAH Urticaria, unspecified Berobat Jalan

369 23-01-2019 111210020119P000587 0000518658603 SUKAESIH P PBI (APBN) Corneal ulcer Rujuk Lanjut

370 23-01-2019 111210020119P000604 0000519574105 MUFIDAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
371 23-01-2019 111210020119P000601 0000519715923 SANMIYADI L PBI (APBN) Low back pain Berobat Jalan

372 23-01-2019 111210020119P000594 0000519806439 HAVIZZATUN NABILLAH P PBI (APBN) Other forms of stomatitis Berobat Jalan

373 23-01-2019 111210020119P000670 0000519938291 SULASTRI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
374 23-01-2019 111210020119P000611 0000520076889 SRI KHOLIFATUN P PBI (APBN) Vertigo of central origin Berobat Jalan

375 23-01-2019 111210020119P000603 0000520089671 SAMIYAH P PBI (APBN) Vertigo of central origin Berobat Jalan

376 23-01-2019 111210020119P000668 0000520090571 IIS SUPRIYATIN P PBI (APBN) Abdominal pregnancy Berobat Jalan

377 23-01-2019 111210020119P000605 0000520157619 KARTININGSIH P PBI (APBN) Vertigo of central origin Berobat Jalan

378 23-01-2019 111210020119P000615 0000520161232 PONISAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
379 23-01-2019 111210020119P000609 0000520282348 SUNARTO L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
380 23-01-2019 111210020119P000588 0000520419734 SARMO L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
381 23-01-2019 111210020119P000610 0000520438004 ACHMAD SOIMUN L PBI (APBN) Gastritis, unspecified Berobat Jalan

382 23-01-2019 111210020119P000599 0000520452011 BAMBANG SUKOYO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
383 23-01-2019 111210020119P000669 0000520585817 KHOTIMAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
384 23-01-2019 111210020119P001052 0000520791625 SOLEAH P PBI (APBN) Premature rupture of Berobat Jalan
membranes
385 23-01-2019 111210020119P000613 0000520911088 FIFI NAZILATUL QORI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
386 23-01-2019 111210020119P000612 0000521024848 MUKINEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

387 23-01-2019 111210020119P000590 0001084714053 MUDIARJO L PBI (APBN) Respiratory tuberculosis Rujuk Lanjut
unspecified, confirmed
bacteriologically and
histologically
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

388 23-01-2019 111210020119P000589 0001308467147 munfi'ah P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast, unspecified
389 23-01-2019 111210020119P000592 0001461274468 ATI MUNAWAROH P PEKERJA MANDIRI Schizoaffective disorder, Rujuk Lanjut
manic type
390 23-01-2019 111210020119P000600 0001633752145 KARINAH P PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

391 23-01-2019 111210020119P000608 0002009244407 SUNARTI P PBI (APBN) Gonarthrosis, unspecified Berobat Jalan

392 23-01-2019 111210020119P000602 0002039874276 faoziah P PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
393 23-01-2019 111210020119P000596 0002048667581 SUTINEM P PEKERJA MANDIRI Gonarthrosis [arthrosis of Berobat Jalan
knee]
394 23-01-2019 111210020119P000593 0002129377397 SHOLIYATUN P PBI (APBN) Benign neoplasm of anus Rujuk Lanjut
and anal canal
395 23-01-2019 111210020119P000606 0002167379436 SANIYAH P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

396 23-01-2019 111210020119P000614 0002176013722 NUR ALIFATUL ZULFA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
397 23-01-2019 111210020119P000607 0002197549203 MOHAMAD SOLIH L PEKERJA MANDIRI Unspecified renal colic Berobat Jalan

398 23-01-2019 111210020119P000591 0002425850763 SUNARTI P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
uterus, part unspecified
399 23-01-2019 111210020119P000617 0002495923457 MULUD SUKARNO L PEKERJA MANDIRI Senile cataract, Berobat Jalan
unspecified
400 23-01-2019 111210020119P000618 0002503555277 ALLESYA ANKIT ZHALICHA P PEKERJA MANDIRI Unspecified renal colic Berobat Jalan
TAMANG
401 23-01-2019 111210020119P001051 0002503610234 TRI GUNARTI P PEGAWAI SWASTA Prolonged second stage Berobat Jalan
(of labour)
402 23-01-2019 111210020119P000597 0002504753695 SUMIYATI P PBI (APBN) Headache Berobat Jalan

403 23-01-2019 111210020119P000616 0002504759027 JUWARIYANTI P PBI (APBN) Paraesthesia of skin Berobat Jalan

404 23-01-2019 111210020119P000595 0002610245316 TURKAMIATUN P PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
405 23-01-2019 111210020119P000625 0002610330085 ATMA PAWIRA CATAR L PEKERJA MANDIRI Headache Berobat Jalan

406 22-01-2019 111210020119P000518 0000081120723 KASWEN P VETERAN Postmenopausal bleeding Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

407 22-01-2019 111210020119P000573 0000518692061 TUKIRAH P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
408 22-01-2019 111210020119P000560 0000519213249 RIYANTO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
409 22-01-2019 111210020119P000575 0000519530826 SUMIRAH P PBI (APBN) Myalgia Berobat Jalan

410 22-01-2019 111210020119P000569 0000519644136 TURIYAH P PBI (APBN) Vertigo of central origin Berobat Jalan

411 22-01-2019 111210020119P000561 0000519707428 MUJIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

412 22-01-2019 111210020119P000675 0000519725463 YULITA SARI P PBI (APBN) Abdominal pregnancy Berobat Jalan

413 22-01-2019 111210020119P000524 0000519776302 MUSLIMAH P PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

414 22-01-2019 111210020119P000557 0000519780971 YATINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

415 22-01-2019 111210020119P000576 0000520129203 MANISAH P PBI (APBN) Vertigo of central origin Berobat Jalan Hipertensi Hipertensi

416 22-01-2019 111210020119P000567 0000520268938 NASIYEM SITI NURKHASANAH P PBI (APBN) Myalgia Berobat Jalan

417 22-01-2019 111210020119P000577 0000520298291 TURSINI P PBI (APBN) Myalgia Berobat Jalan

418 22-01-2019 111210020119P000676 0000520341748 WARSIH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
419 22-01-2019 111210020119P000680 0000520366217 ERNI NURYAWATI P PBI (APBN) Abdominal pregnancy Berobat Jalan

420 22-01-2019 111210020119P000571 0000520415335 TUSMIATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

421 22-01-2019 111210020119P000621 0000520798048 NI'MATUL KHOERIYAH P PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
422 22-01-2019 111210020119P000673 0000521233839 NUR HIDAYAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

423 22-01-2019 111210020119P000620 0000521257713 MARTONO MARWAT L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
424 22-01-2019 111210020119P000566 0000521444474 JAMIAH P PBI (APBN) Myalgia Berobat Jalan

425 22-01-2019 111210020119P000677 0000525297082 MINHATUL MUGHIST P PBI (APBN) Abdominal pregnancy Berobat Jalan

426 22-01-2019 111210020119P000678 0001015213364 LASIKEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
427 22-01-2019 111210020119P000559 0001015220891 INGANATUROFIQOH P PBI (APBN) Myalgia Berobat Jalan Hipertensi Hipertensi
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

428 22-01-2019 111210020119P000619 0001084312956 RUSTAM L PBI (APBN) Respiratory tuberculosis Berobat Jalan
unspecified, confirmed
bacteriologically and
histologically
429 22-01-2019 111210020119P000558 0001084655744 AMIRUDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
430 22-01-2019 111210020119P000538 0001442311007 JEMANIS P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
bladder, unspecified
431 22-01-2019 111210020119P000574 0001616072938 NUNUNG PURWATININGRUM P PBI (APBD) Predominantly allergic Berobat Jalan
asthma
432 22-01-2019 111210020119P000572 0001648250166 EKO SUWANTO L PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
433 22-01-2019 111210020119P000527 0001796416132 herawati P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast, unspecified
434 22-01-2019 111210020119P000579 0001913896708 GILANG ERLANGGA L PBI (APBN) Myalgia Berobat Jalan
RAMADHAN
435 22-01-2019 111210020119P000503 0002009244688 SAOTO SUYITNO L PBI (APBN) Sequelae of stroke, not Rujuk Lanjut
specified as haemorrhage
or infarction
436 22-01-2019 111210020119P000565 0002009261452 MARINEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

437 22-01-2019 111210020119P000564 0002009262576 ANOM MARSUDI L PBI (APBN) Gastritis, unspecified Berobat Jalan

438 22-01-2019 111210020119P000570 0002128234138 NASWEN P PBI (APBN) Myalgia Berobat Jalan

439 22-01-2019 111210020119P000510 0002128485431 YATINAH P PBI (APBN) Follow-up examination Rujuk Lanjut
after other treatment for
other conditions
440 22-01-2019 111210020119P000679 0002176095464 SARTINI P PBI (APBN) Abdominal pregnancy Berobat Jalan

441 22-01-2019 111210020119P000578 0002301723832 SATAM SUNARJO L PEKERJA MANDIRI Myalgia Berobat Jalan

442 22-01-2019 111210020119P000525 0002310368196 MUHAMAD AL KUNDORI L PEKERJA MANDIRI Unspecified haemorrhoids Rujuk Lanjut
without complication

443 22-01-2019 111210020119P000555 0002458072596 TUGIYONO L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

444 22-01-2019 111210020119P000519 0002469015257 SUKIRAH P PEKERJA MANDIRI Follow-up examination Rujuk Lanjut
after other treatment for
other conditions
445 22-01-2019 111210020119P000554 0002479352354 MULYADI L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
446 22-01-2019 111210020119P000521 0002501059836 SUKINAH P PEKERJA MANDIRI Paraesthesia of skin Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

447 22-01-2019 111210020119P000556 0002504751783 SUTINI P PBI (APBN) Otalgia Berobat Jalan

448 22-01-2019 111210020119P000562 0002504756439 ZAFNA FITRI AFRIYADI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
449 22-01-2019 111210020119P000568 0002504760265 IRFAN NUR PUJIYANTO L PBI (APBN) Unspecified renal colic Berobat Jalan

450 22-01-2019 111210020119P000553 0002504760704 AHMAD FATONI L PBI (APBN) Myalgia Berobat Jalan

451 22-01-2019 111210020119P000552 0002504760715 SITI JARIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
452 22-01-2019 111210020119P000551 0002504760726 SEFIANA NURUL AMANDA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
453 22-01-2019 111210020119P000537 0002610234628 SOLIHIN L PEKERJA MANDIRI Disorder of refraction, Rujuk Lanjut
unspecified
454 22-01-2019 111210020119P000536 0002738238682 BAYI NYONYA SUTIYEM P PBI (APBN) Follow-up examination Rujuk Lanjut
after other treatment for
other conditions
455 21-01-2019 111210020119P000539 0000519062422 ASYIFAUL HANNA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
456 21-01-2019 111210020119P000585 0000519574577 SUSILAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
457 21-01-2019 111210020119P000630 0000519936164 SANSUWITO SLAMET L PBI (APBN) Headache Berobat Jalan

458 21-01-2019 111210020119P000530 0000520038347 SANMIARJA NGADIMAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

459 21-01-2019 111210020119P000529 0000520191854 HADI SUPANGAT L PBI (APBN) Vertigo of central origin Berobat Jalan

460 21-01-2019 111210020119P000581 0000520205163 ROBIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
461 21-01-2019 111210020119P000534 0000520235493 DWI ERNAETUN P PBI (APBN) Hordeolum and other deep Berobat Jalan
inflammation of eyelid

462 21-01-2019 111210020119P000586 0000520238428 KAMISAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
463 21-01-2019 111210020119P000484 0000520240792 RINA PUSPITA SARI P PBI (APBN) Acute appendicitis, other Rujuk Lanjut
and unspecified
464 21-01-2019 111210020119P000499 0000520339364 SANSUNARTO L PBI (APBN) Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
465 21-01-2019 111210020119P000547 0000520388741 SALBIYAH P PBI (APBN) Other forms of stomatitis Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

466 21-01-2019 111210020119P000545 0000520410519 KHOLISOH P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

467 21-01-2019 111210020119P000522 0000520431884 FATIMAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

468 21-01-2019 111210020119P000501 0000520515088 SUTARIO L PBI (APBN) Hepatomegaly, not Rujuk Lanjut
elsewhere classified
469 21-01-2019 111210020119P000584 0000520563205 WATINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
470 21-01-2019 111210020119P000531 0000520745714 RUSMANTO L PBI (APBN) Paraesthesia of skin Berobat Jalan

471 21-01-2019 111210020119P000583 0000520760182 NUR TOFINGAH P PBI (APBN) Vertigo of central origin Berobat Jalan

472 21-01-2019 111210020119P001056 0000520829155 YATINI P PBI (APBN) Fetus and newborn Berobat Jalan
affected by other
malpresentation,
malposition and
disproportion during labour
and delivery
473 21-01-2019 111210020119P000770 0000520856289 SITA SURYANI P PBI (APBN) Abdominal pregnancy Berobat Jalan

474 21-01-2019 111210020119P000533 0000520873209 KARTAMIARJA RASTAM L PBI (APBN) Vertigo of central origin Berobat Jalan

475 21-01-2019 111210020119P000526 0000520891648 NURSIDIK L PBI (APBN) Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
476 21-01-2019 111210020119P000528 0000520891964 DAISAH P PBI (APBN) Myalgia Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
477 21-01-2019 111210020119P000767 0000520895068 LINATUS SOFIYAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

478 21-01-2019 111210020119P000626 0000520907499 MUHAMMAD KAMALI L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
479 21-01-2019 111210020119P000550 0000520938797 KASMUDI L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
480 21-01-2019 111210020119P000627 0000521418857 RISEM P PBI (APBN) Headache Berobat Jalan

481 21-01-2019 111210020119P000535 0001015217987 KARSINAH P PBI (APBN) Headache Berobat Jalan

482 21-01-2019 111210020119P000540 0001015221532 SUNOTO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

483 21-01-2019 111210020119P000543 0001015291642 ATHAYA KEYLA KHOERUNNISA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
484 21-01-2019 111210020119P001055 0001154255051 AZIZAH AL AZIZ L PEKERJA MANDIRI Premature rupture of Berobat Jalan
membranes
485 21-01-2019 111210020119P000544 0001156929682 SITI HARYANTI P PEGAWAI SWASTA Fever, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

486 21-01-2019 111210020119P000542 0002009244969 SUMBIYAH P PBI (APBN) Myalgia Berobat Jalan

487 21-01-2019 111210020119P000541 0002009261981 DULROJI L PBI (APBN) Myalgia Berobat Jalan

488 21-01-2019 111210020119P000496 0002009270351 YANI MUSLIMAH P PBI (APBN) Unspecified haemorrhoids Rujuk Lanjut
without complication

489 21-01-2019 111210020119P000532 0002013839864 MADARJO DARSAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

490 21-01-2019 111210020119P000498 0002038952417 FITRI WIJAYANTI P PBI (APBD) Female pelvic Rujuk Lanjut
inflammatory disease,
unspecified
491 21-01-2019 111210020119P000497 0002038952856 UMIHABIBAH P PBI (APBD) Hearing loss, unspecified Rujuk Lanjut

492 21-01-2019 111210020119P000769 0002051998525 YATIMAH P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
493 21-01-2019 111210020119P000768 0002120711883 SITI MUSAROFAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
494 21-01-2019 111210020119P000500 0002128231664 HAFIDZUDDIN L PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
495 21-01-2019 111210020119P000580 0002128233644 AHMAD SHOLIHIN L PBI (APBN) Headache Berobat Jalan

496 21-01-2019 111210020119P000771 0002128485791 KUSRIYANAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

497 21-01-2019 111210020119P000582 0002176015059 DALIYEM P PBI (APBN) Myalgia Berobat Jalan

498 21-01-2019 111210020119P000485 0002234111365 MUHAMMAD FA'IZ ABDILLAH L PEKERJA MANDIRI Respiratory tuberculosis Rujuk Lanjut
unspecified, without
mention of bacteriological
or histological confirmation

499 21-01-2019 111210020119P000478 0002274894101 KAMISEM P PEKERJA MANDIRI Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
500 21-01-2019 111210020119P000628 0002308944925 WAKHIDUN AMIN L PEKERJA MANDIRI Myalgia Berobat Jalan

501 21-01-2019 111210020119P000546 0002477117531 NUR KHOLIFAH P PBI (APBD) Vertigo of central origin Berobat Jalan

502 21-01-2019 111210020119P000563 0002501059836 SUKINAH P PEKERJA MANDIRI Paraesthesia of skin Berobat Jalan

503 21-01-2019 111210020119P000523 0002612749375 ADAH SUKAEDAH P PEKERJA MANDIRI Urticaria, unspecified Berobat Jalan

504 21-01-2019 111210020119P000495 0002622432734 NURSALIM L PEKERJA MANDIRI Haemoptysis Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

505 20-01-2019 111210020119P001013 0002128485688 SITI MA'TIFATUL KHOERIYAH P PBI (APBN) False labour, unspecified Sembuh

506 19-01-2019 111210020119P000465 0000518713446 NAPSIAH P PBI (APBN) Attention to surgical Rujuk Lanjut
dressings and sutures
507 19-01-2019 111210020119P000486 0000519483576 PONIEM P PBI (APBN) Headache Berobat Jalan

508 19-01-2019 111210020119P000475 0000520170669 MANISAH P PBI (APBN) Ocular pain Berobat Jalan

509 19-01-2019 111210020119P000463 0000520173202 SAMINUDIN L PBI (APBN) Pterygium Rujuk Lanjut

510 19-01-2019 111210020119P001029 0000520490968 KHOMSATUN HASANAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
511 19-01-2019 111210020119P000479 0000520693626 KAMSILAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
512 19-01-2019 111210020119P000477 0000520792299 ROWIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
513 19-01-2019 111210020119P000468 0000520992022 SAMIRAH P PBI (APBN) Paranoid schizophrenia Rujuk Lanjut

514 19-01-2019 111210020119P000481 0000521007737 SADIYEM P PBI (APBN) Low back pain Berobat Jalan

515 19-01-2019 111210020119P000483 0000521063357 MUHYANI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
516 19-01-2019 111210020119P000472 0000521297458 PARIYAH P PBI (APBN) Headache Berobat Jalan Hipertensi Hipertensi

517 19-01-2019 111210020119P000482 0000521452787 SIGIT PRASETYO L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
518 19-01-2019 111210020119P000467 0000521495054 WENI ROSALINA P PBI (APBN) Fibroadenosis of breast Rujuk Lanjut

519 19-01-2019 111210020119P000474 0000521572342 NAPSIYAH P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
520 19-01-2019 111210020119P000464 0001428794133 sarinah P PEKERJA MANDIRI Undifferentiated Rujuk Lanjut
schizophrenia
521 19-01-2019 111210020119P000469 0001428807374 abu salim L PEKERJA MANDIRI Atherosclerotic heart Rujuk Lanjut
disease
522 19-01-2019 111210020119P000470 0001428807914 munjiyah P PEKERJA MANDIRI Cerebral infarction, Rujuk Lanjut
unspecified
523 19-01-2019 111210020119P000476 0002009252261 PATONAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

524 19-01-2019 111210020119P000773 0002009270643 WATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
525 19-01-2019 111210020119P000473 0002039110558 AL MISBAHUL MUNIR L PBI (APBD) Headache Berobat Jalan

526 19-01-2019 111210020119P000772 0002210005607 KUSMIATI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

527 19-01-2019 111210020119P001012 0002288164803 DESI ITASARI P PEKERJA MANDIRI False labour, unspecified Sembuh

528 19-01-2019 111210020119P000466 0002433807786 SAWIKEM P PEKERJA MANDIRI Cerebral infarction, Rujuk Lanjut
unspecified
529 19-01-2019 111210020119P000471 0002453744294 WATINI P PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

530 19-01-2019 111210020119P000480 0002504761492 MUHAMMAD FAISAL L PBI (APBN) Acute nasopharyngitis Berobat Jalan
RAHMADANI [common cold]
531 18-01-2019 111210020119P000461 0000518711747 SUYITNO L PBI (APBN) Essential (primary) Rujuk Lanjut
hypertension
532 18-01-2019 111210020119P000515 0000519477265 KISNORIS L PBI (APBN) Vertigo of central origin Berobat Jalan

533 18-01-2019 111210020119P000516 0000519477669 RUMIYATI P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
534 18-01-2019 111210020119P000491 0000519504838 SUGENG JOKO SANTOSO L PBI (APBN) Myalgia Berobat Jalan

535 18-01-2019 111210020119P000492 0000519506381 LAELATUL MUNAWAROH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
536 18-01-2019 111210020119P000633 0000519711985 SAILAH P PBI (APBN) Pterygium Berobat Jalan

537 18-01-2019 111210020119P000504 0000520238283 saiin L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
538 18-01-2019 111210020119P000502 0000520259938 KHAMID L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
539 18-01-2019 111210020119P000454 0000520280932 MADSUPANDI TUGIYO L PBI (APBN) Heart failure Rujuk Lanjut

540 18-01-2019 111210020119P000774 0000520282203 YULI PURWANTI P PBI (APBN) Abdominal pregnancy Berobat Jalan

541 18-01-2019 111210020119P000489 0000520304613 NURJAMIL L PBI (APBN) Myalgia Berobat Jalan

542 18-01-2019 111210020119P000517 0000520364079 BESARI L PBI (APBN) Headache Berobat Jalan

543 18-01-2019 111210020119P000505 0000520505763 SUSMIATI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

544 18-01-2019 111210020119P000775 0000520555972 TURYATI P PBI (APBN) Follow-up examination Berobat Jalan
after other treatment for
other conditions
545 18-01-2019 111210020119P000512 0000520574229 SALIYAH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
546 18-01-2019 111210020119P000511 0000520603942 SUWARTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
547 18-01-2019 111210020119P000455 0000520604897 PONIYAH P PBI (APBN) Heart failure Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

548 18-01-2019 111210020119P000460 0000520613921 KEMI P PBI (APBN) Other senile cataract Rujuk Lanjut

549 18-01-2019 111210020119P000487 0000520746052 RIWUT P PBI (APBN) Vertigo of central origin Berobat Jalan

550 18-01-2019 111210020119P000494 0000520816015 MA'MUM HADI PRAYITNO L PBI (APBN) Otitis media, unspecified Berobat Jalan

551 18-01-2019 111210020119P000462 0000520826152 SARWI P PBI (APBN) Thyrotoxicosis Rujuk Lanjut
[hyperthyroidism]
552 18-01-2019 111210020119P000456 0000520842767 SITI MUNAWAROH P PBI (APBN) Fracture of upper end of Rujuk Lanjut
tibia
553 18-01-2019 111210020119P000631 0000520850632 SALBIYAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
554 18-01-2019 111210020119P000458 0000520873367 SANMIARJA RASIKIN L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
555 18-01-2019 111210020119P000520 0000520929718 MUKSON L PBI (APBN) Vertigo of central origin Berobat Jalan

556 18-01-2019 111210020119P000549 0000520938797 KASMUDI L PBI (APBN) Nail disorder, unspecified Berobat Jalan

557 18-01-2019 111210020119P000507 0000521024848 MUKINEM P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
558 18-01-2019 111210020119P000632 0000521128001 KASIDAH P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
559 18-01-2019 111210020119P000508 0000521239149 SANDY PUTRA ADITYA L PBI (APBN) Other helminthiases Berobat Jalan

560 18-01-2019 111210020119P000548 0001015223253 WASIYEM P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
561 18-01-2019 111210020119P000457 0001294354293 DALMIYAH P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast, unspecified
562 18-01-2019 111210020119P000493 0001318429135 MEYTA AMELYA PUTRI P PEKERJA MANDIRI Headache Berobat Jalan

563 18-01-2019 111210020119P000506 0001913896787 TITANIA GRACE CHILIA P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
564 18-01-2019 111210020119P000513 0002009270968 UMIYATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
565 18-01-2019 111210020119P000514 0002009270979 DWI AFFIT DINATA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
566 18-01-2019 111210020119P000776 0002175856446 RIA UTAMI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
567 18-01-2019 111210020119P000488 0002436355934 MUHAMAD FAHRI AMJAD L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
568 18-01-2019 111210020119P000490 0002504761097 MOHAMAD NOSAHA L PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

569 18-01-2019 111210020119P000509 0002610235372 WARTIYAH P PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

570 18-01-2019 111210020119P000459 0002624055243 SUMINI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
571 17-01-2019 111210020119P000425 0000081065338 MUGIARTO L PNS DAERAH Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
572 17-01-2019 111210020119P000781 0000438465104 SITI ROHMATUN P PBI (APBN) Abdominal pregnancy Berobat Jalan

573 17-01-2019 111210020119P000782 0000519809523 SITI LULUAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

574 17-01-2019 111210020119P000440 0000520021214 TUSINI P PBI (APBN) Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
575 17-01-2019 111210020119P000434 0000520142962 SURTIYAH P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
576 17-01-2019 111210020119P000439 0000520249871 CAHYA IFTI FAIZAH P PBI (APBN) Urticaria, unspecified Berobat Jalan

577 17-01-2019 111210020119P000451 0000520323748 JAMIYAH P PBI (APBN) Vertigo of central origin Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
578 17-01-2019 111210020119P000452 0000520351165 SITI PONIATUN P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
579 17-01-2019 111210020119P000438 0000520375781 MARSAN L PBI (APBN) Unspecified renal colic Berobat Jalan

580 17-01-2019 111210020119P000423 0000520534991 DASIMUN L PBI (APBN) Benign lipomatous Rujuk Lanjut
neoplasm, unspecified
581 17-01-2019 111210020119P000426 0000520537724 KAISEM P PBI (APBN) Heart failure Rujuk Lanjut

582 17-01-2019 111210020119P000780 0000520604943 RINI EKAWATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
583 17-01-2019 111210020119P000441 0000520635701 NGADIMUN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
584 17-01-2019 111210020119P000436 0000520692129 SUWARTINI P PBI (APBN) Myalgia Berobat Jalan

585 17-01-2019 111210020119P000453 0000520830887 MAHMUDAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
586 17-01-2019 111210020119P000777 0000520838201 PUJI LESTARI P PBI (APBN) Follow-up examination Berobat Jalan
after other treatment for
other conditions
587 17-01-2019 111210020119P000778 0000520882053 MIFTAFURROHMAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

588 17-01-2019 111210020119P000443 0000520929549 WARSAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

589 17-01-2019 111210020119P001027 0000521015534 KOSIYATUN P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
590 17-01-2019 111210020119P000445 0000521067881 SAGIMIN L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
591 17-01-2019 111210020119P000428 0000521250366 DANANG EDI PURNOMO L PBI (APBN) Gastritis, unspecified Berobat Jalan

592 17-01-2019 111210020119P000449 0000521408733 LINUR FAOJAH P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
593 17-01-2019 111210020119P000437 0000521431672 MUJRIYAH P PBI (APBN) Headache Berobat Jalan

594 17-01-2019 111210020119P000446 0000976919545 MUHAMMAD ABDUL 'AZIZ L PNS DAERAH Attention to surgical Berobat Jalan
dressings and sutures
595 17-01-2019 111210020119P000427 0001015215153 MUHAMAD SUPRI L PBI (APBN) Senile cataract, Berobat Jalan
unspecified
596 17-01-2019 111210020119P000431 0001084312956 RUSTAM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
597 17-01-2019 111210020119P000430 0001435997992 samini P PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

598 17-01-2019 111210020119P000433 0001527598541 NATALIA ANGEL CHRISVI P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
PUTRI [common cold]
599 17-01-2019 111210020119P001028 0001646769205 DANI WIJAYANTI P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
600 17-01-2019 111210020119P000432 0001876319199 MANISEM P PEKERJA MANDIRI Vertigo of central origin Berobat Jalan Hipertensi Hipertensi

601 17-01-2019 111210020119P000447 0001915142635 DESTY YUSA LATIFAH P PBI (APBN) Fever, unspecified Berobat Jalan

602 17-01-2019 111210020119P000450 0002001621554 LENI P PBI (APBN) Myalgia Berobat Jalan

603 17-01-2019 111210020119P000424 0002009244712 ERNA SUSANTI P PBI (APBN) Predominantly allergic Rujuk Lanjut
asthma
604 17-01-2019 111210020119P000444 0002009246139 SOLBIYAH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
605 17-01-2019 111210020119P000429 0002009254138 TUMBRAS P PBI (APBN) Calculus in urethra Berobat Jalan

606 17-01-2019 111210020119P000448 0002039424873 TINAH YULIA NINGSIH P PBI (APBD) Nail disorders Berobat Jalan

607 17-01-2019 111210020119P000442 0002295951219 JUANDA L PEKERJA MANDIRI Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
608 17-01-2019 111210020119P000435 0002441456831 SUKIRAH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
609 17-01-2019 111210020119P000779 0002622415612 MUSIAH P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

610 16-01-2019 111210020119P000410 0000519747445 MUHAMMAD AMRULLOH L PBI (APBN) Paranoid schizophrenia Rujuk Lanjut
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

611 16-01-2019 111210020119P000404 0000520021214 TUSINI P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
612 16-01-2019 111210020119P000412 0000520078509 MURTINAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
613 16-01-2019 111210020119P000411 0000520078746 MARGI RAHAYU P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
614 16-01-2019 111210020119P000414 0000520099582 SANMIRJA SARIMIN L PBI (APBN) Vertigo of central origin Berobat Jalan

615 16-01-2019 111210020119P000401 0000520387975 NURHAMIDAH P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
616 16-01-2019 111210020119P000396 0000520455486 ANISAH DWI LESTARI P PBI (APBN) Presence of (intrauterine) Rujuk Lanjut
contraceptive device
617 16-01-2019 111210020119P000398 0000520461022 SUHARTI P PBI (APBN) Schizoaffective disorder, Rujuk Lanjut
unspecified
618 16-01-2019 111210020119P000422 0000520791625 SOLEAH P PBI (APBN) Fetus and newborn Rujuk Lanjut
affected by
malpresentation before
labour
619 16-01-2019 111210020119P000405 0000520820278 SUTARNO L PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
620 16-01-2019 111210020119P000407 0000520843296 TUKIYEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
621 16-01-2019 111210020119P000408 0000520845579 AJI NUR IKHSAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
622 16-01-2019 111210020119P000397 0000520909716 KITAM L PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
623 16-01-2019 111210020119P000413 0000520916747 MOH SARIP L PBI (APBN) Myalgia Berobat Jalan

624 16-01-2019 111210020119P001008 0000521015534 KOSIYATUN P PBI (APBN) False labour, unspecified Sembuh

625 16-01-2019 111210020119P000409 0000521706249 MUSLIMAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
626 16-01-2019 111210020119P000400 0001422677204 MUDAKIR L PEKERJA MANDIRI Myalgia Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
627 16-01-2019 111210020119P001004 0001646769205 DANI WIJAYANTI P PEGAWAI SWASTA False labour, unspecified Sembuh

628 16-01-2019 111210020119P000406 0001913896539 ASYIFA NAINAWA PUTRI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

629 16-01-2019 111210020119P000415 0002048667581 SUTINEM P PEKERJA MANDIRI Gonarthrosis [arthrosis of Berobat Jalan
knee]
630 16-01-2019 111210020119P000403 0002304435521 FADRIK ALAMSYAHUDIN L PEKERJA MANDIRI Vertigo of central origin Berobat Jalan
PRATAMA
631 16-01-2019 111210020119P000402 0002456832148 SUNARYO JADI L PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

632 16-01-2019 111210020119P001050 0002487148839 WAGINEM P PEKERJA MANDIRI Prolonged first stage (of Berobat Jalan
labour)
633 16-01-2019 111210020119P000783 0002517242769 AAN ANISA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

634 16-01-2019 111210020119P000395 0002616967023 SURATMI P PEKERJA MANDIRI Senile cataract, Rujuk Lanjut
unspecified
635 16-01-2019 111210020119P000399 0002623700924 SAIIN L PEKERJA MANDIRI Hepatomegaly, not Rujuk Lanjut
elsewhere classified
636 16-01-2019 111210020119P000421 0002625808432 NUR MANISEM P PEKERJA MANDIRI Fetus and newborn Rujuk Lanjut
affected by
malpresentation before
labour
637 15-01-2019 111210020119P000392 0000250476535 RIZA NOPALINDA P PBI (APBN) Headache Berobat Jalan

638 15-01-2019 111210020119P000380 0000519738039 YUNI FATMAWATI P PBI (APBN) Nail disorders Berobat Jalan

639 15-01-2019 111210020119P000368 0000519742506 WARSO GIMAN L PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
640 15-01-2019 111210020119P000372 0000519760451 MISNO L PBI (APBN) Headache Berobat Jalan

641 15-01-2019 111210020119P000376 0000519760631 SITI KHAFSOH P PBI (APBN) Urticaria, unspecified Berobat Jalan

642 15-01-2019 111210020119P000369 0000519761496 INDRI ASRIYANI P PBI (APBN) Predominantly allergic Berobat Jalan
asthma
643 15-01-2019 111210020119P000419 0000519916645 APRI HERAWANTO L PBI (APBN) Periapical abscess without Berobat Jalan
sinus
644 15-01-2019 111210020119P000388 0000520120416 MUHAIMINUL HUDA L PBI (APBN) Gastritis, unspecified Berobat Jalan

645 15-01-2019 111210020119P000386 0000520164415 SITI KHOERIYAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
646 15-01-2019 111210020119P000387 0000520165001 ASMA KAFASATOTIYUS P PBI (APBN) Scabies Berobat Jalan

647 15-01-2019 111210020119P000374 0000520240522 MUHYATUN P PBI (APBN) Nausea and vomiting Berobat Jalan

648 15-01-2019 111210020119P000367 0000520391913 DARSINEM P PBI (APBN) Presence of (intrauterine) Rujuk Lanjut
contraceptive device
649 15-01-2019 111210020119P000366 0000520399102 FIGAR ACIL KUSNANDA L PBI (APBN) Epilepsy Rujuk Lanjut

650 15-01-2019 111210020119P000416 0000520420656 RIYANTI P PBI (APBN) Necrosis of pulp Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

651 15-01-2019 111210020119P000417 0000520550561 RATIYAH P PBI (APBN) Chronic apical Berobat Jalan
periodontitis
652 15-01-2019 111210020119P000377 0000520613921 KEMI P PBI (APBN) Other senile cataract Berobat Jalan

653 15-01-2019 111210020119P000375 0000520624157 SUPRI P PBI (APBN) Gastritis, unspecified Berobat Jalan

654 15-01-2019 111210020119P000382 0000520718152 SRI AYU SETYONINGSIH P PBI (APBN) Fever, unspecified Berobat Jalan

655 15-01-2019 111210020119P000378 0000520887609 MUNTOHIR L PBI (APBN) Calculus in urethra Berobat Jalan

656 15-01-2019 111210020119P000385 0000521025129 SUDARTI P PBI (APBN) Vertigo of central origin Berobat Jalan

657 15-01-2019 111210020119P000393 0000521051545 TUTI LESTARI P PBI (APBN) Pregnancy-related Rujuk Lanjut
condition, unspecified
658 15-01-2019 111210020119P000379 0000521203026 SITI AMINAH P PBI (APBN) Headache Berobat Jalan

659 15-01-2019 111210020119P001003 0000523175196 ATIK DWIANA P PBI (APBN) False labour, unspecified Sembuh

660 15-01-2019 111210020119P000381 0001015213869 SLAMET L PBI (APBN) Ocular pain Berobat Jalan

661 15-01-2019 111210020119P000373 0001015223073 KUSMINAH P PBI (APBN) Diarrhoea and Berobat Jalan Hipertensi Hipertensi
gastroenteritis of
presumed infectious origin

662 15-01-2019 111210020119P000384 0002125678814 IBKAR SYAHMY RASYAD L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
663 15-01-2019 111210020119P000420 0002433438562 AISYA MUGHNY SHOLIHAH P PEGAWAI SWASTA Disturbances in tooth Berobat Jalan
eruption
664 15-01-2019 111210020119P000394 0002454864186 ANITA RAHMAWATI P PEKERJA MANDIRI Antepartum haemorrhage, Rujuk Lanjut
unspecified
665 15-01-2019 111210020119P000370 0002485174015 SAMIRAH P PEKERJA MANDIRI Myalgia Berobat Jalan

666 15-01-2019 111210020119P000371 0002485174454 RADYSTA SETIAWAN L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
667 15-01-2019 111210020119P000391 0002498460219 ZALFA ASKIA QULBY L PEGAWAI SWASTA Headache Berobat Jalan

668 15-01-2019 111210020119P000383 0002504754775 SAWITANA L PBI (APBN) Carcinoma in situ of skin Berobat Jalan
of other and unspecified
parts of face
669 15-01-2019 111210020119P000365 0002504760535 LELA WULANDARI P PBI (APBN) Haemoptysis Rujuk Lanjut

670 15-01-2019 111210020119P000390 0002504761648 SALIYEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

671 15-01-2019 111210020119P000389 0002504761659 DINDA SITI MUMA'INAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

672 15-01-2019 111210020119P000418 0002625993191 MILATI P PEKERJA MANDIRI Necrosis of pulp Berobat Jalan

673 14-01-2019 111210020119P000352 0000081366647 MARYATUN P PENERIMA PENSIUN Myalgia Berobat Jalan
PNS
674 14-01-2019 111210020119P000346 0000517261893 SITI KOMARIYAH P PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
675 14-01-2019 111210020119P000338 0000519534854 SAMINEM P PBI (APBN) Headache Berobat Jalan

676 14-01-2019 111210020119P000290 0000520121035 CHANDA ALIANA MEIYANTI S P PBI (APBN) Dissociative [conversion] Rujuk Lanjut
disorder, unspecified
677 14-01-2019 111210020119P000291 0000520121158 PRITA ANJALI NOVRIANA P PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
678 14-01-2019 111210020119P000357 0000520229755 RISEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
679 14-01-2019 111210020119P000344 0000520268275 TURIJAN L PBI (APBN) Gastritis, unspecified Berobat Jalan

680 14-01-2019 111210020119P000345 0000520269658 MUHAMAD SAIM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
681 14-01-2019 111210020119P000350 0000520297277 RICKO NANDA SAPUTRA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
682 14-01-2019 111210020119P000361 0000520426394 SYARIFAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

683 14-01-2019 111210020119P000330 0000520431884 FATIMAH P PBI (APBN) Congestive heart failure Rujuk Lanjut

684 14-01-2019 111210020119P000360 0000520464947 HADI SUKANON L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
685 14-01-2019 111210020119P000300 0000520509543 PARJIMAN L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
686 14-01-2019 111210020119P000359 0000520553373 SOIM MUAZIZ L PBI (APBN) Gastritis, unspecified Berobat Jalan

687 14-01-2019 111210020119P000363 0000520563205 WATINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
688 14-01-2019 111210020119P000340 0000520574591 HASIM L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
689 14-01-2019 111210020119P000339 0000520574769 SITI MAHMUDAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
690 14-01-2019 111210020119P000348 0000520591026 SATIRAH P PBI (APBN) Myalgia Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

691 14-01-2019 111210020119P000332 0000520779352 SUWARTI P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
692 14-01-2019 111210020119P000362 0000520820278 SUTARNO L PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
693 14-01-2019 111210020119P000342 0000520840359 MUSRIATUL MUAWANAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
694 14-01-2019 111210020119P000288 0000520848955 SURATMAN L PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
695 14-01-2019 111210020119P000349 0000521235977 ERNI ARIFFIYANI P PBI (APBN) Unspecified haemorrhoids Berobat Jalan
without complication

696 14-01-2019 111210020119P000343 0000521433494 NASIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
697 14-01-2019 111210020119P000335 0000521909853 SALAMUDIN L PBI (APBN) Headache Berobat Jalan

698 14-01-2019 111210020119P001023 0001015215445 MANISAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
699 14-01-2019 111210020119P000296 0001015216604 SITI NUR KHOTIMAH P PBI (APBN) Thyrotoxicosis, Rujuk Lanjut
unspecified
700 14-01-2019 111210020119P000336 0001287140084 MANISEM P PEKERJA MANDIRI Vertigo of central origin Rujuk Lanjut

701 14-01-2019 111210020119P000337 0001336582383 ENI NURYANI P PEKERJA MANDIRI Headache Berobat Jalan

702 14-01-2019 111210020119P000327 0001456310924 SAWINAH P PEKERJA MANDIRI Attention to surgical Rujuk Lanjut
dressings and sutures
703 14-01-2019 111210020119P000354 0001829639114 A. KHOMSIN L PEKERJA MANDIRI Essential (primary) Berobat Jalan
hypertension
704 14-01-2019 111210020119P000353 0001829639542 kasih astuti P PEKERJA MANDIRI Paraesthesia of skin Berobat Jalan

705 14-01-2019 111210020119P000355 0001914066786 U'MINI P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

706 14-01-2019 111210020119P000341 0002009251989 SAJIM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
707 14-01-2019 111210020119P000333 0002244745394 SUTIYAH P PEKERJA MANDIRI Headache Berobat Jalan

708 14-01-2019 111210020119P000364 0002265025149 SOATI P PEKERJA MANDIRI Dermatophytosis, Berobat Jalan
unspecified
709 14-01-2019 111210020119P000293 0002272269363 SRI MUJIASTUTI P PEKERJA MANDIRI Benign neoplasm of Rujuk Lanjut
endocrine gland,
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

710 14-01-2019 111210020119P000356 0002310368196 MUHAMAD AL KUNDORI L PEKERJA MANDIRI Unspecified haemorrhoids Berobat Jalan
without complication

711 14-01-2019 111210020119P000292 0002316528303 KHAERUDIN L PEKERJA MANDIRI Paranoid schizophrenia Rujuk Lanjut

712 14-01-2019 111210020119P000347 0002437473802 WARSO L PEKERJA MANDIRI Calculus of kidney Rujuk Lanjut

713 14-01-2019 111210020119P000289 0002492792199 JASMI P PEKERJA MANDIRI Migraine, unspecified Rujuk Lanjut

714 14-01-2019 111210020119P001000 0002498428394 KALIEM P PEKERJA MANDIRI False labour, unspecified Sembuh

715 14-01-2019 111210020119P000351 0002504761345 NAJJA PUTRI RAHMASARI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
716 14-01-2019 111210020119P000358 0002617107221 MUHAMAD HAFID PRATAMA L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
717 14-01-2019 111210020119P000334 0002622498794 MASDUKI L PEKERJA MANDIRI Acute renal failure, Rujuk Lanjut
unspecified
718 13-01-2019 111210020119P001049 0000519781948 SITI NGAFIATUN KHASANAH P PBI (APBN) Pregnancy-related Berobat Jalan
condition, unspecified
719 12-01-2019 111210020119P000312 0000081120723 KASWEN P VETERAN Carcinoma in situ of cervix Berobat Jalan
uteri
720 12-01-2019 111210020119P000307 0000081286391 SUGIJARTO L PENERIMA PENSIUN Essential (primary) Berobat Jalan Hipertensi Hipertensi
PNS hypertension
721 12-01-2019 111210020119P000329 0000518714471 SOIMAH P PBI (APBN) Pulpitis Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
722 12-01-2019 111210020119P000297 0000519458736 BAGAS FAJRULLOH L PBI (APBN) Fever, unspecified Berobat Jalan

723 12-01-2019 111210020119P000314 0000519500441 SARINEM P PBI (APBN) Vertigo of central origin Berobat Jalan

724 12-01-2019 111210020119P000324 0000519556792 MUSRINGAH P PBI (APBN) Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
725 12-01-2019 111210020119P000331 0000519732459 HASANAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Hipertensi Hipertensi
diabetes mellitus without
complications
726 12-01-2019 111210020119P000285 0000519781948 SITI NGAFIATUN KHASANAH P PBI (APBN) Placenta praevia Rujuk Lanjut

727 12-01-2019 111210020119P001047 0000519825892 SUYANTI P PBI (APBN) Pre-eclampsia, Berobat Jalan
unspecified
728 12-01-2019 111210020119P000308 0000519953332 SURATMI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
729 12-01-2019 111210020119P000328 0000520119933 MULASIH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

730 12-01-2019 111210020119P000305 0000520124758 SALIMAH P PBI (APBN) Otalgia Berobat Jalan

731 12-01-2019 111210020119P000322 0000520323748 JAMIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
732 12-01-2019 111210020119P000311 0000520355722 PUJIONO L PBI (APBN) Myalgia Berobat Jalan

733 12-01-2019 111210020119P000309 0000520357048 KAMSIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
734 12-01-2019 111210020119P001022 0000520450593 RATNA P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
735 12-01-2019 111210020119P000321 0000520469065 SAMIRAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
736 12-01-2019 111210020119P000295 0000520678721 KASINAH P PBI (APBN) Myalgia Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
737 12-01-2019 111210020119P000298 0000520909312 RASIYAM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
738 12-01-2019 111210020119P000317 0000520991932 TASIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
739 12-01-2019 111210020119P000310 0000520992382 TRI LESTARI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
740 12-01-2019 111210020119P000306 0000521137484 UJI ASWORO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
741 12-01-2019 111210020119P000315 0000521412254 MADIKSAN L PBI (APBN) Myalgia Berobat Jalan

742 12-01-2019 111210020119P000294 0000521452787 SIGIT PRASETYO L PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
743 12-01-2019 111210020119P000326 0001299480693 TURIMIN L PEGAWAI PEMERINTAH Other infective bursitis Berobat Jalan Diabetes Mellitus Diabetes
DENGAN PERJANJIAN Mellitus
KERJA
744 12-01-2019 111210020119P000302 0001314919776 SUPARMI P PEKERJA MANDIRI Vertigo of central origin Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
745 12-01-2019 111210020119P000313 0001322632091 sobiyah P PEKERJA MANDIRI Urticaria, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
746 12-01-2019 111210020119P000319 0002009246376 SUDARTI P PBI (APBN) Paraesthesia of skin Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
747 12-01-2019 111210020119P000301 0002128484362 KARWITA P PBI (APBN) Fever, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
748 12-01-2019 111210020119P001048 0002128484856 TURYANI P PBI (APBN) Prolonged first stage (of Berobat Jalan
labour)
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

749 12-01-2019 111210020119P000320 0002247968261 AQILLASYA QUEENAYA L PEGAWAI SWASTA Vasomotor and allergic Berobat Jalan
PRATAMA rhinitis
750 12-01-2019 111210020119P000323 0002265248812 SIJEM P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
751 12-01-2019 111210020119P000303 0002296989101 SUDARTI P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
752 12-01-2019 111210020119P000299 0002298999352 PARIYAH P PEKERJA MANDIRI Headache Berobat Jalan

753 12-01-2019 111210020119P000318 0002423721486 MUSIYAH P PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
754 12-01-2019 111210020119P000325 0002433567936 MARLINA WIDIYANTI P PEKERJA MANDIRI Myalgia Berobat Jalan

755 12-01-2019 111210020119P000284 0002435857582 KAPRAWI L PEKERJA MANDIRI Pain localized to other Rujuk Lanjut
parts of lower abdomen
756 12-01-2019 111210020119P000287 0002439758294 MISTAM L PEKERJA MANDIRI Cataract, unspecified Rujuk Lanjut

757 12-01-2019 111210020119P000316 0002442503316 MOHAMAD ASHRAF RAFI L PEGAWAI SWASTA Acute nasopharyngitis Berobat Jalan
[common cold]
758 12-01-2019 111210020119P000304 0002446198525 MUSRINGAH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
759 12-01-2019 111210020119P001020 0002476032333 DEWI PURWATI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
760 12-01-2019 111210020119P000286 0002486624343 SITI KOMSINAH P PEKERJA MANDIRI Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
761 11-01-2019 111210020119Y000269 0000518990591 ANI WINARTI P PBI (APBN) Headache Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
762 11-01-2019 111210020119Y000280 0000519179905 SAILAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

763 11-01-2019 111210020119Y000274 0000519504838 SUGENG JOKO SANTOSO L PBI (APBN) Myalgia Berobat Jalan

764 11-01-2019 111210020119Y000277 0000520016128 SUMINAH P PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
765 11-01-2019 111210020119Y000259 0000520281472 SURATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
766 11-01-2019 111210020119Y000279 0000520337553 RASMINI P PBI (APBN) Myalgia Berobat Jalan

767 11-01-2019 111210020119Y000268 0000520425797 WARTINI P PBI (APBN) Myalgia Berobat Jalan

768 11-01-2019 111210020119Y000267 0000520427924 DONI SAPUTRA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

769 11-01-2019 111210020119P000997 0000520450593 RATNA P PBI (APBN) False labour, unspecified Sembuh

770 11-01-2019 111210020119Y000282 0000520478098 WATINI P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
771 11-01-2019 111210020119Y000272 0000520482587 SAKINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

772 11-01-2019 111210020119Y000256 0000520550335 TURIYAH P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
connective and soft tissue
of trunk, unspecified

773 11-01-2019 111210020119Y000276 0000520621367 SEPTI NUR RAMADANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
774 11-01-2019 111210020119Y000253 0000520828885 AJI NUR CAHYA L PBI (APBN) Hirschsprung's disease Rujuk Lanjut

775 11-01-2019 111210020119Y000270 0000520848145 PONIRAH P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
776 11-01-2019 111210020119Y000264 0000520891648 NURSIDIK L PBI (APBN) Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
777 11-01-2019 111210020119P001019 0000521396818 FITRIYANI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
778 11-01-2019 111210020119Y000261 0000521909853 SALAMUDIN L PBI (APBN) Headache Berobat Jalan

779 11-01-2019 111210020119Y000281 0001015213656 SATINAH P PBI (APBN) Myalgia Berobat Jalan

780 11-01-2019 111210020119Y000255 0001264144127 BAINEM P PNS DAERAH Calculus in urethra Rujuk Lanjut

781 11-01-2019 111210020119Y000258 0001280179359 RAHMAT BASUKI L PEKERJA MANDIRI Undifferentiated Rujuk Lanjut
schizophrenia
782 11-01-2019 111210020119Y000275 0001522198754 SUKARDI L PEKERJA MANDIRI Myalgia Berobat Jalan

783 11-01-2019 111210020119Y000260 0001812660794 yasih P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
784 11-01-2019 111210020119Y000257 0001842170894 WAGIYO L PEKERJA MANDIRI Paranoid personality Rujuk Lanjut
disorder
785 11-01-2019 111210020119Y000278 0001842171197 HOMSIAH P PEKERJA MANDIRI Urticaria, unspecified Berobat Jalan

786 11-01-2019 111210020119P000998 0002009245274 TITIN SUTIANA P PBI (APBN) False labour, unspecified Sembuh

787 11-01-2019 111210020119Y000283 0002009273758 SITI NURHAYA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
788 11-01-2019 111210020119Y000262 0002090362915 UDIYONO L PBI (APBD) Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
789 11-01-2019 111210020119Y000263 0002090362959 LASIYEM P PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

790 11-01-2019 111210020119Y000271 0002254806099 SARNI P PEKERJA MANDIRI Myalgia Berobat Jalan Diabetes Mellitus Diabetes
Hipertensi Mellitus
Hipertensi
791 11-01-2019 111210020119Y000254 0002285620209 HJ DIANA MARYANI P PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut Diabetes Mellitus Diabetes
diabetes mellitus with Mellitus
neurological complications

792 11-01-2019 111210020119Y000273 0002472689171 AZRIL AKAR WICAKSONO L PEKERJA MANDIRI Otitis media, unspecified Berobat Jalan

793 11-01-2019 111210020119P000996 0002476032333 DEWI PURWATI P PEKERJA MANDIRI False labour, unspecified Sembuh

794 11-01-2019 111210020119Y000265 0002492792199 JASMI P PEKERJA MANDIRI Headache Berobat Jalan

795 11-01-2019 111210020119Y000266 0002622432734 NURSALIM L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
796 11-01-2019 111210020119Y000252 0002625993595 MUHAMAD SAEAN L PEKERJA MANDIRI Headache Rujuk Lanjut

797 10-01-2019 111210020119Y000246 0000519548376 SUMIYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan

798 10-01-2019 111210020119Y000236 0000519569728 AVITA AGUSTINA P PBI (APBN) Pulpitis Berobat Jalan

799 10-01-2019 111210020119Y000220 0000519582508 IHSAN MAULANA L PBI (APBN) Epilepsy Rujuk Lanjut

800 10-01-2019 111210020119Y000241 0000519592871 ROLIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
801 10-01-2019 111210020119Y000230 0000519806439 HAVIZZATUN NABILLAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

802 10-01-2019 111210020119Y000224 0000519938335 ARIS ILHAM SAPUTRA L PBI (APBN) Unspecified renal colic Berobat Jalan

803 10-01-2019 111210020119Y000221 0000520046651 TRI BASKORO L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

804 10-01-2019 111210020119Y000250 0000520134658 SITI NGULWIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
805 10-01-2019 111210020119P001046 0000520153672 RENI INDRIASARI P PBI (APBN) Labour and delivery Berobat Jalan
complicated by fetal stress
[distress]
806 10-01-2019 111210020119Y000222 0000520219978 MASRUHIN L PBI (APBN) Undifferentiated Rujuk Lanjut
schizophrenia
807 10-01-2019 111210020119Y000247 0000520234323 LARAH P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
808 10-01-2019 111210020119Y000245 0000520238428 KAMISAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
809 10-01-2019 111210020119P000995 0000520346046 SURYATI P PBI (APBN) False labour, unspecified Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

810 10-01-2019 111210020119Y000248 0000520373024 TUMINEM P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
811 10-01-2019 111210020119Y000242 0000520549007 DARTIYEM P PBI (APBN) Myalgia Berobat Jalan

812 10-01-2019 111210020119Y000239 0000520563205 WATINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
813 10-01-2019 111210020119Y000226 0000520820278 SUTARNO L PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
814 10-01-2019 111210020119P001018 0000520838201 PUJI LESTARI P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
815 10-01-2019 111210020119Y000238 0000520850856 SITI MUNGAWANAH P PBI (APBN) Urticaria, unspecified Berobat Jalan

816 10-01-2019 111210020119Y000219 0000520854783 MARYONO LASIM L PBI (APBN) Respiratory tuberculosis Rujuk Lanjut Diabetes Mellitus Diabetes
unspecified, confirmed Mellitus
bacteriologically and
histologically
817 10-01-2019 111210020119Y000237 0000520857371 M WIJAI L PBI (APBN) Gastritis, unspecified Berobat Jalan

818 10-01-2019 111210020119Y000228 0000520918143 PRAPTI NURLAELI P PBI (APBN) Myalgia Berobat Jalan

819 10-01-2019 111210020119Y000229 0000520966394 DEVI ASRIANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

820 10-01-2019 111210020119Y000249 0000520983641 ROHYANTI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
821 10-01-2019 111210020119Y000251 0002001621554 LENI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
822 10-01-2019 111210020119Y000227 0002009262295 ABDUL QODIR L PBI (APBN) Hyperplasia of prostate Berobat Jalan

823 10-01-2019 111210020119Y000243 0002034882437 genta pamungkas L PEKERJA MANDIRI Scabies Berobat Jalan

824 10-01-2019 111210020119Y000233 0002039431882 TATI P PBI (APBD) Unspecified renal colic Berobat Jalan

825 10-01-2019 111210020119Y000234 0002048667581 SUTINEM P PEKERJA MANDIRI Gonarthrosis [arthrosis of Berobat Jalan
knee]
826 10-01-2019 111210020119Y000240 0002176013777 RESTU AJI L PBI (APBN) Scabies Berobat Jalan

827 10-01-2019 111210020119Y000232 0002235831096 MEISAROH P PEGAWAI SWASTA Vertigo of central origin Berobat Jalan

828 10-01-2019 111210020119Y000223 0002324710585 JULIYATI P PEKERJA MANDIRI Myalgia Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
829 10-01-2019 111210020119Y000225 0002456832148 SUNARYO JADI L PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

830 10-01-2019 111210020119Y000244 0002501836931 RUDIANTO L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

831 10-01-2019 111210020119Y000231 0002504758252 SURYATI P PBI (APBN) Calculus in urethra Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

832 10-01-2019 111210020119Y000235 0002610330085 ATMA PAWIRA CATAR L PEKERJA MANDIRI Ocular pain Berobat Jalan

833 09-01-2019 111210020119Y000192 0000081286648 SUWONDO L PENERIMA PENSIUN Other senile cataract Rujuk Lanjut
PNS
834 09-01-2019 111210020119Y000190 0000353808786 JURIYAH P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

835 09-01-2019 111210020119Y000200 0000518692061 TUKIRAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

836 09-01-2019 111210020119Y000212 0000519161679 KHABIBAH P PBI (APBN) Migraine, unspecified Berobat Jalan

837 09-01-2019 111210020119Y000209 0000519493487 TURSINI P PBI (APBN) Low back pain Berobat Jalan

838 09-01-2019 111210020119Y000213 0000520066877 NANI SUMIATI P PBI (APBN) Vertigo of central origin Berobat Jalan

839 09-01-2019 111210020119Y000199 0000520142962 SURTIYAH P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
840 09-01-2019 111210020119Y000196 0000520410014 DULROHMAN L PBI (APBN) Unilateral or unspecified Rujuk Lanjut
inguinal hernia, without
obstruction or gangrene
841 09-01-2019 111210020119Y000193 0000520453787 ROKHATI P PBI (APBN) Other specified Rujuk Lanjut
pregnancy-related
conditions
842 09-01-2019 111210020119Y000203 0000520477492 MURIYAH P PBI (APBN) Myalgia Berobat Jalan

843 09-01-2019 111210020119Y000210 0000520507045 MAHPUROH P PBI (APBN) Myalgia Berobat Jalan

844 09-01-2019 111210020119Y000217 0000520553698 MAHARANI SASKIA PUTRI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
845 09-01-2019 111210020119Y000195 0000520555972 TURYATI P PBI (APBN) Other specified Rujuk Lanjut
pregnancy-related
conditions
846 09-01-2019 111210020119Y000207 0000520565916 RESTU AJI SAPUTRA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
847 09-01-2019 111210020119P001017 0000520641753 PARMIATI P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
848 09-01-2019 111210020119Y000216 0000520760327 SINTA SULISTIAWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
849 09-01-2019 111210020119Y000194 0000520764276 NGADIRAH P PBI (APBN) Other specified strabismus Rujuk Lanjut

850 09-01-2019 111210020119Y000208 0000520911279 RAKIM L PBI (APBN) Gastritis, unspecified Berobat Jalan

851 09-01-2019 111210020119Y000206 0000520966394 DEVI ASRIANI P PBI (APBN) Myalgia Berobat Jalan

852 09-01-2019 111210020119Y000197 0000521327272 NANI P PBI (APBN) Headache Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

853 09-01-2019 111210020119Y000202 0000521563498 WATIMAH P PBI (APBN) Atopic dermatitis, Berobat Jalan
unspecified
854 09-01-2019 111210020119Y000201 0001015220428 ADMINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

855 09-01-2019 111210020119Y000215 0001916046235 SYIFA NASIROTUL QIROM P PBI (APBN) Fever, unspecified Berobat Jalan

856 09-01-2019 111210020119Y000218 0002009245274 TITIN SUTIANA P PBI (APBN) Prolonged pregnancy Rujuk Lanjut

857 09-01-2019 111210020119Y000204 0002038949785 AHMAD SAEBANI SLAMET L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
858 09-01-2019 111210020119Y000198 0002129893446 PUJI NINGSIH ATI P PBI (APBN) Urticaria, unspecified Berobat Jalan

859 09-01-2019 111210020119Y000205 0002175855096 MARYATUN P PBI (APBN) Vertigo of central origin Berobat Jalan

860 09-01-2019 111210020119Y000214 0002458072596 TUGIYONO L PEKERJA MANDIRI Chest pain, unspecified Berobat Jalan

861 09-01-2019 111210020119Y000211 0002504755056 WAGIYAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
862 09-01-2019 111210020119P001045 0002504758577 SUPINAH P PBI (APBN) Dengue haemorrhagic Berobat Jalan
fever
863 09-01-2019 111210020119Y000191 0002621531981 WAWAN SUMARWAN L PEKERJA MANDIRI Sequelae of stroke, not Rujuk Lanjut
specified as haemorrhage
or infarction
864 08-01-2019 111210020119Y000181 0000519572057 MISRAN L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

865 08-01-2019 111210020119Y000187 0000519815608 SUYATIN P PBI (APBN) Gastritis, unspecified Berobat Jalan

866 08-01-2019 111210020119P000175 0000519878316 TOLIB L PBI (APBN) Chronic obstructive Rujuk Lanjut
pulmonary disease,
unspecified
867 08-01-2019 111210020119Y000184 0000520071862 MUHAMAD SUDARNO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
868 08-01-2019 111210020119Y000170 0000520079962 TANTI RUSTIYANTI P PBI (APBN) Psoriasis, unspecified Rujuk Lanjut

869 08-01-2019 111210020119Y000189 0000520162839 MALFIN HANAFI L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
870 08-01-2019 111210020119P001007 0000520163752 ISMIATUN NASIROH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
871 08-01-2019 111210020119Y000188 0000520382226 RIRIN SUCIATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
872 08-01-2019 111210020119Y000174 0000520385477 REBEN P PBI (APBN) Senile cataract, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

873 08-01-2019 111210020119Y000179 0000520471067 WARTOYO SUTARYO L PBI (APBN) Gastritis, unspecified Berobat Jalan

874 08-01-2019 111210020119Y000173 0000520556433 SURIPTO L PBI (APBN) Unilateral or unspecified Rujuk Lanjut
inguinal hernia, without
obstruction or gangrene
875 08-01-2019 111210020119P001009 0000520719849 SITI RODIYAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
876 08-01-2019 111210020119Y000178 0000520873209 KARTAMIARJA RASTAM L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
877 08-01-2019 111210020119Y000171 0000521163066 ROCHAYATI P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
nasopharynx, unspecified
878 08-01-2019 111210020119Y000185 0000521360177 ULFATUL BAROKAH P PBI (APBN) Urticaria, unspecified Berobat Jalan

879 08-01-2019 111210020119Y000186 0000521360662 ALFAN MUARIF L PBI (APBN) Scabies Berobat Jalan

880 08-01-2019 111210020119Y000172 0001287140084 MANISEM P PEKERJA MANDIRI Other sleep disorders Rujuk Lanjut

881 08-01-2019 111210020119Y000182 0002009239031 KUSYADI L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,
unspecified
882 08-01-2019 111210020119P001010 0002009244712 ERNA SUSANTI P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
contraceptive device
883 08-01-2019 111210020119P001014 0002009261597 SITI MASROKHATUN P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
884 08-01-2019 111210020119P001011 0002009261834 ERI TURASMIYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
885 08-01-2019 111210020119Y000183 0002176014352 ANASTASYA REMI P PBI (APBN) Myalgia Berobat Jalan

886 08-01-2019 111210020119Y000177 0002234487475 SARTINI P PEKERJA MANDIRI Predominantly allergic Berobat Jalan
asthma
887 08-01-2019 111210020119Y000176 0002453853971 MACHFUDZ L PEKERJA MANDIRI Non-insulin-dependent Rujuk Lanjut
diabetes mellitus without
complications
888 08-01-2019 111210020119P001015 0002496059559 DEWI WIDIASTUTI P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
889 08-01-2019 111210020119Y000180 0002503555277 ALLESYA ANKIT ZHALICHA P PEKERJA MANDIRI Headache Berobat Jalan
TAMANG
890 07-01-2019 111210020119P000160 0000166339271 MUHAMMAD AKMAL RAFI L PNS DAERAH Headache Berobat Jalan
ZAMZAM
891 07-01-2019 111210020119P000131 0000519300033 tugiran L PBI (APBN) Disorder of refraction, Rujuk Lanjut
unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

892 07-01-2019 111210020119P000148 0000519504838 SUGENG JOKO SANTOSO L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

893 07-01-2019 111210020119P000158 0000519773275 TASIKEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
894 07-01-2019 111210020119P000141 0000519780971 YATINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

895 07-01-2019 111210020119P000999 0000519825892 SUYANTI P PBI (APBN) Abdominal pregnancy Berobat Jalan

896 07-01-2019 111210020119Y000137 0000519838018 SARIYAH P PBI (APBN) Other sleep disorders Rujuk Lanjut

897 07-01-2019 111210020119P000143 0000519965368 WAHYUNI P PBI (APBN) Paraesthesia of skin Berobat Jalan

898 07-01-2019 111210020119P000145 0000520089671 SAMIYAH P PBI (APBN) Gonarthrosis [arthrosis of Berobat Jalan
knee]
899 07-01-2019 111210020119P000150 0000520111282 SITI FATIMAH P PBI (APBN) Low back pain Berobat Jalan

900 07-01-2019 111210020119P000149 0000520114691 ARIF NURAFIDIN L PBI (APBN) Fever, unspecified Berobat Jalan

901 07-01-2019 111210020119P000132 0000520132612 NGAENAH P PBI (APBN) Ascites Rujuk Lanjut

902 07-01-2019 111210020119P000152 0000520141206 TURIYAH P PBI (APBN) Myalgia Berobat Jalan

903 07-01-2019 111210020119P000730 0000520163752 ISMIATUN NASIROH P PBI (APBN) False labour, unspecified Sembuh

904 07-01-2019 111210020119P000169 0000520245505 HARYANTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
905 07-01-2019 111210020119P000129 0000520251129 KUSMANTO L PBI (APBN) Low back pain Rujuk Lanjut

906 07-01-2019 111210020119P000146 0000520337889 FIRAS FAUSTIENE L PBI (APBN) Other forms of stomatitis Berobat Jalan

907 07-01-2019 111210020119P000154 0000520381203 IMING P PBI (APBN) Vertigo of central origin Berobat Jalan

908 07-01-2019 111210020119Y000136 0000520390552 SAIMAN KRISMANREJA L PBI (APBN) Unilateral or unspecified Rujuk Lanjut
inguinal hernia, without
obstruction or gangrene
909 07-01-2019 111210020119P000144 0000520472654 LINGGAR NUR PUJIYANTO L PBI (APBN) Predominantly allergic Berobat Jalan
asthma
910 07-01-2019 111210020119P000166 0000520513389 SITI TARYUMI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
911 07-01-2019 111210020119P000161 0000520563205 WATINI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
912 07-01-2019 111210020119P000151 0000520584906 THOYYIBAH P PBI (APBN) Fever, unspecified Berobat Jalan

913 07-01-2019 111210020119P000993 0000520719849 SITI RODIYAH P PBI (APBN) False labour, unspecified Sembuh
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

914 07-01-2019 111210020119P000147 0000520831179 SATIRAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

915 07-01-2019 111210020119P000165 0000520835602 DASIWEN P PBI (APBN) Headache Berobat Jalan

916 07-01-2019 111210020119P000163 0000521074023 MAHSUTI P PBI (APBN) Headache Berobat Jalan

917 07-01-2019 111210020119P000168 0000521089749 AULIA PUTRI A P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
918 07-01-2019 111210020119P000142 0000521163617 FAISAL CANDRA L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
919 07-01-2019 111210020119P000153 0000521185757 AHYADATUL KHOERIYAH P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

920 07-01-2019 111210020119P000164 0000521438883 SUYATI P PBI (APBN) Myalgia Berobat Jalan

921 07-01-2019 111210020119P001041 0001015223253 WASIYEM P PBI (APBN) Varicose veins of other Berobat Jalan
sites
922 07-01-2019 111210020119Y000133 0001461704793 SUDASRI DARYATI P PEKERJA MANDIRI Undifferentiated Rujuk Lanjut
schizophrenia
923 07-01-2019 111210020119P000135 0001615991398 AHMAD ZAKI L PBI (APBD) Epilepsy Rujuk Lanjut

924 07-01-2019 111210020119P000134 0001615991433 FATIMATUL ALIYAH P PBI (APBD) Epilepsy Rujuk Lanjut

925 07-01-2019 111210020119P000155 0001916045943 AGUS SETIAWAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
926 07-01-2019 111210020119P000167 0002009244385 SATEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

927 07-01-2019 111210020119P000159 0002009261992 BANIYAH P PBI (APBN) Low back pain Berobat Jalan

928 07-01-2019 111210020119P001006 0002009270968 UMIYATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
929 07-01-2019 111210020119P000157 0002009273995 SANROHMAT L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
930 07-01-2019 111210020119P000156 0002038377058 MUSTOPO L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
931 07-01-2019 111210020119P001044 0002039419629 TABINGIN L PBI (APBD) Dyspnoea Berobat Jalan

932 07-01-2019 111210020119P000140 0002175855401 DENNY ARYANTO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
933 07-01-2019 111210020119Y000130 0002181726292 ENGKUS KUSNADI L PBI (APBD) Disorder of refraction, Rujuk Lanjut
unspecified
934 07-01-2019 111210020119P000139 0002209193021 ABDUL MUSLAM DAROINI L PBI (APBD) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

935 07-01-2019 111210020119P000162 0002265248812 SIJEM P PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
936 07-01-2019 111210020119P000138 0002325944709 ADMINAH P PEKERJA MANDIRI Inflammatory disorders of Berobat Jalan
breast
937 07-01-2019 111210020119P001042 0002495901069 DESI PUSPITASARI P PEGAWAI SWASTA Prolonged first stage (of Berobat Jalan
labour)
938 07-01-2019 111210020119P000994 0002496059559 DEWI WIDIASTUTI P PEKERJA MANDIRI False labour, unspecified Sembuh

939 07-01-2019 111210020119Y000128 0002498366902 MUNTIANI P PEKERJA MANDIRI Prolonged pregnancy Rujuk Lanjut

940 07-01-2019 111210020119P001043 0002622771898 AGUSTIN NITA PRATAMA YULIA P PEKERJA MANDIRI Labour and delivery Berobat Jalan
NINGSIH complicated by fetal stress
[distress]
941 05-01-2019 111210020119Y000124 0000518692061 TUKIRAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

942 05-01-2019 111210020119Y000121 0000518694849 ISMIYEM P PBI (APBN) Urticaria, unspecified Berobat Jalan

943 05-01-2019 111210020119Y000115 0000518723256 JAWARI L PBI (APBN) Gastritis, unspecified Berobat Jalan

944 05-01-2019 111210020119Y000113 0000519365946 KHALIMI L PBI (APBN) Gastritis, unspecified Berobat Jalan

945 05-01-2019 111210020119Y000114 0000519477669 RUMIYATI P PBI (APBN) Vertigo of central origin Berobat Jalan

946 05-01-2019 111210020119Y000120 0000519750854 SOLHATUN NASIHAH P PBI (APBN) Fever, unspecified Berobat Jalan

947 05-01-2019 111210020119P001040 0000519904293 UMI NASIHAH P PBI (APBN) Premature rupture of Berobat Jalan
membranes, unspecified
948 05-01-2019 111210020119Y000126 0000519933453 AFILIANI P PBI (APBN) Gastritis, unspecified Berobat Jalan

949 05-01-2019 111210020119Y000119 0000520268938 NASIYEM SITI NURKHASANAH P PBI (APBN) Low back pain Berobat Jalan

950 05-01-2019 111210020119Y000127 0000520576029 JEMASIH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
951 05-01-2019 111210020119Y000116 0000520827445 NGATIMAN L PBI (APBN) Dermatophytosis, Berobat Jalan
unspecified
952 05-01-2019 111210020119Y000109 0000520874537 DIDI IRAWAN L PBI (APBN) Tinnitus Rujuk Lanjut Hipertensi Hipertensi

953 05-01-2019 111210020119Y000107 0000520982188 SUKIRMAN BERA L PBI (APBN) Chronic renal failure, Rujuk Lanjut
unspecified
954 05-01-2019 111210020119Y000125 0000625846781 ROZAN L PBI (APBN) Haemoptysis Berobat Jalan

955 05-01-2019 111210020119Y000118 0001015221767 JASIAH L PBI (APBN) Unspecified renal colic Berobat Jalan

956 05-01-2019 111210020119Y000110 0001316843065 WAGIMIN SETIAWAN L PEKERJA MANDIRI Fitting and adjustment of Rujuk Lanjut
urinary device
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

957 05-01-2019 111210020119Y000122 0001633752167 NURUL FATIMAH P PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
958 05-01-2019 111210020119Y000123 0001633752189 ABDUL MAJID L PEKERJA MANDIRI Fever, unspecified Berobat Jalan

959 05-01-2019 111210020119Y000108 0002038975931 INDAH MULIA HASBI P PBI (APBD) Viral warts Rujuk Lanjut

960 05-01-2019 111210020119Y000112 0002129893492 BUDIMAN L PBI (APBN) Pulpitis Berobat Jalan

961 05-01-2019 111210020119Y000111 0002436979252 ARSIH P PEKERJA MANDIRI Pulpitis Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
962 05-01-2019 111210020119Y000117 0002613249279 NGADI L PEKERJA MANDIRI Urticaria, unspecified Berobat Jalan

963 04-01-2019 111210020119Y000084 0000519055391 ATSNA AZZAHRO P PBI (APBN) Caries of dentine Berobat Jalan

964 04-01-2019 111210020119Y000103 0000519117478 FATIMAH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
965 04-01-2019 111210020119Y000094 0000519511656 SALIYAH P PBI (APBN) Other benign neoplasm of Rujuk Lanjut
connective and other soft
tissue of abdomen
966 04-01-2019 111210020119Y000088 0000519553743 AGUS TRIYONO L PBI (APBN) Fever, unspecified Berobat Jalan

967 04-01-2019 111210020119Y000077 0000519607451 TURIYAH P PBI (APBN) Nontoxic goitre, Rujuk Lanjut
unspecified
968 04-01-2019 111210020119Y000096 0000519706078 MARHATUS SOLEHAH P PBI (APBN) Myalgia Berobat Jalan

969 04-01-2019 111210020119Y000097 0000519712885 DIYAH ARUM GRIS OKTAVIYA P PBI (APBN) Gastritis, unspecified Berobat Jalan

970 04-01-2019 111210020119P000892 0000519783366 SURATI P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
971 04-01-2019 111210020119Y000082 0000520275352 WAGIMIN L PBI (APBN) Necrosis of pulp Berobat Jalan

972 04-01-2019 111210020119Y000095 0000520290033 MA'RUF JUNAIDI L PBI (APBN) Myalgia Berobat Jalan

973 04-01-2019 111210020119P000891 0000520311767 HALIMAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

974 04-01-2019 111210020119P000893 0000520408001 KHUSNUL KHOTIMAH P PBI (APBN) Follow-up examination Berobat Jalan
after other treatment for
other conditions
975 04-01-2019 111210020119Y000104 0000520419194 SITI ASIYAH P PBI (APBN) Caries of dentine Berobat Jalan

976 04-01-2019 111210020119Y000085 0000520419194 SITI ASIYAH P PBI (APBN) Caries of dentine Berobat Jalan

977 04-01-2019 111210020119Y000105 0000520838201 PUJI LESTARI P PBI (APBN) Headache Berobat Jalan

978 04-01-2019 111210020119Y000102 0000520891648 NURSIDIK L PBI (APBN) Gastritis, unspecified Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
979 04-01-2019 111210020119Y000089 0000520921866 SATIMAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

980 04-01-2019 111210020119Y000090 0000520923385 PURWATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
981 04-01-2019 111210020119Y000101 0000520944041 SRI SUGIARTI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
982 04-01-2019 111210020119Y000075 0001084706605 PURWANTO L PBI (APBN) Atherosclerotic heart Rujuk Lanjut
disease
983 04-01-2019 111210020119Y000079 0001456310924 SAWINAH P PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

984 04-01-2019 111210020119P001005 0001700514314 SUTINEM P PBI (APBD) Contraceptive Berobat Jalan
management, unspecified
985 04-01-2019 111210020119Y000086 0001913954128 FATIMAH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
986 04-01-2019 111210020119Y000092 0002009239031 KUSYADI L PBI (APBN) Chronic obstructive Berobat Jalan
pulmonary disease,
unspecified
987 04-01-2019 111210020119Y000087 0002009246321 RASITI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
988 04-01-2019 111210020119Y000074 0002009246376 SUDARTI P PBI (APBN) Non-insulin-dependent Rujuk Lanjut Diabetes Mellitus Diabetes
diabetes mellitus without Mellitus
complications
989 04-01-2019 111210020119P000890 0002009269473 FAJAR FARIYATI P PBI (APBN) Abdominal pregnancy Berobat Jalan

990 04-01-2019 111210020119P000895 0002009269708 RASINAH P PBI (APBN) Contraceptive Berobat Jalan
management, unspecified
991 04-01-2019 111210020119Y000100 0002048667581 SUTINEM P PEKERJA MANDIRI Myalgia Berobat Jalan

992 04-01-2019 111210020119Y000083 0002071633116 max angelo L PEKERJA MANDIRI Disturbances in tooth Berobat Jalan
eruption
993 04-01-2019 111210020119Y000098 0002125677881 ZAHLA ZAIDA P PBI (APBN) Tuberculous peripheral Berobat Jalan
lymphadenopathy
994 04-01-2019 111210020119P000894 0002218427008 VINA RIANA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

995 04-01-2019 111210020119Y000106 0002262736348 UMIATI P PEKERJA MANDIRI Headache Berobat Jalan

996 04-01-2019 111210020119Y000078 0002295951219 JUANDA L PEKERJA MANDIRI Other senile cataract Rujuk Lanjut

997 04-01-2019 111210020119Y000076 0002454864186 ANITA RAHMAWATI P PEKERJA MANDIRI Pregnancy-related Rujuk Lanjut
condition, unspecified
998 04-01-2019 111210020119Y000081 0002462641132 SUTRISNO L PEKERJA MANDIRI Congestive heart failure Rujuk Lanjut

999 04-01-2019 111210020119Y000080 0002499491902 KARSINEM P PEKERJA MANDIRI Attention to surgical Rujuk Lanjut
dressings and sutures
1000 04-01-2019 111210020119Y000099 0002504759905 SURATMAN L PBI (APBN) Scabies Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

1001 04-01-2019 111210020119Y000093 0002610330085 ATMA PAWIRA CATAR L PEKERJA MANDIRI Ocular pain Berobat Jalan

1002 04-01-2019 111210020119Y000091 0002622432734 NURSALIM L PEKERJA MANDIRI Haemoptysis Berobat Jalan

1003 03-01-2019 111210020119Y000057 0000519533256 KASINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan Diabetes Mellitus Diabetes
[common cold] Mellitus
1004 03-01-2019 111210020119Y000065 0000519715923 SANMIYADI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1005 03-01-2019 111210020119Y000054 0000519798352 MARSIYEM P PBI (APBN) Myalgia Berobat Jalan

1006 03-01-2019 111210020119Y000053 0000519798723 SUGENG PUJIONO L PBI (APBN) Myalgia Berobat Jalan

1007 03-01-2019 111210020119Y000056 0000519936399 SUPRIYATMI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1008 03-01-2019 111210020119Y000068 0000520022586 SRI RAHAYU P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1009 03-01-2019 111210020119Y000067 0000520106962 NUR ISNAINI KHASANAH P PBI (APBN) Fever, unspecified Berobat Jalan

1010 03-01-2019 111210020119Y000049 0000520337463 MARYATUN P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1011 03-01-2019 111210020119Y000061 0000520375781 MARSAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1012 03-01-2019 111210020119Y000062 0000520375926 SARTINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1013 03-01-2019 111210020119Y000071 0000520445013 NAIMATUL FITRIYAH P PBI (APBN) Headache Berobat Jalan

1014 03-01-2019 111210020119Y000048 0000520492544 DWI KUSWORO L PBI (APBN) Schizophrenia, unspecified Rujuk Lanjut

1015 03-01-2019 111210020119Y000043 0000520509543 PARJIMAN L PBI (APBN) Heart failure Rujuk Lanjut

1016 03-01-2019 111210020119Y000060 0000520531558 SALBIYATUN P PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1017 03-01-2019 111210020119Y000073 0000520576029 JEMASIH P PBI (APBN) Myalgia Berobat Jalan

1018 03-01-2019 111210020119P000888 0000520612007 AMINAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

1019 03-01-2019 111210020119P001002 0000520647794 ISTIQOMAH P PEGAWAI SWASTA Contraceptive Berobat Jalan
management, unspecified
1020 03-01-2019 111210020119P000886 0000520841709 ANTI KHUSNUL FARIDA P PBI (APBN) Abdominal pregnancy Berobat Jalan

1021 03-01-2019 111210020119Y000047 0000520942149 SUWIGNYO SIMIN L PBI (APBN) Chronic ischaemic heart Rujuk Lanjut
disease, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

1022 03-01-2019 111210020119Y000051 0001015211755 ZAENUDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1023 03-01-2019 111210020119Y000044 0001015221069 MUSTOLIH L PBI (APBN) Epilepsy Rujuk Lanjut

1024 03-01-2019 111210020119Y000069 0001015222533 SITI SULIYAH P PBI (APBN) Unspecified renal colic Berobat Jalan

1025 03-01-2019 111210020119P000889 0001085029132 MUSIRAH P PBI (APBN) Follow-up examination Berobat Jalan
after other treatment for
other conditions
1026 03-01-2019 111210020119Y000045 0001287140084 MANISEM P PEKERJA MANDIRI Sleep disorder, Rujuk Lanjut
unspecified
1027 03-01-2019 111210020119Y000072 0001422713924 sumiarjo sarno L PEKERJA MANDIRI Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
1028 03-01-2019 111210020119Y000066 0001531056328 SAPARI L PEGAWAI BUMN Acute nasopharyngitis Berobat Jalan
[common cold]
1029 03-01-2019 111210020119P000887 0001779886416 PARTINI P PBI (APBD) Abdominal pregnancy Berobat Jalan

1030 03-01-2019 111210020119Y000058 0001827332853 reza adi fianto L PEGAWAI SWASTA Headache Berobat Jalan

1031 03-01-2019 111210020119Y000059 0002009246714 SAKEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

1032 03-01-2019 111210020119Y000063 0002009246769 MUHSIDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1033 03-01-2019 111210020119Y000055 0002009262609 WAGIMAN L PBI (APBN) Conjunctivitis, unspecified Berobat Jalan

1034 03-01-2019 111210020119P000883 0002009269809 MANISAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

1035 03-01-2019 111210020119Y000046 0002209198329 M. SUHADI SAMAN L PBI (APBD) Surgical follow-up care, Rujuk Lanjut
unspecified
1036 03-01-2019 111210020119Y000064 0002432585259 DAFI AKMAL PRATAMA L PEKERJA MANDIRI Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1037 03-01-2019 111210020119Y000052 0002447181977 MOHAMAD JANJAM L PEKERJA MANDIRI Paraesthesia of skin Berobat Jalan

1038 03-01-2019 111210020119Y000050 0002457793855 DWI MARYAM P PEKERJA MANDIRI Myalgia Berobat Jalan

1039 03-01-2019 111210020119Y000070 0002458553949 SADIN SUNARTO L PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

1040 03-01-2019 111210020119P000885 0002487148839 WAGINEM P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan

1041 03-01-2019 111210020119Y000041 0002491804067 WASIRAH P PEKERJA MANDIRI Malignant neoplasm of Rujuk Lanjut
breast, unspecified
1042 03-01-2019 111210020119P000882 0002496607132 DENA SURYA NINGSIH P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

1043 03-01-2019 111210020119Y000042 0002500287726 SOLEKHAN L PEKERJA MANDIRI Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
1044 03-01-2019 111210020119P000884 0002622771898 AGUSTIN NITA PRATAMA YULIA P PEKERJA MANDIRI Abdominal pregnancy Berobat Jalan
NINGSIH
1045 02-01-2019 111210020119Y000025 0000518678965 LASINEM P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1046 02-01-2019 111210020119Y000035 0000519117478 FATIMAH P PBI (APBN) Attention to surgical Berobat Jalan
dressings and sutures
1047 02-01-2019 111210020119Y000008 0000519300033 tugiran L PBI (APBN) Disorder of refraction, Berobat Jalan
unspecified
1048 02-01-2019 111210020119P000878 0000519940067 PRATIWI DYAH P PBI (APBN) Abdominal pregnancy Berobat Jalan
HAYUNINGTYAS
1049 02-01-2019 111210020119Y000036 0000520222533 PONIJAN L PBI (APBN) Tuberculosis of lung, Berobat Jalan
confirmed by culture only
1050 02-01-2019 111210020119Y000016 0000520246539 MUNGINAH P PBI (APBN) Myalgia Berobat Jalan

1051 02-01-2019 111210020119Y000028 0000520248982 SUKINAH P PBI (APBN) Myalgia Berobat Jalan

1052 02-01-2019 111210020119Y000019 0000520281472 SURATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
diabetes mellitus without
complications
1053 02-01-2019 111210020119Y000029 0000520289021 UMI ROFIQOH P PBI (APBN) Urticaria, unspecified Berobat Jalan

1054 02-01-2019 111210020119Y000003 0000520361379 ANISAH P PBI (APBN) Follow-up care involving Rujuk Lanjut
removal of fracture plate
and other internal fixation
device
1055 02-01-2019 111210020119Y000039 0000520434753 RISEM P PBI (APBN) Gastritis, unspecified Berobat Jalan

1056 02-01-2019 111210020119Y000027 0000520453091 DASINAH P PBI (APBN) Myalgia Berobat Jalan

1057 02-01-2019 111210020119Y000026 0000520453451 MOHAMAD JASMIN IKHSAN L PBI (APBN) Pulpitis Berobat Jalan

1058 02-01-2019 111210020119Y000001 0000520463024 ALLENA JUNI FINARTI P PBI (APBN) Acute appendicitis, other Rujuk Lanjut
and unspecified
1059 02-01-2019 111210020119Y000031 0000520474814 PONIRAH SIMBOL P PBI (APBN) Headache Berobat Jalan

1060 02-01-2019 111210020119Y000023 0000520634733 WATINI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1061 02-01-2019 111210020119Y000021 0000520801874 SUDARMADI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

1062 02-01-2019 111210020119Y000009 0000520808534 AHMAD RUDI MUNASIR L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1063 02-01-2019 111210020119Y000033 0000520809917 NANIA DWI WULAN SARI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1064 02-01-2019 111210020119Y000005 0000520814428 SURANI L PBI (APBN) Hypertensive heart Rujuk Lanjut
disease without
(congestive) heart failure
1065 02-01-2019 111210020119Y000024 0000520823259 MANISO L PBI (APBN) Pulpitis Berobat Jalan

1066 02-01-2019 111210020119P000876 0000520838201 PUJI LESTARI P PBI (APBN) Follow-up examination Berobat Jalan
after other treatment for
other conditions
1067 02-01-2019 111210020119Y000007 0000520874537 DIDI IRAWAN L PBI (APBN) Senile cataract, Berobat Jalan Hipertensi Hipertensi
unspecified
1068 02-01-2019 111210020119P000880 0000520958575 TRIANA HERMAWATI P PBI (APBN) Abdominal pregnancy Berobat Jalan

1069 02-01-2019 111210020119Y000032 0000521075496 WARSIAH P PBI (APBN) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
1070 02-01-2019 111210020119Y000020 0000521297458 PARIYAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi Hipertensi
hypertension
1071 02-01-2019 111210020119Y000022 0000521327788 KUSYADI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1072 02-01-2019 111210020119Y000014 0000521422705 MUKAROMAH P PBI (APBN) Gastritis, unspecified Berobat Jalan

1073 02-01-2019 111210020119Y000013 0000521427071 AHMAD RAFA ALFALAH L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

1074 02-01-2019 111210020119Y000004 0001015217807 YATINEM P PBI (APBN) Malignant neoplasm of Rujuk Lanjut
breast, unspecified
1075 02-01-2019 111210020119P000877 0001015218099 ANI NASIHATUL HASANAH P PBI (APBN) Abdominal pregnancy Berobat Jalan

1076 02-01-2019 111210020119P000881 0001015219089 SUTIYEM P PBI (APBN) Abdominal pregnancy Berobat Jalan

1077 02-01-2019 111210020119P001038 0001015219089 SUTIYEM P PBI (APBN) Pre-eclampsia, Berobat Jalan
unspecified
1078 02-01-2019 111210020119Y000040 0001448912417 SITI FATONAH P PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

1079 02-01-2019 111210020119P001039 0001693193242 SITI MUNAWAROH P PEKERJA MANDIRI Prolonged first stage (of Berobat Jalan
labour)
1080 02-01-2019 111210020119P001001 0001839756835 desi triyani P PEKERJA MANDIRI Contraceptive Berobat Jalan
management, unspecified
DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PURWOKERTO - 1104

FKTP : Bantarsari - 11121002

1081 02-01-2019 111210020119Y000006 0001913896765 NAYLA WULAN OKTAVIANI P PBI (APBN) Nausea and vomiting Berobat Jalan

1082 02-01-2019 111210020119Y000012 0002009246411 DAILEM P PBI (APBN) Pulpitis Berobat Jalan

1083 02-01-2019 111210020119Y000030 0002021090646 SARYONO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
[common cold]
1084 02-01-2019 111210020119Y000037 0002235762742 SUNADI MISRAN L PEKERJA MANDIRI Tuberculosis of lung, Berobat Jalan
confirmed by culture only
1085 02-01-2019 111210020119Y000034 0002275398966 SIDEM P PEKERJA MANDIRI Myalgia Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
1086 02-01-2019 111210020119Y000010 0002449266535 SARTINEM P PEGAWAI SWASTA Calculus in urethra Berobat Jalan Diabetes Mellitus Diabetes
Mellitus
1087 02-01-2019 111210020119Y000015 0002479352354 MULYADI L PEKERJA MANDIRI Acute nasopharyngitis Berobat Jalan
[common cold]
1088 02-01-2019 111210020119Y000017 0002479352782 LASIKEM P PEKERJA MANDIRI Unspecified renal colic Berobat Jalan

1089 02-01-2019 111210020119Y000002 0002483318744 PUTRI AURELIA KINANDITA P PEKERJA MANDIRI Hydrocephalus, Rujuk Lanjut
unspecified
1090 02-01-2019 111210020119Y000011 0002502809706 YUDHA ERIK RIZKYANTO L PEKERJA MANDIRI Gonarthrosis, unspecified Rujuk Lanjut

1091 02-01-2019 111210020119Y000018 0002504752672 SAINAH P PBI (APBN) Paraesthesia of skin Rujuk Lanjut

1092 02-01-2019 111210020119Y000038 0002504753436 SATINI P PBI (APBN) Headache Berobat Jalan

1093 02-01-2019 111210020119P000879 0002504753436 SATINI P PBI (APBN) Abdominal pregnancy Berobat Jalan

1094 01-01-2019 111210020119P001037 0002487924977 SRI WAHYUNI P PEKERJA MANDIRI Abnormal uterine and Berobat Jalan
vaginal bleeding,
unspecified

You might also like