DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

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

1 28-02-2020 024808030220P000229 0000858475967 MARIA FAMAI P PBI (APBN) Myalgia Berobat Jalan

2 28-02-2020 024808030220P000224 0000858830681 HENDERINA ASAMOI P PBI (APBN) Cough Berobat Jalan

3 28-02-2020 024808030220P000227 0000859308939 MERIANA MAITEN P PBI (APBN) Cough Berobat Jalan

4 28-02-2020 024808030220P000216 0000859424815 IDALETA FRARE P PBI (APBN) Cough Berobat Jalan

5 28-02-2020 024808030220P000228 0001060439376 CHIKO MAULETI L PBI (APBN) Myalgia Berobat Jalan

6 28-02-2020 024808030220P000223 0001060440491 MARSALINA MAILANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
7 28-02-2020 024808030220P000222 0001060441029 MARIA SAMOY P PBI (APBN) Myalgia Berobat Jalan

8 28-02-2020 024808030220P000220 0001392849808 ASNAT BANIK P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
9 28-02-2020 024808030220P000225 0001392849966 HENDERINA MAILANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
10 28-02-2020 024808030220P000217 0001392850326 RAHEL LANFAI P PBI (APBD) Cough Berobat Jalan

11 28-02-2020 024808030220P000219 0001392851485 CITRA ENJELITA LANFAI P PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
12 28-02-2020 024808030220P000226 0001392851709 IBRAHIM LASIMAI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
13 28-02-2020 024808030220P000221 0001579211583 JOHAN RIMON FAMANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
14 28-02-2020 024808030220P000218 0002498625123 FRANSIGO YAN MOLINA L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
15 28-02-2020 024808030220P000215 0002739507737 ANDREW CHARLIE FAMANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
16 27-02-2020 024808030220P000202 0000858505645 MARKUS LANFAI P PBI (APBN) Myalgia Berobat Jalan

17 27-02-2020 024808030220P000207 0000858814727 RAHEL ATAMA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
18 27-02-2020 024808030220P000206 0000858815561 MIKAEL I FAMAI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
19 27-02-2020 024808030220P000200 0000859285989 ASIR FAKANG L PBI (APBN) Myalgia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

20 27-02-2020 024808030220P000201 0000859302854 ELISABET FAMANI P PBI (APBN) Persistent fever Berobat Jalan

21 27-02-2020 024808030220P000213 0000859499662 SIPORA HAIRMO P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
22 27-02-2020 024808030220P000212 0000859500371 ANDERIAS GIDION MABILETI L PBI (APBN) Persistent fever Berobat Jalan

23 27-02-2020 024808030220P000214 0000859837149 HOSIANA MAIMAN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
24 27-02-2020 024808030220P000204 0001060441918 MAKDALENA ABUISAMA P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
25 27-02-2020 024808030220P000205 0001060441929 SELFISTER MAITEN L PBI (APBN) Myalgia Berobat Jalan

26 27-02-2020 024808030220P000199 0001392851474 ADAM VALENS LANFAI L PBI (APBD) Persistent fever Berobat Jalan

27 27-02-2020 024808030220P000208 0001392851788 TABITA MAUKESA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
28 27-02-2020 024808030220P000209 0001883261529 EDUART MAULETI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
29 27-02-2020 024808030220P000210 0002063141076 arlin maukesa P PEGAWAI SWASTA Persistent fever Berobat Jalan

30 27-02-2020 024808030220P000203 0002111941596 OKTOFINA LANFAI P PBI (APBD) Superficial injury of Berobat Jalan
unspecified body region
31 27-02-2020 024808030220P000198 0002111941754 PELIPUS MAITEN L PBI (APBD) Cutaneous abscess, Berobat Jalan
furuncle and carbuncle,
unspecified
32 27-02-2020 024808030220P000211 0002111942351 YOHANIS ONSILAY L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
33 27-02-2020 024808030220P000197 0002739507737 ANDREW CHARLIE FAMANI L PBI (APBD) Cough Berobat Jalan

34 26-02-2020 024808030220P000190 0000859445201 MARKUS MANIFA L PBI (APBN) Headache Berobat Jalan

35 26-02-2020 024808030220P000187 0000859826441 MARIA MABILETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
36 26-02-2020 024808030220P000189 0000859869055 SESELIA FATAKAI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
37 26-02-2020 024808030220P000191 0000859890014 MAKDALENA F. MALMAU P PBI (APBN) Conjunctivitis Berobat Jalan

38 26-02-2020 024808030220P000194 0002111942316 IMELDA MARTINA MAULETI P PBI (APBD) Superficial injuries Berobat Jalan
involving multiple body
regions
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

39 26-02-2020 024808030220P000192 0002111944465 KRISTIAN ARKA MAUFA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
40 26-02-2020 024808030220P000193 0002111944601 VEBI RATUBALINA FALANG P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
41 26-02-2020 024808030220P000188 0002111947852 HERMOLINDA LAPIKONI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
42 25-02-2020 024808030220P000175 0000858518436 ONA MOLINA P PBI (APBN) Superficial injuries Berobat Jalan
involving multiple body
regions
43 25-02-2020 024808030220P000173 0000858894794 PENINA MAIMA P PBI (APBN) Myalgia Berobat Jalan

44 25-02-2020 024808030220P000171 0000859252487 KAROLINA MAUKESA P PBI (APBN) Myalgia Berobat Jalan

45 25-02-2020 024808030220P000181 0000859274087 DORTIANA MINCE FAMANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
46 25-02-2020 024808030220P000185 0000859309918 HESLI SUSANA MAUKESA P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
47 25-02-2020 024808030220P000182 0000859441544 SARA MARSALINA MUSA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
48 25-02-2020 024808030220P000176 0000859445201 MARKUS MANIFA L PBI (APBN) Fever, unspecified Berobat Jalan

49 25-02-2020 024808030220P000172 0000859846263 YOHANIS FAKUL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
50 25-02-2020 024808030220P000174 0001060440164 SIMON PETRUS KAMENGMAU L PBI (APBN) Superficial injuries Berobat Jalan
involving multiple body
regions
51 25-02-2020 024808030220P000179 0001060440298 SARAH MAILAU P PBI (APBN) Myalgia Berobat Jalan

52 25-02-2020 024808030220P000186 0001060441975 ANTONETA MALMAU P PBI (APBN) Gastritis, unspecified Berobat Jalan

53 25-02-2020 024808030220P000177 0001392850179 MARSALINA LANFAI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
54 25-02-2020 024808030220P000184 0001392851114 YOEL MAILAU L PBI (APBD) Lesch-Nyhan syndrome Berobat Jalan

55 25-02-2020 024808030220P000183 0002111942351 YOHANIS ONSILAY L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

56 25-02-2020 024808030220P000180 0002111947604 ELI ESTEPANUS MAULETI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
57 25-02-2020 024808030220P000178 0002900352881 ADRIANA IRMA ONKO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
58 24-02-2020 024808030220P000246 0000858882418 MARIA HENDERINA MAIMA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
59 24-02-2020 024808030220P000244 0000859797764 HALENA F. SAFA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
60 24-02-2020 024808030220P000247 0000859846779 FERONIKA R. P. BILAFA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
61 24-02-2020 024808030220P000245 0001392850629 ASNAT LANFA P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
62 22-02-2020 024808030220P000163 0000202062104 ANTIPAS LANFA L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
63 22-02-2020 024808030220P000164 0001060440164 SIMON PETRUS KAMENGMAU L PBI (APBN) Superficial injuries Berobat Jalan
involving multiple body
regions
64 22-02-2020 024808030220P000170 0001288337051 MARTEN LUTER LUTANG L PBI (APBD) Other disorders of urinary Berobat Jalan
system
65 22-02-2020 024808030220P000165 0001392850012 MARKUS MAILANI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
66 22-02-2020 024808030220P000168 0001882804454 MUSA PITHER MAITEN L PNS DAERAH Myalgia Berobat Jalan

67 22-02-2020 024808030220P000167 0001882804994 JACK MIKA MAITEN L PNS DAERAH Superficial injuries Berobat Jalan
involving multiple body
regions
68 22-02-2020 024808030220P000166 0001882806467 JENY PRISTA MAITEN P PNS DAERAH Superficial injuries Berobat Jalan
involving multiple body
regions
69 22-02-2020 024808030220P000169 0002063141076 arlin maukesa P PEGAWAI SWASTA Fever, unspecified Berobat Jalan

70 21-02-2020 024808030220P000160 0000859215341 YESKIEL FAMAI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
71 21-02-2020 024808030220P000161 0000859867839 YAHYA MAUKESA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
72 21-02-2020 024808030220P000162 0001060442627 ZET ASAMOI L PBI (APBN) Gastritis, unspecified Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

73 20-02-2020 024808030220P000062 0000859251824 PECITA EDWIN WASNI ONKO P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
74 20-02-2020 024808030220P000057 0001060440232 HANA FASAMA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
75 20-02-2020 024808030220P000056 0001060440243 PUTRI ROSIAN MAITEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
76 20-02-2020 024808030220P000061 0001579210424 DEMARES ASAON P PBI (APBD) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

77 20-02-2020 024808030220P000059 0001579211436 MARIA MAILANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
78 20-02-2020 024808030220P000058 0001579211458 JON NELSON PILIPS MALKO L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
79 20-02-2020 024808030220P000055 0002111942283 FARIISHA KEILA FAMAI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
80 20-02-2020 024808030220P000060 0002111942529 JAKOMINA MAILAU P PBI (APBD) Gastritis, unspecified Berobat Jalan

81 19-02-2020 024808030220P000153 0000205160455 AURIN sabathine FAMANI P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
82 19-02-2020 024808030220P000158 0000858656079 DEBORA MAILETI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
83 19-02-2020 024808030220P000156 0000859228018 HERLOFINA LANFAI P PBI (APBN) Cerebral infarction, Berobat Jalan
unspecified
84 19-02-2020 024808030220P000155 0000859281186 MARTEN LAKAMAI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
85 19-02-2020 024808030220P000157 0001579210389 JOSHUA SANJOSHE SELLY L PBI (APBD) Other allergic rhinitis Berobat Jalan

86 19-02-2020 024808030220P000154 0002111941596 OKTOFINA LANFAI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
87 19-02-2020 024808030220P000159 0002111944803 SOLEMAN TOMAS TAMBILA L PBI (APBD) Gastritis, unspecified Berobat Jalan

88 18-02-2020 024808030220P000146 0000202062532 YAKOMINA LEMA P PNS DAERAH Headache Berobat Jalan

89 18-02-2020 024808030220P000144 0000858475967 MARIA FAMAI P PBI (APBN) Myalgia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

90 18-02-2020 024808030220P000151 0000858516682 BENDELINA MAITEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
91 18-02-2020 024808030220P000148 0000859255356 HERLOFINA MAUKESA P PBI (APBN) Myalgia Berobat Jalan

92 18-02-2020 024808030220P000142 0000859853632 TRI SORA LAULETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
93 18-02-2020 024808030220P000152 0000859857592 FEBRIANTO MAILANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
94 18-02-2020 024808030220P000145 0001288364668 ARNOL EDUPRAJA LANFA L PNS DAERAH Headache Berobat Jalan

95 18-02-2020 024808030220P000149 0001392851226 YERMIAS MAILANI L PBI (APBD) Hyperlipidaemia, Berobat Jalan
unspecified
96 18-02-2020 024808030220P000150 0002063141076 arlin maukesa P PEGAWAI SWASTA Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
97 18-02-2020 024808030220P000143 0002111942182 MARTHA KAMENGKO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
98 18-02-2020 024808030220P000147 0002111944746 JESIKA PAULUS SUBAMI L PBI (APBD) Fever, unspecified Berobat Jalan

99 17-02-2020 024808030220P000135 0000859209186 MARSALINA MAITEN P PBI (APBN) Headache Berobat Jalan

100 17-02-2020 024808030220P000140 0000859229019 HAGAR PENABEL P PBI (APBN) Fever, unspecified Berobat Jalan

101 17-02-2020 024808030220P000137 0001060440186 RIvALDO AYUB L PBI (APBN) Fever, unspecified Berobat Jalan

102 17-02-2020 024808030220P000139 0001060442021 MARSEL EKADIANUS LANFAI L PBI (APBN) Diarrhoea and Berobat Jalan
gastroenteritis of
presumed infectious origin

103 17-02-2020 024808030220P000138 0001392850596 SEMUEL MAUKESA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
104 17-02-2020 024808030220P000141 0002111942856 SOSANA ERY TANTRI P PBI (APBD) Conjunctivitis Berobat Jalan
KAMENGMAU
105 17-02-2020 024808030220P000136 0002111947604 ELI ESTEPANUS MAULETI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
106 15-02-2020 024808030220P000134 0002088063797 ARIYO ZAREJA KESAMAI L PNS DAERAH Disorders of lacrimal Berobat Jalan
system
107 14-02-2020 024808030220P000120 0000858915505 BENDELINA LAULETI P PBI (APBN) Supervision of normal Berobat Jalan
pregnancy
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

108 14-02-2020 024808030220P000123 0000859251824 PECITA EDWIN WASNI ONKO P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
109 14-02-2020 024808030220P000127 0000859276394 MAGDALENA LAPENANGGA P PBI (APBN) Abnormal findings on Berobat Jalan
diagnostic imaging of lung
110 14-02-2020 024808030220P000130 0000859318031 ABNER FAMANI L PBI (APBN) Respiratory tuberculosis, Berobat Jalan
bacteriologically and
histologically confirmed
111 14-02-2020 024808030220P000131 0000859857592 FEBRIANTO MAILANI L PBI (APBN) Headache Berobat Jalan

112 14-02-2020 024808030220P000122 0001060439376 CHIKO MAULETI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
113 14-02-2020 024808030220P000118 0001060440118 YORSELINA MAUKO P PBI (APBN) Gastritis, unspecified Berobat Jalan

114 14-02-2020 024808030220P000128 0001060441119 ZETH LANFAI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
115 14-02-2020 024808030220P000125 0001060441154 LEBERTINA MOIMAI P PBI (APBN) Headache Berobat Jalan

116 14-02-2020 024808030220P000129 0001060442627 ZET ASAMOI L PBI (APBN) Gastritis, unspecified Berobat Jalan

117 14-02-2020 024808030220P000132 0001392850023 AGUSTINA MAUKO P PBI (APBD) Hyperlipidaemia, Berobat Jalan
unspecified
118 14-02-2020 024808030220P000116 0001392850034 RIBKA LANSIBO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
119 14-02-2020 024808030220P000133 0001392850596 SEMUEL MAUKESA L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
120 14-02-2020 024808030220P000124 0001579210525 MILKA FAMAI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
121 14-02-2020 024808030220P000121 0001579211436 MARIA MAILANI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
122 14-02-2020 024808030220P000126 0002111942485 FRANSINA SARA LANFA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
123 14-02-2020 024808030220P000117 0002111942507 KELVIN REVANO FAMAI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
124 14-02-2020 024808030220P000119 0002900352881 ADRIANA IRMA ONKO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

125 13-02-2020 024808030220P000105 0000165656889 DECHIRISTINA OUKUR P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
126 13-02-2020 024808030220P000101 0000857346941 RENY ANITA SOLFINA MALENG P PBI (APBN) Postpartum coagulation Berobat Jalan
defects
127 13-02-2020 024808030220P000115 0000858447562 PENINA LAUATA P PBI (APBN) Myalgia Berobat Jalan

128 13-02-2020 024808030220P000102 0000858825573 YOSOFINA WOKOL P PBI (APBN) Myalgia Berobat Jalan

129 13-02-2020 024808030220P000113 0000859239011 ARIANCE MAILANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
130 13-02-2020 024808030220P000112 0000859240822 MILU MARLISA MAILANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
131 13-02-2020 024808030220P000110 0000859258315 GOLIAT MAILANI L PBI (APBN) Gastritis, unspecified Berobat Jalan

132 13-02-2020 024808030220P000111 0000859260036 DOEGMARKDODO MAILANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
133 13-02-2020 024808030220P000104 0000859274087 DORTIANA MINCE FAMANI P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
134 13-02-2020 024808030220P000243 0000859308614 MARIA ATALANI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
135 13-02-2020 024808030220P000242 0000859467429 RUPUS MOUKOLI P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
136 13-02-2020 024808030220P000241 0001060439578 ERNA DIANA MAINIKA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
137 13-02-2020 024808030220P000106 0001060439758 FLORINDA MANIFA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
138 13-02-2020 024808030220P000107 0001060440221 MARIA LETEK P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
139 13-02-2020 024808030220P000114 0001060440333 DEBORA FASAMA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
140 13-02-2020 024808030220P000109 0001392849988 ESTER LANGSIBO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
141 13-02-2020 024808030220P000108 0001392850012 MARKUS MAILANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

142 13-02-2020 024808030220P000103 0001392850721 SOSANA LANFA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
143 13-02-2020 024808030220P000100 0001392851169 MARSALINA KAMESA P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
144 12-02-2020 024808030220P000236 0000858958569 IMELDA OEMATAN P PBI (APBN) Surveillance of Berobat Jalan
contraceptive drugs
145 12-02-2020 024808030220P000097 0000859228018 HERLOFINA LANFAI P PBI (APBN) Cerebral infarction, Berobat Jalan
unspecified
146 12-02-2020 024808030220P000095 0000859426209 SELFIUS FAMANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
147 12-02-2020 024808030220P000240 0000859827789 NOFLIANA MANIFA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
148 12-02-2020 024808030220P000096 0000859889079 YUNITA F. MALMAU P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
149 12-02-2020 024808030220P000239 0001060442425 KALODIAN FANLAKA P PBI (APBN) Supervision of normal first Berobat Jalan
pregnancy
150 12-02-2020 024808030220P000237 0001392844386 BILHA DEMARIS FALANG P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
151 12-02-2020 024808030220P000098 0001392851226 YERMIAS MAILANI L PBI (APBD) Hyperuricaemia without Berobat Jalan
signs of inflammatory
arthritis and tophaceous
disease
152 12-02-2020 024808030220P000238 0002111946761 TERPINA ONATA P PBI (APBD) Supervision of normal first Berobat Jalan
pregnancy
153 12-02-2020 024808030220P000099 0002448782212 FRENSA JUVEN MAUKESA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
154 11-02-2020 024808030220P000094 0000858787683 MIKAEL P FANLAKA L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
155 11-02-2020 024808030220P000093 0000859260036 DOEGMARKDODO MAILANI L PBI (APBN) Acute pharyngitis Berobat Jalan

156 11-02-2020 024808030220P000089 0001060440142 MARTINUS KAMENGMAU L PBI (APBN) Hyperemesis gravidarum Berobat Jalan
with metabolic disturbance

157 11-02-2020 024808030220P000092 0001060440232 HANA FASAMA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
158 11-02-2020 024808030220P000087 0001060441749 SALOMI MAITEN P PBI (APBN) Myalgia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

159 11-02-2020 024808030220P000088 0001392849966 HENDERINA MAILANI P PBI (APBD) Myalgia Berobat Jalan

160 11-02-2020 024808030220P000085 0001392850034 RIBKA LANSIBO P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
161 11-02-2020 024808030220P000086 0001392850629 ASNAT LANFA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
162 11-02-2020 024808030220P000090 0001392851283 YAKOMINA MAILAU P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
163 11-02-2020 024808030220P000091 0002111942182 MARTHA KAMENGKO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
164 10-02-2020 024808030220P000068 0000147729598 BERTA MAITEN P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
165 10-02-2020 024808030220P000082 0000858772721 FERDRIK MIKAEL MAILANI L PBI (APBN) Respiratory tuberculosis, Berobat Jalan
bacteriologically and
histologically confirmed
166 10-02-2020 024808030220P000077 0000859219378 BENDELINA APRELINA DELILA P PBI (APBN) Acute upper respiratory Berobat Jalan
MAILAU infections of multiple and
unspecified sites
167 10-02-2020 024808030220P000235 0000859324004 ESTER LODIA MAUFA P PBI (APBN) Surveillance of Berobat Jalan
contraceptive drugs
168 10-02-2020 024808030220P000072 0000859455652 BENDELINA LANMAI P PBI (APBN) Myalgia Berobat Jalan

169 10-02-2020 024808030220P000078 0000859883523 DELITA J. MAUKESA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
170 10-02-2020 024808030220P000080 0001060440333 DEBORA FASAMA P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
171 10-02-2020 024808030220P000076 0001060441424 MARSEL EVENDY LANFAI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
172 10-02-2020 024808030220P000081 0001060442109 STEFANUS KRISTIAN L PBI (APBN) Acute upper respiratory Berobat Jalan
LANGMAU infections of multiple and
unspecified sites
173 10-02-2020 024808030220P000074 0001392849988 ESTER LANGSIBO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
174 10-02-2020 024808030220P000071 0001392850012 MARKUS MAILANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

175 10-02-2020 024808030220P000083 0001392850912 ELISABET FANMEY P PBI (APBD) Postpartum coagulation Berobat Jalan
defects
176 10-02-2020 024808030220P000069 0002036854078 markus ananias mauleti L PNS DAERAH Dermatophytosis Berobat Jalan

177 10-02-2020 024808030220P000079 0002063141076 arlin maukesa P PEGAWAI SWASTA Fever, unspecified Berobat Jalan

178 10-02-2020 024808030220P000073 0002111942002 YOSEFINA ASAMAI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
179 10-02-2020 024808030220P000070 0002111942204 SOSANA MAILAU P PBI (APBD) Myalgia Berobat Jalan

180 10-02-2020 024808030220P000084 0002111942823 SALOMI FALANG P PBI (APBD) Conjunctivitis Berobat Jalan

181 10-02-2020 024808030220P000075 0002111943497 SARCI YANTI SANANG P PBI (APBD) Postpartum coagulation Berobat Jalan
defects
182 08-02-2020 024808030220P000067 0000859260036 DOEGMARKDODO MAILANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
183 08-02-2020 024808030220P000065 0000859454548 DARIUS KESAMAI L PBI (APBN) Myalgia Berobat Jalan

184 08-02-2020 024808030220P000063 0000859714301 SELFIUS MOUKOLI L PBI (APBN) Other and unspecified Berobat Jalan
abdominal pain
185 08-02-2020 024808030220P000064 0000859804121 SOSIPATER LUKAS FAKUL L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
186 08-02-2020 024808030220P000066 0001890817571 SARA LUSIANA MAILAU P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
187 07-02-2020 024808030220P000051 0000858825573 YOSOFINA WOKOL P PBI (APBN) Myalgia Berobat Jalan

188 07-02-2020 024808030220P000052 0000859243241 MARGARITA MAITEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
189 07-02-2020 024808030220P000050 0000859887652 MELKISUA MALMAU L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
190 07-02-2020 024808030220P000053 0001060442627 ZET ASAMOI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
191 07-02-2020 024808030220P000049 0001392850023 AGUSTINA MAUKO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
192 07-02-2020 024808030220P000048 0001392850179 MARSALINA LANFAI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

193 07-02-2020 024808030220P000054 0001392850721 SOSANA LANFA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
194 07-02-2020 024808030220P000047 0002900352881 ADRIANA IRMA ONKO P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
195 06-02-2020 024808030220P000028 0000147729598 BERTA MAITEN P PNS DAERAH Essential (primary) Berobat Jalan
hypertension
196 06-02-2020 024808030220P000037 0000206030057 SERLY MITZI ASGINIR TANEO P PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
197 06-02-2020 024808030220P000042 0000858504868 JUBLINA MAITIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
198 06-02-2020 024808030220P000031 0000858533747 YUNUS MAILANI L PBI (APBN) Essential (primary) Berobat Jalan
hypertension
199 06-02-2020 024808030220P000032 0000859219378 BENDELINA APRELINA DELILA P PBI (APBN) Acute upper respiratory Berobat Jalan
MAILAU infections of multiple and
unspecified sites
200 06-02-2020 024808030220P000027 0000859226051 IMANUEL TOFETO L PBI (APBN) Myalgia Berobat Jalan

201 06-02-2020 024808030220P000039 0000859237233 DELIMA SUSANA LASIMAI P PBI (APBN) Acute upper respiratory Berobat Jalan
MAIFA infections of multiple and
unspecified sites
202 06-02-2020 024808030220P000046 0000859243241 MARGARITA MAITEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
203 06-02-2020 024808030220P000033 0000859252487 KAROLINA MAUKESA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
204 06-02-2020 024808030220P000044 0001060441143 MARTHEN MAILAU L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
205 06-02-2020 024808030220P000036 0001060441299 ZAKARIAS MAILANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
206 06-02-2020 024808030220P000038 0001060441683 ANIKA BERI P PBI (APBN) Myalgia Berobat Jalan

207 06-02-2020 024808030220P000035 0001321116006 BERDWIN SAUFA L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
208 06-02-2020 024808030220P000030 0001392851068 YUNITA M. FAMANI P PBI (APBD) Dyspepsia Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

209 06-02-2020 024808030220P000043 0001890817571 SARA LUSIANA MAILAU P PBI (APBD) Respiratory tuberculosis, Berobat Jalan
bacteriologically and
histologically confirmed
210 06-02-2020 024808030220P000029 0002036854078 markus ananias mauleti L PNS DAERAH Dermatophytosis Berobat Jalan

211 06-02-2020 024808030220P000034 0002111941541 ARDIAN GIBERNO MAITEN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
212 06-02-2020 024808030220P000041 0002111942305 MARIANA CHELSI MABILEHI P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
213 06-02-2020 024808030220P000040 0002111942529 JAKOMINA MAILAU P PBI (APBD) Dyspepsia Berobat Jalan

214 06-02-2020 024808030220P000045 0002498625123 FRANSIGO YAN MOLINA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
215 05-02-2020 024808030220P000015 0000859429012 REVAYATI SOLINDA ONKO P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
216 05-02-2020 024808030220P000017 0000859889384 ADASUKACITA M. MALMAU P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
217 05-02-2020 024808030220P000016 0001398557349 MATHILDA TOAL P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy
218 05-02-2020 024808030220P000014 0001579210222 YAKOBET LAAMOU P PBI (APBD) Supervision of normal Berobat Jalan
pregnancy
219 05-02-2020 024808030220P000018 0001579210389 JOSHUA SANJOSHE SELLY L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
220 04-02-2020 024808030220P000023 0000858827586 NIKSON KAPOMAI L PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
221 04-02-2020 024808030220P000022 0001060440243 PUTRI ROSIAN MAITEN P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
222 04-02-2020 024808030220P000021 0001060440838 TIRSA REBEKA MOILETI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
223 04-02-2020 024808030220P000026 0001822211302 GABRIEL JORDAN KESAMAI L PNS DAERAH Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

224 04-02-2020 024808030220P000024 0001961066597 YEDITON MANIPAN L PBI (APBD) Superficial injuries Berobat Jalan
involving multiple body
regions
225 04-02-2020 024808030220P000025 0001961071918 JEMS BERNAD MANIPAN L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
226 04-02-2020 024808030220P000020 0002111942024 OLIVIA N. LASIMAI MAIFA P PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
227 04-02-2020 024808030220P000019 0002111947299 MIKA LUIS MAIDAMA L PBI (APBD) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
228 03-02-2020 024808030220P000003 0000858504868 JUBLINA MAITIA P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
229 03-02-2020 024808030220P000010 0000858907719 YULIANA MAILANI P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
230 03-02-2020 024808030220P000005 0000858919364 YOHANIS MAULETI L PBI (APBN) Fever, unspecified Berobat Jalan

231 03-02-2020 024808030220P000004 0000859237233 DELIMA SUSANA LASIMAI P PBI (APBN) Acute upper respiratory Berobat Jalan
MAIFA infections of multiple and
unspecified sites
232 03-02-2020 024808030220P000007 0000859252487 KAROLINA MAUKESA P PBI (APBN) Gastritis, unspecified Berobat Jalan

233 03-02-2020 024808030220P000008 0000859258776 WASTI BEKAMAU P PBI (APBN) Essential (primary) Berobat Jalan
hypertension
234 03-02-2020 024808030220P000196 0000859427008 MAT BEN EKSAM FAMANI L PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
235 03-02-2020 024808030220P000001 0000859429012 REVAYATI SOLINDA ONKO P PBI (APBN) Acute upper respiratory Berobat Jalan
infections of multiple and
unspecified sites
236 03-02-2020 024808030220P000012 0000859871125 LEBERTINA MOILETI P PBI (APBN) Myalgia Berobat Jalan

237 03-02-2020 024808030220P000002 0001060441683 ANIKA BERI P PBI (APBN) Vertiginous syndromes in Berobat Jalan
diseases classified
elsewhere
238 03-02-2020 024808030220P000011 0001060442627 ZET ASAMOI L PBI (APBN) Gastritis, unspecified Berobat Jalan

239 03-02-2020 024808030220P000009 0001392850012 MARKUS MAILANI L PBI (APBD) Essential (primary) Berobat Jalan
hypertension
240 03-02-2020 024808030220P000006 0001392851068 YUNITA M. FAMANI P PBI (APBD) Asthma Berobat Jalan
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUPANG - 2401

FKTP : LEMBUR - 02480803

241 03-02-2020 024808030220P000013 0002111941506 YAKOMINA KESAMAI P PBI (APBD) Essential (primary) Berobat Jalan
hypertension
242 03-02-2020 024808030220P000195 0002739507737 ANDREW CHARLIE FAMANI L PBI (APBD) Acute upper respiratory Berobat Jalan
infection, unspecified
243 02-02-2020 024808030220P000233 0000858508964 JENNA NAOMI LASIMAI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
244 02-02-2020 024808030220P000230 0000858519933 LEA FANATA P PBI (APBN) Allergic contact dermatitis, Berobat Jalan
unspecified cause

245 02-02-2020 024808030220P000231 0000859871125 LEBERTINA MOILETI P PBI (APBN) Persistent fever Berobat Jalan

246 02-02-2020 024808030220P000232 0000859873105 ORPA FAMAI P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified
247 02-02-2020 024808030220P000234 0001060440996 YOHANA ADANG P PBI (APBN) Acute upper respiratory Berobat Jalan
infection, unspecified