Data Kunjungan Sakit Jan 21

DAFTAR KUNJUNGAN PESERTA SAKIT
Kantor Cabang : KARAWANG - 1006
FKTP : KLINIK AS-SHOFA - 0130B021
TANGGAL TANGGAL JENIS STATUS

NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG
Diabetes
0130B0210121P00 31-01-2021 31-01-2021 PENERIMA Secondary hypertension,
1 0000063107651 M. A. SANUSI L Berobat Jalan Hipertensi Mellitus
0989 00:00 11:06 PENSIUN PNS unspecified
Hipertensi
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI
2 0000170590656 CICI JULIAWATI P Headache Berobat Jalan
1014 00:00 18:28 SWASTA
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
3 0000171162911 SISKA NURUL FATIMAH P Headache Berobat Jalan
1012 00:00 18:27 MANDIRI
0130B0210121P00 31-01-2021 31-01-2021
4 0000196034894 ACO L PNS DAERAH Dyspepsia Berobat Jalan
1010 00:00 18:26
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI
5 0000481039964 RANI SEFTIANI P Dermatitis, unspecified Rujuk Vertikal
1015 00:00 19:07 SWASTA
0130B0210121P00 31-01-2021 01-02-2021 PEGAWAI
6 0001125730484 DIDIN SAPRUDIN L Myalgia Berobat Jalan
1020 00:00 16:34 SWASTA
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI
7 0001184023236 AYI LAELAWATI P Headache Berobat Jalan
1018 00:00 19:45 SWASTA
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI
8 0001200829691 FAUZI HANIF SOFYAN L Other dermatitis Berobat Jalan
0978 00:00 09:27 SWASTA
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA Non-insulin-dependent Diabetes Diabetes
9 0001310627452 HJ.SRI SUMARNI P Berobat Jalan
0985 00:00 10:23 MANDIRI diabetes mellitus Mellitus Mellitus
Diabetes
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI Secondary hypertension,
10 0001327628294 HJ. NUNUNG NURJANAH P Berobat Jalan Hipertensi Mellitus
0986 00:00 10:24 SWASTA unspecified
Hipertensi
0130B0210121P00 31-01-2021 31-01-2021 YUANEZA LUVIANA PEKERJA Influenza, virus not
11 0001426500729 P Berobat Jalan
1005 00:00 18:24 RAHMAN MANDIRI identified
Non-insulin-dependent
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA Diabetes Diabetes
12 0001438389077 UEN P diabetes mellitus with Berobat Jalan
0981 00:00 10:19 MANDIRI Mellitus Mellitus
unspecified complications
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
13 0001454901344 TATY P Dyspepsia Berobat Jalan
1017 00:00 19:44 MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI Antenatal screening,
14 0001517456744 ERNAWATI P Berobat Jalan
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI
15 0001523600943 IRGI IRAWAN L Dermatitis, unspecified Berobat Jalan
0998 00:00 15:42 SWASTA
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI
16 0001641738622 NURLAELA P Dyspepsia Berobat Jalan
1000 00:00 16:11 SWASTA
0130B0210121P00 31-01-2021 31-01-2021 MUHAMMAD BILAL PEGAWAI Influenza, virus not
17 0001641738633 L Berobat Jalan
1001 00:00 16:12 NURDIANSYAH SWASTA identified
PEGAWAI
PEMERINTAH
0130B0210121P00 31-01-2021 31-01-2021 Influenza, virus not
18 0001661076821 SAEFUL ABDUL MUGNI L DENGAN Berobat Jalan
1002 00:00 18:22 identified
PERJANJIAN
KERJA
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI Influenza, virus not
19 0001737761883 ANGGA SULAEMAN L Berobat Jalan
1003 00:00 18:23 SWASTA identified
0130B0210121P00 31-01-2021 31-01-2021 RANGGA SUKMA PEKERJA
20 0001787582981 L Dyspepsia Berobat Jalan
1013 00:00 18:28 MAULANA MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 ZALFAA AYU HAFIDZAH PEKERJA
21 0001811779029 P Other dermatitis Berobat Jalan
0976 00:00 08:51 PUTRI MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA Non-insulin-dependent Diabetes
22 0001823711005 rasmini P Berobat Jalan Hipertensi
0990 00:00 11:07 MANDIRI diabetes mellitus Mellitus
0130B0210121P00 31-01-2021 01-02-2021 PEGAWAI
23 0002053472624 AISYAH P Chronic pharyngitis Berobat Jalan
1021 00:00 16:35 SWASTA
0130B0210121P00 31-01-2021 31-01-2021
24 0002213880254 MULYA SEPTIAN L PBI (APBN) Myalgia Berobat Jalan
1004 00:00 18:23
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
25 0002218562818 MUNAWAROH P Caries of dentine Berobat Jalan
1006 00:00 18:24 MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 ABIMANA KRESNA PEKERJA Influenza, virus not
0999 00:00 15:49 ASHAHEIN MANDIRI identified
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
27 0002266258869 DEDEH YUNINGSIH P Dyspepsia Berobat Jalan
0997 00:00 12:37 MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI
28 0002268145787 SELA VIRZINIA PUTRI P Fever, unspecified Berobat Jalan
1019 00:00 20:19 SWASTA
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI Contraceptive
29 0002305114683 HOHO HODIJAH P Berobat Jalan
1011 00:00 18:27 SWASTA management, unspecified
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
30 0002310675423 NAZWA DWITAMI IRAWAN P Dyspepsia Berobat Jalan
0973 00:00 06:57 MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 Secondary hypertension,
31 0002379274121 AEP SAEPUDIN L INVESTOR Berobat Jalan Hipertensi
0983 00:00 10:21 unspecified
Diabetes Diabetes
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA Non-insulin-dependent
32 0002420767427 NUNUNG P Berobat Jalan Mellitus Mellitus
0991 00:00 11:30 MANDIRI diabetes mellitus
Hipertensi Hipertensi
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
33 0002427219246 LILI P Nasal polyp, unspecified Rujuk Vertikal
1016 00:00 19:20 MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA Secondary hypertension,
34 0002440537817 AI ROBIAH P Berobat Jalan Hipertensi Hipertensi
0984 00:00 10:22 MANDIRI unspecified
Diabetes
35 0002485729517 DINI ARDIYANTI P Berobat Jalan Mellitus
Hipertensi
36 0002489806809 UJANG SUMARDI L Berobat Jalan Hipertensi Hipertensi
0130B0210121P00 31-01-2021 31-01-2021 ZAID NURHANIF PEGAWAI Influenza, virus not
0980 00:00 10:14 SULAEMAN SWASTA identified
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
38 0002501558763 ROSIDI ARYANTO L Anal fistula Rujuk Vertikal
0988 00:00 10:27 MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA Influenza, virus not
39 0002626486571 IRA JULIANI P Berobat Jalan
0979 00:00 09:35 MANDIRI identified
40 0002899358076 ILHAM RIZKI ADITIYA L Berobat Jalan
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
41 0002916763536 ALIKA NAILA PUTRI P Epilepsy Berobat Jalan
0987 00:00 10:25 MANDIRI
42 0002931891726 ECE SOBARI L Berobat Jalan Hipertensi Hipertensi
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
43 0002939585128 MARIAM P Myalgia Berobat Jalan
0977 00:00 09:26 MANDIRI
0130B0210121P00 31-01-2021 31-01-2021 PEKERJA
44 0002944099642 AIYRA RUMAISHA P Fever, unspecified Berobat Jalan
1007 00:00 18:25 MANDIRI
45 0003046625493 SYAFANA ALMEERA P Berobat Jalan
0130B0210121P00 31-01-2021 31-01-2021 MHD RAMADHAN PEGAWAI
46 0003058992369 L Myalgia Berobat Jalan
1008 00:00 18:25 HASIBUAN SWASTA
0130B0210121P00 31-01-2021 31-01-2021 SITI KAPITA PUTRI NUR PEKERJA Antenatal screening,
47 0003060720909 P Berobat Jalan
0994 00:00 12:35 PAHMI MANDIRI unspecified
0130B0210121P00 31-01-2021 31-01-2021 PEGAWAI
48 0003063747734 KHANSA KHAIRUNNISA P Fever, unspecified Berobat Jalan
0974 00:00 07:15 SWASTA
49 0003068018199 SYAQILA IZZATUNISA P Berobat Jalan
Diabetes
0130B0210121P00 30-01-2021 30-01-2021 Essential (primary)
50 0000063181282 NINING TARNINGSIH P PNS DAERAH Berobat Jalan Mellitus
0951 00:00 09:56 hypertension
Hipertensi
0130B0210121P00 30-01-2021 30-01-2021
51 0000063345082 YUS RUSDAN KHOLIK, SE L PNS DAERAH Headache Berobat Jalan
0966 00:00 16:29
0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI
52 0000063403885 WIWIN WINDAYANI P Dyspepsia Berobat Jalan
0948 00:00 08:43 SWASTA
0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI
53 0001138352545 WAWAN KARNAWAN L Myalgia Berobat Jalan
0958 00:00 13:47 SWASTA
0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI

54 0001388314113 LILIS KARLINA P Dyspepsia Berobat Jalan
0950 00:00 09:53 SWASTA
Non-insulin-dependent
55 0001438389077 UEN P diabetes mellitus with Berobat Jalan
unspecified complications
56 0001447905723 DILA MAULIDA YUSUP P Berobat Jalan
57 0001447910921 DIAN SUPRIYADI L Berobat Jalan
58 0001447978634 DHEA APRILYA P Berobat Jalan
0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI Acute upper respiratory
59 0001765981045 ILHAM WAHYU PERMANA L Berobat Jalan
0952 00:00 10:15 SWASTA infection, unspecified
0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI
60 0001802031761 HANDI AL-GHIFARI L Dyspepsia Berobat Jalan
0970 00:00 18:49 SWASTA
61 0001847147567 JUJU RISNAWATI P Berobat Jalan
0130B0210121P00 30-01-2021 30-01-2021 MUHAMMAD AZKA
62 0001889597553 L PNS DAERAH Myopia Rujuk Vertikal
0972 00:00 19:01 SUSANDI
0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI
63 0002058010064 ANI MULYANI P Headache Berobat Jalan
0961 00:00 16:23 SWASTA
0130B0210121P00 30-01-2021 30-01-2021 MUHAMAD RAFKA PEGAWAI
64 0002077943141 L Myalgia Berobat Jalan
0971 00:00 18:56 APRIANSA SWASTA
0130B0210121P00 30-01-2021 30-01-2021 ZAKIR NUR HANIF PEGAWAI Influenza, virus not
0968 00:00 17:08 SULAEMAN SWASTA identified
66 0002247571438 LINDAWATI P Berobat Jalan
0130B0210121P00 30-01-2021 30-01-2021 MUHAMMAD DAFFA PEKERJA
67 0002274542594 L Fever, unspecified Berobat Jalan
0960 00:00 16:22 FADILLAH MANDIRI
0130B0210121P00 30-01-2021 30-01-2021 PEKERJA
68 0002288052044 APE SYAPEI L Headache Berobat Jalan
0956 00:00 12:26 MANDIRI
0130B0210121P00 30-01-2021 30-01-2021 PEKERJA
69 0002395355859 EVI MEILITA P Myalgia Berobat Jalan
0943 00:00 06:44 MANDIRI
PEGAWAI
PEMERINTAH
0130B0210121P00 30-01-2021 30-01-2021
70 0002397623815 NAZMA FAUZIAH P DENGAN Fever, unspecified Berobat Jalan
0947 00:00 08:42
PERJANJIAN
KERJA
0130B0210121P00 30-01-2021 30-01-2021 PEKERJA
71 0002459314653 SUSI LAWATI P Dyspepsia Berobat Jalan
0955 00:00 12:25 MANDIRI
0130B0210121P00 30-01-2021 30-01-2021 PEKERJA

72 0002497530161 YANTI SUMIATI P Dyspepsia Berobat Jalan
0965 00:00 16:29 MANDIRI
73 0002497530363 ANDRI DINATA L Berobat Jalan
0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI
74 0002741244243 YAYAH ROKAYAH P Dyspepsia Berobat Jalan
0969 00:00 18:44 SWASTA
0130B0210121P00 30-01-2021 30-01-2021 GALANG ARBANI PEKERJA Influenza, virus not
0963 00:00 16:27 AGUSTIN MANDIRI identified
Respiratory tuberculosis,
0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI
76 0002911600293 SINDI PEBRIYANTI P bacteriologically and Rujuk Vertikal
0944 00:00 07:30 SWASTA
histologically confirmed
0130B0210121P00 30-01-2021 30-01-2021 MUHAMMAD FAREL PEGAWAI Influenza, virus not
0967 00:00 16:56 JAKARIA SWASTA identified
Diarrhoea and
0130B0210121P00 30-01-2021 30-01-2021
78 0003063252791 LAELA NURHAYATI P PBI (APBN) gastroenteritis of Berobat Jalan
0959 00:00 14:28
presumed infectious origin

79 0003065595851 NENG ARSYA NADIRHA P Berobat Jalan
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA
80 0001427804752 OYOH ROHANAH P Headache Berobat Jalan
0924 00:00 09:47 MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEGAWAI
81 0001743885033 KARMAN L Other dermatitis Berobat Jalan
0925 00:00 09:50 SWASTA
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA Antenatal screening,
82 0001793302503 SARTIKA DEWI P Berobat Jalan
0130B0210121P00 29-01-2021 29-01-2021 PEGAWAI
83 0001794287687 r. raihan al fatah prasetyo L Otitis externa Rujuk Vertikal
0920 00:00 09:31 SWASTA
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA Acute upper respiratory
84 0001844110045 ALIF NAUFAL SURYA L Berobat Jalan
0940 00:00 20:28 MANDIRI infection, unspecified
85 0001862402747 IKA SETIAWATI P Berobat Jalan
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA
86 0001971823228 jumaida susanti sitanggang P Headache Berobat Jalan
0939 00:00 20:27 MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEGAWAI
87 0002185825217 LIA KUSMIATI P Dyspepsia Berobat Jalan
0928 00:00 10:23 SWASTA
88 0002266560178 shakira ayudia P Berobat Jalan
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA
89 0002279195199 YAYAN ANDRIYANA L Myalgia Berobat Jalan
0923 00:00 09:46 MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA

90 0002312154314 EFFENDI L Headache Berobat Jalan
0930 00:00 11:01 MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA
91 0002327343063 SUPARMAN L Other dermatitis Berobat Jalan
0926 00:00 09:51 MANDIRI
92 0002399786212 MUHAMAD RIZWAN L Berobat Jalan
0130B0210121P00 29-01-2021 29-01-2021 MUHAMAD RIZKY PEKERJA
0942 00:00 22:44 ALSAHDIN MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA
94 0002463476736 DEVI GUSTINAWARNI P Headache Berobat Jalan
0929 00:00 10:24 MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA Dysmenorrhoea,
95 0002464182224 NOVITA L Berobat Jalan
96 0002621119577 HILWA AINUN NAJAH L Berobat Jalan
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA
97 0002874308949 TITI P Dyspepsia Berobat Jalan
0922 00:00 09:44 MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA Influenza with pneumonia,

98 0002876711567 UNUN NURBAYANTI P Berobat Jalan
0933 00:00 13:50 MANDIRI virus not identified
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA

99 0002877107365 LILIS P Gout Berobat Jalan
0941 00:00 21:36 MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEKERJA
100 0002896955717 NAYLA KHAIRUN NISSA P Other dermatitis Berobat Jalan
0938 00:00 20:26 MANDIRI
0130B0210121P00 29-01-2021 29-01-2021 PEGAWAI
101 0002925364252 CUCU SUHAYA L Dyspepsia Berobat Jalan
0932 00:00 12:51 SWASTA
102 0002926570386 ALMI RAHMANA PUTRA L Berobat Jalan
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI
103 0001009889515 WIWI PRATIWI P Scabies Berobat Jalan
0913 00:00 18:11 SWASTA
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI
104 0001129334422 SUWARDI L Dyspepsia Berobat Jalan
0890 00:00 10:50 SWASTA
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA
105 0001294012631 MIMI MARYANI P Dyspepsia Berobat Jalan
0895 00:00 10:57 MANDIRI
Cutaneous abscess,
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI
106 0001447905723 DILA MAULIDA YUSUP P furuncle and carbuncle of Berobat Jalan
0901 00:00 13:20 SWASTA
limb
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA Fever of other and Diabetes
107 0001448981921 UNATI P Berobat Jalan
0911 00:00 18:04 MANDIRI unknown origin Mellitus
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA
108 0001516114934 TARDI PERMANA L Fever, unspecified Berobat Jalan
0896 00:00 11:24 MANDIRI

109 0001516592507 KELVIN RIZKY ADITYA L Berobat Jalan
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI

110 0001516592619 HEDI ROHAEDI L Dyspepsia Berobat Jalan
0912 00:00 18:05 SWASTA
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI Intervertebral disc
111 0001523055093 TETI PRIANI P Rujuk Vertikal
0889 00:00 10:10 SWASTA disorder, unspecified
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI
112 0001660956039 YANI P Dyspepsia Berobat Jalan
0891 00:00 10:52 SWASTA
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI
113 0001661079251 KURNIA P Chronic pharyngitis Berobat Jalan
0915 00:00 18:13 SWASTA
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA
114 0001790522785 YUSMAN L bacteriologically and Berobat Jalan
0907 00:00 16:40 MANDIRI
PEGAWAI
PEMERINTAH
0130B0210121P00 28-01-2021 28-01-2021
115 0001796089228 NURI NURHAYATI P DENGAN Myalgia Berobat Jalan
0918 00:00 19:38
PERJANJIAN
KERJA
0130B0210121P00 28-01-2021 28-01-2021
116 0001846907155 NANI SUMARNI P PBI (APBN) Nausea and vomiting Berobat Jalan
0908 00:00 17:58
Diarrhoea and
0130B0210121P00 28-01-2021 28-01-2021 MUHAMMAD RIFA'I PEKERJA
117 0002049200875 L gastroenteritis of Berobat Jalan
0906 00:00 15:59 ASSYAUQI MANDIRI
0130B0210121P00 28-01-2021 28-01-2021 Nazwa Muminatul Azka PEGAWAI

118 0002053568867 P Varicella [chickenpox] Berobat Jalan
0892 00:00 10:53 Septiani SWASTA
119 0002097606903 IWANUDIN L Berobat Jalan
0130B0210121P00 28-01-2021 28-01-2021 ADEEVA AFSEEN KIRANA PEGAWAI Influenza with pneumonia,
120 0002237674983 P Berobat Jalan
0893 00:00 10:54 MYESA SWASTA virus not identified
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI Influenza with pneumonia,

121 0002325497951 DZAKIRA TALITA ZAHRA P Berobat Jalan
0894 00:00 10:55 SWASTA virus not identified
PEGAWAI
PEMERINTAH
0130B0210121P00 28-01-2021 28-01-2021
122 0002425194382 CECEP HENDRA L DENGAN Urticaria, unspecified Berobat Jalan
0898 00:00 11:46
PERJANJIAN
KERJA
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA
123 0002455730559 UJANG KOSWARA L Myalgia Berobat Jalan
0916 00:00 18:13 MANDIRI
0130B0210121P00 28-01-2021 28-01-2021

124 0002461832561 GILANG YANUARIANSYAH L PNS DAERAH Scabies Berobat Jalan
0914 00:00 18:12
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA Malignant neoplasm of
125 0002463491867 SITI WATI P Rujuk Vertikal
0919 00:00 20:16 MANDIRI cervix uteri, unspecified
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA
126 0002610231759 AISAH P Myalgia Berobat Jalan
0900 00:00 13:16 MANDIRI
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA
127 0002626485434 NENG SUSI P Myalgia Berobat Jalan
0910 00:00 18:01 MANDIRI
128 0002626486986 INE NOVIYANTI P Berobat Jalan
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI
129 0002770943848 RIRI IRIANTI P Dyspepsia Berobat Jalan
0903 00:00 14:44 SWASTA
0130B0210121P00 28-01-2021 28-01-2021 ARSAKHA NARENDRA PEKERJA Influenza, virus not
130 0002771972649 L Berobat Jalan
0888 00:00 07:43 ABIMANYU MANDIRI identified
0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI Stomatitis and related
131 0002891252733 SAFIRA AQILA ANANDA L Berobat Jalan
0902 00:00 13:55 SWASTA lesions
132 0002914861037 TEO PURNAMA L Berobat Jalan
0130B0210121P00 28-01-2021 28-01-2021 ARYA PRAWARA PEKERJA Influenza, virus not
133 0002914861173 L Berobat Jalan
0904 00:00 14:44 PURNAMA MANDIRI identified
0130B0210121P00 28-01-2021 28-01-2021 BAYI NYONYA AI PEKERJA
0887 00:00 05:56 ROHAYATI MANDIRI
0130B0210121P00 28-01-2021 28-01-2021 PEKERJA
135 0003065626315 BAYI NYONYA MINAWATI P Varicella [chickenpox] Berobat Jalan
0897 00:00 11:45 MANDIRI
0130B0210121P00 27-01-2021 27-01-2021 PENERIMA
136 0000063040037 AGUS LUKMAN L Myalgia Berobat Jalan
0869 00:00 14:25 PENSIUN PNS
0130B0210121P00 27-01-2021 27-01-2021 Excessive, frequent and
137 0000148133316 DIAN KOMALA P PNS DAERAH Berobat Jalan
0864 00:00 13:12 irregular menstruation
0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI
138 0001129334422 SUWARDI L Other hearing loss Rujuk Vertikal
0853 00:00 07:41 SWASTA
139 0001137397072 MIA KUSMIAWATI P Berobat Jalan
0879 00:00 18:02 SWASTA management
0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI
140 0001138352668 HERMAN L Myalgia Berobat Jalan
0873 00:00 16:01 SWASTA
0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI
141 0001146948333 ACE ISKANDAR L Myalgia Berobat Jalan
0851 00:00 06:35 SWASTA
0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI
142 0001184710757 ENDAH ROSIDAH P Migraine Berobat Jalan
0872 00:00 16:00 SWASTA
0130B0210121P00 27-01-2021 27-01-2021

143 0001187501411 SHELA MEDIKA P PEGAWAI BUMN Headache Berobat Jalan
0877 00:00 17:43
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA Contraceptive
144 0001199811172 NOVA DESTIRA P Berobat Jalan
0855 00:00 09:20 MANDIRI management
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA Fever of other and
145 0001388314855 iwan gunawan L Berobat Jalan
0867 00:00 13:14 MANDIRI unknown origin
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA Essential (primary)
146 0001440208383 ENTIN KARTINI P Berobat Jalan
0865 00:00 13:13 MANDIRI hypertension
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA
147 0001455110853 KOKOM KOMARIAH P Gastritis, unspecified Berobat Jalan
0863 00:00 13:11 MANDIRI
0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI
148 0001516542276 NENG APRIYANI P Low back pain Rujuk Vertikal
0860 00:00 11:10 SWASTA
149 0001661576073 NURYANTI P Berobat Jalan
150 0001663095789 NENG LIN RISNA JULIANA P Berobat Jalan
0130B0210121P00 27-01-2021 27-01-2021 MOCHAMAD IKSAN Influenza, virus not
151 0001665033344 L PEGAWAI BUMN Berobat Jalan
0878 00:00 17:45 NUGRAHA identified
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA
152 0002205715072 hj. nyai sukaesih P Caries of dentine Rujuk Vertikal
0852 00:00 07:24 MANDIRI
153 0002220875842 DIKI ISKANDAR L Berobat Jalan
154 0002283143128 AHMAD WARDANI L Berobat Jalan
155 0002284601488 DEDI SUMANTRI L Berobat Jalan
PEGAWAI
PEMERINTAH
0130B0210121P00 27-01-2021 27-01-2021 Tuberculous peripheral
156 0002297821364 AFIFA NAHDA RAFANDA P DENGAN Rujuk Vertikal
0861 00:00 11:28 lymphadenopathy
PERJANJIAN
KERJA
157 0002328550975 SABRINA NUR WARDANI P Berobat Jalan
0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI
158 0002438107852 ATIKAH P Dyspepsia Berobat Jalan
0862 00:00 13:05 SWASTA
159 0002459420752 ENTIN SUMARNI P Berobat Jalan
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA
160 0002460980395 ATI SUNARTI P Headache Berobat Jalan
0880 00:00 18:05 MANDIRI
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA

161 0002472692861 MUHAMAD HAFIZ L Scabies Rujuk Vertikal
0868 00:00 13:27 MANDIRI
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA
162 0002486114291 UNAN L Myalgia Berobat Jalan
0859 00:00 10:41 MANDIRI
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA
163 0002486114932 EUIS SUMIATI P Myalgia Berobat Jalan
0858 00:00 10:19 MANDIRI
Diarrhoea and
0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI
164 0002491000389 AJRIL PAUJAN L gastroenteritis of Berobat Jalan
0871 00:00 15:59 SWASTA

165 0002491926794 MARWAN L Berobat Jalan
0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI
166 0002497530262 ALPIAN JALALUDIN L Tension-type headache Berobat Jalan
0866 00:00 13:13 SWASTA
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA
167 0002749396814 ENENG RATNA LUSYA P Other dental caries Rujuk Vertikal
0875 00:00 16:52 MANDIRI
0130B0210121P00 27-01-2021 27-01-2021 NOOREL KIRAY PEKERJA
168 0002749397668 P Other dental caries Rujuk Vertikal
0874 00:00 16:51 PARAMADINA MANDIRI
0130B0210121P00 27-01-2021 27-01-2021 PEKERJA
169 0002884271951 DEDEH P Gout Berobat Jalan
0856 00:00 10:04 MANDIRI
170 0002910437741 IZZAN RADEA PRADIPTA L Berobat Jalan
171 0002911140606 BAMBANG KOSWARA L Berobat Jalan
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
172 0000170590656 CICI JULIAWATI P Dyspepsia Berobat Jalan
0832 00:00 17:37 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 HONEY INDIRA Excessive, frequent and
173 0000198077343 P PNS DAERAH Berobat Jalan
0830 00:00 16:28 DAMAYANTI irregular menstruation
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
174 0000481039964 RANI SEFTIANI P Other dermatitis Berobat Jalan
0835 00:00 18:55 SWASTA
0130B0210121P00 26-01-2021 26-01-2021
175 0000481186484 ENI P PBI (APBN) Other dermatitis Berobat Jalan
0812 00:00 06:24
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
176 0001009945293 ENDI ROHENDI L Scabies Berobat Jalan
0847 00:00 20:52 SWASTA
177 0001202628104 NAURA NAZKIA EFFENDI L Berobat Jalan
178 0001388310333 ai yuningsih P Berobat Jalan
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
179 0001447918615 EULIS APRIYANI P Dyspepsia Berobat Jalan
0850 00:00 20:54 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 PEKERJA

180 0001455110853 KOKOM KOMARIAH P Foreign body in ear Rujuk Vertikal
0827 00:00 13:30 MANDIRI
181 0001516541319 IIS MULYAWATI P Berobat Jalan
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
182 0001516592621 NABIL KURNIAWAN L Fever, unspecified Berobat Jalan
0843 00:00 20:49 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 FITRIYANI PEGAWAI
183 0001640359989 P Epidemic vertigo Berobat Jalan
0817 00:00 10:53 RAHMADHANTY SWASTA
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
184 0001652496851 YAN SOFYAN L Dyspepsia Berobat Jalan
0824 00:00 11:59 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
185 0001660216702 YUNI SRI WAHYUNI P Headache Berobat Jalan
0836 00:00 18:57 SWASTA
186 0001661075684 NIA KUSMIATI P Berobat Jalan
187 0001666070717 DETI DWI YUNIARTI P Rujuk Vertikal
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
188 0001670345763 DIO SUPRIANTO L Dyspepsia Berobat Jalan
0848 00:00 20:52 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
189 0001820744526 Sri Mulyati P Myalgia Berobat Jalan
0823 00:00 11:54 SWASTA
190 0001962148702 Merni Selestiya P Berobat Jalan
Diarrhoea and
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
191 0002067323962 RAI SAUKI SAPUTRA L gastroenteritis of Berobat Jalan
0818 00:00 11:04 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 PEKERJA

192 0002288052044 APE SYAPEI L Fever, unspecified Berobat Jalan
0822 00:00 11:53 MANDIRI
193 0002296302647 YANI SETIANI P Berobat Jalan
0130B0210121P00 26-01-2021 26-01-2021 PEKERJA Shoulder lesion,
194 0002325866218 ONOH P Rujuk Vertikal
0130B0210121P00 26-01-2021 26-01-2021 Systemic lupus
195 0002375778159 IIM LATIFAH P INVESTOR Rujuk Vertikal
0814 00:00 07:05 erythematosus
196 0002393357319 ACIN MUKSIN L Berobat Jalan
197 0002394402581 HADI DEA PRATAMA L Berobat Jalan
PEGAWAI
PEMERINTAH
198 0002397623815 NAZMA FAUZIAH P DENGAN Berobat Jalan
0815 00:00 08:03 identified
PERJANJIAN
KERJA
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
199 0002433403923 FATIMAH P Caries of dentine Rujuk Vertikal
0821 00:00 11:51 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 MUTHIA KIRANA PEGAWAI
200 0002433404169 P Caries of dentine Rujuk Vertikal
0820 00:00 11:50 HASANAH SWASTA
201 0002464006331 NYAI SITI SUNARTI P Berobat Jalan
202 0002476169515 ALINKA PUTRI PARADILLA P Berobat Jalan
0130B0210121P00 26-01-2021 26-01-2021
203 0002491543912 INTAN NURUL HIDAYAH P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan
0819 00:00 11:08
0130B0210121P00 26-01-2021 26-01-2021 PEKERJA
204 0002616385206 RIZKI KURNIAWAN L Caries of dentine Berobat Jalan
0828 00:00 14:22 MANDIRI
0130B0210121P00 26-01-2021 26-01-2021 PEKERJA
205 0002770527554 AUDY NABILLA P Caries of dentine Berobat Jalan
0833 00:00 17:52 MANDIRI
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
206 0002898615655 NAQIA OKTINA KARIMAH P Fever, unspecified Berobat Jalan
0845 00:00 20:50 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 PEGAWAI
207 0002929286979 NAJWA NURHAFIZAH P Fever, unspecified Berobat Jalan
0846 00:00 20:51 SWASTA
0130B0210121P00 26-01-2021 26-01-2021 ZAHIYA HUMAIRA PEGAWAI Influenza, virus not
208 0002933396201 P Berobat Jalan
0826 00:00 12:06 RAMADHANI SWASTA identified
0130B0210121P00 26-01-2021 26-01-2021 ZAHIRA HUMAIRA PEGAWAI Influenza, virus not
209 0002933396212 P Berobat Jalan
0825 00:00 12:05 RAMADHANI SWASTA identified
210 0003058325662 RIKI SUBAGJA L Berobat Jalan
0130B0210121P00 25-01-2021 25-01-2021 PEGAWAI
211 0000481295698 SANTI SUSILAWATI P Headache Berobat Jalan
0792 00:00 07:20 SWASTA
0130B0210121P00 25-01-2021 25-01-2021 PEGAWAI
212 0001009952346 LIA YULIASARI P Dyspepsia Berobat Jalan
0793 00:00 07:20 SWASTA
0130B0210121P00 25-01-2021 25-01-2021 PEGAWAI Haemorrhoids in the
213 0001138347775 ASEP SETIAWAN L Berobat Jalan
0810 00:00 19:31 SWASTA puerperium
0130B0210121P00 25-01-2021 25-01-2021 AZZAHRA OCTAVIA PEGAWAI
214 0001409645744 P Otitis externa, unspecified Berobat Jalan
0796 00:00 09:42 HARYANTO SWASTA
215 0001521565312 ARIS ISMAIL P Berobat Jalan

216 0001607156223 WINDA ALMAIDA P Berobat Jalan
217 0001654687506 HELMI SUTRISNA L Berobat Jalan
0130B0210121P00 25-01-2021 25-01-2021 PEGAWAI
218 0001660216713 ALI NUDIN L Scabies Berobat Jalan
0802 00:00 12:23 SWASTA
219 0002045975433 Nanang Sumitra L Berobat Jalan
0130B0210121P00 25-01-2021 25-01-2021 PEGAWAI
220 0002227952182 IMAS P Headache Berobat Jalan
0808 00:00 16:52 SWASTA
0130B0210121P00 25-01-2021 25-01-2021 PEKERJA
221 0002244263501 NATASYIA SAPUTRI P Fever, unspecified Berobat Jalan
0804 00:00 15:28 MANDIRI
0130B0210121P00 25-01-2021 26-01-2021 PEKERJA
222 0002257146437 MUQITA ALIANZA KAMILA P Fever, unspecified Berobat Jalan
0811 00:00 00:12 MANDIRI
223 0002304729134 NINA P Berobat Jalan Hipertensi Hipertensi
224 0002319891434 DERI AHMAD MAULIDIN L Berobat Jalan
225 0002489806809 UJANG SUMARDI L Berobat Jalan Hipertensi Hipertensi
Follow-up examination
226 0002610638357 LILIS SURYANI L after other treatment for Rujuk Vertikal
other conditions
227 0002619842308 FIAH SAMSIAH P Berobat Jalan
0130B0210121P00 25-01-2021 25-01-2021 AIRA AKMAL KHALIFAH PEGAWAI Influenza, virus not
228 0002742970285 L Berobat Jalan
0799 00:00 10:21 NUGRAHA SWASTA identified
0130B0210121P00 25-01-2021 25-01-2021 AKHTAR ZHAFIR PEGAWAI
0806 00:00 15:31 ASSHAUQI HERIADI SWASTA
230 0002873623959 LINDA WATI P Berobat Jalan
0130B0210121P00 25-01-2021 25-01-2021 PEKERJA Tuberculosis of skin and
231 0003061131197 OOM LOMRAH P Rujuk Vertikal
0803 00:00 15:26 MANDIRI subcutaneous tissue
0130B0210121P00 25-01-2021 25-01-2021 PEKERJA
232 0003065595851 NENG ARSYA NADIRHA P bacteriologically and Rujuk Vertikal
0795 00:00 07:57 MANDIRI
0130B0210121P00 24-01-2021 24-01-2021
233 0000199916526 MUHAMAD SALAHUDIN L PNS DAERAH Myalgia Berobat Jalan
0771 00:00 13:02
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI
234 0001009965194 IIS ULAIPAH P Dyspepsia Berobat Jalan
0778 00:00 16:43 SWASTA
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI

235 0001137398635 ADE YUNIATI P Zoster [herpes zoster] Berobat Jalan
0781 00:00 17:52 SWASTA
236 0001153687285 NUNUY TASRIYAH P Berobat Jalan
237 0001660955894 METI HERMAWATI P Berobat Jalan
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI
238 0001662699317 SITI ROHMAT P Gout Rujuk Vertikal
0772 00:00 14:40 SWASTA
239 0001668715233 IDA WARTINI P Berobat Jalan
240 0001802030758 ERWI ALAWIYAH P Berobat Jalan
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI
241 0001803268517 HERMAN L Fever, unspecified Berobat Jalan
0784 00:00 19:07 SWASTA
242 0001864953551 ALVI RAMADAN L Berobat Jalan
0130B0210121P00 24-01-2021 24-01-2021 PEKERJA
243 0002210131247 HALIMAH P Dyspepsia Berobat Jalan
0788 00:00 23:57 MANDIRI
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI
244 0002219138054 SELPIANY P Headache Berobat Jalan
0768 00:00 09:19 SWASTA
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI
245 0002255866378 ANISA WIDYA WATI P Conjunctivitis, unspecified Berobat Jalan
0776 00:00 16:05 SWASTA
0130B0210121P00 24-01-2021 24-01-2021 ALESHA NATHANIA PEGAWAI
246 0002274292451 P Zoster [herpes zoster] Berobat Jalan
0780 00:00 17:50 AURORA SWASTA
0130B0210121P00 24-01-2021 24-01-2021 PEKERJA
247 0002292501655 CITRA WIDHI NINGRUM P Other glaucoma Rujuk Vertikal
0773 00:00 15:32 MANDIRI
0130B0210121P00 24-01-2021 24-01-2021 PEKERJA Acute nasopharyngitis
248 0002318979969 TITIN KARTINI P Berobat Jalan
0767 00:00 09:19 MANDIRI [common cold]
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI Tuberculous peripheral
249 0002450339447 RAFAEL ALFA HIDAYAT L Rujuk Vertikal
0786 00:00 20:15 SWASTA lymphadenopathy
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI
250 0002483732957 MUHAMMAD AQIL FIRASH L Candidal stomatitis Berobat Jalan
0774 00:00 15:52 SWASTA
0130B0210121P00 24-01-2021 24-01-2021 MOCHAMAD KEENAN EL Influenza, virus not
251 0002611874968 L PEGAWAI BUMN Berobat Jalan
0777 00:00 16:26 FATHAN identified
0130B0210121P00 24-01-2021 24-01-2021 PEKERJA
252 0002615563282 MULYADI L Myalgia Berobat Jalan
0785 00:00 19:16 MANDIRI
0130B0210121P00 24-01-2021 24-01-2021 PEKERJA Calculus of kidney and
253 0002698229891 PUTRI P Rujuk Vertikal
0769 00:00 09:32 MANDIRI ureter
0130B0210121P00 24-01-2021 24-01-2021 PEKERJA

254 0002874601719 YAYAH MULYATI P Dental caries Berobat Jalan
0770 00:00 13:02 MANDIRI
0130B0210121P00 24-01-2021 24-01-2021 MUHAMMAD RASYA AL PEGAWAI Acute upper respiratory
255 0002906051477 L Berobat Jalan
0783 00:00 18:03 FAQIH SWASTA infection, unspecified
0130B0210121P00 24-01-2021 24-01-2021 PEKERJA
256 0002914861037 TEO PURNAMA L Fever, unspecified Berobat Jalan
0766 00:00 08:04 MANDIRI
0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI
257 0002923227909 TONI RIFAL ZOHANES L Dyspepsia Berobat Jalan
0775 00:00 16:05 SWASTA

258 0002944317148 AYU NUR PITRIYANI P Berobat Jalan
Diabetes
0130B0210121P00 23-01-2021 23-01-2021
259 0000063181282 NINING TARNINGSIH P PNS DAERAH Myalgia Berobat Jalan Mellitus
0741 00:00 07:08
Hipertensi
0130B0210121P00 23-01-2021 23-01-2021 PEGAWAI
260 0000480154869 BETI ROSMIYANI P Dyspepsia Berobat Jalan
0760 00:00 19:15 SWASTA
261 0001137397072 MIA KUSMIAWATI P Berobat Jalan
262 0001384501926 ANDINI RAMADHANI P Berobat Jalan
263 0001523599942 DEDEN HIDAYAT L Berobat Jalan
264 0001523599953 NURLAELA P Berobat Jalan
265 0001523599964 NAYSILA HIDAYAT P Berobat Jalan
266 0001659874151 APIT ZAENABIN L Berobat Jalan
0130B0210121P00 23-01-2021 23-01-2021 PEGAWAI
267 0001660445019 MUHAMAD YUSUP L Dyspepsia Berobat Jalan
0740 00:00 06:02 SWASTA
0130B0210121P00 23-01-2021 23-01-2021 PEKERJA
268 0001663226109 NURAENI P Atopic dermatitis Berobat Jalan
0763 00:00 19:59 MANDIRI
269 0001770183641 NURAENI P Berobat Jalan
0130B0210121P00 23-01-2021 23-01-2021 PEKERJA
270 0001847451442 MUHTAR EPENDI L Dyspepsia Berobat Jalan
0753 00:00 10:39 MANDIRI
0130B0210121P00 23-01-2021 23-01-2021 PEGAWAI
271 0002071395066 RIKO ANNAFIS MULYANA L Dyspepsia Berobat Jalan
0761 00:00 19:17 SWASTA
272 0002219924619 SETIAWATI P Berobat Jalan

273 0002283143128 AHMAD WARDANI L Berobat Jalan
274 0002393357321 MURTINI P Berobat Jalan

275 0002460118588 ANIM L Berobat Jalan
0130B0210121P00 23-01-2021 23-01-2021 PEKERJA

276 0002463476736 DEVI GUSTINAWARNI P Headache Berobat Jalan
0752 00:00 10:38 MANDIRI
0130B0210121P00 23-01-2021 23-01-2021 ADRIAN DWI CAHYA PEKERJA Influenza, virus not
277 0002463476872 L Berobat Jalan
0751 00:00 10:37 FIRMANSYAH MANDIRI identified
278 0002463476973 IMEILIA EKA PUTRI P Berobat Jalan
279 0002486114414 RAMDAN AL HAKIM L Berobat Jalan
0130B0210121P00 23-01-2021 23-01-2021 PEGAWAI
280 0002911600293 SINDI PEBRIYANTI P Headache Berobat Jalan
0758 00:00 16:57 SWASTA
PEGAWAI
PEMERINTAH
0130B0210121P00 23-01-2021 23-01-2021
281 0002918077266 LULUATU NAYIROH P DENGAN Dyspepsia Berobat Jalan
0756 00:00 16:40
PERJANJIAN
KERJA
0130B0210121P00 23-01-2021 23-01-2021 PEGAWAI Stomatitis and related
282 0002933492387 KELVIN ALVINO L Berobat Jalan
0746 00:00 09:03 SWASTA lesions
0130B0210121P00 22-01-2021 22-01-2021 PENERIMA Secondary hypertension,
283 0000063266139 SITI MASITOH P Berobat Jalan
0736 00:00 20:35 PENSIUN PNS unspecified
0130B0210121P00 22-01-2021 22-01-2021
284 0000063362913 NANI DAHNIAR,S.PD P PNS DAERAH Pyogenic arthritis Berobat Jalan
0729 00:00 17:20
0130B0210121P00 22-01-2021 22-01-2021 PEGAWAI Other and unspecified
285 0000480064893 DEKI MULYADI L Berobat Jalan
0720 00:00 14:27 SWASTA injuries of thorax
0130B0210121P00 22-01-2021 22-01-2021 PEGAWAI
286 0001009823815 AGUS SUHENDRA L Myalgia Berobat Jalan
0725 00:00 14:58 SWASTA
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA Other surgical follow-up
287 0001009945743 ANNI MARLINA P Rujuk Vertikal
0724 00:00 14:33 MANDIRI care
0130B0210121P00 22-01-2021 22-01-2021 PEGAWAI Fever of other and
288 0001283362841 SANDHI PRATIWI P Berobat Jalan
0728 00:00 17:19 SWASTA unknown origin
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
289 0001304653623 EKA YULIANI P Dyspepsia Berobat Jalan
0716 00:00 10:58 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
290 0001458891011 ANISSA P Fever, unspecified Berobat Jalan
0739 00:00 21:16 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA

291 0001475943197 ADE ROHAEDI L Other dermatitis Berobat Jalan
0723 00:00 14:31 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEGAWAI
292 0001660301583 ULFA SAANDANI P Caries of dentine Berobat Jalan
0731 00:00 17:52 SWASTA
0130B0210121P00 22-01-2021 22-01-2021 PEGAWAI
293 0001737269267 TIANA SARI P Dyspepsia Berobat Jalan
0717 00:00 10:59 SWASTA
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
294 0001745431896 MARTINI P Dyspepsia Berobat Jalan
0714 00:00 10:48 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
295 0001845825243 YAYAN SURYANA L Tinea corporis Berobat Jalan
0727 00:00 17:18 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
296 0001858686197 rohiana naibaho P Malaise and fatigue Berobat Jalan
0734 00:00 20:34 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEGAWAI
297 0002038568185 KHAIRA ZAHRA TALITA P Fever, unspecified Berobat Jalan
0721 00:00 14:28 SWASTA
0130B0210121P00 22-01-2021 22-01-2021 DEWI ROSMAWATI PEKERJA
298 0002059911472 P Fever, unspecified Berobat Jalan
0708 00:00 07:37 SUBANDI MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
299 0002180978043 SITI AMINAH P Dyspepsia Berobat Jalan
0719 00:00 14:27 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEGAWAI
300 0002181392493 AGUSTIANA MUNANDAR L Haemorrhoids Berobat Jalan
0712 00:00 10:47 SWASTA
0130B0210121P00 22-01-2021 22-01-2021
301 0002213880254 MULYA SEPTIAN L PBI (APBN) Dyspepsia Berobat Jalan
0713 00:00 10:48
302 0002244263501 NATASYIA SAPUTRI P Berobat Jalan
0130B0210121P00 22-01-2021 22-01-2021
303 0002266266756 RENI GUSTIYAWATI P PBI (APBN) Myalgia Berobat Jalan
0732 00:00 20:04
304 0002281529946 EEM SUHAEMAH P Berobat Jalan
0130B0210121P00 22-01-2021 22-01-2021 ANINDYA SALWA PEGAWAI Influenza, virus not
305 0002309855264 P Berobat Jalan
0735 00:00 20:35 ALMAHIRA SWASTA identified
0130B0210121P00 22-01-2021 22-01-2021 PEGAWAI
306 0002433403888 SOMA SAPUTRA L Dyspepsia Berobat Jalan
0718 00:00 11:45 SWASTA
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
307 0002463494894 UPI AMINAH P Gastritis, unspecified Berobat Jalan
0722 00:00 14:30 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
308 0002612910655 NABILA HASNA AMIRA L Dermatitis, unspecified Berobat Jalan
0733 00:00 20:05 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
309 0002875037512 IRMAWATI P Dermatitis, unspecified Berobat Jalan
0709 00:00 09:03 MANDIRI
0130B0210121P00 22-01-2021 22-01-2021 GHENIS PUTRA PEKERJA Influenza, virus not

310 0002891292467 L Berobat Jalan
0711 00:00 10:46 PERMANA MANDIRI identified
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA
311 0002891625074 RAFFI PRAYOGA L Cellulitis, unspecified Berobat Jalan
0726 00:00 17:15 MANDIRI
Diarrhoea and
0130B0210121P00 22-01-2021 22-01-2021 ARSYAD DZULHILMI PEGAWAI
312 0002898268828 L gastroenteritis of Berobat Jalan
0738 00:00 21:04 RAHMAN SWASTA
0130B0210121P00 22-01-2021 22-01-2021 PEKERJA

313 0002944742128 DAYAT L Acute gingivitis Berobat Jalan
0737 00:00 20:36 MANDIRI
314 0003061813476 TITI MARYATI P Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 PENERIMA
315 0000063274329 MS. ST. HODIDJAH P Dyspepsia Berobat Jalan
0687 00:00 16:23 PENSIUN PNS
316 0000479665405 TRI GUNTORO L Berobat Jalan
Excessive and frequent
0130B0210121P00 21-01-2021 21-01-2021
317 0000481153138 AAM MARYAMAH P PBI (APBN) menstruation with regular Rujuk Vertikal
0679 00:00 13:26
cycle
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
318 0001009889515 WIWI PRATIWI P Myalgia Berobat Jalan
0670 00:00 08:33 SWASTA
0130B0210121P00 21-01-2021 21-01-2021 NAILA AMAHI PATIHA PEKERJA
319 0001009945787 P Conjunctivitis, unspecified Berobat Jalan
0703 00:00 19:46 ZAHR MANDIRI
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
320 0001124514696 YANTO SUTISNA L Otitis externa, unspecified Berobat Jalan
0704 00:00 20:13 SWASTA
321 0001425964329 isma hikmah nurhasanah P Berobat Jalan
322 0001431660442 ENDANG L Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA
323 0001481818239 H.U. TURMUDI L Dyspepsia Berobat Jalan
0698 00:00 17:24 MANDIRI
0130B0210121P00 21-01-2021 21-01-2021
324 0001517276373 NELA NAELATI P PBI (APBN) Dyspepsia Berobat Jalan
0682 00:00 13:29
325 0001523599176 MUHIDIN L Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
326 0001523599211 SARIP SODIKIN L Epidemic vertigo Berobat Jalan
0676 00:00 10:24 SWASTA
327 0001523612013 AHMAD SALIM MAULANA L Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA Tuberculous peripheral

328 0001601732452 DADANG SASTRADIREJA L Rujuk Vertikal
0691 00:00 16:42 MANDIRI lymphadenopathy
329 0001606463559 YAYU P Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
330 0001627058744 NURLELAH P Dyspepsia Berobat Jalan
0686 00:00 15:05 SWASTA
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
331 0001661077675 IWAN RUSWANDI L Dyspepsia Berobat Jalan
0671 00:00 08:35 SWASTA
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
332 0001670345763 DIO SUPRIANTO L Dyspepsia Berobat Jalan
0706 00:00 20:25 SWASTA
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA
333 0001720643927 EVI SUPRININGSIH P Fever, unspecified Berobat Jalan
0700 00:00 19:01 MANDIRI
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA Pure
334 0001812789281 LILIS NURHAYATI P Berobat Jalan
0696 00:00 17:22 MANDIRI hypercholesterolaemia
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA
335 0001849975244 EDI RASWADI L Fever, unspecified Berobat Jalan
0688 00:00 16:24 MANDIRI
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
336 0002235933538 NAILA SIDQIA ILHAM P Dental caries Rujuk Vertikal
0701 00:00 19:39 SWASTA
337 0002255866378 ANISA WIDYA WATI P Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
338 0002295771783 yoppy al byan L Dermatitis, unspecified Berobat Jalan
0705 00:00 20:14 SWASTA
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA
339 0002308309841 KUSTOYO L Cerebral infarction Rujuk Vertikal
0699 00:00 18:25 MANDIRI
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
340 0002393357321 MURTINI P Dyspepsia Berobat Jalan
0685 00:00 15:04 SWASTA
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
341 0002421479373 FATIMAH AZZAHRA P Dermatitis, unspecified Berobat Jalan
0675 00:00 10:18 SWASTA
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
342 0002422843389 JUJU JULAEHA P Myalgia Berobat Jalan
0692 00:00 17:18 SWASTA
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA
343 0002447381834 ERNI NURAENI P Myalgia Berobat Jalan
0673 00:00 08:51 MANDIRI
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA
344 0002455730864 ENONG SAPNI P Pyogenic arthritis Rujuk Vertikal
0689 00:00 16:38 MANDIRI
0130B0210121P00 21-01-2021 21-01-2021 PEKERJA
345 0002458673381 RISMAWATI P Dyspepsia Berobat Jalan
0697 00:00 17:23 MANDIRI

346 0002463474778 SUPENDI L Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 MUHAMAD PADLAN PEKERJA Convulsions, not

347 0002470169981 L Rujuk Vertikal
0690 00:00 16:40 MUBAROK MANDIRI elsewhere classified
348 0002488297667 TARI SULASTRI P Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 NOOREL KIRAY PEKERJA Other rheumatic heart
349 0002749397668 P Rujuk Vertikal
0684 00:00 13:32 PARAMADINA MANDIRI diseases
0130B0210121P00 21-01-2021 21-01-2021 ARFAN HAFIDZAN PEKERJA Influenza, virus not
350 0002876563809 L Berobat Jalan
0681 00:00 13:28 HIBATULLAH MANDIRI identified
0130B0210121P00 21-01-2021 21-01-2021 PEGAWAI
351 0002911988261 NOVI PURNAMA SARI P Antenatal screening Berobat Jalan
0702 00:00 19:44 SWASTA
352 0003050851072 LILIS PUSPAWATI P Berobat Jalan
0130B0210121P00 21-01-2021 21-01-2021 BAYI NYONYA SRI PEGAWAI
0677 00:00 10:27 KOMALASARI SWASTA
0130B0210121P00 20-01-2021 20-01-2021 PEGAWAI
354 0000480064893 DEKI MULYADI L Myalgia Berobat Jalan
0645 00:00 10:19 SWASTA
0130B0210121P00 20-01-2021 20-01-2021 PEGAWAI
355 0001166971847 WIWIN WINARSIH P Acute gingivitis Rujuk Vertikal
0649 00:00 11:33 SWASTA
0130B0210121P00 20-01-2021 20-01-2021 MUHAMMAD DAFI DZI PEGAWAI Influenza, virus not
356 0001172473479 L Berobat Jalan
0654 00:00 13:32 ZILFA SWASTA identified
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA
357 0001320602747 SUNDARI ANDRIANI P Tension-type headache Berobat Jalan
0660 00:00 17:39 MANDIRI
0130B0210121P00 20-01-2021 20-01-2021 PEGAWAI
358 0001444944936 ELSA MARYAM SUGIATI P Dyspepsia Berobat Jalan
0643 00:00 08:45 SWASTA
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA
359 0001448164405 ASEP RISWANDI L Other dermatitis Berobat Jalan
0664 00:00 19:42 MANDIRI
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA
360 0001451055688 FUTRI ROMADHIANI P Dyspepsia Berobat Jalan
0655 00:00 13:36 MANDIRI
0130B0210121P00 20-01-2021 20-01-2021 APRIANSYAH MAULANA PEGAWAI
361 0001523599716 L Inguinal hernia Rujuk Vertikal
0662 00:00 19:18 IBRAHIM SWASTA
0130B0210121P00 20-01-2021 20-01-2021 PEGAWAI
362 0001523600965 TATI HERAWATI P Pyogenic arthritis Berobat Jalan
0661 00:00 17:40 SWASTA
PEGAWAI
PEMERINTAH
363 0001661076808 SITI KOMALASARI P DENGAN Berobat Jalan
0663 00:00 19:32 identified
PERJANJIAN
KERJA
0130B0210121P00 20-01-2021 20-01-2021 PEGAWAI Tuberculous peripheral
364 0001661077697 HANI MULYANI P Rujuk Vertikal
0652 00:00 12:21 SWASTA lymphadenopathy
0130B0210121P00 20-01-2021 20-01-2021 PEGAWAI

365 0001663095789 NENG LIN RISNA JULIANA P Nausea and vomiting Berobat Jalan
0667 00:00 20:13 SWASTA
366 0001663992099 NENI RATINI P Berobat Jalan
0130B0210121P00 20-01-2021 20-01-2021 PEGAWAI
367 0001802023165 PRIATI MUGIANINGSIH P Headache Berobat Jalan
0666 00:00 19:46 SWASTA
368 0001836314616 ULFA NURUL HAYAT L Berobat Jalan
369 0002183921199 RIANI MUTIA AZ ZAHRA P Berobat Jalan
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA Vasomotor and allergic
370 0002257146437 MUQITA ALIANZA KAMILA P Rujuk Vertikal
0658 00:00 17:29 MANDIRI rhinitis
0130B0210121P00 20-01-2021 20-01-2021 RAFFAEL PHILOTRA PEKERJA Influenza, virus not
371 0002395355872 L Berobat Jalan
0647 00:00 10:21 GILLAND MANDIRI identified
0130B0210121P00 20-01-2021 20-01-2021 MUHAMMAD ABDUL PEGAWAI Influenza, virus not
372 0002435451028 L Berobat Jalan
0665 00:00 19:43 HAFIZH SWASTA identified
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA
373 0002455730559 UJANG KOSWARA L Presbyopia Rujuk Vertikal
0651 00:00 12:18 MANDIRI
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA
374 0002455730864 ENONG SAPNI P Low back pain Rujuk Vertikal
0650 00:00 12:06 MANDIRI
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA
375 0002463499427 AAM AMINAH P Myalgia Berobat Jalan
0644 00:00 08:49 MANDIRI
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA Calculus of kidney and
376 0002698229891 PUTRI P Rujuk Vertikal
0648 00:00 11:16 MANDIRI ureter
377 0002747072935 DIAN AGUSTIANI P Berobat Jalan
378 0002891255152 NAZWA RAMADANI L Berobat Jalan
0130B0210121P00 20-01-2021 20-01-2021 PEGAWAI
379 0002905606045 AMPRIYANTI P Dyspepsia Berobat Jalan
0642 00:00 03:19 SWASTA
0130B0210121P00 20-01-2021 20-01-2021 PEKERJA
380 0003061614159 KASMITA L Dyspepsia Berobat Jalan
0659 00:00 17:32 MANDIRI
381 0000063054898 ASEP SUPRIATNA L PNS DAERAH Berobat Jalan
0615 00:00 10:56 identified
0130B0210121P00 19-01-2021 19-01-2021 PENERIMA
382 0000063266139 SITI MASITOH P Myalgia Berobat Jalan
0630 00:00 15:12 PENSIUN PNS
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI
383 0000480294099 PENTI P Dyspepsia Berobat Jalan
0637 00:00 18:58 SWASTA
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA

384 0001144381522 MILAH WAHDAENI P Myalgia Berobat Jalan
0619 00:00 11:54 MANDIRI
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI
385 0001192501361 YUDA NUGRAHA L Nausea and vomiting Berobat Jalan
0641 00:00 21:05 SWASTA
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI Disorders of refraction and
386 0001384328812 HENI ROHAENY P Rujuk Vertikal
0627 00:00 14:09 SWASTA accommodation
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI
387 0001384330296 WULAN MAHARANI P Myopia Rujuk Vertikal
0626 00:00 14:08 SWASTA
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA
388 0001388058276 RA HIDAYAT L Headache Berobat Jalan
0632 00:00 15:13 MANDIRI
0130B0210121P00 19-01-2021 19-01-2021 YUANEZA LUVIANA PEKERJA
389 0001426500729 P Scabies Berobat Jalan
0614 00:00 09:36 RAHMAN MANDIRI
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA Other surgical follow-up
390 0001442640104 ASEP DEDI L Rujuk Vertikal
0623 00:00 13:16 MANDIRI care
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI
391 0001445691464 TINI MARTINI P Myalgia Berobat Jalan
0621 00:00 12:00 SWASTA
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI
392 0001653225265 DETI LILIANA P Epidemic vertigo Berobat Jalan
0610 00:00 08:53 SWASTA
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI
393 0001663629693 ELI YAYU HASWATI P Dyspepsia Berobat Jalan
0631 00:00 15:13 SWASTA
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI
394 0001820392143 RIZAL FAUZI L Myalgia Berobat Jalan
0608 00:00 08:51 SWASTA
395 0002185755761 IRNA NOVIANA P Berobat Jalan
0617 00:00 10:58 MANDIRI management, unspecified
0130B0210121P00 19-01-2021 19-01-2021 ABIMANA KRESNA PEKERJA
0633 00:00 18:12 ASHAHEIN MANDIRI
397 0002254358002 AI ENGKOM P Berobat Jalan
0130B0210121P00 19-01-2021 19-01-2021
398 0002305823883 UNEH P PBI (APBN) Senile cataract Rujuk Vertikal
0624 00:00 13:20
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI Gingivitis and periodontal
399 0002311572058 DUDUNG SUNARYA L Rujuk Vertikal
0613 00:00 09:33 SWASTA diseases
0130B0210121P00 19-01-2021 19-01-2021 SHAKIRA ZULAIKHA PEGAWAI
0639 00:00 20:18 NAZAFARIN SWASTA
0130B0210121P00 19-01-2021 19-01-2021 MUHAMAD DAFFA PEKERJA Fever of other and
401 0002420579709 L Berobat Jalan
0609 00:00 08:52 PRATAMA MANDIRI unknown origin
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA
402 0002425928578 M. INDRA ISKANDARSYAH L Foreign body in ear Rujuk Vertikal
0618 00:00 11:00 MANDIRI

403 0002437407674 PUDIN SUPRIATNA L Berobat Jalan
404 0002437407808 IDA APRILIYANTI P Berobat Jalan
0130B0210121P00 19-01-2021 19-01-2021 PEGAWAI
405 0002463495693 ROHMAH IRIYANTI P Headache Berobat Jalan
0616 00:00 10:57 SWASTA
0130B0210121P00 19-01-2021 19-01-2021 NISSA SAFITRI PEGAWAI
0640 00:00 20:45 YULIYANTO SWASTA
Diarrhoea and
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA
407 0002501558763 ROSIDI ARYANTO L gastroenteritis of Berobat Jalan
0607 00:00 06:06 MANDIRI
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA

408 0002511631552 AMALIA ULFA P Conjunctivitis, unspecified Berobat Jalan
0628 00:00 14:32 MANDIRI
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA
409 0002875037512 IRMAWATI P Tension-type headache Berobat Jalan
0611 00:00 08:54 MANDIRI
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA Other specified soft tissue

410 0002905476761 REIFANSYAH EL JUNAIDI L Berobat Jalan
0638 00:00 19:48 MANDIRI disorders, shoulder region
0130B0210121P00 19-01-2021 19-01-2021 MUHAMMAD HAFIDZ PEGAWAI

0629 00:00 15:11 ALGHIFARI SWASTA
0130B0210121P00 19-01-2021 19-01-2021 ZAHIYA HUMAIRA PEGAWAI Acute upper respiratory
412 0002933396201 P Berobat Jalan
0635 00:00 18:13 RAMADHANI SWASTA infection, unspecified
0130B0210121P00 19-01-2021 19-01-2021 ZAHIRA HUMAIRA PEGAWAI
0634 00:00 18:13 RAMADHANI SWASTA
0130B0210121P00 19-01-2021 19-01-2021 BAYI NYONYA AI PEKERJA
414 0003064326254 L Diaper [napkin] dermatitis Berobat Jalan
0612 00:00 08:55 ROHAYATI MANDIRI
0130B0210121P00 19-01-2021 19-01-2021 PEKERJA
415 0003065595851 NENG ARSYA NADIRHA P bacteriologically and Berobat Jalan
0625 00:00 13:22 MANDIRI
0130B0210121P00 18-01-2021 18-01-2021
416 0000063131657 KURAESIN P PNS DAERAH Myalgia Berobat Jalan
0578 00:00 09:22
0130B0210121P00 18-01-2021 18-01-2021
417 0000063457525 ELAH HAYATI P PNS DAERAH Headache Berobat Jalan
0585 00:00 11:16
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
418 0000480571108 HERI SETIAWAN L Dyspepsia Berobat Jalan
0604 00:00 20:06 SWASTA
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
419 0001136123864 HEMAWATI P Dyspepsia Berobat Jalan
0580 00:00 09:28 SWASTA
420 0001200829689 APIK EKA RAHMADANI P Berobat Jalan
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI

421 0001200829691 FAUZI HANIF SOFYAN L Other dermatitis Berobat Jalan
0590 00:00 11:55 SWASTA

422 0001269681243 RIZKI ADITYA RAMADHAN L Berobat Jalan
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI

423 0001474368265 DINI HARDIANTI P Headache Berobat Jalan
0596 00:00 17:15 SWASTA
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
424 0001516540915 DEDI ROHAENDI L Headache Berobat Jalan
0583 00:00 09:42 SWASTA
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
425 0001523599648 ARISMAN PUTRA L Acute gingivitis Berobat Jalan
0599 00:00 19:59 SWASTA
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
426 0001523600109 ALI SAEPUDIN L Myalgia Berobat Jalan
0581 00:00 09:28 SWASTA
0130B0210121P00 18-01-2021 18-01-2021 OKTAVIA NIRMALASARI
427 0001609985384 P PEGAWAI BUMN Manic episode Rujuk Vertikal
0572 00:00 08:37 HUTAGALUNG
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
428 0001610978073 ANDRIYANA L Otitis externa, unspecified Berobat Jalan
0597 00:00 17:39 SWASTA
429 0001663095317 HASANUDIN L Berobat Jalan
0130B0210121P00 18-01-2021 18-01-2021
430 0001725716529 NANDA TRISNAWIYANTY P PNS DAERAH Dyspepsia Berobat Jalan
0606 00:00 20:09
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA
431 0001791021115 IDAH HAMIDAH P Headache Berobat Jalan
0576 00:00 09:20 MANDIRI
0130B0210121P00 18-01-2021 18-01-2021 RADEN TULUS PEKERJA Influenza, virus not
432 0001823564193 L Berobat Jalan
0595 00:00 16:54 SUDARMANTO MANDIRI identified
433 0001826388573 YANI P Berobat Jalan
0602 00:00 20:04 MANDIRI management, unspecified
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA
434 0001847451442 MUHTAR EPENDI L Dyspepsia Berobat Jalan
0582 00:00 09:42 MANDIRI
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
435 0002185481182 AANG SUPRATMAN L Caries of dentine Berobat Jalan
0586 00:00 11:17 SWASTA
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI Essential (primary)
436 0002203910965 YOPI NUGRAHA L Berobat Jalan
0573 00:00 08:37 SWASTA hypertension
437 0002240332435 MIKA AINUN ADHA L Berobat Jalan
438 0002312732125 ABIZARD FARAZ RAUFA L Berobat Jalan
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA
439 0002319600328 MYA RAHMAWATI P Haemorrhoids Berobat Jalan
0588 00:00 11:18 MANDIRI
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA

440 0002319891434 DERI AHMAD MAULIDIN L Scabies Berobat Jalan
0574 00:00 08:38 MANDIRI
441 0002356420555 ELI SETIAWATI P Berobat Jalan
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
442 0002399634786 WULAN PURNAMASARI P Headache Berobat Jalan
0600 00:00 20:00 SWASTA
PEGAWAI
PEMERINTAH
0130B0210121P00 18-01-2021 18-01-2021
443 0002425194382 CECEP HENDRA L DENGAN Dyspepsia Berobat Jalan
0603 00:00 20:05
PERJANJIAN
KERJA
0130B0210121P00 18-01-2021 18-01-2021 PEGAWAI
444 0002431735413 ADIBAH DINDA FITRIANI L Other dermatitis Berobat Jalan
0592 00:00 16:04 SWASTA
0130B0210121P00 18-01-2021 18-01-2021 SEPTIADI ANGGARA PEKERJA
445 0002434174986 L Other dermatitis Berobat Jalan
0587 00:00 11:17 SAPUTRA MANDIRI
446 0002440878467 ANI MURNIANI RAHAYU P Berobat Jalan
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA Other chronic obstructive
447 0002463474936 SUKAESIH P Rujuk Vertikal
0570 00:00 08:16 MANDIRI pulmonary disease
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA
448 0002626485434 NENG SUSI P Caries of dentine Berobat Jalan
0601 00:00 20:02 MANDIRI
449 0002777532581 FAJRINA ARUM SARI P Berobat Jalan
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA Injury of unspecified body
450 0002877419553 EEM YATI P Rujuk Vertikal
0591 00:00 15:27 MANDIRI region
451 0002891625074 RAFFI PRAYOGA L Berobat Jalan
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA Benign neoplasm of floor
452 0002898505271 ACIH P Rujuk Vertikal
0575 00:00 08:46 MANDIRI of mouth
0130B0210121P00 18-01-2021 18-01-2021 PEKERJA
453 0002911267989 DINI APRIANI P Myalgia Berobat Jalan
0577 00:00 09:21 MANDIRI
0130B0210121P00 17-01-2021 17-01-2021
454 0000063456625 ENDANG SYARIFUDIN L PNS DAERAH Dyspepsia Berobat Jalan
0542 00:00 15:57
0130B0210121P00 17-01-2021 17-01-2021
455 0000158886606 II HODIJAH P PNS DAERAH Dyspepsia Berobat Jalan
0550 00:00 16:54
456 0000479907358 ADE SYARIPAH P Berobat Jalan
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
457 0000480153857 HALIMAH NURHALIMAH P Dyspepsia Berobat Jalan
0562 00:00 19:48 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI

458 0001129334422 SUWARDI L Dyspepsia Berobat Jalan
0566 00:00 21:03 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
459 0001132715171 SUSTIKA RACHMAN P Tonsillar aspergillosis Berobat Jalan
0557 00:00 19:30 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
460 0001154948916 LUSI SURYAWATI P Headache Berobat Jalan
0525 00:00 09:07 MANDIRI
461 0001184710678 MINAWATI P Berobat Jalan
462 0001192920478 NAYSILA RINDIANI P Berobat Jalan
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
463 0001319459657 ANISA RAHAYU P Epidemic vertigo Berobat Jalan
0560 00:00 19:44 MANDIRI
PEGAWAI
PEMERINTAH
0130B0210121P00 17-01-2021 17-01-2021 MOCHAMMAD FACHJRIN Influenza with pneumonia,
464 0001381512745 L DENGAN Berobat Jalan
0563 00:00 19:50 SAFWAN AL- KHAFI virus not identified
PERJANJIAN
KERJA
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
465 0001384974595 PIRLI NUR PAHMI P Dyspepsia Berobat Jalan
0568 00:00 21:08 MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
466 0001409645733 IIS SOPIAH P Epidemic vertigo Berobat Jalan
0556 00:00 19:29 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
467 0001448162818 JUHARI L Foreign body in cornea Rujuk Vertikal
0564 00:00 20:17 MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
468 0001474747187 FARAH AULYA FEBRIYA P Otitis externa, unspecified Berobat Jalan
0555 00:00 19:27 MANDIRI

469 0001516592619 HEDI ROHAEDI L Berobat Jalan
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA

470 0001521905253 NOVI HALI MARYANI P Headache Berobat Jalan
0549 00:00 16:47 MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
471 0001523600649 FIKA AMELIA P Other dermatitis Berobat Jalan
0554 00:00 18:04 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
472 0001523600965 TATI HERAWATI P Dyspepsia Berobat Jalan
0531 00:00 10:41 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
473 0001626585287 ILA ATIKAH P Myalgia Berobat Jalan
0567 00:00 21:04 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
474 0001663112215 MUHEDI L Tuberculous meningitis Rujuk Vertikal
0524 00:00 08:47 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
475 0001663629726 DINDA KHAERUNISA L Other dermatitis Berobat Jalan
0537 00:00 11:41 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI

476 0001665562263 RIMA JULIYANTI P Enlarged lymph nodes Rujuk Vertikal
0559 00:00 19:39 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
477 0001720643927 EVI SUPRININGSIH P Headache Berobat Jalan
0541 00:00 15:56 MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 ZALFAA AYU HAFIDZAH PEKERJA
478 0001811779029 P Dyspepsia Berobat Jalan
0547 00:00 16:46 PUTRI MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
479 0001849975244 EDI RASWADI L Myalgia Berobat Jalan
0545 00:00 16:32 MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 PENERIMA
480 0001898069027 SRI REZEKI P Dyspepsia Berobat Jalan
0539 00:00 15:53 PENSIUN PNS
Diarrhoea and
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
481 0002237180692 DEDE JALALUDIN L gastroenteritis of Berobat Jalan
0543 00:00 16:01 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI

482 0002255694333 NABILA KAMILA PUTRI P Other dermatitis Berobat Jalan
0553 00:00 17:58 SWASTA
0130B0210121P00 17-01-2021 17-01-2021
483 0002305823883 UNEH P PBI (APBN) Headache Berobat Jalan
0533 00:00 10:43
Diabetes
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
484 0002423076333 SOPIAH P Headache Berobat Jalan Mellitus
0530 00:00 10:39 MANDIRI
Hipertensi
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
485 0002433403923 FATIMAH P Dyspepsia Berobat Jalan
0546 00:00 16:35 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 LENTA MERSITA PEKERJA
486 0002439732025 P Dyspepsia Berobat Jalan
0548 00:00 16:46 NAIBAHO MANDIRI
487 0002447715644 SALWA PRITAYANI P PBI (APBN) Berobat Jalan
0565 00:00 21:02 identified
Chronic obstructive
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA pulmonary disease with
488 0002463474936 SUKAESIH P Rujuk Vertikal
0538 00:00 15:46 MANDIRI acute exacerbation,
unspecified
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
489 0002463476736 DEVI GUSTINAWARNI P Dyspepsia Berobat Jalan
0534 00:00 10:44 MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
490 0002485038497 RAHMAN ALI L Dyspepsia Berobat Jalan
0558 00:00 19:32 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 HUMAIRA PUTRI PEKERJA
0528 00:00 10:35 AZZAHRA MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
492 0002698229891 PUTRI P Caries of dentine Berobat Jalan
0552 00:00 17:51 MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA

493 0002747680659 HAISAH P Headache Berobat Jalan
0536 00:00 11:40 MANDIRI
494 0002874553266 ADE KOMARIAH P Berobat Jalan
Gestational
0130B0210121P00 17-01-2021 17-01-2021 PEKERJA
495 0002874601719 YAYAH MULYATI P [pregnancy-induced] Rujuk Vertikal
0544 00:00 16:21 MANDIRI
hypertension with
Diarrhoea and
0130B0210121P00 17-01-2021 17-01-2021 PEGAWAI
496 0002891252733 SAFIRA AQILA ANANDA L gastroenteritis of Berobat Jalan
0529 00:00 10:37 SWASTA
0130B0210121P00 17-01-2021 17-01-2021 RASYIQUL DHIRGHAM PEKERJA

0532 00:00 10:42 ATIBA MANDIRI
0130B0210121P00 17-01-2021 17-01-2021 BAYI NYONYA INTAN PEGAWAI
498 0003061631597 L Constipation Rujuk Vertikal
0551 00:00 17:25 INDRIANI SWASTA
0130B0210121P00 16-01-2021 16-01-2021
499 0000063418285 R. AYU OMAT ROHMAT P PNS DAERAH Low back pain Rujuk Vertikal
0508 00:00 15:13
0130B0210121P00 16-01-2021 16-01-2021 PEGAWAI
500 0001132807364 DEDE SUHENDAR L Myalgia Berobat Jalan
0514 00:00 17:52 SWASTA
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
501 0001199811172 NOVA DESTIRA P Headache Berobat Jalan
0516 00:00 18:07 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
502 0001421069758 DEDE AHMAD SAID L Low back pain Berobat Jalan
0522 00:00 21:18 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
503 0001448162818 JUHARI L Epidemic vertigo Berobat Jalan
0505 00:00 10:50 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEGAWAI
504 0001523600943 IRGI IRAWAN L Scabies Berobat Jalan
0517 00:00 19:06 SWASTA
0130B0210121P00 16-01-2021 16-01-2021 PEGAWAI
505 0001660142261 YULIANTI P Myalgia Berobat Jalan
0512 00:00 17:48 SWASTA
0130B0210121P00 16-01-2021 16-01-2021 PEGAWAI
506 0001661075458 ZULFATUL ULUMIYAH P Nausea and vomiting Berobat Jalan
0519 00:00 19:24 SWASTA
0130B0210121P00 16-01-2021 16-01-2021 PEGAWAI
507 0001663112215 MUHEDI L Tuberculous meningitis Berobat Jalan
0507 00:00 14:02 SWASTA
0130B0210121P00 16-01-2021 16-01-2021 PEGAWAI
508 0001776174816 NIDA FARIDA P Dyspepsia Berobat Jalan
0504 00:00 10:49 SWASTA
509 0001823711005 rasmini P Berobat Jalan Hipertensi
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
510 0001845825243 YAYAN SURYANA L Other dermatitis Berobat Jalan
0510 00:00 15:35 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 MUHAMAD RASYIDAN PEKERJA Influenza, virus not

511 0002053748362 L Berobat Jalan
0500 00:00 07:07 ZAKI MANDIRI identified
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
512 0002244263501 NATASYIA SAPUTRI P Other dermatitis Berobat Jalan
0511 00:00 15:58 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
513 0002376500591 SUSANTO WIJOYO L Dyspepsia Berobat Jalan
0518 00:00 19:07 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
514 0002394475536 NUNUNG SETIANI P Tonsillar aspergillosis Berobat Jalan
0502 00:00 09:29 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
515 0002441047149 INDASAH P Epidemic vertigo Berobat Jalan
0521 00:00 19:26 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 MUHAMAD RIZKY PEKERJA
0520 00:00 19:25 ALSAHDIN MANDIRI
517 0002447381834 ERNI NURAENI P Berobat Jalan
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
518 0002463718386 ENO P Headache Berobat Jalan
0506 00:00 12:58 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
519 0002495071642 PINI NURAENI P Headache Berobat Jalan
0523 00:00 21:18 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEKERJA
520 0002697278624 RISNANDAR L Headache Berobat Jalan
0509 00:00 15:15 MANDIRI
0130B0210121P00 16-01-2021 16-01-2021 PEGAWAI
521 0002914734778 DEDE ISMAIL L Tonsillar aspergillosis Berobat Jalan
0513 00:00 17:49 SWASTA
0130B0210121P00 16-01-2021 16-01-2021 SITI KAPITA PUTRI NUR PEKERJA Antenatal screening,
522 0003060720909 P Berobat Jalan
0515 00:00 17:53 PAHMI MANDIRI unspecified
0130B0210121P00 15-01-2021 15-01-2021 PENERIMA
523 0000063040037 AGUS LUKMAN L Myalgia Berobat Jalan
0476 00:00 14:14 PENSIUN PNS
0130B0210121P00 15-01-2021 15-01-2021 PENERIMA
524 0000063040048 SRI HARDIYAH P Fever, unspecified Berobat Jalan
0475 00:00 14:14 PENSIUN PNS
525 0000478994027 NIRA NURFITRI P Berobat Jalan
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
526 0000479907358 ADE SYARIPAH P Dyspepsia Berobat Jalan
0493 00:00 20:56 SWASTA
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
527 0000480514239 RISPA DEWI ASIAH P Myalgia Berobat Jalan
0494 00:00 20:57 SWASTA
0130B0210121P00 15-01-2021 15-01-2021 PEKERJA
528 0001294012631 MIMI MARYANI P Pyogenic arthritis Rujuk Vertikal
0458 00:00 10:46 MANDIRI
529 0001431661083 NOOROHMAH P Berobat Jalan

530 0001517336471 GIRIWATI P Berobat Jalan
531 0001521899785 RISNAWATI SUTISNA P Berobat Jalan
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
532 0001522270337 YANTI JUARTI P Other dermatitis Berobat Jalan
0472 00:00 13:29 SWASTA
533 0001522270359 VIKA OCTAVIYANTI P Berobat Jalan
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
534 0001523055093 TETI PRIANI P Dyspepsia Berobat Jalan
0480 00:00 16:41 SWASTA
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
535 0001523600706 SITI AISAH P Myalgia Berobat Jalan
0459 00:00 10:49 SWASTA
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
536 0001639359033 MUHAMAD SOLEH ARIFIN L Dyspepsia Berobat Jalan
0465 00:00 11:15 SWASTA
Other disorders of kidney
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
537 0001659874151 APIT ZAENABIN L and ureter in diseases Berobat Jalan
0463 00:00 10:53 SWASTA
classified elsewhere
0130B0210121P00 15-01-2021 15-01-2021 MUHAMAD RIFKI PEGAWAI Acute upper respiratory
538 0001660955837 L Berobat Jalan
0489 00:00 18:14 MAULANA SWASTA infection, unspecified
Diarrhoea and
0130B0210121P00 15-01-2021 15-01-2021 PEKERJA
539 0001661594534 ADE RATIH YUNITA P gastroenteritis of Berobat Jalan
0498 00:00 22:25 MANDIRI
Superficial injury of
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
540 0001777013379 TATANG ROMDONI L abdomen, lower back and Berobat Jalan
0460 00:00 10:50 SWASTA
pelvis
0130B0210121P00 15-01-2021 15-01-2021 PEKERJA
541 0001849975435 ENEN JUBAEDAH P Tension-type headache Berobat Jalan
0490 00:00 18:15 MANDIRI
0130B0210121P00 15-01-2021 15-01-2021
542 0001894792454 RINI SETIAWATI P PNS DAERAH Dyspepsia Berobat Jalan
0473 00:00 13:30
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
543 0002060118843 NAYA ANANDA P Fever, unspecified Berobat Jalan
0488 00:00 18:13 SWASTA
0130B0210121P00 15-01-2021 15-01-2021 PENERIMA
544 0002076767278 ODI L Headache Berobat Jalan
0467 00:00 11:21 PENSIUN PNS
0130B0210121P00 15-01-2021 15-01-2021 PEKERJA
545 0002218562008 SLAMET L Myalgia Berobat Jalan
0483 00:00 18:07 MANDIRI
546 0002281415657 AI AISAH P Berobat Jalan
0130B0210121P00 15-01-2021 15-01-2021 ARIANDO MARTUA PEKERJA Influenza, virus not
547 0002291540275 L Berobat Jalan
0477 00:00 16:07 SINAGA MANDIRI identified
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI

548 0002295771783 yoppy al byan L Dermatitis, unspecified Berobat Jalan
0482 00:00 16:43 SWASTA
549 0002315652761 INDA LESTARI P Berobat Jalan
550 0002322404796 SRI KOMALASARI P Berobat Jalan
551 0002322469653 ETI HENDRAYATI P Berobat Jalan
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
552 0002325497951 DZAKIRA TALITA ZAHRA P Other dermatitis Berobat Jalan
0486 00:00 18:09 SWASTA
0130B0210121P00 15-01-2021 15-01-2021 PEKERJA
553 0002441047015 MAHMUDIN L Dyspepsia Berobat Jalan
0496 00:00 21:01 MANDIRI
0130B0210121P00 15-01-2021 15-01-2021
554 0002461832561 GILANG YANUARIANSYAH L PNS DAERAH Scabies Berobat Jalan
0485 00:00 18:08
0130B0210121P00 15-01-2021 15-01-2021 M SYAFIQ AINUL PEGAWAI Acute upper respiratory
555 0002463567513 L Berobat Jalan
0484 00:00 18:08 MUBAROK SWASTA infection, unspecified
556 0002472692861 MUHAMAD HAFIZ L Berobat Jalan
0130B0210121P00 15-01-2021 15-01-2021 MUHAMMAD ARSYA PEGAWAI
557 0002906050825 L Scabies Rujuk Vertikal
0479 00:00 16:18 ALFAQIH SWASTA
0130B0210121P00 15-01-2021 15-01-2021 MUHAMMAD RASYA AL PEGAWAI
558 0002906051477 L Scabies Rujuk Vertikal
0478 00:00 16:17 FAQIH SWASTA
0130B0210121P00 15-01-2021 15-01-2021 MUHAMAD FIRZA PEKERJA Acute nasopharyngitis
559 0002907586675 L Berobat Jalan
0462 00:00 10:51 ALFAREZI MANDIRI [common cold]
0130B0210121P00 15-01-2021 15-01-2021 PEGAWAI
560 0002925367356 WIWIN WINDAWATI P Myalgia Berobat Jalan
0487 00:00 18:12 SWASTA
561 0002944187616 BIBIH HABIBAH P Berobat Jalan
562 0002944187728 KHOIRUL ADNAN L Berobat Jalan
0130B0210121P00 15-01-2021 15-01-2021 PEKERJA
563 0003049234479 AI ROHAYATI P Dyspepsia Berobat Jalan
0468 00:00 11:23 MANDIRI
0130B0210121P00 15-01-2021 15-01-2021 LEANARTHA PUTRI PEGAWAI Acute upper respiratory
564 0003060583031 P Berobat Jalan
0464 00:00 10:56 INSANI DORIS SAPUTRA SWASTA infection, unspecified
565 0000479985647 ROBYANSAH L PBI (APBN) Berobat Jalan
0424 00:00 08:08 identified
0130B0210121P00 14-01-2021 14-01-2021 PEGAWAI
566 0001153287077 NGADINO L Dyspepsia Berobat Jalan
0454 00:00 19:22 SWASTA

567 0001154948916 LUSI SURYAWATI P Berobat Jalan
0130B0210121P00 14-01-2021 14-01-2021 PEGAWAI
568 0001202628104 NAURA NAZKIA EFFENDI L Fever, unspecified Berobat Jalan
0453 00:00 19:21 SWASTA
569 0001273139853 HJ AMINAH P Berobat Jalan Hipertensi
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
570 0001287970367 ENENG MINDIAWATI P Haemorrhoids Berobat Jalan
0449 00:00 17:48 MANDIRI
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
571 0001294012631 MIMI MARYANI P Pyogenic arthritis Berobat Jalan
0438 00:00 11:42 MANDIRI
572 0001319459657 ANISA RAHAYU P Berobat Jalan
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
573 0001388058276 RA HIDAYAT L Constipation Berobat Jalan
0429 00:00 11:28 MANDIRI
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA Tuberculous peripheral
574 0001388058974 NENGSIH SUKAESIH P Rujuk Vertikal Hipertensi
0426 00:00 08:27 MANDIRI lymphadenopathy
575 0001421764154 TAUFIK RAHMAN L Berobat Jalan
0130B0210121P00 14-01-2021 14-01-2021 PEGAWAI
576 0001523599942 DEDEN HIDAYAT L Myalgia Berobat Jalan
0451 00:00 17:50 SWASTA
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
577 0001745431885 HASANUDIN L Myalgia Berobat Jalan
0440 00:00 15:40 MANDIRI
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
578 0001971823228 jumaida susanti sitanggang P Epidemic vertigo Berobat Jalan
0441 00:00 15:42 MANDIRI
0130B0210121P00 14-01-2021 14-01-2021 PEGAWAI
579 0002181392493 AGUSTIANA MUNANDAR L Constipation Berobat Jalan
0425 00:00 08:09 SWASTA
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA Influenza, virus not Diabetes Diabetes
580 0002247571438 LINDAWATI P Berobat Jalan
0423 00:00 06:46 MANDIRI identified Mellitus Mellitus
581 0002257146437 MUQITA ALIANZA KAMILA P Berobat Jalan
0130B0210121P00 14-01-2021 14-01-2021 ADAM SHAKEEL PEGAWAI Acute nasopharyngitis
582 0002303337486 L Berobat Jalan
0457 00:00 22:19 ARIKALANG SWASTA [common cold]
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
583 0002312154595 ENENG ROBIAH P Gout Berobat Jalan
0456 00:00 22:02 MANDIRI
0130B0210121P00 14-01-2021 14-01-2021 SALSHABILLA PUTRI PEKERJA Influenza, virus not
584 0002395502583 P Berobat Jalan
0443 00:00 15:43 IRAWAN MANDIRI identified
0130B0210121P00 14-01-2021 14-01-2021 PEGAWAI
585 0002398496321 IKIN L Dyspepsia Berobat Jalan
0450 00:00 17:49 SWASTA
0130B0210121P00 14-01-2021 14-01-2021 PEGAWAI

586 0002398791082 IWAN L Caries of dentine Rujuk Vertikal
0427 00:00 10:57 SWASTA
587 0002434173557 MAIDA RATNA SAFITRI P Berobat Jalan
588 0002470211256 ISMAIL L Berobat Jalan
0130B0210121P00 14-01-2021 14-01-2021 PEGAWAI
589 0002486195706 ENJELINA RIZKIA PUTRI P Dermatitis, unspecified Berobat Jalan
0447 00:00 15:54 SWASTA
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
590 0002497530025 UCA TARYANA L Myalgia Berobat Jalan
0437 00:00 11:41 MANDIRI
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
591 0002497530161 YANTI SUMIATI P Myalgia Berobat Jalan
0428 00:00 11:27 MANDIRI
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
592 0002748091048 LILIS P Other dermatitis Berobat Jalan
0436 00:00 11:39 MANDIRI
0130B0210121P00 14-01-2021 14-01-2021 MUHAMMAD REZFAN PEGAWAI Influenza, virus not
593 0002761890772 L Berobat Jalan
0448 00:00 16:35 SYAUQI SWASTA identified
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA
594 0002770945334 ENDANG WAHYUDIN L Dyspepsia Berobat Jalan
0433 00:00 11:36 MANDIRI
595 0002770945514 KOIDAH P Berobat Jalan
0130B0210121P00 14-01-2021 14-01-2021 PEKERJA Other and unspecified
596 0002891625074 RAFFI PRAYOGA L Berobat Jalan
0435 00:00 11:38 MANDIRI injuries of head
597 0002902511812 SOPIAH P Berobat Jalan
0130B0210121P00 14-01-2021 14-01-2021 MUHAMAD DIKRI PEKERJA
598 0002903616156 L Dermatitis, unspecified Berobat Jalan
0444 00:00 15:45 ARSALUL MANDIRI
599 0003056839727 ILHAM NAZWAN JARIS L Berobat Jalan
600 0000063188458 UJANG APIPUDIN L PNS DAERAH Berobat Jalan
0417 00:00 19:49 identified
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
601 0001132807386 DENI RUSNANDAR L Dyspepsia Berobat Jalan
0403 00:00 15:11 SWASTA
602 0001136685791 KARYA L Berobat Jalan
Cataract and other
0130B0210121P00 13-01-2021 13-01-2021 PEKERJA disorders of lens in
603 0001311205443 CICIH P Rujuk Vertikal
0401 00:00 14:29 MANDIRI diseases classified
elsewhere
604 0001431660442 ENDANG L Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI

605 0001444681607 HANNA SAEPURWANTI P Dyspepsia Berobat Jalan
0397 00:00 12:03 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEKERJA
606 0001447587292 DUMARIA PASARIBU P Epidemic vertigo Berobat Jalan
0419 00:00 20:42 MANDIRI
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
607 0001447923003 PAJWAJ L Dyspepsia Berobat Jalan
0398 00:00 12:04 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
608 0001447953682 ADE L Myalgia Berobat Jalan
0390 00:00 11:47 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEKERJA
609 0001475943197 ADE ROHAEDI L Myalgia Berobat Jalan
0391 00:00 11:49 MANDIRI
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
610 0001516540937 ODANG SUPRIATNA L Migraine Berobat Jalan
0396 00:00 12:01 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
611 0001518442299 RIVAL ADRIAN SAPUTRA L Superficial injury of scalp Berobat Jalan
0415 00:00 18:47 SWASTA
612 0001523599211 SARIP SODIKIN L Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI Secondary hypertension,
613 0001523599222 ARI AVIYANI P Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 PEKERJA Cardiomyopathy in the
614 0001523618177 RANI ARDIANI P Rujuk Vertikal
0402 00:00 14:47 MANDIRI puerperium
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
615 0001663112215 MUHEDI L Dyspepsia Berobat Jalan
0404 00:00 15:12 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
616 0001665562263 RIMA JULIYANTI P Myalgia Berobat Jalan
0411 00:00 16:46 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
617 0001667746427 DE AI AISYAH P Dyspepsia Berobat Jalan
0422 00:00 20:44 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
618 0001777013379 TATANG ROMDONI L Dyspepsia Berobat Jalan
0385 00:00 07:28 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
619 0001865398691 NINA NURHAYANI P Dyspepsia Berobat Jalan
0405 00:00 15:13 SWASTA
620 0002076283708 UMMIASA SHEZA ADITYA P Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
621 0002158283518 M. ARSYABANI L Dermatitis, unspecified Berobat Jalan
0410 00:00 16:46 SWASTA
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
622 0002183921122 NENG INA ROSITA P Dyspepsia Berobat Jalan
0408 00:00 16:44 SWASTA
623 0002217712948 SAKIRA P Berobat Jalan

624 0002266259051 RAPA RIPALIN L Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 PEKERJA
625 0002304658506 IYAH P Other cataract Rujuk Vertikal
0395 00:00 11:54 MANDIRI
626 0002396864452 FEBRIYANTO L Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 PEKERJA
627 0002430085285 CACIH P Pyogenic arthritis Rujuk Vertikal
0407 00:00 16:42 MANDIRI
0130B0210121P00 13-01-2021 13-01-2021 FAJRIAL NARENDRA PEKERJA
628 0002435212225 L Dyspepsia Berobat Jalan
0416 00:00 19:42 PUTRA MANDIRI
629 0002455731101 VIRA DESTRIANI P Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 PEGAWAI
630 0002465269481 KEVIN RASYAR FAQIH L Scabies Rujuk Vertikal
0387 00:00 11:31 SWASTA
631 0002517430094 SRI HASTUTI P Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 AIZZA ALFATHUNNISA PEKERJA Influenza, virus not
632 0002519398001 P Berobat Jalan
0393 00:00 11:51 HIBATILLAH MANDIRI identified
0130B0210121P00 13-01-2021 13-01-2021 FADHIL RADEYA ZAYDAN Fever of other and
633 0002774944113 L PNS DAERAH Berobat Jalan
0394 00:00 11:53 PERMANA unknown origin
0130B0210121P00 13-01-2021 13-01-2021 PEKERJA after treatment for
634 0002917038723 NGATIROH P Rujuk Vertikal
0406 00:00 16:18 MANDIRI conditions other than
malignant neoplasms
635 0003054292064 ERFAN GIBRAN L Berobat Jalan
0130B0210121P00 13-01-2021 13-01-2021 SITI KAPITA PUTRI NUR PEKERJA Acute nasopharyngitis
636 0003060720909 P Berobat Jalan
0413 00:00 17:46 PAHMI MANDIRI [common cold]
0130B0210121P00 13-01-2021 13-01-2021 PEKERJA
637 0003061614205 ACIH MINTARSIH P Dyspepsia Berobat Jalan
0409 00:00 16:45 MANDIRI
0130B0210121P00 12-01-2021 Other intervertebral disc
638 01-12-2021 0000063418285 R. AYU OMAT ROHMAT P PNS DAERAH Rujuk Vertikal
0373 15:48 disorders
0130B0210121P00 12-01-2021 Other benign neoplasms
639 01-12-2021 0000063456625 ENDANG SYARIFUDIN L PNS DAERAH Rujuk Vertikal
0366 12:00 of skin
0130B0210121P00 12-01-2021
640 01-12-2021 0000479985647 ROBYANSAH L PBI (APBN) Dyspepsia Berobat Jalan
0353 06:13
0130B0210121P00 12-01-2021 PEGAWAI
641 01-12-2021 0001142189032 ASEP SARIP HIDAYAT L Dyspepsia Berobat Jalan
0358 08:34 SWASTA
0130B0210121P00 12-01-2021 PEKERJA
642 01-12-2021 0001322456242 NUNUNG NURLAELASARI P Low back pain Rujuk Vertikal
0378 17:18 MANDIRI
0130B0210121P00 12-01-2021 PEKERJA

643 01-12-2021 0001388058974 NENGSIH SUKAESIH P Dyspepsia Berobat Jalan Hipertensi
0377 16:32 MANDIRI
0130B0210121P00 12-01-2021 YUANEZA LUVIANA PEKERJA
644 01-12-2021 0001426500729 P Other dermatitis Berobat Jalan
0367 12:27 RAHMAN MANDIRI
0130B0210121P00 12-01-2021 PEGAWAI
645 01-12-2021 0001516542366 IRNA IRNAWATI P Dyspepsia Berobat Jalan
0381 18:00 SWASTA
0130B0210121P00 12-01-2021 PEGAWAI Acute upper respiratory
646 01-12-2021 0001523599312 EMAN SULAEMAN L Berobat Jalan
0361 10:10 SWASTA infection, unspecified
0130B0210121P00 12-01-2021 PEGAWAI
647 01-12-2021 0001633518022 TIA P Gout Berobat Jalan
0371 15:28 SWASTA
0130B0210121P00 12-01-2021 PEKERJA
648 01-12-2021 0001670540365 SUCI NURELAH P Headache Berobat Jalan
0355 07:37 MANDIRI
0130B0210121P00 12-01-2021 PEGAWAI
649 01-12-2021 0001799733609 SANTI SYAIFUL P Dyspepsia Berobat Jalan
0357 07:39 SWASTA
0130B0210121P00 12-01-2021 PEKERJA
650 01-12-2021 0001804449159 SALSA FITRIANI P Epilepsy Rujuk Vertikal
0379 17:22 MANDIRI
0130B0210121P00 12-01-2021 PEGAWAI
651 01-12-2021 0001809468876 PITRI SAHRINI P Fever, unspecified Berobat Jalan
0360 08:37 SWASTA
0130B0210121P00 12-01-2021 PEKERJA
652 01-12-2021 0001874513351 YULI YULIANTI P Chronic kidney disease Rujuk Vertikal
0352 06:10 MANDIRI
0130B0210121P00 12-01-2021
653 01-12-2021 0001894792454 RINI SETIAWATI P PNS DAERAH Gout Berobat Jalan
0368 14:01
Maternal care for other
0130B0210121P00 12-01-2021 PEKERJA
654 01-12-2021 0002056433916 aida wulandari P known or suspected fetal Berobat Jalan
0365 10:50 MANDIRI
problems
0130B0210121P00 12-01-2021 MUHAMAD FAKHRI NUR PEGAWAI
655 01-12-2021 0002072540068 L Fever, unspecified Berobat Jalan
0383 19:52 KHAIRI SWASTA
0130B0210121P00 12-01-2021 PEKERJA
656 01-12-2021 0002281529946 EEM SUHAEMAH P Dyspepsia Berobat Jalan
0380 17:59 MANDIRI
0130B0210121P00 12-01-2021 PEKERJA
657 01-12-2021 0002304658506 IYAH P Gout Berobat Jalan
0370 14:52 MANDIRI
0130B0210121P00 12-01-2021 PEGAWAI Influenza with pneumonia,

658 01-12-2021 0002395350191 CUCU MULYANI P Berobat Jalan
0384 20:10 SWASTA virus not identified
0130B0210121P00 12-01-2021 PEGAWAI

659 01-12-2021 0002421874517 DIYAH SULISTIARINI P Myopia Rujuk Vertikal
0375 16:26 SWASTA
0130B0210121P00 12-01-2021 MUHAMMAD DANI PEGAWAI
660 01-12-2021 0002421874596 L Myopia Rujuk Vertikal
0374 16:22 PAMUNGKAS SWASTA
0130B0210121P00 12-01-2021 PEKERJA
661 01-12-2021 0002463481135 YUYUN YUNENGSIH P Scabies Berobat Jalan
0359 08:36 MANDIRI
0130B0210121P00 12-01-2021 PEKERJA Acute nasopharyngitis

662 01-12-2021 0002610231759 AISAH P Berobat Jalan
0369 14:52 MANDIRI [common cold]
0130B0210121P00 12-01-2021 PEKERJA
663 01-12-2021 0002742807284 ROSITA P Pyogenic arthritis Rujuk Vertikal
0372 15:46 MANDIRI
0130B0210121P00 12-01-2021 ADZRIEL RAFKA PEGAWAI Acute nasopharyngitis
664 01-12-2021 0002763673626 L Berobat Jalan
0363 10:26 SYAHPUTRA SWASTA [common cold]
0130B0210121P00 12-01-2021 ARSAKHA NARENDRA PEKERJA Acute upper respiratory
665 01-12-2021 0002771972649 L Berobat Jalan
0354 07:37 ABIMANYU MANDIRI infection, unspecified
0130B0210121P00 12-01-2021 PEKERJA
666 01-12-2021 0002911268147 NAZRIL ALEXI PRATAMA P Fever, unspecified Berobat Jalan
0356 07:38 MANDIRI
0130B0210121P00 12-01-2021 PEGAWAI
667 01-12-2021 0002929296767 AFIA MAULIDHA P Rat-bite fevers Berobat Jalan
0362 10:12 SWASTA
0130B0210121P00 12-01-2021 PEKERJA Antenatal screening,
668 01-12-2021 0003055368892 ISKA PERMATASARI P Berobat Jalan
0382 19:47 MANDIRI unspecified
0130B0210121P00 12-01-2021 PEKERJA Tuberculosis of skin and
669 01-12-2021 0003061131197 OOM LOMRAH P Rujuk Vertikal
0376 16:29 MANDIRI subcutaneous tissue
0130B0210121P00 12-01-2021 BAYI NYONYA aida PEKERJA Maternal care for
670 01-12-2021 0003063646732 P Berobat Jalan
0364 10:49 wulandari MANDIRI intrauterine death
0130B0210121P00 11-01-2021
671 01-11-2021 0000063086681 WIWIN WINDAYANI P PNS DAERAH Myalgia Berobat Jalan
0347 21:23
0130B0210121P00 11-01-2021 Acute upper respiratory
672 01-11-2021 0000063188458 UJANG APIPUDIN L PNS DAERAH Berobat Jalan
0338 18:04 infection, unspecified
0130B0210121P00 11-01-2021 PENERIMA
673 01-11-2021 0000063307023 HERY SUDIYONO L Myalgia Berobat Jalan
0333 17:13 PENSIUN PNS
0130B0210121P00 11-01-2021 PEKERJA
674 01-11-2021 0000063307045 YURIARTI P Depressive episode Rujuk Vertikal
0332 17:12 MANDIRI
0130B0210121P00 11-01-2021
675 01-11-2021 0000063405279 UJANG JAENAL ARIPIN L PNS DAERAH Myalgia Berobat Jalan
0349 21:30
0130B0210121P00 11-01-2021 PENERIMA Secondary hypertension,
676 01-11-2021 0000063423382 KURNIA DALISAH P Berobat Jalan Hipertensi Hipertensi
0305 07:33 PENSIUN PNS unspecified
0130B0210121P00 11-01-2021
677 01-11-2021 0000063464815 BURHANUDIN L PNS DAERAH Congestive heart failure Rujuk Vertikal
0315 08:42
0130B0210121P00 11-01-2021 Other chronic suppurative
678 01-11-2021 0000169727962 ENGKUS KUSMARA L PNS DAERAH Rujuk Vertikal
0323 12:50 otitis media
0130B0210121P00 11-01-2021
679 01-11-2021 0000196034894 ACO L PNS DAERAH Myalgia Berobat Jalan
0350 21:31
0130B0210121P00 11-01-2021 PEGAWAI
680 01-11-2021 0001269680433 IYAY ERNAWATI P Myalgia Berobat Jalan
0336 17:24 SWASTA

681 01-11-2021 0001269681243 RIZKI ADITYA RAMADHAN L Berobat Jalan
0130B0210121P00 11-01-2021 PEKERJA
682 01-11-2021 0001319458566 E SUTISNA L Dyspepsia Berobat Jalan
0331 16:59 MANDIRI
0130B0210121P00 11-01-2021 PEKERJA
683 01-11-2021 0001438944423 dirman L Dyspepsia Berobat Jalan
0329 16:01 MANDIRI
0130B0210121P00 11-01-2021 PEGAWAI Influenza, virus not
684 01-11-2021 0001453262872 IWAN HERMAWAN L Berobat Jalan
0307 08:11 SWASTA identified
0130B0210121P00 11-01-2021 PEGAWAI
685 01-11-2021 0001516514073 Kosasih L Tinea corporis Berobat Jalan
0337 17:25 SWASTA
686 01-11-2021 0001516591855 Nasrul Ilham L Berobat Jalan
0130B0210121P00 11-01-2021 PEGAWAI
687 01-11-2021 0001521899785 RISNAWATI SUTISNA P Dyspepsia Berobat Jalan
0313 08:28 SWASTA
0130B0210121P00 11-01-2021 PEKERJA
688 01-11-2021 0001608047223 ELIH HENDRAWATI P Abdominal and pelvic pain Rujuk Vertikal
0318 10:09 MANDIRI
689 01-11-2021 0001610978073 ANDRIYANA L Berobat Jalan
0130B0210121P00 11-01-2021 FITRIYANI PEGAWAI
690 01-11-2021 0001640359989 P Carpal tunnel syndrome Rujuk Vertikal
0317 10:01 RAHMADHANTY SWASTA
0130B0210121P00 11-01-2021 PEGAWAI
691 01-11-2021 0001661076055 DEDE WIGUNA L Fever, unspecified Berobat Jalan
0341 19:28 SWASTA
0130B0210121P00 11-01-2021 PEGAWAI Antenatal screening,
692 01-11-2021 0001661078204 NENDEN HERLIANA P Berobat Jalan
0348 21:27 SWASTA unspecified
0130B0210121P00 11-01-2021 PEGAWAI
693 01-11-2021 0001661576073 NURYANTI P Dyspepsia Berobat Jalan
0339 18:05 SWASTA
0130B0210121P00 11-01-2021 PEGAWAI
694 01-11-2021 0001669871259 ENANG KARYA L Varicella [chickenpox] Berobat Jalan
0322 12:19 SWASTA
0130B0210121P00 11-01-2021 PEGAWAI
695 01-11-2021 0001738720271 MELANI INTAN SAPITRI P Dyspepsia Berobat Jalan
0324 12:52 SWASTA
0130B0210121P00 11-01-2021 PEGAWAI
696 01-11-2021 0001802023165 PRIATI MUGIANINGSIH P Dyspepsia Berobat Jalan
0351 21:46 SWASTA

697 01-11-2021 0002046779109 RAHMA NINDIA PUTRI P Berobat Jalan
0130B0210121P00 11-01-2021 PEGAWAI

698 01-11-2021 0002053567811 EVI PRIDA AVIANY P Dyspepsia Berobat Jalan
0309 08:26 SWASTA
0130B0210121P00 11-01-2021 PEGAWAI
699 01-11-2021 0002071702438 KANDA SYAFEI L Caries of dentine Berobat Jalan
0343 20:41 SWASTA
0130B0210121P00 11-01-2021 PEGAWAI

700 01-11-2021 0002087339523 INDRI SUMBAWATI L Dyspepsia Berobat Jalan
0306 07:35 SWASTA
701 01-11-2021 0002185384825 AZKA AULIA SUTISNA P Berobat Jalan
0130B0210121P00 11-01-2021 PEKERJA Bronchitis, not specified as Diabetes Diabetes
702 01-11-2021 0002219543842 ISAH P Rujuk Vertikal
0328 15:49 MANDIRI acute or chronic Mellitus Mellitus
0130B0210121P00 11-01-2021 PEKERJA
703 01-11-2021 0002304729033 UJANG OMAN L Myalgia Berobat Jalan
0311 08:27 MANDIRI
0130B0210121P00 11-01-2021 PEKERJA Secondary hypertension,
704 01-11-2021 0002304729134 NINA P Berobat Jalan Hipertensi Hipertensi
0130B0210121P00 11-01-2021 PEKERJA
705 01-11-2021 0002317461254 EDI JUNAEDI L Pyogenic arthritis Berobat Jalan
0334 17:14 MANDIRI
0130B0210121P00 11-01-2021 PEKERJA Contraceptive
706 01-11-2021 0002319600328 MYA RAHMAWATI P Berobat Jalan
0326 13:22 MANDIRI management, unspecified
0130B0210121P00 11-01-2021 PEKERJA
707 01-11-2021 0002325866218 ONOH P Myalgia Berobat Jalan
0344 20:43 MANDIRI
0130B0210121P00 11-01-2021 EDYNUR ISKANDAR
708 01-11-2021 0002375778148 L INVESTOR Fever, unspecified Berobat Jalan
0346 20:46 SIMATUPANG

709 01-11-2021 0002398761876 IYUS KUSNADI L Berobat Jalan
0130B0210121P00 11-01-2021 PEKERJA

710 01-11-2021 0002428127561 aricoh P Calculus of kidney Rujuk Vertikal
0316 09:43 MANDIRI
0130B0210121P00 11-01-2021 PEGAWAI
711 01-11-2021 0002487762955 WAHYU EPENDI L Myalgia Berobat Jalan
0330 16:59 SWASTA
0130B0210121P00 11-01-2021 PEKERJA Influenza with pneumonia,

712 01-11-2021 0002615563416 LILI HALIMAH P Berobat Jalan
0342 19:29 MANDIRI virus not identified
0130B0210121P00 11-01-2021 PEKERJA

713 01-11-2021 0002739279756 TATI MARYATI P Myalgia Berobat Jalan
0308 08:11 MANDIRI
0130B0210121P00 11-01-2021 PEKERJA
714 01-11-2021 0002944742128 DAYAT L Caries of dentine Berobat Jalan
0340 19:26 MANDIRI
0130B0210121P00 11-01-2021 NARAYANA YUDHA PEKERJA Need for immunization
715 01-11-2021 0003046089868 L Berobat Jalan
0320 11:28 ASHAHEIN MANDIRI against diphtheria alone
0130B0210121P00 11-01-2021 PEKERJA
716 01-11-2021 0003049234479 AI ROHAYATI P after surgery for other Rujuk Vertikal
0319 10:14 MANDIRI
conditions
Fetus and newborn

0130B0210121P00 11-01-2021 PEKERJA affected by other
717 01-11-2021 0003065626315 BAYI NYONYA MINAWATI P Berobat Jalan
0325 12:57 MANDIRI complications of labour
and delivery
0130B0210121P00 10-01-2021
718 01-10-2021 0000063102431 MULYADI L PNS DAERAH Myalgia Berobat Jalan
0285 15:27
0130B0210121P00 10-01-2021 Influenza, virus not
719 01-10-2021 0000063456873 HJ SARIFAH P PNS DAERAH Berobat Jalan
0281 09:11 identified
0130B0210121P00 10-01-2021 PEGAWAI
720 01-10-2021 0000479517434 WARSIM MULADI L Dyspepsia Berobat Jalan
0296 15:56 SWASTA
0130B0210121P00 10-01-2021 PEKERJA
721 01-10-2021 0001135830497 LINDA ISTIANA P Myalgia Berobat Jalan
0299 15:58 MANDIRI
0130B0210121P00 10-01-2021 PEGAWAI
722 01-10-2021 0001283362841 SANDHI PRATIWI P Dyspepsia Berobat Jalan
0288 15:28 SWASTA
0130B0210121P00 10-01-2021 PEKERJA
723 01-10-2021 0001384048157 SURYANI P Headache Berobat Jalan
0289 15:29 MANDIRI
0130B0210121P00 10-01-2021 PEGAWAI
724 01-10-2021 0001518442299 RIVAL ADRIAN SAPUTRA L Fever, unspecified Berobat Jalan
0303 19:36 SWASTA
725 01-10-2021 0001661066381 RISYA RISYANDI P Berobat Jalan
0130B0210121P00 10-01-2021 PEGAWAI
726 01-10-2021 0001743885055 YASMIN KHOERUNISA P Headache Berobat Jalan
0300 15:59 SWASTA
0130B0210121P00 10-01-2021 PEKERJA
727 01-10-2021 0001844110045 ALIF NAUFAL SURYA L Other dermatitis Berobat Jalan
0302 16:26 MANDIRI
728 01-10-2021 0002058010064 ANI MULYANI P Berobat Jalan
0130B0210121P00 10-01-2021 PEGAWAI
729 01-10-2021 0002258022756 SITY NUR FATIMAH P Fever, unspecified Berobat Jalan
0279 09:07 SWASTA
0130B0210121P00 10-01-2021 PEGAWAI
730 01-10-2021 0002268144966 UJANG KUSWANDI L Dyspepsia Berobat Jalan
0301 15:59 SWASTA
0130B0210121P00 10-01-2021 PEKERJA
731 01-10-2021 0002272650344 DINAN MAULANA L Other dermatitis Berobat Jalan
0304 19:43 MANDIRI
732 01-10-2021 0002422842085 OOY SUMIATI P Berobat Jalan
0130B0210121P00 10-01-2021 PEKERJA
733 01-10-2021 0002450105201 EJEN L Myalgia Berobat Jalan
0286 15:27 MANDIRI
0130B0210121P00 10-01-2021 MUHAMMAD ARSAKHA PEKERJA
0280 09:08 FARIZ MAULANA MANDIRI
0130B0210121P00 10-01-2021 MUHAMMAD ABIZARD PEGAWAI Influenza, virus not
735 01-10-2021 0002488958278 L Berobat Jalan
0290 15:30 RAFFASYA SWASTA identified
0130B0210121P00 10-01-2021 MUHAMMAD ADAM PEGAWAI

0291 15:53 KHALIF SWASTA
0130B0210121P00 10-01-2021 PEKERJA
737 01-10-2021 0002501715148 sindi aulia putri P Nausea and vomiting Berobat Jalan
0273 07:16 MANDIRI
Tuberculosis of lung,
0130B0210121P00 10-01-2021 PEGAWAI
738 01-10-2021 0002616957382 ADITYA SAPUTRA L bacteriologically and Rujuk Vertikal
0274 07:32 SWASTA
histologically negative
0130B0210121P00 10-01-2021 PEKERJA Calculus of kidney and
739 01-10-2021 0002698229891 PUTRI P Rujuk Vertikal
0278 08:10 MANDIRI ureter
740 01-10-2021 0002874547181 AYU AGUSTINA P Berobat Jalan
0130B0210121P00 10-01-2021 PEKERJA
741 01-10-2021 0002881758429 LINA OKTOVIANI P Dyspepsia Berobat Jalan
0276 07:41 MANDIRI
0130B0210121P00 10-01-2021 PEGAWAI
742 01-10-2021 0002896605033 MUHAMAD MAHARDIKA L Fever, unspecified Berobat Jalan
0295 15:55 SWASTA
0130B0210121P00 10-01-2021 MUHAMAD DIKRI PEKERJA
743 01-10-2021 0002903616156 L Dyspepsia Berobat Jalan
0292 15:53 ARSALUL MANDIRI
0130B0210121P00 10-01-2021 PEGAWAI
744 01-10-2021 0002904853342 SITI KOMARIAH P Headache Berobat Jalan
0283 15:26 SWASTA
0130B0210121P00 10-01-2021 PEKERJA
745 01-10-2021 0002917015604 ALVINO RIZKY HABIBIE L Dyspepsia Berobat Jalan
0298 15:57 MANDIRI
0130B0210121P00 10-01-2021 PEKERJA
746 01-10-2021 0002939585624 ANAH MARYANAH P Dyspepsia Berobat Jalan
0284 15:26 MANDIRI
0130B0210121P00 10-01-2021 PEGAWAI
747 01-10-2021 0002940283146 IIS NURHAYATI P Caries of dentine Berobat Jalan
0293 15:54 SWASTA
0130B0210121P00 10-01-2021 PEGAWAI
748 01-10-2021 0002942495482 AAS HERLIANI P Fever, unspecified Berobat Jalan
0297 15:57 SWASTA
0130B0210121P00 10-01-2021 PEGAWAI
749 01-10-2021 0003056839727 ILHAM NAZWAN JARIS L Fever, unspecified Berobat Jalan
0287 15:28 SWASTA
0130B0210121P00 09-01-2021
750 01-09-2021 0000063086681 WIWIN WINDAYANI P PNS DAERAH Fever, unspecified Berobat Jalan
0251 08:01
0130B0210121P00 09-01-2021 PENERIMA Influenza, virus not Diabetes
751 01-09-2021 0000063265127 UES SUNENGSIH P Berobat Jalan
0267 15:58 PENSIUN PNS identified Mellitus
0130B0210121P00 09-01-2021 PENERIMA
752 01-09-2021 0000063266139 SITI MASITOH P Myalgia Berobat Jalan
0130B0210121P00 09-01-2021 Gonarthrosis [arthrosis of
753 01-09-2021 0000063387033 TRI KOMARYANAH P PNS DAERAH Rujuk Vertikal Hipertensi Hipertensi
0262 12:58 knee]
0130B0210121P00 09-01-2021 ENGKOS KOSASIH PENERIMA
754 01-09-2021 0000203473269 L Congestive heart failure Rujuk Vertikal
0265 15:18 WIDJAJA, BA PENSIUN PNS
0130B0210121P00 09-01-2021 PEGAWAI

755 01-09-2021 0000481295698 SANTI SUSILAWATI P Myalgia Berobat Jalan
0266 15:58 SWASTA
0130B0210121P00 09-01-2021 PEKERJA
756 01-09-2021 0001009769602 APIPUDIN L Myalgia Berobat Jalan
0256 09:30 MANDIRI
0130B0210121P00 09-01-2021 FATHAN KHALIL
757 01-09-2021 0001266259004 L PNS DAERAH Zoster [herpes zoster] Berobat Jalan
0261 11:15 ALJABBAR
0130B0210121P00 09-01-2021 PEGAWAI
758 01-09-2021 0001384077993 REZA TRI SETIA L Acute tonsillitis Berobat Jalan
0271 20:22 SWASTA
0130B0210121P00 09-01-2021 PEKERJA Diabetes Diabetes
759 01-09-2021 0001438389077 UEN P Fever, unspecified Berobat Jalan
0260 11:09 MANDIRI Mellitus Mellitus
760 01-09-2021 0001453262872 IWAN HERMAWAN L Berobat Jalan
0130B0210121P00 09-01-2021 MUHAMMAD NAUFAL PEKERJA Influenza with pneumonia,

761 01-09-2021 0001517276384 L Berobat Jalan
0259 11:07 MULYANTO MANDIRI virus not identified
0130B0210121P00 09-01-2021 PEGAWAI

762 01-09-2021 0001661066381 RISYA RISYANDI P Myopia Rujuk Vertikal
0264 15:14 SWASTA
763 01-09-2021 0001776346841 NURSA'ADAH P Berobat Jalan
0130B0210121P00 09-01-2021 PEKERJA
764 01-09-2021 0002272649747 IMAT L Conjunctivitis, unspecified Berobat Jalan
0272 20:23 MANDIRI
0130B0210121P00 09-01-2021 PEKERJA
765 01-09-2021 0002486612046 MUHAMAD PAHAD L Urticaria, unspecified Berobat Jalan
0258 11:03 MANDIRI
0130B0210121P00 09-01-2021 PEKERJA Influenza, virus not
766 01-09-2021 0002739279756 TATI MARYATI P Berobat Jalan
0252 09:26 MANDIRI identified
0130B0210121P00 09-01-2021 PEKERJA
767 01-09-2021 0002739282232 YUSUP FADILAH L Fever, unspecified Berobat Jalan
0263 13:10 MANDIRI
0130B0210121P00 09-01-2021 PEKERJA
768 01-09-2021 0002769314332 MEYDITA P Nausea and vomiting Berobat Jalan
0250 05:49 MANDIRI
0130B0210121P00 09-01-2021 MUHAMMAD DAFA PEKERJA Influenza, virus not
769 01-09-2021 0002904596831 L Berobat Jalan
0253 09:26 RAMADAN MANDIRI identified
0130B0210121P00 09-01-2021 PEGAWAI
770 01-09-2021 0002904849584 HASAN NURDIN L Dyspepsia Berobat Jalan
0255 09:28 SWASTA
771 01-09-2021 0002926469744 AHMAD MALIK L Berobat Jalan
0130B0210121P00 09-01-2021 PEKERJA
772 01-09-2021 0002942988265 SARKI L Dyspepsia Berobat Jalan
0257 09:30 MANDIRI
0130B0210121P00 08-01-2021 PEGAWAI
773 01-08-2021 0000063403885 WIWIN WINDAYANI P Tonsillar aspergillosis Berobat Jalan
0239 17:42 SWASTA

774 01-08-2021 0000305084979 JHIHAN SYANDRA P PBI (APBN) Berobat Jalan
0130B0210121P00 08-01-2021
775 01-08-2021 0000481045814 YEYEN P PBI (APBN) Dyspepsia Berobat Jalan
0234 13:06
0130B0210121P00 08-01-2021 PEGAWAI
776 01-08-2021 0000481183244 UMI SITI NUR AYU P Dyspepsia Berobat Jalan
0240 19:00 SWASTA
0130B0210121P00 08-01-2021 PEKERJA
777 01-08-2021 0001431660442 ENDANG L Dyspepsia Berobat Jalan
0231 11:19 MANDIRI
0130B0210121P00 08-01-2021 PEGAWAI
778 01-08-2021 0001447885631 DENDI L Scabies Berobat Jalan
0230 11:17 SWASTA
779 01-08-2021 0001447913801 SUSI SUSANTI P Berobat Jalan
0130B0210121P00 08-01-2021 PEKERJA
780 01-08-2021 0001451055688 FUTRI ROMADHIANI P Caries of dentine Rujuk Vertikal
0225 09:11 MANDIRI
0130B0210121P00 08-01-2021 PEGAWAI
781 01-08-2021 0001516591844 Asep Mulyana L Fever, unspecified Berobat Jalan
0249 20:27 SWASTA
0130B0210121P00 08-01-2021 PEGAWAI
782 01-08-2021 0001523598996 AJAT SUDRAJAT L Dyspepsia Berobat Jalan
0238 17:40 SWASTA
783 01-08-2021 0001603276942 DADAN RIJWAN L Berobat Jalan
0130B0210121P00 08-01-2021 PEGAWAI
784 01-08-2021 0001622937014 DEDE OPYATI P Epidemic vertigo Berobat Jalan
0246 20:08 SWASTA
785 01-08-2021 0001647133367 LIA MARLIANA P Berobat Jalan
786 01-08-2021 0001660301583 ULFA SAANDANI P Berobat Jalan
0130B0210121P00 08-01-2021 PEGAWAI
787 01-08-2021 0001661078518 ENDANG KOSIM L Headache Berobat Jalan
0243 19:06 SWASTA
0130B0210121P00 08-01-2021 PEKERJA
788 01-08-2021 0001745431907 YUSUP EFENDI L Dyspepsia Berobat Jalan
0248 20:26 MANDIRI
0130B0210121P00 08-01-2021 PENERIMA
789 01-08-2021 0001898069027 SRI REZEKI P Epidemic vertigo Berobat Jalan
0130B0210121P00 08-01-2021 PEKERJA
790 01-08-2021 0001971823228 jumaida susanti sitanggang P Epidemic vertigo Berobat Jalan
0236 14:48 MANDIRI
791 01-08-2021 0002071394098 SAMSUL MULYANA L Berobat Jalan
0130B0210121P00 08-01-2021 PEKERJA
792 01-08-2021 0002205715072 hj. nyai sukaesih P Other otitis externa Rujuk Vertikal
0224 06:38 MANDIRI
0130B0210121P00 08-01-2021 PEKERJA Cutaneous abscess,

793 01-08-2021 0002325985773 AZFAR FIRAS AL-GIFARI L Berobat Jalan
0233 13:05 MANDIRI furuncle and carbuncle
0130B0210121P00 08-01-2021 PEGAWAI
794 01-08-2021 0002399634786 WULAN PURNAMASARI P Myalgia Berobat Jalan
0229 09:57 SWASTA
0130B0210121P00 08-01-2021 PEGAWAI
795 01-08-2021 0002399634797 TIKA KARTIKA P Fever, unspecified Berobat Jalan
0244 20:06 SWASTA
0130B0210121P00 08-01-2021 SENJA ALIFA PEKERJA Cutaneous abscess,
796 01-08-2021 0002421418476 P Berobat Jalan
0232 13:04 ASSYIIQOTUL'AIN MANDIRI furuncle and carbuncle
0130B0210121P00 08-01-2021 PEKERJA
797 01-08-2021 0002694323992 NENG HILDA WILIANTI P Headache Berobat Jalan
0228 09:47 MANDIRI
0130B0210121P00 08-01-2021 FEBRYAN NURDIANSYAH PEGAWAI
0247 20:10 PUTRA SWASTA
0130B0210121P00 08-01-2021 MIGUEL ANGEL PEGAWAI
799 01-08-2021 0002890244981 L Myalgia Berobat Jalan
0227 09:17 HERNANDEZ LICONA SWASTA
800 01-08-2021 0003050084979 FIRDA MAILA KARTINI P Berobat Jalan
0130B0210121P00 07-01-2021 PEGAWAI
801 01-07-2021 0000480243879 SITI ROHMAT P Otitis externa, unspecified Berobat Jalan
0187 11:24 SWASTA
0130B0210121P00 07-01-2021 Single spontaneous
802 01-07-2021 0001009909506 WIWIN MULYANI P PBI (APBN) Sembuh
0179 09:00 delivery, unspecified
Diarrhoea and
0130B0210121P00 07-01-2021 PEGAWAI
803 01-07-2021 0001136043674 SITI MASITOH P gastroenteritis of Berobat Jalan
0195 14:28 SWASTA
0130B0210121P00 07-01-2021 PEGAWAI

804 01-07-2021 0001140921821 HARIONO L Pyogenic arthritis Berobat Jalan
0196 14:29 SWASTA
0130B0210121P00 07-01-2021 PEKERJA
805 01-07-2021 0001144381522 MILAH WAHDAENI P Fever, unspecified Berobat Jalan
0178 07:41 MANDIRI
0130B0210121P00 07-01-2021 PEKERJA
806 01-07-2021 0001382069788 AAN HASAN MARDIYAN L Myalgia Berobat Jalan
0191 12:43 MANDIRI
0130B0210121P00 07-01-2021 PEGAWAI
807 01-07-2021 0001517791318 IKSAN MAULANA L Chronic pharyngitis Berobat Jalan
0204 17:41 SWASTA
808 01-07-2021 0001518442233 ARI WIJAYANTI P Berobat Jalan
0130B0210121P00 07-01-2021 PEGAWAI
809 01-07-2021 0001523599154 CIKA JUNINGSIH P Dyspepsia Berobat Jalan
0201 17:34 SWASTA
0130B0210121P00 07-01-2021 PEGAWAI Acute nasopharyngitis
810 01-07-2021 0001643897169 IMAT ROHIMAT L Berobat Jalan
0181 11:07 SWASTA [common cold]
0130B0210121P00 07-01-2021 PEGAWAI
811 01-07-2021 0001661077236 GUGUM GUMILAR L Caries of dentine Berobat Jalan
0192 14:26 SWASTA
Diarrhoea and
0130B0210121P00 07-01-2021 PEGAWAI
812 01-07-2021 0001661077697 HANI MULYANI P gastroenteritis of Berobat Jalan
0194 14:27 SWASTA
0130B0210121P00 07-01-2021 PEKERJA

813 01-07-2021 0001661078272 JAPRA ARDIANSYAH L Zoster [herpes zoster] Rujuk Vertikal
0211 19:14 MANDIRI
0130B0210121P00 07-01-2021 PEGAWAI Pure
814 01-07-2021 0001721958243 WAWAN DARMAWAN L Berobat Jalan
0184 11:16 SWASTA hypercholesterolaemia
0130B0210121P00 07-01-2021 PEGAWAI
815 01-07-2021 0001738720247 DEDE P Myalgia Berobat Jalan
0202 17:35 SWASTA
0130B0210121P00 07-01-2021 PEGAWAI
816 01-07-2021 0001780403949 MIRA KARTIKA P Chronic pharyngitis Berobat Jalan
0203 17:36 SWASTA
0130B0210121P00 07-01-2021 PEKERJA
817 01-07-2021 0001790522785 YUSMAN L Dyspepsia Berobat Jalan
0214 21:14 MANDIRI
0130B0210121P00 07-01-2021 RADEN TULUS PEKERJA
818 01-07-2021 0001823564193 L Dyspepsia Berobat Jalan
0193 14:27 SUDARMANTO MANDIRI
Other specified diabetes
0130B0210121P00 07-01-2021 PEKERJA
819 01-07-2021 0001853474332 HJ. EMIN AMINAH P mellitus with multiple Rujuk Vertikal
0190 11:42 MANDIRI
complications
0130B0210121P00 07-01-2021 PEKERJA Acute upper respiratory
820 01-07-2021 0002034449919 neni maryati P Berobat Jalan
0188 11:36 MANDIRI infection, unspecified
821 01-07-2021 0002071394098 SAMSUL MULYANA L Berobat Jalan
0130B0210121P00 07-01-2021 PEGAWAI
822 01-07-2021 0002250142885 ENENG ROSITA P Dyspepsia Berobat Jalan
0219 21:18 SWASTA
823 01-07-2021 0002250143425 ADILA KARINA P Berobat Jalan
824 01-07-2021 0002291361996 NOVITA HANDAYANI P Berobat Jalan
0130B0210121P00 07-01-2021 PEGAWAI
825 01-07-2021 0002322404796 SRI KOMALASARI P Dyspepsia Berobat Jalan
0205 17:42 SWASTA
0130B0210121P00 07-01-2021 PEGAWAI
826 01-07-2021 0002325497951 DZAKIRA TALITA ZAHRA P Otitis externa, unspecified Rujuk Vertikal
0199 16:58 SWASTA
827 01-07-2021 0002393357321 MURTINI P Berobat Jalan
0130B0210121P00 07-01-2021 PEKERJA
828 01-07-2021 0002428127561 aricoh P Dyspepsia Berobat Jalan
0206 17:51 MANDIRI
0130B0210121P00 07-01-2021 PEKERJA
829 01-07-2021 0002436053106 DZAKIRA TALITA ZAHRA P Otitis externa, unspecified Rujuk Vertikal
0198 16:51 MANDIRI
0130B0210121P00 07-01-2021 PEGAWAI

830 01-07-2021 0002450732679 MIA KUSMIATI P Myalgia Berobat Jalan
0217 21:17 SWASTA
831 01-07-2021 0002455731101 VIRA DESTRIANI P Berobat Jalan
832 01-07-2021 0002463476736 DEVI GUSTINAWARNI P Berobat Jalan
0130B0210121P00 07-01-2021 ADRIAN DWI CAHYA PEKERJA Influenza, virus not
833 01-07-2021 0002463476872 L Berobat Jalan
0210 18:30 FIRMANSYAH MANDIRI identified
0130B0210121P00 07-01-2021 PEKERJA
834 01-07-2021 0002463481135 YUYUN YUNENGSIH P Other dermatitis Berobat Jalan
0185 11:17 MANDIRI
0130B0210121P00 07-01-2021
835 01-07-2021 0002493815062 NAHLA NUR ASSYIFA P PBI (APBN) Conjunctivitis, unspecified Berobat Jalan
0180 09:19
0130B0210121P00 07-01-2021 PEKERJA
836 01-07-2021 0002615465261 IRENE INTAN MARBUN P Fever, unspecified Berobat Jalan
0215 21:15 MANDIRI
837 01-07-2021 0002739372434 IIS AISYAH P Berobat Jalan
0130B0210121P00 07-01-2021 PEKERJA
838 01-07-2021 0002745728234 NENG AYI FITRIYANI P Fever, unspecified Berobat Jalan
0183 11:11 MANDIRI
0130B0210121P00 07-01-2021
839 01-07-2021 0002763027314 YUNI FITRIANI P PNS DAERAH Other dermatitis Berobat Jalan
0207 17:52
0130B0210121P00 07-01-2021
840 01-07-2021 0002763027426 HUMAIRA SITI SALMA P PNS DAERAH Other dermatitis Berobat Jalan
0208 17:53
0130B0210121P00 07-01-2021 PEKERJA
841 01-07-2021 0002797113497 AJENG RIA AGUSTIN P Gastritis, unspecified Berobat Jalan
0197 14:59 MANDIRI
0130B0210121P00 07-01-2021 MUHAMMAD ADZHRA PEKERJA
0186 11:23 HENDRAWAN MANDIRI
843 01-07-2021 0002933979276 EZA ADITIYA L Berobat Jalan
0130B0210121P00 07-01-2021 LEANARTHA PUTRI PEGAWAI
844 01-07-2021 0003060583031 P Fever, unspecified Berobat Jalan
0212 21:13 INSANI DORIS SAPUTRA SWASTA
0130B0210121P00 06-01-2021 PENERIMA
845 01-06-2021 0000052673477 KASIRUN L Congestive heart failure Rujuk Vertikal
0155 09:13 PENSIUN TNI
0130B0210121P00 06-01-2021 PEGAWAI
846 01-06-2021 0001135374017 JAJANG MARYONO L Low back pain Berobat Jalan
0162 12:07 SWASTA
Insulin-dependent
0130B0210121P00 06-01-2021 PEGAWAI diabetes mellitus with
847 01-06-2021 0001304652756 YOYOH KOMALA P Rujuk Vertikal
0174 18:08 SWASTA other specified
complications

848 01-06-2021 0001315189078 KOMARIAH P Berobat Jalan
0130B0210121P00 06-01-2021 PEKERJA

849 01-06-2021 0001327369623 ETI SUHAETI P Depressive episode Rujuk Vertikal
0154 08:50 MANDIRI
850 01-06-2021 0001404952953 ECE SUHAERI L Berobat Jalan
0130B0210121P00 06-01-2021 PEGAWAI
851 01-06-2021 0001447868283 RIRIS RAHAYU P Headache Berobat Jalan
0176 19:02 SWASTA
852 01-06-2021 0001666978356 ENUR SETIA SARI P Berobat Jalan
0130B0210121P00 06-01-2021 PEKERJA
853 01-06-2021 0001787583339 SHINTA SETIAWATI P Fever, unspecified Rujuk Vertikal
0173 17:43 MANDIRI
854 01-06-2021 0001827257567 ASEP SAEPUDIN L Berobat Jalan
855 01-06-2021 0001960741181 ELLY NURhAYATI P Berobat Jalan
0130B0210121P00 06-01-2021 Contraceptive
856 01-06-2021 0002083626696 IRNI NOVIANI P PNS DAERAH Berobat Jalan
0157 09:29 management, unspecified

857 01-06-2021 0002217003928 SUHENDI L Berobat Jalan
0130B0210121P00 06-01-2021 PEKERJA

858 01-06-2021 0002219924619 SETIAWATI P Dyspepsia Berobat Jalan
0165 12:12 MANDIRI
0130B0210121P00 06-01-2021 PEKERJA
859 01-06-2021 0002286997222 JUNAEDI L Myalgia Berobat Jalan
0171 17:28 MANDIRI
0130B0210121P00 06-01-2021 PEKERJA
860 01-06-2021 0002287004657 NINA HARYANI P Dyspepsia Berobat Jalan
0170 17:27 MANDIRI
861 01-06-2021 0002292501655 CITRA WIDHI NINGRUM P Berobat Jalan
862 01-06-2021 0002486114998 SRI FATMAWATI P Berobat Jalan
0130B0210121P00 06-01-2021 PEGAWAI
863 01-06-2021 0002486195919 RENDI MULYANA L Headache Berobat Jalan
0168 13:02 SWASTA
Diabetes
864 01-06-2021 0002756924649 KARMAN SETIAWAN L Berobat Jalan Mellitus
Hipertensi
0130B0210121P00 06-01-2021 PEKERJA
865 01-06-2021 0002875949673 IIN KARTINI P Fever, unspecified Berobat Jalan
0172 17:33 MANDIRI
0130B0210121P00 06-01-2021 PEGAWAI

866 01-06-2021 0002891252733 SAFIRA AQILA ANANDA L Constipation Rujuk Vertikal
0153 07:03 SWASTA
0130B0210121P00 06-01-2021 MUHAMAD DIKRI PEKERJA Influenza with pneumonia,

867 01-06-2021 0002903616156 L Berobat Jalan
0159 09:44 ARSALUL MANDIRI virus not identified
0130B0210121P00 06-01-2021 PEKERJA

868 01-06-2021 0002931891726 ECE SOBARI L Dyspepsia Berobat Jalan Hipertensi Hipertensi
0167 13:01 MANDIRI
0130B0210121P00 06-01-2021 SITI KAPITA PUTRI NUR PEKERJA Antenatal screening,
869 01-06-2021 0003060720909 P Berobat Jalan
0161 12:05 PAHMI MANDIRI unspecified
0130B0210121P00 05-01-2021 PEGAWAI
870 01-05-2021 0000063403885 WIWIN WINDAYANI P Myalgia Berobat Jalan
0132 13:37 SWASTA
871 01-05-2021 0001194627082 QIANA ALEIA JELITA P PEGAWAI BUMN Berobat Jalan
0130B0210121P00 05-01-2021 DUWI ANNISA RAHMAN PEGAWAI
872 01-05-2021 0001200827171 P Dyspepsia Berobat Jalan
0152 21:43 SALEH SWASTA
873 01-05-2021 0001200829689 APIK EKA RAHMADANI P Berobat Jalan
0130B0210121P00 05-01-2021 PEKERJA
874 01-05-2021 0001382069788 AAN HASAN MARDIYAN L Dyspepsia Berobat Jalan
0130 13:34 MANDIRI
0130B0210121P00 05-01-2021 PEKERJA
875 01-05-2021 0001451055475 MAMI ROSITA P Other dermatitis Berobat Jalan
0151 21:42 MANDIRI
0130B0210121P00 05-01-2021 PEGAWAI Thyrotoxicosis
876 01-05-2021 0001516547845 TEDI IRAWAN L Rujuk Vertikal
0146 15:49 SWASTA [hyperthyroidism]
0130B0210121P00 05-01-2021 PEGAWAI
877 01-05-2021 0001517456744 ERNAWATI P Antenatal screening Berobat Jalan
0137 13:44 SWASTA
0130B0210121P00 05-01-2021 PEGAWAI
878 01-05-2021 0001523599244 PUTRI SIFA FAUZIAH P Fever, unspecified Berobat Jalan
0150 21:22 SWASTA
0130B0210121P00 05-01-2021 FITRIYANI PEGAWAI
879 01-05-2021 0001640359989 P Carpal tunnel syndrome Rujuk Vertikal
0129 13:20 RAHMADHANTY SWASTA
0130B0210121P00 05-01-2021 FAUZAN AKBAR Acute upper respiratory
880 01-05-2021 0001661721322 L PEGAWAI BUMD Berobat Jalan
0140 13:54 SYAWALAN infection, unspecified
0130B0210121P00 05-01-2021 PEGAWAI
881 01-05-2021 0001664513392 SINDY MAGFIROH P Antenatal screening Rujuk Vertikal
0128 07:22 SWASTA
0130B0210121P00 05-01-2021 PEGAWAI
882 01-05-2021 0001666820856 ROSDIANA P Antenatal screening Berobat Jalan
0141 13:54 SWASTA
883 01-05-2021 0001791021115 IDAH HAMIDAH P Berobat Jalan
0130B0210121P00 05-01-2021 PEGAWAI
884 01-05-2021 0001804314161 SITI IMA MIRAH P Epidemic vertigo Berobat Jalan
0127 06:38 SWASTA
0130B0210121P00 05-01-2021 MUHAMMAD IRWAN PEGAWAI Acute upper respiratory

885 01-05-2021 0001827250211 L Berobat Jalan
0131 13:36 SYAHPUTRA SWASTA infection, unspecified
0130B0210121P00 05-01-2021 PEKERJA
886 01-05-2021 0001960741899 fatma nur azizah P Antenatal screening Berobat Jalan
0136 13:42 MANDIRI
887 01-05-2021 0002239852645 M. RAFA SAPUTRA L Berobat Jalan
0130B0210121P00 05-01-2021 PEKERJA
888 01-05-2021 0002319891276 DEDE ABDUL RAHMAN L Dyspepsia Berobat Jalan
0139 13:52 MANDIRI
0130B0210121P00 05-01-2021 PEKERJA
889 01-05-2021 0002395337815 MURNI SULASTRI P Headache Berobat Jalan
0149 21:21 MANDIRI
0130B0210121P00 05-01-2021 Essential (primary)
890 01-05-2021 0002438903395 MARYANI P PBI (APBN) Berobat Jalan
0135 13:41 hypertension
0130B0210121P00 05-01-2021 PEKERJA Non-insulin-dependent
891 01-05-2021 0002450105201 EJEN L Berobat Jalan
0143 15:37 MANDIRI diabetes mellitus
892 01-05-2021 0002497815303 BUNGA NUR FAZILA P Berobat Jalan
0130B0210121P00 05-01-2021
893 01-05-2021 0002644726781 NYAI NURHASANAH P PBI (APBN) Nausea and vomiting Berobat Jalan
0144 15:37
0130B0210121P00 05-01-2021 M. FATHAN AYSKAA PEGAWAI
0145 15:45 RIZQULLAH SWASTA
0130B0210121P00 05-01-2021 PEGAWAI
895 01-05-2021 0002906737839 MUHAMMAD IMAM MALIK L Fever, unspecified Berobat Jalan
0134 13:39 SWASTA
Diabetes
0130B0210121P00 04-01-2021 PENERIMA
896 01-04-2021 0000063107651 M. A. SANUSI L Dyspepsia Berobat Jalan Hipertensi Mellitus
Hipertensi
0130B0210121P00 04-01-2021
897 01-04-2021 0000063180459 NANAY P PNS DAERAH Dyspepsia Berobat Jalan
0105 10:39
0130B0210121P00 04-01-2021 GHIYAN GINANJAR
898 01-04-2021 0000063464848 L PNS DAERAH Acute hepatitis A Rujuk Vertikal
0109 14:01 GEMILANG AKBAR
0130B0210121P00 04-01-2021
899 01-04-2021 0000158886606 II HODIJAH P PNS DAERAH Dyspepsia Berobat Jalan
0122 17:19
0130B0210121P00 04-01-2021
900 01-04-2021 0000169727962 ENGKUS KUSMARA L PNS DAERAH Myalgia Berobat Jalan
0121 17:18
0130B0210121P00 04-01-2021 PEGAWAI
901 01-04-2021 0001146392921 DANNI SEPTIYANA L Myalgia Berobat Jalan
0123 17:20 SWASTA
0130B0210121P00 04-01-2021 PEKERJA
902 01-04-2021 0001184710678 MINAWATI P Antenatal screening Rujuk Vertikal
0106 11:16 MANDIRI
903 01-04-2021 0001327410933 IRIANTO L Berobat Jalan Hipertensi Hipertensi
0130B0210121P00 04-01-2021 PEKERJA

904 01-04-2021 0001521905253 NOVI HALI MARYANI P Acute gingivitis Berobat Jalan
0126 21:08 MANDIRI
Diarrhoea and
0130B0210121P00 04-01-2021 PEGAWAI
905 01-04-2021 0001521907525 DADAN SOLIHIN L gastroenteritis of Berobat Jalan
0095 06:08 SWASTA
0130B0210121P00 04-01-2021 PEGAWAI

906 01-04-2021 0001523598996 AJAT SUDRAJAT L Dyspepsia Berobat Jalan
0111 14:56 SWASTA
0130B0210121P00 04-01-2021 PEGAWAI
907 01-04-2021 0001523600695 DEDI WAHYUDIN L Scabies Berobat Jalan
0118 16:28 SWASTA
0130B0210121P00 04-01-2021 PEGAWAI
908 01-04-2021 0001523600728 SAKINA AZZAHRA FUTRI P Scabies Berobat Jalan
0117 16:27 SWASTA
909 01-04-2021 0001608047223 ELIH HENDRAWATI P Berobat Jalan
910 01-04-2021 0001622937025 DEPI SUMANTRI L Berobat Jalan
0130B0210121P00 04-01-2021 PEGAWAI
911 01-04-2021 0001661066381 RISYA RISYANDI P Dyspepsia Berobat Jalan
0114 15:25 SWASTA
0130B0210121P00 04-01-2021 PEKERJA
912 01-04-2021 0001661078272 JAPRA ARDIANSYAH L Dyspepsia Berobat Jalan
0124 20:54 MANDIRI
913 01-04-2021 0001661594534 ADE RATIH YUNITA P Berobat Jalan
0130B0210121P00 04-01-2021 PEKERJA
914 01-04-2021 0001804449159 SALSA FITRIANI P Epilepsy Rujuk Vertikal
0101 10:18 MANDIRI
0130B0210121P00 04-01-2021 PEKERJA
915 01-04-2021 0001848280972 RIFKY ADITYA L Fever, unspecified Rujuk Vertikal
0108 13:53 MANDIRI
0130B0210121P00 04-01-2021 PEGAWAI
916 01-04-2021 0001905588213 MEISYA NUR KHOTIMAH P Dental caries Berobat Jalan
0107 11:59 SWASTA
0130B0210121P00 04-01-2021 PEKERJA
917 01-04-2021 0002313548188 ARDI MAULANA YUSUP L Nephrotic syndrome Rujuk Vertikal
0097 07:52 MANDIRI
0130B0210121P00 04-01-2021 PEKERJA
918 01-04-2021 0002395441653 IIS DAHLIA P Myopia Rujuk Vertikal
0096 07:33 MANDIRI
919 01-04-2021 0002436053106 DZAKIRA TALITA ZAHRA P Berobat Jalan
Diarrhoea and
0130B0210121P00 04-01-2021 AZKAIFARASYA PEKERJA
920 01-04-2021 0002446741181 P gastroenteritis of Berobat Jalan
0113 15:24 NURULAZMI MANDIRI
0130B0210121P00 04-01-2021 PEKERJA

921 01-04-2021 0002487914212 SUPARMAN L Dyspepsia Berobat Jalan
0120 17:17 MANDIRI
0130B0210121P00 04-01-2021 PEKERJA

922 01-04-2021 0002770945334 ENDANG WAHYUDIN L Nausea and vomiting Berobat Jalan
0116 16:26 MANDIRI
923 01-04-2021 0002770945514 KOIDAH P Berobat Jalan
0130B0210121P00 04-01-2021 PEGAWAI
924 01-04-2021 0002891252733 SAFIRA AQILA ANANDA L Constipation Berobat Jalan
0112 14:58 SWASTA
0130B0210121P00 04-01-2021 KEANU ALVINO PEGAWAI
925 01-04-2021 0002916246238 L Candidal stomatitis Berobat Jalan
0104 10:39 RACHMAN SWASTA
0130B0210121P00 04-01-2021 PEGAWAI Fistula of vagina to large
926 01-04-2021 0002925237565 AYU LESTARY P Rujuk Vertikal
0115 15:27 SWASTA intestine
0130B0210121P00 04-01-2021 PEKERJA Myelodysplastic
927 01-04-2021 0002941067204 NUNUNG NURJANAH P Rujuk Vertikal
0125 21:04 MANDIRI syndrome, unspecified
Diarrhoea and
0130B0210121P00 03-01-2021 PEKERJA
928 01-03-2021 0000063320499 DENI MULYA AKBAR L gastroenteritis of Berobat Jalan
0082 14:42 MANDIRI
0130B0210121P00 03-01-2021 PEGAWAI Contraceptive

929 01-03-2021 0000462133877 DEWI NURWANGSIH P Berobat Jalan
0076 11:58 SWASTA management, unspecified
930 01-03-2021 0001275529825 R. RIVAN SUMARYANTO L Berobat Jalan
931 01-03-2021 0001322458661 FAJAR MUHAMAD KAHFI L Berobat Jalan
932 01-03-2021 0001463169892 LIA FITRIANI P Berobat Jalan
0130B0210121P00 03-01-2021 PEKERJA
933 01-03-2021 0001481348261 MAMAH P Low back pain Rujuk Vertikal
0092 19:50 MANDIRI
0130B0210121P00 03-01-2021 PEGAWAI
934 01-03-2021 0001516514073 Kosasih L Dermatitis, unspecified Berobat Jalan
0079 13:17 SWASTA
Diarrhoea and
0130B0210121P00 03-01-2021 PEGAWAI
935 01-03-2021 0001521907514 TUTI MULYATI P gastroenteritis of Berobat Jalan
0085 15:11 SWASTA
Tuberculosis of lung,
0130B0210121P00 03-01-2021 PEKERJA confirmed by sputum
936 01-03-2021 0001601732452 DADANG SASTRADIREJA L Rujuk Vertikal
0091 19:46 MANDIRI microscopy with or without
culture
937 01-03-2021 0001661076279 BIRLY AFRILIA PUTRI P Berobat Jalan
Diarrhoea and
0130B0210121P00 03-01-2021 PEGAWAI
938 01-03-2021 0001661576073 NURYANTI P gastroenteritis of Berobat Jalan
0093 20:56 SWASTA
0130B0210121P00 03-01-2021 PEGAWAI

939 01-03-2021 0001804314161 SITI IMA MIRAH P Headache Berobat Jalan
0078 13:09 SWASTA
940 01-03-2021 0001847150515 RAFFA RAQILLA AZZALEA L Berobat Jalan
941 01-03-2021 0001847451442 MUHTAR EPENDI L Berobat Jalan
942 01-03-2021 0001849729342 ARDHAN IRAWAN L Berobat Jalan
0130B0210121P00 03-01-2021 DEDEN AHMAD PEGAWAI
943 01-03-2021 0002395349649 L Caries of dentine Berobat Jalan
0088 15:56 SAEPUROHMAN SWASTA
944 01-03-2021 0002419245944 ALVIN AHMAD SAPUTRA L Berobat Jalan
945 01-03-2021 0002442050594 FAHIRA DEFINA AZZAHRA P Berobat Jalan
946 01-03-2021 0002468232213 DIANA SYAUQIA FAZRA P Berobat Jalan
Diarrhoea and Diabetes

0130B0210121P00 03-01-2021 PEKERJA Diabetes
947 01-03-2021 0002485729517 DINI ARDIYANTI P gastroenteritis of Berobat Jalan Mellitus
0075 11:16 MANDIRI Mellitus
presumed infectious origin Hipertensi

948 01-03-2021 0002740929636 BRYAN AL BARRAKH L Berobat Jalan
0130B0210121P00 03-01-2021 PEKERJA
949 01-03-2021 0002875949673 IIN KARTINI P Fever, unspecified Berobat Jalan
0094 21:33 MANDIRI
0130B0210121P00 03-01-2021 GATHAN RAHYSA PEGAWAI
0089 16:28 ABISEVA SWASTA
0130B0210121P00 03-01-2021 PEGAWAI
951 01-03-2021 0002940283146 IIS NURHAYATI P Caries of dentine Berobat Jalan
0077 11:59 SWASTA
952 01-03-2021 0002944187728 KHOIRUL ADNAN L Berobat Jalan
0130B0210121P00 02-01-2021
953 01-02-2021 0000063180459 NANAY P PNS DAERAH Headache Berobat Jalan
0025 07:15
Diabetes
954 01-02-2021 0000063181282 NINING TARNINGSIH P PNS DAERAH Berobat Jalan Mellitus
Hipertensi

955 01-02-2021 0001143260651 ADE SARIPUDIN L Berobat Jalan
956 01-02-2021 0001151760317 PIAN SOPIAN L Berobat Jalan
957 01-02-2021 0001173138783 DINA ARLIANI P Berobat Jalan
0130B0210121P00 02-01-2021 ADLY MUHAMMAD PEGAWAI
958 01-02-2021 0001197902867 L Other dermatitis Berobat Jalan
0058 17:38 FADHEEL SWASTA
959 01-02-2021 0001200829691 FAUZI HANIF SOFYAN L Berobat Jalan
0130B0210121P00 02-01-2021 PEKERJA
960 01-02-2021 0001319400371 MIMIN MAEMUNAH P Pyogenic arthritis Rujuk Vertikal
0027 08:32 MANDIRI
0130B0210121P00 02-01-2021 PEKERJA
961 01-02-2021 0001319458566 E SUTISNA L Headache Berobat Jalan
0048 14:49 MANDIRI
962 01-02-2021 0001464255224 R HIDAYAT L PNS DAERAH Berobat Jalan
0130B0210121P00 02-01-2021 PEGAWAI
963 01-02-2021 0001523599007 NUNUNG RUHIMAT P Other dermatitis Berobat Jalan
0034 09:55 SWASTA
964 01-02-2021 0001523600493 SOPIAN SAMSURI L Berobat Jalan
0130B0210121P00 02-01-2021 PEGAWAI
965 01-02-2021 0001523600504 IYAM MARIYAM P Dyspepsia Berobat Jalan
0056 16:54 SWASTA
0130B0210121P00 02-01-2021 PEGAWAI
966 01-02-2021 0001630049949 INA NURMALASARI P Dyspepsia Berobat Jalan
0040 13:44 SWASTA
0130B0210121P00 02-01-2021 PEGAWAI Contraceptive
967 01-02-2021 0001660955826 IIS IRNA SUARTY P Berobat Jalan
0054 16:37 SWASTA management, unspecified
968 01-02-2021 0001664513392 SINDY MAGFIROH P Berobat Jalan
0130B0210121P00 02-01-2021 PEKERJA
969 01-02-2021 0001728554207 IRIANTI P Headache Berobat Jalan
0035 09:56 MANDIRI
0130B0210121P00 02-01-2021 PEKERJA
970 01-02-2021 0001778899105 NAZRIL MATRI L Fever, unspecified Berobat Jalan
0051 16:03 MANDIRI
0130B0210121P00 02-01-2021 PEKERJA
971 01-02-2021 0001790522785 YUSMAN L Headache Berobat Jalan
0045 14:45 MANDIRI
972 01-02-2021 0001793302503 SARTIKA DEWI P Berobat Jalan
0130B0210121P00 02-01-2021 PEKERJA
973 01-02-2021 0001826388573 YANI P Dyspepsia Berobat Jalan
0064 20:36 MANDIRI

974 01-02-2021 0002210131247 HALIMAH P Berobat Jalan
975 01-02-2021 0002217004468 ANI P Berobat Jalan
976 01-02-2021 0002240332435 MIKA AINUN ADHA L Berobat Jalan
0130B0210121P00 02-01-2021 REZA MAULANA PEGAWAI Stomatitis and related
977 01-02-2021 0002244627336 L Berobat Jalan
0033 09:55 SAPUTRA SWASTA lesions
0130B0210121P00 02-01-2021 MUHAMMAD SYAMSU PEGAWAI
0057 17:37 MA'ASYI SWASTA
0130B0210121P00 02-01-2021 SYAKIRA JANNATU Influenza, virus not
979 01-02-2021 0002375778161 P INVESTOR Berobat Jalan
0066 20:39 SAUQIYA identified
980 01-02-2021 0002394402581 HADI DEA PRATAMA L Berobat Jalan
0130B0210121P00 02-01-2021 PEGAWAI
981 01-02-2021 0002396818923 HERLAN SUNANDAR L Constipation Berobat Jalan
0068 20:40 SWASTA
0130B0210121P00 02-01-2021 AWWAB FAIZA PRIYANTO PEKERJA Influenza, virus not
982 01-02-2021 0002425824516 L Berobat Jalan
0032 09:54 PUTRA MANDIRI identified
0130B0210121P00 02-01-2021 PEKERJA Secondary hypertension,
983 01-02-2021 0002450105201 EJEN L Berobat Jalan
0130B0210121P00 02-01-2021 PEKERJA Secondary hypertension, Diabetes Diabetes
984 01-02-2021 0002463477895 ACAH P Berobat Jalan
0036 09:57 MANDIRI unspecified Mellitus Mellitus
0130B0210121P00 02-01-2021 PEGAWAI
985 01-02-2021 0002486195458 ANI MARYANI P Headache Berobat Jalan
0052 16:05 SWASTA
0130B0210121P00 02-01-2021 PEGAWAI
986 01-02-2021 0002487763179 LILIS P Dyspepsia Berobat Jalan
0031 09:39 SWASTA
987 01-02-2021 0002492350828 RIYAN FAHMI L PNS DAERAH Berobat Jalan
988 01-02-2021 0002501715734 sandi hilmi L Berobat Jalan
989 01-02-2021 0002694323981 NURLELA P Berobat Jalan
990 01-02-2021 0002694323992 NENG HILDA WILIANTI P Berobat Jalan
0130B0210121P00 02-01-2021 PEKERJA
991 01-02-2021 0002881437985 IRAH P Presbyopia Berobat Jalan
0060 17:49 MANDIRI
0130B0210121P00 02-01-2021 M. FATHAN AYSKAA PEGAWAI
0065 20:37 RIZQULLAH SWASTA
0130B0210121P00 02-01-2021 PEKERJA

993 01-02-2021 0002899623879 RENI P Dyspepsia Berobat Jalan
0047 14:48 MANDIRI
994 01-02-2021 0002920203303 ADIFA ASHALINA FAUZA P Berobat Jalan
995 01-02-2021 0002924661273 ALULA ASLIYA PUTRI P PBI (APBN) Berobat Jalan
996 01-02-2021 0002925095444 ABIZAR ALFARIZQI L Berobat Jalan
997 01-02-2021 0002944099642 AIYRA RUMAISHA P Berobat Jalan
998 01-02-2021 0003061131197 OOM LOMRAH P Berobat Jalan
0130B0210121P00 01-01-2021 PENERIMA
999 01-01-2021 0000063423382 KURNIA DALISAH P Dyspepsia Berobat Jalan Hipertensi Hipertensi
0130B0210121P00 01-01-2021 Contraceptive
1000 01-01-2021 0000481262422 RATIH PURWASIH P PBI (APBN) Berobat Jalan
0013 13:10 management, unspecified
1001 01-01-2021 0001009769602 APIPUDIN L Berobat Jalan
0130B0210121P00 01-01-2021 PEKERJA
1002 01-01-2021 0001260832869 SAPRI RAHMAN L Dyspepsia Berobat Jalan
0005 11:35 MANDIRI
0130B0210121P00 01-01-2021 PEKERJA
1003 01-01-2021 0001260832871 NENGSIH P Gastritis, unspecified Berobat Jalan
0011 11:52 MANDIRI
0130B0210121P00 01-01-2021 PEGAWAI
1004 01-01-2021 0001445690924 DENDEN SYARIPUDIN L Dyspepsia Berobat Jalan
0020 19:51 SWASTA
1005 01-01-2021 0001665562263 RIMA JULIYANTI P Berobat Jalan
1006 01-01-2021 0001666820856 ROSDIANA P Berobat Jalan
0130B0210121P00 01-01-2021 PEGAWAI
1007 01-01-2021 0001821452354 IRMA HERLITA P Nausea and vomiting Berobat Jalan
0003 11:25 SWASTA
0130B0210121P00 01-01-2021 PEGAWAI
1008 01-01-2021 0001847436827 WITA SUSILAWATI P Myalgia Berobat Jalan
0007 11:40 SWASTA
0130B0210121P00 01-01-2021 PEKERJA
1009 01-01-2021 0002039058955 ridwan sabila dh L Fever, unspecified Berobat Jalan
0021 19:51 MANDIRI
0130B0210121P00 01-01-2021 MUHAMAD RASYIDAN PEKERJA Acute upper respiratory
1010 01-01-2021 0002053748362 L Berobat Jalan
0010 11:48 ZAKI MANDIRI infection, unspecified
1011 01-01-2021 0002291361996 NOVITA HANDAYANI P Berobat Jalan
0130B0210121P00 01-01-2021 PEKERJA

1012 01-01-2021 0002422562567 sadi sadeli L Myalgia Berobat Jalan
0014 14:57 MANDIRI
0130B0210121P00 01-01-2021
1013 01-01-2021 0002461832561 GILANG YANUARIANSYAH L PNS DAERAH Scabies Berobat Jalan
0016 15:00
0130B0210121P00 01-01-2021 PEKERJA
1014 01-01-2021 0002472692861 MUHAMAD HAFIZ L Scabies Berobat Jalan
0009 11:46 MANDIRI
1015 01-01-2021 0002486114414 RAMDAN AL HAKIM L Berobat Jalan
0130B0210121P00 01-01-2021 PEKERJA
1016 01-01-2021 0002616310607 SITI ROPPIATUL NAJJIAH P Scabies Berobat Jalan
0017 15:01 MANDIRI
1017 01-01-2021 0002765070483 AKHTAR FARZAN WIJAYA L Berobat Jalan
0130B0210121P00 01-01-2021 PEKERJA
1018 01-01-2021 0002874601719 YAYAH MULYATI P Myalgia Berobat Jalan
0002 11:24 MANDIRI
0130B0210121P00 01-01-2021 PEGAWAI
1019 01-01-2021 0002891255152 NAZWA RAMADANI L Scabies Berobat Jalan
0008 11:43 SWASTA
0130B0210121P00 01-01-2021 PEGAWAI
1020 01-01-2021 0002904849268 ROSITA P Dyspepsia Berobat Jalan
0018 15:19 SWASTA
Neonatal jaundice from
0130B0210121P00 01-01-2021 BAYI NYONYA aida PEKERJA
1021 01-01-2021 0003063646732 P other and unspecified Rujuk Vertikal
0001 11:14 wulandari MANDIRI
causes

Data Kunjungan Sakit Jan 21

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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

TANGGAL TANGGAL JENIS STATUS

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 30-01-2021 30-01-2021 PEGAWAI

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 30-01-2021 30-01-2021 PEKERJA

0130B0210121P00 30-01-2021 30-01-2021 PEKERJA Influenza, virus not

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 29-01-2021 29-01-2021 PEKERJA

0130B0210121P00 29-01-2021 29-01-2021 PEKERJA Influenza with pneumonia,

0130B0210121P00 29-01-2021 29-01-2021 PEKERJA

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 28-01-2021 28-01-2021 PEKERJA Influenza with pneumonia,

0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI

0130B0210121P00 28-01-2021 28-01-2021 Nazwa Muminatul Azka PEGAWAI

0130B0210121P00 28-01-2021 28-01-2021 PEGAWAI Influenza with pneumonia,

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 28-01-2021 28-01-2021

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 27-01-2021 27-01-2021

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 27-01-2021 27-01-2021 PEKERJA

0130B0210121P00 27-01-2021 27-01-2021 PEGAWAI Influenza, virus not

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 26-01-2021 26-01-2021 PEKERJA

0130B0210121P00 26-01-2021 26-01-2021 PEKERJA

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 25-01-2021 25-01-2021 PEGAWAI Influenza, virus not

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 24-01-2021 24-01-2021 PEGAWAI

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 24-01-2021 24-01-2021 PEKERJA

0130B0210121P00 24-01-2021 25-01-2021 PEKERJA Influenza with pneumonia,

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 23-01-2021 23-01-2021 PEKERJA Influenza, virus not

0130B0210121P00 23-01-2021 23-01-2021 PEKERJA Influenza with pneumonia,

0130B0210121P00 23-01-2021 23-01-2021 PEKERJA

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 22-01-2021 22-01-2021 PEKERJA

Kantor Cabang : KARAWANG - 1006

FKTP : KLINIK AS-SHOFA - 0130B021

0130B0210121P00 22-01-2021 22-01-2021 GHENIS PUTRA PEKERJA Influenza, virus not