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DAFTAR KUNJUNGAN PESERTA SAKIT
Kantor Cabang : BANDAR LAMPUNG - 0801
FKTP : RAJA BASA INDAH - 08011001
TANGGAL TANGGAL JENIS STATUS

NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG
080110011120P000 30-11-2020 03-12-2020

1 0000029591921 SYAMSUL L PNS DAERAH Fever, unspecified Berobat Jalan
852 00:00 08:55
Non-insulin-dependent
080110011120P000 30-11-2020 30-11-2020 PENERIMA Diabetes
2 0000032698495 PRASTOWO L diabetes mellitus without Berobat Jalan
587 00:00 13:14 PENSIUN PNS Mellitus
complications
080110011120P000 30-11-2020 03-12-2020
3 0000032917972 HUSNUL HAFIZ L PNS PUSAT Fever, unspecified Berobat Jalan
848 00:00 08:26
080110011120P000 30-11-2020 30-11-2020 Essential (primary)
4 0000032974659 SITI REZEKI P PNS PUSAT Berobat Jalan Hipertensi Hipertensi
583 00:00 13:07 hypertension
080110011120P000 30-11-2020 30-11-2020 Other chronic obstructive
5 0000033017062 KENEDI DANIAL L PNS DAERAH Rujuk Vertikal
576 00:00 12:19 pulmonary disease
080110011120P000 30-11-2020 03-12-2020
6 0000033181817 SRIMAWATI P PNS PUSAT Gastritis, unspecified Berobat Jalan
851 00:00 08:54
7 0000033293147 RAUNAS P diabetes mellitus without Berobat Jalan
578 00:00 12:54 PENSIUN TNI Mellitus
complications
080110011120P000 30-11-2020 30-11-2020 PENERIMA Diabetes Diabetes
8 0000033407098 NIZWAR L diabetes mellitus without Berobat Jalan
579 00:00 12:56 PENSIUN PNS Mellitus Mellitus
complications
Non-insulin-dependent Diabetes
9 0000033442345 SUKARNO RAMBE L diabetes mellitus without Berobat Jalan Mellitus
complications Hipertensi
080110011120P000 30-11-2020 30-11-2020 PENERIMA Chronic ischaemic heart Diabetes Diabetes
10 0000033638501 DADANG RISWA WAHID L Rujuk Vertikal
471 00:00 07:32 PENSIUN PNS disease Mellitus Mellitus
080110011120P000 30-11-2020 30-11-2020
11 0000033814258 MARYANA P PNS DAERAH Cholelithiasis Rujuk Vertikal
511 00:00 08:29
080110011120P000 30-11-2020 30-11-2020 PENERIMA Essential (primary)
12 0000033899275 NELLI WATI P Berobat Jalan Hipertensi
607 00:00 13:27 PENSIUN PNS hypertension
13 0000034373013 RELAWATI P diabetes mellitus without Berobat Jalan
complications
14 0000034460504 TAUFIK AHMAD NAWAWI L Berobat Jalan Hipertensi
080110011120P000 30-11-2020 03-12-2020 PENERIMA
15 0000034465959 SAJEM MINARNI P Gastritis, unspecified Berobat Jalan
859 00:00 08:58 PENSIUN PNS
080110011120P000 30-11-2020 30-11-2020
16 0000034592927 NURLELA P PNS DAERAH Care involving dialysis Rujuk Vertikal
584 00:00 13:08

17 0000035445407 HALIMI WAHAB L PNS DAERAH Berobat Jalan Hipertensi Hipertensi
080110011120P000 30-11-2020 03-12-2020
18 0000041395509 YULIANA P PNS PUSAT Fever, unspecified Berobat Jalan
863 00:00 09:00
080110011120P000 30-11-2020 03-12-2020
19 0000167711319 DARNI YULISTA P PNS DAERAH Fever, unspecified Berobat Jalan
849 00:00 08:27
20 0000171950332 ABDULLAH L diabetes mellitus without Berobat Jalan
complications
080110011120P000 30-11-2020 03-12-2020
21 0000337228479 DIAN NOVITA P PBI (APBN) Antenatal screening Berobat Jalan
871 00:00 09:05
080110011120P000 30-11-2020 03-12-2020
22 0000337393236 FATMAWATI P PBI (APBN) Headache Berobat Jalan
856 00:00 08:57
080110011120P000 30-11-2020 03-12-2020
23 0000359504695 NOVIANA P PBI (APBN) Gastritis, unspecified Berobat Jalan
846 00:00 08:24
080110011120P000 30-11-2020 03-12-2020
24 0000360010102 HUSAINI L PBI (APBN) Pulpitis Berobat Jalan
869 00:00 09:04
25 0000360220105 MARHANI L PBI (APBN) Berobat Jalan Hipertensi Hipertensi
080110011120P000 30-11-2020 30-11-2020 Diabetes
26 0000360231186 ASIKIN HARUN L PBI (APBN) diabetes mellitus without Berobat Jalan
609 00:00 13:42 Mellitus
complications
080110011120P000 30-11-2020 03-12-2020 Acute nasopharyngitis
27 0000360290215 MTAMKINAL L PBI (APBN) Berobat Jalan
845 00:00 08:24 [common cold]
080110011120P000 30-11-2020 03-12-2020
28 0000360350908 KOMARIAH P PBI (APBN) Fever, unspecified Berobat Jalan
860 00:00 08:59
080110011120P000 30-11-2020 03-12-2020
29 0000360444508 FITRI YANTI P PBI (APBN) Gastritis, unspecified Berobat Jalan
847 00:00 08:26
080110011120P000 30-11-2020 30-11-2020
30 0000360714205 JOHANSYAH L PBI (APBN) Chronic periodontitis Rujuk Vertikal
575 00:00 11:33
31 0000360727468 HASANUDIN L PBI (APBN) Berobat Jalan
865 00:00 09:01 [common cold]
080110011120P000 30-11-2020 03-12-2020
32 0000360785452 DIAN LESTARI P PBI (APBN) Antenatal screening Berobat Jalan
870 00:00 09:05
080110011120P000 30-11-2020 03-12-2020 PEGAWAI
33 0000360833207 EFENDI MULYANA L Fever, unspecified Berobat Jalan
866 00:00 09:02 SWASTA
080110011120P000 30-11-2020 03-12-2020
34 0000361056791 AGUS SAPRI L PBI (APBN) Headache Berobat Jalan
854 00:00 08:56
080110011120P000 30-11-2020 03-12-2020
35 0000361073654 PEBY IRAWAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
855 00:00 08:57
080110011120P000 30-11-2020 03-12-2020

36 0000361099067 MUHIDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan
843 00:00 08:23
Neoplasm of uncertain or
080110011120P000 30-11-2020 30-11-2020
37 0000361209025 SUKASWASIH P PBI (APBN) unknown behavior of lip, Rujuk Vertikal
572 00:00 11:08
oral cavity and pharynx
080110011120P000 30-11-2020 03-12-2020
38 0000997703785 ALFIAN L PBI (APBN) Headache Berobat Jalan
844 00:00 08:24
080110011120P000 30-11-2020 30-11-2020
39 0000997706261 MIRA SHANTY P PBI (APBN) Benign neoplasm of breast Rujuk Vertikal
568 00:00 10:07
080110011120P000 30-11-2020 30-11-2020 Other specified joint
40 0001190182386 LENI SUHARNI P PEGAWAI BUMN Rujuk Vertikal
570 00:00 10:19 disorders
080110011120P000 30-11-2020 30-11-2020 PEGAWAI Diabetes Diabetes
41 0001262529865 ERSONTOWI L diabetes mellitus with Berobat Jalan
544 00:00 09:29 SWASTA Mellitus Mellitus
multiple complications
080110011120P000 30-11-2020 30-11-2020 Unspecified acute lower
42 0001303544338 syahazna raisha syaura P ANGGOTA POLRI Rujuk Vertikal
541 00:00 09:18 respiratory infection
080110011120P000 30-11-2020 30-11-2020 PEKERJA
43 0001305039284 HERY ARMANDI UMARS L Unspecified appendicitis Rujuk Vertikal
527 00:00 08:45 MANDIRI
080110011120P000 30-11-2020 30-11-2020 PEKERJA Essential (primary)
44 0001370384864 FAIRUS ABADI SH L Berobat Jalan Hipertensi
608 00:00 13:30 MANDIRI hypertension
080110011120P000 30-11-2020 30-11-2020
45 0001442959323 DAULATINA P PNS DAERAH Low back pain Rujuk Vertikal
573 00:00 11:11
080110011120P000 30-11-2020 30-11-2020 SRIBUANI PEGAWAI Essential (primary)
46 0001504851658 L Berobat Jalan Hipertensi
581 00:00 13:04 WAHYUNINGSIH SWASTA hypertension
080110011120P000 30-11-2020 30-11-2020 PEGAWAI Essential (primary)
47 0001591272674 SRI HANDAYANI NINGSIH P Berobat Jalan Hipertensi
605 00:00 13:24 SWASTA hypertension
080110011120P000 30-11-2020 03-12-2020 PEKERJA
48 0001592057586 GUSFAIZAL L Fever, unspecified Berobat Jalan
862 00:00 08:59 MANDIRI
080110011120P000 30-11-2020 03-12-2020 PEKERJA Acute nasopharyngitis
49 0001592057597 JALINUS P Berobat Jalan
861 00:00 08:59 MANDIRI [common cold]
080110011120P000 30-11-2020 30-11-2020 PEKERJA
50 0001838771908 DENNY AHMADI L Complicated migraine Rujuk Vertikal
571 00:00 10:29 MANDIRI
080110011120P000 30-11-2020 03-12-2020
51 0001860005902 ERYANTI, S.SOS P PBI (APBD) Fever, unspecified Berobat Jalan
857 00:00 08:57
080110011120P000 30-11-2020 30-11-2020 PEKERJA Peptic ulcer, acute with
52 0001860008174 EMIYATI P Berobat Jalan
567 00:00 09:55 MANDIRI haemorrhage
Insulin-dependent
080110011120P000 30-11-2020 30-11-2020 SUSHINTA TRISTYAWATI, PEKERJA Diabetes
53 0002035704295 P diabetes mellitus with Berobat Jalan
569 00:00 10:15 SE MANDIRI Mellitus
Insulin-dependent Diabetes
080110011120P000 30-11-2020 30-11-2020 PEKERJA
54 0002050209922 SUKERI P diabetes mellitus with Rujuk Vertikal Mellitus
513 00:00 08:33 MANDIRI
multiple complications Hipertensi
Non-insulin-dependent Diabetes Diabetes
080110011120P000 30-11-2020 30-11-2020 PEKERJA
55 0002200821006 SEPRIYANDI L diabetes mellitus without Berobat Jalan Mellitus Mellitus
601 00:00 13:21 MANDIRI
complications Hipertensi Hipertensi
56 0002200822299 R.DEO ANDALLA L Berobat Jalan
PEGAWAI
PEMERINTAH
080110011120P000 30-11-2020 30-11-2020
57 0002248581172 RENI P DENGAN Polyhydramnios Rujuk Vertikal
574 00:00 11:17
PERJANJIAN
KERJA
58 0002327815719 JAHIR L Berobat Jalan
080110011120P000 30-11-2020 30-11-2020 PEKERJA Leiomyoma of uterus,
59 0002467639179 DRA HARTINI TH P Rujuk Vertikal
528 00:00 08:50 MANDIRI unspecified
080110011120P000 30-11-2020 30-11-2020 Disorders of
60 0002566634422 ANI P PBI (APBD) Rujuk Vertikal
545 00:00 09:30 accommodation
080110011120P000 30-11-2020 03-12-2020
61 0002595162723 SUJONO L PBI (APBN) Fever, unspecified Berobat Jalan
853 00:00 08:55
080110011120P000 30-11-2020 30-11-2020 Diabetes
62 0002595813388 SUSILAWATI P PBI (APBN) diabetes mellitus without Berobat Jalan
580 00:00 12:58 Mellitus
complications
63 0002607526192 ERNAWATI P PBI (APBN) Berobat Jalan
868 00:00 09:03 [common cold]
080110011120P000 30-11-2020 03-12-2020
64 0002863345588 HERMA WATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
867 00:00 09:02
080110011120P000 30-11-2020 03-12-2020 PEKERJA
65 0003048562901 SARIYO L Headache Berobat Jalan
850 00:00 08:27 MANDIRI
66 0000032144433 Dra. NORAWATI P PNS DAERAH Berobat Jalan Hipertensi
080110011120P000 28-11-2020 28-11-2020 Diabetes
67 0000032562922 WAWANG SANWARI L PNS PUSAT diabetes mellitus without Berobat Jalan
468 00:00 10:34 Mellitus
complications
68 0000032696998 SYAMSIDAR P diabetes mellitus without Berobat Jalan
complications
69 0000032919928 ELIYA P PNS DAERAH Berobat Jalan Hipertensi
70 0000033616585 RESMINIYATI P diabetes mellitus without Berobat Jalan
complications
080110011120P000 28-11-2020 28-11-2020 PENERIMA Chronic ischaemic heart
71 0000033638499 YATIMA MURNI P Rujuk Vertikal Hipertensi
466 00:00 09:44 PENSIUN PNS disease
72 0000033638501 DADANG RISWA WAHID L diabetes mellitus without Berobat Jalan
complications
73 0000033699969 ERNITA P PNS DAERAH Berobat Jalan Hipertensi
Bipolar affective disorder,
080110011120P000 28-11-2020 28-11-2020 current episode manic
74 0000194815721 NANA USYANA P PNS DAERAH Rujuk Vertikal
458 00:00 08:42 without psychotic
symptoms
75 0000197985791 HJ YARNIS BS P diabetes mellitus without Berobat Jalan
complications
080110011120P000 28-11-2020 28-11-2020 Other diseases of stomach
76 0000360220105 MARHANI L PBI (APBN) Rujuk Vertikal Hipertensi Hipertensi
455 00:00 08:30 and duodenum
080110011120P000 28-11-2020 30-11-2020 Diabetes
77 0000360231186 ASIKIN HARUN L PBI (APBN) diabetes mellitus without Berobat Jalan
610 00:00 13:53 Mellitus
complications
080110011120P000 28-11-2020 03-12-2020
78 0000360578485 ARJUNA P PBI (APBN) Gastritis, unspecified Berobat Jalan
840 00:00 08:21
080110011120P000 28-11-2020 30-11-2020 Diabetes
79 0000360583288 SUWARNI P PBI (APBN) diabetes mellitus without Berobat Jalan
542 00:00 09:22 Mellitus
complications
080110011120P000 28-11-2020 28-11-2020 Hypertensive heart
80 0000360607904 PALAHIYAH P PBI (APBN) Berobat Jalan Hipertensi
467 00:00 09:48 disease
080110011120P000 28-11-2020 03-12-2020
81 0000360648382 SRI WIDAYATI P PBI (APBD) Fever, unspecified Berobat Jalan
836 00:00 08:16
080110011120P000 28-11-2020 03-12-2020 DESY NUR FITRIANA
82 0000360648448 P PBI (APBD) Fever, unspecified Berobat Jalan
837 00:00 08:16 MURJITO
83 0000360765898 URIP ABDULLAH L PBI (APBN) Berobat Jalan Hipertensi
080110011120P000 28-11-2020 03-12-2020
84 0000361002543 DEVI AGUSTIA WATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
838 00:00 08:17
85 0000361072686 ROSMI P PBI (APBN) Berobat Jalan Hipertensi
86 0000361175297 TUITAN P PBI (APBN) Berobat Jalan Hipertensi
080110011120P000 28-11-2020 03-12-2020

87 0000361279102 RUSMIATI P PBI (APBN) Fever, unspecified Berobat Jalan
835 00:00 08:15
080110011120P000 28-11-2020 03-12-2020
88 0000361379878 NUR KHALIJAH HRP P PBI (APBN) Fever, unspecified Berobat Jalan
841 00:00 08:21
080110011120P000 28-11-2020 03-12-2020
89 0000361379878 NUR KHALIJAH HRP P PBI (APBN) Antenatal screening Berobat Jalan
842 00:00 08:22
90 0000997706799 INA RITA IRIANTI P PBI (APBN) Berobat Jalan Hipertensi
080110011120P000 28-11-2020 30-11-2020 Diabetes
91 0001263703959 HJ.LESTURI SARI P PNS DAERAH diabetes mellitus without Berobat Jalan
611 00:00 13:55 Mellitus
complications
92 0001283820287 sri linda wati P ANGGOTA POLRI Berobat Jalan Hipertensi
080110011120P000 28-11-2020 30-11-2020 ENDANG MUSTIKA PEKERJA Essential (primary)
93 0001286790851 P Berobat Jalan Hipertensi
613 00:00 14:08 NINGSIH MANDIRI hypertension
080110011120P000 28-11-2020 28-11-2020 PEKERJA
94 0001370384864 FAIRUS ABADI SH L Congestive heart failure Berobat Jalan Hipertensi
457 00:00 08:39 MANDIRI
080110011120P000 28-11-2020 28-11-2020 PEKERJA
95 0001370385652 DRA KHOLIYAH P Pulpitis Rujuk Vertikal
459 00:00 09:03 MANDIRI
Unspecified diabetes
080110011120P000 28-11-2020 28-11-2020 PEKERJA Diabetes
96 0001434247762 ARSIL L mellitus with multiple Berobat Jalan
470 00:00 10:45 MANDIRI Mellitus
complications
97 0001448343099 NUR'AINI AMALIA P Berobat Jalan Hipertensi
080110011120P000 28-11-2020 28-11-2020 PEGAWAI Other specified disorders
98 0001591156438 R.A. Leiza Cahyani P Rujuk Vertikal
456 00:00 08:34 SWASTA of synovium and tendon
080110011120P000 28-11-2020 28-11-2020 PEKERJA Chronic ischaemic heart
99 0001887749932 NOFIANTI, S. PD P Rujuk Vertikal
454 00:00 08:22 MANDIRI disease
080110011120P000 28-11-2020 28-11-2020 MUTIARA KARVINA PEKERJA Disorders of
100 0002250634217 P Rujuk Vertikal
460 00:00 09:07 ISLAMY MANDIRI accommodation
080110011120P000 28-11-2020 03-12-2020
101 0002566638775 SAUNAH P PBI (APBD) Gastritis, unspecified Berobat Jalan
839 00:00 08:17
102 0000016500453 ZIKRI.K. BSC L Berobat Jalan Hipertensi
442 00:00 09:55 PENSIUN PNS disease, unspecified
103 0000033182583 ELIA SUTIYEM P PNS PUSAT Berobat Jalan Hipertensi
104 0000033739694 JARWATI,SE P PNS DAERAH Berobat Jalan Hipertensi
080110011120P000 27-11-2020 27-11-2020 DIAN KOMARSYAH Diabetes
105 0000033857087 L PNS PUSAT diabetes mellitus without Berobat Jalan
453 00:00 10:44 DJUARDI Mellitus
complications
106 0000033886416 TEDI RUSMAN L PNS PUSAT Berobat Jalan Hipertensi
107 0000034334796 AL MUZNI L PNS DAERAH Berobat Jalan
437 00:00 09:13 disease
108 0000034733979 M SAHID AL KARIM L PNS DAERAH Berobat Jalan Hipertensi
080110011120P000 27-11-2020 27-11-2020 Cerebral infarction,
109 0000035748999 NIMBANG MARGA L PNS DAERAH Rujuk Vertikal
433 00:00 08:47 unspecified
110 0000165474887 SUTINAH P Berobat Jalan Hipertensi
080110011120P000 27-11-2020 27-11-2020 Disorder of external ear,
111 0000195601746 REKA DILA SUSVITA P PNS DAERAH Rujuk Vertikal
080110011120P000 27-11-2020 03-12-2020
112 0000349344832 MURNITA SARI P PBI (APBN) Antenatal screening Berobat Jalan
832 00:00 08:13
080110011120P000 27-11-2020 27-11-2020 Disorder of external ear,
113 0000360068905 WULANDARI P PBI (APBN) Rujuk Vertikal
114 0000360268402 NUR BAITI P PBI (APBN) Berobat Jalan Hipertensi
115 0000360296155 SALBIAH P PBI (APBN) Berobat Jalan Hipertensi
116 0000360339524 ARI PURWATI P PBI (APBN) Berobat Jalan
824 00:00 13:55 [common cold]
080110011120P000 27-11-2020 01-12-2020
117 0000360820236 RANI APRIYANTI P PBI (APBN) Fever, unspecified Berobat Jalan
823 00:00 13:54
080110011120P000 27-11-2020 01-12-2020
118 0000361140355 RIZKY ABAKTI L PBI (APBN) Gastritis, unspecified Berobat Jalan
825 00:00 13:56
080110011120P000 27-11-2020 27-11-2020
119 0000361642522 ARI YANSYAH L PBI (APBN) Schizoaffective disorders Rujuk Vertikal
452 00:00 10:39
120 0000361660083 ASIAH P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
434 00:00 08:49 disease
080110011120P000 27-11-2020 03-12-2020
121 0000997701243 SRI MULYANI P PBI (APBN) Antenatal screening Berobat Jalan
833 00:00 08:14
080110011120P000 27-11-2020 01-12-2020
122 0000997706046 JUAIRIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
817 00:00 13:50
080110011120P000 27-11-2020 01-12-2020
123 0001080758351 ANINDYA ZHAFIRA P PNS DAERAH Gastritis, unspecified Berobat Jalan
821 00:00 13:53
Excessive and frequent

080110011120P000 27-11-2020 27-11-2020
124 0001101480849 DINNIE HARIANJA P ANGGOTA POLRI menstruation with irregular Rujuk Vertikal
436 00:00 09:00
cycle
Diabetes
125 0001305831701 MUHAMAD HAMZAH L ANGGOTA POLRI Berobat Jalan Mellitus
438 00:00 09:33 disease
Hipertensi
080110011120P000 27-11-2020 27-11-2020 PEKERJA Disorders of
126 0001407876502 AHMAD FARRAHMAN L Rujuk Vertikal
443 00:00 10:06 MANDIRI accommodation
Human immunodeficiency
080110011120P000 27-11-2020 27-11-2020 virus [HIV] disease
127 0001478497408 SULAIMAN L PBI (APBD) Rujuk Vertikal
439 00:00 09:36 resulting in infectious and
parasitic diseases
080110011120P000 27-11-2020 03-12-2020 PEGAWAI

128 0001592847494 Septi Purnama sari, SE. P Antenatal screening Berobat Jalan
834 00:00 08:14 SWASTA
080110011120P000 27-11-2020 03-12-2020 PEKERJA
129 0001830874465 asih prihatin P Antenatal screening Berobat Jalan
831 00:00 08:13 MANDIRI
080110011120P000 27-11-2020 01-12-2020 PEKERJA
130 0001830874465 asih prihatin P Gastritis, unspecified Berobat Jalan
816 00:00 13:50 MANDIRI
080110011120P000 27-11-2020 27-11-2020 Diabetes
131 0001846445499 YUSMANIAR P PNS DAERAH diabetes mellitus without Berobat Jalan Mellitus
449 00:00 10:35 Mellitus
080110011120P000 27-11-2020 01-12-2020 ALESHA NARAYA
132 0002063001262 P PNS DAERAH Fever, unspecified Berobat Jalan
820 00:00 13:52 KHANZA
080110011120P000 27-11-2020 27-11-2020 Hereditary sideroblastic
133 0002242134134 ANGGI FEBRIANA P PBI (APBN) Rujuk Vertikal
451 00:00 10:38 anaemia
080110011120P000 27-11-2020 01-12-2020
134 0002246851247 ILHAM FAHMI AZIZ L PNS DAERAH Fever, unspecified Berobat Jalan
815 00:00 13:50
Insulin-dependent
080110011120P000 27-11-2020 27-11-2020 PEGAWAI Diabetes Diabetes
135 0002248936637 SENDY SEPTIZA P diabetes mellitus with Berobat Jalan
441 00:00 09:52 SWASTA Mellitus Mellitus
PEGAWAI
PEMERINTAH
080110011120P000 27-11-2020 27-11-2020
136 0002437108536 JEMI CAHYA PRATAMA L DENGAN Necrosis of pulp Rujuk Vertikal
444 00:00 10:25
PERJANJIAN
KERJA
080110011120P000 27-11-2020 01-12-2020
137 0002478055263 DZAKIRA ALIYAH PUTRI P PBI (APBN) Gastritis, unspecified Berobat Jalan
828 00:00 14:00
080110011120P000 27-11-2020 01-12-2020
138 0002566630923 PRATAMA BUDHI SWARA L PBI (APBD) Gastritis, unspecified Berobat Jalan
818 00:00 13:51
080110011120P000 27-11-2020 01-12-2020
139 0002566636571 ENDIN L PBI (APBD) Fever, unspecified Berobat Jalan
827 00:00 13:57
080110011120P000 27-11-2020 01-12-2020

140 0002566637651 BAINAH P PBI (APBD) Fever, unspecified Berobat Jalan
829 00:00 14:00
080110011120P000 27-11-2020 03-12-2020
141 0002791660353 MALPAREZA L PBI (APBN) Gastritis, unspecified Berobat Jalan
830 00:00 08:12
080110011120P000 26-11-2020 01-12-2020 PENERIMA Acute nasopharyngitis
142 0000032610385 NURBAITI P Berobat Jalan
805 00:00 13:25 PENSIUN TNI [common cold]
080110011120P000 26-11-2020 01-12-2020 PENERIMA
143 0000033638499 YATIMA MURNI P Fever, unspecified Berobat Jalan Hipertensi
806 00:00 13:37 PENSIUN PNS
Insulin-dependent
144 0000033638501 DADANG RISWA WAHID L diabetes mellitus with Rujuk Vertikal
080110011120P000 26-11-2020 26-11-2020
145 0000034092246 MUTIA APRIANTI P PNS DAERAH Paranoid schizophrenia Rujuk Vertikal
411 00:00 08:28
Diabetes
080110011120P000 26-11-2020 26-11-2020 PENERIMA Hypertensive heart
146 0000034423209 ABDULLAH R.M L Rujuk Vertikal Mellitus
Hipertensi
080110011120P000 26-11-2020 01-12-2020
147 0000201321022 MUNAWAR SHODIQ L PNS PUSAT Gastritis, unspecified Berobat Jalan
808 00:00 13:43
080110011120P000 26-11-2020 26-11-2020
148 0000211245197 DWI ANIS P PNS DAERAH Chronic ethmoidal sinusitis Rujuk Vertikal
409 00:00 08:26
080110011120P000 26-11-2020 01-12-2020 PEGAWAI
149 0000360383185 ARIS IRAWAN L Gastritis, unspecified Berobat Jalan
810 00:00 13:44 SWASTA
080110011120P000 26-11-2020 01-12-2020 MUHAMAD SOBIRIN
150 0000360788196 L PBI (APBN) Gastritis, unspecified Berobat Jalan
801 00:00 13:22 CHERLY
080110011120P000 26-11-2020 01-12-2020
151 0000361215033 MAS NONA P PBI (APBN) Gastritis, unspecified Berobat Jalan
804 00:00 13:25
Insulin-dependent
080110011120P000 26-11-2020 26-11-2020 Diabetes
152 0000361368595 SAMHAH P PBI (APBN) diabetes mellitus with Rujuk Vertikal
430 00:00 13:12 Mellitus
Visual impairment
080110011120P000 26-11-2020 26-11-2020
153 0000997704911 ZELVA ARYANA,S.AG. P PBI (APBN) including blindness Rujuk Vertikal
418 00:00 08:55
(binocular or monocular)
080110011120P000 26-11-2020 01-12-2020
154 0001110392515 NILA SUMARTI P PRAJURIT AL Gastritis, unspecified Berobat Jalan
803 00:00 13:24
Sequelae of stroke, not
080110011120P000 26-11-2020 26-11-2020
155 0001309831053 BASRI C. L PNS DAERAH specified as haemorrhage Rujuk Vertikal
419 00:00 09:09
or infarction
080110011120P000 26-11-2020 26-11-2020
156 0001388862977 SUKIRNO L PNS DAERAH Other secondary gout Rujuk Vertikal
429 00:00 10:27

157 0001482450041 FATHONI L Rujuk Vertikal
417 00:00 08:48 PENSIUN SWASTA disease
080110011120P000 26-11-2020 01-12-2020 PEGAWAI

158 0001505749779 FEBRI L Fever, unspecified Berobat Jalan
807 00:00 13:38 SWASTA
080110011120P000 26-11-2020 01-12-2020 PEKERJA
159 0001589828782 KASIH TRI PERTIWI P Antenatal screening Berobat Jalan
812 00:00 13:46 MANDIRI
160 0002000749691 ERNA MAYA SARI P Berobat Jalan
Insulin-dependent
161 0002035371216 fendi sarnadi L diabetes mellitus with Berobat Jalan
080110011120P000 26-11-2020 26-11-2020 PEKERJA Hypertensive heart
162 0002035713025 SUKARTI P Berobat Jalan Hipertensi
080110011120P000 26-11-2020 26-11-2020 Sensorineural hearing
163 0002443232114 IBRAHIM DAFI' EL- QUDS L PNS PUSAT Rujuk Vertikal
421 00:00 09:29 loss, bilateral
080110011120P000 26-11-2020 01-12-2020
164 0002566681727 MARYAM P PBI (APBD) Antenatal screening Berobat Jalan
813 00:00 13:47
080110011120P000 26-11-2020 01-12-2020
165 0002639989732 MASAMAH P PBI (APBN) Antenatal screening Berobat Jalan
811 00:00 13:45
080110011120P000 26-11-2020 01-12-2020 PEKERJA
166 0002890289564 HERMAN SUSILO L Fever, unspecified Berobat Jalan
802 00:00 13:23 MANDIRI
080110011120P000 26-11-2020 01-12-2020 PEGAWAI
167 0003054844629 RISKA P Antenatal screening Berobat Jalan
814 00:00 13:48 SWASTA
Hypertensive heart
080110011120P000 25-11-2020 25-11-2020 PENERIMA
168 0000032696627 NADJEMAH P disease without Berobat Jalan Hipertensi Hipertensi
397 00:00 09:14 PENSIUN PNS
(congestive) heart failure
Unspecified diabetes Diabetes
080110011120P000 25-11-2020 25-11-2020
169 0000032920031 AGUS TRIYANTO L PNS DAERAH mellitus with multiple Berobat Jalan Mellitus Hipertensi
390 00:00 08:30
080110011120P000 25-11-2020 01-12-2020 MUHAMMAD LABIB MY Acute nasopharyngitis
170 0000033219426 L PNS DAERAH Berobat Jalan
791 00:00 13:10 BIMA [common cold]
080110011120P000 25-11-2020 25-11-2020 Other specified metabolic
171 0000033697923 MUHAINI ZEIN L PNS DAERAH Rujuk Vertikal
404 00:00 11:12 disorders
172 0000171950332 ABDULLAH L Hyperplasia of prostate Rujuk Vertikal
080110011120P000 25-11-2020 25-11-2020
173 0000174146793 MERY TASWIN L PNS DAERAH Necrosis of pulp Rujuk Vertikal
391 00:00 08:36
174 0000197134672 CH. RAHMAN L Berobat Jalan
394 00:00 08:44 PENSIUN TNI disease
080110011120P000 25-11-2020 01-12-2020

175 0000208354994 MUSLIM L PNS DAERAH Gastritis, unspecified Berobat Jalan
783 00:00 12:54
080110011120P000 25-11-2020 01-12-2020
176 0000345591279 EREN RIO SATRIA L PBI (APBN) Fever, unspecified Berobat Jalan
788 00:00 13:08
177 0000360378663 YUSNANI P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
396 00:00 08:49 disease
080110011120P000 25-11-2020 25-11-2020 PEGAWAI
178 0000360613978 MA'AT L Senile cataract Rujuk Vertikal
400 00:00 10:05 SWASTA
Pleural effusion in
080110011120P000 25-11-2020 25-11-2020
179 0000360700661 MISNI P PBI (APBN) conditions classified Rujuk Vertikal
398 00:00 09:34
elsewhere
180 0000360754402 MASTIANA P PBI (APBN) Berobat Jalan Hipertensi
181 0000360998739 siti ANISA P PBI (APBN) Berobat Jalan
784 00:00 12:55 [common cold]
080110011120P000 25-11-2020 01-12-2020
182 0000361140355 RIZKY ABAKTI L PBI (APBN) Gastritis, unspecified Berobat Jalan
786 00:00 12:57
080110011120P000 25-11-2020 01-12-2020
183 0000361276727 ROHIMAH P PBI (APBN) Fever, unspecified Berobat Jalan
785 00:00 12:56
080110011120P000 25-11-2020 01-12-2020 PEGAWAI
184 0001159881118 ERIZA HARTI P Gastritis, unspecified Berobat Jalan
792 00:00 13:11 SWASTA
080110011120P000 25-11-2020 25-11-2020 Maternal care for breech
185 0001268475265 DEA NATASYA P PNS DAERAH Rujuk Vertikal
399 00:00 09:55 presentation
080110011120P000 25-11-2020 01-12-2020 PEKERJA
186 0001379331617 SAPTA JURINA P Fever, unspecified Berobat Jalan
790 00:00 13:09 MANDIRI
080110011120P000 25-11-2020 25-11-2020 PEGAWAI
187 0001591156844 Sabtina Jayanthi P Fracture of nasal bones Rujuk Vertikal
389 00:00 08:27 SWASTA
080110011120P000 25-11-2020 01-12-2020 PEGAWAI
188 0001650279508 IKE DAHLIA P Antenatal screening Berobat Jalan
796 00:00 13:16 SWASTA
080110011120P000 25-11-2020 25-11-2020 PEGAWAI Hypertensive heart
189 0001853114679 GUNAWAN L Berobat Jalan
401 00:00 10:08 SWASTA disease
080110011120P000 25-11-2020 01-12-2020 PEGAWAI
190 0002355175776 SUCI JULIANTARI P Antenatal screening Berobat Jalan
800 00:00 13:20 SWASTA
080110011120P000 25-11-2020 01-12-2020
191 0002478055263 DZAKIRA ALIYAH PUTRI P PBI (APBN) Gastritis, unspecified Berobat Jalan
789 00:00 13:08
080110011120P000 25-11-2020 25-11-2020 PEGAWAI
192 0002566680748 I B. PUTU SUWANDI L Inguinal hernia Rujuk Vertikal
393 00:00 08:42 SWASTA
080110011120P000 25-11-2020 01-12-2020
799 00:00 13:18
080110011120P000 25-11-2020 01-12-2020 PEKERJA Need for immunization

194 0002751327279 ASYIFA MUTIARA RIFQI P Berobat Jalan
798 00:00 13:17 MANDIRI against poliomyelitis
195 0002760090603 KAMAL FARUK L Berobat Jalan
Hypertensive heart
080110011120P000 25-11-2020 25-11-2020 PEKERJA
196 0002771301701 SITI AISAH EMAWATI P disease with (congestive) Rujuk Vertikal
402 00:00 10:11 MANDIRI
heart failure
197 0002791662524 RAMDANI EFENDI L PBI (APBN) Berobat Jalan
080110011120P000 25-11-2020 01-12-2020
198 0002791664166 SEPTTA OLIPPIA AMANDA P PBI (APBN) Fever, unspecified Berobat Jalan
793 00:00 13:12
080110011120P000 25-11-2020 01-12-2020
199 0002835350008 RIKA ARIYA SARI P PBI (APBN) Fever, unspecified Berobat Jalan
794 00:00 13:14
080110011120P000 25-11-2020 01-12-2020 SULTHAN MUHAMMAD
787 00:00 13:07 AL- FATIH
080110011120P000 25-11-2020 01-12-2020 PEGAWAI
201 0003054844629 RISKA P Antenatal screening Berobat Jalan
797 00:00 13:16 SWASTA
202 0003058171121 MIRA NISRINA P Berobat Jalan
Gestational
080110011120P000 25-11-2020 25-11-2020 PEKERJA [pregnancy-induced]
203 0003058171121 MIRA NISRINA P Rujuk Vertikal
405 00:00 13:30 MANDIRI hypertension without
significant proteinuria
080110011120P000 24-11-2020 24-11-2020
204 0000033156123 MUSONNIP L PNS DAERAH Congestive heart failure Berobat Jalan
381 00:00 09:06
080110011120P000 24-11-2020 24-11-2020 Other disorders affecting
205 0000033707395 NASIRWAN SPD L PNS DAERAH Rujuk Vertikal
384 00:00 10:52 eyelid function
080110011120P000 24-11-2020 24-11-2020 PENERIMA
206 0000034171402 ALIMUDIN RAIS L Senile cataract Rujuk Vertikal
376 00:00 08:38 PENSIUN PNS
207 0000034770104 SUPINAH P diabetes mellitus without Berobat Jalan
complications
080110011120P000 24-11-2020 24-11-2020 ISYARA RETCHA PEGAWAI
208 0000170648021 P Pulpitis Rujuk Vertikal
385 00:00 10:57 MUNANDAR SWASTA
080110011120P000 24-11-2020 01-12-2020 ISYARA RETCHA PEGAWAI
209 0000170648021 P Gastritis, unspecified Berobat Jalan
774 00:00 12:45 MUNANDAR SWASTA
080110011120P000 24-11-2020 24-11-2020 Other disorders of middle
210 0000202348056 YULLI MULIA P PNS DAERAH Rujuk Vertikal
378 00:00 08:48 ear and mastoid
080110011120P000 24-11-2020 01-12-2020
211 0000360292926 M. SUMANTO L PBI (APBN) Fever, unspecified Berobat Jalan
771 00:00 12:44
080110011120P000 24-11-2020 24-11-2020 Contraceptive

212 0000360803856 HENI HARYANI P PBI (APBN) Berobat Jalan
379 00:00 08:57 management
080110011120P000 24-11-2020 01-12-2020
213 0000361325799 ELIZAR L PBI (APBN) Fever, unspecified Berobat Jalan
773 00:00 12:45
080110011120P000 24-11-2020 01-12-2020
214 0000361374219 MIKO SEBAYANG P PBI (APBN) Gastritis, unspecified Berobat Jalan
768 00:00 12:42
080110011120P000 24-11-2020 01-12-2020
215 0000997705866 AFFANDI OKTAVIANSYAH L PBI (APBN) Fever, unspecified Berobat Jalan
770 00:00 12:43
080110011120P000 24-11-2020 01-12-2020
216 0000997708342 IRFAN GANI L PBI (APBN) Headache Berobat Jalan
766 00:00 12:42
080110011120P000 24-11-2020 24-11-2020 Disorders of
217 0001102519181 M. WAHYUNI L PRAJURIT AD Rujuk Vertikal
080110011120P000 24-11-2020 24-11-2020 PEKERJA
218 0001437184798 tri priana P Paranoid schizophrenia Rujuk Vertikal
387 00:00 11:07 MANDIRI
080110011120P000 24-11-2020 24-11-2020 PEKERJA Intervertebral disc
219 0001448343099 NUR'AINI AMALIA P Rujuk Vertikal Hipertensi
388 00:00 13:35 MANDIRI disorder, unspecified
080110011120P000 24-11-2020 01-12-2020
220 0001794452591 YULITA SARI P PBI (APBD) Fever, unspecified Berobat Jalan
765 00:00 12:40
080110011120P000 24-11-2020 01-12-2020 PEKERJA Contraceptive
221 0001802709055 meldiya saputri P Berobat Jalan
782 00:00 12:51 MANDIRI management
080110011120P000 24-11-2020 24-11-2020 PEKERJA Contraceptive
222 0001802709055 meldiya saputri P Berobat Jalan
382 00:00 09:28 MANDIRI management
080110011120P000 24-11-2020 01-12-2020
223 0002317741841 imam sastra wardoyo L PBI (APBN) Gastritis, unspecified Berobat Jalan
764 00:00 12:39
080110011120P000 24-11-2020 01-12-2020 PEGAWAI Need for immunization
224 0002457720336 ABIYU YUSUF ARRAYYAN L Berobat Jalan
777 00:00 12:47 SWASTA against poliomyelitis
080110011120P000 24-11-2020 24-11-2020 Contraceptive
225 0002526389289 LEVI OLIVIA P PBI (APBN) Berobat Jalan
386 00:00 10:57 management
080110011120P000 24-11-2020 01-12-2020
226 0002565921532 RENI WULANDARI P PBI (APBD) Gastritis, unspecified Berobat Jalan
775 00:00 12:46
080110011120P000 24-11-2020 01-12-2020
227 0002566639462 SUZANA P PBI (APBD) Headache Berobat Jalan
772 00:00 12:44
228 0002596118049 CHIKA BR SEBAYANG P PBI (APBN) Berobat Jalan
767 00:00 12:42 [common cold]
080110011120P000 24-11-2020 01-12-2020
778 00:00 12:48
080110011120P000 24-11-2020 01-12-2020 BAYI NYONYA RITA PEKERJA Need for immunization
230 0002937911139 L Berobat Jalan
779 00:00 12:48 ZAHARA MANDIRI against poliomyelitis
PEGAWAI
PEMERINTAH
080110011120P000 24-11-2020 01-12-2020 Need for immunization
231 0002939552032 BAYI NYONYA YULISA L DENGAN Berobat Jalan
776 00:00 12:47 against poliomyelitis
PERJANJIAN
KERJA
080110011120P000 24-11-2020 01-12-2020 Need for immunization
232 0002940979858 KIRANA TIRTA SIWI P PNS PUSAT Berobat Jalan
781 00:00 12:49 against poliomyelitis
080110011120P000 24-11-2020 01-12-2020 PENERIMA
233 0003052456942 SUSILAWATI P Fever, unspecified Berobat Jalan
769 00:00 12:43 PENSIUN PNS
080110011120P000 24-11-2020 01-12-2020 BAYI NYONYA MAR'ATI PEKERJA Need for immunization
234 0003056515931 L Berobat Jalan
780 00:00 12:49 FAUZIAH MANDIRI against poliomyelitis
235 0000016500453 ZIKRI.K. BSC L Rujuk Vertikal Hipertensi
359 00:00 09:21 PENSIUN PNS disease, unspecified
Insulin-dependent
236 0000028075825 HARFA ARDI L diabetes mellitus with Berobat Jalan
080110011120P000 23-11-2020 23-11-2020 PENERIMA
237 0000032626855 SUDIYONO L Congestive heart failure Berobat Jalan
351 00:00 08:51 PENSIUN TNI
238 0000032810275 TIS AWATI P PNS DAERAH Berobat Jalan
750 00:00 12:30 [common cold]
239 0000032974659 SITI REZEKI P PNS PUSAT Rujuk Vertikal Hipertensi Hipertensi
369 00:00 11:16 disease
080110011120P000 23-11-2020 23-11-2020 Gonarthrosis [arthrosis of
240 0000032991535 MEILIA P PNS DAERAH Rujuk Vertikal
360 00:00 09:22 knee]
080110011120P000 23-11-2020 23-11-2020 PENERIMA Other chronic obstructive Diabetes Diabetes
241 0000033638501 DADANG RISWA WAHID L Rujuk Vertikal
358 00:00 09:17 PENSIUN PNS pulmonary disease Mellitus Mellitus
080110011120P000 23-11-2020 23-11-2020 Disorders of
242 0000033749965 ABIDIN L PNS DAERAH Rujuk Vertikal
080110011120P000 23-11-2020 23-11-2020 Disorders of
243 0000033749976 FEBRI ANSILLIA P PNS DAERAH Rujuk Vertikal
080110011120P000 23-11-2020 01-12-2020
244 0000033789374 NURHAYATI P PNS DAERAH Fever, unspecified Berobat Jalan
749 00:00 12:30
245 0000033850045 EUIS PANJIWATI P PNS PUSAT Berobat Jalan Hipertensi
080110011120P000 23-11-2020 23-11-2020 PENERIMA
246 0000033866032 KARDEN ES MANIK L Senile cataract Rujuk Vertikal
352 00:00 08:54 PENSIUN PNS
247 0000033866572 Ir. KHAIRA NOVA.MP P PNS PUSAT Berobat Jalan
363 00:00 10:17 disease
080110011120P000 23-11-2020 01-12-2020
248 0000034654961 SYAHYODI SEPTEDI L PNS DAERAH Fever, unspecified Berobat Jalan
762 00:00 12:38
080110011120P000 23-11-2020 01-12-2020 ZAYYAN MUHAMMAD

249 0000034654983 L PNS DAERAH Fever, unspecified Berobat Jalan
761 00:00 12:37 IHSAN
080110011120P000 23-11-2020 23-11-2020 Diabetes
250 0000036398092 SABIRIN L PNS PUSAT diabetes mellitus without Berobat Jalan Mellitus
347 00:00 08:19 Mellitus
080110011120P000 23-11-2020 01-12-2020
251 0000360068185 IIN PARLINA P PBI (APBN) Gastritis, unspecified Berobat Jalan
744 00:00 12:26
Other benign neoplasms
080110011120P000 23-11-2020 23-11-2020
252 0000360391689 BASIR L PBI (APBN) of connective and other Rujuk Vertikal
366 00:00 10:41
soft tissue
253 0000360720551 HERMANTO L PBI (APBN) Berobat Jalan Hipertensi
254 0000360738145 MAIMUNAH P PBI (APBN) Berobat Jalan Hipertensi
747 00:00 12:27 [common cold]
255 0000360830957 SITI HOMSIAH P PBI (APBD) Berobat Jalan
763 00:00 12:38 [common cold]
080110011120P000 23-11-2020 01-12-2020
256 0000361056791 AGUS SAPRI L PBI (APBN) Headache Berobat Jalan
748 00:00 12:28
080110011120P000 23-11-2020 01-12-2020 MUHAMMAD RAFA
755 00:00 12:33 FERISCO SANJAYA
080110011120P000 23-11-2020 01-12-2020
258 0000997703785 ALFIAN L PBI (APBN) Fever, unspecified Berobat Jalan
743 00:00 12:24
259 0000997704742 YURITA P PBI (APBN) Berobat Jalan Hipertensi
260 0001106634385 WIWIK SRI UTAMI P PRAJURIT AD Berobat Jalan Hipertensi
261 0001264033877 JUMIATI P Rujuk Vertikal
080110011120P000 23-11-2020 23-11-2020 PEKERJA
262 0001264629047 BENEDICTA GUNARTI P Secondary hypertension Rujuk Vertikal
357 00:00 09:16 MANDIRI
080110011120P000 23-11-2020 23-11-2020 PEKERJA
263 0001279885116 RAHMADSYAH L Malunion of fracture Rujuk Vertikal
361 00:00 09:34 MANDIRI
080110011120P000 23-11-2020 23-11-2020 PEKERJA Arthrosis, unspecified,
264 0001305035559 RODIYANTI P Rujuk Vertikal
368 00:00 10:58 MANDIRI multiple sites
080110011120P000 23-11-2020 23-11-2020 PEKERJA
265 0001381994807 CHATARINA SLAMET P diabetes mellitus with Rujuk Vertikal
356 00:00 09:14 MANDIRI
080110011120P000 23-11-2020 01-12-2020 PEGAWAI Acute nasopharyngitis
266 0001598695457 ANGGA SAPUTRA L Berobat Jalan
759 00:00 12:35 SWASTA [common cold]
080110011120P000 23-11-2020 01-12-2020

267 0001599515245 RERE CANTIKA PUTRI P PBI (APBD) Fever, unspecified Berobat Jalan
745 00:00 12:26
080110011120P000 23-11-2020 01-12-2020
268 0001599517168 SUTARJO L PBI (APBD) Fever, unspecified Berobat Jalan
753 00:00 12:32
269 0001787422421 SUYONO S L PNS DAERAH Berobat Jalan Hipertensi
PEGAWAI
PEMERINTAH
080110011120P000 23-11-2020 23-11-2020
270 0001819968952 OKI OKTIAWAN L DENGAN Other retinal detachments Rujuk Vertikal
350 00:00 08:49
PERJANJIAN
KERJA
080110011120P000 23-11-2020 23-11-2020 PEKERJA
271 0001852222206 ERIKA AMELIA P Prolonged pregnancy Rujuk Vertikal
365 00:00 10:37 MANDIRI
272 0001860008174 EMIYATI P Rujuk Vertikal
Insulin-dependent
273 0001886090861 ZULELAH P diabetes mellitus with Rujuk Vertikal
080110011120P000 23-11-2020 23-11-2020 PEKERJA Nephrotic syndrome,
274 0001897947764 MARTIN ALLANO L Rujuk Vertikal
275 0002071785262 yenny kartika sari P Berobat Jalan Hipertensi
080110011120P000 23-11-2020 23-11-2020 MAYANG BULAN DARI
276 0002086674502 P PBI (APBN) Epilepsy Rujuk Vertikal
353 00:00 08:55 FAHIRA
080110011120P000 23-11-2020 01-12-2020 PEKERJA
277 0002200821006 SEPRIYANDI L diabetes mellitus with Berobat Jalan Mellitus Mellitus
758 00:00 12:35 MANDIRI
multiple complications Hipertensi Hipertensi
080110011120P000 23-11-2020 01-12-2020
278 0002242134134 ANGGI FEBRIANA P PBI (APBN) Fever, unspecified Berobat Jalan
751 00:00 12:31
080110011120P000 23-11-2020 01-12-2020 PEGAWAI Acute nasopharyngitis
279 0002314118981 HARY INDRAWAN L Berobat Jalan
756 00:00 12:34 SWASTA [common cold]
080110011120P000 23-11-2020 01-12-2020 PEGAWAI
280 0002314119317 SILVINA SELLYANDA P Headache Berobat Jalan
757 00:00 12:34 SWASTA
080110011120P000 23-11-2020 01-12-2020 PEKERJA
281 0002327815719 JAHIR L Fever, unspecified Berobat Jalan
760 00:00 12:36 MANDIRI
282 0002432297316 AMIRUDIN L PBI (APBN) Berobat Jalan
746 00:00 12:27 [common cold]
283 0002606894482 SUPRIYANI P PBI (APBN) Berobat Jalan Hipertensi
080110011120P000 23-11-2020 01-12-2020 PEGAWAI

284 0002760090603 KAMAL FARUK L Gastritis, unspecified Berobat Jalan
754 00:00 12:33 SWASTA
285 0002791664965 SAMARIA SEMBIRING P PBI (APBN) Berobat Jalan
752 00:00 12:31 [common cold]
080110011120P000 23-11-2020 23-11-2020 Other benign neoplasm of
286 0002863345588 HERMA WATI P PBI (APBN) Rujuk Vertikal
349 00:00 08:48 skin of scalp and neck
080110011120P000 21-11-2020 21-11-2020 Other specified disorders
287 0000032578244 SARDI L PNS DAERAH Rujuk Vertikal
342 00:00 09:28 of ear
Other heart disorders in
080110011120P000 21-11-2020 21-11-2020 PENERIMA
288 0000032626686 SALEH SUHERMAN L other diseases classified Berobat Jalan
339 00:00 08:40 PENSIUN TNI
elsewhere
289 0000032626967 SULIYANA P diabetes mellitus with Rujuk Vertikal
340 00:00 08:50 PENSIUN TNI Mellitus
080110011120P000 21-11-2020 01-12-2020 PENERIMA
290 0000032825529 AMNA MUSA P Gastritis, unspecified Berobat Jalan
729 00:00 10:59 PENSIUN PNS
291 0000033128717 ASTERATU P PNS PUSAT Berobat Jalan Hipertensi
080110011120P000 21-11-2020 21-11-2020 PEKERJA Premature rupture of
292 0000033167891 IISY MAYASIR OKTARINI P Rujuk Vertikal
341 00:00 09:08 MANDIRI membranes
293 0000033850034 ABDUL MUTHALIB TAHAR L PNS PUSAT Berobat Jalan
730 00:00 11:00 [common cold]
080110011120P000 21-11-2020 01-12-2020
294 0000193742561 DINA AFRIDA HERISONTI P PNS DAERAH Fever, unspecified Berobat Jalan
740 00:00 11:06
080110011120P000 21-11-2020 01-12-2020
295 0000200091464 SAPRIYADI L PNS DAERAH Fever, unspecified Berobat Jalan
737 00:00 11:05
080110011120P000 21-11-2020 01-12-2020
296 0000360150107 HERMAWAN L PBI (APBN) Headache Berobat Jalan
732 00:00 11:01
080110011120P000 21-11-2020 01-12-2020
297 0000360764932 JUJU JURIAH P PBI (APBN) Fever, unspecified Berobat Jalan
739 00:00 11:06
080110011120P000 21-11-2020 21-11-2020 Diabetes Diabetes
298 0000361282961 TABITA P PBI (APBN) diabetes mellitus without Berobat Jalan
345 00:00 12:18 Mellitus Mellitus
complications
299 0000361287101 MASNIAR BA P PBI (APBN) Berobat Jalan
742 00:00 11:07 [common cold]
300 0000361287696 SITY NENDEN SAPUTRI P PBI (APBN) Berobat Jalan
741 00:00 11:07 [common cold]
080110011120P000 21-11-2020 21-11-2020 PEKERJA Chronic ischaemic heart
301 0001314037089 TASAR ST. BATUAH L Berobat Jalan
343 00:00 10:29 MANDIRI disease, unspecified
080110011120P000 21-11-2020 01-12-2020

302 0001822600416 siti asnawati P PNS DAERAH Gastritis, unspecified Berobat Jalan
736 00:00 11:04
PEGAWAI
PEMERINTAH
080110011120P000 21-11-2020 01-12-2020
303 0001886213575 afifa nahda rafanda aderi P DENGAN Fever, unspecified Berobat Jalan
734 00:00 11:03
PERJANJIAN
KERJA
080110011120P000 21-11-2020 01-12-2020
304 0002078241052 HERMINI P PNS DAERAH Gastritis, unspecified Berobat Jalan
733 00:00 11:02
080110011120P000 21-11-2020 21-11-2020 Malignant neoplasm of
305 0002456032454 DARNILAH KR P PBI (APBN) Rujuk Vertikal
338 00:00 07:39 breast
306 0002594612957 MAIDAH P PBI (APBN) Berobat Jalan
728 00:00 10:58 [common cold]
080110011120P000 21-11-2020 01-12-2020
307 0002607526192 ERNAWATI P PBI (APBN) Fever, unspecified Berobat Jalan
735 00:00 11:03
080110011120P000 21-11-2020 01-12-2020
308 0002615915035 NURANINDYA ATHA R. W P PNS DAERAH Fever, unspecified Berobat Jalan
738 00:00 11:06
080110011120P000 21-11-2020 01-12-2020
309 0002626763556 AZRA NUR DAVINA P PBI (APBN) Fever, unspecified Berobat Jalan
731 00:00 11:01
080110011120P000 20-11-2020 01-12-2020
310 0000032496039 SUKRIYONO, SE L PNS DAERAH Fever, unspecified Berobat Jalan
722 00:00 10:53
311 0000033407098 NIZWAR L diabetes mellitus with Rujuk Vertikal
312 0000165875578 ABU BAKAR, S.T L PNS DAERAH Berobat Jalan
080110011120P000 20-11-2020 20-11-2020 Other chronic suppurative
313 0000166537877 MEGA YANASARI P PNS DAERAH Rujuk Vertikal
331 00:00 09:02 otitis media
080110011120P000 20-11-2020 20-11-2020 Diabetes
314 0000360227294 EVILAWATI P PBI (APBN) diabetes mellitus without Berobat Jalan
337 00:00 11:29 Mellitus
complications
080110011120P000 20-11-2020 01-12-2020
315 0000361522067 AGUS SALIM CHANIAGO L PBI (APBN) Gastritis, unspecified Berobat Jalan
723 00:00 10:54
080110011120P000 20-11-2020 01-12-2020
316 0001100405092 NABIL HADRIAN ABIYA L ANGGOTA POLRI Gastritis, unspecified Berobat Jalan
721 00:00 10:46
080110011120P000 20-11-2020 20-11-2020 PEGAWAI
317 0001159860587 JUNARIAH P Calculus of ureter Rujuk Vertikal
327 00:00 08:45 SWASTA
080110011120P000 20-11-2020 20-11-2020 PEGAWAI
318 0001274352366 ANDRIAN SIMAGONA L Scrotal varices Rujuk Vertikal
336 00:00 10:32 SWASTA

319 0001807775256 DJAUHAR SURYANI P Berobat Jalan
Insulin-dependent
080110011120P000 20-11-2020 20-11-2020 PEKERJA Diabetes Diabetes
320 0001810005658 ir. fauzia amran.hs. P diabetes mellitus without Berobat Jalan
335 00:00 10:00 MANDIRI Mellitus Mellitus
complications
080110011120P000 20-11-2020 20-11-2020 PEKERJA
321 0002035712272 DARNALI L Nasal polyp, unspecified Rujuk Vertikal
330 00:00 08:54 MANDIRI
080110011120P000 20-11-2020 01-12-2020 ZHAFRAN ATHALLAH
322 0002251472297 L PNS DAERAH Antenatal screening Berobat Jalan
727 00:00 10:57 SAMANTHA
080110011120P000 20-11-2020 20-11-2020 PEKERJA Chronic renal failure,
323 0002426208726 NURREFLY P Rujuk Vertikal
080110011120P000 20-11-2020 20-11-2020
324 0002463228674 ROSWARI P PBI (APBN) Fracture of femur Rujuk Vertikal
328 00:00 08:50
080110011120P000 20-11-2020 01-12-2020
325 0002566631316 PUJI ASTUTI P PBI (APBN) Antenatal screening Berobat Jalan
725 00:00 10:56
080110011120P000 20-11-2020 01-12-2020 ABIAN EVANO Acute nasopharyngitis
326 0002917369451 L PBI (APBN) Berobat Jalan
724 00:00 10:55 FERGIAWAN [common cold]
080110011120P000 20-11-2020 01-12-2020 ALAIKA KHANSA PEGAWAI Need for immunization
327 0002920802556 L Berobat Jalan
726 00:00 10:56 MAHESTRI SWASTA against poliomyelitis
328 0000029507556 HAMBALI. AM L PNS DAERAH mellitus with multiple Berobat Jalan
complications
080110011120P000 19-11-2020 01-12-2020
329 0000032578244 SARDI L PNS DAERAH Fever, unspecified Berobat Jalan
707 00:00 10:38
080110011120P000 19-11-2020 19-11-2020 PENERIMA
330 0000032689102 JIMMY F HARTONO L Hearing loss, unspecified Rujuk Vertikal
309 00:00 08:36 PENSIUN PNS
080110011120P000 19-11-2020 01-12-2020 PENERIMA Acute nasopharyngitis
331 0000032699665 WASITO HADI L Berobat Jalan
713 00:00 10:41 PENSIUN PNS [common cold]
332 0000033442345 SUKARNO RAMBE L mellitus without Berobat Jalan Mellitus
080110011120P000 19-11-2020 01-12-2020 PENERIMA
333 0000033631773 SUMIATI P Fever, unspecified Berobat Jalan
705 00:00 10:37 PENSIUN PNS
Insulin-dependent
334 0000033694334 IR BUDIONO L diabetes mellitus with Berobat Jalan
080110011120P000 19-11-2020 19-11-2020
335 0000033807104 HALIMAH P PNS DAERAH Chronic kidney disease Rujuk Vertikal
326 00:00 12:05

336 0000033988432 YENI SUSNITA P PNS DAERAH Rujuk Vertikal
318 00:00 09:45 disease
080110011120P000 19-11-2020 19-11-2020
337 0000034483792 MAIMUNAH. M. UMAR P PNS DAERAH Tinnitus Rujuk Vertikal
308 00:00 08:36
338 0000171950332 ABDULLAH L Acute cholecystitis Rujuk Vertikal
080110011120P000 19-11-2020 01-12-2020
339 0000200091508 R. YONI D. ALFAIZ L PNS DAERAH Gastritis, unspecified Berobat Jalan
718 00:00 10:44
080110011120P000 19-11-2020 01-12-2020
340 0000201321022 MUNAWAR SHODIQ L PNS PUSAT Fever, unspecified Berobat Jalan
719 00:00 10:44
080110011120P000 19-11-2020 01-12-2020
341 0000337228479 DIAN NOVITA P PBI (APBN) Fever, unspecified Berobat Jalan
709 00:00 10:39
Other disorders of kidney
080110011120P000 19-11-2020 19-11-2020
342 0000360281327 SUMARMAN L PBI (APBD) and ureter, not elsewhere Rujuk Vertikal
313 00:00 08:57
classified
080110011120P000 19-11-2020 01-12-2020
343 0000360286784 AGUS. P L PBI (APBN) Fever, unspecified Berobat Jalan
714 00:00 10:42
344 0000360431267 SUWARNO L PBI (APBN) Berobat Jalan
345 0000360578485 ARJUNA P PBI (APBN) Berobat Jalan
717 00:00 10:43 [common cold]
080110011120P000 19-11-2020 01-12-2020
346 0000360606251 JUMINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
711 00:00 10:40
347 0000360607296 KARKO SEMBIRING L PBI (APBN) Berobat Jalan
712 00:00 10:41 [common cold]
080110011120P000 19-11-2020 01-12-2020
348 0000360635141 MARYAMAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
708 00:00 10:39
080110011120P000 19-11-2020 01-12-2020
349 0000361674999 HASINA P PBI (APBN) Gastritis, unspecified Berobat Jalan
706 00:00 10:38
080110011120P000 19-11-2020 19-11-2020
350 0000395643701 VICA NABILA PUTRI P PBI (APBN) Necrosis of pulp Rujuk Vertikal
305 00:00 08:24
351 0001190182386 LENI SUHARNI P PEGAWAI BUMN Berobat Jalan
715 00:00 10:42 [common cold]
080110011120P000 19-11-2020 19-11-2020 PEKERJA
352 0001370384864 FAIRUS ABADI SH L Congestive heart failure Rujuk Vertikal Hipertensi
317 00:00 09:40 MANDIRI
353 0001434247762 ARSIL L mellitus with multiple Rujuk Vertikal
complications
080110011120P000 19-11-2020 19-11-2020
354 0001478497408 SULAIMAN L PBI (APBD) Epilepsy Rujuk Vertikal
321 00:00 10:09
Follow-up examination
080110011120P000 19-11-2020 19-11-2020
355 0001792282048 ahmad zubaidi L PNS DAERAH after other treatment for Berobat Jalan
320 00:00 09:49
other conditions
080110011120P000 19-11-2020 19-11-2020 PEKERJA
356 0001811602269 imron jaya sironi L diabetes mellitus with Rujuk Vertikal Mellitus
314 00:00 08:59 MANDIRI
080110011120P000 19-11-2020 19-11-2020 PEKERJA
357 0001842811841 YATMINI P Gastrojejunal ulcer Rujuk Vertikal
324 00:00 10:42 MANDIRI
PEGAWAI
PEMERINTAH
080110011120P000 19-11-2020 19-11-2020
358 0002033778047 RONI PASLAH L DENGAN Cellulitis of other sites Rujuk Vertikal
325 00:00 10:47
PERJANJIAN
KERJA
PEGAWAI
PEMERINTAH
080110011120P000 19-11-2020 19-11-2020
359 0002217414903 ABUWAPA S.S. PUBIAN L DENGAN Inguinal hernia Rujuk Vertikal
312 00:00 08:53
PERJANJIAN
KERJA
080110011120P000 19-11-2020 19-11-2020 PEKERJA Chronic renal failure,
360 0002426208726 NURREFLY P Rujuk Vertikal
080110011120P000 19-11-2020 01-12-2020
361 0002432297316 AMIRUDIN L PBI (APBN) Headache Berobat Jalan
710 00:00 10:40
080110011120P000 19-11-2020 19-11-2020
362 0002482042127 JUANDI L PBI (APBN) Epilepsy Rujuk Vertikal
306 00:00 08:31
080110011120P000 19-11-2020 01-12-2020
363 0002566682054 ABDUL MALIK L PBI (APBD) Fever, unspecified Berobat Jalan
716 00:00 10:43
080110011120P000 19-11-2020 01-12-2020
720 00:00 10:45
080110011120P000 19-11-2020 19-11-2020 Intrauterine hypoxia,
365 0002639989732 MASAMAH P PBI (APBN) Rujuk Vertikal
080110011120P000 18-11-2020 18-11-2020 PENERIMA Gastro-oesophageal reflux

366 0000032156403 DRS YUHANDI RIFA'I MM L Rujuk Vertikal
289 00:00 08:55 PENSIUN PNS disease with oesophagitis
080110011120P000 18-11-2020 18-11-2020 PEGAWAI Disorders of

367 0000032423714 TANTAN PRATAMA L Rujuk Vertikal
303 00:00 11:03 SWASTA accommodation
368 0000033014081 ERYATI P PNS DAERAH Rujuk Vertikal
291 00:00 09:03 disease
080110011120P000 18-11-2020 01-12-2020
369 0000033048628 NURHASANAH P PNS DAERAH Gastritis, unspecified Berobat Jalan
687 00:00 09:43
080110011120P000 18-11-2020 18-11-2020 PENERIMA
370 0000033745509 WINARTI, S. PD P Congestive heart failure Berobat Jalan
304 00:00 11:31 PENSIUN PNS
080110011120P000 18-11-2020 01-12-2020

371 0000033789374 NURHAYATI P PNS DAERAH Fever, unspecified Berobat Jalan
698 00:00 10:34
080110011120P000 18-11-2020 01-12-2020 PENERIMA Fever of other and
372 0000034171402 ALIMUDIN RAIS L Berobat Jalan
692 00:00 09:46 PENSIUN PNS unknown origin
373 0000034770093 KARNADI MARSAID L Berobat Jalan
080110011120P000 18-11-2020 18-11-2020
374 0000035803686 HAMIDAH HASAN P PNS PUSAT Chronic kidney disease Rujuk Vertikal
292 00:00 09:34
080110011120P000 18-11-2020 01-12-2020
375 0000168869158 ADAM MALIK L PNS DAERAH Fever, unspecified Berobat Jalan
695 00:00 10:32
080110011120P000 18-11-2020 18-11-2020 Disorders of
376 0000201321022 MUNAWAR SHODIQ L PNS PUSAT Rujuk Vertikal
080110011120P000 18-11-2020 01-12-2020 PEGAWAI
377 0000204285453 WURI IRAWAN L Fever, unspecified Berobat Jalan
691 00:00 09:45 SWASTA
080110011120P000 18-11-2020 01-12-2020
378 0000360191709 MASRUROH P PBI (APBN) Antenatal screening Berobat Jalan
704 00:00 10:36
080110011120P000 18-11-2020 01-12-2020
379 0000360256588 NURAIDA P PBI (APBN) Antenatal screening Berobat Jalan
702 00:00 10:35
380 0000360268402 NUR BAITI P PBI (APBN) Rujuk Vertikal Hipertensi
298 00:00 10:39 disease
080110011120P000 18-11-2020 01-12-2020
381 0000360486955 MISNAWATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
689 00:00 09:44
382 0000360607904 PALAHIYAH P PBI (APBN) Rujuk Vertikal Hipertensi
294 00:00 10:05 disease
080110011120P000 18-11-2020 01-12-2020 PEGAWAI
383 0000360615036 MASAMAH P Headache Berobat Jalan
699 00:00 10:34 SWASTA
080110011120P000 18-11-2020 01-12-2020
384 0000360829855 REFI OCTARIANI P PBI (APBN) Headache Berobat Jalan
700 00:00 10:35
080110011120P000 18-11-2020 01-12-2020
385 0000361179775 DWI ANA CANTIKA PUTRI P PBI (APBN) Antenatal screening Berobat Jalan
703 00:00 10:36
080110011120P000 18-11-2020 18-11-2020
386 0000361179775 DWI ANA CANTIKA PUTRI P PBI (APBN) Amenorrhoea, unspecified Rujuk Vertikal
297 00:00 10:35
080110011120P000 18-11-2020 01-12-2020 Fever of other and
387 0000996551594 ZUBAIDAH P PBI (APBN) Berobat Jalan
690 00:00 09:44 unknown origin
080110011120P000 18-11-2020 01-12-2020
388 0000997704876 ABRON L PBI (APBD) Fever, unspecified Berobat Jalan
686 00:00 09:42
389 0001278094691 titik kurniati P Berobat Jalan
080110011120P000 18-11-2020 01-12-2020 PEKERJA

390 0001296425428 WANI SUGIANTI P Gastritis, unspecified Berobat Jalan
696 00:00 10:33 MANDIRI
080110011120P000 18-11-2020 01-12-2020
391 0001599519036 DAMIDJI L PBI (APBN) Fever, unspecified Berobat Jalan
688 00:00 09:43
080110011120P000 18-11-2020 18-11-2020 PEKERJA
392 0001819355681 hi. ahmad yusup L Congestive heart failure Rujuk Vertikal
293 00:00 09:44 MANDIRI
Anaemia in chronic
393 0001868762856 SAENAH P diseases classified Rujuk Vertikal
elsewhere
080110011120P000 18-11-2020 18-11-2020 PEGAWAI
394 0002079579565 ARSY ALIFA KADZAALIKA P Thalassaemia Rujuk Vertikal
299 00:00 10:48 SWASTA
395 0002325369104 SRI HARTINI P PBI (APBD) Rujuk Vertikal
080110011120P000 18-11-2020 18-11-2020 PEGAWAI
396 0002437007826 DESTRIA YULIARTI P Missed abortion Rujuk Vertikal
296 00:00 10:19 SWASTA
080110011120P000 18-11-2020 18-11-2020 PEGAWAI Disorders of
397 0002565918257 ANTIKA SURYA P Rujuk Vertikal
302 00:00 11:00 SWASTA accommodation
398 0002565921532 RENI WULANDARI P PBI (APBD) Berobat Jalan
697 00:00 10:33 [common cold]
080110011120P000 18-11-2020 01-12-2020
399 0002566680783 NOVITA CHOIRUNNISA P PBI (APBD) Fever, unspecified Berobat Jalan
694 00:00 10:32
080110011120P000 18-11-2020 18-11-2020
400 0002880390666 YANI P PBI (APBD) Low back pain Rujuk Vertikal
295 00:00 10:09
080110011120P000 18-11-2020 01-12-2020 PENERIMA
401 0003052456942 SUSILAWATI P Gastritis, unspecified Berobat Jalan
693 00:00 10:31 PENSIUN PNS
080110011120P000 17-11-2020 01-12-2020 PENERIMA
402 0000032626686 SALEH SUHERMAN L Fever, unspecified Berobat Jalan
672 00:00 09:16 PENSIUN TNI
Diabetes
080110011120P000 17-11-2020 17-11-2020 Chronic ischaemic heart
403 0000032920031 AGUS TRIYANTO L PNS DAERAH Berobat Jalan Mellitus Hipertensi
284 00:00 11:51 disease
Hipertensi
404 0000033981052 APRILINA BR SEMBIRING P PNS DAERAH Berobat Jalan
234 00:00 08:26 disease
080110011120P000 17-11-2020 17-11-2020
405 0000034015217 NENENG WIDANINGSIH P PNS DAERAH Other glaucoma Rujuk Vertikal
235 00:00 08:28
080110011120P000 17-11-2020 17-11-2020 Disorder of bone density
406 0000034208289 HAJINAH P PNS DAERAH Rujuk Vertikal
276 00:00 09:42 and structure, unspecified
080110011120P000 17-11-2020 01-12-2020
407 0000147895165 SITI SURANTI P PNS PUSAT Antenatal screening Berobat Jalan
680 00:00 09:21
080110011120P000 17-11-2020 17-11-2020
408 0000360144775 JANI APRIYANA P PBI (APBN) Chalazion Rujuk Vertikal
281 00:00 09:49
080110011120P000 17-11-2020 17-11-2020 Contraceptive

409 0000360236092 HARYANTI P PBI (APBN) Berobat Jalan
260 00:00 09:34 management
080110011120P000 17-11-2020 01-12-2020
410 0000360236092 HARYANTI P PBI (APBN) Antenatal screening Berobat Jalan
677 00:00 09:19
411 0000360352675 ERLIANA BASORI P PBI (APBN) Rujuk Vertikal
080110011120P000 17-11-2020 18-11-2020 Diabetes
412 0000360401984 MAISAROH P PBI (APBN) diabetes mellitus without Berobat Jalan
288 00:00 08:52 Mellitus
complications
080110011120P000 17-11-2020 17-11-2020 Contraceptive
413 0000360458008 DESIYANI P PBI (APBN) Berobat Jalan
266 00:00 09:36 management
414 0000361142469 JAMILAH HARNUM P PBI (APBN) Berobat Jalan Hipertensi
080110011120P000 17-11-2020 17-11-2020
415 0000361215033 MAS NONA P PBI (APBN) Heart failure Berobat Jalan
236 00:00 08:34
080110011120P000 17-11-2020 17-11-2020 Other specified disorders

416 0000997708353 SOFYAN ALI L PBI (APBN) Rujuk Vertikal
258 00:00 09:30 of nose and nasal sinuses
080110011120P000 17-11-2020 17-11-2020

417 0001313630548 HAWATI P PBI (APBD) Threatened abortion Rujuk Vertikal
283 00:00 11:33
080110011120P000 17-11-2020 01-12-2020
418 0001313630548 HAWATI P PBI (APBD) Antenatal screening Berobat Jalan
684 00:00 09:23
080110011120P000 17-11-2020 17-11-2020 PEKERJA Single delivery by
419 0001812275763 SERA APRIDA ULPA P Rujuk Vertikal
282 00:00 10:52 MANDIRI caesarean section
080110011120P000 17-11-2020 01-12-2020 MUHAMMAD ADEN
420 0001901812858 L PNS DAERAH Headache Berobat Jalan
674 00:00 09:18 SAPUTRA
080110011120P000 17-11-2020 01-12-2020 PENERIMA
421 0001968316503 FATIMAH P Fever, unspecified Berobat Jalan
671 00:00 09:16 PENSIUN TNI
080110011120P000 17-11-2020 17-11-2020 PEKERJA Other chronic obstructive
422 0002088985915 MARSIH P Rujuk Vertikal
250 00:00 09:19 MANDIRI pulmonary disease
080110011120P000 17-11-2020 17-11-2020 PEGAWAI Contraceptive
423 0002317001229 cica anggun lestari P Berobat Jalan
238 00:00 09:10 SWASTA management
424 0002327697325 PAIMUN SALEH L PBI (APBN) Berobat Jalan Hipertensi
080110011120P000 17-11-2020 17-11-2020 PEKERJA
425 0002421247454 SANILAH P Heart failure Berobat Jalan
233 00:00 08:17 MANDIRI
080110011120P000 17-11-2020 01-12-2020
426 0002565360854 ENI TRI SUPRIYATIN P PBI (APBD) Antenatal screening Berobat Jalan
678 00:00 09:20
427 0002791665099 NIRMAWATI P PBI (APBN) Berobat Jalan
676 00:00 09:19 [common cold]
080110011120P000 17-11-2020 01-12-2020

428 0002791665099 NIRMAWATI P PBI (APBN) Antenatal screening Berobat Jalan
685 00:00 09:23
080110011120P000 17-11-2020 01-12-2020 RIZKY REYHAN Need for immunization
429 0002889451293 L PBI (APBN) Berobat Jalan
683 00:00 09:22 RAMADHAN against poliomyelitis
080110011120P000 17-11-2020 17-11-2020 PEKERJA
430 0002926256668 SOINAH P Liver disease, unspecified Rujuk Vertikal
275 00:00 09:41 MANDIRI
431 0002933402275 MAISA ALFIANA HUMAIRA P Berobat Jalan
080110011120P000 17-11-2020 01-12-2020 PEGAWAI
432 0003049487471 FAQIH ABDI WIJAYA L Fever, unspecified Berobat Jalan
675 00:00 09:18 SWASTA
433 0003049487471 FAQIH ABDI WIJAYA L Berobat Jalan
080110011120P000 17-11-2020 01-12-2020 PEGAWAI
434 0003051831723 YUZARSIF KUSNADI L Antenatal screening Berobat Jalan
681 00:00 09:21 SWASTA
080110011120P000 17-11-2020 01-12-2020 PEGAWAI
435 0003051831723 YUZARSIF KUSNADI L Gastritis, unspecified Berobat Jalan
673 00:00 09:17 SWASTA
Insulin-dependent
436 0000029507556 HAMBALI. AM L PNS DAERAH diabetes mellitus with Rujuk Vertikal
Diabetes
437 0000032696616 BAMBANG HARTONO, IR L Berobat Jalan Hipertensi Mellitus
Hipertensi
080110011120P000 16-11-2020 01-12-2020 RAHAYU DIAH Acute nasopharyngitis
438 0000033023924 P PNS DAERAH Berobat Jalan
661 00:00 09:11 DARMAYANTI [common cold]
Insulin-dependent
439 0000033694334 IR BUDIONO L diabetes mellitus with Rujuk Vertikal
440 0000033719949 HAYANI JAKFAR P Berobat Jalan
441 0000033732314 RATNA ROSIDA RIFADATI P PNS DAERAH Berobat Jalan Hipertensi
080110011120P000 16-11-2020 01-12-2020
442 0000033859967 SITI AZKIYAH P PNS PUSAT Fever, unspecified Berobat Jalan
666 00:00 09:13
443 0000034770093 KARNADI MARSAID L Rujuk Vertikal
080110011120P000 16-11-2020 16-11-2020 Complications specific to
444 0000035589003 MERI YUNITA P PNS DAERAH Rujuk Vertikal
219 00:00 10:00 multiple gestation
080110011120P000 16-11-2020 16-11-2020 Diabetes
445 0000036398092 SABIRIN L PNS PUSAT mellitus with other Rujuk Vertikal Mellitus
206 00:00 08:44 Mellitus
specified complications Hipertensi

446 0000043979703 KARIYAH BT SALIM P Berobat Jalan Hipertensi
202 00:00 08:04 PENSIUN TNI disease
080110011120P000 16-11-2020 16-11-2020 Calculus of kidney and
447 0000048056826 ALI MUHTAR KESUMA L PNS PUSAT Rujuk Vertikal
211 00:00 08:59 ureter
080110011120P000 16-11-2020 16-11-2020 PENERIMA
448 0000158598909 SUSIYATI P diabetes mellitus without Berobat Jalan Mellitus Hipertensi
213 00:00 09:26 PENSIUN PNS
Other neoplasms of
uncertain or unknown
080110011120P000 16-11-2020 16-11-2020
449 0000174146793 MERY TASWIN L PNS DAERAH behaviour of lymphoid, Rujuk Vertikal
224 00:00 10:27
haematopoietic and
related tissue
080110011120P000 16-11-2020 01-12-2020
450 0000200091508 R. YONI D. ALFAIZ L PNS DAERAH Fever, unspecified Berobat Jalan
663 00:00 09:11
080110011120P000 16-11-2020 16-11-2020 Thyrotoxicosis
451 0000359997726 ELVA YUNIAR P PBI (APBN) Rujuk Vertikal
217 00:00 09:48 [hyperthyroidism]
080110011120P000 16-11-2020 16-11-2020
452 0000360154089 YUSUP BUDIMAN L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
231 00:00 11:40
080110011120P000 16-11-2020 01-12-2020
453 0000360296954 ESTI SRI HANDAYANI P PBI (APBN) Antenatal screening Berobat Jalan
669 00:00 09:14
080110011120P000 16-11-2020 01-12-2020
454 0000360304402 REZA HARDIATI P PBI (APBN) Antenatal screening Berobat Jalan
670 00:00 09:15
455 0000360305763 NENY HERYANA P PBI (APBN) Berobat Jalan Hipertensi
080110011120P000 16-11-2020 01-12-2020
456 0000360367277 ERNIYATI P PBI (APBN) Gastritis, unspecified Berobat Jalan
652 00:00 09:02
457 0000360793293 MAHAT YAHYA R L PBI (APBN) Berobat Jalan
658 00:00 09:09 [common cold]
080110011120P000 16-11-2020 16-11-2020
458 0000360830957 SITI HOMSIAH P PBI (APBD) Glaucoma, unspecified Rujuk Vertikal
216 00:00 09:42
459 0000360831352 ARI L PBI (APBN) Berobat Jalan
080110011120P000 16-11-2020 01-12-2020
460 0000360834232 SRI MARYATI P PBI (APBN) Antenatal screening Berobat Jalan
667 00:00 09:13
080110011120P000 16-11-2020 16-11-2020 Leiomyoma of uterus,
461 0000360834232 SRI MARYATI P PBI (APBN) Rujuk Vertikal
080110011120P000 16-11-2020 01-12-2020
462 0000361076253 NELY AGUSTIN P PBI (APBN) Antenatal screening Berobat Jalan
668 00:00 09:14
080110011120P000 16-11-2020 16-11-2020
463 0000361140276 SRI MARYANI P PBI (APBN) Decubitus ulcer Rujuk Vertikal
209 00:00 08:53
464 0000361282961 TABITA P PBI (APBN) diabetes mellitus with Berobat Jalan
080110011120P000 16-11-2020 01-12-2020 RACHMAN EFENDI PEGAWAI
465 0001129577062 L Fever, unspecified Berobat Jalan
664 00:00 09:12 HARAHAP SWASTA
080110011120P000 16-11-2020 01-12-2020 PEGAWAI Fever of other and
466 0001170060849 PUSPITAWATI P Berobat Jalan
649 00:00 09:01 SWASTA unknown origin
080110011120P000 16-11-2020 01-12-2020 DWI CHANDRA YULIA PEKERJA
467 0001382148055 P Gastritis, unspecified Berobat Jalan
662 00:00 09:11 SARI MANDIRI
080110011120P000 16-11-2020 16-11-2020 PEGAWAI Contraceptive
468 0001448110269 TIKA RATNA SARI P Berobat Jalan
229 00:00 11:35 SWASTA management
080110011120P000 16-11-2020 16-11-2020 Arthrosis, unspecified,
469 0001448549649 CINDAWANI P PNS DAERAH Rujuk Vertikal
221 00:00 10:12 multiple sites
080110011120P000 16-11-2020 16-11-2020 DELLA BERLIANA DWI PEGAWAI
470 0001591272696 P Schizophrenia Rujuk Vertikal
220 00:00 10:10 SAFITRI SWASTA
080110011120P000 16-11-2020 01-12-2020 PEGAWAI
471 0001591287917 AGUS AGATHA JOHAN A L Gastritis, unspecified Berobat Jalan
650 00:00 09:01 SWASTA
080110011120P000 16-11-2020 16-11-2020 PEKERJA
472 0001803521158 ahmad julian L Paranoid schizophrenia Rujuk Vertikal
214 00:00 09:35 MANDIRI
080110011120P000 16-11-2020 16-11-2020 PEKERJA Other and unspecified
473 0001838771908 DENNY AHMADI L Rujuk Vertikal
205 00:00 08:39 MANDIRI hydronephrosis
474 0001853114679 GUNAWAN L Rujuk Vertikal
080110011120P000 16-11-2020 01-12-2020 NOPIZON EKA SAPUTRA, PEKERJA
475 0002035703766 L Gastritis, unspecified Berobat Jalan
659 00:00 09:10 SE MANDIRI
080110011120P000 16-11-2020 01-12-2020 SUSHINTA TRISTYAWATI, PEKERJA Diabetes
476 0002035704295 P Fever, unspecified Berobat Jalan
655 00:00 09:06 SE MANDIRI Mellitus
477 0002074534931 EKA PRISNA SARI P diabetes mellitus without Berobat Jalan
complications
Diabetes Diabetes
080110011120P000 16-11-2020 16-11-2020 PEKERJA
478 0002200821006 SEPRIYANDI L Pulpitis Rujuk Vertikal Mellitus Mellitus
222 00:00 10:15 MANDIRI
Hipertensi Hipertensi
080110011120P000 16-11-2020 16-11-2020 Disturbances in tooth
479 0002201693962 DINDA KAILA PUTRI P PNS DAERAH Rujuk Vertikal
207 00:00 08:46 eruption
080110011120P000 16-11-2020 01-12-2020 MARINGAN PASARIBU,
480 0002566632429 L PBI (APBD) Fever, unspecified Berobat Jalan
654 00:00 09:05 Drs
080110011120P000 16-11-2020 01-12-2020
481 0002566639258 AKBAR ANANDA CIPTA L PBI (APBD) Headache Berobat Jalan
665 00:00 09:12
080110011120P000 16-11-2020 01-12-2020

482 0002593636209 ASNIYAH P PBI (APBN) Fever, unspecified Berobat Jalan
656 00:00 09:07
080110011120P000 16-11-2020 01-12-2020
483 0002608459187 HASBUNALLOH L PBI (APBN) Gastritis, unspecified Berobat Jalan
653 00:00 09:04
080110011120P000 16-11-2020 16-11-2020 Moderate depressive
484 0002629402299 KHOLIFATUL HANIFA P PBI (APBN) Rujuk Vertikal
210 00:00 08:54 episode
485 0002791662524 RAMDANI EFENDI L PBI (APBN) Rujuk Vertikal
080110011120P000 16-11-2020 16-11-2020
486 0002791662614 UJANG MINTARYO L PBI (APBN) Schizophrenia Rujuk Vertikal
215 00:00 09:37
487 0002835350109 MAITA SARI P PBI (APBN) Berobat Jalan
080110011120P000 16-11-2020 01-12-2020
488 0002863346455 AGUS SURAHMAN L PBI (APBN) Fever, unspecified Berobat Jalan
660 00:00 09:10
080110011120P000 14-11-2020 01-12-2020 PENERIMA
489 0000032825529 AMNA MUSA P Gastritis, unspecified Berobat Jalan
641 00:00 08:51 PENSIUN PNS
080110011120P000 14-11-2020 01-12-2020
490 0000033885314 ROSILAWATI P PNS PUSAT Gastritis, unspecified Berobat Jalan
646 00:00 08:54
080110011120P000 14-11-2020 14-11-2020
491 0000359158691 ERWANSYAH L PBI (APBN) Paranoid schizophrenia Rujuk Vertikal
180 00:00 08:54
080110011120P000 14-11-2020 14-11-2020 Disorders of
492 0000360144562 M. TEZAR DWI IKHSAN L PBI (APBN) Rujuk Vertikal
080110011120P000 14-11-2020 14-11-2020
493 0000360356264 TATA ADEA SAPUTRI P PBI (APBN) Haematemesis Rujuk Vertikal
187 00:00 10:54
080110011120P000 14-11-2020 01-12-2020
494 0000360751724 DINI BELLA ARYANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
635 00:00 08:48
495 0000361325799 ELIZAR L PBI (APBN) Berobat Jalan
496 0000361359909 TARMI P PBI (APBN) Berobat Jalan
640 00:00 08:50 [common cold]
080110011120P000 14-11-2020 01-12-2020
497 0000361646651 ZAINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
633 00:00 08:47
498 0000997702479 AISYAH P PBI (APBN) Berobat Jalan
499 0001266256179 HARYANTO L Berobat Jalan
500 0001268204343 GLARRIAWATI P Berobat Jalan
080110011120P000 14-11-2020 01-12-2020 PEKERJA Fever of other and

501 0001268205546 ERINA AMANDA PUTRI P Berobat Jalan
632 00:00 08:46 MANDIRI unknown origin
502 0001314037089 TASAR ST. BATUAH L Rujuk Vertikal
503 0001314037708 ERNI TASAR P Berobat Jalan
080110011120P000 14-11-2020 14-11-2020 PEGAWAI Thyrotoxicosis
504 0001622573278 YEYEN HADIYANTI P Rujuk Vertikal
186 00:00 10:53 SWASTA [hyperthyroidism]
505 0001795087631 vineria hutauruk P PNS DAERAH Berobat Jalan

506 0001807775256 DJAUHAR SURYANI P Rujuk Vertikal

507 0001838771908 DENNY AHMADI L Berobat Jalan
508 0001853114679 GUNAWAN L Berobat Jalan
080110011120P000 14-11-2020 14-11-2020 PEKERJA Hypertensive heart
509 0002035713025 SUKARTI P Rujuk Vertikal Hipertensi
Insulin-dependent
080110011120P000 14-11-2020 14-11-2020 PEGAWAI Diabetes
510 0002036806841 ASRIANI P diabetes mellitus with Berobat Jalan
178 00:00 08:27 SWASTA Mellitus
511 0002074534931 EKA PRISNA SARI P diabetes mellitus with Rujuk Vertikal
unspecified complications
080110011120P000 14-11-2020 14-11-2020 PEKERJA
512 0002200821006 SEPRIYANDI L diabetes mellitus without Berobat Jalan Mellitus Mellitus
188 00:00 11:23 MANDIRI
complications Hipertensi Hipertensi
080110011120P000 14-11-2020 01-12-2020 PEKERJA
513 0002423831477 DAI NURI RAZAK L Headache Berobat Jalan
644 00:00 08:53 MANDIRI
514 0002566630506 MADE SUKERTE L PBI (APBD) Berobat Jalan
080110011120P000 14-11-2020 01-12-2020
515 0002566638246 LOLLA WAROKA P PBI (APBD) Gastritis, unspecified Berobat Jalan
642 00:00 08:52
516 0003048074357 HADIANSYAH ARRAYAN L Berobat Jalan
080110011120P000 13-11-2020 01-12-2020 PENERIMA
517 0000033052961 SUPARNO L Gastritis, unspecified Berobat Jalan
626 00:00 08:23 PENSIUN PNS
Atherosclerotic
080110011120P000 13-11-2020 13-11-2020
518 0000033775683 DRS. ISKANDAR L PNS DAERAH cardiovascular disease, so Berobat Jalan
171 00:00 08:37
described
Insulin-dependent
519 0000034373013 RELAWATI P diabetes mellitus with Rujuk Vertikal
080110011120P000 13-11-2020 13-11-2020 Chronic renal failure,
520 0000035633867 TANSILA P PNS DAERAH Rujuk Vertikal
080110011120P000 13-11-2020 01-12-2020 PENERIMA
521 0000197134784 FENI SUSANTY P Headache Berobat Jalan
627 00:00 08:43 PENSIUN TNI
080110011120P000 13-11-2020 13-11-2020 Disease of inner ear,
522 0000201321022 MUNAWAR SHODIQ L PNS PUSAT Rujuk Vertikal
080110011120P000 13-11-2020 01-12-2020
523 0000203639231 SETIYONO L PNS DAERAH Gastritis, unspecified Berobat Jalan
624 00:00 08:20
080110011120P000 13-11-2020 13-11-2020
524 0000360182259 NENI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
173 00:00 09:08
525 0000361018787 SAMBUNG L Berobat Jalan
526 0000977666253 DELVI TRI WIDYASTUTI L Berobat Jalan
080110011120P000 13-11-2020 01-12-2020
527 0000997707104 HERLIANTO L PBI (APBN) Headache Berobat Jalan
625 00:00 08:21
080110011120P000 13-11-2020 13-11-2020 PEGAWAI Diabetes
528 0001139133611 IR. DARMAWAN L diabetes mellitus with Berobat Jalan Mellitus
177 00:00 10:41 SWASTA Mellitus
Unspecified organic or
080110011120P000 13-11-2020 13-11-2020 PEKERJA
529 0001313936954 SYAFRUDDIN SYATERI IR L symptomatic mental Rujuk Vertikal
172 00:00 09:01 MANDIRI
disorder
080110011120P000 13-11-2020 01-12-2020 PEKERJA
530 0001841548331 HI.BAY SYAMSURIE L Gastritis, unspecified Berobat Jalan
629 00:00 08:45 MANDIRI
531 0001987346834 FADEL DESTA NUGROHO L PBI (APBN) Berobat Jalan
532 0002791662928 NURHAYATI P PBI (APBN) Berobat Jalan
631 00:00 08:46 [common cold]
Insulin-dependent
080110011120P000 12-11-2020 Diabetes
533 11-12-2020 0000032821424 ZULAILI P PNS DAERAH diabetes mellitus with Rujuk Vertikal
156 08:46 Mellitus
080110011120P000 13-11-2020 PENERIMA Diabetes
534 11-12-2020 0000033091233 SITI ANUGRAH P diabetes mellitus without Berobat Jalan
174 09:12 PENSIUN PNS Mellitus
complications
080110011120P000 12-11-2020 Mononeuropathy of upper

535 11-12-2020 0000033886337 SATIYAH P PNS PUSAT Rujuk Vertikal
162 09:58 limb, unspecified
080110011120P000 30-11-2020 Fever of other and
536 11-12-2020 0000033887316 UMI KALSUM P PNS PUSAT Berobat Jalan
600 13:21 unknown origin
080110011120P000 12-11-2020 PENERIMA
537 11-12-2020 0000034075798 FASDARWATI BURMAN P Tinnitus Rujuk Vertikal
159 09:08 PENSIUN PNS
538 11-12-2020 0000034546724 NINI SUMARNI P PNS DAERAH Berobat Jalan
080110011120P000 13-11-2020 Diabetes
539 11-12-2020 0000073575584 ZURYATI P PNS DAERAH diabetes mellitus without Berobat Jalan
175 09:31 Mellitus
complications
080110011120P000 12-11-2020
540 11-12-2020 0000351412896 ASNI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
165 11:06
080110011120P000 30-11-2020
541 11-12-2020 0000360150715 MENTARI AULIA RAHMA P PBI (APBN) Gastritis, unspecified Berobat Jalan
593 13:17
542 11-12-2020 0000360183126 WIKE OKTORA P PBI (APBN) Berobat Jalan
080110011120P000 12-11-2020 AULIA NURJANAH
543 11-12-2020 0000360297347 P PBI (APBN) Epilepsy Rujuk Vertikal
157 08:47 ASABAN
080110011120P000 30-11-2020
544 11-12-2020 0000360387911 KRUDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan
592 13:16
080110011120P000 30-11-2020
545 11-12-2020 0000360475301 SUMARNI P PBI (APBN) Gastritis, unspecified Berobat Jalan
599 13:20
080110011120P000 12-11-2020 Other chronic obstructive
546 11-12-2020 0000360477562 SELA WINDA PUTRI P PBI (APBN) Rujuk Vertikal
163 10:11 pulmonary disease
080110011120P000 30-11-2020
547 11-12-2020 0000360694405 KHAIRUDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan
588 13:15
080110011120P000 01-12-2020
548 11-12-2020 0000360785452 DIAN LESTARI P PBI (APBN) Antenatal screening Berobat Jalan
622 08:19
080110011120P000 12-11-2020 PEKERJA Fracture at wrist and hand
549 11-12-2020 0000361018787 SAMBUNG L Rujuk Vertikal
158 08:50 MANDIRI level
080110011120P000 30-11-2020 Acute nasopharyngitis
550 11-12-2020 0000361140276 SRI MARYANI P PBI (APBN) Berobat Jalan
594 13:17 [common cold]
080110011120P000 30-11-2020
551 11-12-2020 0001101402786 IRMA ROPI P ANGGOTA POLRI Gastritis, unspecified Berobat Jalan
602 13:21
080110011120P000 12-11-2020 PEKERJA Disorders of autonomic
552 11-12-2020 0001278094691 titik kurniati P Rujuk Vertikal
166 13:12 MANDIRI nervous system
080110011120P000 30-11-2020 PENERIMA

553 11-12-2020 0001341966104 M.ROMLIE SJAFI'I BSC. L Headache Berobat Jalan
591 13:16 PENSIUN SWASTA
080110011120P000 12-11-2020 Cluster headache

554 11-12-2020 0001430240681 M. SALEH L PNS DAERAH Rujuk Vertikal
155 08:44 syndrome
080110011120P000 30-11-2020 PEGAWAI
555 11-12-2020 0001593308529 HEPPY SUSIANTI,S.Sos.I P Headache Berobat Jalan
604 13:23 SWASTA
080110011120P000 01-12-2020 PEGAWAI
556 11-12-2020 0001839495396 IPANA SARI P Antenatal screening Berobat Jalan
618 08:17 SWASTA
080110011120P000 30-11-2020
557 11-12-2020 0001873038611 USMAN L PBI (APBD) Gastritis, unspecified Berobat Jalan
596 13:18
080110011120P000 01-12-2020 PEKERJA
558 11-12-2020 0001896596807 YENI SAFITRI P Antenatal screening Berobat Jalan
620 08:18 MANDIRI
080110011120P000 30-11-2020 PEGAWAI Fever of other and
559 11-12-2020 0001904321823 joni m yusuf L Berobat Jalan
589 13:15 SWASTA unknown origin
080110011120P000 12-11-2020
560 11-12-2020 0002238597573 HUSNAN L PBI (APBD) Epilepsy Rujuk Vertikal
161 09:35
080110011120P000 01-12-2020 PEKERJA Need for immunization
561 11-12-2020 0002275133782 MUHAMMAD FIRDAUS L Berobat Jalan
619 08:17 MANDIRI against poliomyelitis
080110011120P000 12-11-2020 PEKERJA
562 11-12-2020 0002325157661 ROBIYATUL HASNAH P Epilepsy Rujuk Vertikal
160 09:25 MANDIRI
563 11-12-2020 0002456032454 DARNILAH KR P PBI (APBN) Berobat Jalan
564 11-12-2020 0002565921532 RENI WULANDARI P PBI (APBD) Rujuk Vertikal
080110011120P000 12-11-2020
565 11-12-2020 0002566636367 LINA P PBI (APBD) Senile cataract Rujuk Vertikal
154 08:36
566 11-12-2020 0002566639473 JUNAIDI L PBI (APBD) Berobat Jalan
080110011120P000 12-11-2020 Calculus of lower urinary
567 11-12-2020 0002566680996 JAHIDIN L PBI (APBD) Rujuk Vertikal
164 10:54 tract, unspecified
080110011120P000 01-12-2020
568 11-12-2020 0002607408549 JAMILAH P PBI (APBN) Antenatal screening Berobat Jalan
623 08:20
080110011120P000 01-12-2020
569 11-12-2020 0002835352743 SITI EVI SUSANTI P PBI (APBN) Antenatal screening Berobat Jalan
621 08:19
080110011120P000 01-12-2020 PEGAWAI
570 11-12-2020 0002937706828 QURROTA'AYUN P Chronic periodontitis Berobat Jalan
617 08:15 SWASTA
080110011120P000 30-11-2020 PENERIMA
571 11-11-2020 0000032008577 FACHRUDDIN L Gastritis, unspecified Berobat Jalan

572 11-11-2020 0000032507223 FLORA N SIREGAR P PNS DAERAH Berobat Jalan
080110011120P000 30-11-2020 PENERIMA Acute nasopharyngitis
573 11-11-2020 0000033154762 HI HUSWIARDY SPD L Berobat Jalan
562 09:50 PENSIUN PNS [common cold]
080110011120P000 30-11-2020 PENERIMA
574 11-11-2020 0000033647185 MASMARNI IDRIS BSC P Headache Berobat Jalan
080110011120P000 11-11-2020 Chronic renal failure,
575 11-11-2020 0000035139058 SYAHRIZA L PNS DAERAH Rujuk Vertikal
146 08:29 unspecified
080110011120P000 11-11-2020
576 11-11-2020 0000035610669 HJ. SRI WIDARTI S.KEP P PNS DAERAH Abrasion of teeth Rujuk Vertikal
143 08:14
080110011120P000 30-11-2020
577 11-11-2020 0000035610669 HJ. SRI WIDARTI S.KEP P PNS DAERAH Headache Berobat Jalan
546 09:42
080110011120P000 30-11-2020
578 11-11-2020 0000167659007 NURHASIKIN P PNS DAERAH Gastritis, unspecified Berobat Jalan
553 09:46
080110011120P000 30-11-2020
579 11-11-2020 0000360303186 ALVAN KURNIAWAN L PBI (APBN) Gastritis, unspecified Berobat Jalan
558 09:48
580 11-11-2020 0000360461946 ZAINUNAH P PBI (APBN) Berobat Jalan
080110011120P000 30-11-2020
581 11-11-2020 0000360752049 DJOKO SUSANTO L PBI (APBN) Gastritis, unspecified Berobat Jalan
554 09:47
582 11-11-2020 0000361263429 SANA'AH P PBI (APBN) Berobat Jalan
080110011120P000 30-11-2020
583 11-11-2020 0000361520278 RUSMANILA P PBI (APBN) Headache Berobat Jalan
556 09:48
080110011120P000 30-11-2020
584 11-11-2020 0000361522978 OKTA RIZAL L PBI (APBN) Gastritis, unspecified Berobat Jalan
555 09:47
080110011120P000 30-11-2020
585 11-11-2020 0000997708869 SANDI ISKANDAR L PBI (APBN) Gastritis, unspecified Berobat Jalan
557 09:48
080110011120P000 30-11-2020 CARRISTA NADINE Fever of other and
586 11-11-2020 0001312633888 P PNS DAERAH Berobat Jalan
549 09:43 SIMAMORA unknown origin
080110011120P000 30-11-2020 DWI CHANDRA YULIA PEKERJA
587 11-11-2020 0001382148055 P Gastritis, unspecified Berobat Jalan
565 09:52 SARI MANDIRI
080110011120P000 30-11-2020 PEKERJA Fever of other and
588 11-11-2020 0001506317984 ACHMAD FATONI L Berobat Jalan
559 09:49 MANDIRI unknown origin
080110011120P000 30-11-2020 PEKERJA
589 11-11-2020 0001506317995 YAN SOFYANTI P Gastritis, unspecified Berobat Jalan
560 09:49 MANDIRI
080110011120P000 11-11-2020 PEKERJA
590 11-11-2020 0001792287077 M. FIKRAN VANIPALOPO L Paranoid schizophrenia Rujuk Vertikal
147 08:38 MANDIRI
Other and unspecified

080110011120P000 11-11-2020 PEKERJA Diabetes
591 11-11-2020 0001825193474 NAZARI P gastroenteritis and colitis Berobat Jalan
151 09:54 MANDIRI Mellitus
of infectious origin
080110011120P000 30-11-2020 PEKERJA Acute nasopharyngitis
592 11-11-2020 0001849194729 SUKATMAN L Berobat Jalan
561 09:50 MANDIRI [common cold]
080110011120P000 11-11-2020 Perforation of tympanic
593 11-11-2020 0001868205161 siti ramadaniati saidarohma P PNS DAERAH Rujuk Vertikal
148 09:19 membrane
Insulin-dependent
080110011120P000 11-11-2020 PEGAWAI
594 11-11-2020 0002248936637 SENDY SEPTIZA P diabetes mellitus with Rujuk Vertikal
150 09:43 SWASTA
080110011120P000 11-11-2020
595 11-11-2020 0002566647674 ANTON HILMAN L PBI (APBD) Schizophrenia Rujuk Vertikal
153 10:45
080110011120P000 11-11-2020 PEKERJA
596 11-11-2020 0002624509337 HI ABU BAKAR L Congestive heart failure Berobat Jalan
149 09:24 MANDIRI
597 11-11-2020 0002696126207 SUMARYATI P Berobat Jalan
080110011120P000 11-11-2020 PEGAWAI Other chronic obstructive
598 11-11-2020 0002745989177 HELENA AW P Berobat Jalan
145 08:26 SWASTA pulmonary disease
080110011120P000 11-11-2020 PEGAWAI
599 11-11-2020 0002745989548 ANDREA REVANYA P Pulpitis Rujuk Vertikal
144 08:22 SWASTA
080110011120P000 30-11-2020 PEGAWAI
600 11-11-2020 0002745989548 ANDREA REVANYA P Gastritis, unspecified Berobat Jalan
552 09:46 SWASTA
080110011120P000 11-11-2020 SARIFAH FADHILAH Malignant neoplasm of
601 11-11-2020 0002791662851 P PBI (APBN) Rujuk Vertikal
152 10:37 ACHMAD ALHADAD breast
080110011120P000 30-11-2020
602 11-11-2020 0002863345555 KOMARIAH WULANDARI P PBI (APBN) Gastritis, unspecified Berobat Jalan
547 09:42
603 11-10-2020 0000032156403 DRS YUHANDI RIFA'I MM L Berobat Jalan
514 08:38 PENSIUN PNS [common cold]
080110011120P000 30-11-2020
604 11-10-2020 0000033180535 ARMINI LAWATI P PNS PUSAT Headache Berobat Jalan
526 08:44
080110011120P000 10-11-2020 Hypothyroidism,
605 11-10-2020 0000034038955 LUCIANA HUTASOIT P PNS DAERAH Rujuk Vertikal
080110011120P000 30-11-2020
606 11-10-2020 0000035803686 HAMIDAH HASAN P PNS PUSAT Gastritis, unspecified Berobat Jalan
529 08:53
607 11-10-2020 0000193742561 DINA AFRIDA HERISONTI P PNS DAERAH Berobat Jalan
080110011120P000 30-11-2020 Diabetes
608 11-10-2020 0000360231186 ASIKIN HARUN L PBI (APBN) Headache Berobat Jalan
525 08:43 Mellitus
609 11-10-2020 0000360293084 RUMILAH P PBI (APBN) Berobat Jalan

610 11-10-2020 0000360317643 SITI MARLIANA G P PBI (APBN) Berobat Jalan
611 11-10-2020 0000360325552 HAYATI P PBI (APBN) Berobat Jalan
Hypertensive heart
080110011120P000 10-11-2020
612 11-10-2020 0000360350425 AGUS RINZANY L PBI (APBN) disease with (congestive) Berobat Jalan
142 11:22
heart failure
080110011120P000 10-11-2020 Hypertensive heart
613 11-10-2020 0000360350908 KOMARIAH P PBI (APBN) Berobat Jalan
141 11:22 disease
080110011120P000 30-11-2020
614 11-10-2020 0000360593526 ABDUL MAJID L PBI (APBN) Gastritis, unspecified Berobat Jalan
524 08:42
080110011120P000 10-11-2020
615 11-10-2020 0000360839215 ROBI L PBI (APBN) Epilepsy Rujuk Vertikal
132 08:34
080110011120P000 30-11-2020
616 11-10-2020 0000360990538 RASTIANAH P PBI (APBN) Antenatal screening Berobat Jalan
537 09:03
080110011120P000 10-11-2020 Other joint disorders, not
617 11-10-2020 0000361134988 IDING HIDIR L PBI (APBN) Rujuk Vertikal
138 09:56 elsewhere classified
618 11-10-2020 0000361274027 ARLITA RATNA SAVITRI P PBI (APBN) Berobat Jalan
080110011120P000 30-11-2020
619 11-10-2020 0000361282083 EVA AGUS TRIANA P PBI (APBN) Antenatal screening Berobat Jalan
539 09:04
080110011120P000 30-11-2020
620 11-10-2020 0001096086486 YUNITA P ANGGOTA POLRI Gastritis, unspecified Berobat Jalan
518 08:40
080110011120P000 30-11-2020 NURUL ULFA
621 11-10-2020 0001101404428 P ANGGOTA POLRI Gastritis, unspecified Berobat Jalan
522 08:41 RUCHAIRUTIN
080110011120P000 10-11-2020 PEGAWAI
622 11-10-2020 0001310028906 YANSYAH BBA L Congestive heart failure Berobat Jalan
137 09:31 SWASTA
623 11-10-2020 0001327141642 AMAN M. NOOR L Berobat Jalan
DEWAN
080110011120P000 30-11-2020
624 11-10-2020 0001830359867 ITA NOVITA P PERWAKILAN Gastritis, unspecified Berobat Jalan
531 08:55
RAKYAT DAERAH
DEWAN
080110011120P000 30-11-2020
625 11-10-2020 0001830362725 tri wiyar dianto L PERWAKILAN Headache Berobat Jalan
530 08:54
RAKYAT DAERAH
PEGAWAI
PEMERINTAH
080110011120P000 30-11-2020
626 11-10-2020 0002217420382 EVA SUSILAWATIE P DENGAN Gastritis, unspecified Berobat Jalan
521 08:41
PERJANJIAN
KERJA
080110011120P000 10-11-2020 PEKERJA

627 11-10-2020 0002236820027 AZIZA BAHARI P Senile cataract Rujuk Vertikal
131 08:25 MANDIRI
080110011120P000 10-11-2020 PEKERJA Hypertensive heart
628 11-10-2020 0002481879778 DALIMAS P Rujuk Vertikal
136 09:26 MANDIRI disease
080110011120P000 30-11-2020
629 11-10-2020 0002630869569 HASANAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
523 08:42
080110011120P000 30-11-2020 Need for immunization
630 11-10-2020 0002752984383 NABILA NURAINI P PBI (APBN) Berobat Jalan
535 08:57 against poliomyelitis
Insulin-dependent
080110011120P000 10-11-2020 PEGAWAI
631 11-10-2020 0002760090669 YANTI P diabetes mellitus with Rujuk Vertikal
130 08:24 SWASTA
080110011120P000 30-11-2020 PEKERJA Need for immunization
632 11-10-2020 0002771462485 NAZRIL ALI WIJAYA L Berobat Jalan
536 09:02 MANDIRI against poliomyelitis
633 11-10-2020 0002791662524 RAMDANI EFENDI L PBI (APBN) Berobat Jalan
634 11-10-2020 0002791662535 NURYATI.B P PBI (APBN) Berobat Jalan
080110011120P000 10-11-2020
635 11-10-2020 0002863346218 CHETRIANA DINI YANTI P PBI (APBN) Low back pain Rujuk Vertikal
140 10:40
636 11-10-2020 0002944661501 BAYI NYONYA SUAINA L PBI (APBN) Berobat Jalan
080110011120P000 30-11-2020 PEKERJA
637 11-10-2020 0003048074357 HADIANSYAH ARRAYAN L Headache Berobat Jalan
532 08:56 MANDIRI
080110011120P000 30-11-2020 FAIZAH KAYYISA AFIFA
638 11-10-2020 0003050093665 L PNS PUSAT Antenatal screening Berobat Jalan
540 09:05 PUTRI
080110011120P000 30-11-2020 Need for immunization
639 11-10-2020 0003052256556 BALQIS KHANZA WIJAYA P PNS DAERAH Berobat Jalan
538 09:04 against poliomyelitis
080110011120P000 17-11-2020 BUDI KURNIAWAN, Fever of other and
640 11-09-2020 0000032198591 L PNS PUSAT Berobat Jalan
247 09:16 S.SOS,.MH unknown origin
080110011120P000 09-11-2020 PENERIMA
641 11-09-2020 0000032626855 SUDIYONO L Congestive heart failure Rujuk Vertikal
118 09:55 PENSIUN TNI
Diabetes
080110011120P000 10-11-2020 HI.DRS.GUFRON AZIS Essential (primary)
642 11-09-2020 0000033012268 L PNS DAERAH Berobat Jalan Mellitus
135 08:45 FUADI hypertension
Hipertensi
080110011120P000 09-11-2020 BAMBANG HERU Essential (primary)
643 11-09-2020 0000033023935 L PNS DAERAH Berobat Jalan Hipertensi
119 10:01 PRISTIWADI hypertension
080110011120P000 10-11-2020 PENERIMA Essential (primary)
644 11-09-2020 0000033115353 BADRUZZAMAN SIDDIQ L Berobat Jalan Hipertensi
134 08:44 PENSIUN PNS hypertension
080110011120P000 09-11-2020 PENERIMA
645 11-09-2020 0000033472552 JUNAIDAH P Isolated proteinuria Rujuk Vertikal
080110011120P000 09-11-2020 PENERIMA Hypertensive heart

646 11-09-2020 0000033719949 HAYANI JAKFAR P Rujuk Vertikal
116 09:41 PENSIUN PNS disease
080110011120P000 09-11-2020
647 11-09-2020 0000033859967 SITI AZKIYAH P PNS PUSAT Pulpitis Rujuk Vertikal
123 10:34
648 11-09-2020 0000034208291 FAUZAN MH L PNS DAERAH Berobat Jalan
080110011120P000 09-11-2020
649 11-09-2020 0000035803686 HAMIDAH HASAN P PNS PUSAT Chronic kidney disease Rujuk Vertikal
121 10:19
650 11-09-2020 0000043979703 KARIYAH BT SALIM P Rujuk Vertikal Hipertensi
111 09:00 PENSIUN TNI disease
651 11-09-2020 0000157046038 SITI FATIMAH P diabetes mellitus with Berobat Jalan
080110011120P000 09-11-2020
652 11-09-2020 0000198026559 ANNISA ATHAYA ADHA P PNS DAERAH Necrosis of pulp Rujuk Vertikal
103 08:31
653 11-09-2020 0000318404722 MILDA P PBI (APBN) Berobat Jalan
Chronic obstructive
080110011120P000 09-11-2020 pulmonary disease with
654 11-09-2020 0000360275049 NAPSIAH P PBI (APBN) Berobat Jalan
101 07:35 acute exacerbation,
unspecified
655 11-09-2020 0000360378663 YUSNANI P PBI (APBN) Rujuk Vertikal
126 10:58 disease
Disorder of autonomic
080110011120P000 09-11-2020
656 11-09-2020 0000360541686 MURTASIAH P PBI (APBN) nervous system, Rujuk Vertikal
102 08:20
unspecified
080110011120P000 09-11-2020
657 11-09-2020 0000360593594 SITI MUTIAH P PBI (APBN) Endometriosis Rujuk Vertikal
105 08:38
080110011120P000 30-11-2020
658 11-09-2020 0000360607296 KARKO SEMBIRING L PBI (APBN) Gastritis, unspecified Berobat Jalan
492 08:18
080110011120P000 09-11-2020 Malignant neoplasm of
659 11-09-2020 0000360637176 SANIMAH SUSANTI P PBI (APBN) Rujuk Vertikal
109 08:54 breast
080110011120P000 09-11-2020
660 11-09-2020 0000360737572 NAWAWI L PBI (APBN) Congestive heart failure Rujuk Vertikal
108 08:51
080110011120P000 10-11-2020 Essential (primary)
661 11-09-2020 0000360738145 MAIMUNAH P PBI (APBN) Berobat Jalan Hipertensi
133 08:39 hypertension
662 11-09-2020 0000360756483 RENI RAMADANI P PBI (APBN) Berobat Jalan
080110011120P000 17-11-2020
663 11-09-2020 0000360764932 JUJU JURIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
246 09:16
080110011120P000 30-11-2020
664 11-09-2020 0000360776564 ALYANA P PBI (APBN) Antenatal screening Berobat Jalan
503 08:23
665 11-09-2020 0000360954832 ROMLAH P PBI (APBN) Berobat Jalan
080110011120P000 30-11-2020
666 11-09-2020 0000361076657 NOVIYANTI ARKENO P PBI (APBN) Antenatal screening Berobat Jalan
505 08:24
667 11-09-2020 0000361187594 MUCHTAR L PBI (APBN) Berobat Jalan
080110011120P000 09-11-2020 Thyrotoxicosis
668 11-09-2020 0000361212377 ARIYAN DOVIE L PBI (APBD) Rujuk Vertikal
106 08:41 [hyperthyroidism]
669 11-09-2020 0000361299958 TINA JAHRI P PBI (APBN) Berobat Jalan Hipertensi
080110011120P000 17-11-2020
670 11-09-2020 0000361332786 M.ALFAREZA GUSTOMI L PBI (APBN) Gastritis, unspecified Berobat Jalan
249 09:18
080110011120P000 30-11-2020 PEGAWAI Acute nasopharyngitis
671 11-09-2020 0001132785955 SULYONO S KOM L Berobat Jalan
498 08:20 SWASTA [common cold]
080110011120P000 30-11-2020 PEGAWAI
672 11-09-2020 0001170060849 PUSPITAWATI P Gastritis, unspecified Berobat Jalan
497 08:19 SWASTA
080110011120P000 09-11-2020 PEKERJA Chronic ischaemic heart
673 11-09-2020 0001266256179 HARYANTO L Berobat Jalan
104 08:35 MANDIRI disease
Hypertensive heart
080110011120P000 09-11-2020
674 11-09-2020 0001430457939 AGUS RAHMAT L PBI (APBD) disease with (congestive) Berobat Jalan
122 10:30
heart failure
080110011120P000 17-11-2020 PEGAWAI
675 11-09-2020 0001477286054 APUTRIA WIDIA NINGRUM P Gastritis, unspecified Berobat Jalan
244 09:14 SWASTA
080110011120P000 09-11-2020 PEKERJA
676 11-09-2020 0001479004402 SOLHA DEWI P Congestive heart failure Berobat Jalan
110 08:58 MANDIRI
080110011120P000 30-11-2020 PEKERJA
677 11-09-2020 0001592227438 SUNARYO L Gastritis, unspecified Berobat Jalan
491 08:17 MANDIRI
678 11-09-2020 0001592227449 Yulia P Berobat Jalan
080110011120P000 09-11-2020 Single delivery by
679 11-09-2020 0001814666422 DESTRIANA P PNS DAERAH Rujuk Vertikal
120 10:15 caesarean section
080110011120P000 09-11-2020 PEKERJA Stroke, not specified as
680 11-09-2020 0001842810928 ERWAN PANANI L Rujuk Vertikal
128 11:53 MANDIRI haemorrhage or infarction
080110011120P000 09-11-2020 PEKERJA
681 11-09-2020 0001906378637 AGUS SALIM L Schizophrenia Rujuk Vertikal
114 09:19 MANDIRI
080110011120P000 30-11-2020 PEKERJA
682 11-09-2020 0001960476017 fitri wulan dari P Antenatal screening Berobat Jalan
504 08:24 MANDIRI
080110011120P000 30-11-2020 Contraceptive

683 11-09-2020 0002013775751 HARIYANI P PBI (APBN) Berobat Jalan
507 08:25 management
Insulin-dependent
080110011120P000 09-11-2020
684 11-09-2020 0002204267308 KEMIATI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
113 09:15
080110011120P000 30-11-2020
685 11-09-2020 0002256110381 NUR`AINI PUTRI P PNS DAERAH Gastritis, unspecified Berobat Jalan
494 08:19
080110011120P000 30-11-2020 PEKERJA
686 11-09-2020 0002327724527 MAR'ATI FAUZIAH P Antenatal screening Berobat Jalan
506 08:24 MANDIRI
080110011120P000 09-11-2020
687 11-09-2020 0002566629775 MUHAMAD ALI L PBI (APBD) Hyperplasia of prostate Rujuk Vertikal
115 09:38
080110011120P000 09-11-2020 Generalized enlarged
688 11-09-2020 0002566638246 LOLLA WAROKA P PBI (APBD) Rujuk Vertikal
127 11:03 lymph nodes
689 11-09-2020 0002566638652 EFA RUKAYAH P PBI (APBD) Berobat Jalan
080110011120P000 09-11-2020 PEKERJA
690 11-09-2020 0002755177481 SUCI RAHMA YANTI P Follicular cyst of ovary Rujuk Vertikal
117 09:45 MANDIRI
080110011120P000 09-11-2020 PEGAWAI
691 11-09-2020 0002760090669 YANTI P Decubitus ulcer Rujuk Vertikal
107 08:42 SWASTA
080110011120P000 09-11-2020 Stroke, not specified as
692 11-09-2020 0002869288323 MANIMBUL P. SINAMBELA L PBI (APBN) Rujuk Vertikal
112 09:10 haemorrhage or infarction
080110011120P000 30-11-2020 ABIAN EVANO
693 11-09-2020 0002917369451 L PBI (APBN) Gastritis, unspecified Berobat Jalan
500 08:20 FERGIAWAN
080110011120P000 17-11-2020 PEGAWAI
694 11-09-2020 0003045426816 JULI SURYADI L Gastritis, unspecified Berobat Jalan
245 09:14 SWASTA
080110011120P000 07-11-2020
695 11-07-2020 0000032578244 SARDI L PNS DAERAH Hemiplegia Rujuk Vertikal
087 09:29
696 11-07-2020 0000032735384 HANNA P PNS DAERAH Berobat Jalan Hipertensi
697 11-07-2020 0000033012257 HJ.ETY SETIAWATI. SAP P PNS DAERAH Berobat Jalan Hipertensi
Chronic obstructive
080110011120P000 07-11-2020 pulmonary disease with
698 11-07-2020 0000033798532 SARDIYANTO. SAG L PNS DAERAH Rujuk Vertikal
089 09:41 acute lower respiratory
infection
080110011120P000 07-11-2020 H. ZULKARNAEN A PENERIMA Essential (primary)
699 11-07-2020 0000033894639 L Berobat Jalan Hipertensi
098 10:51 MANTJA PENSIUN PNS hypertension
080110011120P000 07-11-2020 Disorders of
700 11-07-2020 0000033911831 PURWANTO L PNS DAERAH Rujuk Vertikal
093 10:12 accommodation

701 11-07-2020 0000033981052 APRILINA BR SEMBIRING P PNS DAERAH Rujuk Vertikal
084 08:49 disease
702 11-07-2020 0000034903934 MARMIYATI P PNS DAERAH Berobat Jalan Hipertensi
080110011120P000 07-11-2020
703 11-07-2020 0000201321022 MUNAWAR SHODIQ L PNS PUSAT Cerebral infarction Rujuk Vertikal
088 09:32
080110011120P000 17-11-2020
704 11-07-2020 0000274598177 ELSA YOLANDA P PBI (APBN) Gastritis, unspecified Berobat Jalan
242 09:12
705 11-07-2020 0000359996051 EMI LIA WATI P PBI (APBN) Berobat Jalan
080110011120P000 17-11-2020
706 11-07-2020 0000360178119 ERNA WATI P PBI (APBN) Antenatal screening Berobat Jalan
243 09:13
707 11-07-2020 0000360623823 YUNITA RIMA P PBI (APBN) Berobat Jalan Hipertensi
708 11-07-2020 0000360752444 ASPIANA P PBI (APBN) Berobat Jalan
080110011120P000 07-11-2020 Diabetes Diabetes
709 11-07-2020 0001263703623 HI.HERNY HSY L PNS DAERAH diabetes mellitus without Berobat Jalan
092 09:47 Mellitus Mellitus
complications
080110011120P000 07-11-2020 PEKERJA Essential (primary)
710 11-07-2020 0001282248437 BUSTONI L Berobat Jalan Hipertensi
094 10:14 MANDIRI hypertension
080110011120P000 07-11-2020 PEKERJA
711 11-07-2020 0001328014675 RITA BR SILABAN P Chronic kidney disease Rujuk Vertikal
085 08:54 MANDIRI
712 11-07-2020 0001599519036 DAMIDJI L PBI (APBN) Berobat Jalan
Diabetes
080110011120P000 07-11-2020 PEKERJA
713 11-07-2020 0001811602269 imron jaya sironi L Hyperplasia of prostate Rujuk Vertikal Mellitus
086 08:59 MANDIRI
Hipertensi
080110011120P000 07-11-2020 PEKERJA Other chronic obstructive
714 11-07-2020 0002035713025 SUKARTI P Berobat Jalan Hipertensi
082 08:40 MANDIRI pulmonary disease
080110011120P000 07-11-2020 PEGAWAI Diabetes
715 11-07-2020 0002036806841 ASRIANI P Decubitus ulcer Rujuk Vertikal
083 08:44 SWASTA Mellitus
080110011120P000 17-11-2020 PEKERJA
716 11-07-2020 0002495058952 SAHIRIN L Gastritis, unspecified Berobat Jalan
241 09:12 MANDIRI
080110011120P000 07-11-2020 PEGAWAI
717 11-07-2020 0002745989177 HELENA AW P Endometriosis, unspecified Rujuk Vertikal
091 09:45 SWASTA
718 11-06-2020 0000030437155 WALILAH P PNS DAERAH Berobat Jalan
080110011120P000 06-11-2020 PENERIMA
719 11-06-2020 0000032696616 BAMBANG HARTONO, IR L diabetes mellitus with Rujuk Vertikal Hipertensi Mellitus
080110011120P000 06-11-2020 PENERIMA Essential (primary)
720 11-06-2020 0000032696627 NADJEMAH P Berobat Jalan Hipertensi Hipertensi
069 09:10 PENSIUN PNS hypertension
080110011120P000 06-11-2020 Diabetes
721 11-06-2020 0000033028929 SUNARTO L PNS DAERAH diabetes mellitus without Berobat Jalan
070 09:21 Mellitus
complications
722 11-06-2020 0000033066483 MULKI AJA PERDANA L PNS DAERAH Berobat Jalan
080110011120P000 30-11-2020 PENERIMA Fever of other and
723 11-06-2020 0000033179973 APRIL HAMID L Berobat Jalan
473 08:08 PENSIUN PNS unknown origin
724 11-06-2020 0000033465633 AISYAH P Berobat Jalan
080110011120P000 06-11-2020 PENERIMA
725 11-06-2020 0000033624977 SITI HEN EMALIA P Chronic kidney disease Rujuk Vertikal
Retinal disorders in
080110011120P000 06-11-2020 PENERIMA
726 11-06-2020 0000034072108 SAIDI L diseases classified Rujuk Vertikal
elsewhere
727 11-06-2020 0000034546724 NINI SUMARNI P PNS DAERAH Berobat Jalan
728 11-06-2020 0000359504695 NOVIANA P PBI (APBN) Berobat Jalan
080110011120P000 06-11-2020 Peptic ulcer, site
729 11-06-2020 0000360220105 MARHANI L PBI (APBN) Rujuk Vertikal Hipertensi Hipertensi
080110011120P000 06-11-2020 MARIA MAGDALENA Benign neoplasm of
730 11-06-2020 0000360336058 P PBI (APBN) Rujuk Vertikal
079 10:09 SUPRIYATI pharynx, unspecified
731 11-06-2020 0000360410602 NADA LESTARI P PBI (APBN) diabetes mellitus without Berobat Jalan
complications
080110011120P000 06-11-2020 PEKERJA
732 11-06-2020 0000360782987 LISA WATI P Necrosis of pulp Rujuk Vertikal
078 10:06 MANDIRI
080110011120P000 06-11-2020
733 11-06-2020 0000360881752 LASMINI P PBI (APBN) Paranoid schizophrenia Rujuk Vertikal
074 09:38
080110011120P000 06-11-2020 PEKERJA
734 11-06-2020 0000361094646 SAMIYO L Senile cataract Rujuk Vertikal
080 10:15 MANDIRI
Insulin-dependent
080110011120P000 06-11-2020 PEKERJA
735 11-06-2020 0000361095862 SUPRIHATIN P diabetes mellitus with Rujuk Vertikal
081 10:18 MANDIRI

736 11-06-2020 0000361120948 DAURI L PBI (APBN) Berobat Jalan
080110011120P000 06-11-2020 Other diseases of upper
737 11-06-2020 0000361134325 ZUQNI ALAIKA L PBI (APBN) Rujuk Vertikal
067 09:03 respiratory tract
080110011120P000 06-11-2020
738 11-06-2020 0000361616523 SUHARTO L PBI (APBN) Atrophic disorders of skin Rujuk Vertikal
063 08:09
739 11-06-2020 0001101414622 RICHE P ANGGOTA POLRI diabetes mellitus without Berobat Jalan
complications
080110011120P000 30-11-2020 APRI CANDRA PEGAWAI
740 11-06-2020 0001140134411 P Gastritis, unspecified Berobat Jalan
477 08:11 WIDYAWATI SWASTA
080110011120P000 06-11-2020 PEKERJA Disorders of
741 11-06-2020 0001268203871 ERIS YUANDA L Rujuk Vertikal
064 08:26 MANDIRI accommodation
742 11-06-2020 0001440620177 LAILA. AM P Berobat Jalan
743 11-06-2020 0001595061628 Saiful Amri L Berobat Jalan
744 11-06-2020 0001599518158 SARIKUN L PBI (APBD) Berobat Jalan
745 11-06-2020 0001767129063 ARWAN SUPAHRI L Berobat Jalan

746 11-06-2020 0001807766886 ISMANULLAH L Berobat Jalan
475 08:10 PENSIUN SWASTA [common cold]
Chronic obstructive
080110011120P000 06-11-2020
747 11-06-2020 0001880138575 LISMARNI P ANGGOTA POLRI pulmonary disease, Rujuk Vertikal
073 09:33
unspecified
080110011120P000 30-11-2020 PEGAWAI
748 11-06-2020 0001904750177 CANDRA ASIH P Gastritis, unspecified Berobat Jalan
476 08:10 SWASTA
749 11-06-2020 0002037697841 NAJRIN SILALAHI L PNS DAERAH diabetes mellitus without Berobat Jalan
complications
750 11-06-2020 0002072141414 EMA SALAMAH P PBI (APBN) Berobat Jalan
090 09:41 disease
080110011120P000 06-11-2020 Malignant neoplasm of
751 11-06-2020 0002478818248 PENI SUPIYANI P PBI (APBN) Rujuk Vertikal
077 09:56 breast
752 11-06-2020 0002565455556 AZIZAH KHAIRUNNISA P PBI (APBD) Berobat Jalan
080110011120P000 30-11-2020
753 11-06-2020 0002791666765 AISYAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
489 08:15
080110011120P000 05-11-2020 PENERIMA Chronic ischaemic heart

754 11-05-2020 0000016500453 ZIKRI.K. BSC L Berobat Jalan Hipertensi
052 08:54 PENSIUN PNS disease, unspecified
080110011120P000 05-11-2020 Other specified disorders
755 11-05-2020 0000032735384 HANNA P PNS DAERAH Rujuk Vertikal Hipertensi
055 09:14 of ear
080110011120P000 05-11-2020 PENERIMA Carcinoma in situ of
756 11-05-2020 0000033597325 DRA.ISLAMIYAH P Rujuk Vertikal
050 08:43 PENSIUN PNS cervix, unspecified
080110011120P000 26-11-2020 Fever of other and Diabetes
757 11-05-2020 0000033612107 NURHASANAH P PNS DAERAH Berobat Jalan
423 09:44 unknown origin Mellitus
080110011120P000 05-11-2020
758 11-05-2020 0000360182259 NENI P PBI (APBN) mellitus with multiple Rujuk Vertikal
061 11:10
complications
080110011120P000 05-11-2020 MUHAMAD KAIS Other specified disorders
759 11-05-2020 0000360323019 L PBI (APBN) Rujuk Vertikal
058 10:19 FARDHAN of ear
760 11-05-2020 0000360793315 PANGHARTI P PBI (APBN) Berobat Jalan
080110011120P000 05-11-2020 FEBRI IRWANDA ARI
761 11-05-2020 0000360977218 L PBI (APBN) of connective and other Rujuk Vertikal
057 09:28 SAGITA
soft tissue
762 11-05-2020 0001101658915 TARMIDI L PRAJURIT AD Berobat Jalan
080110011120P000 05-11-2020 PEGAWAI Allergic contact dermatitis,

763 11-05-2020 0001277062648 AAN PURWANTO L Rujuk Vertikal
054 09:11 SWASTA unspecified cause
080110011120P000 05-11-2020 PEKERJA

764 11-05-2020 0001370384864 FAIRUS ABADI SH L Isolated proteinuria Rujuk Vertikal Hipertensi
053 09:08 MANDIRI
765 11-05-2020 0001506317984 ACHMAD FATONI L Berobat Jalan
080110011120P000 05-11-2020 PEKERJA
766 11-05-2020 0001887749932 NOFIANTI, S. PD P Pulpitis Rujuk Vertikal
059 10:25 MANDIRI
767 11-05-2020 0002078241052 HERMINI P PNS DAERAH Berobat Jalan
080110011120P000 05-11-2020 MAYANG BULAN DARI
768 11-05-2020 0002086674502 P PBI (APBN) Epilepsy Rujuk Vertikal
051 08:52 FAHIRA
080110011120P000 05-11-2020 Sensorineural hearing
769 11-05-2020 0002443232114 IBRAHIM DAFI' EL- QUDS L PNS PUSAT Rujuk Vertikal
060 10:41 loss, bilateral
770 11-05-2020 0002566629843 YUNIARTI P PBI (APBD) Berobat Jalan
771 11-05-2020 0002566636233 VONY SARASWATI P PBI (APBD) Berobat Jalan

772 11-05-2020 0002566638022 NURBAITI P PBI (APBD) Berobat Jalan
PEGAWAI
PEMERINTAH
080110011120P000 05-11-2020 KHAIRAN ALIEF
773 11-05-2020 0002619638392 L DENGAN Inguinal hernia Rujuk Vertikal
056 09:25 YUSDHANA
PERJANJIAN
KERJA
080110011120P000 26-11-2020 PEKERJA Acute nasopharyngitis Diabetes
774 11-05-2020 0002741993357 ISTININGSIH, SH P Berobat Jalan
426 09:46 MANDIRI [common cold] Mellitus
080110011120P000 26-11-2020 PEKERJA
775 11-05-2020 0002751277263 DENNY IRAWAN L Gastritis, unspecified Berobat Jalan
427 09:46 MANDIRI
776 11-04-2020 0000032624289 NAWI L Berobat Jalan
200 11:44 PENSIUN TNI unknown origin
777 11-04-2020 0000032624291 SITI AISYAH P Berobat Jalan Hipertensi
201 11:45 PENSIUN TNI unknown origin
080110011120P000 17-11-2020 PENERIMA
778 11-04-2020 0000032699676 AMNAH HAYATI P Gastritis, unspecified Berobat Jalan
779 11-04-2020 0000032981409 SUBAGIYO L PNS PUSAT Berobat Jalan
049 13:51 disease
780 11-04-2020 0000033817735 HERMANSYAH L diabetes mellitus with Berobat Jalan
080110011120P000 26-11-2020
781 11-04-2020 0000033859967 SITI AZKIYAH P PNS PUSAT Pulpitis Berobat Jalan
408 08:25
782 11-04-2020 0000034208289 HAJINAH P PNS DAERAH Berobat Jalan
783 11-04-2020 0000034334807 NURAINI P PNS DAERAH Berobat Jalan
080110011120P000 26-11-2020
784 11-04-2020 0000106217087 ARUM SEKAR BUANA P PNS PUSAT Antenatal screening Berobat Jalan
420 09:26
785 11-04-2020 0000158074029 ISWANTO L Berobat Jalan
080110011120P000 04-11-2020 Disorders of
786 11-04-2020 0000164017585 NURMELA SARI P PNS DAERAH Rujuk Vertikal
047 11:49 accommodation
080110011120P000 26-11-2020 Contraceptive
787 11-04-2020 0000173151314 DWI PUJI IRIANAWATI P PNS PUSAT Berobat Jalan
080110011120P000 26-11-2020
788 11-04-2020 0000193742561 DINA AFRIDA HERISONTI P PNS DAERAH Pulpitis Berobat Jalan
406 08:18
080110011120P000 04-11-2020
789 11-04-2020 0000193742561 DINA AFRIDA HERISONTI P PNS DAERAH Erosion of teeth Rujuk Vertikal
033 09:34

790 11-04-2020 0000197134672 CH. RAHMAN L Rujuk Vertikal
048 13:33 PENSIUN TNI disease
080110011120P000 04-11-2020
791 11-04-2020 0000338472821 AMINAH P PBI (APBN) diabetes mellitus with Rujuk Vertikal
041 10:37
792 11-04-2020 0000345591279 EREN RIO SATRIA L PBI (APBN) Berobat Jalan
793 11-04-2020 0000359953841 LUSRIYANTI P PBI (APBN) Berobat Jalan
794 11-04-2020 0000360016402 VESSY MELLY P PBI (APBN) Berobat Jalan
080110011120P000 04-11-2020
795 11-04-2020 0000360186671 RAHMAD L PBI (APBN) Inguinal hernia Rujuk Vertikal
035 10:06
796 11-04-2020 0000360193961 ASMINAH P PBI (APBN) Berobat Jalan
797 11-04-2020 0000360316416 BUDIONO L PBI (APBN) Berobat Jalan
080110011120P000 14-11-2020
798 11-04-2020 0000360318082 DEWI RAHAYU P PBI (APBN) Gastritis, unspecified Berobat Jalan
198 11:43
080110011120P000 26-11-2020
799 11-04-2020 0000360423696 SARA MARISKA PUTRI P PBI (APBN) Antenatal screening Berobat Jalan
410 08:28
Neuralgia and neuritis,
080110011120P000 04-11-2020
800 11-04-2020 0000360541686 MURTASIAH P PBI (APBN) unspecified, pelvic and Rujuk Vertikal
034 09:53
thigh
801 11-04-2020 0000360790885 HERI FERNANDO L PBI (APBN) Berobat Jalan
080110011120P000 04-11-2020
802 11-04-2020 0000360835986 GUNAWAN L PBI (APBN) Schizophrenia Rujuk Vertikal
032 09:04
080110011120P000 04-11-2020
803 11-04-2020 0000360969838 SANDI LANG ALAMANDA L PBI (APBN) Epilepsy Rujuk Vertikal
039 10:29
080110011120P000 14-11-2020
804 11-04-2020 0000360981505 ROHANA P PBI (APBN) Gastritis, unspecified Berobat Jalan
191 11:40
080110011120P000 26-11-2020
805 11-04-2020 0000361044843 TINI P PBI (APBN) Antenatal screening Berobat Jalan
412 08:30
080110011120P000 17-11-2020
806 11-04-2020 0000361099067 MUHIDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan
256 09:28
807 11-04-2020 0000361207596 SARI P PBI (APBD) Berobat Jalan Hipertensi
080110011120P000 14-11-2020
808 11-04-2020 0000361337297 SUWIJI L PBI (APBN) Gastritis, unspecified Berobat Jalan
192 11:40
080110011120P000 17-11-2020
809 11-04-2020 0000997706046 JUAIRIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
262 09:35
080110011120P000 17-11-2020 MAHATMA KENZIE
810 11-04-2020 0001078615754 L PNS PUSAT Antenatal screening Berobat Jalan
261 09:34 NIRWASITA
080110011120P000 04-11-2020 Disorders of Diabetes Diabetes
811 11-04-2020 0001101414622 RICHE P ANGGOTA POLRI Rujuk Vertikal
044 10:50 glossopharyngeal nerve Mellitus Mellitus
080110011120P000 04-11-2020 RACHMAN EFENDI PEGAWAI Seronegative rheumatoid
812 11-04-2020 0001129577062 L Rujuk Vertikal
043 10:42 HARAHAP SWASTA arthritis, upper arm
813 11-04-2020 0001266484803 IDA EKAWATI P ANGGOTA POLRI Berobat Jalan
814 11-04-2020 0001268204343 GLARRIAWATI P Rujuk Vertikal
080110011120P000 17-11-2020 DWI CHANDRA YULIA PEKERJA Fever of other and
815 11-04-2020 0001382148055 P Berobat Jalan
268 09:37 SARI MANDIRI unknown origin
080110011120P000 17-11-2020 DWI CHANDRA YULIA PEKERJA Fever of other and
816 11-04-2020 0001383433277 P Berobat Jalan
267 09:36 SARA MANDIRI unknown origin
817 11-04-2020 0001430235156 LIZA DARU ANDANI P PNS DAERAH Berobat Jalan
080110011120P000 14-11-2020
818 11-04-2020 0001430240681 M. SALEH L PNS DAERAH Gastritis, unspecified Berobat Jalan
197 11:43
Insulin-dependent
819 11-04-2020 0001589836803 FAUZAN MH L diabetes mellitus with Rujuk Vertikal
042 10:40 PENSIUN SWASTA Mellitus
820 11-04-2020 0001834014071 SISSY SYAHRILA IFADA P PNS DAERAH Berobat Jalan
821 11-04-2020 0001842810928 ERWAN PANANI L Berobat Jalan
080110011120P000 14-11-2020 PEKERJA
822 11-04-2020 0001860660292 MISRAN L Gastritis, unspecified Berobat Jalan
194 11:41 MANDIRI
080110011120P000 04-11-2020 PEKERJA Chronic ischaemic heart Diabetes
823 11-04-2020 0001886090861 ZULELAH P Berobat Jalan
037 10:10 MANDIRI disease Mellitus
080110011120P000 04-11-2020 PEKERJA Maternal care for other
824 11-04-2020 0001896596807 YENI SAFITRI P Rujuk Vertikal
045 11:03 MANDIRI abnormalities of cervix
080110011120P000 26-11-2020 PEKERJA
825 11-04-2020 0001896596807 YENI SAFITRI P Antenatal screening Berobat Jalan
413 08:30 MANDIRI
080110011120P000 26-11-2020 PEKERJA
826 11-04-2020 0001967958718 SHINTA ANISYA P Antenatal screening Berobat Jalan
414 08:32 MANDIRI
827 11-04-2020 0002033865505 SUHARNI P PNS DAERAH Berobat Jalan
080110011120P000 04-11-2020 PEKERJA Other chronic obstructive

828 11-04-2020 0002042111676 sunarti P Rujuk Vertikal
031 09:04 MANDIRI pulmonary disease
829 11-04-2020 0002050766109 SAMIARSO MINTARJO L PBI (APBD) Berobat Jalan
080110011120P000 17-11-2020
830 11-04-2020 0002056586949 berlian aqil musdayen L PNS DAERAH Gastritis, unspecified Berobat Jalan
274 09:39
831 11-04-2020 0002084757491 ENDANG ROSAWATI P Berobat Jalan
080110011120P000 04-11-2020 PEKERJA
832 11-04-2020 0002091989777 RAFI ALGIPARI L Epilepsy Rujuk Vertikal
036 10:07 MANDIRI
080110011120P000 17-11-2020
833 11-04-2020 0002269998977 cindy setya dinata P PBI (APBN) Gastritis, unspecified Berobat Jalan
269 09:37
Other specified mental
080110011120P000 04-11-2020 disorders due to brain
834 11-04-2020 0002429517723 KUSNADI L PBI (APBD) Rujuk Vertikal
038 10:13 damage and dysfunction
and to physical disease
080110011120P000 26-11-2020 Contraceptive
835 11-04-2020 0002566637561 ARI KRISNAWATI P PBI (APBD) Berobat Jalan
080110011120P000 17-11-2020 PEKERJA
836 11-04-2020 0002624509337 HI ABU BAKAR L Gastritis, unspecified Berobat Jalan
253 09:26 MANDIRI
080110011120P000 04-11-2020
837 11-04-2020 0002791537389 AISYAH NASYA BILLA P PBI (APBN) of connective and other Rujuk Vertikal
046 11:42
soft tissue
838 11-04-2020 0002791659914 FRANSISKA P PBI (APBN) Berobat Jalan
080110011120P000 17-11-2020
839 11-04-2020 0002863347311 ROHANI P PBI (APBN) Gastritis, unspecified Berobat Jalan
255 09:27
080110011120P000 17-11-2020
840 11-04-2020 0002926375997 ARISWAN EFENDI L PBI (APBD) Pulpitis Berobat Jalan
280 09:46
841 11-04-2020 0002926376201 HEYRIK SANDI L Berobat Jalan
080110011120P000 03-11-2020 PENERIMA
842 11-03-2020 0000032689102 JIMMY F HARTONO L Tinnitus Rujuk Vertikal
080110011120P000 03-11-2020
843 11-03-2020 0000033043375 INDARSIH,SPD P PNS DAERAH Injury of eye and orbit Rujuk Vertikal
024 09:19
080110011120P000 03-11-2020 MUHAMMAD FARHAN
844 11-03-2020 0000033851564 L PNS PUSAT Keratitis, unspecified Rujuk Vertikal
025 09:38 HANIF
080110011120P000 03-11-2020 REZADY YAN HAFIZ PEKERJA Other chronic obstructive
845 11-03-2020 0000033867292 L Rujuk Vertikal
021 08:54 MUNAF MANDIRI pulmonary disease

846 11-03-2020 0000034054907 HAZAIRIN L PNS PUSAT Berobat Jalan Hipertensi
028 09:55 disease
080110011120P000 03-11-2020
847 11-03-2020 0000996256596 RIDUAN BASYAR L PBI (APBN) Schizophrenia Rujuk Vertikal
027 09:54
848 11-03-2020 0001295979535 wan yulia maryani P Berobat Jalan
849 11-03-2020 0001303741653 SITI YUNA AALEYAH P PNS PUSAT Rujuk Vertikal
PEGAWAI
PEMERINTAH
080110011120P000 03-11-2020
850 11-03-2020 0001809071987 NANI HERAWATI P DENGAN Placenta praevia Rujuk Vertikal
029 10:35
PERJANJIAN
KERJA
080110011120P000 03-11-2020 PEGAWAI
851 11-03-2020 0001874411223 RAGIL RAHMA PRATIWI P Prolonged pregnancy Rujuk Vertikal
026 09:48 SWASTA
852 11-03-2020 0002086285476 YUHERMAN L Rujuk Vertikal
853 11-02-2020 0000032953353 ROSIDA P PNS PUSAT Rujuk Vertikal
854 11-02-2020 0000033293147 RAUNAS P diabetes mellitus with Rujuk Vertikal
019 11:15 PENSIUN TNI Mellitus
Insulin-dependent
080110011120P000 02-11-2020
855 11-02-2020 0000033303036 M.EFENDY NAZIR L PNS DAERAH diabetes mellitus with Rujuk Vertikal
007 08:36
080110011120P000 02-11-2020
856 11-02-2020 0000033562315 REPIYANSYAH L PNS PUSAT Calculus of kidney Rujuk Vertikal
013 10:36
857 11-02-2020 0000033866572 Ir. KHAIRA NOVA.MP P PNS PUSAT Berobat Jalan
004 08:20 disease
Insulin-dependent
080110011120P000 02-11-2020
858 11-02-2020 0000033921483 HJ.AINUN P PNS DAERAH diabetes mellitus with Rujuk Vertikal
016 10:56
080110011120P000 02-11-2020
859 11-02-2020 0000033921494 SUDIRMAN TAHIR L PNS DAERAH Calculus of kidney Rujuk Vertikal
018 11:13
080110011120P000 02-11-2020
860 11-02-2020 0000034229621 SUROSO L PNS DAERAH Calculus of kidney Rujuk Vertikal
017 11:00
080110011120P000 02-11-2020 Fatigue fracture of
861 11-02-2020 0000041395509 YULIANA P PNS PUSAT Rujuk Vertikal
012 10:31 vertebra, lumbar region
080110011120P000 02-11-2020
862 11-02-2020 0000310299423 SANI L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
015 10:52
080110011120P000 02-11-2020 Nephrotic syndrome,

863 11-02-2020 0000360764932 JUJU JURIAH P PBI (APBN) Rujuk Vertikal
080110011120P000 02-11-2020 Thyrotoxicosis
864 11-02-2020 0000361660476 DEVI SUSANTI P PBI (APBN) Rujuk Vertikal
009 09:24 [hyperthyroidism]
080110011120P000 02-11-2020 PEKERJA
865 11-02-2020 0001194330374 MEILIASARI P Schizophrenia Rujuk Vertikal
001 08:06 MANDIRI
080110011120P000 02-11-2020 PEKERJA
866 11-02-2020 0001265062757 ZUHEPNI L Paranoid schizophrenia Rujuk Vertikal
002 08:08 MANDIRI
080110011120P000 02-11-2020 IMMACULATA DWI PEKERJA
867 11-02-2020 0001316568172 P Congestive heart failure Rujuk Vertikal
006 08:32 PRATIWI MANDIRI
868 11-02-2020 0001643101479 RIRIN TRI MARHAENI SE P PEGAWAI BUMN Rujuk Vertikal
080110011120P000 02-11-2020 PEKERJA Open wound of lower back
869 11-02-2020 0001885579975 roby sugara L Rujuk Vertikal
011 10:21 MANDIRI and pelvis
080110011120P000 02-11-2020 PEGAWAI
870 11-02-2020 0002227743909 VERRA ANDRIANI P Complicated migraine Rujuk Vertikal
003 08:14 SWASTA
080110011120P000 02-11-2020 Fracture of lower end of
871 11-02-2020 0002791666056 YANTI SUSPITA P PBI (APBN) Rujuk Vertikal
014 10:43 tibia

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DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

TANGGAL TANGGAL JENIS STATUS

080110011120P000 30-11-2020 03-12-2020

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 30-11-2020 30-11-2020 Essential (primary)

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 30-11-2020 03-12-2020

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 28-11-2020 03-12-2020

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

Excessive and frequent

080110011120P000 27-11-2020 03-12-2020 PEGAWAI

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 27-11-2020 01-12-2020

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 26-11-2020 26-11-2020 PENERIMA Hypertensive heart

080110011120P000 26-11-2020 01-12-2020 PEGAWAI

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 25-11-2020 01-12-2020

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 25-11-2020 01-12-2020 PEKERJA Need for immunization

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 24-11-2020 24-11-2020 Contraceptive

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 23-11-2020 01-12-2020 ZAYYAN MUHAMMAD

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 23-11-2020 01-12-2020

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 23-11-2020 01-12-2020 PEGAWAI

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 21-11-2020 01-12-2020

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 20-11-2020 20-11-2020 PENERIMA Hypertensive heart

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 19-11-2020 19-11-2020 Hypertensive heart

Kantor Cabang : BANDAR LAMPUNG - 0801

FKTP : RAJA BASA INDAH - 08011001

080110011120P000 18-11-2020 18-11-2020 PENERIMA Gastro-oesophageal reflux