Primaya Hospital Tangerang Laporan Appointment Periode: 27-03-2021 S/D 27-03-2021

Primaya Hospital Tan
LAPORAN APPOINT
Periode: 27-03-2021 s/d
Bocah Indonesia
No. Channel Urutan Tanggal Slot Waktu Dept./Poli No.Rek.Medis
1 2 27-03-2021 08:10 BOCAH INDONES 00292783
2 3 27-03-2021 08:20 BOCAH INDONESIA
3 WhatsApp 4 27-03-2021 08:30 BOCAH INDONES 00014404
4 WhatsApp 5 27-03-2021 08:40 BOCAH INDONESIA
dr. Tiara Kirana, SpAnd

1 1 27-03-2021 09:00 BOCAH INDONES 00292783
2 2 27-03-2021 09:20 BOCAH INDONESIA
dr. Maitra Djiang Wen, SpAnd-KFER

dr. Ilhandy Oetama, Sp.U

1 Email 2 27-03-2021 10:05 POLI BEDAH UR 00173838
drg. Dimas Mahardika, Sp.BM
1 Email 2 27-03-2021 12:05 POLI GIGI 00205657
2 WhatsApp 3 27-03-2021 12:10 POLI GIGI 00173069
4 Telepon 5 27-03-2021 12:20 POLI GIGI
drg. Aurelia Ariane Karlina, MM, Sp.KGA

1 Rujukan 1 27-03-2021 10:00 POLI GIGI 00174822
dr. Inneke Sirowanto, Sp.OG

1 11 27-03-2021 11:40 POLI KEBIDANA 00276709
2 12 27-03-2021 11:50 POLI KEBIDANA 00054148
3 13 27-03-2021 12:00 POLI KEBIDANA 00214511
4 14 27-03-2021 12:10 POLI KEBIDANA 00273891
5 WhatsApp 15 27-03-2021 12:20 POLI KEBIDANA 00282787
8 Telepon 18 27-03-2021 12:50 POLI KEBIDANAN
11 Email 21 27-03-2021 13:20 POLI KEBIDANAN
14 Email 24 27-03-2021 13:50 POLI KEBIDANA 00173838
dr. Robert Soetandio, M.Si.Med, Sp.A

1 Telepon 1 27-03-2021 11:00 POLI ANAK 00281263
6 WhatsApp 6 27-03-2021 11:25 POLI ANAK 00268427
7 WhatsApp 7 27-03-2021 11:30 POLI ANAK 00282006
dr. Cecilia Januette Setiawan, Sp.KJ

1 1 27-03-2021 10:00 POLI KESEHATA 00219065
dr. R. Muhamad Ramdani, Sp.M

1 1 27-03-2021 14:00 POLI MATA 00295898
2 2 27-03-2021 14:05 POLI MATA 00296446
3 Telepon 3 27-03-2021 14:10 POLI MATA 00250695
4 4 27-03-2021 14:15 POLI MATA 00182473
5 5 27-03-2021 14:20 POLI MATA 00233494
dr. Meutia Ria Octaviana, Sp.OG, MKes

1 Email 1 27-03-2021 15:00 POLI KEBIDANAN
dr. Cynthia Agnes Susanto, Sp.OG

1 1 27-03-2021 09:00 BOCAH INDONESIA
4 4 27-03-2021 10:30 BOCAH INDONESIA
12 Telepon 12 27-03-2021 14:30 BOCAH INDONESIA
dr. William Timotius Wahono, Sp.OG

1 Telepon 1 27-03-2021 13:00 POLI KEBIDANA 00133353
dr. M. Luky Satria, SpOG-KFER

1 1 27-03-2021 09:00 BOCAH INDONES 00272638
dr. Riyan Hari Kurniawan, Sp.OG

1 1 27-03-2021 16:00 BOCAH INDONES 00270635
dr. Thomas Chayadi, Sp.OG

1 1 27-03-2021 14:00 BOCAH INDONES 00289602
dr. Ari Sigit ,Sp.OT (K) Spine

1 13 27-03-2021 10:00 POLI BEDAH OR 00111589
dr. Fajar Budiono, Sp.P

1 Telepon 1 27-03-2021 10:00 POLI PARU
2 Email 2 27-03-2021 10:05 POLI PARU 00173838
Dr. Diah Ari Safitri, SpPD-KHOM, FINASIM

1 Email 1 27-03-2021 10:00 POLI PENYAKIT DALAM
2 WhatsApp 2 27-03-2021 10:05 POLI PENYAKIT 00296056
dr. Tolhas Banjarnahor, Sp.PD

1 8 27-03-2021 09:35 POLI PENYAKIT 00068385
dr. Asterina, Sp.THT

1 1 27-03-2021 10:00 POLI THT 00122729
2 2 27-03-2021 11:05 POLI THT 00280647
3 3 27-03-2021 11:10 POLI THT 00166783
4 4 27-03-2021 11:15 POLI THT 00172282
5 5 27-03-2021 11:20 POLI THT 00295898
dr. Audhy Tanasal, Sp.S, FINA

1 1 27-03-2021 13:00 POLI SARAF 00198479
dr. Firman Hendrik H, Sp.S

1 WhatsApp 2 27-03-2021 09:00 POLI SARAF 00201053
Primaya Hospital Tangerang
LAPORAN APPOINTMENT
Periode: 27-03-2021 s/d 27-03-2021
Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

AHMAD SHOBARI 93075 AS KONSUL NY R085899277252
AGUSTIADI FAHRI BUDIARSYAH 60594 B4L AS+KONSUL087773742089
BUDI KURNIAWATI 32958 CEK LAB AMH TN085691391885
BERNARD PURWONO 10510 AS KONSUL B4L 0817771125
MOHAMAD IMBAR FITRIADI 22722 AS KONSUL B4L 081320753879
SUGIYANDI 00110 B4L-AS TERPISA08119440581
AHMAD SYAHRONI 34818 AS ONLY NY AVE08161868171
SINDHU RIDHIANSYAH 58929 SA KONSUL NY. M
081329262979
PRAMONO 04605 SA KONSUL NY M085726352546
ANDI GREGORIUS PARDEDE 54921 B3L AS NY LASM081283860903
SUBUR 78000 DFI KONSUL NY R
08998984671
OSCARIO ANANDA SINAGA 35083 AS, KONSUL NY I081288825538
TERRY MUSTAQIM TENTUA 59445 SA+KONSUL B4L085360095386
YUAN SYARIF 48144 AS KONSUL B4L 081281216164
DENI HERMAWAN 13308 DFI KONSUL NY 081807472987
ERIC LINARDY 55658 B3L-AS TERPISA081280892389
NICO SURYADINATA 94809 AS KONSUL NY S08159540071
ERWIN WISNU PUTRA 88146 AS+KONSUL NY T
085330577753
HAFIJ 74166 DFI JAM 08.00 K 081286161185
KEVIN OCTAREZA 87722 AS B3L NY TANT 6281314566958
NAIRUL MAJID 90562 AS+DFI, KONSUL083899464422
RIFKY ANDRIAN 63364 SA+DFI KONSUL 081382429870
MUHAMMAD RIZALDI MAULANA 57318 AS+DFI KONSUL 089518508503
N
ARIEF YUDISTIRA 62958 AS KONSUL NY I081233657643
FERRY NOVIAN 75620 AS KONSUL B4L 6285695470709
ISNAINI KASMIR 65672 CEK LAB ANTIVI 081373489966
DEVARA TIRTHA AMERTHA 30093 B3L AS NY SIT 628562123424
JUNIUS VARIANTO PRATAMA 09052 SA KONSUL NY. 081271623530
ALAM PARDOMUAN 17012 SA B3L NY FRI 082113171471
NOFRIWAN RAHMAT 25959 AS+SPREEM FRE081328642741
MUTIA ARIANY 62150 INJEKSI PROLUT08567979546
WULANDARI 65251 CEK LAB PRE OP081315205208
BIMASTYA BURHAN PERKASA 46484 AS+KONSUL NY I081293814620
ARIE RAHMADI 85026 AS KONSUL NY W
082260207020
AHMAD SHOBARI 27860 AS KONSUL NY R085899277252
AGUSTIADI FAHRI BUDIARSYAH 33396 B4L AS+KONSUL087873891821
NICO THOMAS 13304 KONSUL ONLY NY
085888986640
JUNIUS VARIANTO PRATAMA 84795 SA KONSUL NY. 085691511224
MOHAMAD IMBAR FITRIADI 49088 AS KONSUL B4L 081320753879
SINDHU RIDHIANSYAH 26783 SA KONSUL NY. M
081329262979
PRAMONO 88841 SA KONSUL NY M085726352546
DANIEL JIMMY BUDYANTO 99457 KONSUL ONLY NY
08170015405
ADITIA PUTRANTO 44571 KONSUL NY AST08119696648
BERNARD PURWONO 94560 AS KONSUL B4L 0817771125
SUBUR 42633 DFI KONSUL NY R
08998984671
TERRY MUSTAQIM TENTUA 55674 SA+KONSUL B4L085360095386
YUAN SYARIF 26143 AS KONSUL B4L 081281216164
DENI HERMAWAN 35626 DFI KONSUL NY 081807472987
NICO SURYADINATA 47185 AS KONSUL NY S08159540071
OBED PARASIAN 15068 KONSUL JAM 17.081319139420
ERWIN WISNU PUTRA 18299 AS+KONSUL NY T
085330577753
HAFIJ 82460 DFI JAM 08.00 K 081286161185
WAHYU ADI PERMANA 87720 KONSUL ONLY NY
081315556410
NAIRUL MAJID 95821 AS+DFI, KONSUL083899464422
OSCARIO ANANDA SINAGA 39198 AS, KONSUL NY I081288825538
RIFKY ANDRIAN 55989 SA+DFI KONSUL 081382429870
NIANZHI 64490 KONSUL ONLY ( 085261988806
MUHAMMAD RIZALDI MAULANA 79620 AS KONSUL NY A089518508503
ARIO SAPUTRA 18920 KONSUL ONLY NY
081297373365
MUHAMMAD IBRAHIM 61319 KONSUL HASIL A082122286229
FERRY NOVIAN 40749 AS KONSUL B4L 6285695470709
ARGO MUHARDITO 28098 KONSUL ONLY NY
081315205208
NOFRIWAN RAHMAT 19475 AS+SPREEM FRE081328642741
ARIEF YUDISTIRA 59925 KONSUL HASIL A081233657643
SOFYAN EFENDI SIREGAR 62451 AS+KONSUL NY P
081382649759
BIMASTYA BURHAN PERKASA 80795 AS+KONSUL NY I081212506235
ARIE RAHMADI 85714 AS KONSUL NY W
082260207020

STOPPPPP DULUUUU 59020 STOPPPPP DULUUUU
KORYNA SARAH LINA TAMSUR 66269 KONSUL ONLINE081275750099

DEVI CAPRIANDRPT. IN HEALTH (P1001460351475/s/BUKIT INT APPT VIA WEB / 081386660586
EMI SUSILOWATPT. IN HEALTH (P1011009202233/S/ETERNAL APPT VIA WEB / 08174837265
HELEN PERMATAKARYA SUMIDEN5236 APPT VIA WA / 087771008580
FIRDAUS SYARI PT. IN HEALTH (P10015409742522 APPT VIA WA / 081234129005
LESLI ALEXA AND
PT. IN HEALTH (PT. AJII) WALK IN

MUHAMMAD RAIPT. IN HEALTH (P1041464293986/G/PT. GMF A 081510671047
DANISH ABDILL PT. IN HEALTH (P1041009727634/G/GARUDA IN APPT VIA WA / 08129871103
AQILAH ZAHIRANPT. IN HEALTH (P10410 1403 0466/sindorama APPT VIA WA // 082299494338

MUTIARA SHAB PT. IN HEALTH (P1011456979525 APPT VIA WA / 08158213214
TRISNA SARI DEWI 79472 PU - WALK IN 085716491096
MEILIYA IMROA PT. PLN (PERSE 8000198702349239 wa 085755668217
DYAH WARDANI PT. IN HEALTH (P1011464288684/G/GMF APPT VIA WA / 085601730656
DEASY NATALIA 77910 APPT VIA WA / P 081289587702
HANIF MARWAH PT. IN HEALTH (P1011464264733/G/GMF wa 08567397221
DINANTI FALIEN PT. IN HEALTH (P1001464266486/G/GMF wa 082213222434
00296119 // ANAS TASIA AISA 86464 alo dokter 081377737571
LIA DAMAYANTI PRUDENTIAL-A 8000100635336853 APPT VIA WA / 085691750882
RITA DAMAYANTI 71498 APPT VIA WA / P 081380759251
Siti Nurjannah // 02/05/1984 09812 by ALODOK
FITRY NURLAEL PT. IN HEALTH (P1001464276151/G/GMF APPT VIA WA / 081912212953
LUH ASTLA DIVAPT. IN HEALTH (P1011446472508/S/Tempo Sca APPT VIA WEB / 08176413561
DEVY YUDHIASTIKA N 55647 APPT VIA WEB / 08985400383
DHITA AYU WIDI PT. IN HEALTH (P1011456979683/G/AERO SYST wa in health 085693146980
SOPHIA MEGA SPT. IN HEALTH (P1011503910857/G/GMF wa in health 081333100828
ATRILIA YUNITA PT. IN HEALTH (P1001571826533/G/GMF INHEALTH VIA 087782354584

SHABIRA ALMAHASURANSI JIWA 1507690029463662 imunisasi DPT 087771355624
BY NY ASTI JULI YUASA BATERRY11255 / ANAK / IDRIS ABD imunisasi MR 082260776995
AL FARISI WIC BNI LIFE 8000103008345006 / ANAK IMUN MR 081286463671
HUSAIN SAKHA BAIHAQI 07205 IMUN MR 081210954290
CHERIKA ALMA MEDICARE LIPP 1310202000286287 imunisasi MR 08176071618
TEUKU MEKKA ARRASY RIDWAN 06118 APPT VIA WA / 08128097937
SHAQUEENA LINPT. IN HEALTH (P1001571826533/G/GMF INHEALTH VIA W087782354584

EGA PUTRA AMDANI 75026 Kontrol Poli 081291031300

RR NOVITA YUL PT. IN HEALTH (P1011009716291/G/GARUDA Kontrol Poli 081291628587
TEGUH IMAN P PT. PERTAMINA 8000234700346057 Kontrol Poli 081224619641
ANGGI MARTINDA KOSTARIA 84170 08118449700
ADNAN MIHADI PT. IN HEALTH (P1001459422708/S/PT. GAPUR Kontrol Poli 0217312936/081
RIZKI ARMANDOPT. PERTAMINA 8000234700549791 / 100754 Kontrol Poli 081319058311

DINA AULIA 13/9/1995 02967 web pu pb 085774526467
DWI PUTRI RIZK PT. IN HEALTH (P1021012462179/G/GARUDA VIA WA / INHEAL081232122222

WIDYA AFRI MELINDA 09234 FW TN DAUD HAS
081294088841
WULANDARI 44459 KONTROL IVF TN081315205208
ISTI KHOTIMAH 48829 KONTROL HAMIL085725324115
DESI SUSILOWATI 16867 B4L USG+KONSUL
087773742089
ASTRI YULIAWATI 32690 KONSUL+USG TN08119696648
WENTI MUDINAR DEVITAYANI 95582 KONTROL R/ FET085220137372
LASMA TIUR NAINGGOLAN 58054 B3L USG+KONSU082168317012
SELVIA OKTAVIA JUNITA 67880 KONTROL ST TN083892142360
ENI WULANDARI 06230 KONTROL R/ ST 08164242600
MURNIYATI NASIROH 82757 KONSUL HASIL 087886529534
KHAIRANI MAHDALENA 17991 B4L USG KONSU085360095386
LIVIA DESDIANTI 89091 USG KONSUL B4081281216164
DESI PERMATASARI 39501 KONTROL HAID 08567123439
EUNIKE HENDRA 66907 B4L USG+KONSU081381476149
LENNY APRILINA RAJAGUKGUK 40163 KONSUL TN PRO628778101031
RIZANTIA ANGGRAINI 18405 KONSUL ONLY T087770172684
SONDANG EVALINA 78880 HDSP+ANESTESI081319598426
FRIDA JUNIYANTI 76432 KONTROL IUI TN082298084463
WIDIYAWATI CH 48204 KONTROL R/ FET08118881377
SITI NUR ANNISA 14097 B4L-USG KONSU08562123424
MUJIANIS 61591 KONSUL ONLY T08561256600
TANTRI PRESHALIA KRISWINDARI 24811 KONSUL USG B36281314566958
ISAURA LIDIA URIANA GINTING 82832 KONSUL TN OSC082391900700
ALFI NURUL ISLAMI 05005 KONSUL HASIL 087785567192
DHIKA KURNIAWATI 07692 KONSUL USG B4082122286229
SRI INDAH DEWI WAHYU 87683 KONSUL TN. JUN081271623530
NURBAITI 82102 KONTROL POST 0O81315507833
WARDAH MAULINA 14253 KONTROL FET T 081288888818
DIGNA OVISCA Klinik Bocah Indo 00 KONTROL D2 TN.087786061006
ERLIN 52043 USG KONSUL TN081387556505
DESTINY EKA SARI 77738 OPU TN. NANANG
08121861493

NIA RACHMAWATKELUARGA INTI 1 KELUARGA INTI 085714150902
ESY LUSIANA 27362 KONTROL TN RU085711049563

DAIROH 32253 KONTROL IVF (ZR
081215208616
DIAN BUDI ARIANTI 25004 KONSUL R/IUI T 081287829308
RINI PURWANDARI 36439 FW TN ALI BASYU
082113984063
WAHYU RAMADHANI WATIMENA 08795 KONTROL ULANG
081931672349
00274058 MIRA ASTRIANA 17980 KONTROL STIMUL
082184999233

IDA NURHIDAYAH 79289 KONTROL HAMIL085768532340
(
FITRIANI ARRAZI 55955 KONTROL ST TN087880256555

FITRY YULANDARI 69664 KONTROL HAMIL081908963558
T
ISMA MARYAMIS 93179 FET TN ASEP AWA
085693312705
RENI MEILANNI 61709 HD TN RENO FIR085718185988
IDA RONAULI RETTA MARITOH 12326 KONSUL TN ARIE081252325366
ERINZA UNTARI 52515 KONSUL ONLY TN
085693120004
FRISKA DEWI BR TAMPUBOLON 92063 B3L USG KONSU082113171471

PAIMAN** YUASA BATERRY961894 /PAIMAN / GA DRIVE Kontrol Poli 08129510923

andi rahman // 05-01-1979 88598 alo dokter 081513304931

Annisa Ayu Chrisnadila 15/09/1996 00452 ASURANSI VIA 0818644947
LELI MUTIARA SARI 33236 APPT VIA WA / P 081293764190

HARYATI SOMPO-ADMEDI8000100630797380 Kontrol Poli 081319081018

SANDI SANTOS PT. IN HEALTH (P1001464265068/G/GMF Kontrol Poli 081380811165
ELOK CAHYANI PT. IN HEALTH (P1011464285319/G/GMF Kontrol Poli 081329519242
HJ. SITI KOMAR PT. PLN (PERSE 8000198700049906 Kontrol Poli 08128156212
KHAIRUL PT. IN HEALTH (P1001464288391 / G / PT. G Kontrol Poli 087769095188
RR NOVITA YUL PT. IN HEALTH (P1011009716291/G/GARUDA Kontrol Poli 081291628587

DEDY PUTRA O ASURANSI JIWA 8000103102788010 Kontrol Poli 08711365978

DRS MURDAN UUN MARUNDUH 80324 APPT VIA WA // 08161945602
Tgl Lahir Email
23-09-1988
28-10-1985
08-04-1993
13-05-1983
19-05-1993
13-05-1987
02-01-1990
08-08-1987
08-03-1990
08-11-1978 chtin3.scr@gmail.com
22-10-1984
18-01-1986
30-09-1992
05-06-1991
29-04-1994
19-09-1983
20-03-1978
17-06-1990
23-11-1987
18-05-1988
23-10-1984 wulan.oct7@gmail.com
09-09-1984
Tgl Lahir Email
23-09-1988
04-05-1990
17-06-1990
08-04-1993
19-05-1993
13-05-1987
21-01-1989
02-01-1990
08-03-1990
08-11-1978 chtin3.scr@gmail.com
27-03-1991
22-10-1984
18-01-1986
12-06-1991
30-09-1992
08-08-1987
05-06-1991
28-10-1995
29-04-1994
29-01-1990
06-03-1984 argodidit@gmail.com
23-11-1987
19-09-1983
01-05-1988
09-09-1984
Tgl Lahir Email
Tgl Lahir Email

08-01-1982
Tgl Lahir Email
09-11-1978
15-12-1990 permatasari.helen@gmail.com
17-01-1993
Tgl Lahir Email

29-07-2013
22-08-2014
02-01-2013
Tgl Lahir Email

21-09-1992
21-07-1995
02-05-1992
24-06-1996
21-12-1990 deasynatalia01@gmail.com
26-10-1994
16-07-1993 dinantifaliendra@gmail.com
24-03-1988
11-03-1988
27-04-1991
09-11-1994 astladivasavitri26@gmail.com
08-01-1982
05-07-1987
13-04-1993
01-07-1997
07-06-1990
Tgl Lahir Email

20-11-2020 bimakyky0703@gmal.com
30-06-2020
12-06-2020
29-06-2020
25-06-2020
26-07-2020
27-11-2020
Tgl Lahir Email

06-11-1997
Tgl Lahir Email

08-11-1987
10-08-1992 teguh.factory@gmail.com
31-03-1987
21-10-1989 adnan.lapuppung@gmail.com
29-10-1995
Tgl Lahir Email
07-04-1988
Tgl Lahir Email
23-10-1984 wulan.oct7@gmail.com
28-09-1990
08-12-1984
10-10-1983
01-08-1995
04-10-1993
01-12-1992
10-07-1997
30-12-1985
25-06-1993
01-03-1977
14-05-1992
29-01-1993
25-10-1993
14-09-1991
25-06-1993
15-09-1995
21-12-1994 dignaovisca11@gmail.com
24-12-1980 destinyekasari24@gmail.com
Tgl Lahir Email

22-06-1983
29-10-1994
Tgl Lahir Email

09-05-1980
21-08-1989 dianbudiarianti@yahoo.com
19-08-1984
01-06-1984
Tgl Lahir Email

27-01-1994
25-05-1991
Tgl Lahir Email

30-05-1987
28-12-1995 ghaleismek@gmail.com
19-05-1987 meilanniirene@gmail.com
13-02-1984 ida.retta13@gmail.com
Tgl Lahir Email

02-07-1967 ayub@yuasabattery.co.id
Tgl Lahir Email

08-01-1982
Tgl Lahir Email
29-10-1971
Tgl Lahir Email

11-12-1975
Tgl Lahir Email

06-01-1965
14-08-1993
01-09-1950 sitikomaryati12@gmail.com
08-05-1983
08-11-1987
Tgl Lahir Email

27-12-1975
Tgl Lahir Email

09-03-1949
Pri
LAPO
Period
dr. Haryanto Utama, Sp.PD

Fisioterapis
1 WhatsApp 11 27-03-2021 09:40 REHABILITASI M 00041250
dr. Ilhandy Oetama, Sp.U

1 WhatsApp 11 27-03-2021 10:50 POLI BEDAH UR 00118012
dr. Hafiz Nafiuddin, Sp.OT

1 WhatsApp 11 27-03-2021 10:50 POLI BEDAH OR 00166470
dr. M. Taufik, Sp.B

1 12 27-03-2021 11:15 POLI BEDAH U 00295208
dr. Roy Christian, Sp.JP

1 WhatsApp 3 27-03-2021 15:10 POLI JANTUNG
dr. Rony M Santoso, Sp.JP(K), FIHA, FAPSC, FESC, FSCAI

1 10 27-03-2021 09:45 POLI JANTUNG 00138860
2 WhatsApp 12 27-03-2021 09:55 POLI JANTUNG 00156781
21 30 27-03-2021 11:25 POLI JANTUNG 00228706
28 37 27-03-2021 12:00 POLI JANTUNG 00296077
dr. Wira Kimahesa Anggoro, SpJP

2 12 27-03-2021 13:55 POLI JANTUNG 00287797
dr. Mervinna Giovanni, M.Biomed, Sp.OG

1 1 27-03-2021 08:00 POLI KEBIDANA 00295325
dr. Martha Saulina, Sp.KK

1 WhatsApp 13 27-03-2021 17:00 POLI KULIT DAN 00221661
dr. Cecilia Januette Setiawan, Sp.KJ

1 WhatsApp 12 27-03-2021 10:55 POLI KESEHATA 00295463
dr. Faneisha, Sp.M

1 WhatsApp 10 27-03-2021 09:45 POLI MATA 00117598
11 WhatsApp 20 27-03-2021 10:35 POLI MATA
dr. Ari Sigit ,Sp.OT (K) Spine

1 WhatsApp 11 27-03-2021 09:50 POLI BEDAH OR 00158252
dr. Herjuno Ardhi, Sp.OT

1 WhatsApp 11 27-03-2021 11:05 POLI BEDAH ORTHOPAEDI
2 WhatsApp 12 27-03-2021 11:10 POLI BEDAH ORTHOPAEDI
dr. Fajar Budiono, Sp.P

1 WhatsApp 11 27-03-2021 10:50 POLI PARU 00294904
Dr. Diah Ari Safitri, SpPD-KHOM, FINASIM

1 7 27-03-2021 10:30 POLI PENYAKIT 00269399
dr. Tolhas Banjarnahor, Sp.PD

1 15 27-03-2021 10:10 POLI PENYAKIT 00296066
2 16 27-03-2021 10:15 POLI PENYAKIT 00211582
dr. Audhy Tanasal, Sp.S, FINA

dr. Firman Hendrik H, Sp.S

5 WhatsApp 15 27-03-2021 10:05 POLI SARAF
6 16 27-03-2021 10:10 POLI SARAF 00104787
Primaya Hospital Tangerang
LAPORAN APPOINTMENT (BPJS)
Periode: 27-03-2021 s/d 27-03-2021
Nama Tgl.Lahir Penjamin No.Kartu Kode Booking No.Reg. No.Rujukan

J DAENG SAUN 15-03-1943 BPJS 0000047548743 82759 100505020121Y0
ALEX REINER P 22-04-1990 BPJS 0003057039988 66872 0223R0110321B0

KOMARIAH 29-12-1959 BPJS 0001871409284 57615 0223R0110221B0
CANDRIATI CAN 17-03-1947 BPJS 0001786744901 58187 102504050321Y0
KATIMIN 17-12-1944 BPJS 0001883495496 67205 102501101220Y0
NUR HIDAYAT EF 18-02-1974 BPJS 0002287246566 02613 0223R0170221B0
SUKMAWATI 12-11-1961 BPJS 0001899552003 05155 0223B1370121P0
DANNY BOY 12-02-1970 BPJS 0001469808955 36517 0223U1130321P0

SUHAEMI 03-07-1957 BPJS 0001261351236 87079 102501100121Y0

MARGARETHA A 31-08-1958 BPJS 0001461735371 44500 0223B1560221P0

SUNARSIH 19-05-1982 BPJS COB (PT. 0000802601695 0

00259700 PRAYITNO KARTOSU BPJS 0000049194652 59701 102501010321Y0

MARYATI 19-03-1947 BPJS 0000049045127 07182 0
ANAR TINIH 27-03-1969 BPJS 0001641319209 25108 0221U1370321P0
YAYAH KUSWAR 19-07-1956 BPJS 0001256776705 00005 0221R0130321B0
THIO HAN NIO 10-04-1938 BPJS 0001457148071 51574 0223R0170121B0
ERNAWATI 19-04-1966 BPJS 0001457149375 59102 0223R0170121B0
SUKRI BIN SAIRI 13-08-1952 BPJS 0002759933013 60465 0221U1460321P0
BACHTIAR SAPR 10-08-1962 BPJS 0001317524938 79782 0223R0170121B0
SCHOLASTICA 12-07-1945 BPJS 0001274187712 63075 102501010321Y0
SUNGKONO 10-03-1963 BPJS 0000038307453 43565 0223U0280321P0
ATIKAH,HJ. 15-09-1962 BPJS 0001313058431 53893 0221B1190121P0
DRS.H.MURHADI 15-09-1953 BPJS 0000049403294 80999 0223R0170121B0
SUHARTI 11-02-1988 BPJS 0001640332855 69544 0223R0170221B0
FAUZI H 23-06-1963 BPJS 0001649652434 42580 0223B1550121P0
ARNI YULIANTI 08-07-1980 BPJS 0001371723142 66236 0221B1360221P0
MARAUHUM ERI 05-10-1955 BPJS 0001302098297 06667 100505030121Y0
TORANG DOLOK 30-09-1958 BPJS 0001454689899 45816 0496U0010121P0
IWAN 30-10-1958 BPJS 0002750611342 08467 102504030121Y0
WARDOYO 09-05-1947 BPJS 0000049065491 36953 102501010221Y0
JAYA SUKARTA, 02-02-1970 BPJS 0000037501997 25240 0221R0400321B0
IIS NURKHOLIS 16-06-1982 BPJS 0001198905963 02219 0223R0170221B0
SARIPUDIN 19-10-1969 BPJS 0000047375414 77419 0
AFRIANDI KURN 20-04-1973 BPJS 0001625734888 67503 1025R0140321B0
GIMIN 07-08-1968 BPJS 0001656728493 58757 0223R0170321B0
VENANSIUS IDJ 18-05-1971 BPJS 0000103645923 94789 0221B2340221P0
ASPURI BIN SO 03-06-1969 BPJS 0001876001196 16225 0223U1210121P0
ANIS SOLICHAN 26-01-1969 BPJS 0001731805198 54842 102504030321Y0
JISMAN SIBURIA 23-08-1959 BPJS 0001211858392 14091 0902R0020121B0
SATINI 07-04-1977 BPJS 0001370149672 49191 0
ERWIN 24-03-1978 BPJS 0001326561006 96277 0223R0170321B0

TONO HARTONO 01-10-1967 BPJS 0001146811375 17784 0223R0300221B0
SARIYAH 20-08-1965 BPJS 0001424380645 63894
SUPANI 17-08-1951 BPJS 0000168523841 84505 0223R0300321B0

SRI WIDIYANTI 21-04-1980 BPJS 0001374682195 39128 0

ODJO NURATMA 28-05-1956 BPJS 0000047355401 80160 102501070221Y0

DODY MAHEND 17-08-1983 BPJS 0001737799738 54380 0221R0130321B0
DJAMSARI 17-07-1945 BPJS 0000049235422 25122 022300090221Y0
MAMAH 07-03-1973 BPJS 0000814606716 82523 022300090121Y0
MAHARANI ELSA 11-05-1964 BPJS 0001337018264 97378 0223R0460321B0
ARSINAH 17-05-1964 BPJS 0001437401002 76654 0223R0470121B0
THIO KIM NIO 29-05-1968 BPJS 0001316952516 72032 0223B0630321P0
SIN NIO 08-03-1954 BPJS 0001335350733 32493 0221R0231220B0
MARNIYATI 26-06-1951 BPJS 0000047671749 12368 100505030121Y0
SURYATI 23-02-1955 BPJS 0001453777525 90101 100501040221Y0
SAWIYAH 11-06-1963 BPJS 0001459647909 01719 100505040121Y0
HERAWATI S HJ. 10-08-1954 BPJS 0000037829665 64268 022300010221P0
00272824 LIM DJAN PING BPJS 0001592788498 76506 0223R0300321B0
MASRIF, DRS. 26-03-1944 BPJS 0000018516993 61984 0496U0010321P0
HJ.ZULJASNI. B 05-01-1945 BPJS 0000016626868 18995 0496U0010321P0
HJ RUKIAH 09-11-1951 BPJS 0001463931876 40566 100508020321Y0
SUHAIMI 15-06-1963 BPJS 0001452410831 78342 022300090321Y0

F. SRI SUMAENI 23-05-1962 BPJS 0001648071808 97891 100505040321Y0

00216470 DRA SONDANG GAYATBPJS 0001335222382 40095 0001335222382
295079 RINI SAFIRA PUJIANTI BPJS 0001455848008 37398 0001455848008

JUMIRAH 21-05-1977 BPJS 0001864029925 56231 1025R0140321B0
ERNA INDRIANI 29-10-1969 BPJS 0001263150753 96500 102501010221Y0
ERNA SURYANI 18-08-1967 BPJS 0001283649759 33663 102501070321Y0

NURAINI 16-12-1959 BPJS 0001457919268 18463 0
UNANG SUPAND 10-07-1954 BPJS 0000044331434 42350 0221R0090121B0

DESTI YANA 12-07-1999 BPJS 0002102320293 75818
WATI 01-01-1970 BPJS 0001327942337 46225
INDRITA BASYIR 02-07-1969 BPJS 0001831237424 86525 022300091220Y0
NURHASANAH 10-06-1957 BPJS 0001221484408 35319 0115R0240221B0
DENMAK SIMAN 21-03-1953 BPJS 0000036337285 56694 102501020121Y0

ARFAN ALWAN 20-07-2012 BPJS 0002240914162 90472 102501070221Y0
EPEK TAUFIK 05-04-1960 BPJS 0001388504632 01142 0221U0300121P0
ADI JONO 04-09-1942 BPJS 0000049112785 75456 102506020221Y0
SURATI 05-11-1969 BPJS 0001455582069 74293 0223U1130121P0
00226419 MUHAMAD RIZKY ADHI BPJS 0001369908753 87381 0496B0000221P0
H. M. SUKRON 07-09-1974 BPJS 36032207097400 87093 0
Tgl.Rujukan Faskes No.Telp. Asal RujukanKeterangan
No.Surat Kontrol
22-01-2021 PUSKESMAS JALAN KUTAI FASKES 1 wa 005059
23-03-2021 RS MELATI 082137104422 FASKES 2 wa ruj baru 005094

No.Surat Kontrol
01-02-2021 RS MELATI 082123268989 FASKES 2 wa 005073
18-03-2021 PUSKESMAS G 08569002880 FASKES 1 wa 005237
29-12-2020 PUSKESMAS P 081284287725 FASKES 1 wa 005350
24-02-2021 RSU AN-NISA 081330699430 FASKES 2 wa 005228
27-01-2021 KLINIK SILOAM 08561132388 FASKES 1 wa 005286
13-03-2021 KLINIK KARAWA 0818120148 FASKES 1 wa 005351

No.Surat Kontrol
06-01-2021 PUSKESMAS P 083804366463 FASKES 1 wa konsulan emr 005015

No.Surat Kontrol
17-02-2021 KLINIK KF CIPONDOH FASKES 1 WA KONSULAN 005391

No.Surat Kontrol
31-07-2018 Kec. Sawah Besar081383723513 RESUME MEDIS Kontrol Poli

No.Surat Kontrol
01-03-2021 PUSKESMAS KA 085960610167 FASKES 1 KONSULAN EMR123456
(

No.Surat Kontrol
081291738709 RESUME MEDIS Kontrol Poli
15-03-2021 KLINIK SUMBER A
082179876956 FASKES 1 WA RUJUKAN B 004082
18-03-2021 METRO HOSPITA081386855493 FASKES 2 WA RUJUKAN B 004126
21-01-2021 RSU AN-NISA 081319667718 FASKES 2 WA 004246
20-03-2021 KLINIK NAYAKA HUSADA FASKES 1 WA 004326
17-03-2021 PUSKESMAS KA 085714510476 FASKES 1 RUJUKAN BARU 004529
22-03-2021 KLINIK ROYAL 085716900556 FASKES 1 RUJUKAN BARU 004566
11-01-2021 KLINIK JATI ELOK FASKES 1 wa 004577
14-01-2021 KLINIK KF BERI 087783324063 FASKES 1 WA 003263
22-02-2021 KLINIK PT. ADIS 082113453716 FASKES 1 wa 004621
18-01-2021 PUSKESMAS JA 08129936956 FASKES 1 wa 004629
21-01-2021 KLINIK AMIRA 081382848415 FASKES 1 WA 004746
22-01-2021 PUSKESMAS BAJA FASKES 1 wa 004837
17-02-2021 PUSKESMAS KA 08161302719 FASKES 1 WA 004846
22-03-2021 RS MITRA KELU 081285366181 FASKES 2 wa ruj baru 004917
23-03-2021 RS BHAKTI ASIH 08176656228 FASKES 2 wa ruj baru 005122
24-03-2021 RSU AN-NISA 085310812823 FASKES 2 WA RUJUKAN B 005138
11-02-2021 KLINIK KIMIA F 08129278088 FASKES 1 WA 005171
19-01-2021 KLINIK ROHMTN 081210983267 FASKES 1 wa 005220
24-03-2021 PUSKESMAS BA 085284239142 FASKES 1 wa ruj baru 003771
25-01-2021 RS MARINIR CI 085693959788 FASKES 2 wa 005258
23-03-2021 RSU AN-NISA FASKES 2 wa 004269

No.Surat Kontrol
16-02-2021 RS HERMINA T 081292362006 FASKES 2 wa 002740
09-03-2021 RS HERMINA T 081290733550 FASKES 2 WA RESUME 003932

No.Surat Kontrol
31-07-2018 Kec. Sawah Besar081315068190 RESUME MEDIS Kontrol Poli

No.Surat Kontrol
13-02-2021 PUSKESMAS BU 081380410872 FASKES 1 wa konsulan emr 005247

No.Surat Kontrol
10-03-2021 METRO HOSPITA085212751210 FASKES 2 wa 005334
No.Surat Kontrol
09-02-2021 PUSKESMAS CI 087875197090 FASKES 1 wa dr fanes 005331
12-01-2021 PUSKESMAS CIKOKOL FASKES 1 wa dr ramdani 003575
08-03-2021 RSU AMINAH FASKES 2 WA (DR RAMDAN003886
14-01-2021 RS MULYA 087771507744 FASKES 2 WA KONSULAN 003918
18-03-2021 BP PERMATA 089625603299 FASKES 1 WA RUJUKAN BA004073
28-12-2020 RS HERMINA BI 08159859852 FASKES 2 WA KONSULAN E003888
30-01-2021 PUSKESMAS JALAN EMAS FASKES 1 WA (DR RAMDAN004388
26-02-2021 PUSKESMAS CI 0001453777525 FASKES 1 004419
09-01-2021 PUSKESMAS KE 083841514691 FASKES 1 WA DR. RAMDAN004434
01-02-2021 PUSKESMAS KE 081381473562 FASKES 1 WA DR. RAMDAN004443
05-03-2021 RS HERMINA T 089506092485 FASKES 2 WA DR. RAMDAN123456
19-03-2021 KLINIK AMIRA 081374735530 FASKES 1 RUJUKAN BARU 004506
19-03-2021 KLINIK AMIRA 081374735530 FASKES 1 RUJUKAN BARU 003776
23-03-2021 PUSKESMAS GEMBONG FASKES 1 BPJS (DR.RAMDA004922
15-03-2021 PUSKESMAS CI 081218032542 FASKES 1 WA (DR FANESH005317

No.Surat Kontrol
19-03-2021 PUSKESMAS KELAPA DUA FASKES 1 wa ruj baru 004117

No.Surat Kontrol
FASKES 2 wa belum paid 568965222
FASKES 2 wa belum paid 56898522

No.Surat Kontrol
06-03-2021 RS BHAKTI ASIH 082111779479 FASKES 2 KONSULAN EMR004743
15-02-2021 PUSKESMAS KA 081380410873 FASKES 1 WA KONSULAN 005161
13-03-2021 PUSKESMAS BU 087771297264 FASKES 1 wa 005306

No.Surat Kontrol
04-01-2021 RS SELARAS 085717001985 FASKES 2 WA 004195

No.Surat Kontrol
No.Surat Kontrol
30-12-2020 PUSKESMAS CI 08121009742 FASKES 1 wa 004699
24-02-2021 RS PATRIA IKKT 08889920005 FASKES 2 wa 005324
04-01-2021 PUSKESMAS SU 0832323253 FASKES 1 WA PINDAH DO 005379

No.Surat Kontrol
01-02-2021 PUSKESMAS BU 085697676593 FASKES 1 WA 003782
23-01-2021 KLINIK LESTARI 081288865039 FASKES 1 wa 004652
09-02-2021 PUSKESMAS J 081315364985 FASKES 1 RUJUKAN BARU 004773
04-01-2021 KLINIK KARAWA 085213684914 FASKES 1 wa konsulan emr 004885
13-02-2021 KLINIK DIANA PERMATA (JST) FASKES 1 wa blm paid 262000

Primaya Hospital Tangerang Laporan Appointment Periode: 27-03-2021 S/D 27-03-2021

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Primaya Hospital Tan

dr. Tiara Kirana, SpAnd

dr. Maitra Djiang Wen, SpAnd-KFER

dr. Ilhandy Oetama, Sp.U

drg. Aurelia Ariane Karlina, MM, Sp.KGA

dr. Inneke Sirowanto, Sp.OG

dr. Robert Soetandio, M.Si.Med, Sp.A

dr. Cecilia Januette Setiawan, Sp.KJ

dr. R. Muhamad Ramdani, Sp.M

dr. Meutia Ria Octaviana, Sp.OG, MKes

dr. Cynthia Agnes Susanto, Sp.OG

dr. William Timotius Wahono, Sp.OG

dr. M. Luky Satria, SpOG-KFER

dr. Riyan Hari Kurniawan, Sp.OG

dr. Thomas Chayadi, Sp.OG

dr. Ari Sigit ,Sp.OT (K) Spine

dr. Fajar Budiono, Sp.P

Dr. Diah Ari Safitri, SpPD-KHOM, FINASIM

dr. Tolhas Banjarnahor, Sp.PD

dr. Asterina, Sp.THT

dr. Audhy Tanasal, Sp.S, FINA

dr. Firman Hendrik H, Sp.S

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

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