Primaya Hospital Tangerang Laporan Appointment Periode: 26-03-2021 S/D 26-03-2021

Primaya Hospital Tan
LAPORAN APPOINT
Periode: 26-03-2021 s/d
Bocah Indonesia
No. Channel Urutan Tanggal Slot Waktu Dept./Poli No.Rek.Medis
1 1 26-03-2021 07:00 BOCAH INDONESIA
2 2 26-03-2021 07:30 BOCAH INDONES 00294116
3 WhatsApp 3 26-03-2021 08:00 BOCAH INDONES 00285503
6 WhatsApp 6 26-03-2021 09:30 BOCAH INDONESIA
drg. Nurin Sobrina, Sp.Perio

1 Telepon 2 26-03-2021 14:35 POLI GIGI 00218342
2 WhatsApp 3 26-03-2021 14:40 POLI GIGI 00100523
3 WhatsApp 4 26-03-2021 14:45 POLI GIGI 00296579
dr. Haryanto Utama, Sp.PD

1 WhatsApp 2 26-03-2021 09:05 POLI PENYAKIT DALAM
2 WhatsApp 3 26-03-2021 09:10 POLI PENYAKIT 00282068
dr. Hj. Vivien Maryam, Sp.PD

1 1 26-03-2021 17:00 POLI PENYAKIT 00057680
dr. Khrisanti Dinata, SpA
1 WhatsApp 1 26-03-2021 15:00 POLI ANAK 00293689
dr. Tiara Kirana, SpAnd

dr. Maitra Djiang Wen, SpAnd-KFER

dr. Intan Suri Baginda,Sp.Ak

1 Telepon 1 26-03-2021 07:00 POLI AKUPUNK 00128767
4 4 26-03-2021 12:00 POLI AKUPUNK 00292037
5 5 26-03-2021 12:30 POLI AKUPUNK 00292036
dr. Abdul Rachman, Sp.B(K)Onk

1 Telepon 1 26-03-2021 14:00 POLI BEDAH ON 00242819
2 Telepon 2 26-03-2021 14:05 POLI BEDAH ON 00296455
3 Telepon 3 26-03-2021 14:10 POLI BEDAH ONKOLOGI
4 WhatsApp 4 26-03-2021 14:15 POLI BEDAH ONKOLOGI
drg. Aurelia Ariane Karlina, MM, Sp.KGA

drg. Noviani Tri Indriyati, Sp.KG

2 WhatsApp 3 26-03-2021 15:40 POLI GIGI
dr. Monique Carolina Widjaja, Sp.GK

1 Telepon 1 26-03-2021 08:00 POLI GIZI 00292036
dr. Tito Phurbojoyo, SpJP
1 Telepon 3 26-03-2021 08:10 POLI JANTUNG 00008743
dr. Inneke Sirowanto, Sp.OG

1 WhatsApp 1 26-03-2021 11:00 POLI KEBIDANA 00141863
2 Telepon 2 26-03-2021 11:10 POLI KEBIDANA 00003242
3 11 26-03-2021 12:40 POLI KEBIDANA 00233510
9 Email 17 26-03-2021 13:40 POLI KEBIDANA 00003026
dr. Robert Soetandio, M.Si.Med, Sp.A

1 1 26-03-2021 11:00 POLI ANAK 00250215
dr. Cecilia Januette Setiawan, Sp.KJ

1 8 26-03-2021 15:35 POLI KESEHATA 00200123
dr. Cynthia Agnes Susanto, Sp.OG

dr. William Timotius Wahono, Sp.OG

dr. Ferry Darmawan, SpOG

1 1 26-03-2021 16:00 BOCAH INDONESIA
dr. Thomas Chayadi, Sp.OG

dr. V. Fridawati, Sp.PK

1 WhatsApp 1 26-03-2021 08:00 POLI DRIVE THR 00290150
dr. Tolhas Banjarnahor, Sp.PD

1 Telepon 3 26-03-2021 09:10 POLI PENYAKIT 00057516
dr. Yudistira Panji Santoso, Sp.PD, KKV

1 Email 2 26-03-2021 16:05 POLI JANTUNG 00281141
4 20 26-03-2021 17:35 POLI JANTUNG 00200123
dr. Asterina, Sp.THT
1 Telepon 1 26-03-2021 11:00 POLI THT 00110924
dr. Rochsis Mandoko,SpPD, KEMD,FINASIM,FACE

1 WhatsApp 1 26-03-2021 07:00 POLI ENDOKRIN 00225606
2 WhatsApp 3 26-03-2021 07:10 POLI ENDOKRIN
dr. Fitrie Rahayu Sari, Sp.P

1 WhatsApp 5 26-03-2021 14:20 POLI PARU 00294606
dr. Firman Hendrik H, Sp.S

1 WhatsApp 2 26-03-2021 10:05 POLI SARAF 00201053
Primaya Hospital Tangerang
LAPORAN APPOINTMENT
Periode: 26-03-2021 s/d 26-03-2021
Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

ANDREW MULYATNO 32586 AS B3L NY DANI 081807197533
AFIF ALAIDINSYAH 44493 SA URINE POST 081229366765
ULHAQ SH 43021 AS+DFI+KONSUL081324282065
ROCHMAD SAPUTRA 42633 SA KONSUL NY SI
087774172662
RAY STANLY TITALESSY 19203 SA DFI KONSUL 081330663838
M. REZA FAUZI AKBAR 78336 B4L AS+KONSUL085889894424
DEVARA TIRTHA AMERTHA 70160 B4L-AS KONSUL 082123914974
YANTI KRISNA 63055 CEK LAB E2, LH 081586867005
OBED PARASIAN 79044 AS JAM 17.00 N 081319139420
FERRY NOVIAN 09919 AS KONSUL B4L 6285695470709
ARGO MUHARDITO 84594 AS ONLY PASIEN081315205208
RIFKY ANDRIAN 15102 AS ONLY NY AYU081382429870
FARIZ M IQMAL 16212 AS B3L NY FITR 081322256570
MUHAMMAD IBRAHIM 07215 AS B4L TERPISA 082122286229
SALMAN HELMY 13182 AS B3L NY INDA 081291616170
AGUS RIBOWO 11712 AS KONSUL DR A081380395921
ABDULLAH FUAD MARTA 99281 B4L, AS+KONSU 081280091002
MELKY SURYAWIJAYA 23147 SPERM FREEZING
081287829308
ARIEF YUDISTIRA 91610 AS ONLY NY IDA081233657643
NOFRIWAN RAHMAT 67116 AS+SPREEM FRE081328642741

ICHWAN SETIA PT. IN HEALTH (P1001010819835/G/PT. GAPUR 081210862317
DRS. HASBY HASAN, MM 04021 PU WALK IN 085888562967
ZURYATI AZIZ 71022 PU WALK IN 085888562967

YUSTINI ANWAR // 02-06-1958 21204 APPT VIA WA / PU
ONG KHO SIAN 05411 APPT VIA WA / P 0818681248

DIAH AYU FERIYPT. IN HEALTH (P1011464281989/G/GMF Kontrol Poli 081585429073
KARTIKA KUSUMAH 74622 APPT VIA WA / P 082298409026
BY NY NIA ISDI ADMEDIKA BRI LI8000100627695217 APPT VIA WA / 085212338495

DOKTER CUTIIIIIIII 15233 DOKTER CUTIIIIIIII
DOKTER CUTIIIIIIII 37771 DOKTER CUTIIIIIIII

MUHAMMAD FADLI DAMOPOLII 12731 B4L-KONSUL ON08114510550

EMMA MELYANA 37113 081296809098
RITA NURWIANTI PUTRI LESMANA 19018 082217051993
Fadli Aditya Rizky 92511 081211039997
KIKIT RININTO ADI 62373 Kontrol Poli 08989886438
MAKHILA KUSUMA 76654 Kontrol Poli 085883682953
NUNING NURHAYATI S.KOM 76753 085779234599

YULIANA 73832 WEB 081219576877
DESY NATALIA 11165 WALKIN 081346610601
NURSASIA ANDA MARISA, 04/02/1993 60007 BELUM PAID 24/ 081212451221
ASTRI 23/08/1986 95255 PU VIA WA 087881422209

AQILAH ZAHIRANPT. IN HEALTH (P10410 1403 0466/sindorama WALK IN // sdh d 081317806875

NUR HALIMAH PT. IN HEALTH (P1001013783873/g/GARUDA 085710314442
00237716 M REZA SALEH H 33777 APPT VIA WA / RENCANA ASURANSI // BLM D PAID

MAKHILA KUSUMA 74538 pasien datang ja 085883682953
LENI MARZUKIE 73811 pu 0811162326

MINAR AFRIANI KELUARGA INTI 081362459609
RISMALIA TURNIKELUARGA INTI PERAWAT POLI GIGI KEL INTI POLI GI 081314373075
ANITA AMELIA PT. IN HEALTH (P1011478837443/S/BAF Kontrol Poli 087775031646
SERLY 35174 APPT VIA WA / P 081210009942
ERLIN INDRIANI 48332 APPT VIA WA // 081382782320
KARTIKA DWI HAPT. IN HEALTH (P1001458784305/G/AERO SYST wa 087832911961
MASYHITAH ISH PT. IN HEALTH (P1001464277354/G/GMF WA IN HEALTH 087855723783
AZIZAH ISFAHANY 38382 PU WA 081285491749
ISNIA LAILA R ASURANSI JASA 8000195801680472 APPT VIA WEB / 085781262932
ESTER RITA R 95782 APPT VIA WA / P 082298409026
NIA ISDIANA ADMEDIKA BRI LI8000100627695217 APPT VIA WA / 082210442324
NADA SHOPI QURRATAAINI 79503 phone optel 08989508354

KYANA SAFA ALEEYA 25457 imunisasi 0811102799
REGAN GIO WIRAWAN 35927 PU WA IMUNISAS081297947272
ALFATIH KAMIL ISMAIL 83677 PU 08118877536

Dr. JOHANES A ASURANSI AVRIST, PT Kontrol Poli 08158189499

FRIDA MAYANTI 80048 KONTROL HARI H081331347047
SARAH SEPTAVIANTI 33076 B4L - USG+KONS085889894424
SHERLY PRISCILIA 44754 KONTROL KEHAM
0817135011
NADIA BUDI ANANDA 28403 KONTROL R/ FET081919190883
RILLA ANDALISA 43607 KONSUL OBGYN 081363309696
O
SYELVI KALI 15079 KONTROL R/ FET081390816033
EMMA MELYANA 37972 R/ FET TN. DRH 081296809098
MEIRIFNA ANGGIETA DWI CAHYANI 44626 KONSUL HASIL H082133924966
MARCELLINE SUHARLI 53628 KONSUL ONLY TN
085891293599
YANTI KRISNA 76731 KONTROL STIMUL
081586867005
RIKA APRILIA 14329 FET TN PUNG CA08111778212
NOVIKA 99297 FW TN JUWENDI081314337781
FITRIA HANDAYANI 06542 KONSUL USG B3L
6281322256570
LAILA HIKMAWATI 68776 KONTROL HARI H081373202629
SUCI PRIMAYANTI 10662 KONSUL ONLY T081296796443
KARTIKA DEWI 40913 KONTROL D2 HAI081280079900
00287713 SARI HANDAYANI 49662 KONTROL IVF TN0821110001237
SHANTY SEPTIANTY 35616 KONTROL PASIE081517002207

FITRI SETYANIN PT. IN HEALTH (P1011561631053/g/02230017 wa in health 081295091022
CHENNY ERSYA SUCI 99059 KONTROL KANDU
085719401463

DANIRA ISMANIAR 39295 KONSUL USG B3085959122850
PAULA PUTRI ARYANI 01492 KONTROL ST TN085227877022
RIA EVITASARI SELAN 82159 HD TN BOBBY AN085659012227
INDAH RESTY YANA 03320 KONSUL USG B3L TN SALMAN HELMY (ND)

JAYANTI ANIS PUTRI 30992 KONTROL HAMIL081293863839
PANDE MADE SATRYA DHARMA PATHNI 65358 KONSUL TN. MAD081805517991

RENI MEILANNI 46353 ANTIGEN / VIA W085718185988
RIA EVITASARI SELAN 00451 ANTIGEN / VIA 085659012227
ROSI INDRIANI 71945 RAPID SEROLOGI
081513229341
ANINDITA HARDIANTI 94111 ANTIGEN / INFO 082189196646
AMAL SUGIARTO 18293 PCR H+1 / INFO 081316154842
LEE YONG NAM 05377 ANTIGEN / VIA W081213610495

YARMA 85018 phone optel 082111748083

UDIN MACHFUDIN 53294 APPT VIA WEB / 089526096056
SUTANDI YAHYA 47348 APPT VIA WA / P 08176881515
LINA SUSOANTY 21301 APPT VIA WA / P 08176881515
Dr. JOHANES A ASURANSI AVRIST, PT Kontrol Poli 08158189499
TUGINO YUASA BATERRY971932 / TUGINO / FORMATI walk in YUASA 0895332274980

THEN SYU FUI 00993 phone 087774551099
HONG TJU // 15-10-1971 77178 APPT VIA WA / PU
FADJAR DANNY , SE 78674 APPT VIA WA / P 0214706641
ANGELA VERONICA 45891 APPT VIA WA / P 081905224920

DJONG SET DJOE 23351 Kontrol Poli PU 087883082201

DRS MURDAN UUN MARUNDUH 71526 APPT VIA WA / P 08161945602
Tgl Lahir Email
25-06-1985
01-11-1988
16-05-1992
11-05-1988
19-04-1986
27-03-1991
06-03-1984 argodidit@gmail.com
05-06-1991
27-08-1985
06-05-1990
19-09-1983
23-11-1987
Tgl Lahir Email

05-10-1967
12-04-1956
17-03-1967 aziz.zuryati@gmail.com
Tgl Lahir Email
20-09-1952 helpdesk@linksehat.com
Tgl Lahir Email

19-06-1972
26-09-2007
Tgl Lahir Email
22-02-2021
Tgl Lahir Email
Tgl Lahir Email
Tgl Lahir Email

29-03-1986
11-05-1993
13-03-1987 Fadliaditymd@gmail.com
08-04-1981
18-07-1985
14-02-1984 nuning.kevin@gmail.com
Tgl Lahir Email

06-11-1964
18-12-1995
Tgl Lahir Email

02-01-2013
Tgl Lahir Email

01-01-1990
NCANA ASURANSI // BLM D PAID
Tgl Lahir Email

18-07-1985
Tgl Lahir Email
15-06-1951
Tgl Lahir Email

02-04-1991
28-01-1974
23-05-1993
09-08-1984
07-02-1983
11-04-1991
27-05-1992
19-05-1981 azisfahanya@gmail.com
23-04-1990 isnia19@gmail.com
02-11-1979
18-05-1993
02-02-1996
Tgl Lahir Email

08-12-2019
27-07-2018
08-08-2015 setiawatiatika98@gmail.com
Tgl Lahir Email

06-05-1966
Tgl Lahir Email

01-05-1981
01-05-1991
26-05-1986
20-04-1986
20-05-1988
29-03-1986
20-05-1991 adc.rifna@gmail.com
17-09-1995
19-04-1986
11-04-1995 apriliarika18@gmail.com
28-06-1981
22-02-1992
30-04-1984
23-09-1983
Tgl Lahir Email

20-04-1995
03-03-1993
Tgl Lahir Email
19-10-1992
10-04-1991 selanevitasariria@gmail.com
TN SALMAN HELMY (ND)
Tgl Lahir Email

03-01-1999
Tgl Lahir Email

19-05-1987 meilanniirene@gmail.com
10-04-1991 selanevitasariria@gmail.com
30-08-1979 brigeta.ruwindiyani@car.co.id
21-09-1989 amalsugiarto02@gmail.com
10-12-1987
07-07-1968 astridsintadewi95@gmail.com
Tgl Lahir Email

22-12-1938
Tgl Lahir Email

24-05-1961
09-07-1946
11-11-1947
06-05-1966
Tgl Lahir Email
19-07-1975
Tgl Lahir Email

16-08-1970
05-12-1961
24-07-1981 AUDYKENZIO18@GMAIL.COM
Tgl Lahir Email

11-03-1947
Tgl Lahir Email

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

Fisioterapis
1 WhatsApp 3 26-03-2021 08:20 REHABILITASI MEDIK
2 WhatsApp 4 26-03-2021 08:30 REHABILITASI M 00080752
dr. Suryadi Susanto, SpA

1 1 26-03-2021 11:00 POLI ANAK 00295770
dr. Richard, Sp.B

1 WhatsApp 6 26-03-2021 16:25 POLI BEDAH U 00186778
dr. Edhi Hapsari Mulyoningtyas, Sp.U

1 8 26-03-2021 11:35 POLI BEDAH UR 00275952
2 9 26-03-2021 11:40 POLI BEDAH UR 00251583
3 10 26-03-2021 11:45 POLI BEDAH UR 00273218
4 11 26-03-2021 11:50 POLI BEDAH UR 00270287
5 12 26-03-2021 11:55 POLI BEDAH UR 00270469
6 WhatsApp 13 26-03-2021 12:00 POLI BEDAH UR 00291010
8 15 26-03-2021 12:10 POLI BEDAH UR 00295182
13 WhatsApp 20 26-03-2021 12:35 POLI BEDAH UROLOGI
dr.Subrady Leo,Sp.BS
1 WhatsApp 10 26-03-2021 11:45 POLI BEDAH SA 00161945
dr. M. Taufik, Sp.B

1 WhatsApp 12 26-03-2021 10:55 POLI BEDAH U 00250375
dr. Alifi Maulidyan, Sp.BA

1 Rujukan 3 26-03-2021 09:10 POLI BEDAH AN 00296432
dr. Roy Christian, Sp.JP

1 WhatsApp 1 26-03-2021 18:00 POLI JANTUNG 00197422
dr. Rony M Santoso, Sp.JP(K), FIHA, FAPSC, FESC, FSCAI
1 11 26-03-2021 08:50 POLI JANTUNG 00209018
15 25 26-03-2021 10:00 POLI JANTUNG 00296107
21 31 26-03-2021 10:30 POLI JANTUNG 00295820
dr. Tito Phurbojoyo, SpJP

1 13 26-03-2021 09:00 POLI JANTUNG 00296072
2 14 26-03-2021 09:05 POLI JANTUNG 00292962
dr. Robert Soetandio, M.Si.Med, Sp.A
1 2 26-03-2021 11:05 POLI ANAK 00296217
dr. Cecilia Januette Setiawan, Sp.KJ

1 WhatsApp 11 26-03-2021 15:50 POLI KESEHATA 00221151
2 WhatsApp 12 26-03-2021 15:55 POLI KESEHATA 00018261
dr. William Timotius Wahono, Sp.OG

2 6 26-03-2021 17:25 POLI KEBIDANA 00177167
dr. Ari Sigit ,Sp.OT (K) Spine

1 WhatsApp 6 26-03-2021 18:25 POLI BEDAH OR 00294599
2 WhatsApp 11 26-03-2021 18:50 POLI BEDAH ORTHOPAEDI
dr. Ajiantoro,Sp.OT
dr. Tolhas Banjarnahor, Sp.PD

4 15 26-03-2021 10:25 POLI PENYAKIT 00122896
dr. Yudistira Panji Santoso, Sp.PD, KKV

1 18 26-03-2021 17:25 POLI JANTUNG 00296155
2 19 26-03-2021 17:30 POLI JANTUNG 00285157
3 21 26-03-2021 17:40 POLI JANTUNG 00282528
4 22 26-03-2021 17:45 POLI JANTUNG 00196301
5 23 26-03-2021 17:50 POLI JANTUNG 00196077
11 WhatsApp 29 26-03-2021 18:20 POLI JANTUNG
13 31 26-03-2021 18:30 POLI JANTUNG 00153661
14 32 26-03-2021 18:35 POLI JANTUNG 00279535
21 39 26-03-2021 19:10 POLI JANTUNG 00206281
46 WhatsApp 64 26-03-2021 21:15 POLI JANTUNG
dr. Ray Indra Wibowo, Sp.KFR

dr.Purwitasari Darmaputri, Sp.KFR

1 WhatsApp 11 26-03-2021 15:50 REHABILITASI MEDIK
dr. Audhy Tanasal, Sp.S, FINA

dr. Firman Hendrik H, Sp.S

13 Rujukan 23 26-03-2021 11:50 POLI SARAF 00099695
dr. Cahyo Pradipto, Sp.U

1 8 26-03-2021 16:35 POLI BEDAH UR 00291344
Primaya Hospital Tangerang
LAPORAN APPOINTMENT (BPJS)
Periode: 26-03-2021 s/d 26-03-2021
Nama Tgl.Lahir Penjamin No.Kartu Kode Booking No.Reg. No.Rujukan

FATHIAH CB 22-07-1962 BPJS 0000049282176 54632 0223R0300321B0
BAMBANG SOEP 06-04-1968 BPJS 0001794682798 51492 100515010221Y0
AMELIA AUGUST 27-08-1963 BPJS 0001423137183 69759 0496R0390121B0
SANDI RADIANT 02-10-1957 BPJS 0001877370164 17258 0496B0000221P0
ROHMAH 01-07-1959 BPJS 0002297783553 31927 0223B1441220P0
TERRY OCTAVIA 17-10-1958 BPJS 0001277625947 35793 0223R0460221B0
00058902 MASTA WIKARTA, H BPJS 0001257100672 61486 0001257100672
BUDI LESTARI 25-10-1959 BPJS 0000049232564 90056 0223U0280221P0
RENTHA SILALA 01-08-1957 BPJS 0001798737579 04214 022300090221Y0

00083285 MULARININGSIH BPJS 0000049458442 41552 102501020121Y0
NURSAMSIAH 28-06-1966 BPJS 0000040513533 38986 102501100221Y0
ROSMALEM TAR 03-03-1967 BPJS 0001136481906 90758 0223U0280221P0
SIN FA 10-08-1962 BPJS 0001261469349 57195 0223U0280321P0
SAMLAWI,IR,TN 12-12-1958 BPJS 0000040486432 31026 102501101220Y0
MAMAN MULYAM 15-10-1957 BPJS 0000037571242 52763 102501100221Y0
ISTI FATIMAH, S 13-07-1959 BPJS 0000038472366 05133 102501100121Y0
MARIA RUSPITA 25-06-1963 BPJS 0001815281201 74854 0496U0010221P0
PONIKEM 10-03-1968 BPJS 0001822959595 24818 0496U0010221P0
ISAK PARULIAN 30-07-1965 BPJS 0001735241229 98301 0496U0010321P0
SAUT SIHOMBIN 25-12-1961 BPJS 0000164057905 12520 0221R0400221B0
PURNAMA BR . 27-11-1973 BPJS 0001370135384 88611 0223R0170121B0
HENNY OKTAWI 19-10-1976 BPJS 0001461905796 47001 0223U1100321P0
ARPATI 27-07-1955 BPJS 0001308778435 42617 0223U1090321P0
JENITAWATI SAL 30-09-1955 BPJS 0001818689308 24156 0223R0380321B0
IRWAN GUNAWA 07-08-1953 BPJS 0001455095564 10330 0223R0380121B0
BENY 08-08-1969 BPJS 0001817780207 93492 0221R0230221B0
KIE AI LIE 06-10-1958 BPJS 0001339326191 50804 0223R0380121B0
HENDRA 24-06-1984 BPJS 0001455092886 77496 0223R0380121B0
HARI SULASMINI 19-08-1963 BPJS 0000047478802 36331 102501030121P0
LUNIH 18-07-1969 BPJS 0002102311743 33163 102505040221Y0
VIOLA LINDA PU 15-03-1985 BPJS 0001639873056 78975 0496R0390221B0
IZDIHAAR AYU G 10-08-2009 BPJS 0002506956704 93682

MELIANAH 17-09-1989 BPJS 0001871638119 49811 0223R0110121B0

HARDI AFRIYAN 15-04-1994 BPJS 29109
DARYONO 03-03-1969 BPJS 10813
MUZAKIR WATI 23-08-1972 BPJS 02767
HASYIM 03-05-1966 BPJS 66578
ARIS UGIH WIH 27-04-1985 BPJS 05172
RUSMAN EVEND 01-02-1973 BPJS 0001770231453 66534 0001770231453
RUKMINI 28-10-1964 BPJS 0002207696163 68889 0002207696163
ANDI SAMDIA S 11-11-1968 BPJS 0000048726999 71539
SURTINAH 13-08-1968 BPJS 0002469322574 23239 0002469322574
JANAH 14-02-1977 BPJS 0000796090318 28195 0222R0050221B0
AZIS AYUNG 01-06-1960 BPJS 0001269420164 17398 0496R0350221B0
RAHMAN 14-04-1960 BPJS 0001482628048 41615 100505040321Y0
00275926 TATA SUWARTA BPJS 0001829680165 87871 0001829680165
00293152 RETNO PURWOKO BPJS 0000042062409 82007 0000042062409
BAMBANG NUGRAHA 8-12-1982 BPJS 0001815044163 53104 0224R0020321B0

RETNO RONDIY 21-11-1985 BPJS 0002234818719 63971 0496B0000321P0

SAMSURI 15-03-1970 BPJS 0001126593562 43411 102506020321Y0

BAYI NYONYA Y 13-02-2021 BPJS 0003070125011 62919 0496R0330321B000468

HJ YUSRA 08-11-1962 BPJS 0001480124158 26405 1025R0140221B0
INAH 04-09-1958 BPJS 0001894525604 58530 0496B0000221P0
DANIL SETIAWA 13-09-1969 BPJS 0001457847101 50226 022300100221P0
DONI ROMDONI 20-05-1954 BPJS 0000049368813 03233 0221B1090221P0
BRUDELINA SAR 29-12-1957 BPJS 0000046271957 12561 100505030221Y0
SUHARTO 25-05-1959 BPJS 0002048750403 71725 0223R0170321B0
FRANS MAHOLE 29-04-1954 BPJS 0001338022438 51481 0223B1450321P0
M ALEXANDER 08-03-1961 BPJS 0000036573827 57256 0496U0030321P0
ALI NASIM 06-06-1953 BPJS 0000045284556 46007 102501020121Y0
BAMBANG SUDA 15-09-1951 BPJS 0000059377781 33627 0221U1450321P0
NENDI MULYADI 20-04-1958 BPJS 0001422737019 62601 0223R0170221B0
ZAELANI 27-09-1974 BPJS 0001210863633 96628 1025R0140221B0
RAMLAN 29-09-1967 BPJS 0001827772356 86176 102504050321Y0
SAMSUDIN 02-07-1963 BPJS 0001772113364 63757 100508010221Y0
AMRIAH 01-02-1964 BPJS 0001443282671 64478 0223U1100321P0
DIANA PUTRI Z 07-10-1971 BPJS 0001335976558 63269 0901R0010121B0
M HASANUDIN 03-02-1980 BPJS 0001834938505 58664 102501010321Y0
SARMI 04-01-1956 BPJS 0001337212866 61930 1025R0140121B0
MELATI FARIDIA 06-05-1969 BPJS 0001109980361 28565
TJEN MIAU FON 15-12-1975 BPJS 0001813163567 68481 0223U0280121P0
ROHMAH 15-10-1972 BPJS 0001769633998 48998 0496R0400221B0
H.MOH SYAMSU 17-09-1959 BPJS 0001423696983 03918 102501070321Y0
YANTI KURNIANT 29-12-1964 BPJS 0000049405026 61104 022101080321Y0
KUSNADI HEND 10-04-1949 BPJS 0001455487751 49239 0223R0300221B0
HASNIDAR 25-09-1953 BPJS 0000017240703 50042 0
LIANA CHANDRA 08-11-1946 BPJS 0001259904767 41016 0496U0011220P0
SUKARMA 20-09-1970 BPJS 0001454104945 25132 1005R0040121B0
ATMAN ARHADI 17-03-1937 BPJS 0001259904126 98651 0496U0011220P002835
TRIYANTO 26-09-1975 BPJS 0002137500641 32881 0221B2060221P0
RASYID ZAIN 08-04-1956 BPJS 0002927149029 71325 0223R0300321B0
ENI PRIHANTAR 28-09-1975 BPJS 0001310321834 34084 1025R0030221B0
TJETJEP SUKM 23-07-1950 BPJS 0000048195191 78816 0222R0040221B0
MUHAMMAD ZAM 17-09-1962 BPJS 0000043568133 56659 022310040121Y0
FERRY KURNIAW 24-08-1974 BPJS 0001322634284 19904 0223U0280121P0

RUSDIANTO 25-09-1971 BPJS 36711125097100 88840 0
SALIM 02-05-1955 BPJS 0001286810469 73680 0
VONNI DEWATI 05-05-1971 BPJS 0000036230523 86003 100504010121P000677
HAERONI 15-03-1968 BPJS 0000047789133 39907 100504030221Y0
DRS R DANU N 29-05-1970 BPJS 0000047284255 13816 1008R0010221B0
TJANDRA LESTA 02-01-1948 BPJS 0001258796406 14556 0496R0330321B0
ALTHAF DISTY 17-07-2012 BPJS 0001627409384 44252

MARIANI 09-02-1968 BPJS 0001285590486 83321 022300090221Y0
ALBERT SETIA 10-05-2001 BPJS 0001260759699 08765 022300090121Y0

IFAH SYARIFUL 30-05-1987 BPJS 0001650134788 38372 0223R0570321B0
SATIYAH 25-09-1973 BPJS 0002058539409 59940
NUNUNG 15-08-1970 BPJS 0002430346915 93686 0220R0040221B0

USMAN SOEMAN 10-03-1958 BPJS 0001826823958 51134 0496R0330221B0
00293673 NURSAID BPJS 0002070955697 10704 0496R0330221B0

AFIFAH NURHA 01-03-1996 BPJS 0001884663696 66445 0496R0390321B0
AUGUSTA SARA 21-08-1956 BPJS 0002095131014 13931 0496R0390321B0
MIMI KARTINI 05-01-1963 BPJS 0001453845148 39463 1025R0140221B0
SOMAD 12-11-1987 BPJS 0001737490397 70243 0496R0390321B0
SYAILENDRA BE 29-11-2007 BPJS 0002061799266 27063 102501100321Y0

WINASIH 05-04-1972 BPJS 0001795007496 37369 0221B1150221P0
ABDUS SALAM 19-06-1967 BPJS 0001446041799 63250 100518020321Y0
00126465 ROSPITA SIRAIT BPJS 0000049340103 02622 0223R0300321B0
YAYAH KHODIJA 10-12-1982 BPJS COB ( PT. 30125 0
SUNARDI ADJIN 19-09-1955 BPJS 0002422495383 01374 100517040221Y0
ANDREAS SAWI 01-07-1957 BPJS 0001263446649 24071 0496U0010321P0
HOAT BEANG 15-04-1965 BPJS 0001722947635 24280 0223R0450121B0
JUARSIH 05-12-1973 BPJS 0001625729714 24341 0496B0000321P0

NURDIYANA 08-11-1968 BPJS 0000038994287 89259 0
ABDURAHMAN 08-05-1977 BPJS 0002426274371 57608 0
AMIT 11-10-1950 BPJS 0002044340987 16046 0223R0301220B0
ARIJANI HANDO 21-07-1945 BPJS 0001423678061 80904 0496R0390221B0
TAN TJONG KHI 18-03-1944 BPJS 0001423677813 87564 0496R0390221B0
TOPIK 06-05-1960 BPJS 0000815499191 58102 102501100221Y0
ROBY 20-09-1979 BPJS 0001290287362 04491 102501020221P0
PARDJIMIN 19-11-1955 BPJS 0001140250138 95159 1025R0140321B0
EMAWATI TJAHJ 07-09-1959 BPJS 0001123627948 65747 0223U1130221P0
RETNO ROESWI 28-04-1975 BPJS 0001455097239 14093 0223R0500321B0
00272824 LIM DJAN PING BPJS 0001592788498 51590 0223R0300321B0
ROMI ISKANDAR 12-08-1975 BPJS 0001771447645 03644 0115R0260221B0
MUFLIKHATUL 14-12-1960 BPJS 0000047808134 35021 0
SUJIARTI 01-01-1950 BPJS 0001453514545 61261 0
KOE IN NIO 15-02-1952 BPJS 0001259858575 22446 0221R0230221B0
NAMID 03-08-1952 BPJS 0002320517889 85976 0496R0400121B0
ELIS SUMIARSIH 06-01-1967 BPJS 0000047919879 23824 049600090321P0
ENUNG SUMARN 18-04-1967 BPJS 0000047919958 90451 049600090121P0
JAJA SUDRAJAT 14-12-1964 BPJS 0000048902141 04279 0223U0280221P0
NURLAELI 25-07-1979 BPJS 0002115164654 13351 102501040121Y0
YO YEN FANG 30-01-1954 BPJS 0001722380848 96774
MAMAN DASUKI 09-05-1949 BPJS 0002068944401 25398 0223U0280321P0
SUHERI SH 02-05-1964 BPJS 0000037681301 41872 0223R0300121B0
RATNA JUWITA 06-11-1955 BPJS 0001293392316 63682 102501040121P0
ERI SUSANTI 12-12-1965 BPJS 0000040508008 46362 102501100221Y0
ANDI WILLIAM P 22-01-1961 BPJS 0001676198496 13201 102501040121P0
SUPRIYADI 03-05-1955 BPJS 0000040507986 55066 102501100221Y0
BUDI DIAN RAC 29-11-1956 BPJS 0001454031854 32422 0223B1370221P0
JERRY RORY NE 24-12-1952 BPJS 0000027688285 60671 100505040221Y0
HELMI BAHANA 01-11-1974 BPJS 0002072352497 92844 0221R0230321B0
SUHARTONO 19-10-1956 BPJS 0000040505804 87055 102501100321Y0
TUTY SUKANTI 20-04-1954 BPJS 0000038783024 81356 102501010221Y0
RIKA 10-08-1972 BPJS 0002420882177 71360 0223U1130321P0
KIM HOA 12-12-1952 BPJS 0001258808613 49754 0223U1130321P0
RAMONA GINTI 05-01-1974 BPJS 0001649078368 94243 0221U1240121P0
A. AMIK WIDYAS 30-09-1963 BPJS 0001259411051 05941 100506020121Y0
WAHYU 03-06-1968 BPJS 0002882351722 12127 0496R0330321B0
AEP SAEPUDIN 13-08-1968 BPJS 0002519558548 97045 0223U1100221P0
LIE COKRO KUS 07-04-1948 BPJS 0001437649277 53902 102501100121Y0
SIRWANTO 01-08-1970 BPJS 0002235804377 82856 0223R0510121B0
YOS SUDARSO 28-11-1971 BPJS 0001136122108 62044 0223R0171220B0
AHYANIAH 10-11-1959 BPJS 0000039652031 06602 0223R0470121B0
EKA BAHAR 29-01-1969 BPJS 0001277450638 39256 0223U1090321P0
IR. SOEMANTRI 17-05-1943 BPJS 0001459793092 85763 0496R0110121B0
LISNAWATI 29-09-1949 BPJS 0001460149986 37931 0223B0660221P0
00140100 YULIA PUJIARTI BPJS 0001189691122 13093 0001189691122
BARKAH DARM 11-05-1959 BPJS 0001773160323 38852 0223B1480321Y0
HJ. QOMARULLA 18-06-1959 BPJS 0000047668509 65192 100505030321Y0
LUKMAN LUTFI 08-07-1948 BPJS 0001472929839 30870 102505040221Y0
SYIHABUDIN YA 19-09-1956 BPJS 0000048820746 21551 102501010221Y0
DEWI MARDINI 07-03-1985 BPJS 0000977413948 66153 102501010221Y0
MARIA HARYANI 23-07-1945 BPJS 0001457557402 40193 0496R0390321B0
00163828 HARI WIDIANDARU BPJS 0001796050361 46579 0223U1240121P0
MUHAMMAD SH 11-04-1955 BPJS 0001819846067 38031 0223R0500221B0

TIES WARTY ZA 07-03-1948 BPJS 0001335224979 98823 0223R0460321B0
PATMAYANI 12-05-1967 BPJS 0001795284448 44030 0223R0450121B0
MAULI BR SIRE 06-11-1957 BPJS 0002041926985 38964 0223R0450321B0
ELLY TANDI 11-12-1960 BPJS 0000205625259 89151 022300090321Y0
MIREI UZAWA 10-12-2005 BPJS 0002746049387 03208 0221B2150321P0
ITA SHELITA 01-08-1970 BPJS 0002746048555 45053 0221B2150221P0
ISTER H A MAJI 15-07-1966 BPJS 0002039804054 21859 022300090221Y0

00138445 yuliati BPJS 0000039336445 24372 0000039336445

DENMAK SIMAN 21-03-1953 BPJS 0000036337285 72917 102501020121Y0
SUHARTINI 16-06-1957 BPJS 0001033667223 09351 0496B0000221P0
LELONO, S.SOS 25-08-1959 BPJS 0000040492258 61161 102501020221Y0
M OBI RENALDO 13-04-1987 BPJS 0001635732472 50146 0223R0170121B0
AYATI 16-05-1966 BPJS 0001477088559 64469 022300090321Y0

RATNA KURNIA 12-11-1942 BPJS 0002379391132 60753 0223B1370321P0
SRI HASTUTI 10-11-1949 BPJS 0001278360088 87646 100508010221Y0
IYOH 31-12-1969 BPJS 0000047550813 99869 0221R0230221B0
WARYANTI 15-09-1951 BPJS 0001430292374 55799 0223R0170121B0
WANGSIT 16-03-1962 BPJS 0000047371735 68694 0223R0390321B0
MUHAMAD ARK 26-09-2004 BPJS 0001734246696 23040 102501010321Y0
GENTINA SIREG 24-07-1956 BPJS 0002376143684 85536 1025R0140221B0
JUJU JULIAWATI 01-04-1965 BPJS 0001279838766 69851 1025R0030221B0
SEHABUDIN 06-08-1975 BPJS 0001270738776 13246 102501100321Y0
ANDREAS DWI S 27-05-1998 BPJS 0001430296446 20526 022300010121Y0
DESINTIA 12-12-1995 BPJS 0001308582797 23035 0223R0300321B0
BENY HARJADI, 02-06-1971 BPJS 0001385748911 47923 0223U1130221P0
RATNA YANI 12-09-1969 BPJS 0002311917221 81797 0223b1550121p0

DRA SRI MARTIN 06-03-1957 BPJS 0000036953313 68356
JAISORI SIMAR 20-04-1977 BPJS 0001369580861 00627 0496R0010321B000008
PRAPTO PUJI W 09-11-1963 BPJS 0001376086072 09747 0223R0300321B000139
OKTOMI PRIMA 14-10-1990 BPJS 0001650950796 49715 0001650950796
Tgl.Rujukan Faskes No.Telp. Asal RujukanKeterangan
No.Surat Kontrol
05-03-2021 RS HERMINA TANGERANG FASKES 2 wa ruj baru 004571
20-02-2021 PUSKESMAS SE 081382822955 FASKES 1 WA 004811
13-01-2021 Rumah Indonesia 082130862157 FASKES 2 wa 005134
03-02-2021 KLINIK DIANA PERMATA (JST) FASKES 1 wa ruj baru 005235
28-12-2020 KLINIK HARAPAN CANDI KENCA FASKES 1 wa 004535
18-02-2021 RSU AMINAH FASKES 2 wa 005275
FASKES 1 wa belum paid 6596522012
22-02-2021 KLINIK ROYAL 087871653556 FASKES 1 wa 005353
17-02-2021 PUSKESMAS CI 08121939465 FASKES 1 wa 005359

No.Surat Kontrol
07-01-2021 PUSKESMAS SUKASARI FASKES 1 wa blm paid 662000
24-02-2021 PUSKESMAS P 085775739198 FASKES 1 wa 005226
31-12-2020 PUSKESMAS P 081324517494 FASKES 1 WA 005185
01-02-2021 KLINIK AMIRA 081280355848 FASKES 1 wa 004413
15-02-2021 KLINIK AMIRA 081280045383 FASKES 1 WA 005150
12-03-2021 KLINIK AMIRA 081280045383 FASKES 1 WA 005152
01-02-2021 RS MITRA KELU 0215915984 FASKES 2 wa 005358
09-01-2021 RSU AN-NISA 081384644803 FASKES 2 wa 005253
10-03-2021 KLINIK BETH RAP08139025580 FASKES 1 WA 005384
15-03-2021 KLINIK ALAM IN 089601967357 FASKES 1 wa 005232
01-03-2021 RSUD KOTA TANGERANG FASKES 2 WA 005376
18-01-2021 RSUD KOTA TA 081288003569 FASKES 2 WA 005396
08-02-2021 RS HERMINA BI 085287417078 FASKES 2 wa 005285
04-01-2021 RSUD KOTA TA 081288003569 FASKES 2 WA 005278
04-01-2021 RSUD KOTA TA 0813482003311 FASKES 2 wa 005404
04-01-2021 PUSKESMAS PA 081319190646 FASKES 1 wa 005320
24-02-2021 PUSKESMAS NE 0895359970658 FASKES 1 wa 005357
No.Surat Kontrol
081519618929 RESUME MEDIS Kontrol Poli

No.Surat Kontrol
18-01-2021 RS MELATI 081287828098 FASKES 2 WA KONSULAN 005079

No.Surat Kontrol
081298332347 RESUME MEDIS Kontrol Poli wa 002489
087809341466 RESUME MEDIS Kontrol wa 002776
18-02-2021 RS HERMINA CI 083848125442 FASKES 2 wa 003159
09-02-2021 RS HERMINA CI 085695222076 FASKES 2 wa usg 002684
13-03-2021 PUSKESMAS KELAPA DUA FASKES 1 wa ruj baru 005262
24-03-2021 RS KRAKATAU MEDIKA FASKES 2 PB WA 00

No.Surat Kontrol
17-03-2021 KLINIK DIANA PERMATA (JST) FASKES 1 wa konsulan 004412

No.Surat Kontrol
25-03-2021 PUSKESMAS JURUMUDI BARU FASKES 1 wa ruj baru 005348

No.Surat Kontrol
496R0330321B000468 083895301351 FASKES 2 PB RUJUKAN B 000003

No.Surat Kontrol
09-02-2021 RS BHAKTI ASIH 081286197368 FASKES 2 wa ruj baru 005227
24-02-2021 KLINIK DIANA PERMATA (JST) FASKES 1 wa 005312
23-02-2021 METRO TANGER087885320869 FASKES 1 wa 005329
10-02-2021 BP MULYA RAHAYU (JST) FASKES 1 WA 005400
No.Surat Kontrol
25-02-2021 PUSKESMAS JALAN EMAS FASKES 1 WA 000754
09-03-2021 RSU AN-NISA 081399927945 FASKES 2 WA 003053
21-03-2021 KLINIK GRAHA M081781819128 FASKES 1 RUJUKAN BARU 004445
18-03-2021 KLINIK RAHMA 081311066275 FASKES 1 RUJUKAN BARU 004510
02-01-2021 PUSKESMAS SUKASARI FASKES 1 wa 004570
08-03-2021 KLINIK SURADITA081385696846 FASKES 1 wa ruj baru 004591
23-02-2021 RSU AN-NISA 081298674809 FASKES 2 wa ruj baru 004602
16-02-2021 RS BHAKTI ASIH 085894954637 FASKES 2 WA 004780
23-03-2021 PUSKESMAS G 081386065893 FASKES 1 wa ruj baru 004901
03-02-2021 PUSKESMAS BALARAJA FASKES 1 wa 004910
22-03-2021 KLINIK BETH RAP085891887716 FASKES 1 wa ruj baru 004934
29-01-2021 RSUPN Dr. CI 081293621617 FASKES 2 wa konsulan 005107
24-03-2021 PUSKESMAS KARAWACI BARU FASKES 1 wa ruj baru 005109
14-01-2021 RS BHAKTI ASIH 085710280033 FASKES 2 WA 005162
05-02-2021 RS INSAN PERM 081219601076 FASKES 2 wa konsulan 005229
23-03-2021 PUSKESMAS BUGEL FASKES 1 wa ruj baru 005234
20-03-2021 PUSKESMAS CA 081556464512 FASKES 1 wa konsulan 005256
17-02-2021 RS HERMINA TANGERANG FASKES 2 wa 005263
31-07-2018 Kec. Sawah Besar081314237332 RESUME MEDIS Kontrol Poli
29-12-2020 KLINIK AMIRA 02129002824 FASKES 1 wa RUJ BARU 005272
19-01-2021 RS QADR 089671290570 FASKES 2 wa 004815
496U0011220P002835 0811832603 FASKES 1 wa ruj baru 005309
28-02-2021 KLINIK ELLA ME 083898965524 FASKES 1 wa la 005319
25-03-2021 RS HERMINA T 0811964487 FASKES 2 WA 004683
24-02-2021 RS TK IV DAAN 08137401052 FASKES 2 WA 005383
13-02-2021 RS SARI ASIH 081927192517 FASKES 2 WA RUJ BARU 005387
25-01-2021 PUSKESMAS KU 081294201130 FASKES 1 WA 005395
25-01-2021 KLINIK ROYAL MEDICAL CENTER FASKES 1 wa lab 005290

No.Surat Kontrol
00504010121P000677 FASKES 1 wa konsulan 005292
17-02-2021 PUSKESMAS PAGEDANGAN FASKES 1 wa 005316
23-02-2021 RSU LEBAK 085777143201 FASKES 2 WA 005380
25-03-2021 RS HERMINA SERPONG FASKES 2 WA 000003
No.Surat Kontrol

No.Surat Kontrol
11-01-2021 PUSKESMAS CIKOKOL FASKES 1 wa 005325

No.Surat Kontrol
22-03-2021 RS AQIDAH 02193864092 FASKES 2 KAKAK KANDUN 004565
22-02-2021 RS MISI LEBAK 082164865036 FASKES 2 wa konsulan 004858

No.Surat Kontrol
27-02-2021 RS HERMINA SERPONG FASKES 2 wa 003712
20-02-2021 RS HERMINA SERPONG FASKES 2 WA BLM PAID 00

No.Surat Kontrol
12-03-2021 Rumah Indonesia 088239589030 FASKES 2 WA 004863
21-02-2021 RS BHAKTI ASIH 081514754950 FASKES 2 wa 005341

No.Surat Kontrol
04-02-2021 KLINIK MUTIARA085885333848 FASKES 1 wa 004393
22-03-2021 PUSKESMAS CI 085211622838 FASKES 1 wa ruj baru 004992
23-02-2021 PUSKESMAS KO087875868292 FASKES 1 WA 005181
23-03-2021 KLINIK AMIRA 08161108090 FASKES 1 wa ruj baru 005210
27-01-2021 RS SARI ASIH SANGIANG FASKES 2 wa konsulan emr 005304
02-03-2021 KLINIK DIANA P 087869108745 FASKES 1 WA 005399

No.Surat Kontrol
28-12-2020 RS HERMINA T 083851982960 FASKES 2 wa 000433
15-02-2021 Rumah Indonesia Sehat Hospital FASKES 2 wa 001029
01-02-2021 PUSKESMAS SU 081999902424 FASKES 1 WA 003230
16-03-2021 RS BHAKTI ASIH FASKES 2 wa ruj baru 003487
09-02-2021 KLINIK KARAWA 08161421239 FASKES 1 wa 005047
16-03-2021 RS PERMATA IB 081382221912 FASKES 2 WA 004348
05-03-2021 RS HERMINA T 089506092485 FASKES 2 WA TREADMILL (123456
10-02-2021 RS HERMINA DAAN MOGOT FASKES 2 wa 004614
19-02-2021 RS HERMINA BI 081290091675 FASKES 2 WA 004345
25-01-2021 RS INSAN PERM 089525913260 FASKES 2 wa 003017
17-03-2021 PUSKESMAS PAKU ALAM FASKES 1 wa 004988
23-01-2021 PUSKESMAS PA 085782386349 FASKES 1 wa 005020
18-03-2021 KLINIK ROYAL MEDICAL CENTER FASKES 1 wa ruj baru 000343
06-01-2021 PUSKESMAS CIPONDOH FASKES 1 wa 005215
17-02-2021 KLINIK SILOAM 0217317073 FASKES 1 wa 002343
17-02-2021 PUSKESMAS KE 082199553936 FASKES 1 wa 005222
24-03-2021 RS HERMINA BITUNG FASKES 2 wa ruj baru 005223
12-03-2021 PUSKESMAS PANUNGGANGAN FASKES 1 wa ruj baru 005224
23-02-2021 PUSKESMAS KA 081296660056 FASKES 1 wa 005225
18-03-2021 KLINIK KARAWACI MEDIKA FASKES 1 wa ruj baru 004998
01-03-2021 KLINIK KARAWACI MEDIKA FASKES 1 wa ruj baru 004994
18-01-2021 KLINIK KELUAR 081283644910 FASKES 1 wa 005231
26-01-2021 PUSKESMAS BO085103029025 FASKES 1 wa 005233
12-03-2021 RS HERMINA S 081296615185 FASKES 2 wa 005238
23-02-2021 KLINIK BETH RAPHA A. I FASKES 1 wa 005241
26-01-2021 PUSKESMAS PANUNGGANGAN FASKES 1 wa 005248
07-01-2021 RS TIARA 081290734178 FASKES 2 wa 005254
29-12-2020 RSU AN-NISA 082311162233 FASKES 2 wa 005261
02-01-2021 RS MULYA FASKES 2 wa 005266
02-03-2021 KLINIK ALAM IN 087787430006 FASKES 1 WA HANYA LAB 005146
18-01-2021 RS IMC BINTAR 0811844086 FASKES 2 wa 005268
06-02-2021 KLINIK EDELWE 087876762057 FASKES 1 wa 005280
04-06-2018 KLINIK DR. H. HARTONO FASKES 1 wa belum paid 65951222
25-03-2021 KLINIK CITRA HUSADA FASKES 1 wa ruj baru 005343
23-03-2021 PUSKESMAS JA 085217493356 FASKES 1 wa ruj baru 005360
08-02-2021 PUSKESMAS NE 08176715966 FASKES 1 WA 005374
01-02-2021 PUSKESMAS KA 081319917177 FASKES 1 WA 005375
10-02-2021 PUSKESMAS KARAWACI BARU FASKES 1 WA 005382
06-03-2021 Rumah Indonesia Sehat Hospital FASKES 2 wa lab 004928
22-01-2021 KLINIK GEBANG MEDIKA FASKES 1 WA BLM PAID 00
04-02-2021 RS PERMATA IB 0817742424 FASKES 2 wa lab 005221

No.Surat Kontrol
23-03-2021 RSU AMINAH 081293621617 FASKES 2 WA KONSULAN 005174
14-01-2021 RS SARI ASIH 08221332315 FASKES 2 wa konsulan mer 004344
18-03-2021 RS SARI ASIH 081218949162 FASKES 2 WA 005371
15-03-2021 PUSKESMAS CI 081316225725 FASKES 1 WA KONSULAN 005392
10-03-2021 KLINIK KIMIA F 082114491241 FASKES 1 WA KONSULAN 003911
11-02-2021 KLINIK KIMIA F 081212411123 FASKES 1 WA KONSULAN 004942
15-02-2021 PUSKESMAS CI 081289742879 FASKES 1 WA KONTROL U 005393

No.Surat Kontrol
FASKES 1 wa konsulan 89222222

No.Surat Kontrol
04-01-2021 PUSKESMAS SU 0832323253 FASKES 1 WA PINDAH DO 005379
10-02-2021 KLINIK DIANA P 081288244297 FASKES 1 wa 005398
24-02-2021 PUSKESMAS SU 081385710077 FASKES 1 WA 005406
26-01-2021 RSU AN-NISA 081291051773 FASKES 2 WA KONSULAN 005407
23-03-2021 PUSKESMAS CI 081294985439 FASKES 1 WA RUJ BARU 004442

No.Surat Kontrol
06-03-2021 KLINIK SILOAM 081908748888 FASKES 1 wa ruj baru 004682
22-02-2021 PUSKESMAS BA 085715707455 FASKES 1 WA 004760
18-02-2021 RS HERMINA BITUNG FASKES 2 WA 004829
14-01-2021 RSU AN-NISA 081317735620 FASKES 2 wa konsulan 004926
08-03-2021 RS DINDA 081554484512 FASKES 2 wa 004945
15-03-2021 PUSKESMAS KA 081398869599 FASKES 1 wa 005033
19-02-2021 RS BHAKTI ASIH 081213545699 FASKES 2 wa 005062
15-02-2021 RS TK IV DAAN MOGOT FASKES 2 wa 005090
22-03-2021 PUSKESMAS P 081222122200 FASKES 1 wa ruj baru 004647
20-01-2021 PUSKESMAS KE 088977607848 FASKES 1 WA KONSULAN 005159
24-03-2021 RS HERMINA TANGERANG FASKES 2 wa ruj baru 003138
09-02-2021 KLINIK KARAWACI MEDIKA FASKES 1 wa lab 005294
27-01-2021 KLINIK KF BERINGIN FASKES 1 konsulan emr 005188

No.Surat Kontrol
496R0010321B000008 081212825173 RESUME MEDIS Kontrol Poli/wa 002781
223R0300321B000139 08129402473 RESUME MEDIS WA RESUME 005168

Primaya Hospital Tangerang Laporan Appointment Periode: 26-03-2021 S/D 26-03-2021

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Primaya Hospital Tangerang Laporan Appointment Periode: 26-03-2021 S/D 26-03-2021

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Primaya Hospital Tan

drg. Nurin Sobrina, Sp.Perio

dr. Haryanto Utama, Sp.PD

dr. Hj. Vivien Maryam, Sp.PD

dr. Tiara Kirana, SpAnd

dr. Maitra Djiang Wen, SpAnd-KFER

dr. Intan Suri Baginda,Sp.Ak

dr. Abdul Rachman, Sp.B(K)Onk

drg. Aurelia Ariane Karlina, MM, Sp.KGA

drg. Noviani Tri Indriyati, Sp.KG

dr. Monique Carolina Widjaja, Sp.GK

dr. Inneke Sirowanto, Sp.OG

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

dr. Cecilia Januette Setiawan, Sp.KJ

dr. Cynthia Agnes Susanto, Sp.OG

dr. William Timotius Wahono, Sp.OG

dr. Ferry Darmawan, SpOG

dr. Thomas Chayadi, Sp.OG

dr. V. Fridawati, Sp.PK

dr. Tolhas Banjarnahor, Sp.PD

dr. Yudistira Panji Santoso, Sp.PD, KKV

dr. Rochsis Mandoko,SpPD, KEMD,FINASIM,FACE

dr. Fitrie Rahayu Sari, Sp.P

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

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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