Primaya Hospital Tangerang Laporan Appointment Periode: 20-03-2021 S/D 20-03-2021

Primaya Hospital Tan
LAPORAN APPOINT
Periode: 20-03-2021 s/d
Bocah Indonesia
No. Channel Urutan Tanggal Slot Waktu Dept./Poli No.Rek.Medis
1 1 20-03-2021 08:00 BOCAH INDONESIA
2 2 20-03-2021 08:10 BOCAH INDONESIA
3 3 20-03-2021 08:20 BOCAH INDONESIA
4 5 20-03-2021 08:40 BOCAH INDONESIA
5 6 20-03-2021 08:50 BOCAH INDONESIA
6 WhatsApp 7 20-03-2021 09:00 BOCAH INDONESIA
7 Telepon 8 20-03-2021 09:10 BOCAH INDONES 00295541
8 9 20-03-2021 09:20 BOCAH INDONESIA
9 10 20-03-2021 09:30 BOCAH INDONESIA
10 11 20-03-2021 09:40 BOCAH INDONESIA
11 12 20-03-2021 09:50 BOCAH INDONES 00291674
12 13 20-03-2021 10:00 BOCAH INDONESIA
13 14 20-03-2021 10:10 BOCAH INDONES 00282059
14 15 20-03-2021 10:20 BOCAH INDONES 00291624
15 16 20-03-2021 10:30 BOCAH INDONESIA
16 WhatsApp 17 20-03-2021 10:40 BOCAH INDONES 00292765
17 18 20-03-2021 10:50 BOCAH INDONES 00295199
dr. Haryanto Utama, Sp.PD

1 6 20-03-2021 09:25 POLI PENYAKIT 00214128
Fika Frahesti Yunita, MPsi

1 WhatsApp 1 20-03-2021 13:00 POLI PSIKOLOGI 00292535
dr. Hj. Vivien Maryam, Sp.PD

1 4 20-03-2021 14:15 POLI PENYAKIT 00202157
dr. Tiara Kirana, SpAnd

1 1 20-03-2021 09:00 BOCAH INDONESIA
2 2 20-03-2021 09:20 BOCAH INDONESIA
4 4 20-03-2021 10:00 BOCAH INDONESIA
5 5 20-03-2021 10:20 BOCAH INDONES 00294029
6 6 20-03-2021 10:40 BOCAH INDONES 00291674
7 7 20-03-2021 11:00 BOCAH INDONESIA
8 8 20-03-2021 11:20 BOCAH INDONESIA
9 9 20-03-2021 11:40 BOCAH INDONES 00282059
10 10 20-03-2021 12:00 BOCAH INDONES 00291624
dr. Intan Suri Baginda,Sp.Ak

1 Telepon 1 20-03-2021 08:00 POLI AKUPUNK 00280614
2 2 20-03-2021 08:05 POLI AKUPUNK 00237144
3 3 20-03-2021 08:10 POLI AKUPUNK 00232115
dr. Ilhandy Oetama, Sp.U

1 19 20-03-2021 11:30 POLI BEDAH UR 00294329
drg. Aurelia Ariane Karlina, MM, Sp.KGA

1 WhatsApp 1 20-03-2021 10:00 POLI GIGI 00213718
2 WhatsApp 2 20-03-2021 10:05 POLI GIGI 00143376
3 Telepon 3 20-03-2021 10:10 POLI GIGI 00225377
4 Telepon 4 20-03-2021 10:15 POLI GIGI 00235332
dr. Rony M Santoso, Sp.JP(K), FIHA, FAPSC, FESC, FSCAI

1 WhatsApp 1 20-03-2021 10:00 POLI JANTUNG 00275060
dr. Inneke Sirowanto, Sp.OG

1 11 20-03-2021 11:40 POLI KEBIDANA 00134961
2 12 20-03-2021 11:50 POLI KEBIDANA 00281423
3 13 20-03-2021 12:00 POLI KEBIDANA 00143161
4 14 20-03-2021 12:10 POLI KEBIDANA 00247057
5 15 20-03-2021 12:20 POLI KEBIDANA 00097577
6 16 20-03-2021 12:30 POLI KEBIDANA 00275776
7 17 20-03-2021 12:40 POLI KEBIDANA 00246820
8 18 20-03-2021 12:50 POLI KEBIDANA 00232865
9 19 20-03-2021 13:00 POLI KEBIDANA 00150691
10 20 20-03-2021 13:10 POLI KEBIDANA 00157730
11 WhatsApp 21 20-03-2021 13:20 POLI KEBIDANA 00278299
16 Telepon 26 20-03-2021 14:05 POLI KEBIDANA 00281399
18 Email 28 20-03-2021 14:15 POLI KEBIDANAN
dr. Robert Soetandio, M.Si.Med, Sp.A

1 WhatsApp 2 20-03-2021 11:05 POLI ANAK 00294102
dr. Martha Saulina, Sp.KK

1 Telepon 9 20-03-2021 16:40 POLI KULIT DAN 00182432
dr. Faneisha, Sp.M

1 Rujukan 20 20-03-2021 10:35 POLI MATA 00148255
dr. R. Muhamad Ramdani, Sp.M

1 1 20-03-2021 14:00 POLI MATA 00250695
2 2 20-03-2021 14:05 POLI MATA 00153696
3 Telepon 3 20-03-2021 14:10 POLI MATA 00068274
4 Telepon 4 20-03-2021 14:15 POLI MATA 00282436
dr. Meutia Ria Octaviana, Sp.OG, MKes

1 1 20-03-2021 15:00 POLI KEBIDANA 00281399
dr. Cynthia Agnes Susanto, Sp.OG

1 1 20-03-2021 09:00 BOCAH INDONESIA
2 2 20-03-2021 09:30 BOCAH INDONESIA
3 3 20-03-2021 10:00 BOCAH INDONESIA
4 4 20-03-2021 10:30 BOCAH INDONESIA
5 5 20-03-2021 11:00 BOCAH INDONES 00271633
6 6 20-03-2021 11:30 BOCAH INDONESIA
7 7 20-03-2021 12:00 BOCAH INDONESIA
8 8 20-03-2021 12:30 BOCAH INDONES 00294031
9 9 20-03-2021 13:00 BOCAH INDONESIA
11 11 20-03-2021 14:00 BOCAH INDONES 00294892
12 12 20-03-2021 14:30 BOCAH INDONESIA
13 13 20-03-2021 15:00 BOCAH INDONES 00292273
14 14 20-03-2021 15:30 BOCAH INDONES 00288925
15 15 20-03-2021 16:00 BOCAH INDONES 00128767
dr. William Timotius Wahono, Sp.OG

1 1 20-03-2021 13:00 BOCAH INDONES 00295199
dr. M. Luky Satria, SpOG-KFER

dr. Muhamad Dwi Priangga,Sp.OG

dr. Thomas Chayadi, Sp.OG
dr. Ari Sigit ,Sp.OT (K) Spine

1 8 20-03-2021 09:35 POLI BEDAH OR 00295412
dr. V. Fridawati, Sp.PK

1 1 20-03-2021 08:00 POLI DRIVE THR 00295105
2 2 20-03-2021 08:05 POLI DRIVE THR 00295107
dr. Fajar Budiono, Sp.P

1 1 20-03-2021 10:00 POLI PARU 00289693
2 2 20-03-2021 10:05 POLI PARU 00214044
3 4 20-03-2021 10:15 POLI PARU 00252795
4 Email 5 20-03-2021 10:20 POLI PARU
5 WhatsApp 6 20-03-2021 10:25 POLI PARU 00295158
dr. Tolhas Banjarnahor, Sp.PD

1 22 20-03-2021 10:45 POLI PENYAKIT 00152028
dr. Asterina, Sp.THT

1 1 20-03-2021 11:00 POLI THT
2 2 20-03-2021 11:05 POLI THT 00122729
3 Email 3 20-03-2021 11:10 POLI THT 00280647
4 Email 4 20-03-2021 11:15 POLI THT 00282230
dr. Firman Hendrik H, Sp.S

1 Telepon 1 20-03-2021 08:00 POLI SARAF 00155066
2 16 20-03-2021 10:10 POLI SARAF 00295736
Primaya Hospital Tangerang
LAPORAN APPOINTMENT
Periode: 20-03-2021 s/d 20-03-2021
Nama Penjamin No.Kartu Kode Booking No.Reg. Keterangan Telpon

RAY STANLY TITALESSY 02863 B4L, AS, KONSU 081330663838
HENGKY SETIAWAN 81210 B4L-AS KONSUL 08111142093
MOH. INAS HARIRI 51956 B3L, AS NY. AS 085852186830
EKO DWIVANDI SIHOMBING 04223 AS KONSUL B4L NY FERUMIA PRATIWI PANJAITAN (ND)
AJENG PRAMESTI 21098 B3L AS ONLY TN08176979799
CHRISTIYAN ARI WIBOWO 52995 B3L-AS ONLY NY082298866611
KUMAR BHAGWAN CHHUGANI 47163 AS KONSUL TN 08159632207
RAHMAT NUR QOMARI 76539 AS B3L TERPISA 081384860208
ADHITYA PRATAMA MULYADI 89821 AS KONSUL B4L 085695500650
ARIO SAPUTRA 11780 AS KONSUL B4L 081298168368
HUSNI MUBAROK FIRDAUS 62925 AS KONSUL NY 0081289219019
M MARDI DEWANTARA 43305 B3L AS TERPISA 081918356200
APRIANTO 04637 AS DFI KONSUL 085692350349
MOHAMAD NUR SANUSI 20063 AS KONSUL NY 008561850607
BISMO DWI SUKMA 66589 AS B3L NY FETT 6287889877766
DIMAS AJI KRESNANTO 06977 DFI JAM 8 KONSU
081388976502
DEDE SITI 78488 CEK AMH, KONTR
082112639677
TAUFIK FEBRIAN 52909 AS+KONSUL NY A
085693795305
WILLIAM ERNEST SILANOE 53374 AS KONSUL B4L 081391968000
ALBERTUS PRABU S.M. SIAGIAN 79309 AS+KONSUL NY G
085287530005
ACHMAD SOLIHIN 38760 AS KONSUL B4L 0
N82112960044
MUHAMAD ALFAN HIDAYAT 55810 AS KONSUL B4L 085234224452
CHRISTOFEL INDRAWAN 51458 SPERM FREEZIN081319598426
EDWIN FAJAR PUTRA 62460 AS+DFI+KONSUL085772889202
SUBUR 96353 B3L - TERPISAH 089629562966
M. ABDUL LATIF 08589 B3L-AS ONLY N 082122392721
AZHARI 68790 AS KONSUL NY 0085697312753
BAGUS DWI SEPTIAN 63200 SA+KONSUL NY AN
083849128042
WAHYU AP 24292 SA+KONSUL NY N
085312977935
ELWI SASTRA PARAIBU 63279 SA ONLY NY.PUT085282683535
IHSAN NUGRAHA PUTRA MUKHTI 69540 SA+KONSUL B4L085263405199
ZAHROTUNNISA ASGA 75690 LAB+HD+HYFOSI081233338132
HELMY AULIA RACHMAN 34482 SA+DFI NY DR. TR
085643200715
RIVAN RISDARYANTO 35062 CEK TESTOTERON
08131707084
PRADITYO SUSANTO PUTRO 96315 SA KONSUL NY. 085289885535
NANANG SULISTIONO 97070 SCREENING VIRUS
081906054566
DESTINY EKA SARI 16055 CEK E2, LH SCR 08121861493
ERWIN WIONO 94767 SA KONSUL NY. A
08111460885
IMAN SUHARDIMAN 22366 SA, CEK HORMON
082123574643
PUJO ANOM SUBIYANTO 41233 DFI ONLY NY.AKH
081316093379

QADRIA CANDRAPT. IN HEALTH (P1001501911495/G/GARUDA MA Kontrol Poli 081297611003

IVAN MAULANA 56261 APPT VIA WA 081218387890

ALI ABDUL RODZPRUDENTIAL-A 8000100611234130/274495 Kontrol Poli 081319163155

RAY STANLY TITALESSY 98419 B4L, AS, KONSU 081330663838
HENGKY SETIAWAN 54226 B4L-AS KONSUL NY VANESSA OCTAVIA WIDHA (EL)
SUTAN NATHANAEL SIAGIAN 05890 KONSUL NY. JES08111493989
EKO DWIVANDI SIHOMBING 98671 AS KONSUL B4L NY FERUMIA PRATIWI PANJAITAN (ND)
WAHYU AP 92868 AS KONSUL B4L 085312977935
HUSNI MUBAROK FIRDAUS 69691 AS KONSUL NY 0081289219019
ADHITYA PRATAMA MULYADI 20325 AS KONSUL B4L 085695500650
ARIO SAPUTRA 99051 AS KONSUL B4L 081397373365
APRIANTO 61383 AS DFI KONSUL 085692350349
MOHAMAD NUR SANUSI 81000 AS KONSUL NY 008561850607
DIMAS AJI KRESNANTO 72547 DFI JAM 8 KONSU
081388976502
TAUFIK FEBRIAN 59142 AS+KONSUL NY A
085693795305
WILLIAM ERNEST SILANOE 73158 AS KONSUL B4 081391968000
ALBERTUS PRABU S.M. SIAGIAN 81993 AS+KONSUL NY G
085287530005
ACHMAD SOLIHIN 94756 AS KONSUL B4L 0
N82112960044
MUHAMAD ALFAN HIDAYAT 48415 AS KONSUL B4L 081233338132
MUHAMAD WIRDAN 45753 KONSUL ONLY N081296650190
EDWIN FAJAR PUTRA 55962 AS+DFI+KONSUL085772889202
AZHARI 64173 AS KONSUL NY 0085697312753
NAIRUL MAJID 12909 KONSUL ONLY NY
085601061386
BAGUS DWI SEPTIAN 17420 SA+KONSUL NY A
083849128042
PRADITYO SUSANTO PUTRO 17849 SA KONSUL NY. 085289885535
IHSAN NUGRAHA PUTRA MUKHTI 02175 SA+KONSUL B4L085263405199
ACHMAD FARUQ 57472 AS+KONSUL NY A
089506664464
ARFAN SETIAWAN 05231 KONSULTASI HAS
081291709461
HUDA RIANGGA 15385 KONSUL R/IVF N08111542345
FEBRYANTO NURSALIM 17616 AS KONSUL NY O087884828047
KUMAR BHAGWAN CHHUGANI 72226 AS KONSUL TN 08159632207
ERWIN WIONO 97719 SA KONSUL NY. A
08111460885
ABDUL JAMAL 88865 KONSUL HASIL A0821104233000
MUHAMMAD HATZA PRABOWO AJI 04065 KONSUL NY YENI081281809656
00294215 HAFIJ 45854 KONSUL ONLY N08128026895

WIDYA PURWANDINI 15570 081298142040
Fadli Aditya Rizky 78184 Kontrol Poli 081211039997
RITA NURWIANTI PUTRI LESMANA 04350 Kontrol Poli 082217051993

OGY AHMAD ROSADY 84862 Kontrol Poli 082114561542

MUHAMMAD SALPT. IN HEALTH (P1041464276155/G/PT. GMF A wa 081381781137
MAHIRA SOFIA KELUARGA INTI ANAK KANDUNG085287554703
RIZA PRIMADI MEDICARE LIPP 8000172305111023 / KARYAW tolong di fu jika 081380488059
ASIH WULAN SARI 18168 tolong di fu jika 081283345831

EKA JUNIAWATI ASURANSI ASTR0001102300006368 / E/2314 wa 085781498078

DIAH LIRAWATI, ST. 02936 WA 081519444944
TRI JULLETTA SARI LASE 50991 Kontrol Poli 08118672457
MUNJIAH 83146 APPT VIA WA / 0 081213145698
NOERLITTA BONPT. IN HEALTH (P1011473125132/G/GMF ALODOK 081213629214
YOSSY AFRIANI 09387 APPT VIA WA 081911071907
LINDA MAULIA PARDIC JAYA CH9287320/ ISTRI/ REZA AKBA APPT VIA WA / 081320436573
MUSFIRA ARYANPT. IN HEALTH (P1011464276466/G/GMF WA 081240023285
KHOIROTIN NIS PT. IN HEALTH (P1011481275969/G/GMF 082231023385
HAFIDHOH LATIIFAH 69355 wa 082299023015
DHIAH AYU FITRIANI 96763 APPT VIA WA / P 081382662591
SINTAWATI 98511 APPT VIA WA / P 08990758075
KARTIKA DWI HAPT. IN HEALTH (P1001458784305/G/AERO SYST wa 087832911961
CINDY NURFADI PT. IN HEALTH (P1011488517088/G/GMF APPT VIA WA/ I 085156271872
KARUNIA NOVI HAFIDZA, SE 57870 APPT VIA WA / 085700070013
SAVIRA MEGA P PT. IN HEALTH (P1011464271292/G/GMF APPT VIA WA / 085213243679
RINA PERTIWI PT. IN HEALTH (P1011464284948/G/GMF 085746080676
AGEUNG YEVIYANA SHANDI 58489 APPT VIA WA // 081293962853
priana hara 27/11/1992 77840 ALODOK 085780807060

BY NY AMELIA NOVITASARI 48720 APPT VIA WA 085641525549

MUHAMMAD AQSKELUARGA INTI ANAK KANDUNG085287554703

HJ RUKIAH 33003 BPJS/ ACC ICA 082311138887

ANGGI MARTINDA KOSTARIA 12460 Kontrol Poli 08118449700
YANA RIBUT YUASA BATERRY2132680 / KARYAWAN / MCB Kontrol Poli 089529136110
IDA FARIDA, HJ 56207 081283014846
RUGAYAH 46355 087782710654

RINA PERTIWI PT. IN HEALTH (P1011464284948/G/GMF Kontrol Poli 085746080676

SANNY INDRASANTI 54699 B4L, USG+KONSU
081316700732
VANESSA OCTAVIA WIDHA 75044 B4L- USG+KONS08111142092
ASTIKA NUR'AENY 92919 B3L, KONSULTAS082145352068
ANNISATUL FAUZIAH 02767 KONSUL FW TN. 081245843624
YUNITA KUSWENDINI 81548 KONTROL HAMIL082211804535
FERUMIA PRATIWI PANJAITAN 03310 KONSUL USG B4L TN. EKO DWIVANDI SIHOMBING (ND)
AJENG PRAMESTI 91775 B3L USG KONSUL
08176979799
NUNING SURYA ARLINDA 89392 B4L TERPISAH 0895331884002
KHALISTA PRASTI NADIARI 75933 KONSUL FW TN. 08562837988
FRISCARONA HARIYANTO 88016 LONG PROTOCOL
081328670063
PUTRI ANUGRAH RAHMAWATI 78669 KONSUL HASIL 081384860208
FETTY UMARWATI 59889 KONSULTASI US6287889877766
DIAN KRISTIAN 98343 HD TN TOPAN CH085685849328
NIA BATINA RAHMAN 05089 KONTROL HAID 0895322652450
EMMA MELYANA 47846 KONTROL R/ FET081296809098
MARSHA RIDARYANTO 30600 KONSUL USG B4081391968000
SELVIANI JUNIKA 63388 HD TN DWI WIRA085252857994
SITI HALIMAH 64121 KONSUL USG B4L
082112960044
NURUL AJIZAH 42338 KONSUL ONLY T081314525952
WIDYA PUTRA EKA TIDARYANTI 39253 HD TN AGUNG S089677335831
GALUH SUKMANINGRUM 37393 B3L-USG KONSUL
085716203406
ELISABET DWI PUSPITASARI 85683 KONSUL ONLY TN
081226061998
PRENY RIATNA ANDINI 40787 USG KONSUL TN083899464422
ANNYE FRIDA MEILANI SIMBOLON 94131 KONTROL FET TN
087826319597
ELZA RIHADA AISY 68169 KONSUL HASIL H08111699190
ZAHROTUNNISA ASGA 05077 LAB+HD+HYFOSI081233338132
FAHMI PURNAMASARI 94890 KONTROL TN AH082211726011
TRIANI INDRAWATI 20744 KONSUL TN RIV 089602907240
WAROSATUL ILMIYAH 82098 KONTROL R/IVF 08111542345
SARI HANDAYANI 28510 KONTROL IVF (A0821110001237
RAISA KUMAR CHHUGANI 51753 KONSUL ONLY T08159632207
LOUIS MANCHESTER 25222 KONTROL D9-12 087885584588
DESTINY EKA SARI 46236 KONTROL IVF TN08121861493
MARISKA WIJAYA 25372 KONTROL (ADM)08118111389
RITA OCTARIA SINAGA 08035 KONTROL (ADM)0818910197
YENI 68140 KONSUL TN MUH081281809656
SONDANG EVALINA 33997 KONSUL ONLY T081319598426
AKHIRINI 75366 HYFOSY TN.PUJO
081317737977
AYU RAHAYU WIDIANINGSIH 53521 KONSUL ONLY TN
08111444230

DEDE SITI 46671 CEK AMH, KONTR
082112639677

ANITA SARI 87816 B3L-USG KONSUL
085782032396
DAIROH 08606 KONSUL R/IVF P 081215208616
RENI ANGGRIANI 83615 KONSUL ONLY TN
081284009320

PUTRI ANNISA 58660 KONTROL TN. EL085282683535
AYU TYAS ANGGRAENI 30758 KONTROL R/ FET087871555192

NIKE MARDIANA BPJS KETENAG 11007896894 Kontrol Poli 081310077855

RIZKA MAYA PUTRI 02177 ANTIGEN / VIA 081213627606
PRATIKTO DERMAWAN NUZUL 09043 ANTIGEN / VIA 081213627606

BIMO NURENDR Community Card Kontrol Poli 081399323527
WIYOTO PT. EDS MANUF 96074382/KARYAWAN/PRODUCT Kontrol Poli 082213614140
ELSA MAHYUNI KEMENKES 0001503681941 Kontrol Poli / Clin 082383920363
Latisha Azalea // 09/07/1983 80945 by ALODOK
JECONIAH MILLARD 92211 APPT VIA WA // 089637416390

SRI BAGIO SAS KEMENKES 0001634754824 Kontrol ke Clinik 0818148501

VALENTA SIDABUTAR / 15/7/1992 63134 PU BY OPTEL
SANDI SANTOS PT. IN HEALTH (P1001464265068/G/GMF Kontrol Poli 081380811165
ELOK CAHYANI PT. IN HEALTH (P1011464285319/G/GMF via alo doc 081329519242
DHIKRI SURPR PT. IN HEALTH (P1001464285318/G/GMF ALO DOC 081329519242

DODI 86570 PHONE 085719074996
AMANSYAH BPJS KETENAG JJ070221 Kontrol Poli 082138713149
Tgl Lahir Email
Y FERUMIA PRATIWI PANJAITAN (ND)
26-12-1985
20-02-1989
10-04-1993
21-05-1984
01-12-1992
02-02-1994
26-02-1992
23-11-1991
17-06-1981
02-01-1995
22-11-1992
23-09-1996
10-11-1982
27-01-1992
01-10-1995
27-04-1994
16-02-1985
25-04-1974 destinyekasari24@gmail.com
15-04-1985
14-04-1986
09-07-1983
Tgl Lahir Email

01-12-1994
Tgl Lahir Email

28-02-2003
Tgl Lahir Email

22-10-1984
Tgl Lahir Email
Y VANESSA OCTAVIA WIDHA (EL)

10-08-1989
Y FERUMIA PRATIWI PANJAITAN (ND)
10-11-1982
20-02-1989
10-04-1993
21-05-1984
01-12-1992
26-02-1992
23-11-1991
15-02-1988
02-01-1995
22-11-1992
23-09-1996
11-10-1990
30-08-1983
24-03-1983
09-02-1992
26-12-1985
15-04-1985
06-10-1984
16-03-1980
Tgl Lahir Email

29-10-1986 widya.purwandini29@gmail.com
13-03-1987 Fadliaditymd@gmail.com
11-05-1993
Tgl Lahir Email

30-10-1994
Tgl Lahir Email

02-07-2018
20-01-2015
29-08-1992
19-04-1992
Tgl Lahir Email

03-06-1978
Tgl Lahir Email

27-12-1987
18-07-1992 jullettalase@gmail.com
15-09-1995
10-11-1992
28-04-1987
21-12-1993
05-12-1994
05-06-1995
22-04-1994
09-05-1988
17-04-1992
11-04-1991
14-08-1995
21-11-1990
04-09-1989
20-01-1993
09-12-1990
Tgl Lahir Email

26-02-2021
Tgl Lahir Email

23-11-2016
Tgl Lahir Email

09-11-1951 messipasha123@gmail.com
Tgl Lahir Email

31-03-1987
01-01-1987
16-10-1952
15-10-1964
Tgl Lahir Email

20-01-1993
Tgl Lahir Email
30-06-1993
TN. EKO DWIVANDI SIHOMBING (ND)
07-05-1988
18-05-1986
29-09-1994
13-06-1987
16-12-1993
29-03-1986
06-06-1989
17-01-1992
27-06-1987
12-01-1992
31-05-1985
15-08-1995
01-10-1995
27-01-1990
17-05-1989
14-09-1989
13-02-1984
15-06-1987
02-12-1988
08-03-1988 ICE_CUTE_88@YAHOO.COM
05-10-1979
30-12-1985
22-03-1983
Tgl Lahir Email

02-02-1994
Tgl Lahir Email
09-05-1980
15-10-1990
Tgl Lahir Email

19-06-1990
Tgl Lahir Email
07-11-1985
Tgl Lahir Email

18-03-1987
Tgl Lahir Email

30-06-1992 rizkamayaputri30@gmail.com
04-05-1991 rizkamayaputri30@gmail.com
Tgl Lahir Email

17-11-1969 rajabimo@yahoo.com
20-10-1977
18-09-1992
27-04-1992
Tgl Lahir Email

23-02-1973
Tgl Lahir Email
06-01-1965
14-08-1993
18-10-1993
Tgl Lahir Email

23-09-1986 -
18-08-1973
Pri
LAPO
Period
Fisioterapis
1 WhatsApp 46 20-03-2021 15:30 REHABILITASI MEDIK
dr. Hj. Vivien Maryam, Sp.PD

1 1 20-03-2021 14:00 POLI PENYAKIT 00294681
dr. Ilhandy Oetama, Sp.U

1 10 20-03-2021 10:45 POLI BEDAH UR 00158166
2 11 20-03-2021 10:50 POLI BEDAH UR 00237967
3 12 20-03-2021 10:55 POLI BEDAH UR 00286629
4 13 20-03-2021 11:00 POLI BEDAH UR 00171414
5 14 20-03-2021 11:05 POLI BEDAH UR 00292144
6 15 20-03-2021 11:10 POLI BEDAH UR 00281604
7 16 20-03-2021 11:15 POLI BEDAH UR 00282181
8 17 20-03-2021 11:20 POLI BEDAH UR 00281862
9 WhatsApp 18 20-03-2021 11:25 POLI BEDAH UR 00289937
10 WhatsApp 22 20-03-2021 11:45 POLI BEDAH UR 00243534
dr. Hafiz Nafiuddin, Sp.OT

1 WhatsApp 11 20-03-2021 10:50 POLI BEDAH OR 00154562
dr. M. Taufik, Sp.B

1 WhatsApp 11 20-03-2021 11:10 POLI BEDAH U 00294731
dr. Roy Christian, Sp.JP

2 3 20-03-2021 15:10 POLI JANTUNG 00294545
3 7 20-03-2021 15:30 POLI JANTUNG 00294586
dr. Rony M Santoso, Sp.JP(K), FIHA, FAPSC, FESC, FSCAI

1 2 20-03-2021 10:05 POLI JANTUNG 00281772
2 7 20-03-2021 10:30 POLI JANTUNG 00292558
3 8 20-03-2021 10:35 POLI JANTUNG 00254671
4 9 20-03-2021 10:40 POLI JANTUNG 00036376
5 10 20-03-2021 10:45 POLI JANTUNG 00060756
17 22 20-03-2021 11:45 POLI JANTUNG 00295093
18 23 20-03-2021 11:50 POLI JANTUNG 00295434
19 24 20-03-2021 11:55 POLI JANTUNG 00180041
26 31 20-03-2021 12:30 POLI JANTUNG 00295095
27 32 20-03-2021 12:35 POLI JANTUNG 00295328
29 34 20-03-2021 12:45 POLI JANTUNG 00295326
dr. Wira Kimahesa Anggoro, SpJP

1 11 20-03-2021 13:50 POLI JANTUNG 00272419
dr. Martha Saulina, Sp.KK

1 WhatsApp 8 20-03-2021 16:35 POLI KULIT DAN 00111575
dr. Faneisha, Sp.M
1 5 20-03-2021 09:20 POLI MATA 00276168
2 WhatsApp 6 20-03-2021 09:25 POLI MATA
3 WhatsApp 7 20-03-2021 09:30 POLI MATA 00142655
dr. Herjuno Ardhi, Sp.OT

1 5 20-03-2021 09:20 POLI BEDAH OR 00292106
2 WhatsApp 6 20-03-2021 09:25 POLI BEDAH OR 00292724
dr. Fajar Budiono, Sp.P

1 3 20-03-2021 10:10 POLI PARU 00280215
2 WhatsApp 11 20-03-2021 10:50 POLI PARU
Dr. Diah Ari Safitri, SpPD-KHOM, FINASIM

1 7 20-03-2021 10:30 POLI PENYAKIT 00020105
2 WhatsApp 11 20-03-2021 10:50 POLI PENYAKIT 00239969
3 WhatsApp 12 20-03-2021 10:55 POLI PENYAKIT DALAM
4 WhatsApp 13 20-03-2021 11:00 POLI PENYAKIT 00293439
dr.Purwitasari Darmaputri, Sp.KFR

1 WhatsApp 11 20-03-2021 10:50 REHABILITASI M 00126527
dr. Audhy Tanasal, Sp.S, FINA

1 WhatsApp 11 20-03-2021 13:50 POLI SARAF 00167434
dr. Firman Hendrik H, Sp.S

3 WhatsApp 13 20-03-2021 09:55 POLI SARAF
5 WhatsApp 15 20-03-2021 10:05 POLI SARAF
Primaya Hospital Tangerang
LAPORAN APPOINTMENT (BPJS)
Periode: 20-03-2021 s/d 20-03-2021
Nama Tgl.Lahir Penjamin No.Kartu Kode Booking No.Reg. No.Rujukan

00226122 SUKMAWATI BPJS 0001899552003 03734 0001899552003

ABDUL BASIT 16-04-1951 BPJS UPGRADE 0001726699871 0

KIM OK 03-05-1952 BPJS 0001381582293 23216
SITI HADIJAH 24-06-1967 BPJS 0001297266017 36495
MERNI LIA NING 02-05-1998 BPJS 0002740263401 96509
CONG JUNG HIA 05-10-1954 BPJS 0001431722171 30036
ASEP HARYANA 24-06-1989 BPJS 0001372711274 91945
SUTONO 06-04-1963 BPJS 0001873138634 47968
KUSNO M 06-07-1972 BPJS 0001730093084 05316
YENI 23-06-1968 BPJS 0001721625129 97346
SAIFANNUR 20-12-1970 BPJS 0001147693926 55753 0223R0170121B0
ANDRI ALWAN 05-12-1996 BPJS 0000049383371 76529 0222R0040221B0

INDRA KUSUMA 10-12-1970 BPJS 0001648598117 22921 100505030321Y0

NENENG AWALI 16-12-1991 BPJS 0002236978991 33961 0221R0400121B0

H SAMLANI 11-04-1974 BPJS 0000045235091 78327 0221U0301220P0
INDRA SAPUTRA 07-12-1965 BPJS 10777
NANI SURYANI 18-04-1966 BPJS 0001309185909 01155 0

PURWANTO 20-06-1976 BPJS COB (PT. 0001405409848//302-0020// 0
SUPRIATMI 09-02-1964 BPJS 0001716246922 54640 0
OCT RISUNTORO 09-10-1962 BPJS 0001730172497 38885 0223R0100321V005722
TITIN WIJAYA 19-09-1963 BPJS 0001458195175 51677
MULYANI 05-06-1980 BPJS 0001173374425 79662
DIAH SUSILOWA 12-02-1959 BPJS 0001621778949 46491 0223B1451220P0
DRS. ISMET WI 17-09-1960 BPJS 0001274908263 36389 0496R0111220B0
FREDDY GUNA 10-12-1956 BPJS 0001786230472 66153 100501020121Y0
SUTIYO 20-10-1953 BPJS 0000036851578 18940 022100010321Y0
WIWIK SUYATMI 09-03-1956 BPJS 0000047984218 40384 0223R0170221B0
LAY LILY NATAL 17-06-1961 BPJS 0001882193297 27217 0223R0300121B0
CHANDRA TJAN 01-09-1950 BPJS 0001456824778 66686 0496B0000121P001078
SUJANTO 02-03-1958 BPJS 0001720429086 46797 0223R0170321B0
SRITETI HIDAYA 29-01-1962 BPJS 0001449958724 83712 1025R0140321B0
HASANUDIN 01-09-1963 BPJS 0000039755417 62403 100501040321Y0
LIM JOK LIN 27-06-1962 BPJS 0001433835966 29631 0223U1130121P0
USAROH 02-08-1973 BPJS 0001300658872 42274 1
H SANUSIH 15-10-1959 BPJS 0002304780737 10958 0
DUL HAMID 06-04-1957 BPJS 0001821519595 65073 0
SUNARTI 06-04-1966 BPJS 0001314908627 49015 0496U0030121P0
DENMAK SIMAN 21-03-1953 BPJS 0000036337285 80022 102501020321Y0
ANI MARIANI 01-04-1965 BPJS 0001453346998 68420 0223U0280321P000856
RIKA NURBAINI 26-03-1980 BPJS 0001867653808 56819 0223U0280321P0
HERMANSYAH 19-03-1961 BPJS 0001323265522 82200 0223R0170321B0
AGUNG NUGROH 26-02-1976 BPJS 0001324022297 59446 0496B0300221P0
SUKIRMAN 06-01-1959 BPJS 0000038068514 84905 0
AIMAS MARIAM 10-05-1965 BPJS 0000195890984 63092
KETLIN MOCOD 18-07-1956 BPJS 0001296749946 96752 0221U1370321P0
DARYUTI 20-12-1961 BPJS 0001900918618 97931
NUR HASANAH 24-04-1958 BPJS 0001293207974 15863 0221U1340121P0
SUKRASNA 06-10-1966 BPJS 0001969905947 91150 0221R0130321B0
ROYANI JEFRI 31-12-1973 BPJS 0000048846925 21705 0223R0170121B0
SUMIATI 18-08-1969 BPJS 0001172739565 58026 0223R0170221B0

SOENDHI CHRI 24-01-1951 BPJS 0001379684103 09383 0221B2290121P0
SYARIF HIDAYA 10-09-1959 BPJS 0001468084588 39138 0223U1210321P0
KIM LIONG 10-07-1976 BPJS 0001730222998 20136 022309040321P0

HJ.ZULJASNI. B 05-01-1945 BPJS 0000016626868 05394 0496U0011220P0
MULIADI SYACH 07-11-1953 BPJS 0001719168096 29377 0221R0131220B0
00138516 H. SANDAR BIN H. SA BPJS 0001431705363 85031 0001431705363
HALIMAH 06-07-1964 BPJS 0002228895268 35952 022300090321Y0
00272824 LIM DJAN PING BPJS 0001592788498 81560 0001592788498
ZAENAB SUPART 04-01-1979 BPJS 0001185307446 46964 0221B1090121P0
00159377 MARNIYATI BPJS 0000047671749 05431 100505030121Y0
SAWIYAH 11-06-1963 BPJS 0001459647909 13416 100505040221Y0
HERAWATI S HJ. 10-08-1954 BPJS 0000037829665 48994 0496R0330321B000104
USMAN HAMDAN 31-12-1959 BPJS 0000040511665 47739 102501100321Y0
SURYANI 03-08-1967 BPJS 0000040759975 79135 0496R0331220B0
ELIS SUMIARSIH 06-01-1967 BPJS 0000047919879 00490 049600090321P0
MARYANTO 04-03-1971 BPJS 0001150840337 49611 0221B1091220P0
A. KAMIL SHAHA 04-09-1947 BPJS 0000045586225 44203 0223R0300321B0
GUNAWAN SE 14-10-1975 BPJS 0001256092266 68182 0001256092266

APRILIA FIRMA 25-04-1996 BPJS 0002458483503 12046 0
SONYA MIRANDA 16-09-1970 BPJS 0001610045943 47903 0496R0350221B0

TRISNO HANDO 27-12-1956 BPJS 0000195692477 60512 0
00138445 YULIATI BPJS 0000039336445 87906 0000039336445

ANIK SULASTRI 25-09-1969 BPJS 0000040625076 82003 0
LILLY RONDON 02-07-1955 BPJS 0001324004308 91121 1025R0140321B0
00020105 ANIK SULASTRI BPJS 0000040625076 47426 0000040625076
DARMAWAN SAL 11-12-1984 BPJS 0002885791432 37401 0221R0400221B0

GOUW HAN LIE 22-01-1965 BPJS 0001298662132 65736 0223R0300221B0

ISTIANATUL AF 08-01-2002 BPJS 0001902606265 28581 100505030121Y0
HJ. PINAH 05-06-1956 BPJS 0001321418845 60089 022300090321Y0
SUBANDI 01-05-1959 BPJS 0000038343644 35102 100501010221P0
00161451 ACHMAD TANJUNG BPJS 0002751641346 12126 0002751641346
WIZAROH 11-02-1947 BPJS 0000049198386 29369 0223B1450321P0
00295783 DRS. JANTO BOEDIHA BPJS 0001720350729 47944 0001720350729
JAKAPTEN PURB 21-03-1975 BPJS 0001322942613 12327 0221R0131220B0
Tgl.Rujukan Faskes No.Telp. Asal RujukanKeterangan
No.Surat Kontrol
FASKES 1 wa belum paid 359+2225856

No.Surat Kontrol
082122214567 RESUME MEDIS Kontrol Poli

No.Surat Kontrol
0215535284.081 RESUME MEDIS Kontrol Poli
07-01-2021 RSU AN-NISA 085282130919 FASKES 2 WA 003430
11-02-2021 RS SARI ASIH 087809368153 FASKES 2 wa usg 003813

No.Surat Kontrol
05-03-2021 PUSKESMAS JA 082111180476 FASKES 1 wa ruj baru 003507

No.Surat Kontrol
25-01-2021 RS MITRA KELU 085847641624 FASKES 2 wa 003775

No.Surat Kontrol
23-12-2020 KLINIK LESTARI ASIH FASKES 1 wa 003147
31-07-2018 Kec. Sawah Besar081514738184 RESUME MEDIS Kontrol Poli

No.Surat Kontrol
223R0100321V005722 082210405600 RESUME MEDIS Kontrol Poli 003627
021-94448790 RESUME MEDIS Kontrol Poli
23-12-2020 KLINIK GRAHA M08161339615 FASKES 1 WA KONSULAN 002441
30-12-2020 RS IMC BINTARO FASKES 2 wa 002697
02-01-2021 PUSKESMAS PO081282667096 FASKES 1 WA 002879
15-03-2021 PUSKESMAS PAS081316718383 FASKES 1 WA RUJUKAN B 002894
18-02-2021 RSU AN-NISA 085280730109 FASKES 2 WA 002943
26-01-2021 RS HERMINA T 087887880758 FASKES 2 WA KONSULAN 002985
496B0000121P001078 08128298080 FASKES 1 WA 003056
05-03-2021 RSU AN-NISA 0895412732955 FASKES 2 WA RUJ BARU 003288
04-03-2021 RS BHAKTI ASIH 08119954751 FASKES 2 WA 003315
16-03-2021 PUSKESMAS CI 08979909366 FASKES 1 WA RUJ BARU 003048
21-01-2021 KLINIK KARAWA 089681116372 FASKES 1 wa 003403
16-01-2021 KLINIK RAHMA MEDIKA FASKES 1 wa 003476
12-03-2021 PUSKESMAS SU 0832323253 FASKES 1 wa ruj baru 003520
223U0280321P000856 FASKES 2 wa ruj baru 003538
03-03-2021 KLINIK ROYAL 081316935250 FASKES 1 wa 003539
16-03-2021 RSU AN-NISA FASKES 2 wa ruj baru 003517
17-02-2021 KLINIK AMIRA - 08561686276 FASKES 1 wa 003613
31-07-2018 Kec. Sawah Besar082189389126 RESUME MEDIS Kontrol Poli
15-03-2021 KLINIK SUMBER A
085891368112 FASKES 1 WA RUJ BARU 003710
18-01-2021 KLINIK SABI MEDISTRA (JST) FASKES 1 wa 003748
16-03-2021 METRO HOSPITALS CIKUPA FASKES 2 wa ruj baru 003751
13-01-2021 RSU AN-NISA 085718630059 FASKES 2 wa 003756
17-02-2021 RSU AN-NISA FASKES 2 wa 003808

No.Surat Kontrol
11-01-2021 SILOAM CLINIC GADING SERPO FASKES 1 wa 003865
02-03-2021 KLINIK ROHMTN 081586521558 FASKES 1 WA 002509
03-03-2021 PUSKESMAS GE081385664066 FASKES 1 wa LAB 003633

No.Surat Kontrol
21-12-2020 KLINIK AMIRA 081374735530 FASKES 1 wa konsulan 003776
No.Surat Kontrol
29-12-2020 METRO HOSPITA082174002225 FASKES 2 WA (DR FANEIS 001224
FASKES 1 wa pasien dr fane 689522
17-03-2021 PUSKESMAS CIKOKOL FASKES 1 wa dr fanes ruj ba 003620
FASKES 2 wa konsulan pasi 4595222
21-01-2021 BP MULYA RAHAYU (JST) FASKES 1 wa pasien dr ram 002657
30-01-2021 PUSKESMAS JA 082190780072 FASKES 1 WA (BELUM PAID369852
23-02-2021 PUSKESMAS KE 083841514691 FASKES 1 WA KONSULAN (002866
496R0330321B000104 FASKES 1 wa pasien dr ram 003034
03-03-2021 PUSKESMAS P 08121989823 FASKES 1 WA (DR RAMDAN003286
23-12-2020 RS HERMINA S 081299414101 FASKES 2 wa pasien dr ram 003516
17-03-2021 PUSKESMAS PAKU ALAM FASKES 1 wa dr ramdani kon003574
22-12-2020 BP MULYA RAHAYU (JST) FASKES 1 wa dr ramdani 003600
17-03-2021 RS HERMINA TANGERANG FASKES 2 wa ruj baru 003631
0811852827 FASKES 2 wa dr ramdani ruj 000003

No.Surat Kontrol
11-02-2021 RS HERMINA CI 081285863909 FASKES 2 WA MRI 003419

No.Surat Kontrol
FASKES 2 wa konsulan belu 549222

No.Surat Kontrol
0856-7070004 RESUME MEDIS Kontrol Poli
04-03-2021 RS BHAKTI ASIH 081212901214 FASKES 2 WA 003318
FASKES 1 wa belum paid 689685622
19-02-2021 RS MITRA KELU 081383559868 FASKES 2 wa 003671

No.Surat Kontrol
02-02-2021 RS HERMINA T 087888337016 FASKES 2 WAKONSULAN 003145

No.Surat Kontrol
30-01-2021 PUSKESMAS JALAN EMAS FASKES 1 wa 003505
No.Surat Kontrol
12-03-2021 PUSKESMAS CI 088901197443 FASKES 1 WA 004875
27-02-2021 PUSKESMAS SERPONG FASKES 1 wa lab 003434
FASKES 1 wa belum padi 52952022
13-03-2021 KLINIK GRAHA M08119203489 FASKES 1 wa konsulan mer 003603
FASKES 1 wa blm paid kons 123456
29-12-2020 METRO HOSPITALS CIKUPA FASKES 2 wa 003681

Primaya Hospital Tangerang Laporan Appointment Periode: 20-03-2021 S/D 20-03-2021

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Primaya Hospital Tangerang Laporan Appointment Periode: 20-03-2021 S/D 20-03-2021

Uploaded by

Copyright:

Available Formats

Primaya Hospital Tan

dr. Haryanto Utama, Sp.PD

Fika Frahesti Yunita, MPsi

dr. Hj. Vivien Maryam, Sp.PD

dr. Tiara Kirana, SpAnd

dr. Intan Suri Baginda,Sp.Ak

dr. Ilhandy Oetama, Sp.U

drg. Aurelia Ariane Karlina, MM, Sp.KGA

dr. Rony M Santoso, Sp.JP(K), FIHA, FAPSC, FESC, FSCAI

dr. Inneke Sirowanto, Sp.OG

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

dr. Martha Saulina, Sp.KK

dr. Faneisha, Sp.M

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. Muhamad Dwi Priangga,Sp.OG

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

dr. V. Fridawati, Sp.PK

dr. Fajar Budiono, Sp.P

dr. Tolhas Banjarnahor, Sp.PD

dr. Asterina, Sp.THT

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

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

Y FERUMIA PRATIWI PANJAITAN (ND)

Tgl Lahir Email

Tgl Lahir Email

Tgl Lahir Email

Tgl Lahir Email

Y VANESSA OCTAVIA WIDHA (EL)

Tgl Lahir Email

Tgl Lahir Email

Tgl Lahir Email

Tgl Lahir Email

Tgl Lahir Email

Tgl Lahir Email