Daftar Kunjungan Peserta Sakit Kantor Cabang: GRESIK - 1315 FKTP: DADAP KUNING - 02050002

DAFTAR KUNJUNGAN PESERTA SAKIT
Kantor Cabang : GRESIK - 1315
FKTP : DADAP KUNING - 02050002
NO NO KUNJUNGAN TANGGAL TANGGAL NO KARTU NAMA PESERTA JENIS JENIS PESERTA DIAGNOSA STATUS PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG
1 020500021120P000 30-11-2020 02-12-2020 0000099740237 NURANI IHYAUL HUSNA P PEKERJA Noninflammatory disorder Berobat Jalan
880 00:00 23:44 MANDIRI of vagina, unspecified
2 020500021120Y000 30-11-2020 30-11-2020 0000658913523 ETIK SUSANTI P PBI (APBN) Supervision of high-risk Berobat Jalan
727 00:00 09:44 pregnancy, unspecified

3 020500021120Y000 30-11-2020 01-12-2020 0000761070385 KHUSNUL KHOTIMAH P PBI (APBN) Periapical abscess without Berobat Jalan
746 00:00 08:45 sinus
020500021120P000 30-11-2020 02-12-2020 Disorders of lipoprotein
4 0000761081703 SUSI NUR HAYATI P PBI (APBN) metabolism and other Berobat Jalan
879 00:00 23:43
lipidaemias
5 020500021120Y000 30-11-2020 30-11-2020 0000761094393 KALIMAH P PBI (APBN) General counselling and Berobat Jalan
736 00:00 10:54 advice on contraception
6 020500021120Y000 30-11-2020 03-12-2020 0000761136805 TIMBULING WAHYU L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
900 00:00 11:03 hypertension
8 020500021120Y000 30-11-2020 30-11-2020 0000761191018 SARKATI P PBI (APBN) Other specified surgical Berobat Jalan
745 00:00 18:50 follow-up care
9 020500021120P000 30-11-2020 30-11-2020 0000761287847 KUSNIAH P PBI (APBN) Supervision of high-risk Berobat Jalan
705 00:00 08:25 pregnancy
10 020500021120P000 30-11-2020 30-11-2020 0000761310494 PONINTEN P PBI (APBD) Acute nasopharyngitis Berobat Jalan
710 00:00 08:36 [common cold]
020500021120P000 30-11-2020 03-12-2020 Non-insulin-dependent Diabetes
11 0000761476239 SUMARLIK P PBI (APBN) diabetes mellitus without Berobat Jalan
895 00:00 10:39 Mellitus
complications
020500021120Y000 30-11-2020 30-11-2020 Hypertensive heart
12 0000761488391 SENING P PBI (APBN) disease with (congestive) Berobat Jalan Hipertensi
713 00:00 09:09
heart failure
13 020500021120Y000 30-11-2020 03-12-2020 0000761488457 ZULVIATI MUSFIROH P PBI (APBN) Myalgia Berobat Jalan
897 00:00 10:45
14 020500021120P000 30-11-2020 02-12-2020 0000761590888 AYU KARLINA WATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan
881 00:00 23:45
15 020500021120Y000 30-11-2020 30-11-2020 0000761597471 SUMARDI L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
712 00:00 09:02
16 020500021120P000 30-11-2020 02-12-2020 0000761735327 SIATI P PBI (APBN) Non-insulin-dependent Berobat Jalan
878 00:00 23:42 diabetes mellitus

Other benign neoplasm of
17 020500021120Y000 30-11-2020 30-11-2020 0000761808881 EMI RAHAYU P PBI (APBN) connective and other soft Berobat Jalan
721 00:00 09:18 tissue of head, face and
neck
18 020500021120Y000 30-11-2020 03-12-2020 0000761921471 AMINAH P PBI (APBN) Atopic dermatitis, Berobat Jalan Diabetes
896 00:00 10:44 unspecified Mellitus
19 020500021120Y000 30-11-2020 03-12-2020 0000762124847 JUMALI L PBI (APBN) Other examinations for Berobat Jalan
899 00:00 10:50 administrative purposes
020500021120P000 30-11-2020 30-11-2020 Diarrhoea and
20 0000762187353 SILVI RAHMAWATI P PBI (APBN) gastroenteritis of Berobat Jalan

704 00:00 08:22
presumed infectious origin
21 020500021120P000 30-11-2020 30-11-2020 0000762191291 KHUSNIYAH P PBI (APBN) Myalgia Berobat Jalan
707 00:00 08:33

020500021120P000 30-11-2020 30-11-2020 Diarrhoea and
22 0000762231262 EVI ERVINA . P PBI (APBN) gastroenteritis of Berobat Jalan

706 00:00 08:32
23 020500021120Y000 30-11-2020 30-11-2020 0000763188107 EKO PURNOMO SIDI L PBI (APBN) Hordeolum and other deep Berobat Jalan
730 00:00 09:54 inflammation of eyelid

24 020500021120Y000 30-11-2020 30-11-2020 0001540866622 YOGI SUWANDA L PEGAWAI Dyspepsia Berobat Jalan
734 00:00 10:28 SWASTA

25 020500021120Y000 30-11-2020 03-12-2020 0001653866932 ARIK YULIAWAN L PEGAWAI Fever, unspecified Berobat Jalan
894 00:00 10:33 SWASTA
26 020500021120Y000 30-11-2020 30-11-2020 0001703715298 WINARTI P PBI (APBN) General counselling and Berobat Jalan
020500021120Y000 30-11-2020 30-11-2020 Non-insulin-dependent
27 0002159966373 WATI P PBI (APBD) diabetes mellitus without Berobat Jalan
726 00:00 09:38
complications
28 020500021120Y000 30-11-2020 03-12-2020 0002208837993 MUNASRI P PEKERJA Gastritis, unspecified Berobat Jalan
902 00:00 11:11 MANDIRI
29 020500021120Y000 30-11-2020 02-12-2020 0002415088304 SRIANI P PBI (APBN) Arthrosis, unspecified Berobat Jalan
747 00:00 10:12
020500021120Y000 30-11-2020 30-11-2020 Atherosclerotic
30 0002415088822 SUPRIADI L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
728 00:00 09:45
described
31 020500021120Y000 30-11-2020 03-12-2020 0002415088855 AFANDI NOVAL L PBI (APBN) Other forms of stomatitis Berobat Jalan
898 00:00 10:47 FAHRUDIN
32 020500021120Y000 30-11-2020 30-11-2020 0002415096009 SUGIATI P PBI (APBN) Essential (primary) Berobat Jalan

33 020500021120Y000 30-11-2020 30-11-2020 0002611792809 ABD.WAKHID L PEKERJA Other cholelithiasis Berobat Jalan
708 00:00 08:34 MANDIRI

34 020500021120Y000 30-11-2020 30-11-2020 0002611792809 ABD.WAKHID L PEKERJA Other cholelithiasis Rujuk Vertikal
709 00:00 08:34 MANDIRI
35 020500021120Y000 30-11-2020 03-12-2020 0002769761079 AGUS SUSANTO L PEKERJA Unspecified viral hepatitis Berobat Jalan
893 00:00 10:28 MANDIRI without hepatic coma

020500021120Y000 30-11-2020 30-11-2020 BELISA DEWI PERTIWI PEKERJA Other developmental
36 0003055380614 P disorders of speech and Rujuk Vertikal

711 00:00 08:44 PUTRI MANDIRI
language
020500021120Y000 29-11-2020 23-12-2020 KEPALA DESA Other examinations for Diabetes
37 0000761947536 SISWATI P DAN PERANGKAT Berobat Jalan

905 00:00 11:40 administrative purposes Mellitus
DESA
38 020500021120Y000 29-11-2020 23-12-2020 0000761948109 DIDIN ALMAS ASHARI L PEKERJA Other general Berobat Jalan
906 00:00 11:44 MANDIRI examinations

39 020500021120P000 28-11-2020 30-11-2020 0000760926205 ARINAH P PBI (APBN) Myalgia Berobat Jalan
703 00:00 00:17
40 0000761255414 KHUSNUL FADHILAH P PBI (APBN) diabetes mellitus without Berobat Jalan
616 00:00 10:24 Mellitus
complications
020500021120P000 28-11-2020 28-11-2020 Non-insulin-dependent Diabetes Diabetes
41 0000761288073 ARINI P PBI (APBN) diabetes mellitus without Berobat Jalan
603 00:00 08:31 Mellitus Mellitus
complications
42 020500021120P000 28-11-2020 29-11-2020 0000761399684 SUPARMAN L PBI (APBN) Essential (primary) Berobat Jalan
43 020500021120P000 28-11-2020 29-11-2020 0000761447823 SENITI P PBI (APBN) Myalgia Berobat Jalan
682 00:00 23:25
44 020500021120Y000 28-11-2020 28-11-2020 0000761466857 RAMAL L PBI (APBN) Calculus of kidney Rujuk Vertikal
612 00:00 09:41
45 020500021120Y000 28-11-2020 28-11-2020 0000761557419 PONIDI L PBI (APBN) Hordeolum and other deep Berobat Jalan
613 00:00 10:05 inflammation of eyelid

46 0000761712412 SUMARTI P PBI (APBN) disease with (congestive) Berobat Jalan Hipertensi
607 00:00 09:09
heart failure
47 020500021120P000 28-11-2020 02-12-2020 0000761784579 DHAFINA AULYA R P PBI (APBN) Acute nasopharyngitis Berobat Jalan
876 00:00 23:38 [common cold]
48 020500021120Y000 28-11-2020 28-11-2020 0000762011739 BAMBANG SUWONO L PBI (APBN) Other examinations for Berobat Jalan

49 020500021120Y000 28-11-2020 28-11-2020 0000762627093 IMAM SAMSURI. L PBI (APBN) Injury, unspecified Berobat Jalan
609 00:00 09:18

50 020500021120P000 28-11-2020 02-12-2020 0001283635451 SARBAN L PEKERJA Essential (primary) Berobat Jalan
875 00:00 23:38 MANDIRI hypertension
51 020500021120Y000 28-11-2020 28-11-2020 0001431460271 SUPIANI P PEKERJA Other senile cataract Rujuk Vertikal
618 00:00 10:37 MANDIRI
52 020500021120Y000 28-11-2020 28-11-2020 0001703662187 SUHARI L PBI (APBD) Multiple myeloma Rujuk Vertikal
619 00:00 10:44
53 020500021120Y000 28-11-2020 28-11-2020 0002134438571 MUHAMMAD SAHRUL L PBI (APBN) Paratyphoid fever, Berobat Jalan
615 00:00 10:09 AFRIANSYAH unspecified
020500021120Y000 28-11-2020 28-11-2020 Non-insulin-dependent Diabetes
54 0002199704589 SUKAMTO L PBI (APBN) diabetes mellitus without Berobat Jalan
606 00:00 09:06 Mellitus
complications
020500021120Y000 28-11-2020 28-11-2020 PEGAWAI Non-insulin-dependent
55 0002230620478 MUNTIANI P diabetes mellitus without Berobat Jalan
608 00:00 09:16 SWASTA
complications
56 020500021120P000 28-11-2020 02-12-2020 0002414234463 MUHAMMAD NURUL L PBI (APBD) Atopic dermatitis Berobat Jalan
874 00:00 23:37 ALFIAN
020500021120P000 28-11-2020 02-12-2020 Diarrhoea and
57 0002415088866 RENO OZILLA ALDIANO L PBI (APBN) gastroenteritis of Berobat Jalan

877 00:00 23:39
58 020500021120Y000 28-11-2020 28-11-2020 0002415096235 SITI AMINAH P PBI (APBN) Essential (primary) Berobat Jalan

59 020500021120Y000 28-11-2020 28-11-2020 0002416525582 IDA FITRIANTI P PBI (APBN) Prolonged pregnancy Rujuk Vertikal
605 00:00 09:02
60 020500021120Y000 28-11-2020 30-11-2020 0002431523193 MUHAMMAD ARSYA L PEGAWAI Nausea and vomiting Berobat Jalan
717 00:00 09:11 ALBANI FEBRIANSYAH SWASTA
020500021120Y000 28-11-2020 28-11-2020 PEKERJA Insulin-dependent Diabetes Diabetes
61 0002617725429 SANI . P diabetes mellitus with Rujuk Vertikal
599 00:00 07:55 MANDIRI Mellitus Mellitus
unspecified complications
62 020500021120Y000 28-11-2020 30-11-2020 0002894005192 RAHMAT SANJAYA L PBI (APBD) Periapical abscess without Berobat Jalan
724 00:00 09:31 sinus
63 020500021120P000 27-11-2020 27-11-2020 0000760174301 ACHMAD ARIEL L PBI (APBN) Acute nasopharyngitis Berobat Jalan
580 00:00 10:25 ALINULLAH [common cold]
64 020500021120P000 27-11-2020 30-11-2020 0000760931739 MUNAWI L PBI (APBN) Headache Berobat Jalan
702 00:00 00:16
65 020500021120Y000 27-11-2020 27-11-2020 0000761126051 SURIYANI P PBI (APBN) Tinea pedis Berobat Jalan
579 00:00 10:25

66 020500021120Y000 27-11-2020 27-11-2020 0000761126916 ERNI ROSIDA P PBI (APBN) Acute pharyngitis, Berobat Jalan
587 00:00 10:46 unspecified

67 020500021120Y000 27-11-2020 27-11-2020 0000761136805 TIMBULING WAHYU L PBI (APBN) Impacted cerumen Berobat Jalan Hipertensi
582 00:00 10:33
68 020500021120Y000 27-11-2020 27-11-2020 0000761391865 SUNARSIH P PBI (APBN) Headache Berobat Jalan
586 00:00 10:42
69 020500021120P000 27-11-2020 29-11-2020 0000761395408 ROKHIM L PBI (APBN) Myalgia Berobat Jalan
638 00:00 20:58
70 020500021120Y000 27-11-2020 27-11-2020 0000761452828 NAFSIYAH P PBI (APBN) Essential (primary) Berobat Jalan
71 020500021120Y000 27-11-2020 27-11-2020 0000761524683 ADI L PBI (APBN) Arthrosis, unspecified Berobat Jalan
568 00:00 10:13
72 020500021120Y000 27-11-2020 27-11-2020 0000761561919 SENAN L PBI (APBN) Disorder of lacrimal Berobat Jalan Hipertensi
585 00:00 10:40 system, unspecified
73 0000761566882 SUDARMAN L PBI (APBN) disease with (congestive) Berobat Jalan
592 00:00 11:09
heart failure
74 020500021120P000 27-11-2020 29-11-2020 0000761671383 SUMIATI P PBI (APBN) Gout Berobat Jalan
680 00:00 23:23
75 020500021120P000 27-11-2020 29-11-2020 0000761722389 SUMAN L PBI (APBN) Gout Berobat Jalan
681 00:00 23:24
76 0000761740356 KASTI P PBI (APBN) diabetes mellitus without Berobat Jalan
577 00:00 10:23 Mellitus
complications
77 020500021120Y000 27-11-2020 27-11-2020 0000761808745 WINDA PURNAMA SARI P PBI (APBN) Supervision of high-risk Berobat Jalan
78 020500021120Y000 27-11-2020 27-11-2020 0000761842416 ARTIK L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
79 020500021120Y000 27-11-2020 27-11-2020 0000761878721 SUTADJI L PBI (APBN) Pure Berobat Jalan Hipertensi
581 00:00 10:32 hypercholesterolaemia
80 020500021120P000 27-11-2020 27-11-2020 0000762019839 MUHAMAD TAUFIQ L PBI (APBN) Malaise and fatigue Berobat Jalan
576 00:00 10:22
81 0000762031124 ATEP L PBI (APBN) diabetes mellitus without Berobat Jalan
593 00:00 11:14 Mellitus
complications
82 020500021120Y000 27-11-2020 27-11-2020 0000762183562 WARTIANI P PBI (APBN) Other cholelithiasis Berobat Jalan
589 00:00 11:00
83 020500021120P000 27-11-2020 27-11-2020 0000762262817 MUHAMMAD L PBI (APBD) Acute nasopharyngitis Berobat Jalan
578 00:00 10:24 FIRMANSYAH [common cold]

84 020500021120Y000 27-11-2020 27-11-2020 0000763126007 MUHAMAD DIMAS L PBI (APBN) Pre-employment Berobat Jalan
594 00:00 11:20 examination

85 020500021120Y000 27-11-2020 27-11-2020 0001130152419 SRI MUJANNAH P PEGAWAI Dyspepsia Berobat Jalan
590 00:00 11:04 SWASTA
020500021120Y000 27-11-2020 27-11-2020 PEKERJA Atherosclerotic
86 0001295226663 KADAM L cardiovascular disease, so Rujuk Vertikal
561 00:00 09:43 MANDIRI
described
87 0001705814537 LILIS SETYOWATI P PBI (APBD) diabetes mellitus without Berobat Jalan
597 00:00 11:28 Mellitus
complications
020500021120Y000 27-11-2020 27-11-2020 KEPALA DESA Supervision of normal
88 0001814040224 HAILATUN NADA P DAN PERANGKAT Berobat Jalan

DESA
89 020500021120Y000 27-11-2020 27-11-2020 0002134438571 MUHAMMAD SAHRUL L PBI (APBN) Paratyphoid fever, Berobat Jalan
596 00:00 11:25 AFRIANSYAH unspecified

020500021120P000 27-11-2020 27-11-2020 PEKERJA Non-insulin-dependent Diabetes
90 0002252031772 SUDARLI L diabetes mellitus without Berobat Jalan
583 00:00 10:36 MANDIRI Mellitus
complications
91 020500021120P000 27-11-2020 30-11-2020 0002414234496 MARKIMIN L PBI (APBN) Myalgia Berobat Jalan
701 00:00 00:15
92 020500021120P000 26-11-2020 02-12-2020 0000099005984 SRIYANTO L PNS DAERAH Headache Berobat Jalan
873 00:00 23:27
93 020500021120Y000 26-11-2020 26-11-2020 0000760882454 MU'INA P PBI (APBN) Acute pharyngitis, Berobat Jalan
94 020500021120P000 26-11-2020 29-11-2020 0000761159215 SENITRI P PBI (APBN) Essential (primary) Berobat Jalan
95 020500021120P000 26-11-2020 29-11-2020 0000761159529 UMMI KULSUM P PBI (APBN) Myalgia Berobat Jalan
637 00:00 20:57
96 020500021120P000 26-11-2020 02-12-2020 0000761255414 KHUSNUL FADHILAH P PBI (APBN) Myalgia Berobat Jalan Diabetes
872 00:00 23:26 Mellitus
97 020500021120P000 26-11-2020 02-12-2020 0000761274178 SAIDI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
869 00:00 23:24 [common cold]
98 020500021120P000 26-11-2020 02-12-2020 0000761406175 PARING WAHYUDI L PBI (APBN) Myalgia Berobat Jalan
870 00:00 23:24
99 020500021120Y000 26-11-2020 28-11-2020 0000761439352 WAKIDAH P PBI (APBN) Essential (primary) Berobat Jalan
100 020500021120P000 26-11-2020 02-12-2020 0000761606842 JUMAROH P PBI (APBN) Myalgia Berobat Jalan
871 00:00 23:25

101 020500021120Y000 26-11-2020 26-11-2020 0000761619036 SUSI MAYANGSARI P PBI (APBN) Supervision of high-risk Berobat Jalan

102 020500021120Y000 26-11-2020 28-11-2020 0000761622524 ROCHMA HIDAYATI P PBI (APBN) Constipation Berobat Jalan
604 00:00 08:56
103 020500021120Y000 26-11-2020 26-11-2020 0000761681586 SUSANTI P PBI (APBN) Contraceptive Berobat Jalan
533 00:00 15:23 management, unspecified
020500021120Y000 26-11-2020 26-11-2020 Essential (primary) Diabetes
104 0000761829647 SUTRIANI P PBI (APBN) Berobat Jalan Mellitus
Hipertensi
105 020500021120P000 26-11-2020 02-12-2020 0000761856344 LATEK L PBI (APBN) Myalgia Berobat Jalan
864 00:00 23:20
106 020500021120P000 26-11-2020 02-12-2020 0000761857132 JIMAN L PBI (APBN) Gout Berobat Jalan
865 00:00 23:21
107 020500021120P000 26-11-2020 02-12-2020 0000761860912 SIMUN L PBI (APBN) Gout Berobat Jalan
866 00:00 23:22
108 020500021120P000 26-11-2020 02-12-2020 0000761862914 MARYONO L PBI (APBN) Headache Berobat Jalan
867 00:00 23:22
109 020500021120P000 26-11-2020 02-12-2020 0000761865265 ALI L PBI (APBN) Atopic dermatitis Berobat Jalan
868 00:00 23:23
110 020500021120P000 26-11-2020 23-12-2020 0000762096003 KRISTINA AYU P PBI (APBN) Other general Berobat Jalan
908 00:00 12:42 RATNASARI examinations
111 020500021120P000 26-11-2020 30-11-2020 0000762183156 WARDI L PBI (APBN) Non-insulin-dependent Berobat Jalan
112 020500021120Y000 26-11-2020 26-11-2020 0000762208481 SULIATI P PBI (APBN) Contraceptive Berobat Jalan
113 020500021120P000 26-11-2020 30-11-2020 0000762250566 MALIKAH P PBI (APBN) Myalgia Berobat Jalan
699 00:00 00:13
114 020500021120Y000 26-11-2020 27-11-2020 0001130152419 SRI MUJANNAH P PEGAWAI Paratyphoid fever, Berobat Jalan
591 00:00 11:07 SWASTA unspecified
020500021120Y000 26-11-2020 26-11-2020 PEKERJA Insulin-dependent Diabetes
115 0001279908865 SAMSURI L diabetes mellitus with Rujuk Vertikal
020500021120Y000 26-11-2020 28-11-2020 PEKERJA Diarrhoea and
116 0001867038107 WINDA ROHMADANI P gastroenteritis of Berobat Jalan

602 00:00 08:21 MANDIRI
117 020500021120Y000 26-11-2020 26-11-2020 0002199037702 ENIK P PEKERJA Essential (primary) Berobat Jalan Hipertensi

118 020500021120Y000 26-11-2020 28-11-2020 0002258306605 RIZKA HADI TRIMAYATI P PEKERJA Myopia Berobat Jalan
601 00:00 08:18 MANDIRI

119 020500021120Y000 26-11-2020 26-11-2020 0002416526807 SLAMET PRAMONO L PBI (APBN) Acute pharyngitis, Berobat Jalan

120 020500021120Y000 26-11-2020 26-11-2020 0002683989652 ALI L PBI (APBD) Drug-induced gout Berobat Jalan
528 00:00 13:37
121 020500021120Y000 25-11-2020 26-11-2020 0000099115604 KUSSARDIYAH P PNS DAERAH Periapical abscess without Berobat Jalan
516 00:00 10:47 sinus
122 020500021120P000 25-11-2020 27-11-2020 0000761352715 SITI ZULAKHAH P PBI (APBN) Schizophrenia Berobat Jalan
574 00:00 10:20
123 020500021120P000 25-11-2020 29-11-2020 0000761410506 DJAYUS L PBI (APBN) Essential (primary) Berobat Jalan
124 0000761476239 SUMARLIK P PBI (APBN) diabetes mellitus without Berobat Jalan
510 00:00 11:09 Mellitus
complications
125 020500021120P000 25-11-2020 30-11-2020 0000761520914 ELISA INDAH MAYANG P PBI (APBN) Gingivitis and periodontal Berobat Jalan
696 00:00 00:10 SARI diseases
126 020500021120Y000 25-11-2020 25-11-2020 0000761524064 MU'IN L PBI (APBN) Myalgia Berobat Jalan
504 00:00 09:41
127 020500021120P000 25-11-2020 27-11-2020 0000761687289 KASTRI P PBI (APBN) Myalgia Berobat Jalan
575 00:00 10:21
128 020500021120P000 25-11-2020 29-11-2020 0000761752056 SUMARNI P PBI (APBN) Gout Berobat Jalan
679 00:00 23:22
129 020500021120P000 25-11-2020 02-12-2020 0000761839672 SUPARTO L PBI (APBN) Other disorders of urinary Berobat Jalan
816 00:00 20:25 system
130 020500021120P000 25-11-2020 02-12-2020 0000761841358 BEJO L PBI (APBN) Other headache Berobat Jalan
817 00:00 20:26 syndromes
131 020500021120P000 25-11-2020 02-12-2020 0000761842416 ARTIK L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
132 020500021120P000 25-11-2020 02-12-2020 0000761843698 OYEK LAMIDIN L PBI (APBN) Other soft tissue disorders, Berobat Jalan
819 00:00 20:28 not elsewhere classified

133 020500021120P000 25-11-2020 02-12-2020 0000761846747 BUDIONO L PBI (APBN) Gout Berobat Jalan
820 00:00 20:29

134 020500021120P000 25-11-2020 30-11-2020 0000761878967 MUJIATI P PBI (APBN) Myalgia Berobat Jalan
697 00:00 00:11
020500021120P000 25-11-2020 26-11-2020 KEPALA DESA Non-insulin-dependent Diabetes
135 0000761947435 SUPARLAN L DAN PERANGKAT diabetes mellitus without Berobat Jalan
515 00:00 10:40 Mellitus
DESA complications
136 020500021120P000 25-11-2020 23-12-2020 0000762096003 KRISTINA AYU P PBI (APBN) Other general Berobat Jalan
907 00:00 12:37 RATNASARI examinations


137 020500021120P000 25-11-2020 27-11-2020 0000762203147 JEMANI P PBI (APBN) Essential (primary) Berobat Jalan

138 020500021120P000 25-11-2020 27-11-2020 0000762218583 KARTI P PBI (APBN) Essential (primary) Berobat Jalan
139 020500021120Y000 25-11-2020 30-11-2020 0000762224163 AHMAD NAZ RIZAL L PBI (APBN) Unspecified injury of lower Berobat Jalan
723 00:00 09:26 ANANDA SAPUTRA limb, level unspecified

140 020500021120P000 25-11-2020 30-11-2020 0000762230654 MURIPAH P PBI (APBN) Irritant contact dermatitis Berobat Jalan
698 00:00 00:12

141 020500021120Y000 25-11-2020 25-11-2020 0000762251049 MUSLIKAH P PBI (APBN) Polyp of cervix uteri Rujuk Vertikal
499 00:00 08:14
142 020500021120Y000 25-11-2020 25-11-2020 0001130152419 SRI MUJANNAH P PEGAWAI Paratyphoid fever, Berobat Jalan
143 020500021120Y000 25-11-2020 26-11-2020 0001543195135 KHALISA MAY NAADHIRA P PEGAWAI Disturbances in tooth Berobat Jalan
514 00:00 10:39 SWASTA eruption
020500021120Y000 25-11-2020 25-11-2020 PEKERJA Non-insulin-dependent
144 0001890351033 NASRIP L diabetes mellitus without Berobat Jalan
509 00:00 11:04 MANDIRI
complications
145 0001890351729 SUSANTI P diabetes mellitus without Berobat Jalan
513 00:00 10:22 MANDIRI
complications
020500021120Y000 25-11-2020 26-11-2020 PEKERJA Non-insulin-dependent Diabetes
146 0002088423977 WIDJI L diabetes mellitus without Berobat Jalan
complications
147 020500021120Y000 25-11-2020 25-11-2020 0002130840281 NUR SALIM L PBI (APBN) Acute pharyngitis, Berobat Jalan
505 00:00 09:57 HIDAYATULLOH unspecified
148 020500021120Y000 25-11-2020 25-11-2020 0002312068408 EDY SUPRAPTO L PEKERJA Pure Berobat Jalan
503 00:00 09:40 MANDIRI hypercholesterolaemia
Chronic obstructive
149 020500021120Y000 25-11-2020 25-11-2020 0002375190819 SUTIANI RIKAWATI P PEKERJA pulmonary disease with Berobat Jalan
506 00:00 10:30 MANDIRI acute lower respiratory
infection
150 020500021120Y000 25-11-2020 25-11-2020 0002415086368 SUMARTIN RAHAYU P PBI (APBN) Dyspepsia Berobat Jalan
507 00:00 10:38
151 020500021120P000 25-11-2020 02-12-2020 0002415088866 RENO OZILLA ALDIANO L PBI (APBN) Atopic dermatitis Berobat Jalan
863 00:00 23:17
020500021120Y000 25-11-2020 25-11-2020 MUHAMMAD DHERY PEGAWAI Influenza with other
152 0002910837734 L manifestations, influenza Berobat Jalan
511 00:00 11:48 SURYA PRADIPTA SWASTA
virus identified
153 020500021120Y000 25-11-2020 30-11-2020 0002927749735 SUPRAPTO L PEKERJA Other specified surgical Berobat Jalan
725 00:00 09:33 MANDIRI follow-up care

154 020500021120Y000 24-11-2020 24-11-2020 0000099020147 YUSLAKHAH, HJ. P PNS DAERAH Arthrosis, unspecified Berobat Jalan
481 00:00 09:27

155 0000102255963 ZAENAL ARIFIN L PNS DAERAH cardiovascular disease, so Berobat Jalan
479 00:00 09:11
described
156 020500021120Y000 24-11-2020 25-11-2020 0000761112551 ASMINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
500 00:00 09:30
157 020500021120Y000 24-11-2020 24-11-2020 0000761113563 ANTON SUGIONO L PBI (APBN) Examination for driving Berobat Jalan
488 00:00 10:25 licence
158 020500021120Y000 24-11-2020 25-11-2020 0000761267417 SUCI APRILIA P PBI (APBN) Dyspepsia Berobat Jalan
502 00:00 09:33
159 020500021120P000 24-11-2020 29-11-2020 0000761348114 SETRI P PBI (APBN) Gout Berobat Jalan
676 00:00 23:19
160 020500021120P000 24-11-2020 29-11-2020 0000761350173 MUR P PBI (APBN) Gout Berobat Jalan
677 00:00 23:20
161 020500021120P000 24-11-2020 29-11-2020 0000761406085 KHUSNUL YATIMAH P PBI (APBN) Other headache Berobat Jalan
634 00:00 20:53 syndromes
162 020500021120P000 24-11-2020 29-11-2020 0000761465755 SULIYAH P PBI (APBN) Essential (primary) Berobat Jalan Diabetes
678 00:00 23:20 hypertension Mellitus
163 020500021120P000 24-11-2020 02-12-2020 0000761501283 WAGINING P PBI (APBN) Other headache Berobat Jalan
862 00:00 23:13 syndromes
164 020500021120P000 24-11-2020 02-12-2020 0000761524784 LANSEM L PBI (APBN) Myalgia Berobat Jalan
809 00:00 20:18
165 020500021120P000 24-11-2020 02-12-2020 0000761526742 SUEMI P PBI (APBN) Essential (primary) Berobat Jalan
166 020500021120P000 24-11-2020 02-12-2020 0000761531049 MALIKIN L PBI (APBN) Myalgia Berobat Jalan
811 00:00 20:21
167 020500021120P000 24-11-2020 02-12-2020 0000761532849 SUROSO L PBI (APBN) Other headache Berobat Jalan
812 00:00 20:21 syndromes
168 020500021120P000 24-11-2020 02-12-2020 0000761535472 MOH MACHSUM L PBI (APBN) Essential (primary) Berobat Jalan
169 020500021120P000 24-11-2020 02-12-2020 0000761539274 SABAR L PBI (APBD) Non-insulin-dependent Berobat Jalan
170 020500021120P000 24-11-2020 02-12-2020 0000761541941 MULYONO L PBI (APBN) Other headache Berobat Jalan
815 00:00 20:24 syndromes
171 020500021120P000 24-11-2020 02-12-2020 0000761590888 AYU KARLINA WATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan
861 00:00 23:12
172 020500021120Y000 24-11-2020 24-11-2020 0000761611059 PATREM P PBI (APBN) Calcaneal spur Berobat Jalan
478 00:00 08:40

173 0000761921471 AMINAH P PBI (APBN) diabetes mellitus without Berobat Jalan
477 00:00 08:37 Mellitus
complications
174 020500021120Y000 24-11-2020 24-11-2020 0000761967821 KHUSNUL KHOTIMAH P PBI (APBN) Supervision of high-risk Berobat Jalan
175 020500021120Y000 24-11-2020 25-11-2020 0000762172301 ALIMAH P PBI (APBN) Dyspepsia Berobat Jalan
501 00:00 09:31
176 020500021120Y000 24-11-2020 24-11-2020 0000762195914 AYU MASLUHAH P PBI (APBN) Fasciitis, not elsewhere Berobat Jalan
493 00:00 10:56 classified
177 020500021120P000 24-11-2020 30-11-2020 0000762229877 SULIS P PBI (APBN) Myalgia Berobat Jalan
695 00:00 00:09
178 020500021120Y000 24-11-2020 24-11-2020 0000762251049 MUSLIKAH P PBI (APBN) Polyp of cervix uteri Berobat Jalan
494 00:00 11:06
179 020500021120P000 24-11-2020 27-11-2020 0001139650018 SITI RAHAYU WINARSIH P PEGAWAI Gout Berobat Jalan
569 00:00 10:14 SWASTA
180 020500021120P000 24-11-2020 27-11-2020 0001141819558 SUKANDAR L PEGAWAI Myalgia Berobat Jalan
570 00:00 10:15 SWASTA
181 020500021120P000 24-11-2020 24-11-2020 0001434301942 ARI AGUSTIN P PEGAWAI Presence of (intrauterine) Rujuk Vertikal
490 00:00 10:38 SWASTA contraceptive device
182 020500021120P000 24-11-2020 02-12-2020 0001703662931 SUPRIYANTO L PBI (APBD) Myalgia Berobat Jalan
888 00:00 23:59
183 020500021120P000 24-11-2020 03-12-2020 0001703663919 SRIMUNAH P PBI (APBN) Myalgia Berobat Jalan
890 00:00 00:01
184 020500021120P000 24-11-2020 03-12-2020 0001703664022 ARI ROMADONA L PBI (APBD) Myalgia Berobat Jalan
892 00:00 00:03
185 020500021120Y000 24-11-2020 24-11-2020 0001819699119 MULYADI L PEGAWAI Essential (primary) Berobat Jalan
484 00:00 09:35 SWASTA hypertension
020500021120P000 24-11-2020 24-11-2020 NGATINI PEGAWAI Non-insulin-dependent Diabetes
186 0001856695375 P diabetes mellitus without Berobat Jalan
491 00:00 10:38 SWASTA Mellitus
complications
187 020500021120Y000 24-11-2020 24-11-2020 0002134438806 ANGGUN SAFITRI P PBI (APBN) Tinea pedis Berobat Jalan
482 00:00 09:29
188 020500021120Y000 24-11-2020 24-11-2020 0002208837993 MUNASRI P PEKERJA Pure Berobat Jalan
483 00:00 09:31 MANDIRI hypercholesterolaemia
189 0002225631971 PONIRAH P diabetes mellitus without Berobat Jalan
complications
020500021120Y000 24-11-2020 24-11-2020 PEKERJA Sequelae of respiratory
190 0002307489693 RIATI P and unspecified Rujuk Vertikal
480 00:00 09:19 MANDIRI
tuberculosis

191 020500021120Y000 24-11-2020 24-11-2020 0002414605691 MAIDANUL BAHRUL L PBI (APBN) Periapical abscess without Berobat Jalan
487 00:00 10:24 ALIMUL FURQON sinus

192 020500021120P000 24-11-2020 03-12-2020 0002414605961 ALIYAH P PBI (APBN) Gout Berobat Jalan
889 00:00 00:00
193 020500021120P000 24-11-2020 03-12-2020 0002415086774 RUMANI P PBI (APBN) Headache Berobat Jalan
891 00:00 00:02
194 020500021120P000 24-11-2020 27-11-2020 0002456810155 AS'ADAH P PEKERJA Myalgia Berobat Jalan
571 00:00 10:17 MANDIRI
195 020500021120Y000 24-11-2020 24-11-2020 0002696275506 MUNTAMAH P PEKERJA Pterygium Berobat Jalan Hipertensi
486 00:00 09:59 MANDIRI
196 020500021120Y000 24-11-2020 24-11-2020 0002762573128 NURIDA P PEKERJA Arthrosis, unspecified Berobat Jalan
485 00:00 09:57 MANDIRI
197 020500021120Y000 23-11-2020 23-11-2020 0000718455644 ARFINDA ZAHRANI ARIEF P PBI (APBN) Acute tonsillitis, Berobat Jalan
198 020500021120P000 23-11-2020 27-11-2020 0000760174301 ACHMAD ARIEL L PBI (APBN) Stomatitis and related Berobat Jalan
567 00:00 10:13 ALINULLAH lesions
199 0000761126051 SURIYANI P PBI (APBN) disease with (congestive) Berobat Jalan
445 00:00 11:06
heart failure
200 020500021120Y000 23-11-2020 23-11-2020 0000761155806 ISMANTO L PBI (APBN) Pre-employment Berobat Jalan
201 020500021120Y000 23-11-2020 23-11-2020 0000761274505 HABIBUR ROHMAN L PBI (APBN) Pre-employment Berobat Jalan
202 020500021120P000 23-11-2020 02-12-2020 0000761286385 MOCH. RONI L PBI (APBN) Essential (primary) Berobat Jalan
203 020500021120P000 23-11-2020 02-12-2020 0000761287421 SRI P PBI (APBN) Gastritis and duodenitis Berobat Jalan
807 00:00 20:16
204 020500021120P000 23-11-2020 02-12-2020 0000761289849 SONO AJI L PBI (APBN) Myalgia Berobat Jalan
808 00:00 20:17
205 020500021120P000 23-11-2020 29-11-2020 0000761399919 RANI P PBI (APBN) Atopic dermatitis Berobat Jalan
632 00:00 20:26
206 020500021120P000 23-11-2020 29-11-2020 0000761400753 SITI AMINAH P PBI (APBN) Myalgia Berobat Jalan
633 00:00 20:27
Chronic obstructive
207 020500021120Y000 23-11-2020 23-11-2020 0000761503498 SUWAJI L PBI (APBN) pulmonary disease with Berobat Jalan
425 00:00 08:18 acute exacerbation,
unspecified
208 020500021120P000 23-11-2020 30-11-2020 0000761521397 ANGGA DWI SAPUTRA L PBI (APBN) Fever of other and Berobat Jalan
693 00:00 00:07 unknown origin

209 020500021120Y000 23-11-2020 23-11-2020 0000761582237 AFIFA SHANTI P PEGAWAI Supervision of high-risk Berobat Jalan
440 00:00 10:40 SWASTA pregnancy, unspecified

210 020500021120Y000 23-11-2020 23-11-2020 0000761591136 SUYATI P PEGAWAI Sciatica, site unspecified Rujuk Vertikal Hipertensi
424 00:00 08:16 SWASTA
211 020500021120P000 23-11-2020 02-12-2020 0000761631377 SALSABILA SYAFA'ATUN P PBI (APBD) Acute nasopharyngitis Berobat Jalan
859 00:00 23:08 ISNAINI [common cold]
212 020500021120P000 23-11-2020 29-11-2020 0000761671045 SOLIKIN L PBI (APBN) Headache Berobat Jalan
675 00:00 23:18
213 0000761687561 ALIM L PBI (APBN) cardiovascular disease, so Berobat Jalan
439 00:00 09:44
described
214 020500021120P000 23-11-2020 02-12-2020 0000761746623 TAMINI P PBI (APBN) Essential (primary) Berobat Jalan
215 0000762081805 RANDJI L PBI (APBN) diabetes mellitus without Berobat Jalan
complications
216 0000762116139 ARIYANINGSIH P PBI (APBN) diabetes mellitus without Berobat Jalan
446 00:00 11:08
complications
217 020500021120P000 23-11-2020 30-11-2020 0000762152253 TIJAMAH P PBI (APBN) Myalgia Berobat Jalan
694 00:00 00:08
218 020500021120Y000 23-11-2020 30-11-2020 0000762235042 IDRIA AVEA PUTRI P PBI (APBD) Other specified surgical Berobat Jalan
219 020500021120Y000 23-11-2020 23-11-2020 0001047495172 SUNHADI L PBI (APBN) Senile cataract, Rujuk Vertikal
220 020500021120Y000 23-11-2020 23-11-2020 0001130152419 SRI MUJANNAH P PEGAWAI Fever, unspecified Berobat Jalan
447 00:00 11:12 SWASTA
221 020500021120Y000 23-11-2020 23-11-2020 0001406185795 EDY WAHYONO L PEGAWAI Shoulder lesion, Berobat Jalan
222 020500021120Y000 23-11-2020 23-11-2020 0001406185817 APRIL EDWIN L PEGAWAI Examination for admission Berobat Jalan
426 00:00 08:32 FIRMANSYAH SWASTA to educational institution

223 020500021120P000 23-11-2020 02-12-2020 0001703663649 NURHAJI L PBI (APBD) Myalgia Berobat Jalan
887 00:00 23:58

224 020500021120Y000 23-11-2020 23-11-2020 0001703664145 SUWARDI L PBI (APBD) Senile cataract, Rujuk Vertikal
225 020500021120Y000 23-11-2020 23-11-2020 0001798456386 TITAH LESTARI WIDYA L PEKERJA Fever, unspecified Berobat Jalan
441 00:00 10:54 ARIFIN MANDIRI
226 020500021120Y000 23-11-2020 23-11-2020 0001830866872 ERNI FEBE URSIA P PEKERJA Other spondylosis Rujuk Vertikal
448 00:00 11:16 MANDIRI

227 020500021120Y000 23-11-2020 23-11-2020 0001905084281 SURONO L PEKERJA Intervertebral disc Rujuk Vertikal Diabetes
437 00:00 09:31 MANDIRI disorder, unspecified Mellitus

228 020500021120Y000 23-11-2020 23-11-2020 0002414606038 FRISKA ASZAHRA PUTRI P PBI (APBN) Disturbances in tooth Berobat Jalan
443 00:00 11:01 ARIFKA eruption
229 0002625230654 ULFAH P diabetes mellitus without Berobat Jalan
444 00:00 11:02 MANDIRI
complications
230 020500021120Y000 23-11-2020 24-11-2020 0002759290852 KHOLIS SUHARIADI L PEKERJA Other general Berobat Jalan
475 00:00 07:54 MANDIRI examinations
020500021120Y000 21-11-2020 21-11-2020 PENERIMA Non-insulin-dependent Diabetes
231 0000099206019 MISTIDJAN L diabetes mellitus without Berobat Jalan Mellitus
417 00:00 09:43 PENSIUN PNS
complications Hipertensi
232 020500021120Y000 21-11-2020 21-11-2020 0000099262449 SUNIFAH P PENERIMA Essential (primary) Berobat Jalan
423 00:00 11:29 PENSIUN PNS hypertension
233 020500021120P000 21-11-2020 29-11-2020 0000761156403 ISMIATI P PBI (APBN) Atopic dermatitis Berobat Jalan
630 00:00 20:24
234 020500021120P000 21-11-2020 29-11-2020 0000761157101 PAINAH P PBI (APBN) Myalgia Berobat Jalan
631 00:00 20:25
235 020500021120P000 21-11-2020 02-12-2020 0000761275708 SAKIM L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
236 020500021120P000 21-11-2020 02-12-2020 0000761276068 KASIATI P PBI (APBN) Gout Berobat Jalan
802 00:00 20:11
237 020500021120P000 21-11-2020 02-12-2020 0000761276169 RUDI HARTONO L PBI (APBN) Myalgia Berobat Jalan
803 00:00 20:12
238 020500021120P000 21-11-2020 02-12-2020 0000761281975 PIPIT KURNIAWATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan
804 00:00 20:13
239 020500021120P000 21-11-2020 02-12-2020 0000761282785 SUTATIK P PBI (APBN) Other disorders of urinary Berobat Jalan
805 00:00 20:14 system
240 020500021120P000 21-11-2020 27-11-2020 0000761287702 PATEMAH P PBI (APBN) Essential (primary) Berobat Jalan
241 020500021120Y000 21-11-2020 21-11-2020 0000761393733 NASIKAN L PBI (APBN) Tic disorder, unspecified Rujuk Vertikal
415 00:00 09:28
242 020500021120P000 21-11-2020 29-11-2020 0000761428934 ANTI P PBI (APBN) Essential (primary) Berobat Jalan
243 020500021120Y000 21-11-2020 21-11-2020 0000761450861 MA'ALIYAH P PBI (APBN) Chest pain, unspecified Berobat Jalan
409 00:00 08:27
244 020500021120Y000 21-11-2020 21-11-2020 0000761530116 USWATUN KASANAH P PBI (APBN) Supervision of normal Berobat Jalan
245 020500021120Y000 21-11-2020 21-11-2020 0000761533031 SUNARSIH P PBI (APBN) Contraceptive Berobat Jalan

246 020500021120Y000 21-11-2020 21-11-2020 0000761586142 SARPANI P PBI (APBN) Essential (primary) Berobat Jalan

247 020500021120P000 21-11-2020 02-12-2020 0000761609799 MAHROBI RIDWANUL L PBI (APBN) Acute nasopharyngitis Berobat Jalan
858 00:00 23:04 CHOIRI [common cold]
248 020500021120P000 21-11-2020 29-11-2020 0000761696932 MUSTAMIN L PEGAWAI Myalgia Berobat Jalan
674 00:00 23:17 SWASTA
Chronic obstructive
249 020500021120Y000 21-11-2020 21-11-2020 0000761721006 ANDIK SISWANTO L PBI (APBN) pulmonary disease with Berobat Jalan
416 00:00 09:32 acute exacerbation,
unspecified
250 020500021120Y000 21-11-2020 21-11-2020 0000761912504 ANITA SELIANGGRAENI P PBI (APBN) Pre-employment Berobat Jalan
251 020500021120Y000 21-11-2020 21-11-2020 0000761934429 ANISA AMBARWATI P PBI (APBN) Dysplasia of vagina, Berobat Jalan
252 020500021120P000 21-11-2020 27-11-2020 0000762096003 KRISTINA AYU P PBI (APBN) Myalgia Berobat Jalan
563 00:00 10:08 RATNASARI
253 020500021120P000 21-11-2020 30-11-2020 0000762191548 MUKHAMMAD ARDIAN L PBI (APBN) Gastritis and duodenitis Berobat Jalan
692 00:00 00:06 FERDIANSYAH
254 020500021120P000 21-11-2020 30-11-2020 0000762192821 SITI ROKHANAH P PBI (APBN) Myalgia Berobat Jalan
691 00:00 00:05
255 020500021120P000 21-11-2020 30-11-2020 0000762200594 RATMANI P PBI (APBN) Headache Berobat Jalan
690 00:00 00:04
256 020500021120P000 21-11-2020 27-11-2020 0000762214105 JARI L PBI (APBN) Malaise and fatigue Berobat Jalan
565 00:00 10:11
257 020500021120P000 21-11-2020 27-11-2020 0000762214149 KAMAH P PBI (APBN) Myalgia Berobat Jalan
566 00:00 10:12
258 020500021120Y000 21-11-2020 30-11-2020 0000762627093 IMAM SAMSURI. L PBI (APBN) Injury, unspecified Berobat Jalan
731 00:00 10:01
259 020500021120Y000 21-11-2020 21-11-2020 0001162993105 ROSIDHA QUROTA AINI P PEGAWAI Supervision of high-risk Berobat Jalan
419 00:00 10:17 ISLAMIAH SWASTA pregnancy, unspecified
260 020500021120P000 21-11-2020 05-12-2020 0001703669365 ALIANAH P PBI (APBD) Atopic dermatitis Berobat Jalan
903 00:00 09:24
261 020500021120P000 21-11-2020 02-12-2020 0001703669501 RIDO NURDIANSYAH L PBI (APBD) Acute nasopharyngitis Berobat Jalan
884 00:00 23:51 [common cold]
262 020500021120P000 21-11-2020 02-12-2020 0001703670952 ASRUFAH P PBI (APBD) Essential (primary) Berobat Jalan
263 020500021120P000 21-11-2020 27-11-2020 0002042349614 FAHTIR ROIS L PRAJURIT AL Stomatitis and related Berobat Jalan
562 00:00 10:07 TRISMAFERNANDO lesions

020500021120P000 21-11-2020 21-11-2020 PEKERJA Non-insulin-dependent Diabetes Diabetes
264 0002258838303 SUPARTI P diabetes mellitus without Berobat Jalan

complications
265 020500021120Y000 21-11-2020 21-11-2020 0002414233664 SULIYAH P PBI (APBD) Contraceptive Berobat Jalan
266 020500021120P000 21-11-2020 02-12-2020 0002414605781 MUHAMMAD ARYA L PBI (APBN) Atopic dermatitis Berobat Jalan
886 00:00 23:53 RIDWAN
267 020500021120P000 21-11-2020 02-12-2020 0002414605983 NADIA DWI LESTARI P PBI (APBN) Atopic dermatitis Berobat Jalan
885 00:00 23:52
268 020500021120P000 21-11-2020 02-12-2020 0002414605994 MUCHAMMAD AZAM AL L PBI (APBN) Fever of other and Berobat Jalan
883 00:00 23:50 IBRAHIM unknown origin
269 020500021120Y000 21-11-2020 23-11-2020 0002415090699 TINO ARDIANSYAH L PBI (APBN) Periapical abscess without Berobat Jalan
432 00:00 09:16 sinus
020500021120Y000 21-11-2020 21-11-2020 PEGAWAI Atherosclerotic
270 0002482675975 JOKO SISWANTO L cardiovascular disease, so Rujuk Vertikal
408 00:00 08:24 SWASTA
described
271 020500021120Y000 21-11-2020 21-11-2020 0002683989652 ALI L PBI (APBD) Gout, unspecified Berobat Jalan
421 00:00 11:12
272 020500021120Y000 21-11-2020 21-11-2020 0002769761079 AGUS SUSANTO L PEKERJA Unspecified viral hepatitis Berobat Jalan
422 00:00 11:27 MANDIRI without hepatic coma

273 020500021120P000 20-11-2020 30-11-2020 0000760812625 TINI P PBI (APBN) Essential (primary) Berobat Jalan

274 020500021120P000 20-11-2020 29-11-2020 0000761152487 LIYONO L PBI (APBN) Myalgia Berobat Jalan
629 00:00 20:23
275 020500021120P000 20-11-2020 29-11-2020 0000761169789 DEWI ASTUTIK P PBI (APBN) Gastritis and duodenitis Berobat Jalan
628 00:00 20:22
276 020500021120P000 20-11-2020 02-12-2020 0000761271006 TRI AJI SAPUTRO L PBI (APBN) Myalgia Berobat Jalan
798 00:00 20:08
277 020500021120P000 20-11-2020 02-12-2020 0000761271388 HASANUDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
799 00:00 20:09 [common cold]
278 020500021120P000 20-11-2020 02-12-2020 0000761274358 SRIAMAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
279 020500021120Y000 20-11-2020 20-11-2020 0000761302743 SANAH P PBI (APBN) Acute pharyngitis, Berobat Jalan
280 020500021120Y000 20-11-2020 20-11-2020 0000761502802 RAMENI P PBI (APBN) Chronic renal failure, Rujuk Vertikal
281 020500021120Y000 20-11-2020 20-11-2020 0000761591136 SUYATI P PEGAWAI Radiculopathy, cervical Rujuk Vertikal Hipertensi
366 00:00 08:14 SWASTA region

282 0000761613592 SUWANDI L PBI (APBN) diabetes mellitus without Berobat Jalan
384 00:00 09:48 Mellitus
complications
283 020500021120Y000 20-11-2020 20-11-2020 0000761656476 SUDARNANIK P PBI (APBN) Supervision of high-risk Berobat Jalan
284 0000761681992 SUHARTI P PBI (APBN) diabetes mellitus without Berobat Jalan
388 00:00 09:56 Mellitus
complications
285 020500021120P000 20-11-2020 02-12-2020 0000761706426 SUKRI L PBI (APBN) Atopic dermatitis Berobat Jalan
856 00:00 22:59
286 020500021120P000 20-11-2020 02-12-2020 0000761713839 MUTIA INDAH ISKADEWI P PBI (APBN) Other headache Berobat Jalan
857 00:00 23:00 syndromes
020500021120Y000 20-11-2020 20-11-2020 Insulin-dependent
287 0000761813469 NUNUNG SULISTYOWATI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
370 00:00 08:40
Hyperuricaemia without
288 020500021120Y000 20-11-2020 20-11-2020 0000761871879 MARLIYAH P PBI (APBN) signs of inflammatory Berobat Jalan
386 00:00 09:53 arthritis and tophaceous
disease
289 0000761885469 KEMINI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
369 00:00 08:38
290 020500021120Y000 20-11-2020 20-11-2020 0000761955805 MUHAMMAD HIDAYAT L PBI (APBN) Acute HIV infection Rujuk Vertikal
368 00:00 08:36 syndrome
291 020500021120P000 20-11-2020 29-11-2020 0000762007601 AFANDHI L PBI (APBD) Gout Berobat Jalan
671 00:00 23:14
292 020500021120P000 20-11-2020 29-11-2020 0000762008613 MA'RUFAH P PBI (APBD) Gout Berobat Jalan
672 00:00 23:15
293 020500021120P000 20-11-2020 29-11-2020 0000762009783 EKO SULISTIONO L PBI (APBD) Myalgia Berobat Jalan
670 00:00 23:13
294 020500021120P000 20-11-2020 29-11-2020 0000762156235 M SAHUDIN L PBI (APBN) Myalgia Berobat Jalan
669 00:00 23:13
020500021120Y000 20-11-2020 20-11-2020 Transient cerebral
295 0000762164414 NASUKHAN L PBI (APBN) ischaemic attack, Rujuk Vertikal
374 00:00 09:09
unspecified
296 020500021120P000 20-11-2020 30-11-2020 0000762174898 DIMAS PRATAMA . L PBI (APBD) Irritant contact dermatitis Berobat Jalan
689 00:00 00:03
297 020500021120P000 20-11-2020 30-11-2020 0000762178432 MINTEN P PBI (APBN) Myalgia Berobat Jalan
688 00:00 00:02

298 020500021120Y000 20-11-2020 20-11-2020 0000762195914 AYU MASLUHAH P PBI (APBN) signs of inflammatory Berobat Jalan
396 00:00 10:19 arthritis and tophaceous
disease
300 020500021120P000 20-11-2020 20-11-2020 0000762622266 MARDIYAH P PBI (APBN) Essential (primary) Berobat Jalan
301 020500021120Y000 20-11-2020 20-11-2020 0001540866622 YOGI SUWANDA L PEGAWAI Gastritis, unspecified Berobat Jalan
385 00:00 09:50 SWASTA
302 020500021120Y000 20-11-2020 20-11-2020 0001620058972 ETTY ISFARINI NURDIANA P PEGAWAI Other general Berobat Jalan
373 00:00 09:04 SWASTA examinations
303 020500021120Y000 20-11-2020 30-11-2020 0001703670265 BAGUS SETIAWAN L PBI (APBD) Otitis media, unspecified Berobat Jalan
737 00:00 10:57
020500021120P000 20-11-2020 20-11-2020 PEKERJA Non-insulin-dependent Diabetes Diabetes
304 0001798454529 YULI WIDYANINGSIH P diabetes mellitus without Berobat Jalan
complications
305 020500021120Y000 20-11-2020 20-11-2020 0002327763914 ABDUL MUJIB JAELANI L PEKERJA Shoulder lesion, Berobat Jalan
395 00:00 10:17 MANDIRI unspecified
306 020500021120Y000 20-11-2020 20-11-2020 0002414234643 PONIJAH P PBI (APBN) Dizziness and giddiness Berobat Jalan
382 00:00 09:47
307 020500021120Y000 20-11-2020 20-11-2020 0002415087538 SITI LATIFAH P PBI (APBN) Supervision of high-risk Berobat Jalan
308 020500021120Y000 20-11-2020 20-11-2020 0002762573128 NURIDA P PEKERJA Arthrosis, unspecified Berobat Jalan
407 00:00 10:47 MANDIRI
309 020500021120P000 19-11-2020 19-11-2020 0000099084723 MARIYAM P PENERIMA Chronic ischaemic heart Berobat Jalan Diabetes Diabetes
324 00:00 08:36 PENSIUN TNI disease Mellitus Mellitus
020500021120Y000 19-11-2020 19-11-2020 PENERIMA Non-insulin-dependent Diabetes
310 0000099206019 MISTIDJAN L diabetes mellitus without Berobat Jalan Mellitus
343 00:00 09:27 PENSIUN PNS
311 020500021120Y000 19-11-2020 19-11-2020 0000099262449 SUNIFAH P PENERIMA Essential (primary) Berobat Jalan
331 00:00 08:57 PENSIUN PNS hypertension
312 020500021120Y000 19-11-2020 19-11-2020 0000148834203 MUHAMMAD ARIF AFANDI L PNS DAERAH Acute pharyngitis, Berobat Jalan
313 020500021120Y000 19-11-2020 19-11-2020 0000726314556 PARMIASIH P PBI (APBN) Supervision of high-risk Berobat Jalan
020500021120Y000 19-11-2020 19-11-2020 Examination for
314 0000760187788 NOVI AMANDA P PBI (APBN) administrative purposes, Berobat Jalan
354 00:00 10:55
unspecified

315 020500021120P000 19-11-2020 29-11-2020 0000760816607 UMI ASIYAH P PBI (APBN) Myalgia Berobat Jalan
685 00:00 23:59

316 020500021120Y000 19-11-2020 19-11-2020 0000760834844 JASMINO L PBI (APBN) Dizziness and giddiness Berobat Jalan
332 00:00 09:00
317 020500021120Y000 19-11-2020 19-11-2020 0000760835349 RIAMAH P PBI (APBN) Schizophrenia, unspecified Berobat Jalan
334 00:00 09:04
318 020500021120P000 19-11-2020 29-11-2020 0000761168834 SARMI P PBI (APBN) Myalgia Berobat Jalan
627 00:00 20:21
319 020500021120P000 19-11-2020 29-11-2020 0000761199333 ARIYANTO L PBI (APBN) Atopic dermatitis Berobat Jalan
625 00:00 20:19
320 020500021120P000 19-11-2020 29-11-2020 0000761257113 ASNAH . P PBI (APBN) Myalgia Berobat Jalan
626 00:00 20:20
321 020500021120Y000 19-11-2020 19-11-2020 0000761344705 ULIPAH P PBI (APBN) Acute otitis externa, Berobat Jalan
356 00:00 10:57 noninfective
322 020500021120P000 19-11-2020 02-12-2020 0000761368522 PONIDI L PBI (APBN) Essential (primary) Berobat Jalan
323 020500021120P000 19-11-2020 02-12-2020 0000761373764 NUR SAMSI ABIDIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
795 00:00 20:04 [common cold]
324 020500021120P000 19-11-2020 02-12-2020 0000761376655 SYAMSUDIN L PBI (APBN) Non-insulin-dependent Berobat Jalan
325 020500021120P000 19-11-2020 02-12-2020 0000761376958 SATI P PBI (APBN) Myalgia Berobat Jalan
797 00:00 20:07
326 020500021120Y000 19-11-2020 19-11-2020 0000761490112 MUYASSAROH P PBI (APBN) Disorder of urinary system, Berobat Jalan
327 020500021120Y000 19-11-2020 19-11-2020 0000761495995 ANGGA PRASETYO L PBI (APBN) Other examinations for Berobat Jalan
328 0000761531444 PARTI P PBI (APBN) disease with (congestive) Rujuk Vertikal
328 00:00 08:50
heart failure
329 0000761535753 AMINAH P PBI (APBN) disease with (congestive) Rujuk Vertikal
329 00:00 08:51
heart failure
330 020500021120P000 19-11-2020 30-11-2020 0000761557522 IYAH P PBI (APBN) Headache Berobat Jalan
686 00:00 00:00
331 020500021120Y000 19-11-2020 19-11-2020 0000761571944 ALFIYAH P PBI (APBN) Supervision of high-risk Berobat Jalan
020500021120Y000 19-11-2020 19-11-2020 SAPARI Hypertensive heart
332 0000761795695 L PBI (APBN) disease with (congestive) Rujuk Vertikal
327 00:00 08:49
heart failure

333 020500021120Y000 19-11-2020 19-11-2020 0000761795853 ASIYAH P PBI (APBN) Gastric ulcer, acute with Rujuk Vertikal
326 00:00 08:46 haemorrhage

334 020500021120Y000 19-11-2020 19-11-2020 0000761847794 SALMINAH P PBI (APBN) Contraceptive Berobat Jalan
335 020500021120Y000 19-11-2020 19-11-2020 0000761852092 NUR PITALOKA P PBI (APBN) Supervision of normal Berobat Jalan
336 020500021120Y000 19-11-2020 19-11-2020 0000761885469 KEMINI P PBI (APBN) Cerebral infarction, Rujuk Vertikal
337 020500021120Y000 19-11-2020 19-11-2020 0000761912684 MUJAYATIK P PBI (APBN) Other contraceptive Berobat Jalan
359 00:00 11:03 management
338 020500021120Y000 19-11-2020 19-11-2020 0000761916936 SUMINTEN P PBI (APBN) Dysplasia of vagina, Berobat Jalan Hipertensi
339 020500021120Y000 19-11-2020 19-11-2020 0000762058629 MUKTAR L PBI (APBN) Other examinations for Berobat Jalan
340 020500021120P000 19-11-2020 29-11-2020 0000762175034 SURIYANI P PBI (APBN) Myalgia Berobat Jalan
683 00:00 23:58
341 0000762183562 WARTIANI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
330 00:00 08:54
342 020500021120P000 19-11-2020 29-11-2020 0000762191818 RATENI P PBI (APBN) Essential (primary) Berobat Jalan
343 020500021120Y000 19-11-2020 19-11-2020 0001140325525 FERI ARDIYANTO L PEGAWAI Pre-employment Berobat Jalan
353 00:00 10:54 SWASTA examination
344 020500021120P000 19-11-2020 29-11-2020 0001283645799 SITI CHOTIJAH L PNS DAERAH Myalgia Berobat Jalan Diabetes
667 00:00 23:08 Mellitus
345 020500021120Y000 19-11-2020 19-11-2020 0001703669499 SULIKAH P PBI (APBD) Myalgia Berobat Jalan
355 00:00 10:56
346 020500021120Y000 19-11-2020 19-11-2020 0001850432545 SAKRI L PEKERJA Schizophrenia, unspecified Berobat Jalan Hipertensi
333 00:00 09:01 MANDIRI
347 020500021120Y000 19-11-2020 19-11-2020 0002132284217 USWATUN KHASANAH P PBI (APBN) Shoulder lesion, Berobat Jalan
348 020500021120P000 19-11-2020 29-11-2020 0002414233585 RISKI ADITYA PRADANA L PBI (APBN) Stomatitis and related Berobat Jalan
684 00:00 23:59 lesions
349 020500021120Y000 19-11-2020 19-11-2020 0002761643349 ANDAN NOVIANA P PBI (APBD) Dyspepsia Berobat Jalan
349 00:00 09:56
020500021120Y000 18-11-2020 18-11-2020 PENERIMA Non-insulin-dependent
350 0000156887021 SATIBI MUKNI L diabetes mellitus with Rujuk Vertikal
322 00:00 10:40 PENSIUN PNS
351 020500021120P000 18-11-2020 23-11-2020 0000760800104 RAKIM L PBI (APBN) Non-insulin-dependent Berobat Jalan

352 020500021120P000 18-11-2020 23-11-2020 0000760913436 SUPI KHALIMAH P PBI (APBN) Myalgia Berobat Jalan
472 00:00 14:11

353 020500021120P000 18-11-2020 02-12-2020 0000761081703 SUSI NUR HAYATI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
854 00:00 22:54 [common cold]
354 020500021120P000 18-11-2020 02-12-2020 0000761230271 ATIM RIWAYATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan Hipertensi
855 00:00 22:54
355 020500021120Y000 18-11-2020 19-11-2020 0000761266811 NUR YULIATI P PBI (APBN) Disorder of lacrimal Berobat Jalan
337 00:00 09:09 system, unspecified
356 0000761355055 ASTUKAH P PBI (APBN) diabetes mellitus without Berobat Jalan
381 00:00 09:27 Mellitus
complications
357 020500021120P000 18-11-2020 02-12-2020 0000761360815 FERI EFENDI L PBI (APBD) Myalgia Berobat Jalan
789 00:00 19:51
358 020500021120P000 18-11-2020 02-12-2020 0000761363302 RESO L PBI (APBN) Non-insulin-dependent Berobat Jalan
020500021120P000 18-11-2020 02-12-2020 Diarrhoea and
359 0000761364775 SUPARMI P PBI (APBN) gastroenteritis of Berobat Jalan

791 00:00 19:52
360 020500021120P000 18-11-2020 02-12-2020 0000761365607 ABDUL BASIR AL FARIZI L PBI (APBN) Headache Berobat Jalan
792 00:00 19:53

361 020500021120P000 18-11-2020 02-12-2020 0000761365642 SRIMAN L PBI (APBN) Gout Berobat Jalan
793 00:00 19:56
362 020500021120Y000 18-11-2020 18-11-2020 0000761385137 ANIS SYAFAATIN P PBI (APBN) Delivery by caesarean Rujuk Vertikal
319 00:00 09:24 hysterectomy
363 020500021120P000 18-11-2020 29-11-2020 0000761390403 SAID L PBI (APBN) Atopic dermatitis Berobat Jalan
623 00:00 20:14
364 020500021120Y000 18-11-2020 19-11-2020 0000761436876 SULASMI P PBI (APBN) Cellulitis of finger and toe Berobat Jalan
342 00:00 09:25
365 020500021120P000 18-11-2020 23-11-2020 0000761536585 ANIK P PBI (APBN) Myalgia Berobat Jalan
473 00:00 14:12
366 020500021120Y000 18-11-2020 20-11-2020 0000761591136 SUYATI P PEGAWAI Septicaemia due to other Berobat Jalan Hipertensi
376 00:00 09:20 SWASTA Gram-negative organisms
367 020500021120Y000 18-11-2020 20-11-2020 0000761621837 ASTIK P PBI (APBN) Periapical abscess without Berobat Jalan
398 00:00 10:22 sinus
368 020500021120Y000 18-11-2020 18-11-2020 0000761664993 SRIUTAMI P PBI (APBN) Contraceptive Berobat Jalan
369 020500021120Y000 18-11-2020 19-11-2020 0000761703491 ZAROTUL P PBI (APBN) Bronchitis, not specified as Berobat Jalan
341 00:00 09:22 acute or chronic

370 020500021120P000 18-11-2020 02-12-2020 0000761735327 SIATI P PBI (APBN) Essential (primary) Berobat Jalan

371 020500021120Y000 18-11-2020 18-11-2020 0000761777594 TARNI P PBI (APBN) Cerebral infarction, Berobat Jalan
372 0000761836487 TUMI P PBI (APBN) diabetes mellitus without Berobat Jalan
362 00:00 11:08
complications
373 020500021120Y000 18-11-2020 19-11-2020 0000761868191 SARI NINGSIH P PBI (APBN) Dyspepsia Berobat Jalan
363 00:00 11:12
374 020500021120P000 18-11-2020 29-11-2020 0000761921471 AMINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes
624 00:00 20:16 diabetes mellitus Mellitus
020500021120P000 18-11-2020 20-11-2020 KEPALA DESA Non-insulin-dependent Diabetes
375 0000761947536 SISWATI P DAN PERANGKAT diabetes mellitus without Berobat Jalan
371 00:00 08:51 Mellitus
DESA complications
376 020500021120P000 18-11-2020 29-11-2020 0000762070116 SAMARI L PBI (APBN) Gout Berobat Jalan
666 00:00 23:06

377 020500021120Y000 18-11-2020 18-11-2020 0000762196511 MUITA P PBI (APBN) Supervision of high-risk Rujuk Vertikal
378 020500021120Y000 18-11-2020 19-11-2020 0001824111966 RIDUWAN L PEKERJA Injury, unspecified Berobat Jalan
360 00:00 11:06 MANDIRI
379 020500021120Y000 18-11-2020 18-11-2020 0002073265222 SITI MUAWANAH P PEKERJA Fibroadenosis of breast Rujuk Vertikal
320 00:00 09:51 MANDIRI
380 020500021120Y000 18-11-2020 18-11-2020 0002131529477 SITI ROCHMAH P PBI (APBN) Malignant neoplasm of Rujuk Vertikal
310 00:00 08:21 breast, unspecified
381 020500021120Y000 18-11-2020 18-11-2020 0002414233754 NUR AFIYAH P PBI (APBN) Irregular menstruation, Berobat Jalan
382 020500021120Y000 18-11-2020 19-11-2020 0002420098749 ABDUL MAJID L PEGAWAI Examination for driving Berobat Jalan
336 00:00 09:06 SWASTA licence
020500021120Y000 18-11-2020 19-11-2020 PEKERJA Diarrhoea and
383 0002762658371 SUTIK P gastroenteritis of Berobat Jalan

339 00:00 09:12 MANDIRI
020500021120Y000 17-11-2020 18-11-2020 PENERIMA Non-insulin-dependent
384 0000099265149 SUKOTO,DRS L diabetes mellitus without Berobat Jalan

311 00:00 08:27 PENSIUN PNS
complications
385 020500021120P000 17-11-2020 02-12-2020 0000761356697 SUMENIK. P PBI (APBD) Essential (primary) Berobat Jalan
386 020500021120P000 17-11-2020 02-12-2020 0000761357722 ANANG MA'RUF L PBI (APBN) Gout Berobat Jalan
785 00:00 19:46

387 020500021120P000 17-11-2020 02-12-2020 0000761357889 NUR HALIMAH P PBI (APBN) Irritant contact dermatitis Berobat Jalan
786 00:00 19:47

388 020500021120P000 17-11-2020 02-12-2020 0000761359544 SU'UD EFENDI L PBI (APBN) Myalgia Berobat Jalan
787 00:00 19:48
389 020500021120P000 17-11-2020 02-12-2020 0000761360512 MULYATI ROSITA P PBI (APBD) Myalgia Berobat Jalan
788 00:00 19:49
390 0000761362661 HINDUN P PBI (APBD) diabetes mellitus without Berobat Jalan
314 00:00 08:40 Mellitus
complications
391 020500021120P000 17-11-2020 29-11-2020 0000761388028 SUSILAH P PBI (APBN) Other headache Berobat Jalan
622 00:00 20:11 syndromes
392 020500021120Y000 17-11-2020 17-11-2020 0000761486613 SUPARMI P PBI (APBN) Tetralogy of Fallot Rujuk Vertikal
276 00:00 09:07
393 020500021120Y000 17-11-2020 18-11-2020 0000761522973 SURYANI P PBI (APBN) Essential (primary) Berobat Jalan
394 020500021120P000 17-11-2020 23-11-2020 0000761544191 NAURA ADYA ZAHIRA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
469 00:00 14:04 [common cold]
395 020500021120P000 17-11-2020 02-12-2020 0000761589415 KARLIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
852 00:00 22:48 [common cold]
396 020500021120Y000 17-11-2020 18-11-2020 0000761635697 SAMPINI P PBI (APBN) Essential (primary) Berobat Jalan
397 020500021120P000 17-11-2020 23-11-2020 0000761874568 SALIKIN L PBI (APBN) Myalgia Berobat Jalan
471 00:00 14:06
398 020500021120Y000 17-11-2020 17-11-2020 0000761934429 ANISA AMBARWATI P PBI (APBN) Contraceptive Berobat Jalan
399 020500021120P000 17-11-2020 29-11-2020 0000761970971 AMANAH P PBI (APBN) Gout Berobat Jalan
665 00:00 23:05
400 020500021120Y000 17-11-2020 17-11-2020 0000762134769 SITI ALIYAH P PBI (APBN) Contraceptive Berobat Jalan
401 020500021120Y000 17-11-2020 30-11-2020 0000762194619 NOVYANA P PBI (APBN) Surgical follow-up care, Berobat Jalan
403 020500021120Y000 17-11-2020 18-11-2020 0000788420632 ZAINUR HUDDIN L PBI (APBN) Dizziness and giddiness Berobat Jalan
317 00:00 09:07
404 020500021120P000 17-11-2020 23-11-2020 0001276800254 KUDAK P PENERIMA Myalgia Berobat Jalan Diabetes
470 00:00 14:05 PENSIUN POLRI Mellitus
405 020500021120Y000 17-11-2020 18-11-2020 0002258128506 AGUNG ABDUL WACHID L PBI (APBD) Pre-employment Berobat Jalan

406 020500021120P000 17-11-2020 23-11-2020 0002414234316 AKHMAD DIKRULLOHU L PBI (APBN) Gingivitis and periodontal Berobat Jalan
468 00:00 14:02 AKBAR diseases

407 020500021120Y000 17-11-2020 17-11-2020 0002415095853 ASENAH P PBI (APBN) Supervision of high-risk Rujuk Vertikal
408 020500021120Y000 17-11-2020 18-11-2020 0002474181145 KASPAR L PBI (APBD) Chest pain, unspecified Berobat Jalan
313 00:00 08:37
409 020500021120Y000 17-11-2020 18-11-2020 0002745600862 URIP L PEKERJA Low back pain Berobat Jalan
307 00:00 08:02 MANDIRI
410 020500021120Y000 17-11-2020 18-11-2020 0002759346775 ASTUTIK P PEKERJA Dizziness and giddiness Berobat Jalan
309 00:00 08:14 MANDIRI
741 00:00 11:37 MANDIRI follow-up care
412 020500021120Y000 17-11-2020 17-11-2020 0002927749858 PUJI ASTUTIK P PEKERJA Atopic dermatitis, Berobat Jalan
413 020500021120Y000 17-11-2020 17-11-2020 0002927750038 HISYAM MAHDI AL L PEKERJA Atopic dermatitis, Berobat Jalan
302 00:00 11:29 KABBANI MANDIRI unspecified
414 020500021120P000 16-11-2020 23-11-2020 0000760852574 KAYAT L PBI (APBN) Myalgia Berobat Jalan
434 00:00 09:18
415 020500021120P000 16-11-2020 23-11-2020 0000760854429 UMU SHOLIKHAH P PBI (APBN) Myalgia Berobat Jalan
467 00:00 13:54
020500021120Y000 16-11-2020 17-11-2020 Diarrhoea and
416 0000760921942 SLAMET SUDARYANTO L PBI (APBN) gastroenteritis of Berobat Jalan

277 00:00 09:08
417 020500021120P000 16-11-2020 23-11-2020 0000761163131 AHMAD FIRDAUS L PBI (APBN) Atopic dermatitis Berobat Jalan
464 00:00 13:51 SAPUTRA

418 020500021120P000 16-11-2020 23-11-2020 0000761231812 WIWIK KUSMIATI P PBI (APBN) Myalgia Berobat Jalan
436 00:00 09:28
419 020500021120P000 16-11-2020 02-12-2020 0000761295442 ATI'UL ULFA P PBI (APBN) Myalgia Berobat Jalan
779 00:00 18:06
420 020500021120P000 16-11-2020 02-12-2020 0000761295644 SUHARTO L PBI (APBN) Myalgia Berobat Jalan
780 00:00 19:39
421 020500021120P000 16-11-2020 02-12-2020 0000761298761 NADINE MAYLA PUTRIA P PBI (APBN) Gastritis and duodenitis Berobat Jalan
781 00:00 19:40
422 020500021120P000 16-11-2020 02-12-2020 0000761301595 KEMIJAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
782 00:00 19:42 [common cold]
423 020500021120P000 16-11-2020 02-12-2020 0000761301753 PENI P PBI (APBN) Atopic dermatitis Berobat Jalan
783 00:00 19:43
424 020500021120P000 16-11-2020 27-11-2020 0000761326367 MUIFAH P PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes

425 020500021120P000 16-11-2020 29-11-2020 0000761384676 SARIDJAN L PBI (APBD) Essential (primary) Berobat Jalan

426 020500021120P000 16-11-2020 29-11-2020 0000761425391 ANDIK L PBI (APBN) Myalgia Berobat Jalan
662 00:00 23:03
427 0000761524839 MARLAN L PBI (APBN) diabetes mellitus without Berobat Jalan
271 00:00 08:57 Mellitus
complications
428 020500021120Y000 16-11-2020 17-11-2020 0000761546992 SULISTIANAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
429 020500021120P000 16-11-2020 02-12-2020 0000761589639 RIANI P PBI (APBN) Gout Berobat Jalan
851 00:00 22:47
020500021120Y000 16-11-2020 16-11-2020 Systemic lupus
430 0000761612567 SRIYATUN P PBI (APBN) erythematosus, Rujuk Vertikal
257 00:00 10:25
unspecified
431 020500021120Y000 16-11-2020 17-11-2020 0000761669403 SUTATIK P PBI (APBN) Chronic periodontitis Berobat Jalan
288 00:00 10:20
432 020500021120P000 16-11-2020 23-11-2020 0000761686053 SUPARMI P PBI (APBN) Myalgia Berobat Jalan
435 00:00 09:25
433 020500021120P000 16-11-2020 29-11-2020 0000761769202 ROHMAT L PBI (APBN) Myalgia Berobat Jalan
664 00:00 23:05
434 020500021120P000 16-11-2020 23-11-2020 0000761791296 ANGGUN DELLA SEVINA P PBI (APBN) Headache Berobat Jalan
431 00:00 09:15
435 020500021120Y000 16-11-2020 16-11-2020 0000761912684 MUJAYATIK P PBI (APBN) General counselling and Berobat Jalan
436 020500021120P000 16-11-2020 29-11-2020 0000761974593 TINI P PBI (APBD) Gout Berobat Jalan
663 00:00 23:04
437 020500021120Y000 16-11-2020 17-11-2020 0000762152286 FINANDA AMMALIA P PBI (APBN) Epilepsy, unspecified Berobat Jalan
273 00:00 09:02
438 020500021120P000 16-11-2020 23-11-2020 0000762239463 ISMIYATI P PBI (APBN) Surveillance of Berobat Jalan
466 00:00 13:53 contraceptive drugs
439 020500021120Y000 16-11-2020 16-11-2020 0000762251049 MUSLIKAH P PBI (APBN) Essential (primary) Berobat Jalan
440 020500021120Y000 16-11-2020 16-11-2020 0000762587807 SULIKAH P PBI (APBN) Supervision of high-risk Berobat Jalan
441 0001184359408 SITI JULAIKAH P diabetes mellitus without Berobat Jalan
complications
442 020500021120Y000 16-11-2020 16-11-2020 0001295226663 KADAM L PEKERJA Hyperplasia of prostate Rujuk Vertikal
256 00:00 10:22 MANDIRI

443 020500021120Y000 16-11-2020 30-11-2020 0001406185817 APRIL EDWIN L PEGAWAI Other injuries of Berobat Jalan
742 00:00 11:48 FIRMANSYAH SWASTA unspecified body region

444 020500021120P000 16-11-2020 27-11-2020 0001653866965 AWWAB IZZAT MIQDAM L PEGAWAI Allergic contact dermatitis Berobat Jalan
559 00:00 09:36 ARIK SWASTA
445 0001703665304 SENEN L PBI (APBD) diabetes mellitus without Berobat Jalan
252 00:00 09:04 Mellitus
complications
446 020500021120Y000 16-11-2020 16-11-2020 0001703715298 WINARTI P PBI (APBN) Other immediate Berobat Jalan
262 00:00 12:29 postpartum haemorrhage
020500021120Y000 16-11-2020 17-11-2020 PEKERJA Hypertensive heart
447 0001717672364 KASTOLAN L disease with (congestive) Berobat Jalan Hipertensi
280 00:00 09:39 MANDIRI
heart failure
448 020500021120Y000 16-11-2020 17-11-2020 0001850432545 SAKRI L PEKERJA Disorder of urinary system, Berobat Jalan Hipertensi
449 020500021120Y000 16-11-2020 17-11-2020 0002091063429 DIVA AULIYA ZUSNITA P PEKERJA Disturbances in tooth Berobat Jalan
290 00:00 10:22 MANDIRI eruption
450 020500021120Y000 16-11-2020 17-11-2020 0002159397009 KARTIKA PRIHANDANI P PBI (APBD) Acute nasopharyngitis Berobat Jalan
272 00:00 09:00 [common cold]
451 0002199704589 SUKAMTO L PBI (APBN) diabetes mellitus without Berobat Jalan
278 00:00 09:27 Mellitus
complications
452 020500021120Y000 16-11-2020 17-11-2020 0002199705074 SAERAH P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
453 020500021120Y000 16-11-2020 16-11-2020 0002258128517 SRI UMIANA P PBI (APBN) General counselling and Berobat Jalan
454 020500021120Y000 16-11-2020 17-11-2020 0002296394177 ELIYA MEIZAHROH P PEGAWAI BUMD Periapical abscess without Berobat Jalan
287 00:00 10:18 sinus
455 020500021120P000 16-11-2020 23-11-2020 0002414234316 AKHMAD DIKRULLOHU L PBI (APBN) Surveillance of Berobat Jalan
465 00:00 13:52 AKBAR contraceptive drugs
456 020500021120P000 16-11-2020 23-11-2020 0002415090565 DEWI SINI P PBI (APBD) Headache Berobat Jalan
433 00:00 09:17
020500021120Y000 16-11-2020 17-11-2020 PEGAWAI Diarrhoea and
457 0002775815875 SUJONO L gastroenteritis of Berobat Jalan

281 00:00 09:42 SWASTA
458 0000098931148 KASDARI L PNS DAERAH diabetes mellitus with Rujuk Vertikal
229 00:00 09:04
020500021120P000 14-11-2020 14-11-2020 Diabetes
459 0000099036551 MOH WAHIB L PNS PUSAT Other senile cataract Rujuk Vertikal Mellitus
225 00:00 08:28
Hipertensi

460 020500021120P000 14-11-2020 27-11-2020 0000760217354 AINUR ROFIQ L PBI (APBN) Non-insulin-dependent Berobat Jalan Diabetes

461 020500021120P000 14-11-2020 23-11-2020 0000760865872 SUMARLIYAH P PBI (APBN) Myalgia Berobat Jalan
462 00:00 13:47
462 020500021120Y000 14-11-2020 14-11-2020 0000761102638 SULASIYEM P PBI (APBN) Shoulder lesion, Berobat Jalan
463 020500021120Y000 14-11-2020 14-11-2020 0000761134588 WAHYU ROMADHAN L PBI (APBN) Other examinations for Berobat Jalan
464 0000761242915 UMANI P PBI (APBN) diabetes mellitus without Berobat Jalan
234 00:00 10:00 Mellitus
complications
465 020500021120P000 14-11-2020 29-11-2020 0000761260059 SLAMET L PBI (APBN) Myalgia Berobat Jalan
620 00:00 20:09
466 020500021120Y000 14-11-2020 14-11-2020 0000761261938 ELVI LAILI P PBI (APBN) Congenital herpesviral Berobat Jalan
232 00:00 09:46 [herpes simplex] infection
020500021120Y000 14-11-2020 14-11-2020 Non-insulin-dependent Diabetes Diabetes
467 0000761266045 IWAN PUJIANTO L PBI (APBN) diabetes mellitus without Berobat Jalan
complications
468 020500021120P000 14-11-2020 02-12-2020 0000761289118 DEDDY SYARIFUDIN L PBI (APBN) Myalgia Berobat Jalan
773 00:00 17:56 FANANI

469 020500021120P000 14-11-2020 02-12-2020 0000761289849 SONO AJI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
774 00:00 17:58 [common cold]

470 020500021120P000 14-11-2020 02-12-2020 0000761290378 ISTIYONO L PBI (APBN) Non-insulin-dependent Berobat Jalan
471 020500021120P000 14-11-2020 02-12-2020 0000761292156 TOTOK SUJATWOKO L PEGAWAI Other headache Berobat Jalan
776 00:00 18:00 SWASTA syndromes
472 020500021120P000 14-11-2020 02-12-2020 0000761293697 INDRAWATI P PBI (APBN) Essential (primary) Berobat Jalan
473 020500021120P000 14-11-2020 02-12-2020 0000761294452 MUHAMMAD MUSLIMIN L PBI (APBN) Other headache Berobat Jalan
778 00:00 18:03 syndromes
474 020500021120Y000 14-11-2020 14-11-2020 0000761640862 MEGA AYU DWI ASTUTIK P PBI (APBN) Other examinations for Berobat Jalan
475 020500021120P000 14-11-2020 29-11-2020 0000761721456 YULIAH L PBI (APBN) Headache Berobat Jalan
659 00:00 22:59
476 020500021120Y000 14-11-2020 17-11-2020 0000761836904 DAVID WAHYUDI L PBI (APBN) Pulpitis Berobat Jalan
292 00:00 10:28
477 020500021120P000 14-11-2020 27-11-2020 0000761863318 SUPARDI L PBI (APBD) Myalgia Berobat Jalan
556 00:00 09:28

478 020500021120P000 14-11-2020 29-11-2020 0000762016814 KUSNAWATI P PBI (APBN) Myalgia Berobat Jalan
661 00:00 23:01

479 020500021120P000 14-11-2020 29-11-2020 0000762171221 TOSAN L PBI (APBN) Gout Berobat Jalan
660 00:00 23:00
480 020500021120P000 14-11-2020 23-11-2020 0000762243614 AMANIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
460 00:00 13:44 [common cold]
481 020500021120Y000 14-11-2020 14-11-2020 0001536120011 LUSI ASTUTI P PEGAWAI BUMD Malignant neoplasm of Rujuk Vertikal
227 00:00 08:52 breast, unspecified
482 0001703670625 MISRI P PBI (APBD) diabetes mellitus without Berobat Jalan
239 00:00 10:50 Mellitus
complications
484 020500021120P000 14-11-2020 27-11-2020 0002205916446 tain L PEKERJA Essential (primary) Berobat Jalan Diabetes
557 00:00 09:30 MANDIRI hypertension Mellitus
485 020500021120Y000 14-11-2020 14-11-2020 0002312068149 SURTINI P PEKERJA Essential (primary) Berobat Jalan Hipertensi
020500021120Y000 14-11-2020 14-11-2020 PEKERJA Hypertensive heart
486 0002312068408 EDY SUPRAPTO L disease with (congestive) Berobat Jalan
235 00:00 10:06 MANDIRI
heart failure
487 0002321014094 SUPARLAN L diabetes mellitus with Rujuk Vertikal
238 00:00 10:26 MANDIRI
multiple complications
488 020500021120P000 14-11-2020 23-11-2020 0002414609818 PARTI P PBI (APBN) Myalgia Berobat Jalan
463 00:00 13:47
489 020500021120P000 14-11-2020 23-11-2020 0002465156643 SHELIN APRILITA P PEGAWAI Acute nasopharyngitis Berobat Jalan
461 00:00 13:45 NURKUMALASARI SWASTA [common cold]
490 020500021120P000 13-11-2020 23-11-2020 0000760812625 TINI P PBI (APBN) Essential (primary) Berobat Jalan
491 020500021120P000 13-11-2020 23-11-2020 0000760828421 ENIK HARIYATI P PBI (APBN) Myalgia Berobat Jalan
457 00:00 13:37
492 020500021120P000 13-11-2020 23-11-2020 0000760834844 JASMINO L PBI (APBN) Myalgia Berobat Jalan
458 00:00 13:38
493 020500021120P000 13-11-2020 02-12-2020 0000761078676 YATEMI P PBI (APBN) Essential (primary) Berobat Jalan
494 020500021120Y000 13-11-2020 13-11-2020 0000761097644 MIQDAD JAMALUDDIN AL L PBI (APBN) Dizziness and giddiness Berobat Jalan
206 00:00 10:33 FIANSYAH
495 020500021120P000 13-11-2020 02-12-2020 0000761282785 SUTATIK P PBI (APBN) Other headache Berobat Jalan
766 00:00 17:50 syndromes

496 020500021120P000 13-11-2020 02-12-2020 0000761286385 MOCH. RONI L PBI (APBN) Atopic dermatitis Berobat Jalan
767 00:00 17:51

497 020500021120P000 13-11-2020 02-12-2020 0000761286644 RAHMAD HIDAYAT L PBI (APBN) Acute nasopharyngitis Berobat Jalan
768 00:00 17:51 [common cold]
498 020500021120P000 13-11-2020 02-12-2020 0000761286677 MULYONO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
769 00:00 17:52 [common cold]
499 020500021120P000 13-11-2020 02-12-2020 0000761286914 JAIYAH P PBI (APBN) Myalgia Berobat Jalan
770 00:00 17:53
500 020500021120P000 13-11-2020 02-12-2020 0000761288218 SUBEKHI L PBI (APBN) Non-insulin-dependent Berobat Jalan
501 020500021120P000 13-11-2020 02-12-2020 0000761288905 SRI MARYATI P PBI (APBN) Essential (primary) Berobat Jalan

502 020500021120P000 13-11-2020 13-11-2020 0000761379772 SUNANI P PBI (APBN) Myalgia Berobat Jalan
223 00:00 10:53

503 020500021120P000 13-11-2020 13-11-2020 0000761380749 DARMAN L PBI (APBN) Myalgia Berobat Jalan
224 00:00 10:55
504 0000761615561 ALIYAH P PBI (APBN) diabetes mellitus without Berobat Jalan
complications
505 020500021120P000 13-11-2020 29-11-2020 0000761723741 AMIDAH P PBI (APBN) Gout Berobat Jalan
658 00:00 22:58
506 020500021120Y000 13-11-2020 13-11-2020 0000761765275 AHMAD AUWABIN HAFID L PBI (APBN) Injury, unspecified Berobat Jalan
205 00:00 10:31
507 020500021120Y000 13-11-2020 13-11-2020 0000761863318 SUPARDI L PBI (APBD) Essential (primary) Berobat Jalan
508 0000762162772 SARIATI P PBI (APBN) diabetes mellitus without Berobat Jalan
237 00:00 10:20
complications
509 020500021120Y000 13-11-2020 13-11-2020 0000763063176 SUKEMI P PBI (APBN) Dizziness and giddiness Berobat Jalan
207 00:00 10:36
510 020500021120Y000 13-11-2020 13-11-2020 0002033275048 MISTRI P PEKERJA Other senile cataract Rujuk Vertikal
202 00:00 09:21 MANDIRI
020500021120Y000 13-11-2020 30-11-2020 PEKERJA Non-insulin-dependent Diabetes
511 0002205916446 tain L diabetes mellitus without Berobat Jalan
complications
512 020500021120Y000 11-12-2020 16-11-2020 0000760908216 MARISA EKA NURUL M P PBI (APBN) Bronchitis, not specified as Berobat Jalan
244 08:44 acute or chronic
513 020500021120P000 11-12-2020 13-11-2020 0000761277666 SUKARDI L PBI (APBN) Myalgia Berobat Jalan
221 10:52

514 020500021120Y000 11-12-2020 13-11-2020 0000761287847 KUSNIAH P PBI (APBN) Supervision of high-risk Berobat Jalan
183 08:14 pregnancy, unspecified

515 020500021120P000 11-12-2020 13-11-2020 0000761376374 SAMPINI P PBI (APBN) Essential (primary) Berobat Jalan
222 10:52 hypertension
516 020500021120P000 11-12-2020 29-11-2020 0000761388726 SITI MASRUKHAH P PBI (APBN) Essential (primary) Berobat Jalan
517 020500021120P000 11-12-2020 29-11-2020 0000761434716 MOKHAMAD SUTIKNO L PBI (APBN) Myalgia Berobat Jalan
654 22:54
518 020500021120Y000 11-12-2020 16-11-2020 0000761445292 MARLIK P PBI (APBN) Low back pain Berobat Jalan
247 08:53
519 020500021120Y000 11-12-2020 16-11-2020 0000761448936 KARMAN L PBI (APBN) Essential (primary) Berobat Jalan
520 020500021120P000 11-12-2020 23-11-2020 0000761512509 FITROTUL LAILI P PBI (APBN) Headache Berobat Jalan
455 13:30
521 020500021120P000 11-12-2020 02-12-2020 0000761514761 SAMSUL ARIPIN L PBI (APBN) Myalgia Berobat Jalan
849 22:31
522 020500021120P000 11-12-2020 02-12-2020 0000761515244 MOH. FIKRI L PBI (APBN) Other headache Berobat Jalan
848 22:29 syndromes
523 020500021120Y000 11-12-2020 17-11-2020 0000761679988 RAWAN P PBI (APBN) Chronic periodontitis Berobat Jalan
293 10:38
524 020500021120Y000 11-12-2020 16-11-2020 0000761680394 SUMI PURYANTI P PBI (APBN) Dizziness and giddiness Berobat Jalan
241 08:37
525 020500021120P000 11-12-2020 29-11-2020 0000761686053 SUPARMI P PBI (APBN) Gout Berobat Jalan
655 22:55
526 020500021120P000 11-12-2020 29-11-2020 0000761718712 ACH YUNUS L PBI (APBN) Essential (primary) Berobat Jalan
527 020500021120Y000 11-12-2020 16-11-2020 0000761783139 SUPARI L PBI (APBN) Gastritis, unspecified Berobat Jalan
248 08:54
020500021120Y000 16-11-2020 Essential (primary) Diabetes
528 11-12-2020 0000761829647 SUTRIANI P PBI (APBN) Berobat Jalan Mellitus
Hipertensi
529 020500021120Y000 11-12-2020 12-11-2020 0000761880418 CAHYANINGSIH L PBI (APBN) Supervision of high-risk Berobat Jalan
020500021120Y000 12-11-2020 Atherosclerotic
530 11-12-2020 0000761942373 UMI SAIKUN P PBI (APBN) cardiovascular disease, so Berobat Jalan
169 10:07
described
531 020500021120Y000 11-12-2020 13-11-2020 0000762089152 HERMIN P PBI (APBN) Contraceptive Berobat Jalan
184 08:27 management, unspecified
532 020500021120P000 11-12-2020 23-11-2020 0000762171974 UJIK MUSRINI P PBI (APBN) Myalgia Berobat Jalan
456 13:31

533 020500021120Y000 11-12-2020 12-11-2020 0000763032519 IIN ARIANTI P PEGAWAI Contraceptive Berobat Jalan
180 14:00 SWASTA management, unspecified

534 020500021120Y000 11-12-2020 12-11-2020 0001703662187 SUHARI L PBI (APBD) Intervertebral disc Rujuk Vertikal
174 10:16 disorder, unspecified
020500021120Y000 16-11-2020 Non-insulin-dependent Diabetes
535 11-12-2020 0001703665304 SENEN L PBI (APBD) diabetes mellitus without Berobat Jalan
240 08:34 Mellitus
complications
536 020500021120Y000 11-12-2020 16-11-2020 0001703669501 RIDO NURDIANSYAH L PBI (APBD) Pre-employment Berobat Jalan
245 08:45 examination
537 020500021120Y000 11-12-2020 12-11-2020 0002414610483 NIA INDRA KUMALASARI P PBI (APBD) Contraceptive Berobat Jalan
538 020500021120Y000 11-12-2020 16-11-2020 0002482736995 SIAMAH P PEGAWAI Pure Berobat Jalan
249 08:56 SWASTA hypercholesterolaemia
020500021120Y000 16-11-2020 PEKERJA Non-insulin-dependent Diabetes
539 11-12-2020 0002745605992 SULAMI P diabetes mellitus without Berobat Jalan
243 08:42 MANDIRI Mellitus
complications
540 020500021120Y000 11-11-2020 11-11-2020 0000760416175 SARTIAH P PBI (APBN) Contraceptive Berobat Jalan
541 020500021120P000 11-11-2020 23-11-2020 0000760808272 TEGAR ALI MUSLIMIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
454 13:20 [common cold]
542 020500021120P000 11-11-2020 23-11-2020 0000760874095 ASMIATI P PBI (APBN) Irritant contact dermatitis Berobat Jalan
452 13:17
543 020500021120Y000 11-11-2020 17-11-2020 0000761155806 ISMANTO L PBI (APBN) Pre-employment Berobat Jalan
544 020500021120P000 11-11-2020 13-11-2020 0000761163085 SIYATI P PBI (APBN) Myalgia Berobat Jalan
219 10:49
545 020500021120P000 11-11-2020 13-11-2020 0000761181311 SENITIK P PBI (APBN) Gastritis and duodenitis Berobat Jalan Hipertensi
220 10:50
546 020500021120Y000 11-11-2020 11-11-2020 0000761226456 SUPARNO L PBI (APBN) Acute HIV infection Rujuk Vertikal
134 08:56 syndrome
020500021120Y000 11-11-2020 Bilateral inguinal hernia,
547 11-11-2020 0000761254097 SUHARIYANTO . L PBI (APBN) without obstruction or Rujuk Vertikal
135 09:43
gangrene
548 020500021120P000 11-11-2020 23-11-2020 0000761289388 SIAMAH P PBI (APBN) Myalgia Berobat Jalan
450 12:51
549 020500021120Y000 11-11-2020 11-11-2020 0000761302135 SULISTYOWATI P PBI (APBN) Supervision of high-risk Berobat Jalan
550 020500021120P000 11-11-2020 27-11-2020 0000761362661 HINDUN P PBI (APBD) Non-insulin-dependent Berobat Jalan Diabetes
554 09:27 diabetes mellitus Mellitus

551 020500021120Y000 11-11-2020 17-11-2020 0000761698326 NIA AGUSTINA P PBI (APBD) Schizoaffective disorder, Berobat Jalan
285 10:12 unspecified

552 020500021120Y000 11-11-2020 17-11-2020 0000761708812 MUHAMAD ALI ABIDIN L PBI (APBN) Gastritis, unspecified Berobat Jalan
284 10:06
553 020500021120P000 11-11-2020 29-11-2020 0000761755195 KISMIATI P PBI (APBN) Myalgia Berobat Jalan
653 22:52
554 020500021120Y000 11-11-2020 12-11-2020 0000761842416 ARTIK L PBI (APBN) Dizziness and giddiness Berobat Jalan Hipertensi
162 09:55
555 020500021120Y000 11-11-2020 17-11-2020 0000761871879 MARLIYAH P PBI (APBN) Essential (primary) Berobat Jalan
556 020500021120P000 11-11-2020 23-11-2020 0000761878967 MUJIATI P PBI (APBN) Myalgia Berobat Jalan
453 13:19
557 020500021120P000 11-11-2020 29-11-2020 0000762132655 EKO CAHYONO L PBI (APBN) Essential (primary) Berobat Jalan
558 020500021120P000 11-11-2020 27-11-2020 0000762145288 SUKIRNO L PBI (APBN) Malaise and fatigue Berobat Jalan
555 09:28
559 020500021120P000 11-11-2020 23-11-2020 0000762149283 SULIKAH P PBI (APBN) Irritant contact dermatitis Berobat Jalan
451 13:16
560 020500021120Y000 11-11-2020 17-11-2020 0000762164414 NASUKHAN L PBI (APBN) Essential (primary) Berobat Jalan
561 020500021120Y000 11-11-2020 11-11-2020 0000762183562 WARTIANI P PBI (APBN) Other cholelithiasis Rujuk Vertikal
133 08:14
562 020500021120Y000 11-11-2020 11-11-2020 0001543195135 KHALISA MAY NAADHIRA P PEGAWAI Disturbances in tooth Berobat Jalan
140 12:19 SWASTA eruption
020500021120P000 17-11-2020 Non-insulin-dependent Diabetes
563 11-11-2020 0001705318187 MUSOFA P PBI (APBD) diabetes mellitus without Berobat Jalan
300 11:14 Mellitus
complications
020500021120P000 16-11-2020 PEKERJA Non-insulin-dependent Diabetes
564 11-11-2020 0001872838956 ANIK SISWATI P diabetes mellitus without Berobat Jalan
complications
565 020500021120Y000 11-11-2020 17-11-2020 0002011089069 CHOIRIYAH P PBI (APBN) signs of inflammatory Berobat Jalan
286 10:16 arthritis and tophaceous
disease
566 020500021120Y000 11-11-2020 17-11-2020 0002327762349 PATUMI P PEKERJA Dizziness and giddiness Berobat Jalan
303 11:35 MANDIRI
567 11-11-2020 0002415087674 HARI L PBI (APBD) without obstruction or Rujuk Vertikal
136 10:55
gangrene

568 020500021120Y000 11-11-2020 11-11-2020 0002603826944 SUMARSIH P PBI (APBN) Supervision of high-risk Berobat Jalan

569 020500021120P000 11-10-2020 12-11-2020 0000760864296 INDARTIK P PBI (APBN) Surveillance of Berobat Jalan
171 10:08 contraceptive drugs
571 020500021120P000 11-10-2020 27-11-2020 0000761180949 DA.I L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
572 020500021120Y000 11-10-2020 10-11-2020 0000761267665 MAYLINDA MAULIDIA P PBI (APBN) Chalazion Rujuk Vertikal
103 08:57
573 020500021120P000 11-10-2020 13-11-2020 0000761274494 RI'AH P PBI (APBN) Myalgia Berobat Jalan
204 10:01
574 020500021120P000 11-10-2020 02-12-2020 0000761301944 SUPARTO L PBI (APBN) Myalgia Berobat Jalan
761 17:44
575 020500021120P000 11-10-2020 02-12-2020 0000761304058 ISWANTO L PBI (APBN) Myalgia Berobat Jalan
762 17:45
576 020500021120P000 11-10-2020 02-12-2020 0000761304846 ALI AKWAN L PBI (APBN) Essential (primary) Berobat Jalan
577 020500021120P000 11-10-2020 02-12-2020 0000761305252 SUNARTI P PBI (APBN) Atopic dermatitis Berobat Jalan
764 17:46
578 020500021120P000 11-10-2020 02-12-2020 0000761307592 BASUKI RAHMAt L PBI (APBN) Myalgia Berobat Jalan
765 17:47
579 020500021120P000 11-10-2020 29-11-2020 0000761317244 SULISTIYO WATI P PEGAWAI Myalgia Berobat Jalan
649 22:50 SWASTA
580 020500021120P000 11-10-2020 27-11-2020 0000761393395 ONO UTANTO L PBI (APBN) Myalgia Berobat Jalan
551 09:15
581 020500021120Y000 11-10-2020 10-11-2020 0000761404689 RAMAN L PBI (APBN) Neuralgia and neuritis, Berobat Jalan
582 020500021120Y000 11-10-2020 10-11-2020 0000761489368 IFAN ARDIANSYAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
583 020500021120Y000 11-10-2020 10-11-2020 0000761524064 MU'IN L PBI (APBN) Myalgia Berobat Jalan
114 11:00
020500021120Y000 10-11-2020 Hypertensive heart
584 11-10-2020 0000761566882 SUDARMAN L PBI (APBN) disease with (congestive) Berobat Jalan
129 13:49
heart failure
585 020500021120P000 11-10-2020 29-11-2020 0000761672261 WINDARTI P PBI (APBN) Myalgia Berobat Jalan
648 22:49
586 11-10-2020 0000761710116 PONIDI L PBI (APBN) disease with (congestive) Berobat Jalan
130 13:51
heart failure

587 11-10-2020 0000761712412 SUMARTI P PBI (APBN) disease with (congestive) Berobat Jalan Hipertensi
105 09:46
heart failure
588 020500021120P000 11-10-2020 29-11-2020 0000761721726 SULISTIYOWATI P PBI (APBN) Myalgia Berobat Jalan
650 22:50
589 020500021120Y000 11-10-2020 10-11-2020 0000761831932 LASMADI L PBI (APBN) Headache Berobat Jalan
113 10:58
590 020500021120P000 11-10-2020 29-11-2020 0000762015734 MASHADI L PBI (APBN) Myalgia Berobat Jalan
651 22:51
591 11-10-2020 0000762083199 IKAN SUBROTO L PBI (APBN) disease with (congestive) Berobat Jalan
106 09:49
heart failure
592 020500021120Y000 11-10-2020 10-11-2020 0000762083616 SUTINA P PBI (APBN) Dizziness and giddiness Berobat Jalan
131 13:52
593 020500021120Y000 11-10-2020 10-11-2020 0000762096227 MUCHAMAT MUHYEI L PBI (APBN) Schizophrenia, unspecified Rujuk Vertikal
102 08:56 JOKO SUSILO
020500021120P000 29-11-2020 Diarrhoea and
594 11-10-2020 0000762123903 MUHAMMAD ZAINUDDIN L PBI (APBN) gastroenteritis of Berobat Jalan
647 22:48
595 020500021120Y000 11-10-2020 10-11-2020 0000762164469 LASMIATI P PBI (APBN) Supervision of high-risk Berobat Jalan

596 020500021120P000 11-10-2020 12-11-2020 0000762170286 PRIYANTININGSIH P PBI (APBN) Irritant contact dermatitis Berobat Jalan
170 10:08
597 020500021120Y000 11-10-2020 10-11-2020 0000762176338 MUHAMMAD YANU . L PBI (APBN) Other general Berobat Jalan
132 13:59 examinations
598 020500021120P000 11-10-2020 28-11-2020 0000762188231 LAMIATI P PBI (APBN) Surveillance of Berobat Jalan
599 020500021120Y000 11-10-2020 10-11-2020 0000762188231 LAMIATI P PBI (APBN) Contraceptive Berobat Jalan
600 020500021120P000 11-10-2020 12-11-2020 0000762227381 SUGIARTI P PBI (APBN) Myalgia Berobat Jalan
172 10:09
020500021120Y000 10-11-2020 Surveillance of
601 11-10-2020 0001110289239 SRI WAHYUNI P PRAJURIT AL (intrauterine) contraceptive Berobat Jalan
118 11:21
device
602 020500021120P000 11-10-2020 02-12-2020 0001480091444 ZHAFINA JASMINE L PEGAWAI Acute nasopharyngitis Berobat Jalan
846 22:12 ELISYA ANDAVIEN SWASTA [common cold]
603 020500021120P000 11-10-2020 27-11-2020 0001543180746 IMIN WIBOWO L PEGAWAI Myalgia Berobat Jalan
552 09:16 SWASTA

604 020500021120Y000 11-10-2020 10-11-2020 0001824111966 RIDUWAN L PEKERJA Bronchitis, not specified as Berobat Jalan
124 12:11 MANDIRI acute or chronic

605 020500021120Y000 11-10-2020 10-11-2020 0001824112304 SENISAH P PEKERJA Headache Berobat Jalan
112 10:57 MANDIRI
606 11-10-2020 0002205916446 tain L diabetes mellitus without Berobat Jalan
complications
020500021120Y000 10-11-2020 PEKERJA Insulin-dependent
607 11-10-2020 0002327762024 AKHYAT L diabetes mellitus with Rujuk Vertikal
101 08:54 MANDIRI
608 020500021120P000 11-10-2020 02-12-2020 0002415088866 RENO OZILLA ALDIANO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
609 020500021120Y000 11-10-2020 10-11-2020 0002468005378 INTAN PUTRI NINGTIAS P PEKERJA Supervision of high-risk Berobat Jalan
126 12:30 MANDIRI pregnancy, unspecified
610 020500021120Y000 11-10-2020 10-11-2020 0002482736995 SIAMAH P PEGAWAI Shoulder lesion, Berobat Jalan
121 11:58 SWASTA unspecified
611 020500021120Y000 11-10-2020 17-11-2020 0002625230406 ALWI L PEKERJA Presbyopia Berobat Jalan
304 11:42 MANDIRI
612 020500021120P000 11-10-2020 10-11-2020 0002750347809 SULISTYARINI P PEKERJA Cerebral infarction, Rujuk Vertikal
117 11:20 MANDIRI unspecified
613 020500021120P000 11-10-2020 12-11-2020 0002811454683 ZULFA SALSABILA AULIA P PBI (APBN) Headache Berobat Jalan
173 10:10 PUTRI
744 18:45 MANDIRI follow-up care
615 020500021120P000 11-09-2020 05-12-2020 0000099139948 SARWI L PENERIMA Myalgia Berobat Jalan
904 09:26 PENSIUN PNS
616 020500021120P000 11-09-2020 09-11-2020 0000099139959 SUGANTI P PENERIMA Chronic ischaemic heart Rujuk Vertikal
087 08:44 PENSIUN PNS disease
617 020500021120Y000 11-09-2020 09-11-2020 0000658913523 ETIK SUSANTI P PBI (APBN) Supervision of high-risk Rujuk Vertikal
618 020500021120P000 11-09-2020 02-12-2020 0000761081703 SUSI NUR HAYATI P PBI (APBN) Atopic dermatitis Berobat Jalan
845 22:06
619 020500021120Y000 11-09-2020 09-11-2020 0000761097666 SAFIK ANWAR L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
095 10:55
620 020500021120Y000 11-09-2020 09-11-2020 0000761173356 NURHAYATI P PBI (APBN) Pre-employment Berobat Jalan
621 11-09-2020 0000761254097 SUHARIYANTO . L PBI (APBN) without obstruction or Berobat Jalan
093 10:23
gangrene

622 020500021120P000 11-09-2020 13-11-2020 0000761267957 ASENAH P PBI (APBN) Myalgia Berobat Jalan
203 09:56
623 020500021120P000 11-09-2020 02-12-2020 0000761271006 TRI AJI SAPUTRO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
624 020500021120P000 11-09-2020 02-12-2020 0000761271388 HASANUDIN L PBI (APBN) Essential (primary) Berobat Jalan
625 020500021120P000 11-09-2020 02-12-2020 0000761273087 SITI ALMUNIROH. P PBI (APBN) Essential (primary) Berobat Jalan
626 020500021120P000 11-09-2020 02-12-2020 0000761274022 NABILA EKA JULIANCY P PBI (APBN) Acute nasopharyngitis Berobat Jalan
627 020500021120P000 11-09-2020 02-12-2020 0000761274178 SAIDI L PBI (APBN) Myalgia Berobat Jalan
759 17:42
628 020500021120P000 11-09-2020 02-12-2020 0000761274358 SRIAMAH P PBI (APBN) Essential (primary) Berobat Jalan
629 020500021120P000 11-09-2020 27-11-2020 0000761334557 SLAMET RIYADI . L PBI (APBN) Acute nasopharyngitis Berobat Jalan
630 020500021120P000 11-09-2020 27-11-2020 0000761344841 SUMINAH . P PBI (APBN) Myalgia Berobat Jalan
545 09:01
631 020500021120P000 11-09-2020 27-11-2020 0000761345684 MUHAMMAT FAHRI P PBI (APBN) Atopic dermatitis Berobat Jalan
544 09:00
632 020500021120Y000 11-09-2020 10-11-2020 0000761404689 RAMAN L PBI (APBN) Neuralgia and neuritis, Berobat Jalan
633 020500021120Y000 11-09-2020 17-11-2020 0000761458691 SEMU P PBI (APBD) Periapical abscess without Berobat Jalan
296 10:54 sinus
634 020500021120P000 11-09-2020 12-11-2020 0000761575487 ANAH P PBI (APBN) Myalgia Berobat Jalan
166 10:06
635 020500021120P000 11-09-2020 02-12-2020 0000761589415 KARLIN L PBI (APBN) Other headache Berobat Jalan
844 22:05 syndromes
636 020500021120Y000 11-09-2020 10-11-2020 0000761600237 ANISAH INDAH D P PBI (APBN) Acute otitis externa, Berobat Jalan
100 08:36 noninfective
637 020500021120Y000 11-09-2020 17-11-2020 0000761669403 SUTATIK P PBI (APBN) Periapical abscess without Berobat Jalan
295 10:49 sinus
638 020500021120Y000 11-09-2020 17-11-2020 0000761785683 SUKARTI P PBI (APBD) Periapical abscess without Berobat Jalan
294 10:44 sinus
020500021120Y000 23-11-2020 Diarrhoea and
639 11-09-2020 0000761791296 ANGGUN DELLA SEVINA P PBI (APBN) gastroenteritis of Berobat Jalan
430 09:08
640 020500021120Y000 11-09-2020 30-11-2020 0000761791296 ANGGUN DELLA SEVINA P PBI (APBN) Disorder of external ear, Berobat Jalan


641 020500021120Y000 11-09-2020 10-11-2020 0000761967821 KHUSNUL KHOTIMAH P PBI (APBN) Supervision of high-risk Berobat Jalan

642 020500021120P000 11-09-2020 29-11-2020 0000762122395 KOTIB L PBI (APBN) Myalgia Berobat Jalan
645 22:47
643 020500021120Y000 11-09-2020 09-11-2020 0000762135074 SITI MA'RUFAH P PBI (APBN) Neuralgia and neuritis, Berobat Jalan
644 020500021120Y000 11-09-2020 11-11-2020 0000762135221 HARDIANSYAH PERMANA L PBI (APBN) Disturbances in tooth Berobat Jalan
141 12:30 YUDA eruption
645 020500021120P000 11-09-2020 29-11-2020 0000762172119 M. YAHYA L PBI (APBN) Headache Berobat Jalan
646 22:47
646 020500021120P000 11-09-2020 12-11-2020 0000762205116 RANTI P PBI (APBN) Myalgia Berobat Jalan
167 10:06
647 020500021120Y000 11-09-2020 09-11-2020 0001144954247 ZUNUS KRISWAYANA L PEKERJA Examination for driving Berobat Jalan
094 10:31 MANDIRI licence
648 020500021120Y000 11-09-2020 24-11-2020 0001294224636 MUSTOFA L PEKERJA Other specified surgical Berobat Jalan
649 020500021120P000 11-09-2020 10-11-2020 0001543180746 IMIN WIBOWO L PEGAWAI Pure Berobat Jalan
107 10:22 SWASTA hypercholesterolaemia
650 020500021120P000 11-09-2020 27-11-2020 0001703662784 AUNUR ROFIQ L PBI (APBD) Myalgia Berobat Jalan
547 09:04
651 020500021120P000 11-09-2020 09-11-2020 0001703664178 SUGENG MARIONO L PBI (APBD) Chronic ischaemic heart Rujuk Vertikal
088 08:55 , disease
652 020500021120Y000 11-09-2020 10-11-2020 0001703671053 LILIK KUSMIATI P PBI (APBD) Essential (primary) Berobat Jalan
653 020500021120Y000 11-09-2020 09-11-2020 0001828671592 SARPIK P PEKERJA Other general Berobat Jalan Hipertensi Hipertensi
096 12:03 MANDIRI examinations
654 020500021120Y000 11-09-2020 09-11-2020 0001828671592 SARPIK P PEKERJA Other general Berobat Jalan Hipertensi Hipertensi
097 12:03 MANDIRI examinations
655 020500021120P000 11-09-2020 12-11-2020 0002131143265 SISWATI P PBI (APBN) Headache Berobat Jalan
168 10:07
656 11-09-2020 0002199704589 SUKAMTO L PBI (APBN) diabetes mellitus without Berobat Jalan
098 08:28 Mellitus
complications
020500021120Y000 24-11-2020 PEKERJA Non-insulin-dependent
658 11-09-2020 0002321014094 SUPARLAN L diabetes mellitus with Berobat Jalan
497 11:58 MANDIRI
659 020500021120Y000 11-09-2020 09-11-2020 0002478163331 DENI AGUSTIN L PBI (APBD) Necrosis of pulp Rujuk Vertikal
090 09:37

020500021120Y000 10-11-2020 BAYI NYONYA PUJI Influenza with other
660 11-09-2020 0002750985527 P PBI (APBN) manifestations, influenza Berobat Jalan

120 11:45 ASTUTIK
virus identified
661 020500021120Y000 11-09-2020 10-11-2020 0002885156133 NOVA MARDIYANAH P PBI (APBD) Supervision of high-risk Berobat Jalan
020500021120Y000 20-11-2020 Non-insulin-dependent
662 11-07-2020 0000099211375 PARIAJI SISWO UTOMO L PNS DAERAH diabetes mellitus without Berobat Jalan
397 10:22
complications
663 020500021120P000 11-07-2020 07-11-2020 0000760852574 KAYAT L PBI (APBN) Atrial premature Rujuk Vertikal
086 10:45 depolarization
020500021120P000 16-11-2020 Non-insulin-dependent
664 11-07-2020 0000761080015 USMAN L PBI (APBD) diabetes mellitus without Berobat Jalan
265 12:42
complications
665 020500021120P000 11-07-2020 13-11-2020 0000761195441 ETIK SURYATI P PBI (APBN) Myalgia Berobat Jalan
217 10:47
666 020500021120P000 11-07-2020 13-11-2020 0000761197983 SUKENIS P PBI (APBN) Myalgia Berobat Jalan
218 10:48
667 020500021120Y000 11-07-2020 16-11-2020 0000761214655 SAIFUL GHOZALI L PBI (APBN) Essential (primary) Berobat Jalan
668 020500021120Y000 11-07-2020 16-11-2020 0000761230271 ATIM RIWAYATI P PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
669 020500021120P000 11-07-2020 27-11-2020 0000761287702 PATEMAH P PBI (APBN) Essential (primary) Berobat Jalan
670 020500021120P000 11-07-2020 02-12-2020 0000761354919 SANURI L PBI (APBN) Myalgia Berobat Jalan
836 21:56
671 020500021120P000 11-07-2020 02-12-2020 0000761356607 MOH SYAIFUL L PBI (APBD) Acute nasopharyngitis Berobat Jalan
672 020500021120P000 11-07-2020 02-12-2020 0000761357619 ASENAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
673 020500021120P000 11-07-2020 02-12-2020 0000761359544 SU'UD EFENDI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
674 020500021120P000 11-07-2020 02-12-2020 0000761369398 MAT DENAN L PBI (APBN) Essential (primary) Berobat Jalan
675 020500021120P000 11-07-2020 02-12-2020 0000761371604 SARMI P PBI (APBN) Essential (primary) Berobat Jalan
676 020500021120P000 11-07-2020 07-11-2020 0000761458149 MUHAMAT KHOIRUL L PBI (APBN) Chronic periodontitis Rujuk Vertikal
083 09:39
677 020500021120P000 11-07-2020 12-11-2020 0000761554012 YANTI P PBI (APBN) Headache Berobat Jalan
163 09:58

678 020500021120P000 11-07-2020 02-12-2020 0000761655082 DENY SETIAWAN L PBI (APBN) Acute nasopharyngitis Berobat Jalan

679 020500021120Y000 11-07-2020 10-11-2020 0000761787641 DESI WULAN NDARI P PBI (APBN) Supervision of high-risk Berobat Jalan
680 020500021120P000 11-07-2020 12-11-2020 0000761887113 SUSANA P PBI (APBN) Headache Berobat Jalan
165 10:05
681 020500021120P000 11-07-2020 27-11-2020 0000762229315 ANIS SHOFIANAH P PBI (APBN) Dental caries Berobat Jalan
542 08:55
682 020500021120P000 11-07-2020 12-11-2020 0000762246448 MUCHAMAD MULYONO . L PBI (APBN) Irritant contact dermatitis Berobat Jalan
164 09:59
683 020500021120P000 11-07-2020 27-11-2020 0000763075078 LASENING P PBI (APBN) Myalgia Berobat Jalan
543 08:57
684 020500021120P000 11-07-2020 20-11-2020 0001703661693 M. FERIANTO L PBI (APBD) Gingivitis and periodontal Berobat Jalan
380 09:23 diseases
685 020500021120P000 11-07-2020 20-11-2020 0001703661849 TAJERI L PBI (APBD) Gout Berobat Jalan
378 09:21
686 020500021120P000 11-07-2020 20-11-2020 0001703670614 ENI KUSRINI P PBI (APBD) Other noninflammatory Berobat Jalan
379 09:22 disorders of vagina
687 020500021120P000 11-07-2020 20-11-2020 0001868716809 SUKATNO L PEKERJA Myalgia Berobat Jalan Diabetes Diabetes
406 10:46 MANDIRI Mellitus Mellitus
688 11-07-2020 0001872838956 ANIK SISWATI P diabetes mellitus without Berobat Jalan
complications
689 020500021120Y000 11-07-2020 16-11-2020 0001872839338 EKO MUR WAHYUDI L PEKERJA Schizophrenia, unspecified Berobat Jalan
266 12:47 MANDIRI
020500021120P000 27-11-2020 PEKERJA Diarrhoea and
690 11-07-2020 0002205917008 aropah P gastroenteritis of Berobat Jalan

540 08:53 MANDIRI
691 020500021120Y000 11-07-2020 10-11-2020 0002415086559 TITIN NURJAYANTI P PBI (APBN) Whooping cough, Berobat Jalan

692 020500021120Y000 11-07-2020 20-11-2020 0002415090565 DEWI SINI P PBI (APBD) Essential (primary) Berobat Jalan
693 020500021120Y000 11-07-2020 10-11-2020 0002468005378 INTAN PUTRI NINGTIAS P PEKERJA Supervision of high-risk Berobat Jalan
128 12:40 MANDIRI pregnancy, unspecified
694 020500021120P000 11-07-2020 02-12-2020 0002811454571 SHERINA KIRANIA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
843 22:02 AGUSTIN RAMAHDANI [common cold]
695 020500021120P000 11-07-2020 07-11-2020 0003055698426 BAYI NYONYA MELI L PBI (APBN) Atrial septal defect Rujuk Vertikal
085 10:20 MEGAWATI

696 020500021120P000 11-07-2020 07-11-2020 0003056292999 BAYI NYONYA ARI L PEGAWAI Other specified kernicterus Rujuk Vertikal
084 09:42 AGUSTIN SWASTA

697 020500021120P000 11-06-2020 06-11-2020 0000098932768 MUH. SAIFUL L PNS DAERAH Fracture of lumbar Rujuk Vertikal
082 10:45 MUDAWWAM vertebra
698 020500021120P000 11-06-2020 13-11-2020 0000761193123 RIMAN L PBI (APBN) Gastritis and duodenitis Berobat Jalan
215 10:45
699 020500021120P000 11-06-2020 13-11-2020 0000761194012 SITI RIMAYAH P PBI (APBN) Atopic dermatitis Berobat Jalan
216 10:46
700 020500021120P000 11-06-2020 02-12-2020 0000761339395 SIMPEN P PBI (APBN) Essential (primary) Berobat Jalan
701 020500021120P000 11-06-2020 02-12-2020 0000761339531 SAMI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
702 020500021120P000 11-06-2020 02-12-2020 0000761341296 MARIYADI L PBI (APBN) Essential (primary) Berobat Jalan
703 020500021120P000 11-06-2020 02-12-2020 0000761344209 MUSLIMIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan
704 020500021120P000 11-06-2020 02-12-2020 0000761347912 MOCH. SALEH L PBI (APBN) Myalgia Berobat Jalan
752 17:27
705 020500021120P000 11-06-2020 02-12-2020 0000761348744 ARIFIN HARIYANTO L PBI (APBN) Acute nasopharyngitis Berobat Jalan
706 020500021120P000 11-06-2020 02-12-2020 0000761352399 KAYATUN P PBI (APBN) Myalgia Berobat Jalan
754 17:28
707 020500021120P000 11-06-2020 29-11-2020 0000761435357 ARTIKO DONY SUBEKTI L PBI (APBN) Headache Berobat Jalan
643 22:44
708 020500021120Y000 11-06-2020 12-11-2020 0000761440072 TINING P PBI (APBN) Essential (primary) Berobat Jalan
020500021120P000 12-11-2020 Disorders of lipoprotein Diabetes
709 11-06-2020 0000761524839 MARLAN L PBI (APBN) metabolism and other Berobat Jalan
157 09:41 Mellitus
lipidaemias
710 020500021120P000 11-06-2020 12-11-2020 0000761525032 SUTIK P PBI (APBN) Gastritis and duodenitis Berobat Jalan
158 09:47
711 020500021120P000 11-06-2020 12-11-2020 0000761526808 KRISTIN RATNA YUNITA P PBI (APBN) Headache Berobat Jalan
160 09:53
712 020500021120Y000 11-06-2020 16-11-2020 0000761550941 MOH NURHUDA L PBI (APBN) Gastritis, unspecified Berobat Jalan
263 12:33
713 020500021120P000 11-06-2020 29-11-2020 0000761721118 SUJIANTO M. L PBI (APBN) Myalgia Berobat Jalan
644 22:45
714 020500021120Y000 11-06-2020 16-11-2020 0000761783139 SUPARI L PBI (APBN) Low back pain Berobat Jalan
250 09:00

715 020500021120P000 11-06-2020 02-12-2020 0000761785119 GALANG RISKY WIAWAN L PBI (APBN) Gastritis and duodenitis Berobat Jalan
835 21:52
716 020500021120Y000 11-06-2020 17-11-2020 0000761785683 SUKARTI P PBI (APBD) Acute gingivitis Berobat Jalan
297 10:58
717 020500021120P000 11-06-2020 06-11-2020 0000761863792 SUMINI P PBI (APBD) Arthrosis, unspecified Rujuk Vertikal
081 09:26
718 020500021120P000 11-06-2020 12-11-2020 0000762174562 SUWARNI . P PBI (APBD) Myalgia Berobat Jalan
161 09:54
719 020500021120P000 11-06-2020 20-11-2020 0000763102618 MASPUPAH SU'AH P PBI (APBN) Essential (primary) Berobat Jalan
720 020500021120Y000 11-06-2020 12-11-2020 0000763197985 SUPARNI P PBI (APBN) Gastritis, unspecified Berobat Jalan
176 11:18
721 020500021120Y000 11-06-2020 12-11-2020 0001047495227 ASTIK P PBI (APBN) Myalgia Berobat Jalan
178 11:25
722 020500021120P000 11-06-2020 27-11-2020 0001653866954 MEVA AMELIA P PEGAWAI Acute nasopharyngitis Berobat Jalan
539 08:52 KHARISMATUL ARIK SWASTA [common cold]
723 020500021120P000 11-06-2020 20-11-2020 0001703652658 MARYANI P PBI (APBD) Non-insulin-dependent Berobat Jalan
375 09:18 diabetes mellitus
724 020500021120P000 11-06-2020 20-11-2020 0001703661671 ENDAH SULISTYAWATI P PBI (APBD) Asthma Berobat Jalan
377 09:20
020500021120P000 19-11-2020 Diarrhoea and
725 11-06-2020 0001703664167 LINGGA ADI DHARMA L PBI (APBD) gastroenteritis of Berobat Jalan
348 09:49
726 020500021120Y000 11-06-2020 12-11-2020 0001705318784 NISWATIN RUQDIYAH P PBI (APBD) Pre-employment Berobat Jalan

727 020500021120Y000 11-06-2020 17-11-2020 0002060292284 SUMARNI P PEKERJA Necrosis of pulp Berobat Jalan
298 10:59 MANDIRI
728 020500021120P000 11-06-2020 12-11-2020 0002092230876 NAFIAH P PBI (APBN) Gastritis and duodenitis Berobat Jalan
159 09:52
729 020500021120Y000 11-06-2020 10-11-2020 0002131143232 ERNI SETYONINGSIH P PBI (APBN) Other examinations for Berobat Jalan
127 12:34 administrative purposes
020500021120P000 19-11-2020 Diarrhoea and
730 11-06-2020 0002161255397 ZACKIA ARFAH P PBI (APBD) gastroenteritis of Berobat Jalan
351 10:05
731 020500021120P000 11-06-2020 19-11-2020 0002234933796 NUR AISYAH MAWARDI P PBI (APBD) Fever of other and Berobat Jalan
350 10:02 unknown origin


732 11-06-2020 0002321014094 SUPARLAN L diabetes mellitus with Berobat Jalan

496 11:49 MANDIRI
733 020500021120Y000 11-05-2020 05-11-2020 0000760198544 ABD.KARIM L PBI (APBD) Gout, unspecified Berobat Jalan
076 10:03
020500021120Y000 05-11-2020 Sequelae of other and
734 11-05-2020 0000761106339 KASENI P PBI (APBN) unspecified Berobat Jalan
072 09:34
cerebrovascular diseases
735 020500021120P000 11-05-2020 13-11-2020 0000761188397 NARIP L PBI (APBN) Myalgia Berobat Jalan
201 09:15
736 020500021120Y000 11-05-2020 05-11-2020 0000761214655 SAIFUL GHOZALI L PBI (APBN) Low back pain Berobat Jalan
075 10:01
737 020500021120P000 11-05-2020 02-12-2020 0000761230271 ATIM RIWAYATI P PBI (APBN) Gastritis and duodenitis Berobat Jalan Hipertensi
832 21:45
738 020500021120Y000 11-05-2020 16-11-2020 0000761445292 MARLIK P PBI (APBN) Arthrosis, unspecified Berobat Jalan
251 09:01
739 020500021120Y000 11-05-2020 16-11-2020 0000761477703 WAHID L PBI (APBN) Other general Berobat Jalan
740 020500021120Y000 11-05-2020 05-11-2020 0000761490112 MUYASSAROH P PBI (APBN) Urinary tract infection, site Berobat Jalan
080 10:30 not specified
741 020500021120Y000 11-05-2020 05-11-2020 0000761522973 SURYANI P PBI (APBN) Essential (primary) Berobat Jalan
742 020500021120P000 11-05-2020 02-12-2020 0000761633493 SUWONDO L PBI (APBN) Myalgia Berobat Jalan
834 21:47
743 020500021120P000 11-05-2020 02-12-2020 0000761649748 SELA AMALIYA HARDIANI P PBI (APBN) Acute nasopharyngitis Berobat Jalan
020500021120Y000 05-11-2020 Atherosclerotic Diabetes
744 11-05-2020 0000761701792 MUHAMMAD AMIR L PBI (APBN) cardiovascular disease, so Rujuk Vertikal Hipertensi
068 08:43 Mellitus
described
745 020500021120P000 11-05-2020 02-12-2020 0000761726272 TI'AH P PBI (APBN) Essential (primary) Berobat Jalan
020500021120Y000 05-11-2020 Diabetes
746 11-05-2020 0000761829647 SUTRIANI P PBI (APBN) Arthrosis, unspecified Berobat Jalan Mellitus
078 10:15
Hipertensi
020500021120Y000 16-11-2020 KEPALA DESA Other examinations for
747 11-05-2020 0000761829884 SUPARNO L DAN PERANGKAT Berobat Jalan

DESA
748 020500021120Y000 11-05-2020 05-11-2020 0000761916936 SUMINTEN P PBI (APBN) Dizziness and giddiness Berobat Jalan Hipertensi
074 09:45

749 11-05-2020 0000761925475 SUTIKNO L PBI (APBD) diabetes mellitus without Berobat Jalan
070 09:09 Mellitus
complications
Other respiratory
750 020500021120Y000 11-05-2020 05-11-2020 0000761965615 SIDIK L PBI (APBN) tuberculosis, without Berobat Jalan
077 10:04 mention of bacteriological
or histological confirmation
751 020500021120Y000 11-05-2020 05-11-2020 0000762031124 ATEP L PBI (APBN) Other and unspecified Rujuk Vertikal Diabetes
071 09:23 cirrhosis of liver Mellitus

752 020500021120P000 11-05-2020 20-11-2020 0000762613931 MUTMAINNAH P PBI (APBN) Dengue fever [classical Berobat Jalan
403 10:43 dengue]
753 020500021120P000 11-05-2020 27-11-2020 0000762622266 MARDIYAH P PBI (APBN) Dental caries Berobat Jalan
538 08:52
754 020500021120Y000 11-05-2020 05-11-2020 0001093955758 H.HARIYANTO L PENERIMA Parkinson's disease Rujuk Vertikal
073 09:42 PENSIUN POLRI
755 020500021120Y000 11-05-2020 24-11-2020 0001294224636 MUSTOFA L PEKERJA Unspecified injury of lower Berobat Jalan
495 11:44 MANDIRI limb, level unspecified

756 020500021120P000 11-05-2020 27-11-2020 0001703652952 BAGUS MAULANA PUTRA L PBI (APBD) Atopic dermatitis Berobat Jalan
537 08:51
757 020500021120P000 11-05-2020 27-11-2020 0001703653299 SUJAK IMAN L PBI (APBD) Abdominal and pelvic pain Berobat Jalan
536 08:50
758 020500021120P000 11-05-2020 19-11-2020 0001703663447 SELAMET L PBI (APBD) Other arthrosis Berobat Jalan
344 09:36
759 020500021120P000 11-05-2020 19-11-2020 0001703669771 DWI AMBARWATI P PBI (APBD) Other headache Berobat Jalan
345 09:40 syndromes
760 020500021120P000 11-05-2020 19-11-2020 0001703669848 NOVITA IRAWATI P PBI (APBD) Essential (primary) Berobat Jalan
020500021120Y000 05-11-2020 Atherosclerotic Diabetes
761 11-05-2020 0001705814537 LILIS SETYOWATI P PBI (APBD) cardiovascular disease, so Rujuk Vertikal
069 08:57 Mellitus
described
762 11-05-2020 0001907184565 ali abidin L PBI (APBN) diabetes mellitus without Berobat Jalan
067 08:22 Mellitus
complications
020500021120Y000 16-11-2020 PEGAWAI Non-insulin-dependent Diabetes
763 11-05-2020 0002225081081 SENITI P diabetes mellitus without Berobat Jalan
253 09:53 SWASTA Mellitus
complications
764 020500021120P000 11-04-2020 12-11-2020 0000760895706 SULATI P PBI (APBN) Myalgia Berobat Jalan
150 09:10

765 020500021120Y000 11-04-2020 04-11-2020 0000761125803 SAKIMAN L PBI (APBN) Schizophrenia, unspecified Berobat Jalan
060 10:55
767 020500021120P000 11-04-2020 13-11-2020 0000761140113 SARMI P PBI (APBN) Myalgia Berobat Jalan
214 10:43
768 020500021120P000 11-04-2020 13-11-2020 0000761141777 SRIANIK P PBI (APBN) Myalgia Berobat Jalan
212 10:42
769 020500021120P000 11-04-2020 20-11-2020 0000761197241 WININGSIH P PBI (APBN) Myalgia Berobat Jalan
401 10:41
770 11-04-2020 0000761223971 ROIFAH P PBI (APBN) disease with (congestive) Rujuk Vertikal
057 10:19
heart failure
771 020500021120P000 11-04-2020 20-11-2020 0000761289535 ROIKHAN L PBI (APBN) Dengue fever [classical Berobat Jalan
402 10:42 dengue]
772 020500021120Y000 11-04-2020 04-11-2020 0000761300605 HENGKI L PBI (APBN) Other examinations for Berobat Jalan
773 020500021120P000 11-04-2020 27-11-2020 0000761347282 YASIN L PBI (APBD) Malaise and fatigue Berobat Jalan
535 08:48
774 020500021120P000 11-04-2020 12-11-2020 0000761514737 TARMI P PBI (APBN) Myalgia Berobat Jalan
151 09:11
775 020500021120Y000 11-04-2020 04-11-2020 0000761524839 MARLAN L PBI (APBN) Cerebral infarction, Berobat Jalan Diabetes
045 09:04 unspecified Mellitus
020500021120P000 04-11-2020 Non-insulin-dependent Diabetes Diabetes
776 11-04-2020 0000761672496 SUTRISNO L PBI (APBN) diabetes mellitus without Berobat Jalan
046 09:11 Mellitus Mellitus
complications
777 020500021120Y000 11-04-2020 04-11-2020 0000761682238 FERDIAN ALI MAS'UDIN L PBI (APBN) Pre-employment Berobat Jalan
778 020500021120Y000 11-04-2020 04-11-2020 0000761723471 SITI FAUZIYAH P PBI (APBN) Supervision of high-risk Berobat Jalan
779 020500021120Y000 11-04-2020 04-11-2020 0000761844295 AYU ARDIANTI RUKMA P PBI (APBN) Insertion of (intrauterine) Berobat Jalan
061 11:22 contraceptive device
780 020500021120Y000 11-04-2020 04-11-2020 0000761845162 DINA LUTFIATI P PBI (APBD) Arthrosis, unspecified Berobat Jalan
059 10:54
781 020500021120P000 11-04-2020 12-11-2020 0000761895235 FEBY AJENG DWI SEKAR P PBI (APBN) Gingivitis and periodontal Berobat Jalan
154 09:14 diseases
782 020500021120P000 11-04-2020 27-11-2020 0000762164469 LASMIATI P PBI (APBN) Myalgia Berobat Jalan
550 09:08
783 020500021120P000 11-04-2020 12-11-2020 0000762200594 RATMANI P PBI (APBN) Headache Berobat Jalan
153 09:13

784 020500021120P000 11-04-2020 12-11-2020 0000762220451 SULASTRI P PBI (APBN) Essential (primary) Berobat Jalan

785 020500021120P000 11-04-2020 12-11-2020 0000762229877 SULIS P PBI (APBN) Myalgia Berobat Jalan
155 09:15
786 11-04-2020 0000762659673 ASMINI P PBI (APBN) cardiovascular disease, so Rujuk Vertikal
052 09:32
described
787 020500021120Y000 11-04-2020 04-11-2020 0001703671492 MARLIK P PBI (APBD) Essential (primary) Berobat Jalan Hipertensi
788 020500021120Y000 11-04-2020 04-11-2020 0001717672397 PATONAH P PEKERJA Essential (primary) Berobat Jalan Hipertensi
054 09:49 MANDIRI hypertension
789 020500021120Y000 11-04-2020 04-11-2020 0001799169333 MARJI L PEKERJA Hyperplasia of prostate Rujuk Vertikal
043 08:33 MANDIRI
790 020500021120Y000 11-04-2020 04-11-2020 0002159963234 SUMARIYONO L PBI (APBD) Thyrotoxicosis, Rujuk Vertikal
791 020500021120Y000 11-04-2020 04-11-2020 0002237207141 SULIONO L PBI (APBN) Other examinations for Berobat Jalan
020500021120Y000 04-11-2020 PEKERJA Other specified diabetes
792 11-04-2020 0002321014094 SUPARLAN L mellitus with unspecified Berobat Jalan
065 15:13 MANDIRI
complications
793 020500021120P000 11-04-2020 13-11-2020 0002414237038 MUHAMMAD LUTFIE L PBI (APBN) Stomatitis and related Berobat Jalan
200 08:54 ANDRIANTO lesions
794 020500021120P000 11-04-2020 13-11-2020 0002415087652 SAINUL HADI L PBI (APBN) Other arthrosis Berobat Jalan
198 08:52
795 020500021120P000 11-04-2020 13-11-2020 0002415087685 DHOFIF MUCHOIRIN L PBI (APBD) Myalgia Berobat Jalan
197 08:51
796 020500021120P000 11-04-2020 13-11-2020 0002415087753 BAGUS SETYAWAN L PBI (APBD) Fever of other and Berobat Jalan
199 08:52 unknown origin
797 020500021120P000 11-04-2020 13-11-2020 0002415087764 ALFIYATUL RUFI'AH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
798 020500021120P000 11-04-2020 12-11-2020 0002415087977 URIPAH P PBI (APBN) Irritant contact dermatitis Berobat Jalan
152 09:12
799 020500021120Y000 11-04-2020 04-11-2020 0002696275506 MUNTAMAH P PEKERJA Pterygium Rujuk Vertikal Hipertensi
048 09:23 MANDIRI
801 020500021120Y000 11-03-2020 03-11-2020 0000099075284 ANJAR PRAYOGO L PNS DAERAH Calculus of kidney Rujuk Vertikal
039 11:11

802 11-03-2020 0000099224291 SUNYARI L PNS DAERAH diabetes mellitus without Berobat Jalan Mellitus
031 09:47
020500021120Y000 03-11-2020 Insulin-dependent
803 11-03-2020 0000103685782 SRI SULISTYOWATI, Spd P PNS DAERAH diabetes mellitus with Rujuk Vertikal
017 08:03
804 020500021120P000 11-03-2020 12-11-2020 0000760779415 RUSMINI P PBI (APBN) Surveillance of Berobat Jalan
805 020500021120Y000 11-03-2020 03-11-2020 0000760908216 MARISA EKA NURUL M P PBI (APBN) Bronchitis, not specified as Berobat Jalan
030 09:41 acute or chronic
806 020500021120P000 11-03-2020 12-11-2020 0000760911399 SITI AMINAH P PBI (APBN) Non-insulin-dependent Berobat Jalan
807 020500021120Y000 11-03-2020 03-11-2020 0000761102583 BAKRI L PBI (APBN) Essential (primary) Berobat Jalan
808 020500021120Y000 11-03-2020 03-11-2020 0000761102638 SULASIYEM P PBI (APBN) Shoulder lesion, Berobat Jalan
809 020500021120P000 11-03-2020 13-11-2020 0000761132171 RIAMAH P PBI (APBN) Myalgia Berobat Jalan
210 10:40
810 020500021120P000 11-03-2020 13-11-2020 0000761134274 KARMAN L PBI (APBN) Myalgia Berobat Jalan
211 10:41
811 020500021120Y000 11-03-2020 03-11-2020 0000761208759 JUWARIYAH P PBI (APBN) Headache Berobat Jalan
028 09:34
812 020500021120P000 11-03-2020 26-11-2020 0000761283832 ZULIANAH P PBI (APBN) Contraceptive Berobat Jalan
525 12:46 management
813 020500021120Y000 11-03-2020 03-11-2020 0000761325658 NARTA SIMUN L PBI (APBD) Contusion of ankle Berobat Jalan
040 13:23
814 020500021120Y000 11-03-2020 04-11-2020 0000761440364 LULUK KARYAWATI P PBI (APBN) Contraceptive Berobat Jalan
020500021120Y000 03-11-2020 Non-insulin-dependent Diabetes Diabetes
815 11-03-2020 0000761450591 RUSTI P PBI (APBN) diabetes mellitus without Berobat Jalan
complications
816 020500021120P000 11-03-2020 02-12-2020 0000761521061 WARTI P PBI (APBN) Myalgia Berobat Jalan
830 20:44
817 020500021120P000 11-03-2020 02-12-2020 0000761523669 ROYAN TRI ARDIYANSAH L PBI (APBN) Acute nasopharyngitis Berobat Jalan
818 020500021120P000 11-03-2020 02-12-2020 0000761654968 ANIYAH P PBI (APBN) Acute nasopharyngitis Berobat Jalan
819 020500021120P000 11-03-2020 02-12-2020 0000761746623 TAMINI P PBI (APBN) Essential (primary) Berobat Jalan

820 11-03-2020 0000761817306 KARNOTO L PBI (APBN) cardiovascular disease, so Rujuk Vertikal
035 10:09
described
821 020500021120Y000 11-03-2020 04-11-2020 0000761942968 VIKTA ARDELIA PUTRI P PBI (APBN) Contraceptive Berobat Jalan
822 020500021120Y000 11-03-2020 03-11-2020 0000762007151 NUR YANTI P PBI (APBN) Pre-employment Berobat Jalan
823 020500021120P000 11-03-2020 26-11-2020 0000762014316 MUIYAH P PBI (APBN) Essential (primary) Berobat Jalan
824 020500021120P000 11-03-2020 27-11-2020 0000762025342 IMAM SUSANTO L PBI (APBN) Malaise and fatigue Berobat Jalan
534 08:45
825 020500021120P000 11-03-2020 26-11-2020 0000762175877 AMINAH P PBI (APBN) Essential (primary) Berobat Jalan
826 020500021120P000 11-03-2020 29-11-2020 0000762227302 SUYANTI P PBI (APBN) Myalgia Berobat Jalan
642 22:43
827 020500021120P000 11-03-2020 12-11-2020 0000762234546 YUNI SRIWANTINI P PBI (APBD) Myalgia Berobat Jalan
147 08:43
828 020500021120P000 11-03-2020 12-11-2020 0000762247236 LULUK . P PBI (APBN) Surveillance of Berobat Jalan
829 020500021120P000 11-03-2020 30-11-2020 0001616786392 SULIYAH P PEGAWAI Supervision of normal Berobat Jalan
722 09:24 SWASTA pregnancy
020500021120P000 13-11-2020 Conjunctivitis in infectious
830 11-03-2020 0001703670636 MAS ANDIK L PBI (APBD) and parasitic diseases Berobat Jalan
195 08:49
classified elsewhere
831 11-03-2020 0001705320145 SAMIYATI P PBI (APBD) diabetes mellitus without Berobat Jalan
029 09:39 Mellitus
complications
020500021120Y000 03-11-2020 PEKERJA Insulin-dependent Diabetes Diabetes
832 11-03-2020 0001868716809 SUKATNO L diabetes mellitus with Berobat Jalan
833 020500021120Y000 11-03-2020 03-11-2020 0002159397022 PUTRI NUR ARIFKA P PBI (APBD) Atrial septal defect Rujuk Vertikal
027 09:30
020500021120P000 03-11-2020 PEKERJA Non-insulin-dependent Diabetes
834 11-03-2020 0002279663403 UMROH P diabetes mellitus without Berobat Jalan
complications
835 020500021120Y000 11-03-2020 03-11-2020 0002327763914 ABDUL MUJIB JAELANI L PEKERJA Unspecified viral hepatitis Rujuk Vertikal
022 08:36 MANDIRI without hepatic coma


020500021120Y000 03-11-2020 Unilateral or unspecified
836 11-03-2020 0002414234147 SAMIAN L PBI (APBN) inguinal hernia, without Rujuk Vertikal
021 08:30
obstruction or gangrene
837 020500021120Y000 11-03-2020 20-11-2020 0002414234147 SAMIAN L PBI (APBN) Myalgia Berobat Jalan
392 10:10
838 020500021120P000 11-03-2020 13-11-2020 0002414236544 MUKHAMMAD FARDAN L PBI (APBN) Gingivitis and periodontal Berobat Jalan
192 08:46 diseases
020500021120P000 13-11-2020 Diarrhoea and
839 11-03-2020 0002414236792 DAFA RAHMAN SAPUTRA L PBI (APBN) gastroenteritis of Berobat Jalan
193 08:47
840 020500021120P000 11-03-2020 13-11-2020 0002415087819 DIAN PERMATASARI P PEGAWAI Acute nasopharyngitis Berobat Jalan
191 08:45 SWASTA [common cold]

841 020500021120P000 11-03-2020 13-11-2020 0002415087843 PODO L PBI (APBD) Other headache Berobat Jalan
194 08:48 syndromes
020500021120Y000 04-11-2020 Diarrhoea and
842 11-03-2020 0002419353808 ALIF MAULANA ASSEGAF L PBI (APBN) gastroenteritis of Berobat Jalan
053 09:39
843 11-03-2020 0002488298872 SUWARNI P diabetes mellitus with Rujuk Vertikal

036 10:15 MANDIRI
844 11-03-2020 0002695173276 KASENI P diabetes mellitus without Berobat Jalan
033 09:58 MANDIRI
complications
020500021120Y000 03-11-2020 PEKERJA Insulin-dependent Diabetes Diabetes
845 11-03-2020 0002748859817 RANTI P diabetes mellitus with Berobat Jalan
020500021120P000 20-11-2020 RAHMAT Examination for admission
846 11-02-2020 0000099020158 TARIDHOANSYAH L PNS DAERAH Berobat Jalan
391 10:09 to educational institution
FAROBBY
020500021120Y000 02-11-2020 Insulin-dependent Diabetes
847 11-02-2020 0000760217354 AINUR ROFIQ L PBI (APBN) diabetes mellitus with Rujuk Vertikal
004 09:27 Mellitus
848 020500021120P000 11-02-2020 12-11-2020 0000760852899 RIANAH P PBI (APBN) Myalgia Berobat Jalan
144 08:41
849 020500021120Y000 11-02-2020 03-11-2020 0000760882454 MU'INA P PBI (APBN) Acute nasopharyngitis Berobat Jalan
850 020500021120P000 11-02-2020 02-12-2020 0000761081703 SUSI NUR HAYATI P PBI (APBN) Other headache Berobat Jalan
826 20:38 syndromes
851 020500021120P000 11-02-2020 13-11-2020 0000761126128 SARIP L PBI (APBN) Other headache Berobat Jalan
209 10:39 syndromes

852 020500021120P000 11-02-2020 13-11-2020 0000761176978 SRI'AH P PBI (APBN) Essential (primary) Berobat Jalan

853 020500021120P000 11-02-2020 20-11-2020 0000761260713 FITRIYAH MUNTIANAH P PBI (APBN) Headache Berobat Jalan
394 10:15
854 020500021120P000 11-02-2020 30-11-2020 0000761274178 SAIDI L PBI (APBN) Essential (primary) Berobat Jalan
855 020500021120P000 11-02-2020 30-11-2020 0000761275708 SAKIM L PBI (APBN) Acute nasopharyngitis Berobat Jalan Hipertensi
856 020500021120P000 11-02-2020 20-11-2020 0000761278599 MUAWANAH P PBI (APBN) Atopic dermatitis Berobat Jalan
393 10:13
857 020500021120P000 11-02-2020 30-11-2020 0000761282638 MUJIANTO L PBI (APBN) Myalgia Berobat Jalan
716 09:11
858 020500021120P000 11-02-2020 30-11-2020 0000761286677 MULYONO L PBI (APBN) Myalgia Berobat Jalan
718 09:12
859 020500021120P000 11-02-2020 30-11-2020 0000761288218 SUBEKHI L PBI (APBN) Essential (primary) Berobat Jalan
860 020500021120P000 11-02-2020 30-11-2020 0000761289849 SONO AJI L PBI (APBN) Acute nasopharyngitis Berobat Jalan
861 020500021120P000 11-02-2020 29-11-2020 0000761317626 NURUL HERMAWAN L PBI (APBN) Essential (primary) Berobat Jalan
862 020500021120P000 11-02-2020 26-11-2020 0000761334557 SLAMET RIYADI . L PBI (APBN) Malaise and fatigue Berobat Jalan
521 12:34
863 020500021120Y000 11-02-2020 02-11-2020 0000761361309 SITI MUNAISAH P PBI (APBN) Contraceptive Berobat Jalan
864 020500021120P000 11-02-2020 27-11-2020 0000761379772 SUNANI P PBI (APBN) Myalgia Berobat Jalan
549 09:06
020500021120P000 02-11-2020 Insulin-dependent Diabetes Diabetes
865 11-02-2020 0000761450591 RUSTI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
866 020500021120P000 11-02-2020 02-12-2020 0000761501283 WAGINING P PBI (APBN) Gout Berobat Jalan
825 20:38
867 020500021120P000 11-02-2020 28-11-2020 0000761521105 SUSILO WATI P PBI (APBN) Surveillance of Berobat Jalan
868 020500021120P000 11-02-2020 12-11-2020 0000761546643 MUSTIATI. P PBI (APBN) Headache Berobat Jalan
143 08:40
869 020500021120Y000 11-02-2020 02-11-2020 0000761552493 SAMPINI P PBI (APBN) Malignant neoplasm of Rujuk Vertikal
002 09:11 breast, unspecified
870 020500021120P000 11-02-2020 02-12-2020 0000761589415 KARLIN L PBI (APBN) Acute nasopharyngitis Berobat Jalan

871 020500021120P000 11-02-2020 02-12-2020 0000761589639 RIANI P PBI (APBN) Headache Berobat Jalan
824 20:37
872 020500021120Y000 11-02-2020 02-11-2020 0000761611094 SUPINI. P PBI (APBN) Contraceptive Berobat Jalan
873 11-02-2020 0000761613592 SUWANDI L PBI (APBN) diabetes mellitus without Berobat Jalan
025 09:04 Mellitus
complications
874 020500021120Y000 11-02-2020 02-11-2020 0000761726272 TI'AH P PBI (APBN) Heart failure, unspecified Rujuk Vertikal
006 09:42
875 020500021120P000 11-02-2020 02-12-2020 0000761735327 SIATI P PBI (APBN) Essential (primary) Berobat Jalan
876 020500021120Y000 11-02-2020 03-11-2020 0000761881533 SUWARDI L PBI (APBN) Essential (primary) Berobat Jalan Hipertensi
877 11-02-2020 0000761913551 KHOIRIYAH P PBI (APBN) disease with (congestive) Rujuk Vertikal
005 09:35
heart failure
020500021120P000 26-11-2020 Disorders of lipoprotein
878 11-02-2020 0000762007994 SUYATIM P PBI (APBN) metabolism and other Berobat Jalan
518 12:30
lipidaemias
879 020500021120P000 11-02-2020 26-11-2020 0000762008725 NISWAH KONITA P PBI (APBN) Dental caries Berobat Jalan
520 12:32
880 020500021120Y000 11-02-2020 02-11-2020 0000762081221 NUR ROMADHONI P PBI (APBN) Contraceptive Berobat Jalan
881 020500021120P000 11-02-2020 12-11-2020 0000762158237 AMINAH. P PBI (APBN) Essential (primary) Berobat Jalan
882 020500021120P000 11-02-2020 20-11-2020 0000762198513 AHMAD SHOHIR L PBI (APBN) Atopic dermatitis Berobat Jalan
387 09:54
883 020500021120P000 11-02-2020 26-11-2020 0000762204003 KOYIM L PBI (APBN) Headache Berobat Jalan
522 12:35
884 020500021120P000 11-02-2020 29-11-2020 0000762227919 ASKUR L PBI (APBN) Myalgia Berobat Jalan
640 22:41
063 14:56 follow-up care
886 020500021120P000 11-02-2020 20-11-2020 0000762559795 SAUDAH P PBI (APBN) Myalgia Berobat Jalan
383 09:47
887 020500021120Y000 11-02-2020 02-11-2020 0000762627025 AHSAN FUADI. L PBI (APBN) Essential (primary) Berobat Jalan Diabetes
003 09:18 hypertension Mellitus
888 020500021120P000 11-02-2020 02-12-2020 0001047495227 ASTIK P PBI (APBN) Gout Berobat Jalan
821 20:34

020500021120Y000 02-11-2020 PEGAWAI Acute
889 11-02-2020 0001201238763 WINARTI P delta-(super)infection of Rujuk Vertikal

012 10:18 SWASTA
hepatitis B carrier
890 020500021120Y000 11-02-2020 04-11-2020 0001294224636 MUSTOFA L PEKERJA Other specified surgical Berobat Jalan
020500021120Y000 02-11-2020 PEKERJA Hypertensive heart
891 11-02-2020 0001441816738 SULISTIO AMBARWATI P disease with (congestive) Rujuk Vertikal
011 09:55 MANDIRI
heart failure
020500021120Y000 02-11-2020 KEPALA DESA Disorders of
892 11-02-2020 0001536094732 Asrining Rino Wahyuni P DAN PERANGKAT Rujuk Vertikal
013 11:01 accommodation
DESA
893 020500021120P000 11-02-2020 13-11-2020 0001703664099 ABD. JANI L PBI (APBD) Atopic dermatitis Berobat Jalan
189 08:43
020500021120Y000 02-11-2020 Non-insulin-dependent
894 11-02-2020 0001703670401 TITIK NURMIYATI P PBI (APBD) diabetes mellitus without Berobat Jalan
015 12:55
complications
895 020500021120Y000 11-02-2020 03-11-2020 0001824112304 SENISAH P PEKERJA Dizziness and giddiness Berobat Jalan
024 09:02 MANDIRI
896 020500021120Y000 11-02-2020 02-11-2020 0001918140535 KARMILA P PBI (APBN) Periapical abscess without Berobat Jalan
007 09:49 sinus
897 020500021120P000 11-02-2020 12-11-2020 0002159391115 JUMANIAH P PBI (APBD) Essential (primary) Berobat Jalan
898 020500021120P000 11-02-2020 26-11-2020 0002205916446 tain L PEKERJA Essential (primary) Berobat Jalan Diabetes
519 12:31 MANDIRI hypertension Mellitus
899 020500021120P000 11-02-2020 27-11-2020 0002296394177 ELIYA MEIZAHROH P PEGAWAI BUMD Non-insulin-dependent Berobat Jalan
020500021120Y000 04-11-2020 PEKERJA Other specified diabetes
900 11-02-2020 0002321014094 SUPARLAN L mellitus with unspecified Berobat Jalan
062 14:53 MANDIRI
complications
901 020500021120P000 11-02-2020 13-11-2020 0002414236522 SU'UDI L PBI (APBN) Myalgia Berobat Jalan
190 08:44
902 11-02-2020 0002414606501 AKUWI L PBI (APBN) diabetes mellitus without Berobat Jalan
016 13:17 Mellitus
complications
903 020500021120P000 11-02-2020 13-11-2020 0002415087674 HARI L PBI (APBD) Non-insulin-dependent Berobat Jalan
904 020500021120P000 11-02-2020 13-11-2020 0002415087718 PUTRA EDWIN L PBI (APBN) Fever of other and Berobat Jalan
187 08:42 ALDIANSYAH unknown origin
905 020500021120P000 11-02-2020 13-11-2020 0002415087742 SUNANDAR L PBI (APBN) Myalgia Berobat Jalan
185 08:40

906 020500021120P000 11-02-2020 13-11-2020 0002415087821 WARSIDI L PBI (APBD) Essential (primary) Berobat Jalan

907 020500021120Y000 11-02-2020 02-11-2020 0002885156133 NOVA MARDIYANAH P PBI (APBD) Supervision of high-risk Berobat Jalan
908 020500021120Y000 11-02-2020 03-11-2020 0002885156133 NOVA MARDIYANAH P PBI (APBD) Other general Berobat Jalan

Daftar Kunjungan Peserta Sakit Kantor Cabang: GRESIK - 1315 FKTP: DADAP KUNING - 02050002

Uploaded by

Document Information

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

Daftar Kunjungan Peserta Sakit Kantor Cabang: GRESIK - 1315 FKTP: DADAP KUNING - 02050002

Uploaded by

Copyright:

Available Formats

DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : GRESIK - 1315

FKTP : DADAP KUNING - 02050002

727 00:00 09:44 pregnancy, unspecified

FKTP : DADAP KUNING - 02050002

20 0000762187353 SILVI RAHMAWATI P PBI (APBN) gastroenteritis of Berobat Jalan

707 00:00 08:33

22 0000762231262 EVI ERVINA . P PBI (APBN) gastroenteritis of Berobat Jalan

730 00:00 09:54 inflammation of eyelid

734 00:00 10:28 SWASTA

FKTP : DADAP KUNING - 02050002

708 00:00 08:34 MANDIRI

893 00:00 10:28 MANDIRI without hepatic coma

36 0003055380614 P disorders of speech and Rujuk Vertikal

37 0000761947536 SISWATI P DAN PERANGKAT Berobat Jalan

906 00:00 11:44 MANDIRI examinations

613 00:00 10:05 inflammation of eyelid

FKTP : DADAP KUNING - 02050002

609 00:00 09:18

57 0002415088866 RENO OZILLA ALDIANO L PBI (APBN) gastroenteritis of Berobat Jalan

610 00:00 09:22 hypertension

FKTP : DADAP KUNING - 02050002

587 00:00 10:46 unspecified

FKTP : DADAP KUNING - 02050002

594 00:00 11:20 examination

88 0001814040224 HAILATUN NADA P DAN PERANGKAT Berobat Jalan

596 00:00 11:25 AFRIANSYAH unspecified

FKTP : DADAP KUNING - 02050002

532 00:00 15:18 pregnancy, unspecified

116 0001867038107 WINDA ROHMADANI P gastroenteritis of Berobat Jalan

529 00:00 13:41 MANDIRI hypertension

FKTP : DADAP KUNING - 02050002

526 00:00 13:26 unspecified

819 00:00 20:28 not elsewhere classified

820 00:00 20:29

907 00:00 12:37 RATNASARI examinations

FKTP : DADAP KUNING - 02050002

572 00:00 10:18 hypertension

723 00:00 09:26 ANANDA SAPUTRA limb, level unspecified

698 00:00 00:12

FKTP : DADAP KUNING - 02050002

481 00:00 09:27

FKTP : DADAP KUNING - 02050002

FKTP : DADAP KUNING - 02050002

487 00:00 10:24 ALIMUL FURQON sinus

FKTP : DADAP KUNING - 02050002

440 00:00 10:40 SWASTA pregnancy, unspecified

426 00:00 08:32 FIRMANSYAH SWASTA to educational institution

887 00:00 23:58

FKTP : DADAP KUNING - 02050002

437 00:00 09:31 MANDIRI disorder, unspecified Mellitus

FKTP : DADAP KUNING - 02050002

410 00:00 08:34 hypertension

FKTP : DADAP KUNING - 02050002

264 0002258838303 SUPARTI P diabetes mellitus without Berobat Jalan

422 00:00 11:27 MANDIRI without hepatic coma

687 00:00 00:01 hypertension

FKTP : DADAP KUNING - 02050002

FKTP : DADAP KUNING - 02050002

FKTP : DADAP KUNING - 02050002

685 00:00 23:59

FKTP : DADAP KUNING - 02050002

326 00:00 08:46 haemorrhage