CreatePDF (3) - Dikonversi

Kantor Cabang : BUKIT TINGGI - 0302
FKTP : KINALI - 03140602

TANGGAL TANGGAL JENIS
NO NO KUNJUNGAN PELAYANAN ENTRI NO KARTU NAMA PESERTA KELAMIN
1 031406020121P002 30-01-2021 30-01-2021 0000018917493 SUHERLIN L

274 00:00 13:52
2 031406020121P002 30-01-2021 30-01-2021 0000281671029 SARIANI P
287 00:00 14:19
3 031406020121P002 30-01-2021 02-02-2021 0000281900979 KRISNAWATI AGUSWULAN P
335 00:00 21:05
4 031406020121P002 30-01-2021 30-01-2021 0000282034888 NUAR L
284 00:00 14:12
5 031406020121P002 30-01-2021 30-01-2021 0000282225969 SAFRIDA P
202 00:00 10:22
6 031406020121P002 30-01-2021 30-01-2021 0000282565258 ANGATINI PURWANTI P
289 00:00 17:52
7 031406020121P002 30-01-2021 30-01-2021 0000283034349 narwen P
286 00:00 14:16
8 031406020121P002 30-01-2021 30-01-2021 0000283035183 MEI iswati P
278 00:00 13:58
9 031406020121P002 30-01-2021 30-01-2021 0000283237514 IJAIH P
285 00:00 14:14
10 031406020121P002 30-01-2021 30-01-2021 0000283238741 PUTRA ALADIN L
269 00:00 13:39
11 031406020121P002 30-01-2021 30-01-2021 0000283587941 SAPER L
275 00:00 13:55
12 031406020121P002 30-01-2021 30-01-2021 0001311043601 AFRIZON L
282 00:00 14:07
13 031406020121P002 30-01-2021 30-01-2021 0001494882369 MICEN L
279 00:00 14:01
14 031406020121P002 30-01-2021 30-01-2021 0001494882819 SADIN L
280 00:00 14:02
15 031406020121P002 30-01-2021 30-01-2021 0001495099438 ENDANG KARMILA P
271 00:00 13:48
16 031406020121P002 30-01-2021 30-01-2021 0001888387593 MUFNI INDRA L
157 00:00 08:55
17 031406020121P002 30-01-2021 30-01-2021 0002484266365 YUSNITA P
277 00:00 13:57
18 031406020121P002 30-01-2021 30-01-2021 0002500619578 NURMAINI P
272 00:00 13:49
STATUS
JENIS PESERTA DIAGNOSA PULANG PRB PROLANIS
PNS DAERAH Fever, unspecified Berobat Jalan
PBI (APBN) Essential (primary) hypertension Berobat Jalan
PBI (APBN) Spontaneous vertex delivery Sembuh
PBI (APBN) Other arthrosis Berobat Jalan
PBI (APBD) Fever, unspecified Berobat Jalan
PBI (APBN) Contraceptive management, Berobat Jalan

unspecified
PBI (APBN) Fever, unspecified Berobat Jalan
PBI (APBN) Hypertensive heart disease Berobat Jalan
PBI (APBN) Dental caries Berobat Jalan
PBI (APBN) Other dermatitis Berobat Jalan
PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan
PEKERJA MANDIRI Dyspepsia Berobat Jalan
PEKERJA MANDIRI Fever, unspecified Berobat Jalan
PNS DAERAH Chronic ischaemic heart Rujuk Vertikal Hipertensi Hipertensi

disease
PEGAWAI SWASTA Myalgia Berobat Jalan
PEKERJA MANDIRI Other dermatitis Berobat Jalan

19 031406020121P002 30-01-2021 30-01-2021 0002740435413 FARANISA ARDANI P
270 00:00 13:46
20 031406020121P002 30-01-2021 30-01-2021 0002758931954 SARTI P
273 00:00 13:51
21 031406020121P002 30-01-2021 30-01-2021 0002784453783 DAPIT AFRIAN YUNESKI L
281 00:00 14:04
22 031406020121P002 30-01-2021 30-01-2021 0002832041452 ROSDIATI P
283 00:00 14:09
23 031406020121P002 30-01-2021 30-01-2021 0002832043961 BAHRUN L
276 00:00 13:56
24 031406020121P002 29-01-2021 30-01-2021 0000018849982 NURILA P
256 00:00 13:06
25 031406020121P002 29-01-2021 30-01-2021 0000018867971 ZAINAB P
265 00:00 13:29
26 031406020121P002 29-01-2021 29-01-2021 0000018889672 JAMANIR. JSJ L
094 00:00 09:56
27 031406020121P002 29-01-2021 30-01-2021 0000278930215 RUSLI L
268 00:00 13:37
28 031406020121P002 29-01-2021 30-01-2021 0000281766069 YULIS P
253 00:00 12:59
334 00:00 20:53
30 031406020121P002 29-01-2021 30-01-2021 0000282456674 SORE L
267 00:00 13:35
31 031406020121P002 29-01-2021 02-02-2021 0000283007452 WIKAMTI P
312 00:00 15:26
32 031406020121P002 29-01-2021 30-01-2021 0000519300281 MUNIRUDIN L
255 00:00 13:05
33 031406020121P002 29-01-2021 30-01-2021 0000987285947 SARI BAINI P
261 00:00 13:23
34 031406020121P002 29-01-2021 30-01-2021 0001193101751 M. FIKRI HAYKAL L
266 00:00 13:31
35 031406020121P002 29-01-2021 29-01-2021 0001265856794 ADIB ZAYYAN ALKAFI L
063 00:00 08:36
36 031406020121P002 29-01-2021 29-01-2021 0001435894705 SUMARNO L
103 00:00 10:08
37 031406020121P002 29-01-2021 29-01-2021 0001435895144 SUTARTI P
105 00:00 10:09
PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan
PBI (APBN) Acute upper respiratory Berobat Jalan

infection, unspecified
PNS DAERAH Dyspepsia Berobat Jalan
PNS DAERAH Low vision, both eyes Rujuk Vertikal
PEGAWAI SWASTA Acute upper respiratory Berobat Jalan

PBI (APBN) Stomatitis and related lesions Berobat Jalan
PBI (APBN) Antenatal screening, Berobat Jalan

unspecified
PBI (APBN) Gastritis, unspecified Berobat Jalan
PBI (APBN) Pre-eclampsia, unspecified Berobat Jalan
PEGAWAI SWASTA Stomatitis and related lesions Berobat Jalan
PNS DAERAH Nasal polyp, unspecified Rujuk Vertikal
PNS PUSAT Hypertensive heart disease Rujuk Vertikal
PNS PUSAT Low vision, both eyes Rujuk Vertikal

38 031406020121P002 29-01-2021 29-01-2021 0001444665712 SRI MINARSIH P
093 00:00 09:53
39 031406020121P002 29-01-2021 30-01-2021 0001444692598 NEVI SUHARNI P
262 00:00 13:25
40 031406020121P002 29-01-2021 30-01-2021 0001494879063 LILIK SUJATMIKO L
251 00:00 12:52
41 031406020121P002 29-01-2021 29-01-2021 0001494882314 Sutiwan L
077 00:00 09:15
42 031406020121P002 29-01-2021 30-01-2021 0001494914793 KARYADI L
258 00:00 13:11
43 031406020121P002 29-01-2021 30-01-2021 0001495054978 AGUS SUPRIANTO L
254 00:00 13:01
44 031406020121P002 29-01-2021 30-01-2021 0001502351043 FALAH SAPARINGGA L
259 00:00 13:13
45 031406020121P002 29-01-2021 30-01-2021 0001612237959 AMIN RAIS P
264 00:00 13:27
46 031406020121P002 29-01-2021 30-01-2021 0001681167317 ANISA FITRI L
260 00:00 13:19
47 031406020121P002 29-01-2021 30-01-2021 0001684386898 RIZKY PERDANA L
257 00:00 13:10
48 031406020121P002 29-01-2021 29-01-2021 0001891063506 RIKA TRISNA WATI P
095 00:00 09:58
49 031406020121P002 29-01-2021 29-01-2021 0002041320486 YURI ASMA P
090 00:00 09:36
50 031406020121P002 29-01-2021 30-01-2021 0002213155923 YESI PEBRINA P
263 00:00 13:26
51 031406020121P002 29-01-2021 29-01-2021 0002219922562 AMI P
112 00:00 11:01
52 031406020121P002 29-01-2021 30-01-2021 0002245503418 MUKTAR L
252 00:00 12:54
53 031406020121P002 29-01-2021 29-01-2021 0002311610297 SALIHIN L
099 00:00 10:05
54 031406020121P002 29-01-2021 29-01-2021 0002582707239 HARMI HIDAYAT L
092 00:00 09:46
031406020121P002 29-01-2021 29-01-2021
55 108 00:00 10:28 0002770335314 AIDIL PEBRIYANTO L
56 031406020121P002 29-01-2021 29-01-2021 0002900516905 BUYUNG ADANG L

111 00:00 10:55
PEGAWAI SWASTA Soft tissue disorder, unspecified Rujuk Vertikal
PEGAWAI SWASTA Keratitis, unspecified Rujuk Vertikal
PEGAWAI SWASTA Other dermatitis Berobat Jalan
PEGAWAI SWASTA Dyspepsia Berobat Jalan
PBI (APBD) Other dermatitis Berobat Jalan
PBI (APBD) Low vision, both eyes Rujuk Vertikal
PBI (APBD) Disorder of conjunctiva, Rujuk Vertikal

unspecified
PBI (APBD) Myalgia Berobat Jalan
PEKERJA MANDIRI Pleural effusion, not elsewhere Rujuk Vertikal

classified
PEKERJA MANDIRI Hypertensive heart disease Rujuk Vertikal
PBI (APBN) Leukaemia, unspecified Rujuk Vertikal
PEKERJA MANDIRI Follow-up examination after

combined treatment for other Rujuk Vertikal
conditions
PBI (APBD) Senile nuclear cataract Rujuk Vertikal
031406020121P002 29-01-2021 29-01-2021
57 113 00:00 11:03 0002900518402 BIYAH P
58 031406020121P002 28-01-2021 29-01-2021 0000018886735 ADRIANIS P

087 00:00 09:34
59 0000018886735 ADRIANIS P
031406020121P002 28-01-2021 28-01-2021
039 00:00 09:17
031406020121P002 28-01-2021 29-01-2021

60 068 00:00 08:45 0000018901157 DETRA AMAR L
61 031406020121P002 28-01-2021 28-01-2021 0000209653154 IWAN L

042 00:00 10:41
62 031406020121P002 28-01-2021 29-01-2021 0000281914356 RAHMI SRI WAHYUNI P
080 00:00 09:24
031406020121P002 28-01-2021 28-01-2021
63 034 00:00 08:32 0000281992094 SAFRINA P
64 031406020121P002 28-01-2021 29-01-2021 0000282085931 JAFRIMAN L

071 00:00 08:55
65 031406020121P002 28-01-2021 29-01-2021 0000282141472 SARIDA P
082 00:00 09:25
66 0000282461332 ERNIPOPIATI P
031406020121P002 28-01-2021 29-01-2021
073 00:00 08:59
67 031406020121P002 28-01-2021 29-01-2021 0000282875591 SIDI NAUMAR L

086 00:00 09:32
68 031406020121P002 28-01-2021 02-02-2021 0000283026104 ELVI YANTI P
336 00:00 21:44
69 031406020121P002 28-01-2021 29-01-2021 0000283414353 POPI WIDAYANTI P
074 00:00 09:01
70 031406020121P002 28-01-2021 29-01-2021 0001329733653 SUBARI L
085 00:00 09:31
71 031406020121P002 28-01-2021 28-01-2021 0001422016942 MARIANI MALAU P
037 00:00 08:57
72 031406020121P002 28-01-2021 28-01-2021 0001494880031 TARIJAK L
040 00:00 09:42
73 031406020121P002 28-01-2021 29-01-2021 0001494880031 TARIJAK L
088 00:00 09:35
Hypertrophy of tonsils with
PBI (APBD) hypertrophy of adenoids Rujuk Vertikal
PNS DAERAH Headache Berobat Jalan
PNS DAERAH Chronic obstructive pulmonary Rujuk Vertikal

disease with acute
exacerbation, unspecified
Influenza due to identified avian

PNS DAERAH infliuenza virus Berobat Jalan
PNS DAERAH Peptic ulcer, site unspecified Rujuk Vertikal

unspecified
Spontaneous abortion,
PBI (APBN) incomplete, without Rujuk Vertikal
complication
PEGAWAI SWASTA Pain, not elsewhere classified Berobat Jalan

unspecified
PBI (APBN) Diarrhoea and gastroenteritis of Berobat Jalan
presumed infectious origin
PEGAWAI SWASTA Antenatal screening, Berobat Jalan

unspecified
PBI (APBN) Other rheumatoid arthritis Berobat Jalan
PEKERJA MANDIRI Unspecified diabetes mellitus Rujuk Vertikal
PBI (APBN) Heart failure Rujuk Vertikal
PBI (APBN) Abdominal and pelvic pain Berobat Jalan

74 031406020121P002 28-01-2021 29-01-2021 0001494926368 RIDIYANA L
065 00:00 08:41
75 031406020121P002 28-01-2021 29-01-2021 0001494964765 DESMAWATI P
079 00:00 09:23
031406020121P002 28-01-2021 28-01-2021
76 035 00:00 08:44 0001494982495 TUKIRAH P
77 031406020121P002 28-01-2021 29-01-2021 0001495061019 SUPIYAH P

091 00:00 09:37
78 0001495087323 sutami P
031406020121P002 28-01-2021 28-01-2021
038 00:00 09:04
79 0001495112905 RASDINA P
031406020121P002 28-01-2021 29-01-2021
066 00:00 08:43
80 031406020121P002 28-01-2021 29-01-2021 0001681167227 NURLELI L

078 00:00 09:22
81 031406020121P002 28-01-2021 29-01-2021 0001853752241 MIRA SUSANTI P
070 00:00 08:53
82 031406020121P002 28-01-2021 02-02-2021 0001865412977 MUSLINDA P
319 00:00 16:05
83 031406020121P002 28-01-2021 29-01-2021 0001909520111 CINTA LAURA P
064 00:00 08:41
84 031406020121P002 28-01-2021 28-01-2021 0002083769278 SITI TAMPO MAS P
041 00:00 10:14
85 031406020121P002 28-01-2021 29-01-2021 0002117668061 RIKO BAGAS KURNIAWAN L
067 00:00 08:44
86 031406020121P002 28-01-2021 29-01-2021 0002188987536 ERMA YUSNITA P
069 00:00 08:52
87 031406020121P002 28-01-2021 29-01-2021 0002228895808 ENI SUSANTI P
089 00:00 09:36
88 0002274357519 TUGIONO L
031406020121P002 28-01-2021 28-01-2021
036 00:00 08:47
89 031406020121P002 28-01-2021 29-01-2021 0002300677749 DESI P

083 00:00 09:26
90 031406020121P002 28-01-2021 29-01-2021 0002462294507 MARLINA P
072 00:00 08:58
PEGAWAI SWASTA Headache Berobat Jalan

unspecified
PEKERJA MANDIRI Unspecified diabetes mellitus Diabetes Mellitus
Rujuk Vertikal Hipertensi Hipertensi
Unspecified problem related to Rujuk Vertikal

medical facilities and other
PEKERJA MANDIRI health care
Diarrhoea and gastroenteritis of Berobat Jalan

PEGAWAI SWASTA
PBI (APBD) Antenatal screening, Berobat Jalan

unspecified
PEGAWAI SWASTA Contraceptive management Berobat Jalan
PBI (APBN) Vertigo of central origin Berobat Jalan
PBI (APBN) Low back pain Berobat Jalan
PEKERJA MANDIRI Allergy, unspecified Berobat Jalan
Chronic obstructive pulmonary Rujuk Vertikal

disease with acute
PEKERJA MANDIRI exacerbation, unspecified
PEKERJA MANDIRI Antenatal screening, Berobat Jalan

unspecified
PBI (APBD) Headache Berobat Jalan
91 031406020121P002 28-01-2021 29-01-2021 0002832040732 DALIMAN L
084 00:00 09:30
92 031406020121P002 28-01-2021 29-01-2021 0002943483614 NURITA P
081 00:00 09:24
93 031406020121P002 27-01-2021 30-01-2021 0000018894036 ERDAWATI P
238 00:00 12:08
94 031406020121P001 27-01-2021 27-01-2021 0000024981928 ELIMUSPIDA P
984 00:00 09:50
95 031406020121P002 27-01-2021 30-01-2021 0000280294558 TITIK karmila sari P
245 00:00 12:27
031406020121P002 27-01-2021 02-02-2021
96 330 00:00 17:45 0000281846327 ANISA PUTRINALIS P
97 031406020121P002 27-01-2021 30-01-2021 0000281956173 ira wati P

242 00:00 12:19
98 031406020121P002 27-01-2021 27-01-2021 0000282094277 KASIMA P
022 00:00 11:00
99 031406020121P001 27-01-2021 27-01-2021 0000282200646 PIAK ANDAH P
999 00:00 10:12
100 031406020121P002 27-01-2021 30-01-2021 0000282533196 GADIH ONA P
250 00:00 12:49
101 031406020121P002 27-01-2021 30-01-2021 0000283587941 SAPER L
248 00:00 12:39
102 031406020121P002 27-01-2021 02-02-2021 0000987281842 NGATIYAH P
311 00:00 15:19
031406020121P002 27-01-2021 27-01-2021
103 020 00:00 10:54 0000987286588 SUAR L
104 031406020121P002 27-01-2021 27-01-2021 0000987286599 CAYA P

019 00:00 10:52
105 031406020121P001 27-01-2021 27-01-2021 0001177271706 ZAHRA ATUSYITA P
947 00:00 09:02
106 031406020121P002 27-01-2021 30-01-2021 0001326377788 HUSIN DATUK RAJO AMAT L
246 00:00 12:28
107 031406020121P002 27-01-2021 30-01-2021 0001494882314 Sutiwan L
241 00:00 12:17
108 031406020121P002 27-01-2021 30-01-2021 0001494926043 BAGUS RIYADI L
247 00:00 12:37
109 031406020121P001 27-01-2021 27-01-2021 0001615816427 AMIRZAL L
992 00:00 09:58

unspecified
PNS DAERAH Other dermatitis Berobat Jalan
PNS DAERAH Peptic ulcer, site unspecified Rujuk Vertikal
PBI (APBN) Acute bronchitis due to Berobat Jalan

Haemophilus influenzae
Noninfective gastroenteritis and
PBI (APBN) colitis, unspecified Sembuh
PBI (APBD) Hypertensive heart disease Rujuk Vertikal
PBI (APBN) Malignant neoplasm of breast, Rujuk Vertikal

unspecified
PBI (APBN) Asthma Berobat Jalan
Gastro-oesophageal reflux
PBI (APBN) disease with oesophagitis Rujuk Vertikal Hipertensi Hipertensi
PBI (APBN) Low back pain Rujuk Vertikal
PBI (APBN) Vitiligo Berobat Jalan
PEGAWAI SWASTA Influenza, virus not identified Berobat Jalan
PBI (APBD) Acute upper respiratory Berobat Jalan

110 031406020121P002 27-01-2021 30-01-2021 0001681167385 SUHARDIMAN M L
243 00:00 12:20
111 031406020121P002 27-01-2021 30-01-2021 0001681167418 FATHYA FADILA L
244 00:00 12:22
112 031406020121P001 27-01-2021 27-01-2021 0001797142094 MAIDA ELFIA P
974 00:00 09:36
113 031406020121P002 27-01-2021 02-02-2021 0001853752241 MIRA SUSANTI P
331 00:00 17:55
114 031406020121P002 27-01-2021 31-01-2021 0001871753848 IBET JUMAIRA P
292 00:00 13:43
115 031406020121P002 27-01-2021 28-01-2021 0002063094164 SYAMSINAR P
032 00:00 08:08
116 031406020121P002 27-01-2021 27-01-2021 0002063094164 SYAMSINAR P
021 00:00 10:56
031406020121P002 27-01-2021 02-02-2021
117 332 00:00 18:03 0002117256579 AFDILLAH ANGRAINI P
118 031406020121P002 27-01-2021 28-01-2021 0002241130421 KABAR L

033 00:00 08:11
119 031406020121P002 27-01-2021 30-01-2021 0002307949637 MUHAMMAD RIDWAN L
239 00:00 12:14
120 031406020121P002 27-01-2021 27-01-2021 0002437214253 ALIZAR L
023 00:00 11:06
121 031406020121P002 27-01-2021 30-01-2021 0002448293027 JARINAN P
240 00:00 12:16
122 031406020121P001 27-01-2021 27-01-2021 0002449799649 MEI P
977 00:00 09:41
123 031406020121P002 27-01-2021 30-01-2021 0002639339469 JAPAR GESMI L
249 00:00 12:46
124 031406020121P002 27-01-2021 27-01-2021 0002868772511 SURYADI L
004 00:00 10:21
125 031406020121P001 27-01-2021 27-01-2021 0002884808823 ROSTANA P
985 00:00 09:52
126 031406020121P001 27-01-2021 27-01-2021 0003049053208 RISMA HALIM P
996 00:00 10:09
127 031406020121P001 26-01-2021 27-01-2021 0000018867971 ZAINAB P
925 00:00 08:40
128 031406020121P001 26-01-2021 27-01-2021 0000018901157 DETRA AMAR L
929 00:00 08:44
PBI (APBD) Gastritis, unspecified Berobat Jalan
PBI (APBD) Stomatitis and related lesions Berobat Jalan
PEGAWAI SWASTA Other acute gastritis Sembuh
PNS DAERAH Contraceptive management, Berobat Jalan

unspecified
PEKERJA MANDIRI Cutaneous abscess, furuncle Berobat Jalan
and carbuncle
PEKERJA MANDIRI Low vision, both eyes Rujuk Vertikal
Noninfective gastroenteritis and

PBI (APBN) colitis, unspecified Sembuh
PEKERJA MANDIRI Myalgia Berobat Jalan
PEKERJA MANDIRI Low back pain Rujuk Vertikal
PEKERJA MANDIRI Stomatitis and related lesions Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan

PBI (APBN) Peptic ulcer, site unspecified Rujuk Vertikal
PEKERJA MANDIRI Other and unspecified cirrhosis Rujuk Vertikal

of liver
PEKERJA MANDIRI Antenatal screening, Rujuk Vertikal
unspecified
PNS DAERAH Stomatitis and related lesions Berobat Jalan
PNS DAERAH Vertigo of central origin Berobat Jalan

129 031406020121P001 26-01-2021 26-01-2021 0000163086772 BAKRI L
843 00:00 09:02
130 031406020121P001 26-01-2021 27-01-2021 0000282008531 TURINA P
935 00:00 08:46
131 031406020121P001 26-01-2021 27-01-2021 0000282097776 ZELNI USMAN L
922 00:00 08:36
132 031406020121P001 26-01-2021 27-01-2021 0000282137927 BURANI L
928 00:00 08:43
133 031406020121P001 26-01-2021 26-01-2021 0000282444197 SEFRI ANNISA WINDRA P
854 00:00 09:20
134 031406020121P001 26-01-2021 27-01-2021 0000282456674 SORE L
930 00:00 08:44
026 00:00 12:44
136 031406020121P001 26-01-2021 26-01-2021 0000282594058 SISWANDI L
857 00:00 09:32
137 031406020121P001 26-01-2021 27-01-2021 0000282602439 TRI YATI P
936 00:00 08:47
138 031406020121P001 26-01-2021 27-01-2021 0000282603982 MELATI P
937 00:00 08:48
139 031406020121P001 26-01-2021 27-01-2021 0000987276148 DEVI NOVITA SARI P
944 00:00 08:55
140 031406020121P001 26-01-2021 26-01-2021 0001085179228 SARI BULAN P
898 00:00 10:22
141 031406020121P001 26-01-2021 26-01-2021 0001330811381 SUKARMAN L
894 00:00 10:18
142 031406020121P001 26-01-2021 27-01-2021 0001426502891 NITIA ARTI P
946 00:00 08:57
143 031406020121P001 26-01-2021 26-01-2021 0001451095727 NURHAYATI P
909 00:00 11:22
144 031406020121P001 26-01-2021 26-01-2021 0001474726116 ROHANA P
908 00:00 11:09
145 031406020121P001 26-01-2021 27-01-2021 0001494882819 SADIN L
938 00:00 08:48
146 0001494914804 SUSI FIDAYANTI P
031406020121P001 26-01-2021 26-01-2021
893 00:00 10:18
147 031406020121P001 26-01-2021 27-01-2021 0001494917278 RINALDI L

923 00:00 08:37
PNS PUSAT Low back pain Rujuk Vertikal
PBI (APBN) Cutaneous abscess, furuncle Berobat Jalan Hipertensi Hipertensi

and carbuncle
PBI (APBN) Antenatal screening, Rujuk Vertikal
unspecified
PBI (APBN) Myalgia Berobat Jalan

unspecified
PBI (APBN) Schizophrenia Berobat Jalan

unspecified
PBI (APBN) Acute bronchitis, unspecified Berobat Jalan
PBI (APBD) Essential (primary) hypertension Berobat Jalan

unspecified
PEKERJA MANDIRI Peptic ulcer, site unspecified Rujuk Vertikal
PEKERJA MANDIRI Cerebral infarction Rujuk Vertikal
PEKERJA MANDIRI Headache Berobat Jalan
Follow-up examination after Rujuk Vertikal

unspecified treatment for
PEGAWAI SWASTA malignant neoplasm

148 031406020121P001 26-01-2021 27-01-2021 0001612235665 GENTA ALFIQI L
927 00:00 08:40
031406020121P001 26-01-2021 26-01-2021
149 878 00:00 10:03 0001795706122 NURLIS P
150 031406020121P002 26-01-2021 02-02-2021 0002049194428 KENZO ALVARO VIAZA L

329 00:00 17:36
151 031406020121P002 26-01-2021 02-02-2021 0002117626029 RONA RIZKI P
338 00:00 22:02
152 031406020121P001 26-01-2021 26-01-2021 0002229288952 paramian L
847 00:00 09:07
153 031406020121P001 26-01-2021 27-01-2021 0002255315769 SILFA AIYA SAFITRI P
941 00:00 08:51
154 0002266585086 ALISMAN L
031406020121P001 26-01-2021 27-01-2021
933 00:00 08:45
155 031406020121P001 26-01-2021 27-01-2021 0002301228268 RANI PUTRI L

940 00:00 08:50
156 031406020121P001 26-01-2021 27-01-2021 0002301228551 AZMA RITA L
939 00:00 08:49
157 031406020121P001 26-01-2021 27-01-2021 0002303039777 TURSINA P
943 00:00 08:53
158 031406020121P001 26-01-2021 27-01-2021 0002326363648 KAMITA SARI P
945 00:00 08:55
031406020121P001 26-01-2021 27-01-2021
159 942 00:00 08:52 0002437214692 ELVIA OKTA REZA P
160 031406020121P001 26-01-2021 26-01-2021 0002462288229 ANIS P

900 00:00 10:25
161 031406020121P001 26-01-2021 27-01-2021 0002498808339 SARMEN L
920 00:00 08:34
162 031406020121P001 26-01-2021 27-01-2021 0002740990353 NAYZELLA AYZA RIZAL P
948 00:00 09:03
031406020121P001 26-01-2021 26-01-2021
163 907 00:00 11:08 0002935956159 SUMARDI L
164 031406020121P001 25-01-2021 25-01-2021 0000018838225 NURLINAS P

808 00:00 08:38
PBI (APBD) Bronchitis, not specified as Berobat Jalan
acute or chronic
PEKERJA MANDIRI Atherosclerotic cardiovascular
disease, so described Rujuk Vertikal
PNS PUSAT Dyspepsia Sembuh

unspecified

PEGAWAI SWASTA
PEGAWAI SWASTA Asthma, unspecified Berobat Jalan

unspecified
PEKERJA MANDIRI Gastric ulcer, chronic without
haemorrhage or perforation Berobat Jalan
PBI (APBD) Hypertensive heart disease Rujuk Vertikal Hipertensi

PENERIMA PENSIUN Hypertensive heart disease Rujuk Vertikal

PNS
165 031406020121P001 25-01-2021 25-01-2021 0000018889457 BAINAH P
822 00:00 10:23
166 031406020121P001 25-01-2021 25-01-2021 0000280883237 MOH. KAMIL L
813 00:00 09:45
167 031406020121P001 25-01-2021 27-01-2021 0000280883237 MOH. KAMIL L
967 00:00 09:22
168 031406020121P001 25-01-2021 27-01-2021 0000281732523 SAMSINAR P
949 00:00 09:08
169 031406020121P001 25-01-2021 27-01-2021 0000282444197 SEFRI ANNISA WINDRA P
965 00:00 09:21
025 00:00 12:27
171 031406020121P001 25-01-2021 27-01-2021 0000283012885 NEFRI HADI L
950 00:00 09:09
172 031406020121P001 25-01-2021 27-01-2021 0000283065838 SAMSUL NEFRI L
951 00:00 09:10
173 031406020121P001 25-01-2021 27-01-2021 0000987275013 SADUN L
958 00:00 09:14
174 031406020121P001 25-01-2021 25-01-2021 0000987275013 SADUN L
819 00:00 10:16
175 031406020121P001 25-01-2021 25-01-2021 0000987275024 SUKINEM P
820 00:00 10:20
031406020121P001 25-01-2021 27-01-2021
176 971 00:00 09:25 0000987275024 SUKINEM P
177 031406020121P001 25-01-2021 27-01-2021 0001198636312 SRI ANTI P

957 00:00 09:13
178 031406020121P001 25-01-2021 25-01-2021 0001283695929 RUSYANI P
818 00:00 10:10
179 031406020121P001 25-01-2021 25-01-2021 0001330597293 SUPIK KANDUNG P
815 00:00 09:52
180 031406020121P001 25-01-2021 25-01-2021 0001421997265 JARMANI P
814 00:00 09:50
181 031406020121P001 25-01-2021 25-01-2021 0001448800391 FADLI L
827 00:00 10:49
182 031406020121P001 25-01-2021 25-01-2021 0001494958959 BARIS MANTO L
810 00:00 09:31
183 031406020121P001 25-01-2021 27-01-2021 0001494964765 DESMAWATI P
962 00:00 09:19
PNS DAERAH Hypertensive heart disease Rujuk Vertikal Hipertensi Hipertensi
PBI (APBN) Hypercementosis Rujuk Vertikal
PBI (APBN) Hypercementosis Berobat Jalan
PBI (APBN) Arthrosis of first Berobat Jalan

carpometacarpal joint
unspecified
PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi

PBI (APBN) Hypertensive heart disease Rujuk Vertikal Hipertensi
PBI (APBN) Unspecified diabetes mellitus Rujuk Vertikal Diabetes Mellitus
Non-insulin-dependent diabetes Diabetes Mellitus

PBI (APBN) mellitus with ophthalmic Berobat Jalan
complications
PEKERJA MANDIRI Acute upper respiratory Berobat Jalan
PNS DAERAH Hypertensive heart disease Rujuk Vertikal
PEGAWAI SWASTA Other hearing loss Rujuk Vertikal

unspecified
184 031406020121P002 25-01-2021 02-02-2021 0001495090001 M. Yusuf L
310 00:00 15:13
185 0001498446988 NURHAYATI P
031406020121P001 25-01-2021 27-01-2021
954 00:00 09:11
031406020121P001 25-01-2021 25-01-2021

186 823 00:00 10:31 0001612233742 EVA ASMAWATI P
187 031406020121P002 25-01-2021 02-02-2021 0001686536559 TRIYATNI P

309 00:00 15:06
188 031406020121P001 25-01-2021 27-01-2021 0001687852179 ANDI SAPUTRA L
959 00:00 09:14
189 031406020121P001 25-01-2021 25-01-2021 0001831147931 UWIN L
817 00:00 10:06
190 031406020121P001 25-01-2021 25-01-2021 0001833305117 AMIR L
828 00:00 10:52
191 031406020121P001 25-01-2021 25-01-2021 0001833305714 FATMAWATI P
829 00:00 10:57
192 031406020121P001 25-01-2021 26-01-2021 0001839101692 NURSIM SALIM L
905 00:00 10:40
193 031406020121P001 25-01-2021 27-01-2021 0001852086881 TAZKYA MAFAZA HAFIZAH P
955 00:00 09:12
194 031406020121P002 25-01-2021 30-01-2021 0001871753848 IBET JUMAIRA P
288 00:00 17:46
195 031406020121P001 25-01-2021 27-01-2021 0002068627601 PUSPA DONA P
932 00:00 08:45
196 031406020121P001 25-01-2021 25-01-2021 0002289207767 KARMINI P
811 00:00 09:37
197 031406020121P001 25-01-2021 27-01-2021 0002289207767 KARMINI P
969 00:00 09:23
198 031406020121P001 25-01-2021 25-01-2021 0002448292858 SUKIRMAN L
812 00:00 09:43
199 031406020121P002 25-01-2021 02-02-2021 0002448292858 SUKIRMAN L
328 00:00 17:27
200 031406020121P001 25-01-2021 25-01-2021 0002621870548 KASNI P
816 00:00 10:00
201 031406020121P001 25-01-2021 27-01-2021 0002746119835 SUPRAPTI P
953 00:00 09:11
PEGAWAI SWASTA Inguinal hernia Berobat Jalan
Chronic obstructive pulmonary Berobat Jalan

PENERIMA PENSIUN disease with acute
SWASTA exacerbation, unspecified
Background retinopathy and

PBI (APBD) retinal vascular changes Rujuk Vertikal
PBI (APBD) Prolonged pregnancy Berobat Jalan
PBI (APBN) Dyspepsia Berobat Jalan
PBI (APBN) Hypertensive heart disease Rujuk Vertikal Hipertensi Hipertensi
PEKERJA MANDIRI Peptic ulcer, site unspecified Rujuk Vertikal Hipertensi
PEKERJA MANDIRI Heart failure Rujuk Vertikal
PEGAWAI SWASTA Acute bronchitis, unspecified Berobat Jalan
PNS DAERAH Contraceptive management, Berobat Jalan

unspecified
PBI (APBD) Schizophrenia Berobat Jalan
PEKERJA MANDIRI Congestive heart failure Sembuh
PEKERJA MANDIRI Other cataract Rujuk Vertikal

202 031406020121P001 25-01-2021 27-01-2021 0002763905051 RINNA SAMRA P
963 00:00 09:19
203 031406020121P001 25-01-2021 27-01-2021 0002897039801 RANYAM P
952 00:00 09:10
204 031406020121P002 24-01-2021 02-02-2021 0000283371467 JUPRIADI L
308 00:00 15:01
205 031406020121P002 23-01-2021 29-01-2021 0000010314944 DARISAH P
075 00:00 09:03
206 031406020121P002 23-01-2021 29-01-2021 0000018797512 RATNA WARDANI P
076 00:00 09:06
207 031406020121P002 23-01-2021 29-01-2021 0000018837472 ASMAINIS AM P
096 00:00 10:00
208 031406020121P002 23-01-2021 29-01-2021 0000018837483 ASROL L
097 00:00 10:02
209 031406020121P002 23-01-2021 29-01-2021 0000037599568 ALI USMAN L
098 00:00 10:04
210 031406020121P002 23-01-2021 29-01-2021 0000238709136 SITI NUARAINI OCTAVIA P
100 00:00 10:06
211 031406020121P002 23-01-2021 29-01-2021 0000280765631 SADI L
101 00:00 10:06
212 031406020121P002 23-01-2021 29-01-2021 0000280765945 RIYANTI P
102 00:00 10:07
213 031406020121P001 23-01-2021 25-01-2021 0000280901272 SUKIJAN L
826 00:00 10:43
214 031406020121P002 23-01-2021 29-01-2021 0000280934831 YUR P
104 00:00 10:08
215 031406020121P002 23-01-2021 29-01-2021 0000281055317 ERNAWATI P
106 00:00 10:10
216 031406020121P002 23-01-2021 30-01-2021 0000281154993 AAN L
158 00:00 08:56
217 031406020121P002 23-01-2021 30-01-2021 0000281155364 MISNAR P
156 00:00 08:54
218 031406020121P002 23-01-2021 02-02-2021 0000281567542 KARIYATI P
323 00:00 16:42
219 031406020121P002 23-01-2021 29-01-2021 0000281570117 NARSINI P
107 00:00 10:15
220 031406020121P002 23-01-2021 29-01-2021 0000281571579 minar P
109 00:00 10:32
unspecified
PBI (APBN) Fracture of shaft of tibia Berobat Jalan
PENERIMA PENSIUN Myalgia Berobat Jalan

PNS
PEKERJA MANDIRI Disorder of urinary system, Berobat Jalan
unspecified
PNS
PENERIMA PENSIUN Other dermatitis Berobat Jalan Hipertensi
PNS
PNS PUSAT Myalgia Berobat Jalan
PEGAWAI SWASTA Vertigo of central origin Berobat Jalan
PBI (APBN) Disorder of urinary system, Berobat Jalan

unspecified
PBI (APBN) Essential (primary) hypertension Sembuh

221 031406020121P002 23-01-2021 29-01-2021 0000281622486 JULIMAR P
110 00:00 10:33
222 031406020121P002 23-01-2021 29-01-2021 0000281658611 DEWI LESTARI P
149 00:00 22:57
223 031406020121P002 23-01-2021 30-01-2021 0000281696703 MERNA RISWANTI P
170 00:00 09:12
224 031406020121P002 23-01-2021 30-01-2021 0000281749151 BIORI RELIFIANA P
172 00:00 09:13
225 031406020121P002 23-01-2021 30-01-2021 0000281859546 MISRAWATI P
173 00:00 09:14
226 031406020121P002 23-01-2021 30-01-2021 0000281860806 SUNDIYAH P
174 00:00 09:14
227 031406020121P002 23-01-2021 30-01-2021 0000281863901 ERRI FALDO L
175 00:00 09:15
228 031406020121P002 23-01-2021 30-01-2021 0000281886805 WINDA YULIA NEFRA P
177 00:00 09:15
229 031406020121P002 23-01-2021 30-01-2021 0000281899811 SUKARDI L
181 00:00 09:22
230 031406020121P002 23-01-2021 30-01-2021 0000281899956 RAMANI P
196 00:00 10:03
231 031406020121P002 23-01-2021 30-01-2021 0000281903578 TUWINO L
197 00:00 10:06
232 031406020121P002 23-01-2021 30-01-2021 0000281943843 SUYANTI P
198 00:00 10:07
233 031406020121P002 23-01-2021 30-01-2021 0000281954632 SUPRI ANDRE SAPUTRA L
199 00:00 10:12
234 031406020121P002 23-01-2021 30-01-2021 0000281955982 MISNANTO L
200 00:00 10:15
235 031406020121P002 23-01-2021 30-01-2021 0000281956206 SURANI P
201 00:00 10:17
236 031406020121P002 23-01-2021 30-01-2021 0000281956274 IHSANNUL HAMDI L
203 00:00 10:56
237 031406020121P002 23-01-2021 30-01-2021 0000281980361 YOPI ADRI L
204 00:00 11:01
238 031406020121P002 23-01-2021 30-01-2021 0000281990024 ERI L
205 00:00 11:02
239 031406020121P002 23-01-2021 30-01-2021 0000282030276 SUPARDI L
206 00:00 11:08

PBI (APBN) Allergy, unspecified Berobat Jalan
PBI (APBN) Headache Berobat Jalan

unspecified

PBI (APBD) Influenza, virus not identified Berobat Jalan
PBI (APBN) Influenza, virus not identified Berobat Jalan

240 031406020121P002 23-01-2021 30-01-2021 0000282035013 SAIpUL AMRI L
207 00:00 11:09
241 031406020121P002 23-01-2021 30-01-2021 0000282036172 DIA P
208 00:00 11:10
242 031406020121P001 23-01-2021 23-01-2021 0000282047275 AYU SRI LESTARI P
763 00:00 09:18
243 031406020121P002 23-01-2021 30-01-2021 0000282063082 ROSMAINI P
209 00:00 11:11
244 031406020121P002 23-01-2021 30-01-2021 0000282069584 YULIA AFNI P
210 00:00 11:13
245 031406020121P002 23-01-2021 30-01-2021 0000282073285 HALOMOAN L
211 00:00 11:14
246 031406020121P002 23-01-2021 30-01-2021 0000282099161 MARYANI P
212 00:00 11:15
247 031406020121P002 23-01-2021 30-01-2021 0000282145318 SUMI P
213 00:00 11:16
248 031406020121P002 23-01-2021 30-01-2021 0000282160631 SUPIYEM P
214 00:00 11:17
249 031406020121P002 23-01-2021 30-01-2021 0000282160945 NOFRIANDI L
215 00:00 11:19
250 031406020121P002 23-01-2021 30-01-2021 0000282175694 SARIANA P
216 00:00 11:20
251 031406020121P002 23-01-2021 30-01-2021 0000282218095 MULYANI P
217 00:00 11:22
252 031406020121P002 23-01-2021 30-01-2021 0000282232146 IKHSANDRA SIDIQ L
218 00:00 11:23
253 031406020121P002 23-01-2021 30-01-2021 0000282363849 M SALDI L
219 00:00 11:25
254 031406020121P002 23-01-2021 30-01-2021 0000282441802 watma wati P
220 00:00 11:26
255 031406020121P002 23-01-2021 30-01-2021 0000282466934 HELPIYA YENTI P
221 00:00 11:27
256 031406020121P002 23-01-2021 30-01-2021 0000282703689 TUTINAH P
222 00:00 11:29
257 031406020121P002 23-01-2021 30-01-2021 0000282703959 PITRI P
223 00:00 11:30
258 031406020121P002 23-01-2021 30-01-2021 0000282763326 ROSMANIDAR P
224 00:00 11:31
PBI (APBN) Necrosis of pulp Rujuk Vertikal



259 031406020121P002 23-01-2021 30-01-2021 0000283016204 JAMA'AN L
225 00:00 11:33
260 031406020121P001 23-01-2021 23-01-2021 0000283026104 ELVI YANTI P
786 00:00 14:02
261 031406020121P002 23-01-2021 30-01-2021 0000283121785 NOLA MARITA P
226 00:00 11:34
262 031406020121P002 23-01-2021 30-01-2021 0000283209581 NELVA YENTI P
227 00:00 11:36
263 031406020121P002 23-01-2021 30-01-2021 0000283534211 IRAWATI P
228 00:00 11:38
264 031406020121P002 23-01-2021 30-01-2021 0000987270737 ILA SARTIKA SARI P
229 00:00 11:39
265 031406020121P002 23-01-2021 30-01-2021 0000987272763 ALRASID SYADIQIN L
230 00:00 11:40
266 031406020121P002 23-01-2021 30-01-2021 0000987272774 diza nurhalifa P
231 00:00 11:42
267 031406020121P002 23-01-2021 30-01-2021 0000987274078 gusti nova P
232 00:00 11:43
268 031406020121P002 23-01-2021 30-01-2021 0000987281267 RINDU FADILA P
233 00:00 11:45
269 031406020121P002 23-01-2021 30-01-2021 0000987284136 RAMAI YETI P
234 00:00 11:46
270 031406020121P002 23-01-2021 30-01-2021 0000987285161 SUPATMI P
235 00:00 11:48
271 031406020121P001 23-01-2021 25-01-2021 0001311669145 JUFRI DT BANDARO SATI L
821 00:00 10:22
272 031406020121P002 23-01-2021 30-01-2021 0001444692598 NEVI SUHARNI P
163 00:00 09:05
273 031406020121P001 23-01-2021 23-01-2021 0001450005456 SENO L
770 00:00 10:02
274 031406020121P002 23-01-2021 30-01-2021 0001494911553 PONIDI L
160 00:00 08:58
275 031406020121P002 23-01-2021 30-01-2021 0001494919315 RUSLI L
159 00:00 08:57
276 031406020121P002 23-01-2021 02-02-2021 0001495090001 M. Yusuf L
324 00:00 16:51
277 031406020121P001 23-01-2021 25-01-2021 0001821584248 ROSLI L
824 00:00 10:34

unspecified

PEKERJA MANDIRI Other arthrosis Berobat Jalan
PEKERJA MANDIRI Acute abdomen Berobat Jalan
PEGAWAI SWASTA Inguinal hernia Sembuh

278 031406020121P002 23-01-2021 30-01-2021 0001835556985 ROBERTUS B. PRACOYO L
169 00:00 09:12
279 031406020121P001 23-01-2021 23-01-2021 0001835557323 CHIONIA ANDINI P
784 00:00 11:03
280 031406020121P002 23-01-2021 30-01-2021 0001888367062 AMRIZAL L
166 00:00 09:10
281 031406020121P002 23-01-2021 30-01-2021 0001897833598 ASNAN L
168 00:00 09:11
282 031406020121P002 23-01-2021 30-01-2021 0002034713384 NGADIYONO L
236 00:00 11:49
283 031406020121P002 23-01-2021 30-01-2021 0002056356224 ERMA DEWI P
237 00:00 12:02
284 031406020121P001 23-01-2021 23-01-2021 0002276590779 ELI MURNI P
762 00:00 09:14
285 031406020121P001 23-01-2021 23-01-2021 0002425105563 MARJINEM P
764 00:00 09:36
286 031406020121P002 23-01-2021 30-01-2021 0002610805285 ADE ALFIANTARA L
165 00:00 09:09
287 031406020121P001 23-01-2021 23-01-2021 0002899387449 JUWARNI P
783 00:00 10:59
288 031406020121P001 23-01-2021 23-01-2021 0002900516905 BUYUNG ADANG L
775 00:00 10:38
289 031406020121P001 23-01-2021 23-01-2021 0003062952371 SELVI ALNI PUTRI P
776 00:00 10:44
290 031406020121P002 22-01-2021 27-01-2021 0000018819066 ERMAWATI P
015 00:00 10:31
291 031406020121P002 22-01-2021 27-01-2021 0000018819077 BOD. D. AMRO L
018 00:00 10:33
292 031406020121P002 22-01-2021 27-01-2021 0000018819088 KHAIRA AULIA PUTRI P
017 00:00 10:32
293 031406020121P002 22-01-2021 27-01-2021 0000018819099 MULYA DWI ANDINI P
016 00:00 10:32
294 031406020121P002 22-01-2021 27-01-2021 0000281891643 YURNALIS P
009 00:00 10:26
295 031406020121P001 22-01-2021 22-01-2021 0000282194842 SITI FATIMAH P
614 00:00 08:59
296 031406020121P001 22-01-2021 22-01-2021 0001331235909 ELVI SUSANTI P
662 00:00 09:22
PEGAWAI SWASTA Low vision, both eyes Rujuk Vertikal
PEGAWAI SWASTA Allergy, unspecified Berobat Jalan
PEKERJA MANDIRI Disorder of refraction, Rujuk Vertikal Hipertensi

unspecified
PBI (APBD) Psoriasis, unspecified Rujuk Vertikal
PNS DAERAH Acute upper respiratory Berobat Jalan

PNS DAERAH Vertigo of central origin Berobat Jalan
PBI (APBN) Tinnitus Rujuk Vertikal
PBI (APBD) Antenatal screening, Rujuk Vertikal

unspecified
297 031406020121P002 22-01-2021 27-01-2021 0001331586898 ROZANIWAR P
012 00:00 10:29
298 031406020121P002 22-01-2021 27-01-2021 0001333186582 YULIARNI P
010 00:00 10:26
299 031406020121P001 22-01-2021 23-01-2021 0001433688502 RATIFAH P
787 00:00 14:11
300 031406020121P001 22-01-2021 22-01-2021 0001444684432 SUSMIATI P
673 00:00 09:33
301 031406020121P001 22-01-2021 22-01-2021 0001494885622 Novran Aditya L
579 00:00 08:43
302 031406020121P002 22-01-2021 02-02-2021 0001494917627 RIANA. S P
325 00:00 17:04
031406020121P001 22-01-2021 22-01-2021
303 700 00:00 10:14 0001612234552 SIJON L
304 031406020121P002 22-01-2021 27-01-2021 0001615816225 AFRIADI L

005 00:00 10:24
305 0001681167543 RISFISKA L
031406020121P002 22-01-2021 27-01-2021
007 00:00 10:25
306 031406020121P002 22-01-2021 27-01-2021 0001681167554 MUHAMMAD RESTU RAHESYA L

006 00:00 10:24
307 031406020121P001 22-01-2021 24-01-2021 0001871753848 IBET JUMAIRA P
806 00:00 20:26
308 031406020121P001 22-01-2021 22-01-2021 0001900760275 JERMAWATI P
706 00:00 10:21
309 031406020121P002 22-01-2021 27-01-2021 0001969031845 ASMIRA OKTRISKA P
014 00:00 10:30
310 031406020121P002 22-01-2021 27-01-2021 0002235242002 MAYANI P
008 00:00 10:25
031406020121P001 22-01-2021 22-01-2021
677 00:00 09:45
311 0002282437899 DAHLIAS P
312 031406020121P001 22-01-2021 22-01-2021 0002431993083 SARWAN L

603 00:00 08:53
313 031406020121P002 22-01-2021 27-01-2021 0002744692288 SAMSILAS P
013 00:00 10:30
PBI (APBD) Dyspepsia Berobat Jalan

unspecified
PEGAWAI SWASTA Fibroadenosis of breast Rujuk Vertikal
PEGAWAI SWASTA Cellulitis, unspecified Rujuk Vertikal
PEGAWAI SWASTA Dyspepsia Sembuh
Atherosclerotic cardiovascular
PBI (APBD) disease, so described Rujuk Vertikal

PNS DAERAH Spontaneous vertex delivery Sembuh
PEKERJA MANDIRI Nonrheumatic mitral (valve) Rujuk Vertikal

stenosis
PBI (APBD) Gout Berobat Jalan
PEKERJA MANDIRI Asthma, unspecified Berobat Jalan
PEGAWAI Antenatal screening,

PEMERINTAH unspecified
DENGAN Rujuk Vertikal
PERJANJIAN KERJA
PEKERJA MANDIRI Pterygium Rujuk Vertikal
PEKERJA MANDIRI Cellulitis Berobat Jalan

314 031406020121P002 22-01-2021 27-01-2021 0002784458654 MARSEL DWI JAYA UTAMA L
011 00:00 10:27
315 031406020121P001 21-01-2021 21-01-2021 0000017480946 WHENDRY SAPUTRA L
525 00:00 08:40
316 031406020121P001 21-01-2021 22-01-2021 0000018781108 ZAINAR P
745 00:00 11:32
317 031406020121P001 21-01-2021 22-01-2021 0000018882178 ZAINAL ARIF L
681 00:00 09:53
318 031406020121P001 21-01-2021 22-01-2021 0000018888243 HUZAIMAR P
746 00:00 11:32
319 031406020121P001 21-01-2021 22-01-2021 0000018902823 ZULHISMA P
747 00:00 11:32
320 031406020121P001 21-01-2021 22-01-2021 0000024981952 HANANDA RIFQI BURHAN L
693 00:00 10:09
321 031406020121P002 21-01-2021 02-02-2021 0000232133804 TRI ERLISMAWATI P
337 00:00 21:53
322 031406020121P001 21-01-2021 22-01-2021 0000274994493 FATIMAH P
748 00:00 11:33
323 031406020121P001 21-01-2021 23-01-2021 0000280687689 PURMA WATI P
759 00:00 08:59
324 031406020121P001 21-01-2021 23-01-2021 0000280766373 RENI P
760 00:00 09:00
325 031406020121P001 21-01-2021 23-01-2021 0000280837585 Muhammad AZIZAN L
761 00:00 09:05
326 031406020121P001 21-01-2021 23-01-2021 0000280902352 YENA EFRIDA P
772 00:00 10:31
327 031406020121P001 21-01-2021 23-01-2021 0000280930296 ELI MARLINA P
771 00:00 10:21
328 031406020121P001 21-01-2021 22-01-2021 0000280939803 MASRIL L
704 00:00 10:20
329 031406020121P001 21-01-2021 23-01-2021 0000280948421 YANIK P
773 00:00 10:32
031406020121P002 21-01-2021 01-02-2021
330 303 00:00 19:28 0000281076963 SOLEH L
331 031406020121P001 21-01-2021 23-01-2021 0000281093084 MURNIATI P

774 00:00 10:34
332 031406020121P001 21-01-2021 23-01-2021 0000281589322 ELI P
777 00:00 10:47
PEKERJA MANDIRI Other cardiac arrhythmias Rujuk Vertikal Hipertensi Hipertensi
PNS DAERAH Gastritis, unspecified Berobat Jalan
PNS DAERAH Allergy, unspecified Berobat Jalan
PNS DAERAH Low back pain Berobat Jalan


unspecified

PBI (APBD) Atopic dermatitis Berobat Jalan

Other symptoms and signs

PBI (APBN) involving cognitive functions and Berobat Jalan
awareness
333 031406020121P001 21-01-2021 23-01-2021 0000281627829 TUTI P
778 00:00 10:49
334 031406020121P001 21-01-2021 23-01-2021 0000281727483 MARNI P
779 00:00 10:50
335 031406020121P001 21-01-2021 22-01-2021 0000281732523 SAMSINAR P
705 00:00 10:21
336 031406020121P001 21-01-2021 23-01-2021 0000281739824 FAUZI AZIZI L
780 00:00 10:52
337 031406020121P001 21-01-2021 23-01-2021 0000281794612 HENDRI L
781 00:00 10:54
338 031406020121P001 21-01-2021 23-01-2021 0000281794803 pitri P
782 00:00 10:56
339 0000281795185 AMRIZAL L
031406020121P001 21-01-2021 21-01-2021
541 00:00 10:12
340 031406020121P001 21-01-2021 24-01-2021 0000281807267 WALIA DINI P

788 00:00 16:07
341 031406020121P001 21-01-2021 23-01-2021 0000281817292 SAFRI L
765 00:00 09:42
342 031406020121P001 21-01-2021 24-01-2021 0000281860839 NURISAM P
789 00:00 16:08
343 031406020121P001 21-01-2021 24-01-2021 0000281863359 YETTI MULIYANI P
790 00:00 16:12
344 031406020121P001 21-01-2021 24-01-2021 0000281875149 JUWARIYAH L
791 00:00 16:14
345 031406020121P001 21-01-2021 24-01-2021 0000281908618 BARINGIN L
792 00:00 16:16
346 031406020121P001 21-01-2021 24-01-2021 0000281917811 JUARNI P
793 00:00 16:22
347 031406020121P001 21-01-2021 24-01-2021 0000281982633 MUJI L
794 00:00 16:26
348 031406020121P001 21-01-2021 24-01-2021 0000282029242 M. RIDHO SOBRIAN L
795 00:00 16:28
349 031406020121P001 21-01-2021 24-01-2021 0000282044079 RIDAYATI P
796 00:00 16:31
350 031406020121P001 21-01-2021 24-01-2021 0000282046241 IWIT MAWATI P
797 00:00 16:42
351 031406020121P001 21-01-2021 22-01-2021 0000282077403 IRIS DEWITA P
690 00:00 10:07
PBI (APBN) Chronic obstructive pulmonary Rujuk Vertikal

disease with acute
PBI (APBN) Bronchitis, not specified as Berobat Jalan

acute or chronic

352 031406020121P001 21-01-2021 23-01-2021 0000282117543 TATI P
766 00:00 09:44
353 031406020121P001 21-01-2021 26-01-2021 0000282183614 SURATMAN L
836 00:00 08:40
354 031406020121P001 21-01-2021 26-01-2021 0000282218264 SUGIYATI P
837 00:00 08:42
355 031406020121P001 21-01-2021 26-01-2021 0000282451871 MUJIATI P
906 00:00 10:50
356 031406020121P001 21-01-2021 26-01-2021 0000282552603 LIMA P
910 00:00 14:15
357 031406020121P001 21-01-2021 26-01-2021 0000282627382 NELVA P
838 00:00 08:57
358 031406020121P001 21-01-2021 26-01-2021 0000282638081 YURNIDA P
911 00:00 14:19
359 031406020121P001 21-01-2021 26-01-2021 0000282640476 NURYENTI P
912 00:00 14:30
360 031406020121P001 21-01-2021 26-01-2021 0000282795581 ROBI KURNIAWAN L
913 00:00 14:46
361 031406020121P001 21-01-2021 26-01-2021 0000282814727 SUPRAPTO L
914 00:00 14:55
362 031406020121P001 21-01-2021 26-01-2021 0000282857365 IYUR P
915 00:00 14:59
363 031406020121P002 21-01-2021 28-01-2021 0000282862078 DARMADI L
027 00:00 07:54
364 031406020121P001 21-01-2021 27-01-2021 0000282975186 NOFRIADI L
956 00:00 09:13
365 031406020121P001 21-01-2021 27-01-2021 0000282975401 upik kacik P
960 00:00 09:15
366 031406020121P001 21-01-2021 22-01-2021 0000283002219 DENIL ADITIA PRATAMA L
697 00:00 10:12
367 031406020121P001 21-01-2021 23-01-2021 0000283026104 ELVI YANTI P
785 00:00 13:58
368 031406020121P001 21-01-2021 27-01-2021 0000283027228 umar L
961 00:00 09:19
369 031406020121P002 21-01-2021 02-02-2021 0000283073769 SARINA P
318 00:00 16:02
370 031406020121P001 21-01-2021 27-01-2021 0000283097452 NELSYA P
966 00:00 09:21
PEGAWAI SWASTA Fever, unspecified Berobat Jalan


unspecified
PBI (APBN) Contraceptive management Berobat Jalan

371 031406020121P002 21-01-2021 28-01-2021 0000758011015 USWATUN P
028 00:00 07:56
372 031406020121P002 21-01-2021 28-01-2021 0000976498187 SITI P
029 00:00 07:57
373 031406020121P002 21-01-2021 28-01-2021 0000977687021 B.P AL AMIN L
030 00:00 07:58
374 031406020121P002 21-01-2021 28-01-2021 0000987268059 PONIJO L
031 00:00 08:00
375 031406020121P001 21-01-2021 23-01-2021 0000987274214 SUKARDI L
767 00:00 09:45
376 031406020121P002 21-01-2021 29-01-2021 0000987274473 KAYAH P
124 00:00 15:37
377 031406020121P001 21-01-2021 22-01-2021 0000987279388 PONIDI L
728 00:00 11:14
378 031406020121P002 21-01-2021 28-01-2021 0000987281932 TONI L
050 00:00 18:05
379 031406020121P001 21-01-2021 22-01-2021 0000987285947 SARI BAINI P
686 00:00 10:00
380 031406020121P002 21-01-2021 29-01-2021 0001085376622 ELI ERNAWATI P
125 00:00 19:57
381 031406020121P002 21-01-2021 29-01-2021 0001138076076 AMRI T L
126 00:00 19:59
382 031406020121P002 21-01-2021 29-01-2021 0001153462814 TURIJA L
127 00:00 20:01
383 031406020121P002 21-01-2021 29-01-2021 0001186147394 SARMINEM P
128 00:00 20:06
384 031406020121P002 21-01-2021 29-01-2021 0001195669372 rahmi sari dewi P
129 00:00 20:09
385 031406020121P002 21-01-2021 29-01-2021 0001305605981 henrikus tri kanza zai L
130 00:00 20:12
386 031406020121P001 21-01-2021 21-01-2021 0001308804434 SUENDRIROHAYATI P
542 00:00 11:08
387 031406020121P002 21-01-2021 29-01-2021 0001422530199 AHMAD MISDIONO L
132 00:00 20:30
388 031406020121P001 21-01-2021 23-01-2021 0001424673044 NEWAR P
768 00:00 09:46
389 031406020121P002 21-01-2021 29-01-2021 0001427715371 SEPTARIA YUSMAR P
133 00:00 20:34
PNS DAERAH Influenza, virus not identified Berobat Jalan

acute or chronic
PBI (APBN) Other dermatitis Berobat Jalan Hipertensi


PEKERJA MANDIRI Myalgia Berobat Jalan Hipertensi
PBI (APBN) Epilepsy Rujuk Vertikal

390 031406020121P002 21-01-2021 29-01-2021 0001444684432 SUSMIATI P
134 00:00 20:36
391 031406020121P002 21-01-2021 29-01-2021 0001448648763 PARIDA WATI P
135 00:00 20:44
392 031406020121P002 21-01-2021 29-01-2021 0001482632829 ENGGA TRISYOVER L
136 00:00 20:53
393 031406020121P002 21-01-2021 30-01-2021 0001494877994 SITI FATIMAH P
162 00:00 09:05
394 031406020121P002 21-01-2021 29-01-2021 0001494883269 Legiati P
137 00:00 21:03
395 031406020121P002 21-01-2021 30-01-2021 0001494883282 Dila Alma Sifa Aini P
164 00:00 09:08
396 031406020121P002 21-01-2021 30-01-2021 0001494886498 SUNARNI P
167 00:00 09:10
397 031406020121P002 21-01-2021 30-01-2021 0001494886904 EKA KURNIAWAN L
195 00:00 10:00
398 031406020121P002 21-01-2021 30-01-2021 0001494914602 TATAK L
171 00:00 09:13
399 031406020121P001 21-01-2021 22-01-2021 0001494917019 ANDI SARWONO L
688 00:00 10:05
400 031406020121P002 21-01-2021 30-01-2021 0001494944583 YUNIA P
176 00:00 09:15
401 031406020121P002 21-01-2021 30-01-2021 0001494945246 SITI SUSANTI P
178 00:00 09:17
402 031406020121P002 21-01-2021 30-01-2021 0001494945617 ANISI P
179 00:00 09:19
403 031406020121P002 21-01-2021 30-01-2021 0001494981494 SITI FATIMAH P
180 00:00 09:22
404 031406020121P002 21-01-2021 30-01-2021 0001495102498 WARI P
182 00:00 09:24
405 031406020121P002 21-01-2021 30-01-2021 0001495143505 NUR HAYATI P
183 00:00 09:26
031406020121P002 21-01-2021 30-01-2021
406 184 00:00 09:28 0001498446988 NURHAYATI P
031406020121P001 21-01-2021 21-01-2021

407 526 00:00 08:46 0001498455999 KARTINI P
408 031406020121P001 21-01-2021 22-01-2021 0001604304101 NINGSIH P

680 00:00 09:53

PENERIMA PENSIUN
SWASTA Gastritis, unspecified Berobat Jalan
PENERIMA PENSIUN Hypertensive heart disease

SWASTA Rujuk Vertikal

409 031406020121P001 21-01-2021 22-01-2021 0001604304112 REVAL SAPUTRA L
679 00:00 09:51
410 031406020121P002 21-01-2021 30-01-2021 0001612237983 BINTANG ANGGORO L
185 00:00 09:31
411 031406020121P002 21-01-2021 30-01-2021 0001615816776 DARNI P
186 00:00 09:34
412 031406020121P002 21-01-2021 30-01-2021 0001615817788 MAIDA ELFIA L
187 00:00 09:37
413 031406020121P002 21-01-2021 29-01-2021 0001615818115 Nahar L
142 00:00 21:31
414 031406020121P001 21-01-2021 22-01-2021 0001681167328 NORI MORO MITSUBISHITO L
719 00:00 11:10
415 031406020121P002 21-01-2021 29-01-2021 0001682890536 MUK'IN L
143 00:00 21:35
416 031406020121P001 21-01-2021 22-01-2021 0001684403188 JULIANA ASNI P
720 00:00 11:11
417 031406020121P002 21-01-2021 30-01-2021 0001684403368 Septiza Rabbi P
188 00:00 09:39
418 031406020121P002 21-01-2021 30-01-2021 0001808569899 RIPALDO L
189 00:00 09:41
031406020121P001 21-01-2021 22-01-2021
419 698 00:00 10:13 0001810879626 SUIRAH P
420 031406020121P001 21-01-2021 21-01-2021 0001812251597 YURNALIS P

523 00:00 08:36
421 031406020121P002 21-01-2021 30-01-2021 0001820147668 SARIMANIH P
190 00:00 09:44
422 031406020121P002 21-01-2021 30-01-2021 0001830560837 SULISTIONO L
191 00:00 09:46
423 031406020121P001 21-01-2021 22-01-2021 0001831690124 syafrial L
721 00:00 11:11
031406020121P002 21-01-2021 30-01-2021
424 192 00:00 09:48 0001833380065 NURHAYATI P
425 031406020121P001 21-01-2021 22-01-2021 0001856690875 PANGGIK SATRIO L

722 00:00 11:12
426 031406020121P001 21-01-2021 22-01-2021 0001856842817 KASDI L
683 00:00 09:58
427 031406020121P002 21-01-2021 30-01-2021 0001865411122 Sarniti P
193 00:00 09:49

PBI (APBD) Low back pain Berobat Jalan

PENERIMA PENSIUN
SWASTA Myalgia Berobat Jalan
PNS DAERAH Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi
PEKERJA MANDIRI Diabetes Mellitus Diabetes Mellitus

Gastritis, unspecified Berobat Jalan Hipertensi

428 031406020121P001 21-01-2021 24-01-2021 0001868801613 META PUTRI AMDANI P
798 00:00 17:00
429 031406020121P002 21-01-2021 30-01-2021 0001878189085 FADHLI ALHABIBI L
194 00:00 09:58
430 031406020121P001 21-01-2021 22-01-2021 0001880093777 JUARI L
684 00:00 09:58
431 031406020121P001 21-01-2021 21-01-2021 0001880094071 SITI MAYMUNAH P
540 00:00 10:10
432 031406020121P002 21-01-2021 29-01-2021 0001904056918 MEIHERSA AKMA P
131 00:00 20:23
433 031406020121P002 21-01-2021 29-01-2021 0001909519795 ZASKIA dwi rahmi P
138 00:00 21:09
434 031406020121P002 21-01-2021 29-01-2021 0001963251009 febrianis P
139 00:00 21:16
435 031406020121P002 21-01-2021 29-01-2021 0001965856061 ISMAIL L
140 00:00 21:23
436 031406020121P001 21-01-2021 22-01-2021 0001967990523 MARDIS L
724 00:00 11:12
437 031406020121P001 21-01-2021 22-01-2021 0001968279939 ROSMIDA P
725 00:00 11:13
438 031406020121P001 21-01-2021 22-01-2021 0001969017671 SARI GANTI P
727 00:00 11:13
439 031406020121P002 21-01-2021 29-01-2021 0001969020843 SARIAMAN L
141 00:00 21:27
440 031406020121P001 21-01-2021 22-01-2021 0002041391621 AFRIJON L
694 00:00 10:10
441 031406020121P002 21-01-2021 28-01-2021 0002049219911 SAWAL L
048 00:00 17:46
031406020121P002 21-01-2021 28-01-2021
049 00:00 17:53
442 0002053997177 JASMANETTI P
031406020121P002 21-01-2021 28-01-2021

045 00:00 17:31
443 0002054000979 NEVI RIVIONY P
444 031406020121P001 21-01-2021 22-01-2021 0002061424269 PUTRI P

711 00:00 11:04
PEGAWAI SWASTA Pre-eclampsia, unspecified Rujuk Vertikal
PEKERJA MANDIRI Low back pain Berobat Jalan

PEKERJA MANDIRI Fever, unspecified Berobat Jalan Hipertensi Hipertensi
PEGAWAI
PEMERINTAH
DENGAN Gastritis, unspecified Berobat Jalan
PERJANJIAN KERJA
PEGAWAI
PEMERINTAH
DENGAN Fever, unspecified Berobat Jalan
PERJANJIAN KERJA

445 031406020121P001 21-01-2021 22-01-2021 0002063094164 SYAMSINAR P
712 00:00 11:05
446 031406020121P002 21-01-2021 28-01-2021 0002072939771 WIRDAWATI P
046 00:00 17:40
447 031406020121P001 21-01-2021 22-01-2021 0002079490353 DELIARNI P
713 00:00 11:05
448 031406020121P001 21-01-2021 22-01-2021 0002202116038 TUTIK NARWATI P
701 00:00 10:15
449 031406020121P001 21-01-2021 22-01-2021 0002218610902 HERMANTO L
714 00:00 11:06
450 031406020121P001 21-01-2021 22-01-2021 0002218612454 TIRAUWANA P
715 00:00 11:06
451 031406020121P001 21-01-2021 22-01-2021 0002219922562 AMI P
716 00:00 11:07
452 031406020121P001 21-01-2021 22-01-2021 0002228895617 IKHSAN NULHAKIM L
717 00:00 11:08
453 031406020121P001 21-01-2021 22-01-2021 0002228895808 ENI SUSANTI P
718 00:00 11:10
454 031406020121P001 21-01-2021 22-01-2021 0002276590779 ELI MURNI P
678 00:00 09:47
455 031406020121P001 21-01-2021 22-01-2021 0002290581922 YENITA P
695 00:00 10:11
456 031406020121P002 21-01-2021 28-01-2021 0002429289279 WIKARSA L
047 00:00 17:43
457 031406020121P001 21-01-2021 22-01-2021 0002434888348 SITI PARIDATUN P
702 00:00 10:18
458 031406020121P001 21-01-2021 22-01-2021 0002466173081 NURBAITI P
703 00:00 10:19
459 031406020121P001 21-01-2021 22-01-2021 0002756200566 YULIANA KARMINI P
685 00:00 09:59
460 031406020121P001 21-01-2021 22-01-2021 0002770335314 AIDIL PEBRIYANTO L
699 00:00 10:14
461 031406020121P001 21-01-2021 22-01-2021 0002770335707 ADE GUSDIAWAN L
689 00:00 10:06
031406020121P001 21-01-2021 21-01-2021
462 543 00:00 11:14 0002784450699 RUKATI P
PEKERJA MANDIRI Pain, not elsewhere classified Berobat Jalan
PBI (APBD) Contraceptive management Berobat Jalan
PBI (APBD) Vertigo of central origin Berobat Jalan
PEKERJA MANDIRI Abdominal and pelvic pain Berobat Jalan
PEKERJA MANDIRI Nausea and vomiting Berobat Jalan
PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan Hipertensi

unspecified
PEKERJA MANDIRI Dental caries Berobat Jalan

unspecified
Abnormal uterine and vaginal
PBI (APBN) bleeding, unspecified Rujuk Vertikal
031406020121P001 21-01-2021 22-01-2021
682 00:00 09:57
463 0002917109294 TRI NANDA RAHMADANI P
464 031406020121P001 21-01-2021 22-01-2021 0002930445123 ALFATIH SANDIKA MUSLIM L

692 00:00 10:08
465 031406020121P001 20-01-2021 26-01-2021 0000018847091 ALI APITAR L
884 00:00 10:09
466 031406020121P001 20-01-2021 22-01-2021 0000018867971 ZAINAB P
619 00:00 09:00
467 031406020121P001 20-01-2021 26-01-2021 0000018888232 ASMEN SUHADI L
885 00:00 10:09
468 031406020121P001 20-01-2021 20-01-2021 0000149546439 YOLLY SATYA L
445 00:00 09:12
469 031406020121P001 20-01-2021 26-01-2021 0000203279916 TASYA SALSABILLA GUNAWAN P
886 00:00 10:10
470 031406020121P001 20-01-2021 26-01-2021 0000280734052 SATIMIN L
887 00:00 10:12
471 031406020121P001 20-01-2021 26-01-2021 0000280873675 NURAI P
888 00:00 10:13
472 031406020121P001 20-01-2021 22-01-2021 0000280902352 YENA EFRIDA P
674 00:00 09:34
473 031406020121P001 20-01-2021 26-01-2021 0000281017934 NURANI P
889 00:00 10:13
474 031406020121P001 20-01-2021 22-01-2021 0000281155364 MISNAR P
572 00:00 08:40
475 031406020121P001 20-01-2021 22-01-2021 0000281156747 RIVA ANDRIANI P
574 00:00 08:41
476 031406020121P001 20-01-2021 22-01-2021 0000281458686 YUSMANIDAR P
595 00:00 08:49
477 031406020121P001 20-01-2021 26-01-2021 0000281602631 RIFKI ABDILLAH AL AFIF L
890 00:00 10:15
478 031406020121P001 20-01-2021 26-01-2021 0000281626143 SUMARNO L
891 00:00 10:16
479 031406020121P001 20-01-2021 26-01-2021 0000281696703 MERNA RISWANTI P
892 00:00 10:17
480 031406020121P001 20-01-2021 26-01-2021 0000281729867 BAYU SAGARA L
873 00:00 09:55
PEGAWAI
PEMERINTAH
DENGAN Headache Berobat Jalan
PERJANJIAN KERJA
PNS DAERAH Other rheumatoid arthritis Berobat Jalan
PNS DAERAH Pulpitis Rujuk Vertikal
PBI (APBD) Dental caries Berobat Jalan

481 031406020121P001 20-01-2021 26-01-2021 0000281733895 SUWARTI P
874 00:00 09:56
031406020121P001 20-01-2021 26-01-2021
482 875 00:00 09:57 0000281747722 KADINEM P
483 031406020121P001 20-01-2021 26-01-2021 0000281753493 EKA SAFITRI P

876 00:00 10:01
031406020121P001 20-01-2021 26-01-2021
484 877 00:00 10:02 0000281755091 HERI SUWANTI P
031406020121P001 20-01-2021 26-01-2021

485 879 00:00 10:04 0000281797064 SUDARSIH P
486 031406020121P001 20-01-2021 26-01-2021 0000281831681 HANI KURNIA WATI P

880 00:00 10:05
487 031406020121P001 20-01-2021 26-01-2021 0000281846485 ARNA DEWITA P
881 00:00 10:06
488 031406020121P001 20-01-2021 26-01-2021 0000281877039 SIYAM P
882 00:00 10:07
489 031406020121P001 20-01-2021 26-01-2021 0000281878119 SURIYA P
883 00:00 10:08
490 031406020121P001 20-01-2021 26-01-2021 0000281953001 LUSI SUSANTI P
902 00:00 10:26
491 031406020121P001 20-01-2021 22-01-2021 0000281971348 SAMSIR L
559 00:00 08:33
492 031406020121P001 20-01-2021 22-01-2021 0000281971438 LIAM P
631 00:00 09:08
493 031406020121P001 20-01-2021 22-01-2021 0000281983454 RIA LASMAYENNI P
630 00:00 09:07
494 031406020121P001 20-01-2021 20-01-2021 0000282177922 AMAI P
460 00:00 10:20
495 031406020121P001 20-01-2021 20-01-2021 0000282202187 SISRI WAHYUNI P
426 00:00 08:37
496 031406020121P001 20-01-2021 26-01-2021 0000282226599 SUPANTI P
903 00:00 10:28
497 031406020121P001 20-01-2021 22-01-2021 0000282469781 darlis erly P
556 00:00 08:29
498 031406020121P001 20-01-2021 20-01-2021 0000282533196 GADIH ONA P
463 00:00 10:28
Noninflammatory disorder of
PBI (APBN) vagina, unspecified Berobat Jalan
PEGAWAI SWASTA Noninflammatory disorder of

vagina, unspecified Berobat Jalan
PEGAWAI SWASTA Spontaneous abortion Rujuk Vertikal

499 031406020121P001 20-01-2021 22-01-2021 0000282536785 SINTA ZAHRI P
626 00:00 09:03
500 031406020121P001 20-01-2021 26-01-2021 0000282645393 NOVA RINA P
866 00:00 09:47
501 031406020121P001 20-01-2021 20-01-2021 0000282654303 MARIANA P
406 00:00 08:10
031406020121P001 20-01-2021 26-01-2021
502 867 00:00 09:48 0000282703959 PITRI P
503 031406020121P001 20-01-2021 26-01-2021 0000282704365 MARSYA AULIA PUTRI P

868 00:00 09:49
504 031406020121P001 20-01-2021 26-01-2021 0000282727618 ENDANG WAHYUNI P
869 00:00 09:50
505 031406020121P001 20-01-2021 26-01-2021 0000282820803 ENI ERNAWATI P
870 00:00 09:52
506 031406020121P001 20-01-2021 26-01-2021 0000282836856 RISKA HANDAYANI P
871 00:00 09:53
031406020121P001 20-01-2021 26-01-2021
507 872 00:00 09:54 0000282846655 SIYEM P
508 031406020121P001 20-01-2021 26-01-2021 0000283051754 SUPARJO L

856 00:00 09:30
031406020121P001 20-01-2021 26-01-2021
509 858 00:00 09:32 0000283051978 SUPRAPTI P
510 031406020121P001 20-01-2021 26-01-2021 0000283080352 candra putra L

859 00:00 09:35
511 031406020121P001 20-01-2021 26-01-2021 0000283100038 SUYATNO L
860 00:00 09:38
512 031406020121P001 20-01-2021 26-01-2021 0000283144059 NURANI P
861 00:00 09:39
513 031406020121P001 20-01-2021 20-01-2021 0000283236614 MUNIR L
462 00:00 10:26
514 031406020121P001 20-01-2021 22-01-2021 0000283238741 PUTRA ALADIN L
621 00:00 09:02
031406020121P001 20-01-2021 26-01-2021
515 862 00:00 09:42 0000283371388 SAMSIDAR P
516 031406020121P001 20-01-2021 20-01-2021 0001138076076 AMRI T L

461 00:00 10:23
PEKERJA MANDIRI Acute bronchitis, unspecified Berobat Jalan

517 031406020121P001 20-01-2021 22-01-2021 0001179415168 KARNIA ROSTIKA P
587 00:00 08:47
518 031406020121P001 20-01-2021 26-01-2021 0001263958795 INDAH PRATIWI P
863 00:00 09:43
519 031406020121P001 20-01-2021 20-01-2021 0001281615996 MAS PERI L
509 00:00 11:17
031406020121P001 20-01-2021 26-01-2021
520 864 00:00 09:44 0001332663917 SITI ADINAR P
521 031406020121P001 20-01-2021 26-01-2021 0001333854494 inel P

865 00:00 09:45
522 031406020121P001 20-01-2021 22-01-2021 0001444131178 TUMIRAN L
576 00:00 08:42
523 031406020121P001 20-01-2021 22-01-2021 0001444692543 ABU NASAR L
616 00:00 08:59
524 031406020121P001 20-01-2021 26-01-2021 0001448657695 FEBRISAN DONI L
845 00:00 09:05
525 031406020121P002 20-01-2021 02-02-2021 0001494876543 YANTO L
327 00:00 17:19
526 031406020121P001 20-01-2021 26-01-2021 0001494880042 NURHIDAYATI P
846 00:00 09:06
527 031406020121P001 20-01-2021 26-01-2021 0001494886026 LEFA SATIYEM P
848 00:00 09:09
528 031406020121P001 20-01-2021 22-01-2021 0001494912238 SUTINO L
557 00:00 08:30
529 031406020121P001 20-01-2021 26-01-2021 0001494913329 PONIRAH P
849 00:00 09:10
530 031406020121P001 20-01-2021 22-01-2021 0001494914422 ENDANG OKTAVIA P
675 00:00 09:36
531 031406020121P001 20-01-2021 22-01-2021 0001494959883 TARIYAH P
628 00:00 09:06
532 031406020121P001 20-01-2021 22-01-2021 0001495063247 NAZARUDIN MZ L
568 00:00 08:39
533 031406020121P001 20-01-2021 26-01-2021 0001498445583 ENMIS SUARTI P
850 00:00 09:11
534 031406020121P001 20-01-2021 26-01-2021 0001612231795 SIDI NAUMAR L
851 00:00 09:12
535 031406020121P001 20-01-2021 22-01-2021 0001612234686 ERLINDA YARNI P
637 00:00 09:12
PBI (APBD) Other rheumatoid arthritis Berobat Jalan
PEGAWAI SWASTA Hypertensive heart disease Rujuk Vertikal
PBI (APBD) vagina, unspecified Berobat Jalan
PBI (APBD) Allergy, unspecified Berobat Jalan
PEGAWAI SWASTA Acute bronchitis, unspecified Sembuh
PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan Hipertensi
PEGAWAI SWASTA Dental caries Berobat Jalan
PEGAWAI BUMN Dyspepsia Berobat Jalan Hipertensi Hipertensi

536 031406020121P001 20-01-2021 26-01-2021 0001612234697 ERLINNESTI P
852 00:00 09:13
537 031406020121P001 20-01-2021 26-01-2021 0001682890762 M. HAFIZH KAMIL L
853 00:00 09:13
538 031406020121P001 20-01-2021 26-01-2021 0001682990976 SUWIN L
855 00:00 09:20
539 031406020121P001 20-01-2021 22-01-2021 0001686536616 UPIK CHANIAGO L
552 00:00 08:26
540 031406020121P001 20-01-2021 22-01-2021 0001686536662 INDAH PERMATA SARI L
554 00:00 08:29
541 031406020121P001 20-01-2021 25-01-2021 0001815634361 SUTRISNO L
833 00:00 11:09
542 031406020121P001 20-01-2021 25-01-2021 0001821583675 AZIZAH P
834 00:00 11:11
543 031406020121P001 20-01-2021 25-01-2021 0001829584451 ASNI P
835 00:00 11:11
544 031406020121P001 20-01-2021 20-01-2021 0001844087949 FITRA DEWI P
447 00:00 09:23
545 031406020121P001 20-01-2021 22-01-2021 0001848936126 DAFFI KARHENIA L
591 00:00 08:48
546 031406020121P001 20-01-2021 22-01-2021 0001856842817 KASDI L
623 00:00 09:02
547 031406020121P001 20-01-2021 26-01-2021 0001883599288 YERNA PITMA P
839 00:00 08:59
548 031406020121P001 20-01-2021 26-01-2021 0001891477822 YULIA P
840 00:00 09:00
549 031406020121P001 20-01-2021 26-01-2021 0001898641743 ILEN P
841 00:00 09:01
550 031406020121P001 20-01-2021 26-01-2021 0002056358632 SIATI P
842 00:00 09:01
551 031406020121P001 20-01-2021 26-01-2021 0002087232827 BAWON L
844 00:00 09:04
552 031406020121P001 20-01-2021 22-01-2021 0002088518905 ANITA YUNIARTI P
737 00:00 11:21
553 031406020121P001 20-01-2021 22-01-2021 0002197117438 ANITA SARI P
738 00:00 11:21
031406020121P001 20-01-2021 22-01-2021
554 739 00:00 11:22 0002213154516 NIARTI P

unspecified
PEKERJA MANDIRI Influenza, virus not identified Berobat Jalan
PEKERJA MANDIRI Thyrotoxicosis [hyperthyroidism] Rujuk Vertikal
555 031406020121P001 20-01-2021 22-01-2021 0002225637854 NINGSIH P
578 00:00 08:43
556 031406020121P001 20-01-2021 27-01-2021 0002229692523 REY APRILIO ARKANO L
994 00:00 10:00
557 031406020121P001 20-01-2021 22-01-2021 0002234951403 ASMARITA P
740 00:00 11:23
031406020121P001 20-01-2021 27-01-2021
558 995 00:00 10:00 0002245505668 LASMANIAR P
559 031406020121P001 20-01-2021 22-01-2021 0002245506658 SUMIATI P

744 00:00 11:29
560 031406020121P001 20-01-2021 27-01-2021 0002255980803 NADA FADRIA SALSABILA P
997 00:00 10:11
561 031406020121P001 20-01-2021 25-01-2021 0002275633135 MALFIN ISHARA ALVITO L
807 00:00 08:28
562 031406020121P001 20-01-2021 25-01-2021 0002279045924 EKA WAHYUNINGSIH P
825 00:00 10:42
563 031406020121P001 20-01-2021 25-01-2021 0002285478988 JANUARI LASE L
830 00:00 11:01
564 031406020121P001 20-01-2021 27-01-2021 0002286534429 ROSMANIAR P
998 00:00 10:12
565 031406020121P001 20-01-2021 25-01-2021 0002287756293 CINDI AULIA P
831 00:00 11:06
566 031406020121P001 20-01-2021 25-01-2021 0002298207936 FADILLAH SUHAIMAH PUTRI P
832 00:00 11:07
567 031406020121P002 20-01-2021 27-01-2021 0002306213673 MUHAMMAD NUR L
000 00:00 10:12
568 031406020121P002 20-01-2021 27-01-2021 0002323837664 MARIATUN P
001 00:00 10:13
031406020121P001 20-01-2021 26-01-2021
569 904 00:00 10:29 0002419223128 SESDARMAWITA P
570 031406020121P002 20-01-2021 27-01-2021 0002426015676 TAMSI L

002 00:00 10:14
571 0002431363408 KARIYEM P
031406020121P001 20-01-2021 27-01-2021
982 00:00 09:45
572 031406020121P001 20-01-2021 22-01-2021 0002431993083 SARWAN L

730 00:00 11:15


PEKERJA MANDIRI Noninflammatory disorder of


PEKERJA MANDIRI

573 031406020121P001 20-01-2021 27-01-2021 0002437214692 ELVIA OKTA REZA P
983 00:00 09:46
574 031406020121P002 20-01-2021 27-01-2021 0002443607583 KATIYEM P
003 00:00 10:17
575 031406020121P001 20-01-2021 27-01-2021 0002445889285 JUMIRAN L
986 00:00 09:53
576 031406020121P001 20-01-2021 27-01-2021 0002448636063 YUSMAWATI P
987 00:00 09:54
577 031406020121P001 20-01-2021 27-01-2021 0002452254704 IBUS SALIM L
988 00:00 09:55
578 031406020121P001 20-01-2021 27-01-2021 0002458295829 A.SUTANTO L
989 00:00 09:56
579 031406020121P001 20-01-2021 22-01-2021 0002462309482 IBNU SUKOCO L
731 00:00 11:15
580 031406020121P001 20-01-2021 27-01-2021 0002472639568 MARSEL AFRIADI L
990 00:00 09:56
581 031406020121P001 20-01-2021 27-01-2021 0002476729888 darmaliah P
991 00:00 09:57
582 031406020121P001 20-01-2021 27-01-2021 0002499674883 SUPIYAN L
993 00:00 09:59
583 031406020121P001 20-01-2021 27-01-2021 0002499675219 DASMA P
970 00:00 09:23
584 031406020121P001 20-01-2021 27-01-2021 0002583251155 NIKI ISNA MAYU P
972 00:00 09:30
585 031406020121P001 20-01-2021 27-01-2021 0002583498982 REVALIA MARISA P
973 00:00 09:31
586 031406020121P001 20-01-2021 27-01-2021 0002590930271 RIFAN SUHENDRA L
975 00:00 09:38
587 031406020121P001 20-01-2021 27-01-2021 0002614147907 SARINEM L
976 00:00 09:39
588 031406020121P001 20-01-2021 20-01-2021 0002615463268 JENOR L
452 00:00 10:03
589 031406020121P001 20-01-2021 27-01-2021 0002615549128 HASMANIAR P
978 00:00 09:41
590 0002634905777 PITALOKA LESTARI P
031406020121P001 20-01-2021 27-01-2021
979 00:00 09:42
591 031406020121P001 20-01-2021 27-01-2021 0002638817379 YUSNIMAR P

980 00:00 09:42
PEKERJA MANDIRI Other rheumatoid arthritis Berobat Jalan
PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi

PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan Hipertensi

PBI (APBN) Low vision, both eyes Berobat Jalan

592 031406020121P001 20-01-2021 27-01-2021 0002640231832 RYNA ADELYA P
981 00:00 09:43
031406020121P001 20-01-2021 27-01-2021
593 919 00:00 08:33 0002741637633 SUMIJAH P
594 031406020121P001 20-01-2021 27-01-2021 0002744692288 SAMSILAS P

921 00:00 08:36
031406020121P001 20-01-2021 27-01-2021
595 964 00:00 09:21 0002746119835 SUPRAPTI P
596 031406020121P001 20-01-2021 20-01-2021 0002755489869 SITI AISYAH P

446 00:00 09:18
597 031406020121P001 20-01-2021 27-01-2021 0002758026227 TIFA AULIA MELATI L
924 00:00 08:39
598 031406020121P001 20-01-2021 22-01-2021 0002760426303 AIKO PRATAMA BASRI L
732 00:00 11:16
599 031406020121P001 20-01-2021 27-01-2021 0002772043029 SUBANG BAGELANG P
926 00:00 08:40
600 031406020121P001 20-01-2021 27-01-2021 0002773632982 GIBRAN AL FARUQ L
931 00:00 08:45
601 031406020121P001 20-01-2021 27-01-2021 0002784457337 RAMAINI P
934 00:00 08:46
031406020121P001 20-01-2021 27-01-2021
602 968 00:00 09:22 0002832042655 KERISAH P
603 031406020121P001 20-01-2021 26-01-2021 0002883319942 DARMINI P

895 00:00 10:19
604 031406020121P001 20-01-2021 22-01-2021 0002884264121 NGADIPAN L
733 00:00 11:18
605 031406020121P001 20-01-2021 22-01-2021 0002884308671 FATMAWATI P
735 00:00 11:19
031406020121P001 20-01-2021 26-01-2021
606 896 00:00 10:20 0002897039801 RANYAM P
607 031406020121P001 20-01-2021 26-01-2021 0002897067251 HAFIZATUS SHAUMI P

897 00:00 10:22
608 031406020121P001 20-01-2021 22-01-2021 0002915356678 WAGIMAN L
736 00:00 11:20
609 031406020121P001 20-01-2021 26-01-2021 0002937173771 BAYI NYONYA ERINAWATI P
899 00:00 10:23



PEKERJA MANDIRI Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi

unspecified


610 031406020121P001 20-01-2021 26-01-2021 0002937797234 DALUWIS L
901 00:00 10:25
611 031406020121P001 20-01-2021 22-01-2021 0003050023961 KHAIRA ZHAKIYYA MAYZA P
676 00:00 09:37
612 0003062702428 ASNAL L
031406020121P002 20-01-2021 01-02-2021
302 00:00 19:25
613 031406020121P001 19-01-2021 22-01-2021 0000018873527 ROHMAD L

663 00:00 09:22
614 031406020121P001 19-01-2021 22-01-2021 0000163087571 DASNIMAR P
672 00:00 09:29
615 031406020121P002 19-01-2021 31-01-2021 0000281006188 SULMAINI P
291 00:00 13:35
616 0000281567542 KARIYATI P
031406020121P001 19-01-2021 22-01-2021
569 00:00 08:39
617 031406020121P001 19-01-2021 22-01-2021 0000281567913 LUSI MAWARNI P

571 00:00 08:40
618 031406020121P001 19-01-2021 22-01-2021 0000281860806 SUNDIYAH P
575 00:00 08:41
619 031406020121P001 19-01-2021 22-01-2021 0000281898459 KARMILA P
580 00:00 08:44
031406020121P001 19-01-2021 22-01-2021
620 581 00:00 08:44 0000281932446 JULIANTO L
621 031406020121P001 19-01-2021 22-01-2021 0000281933818 MINA P

665 00:00 09:23
622 031406020121P001 19-01-2021 22-01-2021 0000281948679 JUM HAYATI P
582 00:00 08:45
623 031406020121P001 19-01-2021 22-01-2021 0000281953001 LUSI SUSANTI P
583 00:00 08:45
624 031406020121P001 19-01-2021 22-01-2021 0000281966049 PUJIATI P
584 00:00 08:46
625 031406020121P001 19-01-2021 22-01-2021 0000281970483 DINAR P
585 00:00 08:46
626 031406020121P001 19-01-2021 22-01-2021 0000281993499 MILA ASTRIKA P
586 00:00 08:47

Tuberculosis of lung, confirmed Berobat Jalan
by sputum microscopy with or
PEKERJA MANDIRI without culture
PNS PUSAT Dental caries Berobat Jalan

unspecified

PBI (APBN) disease with oesophagitis Berobat Jalan


627 031406020121P001 19-01-2021 22-01-2021 0000282008439 MUKMININ L
588 00:00 08:47
628 031406020121P001 19-01-2021 22-01-2021 0000282008531 TURINA P
589 00:00 08:47
629 031406020121P001 19-01-2021 22-01-2021 0000282012524 ALI BAKRI L
590 00:00 08:48
630 031406020121P001 19-01-2021 22-01-2021 0000282026114 FAJRI FEBRIAN L
592 00:00 08:48
631 031406020121P001 19-01-2021 22-01-2021 0000282041987 ENOR DIATI P
593 00:00 08:49
632 031406020121P001 19-01-2021 22-01-2021 0000282043034 NGASIRIN L
596 00:00 08:50
633 031406020121P001 19-01-2021 22-01-2021 0000282174423 JASNIMAR P
597 00:00 08:50
634 031406020121P001 19-01-2021 22-01-2021 0000282175132 MA'ANA L
598 00:00 08:51
635 031406020121P001 19-01-2021 19-01-2021 0000282200646 PIAK ANDAH P
215 00:00 08:48
636 0000282202187 SISRI WAHYUNI P
031406020121P001 19-01-2021 22-01-2021
669 00:00 09:26
637 031406020121P001 19-01-2021 22-01-2021 0000282246118 TARNO L

599 00:00 08:51
638 031406020121P001 19-01-2021 22-01-2021 0000282427097 GADIANI P
600 00:00 08:51
639 031406020121P001 19-01-2021 22-01-2021 0000282451667 TARWIN L
601 00:00 08:52
640 031406020121P001 19-01-2021 22-01-2021 0000282492483 MISNARTI LIMIS P
602 00:00 08:53
641 031406020121P001 19-01-2021 22-01-2021 0000282495688 KASIMAN L
604 00:00 08:53
642 031406020121P001 19-01-2021 22-01-2021 0000282574618 RAJU WIRA YOGA L
605 00:00 08:53
643 031406020121P001 19-01-2021 22-01-2021 0000282574978 RAHUL WIRA YUDA L
606 00:00 08:54
644 031406020121P001 19-01-2021 22-01-2021 0000282720813 RIVANDI L
607 00:00 08:55
645 031406020121P001 19-01-2021 22-01-2021 0000282802127 SATIA P
608 00:00 08:56
PBI (APBN) Follow-up care involving plastic Rujuk Vertikal

surgery of breast
Antenatal screening for Berobat Jalan
malformations using ultrasound
PEGAWAI SWASTA and other physical methods
PBI (APBN) Pain, not elsewhere classified Berobat Jalan


646 031406020121P001 19-01-2021 22-01-2021 0000282846036 INDRA L
609 00:00 08:56
647 031406020121P001 19-01-2021 22-01-2021 0000282875591 SIDI NAUMAR L
664 00:00 09:23
648 031406020121P001 19-01-2021 22-01-2021 0000282940751 MARIYEM P
610 00:00 08:57
649 031406020121P001 19-01-2021 22-01-2021 0000282998351 DESRITA P
611 00:00 08:57
650 031406020121P001 19-01-2021 22-01-2021 0000283015978 EKA NOVIANTI P
612 00:00 08:58
651 031406020121P001 19-01-2021 22-01-2021 0000283026104 ELVI YANTI P
613 00:00 08:58
652 031406020121P001 19-01-2021 22-01-2021 0000283043147 RATINA P
615 00:00 08:59
653 031406020121P001 19-01-2021 22-01-2021 0000283062734 MAJUNUS L
617 00:00 09:00
654 031406020121P001 19-01-2021 22-01-2021 0000283072961 aldi pratama L
618 00:00 09:00
655 031406020121P001 19-01-2021 22-01-2021 0000283080161 kamsinar P
620 00:00 09:01
656 031406020121P001 19-01-2021 22-01-2021 0000283080216 ratna indah sari P
622 00:00 09:02
657 031406020121P001 19-01-2021 22-01-2021 0000283112493 YARNI P
624 00:00 09:03
658 031406020121P001 19-01-2021 22-01-2021 0000283117026 MARSINI P
625 00:00 09:03
659 031406020121P001 19-01-2021 22-01-2021 0000283234151 GIMAN L
629 00:00 09:06
660 031406020121P001 19-01-2021 22-01-2021 0000987266158 JAKIMIN L
632 00:00 09:10
661 031406020121P001 19-01-2021 22-01-2021 0000987271018 LUSIA ROHIMAH P
633 00:00 09:10
662 031406020121P001 19-01-2021 19-01-2021 0000987273808 MARIANA P
363 00:00 11:01
663 031406020121P001 19-01-2021 22-01-2021 0000987273832 DESI SUSANTI P
634 00:00 09:11
664 031406020121P001 19-01-2021 22-01-2021 0000987275013 SADUN L
666 00:00 09:24




PBI (APBN) Hypertensive heart disease Rujuk Vertikal
PBI (APBN) Insulin-dependent diabetes Berobat Jalan Hipertensi

mellitus
665 031406020121P001 19-01-2021 22-01-2021 0000987277781 FITRI HIDAYAT P
635 00:00 09:11
666 031406020121P001 19-01-2021 22-01-2021 0000987281133 SARI AMIN P
577 00:00 08:42
667 031406020121P001 19-01-2021 22-01-2021 0000987281662 SUGENG WIYONO L
636 00:00 09:12
668 031406020121P001 19-01-2021 22-01-2021 0000987281831 SAMSUDIN L
661 00:00 09:22
669 031406020121P001 19-01-2021 22-01-2021 0000987285385 SUPIYANTI P
638 00:00 09:12
670 031406020121P001 19-01-2021 22-01-2021 0001094191907 SUPYAN L
565 00:00 08:38
671 031406020121P001 19-01-2021 22-01-2021 0001153467628 TURUT L
639 00:00 09:12
672 031406020121P001 19-01-2021 22-01-2021 0001186147394 SARMINEM P
640 00:00 09:13
673 031406020121P001 19-01-2021 22-01-2021 0001261155003 BOBy FALSATAMA L
641 00:00 09:13
674 031406020121P001 19-01-2021 22-01-2021 0001261156645 MAIDIRA FALSA P
642 00:00 09:14
675 031406020121P001 19-01-2021 22-01-2021 0001276881851 YUNES SANTO L
644 00:00 09:14
676 031406020121P001 19-01-2021 22-01-2021 0001277073224 fadhilatun nisa zahra P
566 00:00 08:38
677 031406020121P001 19-01-2021 22-01-2021 0001285868632 NASRUL L
645 00:00 09:14
678 031406020121P001 19-01-2021 22-01-2021 0001296851365 DWI EKO WULAN P
646 00:00 09:15 BENGAWANITA
679 031406020121P001 19-01-2021 22-01-2021 0001317291041 SARJIMAN L
647 00:00 09:15
680 031406020121P001 19-01-2021 19-01-2021 0001318743584 JIS YULIA YANTI P
401 00:00 22:47
681 031406020121P001 19-01-2021 22-01-2021 0001328543267 AWALUDDIN L
648 00:00 09:16
682 031406020121P001 19-01-2021 22-01-2021 0001329537644 Yurnalis P
649 00:00 09:16
683 031406020121P001 19-01-2021 22-01-2021 0001444674982 SUMARNO L
650 00:00 09:17
PBI (APBN) Chronic kidney disease Berobat Jalan

ANGGOTA POLRI Cough Berobat Jalan
ANGGOTA POLRI Acute upper respiratory Berobat Jalan



unspecified

684 031406020121P001 19-01-2021 22-01-2021 0001448651711 SUPIKTO L
652 00:00 09:17
685 031406020121P001 19-01-2021 19-01-2021 0001448800391 FADLI L
262 00:00 09:22
653 00:00 09:18
687 031406020121P001 19-01-2021 22-01-2021 0001494884463 RIZAL L
654 00:00 09:18
688 031406020121P001 19-01-2021 22-01-2021 0001494886904 EKA KURNIAWAN L
655 00:00 09:18
689 0001494913263 WAHYUDI L
031406020121P001 19-01-2021 22-01-2021
656 00:00 09:19
690 031406020121P001 19-01-2021 22-01-2021 0001494913274 IGNATIUS SULISTIYO L

657 00:00 09:19
691 031406020121P001 19-01-2021 19-01-2021 0001494913937 NURMIYATI P
347 00:00 10:45
692 031406020121P001 19-01-2021 22-01-2021 0001494926076 NELIANA PRATAMA FEBRIANI P
658 00:00 09:20
693 031406020121P001 19-01-2021 22-01-2021 0001494928811 SUPARTI P
659 00:00 09:20
694 031406020121P001 19-01-2021 22-01-2021 0001494930958 AGUS NIMAR P
660 00:00 09:21
695 031406020121P001 19-01-2021 19-01-2021 0001505732207 DELFIYANTI P
206 00:00 08:40
696 031406020121P001 19-01-2021 22-01-2021 0001612237948 SIDAM L
668 00:00 09:25
697 031406020121P001 19-01-2021 19-01-2021 0001680974886 LAINAH P
338 00:00 10:35
698 031406020121P001 19-01-2021 22-01-2021 0001856842817 KASDI L
564 00:00 08:37
699 031406020121P001 19-01-2021 22-01-2021 0001958855589 WARIK L
573 00:00 08:40
700 031406020121P001 19-01-2021 19-01-2021 0001968977823 FERA ANGGARINI P
264 00:00 09:24
701 031406020121P001 19-01-2021 22-01-2021 0001969016657 SANTIA KASMILA P
560 00:00 08:34
702 031406020121P001 19-01-2021 22-01-2021 0001969017671 SARI GANTI P
561 00:00 08:35
PEGAWAI SWASTA Abdominal and pelvic pain Berobat Jalan


unspecified
PEKERJA MANDIRI Chronic ischaemic heart Rujuk Vertikal

disease
PBI (APBN) Other cataract Rujuk Vertikal
PEGAWAI SWASTA Other rheumatoid arthritis Berobat Jalan
PBI (APBD) Other hearing loss Rujuk Vertikal

703 031406020121P001 19-01-2021 22-01-2021 0002063089631 REINAN PRADIPTA L
670 00:00 09:28
704 031406020121P001 19-01-2021 22-01-2021 0002236040111 TUMISAH P
567 00:00 08:39
031406020121P001 19-01-2021 19-01-2021
705 362 00:00 10:54 0002262823918 EDO PUTRA PRATAMA L
706 031406020121P001 19-01-2021 19-01-2021 0002440989887 SRI INDRA LAELA P

323 00:00 10:00
707 031406020121P001 19-01-2021 19-01-2021 0002584960659 VIVI VIDIYAH VIRJANNAH P
361 00:00 10:54
708 031406020121P001 19-01-2021 22-01-2021 0002585037835 AYU NINGSIH P
562 00:00 08:36
709 031406020121P001 19-01-2021 22-01-2021 0002765154306 ASNIMA P
667 00:00 09:24
710 031406020121P001 19-01-2021 19-01-2021 0002894009128 SUTI YARNI P
204 00:00 08:38
711 031406020121P002 19-01-2021 01-02-2021 0003062702428 ASNAL L
307 00:00 22:43
712 031406020121P001 18-01-2021 18-01-2021 0000010314437 INTAN SURI P
023 00:00 08:58
713 031406020121P001 18-01-2021 20-01-2021 0000017479506 MUHAMMAD KEVIN KADHAFI L
456 00:00 10:11
714 031406020121P001 18-01-2021 22-01-2021 0000018805757 NARTI ALFIA P
729 00:00 11:15
715 031406020121P001 18-01-2021 18-01-2021 0000018817694 SYAMRIADI L
050 00:00 10:51
716 031406020121P001 18-01-2021 23-01-2021 0000018818875 DESMIYANTI P
754 00:00 08:46
717 031406020121P001 18-01-2021 20-01-2021 0000018837472 ASMAINIS AM P
453 00:00 10:03
718 031406020121P001 18-01-2021 18-01-2021 0000018837472 ASMAINIS AM P
051 00:00 10:53
719 031406020121P001 18-01-2021 22-01-2021 0000018879175 MULYATI P
741 00:00 11:24
720 031406020121P001 18-01-2021 22-01-2021 0000018889209 MASIRIA ZEBUA P
696 00:00 10:12
721 031406020121P001 18-01-2021 22-01-2021 0000018889705 JIMMI INDERAVAKIN L
742 00:00 11:26

other treatment for other Rujuk Vertikal
conditions
unspecified
unspecified
PBI (APBD) Epilepsy Rujuk Vertikal
PEKERJA MANDIRI Peptic ulcer, site unspecified Sembuh
PENERIMA PENSIUN Atrial fibrillation and flutter Rujuk Vertikal

PNS
PNS PUSAT Fever, unspecified Berobat Jalan
PNS PUSAT Acute upper respiratory Berobat Jalan

PNS DAERAH Hypertensive heart disease Rujuk Vertikal
PNS DAERAH Gastritis, unspecified Berobat Jalan Hipertensi
PENERIMA PENSIUN Other dermatitis Berobat Jalan

PNS
PENERIMA PENSIUN Hypertensive heart disease Rujuk Vertikal
PNS

722 031406020121P001 18-01-2021 23-01-2021 0000018890234 MULYANA P
755 00:00 08:52
723 031406020121P001 18-01-2021 22-01-2021 0000018897322 DESI SUSANTI P
743 00:00 11:29
724 031406020121P001 18-01-2021 23-01-2021 0000018902665 TITI ROSANTI P
756 00:00 08:53
725 031406020121P001 18-01-2021 23-01-2021 0000024981928 ELIMUSPIDA P
757 00:00 08:54
726 031406020121P001 18-01-2021 22-01-2021 0000168302957 ENDA P
734 00:00 11:18
727 031406020121P001 18-01-2021 20-01-2021 0000200058254 PELMI L
422 00:00 08:31
728 031406020121P001 18-01-2021 20-01-2021 0000202504847 NURFITA ROZA P
423 00:00 08:32
729 031406020121P001 18-01-2021 23-01-2021 0000203279995 REZKY MAULANA GUNAWAN L
758 00:00 08:56
730 031406020121P001 18-01-2021 22-01-2021 0000209653154 IWAN L
594 00:00 08:49
158 00:00 12:31
732 031406020121P001 18-01-2021 23-01-2021 0000280293243 KAMARUDIN L
750 00:00 08:39
733 031406020121P001 18-01-2021 20-01-2021 0000280294986 TENTI ALYA SARI P
424 00:00 08:34
734 031406020121P001 18-01-2021 22-01-2021 0000280684473 SURYANTO L
643 00:00 09:14
735 031406020121P001 18-01-2021 20-01-2021 0000280835379 SYAHRIAL L
425 00:00 08:36
736 031406020121P001 18-01-2021 22-01-2021 0000280934684 NOFERWEN L
651 00:00 09:17
737 031406020121P001 18-01-2021 22-01-2021 0000280975353 ALI MUNAR L
691 00:00 10:07
738 031406020121P001 18-01-2021 22-01-2021 0000280980628 SAFREL L
687 00:00 10:00
739 031406020121P001 18-01-2021 22-01-2021 0000280981315 NOVITA P
570 00:00 08:39
740 031406020121P001 18-01-2021 22-01-2021 0000281017934 NURANI P
563 00:00 08:36
PNS DAERAH Bronchitis, not specified as Berobat Jalan
acute or chronic
PNS DAERAH Myalgia Berobat Jalan Diabetes Mellitus

PENERIMA PENSIUN Acute bronchitis, unspecified Berobat Jalan
PNS
PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan
PNS

unspecified



741 031406020121P001 18-01-2021 22-01-2021 0000281217521 FINI SHOLEHAWATI P
558 00:00 08:33
742 031406020121P001 18-01-2021 22-01-2021 0000281579692 SAMIK L
555 00:00 08:29
743 031406020121P001 18-01-2021 22-01-2021 0000281609908 MUHSIN LUBIS L
627 00:00 09:05
744 031406020121P002 18-01-2021 01-02-2021 0000281637955 ANDRA AFRIAN L
304 00:00 22:13
745 031406020121P001 18-01-2021 22-01-2021 0000281778153 SYAIFUL EFENDI L
553 00:00 08:26
746 031406020121P001 18-01-2021 19-01-2021 0000281821836 MAYAR P
396 00:00 18:05
747 031406020121P001 18-01-2021 22-01-2021 0000281822714 AULIA RIVINDA P
551 00:00 08:23
748 031406020121P001 18-01-2021 22-01-2021 0000281879728 ENDUS L
550 00:00 08:22
749 031406020121P001 18-01-2021 22-01-2021 0000281880393 SAMSULAINI P
549 00:00 08:21
750 031406020121P001 18-01-2021 23-01-2021 0000281881271 PITRI AYU P
752 00:00 08:42
751 031406020121P001 18-01-2021 21-01-2021 0000281891417 SURIP P
539 00:00 09:47
752 031406020121P001 18-01-2021 21-01-2021 0000281895524 KANSANI P
531 00:00 09:08
753 031406020121P001 18-01-2021 18-01-2021 0000281937565 ASNI P
038 00:00 09:25
754 031406020121P001 18-01-2021 20-01-2021 0000282034888 NUAR L
455 00:00 10:10
755 031406020121P001 18-01-2021 19-01-2021 0000282183467 SAFRIZAL L
393 00:00 18:01
756 031406020121P001 18-01-2021 20-01-2021 0000282764147 NURBAITI P
449 00:00 09:30
757 031406020121P001 18-01-2021 20-01-2021 0000282810251 PINA P
471 00:00 10:39
758 031406020121P001 18-01-2021 19-01-2021 0000283026104 ELVI YANTI P
337 00:00 10:33
759 031406020121P001 18-01-2021 20-01-2021 0000283042495 DILAWATI P
427 00:00 08:38

acute or chronic
PBI (APBN) Ulcerative colitis Sembuh

unspecified
PBI (APBN) Disorder of refraction, Rujuk Vertikal

unspecified
PEGAWAI SWASTA Spontaneous vertex delivery Sembuh

760 031406020121P001 18-01-2021 18-01-2021 0001261808109 ELGA NOVIA P
026 00:00 09:06
031406020121P001 18-01-2021 18-01-2021
761 020 00:00 08:33 0001266354595 khaidir L
762 031406020121P001 18-01-2021 20-01-2021 0001268024883 TASAR L

448 00:00 09:27
763 031406020121P001 18-01-2021 19-01-2021 0001385853186 MARNILIS P
395 00:00 18:04
764 031406020121P001 18-01-2021 22-01-2021 0001385853186 MARNILIS P
749 00:00 11:34
765 031406020121P001 18-01-2021 23-01-2021 0001494911463 PUSPITA SARI P
753 00:00 08:43
766 031406020121P002 18-01-2021 01-02-2021 0001494911553 PONIDI L
305 00:00 22:23
767 031406020121P001 18-01-2021 20-01-2021 0001494933557 SUKAMTO L
436 00:00 08:51
768 031406020121P001 18-01-2021 19-01-2021 0001494958959 BARIS MANTO L
394 00:00 18:02
769 031406020121P001 18-01-2021 18-01-2021 0001495077636 CASMA ULIDA PURBA, AMD P
053 00:00 11:01
770 031406020121P001 18-01-2021 19-01-2021 0001604213278 SUHADAK L
397 00:00 18:07
771 031406020121P001 18-01-2021 18-01-2021 0001959832721 NANSARDIN L
052 00:00 10:57
772 031406020121P001 18-01-2021 19-01-2021 0001968972322 LISMARNI EKA DARMA P
399 00:00 18:11
773 031406020121P001 18-01-2021 18-01-2021 0001969020549 SATRI SOFIRITA L
049 00:00 10:39
774 031406020121P001 18-01-2021 20-01-2021 0002068159105 MUHAMMAD THORIQ AL HABIB L
475 00:00 10:41
775 031406020121P001 18-01-2021 20-01-2021 0002073728766 LATIFA KHAIRUNNISA ARDI P
481 00:00 10:48
776 031406020121P001 18-01-2021 20-01-2021 0002081135968 SAMSIAR P
486 00:00 10:50
777 031406020121P001 18-01-2021 20-01-2021 0002087112093 HERI SAPUTRA L
489 00:00 10:52
778 031406020121P001 18-01-2021 20-01-2021 0002117623904 DEWI P
491 00:00 10:54
PEKERJA MANDIRI Thyrotoxicosis [hyperthyroidism] Rujuk Vertikal



unspecified
PEGAWAI SWASTA Typhoid and paratyphoid fevers Sembuh

PEGAWAI SWASTA Thyrotoxicosis [hyperthyroidism] Rujuk Vertikal

PNS DAERAH Other chronic obstructive Rujuk Vertikal
pulmonary disease
PBI (APBD) Nasal polyp Rujuk Vertikal
PNS DAERAH Acute bronchitis, unspecified Berobat Jalan

779 031406020121P001 18-01-2021 20-01-2021 0002117624444 SINI P
493 00:00 10:56
780 031406020121P001 18-01-2021 20-01-2021 0002123028393 DESINA SARI P
497 00:00 10:59
781 031406020121P001 18-01-2021 20-01-2021 0002125762209 RASTY ANGGRAINI P
510 00:00 11:40
782 031406020121P001 18-01-2021 20-01-2021 0002188987053 DESWITA P
511 00:00 11:42
783 031406020121P001 18-01-2021 20-01-2021 0002202748536 MISNAWATI P
512 00:00 11:43
784 031406020121P001 18-01-2021 20-01-2021 0002205348243 DESWITA LINDA SOFIA P
513 00:00 11:45
785 031406020121P001 18-01-2021 20-01-2021 0002217126249 SUGIATI P
457 00:00 10:13
786 031406020121P001 18-01-2021 20-01-2021 0002229288952 paramian L
514 00:00 11:47
787 031406020121P001 18-01-2021 20-01-2021 0002236042967 SALAMAH P
515 00:00 11:49
788 031406020121P001 18-01-2021 21-01-2021 0002251972697 WANDA L
516 00:00 07:59
789 031406020121P001 18-01-2021 19-01-2021 0002268902496 SITI AMINAH P
398 00:00 18:08
790 031406020121P001 18-01-2021 21-01-2021 0002270174275 SUPIRMAN L
517 00:00 08:01
791 031406020121P001 18-01-2021 21-01-2021 0002276590779 ELI MURNI P
518 00:00 08:08
792 031406020121P001 18-01-2021 21-01-2021 0002279625243 RAMANI P
519 00:00 08:13
793 031406020121P001 18-01-2021 21-01-2021 0002285511592 NURBAINI P
520 00:00 08:17
794 031406020121P001 18-01-2021 21-01-2021 0002290031842 SABANIAR P
521 00:00 08:19
795 031406020121P001 18-01-2021 21-01-2021 0002294282799 LIYARNI P
522 00:00 08:35
796 031406020121P001 18-01-2021 21-01-2021 0002306213673 MUHAMMAD NUR L
524 00:00 08:38
797 031406020121P001 18-01-2021 21-01-2021 0002430361517 AHMAD NUR L
532 00:00 09:10



acute or chronic
PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan Hipertensi
PEKERJA MANDIRI Other dermatitis Berobat Jalan Hipertensi Hipertensi
PEKERJA MANDIRI Other dermatitis Berobat Jalan Hipertensi Hipertensi

798 031406020121P001 18-01-2021 20-01-2021 0002437214253 ALIZAR L
454 00:00 10:06
799 031406020121P001 18-01-2021 19-01-2021 0002437214499 MURNI P
400 00:00 18:12
800 031406020121P001 18-01-2021 20-01-2021 0002448292858 SUKIRMAN L
451 00:00 10:01
801 031406020121P001 18-01-2021 21-01-2021 0002448635962 SUDIRMAN L
533 00:00 09:12
031406020121P001 18-01-2021 18-01-2021 ARDANI ADIYASTHA RASYID
802 022 00:00 08:52 0002458527974 L
803 031406020121P001 18-01-2021 21-01-2021 0002462269904 RASKANI P

527 00:00 08:55
804 031406020121P001 18-01-2021 21-01-2021 0002462299784 DEWI PUSPITA P
528 00:00 08:58
805 031406020121P001 18-01-2021 21-01-2021 0002462309482 IBNU SUKOCO L
529 00:00 09:01
806 031406020121P001 18-01-2021 21-01-2021 0002476729888 darmaliah P
530 00:00 09:05
807 031406020121P001 18-01-2021 18-01-2021 0002583250762 TISMANILA PUTRI P
021 00:00 08:43
808 031406020121P001 18-01-2021 21-01-2021 0002637617275 DENI JULIANTI P
534 00:00 09:14
809 031406020121P001 18-01-2021 21-01-2021 0002638204176 INE L
535 00:00 09:20
810 031406020121P001 18-01-2021 21-01-2021 0002638719268 SANIAR P
536 00:00 09:24
811 031406020121P001 18-01-2021 21-01-2021 0002639353195 MURLINA P
537 00:00 09:27
812 031406020121P001 18-01-2021 18-01-2021 0002639615837 EMI WATI P
039 00:00 09:36
813 031406020121P001 18-01-2021 21-01-2021 0002639616118 KARMI P
538 00:00 09:31
814 031406020121P001 18-01-2021 18-01-2021 0002738710653 KANTI P
042 00:00 10:03
815 031406020121P001 18-01-2021 22-01-2021 0002739045532 SAKIRMAN L
671 00:00 09:29
816 031406020121P001 18-01-2021 22-01-2021 0002758026227 TIFA AULIA MELATI L
707 00:00 10:29
PEKERJA MANDIRI Arthrosis, unspecified Berobat Jalan

PEGAWAI SWASTA Developmental disorder of

speech and language, Rujuk Vertikal
unspecified
PBI (APBD) Acute bronchitis, unspecified Berobat Jalan
PBI (APBN) Threatened abortion Rujuk Vertikal

PBI (APBN) Senile cataract Rujuk Vertikal
PEKERJA MANDIRI Bronchitis, not specified as Berobat Jalan

acute or chronic
817 031406020121P001 18-01-2021 18-01-2021 0002832043004 YUSNALIS P
031 00:00 09:13
818 031406020121P001 18-01-2021 22-01-2021 0002868772522 ZAFIRATUL ANATAUSIAH P
709 00:00 10:32
031406020121P001 18-01-2021 20-01-2021
819 450 00:00 09:34 0002904469075 GIYEM P
820 031406020121P001 18-01-2021 22-01-2021 0002909562974 SLAMET L

723 00:00 11:12
821 031406020121P001 18-01-2021 22-01-2021 0002923515527 YASMAWATI P
726 00:00 11:13
822 031406020121P001 18-01-2021 23-01-2021 0002937581752 ANDRIAN VIRNANDO L
769 00:00 09:54 SILITONGA
823 0002943483614 NURITA P
031406020121P001 18-01-2021 18-01-2021
041 00:00 09:51
824 031406020121P002 17-01-2021 01-02-2021 0002448292858 SUKIRMAN L

301 00:00 19:20
825 031406020121P001 16-01-2021 19-01-2021 0000017480946 WHENDRY SAPUTRA L
258 00:00 09:20
826 031406020121P001 16-01-2021 18-01-2021 0000018819156 KAFNIATI P
044 00:00 10:25
827 031406020121P001 16-01-2021 18-01-2021 0000018819314 PUTRI MARSYA FADHILAH P
045 00:00 10:26
828 031406020121P001 16-01-2021 18-01-2021 0000018861412 YURIZAL L
046 00:00 10:26
829 031406020121P001 16-01-2021 19-01-2021 0000018889119 ASNI FITRIA P
259 00:00 09:20
830 031406020121P001 16-01-2021 19-01-2021 0000018889209 MASIRIA ZEBUA P
266 00:00 09:27
031406020121P001 16-01-2021 16-01-2021
831 006 00:00 10:14 0000018890831 ALI AZWAR L
832 031406020121P001 16-01-2021 18-01-2021 0000018894115 HAMIDI L

047 00:00 10:27
833 031406020121P001 16-01-2021 18-01-2021 0000018917447 ROSMIATY B P
056 00:00 11:15
834 031406020121P001 16-01-2021 18-01-2021 0000149546439 YOLLY SATYA L
107 00:00 11:42
PBI (APBN) Low vision, both eyes Rujuk Vertikal
PEKERJA MANDIRI Chronic obstructive pulmonary

disease, unspecified Berobat Jalan
PBI (APBD) Other benign neoplasm of Rujuk Vertikal

connective and other soft tissue
of head, face and neck
PEKERJA MANDIRI Congestive heart failure Berobat Jalan
PNS DAERAH Myalgia Berobat Jalan

PENERIMA PENSIUN Chronic obstructive pulmonary

PNS disease, unspecified Rujuk Vertikal
PNS DAERAH Influenza, virus not identified Berobat Jalan
PNS DAERAH Asthma Berobat Jalan

835 031406020121P001 16-01-2021 16-01-2021 0000149546439 YOLLY SATYA L
005 00:00 09:43
836 031406020121P001 16-01-2021 18-01-2021 0000162743354 LILI SURYANI P
057 00:00 11:18
837 031406020121P001 16-01-2021 19-01-2021 0000168302957 ENDA P
267 00:00 09:27
838 031406020121P001 16-01-2021 19-01-2021 0000211159045 FITRI MAWADDAH P
268 00:00 09:28
839 031406020121P001 16-01-2021 18-01-2021 0000240757031 KARNILA P
098 00:00 11:38
840 031406020121P001 16-01-2021 19-01-2021 0000280339547 ARNITA P
269 00:00 09:29
841 031406020121P001 16-01-2021 19-01-2021 0000280386742 RATI APRILIA P
270 00:00 09:29
842 031406020121P001 16-01-2021 19-01-2021 0000280825593 MUSIANTI P
272 00:00 09:30
843 031406020121P001 16-01-2021 18-01-2021 0000280900473 MONALISA P
058 00:00 11:18
844 031406020121P001 16-01-2021 21-01-2021 0000281006188 SULMAINI P
546 00:00 20:54
031406020121P001 16-01-2021 18-01-2021
059 00:00 11:19
845 0000281459294 PISMAWATI P
031406020121P001 16-01-2021 18-01-2021

060 00:00 11:19
846 0000281460352 DEDY SUSANTO L
031406020121P001 16-01-2021 18-01-2021

061 00:00 11:20
847 0000281460622 DHAMAR ALIM ARRASYID L
848 031406020121P001 16-01-2021 19-01-2021 0000281539449 NURSIMA P

274 00:00 09:31
849 031406020121P001 16-01-2021 18-01-2021 0000281577352 FITRI YANTI P
062 00:00 11:21
850 031406020121P001 16-01-2021 19-01-2021 0000281626143 SUMARNO L
275 00:00 09:33
PNS DAERAH Hypercementosis Rujuk Vertikal
PENERIMA PENSIUN Acute upper respiratory Berobat Jalan

PNS infection, unspecified
PNS PUSAT Low back pain Berobat Jalan
PBI (APBN) Arthrosis of first Berobat Jalan


unspecified
PEGAWAI
PEMERINTAH
DENGAN Myalgia Berobat Jalan
PERJANJIAN KERJA
PEGAWAI Stomatitis and related lesions

PEMERINTAH
DENGAN Berobat Jalan
PERJANJIAN KERJA
PEGAWAI Acute upper respiratory

PEMERINTAH infection, unspecified
DENGAN Berobat Jalan
PERJANJIAN KERJA

851 031406020121P001 16-01-2021 19-01-2021 0000281630171 ERNAWATI P
277 00:00 09:36
852 031406020121P001 16-01-2021 18-01-2021 0000281664999 SISKA YUNITA P
064 00:00 11:23
853 031406020121P001 16-01-2021 18-01-2021 0000281675564 HARTO L
066 00:00 11:24
854 031406020121P001 16-01-2021 19-01-2021 0000281727483 MARNI P
278 00:00 09:36
855 031406020121P001 16-01-2021 18-01-2021 0000281755091 HERI SUWANTI P
068 00:00 11:25
856 031406020121P001 16-01-2021 19-01-2021 0000281812015 IIN SUSANTI P
280 00:00 09:37
857 031406020121P001 16-01-2021 19-01-2021 0000281834763 RANTI PUSPITA SARI P
281 00:00 09:37
858 031406020121P001 16-01-2021 18-01-2021 0000281835483 MARNI P
070 00:00 11:26
859 0000281839048 SARIANA P
031406020121P001 16-01-2021 18-01-2021
072 00:00 11:28
860 031406020121P001 16-01-2021 18-01-2021 0000281860738 KUSMADI L

074 00:00 11:28
861 031406020121P001 16-01-2021 18-01-2021 0000281882676 BAHTIAR L
075 00:00 11:28
862 031406020121P001 16-01-2021 19-01-2021 0000281894984 IRFAN L
283 00:00 09:37
863 031406020121P001 16-01-2021 18-01-2021 0000281898202 ZAINAL L
077 00:00 11:29
864 031406020121P001 16-01-2021 19-01-2021 0000281904794 SUMARNI P
284 00:00 09:38
865 031406020121P001 16-01-2021 18-01-2021 0000281919115 LENI MARLINA P
078 00:00 11:29
866 031406020121P001 16-01-2021 18-01-2021 0000281937778 TUTIK P
080 00:00 11:30
867 031406020121P001 16-01-2021 18-01-2021 0000281966049 PUJIATI P
081 00:00 11:31
868 031406020121P001 16-01-2021 19-01-2021 0000282036429 NANDA saputra L
286 00:00 09:38
869 031406020121P001 16-01-2021 19-01-2021 0000282036666 NINDI saputra L
287 00:00 09:39

PEGAWAI SWASTA Atopic dermatitis Berobat Jalan


PBI (APBD) Pain, not elsewhere classified Berobat Jalan

PBI (APBN) Migraine Berobat Jalan
PBI (APBN) Other and unspecified ovarian Berobat Jalan

cysts
870 031406020121P001 16-01-2021 18-01-2021 0000282038681 FITRIANI P
083 00:00 11:32
871 031406020121P001 16-01-2021 18-01-2021 0000282038995 NELIS SAHRI P
085 00:00 11:32
872 031406020121P001 16-01-2021 18-01-2021 0000282183614 SURATMAN L
086 00:00 11:33
873 031406020121P001 16-01-2021 18-01-2021 0000282211492 SUNARDI L
087 00:00 11:33
874 031406020121P001 16-01-2021 18-01-2021 0000282225148 SULTAN L
089 00:00 11:35
875 031406020121P001 16-01-2021 18-01-2021 0000282393516 SARI P
090 00:00 11:35
876 031406020121P001 16-01-2021 18-01-2021 0000282515589 SUTIMIN L
092 00:00 11:36
877 031406020121P001 16-01-2021 18-01-2021 0000282589029 ANNISA DESVITA P
119 00:00 11:47
878 031406020121P001 16-01-2021 18-01-2021 0000282608515 EVI SUSANTI P
120 00:00 11:47
879 031406020121P001 16-01-2021 18-01-2021 0000282609628 FIRDAUS L
122 00:00 11:48
880 031406020121P001 16-01-2021 18-01-2021 0000282791485 JUMIRAH P
123 00:00 11:48
881 031406020121P001 16-01-2021 18-01-2021 0000282893376 GIONO L
126 00:00 11:49
882 031406020121P001 16-01-2021 18-01-2021 0000282975401 upik kacik P
127 00:00 11:49
883 031406020121P001 16-01-2021 18-01-2021 0000283026104 ELVI YANTI P
156 00:00 12:04
884 031406020121P001 16-01-2021 18-01-2021 0000283209129 AGUS MANIAR P
129 00:00 11:50
885 031406020121P001 16-01-2021 18-01-2021 0000283210942 YOSSI ANGGRAINI P
130 00:00 11:50
886 031406020121P001 16-01-2021 18-01-2021 0000283233069 ISAM P
132 00:00 11:51
887 031406020121P001 16-01-2021 18-01-2021 0000283284268 ERNA P
112 00:00 11:44
888 031406020121P001 16-01-2021 18-01-2021 0000283594869 KATIYEM P
109 00:00 11:43

PBI (APBD) Hypertensive heart disease Berobat Jalan Hipertensi

unspecified


889 031406020121P001 16-01-2021 18-01-2021 0000987268926 HARIYANTO L
095 00:00 11:37
890 031406020121P001 16-01-2021 18-01-2021 0000987268937 JUMIYEM P
096 00:00 11:38
891 031406020121P001 16-01-2021 18-01-2021 0000987275013 SADUN L
137 00:00 11:54
892 031406020121P001 16-01-2021 18-01-2021 0000987276666 DAWAR L
138 00:00 11:55
893 031406020121P001 16-01-2021 18-01-2021 0001138076076 AMRI T L
139 00:00 11:55
894 031406020121P001 16-01-2021 18-01-2021 0001153467628 TURUT L
141 00:00 11:56
895 031406020121P001 16-01-2021 18-01-2021 0001172506296 MIFTAHUL JANNAH P
142 00:00 11:56
896 031406020121P001 16-01-2021 18-01-2021 0001283902536 m. yuliadi putra L
143 00:00 11:56
897 031406020121P001 16-01-2021 18-01-2021 0001286815768 HANNISA ULYA BURHAN P
145 00:00 11:57
898 031406020121P001 16-01-2021 18-01-2021 0001296851545 ILHAM WAHYUDI L
146 00:00 11:57
899 031406020121P001 16-01-2021 18-01-2021 0001435728442 ASNITA YUSEVA P
148 00:00 11:58
900 031406020121P001 16-01-2021 18-01-2021 0001444128467 NASROL L
149 00:00 11:58
901 031406020121P001 16-01-2021 18-01-2021 0001444673193 ANDRIZAL L
150 00:00 11:59
902 031406020121P001 16-01-2021 18-01-2021 0001444684307 SUKAMTO L
151 00:00 11:59
903 031406020121P001 16-01-2021 18-01-2021 0001481055333 YATINI P
101 00:00 11:39
904 031406020121P001 16-01-2021 18-01-2021 0001494885576 SISWI HARTI P
102 00:00 11:39
905 031406020121P000 16-01-2021 16-01-2021 0001494913252 AGNES JUWARNI P
995 00:00 09:12
906 031406020121P001 16-01-2021 18-01-2021 0001494914793 KARYADI L
152 00:00 12:00
907 031406020121P001 16-01-2021 18-01-2021 0001494917019 ANDI SARWONO L
154 00:00 12:02
PBI (APBN) Hypertensive heart disease Berobat Jalan Hipertensi

PNS DAERAH Asthma, unspecified Berobat Jalan



908 031406020121P001 16-01-2021 18-01-2021 0001494918224 SUTARNO L
155 00:00 12:03
909 031406020121P001 16-01-2021 19-01-2021 0001494943222 RONIATI P
165 00:00 08:16
910 031406020121P001 16-01-2021 19-01-2021 0001494952255 RINA WATI P
166 00:00 08:20
031406020121P001 16-01-2021 18-01-2021
911 012 00:00 08:08 0001494967274 JAEDI L
912 031406020121P001 16-01-2021 19-01-2021 0001494967612 EMI SUMIATI P

167 00:00 08:20
913 031406020121P001 16-01-2021 18-01-2021 0001494987625 IJON L
106 00:00 11:42
914 031406020121P001 16-01-2021 18-01-2021 0001495061019 SUPIYAH P
115 00:00 11:45
915 031406020121P001 16-01-2021 18-01-2021 0001495065036 DESRA MULYADI L
111 00:00 11:44
916 031406020121P001 16-01-2021 19-01-2021 0001495099337 MUBARI L
169 00:00 08:21
917 031406020121P001 16-01-2021 19-01-2021 0001615819015 SIMAS P
170 00:00 08:21
918 031406020121P001 16-01-2021 19-01-2021 0001684164431 TITEN ASMARA P
171 00:00 08:22
919 031406020121P001 16-01-2021 19-01-2021 0001684164453 PUTRI MAYANG RAHMADANY P
173 00:00 08:22
920 031406020121P001 16-01-2021 19-01-2021 0001684165386 Ermolliadi L
174 00:00 08:23
921 031406020121P001 16-01-2021 19-01-2021 0001686536493 ELLYZA L
175 00:00 08:23
922 031406020121P001 16-01-2021 19-01-2021 0001807582173 IMAR P
176 00:00 08:24
923 031406020121P001 16-01-2021 19-01-2021 0001808569899 RIPALDO L
178 00:00 08:24
924 031406020121P001 16-01-2021 19-01-2021 0001808570597 gustina suci nurani P
179 00:00 08:25
925 031406020121P001 16-01-2021 18-01-2021 0001812251597 YURNALIS P
108 00:00 11:43
926 031406020121P001 16-01-2021 19-01-2021 0001831148741 SARIANI P
181 00:00 08:25
PEGAWAI SWASTA Transient cerebral ischaemic

attacks and related syndromes Rujuk Vertikal

PEKERJA MANDIRI Epistaxis Berobat Jalan

PBI (APBD) Bacterial foodborne intoxication, Berobat Jalan

unspecified
PBI (APBD) Asthma Berobat Jalan Hipertensi
PBI (APBN) Foreign body in ear Berobat Jalan


927 031406020121P001 16-01-2021 18-01-2021 0001833305714 FATMAWATI P
013 00:00 08:14
928 031406020121P001 16-01-2021 18-01-2021 0001850333242 ENZI TAMA DANA L
116 00:00 11:46
929 031406020121P001 16-01-2021 19-01-2021 0001852519432 SUYATMI P
182 00:00 08:26
930 031406020121P001 16-01-2021 16-01-2021 0001888387593 MUFNI INDRA L
000 00:00 09:23
931 031406020121P001 16-01-2021 19-01-2021 0001888420667 WARDI A. L
184 00:00 08:26
932 031406020121P001 16-01-2021 19-01-2021 0001888430635 FALYA YULIA PUTRI P
185 00:00 08:27
933 0001897833598 ASNAN L
031406020121P002 16-01-2021 01-02-2021
306 00:00 22:33
934 031406020121P001 16-01-2021 19-01-2021 0001898641697 NASIR L

186 00:00 08:27
935 031406020121P001 16-01-2021 19-01-2021 0001968559222 FIRMANSAH L
188 00:00 08:28
936 031406020121P001 16-01-2021 19-01-2021 0001969031733 ALIF MAZENDRA L
189 00:00 08:29
937 031406020121P001 16-01-2021 19-01-2021 0001969106861 AFNAL YUSUF L
190 00:00 08:30
938 031406020121P001 16-01-2021 18-01-2021 0002040757031 marniati P
100 00:00 11:39
939 031406020121P001 16-01-2021 19-01-2021 0002045674034 YATMI P
191 00:00 08:31
940 031406020121P001 16-01-2021 19-01-2021 0002052836313 AULIA MAHARANI P
193 00:00 08:32
941 031406020121P001 16-01-2021 19-01-2021 0002052840442 YULIATI P
195 00:00 08:33
942 031406020121P001 16-01-2021 19-01-2021 0002052840881 SUTAN PARAMIAN L
196 00:00 08:34
943 031406020121P001 16-01-2021 19-01-2021 0002057035386 M. FATULLOH L
198 00:00 08:35
944 031406020121P001 16-01-2021 19-01-2021 0002061424269 PUTRI P
199 00:00 08:36
945 031406020121P001 16-01-2021 19-01-2021 0002073680076 REIHAN SAPUTRA L
201 00:00 08:37
PEKERJA MANDIRI Senile cataract Rujuk Vertikal

PNS DAERAH Other cataract Rujuk Vertikal Hipertensi Hipertensi

Diarrhoea and gastroenteritis of Sembuh
PEGAWAI SWASTA
PBI (APBD) Arthrosis of first Berobat Jalan



946 031406020121P001 16-01-2021 19-01-2021 0002087113959 FITRA KHAIRA P
203 00:00 08:37
947 031406020121P001 16-01-2021 19-01-2021 0002091083861 zulfahmi L
209 00:00 08:42
948 031406020121P001 16-01-2021 19-01-2021 0002117624444 SINI P
211 00:00 08:43
949 031406020121P001 16-01-2021 19-01-2021 0002124039701 MONIKA AYU LESTARI P
223 00:00 08:57
950 0002214524272 BAGUS L
031406020121P001 16-01-2021 19-01-2021
225 00:00 08:58
951 031406020121P001 16-01-2021 18-01-2021 0002219429081 NOVRIYANTI P

104 00:00 11:41
952 031406020121P001 16-01-2021 19-01-2021 0002226592912 SARI ANTI P
227 00:00 09:00
953 031406020121P001 16-01-2021 19-01-2021 0002241130421 KABAR L
229 00:00 09:01
954 031406020121P001 16-01-2021 19-01-2021 0002270175052 SABRIS NOFRIADI L
230 00:00 09:02
955 031406020121P001 16-01-2021 19-01-2021 0002289207767 KARMINI P
231 00:00 09:03
956 031406020121P001 16-01-2021 19-01-2021 0002292264088 JANIMAR P
237 00:00 09:08
957 031406020121P001 16-01-2021 19-01-2021 0002320794472 RAISSA HARDIYANTI L
238 00:00 09:09
958 031406020121P001 16-01-2021 19-01-2021 0002323837664 MARIATUN P
239 00:00 09:11
959 031406020121P001 16-01-2021 19-01-2021 0002431363329 SURATMAN L
240 00:00 09:11
960 031406020121P001 16-01-2021 19-01-2021 0002448292858 SUKIRMAN L
241 00:00 09:12
961 031406020121P001 16-01-2021 19-01-2021 0002448293027 JARINAN P
242 00:00 09:12
962 031406020121P001 16-01-2021 19-01-2021 0002467658474 ZULMAINI P
243 00:00 09:13
963 031406020121P001 16-01-2021 19-01-2021 0002468582987 KUSNAN L
244 00:00 09:14
964 031406020121P000 16-01-2021 16-01-2021 0002473689879 YUSDARNIATI P
984 00:00 08:37
KEPALA DESA DAN Myalgia Berobat Jalan

PERANGKAT DESA



PENERIMA PENSIUN Unspecified diabetes mellitus Rujuk Vertikal

PNS
965 031406020121P001 16-01-2021 19-01-2021 0002476062505 ZAIROL L
245 00:00 09:14
966 031406020121P001 16-01-2021 19-01-2021 0002584918664 ELI SUSANTI P
246 00:00 09:15
967 031406020121P001 16-01-2021 19-01-2021 0002587717888 ALEK P
247 00:00 09:16
968 031406020121P001 16-01-2021 16-01-2021 0002612850478 WAGINAH L
007 00:00 10:20
969 031406020121P001 16-01-2021 19-01-2021 0002616076427 SAUDAH P
248 00:00 09:17
970 031406020121P001 16-01-2021 19-01-2021 0002770114882 RAZALI L
249 00:00 09:17
971 031406020121P001 16-01-2021 19-01-2021 0002770114994 DALIANI P
251 00:00 09:17
031406020121P001 16-01-2021 19-01-2021
972 252 00:00 09:18 0002784451386 SAKIMAN L
973 031406020121P001 16-01-2021 19-01-2021 0002784454378 ASMALINDA P

253 00:00 09:18
974 031406020121P001 16-01-2021 18-01-2021 0002784456764 TIKA NENG SIFITRI P
094 00:00 11:37
975 031406020121P001 16-01-2021 22-01-2021 0002784459069 INANG NENGSIH P
708 00:00 10:32
976 031406020121P001 16-01-2021 19-01-2021 0002855213785 ADI L
255 00:00 09:19
977 031406020121P001 16-01-2021 19-01-2021 0002887383431 NURMALIS P
256 00:00 09:19
031406020121P001 15-01-2021 19-01-2021
978 214 00:00 08:47 0000010314663 ROSMANIDAR P
979 031406020121P001 15-01-2021 19-01-2021 0000016270986 KAMIDAR P

390 00:00 17:53
980 031406020121P001 15-01-2021 19-01-2021 0000018775225 YURMAINIS P
391 00:00 17:55
031406020121P001 15-01-2021 19-01-2021
981 392 00:00 17:57 0000018797433 MISTRY P
982 031406020121P001 15-01-2021 18-01-2021 0000018797444 BELLA ELVIZA RIZKIA P

153 00:00 12:02
PEKERJA MANDIRI Hypertensive heart disease Rujuk Vertikal Hipertensi

Gastric ulcer, chronic without
PBI (APBN) haemorrhage or perforation Berobat Jalan

PENERIMA PENSIUN Diabetes Mellitus
PNS Other dermatitis Berobat Jalan Hipertensi

TNI
Diabetes Mellitus
PNS DAERAH Headache Berobat Jalan Hipertensi

983 031406020121P001 15-01-2021 19-01-2021 0000018805421 EMZITA P
216 00:00 08:48
031406020121P001 15-01-2021 18-01-2021
984 084 00:00 11:32 0000018805432 A S R I L, S.PD.I L
985 031406020121P001 15-01-2021 19-01-2021 0000018837909 NURSYAFNI P

217 00:00 08:49
986 031406020121P001 15-01-2021 18-01-2021 0000018849982 NURILA P
073 00:00 11:28
987 031406020121P001 15-01-2021 19-01-2021 0000018917493 SUHERLIN L
218 00:00 08:51
988 031406020121P000 15-01-2021 15-01-2021 0000149410293 EMMI WIDYASTUTI P
939 00:00 10:22
989 031406020121P001 15-01-2021 19-01-2021 0000280901272 SUKIJAN L
219 00:00 08:52
990 031406020121P001 15-01-2021 19-01-2021 0000281002937 DATI P
220 00:00 08:53
991 031406020121P000 15-01-2021 15-01-2021 0000281569511 DURI P
921 00:00 09:43
992 031406020121P001 15-01-2021 19-01-2021 0000281732523 SAMSINAR P
221 00:00 08:55
993 031406020121P001 15-01-2021 19-01-2021 0000281821836 MAYAR P
222 00:00 08:56
994 031406020121P001 15-01-2021 19-01-2021 0000281831354 NOVITA EKA PUTRI P
224 00:00 08:57
995 031406020121P000 15-01-2021 15-01-2021 0000281860738 KUSMADI L
920 00:00 09:42
996 031406020121P001 15-01-2021 19-01-2021 0000281898281 EZA SUSANTI P
226 00:00 08:59
997 031406020121P001 15-01-2021 19-01-2021 0000281908629 ALI IBRAHIM L
228 00:00 09:00
998 031406020121P000 15-01-2021 16-01-2021 0000281909766 MARIA P
979 00:00 08:21
999 031406020121P001 15-01-2021 19-01-2021 0000281933098 RASMI P
232 00:00 09:03
1000 031406020121P001 15-01-2021 19-01-2021 0000281977119 MAWAR P
233 00:00 09:04
1001 031406020121P001 15-01-2021 19-01-2021 0000282043258 DALIYUSNI P
234 00:00 09:06
PNS PUSAT Headache Berobat Jalan
Acute upper respiratory Diabetes Mellitus

PNS PUSAT infection, unspecified Berobat Jalan Hipertensi
PENERIMA PENSIUN Gastritis, unspecified Berobat Jalan

PNS

unspecified

1002 031406020121P001 15-01-2021 19-01-2021 0000282193569 ARMAILIS P
210 00:00 08:42
1003 031406020121P001 15-01-2021 19-01-2021 0000282382749 SATINEM P
235 00:00 09:07
1004 031406020121P001 15-01-2021 19-01-2021 0000282580301 ISKANDAR L
236 00:00 09:08
1005 031406020121P001 15-01-2021 19-01-2021 0000282817563 EJE L
250 00:00 09:17
1006 031406020121P001 15-01-2021 19-01-2021 0000282923818 DRATUL LAILA P
254 00:00 09:19
1007 031406020121P001 15-01-2021 19-01-2021 0000282985053 SUSI SUSANTI P
257 00:00 09:20
1008 031406020121P001 15-01-2021 19-01-2021 0000283016204 JAMA'AN L
260 00:00 09:21
1009 031406020121P001 15-01-2021 19-01-2021 0000283018048 LEGI P
261 00:00 09:22
1010 031406020121P001 15-01-2021 19-01-2021 0000283284055 YULIZAR CAN L
263 00:00 09:23
1011 031406020121P001 15-01-2021 19-01-2021 0000283284268 ERNA P
265 00:00 09:24
1012 031406020121P001 15-01-2021 18-01-2021 0000987266158 JAKIMIN L
088 00:00 11:34
1013 031406020121P001 15-01-2021 18-01-2021 0000987268757 YARNI P
082 00:00 11:31
1014 031406020121P001 15-01-2021 18-01-2021 0000987268972 M. JUSAR L
091 00:00 11:35
1015 031406020121P001 15-01-2021 19-01-2021 0000987271446 SYAFE'I L
271 00:00 09:30
1016 031406020121P001 15-01-2021 19-01-2021 0000987273808 MARIANA P
273 00:00 09:31
1017 031406020121P001 15-01-2021 18-01-2021 0000987276699 SETI DAHLIA P
093 00:00 11:36
1018 031406020121P001 15-01-2021 19-01-2021 0000987279221 UPIK SUSANTI P
276 00:00 09:35
1019 031406020121P001 15-01-2021 18-01-2021 0000987281662 SUGENG WIYONO L
097 00:00 11:38
1020 031406020121P001 15-01-2021 19-01-2021 0001085178317 RUDANA P
279 00:00 09:36
PBI (APBN) Gastritis, unspecified Berobat Jalan Diabetes Mellitus



1021 031406020121P001 15-01-2021 19-01-2021 0001090684899 MARNITA P
282 00:00 09:37
1022 031406020121P001 15-01-2021 18-01-2021 0001138076076 AMRI T L
099 00:00 11:39
1023 031406020121P000 15-01-2021 15-01-2021 0001282364436 YETI P
928 00:00 10:13
103 00:00 11:40
1025 031406020121P001 15-01-2021 18-01-2021 0001311669257 DUSNIATI P
105 00:00 11:42
285 00:00 09:38
1027 031406020121P001 15-01-2021 19-01-2021 0001435029726 YANTI ERNIDA P
288 00:00 09:40
1028 031406020121P001 15-01-2021 18-01-2021 0001444673902 SYOFRIANTO L
160 00:00 17:15
1029 031406020121P001 15-01-2021 18-01-2021 0001444677028 ENDRI JUSMANTO L
065 00:00 11:24
1030 031406020121P001 15-01-2021 19-01-2021 0001448800391 FADLI L
289 00:00 09:41
1031 031406020121P002 15-01-2021 02-02-2021 0001494875586 SUKARNI P
317 00:00 15:53
1032 031406020121P001 15-01-2021 18-01-2021 0001494880031 TARIJAK L
161 00:00 17:19
1033 031406020121P000 15-01-2021 15-01-2021 0001494882369 MICEN L
917 00:00 09:30
1034 031406020121P001 15-01-2021 18-01-2021 0001494884463 RIZAL L
162 00:00 17:29
1035 031406020121P001 15-01-2021 18-01-2021 0001494910293 SURATUN P
055 00:00 11:05
1036 031406020121P001 15-01-2021 19-01-2021 0001494916424 ERA YUNI P
290 00:00 09:42
1037 031406020121P001 15-01-2021 19-01-2021 0001494916637 HAFIZH SYAIFUN NAIM L
292 00:00 09:43
1038 031406020121P001 15-01-2021 18-01-2021 0001494933557 SUKAMTO L
069 00:00 11:26
1039 031406020121P001 15-01-2021 19-01-2021 0001494945336 RAHAYU P
294 00:00 09:44

PEGAWAI BUMD Antenatal screening, Rujuk Vertikal
unspecified



1040 031406020121P001 15-01-2021 19-01-2021 0001494967612 EMI SUMIATI P
297 00:00 09:45
1041 031406020121P001 15-01-2021 19-01-2021 0001494981494 SITI FATIMAH P
302 00:00 09:47
1042 031406020121P001 15-01-2021 19-01-2021 0001495061278 MURSID JOKO NURCAHYO L
305 00:00 09:48
1043 031406020121P001 15-01-2021 19-01-2021 0001495066667 ATI MBOWO GEA L
307 00:00 09:49
1044 031406020121P001 15-01-2021 19-01-2021 0001495087323 sutami P
309 00:00 09:50
1045 031406020121P001 15-01-2021 18-01-2021 0001495096481 TASMINAH P
163 00:00 17:40
1046 031406020121P000 15-01-2021 15-01-2021 0001495099192 SULIMAH P
936 00:00 10:21
1047 031406020121P001 15-01-2021 19-01-2021 0001495125696 AHMAD NASUTION L
310 00:00 09:52
031406020121P001 15-01-2021 19-01-2021
1048 311 00:00 09:53 0001498446988 NURHAYATI P
1049 031406020121P001 15-01-2021 19-01-2021 0001604168695 MARDIANTO L

312 00:00 09:54
1050 031406020121P001 15-01-2021 19-01-2021 0001604213278 SUHADAK L
315 00:00 09:56
1051 031406020121P001 15-01-2021 19-01-2021 0001612223897 FAJRIA ADHA P
319 00:00 09:57
1052 031406020121P001 15-01-2021 18-01-2021 0001612231547 PANDI RUSTIAWAN L
164 00:00 18:03
1053 031406020121P001 15-01-2021 19-01-2021 0001612231558 SALMA ANGGRAINI P
168 00:00 08:21
1054 031406020121P001 15-01-2021 19-01-2021 0001612234102 DAYARTI P
172 00:00 08:22
1055 031406020121P001 15-01-2021 19-01-2021 0001612234124 ELIA WULANDARI P
177 00:00 08:24
1056 031406020121P001 15-01-2021 19-01-2021 0001612234146 IZELLIA AFRINA P
180 00:00 08:25
1057 031406020121P001 15-01-2021 19-01-2021 0001615816225 AFRIADI L
321 00:00 09:58
1058 031406020121P001 15-01-2021 19-01-2021 0001615816629 ASNIMAR P
322 00:00 09:59

PENERIMA PENSIUN
SWASTA Fever, unspecified Berobat Jalan

1059 031406020121P001 15-01-2021 19-01-2021 0001615816776 DARNI P
183 00:00 08:26
1060 031406020121P001 15-01-2021 19-01-2021 0001615816945 EMALINA DELPIANTI P
208 00:00 08:41
1061 031406020121P001 15-01-2021 19-01-2021 0001615818677 RUSTAM L
187 00:00 08:28
1062 031406020121P001 15-01-2021 19-01-2021 0001684164497 ADBUL MUIZ L
324 00:00 10:01
1063 031406020121P001 15-01-2021 18-01-2021 0001684164633 Aryesnaldi L
054 00:00 11:03
1064 031406020121P001 15-01-2021 19-01-2021 0001785411606 JUANA P
325 00:00 10:02
1065 031406020121P001 15-01-2021 19-01-2021 0001790936987 RAJIM L
326 00:00 10:04
1066 031406020121P001 15-01-2021 19-01-2021 0001795701137 MASRI DT MAJO INDO L
327 00:00 10:04
1067 031406020121P001 15-01-2021 19-01-2021 0001816735173 DEVENT LIVARDO L
192 00:00 08:31
1068 031406020121P001 15-01-2021 18-01-2021 0001821583675 AZIZAH P
067 00:00 11:25
1069 031406020121P001 15-01-2021 19-01-2021 0001823939684 SYAFRIAL L
194 00:00 08:33
1070 031406020121P001 15-01-2021 19-01-2021 0001833787618 PUTRI YENI P
364 00:00 11:04
1071 031406020121P001 15-01-2021 19-01-2021 0001844087949 FITRA DEWI P
365 00:00 11:07
1072 031406020121P001 15-01-2021 18-01-2021 0001850186744 SARIANA P
110 00:00 11:43
1073 031406020121P001 15-01-2021 19-01-2021 0001865310849 SULASMI P
366 00:00 11:12
1074 031406020121P001 15-01-2021 18-01-2021 0001880094071 SITI MAYMUNAH P
113 00:00 11:44
1075 031406020121P001 15-01-2021 18-01-2021 0001892420548 iyar P
114 00:00 11:45
031406020121P001 15-01-2021 19-01-2021
1076 367 00:00 11:15 0001894703635 BUSTANER L
1077 031406020121P002 15-01-2021 01-02-2021 0001900006661 MUSTAKIM L

300 00:00 19:17

PEKERJA MANDIRI Gastritis and duodenitis Berobat Jalan
Diabetes Mellitus
PNS DAERAH Myalgia Berobat Jalan Hipertensi
PEKERJA MANDIRI Open wound of unspecified Berobat Jalan

body region
1078 031406020121P001 15-01-2021 19-01-2021 0001958855589 WARIK L
368 00:00 11:16
1079 031406020121P001 15-01-2021 18-01-2021 0001968995531 SARILAH P
117 00:00 11:46
369 00:00 11:17
1081 031406020121P001 15-01-2021 19-01-2021 0002052840442 YULIATI P
370 00:00 11:18
031406020121P001 15-01-2021 19-01-2021
371 00:00 11:18
1082 0002053998235 MUHAMMAD SYARIEF L
1083 031406020121P001 15-01-2021 19-01-2021 0002058687775 DARNI P

372 00:00 11:19
1084 031406020121P001 15-01-2021 19-01-2021 0002068627601 PUSPA DONA P
373 00:00 11:21
1085 031406020121P001 15-01-2021 18-01-2021 0002081387979 MARNUS L
118 00:00 11:47
1086 031406020121P001 15-01-2021 18-01-2021 0002088596687 ASMANURITA P
121 00:00 11:47
1087 031406020121P001 15-01-2021 18-01-2021 0002188987615 SATARI L
124 00:00 11:48
1088 031406020121P001 15-01-2021 19-01-2021 0002196041624 ERNA NINGSIH P
374 00:00 11:22
1089 031406020121P001 15-01-2021 19-01-2021 0002197422404 SYOFNI YUSANTI P
375 00:00 11:23
1090 031406020121P001 15-01-2021 19-01-2021 0002213262101 AYI SUHERMAN L
376 00:00 11:25
1091 031406020121P000 15-01-2021 15-01-2021 0002216645504 abu said L
912 00:00 09:22
1092 031406020121P002 15-01-2021 02-02-2021 0002218501765 SITI WAINI P
326 00:00 17:12
1093 031406020121P001 15-01-2021 19-01-2021 0002218612454 TIRAUWANA P
377 00:00 11:26
1094 031406020121P001 15-01-2021 18-01-2021 0002219468466 SUTARNA L
125 00:00 11:49
1095 031406020121P001 15-01-2021 19-01-2021 0002235463571 SARI ATUN P
378 00:00 11:27
PEGAWAI SWASTA Asthma, unspecified Berobat Jalan
PEGAWAI
PEMERINTAH
DENGAN Myalgia Berobat Jalan
PERJANJIAN KERJA
PEGAWAI SWASTA Abdominal and pelvic pain Berobat Jalan
PEKERJA MANDIRI Hyperplasia of prostate Rujuk Vertikal
PEGAWAI SWASTA Peptic ulcer, site unspecified Sembuh
PBI (APBD) Atopic dermatitis Berobat Jalan

1096 031406020121P001 15-01-2021 18-01-2021 0002236033214 ELNAWATI P
128 00:00 11:50
1097 031406020121P001 15-01-2021 19-01-2021 0002251972697 WANDA L
328 00:00 10:18
1098 031406020121P001 15-01-2021 19-01-2021 0002269045618 MAUIZHATUL HASANAH P
329 00:00 10:19
1099 031406020121P001 15-01-2021 19-01-2021 0002282381932 MUHAMAD FAJAR L
330 00:00 10:21
1100 031406020121P001 15-01-2021 18-01-2021 0002290031842 SABANIAR P
063 00:00 11:22
1101 031406020121P001 15-01-2021 19-01-2021 0002295202004 SUMARNO EDI L
331 00:00 10:24
1102 031406020121P001 15-01-2021 19-01-2021 0002298097056 SUTIRAH P
212 00:00 08:44
1103 031406020121P001 15-01-2021 18-01-2021 0002299014066 MARSEH P
131 00:00 11:51
1104 031406020121P001 15-01-2021 19-01-2021 0002300586096 SUMBONO L
332 00:00 10:26
1105 031406020121P001 15-01-2021 18-01-2021 0002303691399 ALI ZARMAN L
133 00:00 11:52
1106 031406020121P001 15-01-2021 19-01-2021 0002317516176 lisa anisa putri P
333 00:00 10:28
1107 031406020121P001 15-01-2021 18-01-2021 0002323837664 MARIATUN P
134 00:00 11:52
1108 031406020121P001 15-01-2021 19-01-2021 0002437214499 MURNI P
213 00:00 08:45
1109 031406020121P000 15-01-2021 15-01-2021 0002461625302 NURMAINI P
956 00:00 10:45
1110 031406020121P000 15-01-2021 15-01-2021 0002462299784 DEWI PUSPITA P
907 00:00 09:11
1111 031406020121P001 15-01-2021 18-01-2021 0002473203824 AYU HARISKA P
135 00:00 11:53
1112 031406020121P001 15-01-2021 19-01-2021 0002475748225 RIRIN DEVITA P
334 00:00 10:29
1113 031406020121P001 15-01-2021 19-01-2021 0002476064812 KAISYA PUTRI ELGIA P
335 00:00 10:30
1114 031406020121P001 15-01-2021 18-01-2021 0002587632131 LOEVIS SURYANA L
076 00:00 11:28


PBI (APBD) Unspecified diabetes mellitus Rujuk Vertikal

1115 031406020121P001 15-01-2021 19-01-2021 0002587673597 SONIA CAHYANI P
336 00:00 10:31
1116 031406020121P001 15-01-2021 18-01-2021 0002617742002 NURALISMA P
136 00:00 11:54
1117 031406020121P001 15-01-2021 18-01-2021 0002744692288 SAMSILAS P
140 00:00 11:55
1118 031406020121P001 15-01-2021 19-01-2021 0002746119835 SUPRAPTI P
384 00:00 17:35
1119 031406020121P001 15-01-2021 18-01-2021 0002755468539 FITRI YATI P
144 00:00 11:56
1120 031406020121P001 15-01-2021 18-01-2021 0002757747565 ATONI P
147 00:00 11:58
1121 031406020121P001 15-01-2021 19-01-2021 0002772051344 M. DJAMIL L
197 00:00 08:35
385 00:00 17:36
1123 031406020121P001 15-01-2021 19-01-2021 0002784463075 GERRY PUTRA ARIANTO L
200 00:00 08:36
1124 031406020121P001 15-01-2021 19-01-2021 0002883247334 MUHAMAD AL-FATIH L
386 00:00 17:40
1125 031406020121P001 15-01-2021 19-01-2021 0002883319942 DARMINI P
387 00:00 17:45
1126 031406020121P001 15-01-2021 18-01-2021 0002899823376 SRI MUSIYAM P
079 00:00 11:30
1127 031406020121P001 15-01-2021 19-01-2021 0002901132033 IDRIS L
202 00:00 08:37
1128 031406020121P001 15-01-2021 19-01-2021 0002904469075 GIYEM P
205 00:00 08:39
1129 031406020121P001 15-01-2021 19-01-2021 0002920895919 YARNAWATI P
388 00:00 17:47
1130 031406020121P001 15-01-2021 19-01-2021 0002921746803 TINAH P
389 00:00 17:52
1131 031406020121P001 15-01-2021 19-01-2021 0002944353554 WAKIYEM P
207 00:00 08:40
1132 031406020121P001 15-01-2021 18-01-2021 0003058498798 NURHAYATI P
071 00:00 11:27
1133 031406020121P000 15-01-2021 15-01-2021 0003058498877 YELMI FALUVI L
927 00:00 10:03


PEKERJA MANDIRI Acute upper respiratory Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PEKERJA MANDIRI Disorder of refraction, Rujuk Vertikal

unspecified
1134 031406020121P000 15-01-2021 15-01-2021 0003065134948 KAMARUDDIN L
901 00:00 09:01
1135 031406020121P001 14-01-2021 19-01-2021 0000018174824 ANMARTIAS L
316 00:00 09:56
1136 031406020121P001 14-01-2021 20-01-2021 0000018797501 SYAMSUARNI P
479 00:00 10:45
1137 031406020121P001 14-01-2021 20-01-2021 0000018837314 NURKASIHAN P
480 00:00 10:47
1138 031406020121P001 14-01-2021 19-01-2021 0000018837472 ASMAINIS AM P
317 00:00 09:57
1139 031406020121P000 14-01-2021 15-01-2021 0000018861445 SYAHRUDDIN L
930 00:00 10:17
1140 031406020121P001 14-01-2021 19-01-2021 0000018890335 RAMLI L
318 00:00 09:57
1141 031406020121P001 14-01-2021 19-01-2021 0000018890436 JULITA P
320 00:00 09:58
1142 031406020121P001 14-01-2021 19-01-2021 0000018902755 YULIAR P
339 00:00 10:38
1143 031406020121P001 14-01-2021 20-01-2021 0000148609912 JUSMALIANI P
482 00:00 10:48
1144 031406020121P000 14-01-2021 14-01-2021 0000211373076 HELNIA RAHMADANI P
828 00:00 11:01
1145 031406020121P001 14-01-2021 19-01-2021 0000274994493 FATIMAH P
340 00:00 10:39
1146 031406020121P001 14-01-2021 19-01-2021 0000274996214 ILLHAM CHANIAGO L
341 00:00 10:40
1147 031406020121P001 14-01-2021 19-01-2021 0000280293243 KAMARUDIN L
342 00:00 10:40
1148 031406020121P001 14-01-2021 19-01-2021 0000280293816 sabinar P
343 00:00 10:43
1149 031406020121P001 14-01-2021 19-01-2021 0000280687689 PURMA WATI P
344 00:00 10:44
1150 031406020121P001 14-01-2021 19-01-2021 0000280791584 ANYAR P
345 00:00 10:44
1151 031406020121P001 14-01-2021 19-01-2021 0000280792776 andra gunawan P
346 00:00 10:45
1152 031406020121P000 14-01-2021 15-01-2021 0000280901272 SUKIJAN L
945 00:00 10:27
PEKERJA MANDIRI Senile cataract Rujuk Vertikal
PENERIMA PENSIUN Dyspepsia Berobat Jalan

TNI
PENERIMA PENSIUN Influenza, virus not identified Berobat Jalan

PNS
PENERIMA PENSIUN Low back pain Berobat Jalan
PNS

PNS DAERAH Gastritis, unspecified Berobat Jalan Diabetes Mellitus


1153 031406020121P001 14-01-2021 20-01-2021 0000281003185 yulida andila P
483 00:00 10:48
1154 031406020121P001 14-01-2021 20-01-2021 0000281004524 HAIKAL maulana L
484 00:00 10:49
1155 031406020121P001 14-01-2021 21-01-2021 0000281006188 SULMAINI P
545 00:00 20:35
1156 031406020121P001 14-01-2021 19-01-2021 0000281458449 SAWIR L
348 00:00 10:45
1157 031406020121P001 14-01-2021 19-01-2021 0000281567542 KARIYATI P
349 00:00 10:46
1158 031406020121P002 14-01-2021 29-01-2021 0000281569511 DURI P
148 00:00 22:36
1159 031406020121P000 14-01-2021 14-01-2021 0000281579905 ZULAZMI L
815 00:00 09:45
1160 031406020121P001 14-01-2021 19-01-2021 0000281695724 JUISAH P
350 00:00 10:46
1161 031406020121P000 14-01-2021 15-01-2021 0000281724164 KARTINI P
926 00:00 09:45
1162 031406020121P001 14-01-2021 20-01-2021 0000281729621 yeni pitri yanti P
485 00:00 10:50
1163 031406020121P001 14-01-2021 20-01-2021 0000281732523 SAMSINAR P
487 00:00 10:51
1164 031406020121P001 14-01-2021 20-01-2021 0000281734571 FITRI SUSANTI P
488 00:00 10:52
1165 031406020121P001 14-01-2021 19-01-2021 0000281755091 HERI SUWANTI P
351 00:00 10:47
1166 031406020121P001 14-01-2021 19-01-2021 0000281823355 IRAWATI P
352 00:00 10:47
1167 031406020121P001 14-01-2021 20-01-2021 0000281850041 ROHIM L
490 00:00 10:52
1168 031406020121P000 14-01-2021 15-01-2021 0000281861054 HENGKI JULIANTO L
925 00:00 09:44
1169 031406020121P001 14-01-2021 20-01-2021 0000281872956 SUGENG L
492 00:00 10:54
1170 031406020121P001 14-01-2021 19-01-2021 0000281899787 SIMPEN P
353 00:00 10:48
1171 031406020121P001 14-01-2021 19-01-2021 0000282005346 SIEN L
354 00:00 10:49
PBI (APBN) Cutaneous abscess, furuncle Berobat Jalan

and carbuncle
PBI (APBN) Essential (primary) hypertension Sembuh
PBI (APBN) Impacted teeth Rujuk Vertikal



1172 031406020121P001 14-01-2021 19-01-2021 0000282020556 JULIANA P
355 00:00 10:49
1173 031406020121P001 14-01-2021 20-01-2021 0000282030276 SUPARDI L
494 00:00 10:56
1174 031406020121P000 14-01-2021 15-01-2021 0000282034888 NUAR L
947 00:00 10:28
1175 031406020121P001 14-01-2021 19-01-2021 0000282043517 RENO SAPUTRA L
356 00:00 10:50
1176 031406020121P001 14-01-2021 19-01-2021 0000282172307 ENDANG ENIWATI P
357 00:00 10:50
1177 031406020121P001 14-01-2021 20-01-2021 0000282180835 JASMINAR P
495 00:00 10:58
031406020121P001 14-01-2021 20-01-2021
1178 496 00:00 10:59 0000282205179 SULISMIATI P
1179 031406020121P001 14-01-2021 20-01-2021 0000282211492 SUNARDI L

498 00:00 11:00
1180 031406020121P001 14-01-2021 19-01-2021 0000282219434 SARWI P
358 00:00 10:51
1181 031406020121P000 14-01-2021 15-01-2021 0000282220108 KUSNI P
929 00:00 10:17
1182 031406020121P001 14-01-2021 19-01-2021 0000282226599 SUPANTI P
314 00:00 09:55
1183 031406020121P000 14-01-2021 14-01-2021 0000282389848 SARI BAINI P
825 00:00 10:02
1184 031406020121P001 14-01-2021 20-01-2021 0000282393527 ALPIA P
499 00:00 11:00
1185 031406020121P001 14-01-2021 20-01-2021 0000282419919 AZWIR L
500 00:00 11:01
1186 031406020121P000 14-01-2021 15-01-2021 0000282461332 ERNIPOPIATI P
919 00:00 09:41
1187 031406020121P001 14-01-2021 20-01-2021 0000282533141 HARUN L
501 00:00 11:02
1188 031406020121P001 14-01-2021 20-01-2021 0000282535435 ADEK P
502 00:00 11:03
1189 031406020121P001 14-01-2021 19-01-2021 0000282801543 AFRIZA P
359 00:00 10:52
1190 031406020121P001 14-01-2021 19-01-2021 0000282882598 YANTI P
381 00:00 13:05
unspecified
PBI (APBN) Acute upper respiratory Berobat Jalan Hipertensi


unspecified
PBI (APBN) Soft tissue disorder, unspecified Berobat Jalan

1191 031406020121P001 14-01-2021 20-01-2021 0000282962103 TIROS NARELI P
503 00:00 11:04
1192 031406020121P001 14-01-2021 19-01-2021 0000283012885 NEFRI HADI L
360 00:00 10:52
1193 031406020121P000 14-01-2021 14-01-2021 0000283025485 ASMO L
824 00:00 09:58
1194 031406020121P000 14-01-2021 15-01-2021 0000283031267 MARIANI P
952 00:00 10:35
1195 031406020121P001 14-01-2021 19-01-2021 0000283035183 MEI iswati P
382 00:00 13:06
1196 031406020121P001 14-01-2021 20-01-2021 0000283042809 RANI ELDIANA P
504 00:00 11:05
1197 031406020121P001 14-01-2021 20-01-2021 0000283074928 lena wati P
505 00:00 11:06
1198 031406020121P001 14-01-2021 20-01-2021 0000283236546 UDIN NASUTION L
506 00:00 11:06
1199 031406020121P001 14-01-2021 20-01-2021 0000283237119 JUMIARTI P
507 00:00 11:08
1200 031406020121P001 14-01-2021 19-01-2021 0000283383854 WINDA ANANDA PUTRI P
383 00:00 13:07
1201 031406020121P001 14-01-2021 20-01-2021 0000283549421 GANDUN L
402 00:00 08:05
1202 031406020121P000 14-01-2021 15-01-2021 0000987271222 JASNAWATI P
931 00:00 10:18
1203 031406020121P000 14-01-2021 15-01-2021 0000987276666 DAWAR L
944 00:00 10:26
1204 031406020121P001 14-01-2021 20-01-2021 0000987276699 SETI DAHLIA P
403 00:00 08:05
1205 031406020121P000 14-01-2021 15-01-2021 0001085179353 RAHMI ERMAN P
962 00:00 10:50
031406020121P000 14-01-2021 14-01-2021
827 00:00 10:20
1206 0001106592974 YOGIE WIRA SAPUTRA L
1207 031406020121P000 14-01-2021 15-01-2021 0001138076076 AMRI T L

957 00:00 10:47
404 00:00 08:06
PBI (APBN) Soft tissue disorder, unspecified Rujuk Vertikal


PEGAWAI Other orthopaedic follow-up
PEMERINTAH care
DENGAN Rujuk Vertikal
PERJANJIAN KERJA

1209 031406020121P001 14-01-2021 20-01-2021 0001311669257 DUSNIATI P
405 00:00 08:07
407 00:00 08:11
1211 031406020121P001 14-01-2021 20-01-2021 0001329278196 FADILAH AHMAD L
408 00:00 08:13
1212 031406020121P000 14-01-2021 15-01-2021 0001330811381 SUKARMAN L
951 00:00 10:34
1213 031406020121P001 14-01-2021 20-01-2021 0001433206539 IMAM MACIN L
409 00:00 08:14
1214 031406020121P000 14-01-2021 15-01-2021 0001439191631 DARMAWI L
950 00:00 10:34
1215 031406020121P000 14-01-2021 14-01-2021 0001439191631 DARMAWI L
804 00:00 09:24
1216 0001444688572 MISNI P
031406020121P000 14-01-2021 15-01-2021
953 00:00 10:37
1217 0001494875384 SUTINAH P

031406020121P000 14-01-2021 15-01-2021
955 00:00 10:38
1218 031406020121P001 14-01-2021 20-01-2021 0001494877443 DASRIAL L

410 00:00 08:15
411 00:00 08:16
1220 031406020121P001 14-01-2021 20-01-2021 0001494880031 TARIJAK L
412 00:00 08:16
1221 031406020121P000 14-01-2021 15-01-2021 0001494882821 SUNARSIH P
941 00:00 10:23
1222 031406020121P001 14-01-2021 20-01-2021 0001494884463 RIZAL L
413 00:00 08:17
1223 031406020121P001 14-01-2021 20-01-2021 0001494885622 Novran Aditya L
414 00:00 08:19
1224 031406020121P000 14-01-2021 15-01-2021 0001494912249 NIMAH P
923 00:00 09:44
1225 031406020121P000 14-01-2021 15-01-2021 0001494912262 RAHMA DONI L
922 00:00 09:43
1226 031406020121P001 14-01-2021 20-01-2021 0001494915445 SUPANDI AVNOVAL L
415 00:00 08:21

PBI (APBN) Essential (primary) hypertension Berobat Jalan Hipertensi
PEKERJA MANDIRI Hypertensive heart disease Rujuk Vertikal Hipertensi


PEKERJA MANDIRI and other physical methods

031406020121P001 14-01-2021 20-01-2021
1227 416 00:00 08:21 0001494943007 PAISAH P
031406020121P001 14-01-2021 20-01-2021

1228 417 00:00 08:22 0001494943795 LISMAWATI P
1229 031406020121P001 14-01-2021 20-01-2021 0001494944728 YUSIHAFRI YANTI P

418 00:00 08:23
031406020121P001 14-01-2021 20-01-2021
1230 419 00:00 08:23 0001494945336 RAHAYU P
1231 031406020121P001 14-01-2021 20-01-2021 0001494969535 MUHAMMAD YASIR L

420 00:00 08:25
1232 031406020121P000 14-01-2021 15-01-2021 0001494987625 IJON L
924 00:00 09:44
1233 0001495060648 SUNARMI P
031406020121P000 14-01-2021 15-01-2021
954 00:00 10:37
1234 031406020121P000 14-01-2021 15-01-2021 0001604167637 ROCHATI P

934 00:00 10:20
1235 031406020121P000 14-01-2021 15-01-2021 0001604167694 SRI WAHYUNI P
943 00:00 10:24
1236 031406020121P000 14-01-2021 15-01-2021 0001612233742 EVA ASMAWATI P
935 00:00 10:21
1237 031406020121P001 14-01-2021 20-01-2021 0001612234034 UPIAK P
421 00:00 08:26
1238 031406020121P001 14-01-2021 20-01-2021 0001612235046 KASIMUR P
428 00:00 08:41
1239 031406020121P001 14-01-2021 20-01-2021 0001612235057 SABANIAR P
429 00:00 08:43
1240 031406020121P001 14-01-2021 20-01-2021 0001615817362 SARI INTAN P
430 00:00 08:45
1241 031406020121P001 14-01-2021 20-01-2021 0001684165386 Ermolliadi L
431 00:00 08:47
1242 031406020121P001 14-01-2021 20-01-2021 0001684165577 Aprilia Dwi Astuti P
432 00:00 08:47
1243 031406020121P001 14-01-2021 20-01-2021 0001785410572 LAMBUIK L
433 00:00 08:48



PBI (APBD) Essential (primary) hypertension Berobat Jalan Diabetes Mellitus Hipertensi
PBI (APBD) Essential (primary) hypertension Berobat Jalan Hipertensi
PEKERJA MANDIRI Vertigo of central origin Berobat Jalan

1244 031406020121P001 14-01-2021 20-01-2021 0001785411606 JUANA P
434 00:00 08:49
031406020121P000 14-01-2021 15-01-2021
1245 937 00:00 10:21 0001810879626 SUIRAH P
1246 031406020121P000 14-01-2021 15-01-2021 0001816735173 DEVENT LIVARDO L

940 00:00 10:22
1247 031406020121P001 14-01-2021 20-01-2021 0001826926672 CARLEM L
435 00:00 08:50
1248 031406020121P001 14-01-2021 20-01-2021 0001833787618 PUTRI YENI P
437 00:00 08:53
1249 031406020121P000 14-01-2021 14-01-2021 0001846339119 AFIFAH HAKIM P
823 00:00 09:54
1250 031406020121P001 14-01-2021 18-01-2021 0001855680017 DELIYUS L
024 00:00 09:02
1251 031406020121P001 14-01-2021 24-01-2021 0001871753848 IBET JUMAIRA P
805 00:00 20:04
1252 031406020121P000 14-01-2021 14-01-2021 0001872403694 SUSI SUSANTI P
829 00:00 11:04
1253 031406020121P001 14-01-2021 18-01-2021 0001874333226 RANIA UMAIRA RIZKI P
025 00:00 09:04
1254 031406020121P001 14-01-2021 20-01-2021 0001876801149 YENTI P
438 00:00 08:54
1255 031406020121P000 14-01-2021 15-01-2021 0001888379335 NAJLA HAURA P
964 00:00 10:52
1256 031406020121P001 14-01-2021 20-01-2021 0001888387593 MUFNI INDRA L
439 00:00 08:56
1257 031406020121P000 14-01-2021 15-01-2021 0001898641743 ILEN P
932 00:00 10:18
031406020121P001 14-01-2021 20-01-2021
1258 440 00:00 08:57 0001898642305 RENAWATI YUNITA P
1259 031406020121P001 14-01-2021 20-01-2021 0001909519536 ALVIN ZANDRA L

441 00:00 08:58
1260 031406020121P001 14-01-2021 20-01-2021 0001970729054 SYARIFUDDIN L
442 00:00 08:59
1261 031406020121P000 14-01-2021 15-01-2021 0001974965038 RAHMADI L
933 00:00 10:19
1262 031406020121P001 14-01-2021 20-01-2021 0002037467079 AMAN SUHERMAN L
443 00:00 09:01
PENERIMA PENSIUN
SWASTA Gastritis, unspecified Berobat Jalan

PEKERJA MANDIRI Unspecified diabetes mellitus Berobat Jalan
PNS DAERAH Antenatal screening, Berobat Jalan

unspecified
unspecified
PEGAWAI SWASTA Disorder of urinary system, Berobat Jalan
unspecified
PNS DAERAH Essential (primary) hypertension Berobat Jalan Hipertensi Hipertensi

1263 031406020121P001 14-01-2021 18-01-2021 0002049238607 ROSMANITATI P
048 00:00 10:32
031406020121P000 14-01-2021 14-01-2021
1264 826 00:00 10:19 0002062813083 IRA MISTALIA P
031406020121P001 14-01-2021 18-01-2021

027 00:00 09:07
1265 0002074035126 YOSTIA FATMA P
031406020121P001 14-01-2021 20-01-2021

1266 444 00:00 09:04 0002081724423 YETTI P
1267 031406020121P001 14-01-2021 20-01-2021 0002218501708 APRIZAL L

458 00:00 10:16
1268 031406020121P001 14-01-2021 20-01-2021 0002229692523 REY APRILIO ARKANO L
459 00:00 10:17
1269 031406020121P001 14-01-2021 18-01-2021 0002269045236 HARIYONO L
028 00:00 09:10
1270 031406020121P001 14-01-2021 18-01-2021 0002269045427 MARDIYAH P
029 00:00 09:12
1271 031406020121P001 14-01-2021 18-01-2021 0002276633103 JAINIS NAINI P
030 00:00 09:13
1272 031406020121P001 14-01-2021 18-01-2021 0002276633452 FEBIAN VEBYOLA P
032 00:00 09:15
1273 031406020121P000 14-01-2021 15-01-2021 0002290031842 SABANIAR P
938 00:00 10:21
1274 031406020121P001 14-01-2021 18-01-2021 0002305431922 ASILKHA RAURA PUTRI P
033 00:00 09:17
1275 031406020121P001 14-01-2021 20-01-2021 0002318817835 MINAH P
464 00:00 10:31
1276 031406020121P000 14-01-2021 15-01-2021 0002424696502 ALAN SATRIA SAPUTRA L
942 00:00 10:23
1277 031406020121P001 14-01-2021 20-01-2021 0002426015676 TAMSI L
465 00:00 10:33
1278 031406020121P001 14-01-2021 18-01-2021 0002437214253 ALIZAR L
034 00:00 09:18
1279 031406020121P001 14-01-2021 18-01-2021 0002437214826 MAR'AKTUL LATIFAH P
035 00:00 09:21
PEKERJA MANDIRI Spontaneous abortion,

incomplete, without Rujuk Vertikal
complication
PEGAWAI
PEMERINTAH
DENGAN Other dermatitis Berobat Jalan
PERJANJIAN KERJA




1280 031406020121P001 14-01-2021 20-01-2021 0002444296274 NGATINI P
466 00:00 10:34
1281 031406020121P000 14-01-2021 14-01-2021 0002448293027 JARINAN P
800 00:00 08:51
1282 031406020121P001 14-01-2021 18-01-2021 0002453489943 BUDI SANTOSO L
036 00:00 09:22
1283 031406020121P001 14-01-2021 18-01-2021 0002454975325 BILQIS KHAIRA WIRDA L
037 00:00 09:24
031406020121P001 14-01-2021 19-01-2021
1284 291 00:00 09:42 0002462270207 ELI SAFITRI P
1285 031406020121P001 14-01-2021 20-01-2021 0002467658204 ALI ANWAR L

467 00:00 10:35
1286 031406020121P001 14-01-2021 19-01-2021 0002470429866 MAWARNI TANJUNG P
293 00:00 09:43
1287 031406020121P001 14-01-2021 19-01-2021 0002471942507 RACJU FERNANDO L
295 00:00 09:44
1288 031406020121P001 14-01-2021 20-01-2021 0002473689879 YUSDARNIATI P
468 00:00 10:37
1289 031406020121P001 14-01-2021 19-01-2021 0002478903017 SULIYEM P
296 00:00 09:45
1290 031406020121P001 14-01-2021 20-01-2021 0002488630217 DARMO SUWITO L
469 00:00 10:38
1291 031406020121P001 14-01-2021 19-01-2021 0002492002023 NARSO L
298 00:00 09:45
1292 031406020121P001 14-01-2021 19-01-2021 0002494663165 SITI P
299 00:00 09:46
1293 031406020121P000 14-01-2021 14-01-2021 0002501172909 PAN L
801 00:00 08:53
031406020121P001 14-01-2021 20-01-2021
1294 470 00:00 10:39 0002584918664 ELI SUSANTI P
1295 031406020121P001 14-01-2021 19-01-2021 0002587673608 SANTI NOVITA P

300 00:00 09:46
1296 031406020121P001 14-01-2021 19-01-2021 0002613986965 KARBA L
301 00:00 09:47
1297 031406020121P000 14-01-2021 15-01-2021 0002639797637 SUGITO L
946 00:00 10:27
1298 031406020121P000 14-01-2021 15-01-2021 0002745740068 HAZEL ROMANSA PUTRI P
960 00:00 10:48
PEKERJA MANDIRI Haemorrhage of anus and Rujuk Vertikal

rectum
PEGAWAI SWASTA Disorder of urinary system, Berobat Jalan
unspecified
PBI (APBD) disease without oesophagitis Berobat Jalan
PEKERJA MANDIRI Other diseases of oesophagus Berobat Jalan

PNS
PNS
PEKERJA MANDIRI Unspecified renal colic Rujuk Vertikal

1299 031406020121P001 14-01-2021 19-01-2021 0002760294071 AAISYAH P
303 00:00 09:47
1300 0002772050837 AFRIDA WATI P
031406020121P001 14-01-2021 19-01-2021
304 00:00 09:48
1301 031406020121P001 14-01-2021 20-01-2021 0002773513091 WARTINI P

472 00:00 10:39
1302 031406020121P000 14-01-2021 15-01-2021 0002784456999 SUBAWAN P
949 00:00 10:29
1303 031406020121P001 14-01-2021 20-01-2021 0002784463097 IYET P
473 00:00 10:40
1304 031406020121P001 14-01-2021 20-01-2021 0002784463108 AYU SUSANTI P
474 00:00 10:41
1305 031406020121P001 14-01-2021 19-01-2021 0002884264121 NGADIPAN L
306 00:00 09:49
1306 031406020121P001 14-01-2021 20-01-2021 0002900516905 BUYUNG ADANG L
508 00:00 11:15
1307 031406020121P001 14-01-2021 19-01-2021 0002904469075 GIYEM P
308 00:00 09:50
1308 031406020121P001 14-01-2021 20-01-2021 0002920895919 YARNAWATI P
476 00:00 10:43
1309 031406020121P001 14-01-2021 19-01-2021 0002924981763 RATNI WARSITA P
313 00:00 09:54
1310 031406020121P001 14-01-2021 20-01-2021 0002935315776 MUHAMMAD GIBRAN L
477 00:00 10:43
1311 031406020121P001 14-01-2021 20-01-2021 0002938555282 OKI PRATAMA L
478 00:00 10:44
1312 031406020121P000 13-01-2021 13-01-2021 0000018795126 SUKRI HIDAYAT L
718 00:00 12:00
1313 031406020121P000 13-01-2021 13-01-2021 0000018817222 ASNI PANDENI P
686 00:00 11:30
1314 031406020121P000 13-01-2021 14-01-2021 0000018837909 NURSYAFNI P
834 00:00 13:58
1315 031406020121P000 13-01-2021 14-01-2021 0000018873562 SLAMET WIYADI L
852 00:00 14:29
1316 031406020121P000 13-01-2021 13-01-2021 0000018918393 RIZA SARTIKA P
734 00:00 13:49
1317 031406020121P000 13-01-2021 13-01-2021 0000018918426 GINA HAFISZAH P
735 00:00 13:57

PEKERJA MANDIRI



PNS DAERAH Primary pulmonary Rujuk Vertikal

hypertension
PENERIMA PENSIUN Other arthrosis Berobat Jalan
PNS
PENERIMA PENSIUN Fever, unspecified Berobat Jalan
PNS

1318 031406020121P000 13-01-2021 14-01-2021 0000149462008 FAKHRIDA TRISNA GUSTI P
835 00:00 13:59
1319 031406020121P001 13-01-2021 18-01-2021 0000149462021 RATU TELAGA BENING P
016 00:00 08:24
1320 031406020121P000 13-01-2021 13-01-2021 0000274684048 MARISA DAPUTRI SAMIATI P
736 00:00 14:04
1321 031406020121P000 13-01-2021 13-01-2021 0000280835752 RIKA YULIANTI P
637 00:00 10:24
1322 031406020121P000 13-01-2021 15-01-2021 0000280937924 DANI ANGGA SAPUTRA L
876 00:00 08:41
1323 031406020121P000 13-01-2021 14-01-2021 0000281020195 YURNALIS P
836 00:00 14:01
1324 031406020121P000 13-01-2021 14-01-2021 0000281072801 HARTATI P
837 00:00 14:03
1325 031406020121P000 13-01-2021 13-01-2021 0000281413978 HOTMAHAMI L
713 00:00 11:58
1326 031406020121P000 13-01-2021 13-01-2021 0000281458449 SAWIR L
737 00:00 14:06
1327 031406020121P000 13-01-2021 14-01-2021 0000281519234 M. SUHARDI L
838 00:00 14:04
1328 031406020121P000 13-01-2021 14-01-2021 0000281614274 mila darvita wati P
839 00:00 14:05
1329 031406020121P000 13-01-2021 14-01-2021 0000281711373 NELI ANDRIANI P
840 00:00 14:06
1330 031406020121P000 13-01-2021 13-01-2021 0000281732995 NOFRIZAL L
738 00:00 14:53
1331 031406020121P000 13-01-2021 13-01-2021 0000281741736 SIAN P
739 00:00 14:54
1332 031406020121P000 13-01-2021 14-01-2021 0000281752839 SETRI YANI P
841 00:00 14:07
1333 031406020121P000 13-01-2021 14-01-2021 0000281796131 TATIK SUPRAPTI P
842 00:00 14:08
1334 031406020121P000 13-01-2021 14-01-2021 0000281802339 INES SENTIA P
843 00:00 14:10
1335 031406020121P000 13-01-2021 14-01-2021 0000281821836 MAYAR P
844 00:00 14:12
1336 031406020121P000 13-01-2021 15-01-2021 0000281822714 AULIA RIVINDA P
880 00:00 08:46
PBI (APBN) Purulent endophthalmitis Rujuk Vertikal



1337 031406020121P000 13-01-2021 15-01-2021 0000281823153 RAFI AFNAL L
883 00:00 08:47
1338 031406020121P000 13-01-2021 13-01-2021 0000281863359 YETTI MULIYANI P
740 00:00 14:56
1339 031406020121P000 13-01-2021 15-01-2021 0000281867376 AHMAD ARIF L
888 00:00 08:50
1340 031406020121P000 13-01-2021 15-01-2021 0000281926203 ZAHRA. S P
860 00:00 08:17
1341 031406020121P000 13-01-2021 14-01-2021 0000281959672 A. Z. ARASLAN L
845 00:00 14:13
1342 031406020121P000 13-01-2021 14-01-2021 0000281970483 DINAR P
846 00:00 14:20
1343 031406020121P000 13-01-2021 14-01-2021 0000281976671 RETNA YULIS P
847 00:00 14:21
1344 031406020121P000 13-01-2021 13-01-2021 0000281988911 MAAS L
741 00:00 14:57
1345 031406020121P000 13-01-2021 13-01-2021 0000281991508 ROSNI P
742 00:00 14:59
1346 031406020121P000 13-01-2021 13-01-2021 0000281992094 SAFRINA P
591 00:00 08:47
1347 031406020121P000 13-01-2021 15-01-2021 0000282017068 MALI L
861 00:00 08:18
1348 031406020121P000 13-01-2021 13-01-2021 0000282017632 RAMAI P
743 00:00 15:31
1349 031406020121P000 13-01-2021 13-01-2021 0000282017946 LELI DERWATI P
744 00:00 15:33
1350 031406020121P000 13-01-2021 13-01-2021 0000282020556 JULIANA P
745 00:00 15:36
1351 031406020121P000 13-01-2021 13-01-2021 0000282034451 MUSLIM L
746 00:00 15:38
1352 031406020121P000 13-01-2021 13-01-2021 0000282034923 JULINAR P
747 00:00 15:40
1353 031406020121P000 13-01-2021 13-01-2021 0000282036014 RAMA DANI L
748 00:00 15:42
1354 031406020121P000 13-01-2021 13-01-2021 0000282037645 PUTRA ANDIKA L
687 00:00 11:33
1355 031406020121P000 13-01-2021 13-01-2021 0000282037757 BELA FEBRIAN P
689 00:00 11:34



1356 031406020121P000 13-01-2021 13-01-2021 0000282063082 ROSMAINI P
693 00:00 11:40
1357 031406020121P000 13-01-2021 13-01-2021 0000282091138 DAHLIANA P
698 00:00 11:49
1358 031406020121P000 13-01-2021 15-01-2021 0000282094929 junita msni P
862 00:00 08:19
1359 031406020121P000 13-01-2021 15-01-2021 0000282095313 ADIT L
863 00:00 08:21
1360 031406020121P000 13-01-2021 13-01-2021 0000282105325 NETTI NELLI SIREGAR P
749 00:00 15:45
1361 031406020121P000 13-01-2021 14-01-2021 0000282136757 SARIANI P
848 00:00 14:23
1362 031406020121P000 13-01-2021 14-01-2021 0000282152013 SALINI P
849 00:00 14:24
1363 031406020121P000 13-01-2021 15-01-2021 0000282160945 NOFRIANDI L
857 00:00 08:14
1364 031406020121P000 13-01-2021 13-01-2021 0000282175694 SARIANA P
750 00:00 15:48
1365 031406020121P000 13-01-2021 15-01-2021 0000282191804 PONIYEM P
864 00:00 08:23
1366 031406020121P000 13-01-2021 13-01-2021 0000282220108 KUSNI P
725 00:00 13:34
1367 031406020121P000 13-01-2021 15-01-2021 0000282224799 NESA PUTRI P
865 00:00 08:27
1368 031406020121P000 13-01-2021 14-01-2021 0000282226599 SUPANTI P
850 00:00 14:25
1369 031406020121P000 13-01-2021 14-01-2021 0000282239504 TUMI TANJUNG P
851 00:00 14:26
1370 031406020121P001 13-01-2021 17-01-2021 0000282385157 MUSLIADI L
011 00:00 17:31
1371 031406020121P000 13-01-2021 13-01-2021 0000282398927 AKMAT TOBI'I L
751 00:00 16:22
1372 031406020121P000 13-01-2021 13-01-2021 0000282475247 FIRMANTO L
752 00:00 16:23
1373 031406020121P000 13-01-2021 13-01-2021 0000282500739 yusneli P
753 00:00 16:24
1374 031406020121P001 13-01-2021 18-01-2021 0000282501077 AHMAD HABIL L
040 00:00 09:43


1375 031406020121P001 13-01-2021 18-01-2021 0000282514972 itzal afriginanjar L
043 00:00 10:10
1376 031406020121P000 13-01-2021 13-01-2021 0000282515679 RUSTANTI P
754 00:00 16:26
1377 031406020121P000 13-01-2021 13-01-2021 0000282588873 YULI HARTI P
755 00:00 16:27
1378 031406020121P000 13-01-2021 13-01-2021 0000282793623 RINA EFANITA P
726 00:00 13:36
1379 031406020121P000 13-01-2021 15-01-2021 0000282820138 KERIYAWANTI P
866 00:00 08:28
1380 031406020121P000 13-01-2021 16-01-2021 0000282820803 ENI ERNAWATI P
994 00:00 09:00
1381 031406020121P000 13-01-2021 15-01-2021 0000282823918 SAMSIDIR L
948 00:00 10:28
1382 031406020121P000 13-01-2021 16-01-2021 0000282834336 MISRA WATI P
996 00:00 09:17
1383 031406020121P001 13-01-2021 18-01-2021 0000282845992 SUHARTI P
014 00:00 08:21
1384 031406020121P000 13-01-2021 16-01-2021 0000282870898 RIFKI RAHMANTO L
997 00:00 09:18
1385 031406020121P000 13-01-2021 13-01-2021 0000282917182 SIRJON R L
756 00:00 16:28
1386 0000282955487 WANDI yus saputra L
031406020121P000 13-01-2021 13-01-2021
629 00:00 10:14
1387 031406020121P000 13-01-2021 16-01-2021 0000282963058 DEDI OKTA PRIYANTO L

998 00:00 09:19
1388 031406020121P000 13-01-2021 16-01-2021 0000282994468 RABAIYAH P
999 00:00 09:20
1389 031406020121P001 13-01-2021 16-01-2021 0000282994874 SUMARNI P
001 00:00 09:26
1390 031406020121P000 13-01-2021 13-01-2021 0000283012885 NEFRI HADI L
757 00:00 16:30
1391 031406020121P001 13-01-2021 16-01-2021 0000283031267 MARIANI P
002 00:00 09:27
1392 031406020121P000 13-01-2021 13-01-2021 0000283043327 SARIANI CANIAGO P
727 00:00 13:38
1393 031406020121P000 13-01-2021 13-01-2021 0000283062519 SADINO L
758 00:00 16:31

PBI (APBN) Chronic obstructive pulmonary Rujuk Vertikal

disease with acute

1394 031406020121P000 13-01-2021 15-01-2021 0000283066108 JAILANI L
972 00:00 10:58
1395 031406020121P000 13-01-2021 15-01-2021 0000283074669 DERI gusmita L
973 00:00 10:59
1396 031406020121P000 13-01-2021 13-01-2021 0000283214913 INAR P
728 00:00 13:39
1397 031406020121P000 13-01-2021 13-01-2021 0000283357697 NORISAM P
729 00:00 13:41
1398 031406020121P000 13-01-2021 13-01-2021 0000283441094 UPIK P
759 00:00 16:32
1399 031406020121P000 13-01-2021 15-01-2021 0000283501282 DAVID ADRIAN L
858 00:00 08:15
1400 031406020121P000 13-01-2021 15-01-2021 0000283501315 DANDI AFRIANDI L
859 00:00 08:16
1401 031406020121P000 13-01-2021 15-01-2021 0000283529092 RATNA DESI P
958 00:00 10:47
1402 031406020121P000 13-01-2021 15-01-2021 0000283573282 SUKINEM P
974 00:00 10:59
1403 031406020121P000 13-01-2021 15-01-2021 0000283593857 MUHAMAD ZAKI L
975 00:00 11:00
1404 031406020121P000 13-01-2021 15-01-2021 0000987271299 AFRIZAL L
976 00:00 11:00
1405 031406020121P000 13-01-2021 15-01-2021 0000987271648 ZULHENDRI L
977 00:00 11:01
1406 031406020121P000 13-01-2021 13-01-2021 0000987281662 SUGENG WIYONO L
760 00:00 16:34
1407 031406020121P000 13-01-2021 13-01-2021 0000987286588 SUAR L
646 00:00 10:52
1408 031406020121P000 13-01-2021 15-01-2021 0000987286588 SUAR L
959 00:00 10:48
1409 031406020121P000 13-01-2021 15-01-2021 0000987286599 CAYA P
961 00:00 10:49
1410 031406020121P000 13-01-2021 15-01-2021 0000987287163 RINA P
978 00:00 11:02
1411 031406020121P001 13-01-2021 16-01-2021 0001085178363 DANUR L
003 00:00 09:28
1412 031406020121P000 13-01-2021 13-01-2021 0001085178374 DARMA GUSERNI P
761 00:00 16:35
PBI (APBN) Other cataract Rujuk Vertikal Hipertensi Hipertensi
PBI (APBN) Myalgia Berobat Jalan Hipertensi Hipertensi

1413 031406020121P001 13-01-2021 16-01-2021 0001085178385 NURWAHYUDI L
004 00:00 09:28
1414 031406020121P000 13-01-2021 15-01-2021 0001085178407 SUCI SELVIANA P
971 00:00 10:55
1415 031406020121P000 13-01-2021 15-01-2021 0001085178565 FERA ZULIDA P
970 00:00 10:54
1416 031406020121P000 13-01-2021 13-01-2021 0001198636569 SITI MERI P
762 00:00 16:36
1417 031406020121P000 13-01-2021 15-01-2021 0001261156645 MAIDIRA FALSA P
867 00:00 08:29
1418 0001320714472 SABARUDIN L
031406020121P000 13-01-2021 15-01-2021
968 00:00 10:54
1419 031406020121P000 13-01-2021 15-01-2021 0001330802763 MASNA P

967 00:00 10:53
1420 031406020121P000 13-01-2021 14-01-2021 0001330811381 SUKARMAN L
856 00:00 14:39
1421 031406020121P000 13-01-2021 13-01-2021 0001330811381 SUKARMAN L
763 00:00 16:38
1422 031406020121P000 13-01-2021 15-01-2021 0001334139142 JASER L
963 00:00 10:51
1423 031406020121P000 13-01-2021 15-01-2021 0001444674486 WINARMAN L
965 00:00 10:52
1424 031406020121P000 13-01-2021 13-01-2021 0001448648673 RIZALDI L
764 00:00 16:39
1425 031406020121P001 13-01-2021 17-01-2021 0001450005456 SENO L
009 00:00 17:00
1426 031406020121P000 13-01-2021 13-01-2021 0001463122258 M.YANI L
765 00:00 16:40
1427 031406020121P000 13-01-2021 13-01-2021 0001494878174 ROSMITA P
766 00:00 16:41
1428 031406020121P001 13-01-2021 17-01-2021 0001494882753 VIVI ELVINA P
010 00:00 17:03
1429 031406020121P000 13-01-2021 15-01-2021 0001494884373 TRIANI P
966 00:00 10:53
1430 031406020121P000 13-01-2021 15-01-2021 0001494884463 RIZAL L
969 00:00 10:54
1431 031406020121P000 13-01-2021 13-01-2021 0001494910293 SURATUN P
720 00:00 12:01

PEKERJA MANDIRI

PEGAWAI SWASTA Low back pain Berobat Jalan

1432 031406020121P000 13-01-2021 13-01-2021 0001494930958 AGUS NIMAR P
711 00:00 11:57
1433 031406020121P000 13-01-2021 13-01-2021 0001494946282 WARTINI P
769 00:00 16:45
1434 031406020121P002 13-01-2021 02-02-2021 0001494952255 RINA WATI P
316 00:00 15:50
1435 031406020121P000 13-01-2021 16-01-2021 0001495056835 RIYANI P
980 00:00 08:27
1436 031406020121P000 13-01-2021 13-01-2021 0001495068838 YENI SARA P
768 00:00 16:44
1437 031406020121P000 13-01-2021 15-01-2021 0001612231582 ABDUL AJIS L
868 00:00 08:31
1438 031406020121P000 13-01-2021 13-01-2021 0001612237948 SIDAM L
767 00:00 16:42
1439 031406020121P000 13-01-2021 13-01-2021 0001615816416 AMRIZAL L
770 00:00 16:47
1440 031406020121P000 13-01-2021 16-01-2021 0001684164734 Jasnida P
981 00:00 08:28
1441 031406020121P000 13-01-2021 13-01-2021 0001684938633 FATMA LINDA P
710 00:00 11:56
1442 031406020121P000 13-01-2021 14-01-2021 0001820146331 DAWAR L
854 00:00 14:37
1443 031406020121P001 13-01-2021 18-01-2021 0001823940696 AMELIA SAFITRI P
017 00:00 08:25
1444 031406020121P000 13-01-2021 16-01-2021 0001823941001 ELIN AGUZA SAFRIA P
982 00:00 08:31
1445 031406020121P000 13-01-2021 16-01-2021 0001898641743 ILEN P
983 00:00 08:35
1446 031406020121P000 13-01-2021 16-01-2021 0001958589551 RYANAS TORANO L
985 00:00 08:45
1447 031406020121P000 13-01-2021 16-01-2021 0001967992694 JUANDRI REZKY L
986 00:00 08:46
1448 031406020121P000 13-01-2021 16-01-2021 0002087230792 META AFRIZAL L
987 00:00 08:47
1449 031406020121P001 13-01-2021 17-01-2021 0002124038812 NUNUK P
008 00:00 16:50
018 00:00 08:27





1451 031406020121P000 13-01-2021 13-01-2021 0002188987536 ERMA YUSNITA P
615 00:00 09:46
1452 031406020121P000 13-01-2021 16-01-2021 0002197117157 KARMI P
988 00:00 08:48
031406020121P000 13-01-2021 14-01-2021
1453 853 00:00 14:34 0002241130421 KABAR L
1454 031406020121P000 13-01-2021 13-01-2021 0002251972697 WANDA L

722 00:00 12:02
1455 031406020121P000 13-01-2021 16-01-2021 0002276633103 JAINIS NAINI P
989 00:00 08:49
990 00:00 08:50
1457 031406020121P000 13-01-2021 14-01-2021 0002292264088 JANIMAR P
855 00:00 14:38
1458 031406020121P000 13-01-2021 13-01-2021 0002295202004 SUMARNO EDI L
642 00:00 10:30
031406020121P000 13-01-2021 13-01-2021
1459 603 00:00 09:26 0002306213673 MUHAMMAD NUR L
031406020121P000 13-01-2021 13-01-2021

1460 634 00:00 10:22 0002325394269 JUMILAH P
1461 031406020121P000 13-01-2021 14-01-2021 0002422213839 ELDA YULIANTI P

830 00:00 13:52
1462 031406020121P000 13-01-2021 16-01-2021 0002430361721 JUSLINAR P
991 00:00 08:51
1463 031406020121P000 13-01-2021 16-01-2021 0002452254704 IBUS SALIM L
992 00:00 08:52
1464 031406020121P000 13-01-2021 13-01-2021 0002458795094 RASTINI P
716 00:00 11:59
1465 031406020121P000 13-01-2021 14-01-2021 0002471095506 SITI MURYATI P
831 00:00 13:54
1466 031406020121P000 13-01-2021 14-01-2021 0002477463952 SETYOWATI P
832 00:00 13:55
1467 031406020121P000 13-01-2021 14-01-2021 0002582662825 ELVA FITRIN P
833 00:00 13:56
993 00:00 08:57
PBI (APBN) Disorder of refraction, Rujuk Vertikal
unspecified
PEKERJA MANDIRI Chronic obstructive pulmonary

disease, unspecified Berobat Jalan

PNS DAERAH disease, so described Rujuk Vertikal
PBI (APBD) disease, so described Rujuk Vertikal


031406020121P000 13-01-2021 13-01-2021
1469 593 00:00 08:56 0002612849589 YULIANTO L
1470 031406020121P000 13-01-2021 13-01-2021 0002613986965 KARBA L

730 00:00 13:43
031406020121P000 13-01-2021 13-01-2021
1471 601 00:00 09:21 0002620733477 YETMAWATI P
1472 031406020121P000 13-01-2021 13-01-2021 0002739045532 SAKIRMAN L

592 00:00 08:50
1473 031406020121P001 13-01-2021 18-01-2021 0002740983322 MUHAMMAD ALIF PRATAMA L
019 00:00 08:29
1474 031406020121P000 13-01-2021 15-01-2021 0002751327055 SANDY CANDRA WINATA L
918 00:00 09:32
1475 031406020121P000 13-01-2021 13-01-2021 0002784450958 SARIDA P
731 00:00 13:44
1476 031406020121P000 13-01-2021 13-01-2021 0002892167021 FAIZA KHUMAIRA PUTRI P
595 00:00 08:58
1477 031406020121P000 13-01-2021 13-01-2021 0002897039801 RANYAM P
732 00:00 13:45
1478 031406020121P000 13-01-2021 13-01-2021 0002912183291 SUSANTI P
733 00:00 13:47
1479 031406020121P001 13-01-2021 18-01-2021 0002933023318 TIARA SHANDINI P
015 00:00 08:23
1480 031406020121P000 13-01-2021 13-01-2021 0002940156191 KASIR L
596 00:00 09:05
1481 031406020121P000 13-01-2021 13-01-2021 0003054459126 MASDENNI. HRP P
724 00:00 12:03
1482 031406020121P000 01-12-2021 13-01-2021 0000018817255 FAAIZAH TIARA SANDRI P
671 11:17
1483 031406020121P000 01-12-2021 14-01-2021 0000018837909 NURSYAFNI P
814 09:40
1484 031406020121P000 01-12-2021 12-01-2021 0000018917357 MUHAMMAD FAUZI L
581 16:43
1485 031406020121P000 01-12-2021 12-01-2021 0000028219612 NADRATUL HUDA P
585 16:52
1486 031406020121P000 01-12-2021 14-01-2021 0000149462008 FAKHRIDA TRISNA GUSTI P
816 09:48
1487 031406020121P000 01-12-2021 14-01-2021 0000149462021 RATU TELAGA BENING P
817 09:49
PEKERJA MANDIRI Non-insulin-dependent diabetes Diabetes Mellitus

mellitus with ophthalmic Rujuk Vertikal
complications
PEKERJA MANDIRI Schizophrenia Rujuk Vertikal

PEGAWAI SWASTA Epilepsy Rujuk Vertikal
PBI (APBD) Disorder of refraction, Rujuk Vertikal

unspecified

PNS

1488 031406020121P000 01-12-2021 13-01-2021 0000203279826 INDRA GUNAWAN L
672 11:18
1489 031406020121P000 01-12-2021 13-01-2021 0000280687689 PURMA WATI P
674 11:18
1490 031406020121P000 01-12-2021 14-01-2021 0000280891348 JAINAR P
779 08:23
1491 031406020121P000 01-12-2021 14-01-2021 0000280937924 DANI ANGGA SAPUTRA L
818 09:49
1492 031406020121P000 01-12-2021 14-01-2021 0000281020195 YURNALIS P
819 09:49
1493 031406020121P000 01-12-2021 14-01-2021 0000281072801 HARTATI P
820 09:50
1494 031406020121P000 01-12-2021 14-01-2021 0000281519234 M. SUHARDI L
821 09:51
1495 031406020121P000 01-12-2021 14-01-2021 0000281614274 mila darvita wati P
822 09:52
1496 031406020121P000 01-12-2021 15-01-2021 0000281711373 NELI ANDRIANI P
869 08:36
1497 031406020121P000 01-12-2021 15-01-2021 0000281752839 SETRI YANI P
870 08:37
1498 031406020121P000 01-12-2021 15-01-2021 0000281796131 TATIK SUPRAPTI P
871 08:37
1499 031406020121P000 01-12-2021 15-01-2021 0000281802339 INES SENTIA P
872 08:38
1500 031406020121P000 01-12-2021 15-01-2021 0000281821836 MAYAR P
873 08:38
1501 031406020121P000 01-12-2021 15-01-2021 0000281823153 RAFI AFNAL L
874 08:39
1502 031406020121P002 01-12-2021 29-01-2021 0000281860738 KUSMADI L
147 22:26
1503 031406020121P000 01-12-2021 14-01-2021 0000281861605 KELVIN MAINDRA L
780 08:23
1504 031406020121P000 01-12-2021 15-01-2021 0000281867376 AHMAD ARIF L
875 08:39
1505 031406020121P000 01-12-2021 12-01-2021 0000281882485 KADIYEM P
558 10:40
1506 031406020121P000 01-12-2021 14-01-2021 0000281891417 SURIP P
781 08:26

PBI (APBN) Atopic dermatitis Berobat Jalan

PBI (APBN) Gastritis, unspecified Sembuh


1507 031406020121P000 01-12-2021 12-01-2021 0000281891643 YURNALIS P
579 16:39
1508 031406020121P000 01-12-2021 12-01-2021 0000281924594 HENGKI KURNIAWAN L
586 16:55
1509 031406020121P000 01-12-2021 14-01-2021 0000281926078 YUFRIDA P
782 08:37
1510 031406020121P000 01-12-2021 15-01-2021 0000281959672 A. Z. ARASLAN L
877 08:41
1511 031406020121P000 01-12-2021 15-01-2021 0000281970483 DINAR P
878 08:45
031406020121P000 15-01-2021
1512 879 01-12-2021 08:45 0000281976671 RETNA YULIS P
1513 031406020121P000 01-12-2021 12-01-2021 0000281979167 KAHAR L

557 10:37
1514 031406020121P000 01-12-2021 13-01-2021 0000282014414 BAKIAH P
677 11:21
1515 031406020121P000 01-12-2021 15-01-2021 0000282136757 SARIANI P
881 08:46
1516 031406020121P000 01-12-2021 15-01-2021 0000282152013 SALINI P
882 08:46
1517 031406020121P000 01-12-2021 13-01-2021 0000282183467 SAFRIZAL L
681 11:24
031406020121P000 12-01-2021
1518 555 01-12-2021 10:27 0000282196912 kasma yenti P
1519 031406020121P002 01-12-2021 01-02-2021 0000282198835 JUARI P

298 19:04
1520 031406020121P000 01-12-2021 13-01-2021 0000282226599 SUPANTI P
682 11:24
1521 031406020121P000 01-12-2021 15-01-2021 0000282239504 TUMI TANJUNG P
884 08:48
1522 031406020121P000 01-12-2021 15-01-2021 0000282385157 MUSLIADI L
885 08:49
1523 031406020121P000 01-12-2021 14-01-2021 0000282419188 YATINI P
783 08:38
1524 031406020121P000 01-12-2021 12-01-2021 0000282456674 SORE L
580 16:41
1525 031406020121P000 01-12-2021 14-01-2021 0000282575913 SYOFIAN NADI L
784 08:40
PBI (APBN) Low vision, one eye Berobat Jalan

Follow-up examination after

PBI (APBN) other treatment for other Rujuk Vertikal
conditions
PBI (APBN) Congestive heart failure Berobat Jalan

PBI (APBN) Other and unspecified lesions of Berobat Jalan

oral mucosa
1526 031406020121P000 01-12-2021 13-01-2021 0000282592282 ANYAR P
683 11:25
1527 031406020121P000 01-12-2021 15-01-2021 0000282823918 SAMSIDIR L
886 08:50
1528 031406020121P000 01-12-2021 15-01-2021 0000282845992 SUHARTI P
887 08:50
1529 031406020121P000 01-12-2021 13-01-2021 0000282859648 REFNI P
684 11:26
1530 031406020121P002 01-12-2021 02-02-2021 0000283017587 RITA PURNAMA P
322 16:26
1531 031406020121P000 01-12-2021 14-01-2021 0000283063353 JASTINA P
785 08:40
1532 031406020121P000 01-12-2021 14-01-2021 0000283088485 IRA SAFITRI P
786 08:41
1533 031406020121P000 01-12-2021 14-01-2021 0000283284055 YULIZAR CAN L
787 08:41
1534 031406020121P000 01-12-2021 14-01-2021 0000283284268 ERNA P
788 08:42
1535 031406020121P000 01-12-2021 15-01-2021 0000283529092 RATNA DESI P
889 08:51
1536 031406020121P000 01-12-2021 13-01-2021 0000987266158 JAKIMIN L
685 11:27
1537 031406020121P000 01-12-2021 13-01-2021 0000987271222 JASNAWATI P
647 11:00
1538 031406020121P000 01-12-2021 14-01-2021 0000987271446 SYAFE'I L
789 08:42
1539 031406020121P000 01-12-2021 13-01-2021 0000987275507 PUTRI ANJELI P
648 11:01
1540 031406020121P000 01-12-2021 12-01-2021 0000987280367 SUMARI L
576 16:33
1541 031406020121P000 01-12-2021 13-01-2021 0000987281921 YULI AFNITA P
700 11:51
1542 031406020121P000 01-12-2021 15-01-2021 0000987286588 SUAR L
890 08:51
1543 031406020121P000 01-12-2021 15-01-2021 0000987286599 CAYA P
891 08:52
1544 031406020121P000 01-12-2021 13-01-2021 0001079450638 ILHAM HANAFI L
649 11:02
PBI (APBN) Asthma, unspecified Berobat Jalan

PBI (APBN) Single spontaneous delivery Sembuh
PBI (APBN) Cutaneous abscess, furuncle Berobat Jalan

and carbuncle
PBI (APBN) Dyspepsia Berobat Jalan Diabetes Mellitus

PBI (APBN) Foreign body in ear Berobat Jalan
PBI (APBN) Gastritis, unspecified Berobat Jalan Hipertensi Hipertensi

1545 031406020121P000 01-12-2021 13-01-2021 0001085178802 NURLIS P
650 11:03
1546 031406020121P000 01-12-2021 13-01-2021 0001085179228 SARI BULAN P
701 11:51
1547 031406020121P000 01-12-2021 13-01-2021 0001085179476 YULIASNI P
702 11:52
1548 031406020121P000 01-12-2021 13-01-2021 0001138076076 AMRI T L
703 11:53
1549 031406020121P000 01-12-2021 12-01-2021 0001153467628 TURUT L
588 17:00
1550 031406020121P000 01-12-2021 14-01-2021 0001174469095 YULIAR P
790 08:43
031406020121P000 12-01-2021
1551 560 01-12-2021 10:45 0001276503884 SUSISUSANTI P
1552 031406020121P000 01-12-2021 13-01-2021 0001308805064 MIVTAHUDIN ALVAZRI L

704 11:53 NOVRIANDI
706 11:54
708 11:55
1555 031406020121P000 01-12-2021 13-01-2021 0001330802763 MASNA P
709 11:56
031406020121P000 13-01-2021
1556 594 01-12-2021 08:57 0001330811381 SUKARMAN L
1557 031406020121P000 01-12-2021 14-01-2021 0001333854494 inel P

791 08:44
1558 031406020121P000 01-12-2021 15-01-2021 0001334139142 JASER L
892 08:52
1559 031406020121P000 01-12-2021 14-01-2021 0001427715371 SEPTARIA YUSMAR P
792 08:44
1560 031406020121P000 01-12-2021 15-01-2021 0001444674486 WINARMAN L
893 08:53
1561 031406020121P000 01-12-2021 13-01-2021 0001444684432 SUSMIATI P
712 11:58
1562 031406020121P000 01-12-2021 13-01-2021 0001444692598 NEVI SUHARNI P
714 11:58
1563 031406020121P000 01-12-2021 14-01-2021 0001445336785 CATEM P
793 08:44


conditions
Respiratory tuberculosis,
PBI (APBD) bacteriologically and Berobat Jalan
histologically confirmed
PBI (APBD) Arthrosis of first Berobat Jalan


1564 031406020121P000 01-12-2021 13-01-2021 0001448513043 KATIJEM P
651 11:04
1565 031406020121P000 01-12-2021 13-01-2021 0001448647626 HENDRO ANDIKO L
715 11:59
1566 031406020121P000 01-12-2021 13-01-2021 0001448651711 SUPIKTO L
717 12:00
1567 031406020121P000 01-12-2021 12-01-2021 0001448662792 SUJINAH P
587 16:56
1568 031406020121P000 01-12-2021 15-01-2021 0001450095118 BY. PARI L
894 08:55
1569 01-12-2021 0001481055333 YATINI P
031406020121P000 13-01-2021
652 11:04
1570 031406020121P000 01-12-2021 13-01-2021 0001494875417 MAYSAH PUTRI P

719 12:00
721 12:01
1572 031406020121P000 01-12-2021 15-01-2021 0001494882753 VIVI ELVINA P
895 08:56
1573 031406020121P000 01-12-2021 13-01-2021 0001494884373 TRIANI P
653 11:05
1574 031406020121P000 01-12-2021 15-01-2021 0001494884463 RIZAL L
896 08:57
1575 031406020121P000 01-12-2021 12-01-2021 0001494926594 MUSRIYEM P
583 16:48
1576 031406020121P000 01-12-2021 13-01-2021 0001494989987 EDI SUBAGIO L
654 11:06
1577 031406020121P000 01-12-2021 15-01-2021 0001495056835 RIYANI P
897 08:58
1578 031406020121P000 01-12-2021 14-01-2021 0001495065036 DESRA MULYADI L
794 08:46
1579 031406020121P000 01-12-2021 12-01-2021 0001497066862 DIDI JUNAIDI L
577 16:35
1580 031406020121P000 01-12-2021 12-01-2021 0001498445572 SITI MUMBARIATUN P
584 16:50
1581 031406020121P002 01-12-2021 02-02-2021 0001607790868 OKTA ANGGI RATI P
315 15:47
1582 031406020121P000 01-12-2021 15-01-2021 0001612231582 ABDUL AJIS L
898 08:58
PEKERJA MANDIRI Asthma Berobat Jalan

PEKERJA MANDIRI Fever, unspecified Berobat Jalan Hipertensi

PEKERJA MANDIRI
PEKERJA MANDIRI Atopic dermatitis Berobat Jalan
PEGAWAI BUMN Fever, unspecified Berobat Jalan

1583 031406020121P000 01-12-2021 14-01-2021 0001612234247 YUNELSI P
795 08:46
1584 031406020121P000 01-12-2021 12-01-2021 0001612235733 SUMIYATUN P
571 16:06
1585 031406020121P000 01-12-2021 14-01-2021 0001682890547 NURITA P
796 08:47
1586 031406020121P000 01-12-2021 14-01-2021 0001684164306 Rika Rustam P
797 08:48
1587 031406020121P000 01-12-2021 14-01-2021 0001684164431 TITEN ASMARA P
798 08:48
1588 031406020121P000 01-12-2021 15-01-2021 0001684164734 Jasnida P
899 08:59
031406020121P000 12-01-2021
1589 539 01-12-2021 10:02 0001685024381 TEGUH MAULANA AZNI L
1590 031406020121P000 01-12-2021 14-01-2021 0001806130721 HENDRI SAPUTRA L

799 08:50
1591 031406020121P000 01-12-2021 14-01-2021 0001811944001 MARADANI P
802 08:55
1592 031406020121P000 01-12-2021 15-01-2021 0001823940696 AMELIA SAFITRI P
900 08:59
1593 031406020121P000 01-12-2021 15-01-2021 0001823941001 ELIN AGUZA SAFRIA P
902 09:02
1594 031406020121P000 01-12-2021 14-01-2021 0001829375853 DUHARTO L
803 08:56
1595 031406020121P000 01-12-2021 12-01-2021 0001829584451 ASNI P
590 17:09
1596 031406020121P002 01-12-2021 01-02-2021 0001839102243 SITI RODINA P
299 19:07
1597 031406020121P000 01-12-2021 12-01-2021 0001874998269 KABATIAH P
540 10:07
031406020121P000 12-01-2021
582 16:45
1598 01-12-2021 0001893303134 JONI ISWADI L
1599 031406020121P000 01-12-2021 15-01-2021 0001898641743 ILEN P

903 09:04
1600 031406020121P000 01-12-2021 15-01-2021 0001967992694 JUANDRI REZKY L
904 09:05
PBI (APBD) Cellulitis Berobat Jalan

conditions
PEKERJA MANDIRI Epistaxis Berobat Jalan
PNS PUSAT Fever, unspecified Berobat Jalan
PEGAWAI SWASTA Coronavirus infection, Berobat Jalan

unspecified
PEKERJA MANDIRI Peptic ulcer, site unspecified Rujuk Vertikal
PEGAWAI
PEMERINTAH
DENGAN Gastritis, unspecified Berobat Jalan
PERJANJIAN KERJA

1601 031406020121P000 01-12-2021 14-01-2021 0002061424269 PUTRI P
805 09:27
1602 031406020121P000 01-12-2021 14-01-2021 0002064776927 DESNITA TRIWULANDARI P
806 09:28
1603 031406020121P000 01-12-2021 13-01-2021 0002075582079 MISSURIANI P
655 11:06
1604 031406020121P000 01-12-2021 15-01-2021 0002087230792 META AFRIZAL L
905 09:06
1605 031406020121P000 01-12-2021 12-01-2021 0002093043971 SUGITO L
575 16:32
1606 031406020121P000 01-12-2021 12-01-2021 0002093373066 KASMIWATI P
559 10:42
1607 031406020121P000 01-12-2021 15-01-2021 0002124038812 NUNUK P
906 09:11
908 09:11
1609 031406020121P000 01-12-2021 14-01-2021 0002188987716 INTA RENA P
807 09:29
1610 031406020121P000 01-12-2021 15-01-2021 0002197117157 KARMI P
909 09:13
1611 031406020121P000 01-12-2021 14-01-2021 0002229918219 DEWI PRAMITA SARI P
808 09:29
1612 031406020121P000 01-12-2021 15-01-2021 0002276633103 JAINIS NAINI P
910 09:14
911 09:17
1614 031406020121P002 01-12-2021 01-02-2021 0002290143699 NOTO SUPARJIO L
297 18:55
1615 031406020121P000 01-12-2021 14-01-2021 0002422213839 ELDA YULIANTI P
809 09:31
1616 031406020121P000 01-12-2021 15-01-2021 0002430361721 JUSLINAR P
913 09:26
1617 031406020121P000 01-12-2021 15-01-2021 0002452254704 IBUS SALIM L
914 09:28
1618 031406020121P000 01-12-2021 13-01-2021 0002466173081 NURBAITI P
723 12:03
1619 031406020121P000 01-12-2021 14-01-2021 0002477463952 SETYOWATI P
810 09:37
PEGAWAI SWASTA Fever of other and unknown Berobat Jalan

origin


PEKERJA MANDIRI Coronavirus infection, Berobat Jalan
unspecified

1620 031406020121P000 01-12-2021 14-01-2021 0002480047187 TARSINI P
771 08:19
1621 031406020121P000 01-12-2021 14-01-2021 0002501180122 JAHAR L
772 08:19
1622 031406020121P000 01-12-2021 14-01-2021 0002582662825 ELVA FITRIN P
811 09:38
1623 031406020121P000 01-12-2021 13-01-2021 0002583251155 NIKI ISNA MAYU P
656 11:07
1624 031406020121P000 01-12-2021 14-01-2021 0002586468205 TANIK L
773 08:19
915 09:29
1626 031406020121P000 01-12-2021 15-01-2021 0002613986965 KARBA L
916 09:29
1627 031406020121P000 01-12-2021 12-01-2021 0002638316204 YUSNIAR P
556 10:32
1628 031406020121P000 01-12-2021 12-01-2021 0002639797446 KARIM L
578 16:36
1629 031406020121P000 01-12-2021 14-01-2021 0002639811666 RASWAN L
774 08:20
1630 031406020121P000 01-12-2021 14-01-2021 0002740983322 MUHAMMAD ALIF PRATAMA L
812 09:38
1631 031406020121P000 01-12-2021 14-01-2021 0002746120015 WAHAB ABDUL RAFFI L
775 08:21
1632 031406020121P000 01-12-2021 13-01-2021 0002758025395 MULYATI P
657 11:07
1633 031406020121P000 01-12-2021 13-01-2021 0002758990869 SATINEM P
658 11:08
1634 031406020121P000 01-12-2021 14-01-2021 0002769597213 MIFTAHUL JANNAH P
776 08:21
1635 031406020121P000 01-12-2021 13-01-2021 0002772050837 AFRIDA WATI P
660 11:09
1636 031406020121P000 01-12-2021 13-01-2021 0002772051344 M. DJAMIL L
667 11:16
1637 031406020121P000 01-12-2021 14-01-2021 0002784453129 KASIMAN L
777 08:22
1638 031406020121P000 01-12-2021 13-01-2021 0002831951586 NURLELA P
668 11:16


PBI (APBN) Low vision, one eye Rujuk Vertikal
PEKERJA MANDIRI Bacterial foodborne intoxication, Berobat Jalan

unspecified
PEKERJA MANDIRI Foreign body in ear Berobat Jalan

PEGAWAI SWASTA Gout Berobat Jalan

1639 031406020121P000 01-12-2021 12-01-2021 0002884308671 FATMAWATI P
589 17:05
1640 031406020121P000 01-12-2021 14-01-2021 0002920895919 YARNAWATI P
778 08:22
1641 031406020121P000 01-12-2021 14-01-2021 0002933023318 TIARA SHANDINI P
813 09:39
1642 031406020121P000 01-11-2021 11-01-2021 0000016270986 KAMIDAR P
382 09:27
1643 031406020121P000 01-11-2021 12-01-2021 0000018637817 HERRY SUGITA HB L
516 09:08
1644 031406020121P000 01-11-2021 12-01-2021 0000018637828 LUCIA DARYATI P
517 09:09
1645 031406020121P000 01-11-2021 13-01-2021 0000018775552 ASRI TH SUTAN PAMUNCAK L
662 11:10
031406020121P000 11-01-2021
1646 444 01-11-2021 11:09 0000018805432 A S R I L, S.PD.I L
1647 031406020121P000 01-11-2021 11-01-2021 0000018814285 KABAR L

392 09:46
1648 031406020121P000 01-11-2021 13-01-2021 0000018882191 ZALMI SATRIA P
602 09:24
1649 031406020121P000 01-11-2021 11-01-2021 0000018889705 JIMMI INDERAVAKIN L
445 11:17
1650 031406020121P000 01-11-2021 13-01-2021 0000018890831 ALI AZWAR L
597 09:14
1651 031406020121P000 01-11-2021 13-01-2021 0000018918393 RIZA SARTIKA P
598 09:16
1652 031406020121P000 01-11-2021 11-01-2021 0000201722534 SRI WAHYUNI P
393 09:50
1653 031406020121P000 01-11-2021 13-01-2021 0000209653154 IWAN L
599 09:17
157 12:20
1655 031406020121P000 01-11-2021 12-01-2021 0000275127276 FATIMAH P
562 11:22
1656 031406020121P000 01-11-2021 13-01-2021 0000275856434 SYAMSUNAR L
600 09:19
1657 031406020121P000 01-11-2021 11-01-2021 0000276074649 NURHAYATI P
447 11:23

PENERIMA PENSIUN Other arthrosis Rujuk Vertikal
TNI
PENERIMA PENSIUN Fever, unspecified Berobat Jalan

PNS
Non-insulin-dependent diabetes Diabetes Mellitus
PNS PUSAT mellitus with ophthalmic Rujuk Vertikal Hipertensi
complications
PENERIMA PENSIUN Low back pain Rujuk Vertikal
TNI

PNS infection, unspecified
PNS DAERAH Hypokalaemia Rujuk Vertikal

unspecified
unspecified

1658 031406020121P000 01-11-2021 11-01-2021 0000280882416 DELNI PATRI P
441 11:00
1659 031406020121P000 01-11-2021 12-01-2021 0000280994602 WAHID L
550 10:18
1660 031406020121P000 01-11-2021 12-01-2021 0000280994894 RANITI P
553 10:20
1661 031406020121P000 01-11-2021 12-01-2021 0000280995704 SALWADI L
549 10:17
1662 031406020121P000 01-11-2021 13-01-2021 0000281002937 DATI P
604 09:27
1663 031406020121P000 01-11-2021 13-01-2021 0000281020195 YURNALIS P
661 11:09
1664 031406020121P000 01-11-2021 13-01-2021 0000281458449 SAWIR L
605 09:29
1665 031406020121P000 01-11-2021 12-01-2021 0000281549981 SARIJAL L
543 10:12
1666 031406020121P000 01-11-2021 12-01-2021 0000281729621 yeni pitri yanti P
537 09:59
1667 031406020121P000 01-11-2021 12-01-2021 0000281780482 SANTIA P
546 10:14
1668 031406020121P000 01-11-2021 12-01-2021 0000281780526 ROMI KURNIAWAN L
545 10:14
1669 031406020121P000 01-11-2021 13-01-2021 0000281795185 AMRIZAL L
606 09:30
1670 031406020121P000 01-11-2021 13-01-2021 0000281808505 TINRENI SULASTRI P
659 11:09
1671 031406020121P000 01-11-2021 12-01-2021 0000281859614 SOFNIYANTI P
563 11:23
1672 031406020121P000 01-11-2021 13-01-2021 0000281893421 rahma dani P
607 09:32
1673 031406020121P000 01-11-2021 13-01-2021 0000281933818 MINA P
608 09:35
1674 031406020121P000 01-11-2021 13-01-2021 0000281956397 UPIK P
609 09:37
1675 031406020121P000 01-11-2021 13-01-2021 0000282020556 JULIANA P
610 09:38
1676 031406020121P000 01-11-2021 13-01-2021 0000282035305 DELFIA ROZA P
611 09:41
unspecified
PBI (APBN) Gout Berobat Jalan


unspecified

1677 031406020121P000 01-11-2021 13-01-2021 0000282057603 SARINAN L
612 09:42
1678 031406020121P000 01-11-2021 13-01-2021 0000282091195 AFRIDAWATI P
613 09:43
1679 031406020121P000 01-11-2021 13-01-2021 0000282101128 PUTRI P
707 11:55
1680 031406020121P000 01-11-2021 11-01-2021 0000282163252 ASLIMAR P
448 11:24
1681 031406020121P000 01-11-2021 13-01-2021 0000282175132 MA'ANA L
614 09:45
1682 031406020121P000 01-11-2021 12-01-2021 0000282198835 JUARI P
515 09:08
1683 031406020121P000 01-11-2021 12-01-2021 0000282419188 YATINI P
534 09:52
1684 031406020121P000 01-11-2021 12-01-2021 0000282495688 KASIMAN L
532 09:51
1685 031406020121P000 01-11-2021 13-01-2021 0000282533141 HARUN L
616 09:47
1686 031406020121P000 01-11-2021 13-01-2021 0000282622994 SUKARNI L
617 09:49
1687 031406020121P000 01-11-2021 13-01-2021 0000282791485 JUMIRAH P
670 11:17
1688 031406020121P000 01-11-2021 13-01-2021 0000282825112 SISKA WULANDARI P
618 09:51
1689 031406020121P000 01-11-2021 12-01-2021 0000282936172 OPET P
566 11:26
1690 031406020121P000 01-11-2021 12-01-2021 0000282936317 DEA febiola P
536 09:54
1691 031406020121P000 01-11-2021 12-01-2021 0000282960821 SAFI P
568 11:31
1692 031406020121P000 01-11-2021 12-01-2021 0000283209039 ANDI SUSANTO L
509 09:02
1693 031406020121P000 01-11-2021 12-01-2021 0000283209129 AGUS MANIAR P
525 09:14
1694 031406020121P000 01-11-2021 12-01-2021 0000283209333 PUTRA GUSTIAWAN L
510 09:03
1695 031406020121P000 01-11-2021 12-01-2021 0000283209581 NELVA YENTI P
514 09:07
PBI (APBN) Acute bronchitis due to Berobat Jalan Hipertensi


unspecified
unspecified
PBI (APBN) Other orthopaedic follow-up Berobat Jalan
care

1696 031406020121P000 01-11-2021 12-01-2021 0000283210942 YOSSI ANGGRAINI P
513 09:06
1697 031406020121P000 01-11-2021 11-01-2021 0000283236614 MUNIR L
471 12:01
1698 031406020121P000 01-11-2021 12-01-2021 0000283416761 RAMLI L
530 09:50
1699 031406020121P000 01-11-2021 13-01-2021 0000283420888 NANA P
619 09:53
1700 031406020121P000 01-11-2021 13-01-2021 0000987268926 HARIYANTO L
620 09:55
1701 031406020121P000 01-11-2021 13-01-2021 0000987268937 JUMIYEM P
621 09:56
1702 031406020121P000 01-11-2021 11-01-2021 0000987275013 SADUN L
470 11:59
1703 031406020121P000 01-11-2021 11-01-2021 0000987275024 SUKINEM P
472 12:08
1704 031406020121P000 01-11-2021 13-01-2021 0000987279726 UJANG VIRGO L
622 09:57
1705 031406020121P000 01-11-2021 12-01-2021 0000987279805 ANIS SETIA WATI P
565 11:25
1706 031406020121P000 01-11-2021 13-01-2021 0000987285161 SUPATMI P
623 10:00
1707 031406020121P000 01-11-2021 12-01-2021 0000987285431 MERIZA NOVITA P
567 11:27
1708 031406020121P000 01-11-2021 13-01-2021 0001138076076 AMRI T L
624 10:01
1709 031406020121P000 01-11-2021 13-01-2021 0001198636569 SITI MERI P
625 10:03
1710 031406020121P000 01-11-2021 13-01-2021 0001239054726 MARNITA SITUMORANG L
626 10:04
1711 031406020121P000 01-11-2021 12-01-2021 0001261912994 BAMBANG SUGIANTO L
527 09:15
1712 031406020121P000 01-11-2021 12-01-2021 0001262160843 RIDO MUHAMMAD AFIF L
520 09:11
627 10:05
1714 031406020121P000 01-11-2021 11-01-2021 0001322894193 AMRI ISHAQ L
389 09:37


PBI (APBN) Low back pain Berobat Jalan Hipertensi
PBI (APBN) Headache Berobat Jalan Diabetes Mellitus

unspecified

unspecified

unspecified
PEKERJA MANDIRI Cerebral infarction Rujuk Vertikal Hipertensi

031406020121P000 11-01-2021
1715 427 01-11-2021 10:38 0001323605856 SARIATI P
1716 031406020121P000 01-11-2021 13-01-2021 0001323605856 SARIATI P

628 10:06
1717 031406020121P000 01-11-2021 11-01-2021 0001386549044 FEBRIA MONICHA P
443 11:07
1718 031406020121P000 01-11-2021 13-01-2021 0001448652846 MAISARAH P
669 11:16
1719 031406020121P000 01-11-2021 13-01-2021 0001448653173 AZANI OHRANINGSAH P
695 11:45
1720 031406020121P000 01-11-2021 13-01-2021 0001481055333 YATINI P
665 11:13
522 09:12
031406020121P000 12-01-2021
1722 533 01-11-2021 09:51 0001494886443 MUHAMMAD RIFA'I L
1723 031406020121P000 01-11-2021 12-01-2021 0001494910293 SURATUN P

528 09:15
1724 031406020121P000 01-11-2021 13-01-2021 0001494914826 SUJIATI P
630 10:17
1725 031406020121P000 01-11-2021 13-01-2021 0001494923321 YUVITA SUSILOWATI P
631 10:19
1726 031406020121P000 01-11-2021 13-01-2021 0001494923769 Mustabsyiroh P
632 10:20
1727 031406020121P000 01-11-2021 13-01-2021 0001494923804 Okky Ridhotul Asri L
696 11:46
1728 031406020121P000 01-11-2021 12-01-2021 0001494935673 SURATMI P
518 09:10
1729 031406020121P000 01-11-2021 13-01-2021 0001494943222 RONIATI P
633 10:22
1730 031406020121P000 01-11-2021 13-01-2021 0001494943795 LISMAWATI P
635 10:23
1731 031406020121P000 01-11-2021 13-01-2021 0001494964765 DESMAWATI P
636 10:24
1732 031406020121P000 01-11-2021 12-01-2021 0001494967274 JAEDI L
535 09:53
1733 031406020121P000 01-11-2021 13-01-2021 0001494975521 RUMINAH P
638 10:25
other treatment for other Rujuk Vertikal Hipertensi Hipertensi
conditions
PEKERJA MANDIRI Other arthrosis Berobat Jalan Hipertensi Hipertensi
PNS DAERAH Tinnitus Rujuk Vertikal
PEGAWAI SWASTA Gastric ulcer, chronic without

haemorrhage or perforation Berobat Jalan


PEGAWAI SWASTA Asthma Berobat Jalan
PEGAWAI SWASTA Dyspepsia Berobat Jalan Hipertensi

1734 031406020121P000 01-11-2021 13-01-2021 0001494989987 EDI SUBAGIO L
639 10:26
1735 031406020121P000 01-11-2021 12-01-2021 0001495050581 Sukamdi L
547 10:15
1736 031406020121P000 01-11-2021 12-01-2021 0001495072809 RAMIN L
524 09:13
1737 031406020121P000 01-11-2021 13-01-2021 0001495087323 sutami P
640 10:26
1738 031406020121P000 01-11-2021 13-01-2021 0001495108001 NERNANINGSIH P
641 10:27
1739 031406020121P000 01-11-2021 13-01-2021 0001495112231 CLAUDIA DHEA KARTIKA P
697 11:48 ZEBUA
1740 031406020121P000 01-11-2021 11-01-2021 0001498445572 SITI MUMBARIATUN P
425 10:28
1741 031406020121P000 01-11-2021 12-01-2021 0001604213278 SUHADAK L
526 09:14
1742 031406020121P000 01-11-2021 13-01-2021 0001612231661 IHSAN MAULANA P
699 11:49
1743 031406020121P000 01-11-2021 12-01-2021 0001612233742 EVA ASMAWATI P
548 10:16
1744 031406020121P000 01-11-2021 13-01-2021 0001612235597 BAKHTIAR L
643 10:31
1745 031406020121P000 01-11-2021 13-01-2021 0001612237961 ABDUL TALIB P
644 10:34
1746 031406020121P000 01-11-2021 13-01-2021 0001615818137 NAZARUDIN L
645 10:36
1747 031406020121P000 01-11-2021 13-01-2021 0001684163643 HIDUP FITRI P
694 11:40
1748 031406020121P000 01-11-2021 13-01-2021 0001684164521 Ahmad Muhaimin L
692 11:38
1749 031406020121P000 01-11-2021 13-01-2021 0001689153783 ERI GUSNAWATI P
691 11:37
1750 031406020121P000 01-11-2021 13-01-2021 0001807582173 IMAR P
666 11:15
1751 031406020121P000 01-11-2021 12-01-2021 0001821583675 AZIZAH P
531 09:50
1752 031406020121P000 01-11-2021 13-01-2021 0001839102243 SITI RODINA P
690 11:36


PEGAWAI BUMN Soft tissue disorder, unspecified Rujuk Vertikal
PBI (APBD) Asthma, unspecified Berobat Jalan


1753 031406020121P000 01-11-2021 13-01-2021 0001852519432 SUYATMI P
688 11:34
1754 031406020121P000 01-11-2021 13-01-2021 0001878281324 PURNAMA ARITA WARAYATI P
664 11:12
1755 031406020121P000 01-11-2021 11-01-2021 0001890992362 AUNG P
468 11:51
1756 031406020121P000 01-11-2021 11-01-2021 0001900002824 MUSLIKUN L
473 12:11
1757 01-11-2021 0001909519558 CIcCI INDRIANI P
031406020121P000 12-01-2021
511 09:05
1758 031406020121P000 01-11-2021 12-01-2021 0001968244299 AISYAH P

552 10:20
1759 031406020121P000 01-11-2021 12-01-2021 0001968244468 TARSINI P
551 10:19
1760 031406020121P000 01-11-2021 13-01-2021 0002123028382 MAINI P
663 11:11
1761 031406020121P000 01-11-2021 12-01-2021 0002188983835 REMITA P
519 09:10
1762 031406020121P000 01-11-2021 11-01-2021 0002209606773 RAHMAN EFENDI L
449 11:26
1763 031406020121P000 01-11-2021 11-01-2021 0002226592912 SARI ANTI P
395 09:56
1764 031406020121P000 01-11-2021 12-01-2021 0002226593081 RAFI ILHAM L
529 09:49
1765 031406020121P000 01-11-2021 11-01-2021 0002228895617 IKHSAN NULHAKIM L
396 09:58
1766 031406020121P000 01-11-2021 12-01-2021 0002228896326 ABIZARD ALAMANDA NUL L
570 11:36 HAKIM
1767 031406020121P000 01-11-2021 12-01-2021 0002236033214 ELNAWATI P
542 10:11
1768 031406020121P000 01-11-2021 13-01-2021 0002270174275 SUPIRMAN L
680 11:24
1769 031406020121P000 01-11-2021 11-01-2021 0002296915525 ALFI SYAHRIN L
390 09:38
1770 031406020121P000 01-11-2021 13-01-2021 0002326361354 KASIRA P
679 11:23
1771 031406020121P000 01-11-2021 11-01-2021 0002437214253 ALIZAR L
469 11:55
PBI (APBN) Chronic obstructive pulmonary Berobat Jalan

disease with acute
PEKERJA MANDIRI Soft tissue disorder, unspecified Rujuk Vertikal
PEGAWAI SWASTA Antenatal screening, Rujuk Vertikal

unspecified
PEKERJA MANDIRI Hypo-osmolality and Rujuk Vertikal

hyponatraemia

1772 031406020121P000 01-11-2021 12-01-2021 0002437214499 MURNI P
538 10:00
1773 031406020121P000 01-11-2021 12-01-2021 0002441943112 MARKAM P
521 09:12
031406020121P000 11-01-2021
1774 379 01-11-2021 09:18 0002466590782 LASNO L
031406020121P000 11-01-2021
1775 394 01-11-2021 09:52 0002468582987 KUSNAN L
1776 031406020121P000 01-11-2021 12-01-2021 0002471942507 RACJU FERNANDO L

512 09:06
1777 031406020121P000 01-11-2021 11-01-2021 0002488534391 DARSINAH P
446 11:20
1778 01-11-2021 0002499489843 MIRA FITRIANI P
031406020121P000 11-01-2021
391 09:41
1779 031406020121P000 01-11-2021 12-01-2021 0002584104985 RINA P

561 11:20
1780 031406020121P000 01-11-2021 12-01-2021 0002584918664 ELI SUSANTI P
544 10:13
1781 031406020121P000 01-11-2021 13-01-2021 0002638316204 YUSNIAR P
678 11:22
1782 031406020121P000 01-11-2021 13-01-2021 0002744692288 SAMSILAS P
676 11:20
1783 031406020121P000 01-11-2021 11-01-2021 0002757328694 AZWARDI L
368 08:56
705 11:54
1785 031406020121P000 01-11-2021 12-01-2021 0002784449935 RADIANI P
569 11:32
1786 031406020121P000 01-11-2021 13-01-2021 0002784450958 SARIDA P
675 11:19
1787 031406020121P000 01-11-2021 12-01-2021 0002832040282 IBNU FADIL L
541 10:09
1788 031406020121P002 01-11-2021 01-02-2021 0002832043961 BAHRUN L
296 18:50
1789 031406020121P000 01-11-2021 13-01-2021 0002901132033 IDRIS L
673 11:18
Follow-up examination after

PBI (APBD) other treatment for other Rujuk Vertikal
conditions
PEKERJA MANDIRI Non-insulin-dependent diabetes
mellitus with ophthalmic Rujuk Vertikal
complications

disease with acute

unspecified
PBI (APBN) Schizophrenia Rujuk Vertikal

unspecified
PBI (APBN) Acute abdomen Berobat Jalan
PEKERJA MANDIRI Low back pain Berobat Jalan Diabetes Mellitus Diabetes Mellitus
1790 031406020121P000 01-11-2021 11-01-2021 0002937741669 ADNA SUSANTI P
442 11:03
1791 031406020121P000 01-11-2021 12-01-2021 0002940156191 KASIR L
523 09:13
1792 031406020121P000 01-11-2021 11-01-2021 0002940156279 IDA WARNI P
380 09:20
1793 031406020121P000 01-11-2021 12-01-2021 0003046595308 VIYA SUSANTI P
564 11:24
1794 031406020121P000 01-11-2021 12-01-2021 0003063506264 AGRIS NETI P
554 10:23
1795 031406020121P002 01-10-2021 29-01-2021 0000018637817 HERRY SUGITA HB L
145 22:08
1796 031406020121P002 01-10-2021 29-01-2021 0000018637828 LUCIA DARYATI P
146 22:16
1797 031406020121P002 01-10-2021 29-01-2021 0000282198835 JUARI P
123 15:20
1798 031406020121P000 01-09-2021 09-01-2021 0000017479495 SURAHMI P
306 09:50
1799 031406020121P000 01-09-2021 12-01-2021 0000018894047 AHMAD FAUZAN L
496 08:52
1800 031406020121P000 01-09-2021 09-01-2021 0000018917493 SUHERLIN L
304 09:20
1801 031406020121P000 01-09-2021 11-01-2021 0000280901272 SUKIJAN L
474 12:15
1802 031406020121P002 01-09-2021 02-02-2021 0000281995828 YURNALIS P
321 16:19
1803 031406020121P000 01-09-2021 11-01-2021 0000282090712 SAINAH P
381 09:21
1804 031406020121P000 01-09-2021 12-01-2021 0000282200646 PIAK ANDAH P
503 08:56
1805 031406020121P000 01-09-2021 12-01-2021 0000282271421 SISMARIDELVI P
505 08:57
1806 031406020121P000 01-09-2021 12-01-2021 0000282271421 SISMARIDELVI P
508 09:00
1807 031406020121P000 01-09-2021 12-01-2021 0000282389139 SUMARMI P
498 08:53
1808 031406020121P000 01-09-2021 12-01-2021 0000282469781 darlis erly P
502 08:56
PEKERJA MANDIRI Fibroadenosis of breast Rujuk Vertikal


unspecified
PNS DAERAH Fever, unspecified Sembuh
PBI (APBN) Heart failure Sembuh
PNS PUSAT Benign neoplasm of major Rujuk Vertikal

salivary glands
PNS DAERAH Unspecified diabetes mellitus Rujuk Vertikal

PBI (APBD) Single spontaneous delivery Sembuh
PBI (APBN) Unspecified diabetes mellitus Berobat Jalan

PBI (APBN) Tension-type headache Berobat Jalan

1809 031406020121P000 01-09-2021 12-01-2021 0000282655978 risna sawati P
495 08:51
1810 031406020121P000 01-09-2021 09-01-2021 0001108130073 FRENKY ARAS ARNOFEGA L
305 09:34
1811 031406020121P000 01-09-2021 12-01-2021 0001494910293 SURATUN P
501 08:55
031406020121P000 12-01-2021
499 08:54
1812 01-09-2021 0001604304101 NINGSIH P
1813 031406020121P000 01-09-2021 12-01-2021 0001604304112 REVAL SAPUTRA L

500 08:55
1814 031406020121P000 01-09-2021 12-01-2021 0001612233797 EFRI JONI L
497 08:53
1815 031406020121P002 01-09-2021 01-02-2021 0001827570148 SARMINAH P
295 18:39
1816 031406020121P002 01-09-2021 01-02-2021 0001850186744 SARIANA P
294 18:34
1817 031406020121P002 01-09-2021 29-01-2021 0002188983835 REMITA P
144 22:00
1818 031406020121P000 01-09-2021 09-01-2021 0002241779297 MARDIATI P
316 10:54
307 09:55
506 08:58
1821 031406020121P000 01-09-2021 12-01-2021 0002311279424 RAYEM P
574 16:29
1822 031406020121P000 01-09-2021 12-01-2021 0002584918664 ELI SUSANTI P
504 08:57
1823 031406020121P000 01-09-2021 09-01-2021 0002584960659 VIVI VIDIYAH VIRJANNAH P
322 13:20
1824 031406020121P002 01-09-2021 02-02-2021 0003056448802 PONI KURNIA P
320 16:11
1825 031406020121P000 01-09-2021 12-01-2021 0003065193729 KATIYO L
507 08:59
1826 031406020121P000 01-09-2021 11-01-2021 0003065193729 KATIYO L
475 12:17
PBI (APBN) Injury of eye and orbit Berobat Jalan
PRAJURIT AD Scrotal varices Rujuk Vertikal
PEGAWAI SWASTA Bus occupant injured in collision

with two- or three-wheeled
motor vehicle, passenger, traffic Berobat Jalan
accident
PBI (APBD) Unspecified viral hepatitis Berobat Jalan
PEKERJA MANDIRI Peptic ulcer, site unspecified Berobat Jalan
PEKERJA MANDIRI Stroke, not specified as Berobat Jalan

haemorrhage or infarction
PBI (APBN) Fever, unspecified Sembuh
PEKERJA MANDIRI Hypercementosis Rujuk Vertikal
PEKERJA MANDIRI Other specified diabetes Berobat Jalan

mellitus

unspecified
PEKERJA MANDIRI Single spontaneous delivery Sembuh

1827 031406020121P000 01-08-2021 08-01-2021 0000015426843 NARDISON L
287 12:12
319 12:46
1829 031406020121P000 01-08-2021 08-01-2021 0000280684539 BARYATI P
274 09:23
1830 031406020121P000 01-08-2021 11-01-2021 0000281151573 JAWANIS P
423 10:26
1831 031406020121P000 01-08-2021 11-01-2021 0000281151854 LENI SETIA P
422 10:25
1832 031406020121P000 01-08-2021 11-01-2021 0000281152978 ROZI ANGRAINI L
424 10:26
1833 031406020121P000 01-08-2021 11-01-2021 0000281153463 ANDI SAPUTRA L
421 10:25
1834 031406020121P000 01-08-2021 08-01-2021 0000281684957 RATMI SUSENTI P
286 12:05
1835 031406020121P000 01-08-2021 08-01-2021 0000281766699 YONGKY L
275 09:41
1836 031406020121P000 01-08-2021 11-01-2021 0000281817292 SAFRI L
477 12:28
1837 031406020121P000 01-08-2021 11-01-2021 0000281817292 SAFRI L
451 11:29
1838 031406020121P000 01-08-2021 11-01-2021 0000281817663 KARNEM P
478 12:29
1839 031406020121P000 01-08-2021 08-01-2021 0000282477273 SAMSILAS P
278 10:10
031406020121P000 11-01-2021
1840 414 01-08-2021 10:20 0000282962733 SULFI HENDRI L
1841 031406020121P000 01-08-2021 11-01-2021 0000282962992 LILI ARFILA YANTI P

352 08:23
1842 031406020121P000 01-08-2021 11-01-2021 0000282963104 RIVANI SULISYA P
415 10:21
1843 031406020121P002 01-08-2021 28-01-2021 0000283233069 ISAM P
057 19:43
1844 031406020121P000 01-08-2021 08-01-2021 0000283271613 SYARIAL MISGIANTO L
281 10:21
1845 031406020121P000 01-08-2021 09-01-2021 0000283420888 NANA P
302 09:02
PNS DAERAH Insulin-dependent diabetes Berobat Jalan
mellitus
PEKERJA MANDIRI Spontaneous vertex delivery Sembuh

PBI (APBN) Gastritis and duodenitis Berobat Jalan


PBI (APBN) Anaemia, unspecified Berobat Jalan
PBI (APBN) Epilepsy Rujuk Vertikal

1846 031406020121P000 01-08-2021 11-01-2021 0000987267587 ISEP WARNITA SARI P
450 11:28
1847 031406020121P000 01-08-2021 09-01-2021 0000987270478 YOLA gustia P
299 08:57
1848 031406020121P000 01-08-2021 11-01-2021 0000987285442 ASRONI L
428 10:40
1849 031406020121P000 01-08-2021 11-01-2021 0000987285453 NOFRI YENTI P
429 10:41
1850 031406020121P000 01-08-2021 11-01-2021 0000987285464 ADELIA PUTRI P
426 10:32
1851 031406020121P000 01-08-2021 11-01-2021 0001085178317 RUDANA P
476 12:25
1852 031406020121P000 01-08-2021 11-01-2021 0001085726171 ELI MURNI P
416 10:21
1853 031406020121P000 01-08-2021 08-01-2021 0001283945916 YULIANA P
285 11:57
1854 031406020121P000 01-08-2021 08-01-2021 0001330723416 ELVIA ROZA P
288 12:22
1855 031406020121P000 01-08-2021 09-01-2021 0001333186582 YULIARNI P
300 08:58
1856 031406020121P000 01-08-2021 12-01-2021 0001494876565 TARMIDI L
482 08:04
1857 031406020121P000 01-08-2021 08-01-2021 0001494876565 TARMIDI L
282 10:23
1858 031406020121P000 01-08-2021 11-01-2021 0001494915276 MUJANA L
452 11:31
1859 031406020121P000 01-08-2021 08-01-2021 0001494916424 ERA YUNI P
273 09:21
1860 031406020121P002 01-08-2021 29-01-2021 0001494935673 SURATMI P
122 15:07
1861 031406020121P000 01-08-2021 09-01-2021 0001495072809 RAMIN L
303 09:09
1862 031406020121P000 01-08-2021 11-01-2021 0001604170225 RATMI P
461 11:43
1863 031406020121P000 01-08-2021 11-01-2021 0001604213289 SITI NURJANAH P
454 11:33
1864 031406020121P000 01-08-2021 11-01-2021 0001604213291 MUHAMMAD ALI MUSTOFA L
453 11:33
PBI (APBD) Fibroadenosis of breast Berobat Jalan
PEKERJA MANDIRI Chronic ischaemic heart Rujuk Vertikal

disease
PEKERJA MANDIRI Dyspepsia Sembuh

1865 031406020121P000 01-08-2021 11-01-2021 0001612234563 RETLY JUWITA P
431 10:42
1866 031406020121P000 01-08-2021 11-01-2021 0001612234574 IRVAN GUNAWAN L
430 10:41
1867 031406020121P000 01-08-2021 08-01-2021 0001684165386 Ermolliadi L
283 10:36
1868 031406020121P000 01-08-2021 08-01-2021 0001684934177 YENI GUSPITA P
276 09:45
1869 031406020121P000 01-08-2021 08-01-2021 0001684934188 ELSA NABILA P
272 09:09
1870 031406020121P000 01-08-2021 12-01-2021 0001821583675 AZIZAH P
481 08:02
1871 031406020121P000 01-08-2021 11-01-2021 0001821584248 ROSLI L
479 12:34
1872 031406020121P002 01-08-2021 29-01-2021 0001827570148 SARMINAH P
121 15:00
1873 031406020121P000 01-08-2021 12-01-2021 0001839419695 ERAWATI P
492 08:44
1874 031406020121P000 01-08-2021 12-01-2021 0001857386362 suwardi L
493 08:46
1875 031406020121P000 01-08-2021 08-01-2021 0001974965038 RAHMADI L
280 10:16
1876 031406020121P000 01-08-2021 11-01-2021 0002088519996 ASPARINGGA P
432 10:43
1877 031406020121P000 01-08-2021 11-01-2021 0002115104995 EMILIA P
458 11:41
1878 031406020121P000 01-08-2021 11-01-2021 0002216645504 abu said L
420 10:24
1879 031406020121P002 01-08-2021 28-01-2021 0002216645504 abu said L
058 19:49
1880 031406020121P000 01-08-2021 12-01-2021 0002227703837 DENI DELVANO L
494 08:48
1881 031406020121P000 01-08-2021 11-01-2021 0002235463571 SARI ATUN P
456 11:39
1882 031406020121P000 01-08-2021 08-01-2021 0002255590765 NAUFAL ARAFI L
277 10:01
1883 031406020121P000 01-08-2021 08-01-2021 0002285559167 RAHMAN L
279 10:13
PBI (APBD) Chronic ischaemic heart Rujuk Vertikal Hipertensi

disease

PEKERJA MANDIRI Ulcerative colitis Sembuh
PEKERJA MANDIRI Gingivitis and periodontal Berobat Jalan

diseases
PEGAWAI SWASTA Other diseases of hard tissues Berobat Jalan
of teeth
PBI (APBN) Chronic ischaemic heart Berobat Jalan
disease

PNS DAERAH Soft tissue disorder, unspecified Rujuk Vertikal

1884 031406020121P000 01-08-2021 11-01-2021 0002290143846 KAMISAH P
418 10:22
1885 031406020121P000 01-08-2021 11-01-2021 0002319033071 DIKEM P
417 10:22
1886 031406020121P000 01-08-2021 12-01-2021 0002323837664 MARIATUN P
480 08:00
1887 031406020121P000 01-08-2021 11-01-2021 0002437214692 ELVIA OKTA REZA P
455 11:38
1888 031406020121P000 01-08-2021 11-01-2021 0002448292858 SUKIRMAN L
459 11:42
1889 031406020121P000 01-08-2021 12-01-2021 0002448292858 SUKIRMAN L
483 08:06
1890 031406020121P000 01-08-2021 11-01-2021 0002448293027 JARINAN P
460 11:43
1891 031406020121P000 01-08-2021 12-01-2021 0002466590782 LASNO L
491 08:43
1892 031406020121P000 01-08-2021 08-01-2021 0002466590782 LASNO L
271 08:54
1893 031406020121P000 01-08-2021 09-01-2021 0002476064531 PUTRI WULANDARI P
301 09:00
1894 031406020121P000 01-08-2021 11-01-2021 0002582227708 LINDA WATI P
359 08:26
1895 031406020121P000 01-08-2021 11-01-2021 0002582227719 RAMDAN AL HAFIZ L
412 10:17
1896 031406020121P000 01-08-2021 11-01-2021 0002582227721 KHAIRUNISA ZASKIA FITRI P
413 10:20
457 11:40
1898 031406020121P000 01-08-2021 11-01-2021 0002638923873 HERMAN FELANI L
365 08:30
1899 031406020121P000 01-08-2021 11-01-2021 0002832042846 MULYATI P
419 10:23
1900 031406020121P000 01-08-2021 08-01-2021 0003063164578 MUSRIALDI L
284 10:51
1901 031406020121P000 01-07-2021 07-01-2021 0000018819156 KAFNIATI P
253 10:05
1902 031406020121P000 01-07-2021 08-01-2021 0000018849982 NURILA P
266 08:28
PBI (APBD) Unspecified diabetes mellitus Rujuk Vertikal
PBI (APBN) Duodenal ulcer Berobat Jalan
PBI (APBN) Anaemia, unspecified Berobat Jalan

1903 031406020121P000 01-07-2021 11-01-2021 0000018894148 RAIHAN MAULANA HAMID L
409 10:11
318 12:34
1905 031406020121P000 01-07-2021 08-01-2021 0000280294986 TENTI ALYA SARI P
268 08:37
1906 031406020121P001 01-07-2021 21-01-2021 0000281006188 SULMAINI P
544 20:11
1907 031406020121P000 01-07-2021 11-01-2021 0000281805895 AFDILA MELIZA P
410 10:13
1908 031406020121P000 01-07-2021 08-01-2021 0000281867128 ELMILA SUSANTI P
265 08:15
1909 031406020121P001 01-07-2021 18-01-2021 0000281966523 CICI oktavia dewi P
159 12:59
1910 031406020121P002 01-07-2021 29-01-2021 0001085726171 ELI MURNI P
119 14:45
1911 031406020121P000 01-07-2021 07-01-2021 0001274571819 DONA LEO ANITA P
263 11:26
1912 031406020121P000 01-07-2021 07-01-2021 0001296852208 MUDAWAMAH P
251 10:01
1913 031406020121P000 01-07-2021 07-01-2021 0001494880031 TARIJAK L
259 10:40
1914 031406020121P000 01-07-2021 07-01-2021 0001494886274 MISWANTI P
261 10:55
1915 031406020121P000 01-07-2021 08-01-2021 0001494950681 PARTIK P
264 08:12
1916 01-07-2021 0001494950769 MUSLIANTI P
031406020121P000 08-01-2021
267 08:32
1917 031406020121P000 01-07-2021 11-01-2021 0001684403357 Muhammad Sandi Marta L

411 10:14
1918 031406020121P000 01-07-2021 07-01-2021 0001684770737 JAMALUDIN L
260 10:49
1919 031406020121P000 01-07-2021 11-01-2021 0001865408736 FRANSISKA WURYANTI P
466 11:48
1920 031406020121P000 01-07-2021 07-01-2021 0001895790508 AHMAD RISKI L
262 11:00
1921 031406020121P000 01-07-2021 07-01-2021 0002037855227 RITA INDAYANI P
258 10:30

unspecified

unspecified

unspecified
ANGGOTA POLRI Antenatal screening, Rujuk Vertikal

unspecified
PEKERJA MANDIRI Heart failure Rujuk Vertikal Hipertensi Hipertensi


PEGAWAI SWASTA

unspecified

unspecified
1922 031406020121P001 01-07-2021 22-01-2021 0002087252324 SATRIANI P
548 07:07
1923 031406020121P000 01-07-2021 07-01-2021 0002149739471 JUMILAH P
244 09:47
1924 031406020121P000 01-07-2021 11-01-2021 0002283122823 QUATRUNNADA ZAYNE P
463 11:46 ZEFRAN
1925 031406020121P000 01-07-2021 07-01-2021 0002305721114 INDAH RETATI P
242 09:29
1926 031406020121P002 01-07-2021 29-01-2021 0002319033071 DIKEM P
120 14:51
1927 031406020121P000 01-07-2021 07-01-2021 0002426747163 M. NASIR L
239 09:10
1928 031406020121P000 01-07-2021 11-01-2021 0002438774976 AFIFAH NAHDA AGUSTA P
464 11:47
1929 031406020121P000 01-07-2021 08-01-2021 0002582300046 SUMARMI P
269 08:39
1930 031406020121P000 01-07-2021 11-01-2021 0002640032256 WANDA NURIANA P
467 11:49
031406020121P000 07-01-2021
1931 243 01-07-2021 09:34 0002738474908 ERMIATI P
031406020121P002 29-01-2021
1932 118 01-07-2021 14:36 0002832042846 MULYATI P
1933 031406020121P002 01-07-2021 28-01-2021 0002884308366 SABIRUDIN L

056 19:38
1934 031406020121P000 01-07-2021 11-01-2021 0002940156191 KASIR L
408 10:11
1935 031406020121P000 01-07-2021 08-01-2021 0002940156279 IDA WARNI P
270 08:44
031406020121P000 11-01-2021
465 11:47
1936 01-07-2021 0003055334321 SITI NURFADIRA AISYAH P
1937 031406020121P000 01-07-2021 11-01-2021 0003063731084 MUHAMMAD KHADAFFY L

462 11:45
1938 031406020121P000 01-06-2021 11-01-2021 0000018780963 SYAMSIMAR P
399 10:03
PEKERJA MANDIRI Spontaneous vertex delivery Sembuh
PBI (APBN) Antenatal screening Rujuk Vertikal

unspecified
PEKERJA MANDIRI Fever, unspecified Sembuh
PEKERJA MANDIRI Other orthopaedic follow-up Rujuk Vertikal Hipertensi

care

unspecified
other treatment for other Rujuk Vertikal Hipertensi Hipertensi
conditions
Hypertensive heart disease
PBI (APBN) without (congestive) heart Sembuh
failure
PEKERJA MANDIRI Intracerebral haemorrhage, Berobat Jalan

unspecified

PEGAWAI
PEMERINTAH
DENGAN Fever, unspecified Berobat Jalan
PERJANJIAN KERJA

1939 031406020121P000 01-06-2021 11-01-2021 0000018843838 HERWANTO L
400 10:05
031406020121P000 06-01-2021
1940 112 01-06-2021 08:08 0000018882191 ZALMI SATRIA P
1941 031406020121P000 01-06-2021 11-01-2021 0000276512679 NINA RATNITA P

358 08:26
1942 031406020121P000 01-06-2021 06-01-2021 0000280297629 HAR P
196 12:01
1943 031406020121P000 01-06-2021 06-01-2021 0000280863628 SRI SUTRESNI P
210 12:11
1944 031406020121P000 01-06-2021 11-01-2021 0000280863628 SRI SUTRESNI P
438 10:53
1945 031406020121P000 01-06-2021 11-01-2021 0000281105796 GADIS P
383 09:31
1946 031406020121P000 01-06-2021 06-01-2021 0000281269394 ARNITA P
198 12:02
1947 031406020121P000 01-06-2021 11-01-2021 0000281542678 MISTA WIZA P
386 09:33
1948 031406020121P000 01-06-2021 11-01-2021 0000281750095 ARISMAN L
356 08:25
1949 031406020121P000 01-06-2021 06-01-2021 0000281753493 EKA SAFITRI P
203 12:06
1950 031406020121P000 01-06-2021 11-01-2021 0000281805849 ROSMIANI P
397 10:02
1951 031406020121P000 01-06-2021 11-01-2021 0000281805895 AFDILA MELIZA P
398 10:03
1952 031406020121P000 01-06-2021 11-01-2021 0000281807267 WALIA DINI P
406 10:08
1953 031406020121P000 01-06-2021 11-01-2021 0000281811069 RISA SOVIA P
384 09:31
1954 031406020121P000 01-06-2021 11-01-2021 0000281812015 IIN SUSANTI P
366 08:32
1955 031406020121P000 01-06-2021 07-01-2021 0000281879728 ENDUS L
235 08:55
1956 031406020121P000 01-06-2021 07-01-2021 0000281880393 SAMSULAINI P
236 08:56
1957 031406020121P000 01-06-2021 06-01-2021 0000281881271 PITRI AYU P
221 12:20
PNS
PNS DAERAH disease, so described Rujuk Vertikal
PBI (APBN) Gonarthrosis [arthrosis of knee] Berobat Jalan

unspecified
PBI (APBN) Epistaxis Berobat Jalan

PBI (APBN) Other cataract Berobat Jalan

1958 031406020121P000 01-06-2021 06-01-2021 0000281882158 WELDA P
215 12:15
1959 031406020121P000 01-06-2021 06-01-2021 0000281882643 EDWAR SAPUTRA L
214 12:15
1960 031406020121P000 01-06-2021 06-01-2021 0000281894984 IRFAN L
222 12:20
1961 031406020121P000 01-06-2021 06-01-2021 0000281898652 ARDIANSYAH L
216 12:16
1962 031406020121P000 01-06-2021 06-01-2021 0000281907876 BAHARUDIN L
178 11:12
1963 031406020121P000 01-06-2021 11-01-2021 0000281922952 SUPARMAN L
348 08:21
1964 031406020121P000 01-06-2021 11-01-2021 0000281923029 ANYARNI P
349 08:22
1965 031406020121P000 01-06-2021 11-01-2021 0000281924335 EKA CANDRA L
360 08:26
1966 031406020121P000 01-06-2021 11-01-2021 0000281924954 EGI RAHMADANIL L
361 08:27
031406020121P000 11-01-2021
1967 343 01-06-2021 08:19 0000281926877 HENO PARIANTO L
1968 031406020121P000 01-06-2021 06-01-2021 0000281961617 MURDI L

217 12:17
1969 031406020121P000 01-06-2021 06-01-2021 0000281962539 JUMIATI P
218 12:18
1970 031406020121P000 01-06-2021 11-01-2021 0000281965476 TAHERMAN L
385 09:32
1971 031406020121P000 01-06-2021 11-01-2021 0000281965634 NURLIS P
401 10:05
1972 031406020121P000 01-06-2021 06-01-2021 0000281976208 KAMILIS P
180 11:30
1973 031406020121P000 01-06-2021 06-01-2021 0000281976862 KAMISAH P
204 12:07
1974 031406020121P000 01-06-2021 06-01-2021 0000281978392 RAHMAT L
206 12:08
1975 031406020121P000 01-06-2021 06-01-2021 0000281978458 SYAIFULLOH L
205 12:08
1976 031406020121P000 01-06-2021 06-01-2021 0000281991982 SIAM L
131 08:52

PBI (APBD) Hypertensive heart disease Rujuk Vertikal

PBI (APBN) Atopic dermatitis Berobat Jalan

PBI (APBN) disease without oesophagitis Berobat Jalan

PBI (APBN) Allergic contact dermatitis Rujuk Vertikal

031406020121P000 06-01-2021
1977 132 01-06-2021 08:54 0000281992094 SAFRINA P
1978 031406020121P000 01-06-2021 11-01-2021 0000282008439 MUKMININ L

340 08:17
1979 031406020121P000 01-06-2021 11-01-2021 0000282008531 TURINA P
341 08:17
1980 031406020121P000 01-06-2021 11-01-2021 0000282029894 JAINAL L
375 09:11
1981 031406020121P000 01-06-2021 11-01-2021 0000282031389 TUTI YULITA PUTRI P
376 09:12
1982 031406020121P000 01-06-2021 06-01-2021 0000282105325 NETTI NELLI SIREGAR P
213 12:14
1983 031406020121P000 01-06-2021 11-01-2021 0000282133664 YUSMANIAR P
405 10:08
1984 031406020121P000 01-06-2021 11-01-2021 0000282171824 JAMEN L
369 09:07
1985 031406020121P000 01-06-2021 11-01-2021 0000282172307 ENDANG ENIWATI P
371 09:08
1986 031406020121P000 01-06-2021 11-01-2021 0000282172792 JAKA SAPUTRA L
357 08:25
1987 031406020121P000 01-06-2021 06-01-2021 0000282183467 SAFRIZAL L
195 11:59
1988 031406020121P000 01-06-2021 06-01-2021 0000282493361 MARIAM P
219 12:18
1989 031406020121P000 01-06-2021 06-01-2021 0000282655978 risna sawati P
175 10:37
1990 031406020121P000 01-06-2021 06-01-2021 0000282697299 SUMIATI P
211 12:12
1991 031406020121P000 01-06-2021 06-01-2021 0000282697299 SUMIATI P
179 11:14
1992 031406020121P000 01-06-2021 11-01-2021 0000282763326 ROSMANIDAR P
407 10:09
1993 031406020121P000 01-06-2021 06-01-2021 0000282793083 RAZALI L
223 12:21
1994 031406020121P000 01-06-2021 07-01-2021 0000282793623 RINA EFANITA P
224 08:39
1995 031406020121P000 01-06-2021 07-01-2021 0000282795581 ROBI KURNIAWAN L
230 08:44
Spontaneous abortion,
PBI (APBN) incomplete, without Rujuk Vertikal
complication
PEGAWAI SWASTA Essential (primary) hypertension Berobat Jalan


unspecified


1996 031406020121P000 01-06-2021 07-01-2021 0000282802127 SATIA P
231 08:45
1997 031406020121P000 01-06-2021 11-01-2021 0000282803646 ALDO SETIAWAN L
370 09:08
031406020121P002 29-01-2021
1998 117 01-06-2021 14:26 0000282838803 NIA RANIATI P
031406020121P000 11-01-2021
1999 344 01-06-2021 08:19 0000282960606 WASINI P
2000 031406020121P000 01-06-2021 11-01-2021 0000282960685 KASDINA L

345 08:20
2001 031406020121P000 01-06-2021 11-01-2021 0000283006517 SENIWATI P
388 09:34
2002 031406020121P000 01-06-2021 06-01-2021 0000283012233 DODI IRAWAN L
220 12:19
2003 031406020121P000 01-06-2021 06-01-2021 0000283018048 LEGI P
199 12:03
2004 031406020121P000 01-06-2021 11-01-2021 0000283031267 MARIANI P
433 10:46
2005 031406020121P000 01-06-2021 11-01-2021 0000283126735 DAWAR L
377 09:13
2006 031406020121P000 01-06-2021 11-01-2021 0000283126847 SEMI P
378 09:15
2007 031406020121P000 01-06-2021 11-01-2021 0000283136815 MISDIANTO L
346 08:20
2008 031406020121P000 01-06-2021 11-01-2021 0000283234151 GIMAN L
355 08:24
2009 031406020121P000 01-06-2021 06-01-2021 0000283240326 NURLELA P
194 11:58
2010 031406020121P000 01-06-2021 11-01-2021 0000283498659 SUWANDI L
372 09:09
2011 031406020121P000 01-06-2021 11-01-2021 0000283499188 JULIATI P
373 09:10
2012 031406020121P000 01-06-2021 11-01-2021 0000283499335 SRI WULANDARI P
374 09:10
2013 031406020121P000 01-06-2021 11-01-2021 0000283594386 RUBINO L
350 08:22
2014 031406020121P000 01-06-2021 06-01-2021 0000987266158 JAKIMIN L
174 10:33
Hyperemesis gravidarum with

PBI (APBN) metabolic disturbance Sembuh



PBI (APBN) Bacterial foodborne intoxication, Berobat Jalan
unspecified

2015 031406020121P000 01-06-2021 11-01-2021 0000987271402 SYAMSIR L
402 10:06
2016 031406020121P000 01-06-2021 07-01-2021 0000987273808 MARIANA P
225 08:40
2017 031406020121P000 01-06-2021 07-01-2021 0000987273821 DARALIS L
226 08:41
2018 031406020121P000 01-06-2021 06-01-2021 0000987280367 SUMARI L
192 11:56
2019 031406020121P000 01-06-2021 06-01-2021 0000987285385 SUPIYANTI P
207 12:09
2020 031406020121P000 01-06-2021 06-01-2021 0001422016942 MARIANI MALAU P
143 09:05
2021 031406020121P000 01-06-2021 06-01-2021 0001494880031 TARIJAK L
176 10:41
2022 031406020121P000 01-06-2021 07-01-2021 0001494882843 ARI SUSENO L
233 08:54
2023 031406020121P000 01-06-2021 06-01-2021 0001494910293 SURATUN P
201 12:05
2024 031406020121P000 01-06-2021 06-01-2021 0001494911766 KHOMSATUN P
202 12:05
2025 031406020121P000 01-06-2021 06-01-2021 0001494914545 JAKARIA L
200 12:04
2026 031406020121P000 01-06-2021 06-01-2021 0001495060604 KARIN L
197 12:01
2027 031406020121P000 01-06-2021 11-01-2021 0001604169347 BAKKTI AKBAR YUSA L
437 10:50
2028 031406020121P000 01-06-2021 07-01-2021 0001612235643 MARTA SAPUTRA L
228 08:42
2029 031406020121P000 01-06-2021 07-01-2021 0001684164611 Nurmaya P
229 08:43
2030 031406020121P000 01-06-2021 07-01-2021 0001684164622 ikrom wirajudin L
234 08:55
031406020121P000 11-01-2021
351 08:23
2031 01-06-2021 0001684164677 Patini P
2032 031406020121P000 01-06-2021 11-01-2021 0001684164688 Ariandi L

354 08:24
PBI (APBN) Missed abortion Berobat Jalan

PBI (APBN) Polyneuropathy, unspecified Rujuk Vertikal
PEGAWAI SWASTA Hypertensive heart disease Berobat Jalan

Bus occupant injured in collision
with two- or three-wheeled
PBI (APBN) motor vehicle, passenger, traffic Berobat Jalan
accident

2033 031406020121P000 01-06-2021 11-01-2021 0001684164947 Ismulyadi L
347 08:21
2034 031406020121P000 01-06-2021 11-01-2021 0001684165599 Nadia Syaqila P
362 08:27
2035 031406020121P002 01-06-2021 31-01-2021 0001684934245 YOSI RAHMI P
293 20:16
2036 031406020121P000 01-06-2021 11-01-2021 0001685537526 SEPTIA LESTARI P
440 10:55
2037 031406020121P000 01-06-2021 07-01-2021 0001686536482 ROHIM L
238 08:57
2038 031406020121P000 01-06-2021 07-01-2021 0001686536493 ELLYZA L
237 08:57
2039 031406020121P000 01-06-2021 11-01-2021 0001686536515 BAYU RADIANTO L
342 08:18
2040 031406020121P000 01-06-2021 06-01-2021 0001785410572 LAMBUIK L
130 08:50
2041 031406020121P000 01-06-2021 11-01-2021 0001833305117 AMIR L
434 10:46
2042 031406020121P001 01-06-2021 23-01-2021 0001842343323 SUGIANTI P
751 08:42
2043 031406020121P000 01-06-2021 06-01-2021 0001888387593 MUFNI INDRA L
208 12:09
2044 031406020121P000 01-06-2021 07-01-2021 0001968250162 RISKI LISNAWATI P
232 08:53
2045 031406020121P000 01-06-2021 06-01-2021 0001974965038 RAHMADI L
212 12:13
2046 031406020121P000 01-06-2021 06-01-2021 0002040757031 marniati P
209 12:10
2047 031406020121P000 01-06-2021 11-01-2021 0002041397109 IIN HERLISA P
387 09:34
2048 031406020121P000 01-06-2021 11-01-2021 0002046138761 MONALISA P
439 10:54
2049 031406020121P000 01-06-2021 06-01-2021 0002069577944 UMRIADI L
172 10:01
2050 031406020121P000 01-06-2021 11-01-2021 0002075627428 WAHYUDI L
364 08:28
2051 031406020121P000 01-06-2021 09-01-2021 0002117626029 RONA RIZKI P
321 13:11
PBI (APBD) Injury of unspecified body Berobat Jalan
region
unspecified
unspecified
PEKERJA MANDIRI Other bipolar affective disorders Rujuk Vertikal

unspecified
PNS DAERAH Hypertensive heart disease Berobat Jalan Hipertensi Hipertensi
PEGAWAI SWASTA Bronchitis, not specified as Berobat Jalan

acute or chronic
unspecified

unspecified
2052 031406020121P000 01-06-2021 06-01-2021 0002211180939 ELSYA SUTRISNO P
181 11:32
2053 031406020121P002 01-06-2021 29-01-2021 0002216645504 abu said L
116 14:18
031406020121P000 06-01-2021
2054 177 01-06-2021 10:43 0002237086271 AGUS L
2055 031406020121P000 01-06-2021 11-01-2021 0002269661275 GADIMAN P

403 10:06
2056 031406020121P000 01-06-2021 11-01-2021 0002430362013 YUNITA FERA P
404 10:07
2057 031406020121P000 01-06-2021 06-01-2021 0002480047187 TARSINI P
141 09:04
2058 031406020121P000 01-06-2021 11-01-2021 0002611458718 YULIANTO L
363 08:28
2059 031406020121P000 01-06-2021 07-01-2021 0002639363106 DEWI SARTIKA P
227 08:42
2060 031406020121P000 01-06-2021 11-01-2021 0002743582612 DEWI YULIANI P
353 08:23
2061 031406020121P000 01-06-2021 06-01-2021 0002758931831 MISAN L
135 08:55
2062 031406020121P000 01-06-2021 06-01-2021 0002758931954 SARTI P
193 11:57
031406020121P000 06-01-2021
2063 158 01-06-2021 09:25 0002784450699 RUKATI P
2064 031406020121P000 01-06-2021 06-01-2021 0002890836821 SALMEN L

173 10:10
2065 031406020121P000 01-06-2021 06-01-2021 0002917243574 NURSINA P
171 09:58
2066 031406020121P000 01-06-2021 11-01-2021 0003046595308 VIYA SUSANTI P
436 10:48
2067 031406020121P000 01-06-2021 11-01-2021 0003050023961 KHAIRA ZHAKIYYA MAYZA P
435 10:47
2068 031406020121P000 01-05-2021 05-01-2021 0000018795126 SUKRI HIDAYAT L
095 08:50
031406020121P000 05-01-2021
2069 102 01-05-2021 09:26 0000018897322 DESI SUSANTI P
unspecified
Non-insulin-dependent diabetes
PBI (APBD) mellitus with ophthalmic Rujuk Vertikal
complications
PEKERJA MANDIRI Other and unspecified ovarian Rujuk Vertikal

cysts

Abnormal uterine and vaginal

PBI (APBN) bleeding, unspecified Rujuk Vertikal
PNS DAERAH Low back pain Rujuk Vertikal

unspecified
unspecified
PNS PUSAT Other hearing loss Rujuk Vertikal
Systemic lupus erythematosus,

PNS DAERAH unspecified Rujuk Vertikal
2070 031406020121P000 01-05-2021 06-01-2021 0000072423246 SUDIRMAN AS L
145 09:10
317 10:59
2072 031406020121P000 01-05-2021 05-01-2021 0000280749508 AHELMI P
101 09:24
2073 031406020121P000 01-05-2021 06-01-2021 0000281458449 SAWIR L
139 08:59
2074 031406020121P000 01-05-2021 06-01-2021 0000281734391 ALI ONER L
153 09:21
2075 031406020121P000 01-05-2021 06-01-2021 0000281734525 DAYA P
152 09:20
333 20:36
2077 01-05-2021 0000281917877 FITRI NOVI YANTI P
031406020121P000 06-01-2021
170 09:40
2078 031406020121P000 01-05-2021 06-01-2021 0000282034888 NUAR L

163 09:27
2079 031406020121P000 01-05-2021 05-01-2021 0000282073285 HALOMOAN L
097 08:57
2080 031406020121P000 01-05-2021 06-01-2021 0000282081813 PAIJEM P
161 09:27
2081 031406020121P000 01-05-2021 06-01-2021 0000282146343 ENNY MARLINA P
154 09:21
2082 031406020121P000 01-05-2021 06-01-2021 0000282175604 ITRA GUNAWAN L
182 11:44
2083 031406020121P000 01-05-2021 06-01-2021 0000282225969 SAFRIDA P
165 09:28
2084 031406020121P000 01-05-2021 05-01-2021 0000282410324 YULI P
105 09:49
2085 031406020121P000 01-05-2021 06-01-2021 0000282645393 NOVA RINA P
150 09:19
2086 01-05-2021 0000282726898 RINO RAMDANI L
031406020121P000 05-01-2021
096 08:55
2087 031406020121P000 01-05-2021 05-01-2021 0000282832108 JAMARIS L

098 08:59

unspecified
unspecified
PBI (APBN) Gastro-oesophageal reflux Berobat Jalan

disease

unspecified
PEGAWAI SWASTA Suppurative and unspecified Berobat Jalan

otitis media

unspecified
PBI (APBN) Other surgical follow-up care Rujuk Vertikal

031406020121P000 06-01-2021
2088 184 01-05-2021 11:46 0000282940119 SUARNI P
2089 031406020121P000 01-05-2021 06-01-2021 0000282957344 TIAJIR P

166 09:29
2090 031406020121P000 01-05-2021 06-01-2021 0000283006293 HERIANTO L
146 09:11
2091 031406020121P000 01-05-2021 06-01-2021 0000283073769 SARINA P
169 09:32
2092 031406020121P000 01-05-2021 06-01-2021 0000283382831 ITA P
148 09:14
2093 031406020121P000 01-05-2021 06-01-2021 0000283383854 WINDA ANANDA PUTRI P
187 11:50
2094 031406020121P000 01-05-2021 06-01-2021 0000283384484 WINGKI ALFENDI L
149 09:15
2095 031406020121P000 01-05-2021 06-01-2021 0000987270557 FITRI LINDA P
183 11:45
2096 031406020121P000 01-05-2021 06-01-2021 0000987273832 DESI SUSANTI P
186 11:49
2097 031406020121P000 01-05-2021 06-01-2021 0000987276699 SETI DAHLIA P
160 09:26
2098 031406020121P000 01-05-2021 06-01-2021 0001274571819 DONA LEO ANITA P
168 09:30
2099 031406020121P000 01-05-2021 05-01-2021 0001281615996 MAS PERI L
099 09:15
2100 031406020121P000 01-05-2021 05-01-2021 0001441759138 AMIR L
100 09:19
2101 031406020121P000 01-05-2021 05-01-2021 0001444692598 NEVI SUHARNI P
108 10:09
2102 031406020121P000 01-05-2021 06-01-2021 0001444692688 RAHMAD JEFRI L
157 09:24
2103 031406020121P002 01-05-2021 02-02-2021 0001448657908 SARI AYU AGUSTIANA P
314 15:40
2104 031406020121P000 01-05-2021 06-01-2021 0001494914826 SUJIATI P
188 11:51
2105 031406020121P000 01-05-2021 06-01-2021 0001495055125 TUKINEM P
151 09:19
2106 031406020121P000 01-05-2021 05-01-2021 0001604285302 RISMA SEPTIANI P
106 09:54


unspecified
ANGGOTA POLRI Antenatal screening, Berobat Jalan

unspecified
PEGAWAI SWASTA Gonarthrosis [arthrosis of knee] Rujuk Vertikal

unspecified

2107 031406020121P000 01-05-2021 06-01-2021 0001615816956 ENDRAWATI P
147 09:12
2108 031406020121P000 01-05-2021 06-01-2021 0001681166946 ANWARDI L
144 09:06
2109 031406020121P000 01-05-2021 05-01-2021 0001833305117 AMIR L
111 11:11
2110 031406020121P000 01-05-2021 05-01-2021 0001879246631 WIRDA ELVIA P
107 10:03
2111 031406020121P000 01-05-2021 06-01-2021 0001879246631 WIRDA ELVIA P
189 11:52
2112 031406020121P000 01-05-2021 05-01-2021 0002081724761 ANGGI CANIA L
103 09:34
2113 031406020121P000 01-05-2021 06-01-2021 0002188987705 AMRIZAL CAN L
185 11:47
2114 031406020121P000 01-05-2021 05-01-2021 0002218551434 RONAL GULO L
104 09:43
2115 031406020121P000 01-05-2021 06-01-2021 0002218558915 SARI DEWI P
142 09:05
2116 031406020121P002 01-05-2021 29-01-2021 0002290143846 KAMISAH P
115 14:09
2117 031406020121P000 01-05-2021 06-01-2021 0002441943112 MARKAM P
138 08:58
2118 031406020121P000 01-05-2021 05-01-2021 0002448292858 SUKIRMAN L
110 11:09
2119 031406020121P001 01-05-2021 22-01-2021 0002471172704 SUWITA P
547 06:53
2120 031406020121P000 01-05-2021 06-01-2021 0002495280611 BILQIS ANINDYA SYAKIB P
191 11:53
2121 01-05-2021 0002582662825 ELVA FITRIN P
031406020121P000 06-01-2021
167 09:30
2122 031406020121P000 01-05-2021 06-01-2021 0002744692288 SAMSILAS P

156 09:23
031406020121P000 05-01-2021
2123 109 01-05-2021 10:11 0002744834545 MARYATI P
2124 031406020121P000 01-05-2021 06-01-2021 0002868773286 KARMIATI P

159 09:25
PEKERJA MANDIRI Idiopathic peripheral autonomic Rujuk Vertikal Hipertensi

neuropathy
PEGAWAI SWASTA Excessive bleeding in the Rujuk Vertikal
premenopausal period
unspecified
PEGAWAI SWASTA Nephrotic syndrome Rujuk Vertikal Hipertensi Hipertensi
PEKERJA MANDIRI Hypertensive heart disease Berobat Jalan
PNS DAERAH Spontaneous vertex delivery Sembuh

PBI (APBN) Antenatal screening for Berobat Jalan
and other physical methods

conditions
2125 031406020121P000 01-05-2021 06-01-2021 0002900455964 ARSYLA SAFITRI P
190 11:52
2126 031406020121P000 01-05-2021 06-01-2021 0002901132033 IDRIS L
162 09:27
2127 031406020121P000 01-05-2021 06-01-2021 0002904469075 GIYEM P
164 09:28
2128 031406020121P000 01-05-2021 06-01-2021 0002908177795 DESMA DEWI P
155 09:23
2129 031406020121P000 01-04-2021 04-01-2021 0000018911439 ZARNISMA P
036 10:43
2130 031406020121P000 01-04-2021 04-01-2021 0000203505063 NOFRINI SAPUTRI P
035 10:25
2131 031406020121P000 01-04-2021 05-01-2021 0000281684957 RATMI SUSENTI P
069 07:46
2132 031406020121P000 01-04-2021 05-01-2021 0000281770784 AFRIZAL L
071 07:48
2133 031406020121P000 01-04-2021 05-01-2021 0000281983454 RIA LASMAYENNI P
068 07:45
2134 031406020121P000 01-04-2021 05-01-2021 0000281991982 SIAM L
083 08:23
2135 031406020121P000 01-04-2021 06-01-2021 0000282046241 IWIT MAWATI P
114 08:16
2136 031406020121P000 01-04-2021 06-01-2021 0000282101602 JUPRIALDI L
120 08:30
2137 031406020121P000 01-04-2021 04-01-2021 0000282225969 SAFRIDA P
022 09:08
2138 031406020121P001 01-04-2021 24-01-2021 0000282383403 ADIT SAPUTRA L
803 17:17
2139 031406020121P000 01-04-2021 04-01-2021 0000282389837 ERNAWATI P
017 08:37
031406020121P000 06-01-2021
2140 117 01-04-2021 08:27 0000282461332 ERNIPOPIATI P

024 11:34
2142 031406020121P000 01-04-2021 05-01-2021 0000282594058 SISWANDI L
075 07:50
2143 031406020121P000 01-04-2021 06-01-2021 0000282595713 MUHAMMAD DANI L
136 08:55
PEKERJA MANDIRI Fever, unspecified Berobat Jalan Diabetes Mellitus Diabetes Mellitus
PNS DAERAH Malignant neoplasm of cervix Rujuk Vertikal

uteri
PNS DAERAH Nasal polyp, unspecified Rujuk Vertikal
PBI (APBN) Asthma, unspecified Berobat Jalan
PBI (APBD) Other cataract Rujuk Vertikal
PBI (APBN) Nephrotic syndrome Rujuk Vertikal

unspecified
PBI (APBN) Cough Berobat Jalan

2144 031406020121P000 01-04-2021 06-01-2021 0000282639734 KASRIANDO L
122 08:32
2145 031406020121P002 01-04-2021 30-01-2021 0000282775634 DARNIALIS EMIZA P
155 08:51
2146 031406020121P000 01-04-2021 06-01-2021 0000282818711 AKMAL L
134 08:55
2147 031406020121P001 01-04-2021 24-01-2021 0000282885928 SUDIRMAN L
800 17:11
2148 031406020121P000 01-04-2021 06-01-2021 0000282958053 LESTARI P
118 08:30
2149 031406020121P000 01-04-2021 06-01-2021 0000282964869 ahmad DANDI L
133 08:54
2150 031406020121P000 01-04-2021 06-01-2021 0000282967817 VIVI OKTARINA P
129 08:47
2151 031406020121P000 01-04-2021 06-01-2021 0000283039558 ALWENDO FEBRIAN L
116 08:25
2152 031406020121P000 01-04-2021 05-01-2021 0000283420888 NANA P
067 07:45
2153 031406020121P001 01-04-2021 26-01-2021 0000283463842 NORMA YENI P
916 15:11
2154 031406020121P000 01-04-2021 04-01-2021 0000283575475 ROHADI L
037 10:45
2155 031406020121P002 01-04-2021 02-02-2021 0000976498187 SITI P
313 15:36
2156 031406020121P000 01-04-2021 05-01-2021 0000987267587 ISEP WARNITA SARI P
082 08:22
2157 031406020121P000 01-04-2021 06-01-2021 0000987279737 ERMAN EFENDI L
126 08:38
2158 031406020121P002 01-04-2021 30-01-2021 0000987283967 JULIUS ARGO L
153 08:38
2159 031406020121P000 01-04-2021 04-01-2021 0001104367735 SIRJON L
062 11:28
2160 031406020121P000 01-04-2021 04-01-2021 0001108143011 DESI ARIANTI P
019 08:59
2161 031406020121P000 01-04-2021 12-01-2021 0001138076076 AMRI T L
488 08:39
2162 031406020121P002 01-04-2021 30-01-2021 0001262160843 RIDO MUHAMMAD AFIF L
161 09:01


PNS DAERAH Contraceptive management Berobat Jalan

PRAJURIT AD Injury of eye and orbit Rujuk Vertikal
PRAJURIT AD Low vision, one eye Rujuk Vertikal

2163 031406020121P000 01-04-2021 12-01-2021 0001268024883 TASAR L
484 08:07
032 10:12
2165 031406020121P000 01-04-2021 04-01-2021 0001309037556 SAHIRA P
016 08:20
079 07:53
485 08:36
2168 031406020121P000 01-04-2021 05-01-2021 0001311669257 DUSNIATI P
078 07:52
2169 031406020121P000 01-04-2021 05-01-2021 0001381265302 EEN P
086 08:25
2170 01-04-2021 0001387703687 WAGINEM P
031406020121P000 04-01-2021
031 10:10
2171 031406020121P000 01-04-2021 12-01-2021 0001387703687 WAGINEM P

486 08:38
2172 031406020121P002 01-04-2021 28-01-2021 0001444673902 SYOFRIANTO L
055 19:30
2173 031406020121P000 01-04-2021 05-01-2021 0001448654949 HERMAN TONI L
091 08:27
2174 031406020121P000 01-04-2021 05-01-2021 0001494914602 TATAK L
073 07:49
2175 031406020121P000 01-04-2021 04-01-2021 0001494967612 EMI SUMIATI P
038 10:54
2176 031406020121P000 01-04-2021 05-01-2021 0001495060604 KARIN L
084 08:24
2177 031406020121P000 01-04-2021 05-01-2021 0001495118845 KASMIYATI P
074 07:49
2178 031406020121P001 01-04-2021 24-01-2021 0001612233415 RESPA MEYSA DELFIA P
804 17:51
2179 031406020121P000 01-04-2021 12-01-2021 0001612235733 SUMIYATUN P
573 16:26
2180 031406020121P000 01-04-2021 12-01-2021 0001612237948 SIDAM L
490 08:40
2181 031406020121P000 01-04-2021 04-01-2021 0001681167205 WILFA DEWI INDRA P
029 10:00
PEKERJA MANDIRI Paranoid schizophrenia Rujuk Vertikal
PBI (APBD) Other cataract Rujuk Vertikal


disease with acute

unspecified

2182 031406020121P000 01-04-2021 06-01-2021 0001684403256 Hendrizal L
137 08:55
2183 031406020121P000 01-04-2021 05-01-2021 0001684938633 FATMA LINDA P
092 08:28
2184 031406020121P001 01-04-2021 24-01-2021 0001690171841 SYAFRIANDI L
802 17:13
2185 031406020121P002 01-04-2021 30-01-2021 0001793480927 FISMAWATI P
152 08:35
2186 031406020121P000 01-04-2021 06-01-2021 0001793481388 RIDHO FAHLEVI L
123 08:32
2187 031406020121P000 01-04-2021 04-01-2021 0001849307218 EFRIZAL L
033 10:13
2188 031406020121P000 01-04-2021 06-01-2021 0001864708018 NOVIN L
125 08:34
2189 031406020121P002 01-04-2021 30-01-2021 0001901437503 IRMANTO L
154 08:43
2190 031406020121P000 01-04-2021 05-01-2021 0001958855589 WARIK L
085 08:24
2191 031406020121P000 01-04-2021 04-01-2021 0001967990523 MARDIS L
021 09:06
087 08:25
2193 031406020121P000 01-04-2021 05-01-2021 0001969017671 SARI GANTI P
088 08:26
2194 031406020121P000 01-04-2021 05-01-2021 0001969017862 ROSTAM L
089 08:26
2195 031406020121P001 01-04-2021 26-01-2021 0001969019605 HELNOVIA DERITA. S P
918 15:28
2196 031406020121P000 01-04-2021 04-01-2021 0002063094311 ANDI GUSTI IRAWAN L
020 09:02
2197 031406020121P002 01-04-2021 30-01-2021 0002064552906 ANGGIA NANDA PUTRI P
150 08:32
2198 031406020121P000 01-04-2021 04-01-2021 0002073728441 ARDI HENDRI L
040 11:03
2199 031406020121P000 01-04-2021 06-01-2021 0002213154663 YOGA PERTAMA PUTRA L
121 08:31
2200 031406020121P000 01-04-2021 06-01-2021 0002241779758 NURYOFA L
115 08:21


PEKERJA MANDIRI Glaucoma Rujuk Vertikal

2201 031406020121P000 01-04-2021 05-01-2021 0002244042562 RINALDY EFENDY L
072 07:48
2202 031406020121P000 01-04-2021 05-01-2021 0002244042797 DONA ANGGRAINI P
070 07:47
2203 031406020121P001 01-04-2021 25-01-2021 0002273958099 AYU ANDIRA P
809 09:08
2204 031406020121P000 01-04-2021 04-01-2021 0002290070992 ASMADANI P
028 09:56
2205 031406020121P000 01-04-2021 06-01-2021 0002292736522 PUTRI MAYLIS PRATAMA P
127 08:43
2206 031406020121P000 01-04-2021 06-01-2021 0002299011759 MISDIANTO L
140 09:00
2207 031406020121P000 01-04-2021 04-01-2021 0002306213673 MUHAMMAD NUR L
034 10:17
2208 031406020121P000 01-04-2021 05-01-2021 0002320812999 RANDI PRAWIJAYA L
080 07:53
2209 031406020121P000 01-04-2021 04-01-2021 0002464557096 NIRWANA P
030 10:07
2210 031406020121P000 01-04-2021 12-01-2021 0002464557096 NIRWANA P
487 08:38
2211 031406020121P001 01-04-2021 24-01-2021 0002467338074 GUSRI WANTI P
799 17:09
2212 031406020121P000 01-04-2021 04-01-2021 0002470430215 YOLLA SARNI ELFIONITA P
023 09:13
2213 031406020121P000 01-04-2021 06-01-2021 0002474597902 YULFA HENDRI L
124 08:33
2214 031406020121P001 01-04-2021 26-01-2021 0002478540431 SYAHRIAL L
917 15:14
2215 031406020121P000 01-04-2021 06-01-2021 0002489817385 ROMI PUTRA L
119 08:30
2216 031406020121P000 01-04-2021 04-01-2021 0002638817109 RAHMAT ZAKIA L
039 10:56
2217 031406020121P000 01-04-2021 05-01-2021 0002639797637 SUGITO L
081 07:54
2218 031406020121P000 01-04-2021 05-01-2021 0002744834051 TAKMURI L
076 07:50
2219 031406020121P000 01-04-2021 05-01-2021 0002744834545 MARYATI P
077 07:51

PNS DAERAH Other cataract Rujuk Vertikal
PEKERJA MANDIRI Asthma Berobat Jalan
PEKERJA MANDIRI Epilepsy Rujuk Vertikal

2220 031406020121P000 01-04-2021 12-01-2021 0002784456999 SUBAWAN P
489 08:39
2221 031406020121P000 01-04-2021 05-01-2021 0002784464649 LILI MARDANIS P
090 08:27
2222 031406020121P000 01-04-2021 04-01-2021 0002831951586 NURLELA P
027 09:47
2223 031406020121P000 01-04-2021 06-01-2021 0002895169656 LAURA ELSI MIMANDA P
113 08:13
2224 031406020121P002 01-04-2021 30-01-2021 0002895176777 RIFKI FANUS L
151 08:34
2225 031406020121P000 01-04-2021 06-01-2021 0002895181378 DASRINAL L
128 08:43
2226 031406020121P001 01-04-2021 24-01-2021 0002901466269 TRIO AGUS SAPUTRA L
801 17:12
031406020121P000 04-01-2021
2227 018 01-04-2021 08:57 0003062952371 SELVI ALNI PUTRI P
2228 031406020121P001 01-03-2021 19-01-2021 0000279979198 NELA AMELIA P

380 12:45
2229 031406020121P002 01-03-2021 29-01-2021 0001444673902 SYOFRIANTO L
114 14:00
2230 031406020121P000 01-03-2021 09-01-2021 0002117626029 RONA RIZKI P
320 13:05
2231 031406020121P002 01-03-2021 28-01-2021 0002896741023 ANI P
054 19:26
2232 031406020121P000 01-02-2021 02-01-2021 0000018168592 KARMAILIS P
015 10:59
2233 031406020121P000 01-02-2021 04-01-2021 0000018168592 KARMAILIS P
065 11:32
2234 031406020121P000 01-02-2021 07-01-2021 0000018176308 WISFIDAR P
240 09:20
2235 031406020121P000 01-02-2021 07-01-2021 0000018305324 FITRA WIRDAYATI P
241 09:21
2236 031406020121P000 01-02-2021 07-01-2021 0000018781097 ASMORO L
245 09:56
2237 031406020121P000 01-02-2021 07-01-2021 0000018781108 ZAINAR P
246 09:56
2238 031406020121P000 01-02-2021 07-01-2021 0000018795126 SUKRI HIDAYAT L
247 09:57

Chronic obstructive pulmonary

PBI (APBN) disease, unspecified Rujuk Vertikal
PEGAWAI SWASTA Fever, unspecified Sembuh

unspecified
unspecified
PNS DAERAH Other cataract Rujuk Vertikal

unspecified
TNI infection, unspecified
PNS DAERAH Cough Berobat Jalan
PNS PUSAT Dyspepsia Berobat Jalan

2239 031406020121P000 01-02-2021 07-01-2021 0000018797589 YETTI SUMARNI P
248 09:57
2240 031406020121P000 01-02-2021 07-01-2021 0000018805421 EMZITA P
249 09:58
031406020121P000 07-01-2021
2241 250 01-02-2021 09:58 0000018805432 A S R I L, S.PD.I L
2242 031406020121P000 01-02-2021 04-01-2021 0000018805634 YASMINAR P

053 11:20
2243 031406020121P000 01-02-2021 07-01-2021 0000018818875 DESMIYANTI P
252 10:03
2244 031406020121P000 01-02-2021 09-01-2021 0000018819156 KAFNIATI P
289 08:31
2245 031406020121P000 01-02-2021 07-01-2021 0000018819224 M HIDAYAT L
254 10:06
2246 031406020121P000 01-02-2021 07-01-2021 0000018837472 ASMAINIS AM P
255 10:06
2247 031406020121P000 01-02-2021 07-01-2021 0000018837483 ASROL L
256 10:07
2248 031406020121P000 01-02-2021 07-01-2021 0000018837909 NURSYAFNI P
257 10:08
2249 031406020121P000 01-02-2021 09-01-2021 0000018866046 SIDAR L
290 08:32
2250 031406020121P000 01-02-2021 09-01-2021 0000018867971 ZAINAB P
291 08:33
2251 031406020121P000 01-02-2021 09-01-2021 0000018873483 MUHTAROM L
292 08:34
2252 031406020121P000 01-02-2021 09-01-2021 0000018873494 UMINAH P
293 08:34
2253 031406020121P000 01-02-2021 09-01-2021 0000018873527 ROHMAD L
294 08:35
2254 031406020121P000 01-02-2021 09-01-2021 0000018877667 DELNIALIS P
295 08:35
2255 031406020121P000 01-02-2021 09-01-2021 0000018879175 MULYATI P
296 08:36
2256 031406020121P000 01-02-2021 09-01-2021 0000229701071 NURAISYAH P
297 08:36
2257 031406020121P000 01-02-2021 09-01-2021 0000274994493 FATIMAH P
298 08:37
PNS PUSAT Dyspepsia Berobat Jalan
Influenza, virus not identified Diabetes Mellitus

PNS PUSAT Berobat Jalan Hipertensi
PNS DAERAH Acute upper respiratory Berobat Jalan Hipertensi

PENERIMA PENSIUN Bacterial foodborne intoxication, Berobat Jalan

PNS unspecified
PENERIMA PENSIUN Myalgia Berobat Jalan Hipertensi
PNS
PNS



2258 031406020121P000 01-02-2021 09-01-2021 0000280052278 AHMAT MUDA L
308 10:09
2259 031406020121P000 01-02-2021 09-01-2021 0000280298327 THAUFIK RIDHO AZANU L
309 10:10
2260 031406020121P000 01-02-2021 09-01-2021 0000280313976 MUNIR KAN L
310 10:11
2261 031406020121P000 01-02-2021 09-01-2021 0000280315056 MELA SANTIKA P
311 10:12
031406020121P000 11-01-2021
323 08:07
2262 01-02-2021 0000280315225 MUHAMAD ZAKI L
2263 031406020121P000 01-02-2021 11-01-2021 0000280353306 FEBRI SARDILAH P

324 08:08
2264 031406020121P000 01-02-2021 11-01-2021 0000280385662 ANI P
325 08:08
2265 031406020121P000 01-02-2021 11-01-2021 0000280386742 RATI APRILIA P
326 08:09
2266 031406020121P000 01-02-2021 11-01-2021 0000280391444 JEFRI YUHENDRI L
327 08:09
2267 031406020121P000 01-02-2021 11-01-2021 0000280397542 SYAMSINAR P
328 08:10
2268 031406020121P000 01-02-2021 11-01-2021 0000280416407 ARTATI P
329 08:10
2269 031406020121P000 01-02-2021 11-01-2021 0000280416431 ANISA TIARA FITRI P
330 08:11
2270 031406020121P000 01-02-2021 11-01-2021 0000280665178 SARI NAYAN P
331 08:11
2271 031406020121P000 01-02-2021 11-01-2021 0000280685597 FITRI YENTI P
332 08:12
2272 031406020121P000 01-02-2021 11-01-2021 0000280687689 PURMA WATI P
333 08:12
2273 031406020121P000 01-02-2021 11-01-2021 0000280751556 KOMISAH P
334 08:13
2274 031406020121P000 01-02-2021 11-01-2021 0000280755729 JUMAN L
335 08:13
2275 031406020121P000 01-02-2021 11-01-2021 0000280759105 SULMA YANTI P
336 08:14
PEGAWAI
PEMERINTAH
DENGAN Allergy, unspecified Berobat Jalan
PERJANJIAN KERJA




2276 031406020121P000 01-02-2021 09-01-2021 0000280759678 PARINGKI L
313 10:31
2277 031406020121P000 01-02-2021 11-01-2021 0000280759915 UPIAK JUNIAR P
337 08:14
2278 031406020121P000 01-02-2021 09-01-2021 0000280762997 YETTI VERA P
312 10:23
2279 031406020121P000 01-02-2021 11-01-2021 0000280764303 SANI P
338 08:15
2280 031406020121P000 01-02-2021 11-01-2021 0000280765945 RIYANTI P
339 08:15
2281 031406020121P002 01-02-2021 28-01-2021 0000281813848 ROSMANI P
059 23:24
2282 031406020121P002 01-02-2021 28-01-2021 0000281914064 ILDA FITRI P
060 23:33
2283 031406020121P000 01-02-2021 02-01-2021 0000281923029 ANYARNI P
002 09:10
2284 031406020121P000 01-02-2021 02-01-2021 0000281970371 RIKA SUSANTI P
008 09:51
2285 031406020121P000 01-02-2021 04-01-2021 0000282536537 YANTI P
046 11:12
2286 031406020121P002 01-02-2021 28-01-2021 0000282991869 NURBAINI P
061 23:42
2287 031406020121P000 01-02-2021 04-01-2021 0000283594869 KATIYEM P
045 11:11
2288 031406020121P000 01-02-2021 05-01-2021 0000987279748 AYU RAHMI P
094 08:35
2289 031406020121P000 01-02-2021 04-01-2021 0000987280108 ANGGIA PARATI P
024 09:28
2290 031406020121P000 01-02-2021 09-01-2021 0000987280108 ANGGIA PARATI P
314 10:38
2291 031406020121P000 01-02-2021 04-01-2021 0001494876374 M. ZAKKY ROSYADI L
054 11:20
031406020121P000 02-01-2021
2292 012 01-02-2021 10:33 0001494882819 SADIN L
2293 031406020121P000 01-02-2021 04-01-2021 0001494913217 SURYASNI P

055 11:21
2294 031406020121P000 01-02-2021 04-01-2021 0001494913217 SURYASNI P
064 11:32

PBI (APBN) Dyspepsia Sembuh
PEGAWAI SWASTA Dyspepsia Sembuh
PBI (APBN) Paralytic syndrome, unspecified Rujuk Vertikal

unspecified
PEKERJA MANDIRI Other benign neoplasm of

connective and other soft tissue, Rujuk Vertikal
unspecified

unspecified
2295 031406020121P000 01-02-2021 04-01-2021 0001494914545 JAKARIA L
052 11:16
2296 031406020121P000 01-02-2021 04-01-2021 0001494940882 TASMI P
051 11:15
2297 031406020121P000 01-02-2021 04-01-2021 0001494946923 SRI YANTI P
044 11:10
2298 031406020121P000 01-02-2021 04-01-2021 0001495080202 GUNANDA L
056 11:22
031406020121P000 04-01-2021
2299 043 01-02-2021 11:09 0001498457981 M. FAUZAN AZIMA L
2300 031406020121P000 01-02-2021 04-01-2021 0001686536616 UPIK CHANIAGO L

058 11:22
031406020121P000 04-01-2021
2301 042 01-02-2021 11:09 0001810879626 SUIRAH P
2302 031406020121P000 01-02-2021 04-01-2021 0001829584451 ASNI P

057 11:22
2303 031406020121P000 01-02-2021 02-01-2021 0001831690124 syafrial L
013 10:39
031406020121P000 02-01-2021
2304 007 01-02-2021 09:36 0001881242471 MUSLIM ST SRI ALAM L
2305 031406020121P000 01-02-2021 02-01-2021 0002072939771 WIRDAWATI P

009 10:07
2306 031406020121P000 01-02-2021 09-01-2021 0002087186444 AISYAH ALTAFUNNISA P
315 10:47
2307 031406020121P000 01-02-2021 02-01-2021 0002219429081 NOVRIYANTI P
005 09:23
2308 031406020121P000 01-02-2021 04-01-2021 0002252514903 M. RIDHO L
059 11:23
2309 031406020121P000 01-02-2021 04-01-2021 0002311279424 RAYEM P
041 11:05
2310 031406020121P000 01-02-2021 04-01-2021 0002430361721 JUSLINAR P
049 11:14
2311 031406020121P000 01-02-2021 04-01-2021 0002437214499 MURNI P
048 11:13
2312 031406020121P000 01-02-2021 04-01-2021 0002448666584 KASIKEM P
061 11:24
PENERIMA PENSIUN
SWASTA Dyspepsia Berobat Jalan
PENERIMA PENSIUN
SWASTA Myalgia Berobat Jalan
PNS DAERAH Hypertensive heart disease Rujuk Vertikal Hipertensi Hipertensi

PEKERJA MANDIRI Uterovaginal prolapse, Rujuk Vertikal

unspecified


2313 031406020121P000 01-02-2021 02-01-2021 0002461625302 NURMAINI P
001 09:06
031406020121P000 02-01-2021
2314 014 01-02-2021 10:49 0002471832292 HARIATI P
031406020121P000 02-01-2021
2315 010 01-02-2021 10:28 0002484780175 M. NASIR L
2316 031406020121P000 01-02-2021 02-01-2021 0002484780322 NURBAINA P

011 10:29
2317 031406020121P000 01-02-2021 04-01-2021 0002585037835 AYU NINGSIH P
060 11:23
2318 031406020121P000 01-02-2021 05-01-2021 0002585759286 RIOS SAPUTRA L
093 08:35
2319 031406020121P002 01-02-2021 28-01-2021 0002608726342 DARMANSYAH L
062 23:53
2320 031406020121P000 01-02-2021 04-01-2021 0002638817379 YUSNIMAR P
066 11:34
2321 031406020121P000 01-02-2021 02-01-2021 0002639797569 TUMINEM P
006 09:35
2322 031406020121P000 01-02-2021 04-01-2021 0002772050837 AFRIDA WATI P
047 11:12
2323 031406020121P000 01-02-2021 04-01-2021 0002784450251 MUHAMMAD FIRDAUS L
050 11:14
2324 031406020121P002 01-02-2021 31-01-2021 0002784459069 INANG NENGSIH P
290 10:05
2325 031406020121P000 01-02-2021 11-01-2021 0002917243574 NURSINA P
367 08:35
2326 031406020121P000 01-02-2021 02-01-2021 0002919268394 CARSINI P
004 09:20
2327 031406020121P000 01-02-2021 04-01-2021 0002940156191 KASIR L
025 09:31
2328 031406020121P000 01-02-2021 04-01-2021 0002940156279 IDA WARNI P
026 09:34
2329 031406020121P000 01-02-2021 02-01-2021 0003052244305 SUBUR L
003 09:18
2330 031406020121P000 01-02-2021 12-01-2021 0003053439437 SALSABILA AYU HANIFA P
572 16:24
2331 031406020121P000 01-02-2021 04-01-2021 0003057169228 SIWAT P
063 11:30
PEKERJA MANDIRI Low vision, one eye Rujuk Vertikal
PBI (APBN) disease, so described Rujuk Vertikal


unspecified
PBI (APBN) Hypertensive heart disease Rujuk Vertikal

unspecified
PEKERJA MANDIRI Heart failure, unspecified Rujuk Vertikal

PEKERJA MANDIRI Tinnitus Rujuk Vertikal

unspecified
2332 031406020121P001 01-01-2021 19-01-2021 0000283049818 KURNIA HELFIKA P
379 12:33
031406020121P002 28-01-2021
2333 043 01-01-2021 12:47 0001313175251 LENI MARLINA P
031406020121P002 28-01-2021
2334 053 01-01-2021 19:22 0001495051075 NGATIKEM P
2335 031406020121P002 01-01-2021 28-01-2021 0002117626029 RONA RIZKI P

052 19:16
2336 031406020121P002 01-01-2021 28-01-2021 0002117626029 RONA RIZKI P
044 13:07
2337 031406020121P002 01-01-2021 28-01-2021 0002448293027 JARINAN P
051 19:05
2338 031406020121P001 01-01-2021 22-01-2021 0002471172704 SUWITA P
710 10:55
Hyperemesis gravidarum with

PBI (APBN) metabolic disturbance Sembuh
PEGAWAI SWASTA Other symptoms and signs

involving cognitive functions and Berobat Jalan
awareness
PBI (APBD) Single spontaneous delivery Sembuh
PEKERJA MANDIRI Iron deficiency anaemia Berobat Jalan

unspecified

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Kantor Cabang : BUKIT TINGGI - 0302

FKTP : KINALI - 03140602

1 031406020121P002 30-01-2021 30-01-2021 0000018917493 SUHERLIN L

PNS DAERAH Fever, unspecified Berobat Jalan

PBI (APBN) Essential (primary) hypertension Berobat Jalan

PBI (APBN) Spontaneous vertex delivery Sembuh

PBI (APBN) Other arthrosis Berobat Jalan

PBI (APBD) Fever, unspecified Berobat Jalan

PBI (APBN) Contraceptive management, Berobat Jalan

PBI (APBN) Fever, unspecified Berobat Jalan

PBI (APBN) Hypertensive heart disease Berobat Jalan

PBI (APBN) Dental caries Berobat Jalan

PBI (APBN) Other arthrosis Berobat Jalan

PBI (APBN) Other dermatitis Berobat Jalan

PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

PEKERJA MANDIRI Dyspepsia Berobat Jalan

PEKERJA MANDIRI Fever, unspecified Berobat Jalan

PNS DAERAH Chronic ischaemic heart Rujuk Vertikal Hipertensi Hipertensi

PEKERJA MANDIRI Other dermatitis Berobat Jalan

PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

PBI (APBN) Acute upper respiratory Berobat Jalan

PNS DAERAH Dyspepsia Berobat Jalan

PNS DAERAH Dyspepsia Berobat Jalan

PNS DAERAH Low vision, both eyes Rujuk Vertikal

PEGAWAI SWASTA Acute upper respiratory Berobat Jalan

PBI (APBN) Antenatal screening, Berobat Jalan

PBI (APBN) Pre-eclampsia, unspecified Berobat Jalan

PBI (APBN) Fever, unspecified Berobat Jalan

PBI (APBN) Stomatitis and related lesions Berobat Jalan

PEGAWAI SWASTA Stomatitis and related lesions Berobat Jalan

PNS DAERAH Nasal polyp, unspecified Rujuk Vertikal

PNS PUSAT Hypertensive heart disease Rujuk Vertikal

PNS PUSAT Low vision, both eyes Rujuk Vertikal

56 031406020121P002 29-01-2021 29-01-2021 0002900516905 BUYUNG ADANG L

PEGAWAI SWASTA Gastritis, unspecified Berobat Jalan

PEKERJA MANDIRI Gastritis, unspecified Berobat Jalan

PEGAWAI SWASTA Keratitis, unspecified Rujuk Vertikal

PEGAWAI SWASTA Myalgia Berobat Jalan

PEGAWAI SWASTA Other dermatitis Berobat Jalan

PEGAWAI SWASTA Dyspepsia Berobat Jalan

PBI (APBD) Other dermatitis Berobat Jalan

PBI (APBD) Other dermatitis Berobat Jalan

PBI (APBN) Other dermatitis Berobat Jalan

PBI (APBD) Low vision, both eyes Rujuk Vertikal

PBI (APBD) Disorder of conjunctiva, Rujuk Vertikal

PEKERJA MANDIRI Pleural effusion, not elsewhere Rujuk Vertikal

PEKERJA MANDIRI Hypertensive heart disease Rujuk Vertikal

PBI (APBN) Leukaemia, unspecified Rujuk Vertikal

PEKERJA MANDIRI Follow-up examination after

58 031406020121P002 28-01-2021 29-01-2021 0000018886735 ADRIANIS P

031406020121P002 28-01-2021 29-01-2021

61 031406020121P002 28-01-2021 28-01-2021 0000209653154 IWAN L

64 031406020121P002 28-01-2021 29-01-2021 0000282085931 JAFRIMAN L

67 031406020121P002 28-01-2021 29-01-2021 0000282875591 SIDI NAUMAR L

PNS DAERAH Headache Berobat Jalan

PNS DAERAH Chronic obstructive pulmonary Rujuk Vertikal

Influenza due to identified avian

PNS DAERAH Peptic ulcer, site unspecified Rujuk Vertikal

PBI (APBN) Antenatal screening, Berobat Jalan

PEGAWAI SWASTA Pain, not elsewhere classified Berobat Jalan

PBI (APBN) Antenatal screening, Berobat Jalan

PBI (APBN) Other arthrosis Berobat Jalan

PEGAWAI SWASTA Antenatal screening, Berobat Jalan