DAFTAR KUNJUNGAN PASIEN UMUM RAWAT

YANG DIGRATISKAN PERIODE BULAN NOVEMBER TAHUN 2021

TANGGAL
NO NAMA UMUR JENIS KELAMIN ALAMAT DIAGNOSA JENIS LAYANAN
KUNJUNGAN
General examination and investigation of persons Z00
1 2021-01-02 08:32:55 SITI NUR AISYAH 13 Thn 0 Bln 25Hr Perempuan TUMPAKREJO without complaint and reported diagnosis UMUM
General examination and investigation of persons Z00
3 2021-01-02 09:13:02 FELIN RADIT APRILIANO 14 Thn 8 Bln 21Hr Laki-Laki BANTUR without complaint and reported diagnosis UMUM
General examination and investigation of persons Z00
4 2021-01-02 09:17:42 M BAGAS F. R. F 15 Thn 8 Bln 23Hr Laki-Laki SUMBERMANJING without complaint and reported diagnosis UMUM
General examination and investigation of persons Z00
5 2021-01-02 09:24:28 QOIRI AMIN 22 Thn 9 Bln 18Hr Laki-Laki PRINGGODANI without complaint and reported diagnosis UMUM
General examination and investigation of persons Z00
6 2021-01-02 09:31:05 ALDI SANJAYA 17 Thn 0 Bln 18Hr Laki-Laki SUMBERBENING without complaint and reported diagnosis UMUM
General examination and investigation of persons Z00
7 2021-01-02 09:50:35 KEYZA ANANTHASYA 12 Thn 8 Bln 9Hr Perempuan SRIGONCO without complaint and reported diagnosis UMUM
General examination and investigation of persons Z00
8 2021-01-02 09:54:44 MILATUL AKHIROH 15 Thn 5 Bln 1Hr Perempuan BANDUNGREJO without complaint and reported diagnosis UMUM
General examination and investigation of persons Z00
9 2021-01-02 10:00:27 ALVIATUL NAFISAH 14 Thn 1 Bln 25Hr Perempuan SRIGONCO without complaint and reported diagnosis UMUM
10 2021-01-04 07:49:03 EKO WAHYUDI 24 Thn 4 Bln 27Hr Laki-Laki SRIGONCO General medical examination Z00.0 UMUM
11 2021-01-04 08:00:26 SRIASIH 36 Thn 5 Bln 8Hr Laki-Laki TUMPAKREJO Pre-employment examination Z02.1 UMUM
Essential (primary) hypertension+Non-insulin- I10+E11
12 2021-01-04 08:05:55 TOYIB WIJAYA 63 Thn 0 Bln 29Hr Perempuan TUMPAKREJO dependent diabetes mellitus Poli Umum 2
13 2021-01-04 08:07:31 MUHAMAD SHOLEH 29 Thn 5 Bln 27Hr Laki-Laki TUMPAKREJO General medical examination Z00.0 UMUM
14 2021-01-04 08:29:55 SITI RAHAYU 65 Thn 0 Bln 3Hr Perempuan Essential (primary) hypertension I10 UMUM
15 2021-01-04 08:35:17 AFIFAH FAHIRUL 24 Thn 6 Bln 27Hr Perempuan BANTUR Examination for admission to residential institutions Z02.2 UMUM
16 2021-01-04 08:36:46 HIDAYATULULA 13 Thn 6 Bln 24Hr Perempuan PRINGGODANI Acute apical periodontitis of pulpal origin K04.4 GIGI
17 2021-01-04 08:37:02 SUDARMADI 34 Thn 9 Bln 4Hr Laki-Laki SUMBERBENING Urinary calculus, unspecified N20.9 UMUM
19 2021-01-04 08:44:11 SARPI 63 Thn 5 Bln 3Hr Perempuan PRINGGODANI Headache R51 UMUM
20 2021-01-04 08:49:12 RIATI 63 Thn 0 Bln 3Hr Perempuan TUMPAKREJO Secondary hypertension I15 UMUM
21 2021-01-04 08:55:25 ANIK SUYANTI 29 Thn 8 Bln 0Hr Perempuan PRINGGODANI Tuberculosis of lung, confirmed histologically A15.2 UMUM
22 2021-01-04 09:11:12 SUSI SUSANTI 31 Thn 0 Bln 3Hr Perempuan SUMBERBENING Antenatal screening Z36 KIA
23 2021-01-04 09:20:21 JODIKA FIRMAN MAULAN8 Thn 0 Bln 3Hr Laki-Laki PRINGGONDANI Disturbances in tooth eruption K00.6 GIGI
24 2021-01-04 09:25:06 SALSABILA KAMILA ZAHR 6 Thn 7 Bln 30Hr Perempuan Disturbances in tooth eruption K00.6 GIGI
25 2021-01-04 09:30:06 ZELDA PRASTIKA CANTIKA8 Thn 10 Bln 0Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
26 2021-01-04 09:35:43 FIOLINA 6 Thn 7 Bln 8Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
27 2021-01-04 09:45:56 DERIKO ABDILA HAFIS 8 Thn 0 Bln 3Hr Laki-Laki BANTUR Disturbances in tooth eruption K00.6 GIGI
28 2021-01-04 09:47:31 UMROTUL 33 Thn 0 Bln 9Hr Perempuan PRINGGODANI Other contraceptive management Z30.8 KB
29 2021-01-05 08:12:34 MARMI 57 Thn 11 Bln 1Hr Perempuan REJOSARI Impacted cerumen H61.2 Poli Umum 2
31 2021-01-05 08:19:29 PONIJAN 63 Thn 6 Bln 5Hr Laki-Laki SUMBERBENING Hebephrenic schizophrenia F20.1 JIWA
32 2021-01-05 08:24:41 KHUSNATUN NURI A 9 Thn 8 Bln 22Hr Perempuan BANDUNGREJO Disturbances in tooth eruption K00.6 GIGI
33 2021-01-05 08:40:12 EVA LESTARI 22 Thn 0 Bln 24Hr Perempuan SUMBERBENING Atopic dermatitis L20 Poli Umum 2
34 2021-01-05 08:47:10 NINUK WIDIAWATI 31 Thn 3 Bln 17Hr Perempuan BANTUR Acute nasopharyngitis [common cold] J00 UMUM
35 2021-01-05 08:52:27 AISY ATAA`ULLAH 6 Thn 1 Bln 28Hr Laki-Laki BANTUR Necrosis of pulp K04.1 GIGI
36 2021-01-05 08:54:00 TIANI 50 Thn 1 Bln 20Hr Perempuan SUMBERBENING Fever, unspecified R50.9 UMUM
37 2021-01-05 08:54:24 HARI BUDIARTO 36 Thn 9 Bln 27Hr Laki-Laki SRIGONCO Undifferentiated schizophrenia F20.3 JIWA
38 2021-01-05 08:59:10 ZULAIKAH 16 Thn 3 Bln 3Hr Perempuan BANTUR Acute nasopharyngitis [common cold] J00 UMUM
39 2021-01-05 09:11:50 TAMI RAHAYU 17 Thn 10 Bln 10Hr Perempuan BANDUNGREJO Examination for administrative purposes, unspecified Z02.9 UMUM
40 2021-01-05 09:12:04 SAIFUL MUSTAKIM 17 Thn 11 Bln 0Hr Laki-Laki SUMBERBENING Examination for administrative purposes, unspecified Z02.9 UMUM
41 2021-01-05 09:12:45 IIS NUR FARIDAH 3 Thn 5 Bln 11Hr Perempuan WONOREJO Atopic dermatitis L20 ANAK
42 2021-01-05 09:18:23 SUMARNO 64 Thn 9 Bln 3Hr Laki-Laki BANTUR Other chest pain R07.3 Poli Umum 2
43 2021-01-05 09:18:51 TALITA SAHDA SABILLAH 8 Thn 9 Bln 2Hr Perempuan TUMPAKREJO Disturbances in tooth eruption K00.6 GIGI
44 2021-01-05 09:30:35 UMAR FERDIANTO 6 Thn 1 Bln 9Hr Laki-Laki BANDUNGREJO Necrosis of pulp K04.1 GIGI
45 2021-01-05 09:54:40 EKA WAHYU KRISMANTO20 Thn 10 Bln 27Hr Laki-Laki BANTUR Examination for administrative purposes, unspecified Z02.9 UMUM
Acute nephritic syndrome, diffuse crescentic N00.7
46 2021-01-05 10:26:05 RISMA ANITA SARI 10 Thn 8 Bln 15Hr Perempuan SRIGONCO glomerulonephritis UMUM
47 2021-01-05 10:40:10 RIKA NURHAYATI 25 Thn 6 Bln 0Hr Perempuan SUMBERBENING Other contraceptive management Z30.8 KB
48 2021-01-05 10:45:10 ALIL MUSRIFAH 39 Thn 6 Bln 30Hr Perempuan SUMBERBENING Other contraceptive management Z30.8 KB
49 2021-01-06 08:11:44 IKA LISMAWATI 37 Thn 0 Bln 28Hr Perempuan SEGARAN Paranoid schizophrenia F20.0 JIWA
50 2021-01-06 08:12:37 RIANAN ACHIKHSAN 56 Thn 9 Bln 5Hr Laki-Laki PRINGGODANI Hebephrenic schizophrenia F20.1 JIWA
51 2021-01-06 08:20:12 YATMINI 47 Thn 0 Bln 5Hr Perempuan BANTUR Hebephrenic schizophrenia F20.1 JIWA
53 2021-01-06 08:24:24 WAGIMUN 44 Thn 0 Bln 5Hr Laki-Laki SUMBERBENING Hebephrenic schizophrenia F20.1 JIWA
54 2021-01-06 08:24:52 AGUS CAHYONO 28 Thn 2 Bln 7Hr Laki-Laki SUMBERBENING Undifferentiated schizophrenia F20.3 JIWA
55 2021-01-06 08:31:23 SODIK 49 Thn 0 Bln 5Hr Laki-Laki PRINGGODANI Foreign body in ear T16 Poli Umum 2
56 2021-01-06 08:37:19 ISDIANA FEBRIANTI 16 Thn 10 Bln 29Hr Perempuan BANDUNGREJO Epilepsy G40 JIWA
57 2021-01-06 08:44:54 LUKMANUR HAKIM 30 Thn 3 Bln 23Hr Laki-Laki SRIGONCO Phobic anxiety disorders F40 JIWA
58 2021-01-06 08:45:17 HERMIN YULIATIN 39 Thn 3 Bln 16Hr Perempuan BANTUR Other contraceptive management Z30.8 KB
59 2021-01-06 08:48:21 AGAM ABDILA PRATAMA6 Thn 8 Bln 13Hr Laki-Laki TUMPAKREJO Disturbances in tooth eruption K00.6 GIGI
60 2021-01-06 08:48:59 ADRIAN PRADIPTA AMZAR6 Thn 8 Bln 13Hr Laki-Laki TUMPAKREJO Disturbances in tooth eruption K00.6 GIGI
61 2021-01-06 08:51:11 DIAN ROHMATUL AZIZAH7 Thn 6 Bln 24Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
62 2021-01-06 08:52:20 AMINUDIN JAINURI 30 Thn 3 Bln 1Hr Laki-Laki BANDUNGREJO Residual schizophrenia F20.5 JIWA
63 2021-01-06 08:52:41 GINEM SUSIANTO 69 Thn 0 Bln 29Hr Laki-Laki SUMBERBENING Schizophrenia F20 JIWA
64 2021-01-06 09:02:44 SUTAR 45 Thn 3 Bln 1Hr Laki-Laki BANDUNGREJO Schizophrenia F20 JIWA
65 2021-01-06 09:03:39 SUKINAH 73 Thn 8 Bln 4Hr Perempuan BANDUNGREJO Schizophrenia F20 JIWA
66 2021-01-06 09:04:44 WARNI RIAWATI 26 Thn 9 Bln 11Hr Perempuan BANTUR Other contraceptive management Z30.8 KB
67 2021-01-06 09:07:12 SUYANTO 37 Thn 11 Bln 13Hr Laki-Laki BANTUR Post-schizophrenic depression F20.4 JIWA
68 2021-01-06 09:17:15 LULUK DIANA NOVITA SAR29 Thn 1 Bln 16Hr Perempuan TUMPAKREJO Periapical abscess without sinus K04.7 GIGI
69 2021-01-06 09:20:07 AMORA FHELICIA ARTET 5 Thn 7 Bln 29Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
70 2021-01-06 09:30:21 EKA KRISDHIANTORO 40 Thn 6 Bln 8Hr Laki-Laki WONOREJO Hebephrenic schizophrenia F20.1 JIWA
71 2021-01-06 09:30:41 GHOLIYATUN NISA` 13 Thn 1 Bln 0Hr Perempuan BANTUR Examination for administrative purposes, unspecified Z02.9 UMUM
72 2021-01-06 09:45:41 SUNARSIH 47 Thn 0 Bln 5Hr Perempuan TUMPAKREJO Periapical abscess without sinus K04.7 GIGI
73 2021-01-06 09:46:49 KAVINDRA MUGHNI F 7 Thn 10 Bln 14Hr Laki-Laki BANTUR Disturbances in tooth eruption K00.6 GIGI
74 2021-01-06 09:47:20 RUBATI 70 Thn 6 Bln 6Hr Perempuan REJOYOSO Hebephrenic schizophrenia F20.1 JIWA
75 2021-01-06 10:00:06 MUHAMMAD IRKHAM 28 Thn 0 Bln 5Hr Laki-Laki BANDUNGREJO Examination for administrative purposes, unspecified Z02.9 UMUM
76 2021-01-06 10:01:23 PUTRI KATULISTIWA DEW17 Thn 6 Bln 15Hr Perempuan SRIGONCO Examination for administrative purposes, unspecified Z02.9 UMUM
77 2021-01-06 10:02:31 NGATIMIN 56 Thn 7 Bln 20Hr Perempuan DONOMULYO Hebephrenic schizophrenia F20.1 JIWA
78 2021-01-06 10:35:17 PRATIK 65 Thn 10 Bln 8Hr Laki-Laki PRINGGODANI Essential (primary) hypertension I10 Poli Umum 2
82 2021-01-06 13:53:58 AISYAH AZ ZAHRAH 27 Thn 0 Bln 27Hr Perempuan BANTUR LABORATORIUM
83 2021-01-06 13:58:22 IDA OKTAVIA RATNASARI26 Thn 2 Bln 6Hr Perempuan SUMBERBENING LABORATORIUM
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
84 2021-01-07 08:21:25 SITI FATIMAH 32 Thn 10 Bln 4Hr Perempuan BANTUR | Necrosis of pulp | Antenatal screening K04.1 | Z36 GIZI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
85 2021-01-07 08:34:03 ENDANG SUSIANI 40 Thn 3 Bln 21Hr Perempuan SRIGONCO | Caries of dentine | Antenatal screening K02.1 | Z36 GIZI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
86 2021-01-07 08:34:38 SITI NUR HASANAH 29 Thn 0 Bln 12Hr Perempuan SUMBERBENING | Chronic gingivitis | Antenatal screening K05.1 | Z36 GIZI
87 2021-01-07 08:40:02 NIKI LAILATUL AINI 15 Thn 3 Bln 7Hr Perempuan BANTUR Fever, unspecified R50.9 UMUM
 88 2021-01-07 08:41:20 SITI JUBAIDAH 31 Thn 7 Bln 11Hr Perempuan SUMBERBENING Periapical abscess without sinus K04.7 GIGI
89 2021-01-07 08:46:16 AMANDA ASMARA 9 Thn 2 Bln 0Hr Perempuan TUMPAKREJO Foreign body in ear T16 Poli Umum 2
Z48.9
90 2021-01-07 08:48:04 WITO WIDODO 57 Thn 2 Bln 19Hr Laki-Laki SRIGONCO Surgical follow-up care, unspecified RAWAT DARURAT
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 |
91 2021-01-07 08:49:43 AISYAH AZ ZAHRAH 27 Thn 0 Bln 28Hr Perempuan BANTUR | Necrosis of pulp+Antenatal screening K04.1+Z36 KIA | IMS | GIGI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
92 2021-01-07 08:50:14 FIFI MULYANTIKA 26 Thn 4 Bln 29Hr Perempuan SRIGONCO | Necrosis of pulp | Antenatal screening K04.1 | Z36 GIZI
Antenatal screening | Supervision of normal Z36 |
93 2021-01-07 08:57:06 VIVI CANDRA FATMALA 25 Thn 10 Bln 14Hr Perempuan BANTUR pregnancy+Antenatal screening Z34+Z36 KIA | IMS
94 2021-01-07 08:59:01 TUMIYEM 60 Thn 4 Bln 20Hr Perempuan BANDUNGREJO Erosive (osteo)arthrosis+Secondary hypertension M15.4+I15 UMUM
95 2021-01-07 09:09:17 SADIYAH 45 Thn 9 Bln 10Hr Perempuan SUMBEREJO Acute myocardial infarction, unspecified I21.9 UMUM
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 |
96 2021-01-07 09:11:48 ULFA YULINA 30 Thn 2 Bln 12Hr Perempuan BANDUNGREJO | Caries of dentine+Antenatal screening K02.1+Z36 KIA | IMS | GIGI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 |
97 2021-01-07 09:18:38 DATIK HOIRIYEH 31 Thn 11 Bln 1Hr Perempuan SUMBERBENING | Necrosis of pulp+Antenatal screening K04.1+Z36 KIA | IMS | GIGI
98 2021-01-07 09:25:05 MATORI 40 Thn 4 Bln 2Hr Laki-Laki BANTUR Essential (primary) hypertension I10 Poli Umum 2
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 |
99 2021-01-07 09:28:45 YENI 33 Thn 6 Bln 8Hr Perempuan SUMBERBENING | Chronic gingivitis+Antenatal screening K05.1+Z36 KIA | IMS | GIGI
100 2021-01-07 09:33:53 SARIFAH DEFI SEPTIANI 7 Thn 2 Bln 8Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 |
101 2021-01-07 09:34:07 SITI 20 Thn 6 Bln 7Hr Perempuan PRINGGODANI | Chronic gingivitis+Antenatal screening K05.1+Z36 KIA | IMS | GIGI
102 2021-01-07 09:34:54 KARINA 11 Thn 8 Bln 15Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 |
103 2021-01-07 09:40:59 UMIATI 44 Thn 10 Bln 5Hr Perempuan BANTUR | Caries of dentine+Antenatal screening K02.1+Z36 KIA | IMS | GIGI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 |
104 2021-01-07 09:52:21 LUTFI NUR INDAH SARI 31 Thn 2 Bln 12Hr Perempuan BANTUR | Caries of dentine+Antenatal screening K02.1+Z36 KIA | IMS | GIGI
105 2021-01-07 09:55:20 NADIN AISYA 18 Thn 9 Bln 18Hr Perempuan SETAIL Examination for administrative purposes, unspecified Z02.9 UMUM
106 2021-01-07 10:06:30 LUTFI WIDI SAPUTRA 29 Thn 5 Bln 17Hr Laki-Laki SRIGONCO Necrosis of pulp K04.1 GIGI
107 2021-01-07 10:07:36 ACHMAD JULKIFLA UDDI 13 Thn 6 Bln 3Hr Laki-Laki SRIGONCO Pulpitis K04.0 GIGI
109 2021-01-07 10:48:17 YATIMAH 47 Thn 4 Bln 30Hr Laki-Laki BANTUR Surveillance of contraceptive drugs Z30.4 KB
110 2021-01-07 10:52:28 MASLAN 76 Thn 0 Bln 6Hr Laki-Laki KARANGSARI Other arthritis M13 Poli Umum 2
111 2021-01-07 10:54:22 HAKIM H MOHDHOR 57 Thn 0 Bln 6Hr Laki-Laki PRINGGODANI Chronic obstructive pulmonary disease, unspecified J44.9 JIWA
112 2021-01-08 08:12:07 DINDA 15 Thn 0 Bln 7Hr Perempuan WONOREJO Scabies B86 Poli Umum 2
113 2021-01-08 08:13:29 HIDAYATULULA 13 Thn 6 Bln 28Hr Perempuan PRINGGODANI Other disorders of teeth and supporting structures K08 Poli Umum 2
115 2021-01-08 08:30:40 JALU AVICENA RAHMADA16 Thn 8 Bln 30Hr Laki-Laki REJOSARI Other disorders of external ear H61 Poli Umum 2
116 2021-01-08 08:47:28 NADILATUZ SAHAD 16 Thn 6 Bln 10Hr Laki-Laki REJOSARI Examination for administrative purposes, unspecified Z02.9 UMUM
117 2021-01-08 08:49:23 JAINUL RAJIKIN 30 Thn 4 Bln 30Hr Laki-Laki SIDOREJO Examination for administrative purposes, unspecified Z02.9 UMUM
118 2021-01-08 08:59:52 UMAMAH 26 Thn 8 Bln 11Hr Perempuan BANJAREJO Schizophrenia F20 UMUM
119 2021-01-08 09:02:55 MOCH IRFAN 12 Thn 5 Bln 30Hr Laki-Laki PRINGGODANI Atopic dermatitis, unspecified L20.9 UMUM
120 2021-01-08 09:03:59 DIMAS ADI SAPUTRA 2 Thn 1 Bln 2Hr Laki-Laki SRIGONCO Atopic dermatitis L20 ANAK
121 2021-01-08 09:10:55 LASIYAH 47 Thn 3 Bln 29Hr Perempuan SRIGONCO Examination for administrative purposes, unspecified Z02.9 UMUM
122 2021-01-08 09:12:50 DEVI KURNIAWATI 20 Thn 5 Bln 8Hr Perempuan SRIGONCO Examination for administrative purposes, unspecified Z02.9 UMUM
Malnutrisi protein dan kalori tidak spesifik | Cleft E46 | Q35
124 2021-01-09 08:21:54 MUHAMMAD SYAFIUDDI 0 Thn 8 Bln 27Hr Laki-Laki SUMBERBENING palate GIZI | UMUM
126 2021-01-09 08:45:00 WIRASTUTIK 33 Thn 6 Bln 22Hr Laki-Laki SRIGONCO General medical examination Z00.0 UMUM
General examination and investigation of persons Z00
127 2021-01-09 08:57:02 MARWI 72 Thn 1 Bln 16Hr Perempuan BANTUR without complaint and reported diagnosis Poli Umum 2
128 2021-01-09 09:29:00 SAFARI SULISTYO 33 Thn 3 Bln 15Hr Laki-Laki TUMPAKREJO General medical examination Z00.0 UMUM
129 2021-01-09 09:33:28 NUR MUCHAMAD ISKAND23 Thn 10 Bln 23Hr Laki-Laki TUMPAKREJO General medical examination Z00.0 UMUM
131 2021-01-09 10:21:03 LUTFI NUR INDAH SARI 31 Thn 2 Bln 14Hr Perempuan BANTUR General medical examination Z00.0 LABORATORIUM
132 2021-01-09 10:21:44 UMIATI 44 Thn 10 Bln 7Hr Perempuan BANTUR General medical examination Z00.0 LABORATORIUM

Z00.0 LABORATORIUM |
133 2021-01-09 10:22:32 SITI 20 Thn 6 Bln 9Hr Perempuan PRINGGODANI General medical examination LABORATORIUM
134 2021-01-09 10:23:10 YENI 33 Thn 6 Bln 10Hr Perempuan SUMBERBENING General medical examination Z00.0 LABORATORIUM
135 2021-01-09 10:23:51 VIVI CANDRA FATMALA 25 Thn 10 Bln 16Hr Perempuan BANTUR General medical examination Z00.0 LABORATORIUM
136 2021-01-09 10:31:13 DATIK HOIRIYEH 31 Thn 11 Bln 3Hr Perempuan SUMBERBENING General medical examination Z00.0 LABORATORIUM
137 2021-01-09 10:32:01 ULFA YULINA 30 Thn 2 Bln 14Hr Perempuan BANDUNGREJO General medical examination Z00.0 LABORATORIUM
138 2021-01-09 10:32:55 AISYAH AZ ZAHRAH 27 Thn 0 Bln 30Hr Perempuan BANTUR General medical examination Z00.0 LABORATORIUM
139 2021-01-09 10:34:07 FIFI MULYANTIKA 26 Thn 5 Bln 0Hr Perempuan SRIGONCO General medical examination Z00.0 LABORATORIUM
140 2021-01-09 10:34:59 ENDANG SUSIANI 40 Thn 3 Bln 23Hr Perempuan SRIGONCO General medical examination Z00.0 LABORATORIUM
141 2021-01-09 10:35:53 SITI NUR HASANAH 29 Thn 0 Bln 14Hr Perempuan SUMBERBENING General medical examination Z00.0 LABORATORIUM
142 2021-01-09 10:38:15 SITI FATIMAH 32 Thn 10 Bln 6Hr Perempuan BANTUR General medical examination Z00.0 LABORATORIUM
143 2021-01-11 07:59:52 SIYAMI 53 Thn 5 Bln 29Hr Perempuan TUMPAKREJO Essential (primary) hypertension I10 Poli Umum 2
E11 | Poli Umum 2 |
144 2021-01-11 08:01:15 TOYIB WIJAYA 63 Thn 1 Bln 5Hr Perempuan TUMPAKREJO Non-insulin-dependent diabetes mellitus | LABORATORIUM
145 2021-01-11 08:12:28 SETIA BUDI 39 Thn 4 Bln 6Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
 A01.0 |
R50.9 | Poli Umum 2 |
RAWAT DARURAT |
146 2021-01-11 08:15:23 NIKI LAILATUL AINI 15 Thn 3 Bln 11Hr Perempuan BANTUR Typhoid fever | Fever, unspecified | LABORATORIUM
147 2021-01-11 08:17:07 MINASIH 39 Thn 3 Bln 5Hr Perempuan BANTUR Antenatal screening Z36 KIA
E11 | Poli Umum 2 |
148 2021-01-11 08:23:50 PONIMAN 67 Thn 0 Bln 10Hr Laki-Laki BANTUR Non-insulin-dependent diabetes mellitus | LABORATORIUM
151 2021-01-11 09:45:20 MISTRI 42 Thn 5 Bln 5Hr Perempuan REJOSARI Essential (primary) hypertension I10 Poli Umum 2
152 2021-01-11 09:52:49 SUTRINI 43 Thn 1 Bln 4Hr Perempuan BANTUR Other contraceptive management Z30.8 KB
153 2021-01-11 10:05:24 RIKY HUSAINI 18 Thn 4 Bln 3Hr Laki-Laki REJOYOSO Examination for administrative purposes, unspecified Z02.9 UMUM
154 2021-01-11 10:11:34 GIADI 62 Thn 7 Bln 4Hr Laki-Laki SUMBERBENING Hebephrenic schizophrenia F20.1 JIWA
155 2021-01-11 10:59:58 MOCHAMAD ANGGY YUBA
24 Thn 7 Bln 3Hr Laki-Laki WONOKERTO Examination for admission to residential institutions Z02.2 UMUM
156 2021-01-11 11:02:38 NASIHUL 24 Thn 5 Bln 22Hr Laki-Laki WONOKERTO Examination for admission to residential institutions Z02.2 UMUM
157 2021-01-11 11:41:00 MUHAMMAD FAJAR TREN26 Thn 0 Bln 26Hr Laki-Laki PENJARINGAN SARGeneral medical examination Z00.0 UMUM
158 2021-01-11 11:58:59 VICTE SETIAWAN 34 Thn 0 Bln 24Hr Laki-Laki BANTUR Examination for administrative purposes, unspecified Z02.9 UMUM
159 2021-01-12 08:10:30 AGUSTIN LUSIANA KRISN 47 Thn 5 Bln 1Hr Perempuan WONOREJO Thyrotoxicosis, unspecified E05.9 UMUM
160 2021-01-12 08:17:04 FRELIYA ADYA MECCA 9 Thn 0 Bln 0Hr Perempuan TUMPAKREJO Disturbances in tooth eruption K00.6 GIGI
161 2021-01-12 08:27:57 SUNARTI 45 Thn 2 Bln 5Hr Laki-Laki WONOREJO Other contraceptive management Z30.8 KB
162 2021-01-12 08:35:30 YOGI DERY HENDRAWAN26 Thn 2 Bln 15Hr Laki-Laki PURWOHARJO Ingrowing nail L60.0 Poli Umum 2
163 2021-01-12 08:44:57 SITI JUBAIDAH 31 Thn 7 Bln 16Hr Perempuan SUMBERBENING Necrosis of pulp K04.1 GIGI
164 2021-01-12 08:48:05 BAGUS SAPUTRA 10 Thn 2 Bln 2Hr Laki-Laki BANTUR Dyspepsia K30 UMUM
Essential (primary) hypertension+Tension-type I10+G44.2
165 2021-01-12 08:48:30 AMINUDIN ZUHRI 52 Thn 11 Bln 9Hr Laki-Laki SUMBEREJO headache Poli Umum 2
166 2021-01-12 08:54:05 CACA ADELIA 9 Thn 9 Bln 23Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
167 2021-01-12 08:55:31 PUTRI AULIA 7 Thn 0 Bln 18Hr Perempuan PRINGGODANI Disturbances in tooth eruption K00.6 GIGI
168 2021-01-12 09:28:33 TUMIYEM 60 Thn 4 Bln 25Hr Perempuan BANDUNGREJO Other arthrosis+Essential (primary) hypertension M19+I10 Poli Umum 2
169 2021-01-12 09:33:05 M YASIN HUZAIN 46 Thn 3 Bln 7Hr Laki-Laki TUMPAKREJO Acute haemorrhagic gastritis K29.0 Poli Umum 2
170 2021-01-12 09:34:59 MIFTAHUS SHOLIHAH 6 Thn 9 Bln 28Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
171 2021-01-12 10:40:23 NAZLI BAYU SETIAWAN 9 Thn 8 Bln 16Hr Laki-Laki SRIGONCO Acute nasopharyngitis [common cold] J00 UMUM
172 2021-01-13 07:55:35 SUETI 63 Thn 3 Bln 24Hr Perempuan SUMBEREJO Hebephrenic schizophrenia F20.1 JIWA
173 2021-01-13 08:02:29 IMAM BASORI 38 Thn 1 Bln 22Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
Tuberculosis of lung, confirmed by culture A15.1+I15
174 2021-01-13 08:03:50 SAUDI 68 Thn 4 Bln 5Hr Laki-Laki SUMBERBENING only+Secondary hypertension UMUM
175 2021-01-13 08:12:03 HOTIYEH 45 Thn 9 Bln 10Hr Perempuan PRINGGODANI Simple schizophrenia F20.6 JIWA
176 2021-01-13 08:26:35 MUHAMAD REHAN 7 Thn 6 Bln 19Hr Laki-Laki BANTUR Embedded teeth K01.0 GIGI
177 2021-01-13 08:40:06 CRISTIANTI ARIANI 17 Thn 0 Bln 11Hr Perempuan BANTUR Schizoaffective disorder, depressive type F25.1 JIWA
178 2021-01-13 08:41:04 SHERYN DIAN PERMATA 22 Thn 9 Bln 4Hr Perempuan BANTUR Examination for admission to residential institutions Z02.2 UMUM
179 2021-01-13 08:41:19 WIWID 59 Thn 2 Bln 10Hr Perempuan BANTUR Hebephrenic schizophrenia F20.1 JIWA
180 2021-01-13 08:47:43 MISTRI SIHANI 42 Thn 8 Bln 5Hr Perempuan WONOREJO Other anxiety disorders F41 JIWA
181 2021-01-13 09:05:05 SUNARWI 44 Thn 9 Bln 10Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
182 2021-01-13 09:16:47 REZA ARMINDA CUSTIAN18 Thn 4 Bln 28Hr Laki-Laki PANDANREJO Hebephrenic schizophrenia F20.1 JIWA
183 2021-01-13 09:41:48 ANDRI SETIAWAN 39 Thn 0 Bln 6Hr Laki-Laki SEMPOL Hebephrenic schizophrenia F20.1 JIWA
Respiratory tuberculosis, bacteriologically and A15
184 2021-01-13 09:45:58 SUGIONO 44 Thn 4 Bln 5Hr Laki-Laki PRINGGODANI histologically confirmed UMUM
185 2021-01-13 09:48:42 SUKI 46 Thn 0 Bln 12Hr Laki-Laki BANDUNGREJO Hebephrenic schizophrenia F20.1 JIWA
186 2021-01-13 10:01:47 JUMANI 35 Thn 11 Bln 29Hr Perempuan PRINGGODANI Hebephrenic schizophrenia F20.1 JIWA
187 2021-01-13 10:59:17 GUNAWAN 29 Thn 8 Bln 13Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
188 2021-01-13 11:04:41 SITI YUSRIFAL 21 Thn 10 Bln 6Hr Perempuan BANTUR Examination for administrative purposes, unspecified Z02.9 UMUM
189 2021-01-13 11:53:10 WAHYU SUDARIYANTO 26 Thn 9 Bln 1Hr Laki-Laki SUMBEREJO Pre-employment examination Z02.1 UMUM
190 2021-01-14 08:15:54 ASMANI 47 Thn 2 Bln 10Hr Perempuan PRINGGODANI Essential (primary) hypertension I10 Poli Umum 2
Z36 | Z34 | KIA | IMS | GIGI |
Antenatal screening | Supervision of normal pregnancy K04.1 | Z36 GIZI |
191 2021-01-14 08:16:50 INTARTI HARI UTAMI 32 Thn 11 Bln 26Hr Perempuan BANTUR | Necrosis of pulp | Antenatal screening | | LABORATORIUM
192 2021-01-14 08:17:21 AGELIA ROFIKO FALDA 9 Thn 9 Bln 16Hr Perempuan SUMBERBENING Disturbances in tooth eruption K00.6 GIGI
Z36 | KIA |
193 2021-01-14 08:31:00 PURWATI 35 Thn 9 Bln 4Hr Perempuan BANTUR Antenatal screening | LABORATORIUM
E11 | Poli Umum 2 |
194 2021-01-14 08:34:55 SALIM WIHARDI 68 Thn 2 Bln 7Hr Laki-Laki BANDUNGREJO Non-insulin-dependent diabetes mellitus | LABORATORIUM

I15.9 | RAWAT DARURAT |

RAWAT INAP
195 2021-01-14 08:46:01 TIASIR 61 Thn 6 Bln 14Hr Laki-Laki TUMPAKREJO Secondary hypertension, unspecified | UMUM
196 2021-01-14 09:06:58 WINARSIH 35 Thn 5 Bln 18Hr Perempuan BANTUR Atopic dermatitis L20 Poli Umum 2
Z36 | Z34 | KIA | IMS | GIGI |
Antenatal screening | Supervision of normal pregnancy K05.1 | Z36 GIZI |
198 2021-01-14 09:19:37 SITI NASIHA 24 Thn 3 Bln 7Hr Perempuan SRIGONCO | Chronic gingivitis | Antenatal screening | | LABORATORIUM
R50.9 | UMUM |
199 2021-01-14 09:36:21 SARI 65 Thn 0 Bln 13Hr Laki-Laki TUMPAKREJO Fever, unspecified | LABORATORIUM
200 2021-01-14 09:41:57 X 24 Thn 8 Bln 10Hr Laki-Laki BANTUR Examination for admission to residential institutions Z02.2 UMUM
Z36 | Z34 | KIA | IMS | GIGI |
Antenatal screening | Supervision of normal pregnancy K02.1 | Z36 GIZI |
201 2021-01-14 09:59:51 DWI SUPRNTI 43 Thn 11 Bln 13Hr Perempuan BANTUR | Caries of dentine | Antenatal screening | | LABORATORIUM
202 2021-01-15 08:31:26 SASONO ADI WIBOWO 25 Thn 1 Bln 17Hr Laki-Laki WONOREJO Examination for admission to residential institutions Z02.2 UMUM
203 2021-01-15 08:51:21 NURUL HASANA 29 Thn 0 Bln 1Hr Perempuan PRINGGODANI Foreign body in ear T16 Poli Umum 2
204 2021-01-15 08:53:36 MULYONO 40 Thn 1 Bln 11Hr Laki-Laki SUMBERBENING Acute apical periodontitis of pulpal origin K04.4 GIGI
205 2021-01-15 09:02:54 NURKASANA 32 Thn 1 Bln 5Hr Perempuan BANTUR Constipation+Other contraceptive management K59.0+Z30.8 KB
206 2021-01-15 09:27:00 SUKADI 60 Thn 8 Bln 28Hr Laki-Laki BANDUNGREJO Hebephrenic schizophrenia F20.1 JIWA
207 2021-01-16 08:58:11 LEGIYEM 53 Thn 7 Bln 30Hr Perempuan KARANGSARI Epidemic vertigo A88.1 Poli Umum 2
208 2021-01-16 09:05:39 BELQIS DINA SABRINAH 7 Thn 0 Bln 29Hr Perempuan BANTUR Dyspepsia K30 Poli Umum 2
210 2021-01-16 09:33:16 DIMAS ADI SAPUTRA 2 Thn 1 Bln 10Hr Laki-Laki SRIGONCO Atopic dermatitis L20 ANAK
211 2021-01-18 08:44:36 YATI 41 Thn 0 Bln 17Hr Perempuan PRINGGODANI Acute apical periodontitis of pulpal origin K04.4 GIGI
212 2021-01-18 08:59:54 I`IF PRAVITA SARI 25 Thn 0 Bln 28Hr Perempuan BANTUR Examination for admission to residential institutions Z02.2 UMUM
213 2021-01-18 09:05:45 JAINAL ARIPIN 68 Thn 7 Bln 3Hr Laki-Laki BANTUR Gout, unspecified M10.9 Poli Umum 2
214 2021-01-18 09:10:12 PONIJAN 63 Thn 6 Bln 18Hr Laki-Laki SUMBERBENING Hebephrenic schizophrenia F20.1 JIWA
215 2021-01-18 09:47:07 TRI AGUSTINAH 35 Thn 5 Bln 17Hr Perempuan SRIGONCO Ganglion M67.4 Poli Umum 2
216 2021-01-18 10:10:47 RAFA SAIFUDIN 7 Thn 4 Bln 19Hr Laki-Laki BANTUR Disturbances in tooth eruption K00.6 GIGI
Acute nasopharyngitis [common cold]+Gastritis, J00+K29.7
217 2021-01-19 08:15:08 SIANI 65 Thn 0 Bln 18Hr Perempuan TUMPAKREJO unspecified Poli Umum 2
Diarrhoea and gastroenteritis of presumed infectious A09
218 2021-01-19 08:35:10 PAULUS ADI CAHYONO 26 Thn 3 Bln 0Hr Laki-Laki SUMBERBENING origin UMUM
220 2021-01-19 09:35:03 SUGITA RIRIN YULIYANI 35 Thn 6 Bln 16Hr Perempuan BANTUR Surveillance of contraceptive drugs Z30.4 KB
221 2021-01-19 09:40:21 DIMAS ADI SAPUTRA 2 Thn 1 Bln 13Hr Laki-Laki SRIGONCO Atopic dermatitis L20 ANAK
222 2021-01-19 09:46:07 SUSIATI NUR AZIZAH 33 Thn 2 Bln 9Hr Perempuan PRINGGODANI Antenatal screening Z36 KIA
223 2021-01-19 10:17:22 JIAT 57 Thn 5 Bln 9Hr Laki-Laki SRIGONCO Acute otitis externa, noninfective H60.5 Poli Umum 2
224 2021-01-19 10:24:29 SRIANI 61 Thn 0 Bln 18Hr Perempuan TUMPAKREJO Other arthritis M13 Poli Umum 2
225 2021-01-19 10:30:56 SETIA BUDI 39 Thn 4 Bln 14Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
226 2021-01-19 10:38:08 PONIMAN 61 Thn 11 Bln 14Hr Laki-Laki PRINGGODANI Acute apical periodontitis of pulpal origin K04.4 GIGI
227 2021-01-20 08:07:03 DENI ISWAN SUNGKONO 34 Thn 9 Bln 2Hr Laki-Laki SUMBERBENING Undifferentiated schizophrenia F20.3 JIWA
Acute upper respiratory infections of multiple and J06
228 2021-01-20 08:07:53 CANDRA ALIF SEFTIANO 5 Thn 4 Bln 19Hr Laki-Laki BANDUNGREJO unspecified sites UMUM
229 2021-01-20 08:10:15 SOLIKUL HUDA 44 Thn 8 Bln 15Hr Laki-Laki BANTUR Catatonic schizophrenia F20.2 JIWA
230 2021-01-20 08:17:22 PONIJAN 63 Thn 6 Bln 20Hr Laki-Laki SUMBERBENING Paranoid schizophrenia F20.0 JIWA
231 2021-01-20 08:24:08 DEDI IRAWAN 24 Thn 5 Bln 24Hr Laki-Laki SRIGONCO Paranoid schizophrenia+Mild mental retardation F20.0+F70 JIWA
232 2021-01-20 08:24:36 MISTRI SIHANI 42 Thn 8 Bln 12Hr Perempuan WONOREJO Schizophrenia F20 JIWA
Z36 | KIA |
233 2021-01-20 08:28:27 NENGSI PANGESTIKA 28 Thn 7 Bln 18Hr Perempuan BANTUR Antenatal screening | LABORATORIUM
234 2021-01-20 08:29:30 TITIN FITRIA 22 Thn 0 Bln 1Hr Perempuan SRIGONCO Pre-employment examination Z02.1 UMUM
235 2021-01-20 08:32:32 PAINTEN 46 Thn 5 Bln 7Hr Perempuan SRIGONCO Generalized anxiety disorder F41.1 JIWA
236 2021-01-20 08:40:01 SUTAR 45 Thn 3 Bln 15Hr Laki-Laki BANDUNGREJO Schizophrenia F20 JIWA
237 2021-01-20 08:40:57 SUKINAH 73 Thn 8 Bln 18Hr Perempuan BANDUNGREJO Schizophrenia F20 JIWA
238 2021-01-20 08:43:30 RINI HANDAYANI 40 Thn 2 Bln 14Hr Perempuan BANTUR Post-schizophrenic depression F20.4 JIWA
Essential (primary) hypertension+Mixed asthma+Acute I10+J45.8+J
239 2021-01-20 08:50:09 SUTAMI 49 Thn 8 Bln 12Hr Perempuan BANTUR laryngopharyngitis 06.0 UMUM
240 2021-01-20 09:12:12 TUTIK HANDAYANI 45 Thn 5 Bln 16Hr Perempuan BANTUR General medical examination Z00.0 UMUM
241 2021-01-20 09:25:51 AHMAD JAELANI 18 Thn 0 Bln 26Hr Laki-Laki BANTUR Pre-employment examination Z02.1 UMUM
Epidemic myalgia+Other and unspecified abdominal B33.0+R10.4
242 2021-01-20 09:53:16 JEMARI 40 Thn 0 Bln 19Hr Laki-Laki WONOREJO pain+Chlamydial conjunctivitis +A74.0 Poli Umum 2
243 2021-01-20 10:14:22 SASKIA MONICA 7 Thn 7 Bln 19Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
244 2021-01-20 10:56:37 SIANTI 58 Thn 5 Bln 19Hr Perempuan SRIGONCO Essential (primary) hypertension I10 UMUM
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
245 2021-01-21 08:36:05 SUSIATI 38 Thn 10 Bln 9Hr Perempuan BANTUR | Chronic gingivitis | Antenatal screening K05.1 | Z36 GIZI
246 2021-01-21 08:43:59 ARTIKA PUTRI ANGGRAIN13 Thn 5 Bln 19Hr Perempuan SUMBERBENING Periapical abscess without sinus K04.7 GIGI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
247 2021-01-21 08:58:30 KIFLATIFAH 22 Thn 0 Bln 20Hr Perempuan BANTUR | Necrosis of pulp | Antenatal screening K04.1 | Z36 GIZI
248 2021-01-21 09:36:20 DATIK HOIRIYEH 31 Thn 11 Bln 15Hr Perempuan SUMBERBENING Antenatal screening Z36 KIA
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
249 2021-01-21 09:51:59 WIWIT PILUM INDAR CA 33 Thn 9 Bln 29Hr Perempuan REJOSARI | Necrosis of pulp | Antenatal screening K04.1 | Z36 GIZI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
250 2021-01-21 10:08:20 3507295302030003 17 Thn 11 Bln 8Hr Perempuan TUMPAKREJO | Necrosis of pulp | Antenatal screening K04.1 | Z36 GIZI
251 2021-01-21 10:27:27 NADIA 9 Thn 5 Bln 18Hr Perempuan PRINGGODANI Disturbances in tooth eruption K00.6 GIGI
252 2021-01-21 10:35:13 ENDANG SUSIANI 40 Thn 4 Bln 4Hr Perempuan SRIGONCO Antenatal screening Z36 KIA
254 2021-01-22 08:26:49 MARIATI 53 Thn 1 Bln 24Hr Perempuan BANTUR Essential (primary) hypertension I10 Poli Umum 2
256 2021-01-22 09:16:41 ADINDA SHIFABELLA 1 Thn 11 Bln 24Hr Perempuan BANTUR Scabies B86 UMUM
257 2021-01-22 09:41:41 ALFI RATNANINGSIH 25 Thn 8 Bln 0Hr Perempuan BANTUR Examination for administrative purposes, unspecified Z02.9 UMUM
258 2021-01-23 08:29:55 DHIMASENA UMANDA PU17 Thn 7 Bln 21Hr Laki-Laki BANTUR General medical examination Z00.0 UMUM
259 2021-01-23 08:52:40 REVI NOVITA RATNASARI 21 Thn 10 Bln 4Hr Perempuan SRIGONCO General medical examination Z00.0 UMUM
260 2021-01-23 08:58:07 DURORUL MAKRIFAH 20 Thn 8 Bln 9Hr Perempuan BANTUR General medical examination Z00.0 UMUM
262 2021-01-23 09:57:05 SITI NUR AISYAH 39 Thn 0 Bln 22Hr Perempuan PRINGGODANI Observation for suspected tuberculosis Z03.0 UMUM
263 2021-01-25 08:06:06 MINI KURNIAWATI 21 Thn 7 Bln 19Hr Perempuan TUMPAKREJO Epidemic vertigo A88.1 Poli Umum 2
264 2021-01-25 08:30:46 SITI JUARIYAH 55 Thn 5 Bln 24Hr Perempuan TUMPAKREJO Asthma J45 UMUM
265 2021-01-25 08:32:37 PUTRI AULIA 7 Thn 1 Bln 0Hr Perempuan PRINGGODANI Disturbances in tooth eruption K00.6 GIGI
266 2021-01-25 08:53:21 RYAN DAVID SAFITRA 20 Thn 0 Bln 28Hr Laki-Laki BANTUR Zoster [herpes zoster] B02 Poli Umum 2
Z36 | KIA |
267 2021-01-25 09:10:06 SINDI FITRIANA 21 Thn 11 Bln 24Hr Perempuan BANDUNGREJO Antenatal screening | LABORATORIUM
268 2021-01-25 09:20:39 ANIFA LAILATUL ILMI 6 Thn 3 Bln 20Hr Perempuan SUMBERBENING Disturbances in tooth eruption K00.6 GIGI
269 2021-01-25 09:22:55 SUTAMI 49 Thn 8 Bln 17Hr Perempuan BANTUR Asthma+Secondary hypertension J45+I15 UMUM
270 2021-01-25 09:41:25 ADINDA SHIFABELLA 1 Thn 11 Bln 27Hr Perempuan BANTUR Scabies B86 ANAK
271 2021-01-25 10:29:30 DIANA ANITA SARI 34 Thn 11 Bln 23Hr Laki-Laki SRIGONCO Examination for administrative purposes, unspecified Z02.9 UMUM
272 2021-01-25 10:33:15 SUSILOWATI 30 Thn 4 Bln 1Hr Perempuan SRIGONCO Examination for administrative purposes, unspecified Z02.9 UMUM
273 2021-01-25 10:48:46 3507295302030003 17 Thn 11 Bln 12Hr Perempuan TUMPAKREJO Examination for administrative purposes, unspecified Z02.9 LABORATORIUM
274 2021-01-25 10:49:51 WIWIT PILUM INDAR CA 33 Thn 10 Bln 2Hr Perempuan REJOSARI Examination for administrative purposes, unspecified Z02.9 LABORATORIUM
275 2021-01-25 10:55:46 KIFLATIFAH 22 Thn 0 Bln 24Hr Perempuan BANTUR Examination for administrative purposes, unspecified Z02.9 LABORATORIUM
276 2021-01-25 11:00:15 SUSIATI 38 Thn 10 Bln 13Hr Perempuan BANTUR Examination for administrative purposes, unspecified Z02.9 LABORATORIUM
277 2021-01-26 08:42:52 SETIA BUDI 39 Thn 4 Bln 21Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
Essential (primary) hypertension+Benign paroxysmal I10+H81.1
278 2021-01-26 08:44:03 MISTI 60 Thn 0 Bln 25Hr Perempuan PRINGGODANI vertigo Poli Umum 2
279 2021-01-26 08:44:07 MULYONO 40 Thn 1 Bln 22Hr Laki-Laki SUMBERBENING Necrosis of pulp K04.1 GIGI
Non-insulin-dependent diabetes mellitus+Essential E11+I10 | Poli Umum 2 |
280 2021-01-26 08:47:06 PONIMA 66 Thn 0 Bln 25Hr Perempuan PRINGGODANI (primary) hypertension | LABORATORIUM
281 2021-01-26 09:01:11 MUSLIKAH 56 Thn 0 Bln 25Hr Perempuan BANTUR Mastoiditis, tidak spesifik H70.9 Poli Umum 2
282 2021-01-26 09:08:38 PARNI 48 Thn 8 Bln 18Hr Perempuan BANDUNGREJO Otitis externa H60 Poli Umum 2
283 2021-01-26 09:13:00 NINUK WIDIAWATI 31 Thn 4 Bln 7Hr Perempuan BANTUR Antenatal screening Z36 KIA
284 2021-01-26 09:38:52 NIZAM ARDIANSYAH 8 Thn 10 Bln 16Hr Laki-Laki TUMPAKREJO Disturbances in tooth eruption K00.6 GIGI
285 2021-01-26 09:48:00 DENISA 5 Thn 5 Bln 0Hr Perempuan BANTUR Dermatitis, unspecified L30.9 Poli Umum 2
286 2021-01-26 10:30:51 M FADIL 13 Thn 8 Bln 9Hr Laki-Laki BANTUR Acute apical periodontitis of pulpal origin K04.4 GIGI
287 2021-01-26 10:33:02 TANIA NUR KURNIA 15 Thn 2 Bln 7Hr Laki-Laki BANTUR General medical examination Z00.0 Poli Umum 2
 Essential (primary) hypertension+Acute haemorrhagic I10+K29.0+J
gastritis+Acute upper respiratory infections of multiple 06
288 2021-01-26 10:34:04 SITI LASMINI 46 Thn 7 Bln 19Hr Perempuan BANTUR and unspecified sites Poli Umum 2
289 2021-01-27 08:02:47 SAUDI 68 Thn 4 Bln 19Hr Laki-Laki SUMBERBENING Tuberculosis of lung, confirmed by culture only A15.1 UMUM
290 2021-01-27 08:06:32 SUGITO 41 Thn 5 Bln 15Hr Laki-Laki DRUJU Undifferentiated schizophrenia F20.3 JIWA
291 2021-01-27 08:08:00 SUHARI 57 Thn 5 Bln 26Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
292 2021-01-27 08:09:50 SATURI 54 Thn 6 Bln 24Hr Laki-Laki BANTUR Undifferentiated schizophrenia F20.3 JIWA
293 2021-01-27 08:11:11 THOMAS ADITYA 7 Thn 1 Bln 28Hr Laki-Laki SUMBERBENING Disturbances in tooth eruption K00.6 GIGI
294 2021-01-27 08:14:57 DENI SUGIANTO 27 Thn 11 Bln 15Hr Laki-Laki BANTUR Catatonic schizophrenia F20.2 JIWA
295 2021-01-27 08:16:00 MUJIONO 44 Thn 5 Bln 12Hr Laki-Laki REJOSARI Hebephrenic schizophrenia F20.1 JIWA
296 2021-01-27 08:18:28 HOTIYEH 45 Thn 9 Bln 24Hr Perempuan PRINGGODANI Simple schizophrenia F20.6 JIWA
297 2021-01-27 08:19:21 ANIK SUYANTI 29 Thn 8 Bln 23Hr Perempuan PRINGGODANI Tuberculosis of other organs A18 UMUM
298 2021-01-27 08:54:45 SUNARWI 44 Thn 9 Bln 24Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
299 2021-01-27 09:08:31 ANIK WIDYA WATI 40 Thn 3 Bln 24Hr Perempuan BANTUR Headache R51 Poli Umum 2
300 2021-01-27 09:30:29 SUKADI 60 Thn 9 Bln 9Hr Laki-Laki BANDUNGREJO Hebephrenic schizophrenia F20.1 JIWA
301 2021-01-27 09:34:39 MASKUR 52 Thn 5 Bln 20Hr Laki-Laki BANTUR Dyspepsia K30 UMUM
302 2021-01-27 10:13:36 ZAHROTUL 21 Thn 6 Bln 19Hr Perempuan PRINGGODANI Surveillance of contraceptive drugs Z30.4 KB
303 2021-01-27 10:26:49 DONI ABDULLAH 32 Thn 1 Bln 14Hr Laki-Laki SUMBERBENING Impacted teeth K01.1 GIGI
304 2021-01-27 10:56:59 IDA ROYANI 34 Thn 3 Bln 15Hr Perempuan SUMBERBENING Chronic sinusitis J32 UMUM
305 2021-01-27 10:57:18 SOLIKUL HUDA 44 Thn 8 Bln 22Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 JIWA
Diarrhoea and gastroenteritis of presumed infectious A09
306 2021-01-28 08:17:18 TUTIK 38 Thn 8 Bln 18Hr Perempuan TUMPAKREJO origin UMUM
307 2021-01-28 08:24:57 PONIMAN 67 Thn 0 Bln 27Hr Laki-Laki BANTUR Non-insulin-dependent diabetes mellitus E11 Poli Umum 2
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
308 2021-01-28 08:46:02 ULIN BADRU MUKHAYYA 23 Thn 6 Bln 15Hr Perempuan BANTUR | Caries of dentine | Antenatal screening K02.1 | Z36 GIZI
309 2021-01-28 08:54:57 RYAN DAVID SAFITRA 20 Thn 1 Bln 0Hr Laki-Laki BANTUR Zoster [herpes zoster] B02 Poli Umum 2
310 2021-01-28 08:57:20 SINTA AULIA PUTRI APAN6 Thn 4 Bln 30Hr Perempuan BANTUR Disturbances in tooth eruption K00.6 GIGI
Caries of dentine | Malnutrisi protein dan kalori tidak K02.1 | E46
311 2021-01-28 08:59:39 REISATUN NADHIRA 5 Thn 8 Bln 13Hr Laki-Laki BANTUR spesifik GIGI | GIZI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
312 2021-01-28 09:13:25 PUJIA TININGSIH 25 Thn 8 Bln 16Hr Perempuan SUMBERBENING | Necrosis of pulp | Antenatal screening K04.1 | Z36 GIZI
313 2021-01-28 09:24:49 SAMPUN PRAYITNO 49 Thn 6 Bln 8Hr Laki-Laki SUMBERBENING Examination for administrative purposes, unspecified Z02.9 UMUM
314 2021-01-28 09:30:01 TRI AGUSTINAH 35 Thn 5 Bln 27Hr Perempuan SRIGONCO Surveillance of contraceptive drugs Z30.4 KB
 Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
315 2021-01-28 09:44:26 RIBUT SURYANI 42 Thn 9 Bln 15Hr Perempuan SRIGONCO | Chronic gingivitis | Antenatal screening K05.1 | Z36 GIZI
316 2021-01-28 09:50:14 SETYO WIDYANINGTYAS 18 Thn 6 Bln 26Hr Perempuan BANDUNGREJO Examination for administrative purposes, unspecified Z02.9 UMUM
317 2021-01-28 10:00:38 HABIB SAFA AKI YANI 5 Thn 4 Bln 13Hr Laki-Laki SRIGONCO Fever, unspecified R50.9 UMUM
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
318 2021-01-28 10:19:27 SULIANI 41 Thn 6 Bln 28Hr Perempuan SUMBERBENING | Chronic gingivitis | Antenatal screening K05.1 | Z36 GIZI
Antenatal screening | Supervision of normal pregnancy Z36 | Z34 | KIA | IMS | GIGI |
319 2021-01-28 10:19:40 SUTRAMI 40 Thn 1 Bln 4Hr Perempuan SUMBERBENING | Caries of dentine | Antenatal screening K02.1 | Z36 GIZI
320 2021-01-28 10:25:58 RONAL FERNANDO 10 Thn 0 Bln 2Hr Laki-Laki SUMBERBENING Caries of dentine K02.1 GIGI
321 2021-01-28 10:26:38 BUNAJI 71 Thn 5 Bln 27Hr Laki-Laki BANTUR Other headache syndromes+Gastritis and duodenitis G44+K29 Poli Umum 2
322 2021-01-29 08:23:27 SETIA BUDI 39 Thn 4 Bln 24Hr Laki-Laki BANTUR Hebephrenic schizophrenia F20.1 UMUM
323 2021-01-29 09:00:58 CRISTIANTI ARIANI 17 Thn 0 Bln 27Hr Perempuan BANTUR Post-schizophrenic depression F20.4 JIWA
General examination and investigation of persons Z00
324 2021-01-29 09:23:31 MUSLIKAH 56 Thn 0 Bln 28Hr Perempuan BANTUR without complaint and reported diagnosis Poli Umum 2
325 2021-01-29 10:02:53 LILIS DWI AGUSTINI 37 Thn 9 Bln 29Hr Perempuan BANTUR Atopic dermatitis L20 Poli Umum 2
327 2021-01-30 08:05:42 TITIK MALINDA 30 Thn 8 Bln 24Hr Perempuan SRIGONCO Antenatal screening+Antenatal screening Z36+Z36 KIA
328 2021-01-30 10:05:57 SUETI 55 Thn 6 Bln 30Hr Perempuan SUMBEREJO Hebephrenic schizophrenia F20.1 JIWA

Mengetahui
Bantur, 2 Desember 2021
KEPALA PUSKESMAS

drg. Imam Mashuda

NIP. 1979091609 201001 1 009