DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

TANGGAL TANGGAL JENIS STATUS

NO NO KUNJUNGAN NO KARTU NAMA PESERTA JENIS PESERTA DIAGNOSA PRB PROLANIS
PELAYANAN ENTRI KELAMIN PULANG

015909220421P000 08-04-2021 PENERIMA

1 04-08-2021 0000093353477 SOEMIRAH P Fracture of neck of femur Rujuk Vertikal
251 09:38 PENSIUN PNS
015909220421P000 08-04-2021
2 04-08-2021 0000590132722 SUNARDI L PBI (APBN) Myalgia Berobat Jalan
269 10:55
015909220421P000 08-04-2021
3 04-08-2021 0000590146356 NGATINI P PBI (APBN) Myalgia Berobat Jalan
258 10:20
015909220421P000 08-04-2021
4 04-08-2021 0000590465362 SUTIAH P PBI (APBN) Myalgia Berobat Jalan
273 11:15
015909220421P000 08-04-2021
5 04-08-2021 0000590469682 UMMI SALAMAH P PBI (APBN) Myalgia Berobat Jalan
265 10:54
015909220421P000 08-04-2021
6 04-08-2021 0000591056649 SHOLIKAN L PBI (APBN) Myalgia Berobat Jalan
264 10:53
015909220421P000 08-04-2021
7 04-08-2021 0000591077845 RONDI L PBI (APBN) Headache Berobat Jalan
274 11:16
015909220421P000 08-04-2021
8 04-08-2021 0000591090838 OKI OKTAVIYANI P PBI (APBN) Headache Berobat Jalan
254 10:15
015909220421P000 08-04-2021
9 04-08-2021 0000591131248 SUKERI P PBI (APBN) Headache Berobat Jalan
260 10:51
015909220421P000 08-04-2021
10 04-08-2021 0000591131518 SUPARTI P PBI (APBN) Myalgia Berobat Jalan
263 10:53
015909220421P000 08-04-2021 Acute nasopharyngitis
11 04-08-2021 0000591132666 ELYA NOPITASARI P PBI (APBN) Berobat Jalan
261 10:52 [common cold]
015909220421P000 08-04-2021
12 04-08-2021 0000591135478 AHMAD AFIFUDDIN L PBI (APBN) Headache Berobat Jalan
262 10:52
General examination and
015909220421P000 08-04-2021 investigation of persons
13 04-08-2021 0000591140823 AINI NOR ANA P PBI (APBN) Berobat Jalan
247 09:25 without complaint and
reported diagnosis
015909220421P000 08-04-2021
14 04-08-2021 0000591315502 BASIRAH P PBI (APBN) Myalgia Berobat Jalan
257 10:19
015909220421P000 08-04-2021
15 04-08-2021 0000591368736 SLAMET BUDIONO L PBI (APBN) Headache Berobat Jalan
275 11:17
015909220421P000 08-04-2021 Acute nasopharyngitis
16 04-08-2021 0000591391517 HASYEM L PBI (APBN) Berobat Jalan
253 10:14 [common cold]
015909220421P000 08-04-2021
17 04-08-2021 0000591397683 SELAMET L PBI (APBN) Myalgia Berobat Jalan
276 11:18
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 08-04-2021 Acute nasopharyngitis

18 04-08-2021 0000591409091 SUDIYONO L PBI (APBN) Berobat Jalan
259 10:32 [common cold]
015909220421P000 08-04-2021
19 04-08-2021 0000591618971 SITI SULASTRI P PBI (APBN) Other acute gastritis Berobat Jalan
243 08:03
015909220421P000 08-04-2021
20 04-08-2021 0000591886034 ALFINA DAMAYANTI P PBI (APBN) Headache Berobat Jalan
270 10:57
015909220421P000 08-04-2021
21 04-08-2021 0000591968867 KARDONO L PBI (APBN) Headache Berobat Jalan
268 10:55
015909220421P000 08-04-2021
22 04-08-2021 0000591986979 NUR MUNAWAROH P PBI (APBN) Myalgia Berobat Jalan
248 09:26
015909220421P000 08-04-2021
23 04-08-2021 0000592017963 ULIL ABSHOR L PBI (APBN) Myalgia Berobat Jalan
267 10:54
015909220421P000 08-04-2021
24 04-08-2021 0000592024173 TRI SINTA MUATI P PBI (APBN) Myalgia Berobat Jalan
266 10:54
015909220421P000 08-04-2021
25 04-08-2021 0000592041251 ARIFIN L PBI (APBN) Myalgia Berobat Jalan
279 11:33
015909220421P000 08-04-2021
26 04-08-2021 0000592042285 SUPRIYANTI P PBI (APBN) Headache Berobat Jalan
246 09:09
015909220421P000 08-04-2021
27 04-08-2021 0000592052174 NGASPAN L PBI (APBN) Myalgia Berobat Jalan
238 07:51
015909220421P000 08-04-2021
28 04-08-2021 0000592052275 TUMINAH P PBI (APBN) Headache Berobat Jalan
239 07:51
015909220421P000 08-04-2021 PEGAWAI
29 04-08-2021 0000592052815 YATIN NUR AENI P Dyspepsia Berobat Jalan
240 07:52 SWASTA
015909220421P000 08-04-2021
30 04-08-2021 0000592053489 SUPARNO L PBI (APBN) Gastritis, unspecified Berobat Jalan
242 07:53
015909220421P000 08-04-2021
31 04-08-2021 0000592054018 SUDARSIH P PBI (APBN) Myalgia Berobat Jalan
241 07:52
015909220421P000 08-04-2021
32 04-08-2021 0000592063007 SITI MAESAROH P PBI (APBN) Myalgia Berobat Jalan
278 11:32
015909220421P000 08-04-2021
33 04-08-2021 0000592084258 SUBAKIN L PBI (APBN) Headache Berobat Jalan
272 11:13
015909220421P000 08-04-2021
34 04-08-2021 0000592219732 SUKANAH P PBI (APBN) Myalgia Berobat Jalan
271 11:00
015909220421P000 08-04-2021 Acute nasopharyngitis
35 04-08-2021 0000592457141 DARMINAH P PBI (APBN) Berobat Jalan
255 10:16 [common cold]
015909220421P000 08-04-2021
36 04-08-2021 0000592457207 MUNISIH P PBI (APBN) Myalgia Berobat Jalan
256 10:18
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 08-04-2021
37 04-08-2021 0001025422705 NGATMO L PBI (APBN) Headache Berobat Jalan
245 09:09
Follow-up examination
015909220421P000 08-04-2021 PEKERJA
38 04-08-2021 0001830196359 ZUHDI L after surgery for other Rujuk Vertikal
252 10:03 MANDIRI
conditions
015909220421P000 08-04-2021
39 04-08-2021 0002351974397 PUTRI WULANSARI P PBI (APBD) Amblyopia ex anopsia Rujuk Vertikal
250 09:28
015909220421P000 08-04-2021
40 04-08-2021 0002351984253 MOH ROHADI L PBI (APBD) Myalgia Berobat Jalan
277 11:31
015909220421P000 08-04-2021 Other orthopaedic
41 04-08-2021 0002579694524 DJOKO PUDJIJONO L PBI (APBD) Rujuk Vertikal
244 09:05 follow-up care
015909220421P000 08-04-2021 ATHARFA GIBRAN Influenza, virus not
42 04-08-2021 0002974684509 L PBI (APBN) Berobat Jalan
249 09:26 PRATAMA identified
015909220421P000 07-04-2021
43 04-07-2021 0000590104563 NGAPI P PBI (APBN) Headache Berobat Jalan
219 08:21
015909220421P000 07-04-2021 Essential (primary)
44 04-07-2021 0000590204845 DEWI BIBIT P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
228 09:21 hypertension
015909220421P000 07-04-2021 Acute nasopharyngitis
45 04-07-2021 0000590519722 MASRIPAH P PBI (APBN) Berobat Jalan
233 09:31 [common cold]
015909220421P000 07-04-2021
46 04-07-2021 0000590531049 TUMINAH P PBI (APBN) Myalgia Berobat Jalan
230 09:21
015909220421P000 07-04-2021 Influenza, virus not
47 04-07-2021 0000590864769 MUHAMMAD ALI L PBI (APBN) Berobat Jalan
229 09:21 identified
015909220421P000 07-04-2021
48 04-07-2021 0000590965391 DIMYATI L PBI (APBN) Hyperplasia of prostate Rujuk Vertikal
237 10:46
015909220421P000 07-04-2021
49 04-07-2021 0000591055176 SUMI'AH P PBI (APBN) Myalgia Berobat Jalan
220 08:21
Excessive and frequent
015909220421P000 07-04-2021
50 04-07-2021 0000591153772 SUNI P PBI (APBN) menstruation with irregular Berobat Jalan
231 09:28
cycle
015909220421P000 07-04-2021
51 04-07-2021 0000591166383 PANI P PBI (APBN) Headache Berobat Jalan
234 09:31
015909220421P000 07-04-2021
52 04-07-2021 0000591266968 SUMIATUN P PBI (APBN) Dermatitis, unspecified Berobat Jalan
235 09:38
015909220421P000 07-04-2021 Acute nasopharyngitis
53 04-07-2021 0000591287872 MURNI SUCI P PBI (APBN) Berobat Jalan
215 08:11 [common cold]
015909220421P000 07-04-2021 Influenza, virus not
54 04-07-2021 0000591403656 SUMISIH P PBI (APBN) Berobat Jalan
217 08:12 identified
015909220421P000 07-04-2021
55 04-07-2021 0000592046886 SUNAMI P PBI (APBN) Gastritis, unspecified Berobat Jalan
206 08:00
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 07-04-2021
56 04-07-2021 0000592047786 KASMINI P PBI (APBN) Myalgia Berobat Jalan
207 08:00
015909220421P000 07-04-2021 Acute nasopharyngitis
57 04-07-2021 0000592048225 NOOR KHOLIS L PBI (APBN) Berobat Jalan
208 08:00 [common cold]
015909220421P000 07-04-2021 PEGAWAI
58 04-07-2021 0000592049171 MUHAMMAD NUR FAIZ L Headache Berobat Jalan
209 08:01 SWASTA
015909220421P000 07-04-2021 Influenza, virus not
59 04-07-2021 0000592049362 RUSDA CHOIRINA NOOR P PBI (APBN) Berobat Jalan
210 08:01 identified
015909220421P000 07-04-2021
60 04-07-2021 0000592350704 JASWADI L PBI (APBN) Other acute gastritis Berobat Jalan
232 09:29
015909220421P000 07-04-2021 Calculus of kidney and
61 04-07-2021 0001025420624 SUSANTI P PBI (APBN) Rujuk Vertikal
221 08:31 ureter
015909220421P000 07-04-2021 Acute nasopharyngitis
62 04-07-2021 0002352002769 SOLIKATUN P PBI (APBN) Berobat Jalan
211 08:04 [common cold]
Non-insulin-dependent
015909220421P000 07-04-2021
63 04-07-2021 0002579696111 ULIYA HIMAWATI P PBI (APBD) diabetes mellitus with Rujuk Vertikal
222 09:02
multiple complications
Hypertensive heart
015909220421P000 07-04-2021
64 04-07-2021 0002643439724 SUGENG EKO PRASETYO L PBI (APBN) disease with (congestive) Rujuk Vertikal
236 10:04
heart failure
015909220421P000 07-04-2021
65 04-07-2021 0002969734094 SUHARTI P PBI (APBN) Headache Berobat Jalan
216 08:11

KEPALA DESA Non-insulin-dependent

015909220421P000 06-04-2021
66 04-06-2021 0000093111513 NGADIRAN L DAN PERANGKAT diabetes mellitus with Rujuk Vertikal
141 08:36
DESA multiple complications

015909220421P000 07-04-2021
67 04-06-2021 0000590122506 JUMADI L PBI (APBN) Myalgia Berobat Jalan
225 09:15
015909220421P000 06-04-2021
68 04-06-2021 0000590128659 SITI NGATENI P PBI (APBN) Myalgia Berobat Jalan
167 13:05
015909220421P000 07-04-2021 Acute nasopharyngitis
69 04-06-2021 0000590205069 NUR KHAYATI P PBI (APBN) Berobat Jalan
227 09:17 [common cold]
015909220421P000 06-04-2021
70 04-06-2021 0000590220819 NGAPI P PBI (APBN) Headache Berobat Jalan
160 10:05
015909220421P000 07-04-2021 Acute nasopharyngitis
71 04-06-2021 0000590245582 AGUS SUPRIYANTO L PBI (APBN) Berobat Jalan
226 09:16 [common cold]
015909220421P000 06-04-2021
72 04-06-2021 0000590453302 KARSAN L PBI (APBN) Infective dermatitis Berobat Jalan
172 13:16
015909220421P000 06-04-2021
73 04-06-2021 0000590453504 NGATMI P PBI (APBN) Headache Berobat Jalan
171 13:14
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 06-04-2021
74 04-06-2021 0000590462673 SUTAMI P PBI (APBN) Myalgia Berobat Jalan
168 13:09
015909220421P000 07-04-2021
75 04-06-2021 0000590482787 SUNARTI P PBI (APBN) Headache Berobat Jalan
224 09:13
015909220421P000 06-04-2021
76 04-06-2021 0000590534796 TUKIRAN L PBI (APBN) Myalgia Berobat Jalan
153 09:13
015909220421P000 07-04-2021
77 04-06-2021 0000590874851 SULISTIYANI P PBI (APBN) Myalgia Berobat Jalan
223 09:12
015909220421P000 06-04-2021
78 04-06-2021 0000590967292 BARKAH L PBI (APBN) Myalgia Berobat Jalan
147 09:07
015909220421P000 06-04-2021
79 04-06-2021 0000591051385 SUHARTI P PBI (APBN) Myalgia Berobat Jalan
164 12:50
015909220421P000 06-04-2021
80 04-06-2021 0000591366014 JASRI L PBI (APBN) Headache Berobat Jalan
170 13:13
015909220421P000 06-04-2021
81 04-06-2021 0000591592318 NGAIJAN L PBI (APBN) Myalgia Berobat Jalan
176 13:19
015909220421P000 06-04-2021
82 04-06-2021 0000591600486 WARSITI P PBI (APBN) Dyspepsia Berobat Jalan
174 13:17
015909220421P000 06-04-2021
83 04-06-2021 0000591622312 UTAMI P PBI (APBN) Myalgia Berobat Jalan
182 13:25
015909220421P000 06-04-2021
84 04-06-2021 0000591630704 MILKAM L PBI (APBN) Myalgia Berobat Jalan
184 13:27
015909220421P000 06-04-2021 Supervision of high-risk
85 04-06-2021 0000591637566 NOVITA P PBI (APBN) Rujuk Vertikal
140 08:13 pregnancy, unspecified
015909220421P000 06-04-2021
86 04-06-2021 0000591637746 CHASANAH P PBI (APBN) Headache Berobat Jalan
175 13:18
015909220421P000 06-04-2021
87 04-06-2021 0000591654194 SANI P PBI (APBN) Myalgia Berobat Jalan
180 13:23
015909220421P000 06-04-2021
88 04-06-2021 0000591658266 SURANTEN P PBI (APBN) Congestive heart failure Rujuk Vertikal
142 08:39
015909220421P000 06-04-2021 Acute nasopharyngitis
89 04-06-2021 0000591664206 KUSNADI L PBI (APBN) Berobat Jalan
150 09:12 [common cold]
015909220421P000 06-04-2021
90 04-06-2021 0000591671711 SARPINAH P PBI (APBN) Headache Berobat Jalan
165 12:59
015909220421P000 06-04-2021
91 04-06-2021 0000591909737 SANIDJAH P PBI (APBN) Headache Berobat Jalan
173 13:16
015909220421P000 06-04-2021 Supervision of high-risk
92 04-06-2021 0000591933284 MIFTAKHUL JANNAH P PBI (APBN) Rujuk Vertikal
161 10:26 pregnancy, unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 06-04-2021
93 04-06-2021 0000591994675 MUFAROCHAH P PBI (APBN) Headache Berobat Jalan
181 13:24
015909220421P000 06-04-2021
94 04-06-2021 0000591999377 JAMIAN L PBI (APBN) Myalgia Berobat Jalan
185 13:28
015909220421P000 06-04-2021 Acute nasopharyngitis
95 04-06-2021 0000592026355 MUHAMMAD SHODIQIN L PBI (APBN) Berobat Jalan
135 07:36 [common cold]
015909220421P000 06-04-2021
96 04-06-2021 0000592026399 ALFIYAH P PBI (APBN) Myalgia Berobat Jalan
136 07:37
015909220421P000 06-04-2021 NUSHROTUS Influenza, virus not
97 04-06-2021 0000592026669 P PBI (APBN) Berobat Jalan
137 07:37 SYIFA'IYANA identified
015909220421P000 06-04-2021 MUHAMMAD ZAKKI
98 04-06-2021 0000592027569 L PBI (APBN) Other acute gastritis Berobat Jalan
138 07:37 JUMALI
015909220421P000 06-04-2021
99 04-06-2021 0000592028548 KHUDLORI L PBI (APBN) Dyspepsia Berobat Jalan
139 07:38
015909220421P000 06-04-2021
100 04-06-2021 0000592036402 BAKRI L PBI (APBN) Myalgia Berobat Jalan
177 13:20
015909220421P000 06-04-2021
101 04-06-2021 0000592083437 SUKARTI P PBI (APBN) Myalgia Berobat Jalan
178 13:21
015909220421P000 06-04-2021
102 04-06-2021 0000592093225 KAMSINAH P PBI (APBN) Headache Berobat Jalan
169 13:12
015909220421P000 06-04-2021
103 04-06-2021 0000592125423 SUGINI P PBI (APBN) Myalgia Berobat Jalan
179 13:22
015909220421P000 06-04-2021 Acute nasopharyngitis
104 04-06-2021 0000592127357 SARU NURCAHYO L PBI (APBN) Berobat Jalan
152 09:13 [common cold]
015909220421P000 06-04-2021
105 04-06-2021 0000592142038 JUMIAN L PBI (APBN) Headache Berobat Jalan
166 13:02
015909220421P000 06-04-2021
106 04-06-2021 0000592190379 MAKRIM L PBI (APBN) Dyspepsia Berobat Jalan
183 13:26
015909220421P000 07-04-2021
107 04-06-2021 0000592444359 SUMIN P PBI (APBN) Gastritis, unspecified Berobat Jalan
214 08:07
015909220421P000 06-04-2021 Influenza, virus not
108 04-06-2021 0000592479167 SITI MUSFIROH P PBI (APBN) Berobat Jalan
158 10:03 identified
015909220421P000 07-04-2021 Antenatal screening,
109 04-06-2021 0000592546735 NELA NIKITA SARI P PBI (APBN) Berobat Jalan
205 07:57 unspecified
015909220421P000 06-04-2021
110 04-06-2021 0001025421142 SITI WAGINAH P PBI (APBN) Congestive heart failure Rujuk Vertikal
155 09:54
015909220421P000 07-04-2021 PEGAWAI
111 04-06-2021 0001533787154 DWI WIJAYANTI P Headache Berobat Jalan
212 08:06 SWASTA
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

KEPALA DESA
015909220421P000 06-04-2021 Other soft tissue disorders,
112 04-06-2021 0001886931437 BUSARI L DAN PERANGKAT Berobat Jalan
159 10:05 not elsewhere classified
DESA

015909220421P000 07-04-2021 PEKERJA Antenatal screening,

113 04-06-2021 0002203163673 DIAH FATMAWATI P Berobat Jalan
213 08:06 MANDIRI unspecified
General examination and
015909220421P000 06-04-2021 investigation of persons
114 04-06-2021 0002351986323 SLAMET TUNYATI P PBI (APBD) Berobat Jalan
162 10:34 without complaint and
reported diagnosis
General examination and
015909220421P000 06-04-2021 MUHAMMAD NI'AMUR investigation of persons
115 04-06-2021 0002351986345 L PBI (APBD) Berobat Jalan
163 10:34 ROHMAN without complaint and
reported diagnosis
015909220421P000 06-04-2021 Acute nasopharyngitis
116 04-06-2021 0002351992498 NAJWA WIDIANA P PBI (APBD) Berobat Jalan
156 09:55 [common cold]
015909220421P000 07-04-2021 PEGAWAI Antenatal screening,
117 04-06-2021 0002351993062 NURUL CHOSIYAH P Berobat Jalan
218 08:14 SWASTA unspecified
015909220421P000 06-04-2021 PEKERJA Dependence on renal
118 04-06-2021 0002578602789 RAPI P Rujuk Vertikal
149 09:11 MANDIRI dialysis
015909220421P000 06-04-2021 Acute nasopharyngitis
119 04-06-2021 0002578952586 ZUMAR L PBI (APBD) Berobat Jalan
148 09:08 [common cold]
015909220421P000 06-04-2021
120 04-06-2021 0002578963419 SUKAELAH P PBI (APBD) Myalgia Berobat Jalan
154 09:14
015909220421P000 06-04-2021
121 04-06-2021 0002578963465 JALAL L PBI (APBD) Myalgia Berobat Jalan
145 08:55
015909220421P000 06-04-2021 PEKERJA Influenza, virus not
122 04-06-2021 0002578981882 SITI KOMARIYAH P Berobat Jalan
143 08:47 MANDIRI identified
015909220421P000 06-04-2021 PEKERJA
123 04-06-2021 0002578981972 SUSANTO L Myalgia Berobat Jalan
146 09:06 MANDIRI
015909220421P000 06-04-2021
124 04-06-2021 0002640928779 SUHARTIATUN P PBI (APBN) Dyspepsia Berobat Jalan
151 09:13
015909220421P000 06-04-2021
125 04-06-2021 0002641273738 ARIK SRI RAHAYU P PBI (APBN) Dyspepsia Berobat Jalan
157 09:57
015909220421P000 05-04-2021
126 04-05-2021 0000172416442 NOOR LAILA P PNS DAERAH Headache Berobat Jalan
116 10:14
015909220421P000 05-04-2021
127 04-05-2021 0000590185192 SANIPAH P PBI (APBN) Myalgia Berobat Jalan
126 11:31
015909220421P000 05-04-2021
128 04-05-2021 0000590495602 PARTI P PBI (APBN) Myalgia Berobat Jalan
117 10:52
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 05-04-2021
129 04-05-2021 0000590496232 NASIRI P PBI (APBN) Myalgia Berobat Jalan
129 11:45
015909220421P000 05-04-2021 Acute pharyngitis,
130 04-05-2021 0000590536023 ARIS SAPUTRO L PBI (APBN) Berobat Jalan
110 09:57 unspecified
015909220421P000 05-04-2021 Acute nasopharyngitis
131 04-05-2021 0000591061217 SUNARTI P PBI (APBN) Berobat Jalan
103 09:20 [common cold]
015909220421P000 05-04-2021 Acute nasopharyngitis
132 04-05-2021 0000591068362 WAGIRAH L PBI (APBN) Berobat Jalan
120 10:57 [common cold]
015909220421P000 05-04-2021
133 04-05-2021 0000591069183 ANAS FAUZI L PBI (APBN) Myalgia Berobat Jalan
122 10:58
015909220421P000 05-04-2021 Acute nasopharyngitis
134 04-05-2021 0000591109503 ADINDA APRILIA P PBI (APBN) Berobat Jalan
127 11:43 [common cold]
015909220421P000 05-04-2021
135 04-05-2021 0000591113057 SOEJONO L PBI (APBN) Myalgia Berobat Jalan
128 11:44
015909220421P000 05-04-2021
136 04-05-2021 0000591130901 MUNTINI P PBI (APBN) Gastritis, unspecified Berobat Jalan
118 10:53
015909220421P000 05-04-2021 Acute nasopharyngitis
137 04-05-2021 0000591364664 SILVIA P PBI (APBN) Berobat Jalan
131 11:46 [common cold]
Non-insulin-dependent
015909220421P000 05-04-2021
138 04-05-2021 0000591369592 SUTRINI P PBI (APBN) diabetes mellitus with Rujuk Vertikal
100 09:01
multiple complications
015909220421P000 05-04-2021
139 04-05-2021 0000591370277 SRI WAHYUNI P PBI (APBN) Headache Berobat Jalan
132 11:47
015909220421P000 05-04-2021 Influenza, virus not
140 04-05-2021 0000591589236 SITI SHOLECHAH P PBI (APBN) Berobat Jalan
097 08:13 identified
015909220421P000 06-04-2021
141 04-05-2021 0000591597549 MEI AFIFUDDIN L PBI (APBN) Myalgia Berobat Jalan
188 13:38
015909220421P000 06-04-2021
142 04-05-2021 0000591614381 SUMARI L PBI (APBN) Headache Berobat Jalan
190 13:39
015909220421P000 05-04-2021
143 04-05-2021 0000591649997 SUWARDI L PBI (APBN) Myalgia Berobat Jalan
108 09:50
015909220421P000 05-04-2021
144 04-05-2021 0000591651549 ISYATUN P PBI (APBN) Myalgia Berobat Jalan
098 08:37
015909220421P000 06-04-2021
145 04-05-2021 0000591895451 NOR WACHID L PBI (APBN) Myalgia Berobat Jalan
186 13:36
015909220421P000 06-04-2021
146 04-05-2021 0000591946132 NANIK PURWANTI P PBI (APBN) Myalgia Berobat Jalan
189 13:38
015909220421P000 06-04-2021
147 04-05-2021 0000591952184 SUNARI P PBI (APBN) Myalgia Berobat Jalan
187 13:37
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 05-04-2021
148 04-05-2021 0000591992763 NORYATI P PBI (APBN) Headache Berobat Jalan
107 09:44
015909220421P000 05-04-2021
149 04-05-2021 0000592045953 AS'ADAH P PBI (APBN) Myalgia Berobat Jalan
102 09:14
Hypertensive heart
015909220421P000 05-04-2021
150 04-05-2021 0000592054604 SHOLICHAH P PBI (APBN) disease without Rujuk Vertikal
104 09:33
(congestive) heart failure
015909220421P000 05-04-2021
151 04-05-2021 0000592057855 JHONI L PBI (APBN) Myalgia Berobat Jalan
086 07:44
015909220421P000 05-04-2021 Acute nasopharyngitis
152 04-05-2021 0000592058316 LILA AGUSTIN P PBI (APBN) Berobat Jalan
087 07:45 [common cold]
General examination and
015909220421P000 05-04-2021 investigation of persons
153 04-05-2021 0000592058529 RINI HANDAYANI P PBI (APBN) Berobat Jalan
088 07:45 without complaint and
reported diagnosis
015909220421P000 05-04-2021
154 04-05-2021 0000592060421 EKO SUPRIYONO L PBI (APBN) Dyspepsia Berobat Jalan
089 07:45
015909220421P000 05-04-2021 RADIT SURYA EKA Influenza, virus not
155 04-05-2021 0000592061163 L PBI (APBN) Berobat Jalan
091 07:46 PRATAMA identified
015909220421P000 05-04-2021 Contusion of toe(s) without
156 04-05-2021 0000592169163 ENGGA SOFYANY P PBI (APBN) Berobat Jalan
095 08:11 damage to nail
015909220421P000 05-04-2021 Non-insulin-dependent Diabetes Diabetes
157 04-05-2021 0000592333457 JAMSRIATI P PBI (APBN) Berobat Jalan
109 09:56 diabetes mellitus Mellitus Mellitus
015909220421P000 05-04-2021
158 04-05-2021 0000592416797 WELAS P PBI (APBN) Headache Berobat Jalan
119 10:56
015909220421P000 05-04-2021 Influenza, virus not
159 04-05-2021 0000594116842 ETTY WIJAYANTI P PBI (APBN) Berobat Jalan
096 08:12 identified
015909220421P000 05-04-2021
160 04-05-2021 0001025419072 WAGIRAN L PBI (APBN) Dermatitis, unspecified Berobat Jalan
112 10:06
015909220421P000 05-04-2021 Intervertebral disc
161 04-05-2021 0001025419083 NOR CHASANAH P PBI (APBN) Rujuk Vertikal
113 10:08 disorder, unspecified
015909220421P000 05-04-2021 PEKERJA Chronic viral hepatitis,
162 04-05-2021 0001832302585 SITI KASMONAH P Rujuk Vertikal
121 10:58 MANDIRI unspecified
015909220421P000 05-04-2021 PEKERJA
163 04-05-2021 0001832303586 SUDARKO L Myalgia Berobat Jalan
123 11:02 MANDIRI
015909220421P000 05-04-2021 PEKERJA Influenza, virus not
164 04-05-2021 0001868608225 CHOLIFATUN P Berobat Jalan
114 10:13 MANDIRI identified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

KEPALA DESA
015909220421P000 05-04-2021
165 04-05-2021 0001887533561 MASRIPAH P DAN PERANGKAT Myalgia Berobat Jalan
115 10:13
DESA

015909220421P000 05-04-2021 PEKERJA

166 04-05-2021 0002043303265 TARYATI P Headache Berobat Jalan
133 11:53 MANDIRI

KEPALA DESA
015909220421P000 05-04-2021 Chronic ischaemic heart
167 04-05-2021 0002066410181 SUGITO L DAN PERANGKAT Rujuk Vertikal
124 11:09 disease, unspecified
DESA

015909220421P000 05-04-2021
168 04-05-2021 0002351970134 SITI ULFAH P PBI (APBD) Conjunctivitis Berobat Jalan
105 09:36

Diarrhoea and
015909220421P000 05-04-2021
169 04-05-2021 0002351979505 AHMAD FAJAR APRILIO L PBI (APBD) gastroenteritis of Berobat Jalan
111 10:05
presumed infectious origin

015909220421P000 05-04-2021 Benign neoplasm of

170 04-05-2021 0002351989102 TINA SAFITRI OKTAVIANI P PBI (APBN) Rujuk Vertikal
099 08:39 thyroid gland
015909220421P000 05-04-2021 PEGAWAI Gastric ulcer, acute with
171 04-05-2021 0002351990902 RIFKHANUL A'LA L Rujuk Vertikal
101 09:09 SWASTA haemorrhage
015909220421P000 05-04-2021 Acute nasopharyngitis
172 04-05-2021 0002351990924 NGATRIYAH P PBI (APBD) Berobat Jalan
106 09:43 [common cold]
015909220421P000 05-04-2021
173 04-05-2021 0002351998596 NASIRAH P PBI (APBD) Myalgia Berobat Jalan
134 11:58
015909220421P000 05-04-2021
174 04-05-2021 0002578616076 SUPIYATUN P PBI (APBD) Headache Berobat Jalan
125 11:26
015909220421P000 05-04-2021
175 04-05-2021 0002643438374 SULASKIN P PBI (APBN) Headache Berobat Jalan
130 11:45
015909220421P000 06-04-2021
176 04-03-2021 0000590102886 ZARO'AH P PBI (APBN) Myalgia Berobat Jalan
191 21:37
015909220421P000 06-04-2021
177 04-03-2021 0000590118309 KARSI P PBI (APBN) Myalgia Berobat Jalan
194 21:47
015909220421P000 06-04-2021
178 04-03-2021 0000590118794 SARMONO L PBI (APBN) Myalgia Berobat Jalan
195 21:49
015909220421P000 05-04-2021
179 04-03-2021 0000590199862 SRIYATUN P PBI (APBN) Myalgia Berobat Jalan
094 07:58
General examination and
015909220421P000 03-04-2021 investigation of persons
180 04-03-2021 0000590476138 SITI AMINAH P PBI (APBN) Berobat Jalan
066 09:32 without complaint and
reported diagnosis
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 06-04-2021
181 04-03-2021 0000590477916 HADAN ZAURI L PBI (APBN) Dyspepsia Berobat Jalan
198 21:54
015909220421P000 06-04-2021
182 04-03-2021 0000590481191 JONO L PBI (APBN) Myalgia Berobat Jalan
196 21:50
015909220421P000 06-04-2021
183 04-03-2021 0000590481977 TURNI P PBI (APBN) Myalgia Berobat Jalan
199 21:56
015909220421P000 05-04-2021 Acute nasopharyngitis
184 04-03-2021 0000590484644 MIFTATUL NISA P PBI (APBN) Berobat Jalan
083 07:34 [common cold]
015909220421P000 06-04-2021
185 04-03-2021 0000590489166 NAVIDA MELATI P PBI (APBN) Headache Berobat Jalan
197 21:52
015909220421P000 03-04-2021
186 04-03-2021 0000590493802 NAFA'ATUL JANNAH P PBI (APBN) Dermatitis, unspecified Berobat Jalan
078 09:57
015909220421P000 06-04-2021
187 04-03-2021 0000590543458 KEVIN ANDRIANTO L PBI (APBN) Headache Berobat Jalan
192 21:42
Follow-up examination
015909220421P000 03-04-2021
188 04-03-2021 0000590557959 SUPARDI L PBI (APBN) after surgery for other Rujuk Vertikal
064 08:42
conditions
015909220421P000 03-04-2021 Acute nasopharyngitis
189 04-03-2021 0000590869045 RUKINI P PBI (APBN) Berobat Jalan
079 10:31 [common cold]
015909220421P000 05-04-2021 Acute nasopharyngitis
190 04-03-2021 0000590870485 ANANG KHOIRUN NAIM L PBI (APBN) Berobat Jalan
092 07:47 [common cold]
015909220421P000 03-04-2021
191 04-03-2021 0000590951171 NINA ZULIANA P PBI (APBN) Headache Berobat Jalan
069 09:40
015909220421P000 05-04-2021
192 04-03-2021 0000591125826 RASMI P PBI (APBN) Headache Berobat Jalan
085 07:43

Diarrhoea and
015909220421P000 03-04-2021
193 04-03-2021 0000591142959 RUKANAH P PBI (APBN) gastroenteritis of Berobat Jalan
060 08:32
presumed infectious origin

015909220421P000 03-04-2021
194 04-03-2021 0000591143692 NURUL FITRIANI P PBI (APBN) Headache Berobat Jalan
062 08:36
015909220421P000 05-04-2021
195 04-03-2021 0000591158384 SAMINI L PBI (APBN) Myalgia Berobat Jalan
084 07:36
015909220421P000 05-04-2021 Acute nasopharyngitis
196 04-03-2021 0000591166563 KUSMAN L PBI (APBN) Berobat Jalan
082 07:31 [common cold]
015909220421P000 05-04-2021
197 04-03-2021 0000591281921 SUTINI P PBI (APBN) Myalgia Berobat Jalan
090 07:46
015909220421P000 06-04-2021 MUHAMMAD KHOIRUN
198 04-03-2021 0000591381459 L PBI (APBN) Dyspepsia Berobat Jalan
204 22:04 NIZAM
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 03-04-2021 Acute nasopharyngitis

199 04-03-2021 0000591411352 RATNA SARI P PBI (APBN) Berobat Jalan
061 08:36 [common cold]
015909220421P000 03-04-2021
200 04-03-2021 0000591605807 RULIANTO L PBI (APBN) Myalgia Berobat Jalan
065 08:48
015909220421P000 06-04-2021
201 04-03-2021 0000591639153 ANDREAS FEBRIYANTO L PBI (APBN) Myalgia Berobat Jalan
200 21:58
015909220421P000 06-04-2021
202 04-03-2021 0000591680801 MUHAMMAD MUHLIS L PBI (APBN) Headache Berobat Jalan
193 21:45
015909220421P000 03-04-2021
203 04-03-2021 0000591768459 MOH CHOERONI L PBI (APBN) Schizophrenia Rujuk Vertikal
059 08:30
015909220421P000 06-04-2021
204 04-03-2021 0000591902482 SUJALI L PBI (APBN) Headache Berobat Jalan
203 22:03
015909220421P000 06-04-2021
205 04-03-2021 0000592046673 MAS'AN L PBI (APBN) Headache Berobat Jalan
201 21:59
015909220421P000 06-04-2021
206 04-03-2021 0000592047674 SUPRIYANTO L PBI (APBN) Myalgia Berobat Jalan
202 22:01
015909220421P000 03-04-2021
207 04-03-2021 0000592145627 SLAMET ISTIQOMAH P PBI (APBN) Myalgia Berobat Jalan
052 07:38
General examination and
015909220421P000 03-04-2021 investigation of persons
208 04-03-2021 0000592156135 SITI MA'RIFATUL UMAYAH P PBI (APBN) Berobat Jalan
053 07:38 without complaint and
reported diagnosis
015909220421P000 03-04-2021
209 04-03-2021 0000592157463 SITI MAGHFIROH P PBI (APBN) Myalgia Berobat Jalan
054 07:39
General examination and
015909220421P000 03-04-2021 investigation of persons
210 04-03-2021 0000592167453 SITI RIDHOAH P PBI (APBN) Berobat Jalan
055 07:39 without complaint and
reported diagnosis
015909220421P000 03-04-2021
211 04-03-2021 0000592169264 NGARIJAN L PBI (APBN) Dyspepsia Berobat Jalan
056 07:40
015909220421P000 03-04-2021
212 04-03-2021 0000592405828 MASTI P PBI (APBN) Myalgia Berobat Jalan
057 07:40
General examination and
015909220421P000 03-04-2021 investigation of persons
213 04-03-2021 0000592447465 MAULA BUDI UTOMO L PBI (APBN) Berobat Jalan
058 07:40 without complaint and
reported diagnosis
015909220421P000 03-04-2021
214 04-03-2021 0000592448387 MASMILAH P PBI (APBN) Myalgia Berobat Jalan
071 09:45
015909220421P000 05-04-2021 Acute nasopharyngitis
215 04-03-2021 0000592483814 MUKHAMAD ASROFI L PBI (APBN) Berobat Jalan
093 07:48 [common cold]
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

General examination and

015909220421P000 03-04-2021 investigation of persons
216 04-03-2021 0000592516179 SITI UMAROH P PBI (APBN) Berobat Jalan
072 09:45 without complaint and
reported diagnosis
015909220421P000 05-04-2021
217 04-03-2021 0000592520117 JAMASRI L PBI (APBN) Headache Berobat Jalan
081 07:26
015909220421P000 03-04-2021 PEGAWAI
218 04-03-2021 0001182074512 LINA FITASARI P Other acute gastritis Berobat Jalan
073 09:45 SWASTA
015909220421P000 03-04-2021
219 04-03-2021 0001529049385 Maulidatul Khoiriyah P PBI (APBN) Myalgia Berobat Jalan
074 09:46
015909220421P000 03-04-2021
220 04-03-2021 0001529050206 SITI ROSYIDAH P PBI (APBD) Myalgia Berobat Jalan
075 09:46
General examination and
015909220421P000 03-04-2021 investigation of persons
221 04-03-2021 0001529050498 Masyhuri L PBI (APBN) Berobat Jalan
076 09:46 without complaint and
reported diagnosis
015909220421P000 03-04-2021
222 04-03-2021 0001529050623 siti MASRI'AH P PBI (APBD) Myalgia Berobat Jalan
077 09:47
015909220421P000 03-04-2021 Supervision of high-risk
223 04-03-2021 0002014361098 MURSYIDAH P PBI (APBN) Rujuk Vertikal
080 10:48 pregnancy, unspecified
015909220421P000 03-04-2021 Influenza, virus not
224 04-03-2021 0002351980181 NASHIRUL IHSAN L PBI (APBD) Berobat Jalan
067 09:32 identified
015909220421P000 03-04-2021 Acute nasopharyngitis
225 04-03-2021 0002574653073 KARUNIA PUTRI P PBI (APBN) Berobat Jalan
070 09:40 [common cold]
015909220421P000 03-04-2021 PEKERJA Non-insulin-dependent Diabetes Diabetes
226 04-03-2021 0002578604771 PARYATI P Berobat Jalan
068 09:33 MANDIRI diabetes mellitus Mellitus Mellitus
015909220421P000 03-04-2021 Hypertensive renal
227 04-03-2021 0002578623164 RASMI P PBI (APBD) Berobat Jalan Hipertensi Hipertensi
063 08:40 disease with renal failure
015909220421P000 06-04-2021 PEKERJA Other specified surgical
228 04-03-2021 0002578981983 ANIS ARIFAH P Berobat Jalan
144 08:48 MANDIRI follow-up care
015909220421P000 01-04-2021
229 04-01-2021 0000093198778 SITI ZUROH P PNS DAERAH Dyspepsia Berobat Jalan
002 08:34
015909220421P000 01-04-2021
230 04-01-2021 0000590228471 MASRUKIN L PBI (APBN) Myalgia Berobat Jalan
003 08:35
015909220421P000 01-04-2021
231 04-01-2021 0000590229639 MASRINAH P PBI (APBN) Myalgia Berobat Jalan
004 08:35
015909220421P000 01-04-2021
232 04-01-2021 0000590239541 MASRUROTUN P PBI (APBN) Myalgia Berobat Jalan
005 08:36
015909220421P000 01-04-2021
233 04-01-2021 0000590240867 MASYANTO L PBI (APBN) Myalgia Berobat Jalan
006 08:36
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 01-04-2021
234 04-01-2021 0000590963218 NASRI P PBI (APBN) Myalgia Berobat Jalan
007 08:36
015909220421P000 01-04-2021
235 04-01-2021 0000590964085 MASTI'AH P PBI (APBN) Other acute gastritis Berobat Jalan
008 08:37
General examination and
015909220421P000 01-04-2021 investigation of persons
236 04-01-2021 0000590972253 M HINZANI WAFA L PBI (APBN) Berobat Jalan
009 08:37 without complaint and
reported diagnosis
General examination and
015909220421P000 01-04-2021 investigation of persons
237 04-01-2021 0000590975223 LINDA AFRIYANTI P PBI (APBN) Berobat Jalan
010 08:37 without complaint and
reported diagnosis
015909220421P000 01-04-2021
238 04-01-2021 0000591239621 MASRIAH P PBI (APBN) Dyspepsia Berobat Jalan
049 09:43
015909220421P000 01-04-2021 Acute nasopharyngitis
239 04-01-2021 0000591283091 SUTRAH P PBI (APBN) Berobat Jalan
035 09:15 [common cold]
015909220421P000 01-04-2021
240 04-01-2021 0000591294115 NGADIRU L PBI (APBN) Myalgia Berobat Jalan
011 08:38

Follow-up examination
015909220421P000 01-04-2021
241 04-01-2021 0000591613187 RASBAN L PBI (APBN) after unspecified treatment Rujuk Vertikal
001 08:31
for other conditions

General examination and

015909220421P000 01-04-2021 SITI MUTHIATUL investigation of persons
242 04-01-2021 0000591623335 P PBI (APBN) Berobat Jalan
012 08:38 ISTIQOMAH without complaint and
reported diagnosis
General examination and
015909220421P000 01-04-2021 investigation of persons
243 04-01-2021 0000591623381 NENI QOERUNNISSA P PBI (APBN) Berobat Jalan
013 08:39 without complaint and
reported diagnosis
General examination and
015909220421P000 01-04-2021 SITI ROFIATUL PEGAWAI investigation of persons
244 04-01-2021 0000591628285 P Berobat Jalan
014 08:39 MAHMIYYAH SWASTA without complaint and
reported diagnosis
General examination and
015909220421P000 01-04-2021 investigation of persons
245 04-01-2021 0000591629185 LAILATUL HUSNA P PBI (APBN) Berobat Jalan
015 08:39 without complaint and
reported diagnosis
General examination and
015909220421P000 01-04-2021 investigation of persons
246 04-01-2021 0000591636677 SITI SETIAWATI P PBI (APBN) Berobat Jalan
016 08:41 without complaint and
reported diagnosis
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 01-04-2021
247 04-01-2021 0000591644384 NGADIRIN L PBI (APBN) Myalgia Berobat Jalan
017 08:41
General examination and
015909220421P000 01-04-2021 investigation of persons
248 04-01-2021 0000591659537 NANDA PUTRI AULIA P PBI (APBN) Berobat Jalan
018 08:42 without complaint and
reported diagnosis
015909220421P000 01-04-2021 Acute nasopharyngitis
249 04-01-2021 0000591664847 SITI MUNJAENAH P PBI (APBN) Berobat Jalan
019 08:43 [common cold]
015909220421P000 01-04-2021 Influenza, virus not
250 04-01-2021 0000591669516 SITI ROHMAWATI P PBI (APBN) Berobat Jalan
020 08:43 identified
General examination and
015909220421P000 01-04-2021 investigation of persons
251 04-01-2021 0000591677381 LILIK FAUZIYAH P PBI (APBN) Berobat Jalan
021 08:44 without complaint and
reported diagnosis
015909220421P000 01-04-2021
252 04-01-2021 0000591681936 NASIKAN L PBI (APBN) Other acute gastritis Berobat Jalan
022 09:10
015909220421P000 01-04-2021
253 04-01-2021 0000591685569 MASLAN L PBI (APBN) Myalgia Berobat Jalan
023 09:11
015909220421P000 01-04-2021
254 04-01-2021 0000591687426 SITI WASIAH P PBI (APBN) Myalgia Berobat Jalan
024 09:11
015909220421P000 01-04-2021 Acute nasopharyngitis
255 04-01-2021 0000591693669 NGADERI L PBI (APBN) Berobat Jalan
025 09:12 [common cold]
General examination and
015909220421P000 01-04-2021 investigation of persons
256 04-01-2021 0000591707575 SITI MAISAROH P PBI (APBN) Berobat Jalan
026 09:12 without complaint and
reported diagnosis
General examination and
015909220421P000 01-04-2021 investigation of persons
257 04-01-2021 0000591716722 SITI SAMROTUL KAMILAH P PBI (APBN) Berobat Jalan
027 09:12 without complaint and
reported diagnosis
015909220421P000 01-04-2021 Acute nasopharyngitis
258 04-01-2021 0000591720996 SUMIRAH P PBI (APBN) Berobat Jalan
050 09:44 [common cold]
General examination and
015909220421P000 01-04-2021 investigation of persons
259 04-01-2021 0000591729952 SITI ZARO'AH P PBI (APBN) Berobat Jalan
028 09:13 without complaint and
reported diagnosis
015909220421P000 01-04-2021
260 04-01-2021 0000591737027 MASROFAH P PBI (APBN) Myalgia, site unspecified Berobat Jalan
029 09:13
015909220421P000 01-04-2021
261 04-01-2021 0000591756671 NGAMIN P PBI (APBN) Dyspepsia Berobat Jalan
030 09:13
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

General examination and

015909220421P000 01-04-2021 investigation of persons
262 04-01-2021 0000591760427 LINNA LESTARI P PBI (APBN) Berobat Jalan
033 09:14 without complaint and
reported diagnosis
015909220421P000 01-04-2021
263 04-01-2021 0000591776054 M KOSIM L PBI (APBN) Dyspepsia Berobat Jalan
034 09:15
015909220421P000 01-04-2021
264 04-01-2021 0000591946626 NASICHIN L PBI (APBN) Myalgia Berobat Jalan
036 09:24
015909220421P000 01-04-2021
265 04-01-2021 0000591975696 MASNGUD L PBI (APBN) Myalgia Berobat Jalan
037 09:25
General examination and
015909220421P000 01-04-2021 investigation of persons
266 04-01-2021 0000591975843 LIANA DEWI P PBI (APBN) Berobat Jalan
038 09:25 without complaint and
reported diagnosis
015909220421P000 01-04-2021
267 04-01-2021 0000591976631 MASNUAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
039 09:26
General examination and
015909220421P000 01-04-2021 investigation of persons
268 04-01-2021 0000591991187 LUQMAN TRIWAHYUDI L PBI (APBN) Berobat Jalan
040 09:26 without complaint and
reported diagnosis
015909220421P000 01-04-2021
269 04-01-2021 0000591993178 SITI MUNKANAH P PBI (APBN) Myalgia Berobat Jalan
041 09:26
General examination and
015909220421P000 01-04-2021 investigation of persons
270 04-01-2021 0000592003181 MEDAN WIJAYA L PBI (APBN) Berobat Jalan
042 09:29 without complaint and
reported diagnosis
015909220421P000 01-04-2021
271 04-01-2021 0000592019864 NASRIN L PBI (APBN) Myalgia Berobat Jalan
043 09:41
015909220421P000 01-04-2021
272 04-01-2021 0000592028897 NGASIRI P PBI (APBN) Myalgia Berobat Jalan
044 09:41
015909220421P000 01-04-2021
273 04-01-2021 0000592033419 SITI SUKARNI P PBI (APBN) Myalgia Berobat Jalan
045 09:42
015909220421P000 01-04-2021
274 04-01-2021 0000592037155 MASNUH L PBI (APBN) Myalgia Berobat Jalan
046 09:42
015909220421P000 01-04-2021
275 04-01-2021 0000592099367 SITI SODOROTON P PBI (APBN) Myalgia Berobat Jalan
047 09:42
General examination and
015909220421P000 01-04-2021 investigation of persons
276 04-01-2021 0000592110685 NELI FADHILAH P PBI (APBN) Berobat Jalan
048 09:43 without complaint and
reported diagnosis
015909220421P000 01-04-2021 PEKERJA
277 04-01-2021 0001388342619 MAHMUDUN MUHIM L Diabetes insipidus Rujuk Vertikal
051 10:05 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : KUDUS - 1110

FKTP : Ngemplak - 01590922

015909220421P000 01-04-2021 Influenza, virus not

278 04-01-2021 0001529048777 Umi Saidah P PBI (APBD) Berobat Jalan
032 09:14 identified
015909220421P000 01-04-2021
279 04-01-2021 0002351978504 SUTARNO L PBI (APBD) Myalgia Berobat Jalan
031 09:14