DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PEKANBARU - 0401

FKTP : Klinik Paus Medika Sigunggung - 0069B035

TANGGAL TANGGAL JENIS STATUS

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

0069B0351119P00 01-11-2019 Acute pharyngitis,

1 11-01-2019 0000020918485 YULIANA RAHMAYANI P PNS DAERAH Berobat Jalan
0029 16:02 unspecified

Follow-up examination
0069B0351119P00 01-11-2019 PENERIMA
2 11-01-2019 0000020998822 HUZAIMI IBRAHIM L after unspecified treatment Rujuk Vertikal
0009 09:35 PENSIUN PNS
for other conditions

0069B0351119P00 01-11-2019
3 11-01-2019 0000021402112 ELIZARTI P PNS DAERAH Dermatitis, unspecified Berobat Jalan
0072 22:54

Follow-up examination
0069B0351119P00 01-11-2019 PENERIMA
4 11-01-2019 0000173736663 SUARNI P after unspecified treatment Rujuk Vertikal
0004 08:34 PENSIUN TNI
for other conditions

0069B0351119P00 02-11-2019
5 11-01-2019 0000197152762 JUNI KARDI L PNS DAERAH Acute laryngitis Berobat Jalan
0083 08:43
Maternal care for other
0069B0351119P00 01-11-2019
6 11-01-2019 0000270119171 MESIRINA ZILIWU P PBI (APBN) conditions predominantly Berobat Jalan
0076 23:13
related to pregnancy
0069B0351119P00 01-11-2019 Secondary hypertension,
7 11-01-2019 0000294329327 SUMARSIH P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
0069 22:43 unspecified
0069B0351119P00 01-11-2019 Rheumatic chorea without
8 11-01-2019 0000295947775 P. SIREGAR L PBI (APBN) Berobat Jalan
0048 20:49 heart involvement

Follow-up examination
0069B0351119P00 01-11-2019
9 11-01-2019 0000296428511 SITI AISYAH P PBI (APBN) after unspecified treatment Rujuk Vertikal
0023 14:50
for other conditions

0069B0351119P00 01-11-2019
10 11-01-2019 0001108884879 ZULHELMI SUSANTI P PRAJURIT AU Myalgia Berobat Jalan
0054 21:16

Follow-up examination
0069B0351119P00 01-11-2019 PEKERJA
11 11-01-2019 0001260215998 NOVANDI STEFANUS L after unspecified treatment Rujuk Vertikal
0021 14:39 MANDIRI
for other conditions

Follow-up examination
0069B0351119P00 01-11-2019 PEKERJA
12 11-01-2019 0001261982496 ARDIMIN L after unspecified treatment Rujuk Vertikal
0002 08:17 MANDIRI
for other conditions

0069B0351119P00 01-11-2019 PEKERJA Cardiac arrhythmia,

13 11-01-2019 0001285593366 KAMARUDIN SIBURIAN L Rujuk Vertikal
0022 14:43 MANDIRI unspecified
0069B0351119P00 01-11-2019 CHANES ELISABETH PEKERJA Acute pharyngitis,
14 11-01-2019 0001290100443 P Berobat Jalan
0052 21:10 GULTOM MANDIRI unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PEKANBARU - 0401

FKTP : Klinik Paus Medika Sigunggung - 0069B035

0069B0351119P00 01-11-2019 PEGAWAI Acute pharyngitis,

15 11-01-2019 0001298432158 MAGDALENA P Berobat Jalan
0030 16:05 SWASTA unspecified
0069B0351119P00 01-11-2019 PEGAWAI
16 11-01-2019 0001298432981 RACHEL NIKITA L Dyspepsia Berobat Jalan
0031 16:09 SWASTA
0069B0351119P00 01-11-2019 PEGAWAI Acute pharyngitis,
17 11-01-2019 0001301824945 BUDIANTORO L Berobat Jalan
0039 17:52 SWASTA unspecified
0069B0351119P00 01-11-2019 PEGAWAI Acute pharyngitis,
18 11-01-2019 0001301825294 RAIHAN FAHMI ANDIKA L Berobat Jalan
0066 22:12 SWASTA unspecified
0069B0351119P00 02-11-2019 PEKERJA
19 11-01-2019 0001303624629 SABAR SINAGA L Acute pharyngitis Berobat Jalan
0082 08:35 MANDIRI
0069B0351119P00 01-11-2019 PEKERJA
20 11-01-2019 0001303625092 MONALISKA MANIK P Acute laryngitis Berobat Jalan
0079 23:17 MANDIRI
0069B0351119P00 01-11-2019 PEKERJA
21 11-01-2019 0001305710741 SITI NUR AZIZAH P Dyspepsia Berobat Jalan
0075 23:09 MANDIRI
0069B0351119P00 01-11-2019 PEKERJA
22 11-01-2019 0001312365363 FATMAWATI P Dyspepsia Berobat Jalan
0025 15:27 MANDIRI
0069B0351119P00 01-11-2019 PEKERJA
23 11-01-2019 0001316124426 ASSAITI P Myalgia Berobat Jalan
0033 16:25 MANDIRI

Diarrhoea and
0069B0351119P00 01-11-2019 HENDRA PAULUS PEGAWAI
24 11-01-2019 0001318456989 L gastroenteritis of Berobat Jalan
0032 16:14 SITORUS PANE SWASTA
presumed infectious origin

0069B0351119P00 01-11-2019 PEGAWAI

25 11-01-2019 0001388879379 YENI SUMARNI P Dyspepsia Berobat Jalan
0074 23:08 SWASTA
0069B0351119P00 01-11-2019 PEKERJA Diabetes Diabetes
26 11-01-2019 0001389860807 A. RAHMAN L Acute laryngitis Berobat Jalan
0037 17:46 MANDIRI Mellitus Mellitus
0069B0351119P00 01-11-2019 MARDONGAN TIMBUL PEKERJA Disorder of refraction,
27 11-01-2019 0001421561237 L Rujuk Vertikal
0019 14:02 P.SITUMORANG MANDIRI unspecified
0069B0351119P00 01-11-2019 PEKERJA Disorder of refraction,
28 11-01-2019 0001421561485 MEMMI SIPAHUTAR P Rujuk Vertikal
0018 13:59 MANDIRI unspecified
Lumbar and other
0069B0351119P00 01-11-2019 PEGAWAI
29 11-01-2019 0001425992501 TEDDY SYUHADA L intervertebral disc Rujuk Vertikal
0012 10:53 SWASTA
disorders with myelopathy
0069B0351119P00 01-11-2019 PEGAWAI Acute tonsillitis,
30 11-01-2019 0001425992859 DEBIE YOLANDA JE P Berobat Jalan
0065 22:08 SWASTA unspecified
0069B0351119P00 01-11-2019 PEGAWAI Acute pharyngitis,
31 11-01-2019 0001426918601 ananda rizki ramadhan P Berobat Jalan
0045 20:07 SWASTA unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PEKANBARU - 0401

FKTP : Klinik Paus Medika Sigunggung - 0069B035

PEGAWAI
PEMERINTAH
0069B0351119P00 01-11-2019 SABRINA DEMITRI Influenza with pneumonia,
32 11-01-2019 0001431089289 P DENGAN Berobat Jalan
0057 21:28 SIHOTANG influenza virus identified
PERJANJIAN
KERJA
0069B0351119P00 01-11-2019 PEGAWAI Acute pharyngitis,
33 11-01-2019 0001442935192 SRI EKA DAMAYANTI P Berobat Jalan
0053 21:14 SWASTA unspecified
Superficial injury of
0069B0351119P00 01-11-2019 PEKERJA
34 11-01-2019 0001443522273 ROSMANI P abdomen, lower back and Berobat Jalan
0078 23:16 MANDIRI
pelvis
0069B0351119P00 01-11-2019 DEANDRA SULTAN PEKERJA Acute pharyngitis,
35 11-01-2019 0001448107997 L Berobat Jalan
0049 20:56 OMARDANI MANDIRI unspecified
0069B0351119P00 01-11-2019 PEKERJA Hyperlipidaemia,
36 11-01-2019 0001450815399 SYAFTUNI.S L Berobat Jalan
0034 16:33 MANDIRI unspecified
0069B0351119P00 01-11-2019 PEKERJA Secondary hypertension,
37 11-01-2019 0001451323383 YULHIPDAWATI P Berobat Jalan Hipertensi Hipertensi
0070 22:45 MANDIRI unspecified

Follow-up examination
0069B0351119P00 01-11-2019 PEKERJA
38 11-01-2019 0001451333924 JONNI LUMBAN GAOL L after unspecified treatment Rujuk Vertikal
0001 08:11 MANDIRI
for other conditions

0069B0351119P00 01-11-2019 PEGAWAI

39 11-01-2019 0001459671467 LILIANA TOBING P Dyspepsia Berobat Jalan
0073 22:56 SWASTA
0069B0351119P00 01-11-2019 PEGAWAI
40 11-01-2019 0001464209649 NISA ULKHAIRI P Acute tonsillitis Berobat Jalan
0016 11:48 SWASTA
0069B0351119P00 01-11-2019 PEKERJA Non-insulin-dependent
41 11-01-2019 0001478991475 ELIS NAWATI P Berobat Jalan
0061 21:43 MANDIRI diabetes mellitus
0069B0351119P00 01-11-2019 PEKERJA Secondary hypertension,
42 11-01-2019 0001480982984 BAINAR P Berobat Jalan
0055 21:19 MANDIRI unspecified
Other benign neoplasm of
0069B0351119P00 01-11-2019 ILHAM MANGAMAR P. PEKERJA
43 11-01-2019 0001483216648 L connective and other soft Rujuk Vertikal
0035 16:37 HARAHAP MANDIRI
tissue of thorax Axilla
0069B0351119P00 01-11-2019 NATHAEL KURNIA PEGAWAI Acute pharyngitis,
44 11-01-2019 0001503380362 P Berobat Jalan
0028 15:58 DOMICIK H SWASTA unspecified
0069B0351119P00 02-11-2019 PEKERJA
45 11-01-2019 0001624194731 ERLINA P Retained dental root Berobat Jalan
0091 10:30 MANDIRI
0069B0351119P00 01-11-2019 PEKERJA Disorder of refraction,
46 11-01-2019 0001624217286 EDIRIJAL L Rujuk Vertikal
0013 10:58 MANDIRI unspecified
0069B0351119P00 01-11-2019 PEGAWAI
47 11-01-2019 0001630808289 LEON MARTIN L Dyspepsia Berobat Jalan
0051 21:08 SWASTA
0069B0351119P00 01-11-2019 PEKERJA Supervision of normal
48 11-01-2019 0001641454648 MERY ERTA NOVITA P P Berobat Jalan
0042 18:07 MANDIRI pregnancy
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PEKANBARU - 0401

FKTP : Klinik Paus Medika Sigunggung - 0069B035

0069B0351119P00 01-11-2019 PEGAWAI

49 11-01-2019 0001688054444 ANDRY WIJAYA L Dermatitis, unspecified Berobat Jalan
0046 20:12 SWASTA
0069B0351119P00 01-11-2019 PEKERJA Other surgical follow-up
50 11-01-2019 0001730726998 TAUFIK HIDAYAT L Berobat Jalan
0017 11:54 MANDIRI care
0069B0351119P00 01-11-2019 PEKERJA
51 11-01-2019 0001791973451 WARNATI P Dyspepsia Berobat Jalan
0067 22:18 MANDIRI
0069B0351119P00 01-11-2019 PEGAWAI Acute pharyngitis,
52 11-01-2019 0001794852753 YUNI KURNIA LESTARI P Berobat Jalan
0050 21:00 SWASTA unspecified
0069B0351119P00 01-11-2019
53 11-01-2019 0001796027545 EWIZAR P PBI (APBN) Shoulder lesions Berobat Jalan
0063 21:58
0069B0351119P00 01-11-2019 PEKERJA
54 11-01-2019 0001799997096 jarwandri aprianto L Fracture of tooth Rujuk Vertikal
0011 10:24 MANDIRI
0069B0351119P00 01-11-2019 PEKERJA Secondary hypertension,
55 11-01-2019 0001810930048 MIATUR BR TOMPUL P Berobat Jalan Hipertensi Hipertensi
0024 15:08 MANDIRI unspecified
0069B0351119P00 01-11-2019 RAISYA FADILLA PEGAWAI Acute pharyngitis,
56 11-01-2019 0001813420045 P Berobat Jalan
0059 21:39 KENYATA SWASTA unspecified

0069B0351119P00 01-11-2019 PEKERJA Influenza with pneumonia,

57 11-01-2019 0001839545346 MUHAMMAD AL FATIH L Berobat Jalan
0026 15:32 MANDIRI influenza virus identified

Follow-up examination
0069B0351119P00 01-11-2019 PEKERJA
58 11-01-2019 0001905190525 KONCORO L after unspecified treatment Rujuk Vertikal
0007 09:07 MANDIRI
for other conditions

Follow-up examination
0069B0351119P00 01-11-2019 PEKERJA
59 11-01-2019 0001905193361 siong ngo P after unspecified treatment Rujuk Vertikal
0008 09:11 MANDIRI
for other conditions

0069B0351119P00 01-11-2019 PEKERJA Disorder of refraction,

60 11-01-2019 0001962299204 MANGARA SIHOMBING L Rujuk Vertikal
0005 08:54 MANDIRI unspecified
0069B0351119P00 01-11-2019 RAMINCE SIRINGO PEKERJA Disorder of refraction,
61 11-01-2019 0001962299531 P Rujuk Vertikal
0006 08:56 RINGO MANDIRI unspecified
0069B0351119P00 01-11-2019 PEKERJA Acute tonsillitis,
62 11-01-2019 0002042679036 adelia putri nur iman P Berobat Jalan
0080 23:18 MANDIRI unspecified
0069B0351119P00 01-11-2019 PEKERJA Secondary hypertension,
63 11-01-2019 0002045626075 SURYA MUSTIKA P Berobat Jalan
0020 14:09 MANDIRI unspecified

0069B0351119P00 01-11-2019 PENERIMA Secondary hypertension,

64 11-01-2019 0002066188151 NUSLINNI BAHAR P Berobat Jalan Hipertensi Hipertensi
0071 22:46 PENSIUN SWASTA unspecified

0069B0351119P00 01-11-2019 ARSEN MANUEL PEKERJA Nonspecific lymphadenitis,

65 11-01-2019 0002195947484 L Berobat Jalan
0062 21:49 TAMPUBOLON MANDIRI unspecified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PEKANBARU - 0401

FKTP : Klinik Paus Medika Sigunggung - 0069B035

0069B0351119P00 01-11-2019 PEGAWAI

66 11-01-2019 0002201995528 RENSI SIDABALOK P Acute laryngitis Berobat Jalan
0058 21:34 SWASTA
0069B0351119P00 01-11-2019 PEGAWAI Disorder of refraction,
67 11-01-2019 0002201996305 COLLEEN SUHARDI P Rujuk Vertikal
0036 17:09 SWASTA unspecified
0069B0351119P00 01-11-2019 PEKERJA Acute pharyngitis,
68 11-01-2019 0002231355532 NESTI FRIALISAH P Berobat Jalan
0077 23:14 MANDIRI unspecified
0069B0351119P00 01-11-2019 PEGAWAI Acute pharyngitis,
69 11-01-2019 0002235616299 YESI SEPTIA WARDANI P Berobat Jalan
0041 18:02 SWASTA unspecified
0069B0351119P00 01-11-2019 PEGAWAI
70 11-01-2019 0002235616435 AULIA NURVITASARI P Other forms of stomatitis Berobat Jalan
0040 17:57 SWASTA
Non-insulin-dependent
0069B0351119P00 01-11-2019 PEGAWAI diabetes mellitus with Diabetes Diabetes
71 11-01-2019 0002251380925 RICKY L Berobat Jalan
0043 19:22 SWASTA other specified Mellitus Mellitus
complications
0069B0351119P00 01-11-2019 PEKERJA Secondary hypertension,
72 11-01-2019 0002264895246 YENNY P Berobat Jalan Hipertensi Hipertensi
0068 22:42 MANDIRI unspecified
0069B0351119P00 01-11-2019 LASRONITA PEGAWAI
73 11-01-2019 0002269279743 P Dyspepsia Berobat Jalan
0047 20:15 HUTAGALUNG SWASTA

Diarrhoea and
0069B0351119P00 01-11-2019 ESTER RUTARI CHAELINA PEKERJA
74 11-01-2019 0002279825932 L gastroenteritis of Berobat Jalan
0038 17:49 MUNTE MANDIRI
presumed infectious origin

Follow-up examination
0069B0351119P00 01-11-2019 PEGAWAI
75 11-01-2019 0002290797562 A HONG P after unspecified treatment Rujuk Vertikal
0003 08:23 SWASTA
for other conditions

Other benign neoplasms

0069B0351119P00 01-11-2019 PEGAWAI
76 11-01-2019 0002324767127 Ramdhan Parolando L of connective and other Rujuk Vertikal
0015 11:38 SWASTA
soft tissue

Follow-up examination
0069B0351119P00 01-11-2019 PEKERJA
77 11-01-2019 0002379040547 LESTIANA LUBIS P after unspecified treatment Rujuk Vertikal
0014 11:24 MANDIRI
for other conditions

Person consulting for

0069B0351119P00 01-11-2019 PEGAWAI
78 11-01-2019 0002467073158 BOAS DANIEL STEVEN L explanation of Berobat Jalan
0060 21:41 SWASTA
investigation findings
0069B0351119P00 01-11-2019 PEKERJA
79 11-01-2019 0002478375797 MANUEL ANTONIO L Pneumonia, unspecified Berobat Jalan
0044 20:05 MANDIRI

0069B0351119P00 01-11-2019 MUHAMMAD ZAFRI ARIQ PEKERJA Influenza with pneumonia,

80 11-01-2019 0002741903752 L Berobat Jalan
0056 21:21 RAMADHAN MANDIRI influenza virus identified
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PEKANBARU - 0401

FKTP : Klinik Paus Medika Sigunggung - 0069B035

0069B0351119P00 01-11-2019 Acute obstructive laryngitis

81 11-01-2019 0002759153995 ALIYANA ADELIA SYAZANI P PNS DAERAH Rujuk Vertikal
0010 09:52 [croup]

0069B0351119P00 01-11-2019 PEKERJA Influenza with pneumonia,

82 11-01-2019 0002885435829 NINA NURHAFIZAH P Berobat Jalan
0027 15:44 MANDIRI influenza virus identified

0069B0351119P00 01-11-2019 Influenza with pneumonia,

83 11-01-2019 0002893103324 YUANISSA P PBI (APBN) Berobat Jalan
0064 22:00 influenza virus identified