DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

TANGGAL TANGGAL JENIS STATUS

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

060104011221P000 08-12-2021
1 12-08-2021 0000025714124 M. ALFIE SYAHRIN L - Necrosis of pulp Rujuk Vertikal
304 10:24
060104011221P000 08-12-2021
2 12-08-2021 0000026098457 MOHAMMAD AHYADI L PNS DAERAH Paranoid schizophrenia Rujuk Vertikal
306 11:34
060104011221P000 11-12-2021
3 12-08-2021 0000026112442 KOMARUDIN L - Atopic dermatitis Berobat Jalan
352 09:49
Hypertensive heart
060104011221P000 08-12-2021 PENERIMA
4 12-08-2021 0000026363441 MASIANA P disease without Rujuk Vertikal
265 08:15 PENSIUN TNI
(congestive) heart failure
060104011221P000 11-12-2021 PENERIMA Essential (primary)
5 12-08-2021 0000026414302 DJUMIATI P Berobat Jalan
377 10:31 PENSIUN TNI hypertension
060104011221P000 11-12-2021 PENERIMA
6 12-08-2021 0000026983157 HAMIDAH P Gastritis, unspecified Berobat Jalan
373 10:26 PENSIUN PNS
060104011221P000 11-12-2021 PENERIMA Essential (primary)
7 12-08-2021 0000027049689 MALEHA M AMIN P Berobat Jalan
374 10:30 PENSIUN PNS hypertension
060104011221P000 11-12-2021
8 12-08-2021 0000027142367 SUMARNI P PNS DAERAH Gastritis, unspecified Berobat Jalan
372 10:26
060104011221P000 11-12-2021 Essential (primary)
9 12-08-2021 0000027574323 MAISAROH P PNS DAERAH Berobat Jalan
358 10:00 hypertension
060104011221P000 11-12-2021
10 12-08-2021 0000160250578 NURHAYATI P - Gastritis, unspecified Berobat Jalan
376 10:30
Hypertensive heart
060104011221P000 08-12-2021
11 12-08-2021 0000315257455 SAMSIAH P PBI (APBN) disease without Rujuk Vertikal Hipertensi Hipertensi
303 10:14
(congestive) heart failure
060104011221P001 05-01-2022 Primary generalized
12 12-08-2021 0000319465192 SUKENDAR L - Berobat Jalan
670 21:13 (osteo)arthrosis
060104011221P000 11-12-2021 Essential (primary)
13 12-08-2021 0000324226146 NURAINI P PBI (APBN) Berobat Jalan
371 10:26 hypertension
060104011221P000 14-12-2021 Contraceptive
14 12-08-2021 0000324832634 RAHMA MAYANG SARI P PBI (APBN) Berobat Jalan
457 08:42 management
060104011221P001 05-01-2022 Disorders of refraction and
15 12-08-2021 0000324875968 NOVITA SARI P - Berobat Jalan
671 21:14 accommodation
060104011221P001 05-01-2022 Acute upper respiratory
16 12-08-2021 0000324892293 KLARA GISKA AYUNDA P - Berobat Jalan
658 20:19 infection, unspecified
060104011221P001 05-01-2022
17 12-08-2021 0000324939003 PUTRI ALVIAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
659 20:22
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

060104011221P001 05-01-2022 Acute upper respiratory

18 12-08-2021 0000324943885 SUMIATI P - Berobat Jalan
660 20:23 infection, unspecified
060104011221P001 30-12-2021 Supervision of normal
19 12-08-2021 0000324976915 SEFTI RINANDA P PBI (APBN) Berobat Jalan
397 11:07 pregnancy
060104011221P000 14-12-2021 Contraceptive
20 12-08-2021 0000324997187 NURHAYATI P - Berobat Jalan
455 08:39 management
060104011221P000 14-12-2021 Contraceptive
21 12-08-2021 0000324998706 TINA SARI P - Berobat Jalan
458 08:42 management
060104011221P000 11-12-2021 Supervision of normal
22 12-08-2021 0000325020249 ANA ARYANI P - Berobat Jalan
382 10:47 pregnancy
060104011221P001 05-01-2022 Essential (primary)
23 12-08-2021 0000325056464 ROHMAWATI P - Berobat Jalan
672 21:14 hypertension
060104011221P001 05-01-2022
24 12-08-2021 0000325263071 VEREN YULI ADZANI P - Necrosis of pulp Berobat Jalan
661 20:24
060104011221P000 11-12-2021 Essential (primary)
25 12-08-2021 0000325267626 JUMINAH P PBI (APBN) Berobat Jalan Hipertensi Hipertensi
366 10:14 hypertension
060104011221P000 08-12-2021 Contraceptive
26 12-08-2021 0000325674527 SURYANI P PBI (APBN) Berobat Jalan
311 14:48 management
060104011221P001 05-01-2022
27 12-08-2021 0000325674808 MUHMAT DENI SAPUTRA L - Atopic dermatitis Berobat Jalan
662 20:25
060104011221P000 11-12-2021 PEGAWAI Primary generalized
28 12-08-2021 0000326041277 MASNI P Berobat Jalan
343 09:00 SWASTA (osteo)arthrosis
060104011221P001 05-01-2022 Essential (primary)
29 12-08-2021 0000992574797 PETI SUSANTI P - Berobat Jalan Hipertensi Hipertensi
663 20:25 hypertension
060104011221P001 05-01-2022 Essential (primary)
30 12-08-2021 0000992583314 ROHANA P - Berobat Jalan
673 21:14 hypertension
060104011221P001 05-01-2022
31 12-08-2021 0001224294704 ANDI BURHAN P - Status asthmaticus Berobat Jalan
674 21:15
060104011221P000 08-12-2021 PEKERJA Essential (primary)
32 12-08-2021 0001280953517 MUHAMMAD ALI L Berobat Jalan Hipertensi Hipertensi
270 08:46 MANDIRI hypertension
060104011221P000 11-12-2021 PEKERJA Essential (primary)
33 12-08-2021 0001305233561 RISMAN EFENDI SIREGAR L Berobat Jalan
367 10:14 MANDIRI hypertension
060104011221P000 11-12-2021 Primary generalized
34 12-08-2021 0001315654132 YENY P - Berobat Jalan
375 10:30 (osteo)arthrosis
060104011221P000 11-12-2021 PEKERJA
35 12-08-2021 0001322589429 TUSMIAWATI P Gastritis, unspecified Berobat Jalan
361 10:04 MANDIRI
060104011221P000 08-12-2021 Contraceptive
36 12-08-2021 0001388201589 RATNA SARI DEWI P - Berobat Jalan
310 14:41 management
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

060104011221P001 05-01-2022
37 12-08-2021 0001389410122 RUSMAWATI P PBI (APBD) Status asthmaticus Berobat Jalan
664 20:26
060104011221P000 11-12-2021 Supervision of normal
38 12-08-2021 0001439562093 RIZKA OKTARIA P - Berobat Jalan
383 10:48 pregnancy
060104011221P000 14-12-2021 Contraceptive
39 12-08-2021 0001462487466 REFI JULIANI P PBI (APBN) Berobat Jalan
456 08:40 management
060104011221P000 11-12-2021 PEGAWAI Essential (primary)
40 12-08-2021 0001501560595 MIMI HANDAYANI P Berobat Jalan
357 09:59 SWASTA hypertension
060104011221P000 11-12-2021 Acute upper respiratory
41 12-08-2021 0001509751989 MAWARDI L PBI (APBN) Berobat Jalan
364 10:13 infection, unspecified
060104011221P001 05-01-2022
42 12-08-2021 0001510567233 ASNI P PBI (APBD) Status asthmaticus Berobat Jalan
665 20:26
060104011221P001 05-01-2022
43 12-08-2021 0001719747347 LIDYA FITRIA,ST P - Gastritis, unspecified Berobat Jalan
666 20:27
Maternal care for known or
060104011221P000 08-12-2021
44 12-08-2021 0001789857527 R.A. NURNIATI P - suspected fetal Rujuk Vertikal
308 12:11
abnormality and damage
060104011221P001 05-01-2022 Essential (primary)
45 12-08-2021 0001809810753 R BAMBANG OENTORO L - Berobat Jalan
675 21:15 hypertension
060104011221P000 08-12-2021 PEKERJA
46 12-08-2021 0001815289749 SURYATI P Carpal tunnel syndrome Rujuk Vertikal Hipertensi
302 10:11 MANDIRI
060104011221P000 08-12-2021 PEKERJA Disorders of refraction and
47 12-08-2021 0001831319662 fadilah P Berobat Jalan
305 11:08 MANDIRI accommodation
060104011221P000 08-12-2021 PEKERJA Cerebrovascular disease,
48 12-08-2021 0001874793677 RISMA HAIRANI P Rujuk Vertikal Hipertensi
264 08:08 MANDIRI unspecified
060104011221P000 11-12-2021 PEGAWAI Supervision of normal
49 12-08-2021 0001880018458 RONNA ZANUWARITA P Berobat Jalan
379 10:34 SWASTA pregnancy
060104011221P000 11-12-2021 PEGAWAI
50 12-08-2021 0002053596532 YULIA AZRANI P Gastritis, unspecified Berobat Jalan
378 10:33 SWASTA
060104011221P000 11-12-2021
51 12-08-2021 0002179382679 DIMA P - Atopic dermatitis Berobat Jalan
359 10:00
060104011221P000 08-12-2021
52 12-08-2021 0002213343292 NON CHANDRA L PBI (APBN) Congestive heart failure Rujuk Vertikal
299 09:38
060104011221P000 11-12-2021
53 12-08-2021 0002320958834 NUR'AINI P - Gastritis, unspecified Berobat Jalan
342 08:58
060104011221P001 05-01-2022
54 12-08-2021 0002469799506 SITI AMINAH P PBI (APBN) Gastritis, unspecified Berobat Jalan
667 20:27
060104011221P000 11-12-2021 PEKERJA
55 12-08-2021 0002496092027 SAFIRA ASYIFA P Gastritis, unspecified Berobat Jalan
355 09:50 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

060104011221P000 11-12-2021
56 12-08-2021 0002570444864 NURLELA P PBI (APBN) Gastritis, unspecified Berobat Jalan
354 09:49
060104011221P000 08-12-2021 Disorders of refraction and
57 12-08-2021 0002582573679 M. ALDI PRABOWO L - Berobat Jalan
301 10:01 accommodation
060104011221P000 11-12-2021
58 12-08-2021 0002626657705 LINDAWATI P - Atopic dermatitis Berobat Jalan
353 09:49
060104011221P000 11-12-2021
59 12-08-2021 0002670715405 YUSNANI P - Atopic dermatitis Berobat Jalan
341 08:58
060104011221P000 11-12-2021
60 12-08-2021 0002670726655 SYAIFUL L PBI (APBN) Gastritis, unspecified Berobat Jalan
370 10:25
060104011221P000 11-12-2021
61 12-08-2021 0002671386175 YULI SAPRIDI P - Dyspepsia Berobat Jalan
340 08:55
060104011221P000 11-12-2021 Supervision of normal
62 12-08-2021 0002672248274 TRI MULYANI P - Berobat Jalan
380 10:45 pregnancy
060104011221P000 11-12-2021 Supervision of normal
63 12-08-2021 0002672253281 LINDA AGUSTINA P - Berobat Jalan
381 10:46 pregnancy
060104011221P000 11-12-2021
64 12-08-2021 0002672259017 NUR AINI P - Gastritis, unspecified Berobat Jalan
356 09:58
060104011221P000 08-12-2021 Disorders of refraction and
65 12-08-2021 0002672259028 MURNI P - Berobat Jalan
307 11:35 accommodation
060104011221P000 11-12-2021
66 12-08-2021 0002672267444 EDDY SUBIANTO L - Gastritis, unspecified Berobat Jalan
369 10:25
060104011221P000 08-12-2021 PEKERJA Contraceptive
67 12-08-2021 0002742603467 KHAIRUNNISA P Berobat Jalan
309 14:33 MANDIRI management
060104011221P000 08-12-2021 PEKERJA
68 12-08-2021 0002776206881 NAZIA WAFA ABQURO P Epilepsy Rujuk Vertikal
266 08:22 MANDIRI
Tuberculosis of lung,
060104011221P001 30-12-2021 confirmed by sputum
69 12-08-2021 0002787876066 PENI KASARI P - Berobat Jalan
398 11:07 microscopy with or without
culture

060104011221P001 05-01-2022 BINTANG BHAYANGKARA

70 12-08-2021 0002899825659 L - Gastritis, unspecified Berobat Jalan
668 20:28 TAMBUNAN

060104011221P000 11-12-2021
71 12-08-2021 0002950408359 MASAYU BUNGA INDAH P - Atopic dermatitis Berobat Jalan
360 10:02
060104011221P001 05-01-2022 Essential (primary)
72 12-08-2021 0003054154713 NURDIN L - Berobat Jalan
669 20:28 hypertension
060104011221P000 11-12-2021 PEKERJA
73 12-08-2021 0003062672594 ANGKA L Gastritis, unspecified Berobat Jalan
365 10:13 MANDIRI
 DAFTAR KUNJUNGAN PESERTA SAKIT

Kantor Cabang : PALEMBANG - 0601

FKTP : BOOM BARU - 06010401

060104011221P000 08-12-2021
74 12-08-2021 0003082590729 SUBRI L PBI (APBD) Paranoid schizophrenia Rujuk Vertikal
300 10:00